Description of the Protocols for Randomized Controlled Trials on Cancer Drugs Conducted in Spain (1999–2003)

PubMed Central

Bonfill, Xavier; Ballesteros, Mónica; Gich, Ignasi; Serrano, María Antonia; García López, Fernando; Urrútia, Gerard

2013-01-01

Objective To describe the characteristics of randomized controlled clinical trials (RCT) on cancer drugs conducted in Spain between 1999 and 2003 based on their protocols. Methods We conducted an observational retrospective cohort study to identify the protocols of RCTs on cancer drugs authorized by the Agencia Española del Medicamento y Productos Sanitarios (AEMPS) (Spanish Agency for Medicines and Medical Devices) during 1999-2003. A descriptive analysis was completed and the association between variables based on the study setting and sponsorship were assessed. Results We identified a total of 303 protocols, which included 176,835 potentially eligible patients. Three-quarter of the studies were internationally-based, 61.7% were phase III, and 76.2% were sponsored by pharmaceutical companies. The most frequently assessed outcomes were response rate (24.7%), overall survival (20.7%), and progression-free survival (14.5%). Of all protocols, 10.6% intended to include more than 1000 patients (mean: 2442, SD: 2724). Compared with their national counterparts, internationally-based studies were significantly larger (p<0.001) and were more likely to implement centralized randomization (p<0.001), blinding of the intervention (p<0.001), and survival as primary outcome (p<0.001). Additionally, most internationally-based studies were sponsored by pharmaceutical companies (p<0.01). In a high percentage of protocols, the available information was not explicit enough to assess the validity of each trial. Compared to other European countries, the proportion of Spanish cancer drugs protocols registered at www.clinicaltrials.gov (7%) was lower. Conclusion RCTs on cancer drugs conducted in Spain between 1999 and 2003 were more likely to be promoted by pharmaceutical companies rather than by non-profit national groups. The former were more often part of international studies, which generally had better methodological quality than national ones. There are some worldwide on

Continence following radical retropubic prostatectomy using self-reporting instruments.

PubMed

Lepor, Herbert; Kaci, Ledia; Xue, Xiaonan

2004-03-01

We performed a global self-assessment of continence following radical retropubic prostatectomy (RRP) and determined how this global self-assessment of continence correlates with commonly used definitions of continence. Between October 2000 and February 2002 all men who underwent RRP were encouraged to complete the University of California-Los Angeles Prostate Cancer Index 3, 6, 12 and 24 months postoperatively. Beginning October 2002 a single question capturing the patient global self-assessment of continence status was added to the postoperative continence assessment. The study design was cross-sectional since only continence surveys submitted between October 2002 through February 2003 were evaluated. Sensitivity, specificity and kappa coefficient was determined for the relationship between the patient global assessment of continence vs the definition of continence based on pad requirement, problem due to incontinence and frequency of incontinence. Continence progressively improved 3 to 24 months following RRP for all continence outcomes. At 24 months following RRP 97.1% of men considered themselves continent, while 97.1%, 94.1% and 97.1% were considered continent using continence definitions, including the requirement of no or 1 pad in a 24-hour interval, no or slight bother due to incontinence and total control or occasional dribbling, respectively. Our 3 definitions of continence derived from responses to the University of California-Los Angeles Prostate Cancer Index had excellent agreement with patient global self-assessment of continence (kappa coefficients between 0.76 and 0.83). The majority of men achieve continence without invasive intervention following RRP. Final continence status should be ascertained at 24 months. The patient global assessment of continence provides face validity for other definitions of continence based on responses to validated self-administered questionnaires.

Academic Year Report, 1999-2000.

ERIC Educational Resources Information Center

Washington State Board for Community and Technical Colleges, Olympia.

This report provides a snapshot of funding, facilities, staffing, and enrollments in Washington's community and technical colleges in the 1999-2000 academic year. The report also describes key measures of student outcomes, and addresses the most frequently asked questions related to expenditures, personnel and students. Report highlights include:…

Declining tobacco use among North Carolina middle and high school students: 1999-2007.

PubMed

Proescholdbell, Scott K; Summerlin-Long, Shelley K; Goldstein, Adam O

2009-01-01

In 1999, North Carolina first conducted the Youth Tobacco Survey (YTS) among middle and high school students and found current smoking rates higher than the national average. In 2003, school and community grants across the state were funded to prevent and reduce youth tobacco use. The North Carolina YTS has been conducted every other year since 1999 with high response rates by schools and students. The YTS is a written survey administered during the school day. It is voluntary and anonymous. In 2007 middle and high school student tobacco use rates reached their lowest point in the last decade. Nineteen percent of high school students reported current cigarette smoking, while 4.5% of middle school students said that they currently smoke. Almost every type of tobacco product use (cigarette, cigar, pipe, and bidi) has decreased since the 1999 YTS, with increasing rates of decline in cigarette use from 2003-2007 compared to 1999-2003. This is a cross-sectional survey conducted every other year where students self-report use, attitudes, and perceptions. North Carolina's youth tobacco use rates have declined more steeply since 2003 when the tobacco initiatives started by the North Carolina Health and Wellness Trust Fund (HWTF) began to mobilize communities statewide. Continuing to fund and expand evidence-based tobacco prevention strategies is likely necessary in order to sustain steady declines in youth smoking rates.

Analysis of continence rates following robot-assisted radical prostatectomy: strict leak-free and pad-free continence.

PubMed

Reynolds, W Stuart; Shikanov, Sergey A; Katz, Mark H; Zagaja, Gregory P; Shalhav, Arieh L; Zorn, Kevin C

2010-02-01

To propose a strict and specific definition of continence (leak-free and pad-free [LFPF]) and apply it to robot-assisted radical prostatectomy (RARP) outcomes on the basis of University of California-Los Angeles-Prostate Cancer Index (UCLA-PCI), as postprostatectomy incontinence is not well defined. A single-institution RARP database was reviewed concerning continence variables prospectively recorded by the UCLA-PCI. Specific responses to urinary function and continence items were reviewed at baseline and 1, 3, 6, 12, and 24 months after surgery. From February 2003 to September 2007, a total of 1005 of 1500 RARP patients had data available for review. At baseline, only 73% of these patients were LFPF. This decreased to 4%, 9%, 17%, 24%, and 28% at 1, 3, 6, 12, and 24 months after surgery, respectively. Applying less strict definitions, at 24 months, 68% of patients reported no pad use and 90% of patients reported no pad use or the use of a security pad. When stratified by baseline LFPF status, patients not LFPF at baseline had higher baseline international prostate symptom score scores, lower urinary function scores, lower urinary bother scores, and larger prostate weights. Patients LFPF at baseline disproportionately regained LFPF continence starting 6 months after surgery compared with those not LFPF at baseline: 20% vs 9% (P = .005), 27% vs 15% (P = .0009), and 33% vs 15% (P = .0146) at 6, 12, and 24 months, respectively. A strict definition of urinary continence results in more conservative postoperative outcomes. Preoperative LFPF status can be predictive of postoperative LFPF continence. However, only one-third of patients LFPF at baseline returned to LFPF at 24 months. 2010 Elsevier Inc. All rights reserved.

Patterns of Radiotherapy Practice for Patients With Cervical Cancer in Japan, 2003-2005: Changing Trends in the Pattern of Care Process

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

Tomita, Natsuo, E-mail: ntomita@aichi-cc.jp; Toita, Takafumi; Kodaira, Takeshi

2012-08-01

Purpose: The patterns of care study (PCS) of radiotherapy for cervical cancer in Japan over the last 10 years was reviewed. Methods and Materials: The Japanese PCS working group analyzed data from 1,200 patients (1995-1997, 591 patients; 1999-2001, 324 patients; 2003-2005, 285 patients) with cervical cancer treated with definitive radiotherapy in Japan. Results: Patients in the 2001-2003 survey were significantly younger than those in the 1999-2001 study (p < 0.0001). Histology, performance status, and International Federation of Gynecology and Obstetrics stage were not significantly different among the three survey periods. Use of combinations of chemotherapy has increased significantly during thosemore » periods (1995-1997, 24%; 1999-2001, 33%; 2003-2005, 54%; p < 0.0001). The ratio of patients receiving concurrent chemotherapy has also dramatically increased (1995-1997, 20%; 1999-2001, 54%; 2003-2005, 83%; p < 0.0001). As for external beam radiotherapy (EBRT), the application rate of four-field portals has greatly increased over the three survey periods (1995-1997, 2%; 1999-2001, 7%; 2003-2005, 21%; p < 0.0001). In addition, the use of an appropriate beam energy for EBRT has shown an increase (1995-1997, 67%; 1999-2001, 74%; 2003-2005, 81%; p = 0.064). As for intracavitary brachytherapy (ICBT), an iridium source has become increasingly popular (1995-1997, 27%; 1999-2001, 42%; 2003-2005, 84%; p < 0.0001). Among the three surveys, the ratio of patients receiving ICBT (1995-1997, 77%; 1999-2001, 82%; 2003-2005, 78%) has not changed. Although follow-up was inadequate in each survey, no significant survival differences were observed (p = 0.36), and rates of late Grade 3 or higher toxicity were significantly different (p = 0.016). Conclusions: The Japanese PCS has monitored consistent improvements over the past 10 years in the application of chemotherapy, timing of chemotherapy, and EBRT methods. However, there is still room for improvement, especially in the

1999–2009 Trends in Prevalence, Unawareness, Treatment and Control of Hypertension in Geneva, Switzerland

PubMed Central

Guessous, Idris; Bochud, Murielle; Theler, Jean-Marc; Gaspoz, Jean-Michel; Pechère-Bertschi, Antoinette

2012-01-01

Background There are no time trends in prevalence, unawareness, treatment, and control of hypertension in Switzerland. The objective of this study was to analyze these trends and to determine the associated factors. Methods/Findings Population-based study conducted in the Canton of Geneva, Switzerland, between 1999 and 2009. Blood pressure was measured thrice using a standard protocol. Hypertension was defined as mean systolic or diastolic blood pressure ≥140/90 mmHg or self-reported hypertension or anti-hypertensive medication. Unawareness, untreated and uncontrolled hypertension was determined by questionnaires/blood pressure measurements. Yearly age-standardized prevalences and adjusted associations for the 1999–2003 and 2004–2009 survey periods were reported. The 10-year survey included 9,215 participants aged 35 to 74 years. Hypertension remained stable (34.4%). Hypertension unawareness decreased from 35.9% to 17.7% (P<0.001). The decrease in hypertension unawareness was not paralleled by a concomitant absolute increase in hypertension treatment, which remained low (38.2%). A larger proportion of all hypertensive participants were aware but not treated in 2004–2009 (43.7%) compared to 1999–2003 (33.1%). Uncontrolled hypertension improved from 62.2% to 40.6% between 1999 and 2009 (P = 0.02). In 1999–2003 period, factors associated with hypertension unawareness were current smoking (OR = 1.27, 95%CI, 1.02–1.59), male gender (OR = 1.56, 1.27–1.92), hypercholesterolemia (OR = 1.31, 1.20–1.44), and older age (OR 65–74yrs vs 35–49yrs  = 1.56, 1.21–2.02). In 1999–2003 and 2004–2009, obesity and diabetes were negatively associated with hypertension unawareness, high education was associated with untreated hypertension (OR = 1.45, 1.12–1.88 and 1.42, 1.02–1.99, respectively), and male gender with uncontrolled hypertension (OR = 1.49, 1.03–2.17 and 1.65, 1.08–2.50, respectively). Sedentarity was associated

Invited Paper: US Naval Space Surveillance Upgrade Program 1999-2003

NASA Astrophysics Data System (ADS)

Schumacher, Paul W., Jr.

2009-03-01

This paper reviews some of the main objectives, constraints and lessons learned in a particular US Navy program that ended in 2003 with the transition of the space surveillance mission, personnel and funding to the US Air Force. Because of changing needs for space situational awareness both for national security and global commercial reasons, the Air Force sensor program that is now emerging must necessarily be different in scope from the Navy program. However, the Navy program was the first US space surveillance sensor acquisition that addressed the problem of building a large catalog of small space objects. This problem was, and remains, a new one, because the existing catalog of space objects has been maintained since the launch of the first satellite, Sputnik I, on 4 October 1957. To date, it has always been possible to maintain a complete inventory of space objects without ever re-building the catalog ab initio, because of the relatively slow rate at which new satellites are launched into space. Now, with the probable introduction of new and very sensitive space surveillance systems in several countries in the coming years, the apparent satellite population will grow instantly by orders of magnitude as the previously invisible small-debris background population becomes visible. The problem of building a large catalog of possibly faint objects in a short time has become unavoidable. Yet, all existing methods of managing sensors, associating tracking data and predicting orbital uncertainties are inadequate for this task. For this reason, reviewing from a historical point of view the Navy's attempts to address some of these problems in a conceptual system design may give us a useful perspective, even though that particular program is defunct.My personal involvement with the Navy program included the entire duration and almost all aspects of the effort. Beginning in 1999, I participated in the formal identification of the need to improve the capability of the

The Well-Being of 12- to 16-Year-Old Adolescents and Their Parents: Results from 1999 to 2003 Spanish Samples

ERIC Educational Resources Information Center

Casas, Ferran; Figuer, Cristina; Gonzalez, Monica; Malo, Sara; Alsinet, Carles; Subarroca, Sandra

2007-01-01

This study adopts satisfaction with life as a whole and satisfaction with specific life domains as indicators to analyse the relationships between the well-being of 12 to 16-year-old adolescents and some related constructs such as self-esteem, perceived control and perceived social support. Well-being indicators from a 2003 Spanish sample using an…

Using bald eagles to track spatial (1999-2008) and temporal (1987-1992, 1999-2003, and 2004-2008) trends of contaminants in Michigan's aquatic ecosystems.

PubMed

Wierda, Michael R; Leith, Katherine F; Roe, Amy S; Grubb, Teryl G; Sikarskie, James G; Best, David A; Pittman, H Tyler; Fuentes, Latice; Simon, Kendall L; Bowerman, William

2016-08-01

The bald eagle (Haliaeetus leucocephalus) is an extensively researched tertiary predator. Studies have delineated information about its life history and the influences of various stressors on its reproduction. Due to the bald eagle's position at the top of the food web, it is susceptible to biomagnification of xenobiotics. The Michigan Department of Environmental Quality implemented a program in 1999 to monitor persistent chemicals including polychlorinated biphenols (PCBs) and dichlorodiphenyltrichloroethane (DDE). The objectives of the present study were to evaluate spatial and temporal trends of PCBs and organochlorine pesticides in nestling bald eagles of Michigan. The authors' study found that concentrations of PCBs and DDE were higher in Great Lakes areas with Lakes Michigan and Lake Huron having the highest concentrations of DDE and Lake Erie having the highest concentrations of PCBs. Temporally (1987-1992, 1999-2003, and 2004-2008) the present study found declines in PCB and DDE concentrations with a few exceptions. Continued monitoring of Michigan bald eagle populations is suggested for a couple of reasons. First, nestling blood contaminant levels are an appropriate method to monitor ecosystem contaminant levels. Second, from 1999 to 2008 PCB and DDE concentrations for 30% and 40%, respectively, of the nestling eagles sampled were above the no observable adverse effect level (NOAEL) for bald eagles. Lastly, with the continued development and deployment of new chemistries a continuous long term monitoring program is an invaluable resource. Environ Toxicol Chem 2016;35:1995-2002. © 2016 SETAC. © 2016 SETAC.

Benefits from Funding the MSD Engineering List: A Fiscal Year 1999 Case Study

DTIC Science & Technology

2004-03-01

BENEFITS FROM FUNDING THE MSD ENGINEERING LIST: A FISCAL YEAR 1999 CASE STUDY THESIS...States Government. AFIT/GLM/ENS/04-03 BENEFITS FROM FUNDING THE MSD ENGINEERING LIST: A FISCAL YEAR 1999 CASE STUDY...ENS/04-03 BENEFITS FROM FUNDING THE MSD ENGINEERING LIST: A FISCAL YEAR 1999 CASE STUDY David L. Gehrich, BS Captain, USAF

42 CFR 419.30 - Base expenditure target for calendar year 1999.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 3 2012-10-01 2012-10-01 false Base expenditure target for calendar year 1999. 419.30 Section 419.30 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... Outpatient Services § 419.30 Base expenditure target for calendar year 1999. (a) CMS estimates the aggregate...

42 CFR 419.30 - Base expenditure target for calendar year 1999.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 3 2011-10-01 2011-10-01 false Base expenditure target for calendar year 1999. 419.30 Section 419.30 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... Services § 419.30 Base expenditure target for calendar year 1999. (a) CMS estimates the aggregate amount...

42 CFR 419.30 - Base expenditure target for calendar year 1999.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 3 2013-10-01 2013-10-01 false Base expenditure target for calendar year 1999. 419.30 Section 419.30 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... Outpatient Services § 419.30 Base expenditure target for calendar year 1999. (a) CMS estimates the aggregate...

42 CFR 419.30 - Base expenditure target for calendar year 1999.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Base expenditure target for calendar year 1999. 419.30 Section 419.30 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... Services § 419.30 Base expenditure target for calendar year 1999. (a) CMS estimates the aggregate amount...

Improvement in Outcomes of Clinical Islet Transplantation: 1999–2010

PubMed Central

Barton, Franca B.; Rickels, Michael R.; Alejandro, Rodolfo; Hering, Bernhard J.; Wease, Stephen; Naziruddin, Bashoo; Oberholzer, Jose; Odorico, Jon S.; Garfinkel, Marc R.; Levy, Marlon; Pattou, Francois; Berney, Thierry; Secchi, Antonio; Messinger, Shari; Senior, Peter A.; Maffi, Paola; Posselt, Andrew; Stock, Peter G.; Kaufman, Dixon B.; Luo, Xunrong; Kandeel, Fouad; Cagliero, Enrico; Turgeon, Nicole A.; Witkowski, Piotr; Naji, Ali; O’Connell, Philip J.; Greenbaum, Carla; Kudva, Yogish C.; Brayman, Kenneth L.; Aull, Meredith J.; Larsen, Christian; Kay, Tom W.H.; Fernandez, Luis A.; Vantyghem, Marie-Christine; Bellin, Melena; Shapiro, A.M. James

2012-01-01

OBJECTIVE To describe trends of primary efficacy and safety outcomes of islet transplantation in type 1 diabetes recipients with severe hypoglycemia from the Collaborative Islet Transplant Registry (CITR) from 1999 to 2010. RESEARCH DESIGN AND METHODS A total of 677 islet transplant-alone or islet-after-kidney recipients with type 1 diabetes in the CITR were analyzed for five primary efficacy outcomes and overall safety to identify any differences by early (1999–2002), mid (2003–2006), or recent (2007–2010) transplant era based on annual follow-up to 5 years. RESULTS Insulin independence at 3 years after transplant improved from 27% in the early era (1999–2002, n = 214) to 37% in the mid (2003–2006, n = 255) and to 44% in the most recent era (2007–2010, n = 208; P = 0.006 for years-by-era; P = 0.01 for era alone). C-peptide ≥0.3 ng/mL, indicative of islet graft function, was retained longer in the most recent era (P < 0.001). Reduction of HbA1c and resolution of severe hypoglycemia exhibited enduring long-term effects. Fasting blood glucose stabilization also showed improvements in the most recent era. There were also modest reductions in the occurrence of adverse events. The islet reinfusion rate was lower: 48% by 1 year in 2007–2010 vs. 60–65% in 1999–2006 (P < 0.01). Recipients that ever achieved insulin-independence experienced longer duration of islet graft function (P < 0.001). CONCLUSIONS The CITR shows improvement in primary efficacy and safety outcomes of islet transplantation in recipients who received transplants in 2007–2010 compared with those in 1999–2006, with fewer islet infusions and adverse events per recipient. PMID:22723582

ETF Work Programme, 2003.

ERIC Educational Resources Information Center

European Training Foundation, Turin (Italy).

This document describes the proposed 2003 activities of the European Training Foundation (ETF) to support vocational education and training reform in non-European Union (EU) countries in the context of the EU's external relations program. The activities listed cover these four main groups of countries across three continents: the Mediterranean…

Acute myocardial infarction mortality in Cuba, 1999-2008.

PubMed

Armas, Nurys B; Ortega, Yanela Y; de la Noval, Reinaldo; Suárez, Ramón; Llerena, Lorenzo; Dueñas, Alfredo F

2012-10-01

Acute myocardial infarction is one of the leading causes of death in the world. This is also true in Cuba, where no national-level epidemiologic studies of related mortality have been published in recent years. Describe acute myocardial infarction mortality in Cuba from 1999 through 2008. A descriptive study was conducted of persons aged ≥25 years with a diagnosis of acute myocardial infarction from 1999 through 2008. Data were obtained from the Ministry of Public Health's National Statistics Division database for variables: age; sex; site (out of hospital, in hospital or in hospital emergency room) and location (jurisdiction) of death. Proportions, age- and sex-specific rates and age-standardized overall rates per 100,000 population were calculated and compared over time, using the two five-year time frames within the study period. A total of 145,808 persons who had suffered acute myocardial infarction were recorded, 75,512 of whom died, for a case-fatality rate of 51.8% (55.1% in 1999-2003 and 49.7% in 2004-2008). In the first five-year period, mortality was 98.9 per 100,000 population, falling to 81.8 per 100,000 in the second; most affected were people aged ≥75 years and men. Of Cuba's 14 provinces and special municipality, Havana, Havana City and Camagüey provinces, and the Isle of Youth Special Municipality showed the highest mortality; Holguín, Ciego de Ávila and Granma provinces the lowest. Out-of-hospital deaths accounted for the greatest proportion of deaths in both five-year periods (54.8% and 59.2% in 1999-2003 and 2004-2008, respectively). Although risk of death from acute myocardial infarction decreased through the study period, it remains a major health problem in Cuba. A national acute myocardial infarction case registry is needed. Also required is further research to help elucidate possible causes of Cuba's high acute myocardial infarction mortality: cardiovascular risk studies, studies of out-of-hospital mortality and quality of care

Graduate Student Report: First-Year Students in 1999 and 2000. AIP Report.

ERIC Educational Resources Information Center

Mulvey, Patrick J.; Langer, Casey

This report provides information on the size and citizenship of the incoming graduate physics and astronomy class and describes student characteristics such as gender and educational background. Data are from the American Institute of Physics Enrollments and Degrees surveys for the 1998-1999 and 1999-2000 academic years. In 1998-1999 there were…

Prevalence, distribution and characterisation of ceftiofur resistance in Salmonella enterica isolated from animals in the USA from 1999 to 2003.

PubMed

Frye, Jonathan G; Fedorka-Cray, Paula J

2007-08-01

Third-generation cephalosporin (3GC) antimicrobials are the drugs of choice for treatment of salmonellosis in children. Salmonella isolated in the USA are assayed by the National Antimicrobial Resistance Monitoring System (NARMS) for resistance to antimicrobials including first-, second- and third-generation cephalosporins. From 1999 to 2003, 34,411 Salmonella were isolated from animals in the USA, of which 10.9% were found to be resistant to ceftiofur, a 3GC used in animals, whilst only 0.3% were resistant to ceftriaxone, a 3GC used in human medicine. Ceftiofur resistance rose from 4.0% in 1999 to 18.8% in 2003. Isolates from diagnostic laboratories had higher levels of resistance (18.5%), whereas levels in isolates from on-farm (3.4%) and slaughter (7.1%) sources were lower. Animals with a higher than average proportion of resistant Salmonella included cattle (17.6%), horses (19.2%) and dogs (20.8%). Levels in turkeys (6.8%), chickens (7.1%), eggs (3.6%) and swine (4.6%) were lower. Resistance varied between Salmonella serotypes. A few serotypes had significantly high levels, e.g. S. Newport was 70.4% ceftiofur resistant. Resistance was predominantly associated with bla(CMY-2)-encoding plasmids. These data suggest that the acquisition of resistance plasmids and the spread of specific serotypes harbouring these plasmids are driving the observed resistance to ceftiofur in Salmonella animal isolates.

Lake Ontario water quality during the 2003 and 2008 intensive field years and comparison with long-term trends

USGS Publications Warehouse

Holeck, K. T.; Rudstam, L. G.; Watkins, J. M.; Luckey, F. J.; Lantry, J. R.; Lantry, Brian F.; Trometer, E. S.; Koops, M. A.; Johnson, Terry B.

2015-01-01

Phosphorus loading declined between the 1970s and the 1990s, leading to oligotrophication of the offshore waters of Lake Ontario during that time period. Using lake-wide data from the intensive field years of 2003 and 2008 and from available long-term data sets on several trophic state indicators (total phosphorus [TP], soluble reactive silica [SRSi], chlorophyll a and Secchi disc transparency [SDT]), we tested the hypothesis that oligotrophication of the offshore waters of Lake Ontario has continued in the 2000s. Significant differences between 2003 and 2008 include higher spring (April) TP, SRSi, and SDT in 2008, lower summer (July–August) SDT in 2008, higher summer chlorophyll a in 2008, and lower fall (September) TP, SRSi, and chlorophyll a in 2008. The decline in SRSi from spring to summer was greater in 2008 than in 2003. Change point and regression analyses on the long-term data revealed no trend in spring TP since 1996, in summer chlorophyll a since 1994, in spring SDT since 1998, in spring SRSi or SRSi decline from spring to summer since 1999, or in summer SDT since 2001. Neither the comparison of the 2003 and 2008 surveys nor the analysis of the long-term data supported our hypothesis of continued oligotrophication of the offshore of Lake Ontario in the 2000s.

Total pelvic exenteration: the Albert Einstein College of Medicine/Montefiore Medical Center Experience (1987 to 2003).

PubMed

Goldberg, Gary L; Sukumvanich, Paniti; Einstein, Mark H; Smith, Harriet O; Anderson, Patrick S; Fields, Abbie L

2006-05-01

To review the trends, modifications and results of 103 consecutive total pelvic exenterations (TPE) performed at the Montefiore Medical Center and Albert Einstein College of Medicine from 1987 to 2003. All patients who underwent TPE from January 1987 to December 2003 were included. The medical record, complications, follow-up, clinical status and demographic information were entered in a database. The procedure performed, the method of urinary diversion, colonic diversion, pelvic floor support and vaginal reconstruction were documented. Surviving patients were surveyed regarding their satisfaction with the urinary diversion, the vaginal reconstruction and their sexual function since the surgery. 103 pts were identified. Indications for TPE were recurrent cancers of the cervix (95), endometrium (2), colon and rectum (5), vulva (1). Overall 5-year survival was 47%. 5-year survival for pts with recurrent cervix cancer was 48%. Six pts (6%) recurred >5 years after the TPE. 14 pts (14%) had ureteral anastomotic leaks (no difference between ileal conduit 9/65 (14%) versus 5/38 (13%) continent conduit (P = 0.92). 34 pts (89%) with continent conduits were "continent." 14 pts (17%) had wound complications. 4 pts (4%) had parastomal hernias. 5/11 (46%) pts who had a low rectal reanastomosis developed recurrence in the pelvis. 21/39 (54%) of pts with continent conduits would choose an ileal conduit if they had the option again. Long-term renal function was similar in pts with ileal and continent conduits. Mesh of any type for pelvic floor reconstruction is associated with infection and bowel/urinary fistulas. VRAM flaps for neovagina fill the pelvic dead space, reduce the risk of fistulas and 20/36 pts (55%) are sexually active. Our overall 5-year survival is encouraging, and modifications in surgical technique have improved the reconstructive phase. Low rectal anastomoses at TPE adversely affects survival. Many of our pts with continent urinary diversions would not choose

Flow velocity, water temperature, and conductivity at selected locations in Shark River Slough, Everglades National Park, Florida; July 1999 - July 2003

USGS Publications Warehouse

Schaffranek, Raymond W.; Riscassi, Ami L.

2005-01-01

Flow-velocity, water-temperature, and conductivity data were collected at five locations in Shark River Slough, Everglades National Park (ENP), Florida, from 1999 to 2003. The data were collected as part of the U.S. Geological Survey Priority Ecosystems Science Initiative in support of the Comprehensive Everglades Restoration Plan. This report contains digital files and graphical plots of the processed, quality-checked, and edited data. Information pertinent to the locations and monitoring strategy also is presented.

OxyContin

MedlinePlus

... Careers Our People Staff Volunteers Board of Directors Science Advisory Board Newsroom Annual Report & Financials Frequently Asked Questions Contact Search for: Search Home Drug Guide OxyContin OxyContin Know the facts about and OxyContin connect with help and support ...

Effects of surface applications of biosolids on soil, crops, ground water, and streambed sediment near Deer Trail, Colorado, 1999-2003

USGS Publications Warehouse

Yager, Tracy J.B.; Smith, David B.; Crock, James G.

2004-01-01

The U.S. Geological Survey, in cooperation with Metro Wastewater Reclamation District and North Kiowa Bijou Groundwater Management District, studied natural geochemical effects and the effects of biosolids applications to the Metro Wastewater Reclamation District properties near Deer Trail, Colorado, during 1999 through 2003 because of public concern about potential contamination of soil, crops, ground water, and surface water from biosolids applications. Parameters analyzed for each monitoring component included arsenic, cadmium, copper, lead, mercury, molybdenum, nickel, selenium, and zinc (the nine trace elements regulated by Colorado for biosolids), gross alpha and gross beta radioactivity, and plutonium, as well as other parameters. Concentrations of the nine regulated trace elements in biosolids were relatively uniform and did not exceed applicable regulatory standards. All plutonium concentrations in biosolids were below the minimum detectable level and were near zero. The most soluble elements in biosolids were arsenic, molybdenum, nickel, phosphorus, and selenium. Elevated concentrations of bismuth, mercury, phosphorus, and silver would be the most likely inorganic biosolids signature to indicate that soil or streambed sediment has been affected by biosolids. Molybdenum and tungsten, and to a lesser degree antimony, cadmium, cobalt, copper, mercury, nickel, phosphorus, and selenium, would be the most likely inorganic 'biosolids signature' to indicate ground water or surface water has been affected by biosolids. Soil data indicate that biosolids have had no measurable effect on the concentration of the constituents monitored. Arsenic concentrations in soil of both Arapahoe and Elbert County monitoring sites (like soil from all parts of Colorado) exceed the Colorado soil remediation objectives and soil cleanup standards, which were determined by back-calculating a soil concentration equivalent to a one-in-a-million cumulative cancer risk. Lead concentrations

Water, ice, and meteorological measurements at South Cascade glacier, Washington, balance year 2003

USGS Publications Warehouse

Bidlake, William R.; Josberger, Edward G.; Savoca, Mark E.

2005-01-01

Winter snow accumulation and summer snow and ice ablation were measured at South Cascade Glacier, Washington, to estimate glacier mass-balance quantities for balance year 2003. The 2003 glacier-average maximum winter snow balance was 2.66 meters water equivalent, which was about equal to the average of such balances for the glacier since balance year 1959. The 2003 glacier summer balance (-4.76 meters water equivalent) was the most negative reported for the glacier, and the 2003 net balance (-2.10 meters water equivalent), was the second-most negative reported. The glacier 2003 annual (water year) balance was -1.89 meters water equivalent. The area of the glacier near the end of the balance year was 1.89 square kilometers, a decrease of 0.03 square kilometer from the previous year. The equilibrium-line altitude was higher than any part of the glacier; however, because snow remained along part of one side of the upper glacier, the accumulation-area ratio was 0.07. During September 13, 2002-September 13, 2003, the glacier terminus retreated at a rate of about 15 meters per year. Average speed of surface ice, computed using a series of vertical aerial photographs dating back to 2001, ranged from 2.2 to 21.8 meters per year. Runoff from the subbasin containing the glacier and from an adjacent non-glacierized basin was gaged during part of water year 2003. Air temperature, precipitation, atmospheric water-vapor pressure, wind speed, and incoming solar radiation were measured at selected locations on and near the glacier. Summer 2003 at the glacier was among the warmest for which data are available.

Time trend of butyl- and phenyl-tin contamination in organisms of the Lagoon of Venice (1999-2003).

PubMed

Zanon, F; Rado, N; Centanni, E; Zharova, N; Pavoni, B

2009-05-01

In the period 1999-2003 a monitoring study on the accumulation of organotin compounds in edible organisms in the Lagoon of Venice was conducted. Butyl and Phenyl derivatives were determined in pooled samples of Mytilus galloprovincialis and Tapes spp. with the aims of assessing organotin contamination in the Lagoon of Venice in the period just preceding their ban in Europe, monitoring the concentrations in organisms with a high commercial use, evaluating a potential hazard for human health due to seafood and identifying the possible contamination sources. Sampling stations (up to 20) were distributed around the Lagoon and particularly concentrated in the area close to the town of Chioggia. Significantly higher (analysis of variance (ANOVA), p < 0.05) tributyltin (TBT) concentrations were found in mussels (from 38 +/- 8 to 6,666 +/- 1,333 microg kg(-1) d.w., as TBT(+)), than in clams (from 6 +/- 1 to 2,256 +/- 451 microg kg(-1) d.w., as TBT(+)). During the 3 years of the survey no increase in average concentrations of the butyltin compounds (tributyltin (TBT) + dibutyltin (DBT) + monobutyltin (MBT)) was observed (ANOVA, p > 0.05) in either species. Furthermore, by analyzing the entire data set, it is evident that most stations show analogous concentrations in the 3 years for both species, whereas few have anomalously higher concentrations. If organotin concentrations in specimens from some sites are compared with the Tolerable Average Residue Level, a possible risk for human health must be considered.

Recent (1999-2003) Canadian research on contemporary processes of river erosion and sedimentation, and river mechanics

NASA Astrophysics Data System (ADS)

de Boer, D. H.; Hassan, M. A.; MacVicar, B.; Stone, M.

2005-01-01

Contributions by Canadian fluvial geomorphologists between 1999 and 2003 are discussed under four major themes: sediment yield and sediment dynamics of large rivers; cohesive sediment transport; turbulent flow structure and sediment transport; and bed material transport and channel morphology. The paper concludes with a section on recent technical advances. During the review period, substantial progress has been made in investigating the details of fluvial processes at relatively small scales. Examples of this emphasis are the studies of flow structure, turbulence characteristics and bedload transport, which continue to form central themes in fluvial research in Canada. Translating the knowledge of small-scale, process-related research to an understanding of the behaviour of large-scale fluvial systems, however, continues to be a formidable challenge. Models play a prominent role in elucidating the link between small-scale processes and large-scale fluvial geomorphology, and, as a result, a number of papers describing models and modelling results have been published during the review period. In addition, a number of investigators are now approaching the problem by directly investigating changes in the system of interest at larger scales, e.g. a channel reach over tens of years, and attempting to infer what processes may have led to the result. It is to be expected that these complementary approaches will contribute to an increased understanding of fluvial systems at a variety of spatial and temporal scales. Copyright

Development and Validation of the Role Profile of the Nurse Continence Specialist: A Project of the International Continence Society.

PubMed

Paterson, Janice; Ostaszkiewicz, Joan; Suyasa, I Gede Putu Darma; Skelly, Jennifer; Bellefeuille, Lesley

Although nurses have specialized in the management of incontinence, bladder, bowel, and pelvic floor dysfunction for more than 30 years, there is a lack of awareness and underutilization of their role. This article describes a 6-year project to define, characterize, and validate a role profile of the Nurse Continence Specialist. Data collection used a 2-phase, mixed-methods design. Phase 1 of the project resulted in a draft Nurse Continence Specialist role profile and Phase 2 led to validation of the draft profile. The result was a broad consensus about what constitutes the specific skill set for Nurse Continence Specialist specialization within nursing.

The pursuit of colostomy continence.

PubMed

Roberts, D J

1997-03-01

The lifelong management required by patients with permanent colostomies leads to dissatisfaction with quality of life for many. Through the years, multiple techniques have been attempted to improve the quality of life by pursuing colostomy continence. Such endeavors include surgical interventions, nonsurgical devices and management, and behavior modification techniques. Efforts in research and development continue, and the desire to achieve continence of the stoma remain common cause among persons with on ostomy and those involved in their care.

40 CFR 86.099-8 - Emission standards for 1999 and later model year light-duty vehicles.

Code of Federal Regulations, 2013 CFR

2013-07-01

....099-8 Emission standards for 1999 and later model year light-duty vehicles. (a)(1)(i)-(ii) [Reserved... schedule of table A99-08 of this section for model year 1999. For small volume manufacturers, the standards... 40 Protection of Environment 19 2013-07-01 2013-07-01 false Emission standards for 1999 and later...

40 CFR 86.099-8 - Emission standards for 1999 and later model year light-duty vehicles.

Code of Federal Regulations, 2011 CFR

2011-07-01

....099-8 Emission standards for 1999 and later model year light-duty vehicles. (a)(1)(i)-(ii) [Reserved... schedule of table A99-08 of this section for model year 1999. For small volume manufacturers, the standards... 40 Protection of Environment 18 2011-07-01 2011-07-01 false Emission standards for 1999 and later...

40 CFR 86.099-8 - Emission standards for 1999 and later model year light-duty vehicles.

Code of Federal Regulations, 2012 CFR

2012-07-01

....099-8 Emission standards for 1999 and later model year light-duty vehicles. (a)(1)(i)-(ii) [Reserved... schedule of table A99-08 of this section for model year 1999. For small volume manufacturers, the standards... 40 Protection of Environment 19 2012-07-01 2012-07-01 false Emission standards for 1999 and later...

40 CFR 86.099-8 - Emission standards for 1999 and later model year light-duty vehicles.

Code of Federal Regulations, 2010 CFR

2010-07-01

....099-8 Emission standards for 1999 and later model year light-duty vehicles. (a)(1)(i)-(ii) [Reserved... schedule of table A99-08 of this section for model year 1999. For small volume manufacturers, the standards... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Emission standards for 1999 and later...

Organized Crime and Terrorist Activity in Mexico, 1999-2002

DTIC Science & Technology

2003-02-01

ORGANIZED CRIME AND TERRORIST ACTIVITY IN MEXICO, 1999-2002 A Report Prepared by the Federal Research Division, Library of...REPORT DATE FEB 2003 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE Organized Crime and Terrorist Activity in Mexico, 1999-2002...scope of organized crime and terrorist activity in the Republic of Mexico during the period 1999 to 2002, and the extent of cooperation and possible

Minnesota's forest resources in 2003

Treesearch

Patrick D. Miles; Gary J. Brand; Manfred E. Mielke

2005-01-01

Reports the results of all five annual panels (1999-2003) of the sixth inventory of Minnesota's forest resources, the first annual inventory of the State. Includes information on forest area; volume; biomass; growth, removals, and mortality; and forest health.

Missouri's forest resources in 2003

Treesearch

W. Keith; Moser; Treiman, Thomas Treiman, Thomas; Bruce Moltzan; Robert Lawrence; Gary J. Brand; Gary J. Brand

2005-01-01

Reports the initial results of all five annual panels (1999-2003) of the fifth inventory of Missouri`s forest resources, the first annual inventory of the State. Includes information on forest area; volume; biomass; growth, removals, and mortality; and forest health.

Iowa's forest resources in 2003

Treesearch

Earl C. Leatherberry; Gary J. Brand; Steve Pennington

2005-01-01

Reports the initial results of all five annual panels (1999-2003) of the fourth inventory of Iowa`s forest resources, the first annual inventory of the State. Includes information on forest area; volume; biomass; growth, mortality, and removals; and health.

[An alternative continence mechanism for continent catheterisable micturation].

PubMed

Honeck, P; Alken, P

2010-01-01

The creation of a stable, reliable, continent and easily catheterisable continence mechanism is an essential prerequisite for the construction of a continent cutaneous urinary reservoir. Although a substantial number of surgical methods has been described, construction is still a complex surgical procedure. The aim of this study was the evaluation of a new method for a continence mechanism using stapled small or large intestine. Small and large pig intestine was used for construction. For stapling the tube a 3 cm or 6 cm double row stapling system was used. Two variations using small and large intestine segments were constructed (IL 1, COL 1, COL 2). A 3 or 6 cm long stapler line was placed alongside a 12 Fr catheter positioned at the antimesenterial side creating a partially two-luminal segment. The open end of the non-catheterised lumen and the opposite intestinal end were closed by continuous sutures. The created tube was then embedded into the pouch. Pressure evaluation was performed for each variation. Intermittent external manual compression was used to simulate sudden pressure exposure. Construction times for the IL 1 and COL 1 variations were 10 +/- 1.5 min and 6.2 +/- 1.3 min for COL 2. All variations showed no leakage during filling or external compression. The maximum capacity was lower for the IL 1 compared to the COL variation. The maximum pressure levels reached did not differ significantly. The described technique is an easy and fast method to construct a continent and easy to catheterize continence mechanism using small or large intestine.

Fluctuations in a metapopulation of nesting four-toed salamanders, Hemidactylium scutatum, in the Great Smoky Mountains National Park, USA, 1999-2003

USGS Publications Warehouse

Corser, J.D.; Dodd, C.K.

2004-01-01

We tested two predictions associated with the hypothesis that certain populations of pond-breeding amphibians are structured into metapopulations using minimum relative abundance estimates of nesting four-toed salamanders (Hemidactylium scutatum Schlegel) from 11 different ponds in the Great Smoky Mountains National Park. Coefficients of variation (CV) for counts at individual ponds ranged from 0.25 to 1.26, and the overall mean CV at all 11 ponds was 0.34. Many pairs of ponds had negative correlations in abundance from 1999-2003, whereas others had various degrees of positive correlation (mean r = 0.29). Thus, nesting population size fluctuated semi-independently among the ponds from year to year, inferring the existence of inter-pond dispersal. The mean number of nesting females at a pond was negatively, but non-significantly, correlated (r = -0.27; P = 0.40; 10 d.f.) to the pond's isolation. Owing to physiological constraints on plethodontid salamander energetics, precipitation during the nesting season (February and March) appeared to play an important role (r = 0.78; P = 0.12; 4 d.f.) in the number of nesting females we observed. Unlike some other plethodontid salamander populations in more fragmented southern Appalachian forest ecosystems, this (meta)population within Great Smoky Mountains National Park does not appear to be declining.

[Media and drugs: a documental analysis of the Brazilian writing media between 1999 and 2003].

PubMed

Ronzani, Telmo Mota; Fernandes, Ameli Gabriele Batista; Gebara, Carla Ferreira de Paula; Oliveira, Samia Abreu; Scoralick, Natália Nunes; Lourenço, Lélio Moura

2009-01-01

This paper aims to analyze the kind of information published by the Brazilian 'written media' about drugs. It was examined articles about drugs in a national circulation magazine between 1999 and 2003, through an analysis of content. A total of 481 articles were found. 'Consumption' was the most appeared topic. The most quoted drugs were: cocaine (21%), marijuana (19%), alcoholic beverages (12%) and cigarettes (12%). This research also showed that 57% of the articles were related to cigarettes, its harmful effects, whereas alcohol had the same amount of articles showing it as a good or a bad substance for the human being and considered the most addictive drug (23%). On the other hand, cocaine was related to drug dealing (30%). In general, cocaine and marijuana were in focus in the media while alcohol and solvents had less prominence considering the epidemiologic data of use. We can notice that there is an incompatibility between the media focus and the profile of drug consumption in Brazil, that could influence the person's beliefs about certain substances and public politics about drugs in Brazil.

The evolution of the general practice workforce in Australia, 1991-2003.

PubMed

Charles, Janice; Britt, Helena; Valenti, Lisa

2004-07-19

To examine changes between 1991 and 2003 in the characteristics of active recognised general practitioners in Australia. We compared self-reported GP characteristics from the 1990-91 Australian Morbidity and Treatment Survey (AMTS) with those from the 1999 and 2003 Bettering the Evaluation and Care of Health (BEACH) surveys, after standardisation for age and sex to the respective sample frames. AMTS and BEACH are cross-sectional, paper-based, national surveys. Three random samples of 473 (1990-91), 980 (1998-99) and 1008 (2002-03) GPs who had claimed at least 1500 A1 (ie, general practice) Medicare items in the preceding year (in the AMTS) or 375 general practice Medicare items in the preceding 3 months (in the BEACH surveys). Changes in distribution of GP sex, GP age, number of sessions per week, practice size and location, country of graduation, and postgraduate training. Between 1991 and 2003, the proportion of female GPs rose from 19.3% to 35.2%; GPs aged < 35 years dropped from 22.3% to 10.0%, and those aged >or= 55 years increased from 21.4% to 31.6%. Between 1999 and 2003, the proportion of male GPs working < 6 sessions/week increased from 6.1% to 11.4%, while the proportion working >or= 11 sessions/week fell from 23.8% to 17.1%. Between 1991 and 2003, the proportion of solo practitioners nearly halved (25.5% v 13.7%); the proportion of GPs in practices of >or= 4 partners increased from 34.3% to 59.8%; the proportion of Australian graduates fell from 81.4% to 72.2%; and the proportion of graduates from Asia and Africa increased. Over the same period, the proportion of GPs with Fellowship of the Royal Australian College of General Practitioners more than doubled (17.8% v 36.4%). All of these differences were statistically significant (P < 0.001). Changes in characteristics of the practising GP population will affect consultative services and the balance between supply and demand for these services. These changes should be considered in future workforce

One billion year-old Mid-continent Rift leaves virtually no clues in the mantle

NASA Astrophysics Data System (ADS)

Bollmann, T. A.; Frederiksen, A. W.; van der Lee, S.; Wolin, E.; Revenaugh, J.; Wiens, D.; Darbyshire, F. A.; Aleqabi, G. I.; Wysession, M. E.; Stein, S.; Jurdy, D. M.

2017-12-01

We measured the relative arrival times of more than forty-six thousand teleseismic P waves recorded by seismic stations of Earthscope's Superior Province Rifting Earthscope Experiment (SPREE) and combined them with a similar amount of such measurements from other seismic stations in the larger region. SPREE recorded seismic waves for two and a half years around the prominent, one billion year-old Mid-continent Rift structure. The curvilinear Mid-continent Rift (MR) is distinguished by voluminous one billion year-old lava flows, which produce a prominent gravity high along the MR. As for other seismic waves, these lava flows along with their underplated counterpart, slightly slow down the measured teleseismic P waves, on average, compared to P waves that did not traverse structures beneath the Mid-continent Rift. However, the variance in the P wave arrival times in these two groups is nearly ten times higher than their average difference. In a seismic-tomographic inversion, we mapped all measured arrival times into structures deep beneath the crust, in the Earth's mantle. Beneath the crust we generally find relatively high P velocities, indicating relatively cool and undeformable mantle structures. However, the uppermost mantle beneath the MR shows several patches of slightly decreased P velocities. These patches are coincident with where the gravity anomalies peak, in Iowa and along the northern Minnesota/Wisconsin border. We will report on the likelihood that these anomalies are indeed a remaining mantle-lithospheric signature of the MR or whether these patches indirectly reflect the presence of the lava flows and their underplated counterparts at the crust-mantle interface. Other structures of interest and of varying depth extent in our tomographic image locate at 1) the intersection of the Superior Craton with the Penokean Province and the Marshfield Terrane west of the MR in southern Minnesota, 2) the intersection of the Penokean, Yavapai, and Mazatzal Terranes

Urethral pressure response patterns induced by squeeze in continent and incontinent women.

PubMed

Teleman, Pia M; Mattiasson, Anders

2007-09-01

Our aim was to compare the urethral pressure response pattern to pelvic floor muscle contractions in 20-27 years old, nulliparous continent women (n = 31) to that of continent (n = 28) and formerly untreated incontinent (n = 59) (53-63 years old) women. These women underwent urethral pressure measurements during rest and repeated pelvic muscle contractions. The response to the contractions was graded 0-4. The young continent women showed a mean urethral pressure response of 2.8, the middle-aged continent women 2.2 (NS vs young continent), and the incontinent women 1.5 (p < 0.05 vs middle-aged continent, p < 0.001 vs young continent). Urethral pressures during rest were significantly higher in the younger women than in both groups of middle-aged women. The decreased ability to increase urethral pressure on demand seen in middle-aged incontinent women compared to continent women of the same age as well as young women seems to be a consequence of a neuromuscular disorder rather than of age.

Regional climate projection of the Maritime Continent using the MIT Regional Climate Model

NASA Astrophysics Data System (ADS)

IM, E. S.; Eltahir, E. A. B.

2014-12-01

Given that warming of the climate system is unequivocal (IPCC AR5), accurate assessment of future climate is essential to understand the impact of climate change due to global warming. Modelling the climate change of the Maritime Continent is particularly challenge, showing a high degree of uncertainty. Compared to other regions, model agreement of future projections in response to anthropogenic emission forcings is much less. Furthermore, the spatial and temporal behaviors of climate projections seem to vary significantly due to a complex geographical condition and a wide range of scale interactions. For the fine-scale climate information (27 km) suitable for representing the complexity of climate change over the Maritime Continent, dynamical downscaling is performed using the MIT regional climate model (MRCM) during two thirty-year period for reference (1970-1999) and future (2070-2099) climate. Initial and boundary conditions are provided by Community Earth System Model (CESM) simulations under the emission scenarios projected by MIT Integrated Global System Model (IGSM). Changes in mean climate as well as the frequency and intensity of extreme climate events are investigated at various temporal and spatial scales. Our analysis is primarily centered on the different behavior of changes in convective and large-scale precipitation over land vs. ocean during dry vs. wet season. In addition, we attempt to find the added value to downscaled results over the Maritime Continent through the comparison between MRCM and CESM projection. Acknowledgements.This research was supported by the National Research Foundation Singapore through the Singapore MIT Alliance for Research and Technology's Center for Environmental Sensing and Modeling interdisciplinary research program.

Biennial Transfer Student Report: 1999-00 and 2000-01 Academic Years.

ERIC Educational Resources Information Center

Heidi Janicki

This report is published every other year in an effort to evaluate Tidewater Community College's (TCC) (Virginia) effectiveness in preparing students for transfer. It provides an analysis of TCC students who transferred to a four-year institution in Virginia beginning in fall 1999 or fall 2000. Students must have completed 12 or more credits at…

Fiscal Year 1999 Higher Education Budget Recommendations. Operations and Grants.

ERIC Educational Resources Information Center

Illinois State Board of Higher Education, Springfield.

This report presents staff recommendations of the Illinois Board of Higher Education concerning budget recommendations for higher education operations and grants for fiscal year 1999. General funds recommendations total $2,207.1 million, an increase of 6.1 percent over 1998 appropriations. Recommendations are also included for locally-held…

LTTP: 1999 Year in Review

DOT National Transportation Integrated Search

2002-12-13

Improving the productivity and mobility of the national highway transportation system is a key goal of the Federal Highway Administration (FHWA). During 1999, FHWA's Long Term Pavement Performance (LTPP) program continued to work toward these goals t...

Experimental study of faecal continence and colostomy irrigation.

PubMed

O'Bichere, A; Sibbons, P; Doré, C; Green, C; Phillips, R K

2000-07-01

Colostomy irrigation is a useful method of achieving faecal continence in selected conditions, but remains largely underutilized because it is time consuming. This study investigated the effect of modifying irrigation technique (route, infusion regimen and pharmacological manipulation) on colonic emptying time in a porcine model. An end-colostomy and caecostomy were fashioned in six pigs. Twenty markers were introduced into the caecum immediately before colonic irrigation. Irrigation route (antegrade or retrograde), infusion regimen (tap water, polyethylene glycol (PEG), 1.5 per cent glycine) and pharmacological agent (glyceryl trinitrate (GTN) 0.25 mg/kg, diltiazem 3.9 mg/kg, bisacodyl 0.25 mg/kg) were assigned to each animal at random. Colonic transit was assessed by quantifying cumulative expelled markers (CEM) and stool every hour for 12 h. Mean CEM at 6 h for bisacodyl, GTN and diltiazem were 18.17, 12.17 and zero respectively; all pairwise differences in means were significant (P < 0.001). The difference at 12 h between the two routes (P = 0.001) and three fluids (tap water 6.75, glycine 14.83, PEG 16.33; P < 0. 001) was significant, but not for PEG versus glycine and bisacodyl versus GTN. Cumulative output was significantly more with the antegrade than retrograde route using PEG, but the difference in mean cumulative output for bisacodyl and GTN at 12 h was not significant. Colonic emptying is more efficient with antegrade than retrograde irrigation. PEG and glycine enhance emptying similar to bisacodyl and GTN solution. These findings show promise for improved faecal continence by colostomy irrigation and may justify construction of a Malone conduit at the time of colostomy in selected patients who wish to irrigate. Presented in part to the British Society of Gastroenterology in Glasgow, UK, March 1999, and published in abstract form as Gut 1999; 44(Suppl 1): A135

Water, ice, meteorological, and speed measurements at South Cascade Glacier, Washington, 1999 balance year

USGS Publications Warehouse

Krimmel, Robert M.

2001-01-01

Winter snow accumulation and summer snow, firn, and ice melt were measured at South Cascade Glacier, Washington, to determine the winter and net balances for the 1999 balance year. The 1999 winter snow balance, averaged over the glacier, was 3.59 meters, and the net balance was 1.02 meters. Since the winter balance record began in 1959, only three winters have had a higher winter balance. Since the net balance record began in 1953, only 2 years have had a greater positive net balance than 1999. Runoff was measured from the glacier and an adjacent non-glacierized basin. Air temperature, precipitation, and humidity were measured nearby, and ice speed was measured. This report makes these data available to the glaciological and climatological community.

Suicide in Thailand during the period 1998-2003.

PubMed

Lotrakul, Manote

2006-02-01

The aim of this study was to examine the characteristic features of suicides in Thailand between 1998 and 2003. Collected data during 1998-2003 from the Bureau of Policy and Strategy, Ministry of Public Health were analyzed to reveal the mortality from suicide according to age, gender, rate and methods of suicides. Suicide rates were found to have increased to a peak of 8.6 per 100 000 (5290 suicides) in 1999 and then to have decreased to 7.1 per 100 000 in 2003. The average suicide rate during 1998-2003 was 7.9 per 100 000 with a male to female ratio of 3.4:1. Male suicide reached a peak for those aged 25-29 years (21.9 per 100 000) while female suicide showed less variation with age. Hanging was the most common method used, followed by ingestion of agricultural toxic substances. Suicide was most prevalent in upper northern region where HIV infection might be related to the high prevalence. Suicide prevention program should focus on males in early adulthood, and particular measures should be conducted to reduce risk factors related to HIV infection among people in northern Thailand.

Kootenay Lake Fertilization Experiment; Years 11 and 12, Technical Report 2002-2003.

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

Schindler, E.

This report examines the results from the eleventh and twelfth years (2002 and 2003) of the Kootenay Lake fertilization experiment. Experimental fertilization has occurred with an adaptive management approach since 1992 in order to restore productivity lost as a result of upstream dams. One of the main objectives of the experiment is to restore kokanee (Oncorhynchus nerka) populations, which are a main food source for Gerrard rainbow trout (Oncorhynchus mykiss). Kootenay Lake is located between the Selkirk and Purcell mountains in southeastern British Columbia. It has an area of 395 km2, a maximum depth of 150 m, a mean depthmore » of 94 m, and a water renewal time of approximately two years. The quantity of agricultural grade liquid fertilizer (10-34-0, ammonium polyphosphate and 28-0-0, urea ammonium nitrate) added to Kootenay Lake in 2002 and 2003 was similar to that added from 1992 to 1996. After four years of decreased fertilizer loading (1997 to 2000), results indicated that kokanee populations had declined, and the decision was made to increase the loads again in 2001. The total load of fertilizer in 2002 was 47.1 tonnes of phosphorus and 206.7 tonnes of nitrogen. The total fertilizer load in 2003 was 47.1 tonnes of phosphorus and 240.8 tonnes of nitrogen. Additional nitrogen was added in 2003 to compensate for nitrogen depletion in the epilimnion. The fertilizer was applied to a 10 km stretch in the North Arm from 3 km south of Lardeau to 3 km south of Schroeder Creek. The maximum surface water temperature in 2002, measured on July 22, was 22 C in the North Arm and 21.3 C in the South Arm. In 2003, the maxima were recorded on August 5 at 20.6 C in the North Arm and on September 2 at 19.7 C in the South Arm. The maximum water temperature in the West Arm was 18.7 C on September 2, 2003. Kootenay Lake had oxygen-saturated water throughout the sampling season with values ranging from about 11-16 mg/L in 2002 and 2003. In both years, Secchi depth followed the

40 CFR 86.099-9 - Emission standards for 1999 and later model year light-duty trucks.

Code of Federal Regulations, 2011 CFR

2011-07-01

....099-9 Emission standards for 1999 and later model year light-duty trucks. (a)(1)(i)-(iii) [Reserved... 40 Protection of Environment 18 2011-07-01 2011-07-01 false Emission standards for 1999 and later model year light-duty trucks. 86.099-9 Section 86.099-9 Protection of Environment ENVIRONMENTAL...

40 CFR 86.099-9 - Emission standards for 1999 and later model year light-duty trucks.

Code of Federal Regulations, 2010 CFR

2010-07-01

....099-9 Emission standards for 1999 and later model year light-duty trucks. (a)(1)(i)-(iii) [Reserved... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Emission standards for 1999 and later model year light-duty trucks. 86.099-9 Section 86.099-9 Protection of Environment ENVIRONMENTAL...

Evaluation of Model Performance over the Maritime Continent

NASA Astrophysics Data System (ADS)

Reynolds, C. A.; Barton, N. P.; Chen, S.; Flatau, M. K.; Ridout, J. A.; Janiga, M.; Jensen, T.; Richman, J. G.; Metzger, E. J.; Baranowski, D.

2017-12-01

The introduction of high-resolution global coupled models holds promise for extended-range (subseasonal to seasonal) prediction of high-impact weather. While forecast models have shown considerable improvement in the prediction of tropical phenomena on these timescales, specifically in the simulation and prediction of the Madden-Julian Oscillation (MJO), obstacles remain. In particular, many models still have difficulty accurately simulating the propagation of the MJO over the maritime continent. This has been hypothesized, at least in part, to be related to deficiencies in simulating the diurnal cycle over this region, which in turn is dependent on accurate representation of fine-scale atmosphere-ocean-land interactions, orography, and atmospheric convection. These issues have motivated the international Year of Maritime Continent (YMC) effort and the Office of Naval Research Propagation of Intra-Seasonal Tropical Oscillations (PISTON) initiative. In preparation for YMC and PISTON, we closely evaluate the performance of the Navy Earth System Model (NESM), a coupled global forecast model, in representing the diurnal cycle and other prominent phenomena in the maritime continent region. NESM performance is compared with stand-alone atmospheric simulations with prescribed fixed and analyzed sea surface temperatures (SSTs). Initial results from the Dynamics of the Madden-Julian Oscillation field phase (Fall 2011) period indicate that NESM is able to capture the precipitation day-time maximum over land and night-time maximum over ocean, but day-time precipitation over Borneo, Sumatra and the Malay Peninsula is too strong as compared to TRMM observations. The simulation of low-level winds qualitatively captures sea and land breeze patterns as compared with ERA-Interim analysis, with quantitative biases varying by island. The fully-coupled system and the stand-alone atmospheric model simulations are more similar to each other than to the observations, indicating that

[Changes of control of disorders of calcium and phosphorus metabolism in Lithuanian hemodialysis centers 1996-2003].

PubMed

Ziginskiene, Edita; Kuzminskis, Vytautas; Bumblyte, Inga Arūne; Kardauskaite, Zydrūne; Uogintaite, Jurgita

2005-01-01

The aim of the study was to evaluate the changes of the rate of disorders of calcium and phosphorus metabolism and their control in patients on hemodialysis (HD) in Lithuania in 1996-2003. Every December during this period we visited all HD centers of Lithuania and collected data on calcium-phosphorus metabolism in HD patients. 51.8% of HD patients in 1999 and 44.6% in 2003 had hyperphosphatemia (>1.8 mmol/l) (p<0.05). The mean phosphate concentration was 1.82+/-0.56 mmol/l in 2003 (p<0.05, comparing with 1.95+/-0.72 mmol/l in 1999 and 1.9+/-0.72 mmol/l in 2001). 7.1% of HD patients had hypocalcemia in 2003 and 7.8% hypercalcemia. Serum parathyroid hormone level was investigated only in 27.3% of HD patients in 1999 and 84.8% in 2003 (p<0.05). Use of alfacalcidol significantly decreased from 77.5% in 1998 to 29.4% in 2003, when the evaluation of serum parathyroid hormone increased (r=-0.911, p=0.03). Serum parathyroid hormone level was not analyzed for 59.8% of patients who used alfacalcidol and 59.4% of them had hyperphosphatemia in 1999 (6.3% and 32.9% in 2003, respectively; p<0.05). 10.7% of these patients had hypercalcemia in 2003. In summary, the correction of disorders of calcium and phosphorus metabolism in HD patients was insufficient but ameliorative. Monitoring of serum parathyroid hormone increased significantly during 1997-2003. The percentage of the precarious use of alfacalcidol decreased significantly when the evaluation of serum parathyroid hormone level became regular.

Combined Bladder Neck Reconstruction and Continent Stoma Creation as a Suitable Alternative for Continence in Bladder Exstrophy: a Preliminary Report.

PubMed

Kasprenski, Matthew; Benz, Karl; Jayman, John; Lue, Kathy; Maruf, Mahir; Baumgartner, Timothy; Gearhart, John

2018-05-25

To explore the use of concomitant BNR and creation of a continent stoma (CS) in patients that are not quite eligible for BNR, but still strongly desire volitional voiding. The authors retrospectively reviewed an institutional database of EEC patients for those who underwent BNR-CS between 2000 and 2015. Indications for a BNR-CS, perioperative outcomes, and continence status were evaluated. Method of voiding and continence status were analyzed for patients with greater than six months of follow-up after the BNR-CS. A total of 24 EEC patients (15 male and 9 female) underwent BNR-CS at a median age of 8.9 years (range 5.4-17.4). This included, 18 patients with classic bladder exstrophy (CBE), 5 with epispadias, and 1 with a cloacal exstrophy variant. There were 5 (20.1%) surgical complications following the BNR-CS, including 3 febrile urinary tract infections, 1 superficial wound infection, and 1 urethrocutaneous fistula. The median follow-up time from the time of BNR-CS was 1.1 years (range 0.1-14.1). Seventeen of 24 patients (71%) had a follow-up greater than 6 months and were evaluated for continence. Twelve patients (71%) were completely dry for intervals greater than 3 hours following BNR-CS. Five (29%) did not achieve continence with BNR-CS. Of those 5 patients, 3 (60%) underwent subsequent bladder neck transection. Combined BNR and CS is a suitable alternative to achieve urinary continence in patients that are not ideal candidates for BNR alone. This approach can offer a select group of patients the opportunity for volitional voiding. Copyright © 2018. Published by Elsevier Inc.

Our changing continent

USGS Publications Warehouse

,

1969-01-01

Where were the land areas and oceans of the North American Continent one million years ago, compared to our present geography? Was North America always about the same size and shape as it is today? To answer these questions, we must construct maps of the lands and sea that existed during the past ages. This process of reconstructing ancient geography is called paleogeography (from the Greek word "palaios," meaning ancient).

Tax Tips for Forest Landowners for the 1999 Tax Year

Treesearch

Larry M. Bishop

1999-01-01

Larry Bishop of the USDA Forest Service Southern Region comes through again with conciseinformation to help forest landowners prepare their taxes. Tax Tips for Forest Landowners for the 1999 Tax Year covers basis and tax records; passive loss rules; reforestation tax credit and amortization; capital gains and self-employment taxes; cost-share payments; conservation...

Solar buildings program contract summary, calendar year 1999

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

NONE

2000-06-07

The mission of the US Department of Energy's Solar Buildings Program is to advance the development and widespread deployment of competitive solar thermal technologies for use in buildings. The long-term goal of the Program is to combine solar energy technologies with energy-efficient construction techniques and create cost-effective buildings that have a zero net need for fossil fuel energy on an annual basis. The Solar Buildings Program conducts research and development on solar technologies that can deliver heat, light, and hot water to residential and commercial buildings. By working closely with manufacturers in both the buildings and solar energy industries andmore » by supporting research at universities and national laboratories, the Solar Buildings Program brings together the diverse players developing reliable and affordable solar technologies for building applications. The National Renewable Energy Laboratory (NREL) in Golden, Colorado, and Sandia National Laboratories (SNL) in Albuquerque, New Mexico, jointly participate in the Solar Buildings Program. These two national laboratories work closely with industry researching new concepts, developing technology improvements, reducing manufacturing costs, monitoring system performance, promoting quality assurance, and identifying potential new markets. In calendar year 1999, the Solar Buildings Program focused primarily on solar hot water system research and development (R and D), US industry manufacturing assistance, and US market assistance. The Program also completed a number of other projects that were begun in earlier years. This Contract Summary describes the Program's contracted activities that were active during 1999.« less

An alternative continence tube for continent urinary reservoirs: evaluation of surgical technique, pressure and continence study in an ex-vivo model.

PubMed

Honeck, Patrick; Michel, Maurice Stephan; Trojan, Lutz; Alken, Peter

2009-02-01

Despite the large number of surgical techniques for continent cutaneous diversion described in literature, the creation of a reliable, continent and easily catheterizable continence mechanism remains a complex surgical procedure. Aim of this study was the evaluation of a new method for a catheterizable continence mechanism using stapled pig intestine. Small and large pig intestines were used for construction. A 3 or 6 cm double row stapling system was used. Three variations using small and large intestine segments were constructed. A 3 or 6 cm long stapler line was placed alongside a 12 Fr catheter positioned at the antimesenterial side creating a partially two-luminal segment. Construction time for the tube was measured. The created tube was then embedded into the pouch. Pressure evaluation of the continence mechanism was performed for each variation. Intermittent external manual compression was used to simulate sudden pressure exposure. All variations were 100% continent under filling volumes of up to 700 ml and pressure levels of 58 +/- 6 cm H(2)O for large intestine and 266 ml and 87 +/- 18 cm H(2)O for small intestine, respectively. With further filling above the mentioned capacity suture insufficiency occurred but no tube insufficiency. Construction time for all variations was less than 12 min. The described technique is an easy and fast method to construct a continence mechanism using small or large intestine. Our ex vivo experiments have shown sufficient continence situation in an ex-vivo model. Further investigations in an in-vivo model are needed to confirm these results.

Mountain building processes during continent continent collision in the Uralides

NASA Astrophysics Data System (ADS)

Brown, D.; Juhlin, C.; Ayala, C.; Tryggvason, A.; Bea, F.; Alvarez-Marron, J.; Carbonell, R.; Seward, D.; Glasmacher, U.; Puchkov, V.; Perez-Estaun, A.

2008-08-01

Since the early 1990's the Paleozoic Uralide Orogen of Russia has been the target of a significant research initiative as part of EUROPROBE and GEODE, both European Science Foundation programmes. One of the main objectives of these research programmes was the determination of the tectonic processes that went into the formation of the orogen. In this review paper we focus on the Late Paleozoic continent-continent collision that took place between Laurussia and Kazakhstania. Research in the Uralides was concentrated around two deep seismic profiles crossing the orogen. These were accompanied by geological, geophysical, geochronological, geochemical, and low-temperature thermochronological studies. The seismic profiles demonstrate that the Uralides has an overall bivergent structural architecture, but with significantly different reflectivity characteristics from one tectonic zone to another. The integration of other types of data sets with the seismic data allows us to interpret what tectonic processes where responsible for the formation of the structural architecture, and when they were active. On the basis of these data, we suggest that the changes in the crustal-scale structural architecture indicate that there was significant partitioning of tectonothermal conditions and deformation from zone to zone across major fault systems, and between the lower and upper crust. Also, a number of the structural features revealed in the bivergent architecture of the orogen formed either in the Neoproterozoic or in the Paleozoic, prior to continent-continent collision. From the end of continent-continent collision to the present, low-temperature thermochronology suggests that the evolution of the Uralides has been dominated by erosion and slow exhumation. Despite some evidence for more recent topographic uplift, it has so far proven difficult to quantify it.

Teenage conceptions, abortions, and births in England, 1994-2003, and the national teenage pregnancy strategy.

PubMed

Wilkinson, Paul; French, Rebecca; Kane, Ros; Lachowycz, Kate; Stephenson, Judith; Grundy, Chris; Jacklin, Paul; Kingori, Patricia; Stevens, Maryjane; Wellings, Kaye

2006-11-25

The aim of this study was to quantify the change in the number of conceptions and abortions among women younger than 18 years in England in relation to the government's national teenage pregnancy strategy. We undertook geographic analysis of data for 148 top-tier local authority areas. The main outcomes were changes in under-18 conceptions, abortions, and births between the 5-year period before implementation of the strategy (1994-98) and the period immediately after implementation (1999-2003). The number of teenage conceptions peaked in 1998, then declined after the implementation in 1999 of the teenage pregnancy strategy. Under-18 conception rates fell by an average of 2.0% (95% CI 1.8 to 2.2) per year between 1998 and 2003, below the rate needed to achieve the target of 50% reduction by 2010. The net change between 1994-98 and 1999-2003 was a fall in conceptions of 3.2% (2.6 to 3.9) or 1.4 per 1000 women aged 15-17 years, a rise in abortions of 7.5% (6.5 to 8.6) or 1.4 per 1000, and a fall in births of 10.6% (9.9 to 11.3) or 2.8 per 1000. The change in the number of conceptions was greater in deprived and more rural areas, and in those with lower educational attainment. The change was greater in areas where services and access to them were poorer, but greater where more strategy-related resources had been targeted. The decline in under-18 conception and birth rates since 1998 and evidence that the declines have been greatest in areas receiving higher amounts of strategy-related funding provides limited evidence of the effect of England's national teenage pregnancy strategy. The full effect of local prevention will be clear only with longer observation, and substantial further progress is needed to remedy England's historically poor international position in teenage conceptions.

Aeronautics and Space Report of the President: Fiscal Year 1999 Activities

NASA Technical Reports Server (NTRS)

1999-01-01

The National Aeronautics and Space Act of 1958 directed the annual Aeronautics and Space Report to include a "comprehensive description of the programmed activities and the accomplishments of all agencies of the United States in the field of aeronautics and space activities during the preceding calendar year." In recent years, the reports have been prepared on a fiscal year basis, consistent with the budgetary period now used in programs of the Federal Government. This year's report covers activities that took place from October 1, 1998, through September 30, 1999.

Serum levels of 25-hydroxyvitamin D in a year of residence on the Antarctic continent.

PubMed

Oliveri, M B; Mautalen, C; Bustamante, L; Gómez García, V

1994-06-01

Since exposure to sunlight is the main source of vitamin D in human beings and skin photosynthesis decreases markedly as the latitude increases, we studied the changes in serum 25-hydroxyvitamin D (25(OH)D) levels in young healthy men who lived in the Antarctic Continent during 1 year. Blood was drawn in the fasting state every 2 months from March 1990 to January 1991 to determine the serum levels of calcium, alkaline phosphatase and 25(OH)D. 19 healthy volunteers, who left Buenos Aires (34 degrees S) during the 1990 summer, arriving at the Antarctic bases at the end of January (Belgrano) and in mid-March (San Martín) and stayed there up to summer 1991. Serum calcium did not change significantly throughout the year. Serum alkaline phosphatase levels were not different comparing the beginning to the end of the year, but autumn and winter levels were lower (P < 0.05). At Belgrano Base the serum 25(OH)D levels (ng/ml) decreased from (mean +/- SD) 18.7 +/- 7.4 (March) to 10.0 +/- 4.3 (July) (P < 0.005) and did not recover for the rest of the year. At San Martín Base the serum 25(OH)D levels descended from 22.0 +/- 5.4 in March to 12.2 +/- 3.7 in August (P < 0.02) and did not increase even at the beginning of summer (January) except in two men with frequent outdoor activities. The levels of 25(OH)D of healthy men living in the Antarctic continent decreased to approximately 46% of the initial values and did not increase even at the onset of summer. Further studies should determine the effect of these changes upon calcium-regulating hormones and bone metabolism.

Water-quality characteristics of Montana streams in a statewide monitoring network, 1999-2003

USGS Publications Warehouse

Lambing, John H.; Cleasby, Thomas E.

2006-01-01

A statewide monitoring network of 38 sites was operated during 1999-2003 in cooperation with the Montana Department of Environmental Quality to provide a broad geographic base of water-quality information on Montana streams. The purpose of this report is to summarize and describe the water-quality characteristics for those sites. Samples were collected at U.S. Geological Survey streamflow-gaging stations in the Missouri, Yellowstone, and Columbia River basins for stream properties, nutrients, suspended sediment, major ions, and selected trace elements. Mean annual streamflows were below normal during the period, which likely influenced water quality. Continuous water-temperature monitors were operated at 26 sites. The median of daily mean water temperatures for the June-August summer period ranged from 12.5 degC at Kootenai River below Libby Dam to 23.0 degC at Poplar River near Poplar and Tongue River at Miles City. In general, sites in the Missouri River basin commonly had the highest water temperatures. Median daily mean summer water temperatures at four sites (Jefferson River near Three Forks, Missouri River at Toston, Judith River near Winifred, and Poplar River near Poplar) classified as supporting or marginally supporting cold-water biota exceeded the general guideline of 19.4 degC for cold-water biota. Median daily mean temperatures at sites in the network classified as supporting warm-water biota did not exceed the guideline of 26.7 degC for warm-water biota, although several sites exceeded the warm-water guideline on several days during the summer. More...

Trends in the Length of the Southern Ocean Sea Ice Season: 1979-1999

NASA Technical Reports Server (NTRS)

Parkinson, Claire L.; Zukor, Dorothy J. (Technical Monitor)

2001-01-01

Satellite data can be used to observe the sea ice distribution around the continent of Antarctica on a daily basis and hence to determine how many days a year have sea ice at each location. This has been done for each of the 21 years 1979-1999. Mapping the trends in these data over the 21-year period reveals a detailed pattern of changes in the length of the sea ice season around Antarctica. Most of the Ross Sea ice cover has undergone a lengthening of the sea ice season, whereas most of the Amundsen Sea ice cover and almost the entire Bellingshausen Sea ice cover have undergone a shortening of the sea ice season. Results around the rest of the continent, including in the Weddell Sea, are more mixed, but overall, more of the Southern Ocean experienced a lengthening of the sea ice season than a shortening. For instance, the area experiencing a lengthening of the sea ice season by at least 1 day per year is 5.8 x 10(exp 6) sq km, whereas the area experiencing a shortening of the sea ice season by at least 1 day per year is less than half that, at 2.8 x 10(exp 6) sq km. This contrasts sharply with what is happened over the same period in the Arctic, where, overall, there has been some depletion of the ice cover, including shortened sea ice seasons and decreased ice extents.

Continent vesicovaginal fistula

PubMed Central

de Toledo, Luís Gustavo Morato; Santos, Victor Espinheira; Maron, Paulo Eduardo Gourlat; Vedovato, Bruno César; Fucs, Moacyr; Perez, Marjo Deninson Cardenuto

2013-01-01

ABSTRACT Vesicovaginal fistula is an abnormal communication between the bladder and vagina and represents the most frequent type of fistula in the urinary tract. The most common cause in Brazil is iatrogenic fistula, secondary to histerectomia. Classically these women present continuous urinary leakage from the vagina and absence of micturition, with strong negative impact on their quality of life. We present a case of totally continent vesicovaginal fistula, with a follow-up of 11 years with no complications. PMID:23579756

Cooling and exhumation of continents at billion-year time scales

NASA Astrophysics Data System (ADS)

Blackburn, T.; Bowring, S. A.; Perron, T.; Mahan, K. H.; Dudas, F. O.

2011-12-01

The oldest rocks on Earth are preserved within the continental lithosphere, where assembled fragments of ancient orogenic belts have survived erosion and destruction by plate tectonic and surface processes for billions of years. Though the rate of orogenic exhumation and erosion has been measured for segments of an orogenic history, it remains unclear how these exhumation rates have changed over the lifetime of any terrane. Because the exhumation of the lithospheric surface has a direct effect on the rate of heat loss within the lithosphere, a continuous record of lithosphere exhumation can be reconstructed through the use of thermochronology. Thermochronologic studies have typically employed systems sensitive to cooling at temperatures <300 °C, such as the (U-Th)/He and 40Ar/39Ar systems. This largely restricts their application to measuring cooling in rocks from the outer 10 km of the Earth's crust, resulting in a thermal history that is controlled by either upper crustal flexure and faulting and/or isotherm inflections related to surface topography. Combining these biases with the uplift, erosion and recycling of these shallow rocks results in a poor preservation potential of any long-term record. Here, an ancient and long-term record of lithosphere exhumation is constructed using U-Pb thermochronology, a geochronologic system sensitive to cooling at temperatures found at 20-50 km depth (400-650 °C). Lower crustal xenoliths provide material that resided at these depths for billions of years or more, recording a thermal history that is buried deep enough to remain insensitive to upper crustal deformation and instead is dominated by the vertical motions of the continents. We show how this temperature-sensitive system can produce a long-term integrated measure of continental exhumation and erosion. Preserved beneath Phanerozoic sedimentary rocks within Montana, USA, the Great Falls Tectonic Zone formed when two Archean cratons, the Wyoming Province and Medicine

Increased gonorrhoea and chlamydia testing did not increase case detection in an HIV clinical cohort 1999-2007.

PubMed

Berry, Stephen A; Ghanem, Khalil G; Page, Kathleen R; Gange, Stephen J; Thio, Chloe L; Moore, Richard D; Gebo, Kelly A

2011-10-01

Since 2003, US organisations have recommended universal screening, rather than targeted screening, of HIV-infected persons for gonorrhoea and chlamydia. The objective of this study was to determine whether wider testing resulting from these guidelines would produce an increase in gonorrhoea/chlamydia diagnoses. 3283 patients receiving HIV care in 1999-2007 in the Johns Hopkins Hospital HIV clinic were studied. The two primary outcomes were the occurrence of any gonorrhoea/chlamydia testing in each year of care and the occurrence of any positive result(s) in years of testing. The proportion of all patients in care who were diagnosed with gonorrhoea/chlamydia was defined as the number of patients with positive results divided by the number of patients in care. Trends were analysed with repeated measures logistic regression. The proportion of patients tested for gonorrhoea/chlamydia increased steadily from 0.12 in 1999 to 0.33 in 2007 (OR per year for being tested 1.17, 95% CI 1.15 to 1.19). The proportion positive among those tested decreased significantly after 2003 (OR per year 0.67, 95% CI 0.55 to 0.81). The proportion of all patients in care diagnosed with gonorrhoea/chlamydia therefore remained generally stable in 1999-2007 (OR per year 0.97, 95% CI 0.91 to 1.04). Universal annual screening, as implemented, did not increase the proportion of all patients in care who were diagnosed with gonorrhoea/chlamydia. Similarly low implementation rates have been reported in cross-sectional studies. If future efforts to enhance implementation do not yield increases in diagnoses, then guidelines focusing on targeted screening of high-risk groups rather than universal screening may be warranted.

Abortion surveillance--United States, 2003.

PubMed

Strauss, Lilo T; Gamble, Sonya B; Parker, Wilda Y; Cook, Douglas A; Zane, Suzanne B; Hamdan, Saeed

2006-11-24

CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions. This report summarizes and describes data voluntarily reported to CDC regarding legal induced abortions obtained in the United States in 2003. For each year since 1969, CDC has compiled abortion data by state or area of occurrence. During 1973-1997, data were received from or estimated for 52 reporting areas in the United States: 50 states, the District of Columbia, and New York City. In 1998 and 1999, CDC compiled abortion data from 48 reporting areas. Alaska, California, New Hampshire, and Oklahoma did not report, and data for these states were not estimated. During 2000-2002, Oklahoma again reported these data, increasing the number of reporting areas to 49, and for 2003, Alaska again reported and West Virginia did not, maintaining the number of reporting areas at 49. A total of 848,163 legal induced abortions were reported to CDC for 2003 from 49 reporting areas, representing a 0.7% decline from the 854,122 legal induced abortions reported by 49 reporting areas for 2002. The abortion ratio, defined as the number of abortions per 1,000 live births, was 241 in 2003, a decrease from the 246 in 2002. The abortion rate was 16 per 1,000 women aged 15-44 years for 2003, the same as for 2002. For the same 47 reporting areas, the abortion rate remained relatively constant during 1998-2003. During 2001-2002 (the most recent years for which data are available), 15 women died as a result of complications from known legal induced abortion. One death was associated with known illegal abortion. The highest percentages of reported abortions were for women who were unmarried (82%), white (55%), and aged <25 years (51%). Of all abortions for which gestational age was reported, 61% were performed at < or =8 weeks' gestation and 88% at <13 weeks. From 1992 (when detailed data regarding early abortions were first collected) through 2002, steady increases

Water Resources Data, Georgia, 2003, Volume 1: Continuous water-level, streamflow, water-quality data, and periodic water-quality data, Water Year 2003

USGS Publications Warehouse

Hickey, Andrew C.; Kerestes, John F.; McCallum, Brian E.

2004-01-01

Water resources data for the 2003 water year for Georgia consists of records of stage, discharge, and water quality of streams; and the stage and contents of lakes and reservoirs published in two volumes in a digital format on a CD-ROM. Volume one of this report contains water resources data for Georgia collected during water year 2003, including: discharge records of 163 gaging stations; stage for 187 gaging stations; precipitation for 140 gaging stations; information for 19 lakes and reservoirs; continuous water-quality records for 40 stations; the annual peak stage and annual peak discharge for 65 crest-stage partial-record stations; and miscellaneous streamflow measurements at 36 stations, and miscellaneous water-quality data at 162 stations in Georgia. Volume two of this report contains water resources data for Georgia collected during calendar year 2003, including continuous water-level records of 156 ground-water wells and periodic records at 130 water-quality stations. These data represent that part of the National Water Data System collected by the U.S. Geological Survey and cooperating State and Federal agencies in Georgia.

Planning Report, 1999-2003.

ERIC Educational Resources Information Center

Nevada Univ. and Community Coll. System, Reno. Office of the Chancellor.

This report, submitted by the Board of Regents of the University and Community College System of Nevada (UCCSN), outlines anticipated programs and expansion of existing programs, anticipated costs and resources, and other information concerning the comprehensive planning of the UCCSN for the next 4 years. The first section of the report includes…

Evolving Continents

NASA Astrophysics Data System (ADS)

Hamilton, Warren

Brian Windley succeeds very well indeed at the formidable task he sets for himself in this greatly revised second edition of a book that first appeared in 1977. He synthesizes primarily the tectonic and petrologic evolution of the continents and secondarily their economic geologic, stratigraphic, and biologic history. The book is organized in well-balanced time sequence and topical chapters, followed by a fine overview. The author describes examples, generalizes from them, and seeks understanding of variations with time and with depth of the process acting on continents within a plate tectonic framework.

Continued improvement of perioperative, pathological and continence outcomes during 700 robot-assisted radical prostatectomies.

PubMed

Zorn, Kevin C; Wille, Mark A; Thong, Alan E; Katz, Mark H; Shikanov, Sergey A; Razmaria, Aria; Gofrit, Ofer N; Zagaja, Gregory P; Shalhav, Arieh L

2009-08-01

Several robot-assisted radical prostatectomy (RARP) series have reviewed the impact of the initial learning curve on perioperative outcomes. However, little is known about the impact of experience on urinary and sexual outcomes. Herein, we review the perioperative, pathological and functional outcomes of our initial 700 consecutive procedures with at least 1 year follow up. From 2003-2006, 700 consecutive men underwent RARP at a single, academic institution. Perioperative data and pathologic outcomes were prospectively collected. Validated, UCLA-PCI-SF36v2 quality-of-life questionnaires were also obtained at 1, 3, 6 and 12 months following surgery. Outcomes between groups (cases 1-300, 301-500, and 501-700) were compared. Mean operative time (OT) and blood loss significantly decreased during the experience (286, 198, 190 min; p or=7 in 24%, 40%, 44%; p continence rate was 81% when self reported and 62% when assessed by the UCLA-PCI-SF36v2 questionnaire in the initial group. Continence rates improved to 93% and 75%, respectively, for cases 501-700 (p continence rates between consecutive case groups was observed at all postoperative time points. Potency rate was 83% (bilateral nerve preservation) and 56% (unilateral nerve preservation) at 12 months when self reported and 63% and 37% respectively by the UCLA-PCI-SF36v2. No significant differences in sexual function were noted with increased experience. A prolonged learning curve is observed for EBL, OT and pT2-PSM. In addition, to the best of our knowledge, this is first series demonstrating a continued improvement in urinary continence with increased RARP experience.

Correlation between continent area and elevation

NASA Astrophysics Data System (ADS)

Zhang, Y.

2004-12-01

This presentation is motivated by the following questions: (1) What factors determine the mean elevation and thickness of an individual continent? (2) How to explain the positive correlation between the mean height and area of individual continent? (3) Given total continental crust volume, what determines the mean thickness (and hence total area) of all continents? For example, Mean thickness of all continents is about 41 km. Mean land elevation is 874 m, and mean elevation of all continents (including land areas and continental shelves and slopes to 1000 meters below sea level) is about 800 m. Could mean continental thickness have doubled and continental area have halved in the geologic past? I present a first-order model to address these issues assuming that continental mean height is the steady state height controlled by uplift and erosion. The model predicts that it takes longer time to erode a larger continent. Hence mean continental height at steady state increases as continental area increases. This prediction is consistent with the general trend between present-day continental elevation and area (except for Antarctica), and can fit the trend well. This is the first time the relation between continental area and mean elevation is quantitatively explained. The model is further applied to investigate variations of mean thickness of continental crust over the last 600 Myr over which the continental crust mass and seawater volume are assumed to be constant. Because a change in the number of continents leads to change in the area of continents, it is predicted that the mean continental thickness increases as the number of continents decreases. Nevertheless, the thickness variation is small, amounts to about 10% from one continent to six continents. Change in the number of continents leads to a sea level fluctuation of about 0.3 km, with the lowest sea level coinciding with times of supercontinents. This prediction is consistent with prominent lows in sea level

The Changing South Polar Cap of Mars: 1999-2005

NASA Technical Reports Server (NTRS)

2005-01-01

13 July 2005 The south polar residual cap of Mars is composed of layered, frozen carbon dioxide. In 1999, the Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) showed that the carbon dioxide layers have been eroded to form a variety of circular pits, arcuate scarps, troughs, buttes, and mesas. In 2001, MOC images designed to provide repeated views of the areas imaged in 1999 -- with the hope of creating stereo (3-D) images, so that the height of scarps and depth of pits could be measured -- showed that the scarps had retreated, pits enlarged, and buttes and mesas shrank. Only carbon dioxide is volatile enough in the martian environment to have caused such dramatic changes -- the scarps were seen to retreat at an average rate of 3 meters (about 3 yards) per Mars year. Most of the scarp retreat occurs during the southern summer season; in some areas the scarps move as much as 8 meters, in others, only 1 meter per Mars year.

Three Mars years have now elapsed since MOC first surveyed the south polar cap in 1999. Over the past several months, MGS MOC has been re-imaging areas that were seen in 1999, 2001, and 2003, to develop a detailed look at how the landscape has been changing. This animated GIF provides an example of the dramatic changes that have occurred during the past three martian years. The first image, a sub-frame of M09-05244, was acquired on 21 November 1999. The second image, a sub-frame of S06-00973, was obtained on 11 May 2005. The animation shows the changes that have occurred between 1999 and 2005. Each summer, the cap has lost more carbon dioxide. This may mean that the carbon dioxide content of the martian atmosphere has been increasing, bit by very tiny little bit, each of the years that MGS has been orbiting the red planet. These observations also imply that there was once a time, in the not-too-distant past (because there are no impact craters on the polar cap), when the atmosphere was somewhat thinner and colder, to permit the layers

Fiscal Year 2003 Budget of the U.S. Government

DTIC Science & Technology

2002-02-04

fertilizers, manure, and pesticides have degraded the quality of streams and shallow ground water in some agricultural areas. Commercial fertilizers and...that harm fish and other aquatic life. • At least one pesticide was found in more than 95 percent of stream samples. THE BUDGET FOR FISCAL YEAR 2003...and inflexibility. No legal authority for CSI exists, so litigation and risk of failure are high. Pesticide Reregistrations Ineffective EPA worked

Water Resources Data, Kansas, Water Year 1999

USGS Publications Warehouse

Putnam, J.E.; Lacock, D.L.; Schneider, D.R.; Carlson, M.D.

2000-01-01

Water-resources data for the 1999 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 143 gaging stations; elevation and contents at 19 watershed lakes and reservoirs; and water-level data at 19 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 4 stations. Also included are data for 26 high-flow and 2 low-flow partial-record stations; and 2 chemical quality of precipitation stations. Miscellaneous onsite water-quality data were collected at 132 stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with State, local, and Federal agencies in Kansas.

Orthotopic bladder substitution in men revisited: identification of continence predictors.

PubMed

Koraitim, M M; Atta, M A; Foda, M K

2006-11-01

We determined the impact of the functional characteristics of the neobladder and urethral sphincter on continence results, and determined the most significant predictors of continence. A total of 88 male patients 29 to 70 years old underwent orthotopic bladder substitution with tubularized ileocecal segment (40) and detubularized sigmoid (25) or ileum (23). Uroflowmetry, cystometry and urethral pressure profilometry were performed at 13 to 36 months (mean 19) postoperatively. The correlation between urinary continence and 28 urodynamic variables was assessed. Parameters that correlated significantly with continence were entered into a multivariate analysis using a logistic regression model to determine the most significant predictors of continence. Maximum urethral closure pressure was the only parameter that showed a statistically significant correlation with diurnal continence. Nocturnal continence had not only a statistically significant positive correlation with maximum urethral closure pressure, but also statistically significant negative correlations with maximum contraction amplitude, and baseline pressure at mid and maximum capacity. Three of these 4 parameters, including maximum urethral closure pressure, maximum contraction amplitude and baseline pressure at mid capacity, proved to be significant predictors of continence on multivariate analysis. While daytime continence is determined by maximum urethral closure pressure, during the night it is the net result of 2 forces that have about equal influence but in opposite directions, that is maximum urethral closure pressure vs maximum contraction amplitude plus baseline pressure at mid capacity. Two equations were derived from the logistic regression model to predict the probability of continence after orthotopic bladder substitution, including Z1 (diurnal) = 0.605 + 0.0085 maximum urethral closure pressure and Z2 (nocturnal) = 0.841 + 0.01 [maximum urethral closure pressure - (maximum contraction amplitude

Ten-year beverage intake trends among US preschool children: rapid declines between 2003 and 2010 but stagnancy in recent years.

PubMed

Ford, C N; Ng, S W; Popkin, B M

2016-02-01

It has been previously reported that total energy intake among US preschool children (ages 2-5 years) decreased between 2003-2004 and 2009-2010. However, little is known about how intakes of beverages among US preschoolers (ages 2-5 years) changed from 2003-2004 to 2011-2012. This paper examines changes in intakes of key beverages during this period, as well as how eating location (at home or away from home) and source (store vs. others) may have contributed to these changes. Cross-sectional day one dietary data among children ages 2-5 years from the National Health and Nutrition Examination Survey 2003-2004, 2005-2006, 2007-2008, 2009-2010 and 2011-2012 were used. Survey-weighted mean intakes by survey year, eating location and source were computed for total sugar-sweetened beverages (SSBs), milks, 100% juice, low/no-calorie beverages, 10 key beverages, total beverages and total foods. Means were compared using two-tailed z-tests with Bonferroni corrections (α < 0.05). Between 2003-2004 and 2011-2012, among 2-5 year olds, total caloric intake fell by 132 kcal d(-1) , with intakes of beverages falling by 55 kcal d(-1) . Decreases in intakes of total SSBs (-57 kcal d(-1) ), fruit-flavoured or juice drinks containing <100% juice (juice drinks) (-37 kcal d(-1) ), caloric soft drinks (-13 kcal d(-1) ) and >1% fat, low-sugar milk (-42 kcal d(-1) ) were among the major changes. By eating location, total beverage intake at home fell by 73 kcal d(-1) . By source, total beverage intake from stores fell by 106 kcal d(-1) . Changes in intakes occurred primarily between 2003-2004 and 2009-2010, as there were no significant differences in beverage intakes between 2009-2010 and 2011-2012. Intakes of total calories (+49 kcal d(-1) ) and calories from foods (+53 kcal d(-1) ) trended upward between 2009-2010 and 2011-2012, but changes were not significant. These findings suggest improvements in the diets of preschoolers between 2003

Continent cutaneous diversion.

PubMed

Skinner, Eila C

2015-11-01

This article updates the recently reported intermediate to long-term results with the most commonly used forms of continent cutaneous urinary diversion, and to discuss approaches to early and late complications. Many variations on construction of a continent cutaneous diversion have been described. Results with large series of patients demonstrate acceptable results with all of them, but with a significant revision rate. Long-term complication rates and adaptation to robotic approaches have recently been described. Continent cutaneous diversion is rarely offered in the USA to patients undergoing cystectomy except in a few centers. Most studies have found a high complication rate and need for revision surgery in 10-20% of patients. However, functional results are acceptable and many patients are willing to accept the complications in exchange for avoiding an external appliance.

Minnesota's Fiscal Years 1998-1999 Budget: An Opportunity for Children & Their Families.

ERIC Educational Resources Information Center

Jefferys, Marcie

This report presents the Children's Defense Fund's (CDF) recommendations for spending the fiscal year 1998-1999 Minnesota state budget surplus. The intent of the CDF plan is four-fold: (1) emphasizing long-term investments in children's well-being; (2) address children's immediate health and safety concerns; (3) contribute to the continued…

Excisional hemorrhoidal surgery and its effect on anal continence

PubMed Central

Li, Yan-Dong; Xu, Jia-He; Lin, Jian-Jiang; Zhu, Wei-Fang

2012-01-01

AIM: To investigate the role of anal cushions in hemorrhoidectomy and its effect on anal continence of the patients. METHODS: Seventy-six consecutive patients (33 men and 43 women) with a mean age of 44 years were included. They underwent Milligan-Morgan hemorrhoidectomy because of symptomatic third- and fourth-degree hemorrhoids and failure in conservative treatment for years. Wexner score was recorded and liquid continence test was performed for each patient before and two months after operation using the techniques described in our previous work. The speed-constant rectal lavage apparatus was prepared in our laboratory. The device could output a pulsed and speed-constant saline stream with a high pressure, which is capable of overcoming any rectal resistance change. The patients were divided into three groups, group A (< 900 mL), group B (900-1200 mL) and group C (> 1200 mL) according to the results of the preoperative liquid continence test. RESULTS: All the patients completed the study. The average number of hemorrhoidal masses excised was 2.4. Most patients presented with hemorrhoidal symptoms for more than one year, including a mean duration of incontinence of 5.2 years. The most common symptoms before surgery were anal bleeding (n = 55), prolapsed lesion (n = 34), anal pain (n = 12) and constipation (n = 17). There were grade III hemorrhoids in 39 (51.3%) patients, and grade IV in 37 (48.7%) patients according to Goligher classification. Five patients had experienced hemorrhoid surgery at least once. Compared with postoperative results, the retained volume in the preoperative liquid continence test was higher in 40 patients, lower in 27 patients, and similar in the other 9 patients. The overall preoperative retained volume in the liquid continence test was 1130.61 ± 78.35 mL, and postoperative volume was slightly decreased (991.27 ± 42.77 mL), but there was no significant difference (P = 0.057). Difference was significant in the test value before and

Federal Aid to States for Fiscal Year 2003. FAS/03.

ERIC Educational Resources Information Center

US Department of Commerce, 2004

2004-01-01

This report presents data on federal government aid to state and local governments by state and U.S. Outlying Area. Coverage is restricted to federal government expenditures for grants and other financial assistance to state and local governments for which data are available by state and outlying area. For fiscal year 2003 (October 1, 2002, to…

Continent women have better urethral neuromuscular function than those with stress incontinence

PubMed Central

Mueller, Elizabeth; Brubaker, Linda

2012-01-01

Introduction and hypothesis The objective of this study is to describe urethral neuromuscular function using concentric needle electromyography (EMG) in stress incontinent (SUI) and asymptomatic women. Methods Following Institutional Review Board approval, we recruited SUI and asymptomatic women without urinary incontinence. Participants underwent quantitative urethral EMG and urodynamic testing. Results Sixty-seven women (37 SUI, 30 continent) with mean±SD age of 44±12 years participated. Nearly all EMG parameters showed significant differences between continent and SUI women consistent with better motor unit recruitment in continent women. Continent women had larger-amplitude, longer-duration motor unit action potentials (MUP) with increased turns and better MUP recruitment during bladder filling (P<.05). Increasing age was inversely correlated with nearly all MUP parameters (P<.05), suggesting MUP to be consistent with neuropathy. Conclusions We found significant differences in multiple MUP parameters in urethral sphincter between continent and stress incontinent women, suggesting continent women have better urethral innervation. We also found significant neuropathic MUP changes with advancing age, regardless of continence status. PMID:21979386

Aeronautics and Space Report of the President: Fiscal Year 2003 Activities

NASA Technical Reports Server (NTRS)

2003-01-01

The National Aeronautics and Space Act of 1958 directed the annual Aeronautics and Space Report to include a comprehensive description of the programmed activities and the accomplishments of all agencies of the United States in the field of aeronautics and space activities during the preceding calendar year. In recent years, the reports have been prepared on a fiscal-year basis, consistent with the budgetary period now used in programs of the Federal Government. This year's report covers activities that took place from October 1, 2002, through September 30, 2003.

Continents on the Move or "Where in the World Did Antarctica Come From?"

ERIC Educational Resources Information Center

CSTA Journal, 1995

1995-01-01

Presents an activity in which students trace the movement of the continents over the past 600 million years to help them understand how the continents' size and position have changed over time. Includes map puzzle pieces. (MKR)

Overview of the National Occupational Mortality Surveillance (NOMS) system: leukemia and acute myocardial infarction risk by industry and occupation in 30 US states 1985-1999, 2003-2004, and 2007.

PubMed

Robinson, Cynthia F; Walker, James T; Sweeney, Marie H; Shen, Rui; Calvert, Geoffrey M; Schumacher, Pam K; Ju, Jun; Nowlin, Susan

2015-02-01

Cancer and chronic disease are leading causes of death in the US with an estimated cost of $46 billion. We analyzed 11 million cause-specific deaths of US workers age 18-64 years in 30 states during 1985-1999, 2003-2004, and 2007 by occupation, industry, race, gender, and Hispanic origin. The highest significantly elevated proportionate leukemia mortality was observed in engineers, protective service, and advertising sales manager occupations and in banks/savings &loans/credit agencies, public safety, and public administration industries. The highest significantly elevated smoking-adjusted acute myocardial infarction mortality was noted in industrial and refractory machinery mechanics, farmers, mining machine operators, and agricultural worker occupations; and wholesale farm supplies, agricultural chemical, synthetic rubber, and agricultural crop industries. Significantly elevated risks for acute myocardial infarction and leukemia were observed across several occupations and industries that confirm existing reports and add new information. Interested investigators can access the NOMS website at http://www.cdc.gov/niosh/topics/NOMS/. © 2015 Wiley Periodicals, Inc.

Failed pelvic pouch substituted by continent ileostomy.

PubMed

Wasmuth, H H; Tranø, G; Wibe, A; Endreseth, B H; Rydning, A; Myrvold, H E

2010-07-01

The long-term failure rate of ileal pouch-anal anastomosis (IPAA) is 10-15%. When salvage surgery is unsuccessful, most surgeons prefer pouch excision with conventional ileostomy, thus sacrificing 40-50 cm of ileum. Conversion of a pelvic pouch to a continent ileostomy (CI, Kock pouch) is an alternative that preserves both the ileal surface and pouch properties. The aim of the study was to evaluate clinical outcome after the construction of a CI following a failed IPAA. During 1984-2007, 317 patients were operated with IPAA at St Olavs Hospital and evaluated for failure, treatment and outcome. Seven patients with IPAA failure had CI. Four patients with IPAA failure referred from other hospitals underwent conversion to CI and are included in the final analysis. Seven patients had a CI constructed from the transposing pelvic pouch and four had the pelvic pouch removed and a new continent pouch constructed from the distal ileum. Median follow up after conversion to CI was 7 years (0-17 years). Two CI had to be removed due to fistulae. One patient needed a revision of the nipple valve due to pouch loosening. At the end of follow-up, 8 of the 11 patients were fully continent. One patient with Crohn's disease had minor leakage. In patients with pelvic pouch failure, the possibility of conversion to CI should be presented to the patient as an alternative to pouch excision and permanent ileostomy. The advantage is the continence and possibly a better body image. Construction of a CI on a new ileal segment may be considered, but the consequences of additional small bowel loss and risk of malnutrition if the Kock pouch fails should be appraised.

Measles outbreak in the Republic of the Marshall Islands, 2003.

PubMed

Hyde, Terri B; Dayan, Gustavo H; Langidrik, Justina R; Nandy, Robin; Edwards, Russell; Briand, Kennar; Konelios, Mailynn; Marin, Mona; Nguyen, Huong Q; Khalifah, Anthony P; O'leary, Michael J; Williams, Nobia J; Bellini, William J; Bi, Daoling; Brown, Cedric J; Seward, Jane F; Papania, Mark J

2006-04-01

Measles is a highly contagious viral infection. Measles transmission can be prevented through high population immunity (>or=95%) achieved by measles vaccination. In the Republic of the Marshall Islands (RMI), no measles cases were reported during 1989-2002; however, a large measles outbreak occurred in 2003. Reported 1-dose measles vaccine coverage among children aged 12-23 months varied widely (52-94%) between 1990 and 2000. RMI is a Pacific island nation (1999 population: 50,840). A measles case was defined as fever, rash, and cough, or coryza, or conjunctivitis, in an RMI resident between July 13 and November 7, 2003. A vaccination campaign was used for outbreak control. Of the 826 reported measles cases, 766 (92%) occurred in the capital (Majuro). There were 186 (23%) cases in infants aged <1 year and 309 (37%) of cases in persons aged >or=15 years. The attack rate was highest among infants (Majuro atoll: 213 cases/1,000 infants). Among cases aged 1-14 years, 281 (59%) reported no measles vaccination before July 2003. There were 100 hospitalizations and 3 deaths. The measles H1 genotype was identified. The vaccination campaign resulted in 93% coverage among persons aged 6 months to 40 years. Interpretation Populations without endemic measles transmission can accumulate substantial susceptibility and be at risk for large outbreaks when measles virus is imported. 'Islands' of measles susceptibility may develop in infants, adults, and any groups with low vaccine coverage. To prevent outbreaks, high population immunity must be sustained by maintaining and documenting high vaccine coverage.

Home exercises for pelvic floor in continent women one year after physical therapy treatment for urinary incontinence: an observational study.

PubMed

Krüger, Ana P; Luz, Soraia C T; Virtuoso, Janeisa F

2011-01-01

To describe the results of home exercise targeting the pelvic floor in continent women one year after the end of a physical therapy treatment for the following outcomes: functional assessment of the pelvic floor and urinary incontinence. This is an observational study that evaluated fifteen women one year after physical therapy treatment for Stress Urinary Incontinence (SUI). The outcomes for this study were: situations of urinary loss, use of daily protection, practice of home exercises for the pelvic floor, functional assessment of the pelvic floor (FAPF) and patient satisfaction. We also investigated some confounding variables such as hormonal status, number of vaginal deliveries and previous history of episiotomy. One year after completion of physical therapy treatment, we observed that the FAPF median remained stable over time (Median=5, p=0.08). The presence of urinary incontinence was reported by 40% of women in the sample, however, was characterized as mild (i.e. not requiring the use of daily protection). There was also a significant association (p=0.001) between the completion of home exercises (twice or more per week) and the normal clinical status. Confounding variables, which could compromise the clinical status, showed no significant association with the outcomes (p≥0.05). Home exercises contributed to the maintenance of continence following a physical therapy treatment.

The urethral pressure profiles in continent and stress-incontinent women.

PubMed

Henriksson, L; Andersson, K E; Ulmsten, U

1979-01-01

Simultaneous urethrocystometry, including recording of the urethral pressure profile, was performed in 127 women aged 30 to 69 years; 42 of the women were free from urologic disorders and 85 had stress incontinence of urine. Both groups were subgrouped according to age. The results in the continent and the incontinent women were analyzed separately, in order to disclose any age-related changes. The data within each decade of age were also comparatively analyzed. In the bladder pressure at rest no age-related changes were found, and the readings were similar in the continent and the incontinent women. The maximum urethral pressure fell significantly with rising age in both groups and was significantly reduced in stress incontinence. The urethral closure pressure showed variations similar to those in the maximum urethral pressure. No lower limit of urethral closure pressure that definitely predisposed to stress incontinence could be established. The functional length of the urethra diminished significantly with rising age in the continent, but not in the incontinent women. The absolute length of the urethra did not show such diminution. Both the functional and the absolute urethral length were significantly less in the incontinent than in the continent women in the age groups between 30 and 49 years.

[Continent ileostomy--indication and possibilities].

PubMed

Hahnloser, P; Säuberli, H; Geroulanos, S; Schauwecker, H H; Kock, N G

1975-06-21

Proctocolectomy with conventional ileostomy cures patients with severe ulcerative colitis but ileostomy appliances must be worn for the rest of their lives. The continent ileostomy, as devised by Kock, provides the patient with an intraabdominal ileal reservoir and a valve constructed by invaginating the efferent ileal segment into the reservoir. The patient empties his reservoir 2-3 times a day by inserting a catheter through the valve. Our experience with 14 patients is reported. The continent ileostomy was in most cases constructed as a second procedure after proctocolectomy. Minor postoperative complications, such as abscess, fistula or partial luxation of the valve were easily corrected. One patient who underwent proctocolectomy and simultaneous construction of a continent ileostomy died in acute liver failure due to a severe preexisting cirrhosis. All the other patients are continent for feces and gas and do not need external appliances. The construction of a continent ileostomy as a secondary procedure can be recommended in patients with proctocolectomy. It offers patients a life situation with differs only insignificantly from that of normal persons.

Water Resources Data, Nebraska, Water Year 2003

USGS Publications Warehouse

Hitch, D.E.; Hull, S.H.; Walczyk, V.C.; Miller, J.D.; Drudik, R.A.

2004-01-01

The Nebraska water resources data report for water year 2003 includes records of stage, discharge, and water quality of streams; water elevation and/or contents of lakes and reservoirs; and water levels and quality of ground water in wells. This report contains records of stream stage for 3 stations; stream discharge for 103 continuous and 5 crest-stage gaging stations, and 5 miscellaneous sites; stream water quality for 14 gaging stations and 5 miscellaneous sites; water elevation and/or contents for 2 lakes and 1 reservoir; ground-water levels for 40 observation wells; and ground-water quality for 132 wells. These data represent that part of the National Water Data System collected in and near Nebraska by the U.S. Geological Survey and cooperating local, State, and Federal agencies.

Overactive bladder is a negative predictor of achieving continence after robot-assisted radical prostatectomy.

PubMed

Yamada, Yuta; Fujimura, Tetsuya; Fukuhara, Hiroshi; Sugihara, Toru; Miyazaki, Hideyo; Nakagawa, Tohru; Kume, Haruki; Igawa, Yasuhiko; Homma, Yukio

2017-10-01

To investigate predictors of continence outcomes after robot-assisted radical prostatectomy. Clinical records of 272 patients who underwent robot-assisted radical prostatectomy were investigated. Preoperative Overactive Bladder Symptom Score, International Prostate Symptom Score and clinicopathological factors were investigated, and relationships between factors and recovery of continence after robot-assisted radical prostatectomy were assessed. The presence of overactive bladder was defined as having urgency for more than once a week and having ≥3 points according to the Overactive Bladder Symptom Score. Age (≤66 years) was significantly associated with continence within 6 months after robot-assisted radical prostatectomy (P = 0.033). The absence of overactive bladder and lower Overactive Bladder Symptom Score (<3) were significantly associated with recovery of continence within 12 months after surgery (both variables P = 0.009). In terms of achieving recovery of continence after robot-assisted radical prostatectomy, Kaplan-Meier curves showed earlier recovery in "age ≤66 years," "prostate weight ≤40 g" and "overactive bladder symptom score <3" (P = 0.0072, 0.0172 and 0.0140, respectively). Multivariate analysis showed that the presence of overactive bladder was an independent negative predictor for recovery of continence within 12 months after surgery (P = 0.019). The presence of baseline overactive bladder seems to represent an independent negative predictor for recovery of continence at 12 months after robot-assisted radical prostatectomy. © 2017 The Japanese Urological Association.

Water Resources Data - New Jersey, Water Year 1999, Volume 3, Water-Quality Data

USGS Publications Warehouse

DeLuca, M.J.; Romanok, K.M.; Riskin, M.L.; Mattes, G.L.; Thomas, A.M.; Gray, B.J.

2000-01-01

Water-resources data for the 1999 water year for New Jersey are presented in three volumes, and consists of records of stage, discharge, and water quality of streams; stage and contents of lakes and reservoirs; and water levels and water quality of ground water. Volume 3 contains a summary of surface and ground water hydrologic conditions for the 1999 water year, a listing of current water-resource projects in New Jersey, a bibliography of water-related reports, articles, and fact sheets for New Jersey completed by the Geological Survey in recent years, water-quality records of chemical analyses from 133 surface-water stations, 46 miscellaneous surface-water sites, 30 ground-water stations, 41 miscellaneous ground-water sites, and records of daily statistics of temperature and other physical measurements from 17 continuous-monitoring stations. Locations of water-quality stations are shown in figures 11 and 17-20. Locations of miscellaneous water-quality sites are shown in figures 29-32 and 34. These data represent the part of the National Water Data System operated by the U.S. Geological Survey and cooperating Federal, State, and local agencies in New Jersey.

[The late media emergency of smallpox vaccine, news coverage of Spanish press (1999-2004)].

PubMed

Martínez-Martínez, Pedro Javier; Tuells, José; Colmenar-Jarillo, Gema

2015-06-01

Discussions on the need for smallpox virus preservation in 1999 focused attention on an eradicated disease 20 years ago. Smallpox was replaced as a potential candidate to be used as a bioterrorist weapon because of the international alarm scenario produced after the 11/9 events in USA. The reactivation of a vaccine which remained forgotten was the direct consequence. The initial target groups were the security forces of America. Spain was also among the countries that were interested in acquiring the smallpox vaccine. The aim of this study is to analyze the considerable media coverage of smallpox obtained in our country. Systematic review of published news in the four largest national daily newspapers (ABC, El Mundo, El País and La Vanguardia) for the period 1999-2004 of the Dow Jones Factiva document database. "Smallpox" were used as a key word. From the obtained data, a qualitative and quantitative analysis was done. 416 reviews were analyzed; the newspaper El Mundo was the most interested in these news (158 citations, 37.98%). Most of the news were published in 2003 (152, 36.5%) The year with more news about smallpox (2003) coincides with the purchase of vaccines in Spain. The type of messages in the news was highly changeable over this six-year period. Those related to "politics and diplomacy", "epidemiological risk", "bioterrorism" and "vaccine" were predominant. The alarm raised around the smallpox vaccination was a media phenomenon due to political strategy issues rather than a real public health problem.

After the honeymoon comes divorce: long-term use of the antegrade continence enema procedure.

PubMed

Yardley, Iain E; Pauniaho, Satu-Liisa; Baillie, Colin T; Turnock, Rick R; Coldicutt, Pat; Lamont, Graham L; Kenny, Simon E

2009-06-01

Having reported that 18% of children discontinue use of the antegrade continence enema (ACE) after 5 years, we aimed to determine long-term use after an ACE procedure. A postal/telephone questionnaire was conducted. Subjects were consecutive children undergoing an ACE between 1993 and 1999. Outcome measures were use of ACE, reasons for nonuse, complications, and overall satisfaction. Of 84 eligible subjects, data were available on 61 (73%) aged 22.4 years (15.5-35.1 years). Underlying diagnoses included spina bifida (n = 27), anorectal malformations (n = 18), constipation (n = 11), Hirschsprung's disease (n = 1), sacral agenesis (n = 2), and trauma/tumor (n = 2). Follow-up was 11.02 years (8.34-14.39 years). Thirty-six (59%) of 61 patients were still using their ACE. Reasons for nonuse were lack of effectiveness (n = 14), complications (n = 5), psychologic issues (n = 2), and poor compliance (n = 2). There was no association between diagnosis and nonuse (chi(2), P = .63). In those still using ACE, the overall satisfaction score was 4.1 (1-5). Several individuals reported feeling abandoned on becoming adults and losing the support they had in childhood. There is a late "failure" rate for the ACE procedure. However, satisfaction was high among those still using the ACE. This study further emphasizes the need for robust transitional care arrangements.

Institute for scientific computing research;fiscal year 1999 annual report

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

Keyes, D

2000-03-28

and well worth the continued effort. A change of administration for the ISCR occurred during FY 1999. Acting Director John Fitzgerald retired from LLNL in August after 35 years of service, including the last two at helm of the ISCR. David Keyes, who has been a regular visitor in conjunction with ASCI scalable algorithms research since October 1997, overlapped with John for three months and serves half-time as the new Acting Director.« less

A review of droughts on the African continent: a geospatial and long-term perspective

NASA Astrophysics Data System (ADS)

Masih, I.; Maskey, S.; Mussá, F. E. F.; Trambauer, P.

2014-09-01

This paper presents a comprehensive review and analysis of the available literature and information on droughts to build a continental, regional and country level perspective on geospatial and temporal variation of droughts in Africa. The study is based on the review and analysis of droughts occurred during 1900-2013, as well as evidence available from past centuries based on studies on the lake sediment analysis, tree-ring chronologies and written and oral histories and future predictions from the global climate change models. Most of the studies based on instrumental records indicate that droughts have become more frequent, intense and widespread during the last 50 years. The extreme droughts of 1972-1973, 1983-1984 and 1991-1992 were continental in nature and stand unique in the available records. Additionally, many severe and prolonged droughts were recorded in the recent past such as the 1999-2002 drought in northwest Africa, 1970s and 1980s droughts in western Africa (Sahel), 2010-2011 drought in eastern Africa (Horn of Africa) and 2001-2003 drought in southern and southeastern Africa, to name a few. The available (though limited) evidence before the 20th century confirms the occurrence of several extreme and multi-year droughts during each century, with the most prolonged and intense droughts that occurred in Sahel and equatorial eastern Africa. The complex and highly variant nature of many physical mechanisms such as El Niño-Southern Oscillation (ENSO), sea surface temperature (SST) and land-atmosphere feedback adds to the daunting challenge of drought monitoring and forecasting. The future predictions of droughts based on global climate models indicate increased droughts and aridity at the continental scale but large differences exist due to model limitations and complexity of the processes especially for Sahel and northern Africa. However, the available evidence from the past clearly shows that the African continent is likely to face extreme and

Madagascar: Heads It's a Continent, Tails It's an Island

NASA Astrophysics Data System (ADS)

de Wit, Maarten J.

Neither geologists nor biologists have a definition that is capable of classifying Madagascar unambiguously as an island or a continent; nor can they incorporate Malagasy natural history into a single model rooted in Africa or Asia. Madagascar is a microcosm of the larger continents, with a rock record that spans more than 3000 million years (Ma), during which it has been united episodically with, and divorced from, Asian and African connections. This is reflected in its Precambrian history of deep crustal tectonics and a Phanerozoic history of biodiversity that fluctuated between cosmopolitanism and parochialism. Both vicariance and dispersal events over the past 90 Ma have blended a unique endemism on Madagascar, now in decline following rapid extinctions that started about 2000 years ago.

Trends in Statin Use in Seniors 1999 to 2013: Time Series Analysis.

PubMed

Minard, Laura V; Corkum, Amber; Sketris, Ingrid; Fisher, Judith; Zhang, Ying; Saleh, Ahmed

2016-01-01

To examine HMG-CoA reductase inhibitor (statin) drug dispensing patterns to Nova Scotia Seniors' Pharmacare program (NSSPP) beneficiaries over a 14-year period in response to: 1) rosuvastatin market entry in 2003, 2) JUPITER trial publication in 2008, and 3) generic atorvastatin availability in 2010. All NSSPP beneficiaries who redeemed at least one prescription for a statin from April 1, 1999 to March 31, 2013 were included. Aggregated, anonymous monthly prescription counts were extracted by the Nova Scotia Department of Health and Wellness (Nova Scotia, Canada) and changes in dispensing patterns of statins were measured. Data were analyzed using descriptive analyses and interrupted time series methods. The percentage of NSSPP beneficiaries dispensed any statin increased from 5.3% in April 1999 to 20.7% in March 2013. In 1999, most NSSPP beneficiaries were dispensed either simvastatin (29.5%) or atorvastatin (28.7%). When rosuvastatin was added to the NSSPP Formulary in August 2003, prescriptions dispensed for simvastatin, lovastatin, pravastatin, and fluvastatin declined significantly (slope change, -0.0027; 95% confidence interval (CI), (-0.0046, -0.0009)). This significant decline continued following the publication of JUPITER (level change, -0.1974; 95% CI, (-0.2991, -0.0957)) and the availability of generic atorvastatin (level change, -0.2436; 95% CI, (-0.3314, -0.1558)). Atorvastatin was not significantly affected by any of the three interventions, although it maintained an overall decreasing trend. Only upon the availability of generic atorvastatin did the upward trend in rosuvastatin use decrease significantly (slope change, -0.0010, 95% CI, (-0.0015, -0.0005)). The type and rate of statins dispensed to NSSPP beneficiaries changed from 1999 to 2013 in response to the availability of new agents and publication of the JUPITER trial. The overall proportion of NSSPP beneficiaries dispensed a statin increased approximately 4-fold during the study period. In

Northwest Basin and Range tectonic deformation observed with the Global Positioning System, 1999-2003

USGS Publications Warehouse

Hammond, W.C.; Thatcher, W.

2005-01-01

We use geodetic velocities obtained with the Global Positioning System (GPS) to quantify tectonic deformation of the northwest Basin and Range province of the western United States. The results are based on GPS data collected in 1999 and 2003 across five new quasi-linear networks in northern Nevada, northeast California, and southeast Oregon. The velocities show ???3 mm/yr westward movement of northern Nevada with respect to stable North America. West of longitude 119??W the velocities increase and turn northwest, parallel to Sierra Nevada/Great Valley microplate motion, and similar to velocities previously obtained to the south. The observations are explained by a kinematic model with three domains that rotate around Euler poles in eastern Oregon and western Idaho. Northeast California experiences internal dextral shear deformation (11.2 ?? 3.6 nstrain/yr) subparallel to Pacific/North America motion. Relative motions of the domains imply 2-5 mm/yr approximately east-west extension in northwest Nevada and 1-4 mm/yr approximately north-south contraction near the California/Oregon border. The northward decreasing approximately east-west extension in northwest Nevada is consistent with the northern termination of Basin and Range deformation, faulting and characteristic topography. No significant extension is detected in the Oregon Basin and Range. The Oregon Cascade arc moves north at ???3.5 mm/yr and is possibly influenced by the approximately eastward motion of the Juan de Fuca plate. These results disagree with secular northwest trenchward motion of the Oregon forearc inferred from paleomagnetic rotations. South of latitude 43??, however, trenchward motion exists and is consistent with block rotations, approximately east-west Basin and Range extension, and northwest Sierra Nevada translation. Copyright 2005 by the American Geophysical Union.

OxyContin Use on a Rural Midwest American Indian Reservation: Demographic Correlates and Reasons for Using

PubMed Central

Momper, Sandra L.; Delva, Jorge; Tauiliili, Debbie; Mueller-Williams, Amelia Cromwell; Goral, Patricia

2013-01-01

In 2009 we surveyed 400 tribal members of a midwestern American Indian reservation to assess the prevalence of OxyContin use. Thirty percent of tribal participants reported nonmedical use of OxyContin ever, 18.9% in the past year, and 13.4% in the past month. Participants aged 18 to 25 years were most likely to have used OxyContin. Reasons given for use of the drug included pain relief (59.3%) and getting high (52.2%), indicating a need for opioid treatment programs. PMID:24028230

The epidemiology of pertussis in the Australian Capital Territory, 1999 to 2005--epidemics of testing, disease or false positives?

PubMed

Wylks, Clare E; Ewald, Ben; Guest, Charles

2007-12-01

The increase in pertussis notifications since the 1990s in many countries, including Australia, has been attributed to improved diagnosis. This study aimed to describe the epidemiology of pertussis in the Australian Capital Territory from 1999 to 2005, determine whether the apparent changes could be accounted for by greater recognition and testing, and explore the impact of false positive serology results associated with faulty test kits. The Australian Capital Territory resident notification, laboratory and separation data from 1999 to 2005 were examined and the proportions of positive tests across time periods and age groups compared. Notification rates increased in the years 2000, 2003 and 2005. There was a shift in the age distribution of cases, from children and teenagers in 2000, to teenagers in 2003 and adults in 2005. Testing activity and notification activity were closely related. Comparing the epidemic periods to the preceding inter-epidemic periods, the proportion of positive tests was maintained or increased for all age groups combined and for adults and children (e.g. statistically significant increase from 7.8% to 14.0% in the 2005 epidemic in adults). During each epidemic the proportion of positive tests was statistically significantly higher in the age group with the highest notification activity. Despite similar testing rates in adults in 2003 and 2005, greater disease activity was reported in 2005. Although the numbers were small, polymerase chain reaction and culture positive test results increased in 2003 but not in 2005. The proportion of positive polymerase chain reaction results increased in 2003, providing strong evidence that the apparent epidemic of 2003 was due to a true increase in underlying disease activity. Because of the uncertainty surrounding the timing of the false positive serology results, the study provides weaker support for a true epidemic of pertussis in 2005.

Federal Geothermal Research Program Update Fiscal Year 1999

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

Not Available

2004-02-01

The Department of Energy (DOE) and its predecessors have conducted research and development (R&D) in geothermal energy since 1971. To develop the technology needed to harness the Nation's vast geothermal resources, DOE's Office of Geothermal and Wind Technologies oversees a network of national laboratories, industrial contractors, universities, and their subcontractors. The following mission and goal statements guide the overall activities of the Office of Geothermal and Wind Technologies. This Federal Geothermal Program Research Update reviews the specific objectives, status, and accomplishments of DOE's Geothermal Program for Federal Fiscal Year (FY) 1999. The information contained in this Research Update illustrates howmore » the mission and goals of the Office of Geothermal and Wind Technologies are reflected in each R&D activity. The Geothermal Program, from its guiding principles to the most detailed research activities, is focused on expanding the use of geothermal energy.« less

Maintenance of the Hanford cone penetrometer platform during fiscal year 1999

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

IWATATE, D.F.

This SOW describes services requested of Applied Research and Associates, Inc. (ARA), as a commercial provider of cone penetrometer equipment and services, to provide routine inspection and minimum preventive maintenance on the Hanford CP Platform (CPP) during Fiscal Year 1999. This SOW specifically pertains to the maintenance of the CPP and associated support equipment and is limited in scope to routine preventive maintenance and identification of any deficiencies. ARA is the original manufacturer of the CPP and will conduct this work following the vendor-prepared maintenance schedule.

Traffic safety facts 1999 : children

DOT National Transportation Integrated Search

2000-01-01

In 1999, there were more than 58 million children under 15 years old in the United States. This age group (0-14 years) made up 21% of the total U.S. resident population in 1999. Motor vehicle crashes are the leading cause of death for children of eve...

Continent cecostomy. An account of 30 patients.

PubMed

Kock, N G; Myrvold, H E; Philipson, B M; Svaninger, G; Ojerskog, B

1985-10-01

In this paper, an account is given of our experience with continent colostomy in man. In five patients, the end-sigmoidostomy was provided with an intussusception valve. Evacuation of the bowel by irrigation through a catheter was laborious and time-consuming and this method was abandoned. In another group of 30 patients, the cecum was isolated from the rest of the colon and its distal end was provided with an intussusception valve. Of the 30 patients, eight were later given continent ileostomies, two were converted to conventional sigmoidostomies, and one patient with fecal incontinence preferred to have intestinal continuity reestablished. Thus, 19 patients still have continent cecostomies and are satisfied with their function. When comparing the function of the continent cecostomy with that of the continent ileostomy, however, it is obvious that the ileostomy function is superior. The experience obtained with this group of patients has resulted in a widening of the indications for constructing a continent ileostomy, including selected patients with various anorectal disorders.

Water Resources Data--Kansas, Water Year 2003

USGS Publications Warehouse

Putnam, J.E.; Schneider, D.R.

2004-01-01

Water-resources data for the 2003 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 148 complete-record gaging stations; elevation and contents at 17 lakes and reservoirs; water-quality records at 2 precipitation stations, water-level data at 12 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 11 gaging stations and 2 lakes with water-quality monitors. Also included are discharge data for 27 high-flow partial-record stations, miscellaneous onsite water-quality data collected at 138 stations, and suspended-sediment concentration for 11 stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with local, State, and Federal agencies in Kansas.

[The Kock continent urinary diversion].

PubMed

Boyd, S D; Skinner, D G; Lieskovsky, G

1989-07-01

The continent ileal reservoir as conceived by Kock produces a low-pressure, high-capacity reservoir with continent and nonrefluxing valves constructed from ileum. From August 1982 through March 1988, 531 patients underwent continent urinary diversion via a Kock reservoir at our institution. Of these, 39 males had a Kock bladder substitution, while the rest underwent cutaneous Kock diversion. Early complications occurred in 16% of all patients, and there was an operative mortality rate of 1.9%. Surgical modifications of nipple fixation, which are discussed in detail in this paper, help to reduce late complications to less than 10%. Patient satisfaction with both procedures remains excellent.

LABORATORY DIRECTED RESEARCH AND DEVELOPMENT PROGRAM ANNUAL REPORT TO THE DEPARTMENT OF ENERGY FOR FISCAL YEAR 1999. THE DEPARTMENT OF ENERGY, DECEMBER 1999.

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

PAUL,P.; FOX,K.J.

2000-07-01

In FY 1999, the BNL LDRD Program funded 33 projects, 25 of which were new starts, at a total cost of $4,525,584. A table is presented which lists all of the FY 1999 funded projects and gives a history of funding for each by year. Several of these projects have already experienced varying degrees of success as indicated in the individual Project Program Summaries which are given. A total of 29 informal publications (abstracts, presentations, reports and workshop papers) were reported and an additional 23 formal (full length) papers were either published, are in press or being prepared for publication.more » The investigators on five projects have filed for patents. Seven of the projects reported that proposals/grants had either been funded or were submitted for funding. The complete summary of follow-on activities is as follows: Information Publications--29, Formal Papers--23, Grants/Proposals/Follow-on Funding--7. In conclusion, a significant measure of success is already attributable to the FY 1999 LDRD Program in the short period of time involved. The Laboratory has experienced a significant scientific gain by these achievements.« less

Oakton Community College Annual Budget, Fiscal Year 1998-1999, Community College District 535.

ERIC Educational Resources Information Center

Oakton Community Coll., Des Plaines, IL.

This report provides the annual budget for Oakton (Illinois) Community College's fiscal year 1998-1999. The budget contains a total of $59,751,098 in revenues and $61,697,515 in expenditures, a 5.29% increase. The deficit is due primarily to remodeling and outfitting of facilities at one of the campuses and deployment of a computing system for the…

Colorectal cancer incidence in 5 Asian countries by subsite: An analysis of Cancer Incidence in Five Continents (1998-2007).

PubMed

Park, Hye-Min; Woo, Hyeongtaek; Jung, Sun Jae; Jung, Kyu-Won; Shin, Hai-Rim; Shin, Aesun

2016-12-01

Colorectal cancer is the fourth most common cancer in Asia. However, the trends in colorectal cancer incidence by subsite have not been analyzed across Asian countries. We used the most recent, high quality data from 6 cancer registries for two 5-year periods, 1998-2002 and 2003-2007, from Cancer Incidence in Five Continents to estimate colorectal cancer incidence by subsite in 5 Asian countries. Cases with overlapping lesions or otherwise unspecified colon cancer were re-distributed as proximal or distal colon cancer. Age-standardized incidence rates (ASRs) per 100,000 population and incidence rate ratios from 1998 to 2002 to 2003-2007 were calculated for each subsite. For 2003-2007, men in Miyagi, Japan, had the highest ASR for cancer in the proximal colon, distal colon and rectum. Men of Jewish ancestry in Israel had a high ASR for proximal and distal colon cancer, but the lowest ASR for rectal cancer. The proportion of rectal cancer was highest among Korean men (51.39%) and lowest among Israeli women (26.6%). From 1998-2002 to 2003-2007, rectal cancer incidence did not significantly change in most registries, except for men in Miyagi, Japan, and both sexes in Korea. However, during the same period cancer incidence in the proximal and distal colon increased in most registries. In conclusion, there was substantial variation in subsite distributions of colorectal cancer in Asian registries and increases in overall incidence of colorectal cancer could be attributed to increases in colon cancer. Copyright © 2016 Elsevier Ltd. All rights reserved.

Brief Report: Pregnant by Age 15 Years and Substance Use Initiation among US Adolescent Girls

ERIC Educational Resources Information Center

Cavazos-Rehg, Patricia A.; Krauss, Melissa J.; Spitznagel, Edward L.; Schootman, Mario; Cottler, Linda B.; Bierut, Laura Jean

2012-01-01

We examined substance use onset and associations with pregnancy by age 15 years. Participants were girls ages 15 years or younger (weighted n = 8319) from the 1999-2003 Youth Risk Behavior Surveillance System (YRBS). Multivariable logistic regression examined pregnancy as a function of substance use onset (i.e., age 10 years or younger, 11-12,…

Financial audit : District of Columbia highway trust fund's fiscal year 1999 and 1998 financial statements

DOT National Transportation Integrated Search

2000-10-01

This report presents the results of our audits of the financial statements of the District of Columbia Highway Trust Fund for the fiscal years ended September 30, 1999 and 1998, and our examination of the forecasted statements of the Fund's expected ...

Indiana crash facts 1999

DOT National Transportation Integrated Search

1997-01-01

The 892 fatal crashes in 1999 resulted in 1,021 fatalities. : This equates to a fatality each and every 8 hours : during 1999. The number of fatalities and fatal crashes : represented one of the worst years in the past decade for : Indiana. The 72,...

[Increase in prevalence of childhood asthma in Budapest between 1995 and 2003: correlation with air pollution data and total pollen count].

PubMed

Endre, László; Láng, Sarolta; Vámos, Adrienn; Bobvos, János; Páldy, Anna; Farkas, Ildikó; Collinsné Horváth, Zsuzsa; Varró, Mihály János

2007-02-04

According to the data of the Hungarian pulmonological network, the prevalence of asthma in the last 15 years has increased (almost linearly) in Hungary. In 2004 it was 1.8%. There are only a few data about the prevalence of childhood asthma. The aim of the authors was to measure the prevalence of bronchial asthma in childhood in Budapest in 1995, 1999 and 2003, using questionnaires directed to district pediatricians. There were only two questions in these questionnaires: how many children are in their districts, and how many are suffering from asthma? Besides of this survey the dust, CO, NO(2) and SO(2) concentrations in the air were measured on-line at 8 points in Budapest, while ozone level measurements were also made at 2 stations. The counts of pollen and of fungal elements in the air were calculated separately for Buda and for Pest. In 1995, replies were received from 118 pediatricians in 11 districts, who were responsible for the supervision of 104,060 children, out of these 1.88+/-0.87% had been diagnosed as having asthma. In 1999 replies were sent by 153 physicians in 22 of the 23 districts, who had a total of 142,679 children under their care. These included 3228 asthmatics, i.e. a prevalence of 2.26+/-0.95%. In 2003 the authors received answers from all of the 23 districts of Budapest. The 204 pediatricians were responsible for the supervision of 176 049 children. The number of patients with the diagnosis of asthma was 4712 (corresponding for a prevalence of 2.68+/-1.3%). The increase between 1995 and 1999, and between 1999 and 2003 was highly significant (p < 0.0001). This significant increase was valid even when the authors analysed only those 11 districts, which answered already in 1995. The level of air pollution in Budapest did not deteriorate in the period in question, and the concentration of pollen grains of plants causing allergy did not increase compared to previous years. On the basis of the results of more than 100 thousand children, the

42 CFR 412.210 - Puerto Rico rates for Federal fiscal years 1989 through 2003.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 2 2013-10-01 2013-10-01 false Puerto Rico rates for Federal fiscal years 1989... SERVICES Prospective Payment System for Inpatient Operating Costs for Hospitals Located in Puerto Rico § 412.210 Puerto Rico rates for Federal fiscal years 1989 through 2003. (a) General rule. (1) CMS...

42 CFR 412.210 - Puerto Rico rates for Federal fiscal years 1989 through 2003.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 2 2011-10-01 2011-10-01 false Puerto Rico rates for Federal fiscal years 1989... SERVICES Prospective Payment System for Inpatient Operating Costs for Hospitals Located in Puerto Rico § 412.210 Puerto Rico rates for Federal fiscal years 1989 through 2003. (a) General rule. (1) CMS...

42 CFR 412.210 - Puerto Rico rates for Federal fiscal years 1989 through 2003.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 2 2012-10-01 2012-10-01 false Puerto Rico rates for Federal fiscal years 1989... SERVICES Prospective Payment System for Inpatient Operating Costs for Hospitals Located in Puerto Rico § 412.210 Puerto Rico rates for Federal fiscal years 1989 through 2003. (a) General rule. (1) CMS...

42 CFR 412.210 - Puerto Rico rates for Federal fiscal years 1989 through 2003.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 2 2014-10-01 2014-10-01 false Puerto Rico rates for Federal fiscal years 1989... SERVICES Prospective Payment System for Inpatient Operating Costs for Hospitals Located in Puerto Rico § 412.210 Puerto Rico rates for Federal fiscal years 1989 through 2003. (a) General rule. (1) CMS...

42 CFR 412.210 - Puerto Rico rates for Federal fiscal years 1989 through 2003.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false Puerto Rico rates for Federal fiscal years 1989... SERVICES Prospective Payment System for Inpatient Operating Costs for Hospitals Located in Puerto Rico § 412.210 Puerto Rico rates for Federal fiscal years 1989 through 2003. (a) General rule. (1) CMS...

Crime, Violence, Discipline, and Safety in U.S. Public Schools: Findings from the School Survey on Crime and Safety: 2003-04. First Look. NCES 2007-302

ERIC Educational Resources Information Center

Guerino, Paul; Hurwitz, Michael D.; Noonan, Margaret E.; Kaffenberger, Sarah M.

2006-01-01

This report presents findings on crime and violence in regular public schools in the United States, using data from the 2003--04 School Survey on Crime and Safety (SSOCS:2004). First administered in the 1999--2000 school year, SSOCS provides information about school crime-related topics from the perspective of school administrators. Developed by…

Plague reappearance in Algeria after 50 years, 2003.

PubMed

Bertherat, Eric; Bekhoucha, Souad; Chougrani, Saada; Razik, Fathia; Duchemin, Jean B; Houti, Leila; Deharib, Larbi; Fayolle, Corinne; Makrerougrass, Banaouda; Dali-Yahia, Radia; Bellal, Ramdan; Belhabri, Leila; Chaieb, Amina; Tikhomirov, Evgueni; Carniel, Elisabeth

2007-10-01

An outbreak of plague occurred in the region of Oran, Algeria, from June to July 2003. Algeria had not reported this disease for >50 years. Eighteen bubonic cases were identified, and Yersinia pestis was isolated from 6 patients. Except for the index case-patient, all patients recovered. Targeted chemoprophylaxis, sanitation, and vector control played a crucial role in controlling the outbreak. Epidemiologic and biomolecular findings strongly suggested the existence of a local animal reservoir during this period, but its origin (resurgence or re-importation) could not be determined. This sudden and unexpected reemergence of plague, close to an important commercial seaport, is a textbook illustration of a public health event of international importance. It also demonstrates that the danger of plague reoccurrence is not limited to the currently indexed natural foci.

Plague Reappearance in Algeria after 50 Years, 2003

PubMed Central

Bekhoucha, Souad; Chougrani, Saada; Razik, Fathia; Duchemin, Jean B.; Houti, Leila; Deharib, Larbi; Fayolle, Corinne; Makrerougrass, Banaouda; Dali-Yahia, Radia; Bellal, Ramdan; Belhabri, Leila; Chaieb, Amina; Tikhomirov, Evgueni; Carniel, Elisabeth

2007-01-01

An outbreak of plague occurred in the region of Oran, Algeria, from June to July 2003. Algeria had not reported this disease for >50 years. Eighteen bubonic cases were identified, and Yersinia pestis was isolated from 6 patients. Except for the index case-patient, all patients recovered. Targeted chemoprophylaxis, sanitation, and vector control played a crucial role in controlling the outbreak. Epidemiologic and biomolecular findings strongly suggested the existence of a local animal reservoir during this period, but its origin (resurgence or re-importation) could not be determined. This sudden and unexpected reemergence of plague, close to an important commercial seaport, is a textbook illustration of a public health event of international importance. It also demonstrates that the danger of plague reoccurrence is not limited to the currently indexed natural foci. PMID:18257987

Climate-driven polar motion: 2003-2015.

PubMed

Adhikari, Surendra; Ivins, Erik R

2016-04-01

Earth's spin axis has been wandering along the Greenwich meridian since about 2000, representing a 75° eastward shift from its long-term drift direction. The past 115 years have seen unequivocal evidence for a quasi-decadal periodicity, and these motions persist throughout the recent record of pole position, in spite of the new drift direction. We analyze space geodetic and satellite gravimetric data for the period 2003-2015 to show that all of the main features of polar motion are explained by global-scale continent-ocean mass transport. The changes in terrestrial water storage (TWS) and global cryosphere together explain nearly the entire amplitude (83 ± 23%) and mean directional shift (within 5.9° ± 7.6°) of the observed motion. We also find that the TWS variability fully explains the decadal-like changes in polar motion observed during the study period, thus offering a clue to resolving the long-standing quest for determining the origins of decadal oscillations. This newly discovered link between polar motion and global-scale TWS variability has broad implications for the study of past and future climate.

Ozone in Lombardy: Years 1998-1999

NASA Astrophysics Data System (ADS)

Sesana, L.; Begnini, S.; Toscani, D.; Facchini, U.; Balasso, A.; Borelli, P.

2003-11-01

Photochemical pollutants, especially ozone, have reached very high levels in Lombardy in recent years, with peaks of up to 150 ppb in late spring and summer. Lombardy, lying on the Po Plain, supports a large number of cities and industries and these, along with heavy traffic, produce copious amounts of primary pollutants such as nitrogen oxides and numerous volatile organic compounds. Furthermore, the peculiar orography of this region fosters the stagnation of air masses on a basin-scale and the presence of diurnal breezes towards northern areas, along with the evolution of the Mixing Layer, spread the polluted air masses over a large territory. Numerous stations in Lombardy give the concentrations of ozone and of nitrogen oxides. In this paper, ozone measurements carried out at the plain area around Milan and at pre-alpine sites in the spring and summer 1998 and 1999 will be shown and discussed, focusing on the months of May and July. The study of temporal and spatial behaviour of ozone goes hand in hand with the analysis of the Boundary Layer's evolution. A number of radon stations were operating in Milan and in other sites in Lombardy. Measurements of atmospheric concentrations of radon yield an index of atmospheric stability, of the formation of thermal inversion, of convective turbulence, and of the movement of air masses, and hence they are very relevant to the understanding of the conditions of atmospheric pollutants.

National General Aviation Design Competition Guidelines 1999-2000 Academic Year

NASA Technical Reports Server (NTRS)

1999-01-01

The National Aeronautics and Space Administration (NASA), the Federal Aviation Administration (FAA) and the Air Force Research Laboratory are sponsoring a National General Aviation Design Competition for students at U.S. aeronautical and engineering universities for the 1999-2000 academic year. The competition challenges individuals and teams of undergraduates and/ or graduate students, working with faculty advisors, to address design challenges for general aviation aircraft. Now in its sixth year, the competition seeks to increase the involvement of the academic community in the revitalization of the U.S. general aviation industry while providing real-world design and development experiences for students. It allows university students to participate in a major national effort to rebuild the U.S. general aviation sector while raising student awareness of the value of general aviation for business and personal use , and its economic relevance. Faculty and student participants have indicated that the open-ended design challenges offered by the competition have provided the basis for quality educational experiences.

What did the public think of health services reform in Bangladesh? Three national community-based surveys 1999–2003

PubMed Central

Cockcroft, Anne; Andersson, Neil; Milne, Deborah; Hossain, Md Zakir; Karim, Enamul

2007-01-01

Background Supported by development partners, the Government of Bangladesh carried out a comprehensive reform of health services in Bangladesh between 1998 and 2003, intended to make services more responsive to public needs: the Health and Population Sector Programme (HPSP). They commissioned a series of surveys of the public, as part of evaluation of the HPSP. This article uses the survey findings to examine the changes in public opinions, use and experience of health services in the period of the HPSP. Methods We carried out three household surveys (1999, 2000 and 2003) of a stratified random sample of 217 rural sites and 30 urban sites. Each site comprised 100–120 contiguous households. Each survey included interviews with 25,000 household respondents and managers of health facilities serving the sites, and gender-stratified focus groups in each site. We measured: household ratings of government health services; reported use of services in the preceding month; unmet need for health care; user reports of waiting times, payments, explanations of condition, availability of prescribed medicines, and satisfaction with service providers. Results Public rating of government health services as "good" fell from 37% to 10% and the proportion using government treatment services fell from 13% to 10%. Unmet need increased from 3% to 9% of households. The proportion of visits to government facilities fell from 17% to 13%, while the proportion to unqualified practitioners rose from 52% to 60%. Satisfaction with service providers' behaviour dropped from 66% to 56%. Users were more satisfied when waiting time was shorter, prescribed medicines were available, and they received explanations of their condition. Conclusion Services have retracted despite increased investment and the public now prefer unqualified practitioners over government services. Public opinion of government health services has deteriorated and the reforms have not specifically helped the poorest people. User

Impact of abuse-deterrent OxyContin on prescription opioid utilization.

PubMed

Hwang, Catherine S; Chang, Hsien-Yen; Alexander, G Caleb

2015-02-01

We quantified the degree to which the August 2010 reformulation of abuse-deterrent OxyContin affected its use, as well as the use of alternative extended-release and immediate-release opioids. We used the IMS Health National Prescription Audit, a nationally representative source of prescription activity in the USA, to conduct a segmented time-series analysis of the use of OxyContin and other prescription opioids. Our primary time period of interest was 12 months prior to and following August 2010. We performed model checks and sensitivity analyses, such as adjusting for marketing and promotion, using alternative lag periods, and adding extra observation points. OxyContin sales were similar before and after the August 2010 reformulation, with approximately 550 000 monthly prescriptions. After adjusting for declines in the generic extended-release oxycodone market, the formulation change was associated with a reduction of approximately 18 000 OxyContin prescription sales per month (p = 0.02). This decline corresponded to a change in the annual growth rate of OxyContin use, from 4.9% prior to the reformulation to -23.8% during the year after the reformulation. There were no statistically significant changes associated with the sales of alternative extended-release (p = 0.42) or immediate-release (p = 0.70) opioids. Multiple sensitivity analyses supported these findings and their substantive interpretation. The market debut of abuse-deterrent OxyContin was associated with declines in its use after accounting for the simultaneous contraction of the generic extended-release oxycodone market. Further scrutiny into the effect of abuse-deterrent formulations on medication use and health outcomes is vital given their popularity in opioid drug development. Copyright © 2014 John Wiley & Sons, Ltd.

Water Resources Data, New Jersey, Water Year 2003; Volume 3. Water-Quality Data

USGS Publications Warehouse

DeLuca, Michael J.; Hoppe, Heidi L.; Heckathorn, Heather A.; Riskin, Melissa L.; Gray, Bonnie J.; Melvin, Emma-Lynn; Liu, Nicholas A.

2004-01-01

Water-resources data for the 2003 water year for New Jersey are presented in three volumes, and consists of records of stage, discharge, and water-quality of streams; stage and contents of lakes and reservoirs; and water levels and water-quality of ground water. Volume 3 contains a summary of surface- and ground-water hydrologic conditions for the 2003 water year, a listing of current water-resources projects in New Jersey, a bibliography of water-related reports, articles, and fact sheets for New Jersey completed by the Geological Survey in recent years, water-quality records of chemical analyses from 123 continuing-record surface-water stations, 35 ground-water sites, records of daily statistics of temperature and other physical measurements from 20 continuous-recording stations, and 5 special-study sites consisting of 2 surface-water sites, 1 spring site, and 240 groundwater sites. Locations of water-quality stations are shown in figures 21-25. Locations of special-study sites are shown in figures 49-53. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating federal, state, and local agencies in New Jersey.

COPD Surveillance—United States, 1999-2011

PubMed Central

Croft, Janet B.; Mannino, David M.; Wheaton, Anne G.; Zhang, Xingyou; Giles, Wayne H.

2013-01-01

This report updates surveillance results for COPD in the United States. For 1999 to 2011, data from national data systems for adults aged ≥ 25 years were analyzed. In 2011, 6.5% of adults (approximately 13.7 million) reported having been diagnosed with COPD. From 1999 to 2011, the overall age-adjusted prevalence of having been diagnosed with COPD declined (P = .019). In 2010, there were 10.3 million (494.8 per 10,000) physician office visits, 1.5 million (72.0 per 10,000) ED visits, and 699,000 (32.2 per 10,000) hospital discharges for COPD. From 1999 to 2010, no significant overall trends were noted for physician office visits and ED visits; however, the age-adjusted hospital discharge rate for COPD declined significantly (P = .001). In 2010 there were 312,654 (11.2 per 1,000) Medicare hospital discharge claims submitted for COPD. Medicare claims (1999-2010) declined overall (P = .045), among men (P = .022) and among enrollees aged 65 to 74 years (P = .033). There were 133,575 deaths (63.1 per 100,000) from COPD in 2010. The overall age-adjusted death rate for COPD did not change during 1999 to 2010 (P = .163). Death rates (1999-2010) increased among adults aged 45 to 54 years (P < .001) and among American Indian/Alaska Natives (P = .008) but declined among those aged 55 to 64 years (P = .002) and 65 to 74 years (P < .001), Hispanics (P = .038), Asian/Pacific Islanders (P < .001), and men (P = .001). Geographic clustering of prevalence, Medicare hospitalizations, and deaths were observed. Declines in the age-adjusted prevalence, death rate in men, and hospitalizations for COPD since 1999 suggest progress in the prevention of COPD in the United States. PMID:23619732

Overview of the National Occupational Mortality Surveillance (NOMS) System: Leukemia and Acute Myocardial Infarction Risk by Industry and Occupation in 30 US States 1985–1999, 2003–2004, and 2007

PubMed Central

Robinson, Cynthia F.; Walker, James T.; Sweeney, Marie H.; Shen, Rui; Calvert, Geoffrey M.; Schumacher, Pam K.; Ju, Jun; Nowlin, Susan

2015-01-01

Background Cancer and chronic disease are leading causes of death in the US with an estimated cost of $46 billion. Methods We analyzed 11 million cause-specific deaths of US workers age 18–64 years in 30 states during 1985–1999, 2003–2004, and 2007 by occupation, industry, race, gender, and Hispanic origin. Results The highest significantly elevated proportionate leukemia mortality was observed in engineers, protective service, and advertising sales manager occupations and in banks/savings & loans/credit agencies, public safety, and public administration industries. The highest significantly elevated smoking-adjusted acute myocardial infarction mortality was noted in industrial and refractory machinery mechanics, farmers, mining machine operators, and agricultural worker occupations; and wholesale farm supplies, agricultural chemical, synthetic rubber, and agricultural crop industries. Conclusions Significantly elevated risks for acute myocardial infarction and leukemia were observed across several occupations and industries that confirm existing reports and add new information. Interested investigators can access the NOMS website at http//:www.cdc.gov/niosh/topics/NOMS/. PMID:25603936

Trends in Medicare disproportionate share (DSH) distribution in US hospitals: 1996-2003.

PubMed

Saleh, Shadi S; Callan, Mark

2006-01-01

Implemented in 1986, Medicare's disproportionate share (DSH) adjustment is intended to recognize hospitals' additional resource investment in caring for low-income patients. This project analyzed changes in the DSH percentage between 1996 and 2003 and examined the association between selected hospital characteristics and such changes. Results obtained revealed some interesting findings. First, minimal changes in DSH percentage occurred during the period 1996-1999 with a hike in that ratio in 2000-2001. However, even with the absence of any legislative or executive changes to the DSH threshold or formula during 2002 and 2003, significant increases occurred during 2001-2003 (11 percent increase between 2001 and 2003). Such an increase may be caused by the nation's economic situation during that timeframe (i.e., more people depending on public programs for coverage).

Assessment of water quality, benthic invertebrates, and periphyton in the Threemile Creek basin, Mobile, Alabama, 1999-2003

USGS Publications Warehouse

McPherson, Ann K.; Gill, Amy C.; Moreland, Richard S.

2005-01-01

The U.S. Geological Survey conducted a 4-year investigation of water quality and aquatic-community structure in Threemile Creek, an urban stream that drains residential areas in Mobile, Alabama. Water-quality samples were collected between March 2000 and September 2003 at four sites on Threemile Creek, and between March 2000 and October 2001 at two tributary sites that drain heavily urbanized areas in the watershed. Stream samples were analyzed for major ions, nutrients, fecal-indicator bacteria, and selected organic wastewater compounds. Continuous measurements of dissolved-oxygen concentrations, water temperature, specific conductance, and turbidity were recorded at three sites on Threemile Creek during 1999?2003. Aquatic-community structure was evaluated by conducting one survey of the benthic invertebrate community and multiple surveys of the algal community (periphyton). Benthic invertebrate samples were collected in July 2000 at four sites on Threemile Creek; periphyton samples were collected at four sites on Threemile Creek and the two tributary sites during 2000 ?2003. The occurrence and distribution of chemical constituents in the water column provided an initial assessment of water quality in the streams; the structure of the benthic invertebrate and algal communities provided an indication of the cumulative effects of water quality on the aquatic biota. Information contained in this report can be used by planners and resource managers in the evaluation of proposed total maximum daily loads and other restoration efforts that may be implemented on Threemile Creek. The three most upstream sites on Threemile Creek had similar water chemistry, characterized by a strong calcium-bicarbonate component; the most downstream site on Threemile Creek was affected by tidal fluctuations and mixing from Mobile Bay and had a strong sodium-chloride component. The water chemistry at the tributary site on Center Street was characterized by a strong sodium-chloride component

Status of fish communities in the Rio Grande, Big Bend National Park, Texas - comparison before and after Spring 2003 period of low flow

USGS Publications Warehouse

Moring, J. Bruce

2005-01-01

During 2003–04 the U.S. Geological Survey, in cooperation with the National Park Service, re-evaluated the status of fish communities in three reaches of the Rio Grande in Big Bend National Park that originally were evaluated when the three reaches were established for study in 1999. The objective was to determine whether there were measurable differences between 1999 and 2003–04 (referred to as 2004) fish community status that likely are attributable to a rare 58-day period of low flow (less than 1 cubic meter per second) in spring 2003 at the Johnson Ranch gaging station on the Rio Grande in Big Bend National Park. The total number of fish species collected at all three sites (Boquillas, Johnson Ranch, and Santa Elena) in 1999 was greater than in 2004. The number of fish species collected at the Boquillas site in 1999 (10) was twice that collected in 2004; the number of species collected at the Johnson Ranch site in 1999 (nine) was almost twice that collected in 2004 (five). In contrast, the numbers at the Santa Elena site were nearly the same, 15 species in 1999, 14 in 2004. Percent community similarity for the Boquillas site is 8.04, for the Johnson Ranch site, 6.65, and for the Santa Elena site, 47.6, which indicates considerably more similarity between the 1999 and 2004 fish communities at the Santa Elena site than for the Boquillas and Johnson Ranch sites. At the Boquillas and Johnson Ranch sites, the fish communities shifted from small minnow (Cyprinidae) dominated in 1999 to largely gar (Lepisosteidae) and catfish (Ictaluridae) dominated in 2004. In contrast, no such shift occurred at the Santa Elena site between 1999 and 2004. Differences in flow conditions between the two downstream sites and the Santa Elena site might account for the dissimilar findings. The findings of the study provide some evidence that the spring 2003 period of low flow affected fish communities, but the findings are not definitive as other factors such as increased salinity

21 CFR 876.5320 - Nonimplanted electrical continence device.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Nonimplanted electrical continence device. 876... Nonimplanted electrical continence device. (a) Identification. A nonimplanted electrical continence device is a device that consists of a pair of electrodes on a plug or a pessary that are connected by an electrical...

21 CFR 876.5320 - Nonimplanted electrical continence device.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Nonimplanted electrical continence device. 876... Nonimplanted electrical continence device. (a) Identification. A nonimplanted electrical continence device is a device that consists of a pair of electrodes on a plug or a pessary that are connected by an electrical...

21 CFR 876.5320 - Nonimplanted electrical continence device.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Nonimplanted electrical continence device. 876... Nonimplanted electrical continence device. (a) Identification. A nonimplanted electrical continence device is a device that consists of a pair of electrodes on a plug or a pessary that are connected by an electrical...

21 CFR 876.5320 - Nonimplanted electrical continence device.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Nonimplanted electrical continence device. 876... Nonimplanted electrical continence device. (a) Identification. A nonimplanted electrical continence device is a device that consists of a pair of electrodes on a plug or a pessary that are connected by an electrical...

Advanced Life Support Research and Technology Development Metric: Fiscal Year 2003

NASA Technical Reports Server (NTRS)

Hanford, A. J.

2004-01-01

This document provides the official calculation of the Advanced Life Support (ALS) Research and Technology Development Metric (the Metric) for Fiscal Year 2003. As such, the values herein are primarily based on Systems Integration, Modeling, and Analysis (SIMA) Element approved software tools or reviewed and approved reference documents. The Metric is one of several measures employed by the National Aeronautics and Space Administration (NASA) to assess the Agency s progress as mandated by the United States Congress and the Office of Management and Budget. Because any measure must have a reference point, whether explicitly defined or implied, the Metric is a comparison between a selected ALS Project life support system and an equivalently detailed life support system using technology from the Environmental Control and Life Support System (ECLSS) for the International Space Station (ISS). More specifically, the Metric is the ratio defined by the equivalent system mass (ESM) of a life support system for a specific mission using the ISS ECLSS technologies divided by the ESM for an equivalent life support system using the best ALS technologies. As defined, the Metric should increase in value as the ALS technologies become lighter, less power intensive, and require less volume. For Fiscal Year 2003, the Advanced Life Support Research and Technology Development Metric value is 1.47 for an Orbiting Research Facility and 1.36 for an Independent Exploration Mission.

Helping Texans Turn Information into Knowledge: Agency Strategic Plan, Fiscal Years 2003-2007.

ERIC Educational Resources Information Center

Texas State Library and Archives Commission, Austin.

This document presents the Texas State Library and Archives Commission Agency Strategic Plan for fiscal years 2003-2007. Contents include an overview outlining the vision, mission, philosophy and goals of the Texas State Government and the Texas State Library and Archives Commission and eight chapters: Overview of Our Agency Scope and Functions;…

Ten-Year Trends (1999-2010) of Adherence to the Mediterranean Diet among the Balearic Islands' Adult Population.

PubMed

Bibiloni, Maria Del Mar; González, Mónica; Julibert, Alicia; Llompart, Isabel; Pons, Antoni; Tur, Josep A

2017-07-14

The aim of this work was to assess ten-year trends (1999-2010) of adherence to the Mediterranean dietary pattern (MDP) among the Balearic Islands' adult population. Two independent cross-sectional dietary surveys (1999-2000, n = 1200 and 2009-2010 n = 1388, including participants aged 16-65 years) were carried out in the Balearic Islands, Spain. Dietary habits were assessed by means of two 24 h diet recalls and a validated semi-quantitative food-frequency questionnaire that covers 145 food items. Adherence to the MDP was defined according to a score constructed considering the consumption of nine MDP characteristic components: high monounsaturated fatty acids:saturated fatty acids (MUFA:SFA) ratio, moderate ethanol consumption, high legumes, cereals and roots, fruits, vegetables, and fish consumption, and low consumption of meat and milk. Socio-economic status, education level, lifestyle factors and health status were also assessed. Adherence to the MDP was 43.1% (SD 5.8) in 1999-2000 and 44.6% (SD 8.3) in 2009-2010. Higher age was directly associated with higher adherence to the MDP, and this association was stronger in males than in females. Young generations and smokers showed the lowest adherence to MDP, whereas people with higher educational and socio-economic level, and who were physically active showed the highest adherence. According to the place of birth, the increase in the percentage of the adherence to the MDP was observed to be smaller among the Balearic Island's natives than among people born abroad. In 2009-2010, individuals in the MDP's fourth quartile were more likely to be older (aged 46-65 years), and were less likely to have a low occupational level, to have a light physical activity level and to be smoker than in 1999-2000. The adherence to the MDP has been stabilized and slightly recovered among the Balearic Islands' adult population in the last decade.

Differential effects of cough, valsalva, and continence status on vesical neck movement.

PubMed

Howard, D; Miller, J M; Delancey, J O; Ashton-Miller, J A

2000-04-01

We tested the null hypothesis that vesical neck descent is the same during a cough and during a Valsalva maneuver. We also tested the secondary null hypothesis that differences in vesical neck mobility would be independent of parity and continence status. Three groups were included: 17 nulliparous continent (31.3 +/- 5.6; range 22-42 years), 18 primiparous continent (30.4 +/- 4.3; 24-43), and 23 primiparous stress-incontinent (31.9 +/- 3.9; 25-38) women. Measures of vesical neck position at rest and during displacement were obtained by ultrasound. Abdominal pressures were recorded simultaneously using an intravaginal microtransducer catheter. To control for differing abdominal pressures, the stiffness of the vesical neck support was calculated by dividing the pressure exerted during a particular effort by the urethral descent during that effort. The primiparous stress-incontinent women displayed similar vesical neck mobility during a cough effort and during a Valsalva maneuver (13.8 mm compared with 14.8 mm; P =.49). The nulliparous continent women (8.2 mm compared with 12.4 mm; P =. 001) and the primiparous continent women (9.9 mm compared with 14.5 mm; P =.002) displayed less mobility during a cough than during a Valsalva maneuver despite greater abdominal pressure during cough. The nulliparas displayed greater pelvic floor stiffness during a cough compared with the continent and incontinent primiparas (22.7, 15.5, 12.2 cm H(2)O/mm, respectively; P =.001). There are quantifiable differences in vesical neck mobility during a cough and Valsalva maneuver in continent women. This difference is lost in the primiparous stress-incontinent women.

Plasmodium vivax Diversity and Population Structure across Four Continents.

PubMed

Koepfli, Cristian; Rodrigues, Priscila T; Antao, Tiago; Orjuela-Sánchez, Pamela; Van den Eede, Peter; Gamboa, Dionicia; van Hong, Nguyen; Bendezu, Jorge; Erhart, Annette; Barnadas, Céline; Ratsimbasoa, Arsène; Menard, Didier; Severini, Carlo; Menegon, Michela; Nour, Bakri Y M; Karunaweera, Nadira; Mueller, Ivo; Ferreira, Marcelo U; Felger, Ingrid

2015-01-01

Plasmodium vivax is the geographically most widespread human malaria parasite. To analyze patterns of microsatellite diversity and population structure across countries of different transmission intensity, genotyping data from 11 microsatellite markers was either generated or compiled from 841 isolates from four continents collected in 1999-2008. Diversity was highest in South-East Asia (mean allelic richness 10.0-12.8), intermediate in the South Pacific (8.1-9.9) Madagascar and Sudan (7.9-8.4), and lowest in South America and Central Asia (5.5-7.2). A reduced panel of only 3 markers was sufficient to identify approx. 90% of all haplotypes in South Pacific, African and SE-Asian populations, but only 60-80% in Latin American populations, suggesting that typing of 2-6 markers, depending on the level of endemicity, is sufficient for epidemiological studies. Clustering analysis showed distinct clusters in Peru and Brazil, but little sub-structuring was observed within Africa, SE-Asia or the South Pacific. Isolates from Uzbekistan were exceptional, as a near-clonal parasite population was observed that was clearly separated from all other populations (FST>0.2). Outside Central Asia FST values were highest (0.11-0.16) between South American and all other populations, and lowest (0.04-0.07) between populations from South-East Asia and the South Pacific. These comparisons between P. vivax populations from four continents indicated that not only transmission intensity, but also geographical isolation affect diversity and population structure. However, the high effective population size results in slow changes of these parameters. This persistency must be taken into account when assessing the impact of control programs on the genetic structure of parasite populations.

[The year 2003 National Registry of Home-based Parenteral Nutrition].

PubMed

Moreno, J M; Planas, M; de Cos, A I; Virgili, N; Gómez-Enterría, P; Ordóñez, J; de la Cuerda, C; Martí, E; Apezetxea, A; Forga, M T; Pérez de la Cruz, A; Muñoz, A; Rodríguez, A; Cardona, D; Pedrón, C; Luengo, L M; Garde, C; Parés, R M

2006-01-01

To report the results of the Home-based Parenteral Nutrition (HBPN) registry of the NADYA-SENPE working group, for the year 2003. Gathering of registry data introduced by all units responsible of HBPN patient care. This an on-line registry available for authorized users of the working group web page (www.nadya-senpe.com). Epidemiological data, diagnosis, access route, complications, hospital admissions, disability degree, and course at December 31st, 2003 Data from 86 patients (62% female and 38% male) from 17 hospitals were gathered. Mean age of adult patients was 50.7 +/- 15.0 years, whereas for patients younger than 14 years was 2.4 +/- 1.5 years (n = 5 patients). Diseases that prone HBPN were neoplasm (21%), followed by mesenteric ischemia (20%), radiation enteritis (16.3%), motility impairments (10.5%), and Crohn's disease (4.6%). Tunneled catheters were used in 66.3% of the cases versus 29.1% of subcutaneous reservoirs. Mean treatment duration has been 8.5 +/- 4.6 months; 67.4% of patients had been on HBPN for a period of time longer than 6 months. Patient follow-up was mostly done from the reference area hospital (88.4%). In no case patient follow-up was done by the primary care team or by specialists other than those prescribing nutritional support. Nutritional support-related complications were seen in 98 occasions. The most frequent complications were infectious ones. They represented 1.60 hospital admissions per patient. The mean number of visits was 7.9 per patient (6.4 for scheduled visits and 1.5 for emergency visits). By the end of the year, we observed that 73.3% of the patients were still on the program, whereas in 23.3% HBPN had been withdrawn. The main reasons for withdrawal were decease (11 patients), and advancing to oral diet (9 patients). As for the disability degree, 13% were confined to a wheelchair or bed, and only 28% had no disability degree or only mild social disability. We observed a mild increase in HBPN prevalence rate in Spain (2

Enrollment in Postsecondary Institutions, Fall 2003; Graduation Rates 1997 & 2000 Cohorts; and Financial Statistics, Fiscal Year 2003. E.D. TAB. NCES 2005-177

ERIC Educational Resources Information Center

Knapp, Laura G.; Kelly-Reid, Janice E.; Whitmore, Roy W.; Huh, Seungho; Levine, Burton; Berzofsky, Marcus

2005-01-01

This E.D. TAB presents findings from the Integrated Postsecondary Education Data System (IPEDS) Spring 2004 data collection, which included four survey components: Student Financial Aid for full-time, first-time, degree/certificate-seeking undergraduate students for the 2002-03 academic year, Enrollment for fall 2003, Graduation Rates for…

Surface-Water Data, Georgia, Water Year 1999

USGS Publications Warehouse

Alhadeff, S. Jack; Landers, Mark N.; McCallum, Brian E.

1999-01-01

Water resources data for the 1999 water year for Georgia consists of records of stage, discharge, and water quality of streams; and the stage and contents of lakes and reservoirs published in one volume in a digital format on a CD-ROM. This volume contains discharge records of 121 gaging stations; stage for 13 gaging stations; stage and contents for 18 lakes and reservoirs; continuous water quality records for 10 stations; and the annual peak stage and annual peak discharge for 75 crest-stage partial-record stations. These data represent that part of the National Water Data System collected by the U.S. Geological Survey and cooperating State and Federal agencies in Georgia. Records of discharge and stage of streams, and contents or stage of lakes and reservoirs were first published in a series of U.S. Geological water-supply papers entitled, 'Surface-Water Supply of the United States.' Through September 30, 1960, these water-supply papers were in an annual series and then in a 5-year series for 1961-65 and 1966-70. Records of chemical quality, water temperature, and suspended sediment were published from 1941 to 1970 in an annual series of water-supply papers entitled, 'Quality of Surface Waters of the United States.' Records of ground-water levels were published from 1935 to 1974 in a series of water-supply papers entitled, 'Ground-Water Levels in the United States.' Water-supply papers may be consulted in the libraries of the principal cities in the United States or may be purchased from the U.S. Geological Survey, Branch of Information Services, Federal Center, Box 25286, Denver, CO 80225. For water years 1961 through 1970, streamflow data were released by the U.S. Geological Survey in annual reports on a State-boundary basis prior to the two 5-year series water-supply papers, which cover this period. The data contained in the water-supply papers are considered the official record. Water-quality records for water years 1964 through 1970 were similarly released

A review of droughts in the African continent: a geospatial and long-term perspective

NASA Astrophysics Data System (ADS)

Masih, I.; Maskey, S.; Mussá, F. E. F.; Trambauer, P.

2014-03-01

This paper presents a comprehensive review and analysis of the available literature and information on droughts to build a continental, regional and country level perspective on geospatial and temporal variation of droughts in Africa. The study is based on the review and analysis of droughts occurred during 1900-2013 as well as evidence available from past centuries based on studies on the lake sediment analysis, tree-ring chronologies and written and oral histories and future predictions from the global climate change models. Most of the studies based on instrumental records indicate that droughts have become more frequent, intense and widespread during the last 50 yr. The extreme droughts of 1972-1973, 1983-1984 and 1991-1992 were continental in nature and stand unique in the available records. Additionally, many severe and prolonged droughts were recorded in the recent past such as the 1999-2002 drought in Northwest Africa, 1970s and 1980s droughts in West Africa (Sahel), 2010-2011 drought in East Africa (Horn of Africa) and 2001-2003 drought in Southern and Southeast Africa, to name a few. The available (though limited) evidence before the 20th century confirms the occurrence of several extreme and multi-year droughts during each century, with the most prolonged and intense droughts that occurred in Sahel and Equatorial East Africa regions. Complex and highly variant nature of many physical mechanisms such as El Niño-Southern Oscillation (ENSO), Sea Surface Temperature (SST) and land-atmosphere feedback adds to the daunting challenge of drought monitoring and forecasting. The future predictions of droughts based on global climate models indicate increased droughts and aridity at the continental scale but large differences exist due to model limitations and complexity of the processes especially for Sahel and North Africa regions. However, the available evidence from the past clearly shows that the African continent is likely to face extreme and widespread

Constituent concentrations, loads, and yields to Beaver Lake, Arkansas, water years 1999-2008

USGS Publications Warehouse

Bolyard, Susan E.; De Lanois, Jeanne L.; Green, W. Reed

2010-01-01

Beaver Lake is a large, deep-storage reservoir used as a drinking-water supply and considered a primary watershed of concern in the State of Arkansas. As such, information is needed to assess water quality, especially nutrient enrichment, nutrient-algal relations, turbidity, and sediment issues within the reservoir system. Water-quality samples were collected at three main inflows to Beaver Lake: the White River near Fayetteville, Richland Creek at Goshen, and War Eagle Creek near Hindsville. Water-quality samples collected over the period represented different flow conditions (from low to high). Constituent concentrations, flow-weighted concentrations, loads, and yields from White River, Richland Creek, and War Eagle Creek to Beaver Lake for water years 1999-2008 were documented for this report. Constituents include total ammonia plus organic nitrogen, dissolved nitrite plus nitrate nitrogen, dissolved orthophosphorus (soluble reactive phosphorus), total phosphorus, total nitrogen, dissolved organic carbon, total organic carbon, and suspended sediment. Linear regression models developed by computer program S-LOADEST were used to estimate loads for each constituent for the 10-year period at each station. Constituent yields and flow-weighted concentrations for each of the three stations were calculated for the study. Constituent concentrations and loads and yields varied with time and varied among the three tributaries contributing to Beaver Lake. These differences can result from differences in precipitation, land use, contributions of nutrients from point sources, and variations in basin size. Load and yield estimates varied yearly during the study period, water years 1999-2008, with the least nutrient and sediment load and yields generally occurring in water year 2006, and the greatest occurring in water year 2008, during a year with record amounts of precipitation. Flow-weighted concentrations of most constituents were greatest at War Eagle Creek near Hindsville

Fifteen years of experience in the treatment of anorectal malformations.

PubMed

Julià, Victoria; Tarrado, Xavier; Prat, Jordi; Saura, Laura; Montaner, Albert; Castañón, Montserrrat; Ribó, Josep Maria

2010-02-01

To analyze our experience in the treatment of anorectal malformations (ARM) with the posterior sagittal anorectoplasty (PSARP), and our modifications through the last few years and the outcomes. We reviewed 107 cases divided into two groups: Former (F: 1994-2003) and Recent (R: 2004-2008). Type of ARM, associated anomalies, management and complications were noted. A telephone questionnaire regarding continence outcome was addressed to the 74 cases older than 3 years. According to the type of ARM, there were 53 perineal fistulas, 2 anal stenoses, 11 no fistulas, 12 rectourethral fistulas (5 rectobulbar and 7 rectoprostatic fistulas), 22 vestibular fistulas, 1 rectovesical fistulas and 6 cloacas. A total of 47 patients presented with 73 associated malformations. As much as 45 colostomies were performed, including 5 perineal fístulas, with 6 of 7 vestibular fístulas in group F and only 8 of 15 in group R. We had 19 complications of PSARP. The most frequent one was rectal mucosa prolapse in 14 (12F and 2R) and 2 wound infections (F). Continence was good in 62, poor in 3 and fair in 5. Seven out of eight children with poor or fair continence had associated malformations. All perineal fístulas can be managed without colostomy. Vestibular fístulas can be safely treated without colostomy in otherwise healthy patients without severe malformations. Overall, continence is good, and fair/poor results are related to associated malformations. Cumulative experience helps avoid colostomies and reduce complication and reoperation rates.

Simulation of Aerosol Transport and Radiative Effects In Lmd-gcm During Indoex-ifp 1999

NASA Astrophysics Data System (ADS)

Reddy, M. S.; Boucher, O.; Léon, J.-F.; Venkataraman, C.; Pham, M.

During the January-March 1999, an international collaborative field experiment, In- dian Ocean Experiment (INDOEX) was carried out to understand the anthropogenic aerosol effects on radiative forcing (Ramanathan, 2001). In the present work we sim- ulated the cycle of the multi-component aerosol (sulphate, black carbon, organic car- bon, dust, sea-salt and fly-ash) in the Laboratoire de Météorologie Dynamique General Circulation Model (LMD GCM) and estimated the consequent radiative forcing. Sim- ulations are carried out in the zoomed version of the model focusing on the Indian sub- continent and Indian Ocean regions, for January-April 1999. To account correctly for the aerosol emissions in the source regions (Indian subcontinent) we have integrated newly developed SO2 and aerosol emission inventory for India for 1999 (Reddy and Venkataraman, 2002a and b) into the global emission data set input to model. Model performance is evaluated by comparing the simulated aerosol concentration fields against measurements over continental and oceanic stations. Model predicted concentrations agree well in the oceanic stations but are in the lower end of mea- surements in the continental stations. A large plume of sulphate and other aerosols ex- tended from the Indian sub-continent into the Indian Ocean, from surface and elevated flows, extending down to 5S in the pristine southern Indian Ocean. Predicted spec- trally resolved aerosol optical depths (AOD) will be compared with sun-photometer measurements in the region. We also present a comparison of model predicted aerosol optical depths with satellite (Meteosat) derived AOD for the same period. An assess- ment of the multi-component aerosol radiative forcing will be made and results will be discussed in the context of the possible climate effects over the region. Finally, the regional source contributions to sulphate and carbonaceous aerosol loadings in the Indian Ocean will be presented.

Climate-driven polar motion: 2003–2015

PubMed Central

Adhikari, Surendra; Ivins, Erik R.

2016-01-01

Earth’s spin axis has been wandering along the Greenwich meridian since about 2000, representing a 75° eastward shift from its long-term drift direction. The past 115 years have seen unequivocal evidence for a quasi-decadal periodicity, and these motions persist throughout the recent record of pole position, in spite of the new drift direction. We analyze space geodetic and satellite gravimetric data for the period 2003–2015 to show that all of the main features of polar motion are explained by global-scale continent-ocean mass transport. The changes in terrestrial water storage (TWS) and global cryosphere together explain nearly the entire amplitude (83 ± 23%) and mean directional shift (within 5.9° ± 7.6°) of the observed motion. We also find that the TWS variability fully explains the decadal-like changes in polar motion observed during the study period, thus offering a clue to resolving the long-standing quest for determining the origins of decadal oscillations. This newly discovered link between polar motion and global-scale TWS variability has broad implications for the study of past and future climate. PMID:27152348

Your Renewal FAFSA: Free Application for Federal Student Aid, 2003-2004 School Year.

ERIC Educational Resources Information Center

Office of Federal Student Aid (ED), Washington, DC.

This form is used to renew an application for federal and state grants, work study, and loans. The renewal version contains preprinted information that the student reported for the 2002-2003 school year. As a result, it is faster and easier for the student to use than the Free Application for Federal Student Aid (FAFSA). The form contains…

Changes in malaria indices between 1999 and 2007 in The Gambia: a retrospective analysis

PubMed Central

Ceesay, Serign J; Casals-Pascual, Climent; Erskine, Jamie; Anya, Samuel E; Duah, Nancy O; Fulford, Anthony JC; Sesay, Sanie SS; Abubakar, Ismaela; Dunyo, Samuel; Sey, Omar; Palmer, Ayo; Fofana, Malang; Corrah, Tumani; Bojang, Kalifa A; Whittle, Hilton C; Greenwood, Brian M; Conway, David J

2008-01-01

Summary Background Malaria is a major cause of morbidity and mortality in Africa. International effort and funding for control has been stepped up, with substantial increases from 2003 in the delivery of malaria interventions to pregnant women and children younger than 5 years in The Gambia. We investigated the changes in malaria indices in this country, and the causes and public-health significance of these changes. Methods We undertook a retrospective analysis of original records to establish numbers and proportions of malaria inpatients, deaths, and blood-slide examinations at one hospital over 9 years (January, 1999–December, 2007), and at four health facilities in three different administrative regions over 7 years (January, 2001–December, 2007). We obtained additional data from single sites for haemoglobin concentrations in paediatric admissions and for age distribution of malaria admissions. Findings From 2003 to 2007, at four sites with complete slide examination records, the proportions of malaria-positive slides decreased by 82% (3397/10861 in 2003 to 337/6142 in 2007), 85% (137/1259 to 6/368), 73% (3664/16932 to 666/11333), and 50% (1206/3304 to 336/1853). At three sites with complete admission records, the proportions of malaria admissions fell by 74% (435/2530 to 69/1531), 69% (797/2824 to 89/1032), and 27% (2204/4056 to 496/1251). Proportions of deaths attributed to malaria in two hospitals decreased by 100% (seven of 115 in 2003 to none of 117 in 2007) and 90% (22/122 in 2003 to one of 58 in 2007). Since 2004, mean haemoglobin concentrations for all-cause admissions increased by 12 g/L (85 g/L in 2000–04 to 97 g/L in 2005–07), and mean age of paediatric malaria admissions increased from 3·9 years (95% CI 3·7–4·0) to 5·6 years (5·0–6·2). Interpretation A large proportion of the malaria burden has been alleviated in The Gambia. Our results encourage consideration of a policy to eliminate malaria as a public-health problem, while

Abuse of reformulated OxyContin: Updated findings from a sentinel surveillance sample of individuals assessed for substance use disorder.

PubMed

Cassidy, Theresa A; Thorley, Eileen; Black, Ryan A; DeVeaugh-Geiss, Angela; Butler, Stephen F; Coplan, Paul

To examine abuse prevalence for OxyContin and comparator opioids over a 6-year period prior to and following market entry of reformulated OxyContin and assess consistency in abuse across treatment settings and geographic regions. An observational study examining longitudinal changes using cross-sectional data from treatment centers for substance use disorder. A total of 874 facilities in 39 states in the United States within the National Addictions Vigilance Intervention and Prevention Program (NAVIPPRO®) surveillance system. Adults (72,060) assessed for drug problems using the Addiction Severity Index-Multimedia Version (ASI-MV®) from January 2009 through December 2015 who abused prescription opioids. Percent change in past 30-day abuse. OxyContin had significantly lower abuse 5 years after reformulation compared to levels for original OxyContin. Consistency of magnitude in OxyContin abuse reductions across geographic regions, ranging from 41 to 52 percent with differences in abuse reductions in treatment setting categories occurred. Changes in geographic region and treatment settings across study years did not bias the estimate of lower OxyContin abuse through confounding. In the postmarket setting, limitations and methodologic challenges in abuse measurement exist and it is difficult to isolate singular impacts of any one intervention given the complexity of prescription opioid abuse. Expectations for a reasonable threshold of abuse for any one ADF product or ADF opioids as a class are still uncertain and undefined. A significant decline in abuse prevalence of reformulated OxyContin was observed 5 years after its reformulation among this treatment sample of individuals assessed for substance use disorder that was lower historically for the original formulation of this product.

Flight Dynamics Analysis Branch End of Fiscal Year 1999 Report

NASA Technical Reports Server (NTRS)

Stengle, Thomas; Flores-Amaya, Felipe

1999-01-01

This document summarizes the major activities and accomplishments carried out by the Goddard Space Flight Center (GSFC)'s Flight Dynamics Analysis Branch (FDAB), Code 572, in support of flight projects and technology development initiatives in Fiscal Year (FY) 1999. The document is intended to serve as both an introduction to the type of support carried out by the FDAB (Flight Dynamics Analysis Branch), as well as a concise reference summarizing key analysis results and mission experience derived from the various mission support roles assumed over the past year. The major accomplishments in the FDAB in FY99 were: 1) Provided flight dynamics support to the Lunar Prospector and TRIANA missions among a variety of spacecraft missions; 2) Sponsored the Flight Mechanics Symposium; 3) Supported the Consultative Committee for Space Data Systems (CCSDS) workshops; 4) Performed numerous analyses and studies for future missions; 5) Started the Flight Dynamics Analysis Branch Lab for in-house mission analysis and support; and 6) Complied with all requirements in support of GSFC IS09000 certification.

Flight Dynamics Analysis Branch End of Fiscal Year 1999 Report

NASA Technical Reports Server (NTRS)

Stengle, T.; Flores-Amaya, F.

2000-01-01

This report summarizes the major activities and accomplishments carried out by the Flight Dynamics Analysis Branch (FDAB), Code 572, in support of flight projects and technology development initiatives in Fiscal Year (FY) 1999. The report is intended to serve as a summary of the type of support carried out by the FDAB, as well as a concise reference of key analysis results and mission experience derived from the various mission support roles. The primary focus of the FDAB is to provide expertise in the discipline of flight dynamics, which involves spacecraft trajectory (orbit) and attitude analysis, as well as orbit and attitude determination and control. The FDAB currently provides support for missions involving NASA, government, university, and commercial space missions, at various stages in the mission life cycle.

Tonopah Test Range Post-Closure Inspection Annual Report, Tonopah Test Range, Nevada, Calendar Year 2003

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

U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office; Bechtel Nevada

This post-closure inspection report provides documentation of the semiannual inspection activities, maintenance and repair activities, and conclusions and recommendations for calendar year 2003 for eight corrective action units located on the Tonopah Test Range, Nevada.

Including At-Risk Students in Standards-Based Reform: A Report on McREL's Diversity Roundtable II (Aurora, CO, November 11-12, 1999).

ERIC Educational Resources Information Center

Mid-Continent Research for Education and Learning, Aurora, CO.

Mid-Continent Research for Education and Learning held the second of a proposed series of three roundtables on student diversity in November 1999. Three commissioned papers prepared by national experts were the basis for activities at the roundtable. Focusing on the unique needs of at-risk students, the papers detail current research and effective…

[Pseudo-continent perineal colostomy. Results and techniques].

PubMed

Lasser, P; Dubé, P; Guillot, J M; Elias, D

1997-09-01

This prospective study was conducted to assess functional results obtained after pseudo-continent perineal colostomy using the Schmidt procedure. Functional outcome was assessed in 40 patients who had undergone amputation of the rectum for cancer and pseudo-continent perineal colostomy reconstruction between 1989 and 1995 in our institution. The cancer pathology, operative procedure and post-operative care were noted. Morbidity, functional outcome and degree of patient satisfaction were recorded. Mean follow-up was 45 months (18-87) in 100% of the patients. There were no operative deaths. Twenty patients had post-operative complications and 2 patients required early conversion to definitive abdominal colostomy due to severe perineal complications. Function outcome showed normal continence in 4 patients, air incontinence in 23, occasional minimal leakage in 9 and incontinence requiring iliac colostomy in 2. Eighty-six percent of the patients were highly satisfied or satisfied with their continence capacity. Pseudo-continent perineal colostomy is a reliable technique which can be proposed as an alternative to left iliac colostomy after amputation of the rectum for cancer if a rigorous procedure is applied: careful patient selection, informed consent, rigorous surgical procedure, daily life-long irrigation of the colon.

Continence outcomes in patients undergoing robotic assisted laparoscopic mitrofanoff appendicovesicostomy.

PubMed

Wille, Mark A; Zagaja, Gregory P; Shalhav, Arieh L; Gundeti, Mohan S

2011-04-01

Continent catheterizable channels for emptying the bladder are typically performed via an open surgical approach. We present our surgical approach and initial outcomes with specific attention to continence for robotic assisted laparoscopic Mitrofanoff appendicovesicostomy formation. Between February 2008 and April 2010, 13 patients were considered for robotic assisted laparoscopic Mitrofanoff appendicovesicostomy and 11 underwent the procedure (2 open conversions). Five patients underwent enterocystoplasty with appendicovesicostomy and 6 underwent isolated appendicovesicostomy. The appendicovesicostomy anastomosis was performed on the anterior (without augmentation) or posterior (with augmentation) bladder wall and the stoma was brought to the umbilical site or right lower quadrant. Detrusor backing (4 cm) was ensured except in 1 patient (number 5). Mean patient age at surgery was 10.4 years (range 5 to 14). Mean estimated blood loss was 61.8 cc. Mean operative time for isolated appendicovesicostomy was 347 minutes and there were no intraoperative complications. Incontinence through the stoma developed in 1 patient with inadequate detrusor backing (less than 4 cm), which resolved with dextranomer/hyaluronic acid injection into the appendicovesicostomy anastomosis. This patient had resolution of incontinence with an increase in bladder capacity to 300 cc. Three patients required skin flap revision for cutaneous scarring. To date all patients are catheterizing without difficulty and are continent. Median followup was 20 months (range 3 to 29). We are encouraged by our preliminary experience with the robotic assisted laparoscopic Mitrofanoff appendicovesicostomy continent urinary diversion with or without ileocystoplasty. Early in the experience we emphasize the importance of 4 cm of detrusor backing to maintain stomal continence. Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Finance issue brief: insurer liability: year end report-2003.

PubMed

MacEachern, Lillian

2003-12-31

When a health plan denies payment for a procedure on grounds that it is not medically necessary or when it refuses a physician-ordered referral to a specialist, has it crossed the line from making an insurance judgment to practicing medicine? If the patient suffers harm as a result of the decision, is the plan liable for medical malpractice? Those were questions 35 states considered in 1999, and at least 32 states are grappling with this year as they seek to respond to physician and patient pressure to curb the power of the managed care industry. Traditionally, health insurers have been protected by state laws banning "the corporate practice of medicine," which means the patient's only recourse is to sue under a "vicarious liability" theory. Now, however, lawmakers are debating legislation to extend the scope of malpractice liability beyond individual practitioners to insurance carriers and plans themselves.

Hearing levels in US adults aged 20-69 Years: National Health and Nutrition Examination Survey 1999-2002

NASA Astrophysics Data System (ADS)

Murphy, William J.; Themann, Christa L.; Franks, John R.

2005-04-01

The National Health and Nutrition Examination Survey (NHANES) is a nationally representative, population-based survey designed to assess the health and nutritional status of the civilian, non-institutionalized US population. Data were collected through a personal interview regarding health history and through physical examination. Earlier NHANES surveys were conducted on a periodic basis; however, in 1999, NHANES began collecting data on a continuing, annual basis. During NHANES I, which ran from 1971-1975, audiometric testing was conducted on adults aged 25-74 years. No subsequent testing of adults was conducted in the NHANES program until 1999, when NHANES began audiometric testing of adults aged 20-69 years. This report examines the hearing levels for adults in the United States and compares them with the hearing data from NHANES I. Hearing levels are grouped by age and are grouped by ethnicity and gender.

Evaluation of urinary extravasation and results after continence-preserving radical retropubic prostatectomy.

PubMed

Varkarakis, John; Wirtenberger, Walter; Pinggera, Germar-Michael; Berger, Andreas; Harabayashi, Toru; Bartsch, Georg; Horninger, Wolfgang

2004-11-01

To evaluate the feasibility of urinary catheter removal 10 days after a radical retropubic prostatectomy (RRP) by assessing the incidence of urinary extravasation and its effect on postoperative stricture and continence rates. During a 4.5-year period, 619 patients undergoing RRP were evaluated. If no extravasation was detected on gravity cystography, the urinary catheter was removed 10 days after RRP. In patients with significant extravasation the catheter was left in place for 3 weeks. Overall stricture and continence rates were recorded in patients at 3, 6 and 12 months after surgery. There was extravasation during cystography in 29 patients (4.6%). At 3, 6 and 12 months, continence rates after catheter removal at 10 days were 74.9%, 87.9%, and 93.6%, respectively, while in the late-removal group they were 72.4%, 84.6% and 90.9%, respectively, with no significant difference between the groups. At 3 months the overall continence rate was 74.8% and at 12 months up to 93.5%. There was no difference in stricture rates between the groups, with an overall stricture rate of 0.7%. Catheter removal 10 days after RRP is feasible, giving excellent early and late continence rates, with low anastomotic stricture rates obtained using good surgical technique. Extravasation at 10 days was rare and with proper management did not influence the final results.

[The continent ileostomy--indication and results].

PubMed

Säuberli, H; Akovbiantz, A; Hahnloser, P

1982-01-01

Proctocolectomy with conventional ileostomy cures patients with severe ulcerative colitis, however ileostomy appliances had to be worn for the rest of their lives. The continent ileostomy as devised by Kock provides the patient with an intraabdominal ileal reservoir and a valve constructed by invaginating the efferent ileal segment into the reservoir. The patient empties his reservoir 2 to 3 times a day by inserting a catheter through the valve. Our experience with 45 patients is reported. In most cases the continent ileostomy was constructed as a second procedure after proctocolectomy. The construction of a continent ileostomy as a secondary procedure can be recommended in patients with proctocolectomy. It offers patients a life situation differing only insignificantly from that of normal persons.

Water Resources Data, West Virginia, Water Year 2003

USGS Publications Warehouse

Ward, S.M.; Rosier, M.T.; Crosby, G.R.

2004-01-01

Water-resources data for the 2003 water year for West Virginia consists of records of stream discharge, reservoir and ground-water levels, and water quality of streams and ground-water wells. This report contains discharge records for 70 streamflow-gaging stations; discharge records provided by adjacent states for 8 streamflow-gaging stations; annual maximum discharge at 16 crest-stage partial-record stations; stage records for 6 detention reservoirs; water-quality records for 2 stations; and water-level records for 8 observation wells. Locations of streamflow, detention reservoir, and water-quality stations are shown on figure 4. Locations of ground-water observation wells are shown on figure 5. Additional water data were collected at various sites, not involved in the systematic data-collection program, and are published as miscellaneous sites. These data represent that part of the National Water Data System collected by the U.S. Geological Survey and cooperating State and Federal agencies in West Virginia.

Water Resources Data, Alabama, Water Year 2003

USGS Publications Warehouse

Psinakis, W.L.; Lambeth, D.S.; Stricklin, V.E.; Treece, M.W.

2004-01-01

Water resources data for the 2003 water year for Alabama consist of records of stage, discharge, and water quality of streams; stages and contents of lakes and reservoirs; and water levels in wells. This report includes records on both surface and ground water in the State. Specifically, it contains: (1) discharge records for 130 streamflow-gaging stations, for 29 partial-record or miscellaneous streamflow stations; (2) stage and content records for 14 lakes and reservoirs and stage at 46 stations; (3) water-quality records for 12 streamflow-gaging stations, for 29 ungaged streamsites, and for 1 precipitation stations; (4) water temperature at 12 surfacewater stations; (5) specific conductance and dissolved oxygen at 12 stations; (6) turbidity at 3 stations; (7) sediment data at 6 stations; (8) water-level records for 2 recording observation wells; and (9) water-quality records for 9 ground-water stations. Also included are lists of active and discontinued continuous-record surface-water-quality stations, and partial-record and miscellaneous surface-water-quality stations. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating Federal, State, and local agencies in Alabama.

Efficiency of using community organisations as catalysts for recruitment to continence promotion trials.

PubMed

Agnew, Rona; van den Heuvel, Eleanor; Tannenbaum, Cara

2013-02-01

A major challenge for determining the effectiveness of community-based continence promotion campaigns is recruitment of a representative sample of incontinent participants who have not previously sought care. To evaluate the efficiency of engaging community organisations as catalysts for recruitment of community-dwelling older women with incontinence to the 'Continence across Continents' randomised controlled trial. Seniors' and women's community-based organisations throughout the United Kingdom were solicited by telephone or email to assist recruitment for an open-label cluster randomised controlled trial testing three experimental continence promotion interventions and a control intervention for incontinent older women. Women aged 60 years and older who experienced at least weekly urinary incontinence and who had never sought treatment were eligible to participate. The response rate of the organisations and enrolment rate of eligible participants attending the continence promotion workshops were recorded. Differences in recruitment efficiency by intervention group were ascertained using analysis of variance statistics. We contacted 408 community organisations over a 1-year period. Seventy organisations (17%) agreed to host a workshop, 249 (61%) did not provide a response, and 89 (22%) refused. Workshops were administered in a group format to 61 organisations (15%); 667 women attended, 583 (87%) submitted the screening questionnaire, and 437 (66%) met eligibility criteria for inclusion. A total of 192 women consented to participate in the trial, yielding a 44% recruitment efficiency among workshop attendees known to be eligible, with no significant difference in enrolment rates between groups. However, the mean participant recruitment rate per number of attendees at each workshop was only 29%, varying substantially between groups from 19% to 37%, with the lowest rate observed for the control group. The mean annual recruitment rate expressed as the number of

Salary-Trend Study of Faculty in Marketing Management and Research for the Years 1996-97 and 1999-00.

ERIC Educational Resources Information Center

Howe, Richard D.

This report is part of an annual national survey that examines salaries of full-time teaching faculty in 54 selected academic disciplines. Data for the study were collected from a total of 296 public and 390 private four-year institutions from the baseline year of 1996-97 to the trend year of 1999-2000. This portion of the study covers salary data…

Suspended-Sediment Loads and Yields in the North Santiam River Basin, Oregon, Water Years 1999-2004

USGS Publications Warehouse

Bragg, Heather M.; Sobieszczyk, Steven; Uhrich, Mark A.; Piatt, David R.

2007-01-01

The North Santiam River provides drinking water to the residents and businesses of the city of Salem, Oregon, and many surrounding communities. Since 1998, water-quality data, including turbidity, were collected continuously at monitoring stations throughout the basin as part of the North Santiam River Basin Turbidity and Suspended Sediment Study. In addition, sediment samples have been collected over a range of turbidity and streamflow values. Regression models were developed between the instream turbidity and suspended-sediment concentration from the samples collected from each monitoring station. The models were then used to estimate the daily and annual suspended-sediment loads and yields. For water years 1999-2004, suspended-sediment loads and yields were estimated for each station. Annual suspended-sediment loads and yields were highest during water years 1999 and 2000. A drought during water year 2001 resulted in the lowest suspended-sediment loads and yields for all monitoring stations. High-turbidity events that were unrelated or disproportional to increased streamflow occurred at several of the monitoring stations during the period of study. These events highlight the advantage of estimating suspended-sediment loads and yields from instream turbidity rather than from streamflow alone.

10 years for the Journal of Bioinformatics and Computational Biology (2003-2013) -- a retrospective.

PubMed

Eisenhaber, Frank; Sherman, Westley Arthur

2014-06-01

The Journal of Bioinformatics and Computational Biology (JBCB) started publishing scientific articles in 2003. It has established itself as home for solid research articles in the field (~ 60 per year) that are surprisingly well cited. JBCB has an important function as alternative publishing channel in addition to other, bigger journals.

Residual Gravity Changes at Kilauea: 1977-2003

NASA Astrophysics Data System (ADS)

Eggers, A. A.

2006-12-01

Microgravity surveys on volcanoes provide insight into the mechanisms of volcanic eruptions. Typically gravity is measured repeatedly over a dense network of stations using one or more meters. Raw gravity measurements corrected for effects of earthtides, instrumental drift, and concurrent elevation changes give residual gravity. Successive surveys give residual gravity changes reflecting mass redistributions within volcanoes affected by dynamic magmatic and/or hydrothermal systems. At Kilauea Volcano a network about 65 stations was most recently reoccupied by Johnson and Eggers in October and November 2003, and by Johnson in 1999 and 1998. Data from 1977 and 1981 surveys (by H.V.O. staff) are included in this study. The reduced gravity data (precision about 10 microgals) show residual gravity has consistently and steadily increased by more than 300 microgals since 1977 in a semicircular area several hundred meters in diameter, centered on the SE rim of Halemaumau Crater. Residual gravity change anomalies for the intervals 1999-2003, 1981-1999, and 1977-1981 have respective amplitudes of approximately 100, 140, and 100 microgals. Because of lower station density and lack of station-to-station continuity over time anomalies representing the two earlier intervals are less well defined. Half-widths at half-heights of the anomalies from each interval indicate a source depths for the masses producing the gravity change of 550 to 700 m below the caldera floor. Mogi point mass interpretations, assuming a 600 m depth, using the 100, 140, and 100 microgal respective amplitudes suggest a cumulative mass addition of about 18x10^9 kg since 1977. Mass has apparently been added to a shallow chamber below the caldera floor at 0.7x10^9 kg/yr on the average throughout most of the Pu'u `O'o eruption. From 1983-2002 magma throughput in the Kilauea/Pu'u `O'o system has averaged about 3.5x10^1^1kg/yr (Sutton et al 2003). This magma throughput represents only 83-87% of the primary magma

Plasmodium vivax Diversity and Population Structure across Four Continents

PubMed Central

Koepfli, Cristian; Rodrigues, Priscila T.; Antao, Tiago; Orjuela-Sánchez, Pamela; Van den Eede, Peter; Gamboa, Dionicia; van Hong, Nguyen; Bendezu, Jorge; Erhart, Annette; Barnadas, Céline; Ratsimbasoa, Arsène; Menard, Didier; Severini, Carlo; Menegon, Michela; Nour, Bakri Y. M.; Karunaweera, Nadira; Mueller, Ivo; Ferreira, Marcelo U.; Felger, Ingrid

2015-01-01

Plasmodium vivax is the geographically most widespread human malaria parasite. To analyze patterns of microsatellite diversity and population structure across countries of different transmission intensity, genotyping data from 11 microsatellite markers was either generated or compiled from 841 isolates from four continents collected in 1999–2008. Diversity was highest in South-East Asia (mean allelic richness 10.0–12.8), intermediate in the South Pacific (8.1–9.9) Madagascar and Sudan (7.9–8.4), and lowest in South America and Central Asia (5.5–7.2). A reduced panel of only 3 markers was sufficient to identify approx. 90% of all haplotypes in South Pacific, African and SE-Asian populations, but only 60–80% in Latin American populations, suggesting that typing of 2–6 markers, depending on the level of endemicity, is sufficient for epidemiological studies. Clustering analysis showed distinct clusters in Peru and Brazil, but little sub-structuring was observed within Africa, SE-Asia or the South Pacific. Isolates from Uzbekistan were exceptional, as a near-clonal parasite population was observed that was clearly separated from all other populations (F ST>0.2). Outside Central Asia F ST values were highest (0.11–0.16) between South American and all other populations, and lowest (0.04–0.07) between populations from South-East Asia and the South Pacific. These comparisons between P. vivax populations from four continents indicated that not only transmission intensity, but also geographical isolation affect diversity and population structure. However, the high effective population size results in slow changes of these parameters. This persistency must be taken into account when assessing the impact of control programs on the genetic structure of parasite populations. PMID:26125189

Programs That Work Producing People at Work: Annual Report of the President's Committee on Employment of People with Disabilities, Fiscal Year 1999.

ERIC Educational Resources Information Center

President's Committee on Employment of People with Disabilities, Washington, DC.

This report from the President's Committee on Employment of People with Disabilities, a federal agency that coordinates and promotes public and private efforts to enhance the employment of people with disabilities, describes committee activities during Fiscal Year 1999 (October 1, 1998- September 30, 1999). The first part of the report profiles…

Price Responsiveness in the AEO2003 NEMS Residential and Commercial Buildings Sector Models

EIA Publications

2003-01-01

This paper describes the demand responses to changes in energy prices in the Annual Energy Outlook 2003 versions of the Residential and Commercial Demand Modules of the National Energy Modeling System (NEMS). It updates a similar paper completed for the Annual Energy Outlook 1999 version of the NEMS.

Inequalities in dental caries of 5-year-old children in Scotland, 1993-2003.

PubMed

Levin, Kate A; Davies, Carolyn A; Topping, Gail V A; Assaf, Andrea V; Pitts, Nigel B

2009-06-01

Previous research suggests there are significant differences between socio-economic groups in prevalence and amount of decayed missing and filled primary teeth (d3mft). The aim of this study was to describe the variation in obvious tooth decay experience amongst 5-year olds in Scotland and to look at the association between d3mft and deprivation in Scotland. Data derived from 1993 to 2003 National Dental Inspection Programme were modelled using Bayesian multilevel zero-inflated Negative Binomial models, adjusting for age, sex and the deprivation. Deprivation is positively and significantly associated with having d3mft; the odds of a child in DepCat 7 (most deprived) having d3mft in 1993 were 7.49 (5.03-11.15) that of a child in DepCat 1 (most affluent). Inequalities in the prevalence of d3mft have reduced and in 2003 the odds of a child in DepCat 7 having d3mft were 4.60 (3.47-6.14) that of a child in DepCat 1. However, socio-economic inequalities in the amount of d3mft for those with d3mft have seen no reduction and have in fact increased between 1993 and 2003, with this increase approaching significance. While socio-economic inequalities in prevalence of children with d3mft have decreased in recent years, socio-economic inequalities in the amount of d3mft for those with d3mft persist. This suggests that improvements are only seen for those children with the potential for low d3mft. High d3mft persists among children from more deprived areas. The national target conceals this apparent inconsistency.

21 CFR 876.5030 - Continent ileostomy catheter.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Continent ileostomy catheter. 876.5030 Section 876.5030 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GASTROENTEROLOGY-UROLOGY DEVICES Therapeutic Devices § 876.5030 Continent ileostomy...

National audit of continence care for older people: management of urinary incontinence.

PubMed

Wagg, Adrian; Potter, Jonathan; Peel, Penny; Irwin, Penny; Lowe, Derek; Pearson, Michael

2008-01-01

the Department of Health report 'Good practice in continence services' highlights the need for proper assessment and management of urinary incontinence. The National Service Framework for Older People required service providers to establish integrated continence services by April 2004. A national audit was conducted to assess the quality of continence care for older people and whether these requirements have been met. the audit studied incontinent individuals of 65 years and over. Each site returned data on organisational structure and the process of 20 patients' care. Data were submitted via the internet, and all were anonymous. the national audit was conducted across England, Wales and Northern Ireland. Data on the care of patients/residents with bladder problems were returned by 141/326 (43%) of primary care trusts (PCT), by 159/196 (81%) of secondary care trusts (involving 198 hospitals) and by 29/309 (9%) of invited care homes. In all 58% of PCT, 48% of hospitals and 74% of care homes reported that integrated continence services existed in their area. Whilst basic provision of care appeared to be in place, the audit identified deficiencies in the organisation of services, and in the assessment and management of urinary incontinence in the elderly. the results of this audit indicate that the requirement for integrated continence services has not yet been met. Assessment and care by professionals directly looking after the older person were often lacking. There is an urgent need to re-establish the fundamentals of continence care into the practice of medical and nursing staff and action needs to be taken with regard to the establishment of truly integrated, quality services in this neglected area of practice.

Student-Level Analysis of Year 1 (2003-2004) Achievement Outcomes for Tennessee Charter Schools

ERIC Educational Resources Information Center

Ross, Steven M.; McDonald, Aaron J.; Gallagher, Brenda McSparrin

2005-01-01

This report presents student-level achievement results for the four charter schools that began operation in Tennessee during the 2003-04 academic year. To conduct a rigorous and valid analysis of student achievement outcomes at these schools, we employed a matched program-control design at the student level, whereby each charter school student was…

Pregnancy after orthotopic continent urinary diversion.

PubMed

Kennedy, W A; Hensle, T W; Reiley, E A; Fox, H E; Haus, T

1993-10-01

Continent urinary diversion has become a common form of bladder management for the female exstrophy patient in whom primary reconstruction has failed. Reported are the results of successful pregnancies in four young adult females, who had previously undergone a flap vaginoplasty as part of earlier management and more recently a continent right colonic urinary reservoir with a perineal stoma (Indiana pouch). Pregnancy in each of these patients was characterized by several urinary tract infections, cervical prolapse and mild to severe maternal hydronephrosis. All of the patients had some degree of difficulty with clean intermittent catheterization. One patient required an indwelling catheter with prolonged bed rest. Maternal hydronephrosis resolved after delivery in all instances. All four patients delivered their infants by way of cesarean section, either emergently for maternal or fetal distress or electively. Cervical prolapse did not resolve in three patients and will require surgical repair. After delivery, all patients returned to their previous pattern of clean intermittent catheterization without loss of continence. All the infants delivered were healthy with appropriate weights and high Apgar scores (more than 8). Orthotopic (perineal stoma) continent urinary diversion is not a contraindication to pregnancy. However, our experience mandates delivery by cesarean section with close monitoring for maternal or fetal distress during gestation.

Specific conductance and water temperature data for San Francisco Bay, California, for Water Year 2003

USGS Publications Warehouse

Buchanan, P.A.

2004-01-01

This article presents time-series graphs of specific-conductance and water-temperature data collected in San Francisco Bay during water year 2003 (October 1, 2002, through September 30, 2003). Specific-conductance and water-temperature data were recorded at 15-minute intervals at the following US Geological Survey (USGS) locations (Figure 1): • Suisun Bay at Benicia Bridge, near Benicia, CA. (BEN) (site # 11455780) • Carquinez Strait at Carquinez Bridge, near Crockett, CA. (CARQ) (site # 11455820) • Napa River at Mare Island Causeway, near Vallejo, CA. (NAP) (site # 11458370) • San Pablo Strait at Point San Pablo, CA. (PSP) (site # 11181360) • San Pablo Bay at Petaluma River Channel Marker 9, CA. (SPB) (site # 380519122262901) • San Francisco Bay at Presidio Military Reservation, CA. (PRES) (site # 11162690) • San Francisco Bay at San Mateo Bridge, near Foster City, CA. (SMB) (site # 11162765) Suspended-sediment-concentration data also were collected at most of these sites during water year 2003. Specific-conductance and water-temperature data from PSP, PRES, and SMB were recorded by the CA Department of Water Resources (DWR) before 1988, by the USGS National Research Program from 1988 to 1989, and by the USGS-DWR cooperative program since 1990. BEN, CARQ, NAP, and SPB were established in 1998 by USGS. The monitoring station at PRES was discontinued on November 12, 2002, due to shoaling at the site.

Florida's timber industry - an assessment of timber product output and use, 2003

Treesearch

James W. Bentley; Michael Howell; Tony G. Johnson

2006-01-01

In 2003, volume of roundwood output from Florida's forests totaled 509 million cubic feet, 2 percent more than in 1999. Mill byproducts generated from primary manufacturers decreased to 151 million cubic feet. Almost all plant residues were used primarily for fuel and fiber products. Pulpwood was the leading roundwood product at 271 million cubic feet; saw logs...

[Changes in hemodialysis adequacy in Lithuania during 1999-2005].

PubMed

Ziginskiene, Edita; Kuzminskis, Vytautas; Sileikiene, Elvyra; Tamosaitis, Algirdas; Sirevicius, Virgilijus

2007-01-01

Despite the improvement of hemodialysis technique, mortality of chronic hemodialysis patients remains quite high. It considerably depends on dialysis adequacy. The aim of the study was to evaluate the adequacy of hemodialysis procedure and its changes in Lithuania during 1999-2005. Between 1999 and 2005 in December, all hemodialysis centers in Lithuania were annually visited, and data on the type of hemodialysis, duration of hemodialysis (hours per week), single-pool Kt/V were collected from all hemodialysis patients. The percentage of patients on bicarbonate hemodialysis sharply increased from 57.9% in 1999 to 100% in 2001 (P<0.001), and the duration of hemodialysis procedure increased (67.3% of hemodialysis patients were dialyzed 12 and more hours per week in 2005 vs. 41.3% in 1999, P<0.001). The percentage of patients who were dialyzed three times per week increased from 51% in 1999 to 77% in 2005 (P<0.001). The mean Kt/V was 0.81+/-0.53 in 1999, but it increased to 1.21+/-0.27 in 2005 (P<0.001). More than half (54%) of all hemodialysis patients in 2005 had Kt/V > or =1.2 vs. more than one-third (36%) in 1999 (P<0.001). The mean Kt/V of patients who were on dialysis three times per week was 1.25+/-0.6; two times per week, 1.30+/-0.8; and one time per week, 1.27+/-0.26 in 2003. In 2005, the results were 1.21+/-0.27, 1.22+/-0.26, and 1.16+/-0.29, respectively (P>0.05). CONCLUSIONS. 1. The improvement of the quality of hemodialysis was observed in Lithuania during 1999-2005: a) from 2001, patients received only bicarbonate hemodialysis; b) weekly duration of hemodialysis increased; c) Kt/V improved. 2. Despite the improvement of hemodialysis quality, it is not optimal yet and is associated with insufficient duration of hemodialysis.

Transport and scavenging of biomass burning aerosols in the maritime continent

NASA Astrophysics Data System (ADS)

Lee, H. H.; Wang, C.

2014-12-01

Biomass burning frequently occurs in summertime over the maritime continent, especially in Malaysia peninsula, Sumatra, and Borneo. Under certain weather conditions, particulate matters emitted from such fires cause degrade of air quality and thus occurrence of often weekly long haze in downwind locations such as Singapore. It is possible that these biomass burning aerosols may have influenced convective clouds in the maritime continent though such cases have not been well simulated and understood. In order to improve understanding of the spatiotemporal coverage and influence of biomass burning aerosols in the maritime continent, we have used the Weather Research and Forecasting (WRF) model to study the transport of biomass burning aerosols from Malaysia peninsula, Sumatra, and Borneo, using biomass burning emissions from the Fire INventory from NCAR (FINN) version 1.0. We choose to use emissions from the month of August because the annual emissions peak often occurs within this month. Based on a multi-year ensemble simulation, we have examined the influences of various meteorological regimes on the aerosol transport and wet removal.

Traffic safety facts 1999 : older population

DOT National Transportation Integrated Search

2000-01-01

There are more than 25 million people age 70 years and older in the United States. In 1999, this age group made up 9 percent of the total U.S. resident population, compared with 8 percent in 1989. From 1989 to 1999, this older segment of the populati...

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

[Sociodemographic Characterization of Suicidal Adults Over 60 Years Old: Bogotá 2003-2007].

PubMed

Ordóñez Monak, Ivonne Andrea; Franco Agudelo, Saúl Alonso; González Ortiz, Jorge Oswaldo

2013-01-01

To identify the major epidemiological and sociodemographic characteristics of suicidal adults over 60 years old in Bogotá between the years 2003 and 2007. A descriptive-retrospective study was performed, mainly using information obtained from necropsy reports (n=98), taking into account selected epidemiological variables. The data were systematized using Epi-Info 6.04 software, and were analyzed using contingency tables. Suicide victims of this population group are primarily male, having one of the highest suicide rates with respect to the whole population. The presence of chronic and disabling diseases was reported among the main motivations for suicide in males, while for women it was the presence of a mental disorder and/or loss of a loved one. Having family support did not affect suicide rates. The locality that had the highest suicide rates was the district of Los Mártires, and there was no direct relationship between poverty rates or health insurance and the presence of the phenomenon. Although there has been a decrease in suicide rates for the population over 60 years old since 2003, suicide in elderly people remains a predominantly male phenomenon and an important public health problem. Due to its complexity in terms of multiple causes and multidimensionality, the protective and risk factors are just aspects to consider in terms of understanding the phenomenon and its prevention. Copyright © 2013 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Progress Report on the State of Texas Master Plan for Educational Technology, 2000-2003.

ERIC Educational Resources Information Center

Texas Education Agency, Austin.

This progress report documents accomplishments and activities for September 2000 through August 2002 related to the State of Texas Master Plan for Educational Technology 2000-2003. The first section presents background, goals, and recommendations as adopted by the Education Technology Coordinating Council (ETCC) in December 1999. The second…

OxyContin: Prescription Drug Abuse. CSAT Advisory.

ERIC Educational Resources Information Center

Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Substance Abuse Treatment.

Recently, the media have issued numerous reports about the apparent increase in OxyContin abuse and addiction. OxyContin has been heralded as a miracle drug that allows patients with chronic pain to resume a normal life. It has also been called pharmaceutical heroin and is thought to have been responsible for a number of deaths and robberies in…

Antegrade continence enemas improve quality of life in patients with medically-refractory encopresis.

PubMed

Church, Joseph T; Simha, Sidd; Wild, Laurie C; Teitelbaum, Daniel H; Ehrlich, Peter F

2017-05-01

Fecal incontinence is a socially debilitating problem for many children. We hypothesized that in selected patients with medically-refractory encopresis, placement of an appendicostomy or cecostomy tube for administration of antegrade continence enemas (ACE) would improve quality of life (QOL). We reviewed all patients with encopresis who underwent appendicostomy or cecostomy placement from 2003 to 2014 at our institution. We contacted subjects' parents by phone and administered 3 surveys: a survey reflecting current stooling habits, a disease-specific QOL survey, and the PedsQL™ QOL survey. QOL surveys were completed twice by parents, once reflecting pre-operative QOL, then again reflecting current QOL. Pre-procedure and post-procedure scores were compared by paired t-test. Ten patients underwent appendicostomy/cecostomy for encopresis. Eight completed phone surveys. All procedures were performed laparoscopically. All patients experienced fecal soiling pre-operatively, whereas 5/8 surveyed patients (63%) noted complete resolution of soiling post-procedure (p<0.01). General and disease-specific QOL improved from pre-procedure to post-procedure in the following domains: social habits, physical activity, ability to spend the night elsewhere, feeling, and overall QOL (p<0.05). PedsQL™ scores improved significantly in physical functioning, social functioning, and overall functioning (p<0.05). Antegrade continence enemas significantly improve quality of life in patients with medically-refractory encopresis, likely related to resolution of soiling. 4. Copyright © 2017. Published by Elsevier Inc.

Traffic safety facts 1999 : young drivers

DOT National Transportation Integrated Search

2000-01-01

There were 187.2 million licensed drivers in the United States in 1999. Young drivers, between 15 and 20 years old, accounted for 6.8% (12.7 million) of the total, a 1.2% decrease from the 12.8 million young drivers in 1989. In 1999, 8,175 15- to 20-...

Dietary patterns among Norwegian 2-year-olds in 1999 and in 2007 and associations with child and parent characteristics.

PubMed

Kristiansen, Anne Lene; Lande, Britt; Sexton, Joseph Andrew; Andersen, Lene Frost

2013-07-14

Infant and childhood nutrition influences short- and long-term health. The objective of the present paper has been to explore dietary patterns and their associations with child and parent characteristics at two time points. Parents of Norwegian 2-year-olds were, in 1999 (n 3000) and in 2007 (n 2984), invited to participate in a national dietary survey. At both time points, diet was assessed by a semi-quantitative FFQ that also provided information on several child and parent characteristics. A total of 1373 participants in the 1999 sample and 1472 participants in the 2007 sample were included in the analyses. Dietary patterns were identified by principal components analysis and related to child and parent characteristics using the general linear model. Four dietary patterns were identified at each time point. The 'unhealthy' and 'healthy' patterns in 1999 and 2007 showed similarities with regard to loadings of food groups. Both the 'bread and spread-based' pattern in 1999 and the 'traditional' pattern in 2007 had high positive loadings for bread and spreads; however, the 'traditional' pattern did also include positive associations with a warm meal. The last patterns identified in 1999 and in 2007 were not comparable with regard to loadings of food groups. All dietary patterns were significantly associated with one or several child and parent characteristics. In conclusion, the 'unhealthy' patterns in 1999 and in 2007 showed similarities with regard to loadings of food groups and were, at both time points, associated with sex, breastfeeding at 12 months of age, parity, maternal age and maternal work situation.

Is continence status associated with quality of life in young children with spina bifida?

PubMed

Freeman, Kurt A; Smith, Kathryn; Adams, Elizabeth; Mizokawa, Stacey; Neville-Jan, Ann

2013-01-01

To evaluate the relationship between child- and parent-reported quality of life (QOL) and bowel and bladder continence among young children with spina bifida (SB). 104 children ages 5-12 years and one of their parents/guardians completed the Pediatric Quality of Life Inventory - Generic Form (PedsQL; parent and child) and the Quality of Life in Spina Bifida Questionnaire (QOLSBQ, parent only). Data on continence, child age, and condition-specific variables were obtained by chart review. Parent and child QOL scores (on all measures of QOL) were positively correlated; parents rated child QOL lower than children's self report. QOL scores did not differ based on continence status. Total PedsQL scores were associated with age and mobility based on child report and with mobility based on parent report. QOL may not be affected by continence status among young children with SB, though demographic (i.e., age) and condition-specific (i.e., functional mobility status) variables appear relevant. Additional research is needed to further evaluate condition-specific variables, other protective variables, and possible measurement issues that influence QOL in young children with SB.

NLC Past Workshops & Conferences

Science.gov Websites

NLC Technical SLAC Meeting Schedule Web Comments 2004 Calendar Year 2003 Calendar Year 2003 Chronological listing 2002 Calendar Year 2002 Chronological listing 2001 Calendar Year 2001 Chronological listing 2000 Calendar Year 2000 Chronological listing 1999 Calendar Year 1999 Chronological listing This

DoD Global Emerging Infections System Annual Report, Fiscal Year 2003

DTIC Science & Technology

2003-01-01

Encephalitis in Coastal Areas of Southern Mexico : Human Impact and Characterization of Virus Isolates. Am. J. Trop. Med. Hyg. (Submitted) 2003. 22. Faix DJ...Russia, 10 May 2003 (in press) 72. Ryan MAK, Smith TC, Honner WK, Gray GC. Varicella susceptibility and vaccine use among young adults enlisting in the

Air Emission Inventory for the Idaho National Engineering and Environmental Laboratory - Calendar Year 1999 Emission Report

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

Zohner, S.K.

2000-05-30

This report presents the 1999 calendar year update of the Air Emission Inventory for the Idaho National Engineering and Environmental Laboratory (INEEL). The INEEL Air Emission Inventory documents sources and emissions of nonradionuclide pollutants from operations at the INEEL. The report describes the emission inventory process and all of the sources at the INEEL, and provides nonradionuclide emissions estimates for stationary sources.

Wetland dynamics influence mid-continent duck recruitment

USGS Publications Warehouse

Anteau, Michael J.; Pearse, Aaron T.; Szymankski, Michael L.

2013-01-01

Recruitment is a key factor influencing duck population dynamics. Understanding what regulates recruitment of ducks is a prerequisite to informed habitat and harvest management. Quantity of May ponds (MP) has been linked to recruitment and population size (Kaminski and Gluesing 1987, Raveling and Heitmeyer 1989). However, wetland productivity (quality) is driven by inter-annual hydrological fluctuations. Periodic drying of wetlands due to wet-dry climate cycles releases nutrients and increases invertebrate populations when wet conditions return (Euliss et al. 1999). Wetlands may also become wet or dry within a breeding season. Accordingly, inter-annual and intra-seasonal hydrologic variation potentially influence duck recruitment. Here, we examined influences of wetland quantity, quality, and intra-seasonal dynamics on recruitment of ducks. We indexed duck recruitment by vulnerability-corrected age ratios (juveniles/adult females) for mid-continent Gadwall (Anas strepera). We chose Gadwall because the majority of the continental population breeds in the Prairie Pothole Region (PPR), where annual estimates of MP exist since 1974. We indexed wetland quality by calculating change in MP (?MP) over the past two years (?MP = 0.6[MPt – MPt-1] + 0.4[MPt – MPt-2]). We indexed intra-seasonal change in number of ponds by dividing the PPR mean standardized precipitation index for July by MP (hereafter summer index). MP and ?MP were positively correlated (r = 0.65); therefore, we calculated residual ?MP (?MPr) with a simple linear regression using MP, creating orthogonal variables. Finally, we conducted a multiple regression to examine how MP, ?MPr, and summer index explained variation in recruitment of Gadwall from 1976–2010. Our model explained 67% of the variation in mid-continent Gadwall recruitment and all three hydrologic indices were positively correlated with recruitment (Figure 1). Type II semi-partial R2 estimates indicated that MP accounted for 41%, ?MPr

The Metropolitan Life Survey of the American Teacher, 1999: Violence in America's Public Schools--Five Years Later

ERIC Educational Resources Information Center

Binns, Katherine; Markow, Dana

1999-01-01

"The Metropolitan Life Survey of the American Teacher, 1999: Violence in America's Public Schools: Five Years Later" revisits issues addressed in a 1993 study (ED397190), and compares findings of the two studies on the issue of school violence from the perspectives of students, teachers, and law enforcement officers across the country,…

Minnesota Higher Education Facilities Authority: 1999 Annual Report.

ERIC Educational Resources Information Center

Minnesota Higher Education Facilities Authority, Saint Paul.

This annual report reviews fiscal year 1999 for institutions serviced by the Minnesota Higher Education Facilities Authority. The report notes a slight decline in new financing activity, although the $87.7 million financed during the 1999 fiscal year was the second highest annual total for the Authority. Following some introductory material, the…

Years of life lost of inhabitants of rural areas in Poland due to premature mortality caused by external reasons of death 1999-2012.

PubMed

Bryła, Marek; Maniecka-Bryła, Irena; Burzyńska, Monika; Pikala, Małgorzata

2016-12-23

External causes of death are the third most common causes of death, after cardiovascular diseases and malignant neoplasms, in inhabitants of Poland. External causes of death pose the greatest threat to people aged 5-44, which results in a great number of years of life lost. The aim of the study is the analysis of years of life lost due to external causes of death among rural inhabitants in Poland, particularly due to traffic accidents and suicides. The study material included a database created on the basis of 2,100,785 certificates of rural inhabitants in Poland in the period 1999-2012. The SEYLL p (Standard Expected Years of Life Lost per living person) and the SEYLL d (per death) indices were used to determine years of life lost due to external causes of death. Joinpoint models were used to analyze time trends. In the period 1999-2012, 151,037 rural inhabitants died due to external causes, including 27.2% due to traffic accidents and 25.2% due to suicides. In 2012, the SEYLL p was 1,817 per 100,000 males and 298 per 100,000 females. Among males, suicides (SEYLL p = 633 years per 100,000) and traffic accidents (SEYLL p = 473 years per 100,000) contributed to the largest number of years of life lost. Among females, SEYLLp values were: 109 years due to traffic accidents and 69 years due to suicides (per 100,000). Among males, SEYLL p values started to decrease in 2008 at the average annual rate of 3.2%. In the group of females in the period 1999-2012, SEYLL p values were decreasing by 2.4% per year. The decreasing trend of the number of lost years of life due to external causes among rural inhabitants does not apply to suicides among men. The SEYLL p due to this group of causes has been steadily increasing since 1999. Analysis of the years of life lost focuses on the social and economic aspects of premature mortality due to external causes.

Observaciones geomagnéticas de la Isla Livingston, Antártida 2003 y campaña 2003-2004 %t Livingston Island geomagnetic observations, Antarctica 2003 and 2003-2004 survey

NASA Astrophysics Data System (ADS)

Marsal, S.; Torta, J. M.; Gaya-Piqué, L.; Curto, J. J.; Sanclement, E.; Solé, J. G.; Altadill, D.; Ugalde, A.; de Santis, A.; Apostolov, E. M.; Alberca, L. F.; García, A.

This CD-ROM presents the Livingston Island Geomagnetic Observatory Bulletin, edited by Observatori de l'Ebre, containing the data obtained during the years 2003 including the 2003-2004 Austral summer survey. edited in digital format, The structure of the CD-ROM consists of one file with the Bulletin contents in PDF and of a tree of directories and subdirectories with the data corresponding to the different years and months of the Bulletin. These data files and their names were built according to the IAGA-2002 data exchange format.

Changes in self assessment of continence status between telephone survey and subsequent clinical visit

PubMed Central

Thomas, A; Kane Low, L; Tumbarello, JA; Miller, JM; Fenner, DE; DeLancey, JOL

2012-01-01

AIMS To explore variance in reporting continence information obtained by telephone survey with face-to-face clinician interview in a clinical setting. METHODS As part of a cross-sectional, epidemiologic study of incontinence prevalence among Black and White women ages 35-64 years, randomly selected households were contacted from geographic areas of known racial composition. Of 2814 women who completed a 20-minute, 137-item telephone interview, 1702 were invited for future components of the study. A subset of these women was recruited for a clinical evaluation that was conducted within a mean of 82 days (SD 38 days) following the interviews. Prior to urodynamics testing, a clinician interview was conducted inquiring about continence status. The criterion for incontinence for both the telephone interview and the clinician interview was constant: twelve or more episodes of incontinence per year. Women whose subjective reports of continence information differed between telephone and clinician interviews were designated as “switchers”. RESULTS Of the 394 women (222 Black, 172 White) who completed the clinical portion, 24.6% (n=97) were switchers. Switchers were four times more likely to change from continent to incontinent (80.4% N=78) than from incontinent to continent (19.4%; N=19 p=.000) and nearly three times more likely to be Black (69% N=67) than White (31%; N=30 p=.001). Telephone qualitative interviews were completed with 72 of the switchers. The primary reason for switching was changes in women’s life circumstances such as variation in seasons, activities of daily living, and health status followed by increased awareness of leakage secondary to the phone interview. CONCLUSION One-time subjective telephone interviews assessing incontinence symptoms may underestimate the prevalence of incontinence especially among Black women. PMID:19816917

United States streamflow probabilities and uncertainties based on anticipated El Niño, water year 2003

USGS Publications Warehouse

Dettinger, M.; Cayan, D.; Redmond, K.

2002-01-01

During the course of spring and summer 2002, tropical sea-surface temperatures in the eastern Pacific Ocean have warmed and the wind and pressure fields have shifted, so that by August, there was considerable confidence that water year (October–September) 2003 will be characterized by a weak to mild El Niño climate (http://iri.columbia.edu/climate/ENSO/currentinfo/archive/200208/QuickLook.html). At the same time, the Pacific Decadal Oscillation pattern of sea-surface temperatures in the North Pacific (Mantua et al., 1997) has shifted towards a more neutral state than in the past several years and will not be considered in detail here. Previous studies of the connections between El Niños and streamflow in the United States by the authors (e.g., Redmond and Koch, 1991; Cayan and Webb, 1992; Cayan et al., 1999; Dettinger et al., 2001) indicate that El Niño conditions influence historical streamflow distributions to varying extents. These conclusions, along with those of other researchers, suggest that foreknowledge of El Niño conditions can inform seasonal outlooks for streamflows throughout the Americas and elsewhere. For example, Dettinger et al. (2001), as distilled here into Fig. 1, showed that historical annual streamflow totals have correlated negatively with the Southern Oscillation Index (SOI, which is negatively associated with El Niños) in the U.S. Southwest as well as in the subtropics of South America, and correlate positively in the U.S. Northwest, in much of tropical South America, and, perhaps, in southernmost South America. These interhemispheric bands of El Niño influence are a matter of considerable concern for water- and land-managers throughout the Americas, and expand upon results from previous studies in the western United States (e.g., Redmond and Koch, 1991; Cayan and Webb, 1992), including a recent analysis by Pizarro and Lall (2002), where water availability and hydrologic extremes are particularly pressing issues.

Imaging Lithospheric Structure beneath the Indian continent

NASA Astrophysics Data System (ADS)

Maurya, S.; Montagner, J. P.; Mangalampally, R. K.; Stutzmann, E.; Burgos, G.; Kumar, P.; Davuluri, S.

2015-12-01

The lithospheric structure and thickness to the LAB are the most debated issues, especially beneath continents. In this context, the structure and thickness of the Indian lithosphere has been controversial. Paleomagnetic data reveals that the Indian continent moved northwards at exceptionally high speeds (18-20 cm/year) and subsequently slowed down to 4-5 cm/year after its collision with Asia ≈40 Myr ago. This super mobility has been explained by an unusually thin Indian lithosphere (≈100 km; Kumar et al., 2007) in contradiction with the thick lithosphere that commonly underlies old cratonic nuclei. It is pertinent to note that the thermobarometric estimates on the ultramafic xenoliths from 65 Myr kimberlites of the Central India (Babu et al. 2009) suggest an approximately 175 km thick lithosphere. Also, recent results of P and S wave travel time tomography of India suggest that the lithospheric roots are not uniformly thick on a regional scale. Although high velocity roots typical of Precambrian shields are preserved beneath a few cratons of the Indian shield, they seem to have suffered attrition, in the plume ravaged regions like the NDVP and the Southern SGT (Singh et al., 2014). We assembled a new massive surface wave database towards obtaining 3D isotropic and anisotropic models for the Indian sub-continent, using surface waves. This necessitated processing of data from more than 500 seismic broadband stations across India and surrounding regions. Surface waves group and phase dispersion measurements are performed in a broad frequency range (16-250s). Our phase velocity anomaly maps recover most of the known geological structures. The cratons are associated with high velocity (4-6%) anomalies till 200 sec, with the WDC being faster than the EDC. Slow velocities in NW India and very high velocity anomalies (6-8%) beneath the central part of the Indo-Gangetic plains are possibly associated with the subducting Indian lithosphere. The LAB depths inferred from

Mantle dynamics of continent-wide tilting of Australia

NASA Astrophysics Data System (ADS)

Dicaprio, L.; Gurnis, M.; Muller, R. D.

2009-12-01

Australia is distinctive in that during the Cenozoic it experienced first order, broad-scale vertical motions unrelated to normal orogenic processes. The progressive continent-wide tilting down to the northeast is attributed to the horizontal motion of the continent over subducted slabs. We use plate tectonic reconstructions and a model of mantle convection to quantitatively link the geological evolution of the continent to mantle convection. The passage of slabs beneath the Southwest Pacific since 50 Ma is modeled numerically, and the results are compared to geologic observations of anomalous topography. Models show that Australia undergoes a 300 m northeast downward tilt as it approaches and overrides subducted slabs between Melanesia and the active margin along the Loyalty and proto-Tonga Kermadec subduction systems. This pattern of dynamic subsidence is consistent with observations of continent wide tilting and may indicate that during the Cenozoic Australia moved northward away from a relatively hot mantle anomaly presently located beneath Antarctica.

Status of water levels and selected water-quality conditions in the Sparta-Memphis aquifer in Arkansas, Spring-Summer 2003

USGS Publications Warehouse

Schrader, T.P.

2006-01-01

During the spring of 2003, water levels were measured in 341 wells in the Sparta-Memphis aquifer in Arkansas. Waterquality samples were collected for temperature and specificconductance measurements during the spring-summer of 2003 from 70 wells in Arkansas in the Sparta-Memphis aquifer. Maps of areal distribution of potentiometric surface, change in waterlevel measurements from 1999 to 2003, and specific-conductance data reveal spatial trends across the study area. The highest water-level altitude measured in Arkansas was 328 feet above National Geodetic Vertical Datum of 1929 (NGVD of 1929) in Craighead County; the lowest water-level altitude was 199 feet below NGVD of 1929 in Union County. Three large cones of depression are shown in the 2003 potentiometric surface map, centered in Columbia, Jefferson, and Union Counties in Arkansas as a result of large withdrawals for industrial and public supplies. A broad depression exists in western Poinsett County in Arkansas. The potentiometric surface indicates that large withdrawals have altered or reversed the natural direction of flow in most areas. In the northern third of the study area the flow is from the east, west, and north towards the broad depression in Poinsett County. In the central third of the study area the flow is dominated by the cone of depression centered in Jefferson County. In the southern third of the study area the flow is dominated by the two cones of depression in Union and Columbia Counties. A map of water-level changes from 1999 to 2003 was constructed using water-level measurements from 281 wells. The largest rise in water level measured was about 57.8 feet in Columbia County. The largest decline in water level measured was about -71.6 feet in Columbia County. Areas with a general rise are shown in Arkansas, Bradley, Calhoun, Cleveland, Columbia, Ouachita, and Union Counties. Areas with a general decline are shown in Craighead, Crittenden, Cross, Desha, Drew, Jefferson, Lonoke, Phillips

Simulation of active tectonic processes for a convecting mantle with moving continents

USGS Publications Warehouse

Trubitsyn, V.; Kaban, M.; Mooney, W.; Reigber, C.; Schwintzer, P.

2006-01-01

Numerical models are presented that simulate several active tectonic processes. These models include a continent that is thermally and mechanically coupled with viscous mantle flow. The assumption of rigid continents allows use of solid body equations to describe the continents' motion and to calculate their velocities. The starting point is a quasi-steady state model of mantle convection with temperature/ pressure-dependent viscosity. After placing a continent on top of the mantle, the convection pattern changes. The mantle flow subsequently passes through several stages, eventually resembling the mantle structure under present-day continents: (a) Extension tectonics and marginal basins form on boundary of a continent approaching to subduction zone, roll back of subduction takes place in front of moving continent; (b) The continent reaches the subduction zone, the extension regime at the continental edge is replaced by strong compression. The roll back of the subduction zone still continues after closure of the marginal basin and the continent moves towards the upwelling. As a result the ocean becomes non-symmetric and (c) The continent overrides the upwelling and subduction in its classical form stops. The third stage appears only in the upper mantle model with localized upwellings. ?? 2006 The Authors Journal compilation ?? 2006 RAS.

Federal Geothermal Research Program Update Fiscal Year 2003

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

Not Available

2004-03-01

The Department of Energy (DOE) and its predecessors have conducted research and development (R&D) in geothermal energy since 1971. To develop the technology needed to harness the Nation's vast geothermal resources, DOE's Office of Geothermal Technologies oversees a network of national laboratories, industrial contractors, universities, and their subcontractors. The following mission and goal statements guide the overall activities of the Office. The goals are: (1) Reduce the levelized cost of generating geothermal power to 3-5 cents per kWh by 2007; (2) Double the number of States with geothermal electric power facilities to eight by 2006; and (3) Supply the electricalmore » power or heat energy needs of 7 million homes and businesses in the United States by 2010. This Federal Geothermal Program Research Update reviews the accomplishments of DOE's Geothermal Program for Federal Fiscal Year (FY) 2003. The information contained in this Research Update illustrates how the mission and goals of the Office of Geothermal Technologies are reflected in each R&D activity. The Geothermal Program, from its guiding principles to the most detailed research activities, is focused on expanding the use of geothermal energy. balanced strategy for the Geothermal Program.« less

Abortion surveillance--United States, 1999.

PubMed

Elam-Evans, Laurie D; Strauss, Lilo T; Herndon, Joy; Parker, Wilda Y; Whitehead, Sara; Berg, Cynthia J

2002-11-29

CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions and to monitor unintended pregnancy. This report summarizes and describes data reported to CDC regarding legal induced abortions obtained in the United States in 1999. For each year since 1969, CDC has compiled abortion data by state or area of occurrence. From 1973 through 1997, data were received from or estimated for 52 reporting areas in the United States: 50 states, the District of Columbia, and New York City. Beginning in 1998, CDC compiled abortion data from 48 reporting areas. Alaska, California, New Hampshire, and Oklahoma did not report, and data for these areas were not estimated. The availability of data regarding the characteristics of women who obtained an abortion in 1999 varied by state and by the number of states reporting each characteristic. The total number of legal induced abortions is reported by state of residence and also by state of occurrence for most areas; characteristics of women obtaining abortions in 1999 are reported by state of occurrence. A total of 861,789 legal induced abortions were reported to CDC for 1999, representing a 2.5% decrease from the 884,273 legal induced abortions reported by the same 48 reporting areas for 1998. The abortion ratio, defined as the number of abortions per 1,000 live births, was 256 in 1999, compared with 264 reported for 1998; the abortion rate for these 48 reporting areas was 17 per 1,000 women aged 15-44 years for 1999, the same as in 1997 and 1998. The highest percentages of abortions were reported for women aged < 25 years, women who were white, and unmarried women; slightly more than half were obtaining an abortion for the first time. Fifty-eight percent of all abortions for which gestational age was reported were performed at < or = 8 weeks of gestation, and 88% were performed before 13 weeks. From 1992 (when these data were first collected) through 1999, increases have

After the blowdown: a resource assessment of the Boundary Waters Canoe Area Wilderness, 1999-2003

Treesearch

W. Keith Moser; Mark H. Hansen; Mark D. Nelson; Susan J. Crocker; Charles H. Perry; Bethany Schulz; Christopher W. Woodall

2007-01-01

The Boundary Waters Canoe Area Wilderness (BWCAW) was struck by a major windstorm on July 4, 1999. Estimated volume in blowdown areas was up to 29 percent less than in non-blowdown areas. Mean down woody fuel loadings were twice as high in blowdown areas than in non-blowdown areas. Overstory species diversity declined in blowdown areas, but understory diversity,...

Left behind and left out: The impact of the school environment on young people with continence problems.

PubMed

Whale, Katie; Cramer, Helen; Joinson, Carol

2018-05-01

To explore the impact of the secondary school environment on young people with continence problems. In-depth qualitative semi-structured interviews. We interviewed 20 young people aged 11-19 years (11 female and nine male) with continence problems (daytime wetting, bedwetting, and/or soiling). Interviews were conducted by Skype (n = 11) and telephone (n = 9). Transcripts were analysed using inductive thematic analysis. We generated five main themes: (1) Boundaries of disclosure: friends and teachers; (2) Social consequences of avoidance and deceit; (3) Strict and oblivious gatekeepers; (4) Intimate actions in public spaces; and (5) Interrupted learning. Disclosure of continence problems at school to both friends and teachers was rare, due to the perceived stigma and fears of bullying and social isolation. The lack of disclosure to teachers and other school staff, such as pastoral care staff, creates challenges in how best to support these young people. Young people with continence problems require unrestricted access to private and adequate toilet facilities during the school day. There is a need for inclusive toilet access policies and improved toilet standards in schools. Addressing the challenges faced by young people with continence problems at school could help to remove the barriers to successful self-management of their symptoms. It is particularly concerning that young people with continence problems are at higher risk of academic underachievement. Increased support at school is needed to enable young people with continence problems to achieve their academic potential. Statement of Contribution What is already known on this subject? Continence problems are among the most common paediatric health problems Self-management of continence problems requires a structured schedule of fluid intake and bladder emptying Inadequate toilet facilities and restricted access make it difficult for young people to manage their incontinence What does this study add

Impact of regional hypothermia on urinary continence and potency after robot-assisted radical prostatectomy.

PubMed

Finley, David S; Chang, Alexandra; Morales, Blanca; Osann, Kathryn; Skarecky, Douglas; Ahlering, Thomas

2010-07-01

This is the third publication that updates clinical outcomes using a novel technique to apply locoregional hypothermia to the pelvis during robot-assisted radical prostatectomy (RARP) to reduce inflammatory injury. This report updates urinary and sexual clinical outcomes with a minimum of 1 year follow-up. Regional pelvic cooling (<30 degrees C) [corrected] was achieved with a prototype endorectal cooling balloon (ECB) during the course ofRARP. All clinical data were entered prospectively into an electronic database for historic (cases 1-666) and hypothermic groups (115 pts). Urinary and sexual outcomes were obtained using self-administered validated questionnaires. Continence was defined as no pads, and potency was defined as two affirmative answers to "erections adequate for penetration" and "were the erections satisfactory." Six patients were excluded: three ECB malfunction, three previous radiation/surgery. Median time to zero pad use was 39 days vs 62 days (hypothermic vs controls, P = 0.0003). At 1 year, overall pad-free continence was 96.3% (105/109) vs controls of 86.6%, P < 0.001. Potency was evaluated in all men (40-78 years) with preoperative International Index of Erectile Function-5 scores of 22 to 25. At 3 months, potency results were unchanged between groups: 24% vs 23%. At 15 months, the potency rates were significantly better for the hypothermic group, 83% vs controls 66%, P = 0.045. No difference in oncologic outcome was noted with cooling. Using a prototype cooling balloon, hypothermic RARP significantly improved time to continence and overall continence. Hypothermia also resulted in a modest but statistically significant improvement in potency at 15 months. Once cooling parameters have been optimized, a randomized multicenter clinical trial will be needed for validation.

The ContiNet of the International Continence Society.

PubMed

Lim, P H; Fonda, D

1997-01-01

This is an account of the International Continence Society's ContiNet--the web server linking up continence organisations worldwide with provision to upload or download vast data stores of information on continence via e-mail, FTP, mailing lists, and special tools to seek information using "search engines." Special communication devices using internet voice/phone mail and real-time "text" or "voice" chats permit conversation globally over normal phone lines linked to the Net at local telephone rates. Special features of ContiNet include announcements of upcoming conventions, information for professionals and laypeople, and the capability to conduct research via the net and conduct consultations and discussions via newsgroups. In-built devices requiring special IDs and passwords permit privacy and security for users. Simple instructions are provided on how to get your PC up and running and get connected to fellow members of ICS, link up with national continence societies, or simply surf for professional enrichment and leisure. With the advent of advanced multimedia capabilities, the current poor quality videoconferencing on the Net will be replaced by excellent videophones by 1998.

40 CFR 86.099-10 - Emission standards for 1999 and later model year Otto-cycle heavy-duty engines and vehicles.

Code of Federal Regulations, 2010 CFR

2010-07-01

... model year Otto-cycle heavy-duty engines and vehicles. 86.099-10 Section 86.099-10 Protection of... Heavy-Duty Vehicles § 86.099-10 Emission standards for 1999 and later model year Otto-cycle heavy-duty...-cycle medium-duty passenger vehicles (MDPVs) that are subject to regulation under subpart S of this part...

Longitudinal Study of Intestinal Symptoms and Fecal Continence in Patients With Conformal Radiotherapy for Prostate Cancer

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

Geinitz, Hans, E-mail: hans.geinitz@lrz.tu-muenchen.d; Thamm, Reinhard; Keller, Monika

2011-04-01

Purpose: To prospectively assess the intestinal symptoms and fecal continence in patients who had undergone conformal radiotherapy (CRT) for prostate cancer. Methods and Materials: A total of 78 men who had undergone definitive CRT for prostate cancer were evaluated. The patients were assessed before, during (treatment Weeks 4 and 6), and 2, 12, and 24 months after CRT completion. The intestinal symptoms and fecal continence were evaluated with comprehensive standardized questionnaires. Results: The intestinal symptoms were mostly intermittent, with only a small minority of patients affected daily. Defecation pain, fecal urge, and rectal mucous discharge increased significantly during therapy. Defecationmore » pain and rectal mucous discharge had returned to baseline levels within 8 weeks and 1 year after CRT, respectively. However, fecal urge remained significantly elevated for {<=}1 year and then returned toward the pretreatment values. The prevalence of rectal bleeding was significantly elevated 2 years after CRT. Fecal continence deteriorated during CRT and remained impaired at 1 year after treatment. Incontinence was mostly minor, occurring less than once per week and predominantly affecting incontinence for gas. Conclusion: Intestinal symptoms and fecal incontinence increased during prostate CRT. Except for rectal bleeding, the intestinal symptoms, including fecal incontinence, returned to baseline levels within 1-2 years after CRT. Thus, the rate of long-term late radiation-related intestinal toxicity was low.« less

A Geological Model for the Evolution of Early Continents (Invited)

NASA Astrophysics Data System (ADS)

Rey, P. F.; Coltice, N.; Flament, N. E.; Thébaud, N.

2013-12-01

Geochemical probing of ancient sediments (REE in black shales, strontium composition of carbonates, oxygen isotopes in zircons...) suggests that continents were a late Archean addition at Earth's surface. Yet, geochemical probing of ancient basalts reveals that they were extracted from a mantle depleted of its crustal elements early in the Archean. Considerations on surface geology, the early Earth hypsometry and the rheology and density structure of Archean continents can help solve this paradox. Surface geology: The surface geology of Archean cratons is characterized by thick continental flood basalts (CFBs, including greenstones) emplaced on felsic crusts dominated by Trondhjemite-Tonalite-Granodiorite (TTG) granitoids. This simple geology is peculiar because i/ most CFBs were emplaced below sea level, ii/ after their emplacement, CFBs were deformed into relatively narrow, curviplanar belts (greenstone basins) wrapping around migmatitic TTG domes, and iii/ Archean greenstone belts are richly endowed with gold and other metals deposits. Flat Earth hypothesis: From considerations on early Earth continental geotherm and density structure, Rey and Coltice (2008) propose that, because of the increased ability of the lithosphere to flow laterally, orogenic processes in the Archean produced only subdued topography (continents, Flament et al. (2008) proposed a theory for the hypsometry of the early Earth showing that, until the late Archean, most continents were flooded and Earth was largely a water world. From this, a model consistent with many of the peculiar attributes of Archean geology, can be proposed: 1/ Continents appeared at Earth's surface at an early stage during the Hadean/Archean. However, because they were i/ covered by continental flood basalts, ii/ below sea level, and iii/ deprived of modern-style mountain belts and orogenic plateaux, early felsic

Profile of Undergraduate Students: Trends from Selected Years, 1995-96 to 2007-08. Web Tables. NCES 2010-220

ERIC Educational Resources Information Center

Staklis, Sandra; Chen, Xianglei

2010-01-01

From 1995-96 to 2007-08, the number of students enrolled in undergraduate education in the United States grew from about 16.7 million to 21 million. These Web Tables provide information on undergraduates during the 1995-96, 1999-2000, 2003-04, and 2007-08 academic years. Estimates are presented for all undergraduates and for undergraduates who…

Neuromuscular Characterization of the Urethra in Continent Women

PubMed Central

Kenton, Kimberly; Mueller, Elizabeth; Brubaker, Linda

2011-01-01

Objectives To describe quantitative urethral function parameters in a racially diverse group of continent women. Materials and Methods Following Institutional Review Board approval, we recruited women without urinary incontinence from the community. To be considered continent, participants answered “never” to the first six questions on the stress subscale of the Medical, Epidemiologic, and Social Aspects of Aging urinary incontinence (MESA) questionnaire. Participants all underwent quantitative concentric urethral electromyography (EMG) and urodynamic testing (UDS). Results Thirty-one women with a mean±SD age of 39±14 years underwent EMG and UDS. The cohort was racially diverse with 13 Caucasians (43%), 13 African Americans (43%), and 4 Hispanics (14%). Body mass index (BMI) (P=.12, .06), age (P=.40, .64), and vaginal parity (P=.53, .76) did not differ by race or ethnicity. We did not detect differences in any EMG parameter by race, ethnicity or vaginally parity. A mean (range) of 30 motor unit action potential analysis (MUP) (10-55) were identified and analyzed in Multi-MUP analysis and 14 (8-21) were identified and analyzed in IP analysis. On average, 37±20% MUPs were polyphasic. Age significantly correlated with several measures of urethral sphincter function. Increasing age was inversely correlated with interference analysis (IP) turns (−.57, p=.001), IP amplitude (r=−.43, p=.02), IP turns/amplitude (r=−.54, p=.003), maximum urethral closure pressures (MUCP) (r=−.41, p=.04). Similarly, MUCP correlated with IP amplitude (r=.38, p=.04). Conclusions This urethral neuromuscular function data on the largest cohort of continent women fully characterized with quantitative urethral EMG demonstrates significant neuropathic MUP changes with advancing age. PMID:22453105

Lack of cool, not warm, extremes distinguishes late 20th Century climate in 979-year Tasmanian summer temperature reconstruction

NASA Astrophysics Data System (ADS)

Allen, K. J.; Cook, E. R.; Evans, R.; Francey, R.; Buckley, B. M.; Palmer, J. G.; Peterson, M. J.; Baker, P. J.

2018-03-01

Very few annually resolved millennial-length temperature reconstructions exist for the Southern Hemisphere. Here we present four 979-year reconstructions for southeastern Australia for the austral summer months of December-February. Two of the reconstructions are based on the Australian Water Availability Project dataset and two on the Berkeley Earth Surface Temperature dataset. For each climate data set, one reconstruction is based solely on Lagarostrobos franklinii (restricted reconstructions) while the other is based on multiple Tasmanian conifer species (unrestricted reconstructions). Each reconstruction calibrates ~50-60% of the variance in the temperature datasets depending on the number of tree-ring records available for the reconstruction. We found little difference in the temporal variability of the reconstructions, although extremes are amplified in the restricted reconstructions relative to the unrestricted reconstructions. The reconstructions highlight the occurrence of numerous individual years, especially in the 15th-17th Centuries, for which temperatures were comparable with those of the late 20th Century. The 1950-1999 period, however, stands out as the warmest 50-year period on average for the past 979 years, with a sustained shift away from relatively low mean temperatures, the length of which is unique in the 979-year record. The reconstructions are strongly and positively related to temperatures across the southeast of the Australian continent, negatively related to temperatures in the north and northeast of the continent, and uncorrelated with temperatures in the west. The lack of a strong relationship with temperatures across the continent highlights the necessity of a sub-regional focus for Australasian temperature reconstructions.

21 CFR 876.5310 - Nonimplanted, peripheral electrical continence device.

Code of Federal Regulations, 2011 CFR

2011-04-01

... a peripheral location and used to stimulate the nerves associated with pelvic floor function to... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Nonimplanted, peripheral electrical continence....5310 Nonimplanted, peripheral electrical continence device. (a) Identification. A nonimplanted...

Ten-year trends in the health of young children in California: 2003 to 2011-2012.

PubMed

Holtby, Sue; Zahnd, Elaine; Grant, David

2015-05-01

This policy brief presents 10-year trends in several key health and wellness indicators for children ages 0-5 in California. These indicators are health insurance coverage; source of medical care; dental visits; overweight-for-age; parents singing and reading to their child and going out with the child; and preschool attendance. The data are from the California Health Interview Survey (CHIS), the largest state health survey in the U.S. The survey gathers information on a range of health behaviors and health conditions, as well as on access to health care among children, adolescents, and adults in California. A number of these key indicators are compared by income and by racial/ethnic group. This policy brief covers the years 2003 to 2011-2012, a period in which public health efforts for children focused on childhood obesity and improved nutrition, access to low-cost and free dental services, and the expansion of children's health insurance programs. CHIS data show improvement in health insurance coverage and access to dental services for low-income children over the 10-year period. However, the percentage of children who were overweight for their age remained unchanged among those in households with incomes below 200 percent of the federal poverty level (FPL). In terms of measures associated with school readiness, preschool attendance dropped overall between 2003 and 2011-2012, but the proportions of parents who sang, read, and went out with their children every day increased significantly during the 10-year period.

Surveillance of human influenza A(H3N2) virus from 1999 to 2009 in southern Italy.

PubMed

DE Donno, A; Idolo, A; Quattrocchi, M; Zizza, A; Gabutti, G; Romano, A; Grima, P; Donatelli, I; Guido, M

2014-05-01

The aim of this study was to evaluate the presence of influenza virus co-infections in humans and changes in the genetic variability of A(H3N2) virus strains in southern Italy from 1999 to 2009. A partial sequence of the haemagglutinin (HA) gene by human influenza H3N2 strains identified in oropharyngeal swabs from patients with influenza-like illness was analysed by DNA sequencing and a phylogenetic analysis was performed. During the seasons 1999-2000, 2002-2003, 2004-2005 and 2008-2009, the influenza viruses circulating belonged to subtype H3N2. However, A(H1N1) subtype virus and B type were respectively prevalent during the 2000-2001, 2006-2007, 2007-2008 and 2001-2002, 2003-2004, 2005-2006 seasons. The HA sequences appeared to be closely related to the sequence of the influenza A vaccine strain. Only the 2002-2003 season was characterized by co-circulation of two viral lineages: A/New York/55/01(H3N2)-like virus of the previous season and A/Fujian/411/02(H3N2)-like virus, a new H3 variant. In this study, over the decade analysed, no significant change was seen in the sequences of the HA gene of H3 viruses isolated.

Wyoming Water Resources Data, Water Year 2003, Volume 2. Ground Water

USGS Publications Warehouse

Swanson, R.B.; Blajszczak, E.J.; Roberts, S.C.; Watson, K.R.; Mason, J.P.

2004-01-01

Water resources data for the 2003 water year for Wyoming consists of records of stage, discharge and water quality of streams; stage and contents of lakes and reservoirs, and water levels and water quality of ground water. Volume 1 of this report contains discharge records for 160 gaging stations; water quality for 42 gaged stations and 28 ungaged stations, and stage and contents for one reservoir. Additional water data were collected at various sites, not part of the systematic data collection program, and are published as miscellaneous measurements. These data together with the data in Volume 2 represent part of the National Water Data System operated by the U.S. Geological Survey and cooperating State and Federal agencies in Wyoming.

Psychopharmacology and Mental Retardation: A 10 Year Review (1990- 1999).

ERIC Educational Resources Information Center

Matson, Johnny L.; Bamburg, Jay W.; Mayville, Erik A.; Pinkston, Jim; Bielecki, Joanne; Kuhn, David; Smalls, Yemonja; Logan, James R.

2000-01-01

Review of the literature on psychopharmacology and mental retardation from 1990-1999 found most studies had major methodological flaws. Also, most drug administrations were not based in science, were not evaluated appropriately, and generally did not follow best practices for treatment of persons with mental retardation. A table lists the studies…

Recommendations to Strengthen Civil Society and Balance Michigan's State Budget, 2nd Edition. An Analysis of Fiscal-Year 2003-04 Appropriations and Recommendations for 2004-05. Revision of the March 2003 Study. A Mackinac Center Report

ERIC Educational Resources Information Center

LaFaive, Michael D.

2004-01-01

As the debate rages in Lansing over the size and scope of the 2004-2005 Fiscal Year state budget, the Mackinac Center for Public Policy is republishing and updating budget cutting ideas from its March 2003 study, "Recommendations to Strengthen Civil Society and Balance Michigan's Budget." The 2003 study made over 200 recommendations…

Trends in the Receipt of Pell Grants: Selected Years, 1995-96 to 2007-08. Web Tables. NCES 2011-155

ERIC Educational Resources Information Center

National Center for Education Statistics, 2011

2011-01-01

Using data from the 1995-96, 1999-2000, 2003-04, and 2007-08 administrations of the National Postsecondary Student Aid Study, these tables focus on trends in the receipt of federal Pell Grants and among Pell Grant recipients. Data include the percentages of Pell Grant recipients and the average Pell Grant received each survey year. Also shown are…

Semiannual Report, April 1 1999 through September 30, 1999.

DTIC Science & Technology

1999-11-01

Ruben Montero - Departamento de Arquitectura de Computadores y Automatica, Universidad Complutense, Madrid, Spain. (July 1999 to August 1999) Kara...Aerospace Engineering, Old Dominion University. (March 1999 to Present) Manuel Prieto-Matias - Departamento de Arquitectura de Computadores y Automatica

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Implanted electrical urinary continence device... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in...

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Implanted electrical urinary continence device... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in...

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Implanted electrical urinary continence device... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in...

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Implanted electrical urinary continence device... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in...

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Implanted electrical urinary continence device...

Site Environmental Report for Calendar Year 1999. DOE Operations at The Boeing Company, Rocketdyne

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

None

2000-09-01

OAK A271 Site Environmental Report for Calendar Year 1999. DOE Operations at The Boeing Company, Rocketdyne. This Annual Site Environmental Report (ASER) for 1999 describes the environmental conditions related to work performed for the Department of Energy (DOE) at Area IV of the Rocketdyne Santa Susana Field Laboratory (SSFL). In the past, these operations included development, fabrication, and disassembly of nuclear reactors, reactor fuel, and other radioactive materials under the former Atomics International Division. Other activities included the operation of large-scale liquid metal facilities for testing of liquid metal fast breeder components at the Energy Technology Engineering Center (ETEC), amore » government-owned, company-operated test facility within Area IV. All nuclear work was terminated in 1988, and subsequently, all radiological work has been directed toward decontamination and decommissioning (D&D) of the previously used nuclear facilities and associated site areas. Large-scale D&D activities of the sodium test facilities began in 1996. This Annual Site Environmental Report provides information showing that there are no indications of any potential impact on public health and safety due to the operations conducted at the SSFL. All measures and calculations of off-site conditions demonstrate compliance with applicable regulations, which provide for protection of human health and the environment.« less

Patterns and Trends in Achievement Gaps in Malaysian Secondary Schools (1999-2011): Gender, Ethnicity, and Socioeconomic Status

ERIC Educational Resources Information Center

Saw, Guan Kung

2016-01-01

Educational inequality is a highly debated yet empirically understudied topic in Malaysia. This paper examines the patterns and trends of academic achievement gaps by student social groups in Malaysia, drawing upon nationally representative data for the most recent four cohorts (1999, 2003, 2007, and 2011) of eighth-grade Malaysian students from…

Regulating continent growth and composition by chemical weathering

PubMed Central

Lee, Cin-Ty Aeolus; Morton, Douglas M.; Little, Mark G.; Kistler, Ronald; Horodyskyj, Ulyana N.; Leeman, William P.; Agranier, Arnaud

2008-01-01

Continents ride high above the ocean floor because they are underlain by thick, low-density, Si-rich, and Mg-poor crust. However, the parental magmas of continents were basaltic, which means they must have lost Mg relative to Si during their maturation into continents. Igneous differentiation followed by lower crustal delamination and chemical weathering followed by subduction recycling are possible solutions, but the relative magnitudes of each process have never been quantitatively constrained because of the lack of appropriate data. Here, we show that the relative contributions of these processes can be obtained by simultaneous examination of Mg and Li (an analog for Mg) on the regional and global scales in arcs, delaminated lower crust, and river waters. At least 20% of Mg is lost from continents by weathering, which translates into >20% of continental mass lost by weathering (40% by delamination). Chemical weathering leaves behind a more Si-rich and Mg-poor crust, which is less dense and hence decreases the probability of crustal recycling by subduction. Net continental growth is thus modulated by chemical weathering and likely influenced by secular changes in weathering mechanisms. PMID:18362343

Regulating continent growth and composition by chemical weathering

USGS Publications Warehouse

Lee, C.-T.A.; Morton, D.M.; Little, M.G.; Kistler, R.; Horodyskyj, U.N.; Leeman, W.P.; Agranier, A.

2008-01-01

Continents ride high above the ocean floor because they are underlain by thick, low-density, Si-rich, and Mg-poor crust. However, the parental magmas of continents were basaltic, which means they must have lost Mg relative to Si during their maturation into continents. Igneous differentiation followed by lower crustal delamination and chemical weathering followed by subduction recycling are possible solutions, but the relative magnitudes of each process have never been quantitatively constrained because of the lack of appropriate data. Here, we show that the relative contributions of these processes can be obtained by simultaneous examination of Mg and Li (an analog for Mg) on the regional and global scales in arcs, delaminated lower crust, and river waters. At least 20% of Mg is lost from continents by weathering, which translates into >20% of continental mass lost by weathering (40% by delamination). Chemical weathering leaves behind a more Si-rich and Mg-poor crust, which is less dense and hence decreases the probability of crustal recycling by subduction. Net continental growth is thus modulated by chemical weathering and likely influenced by secular changes in weathering mechanisms. ?? 2008 by The National Academy of Sciences of the USA.

Preferential rifting of continents - A source of displaced terranes

NASA Technical Reports Server (NTRS)

Vink, G. E.; Morgan, W. J.; Zhao, W.-L.

1984-01-01

Lithospheric rifting, while prevalent in the continents, rarely occurs in oceanic regions. To explain this preferential rifting of continents, the total strength of different lithospheres is compared by integrating the limits of lithospheric stress with depth. Comparisons of total strength indicate that continental lithosphere is weaker than oceanic lithosphere by about a factor of three. Also, a thickened crust can halve the total strength of normal continental lithosphere. Because the weakest area acts as a stress guide, any rifting close to an ocean-continent boundary would prefer a continental pathway. This results in the formation of small continental fragments or microplates that, once accreted back to a continent during subduction, are seen as displaced terranes. In addition, the large crustal thicknesses associated with suture zones would make such areas likely locations for future rifting episodes. This results in the tendency of new oceans to open along the suture where a former ocean had closed.

The Maritime Continent and Coral Triangle: How to make informed measurements in the year of the MC to improve coral protection?

NASA Astrophysics Data System (ADS)

Goodkin, N.; Tanzil, J.; Murty, S. A.; Ramos, R.; Pullen, J. D.

2016-12-01

The Maritime Continent (MC) is a region of highly complex oceanography, encompassing a majority of the Coral Triangle, the most important region for coral biodiversity and cover. Intricate coastal processes including water body mixing, resulting from reversing monsoon winds and internal waves, expose corals to a wide variety of physical conditions. However, the pressures of climate change, overfishing, ocean acidification, and coastal development, to name a few, are significant in this region and threaten to challenge reefs over the next several decades. In order to predict and study how to facilitate reef recovery in the MC region, it is crucial to understand the environmental parameters for coral success. In this presentation, we will provide an overview of oceanographic processes on the maritime continent that drive seasonal variability in the waters of the MC, including changes to sea surface temperature, salinity, pH, turbidity, productivity and nutrients. Each of these parameters is known to have impacts on calcification rates and thus coral reef formation. Environmental conditions and currents can combine to facilitate larval dispersion or to exacerbate coral disease and predation, including crown of thorns outbreaks. Internal waves may protect against coral bleaching by lowering temperatures with the delivery of deeper water. Drawing on previously published and unpublished results, we will evaluate the parameters that may be impacting reef growth rates, biodiversity and resilience in a changing world in an effort to help plan for key measurements in the year of the MC.

A year 2003 conceptual model for the U.S. telecommunications infrastructure.

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

Cox, Roger Gary; Reinert, Rhonda K.

2003-12-01

To model the telecommunications infrastructure and its role and robustness to shocks, we must characterize the business and engineering of telecommunications systems in the year 2003 and beyond. By analogy to environmental systems modeling, we seek to develop a 'conceptual model' for telecommunications. Here, the conceptual model is a list of high-level assumptions consistent with the economic and engineering architectures of telecommunications suppliers and customers, both today and in the near future. We describe the present engineering architectures of the most popular service offerings, and describe the supplier markets in some detail. We also develop a characterization of the customermore » base for telecommunications services and project its likely response to disruptions in service, base-lining such conjectures against observed behaviors during 9/11.« less

25 CFR 39.805 - What was the student unit for instruction value (SUIV) for the school year 1999-2000?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false What was the student unit for instruction value (SUIV) for the school year 1999-2000? 39.805 Section 39.805 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION THE INDIAN SCHOOL EQUALIZATION PROGRAM Determining the Amount Necessary To...

The impact of cavernosal nerve preservation on continence after robotic radical prostatectomy

PubMed Central

Pick, Donald L.; Osann, Kathryn; Skarecky, Douglas; Narula, Navneet; Finley, David S.; Ahlering, Thomas E.

2014-01-01

OBJECTIVE To evaluate associations between baseline characteristics, nerve-sparing (NS) status and return of continence, as a relationship may exist between return to continence and preservation of the neurovascular bundles for potency during radical prostatectomy (RP). PATIENTS AND METHODS The study included 592 consecutive robotic RPs completed between 2002 and 2007. All data were entered prospectively into an electronic database. Continence data (defined as zero pads) was collected using self-administered validated questionnaires. Baseline characteristics (age, International Index of Erectile Function [IIEF-5] score, American Urological Association symptom score, body mass index [BMI], clinical T-stage, Gleason score, and prostate-specific antigen level), NS status and learning curve were retrospectively evaluated for association with overall continence at 1, 3 and 12 months after RP using univariate and multivariable methods. Any patient taking preoperative phosphodiesterase inhibitors was excluded from the postoperative analysis. RESULTS Complete data were available for 537 of 592 patients (91%). Continence rates at 12 months after RP were 89.2%, 88.9% and 84.8% for bilateral NS, unilateral NS and non-NS respectively (P = 0.56). In multivariable analysis age, IIEF-5 score and BMI were significant independent predictors of continence. Cavernosal NS status did not significantly affect continence after adjusting for other co-variables. CONCLUSION After careful multivariable analysis of baseline characteristics age, IIEF-5 score and BMI affected continence in a statistically significant fashion. This suggests that baseline factors and not the physical preservation of the cavernosal nerves predict overall return to continence. PMID:21244602

Water Resources Data, Massachusetts and Rhode Island, Water Year 2003

USGS Publications Warehouse

Socolow, R.S.; Zanca, J.L.; Driskell, T.R.; Ramsbey, L.R.

2004-01-01

Water resources data for the 2003 water year for Massachusetts and Rhode Island consists of records of stage, discharge, and water quality of streams; contents of lakes and reservoirs; and water levels of ground-water wells. This report contains discharge records for 108 gaging stations, stage records for 2 gaging stations, stage records for 3 ponds; monthend contents of 1 reservoir, precipitation totals at 8 gaging stations; water quality for 27 gaging stations, air temperature at 2 climatological stations; water levels for 129 observation wells, and ground-water quality for 15 wells. Miscellaneous hydrologic data were collected at various sites that were not a part of the systematic data-collection program and are published as miscellaneous discharge measurements and miscellaneous surface-water-quality data. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating State and Federal agencies in Massachusetts and Rhode Island.

[Bibliometric study of Actas Dermo-sifiliográficas (1984-2003) III. Analysis of bibliographic impact factors].

PubMed

Miralles, Julia; Ramos, José M; Ballester, Rosa; Belinchón, Isabel; Sevila, Amparo; Moragón, Manuel

2005-11-01

To quantify the impact factor of the journal Actas Dermo-Sifiliográficas (AD) from 1986 to 1990 and from 1999 to 2003 and to identify the journal's citation pattern in those years. Citations obtained by AD in the periods from 1985-1990 and 1998-2003 for articles published from 1984 to 1989 and from 1997 to 2002 were collected using Science Citation Index Expanded (SCI). The number of times AD was cited doubled during the second period, increasing from 38 (period from 1985-1990) to 76 (period from 1998-2003). Considering the number of citations, AD's impact factor increased from 0.016 in 1986 to 0.040 in 2003. In both periods, citations corresponding to AD articles were included in a wide range of source journals, mainly dermatological publications abroad. The most referred journals in the second period were the Dutch publication Journal of the European Academy of Dermatology and Venereology (13 citations) and the Journal of the American Academy of Dermatology (12 citations). Unlike the period from 1985 to 1990 when no Spanish journal cited AD, four Spanish publications mentioned AD in the second period: Revista clínica española (6 citations), Archivos de bronconeumología (4 citations), Medicina clínica (3 citations) and the journal Enfermedades infecciosas y microbiología clínica (1 citation). Citations mainly corresponded to articles published by Spanish authors (63.2 % in the 1985-1990 period and 81.6 % in the period from 1998 to 2003). Self-citation increased from 10.5 % (first period) to 31.6 % (second period). The impact factor of AD is low and not comparable to other publications included in the Dermatology and Venereal Diseases field from SCI. Our results confirm the low citation rate of AD by source journals in this repertory. However, the increase of this rate in recent years seems to indicate a higher Spanish presence in SCI due to an increasing number of publications corresponding to Spanish authors in international journals and the inclusion of

Bladder continence management in adult acquired brain injury.

PubMed

Caldwell, Sheena B; Wilson, Jennifer S; Smith, Daniel; McCann, John P; Walsh, Ian K

2014-01-01

Persistence of urinary incontinence post acquired brain injury (ABI) carries important prognostic significance. We undertook to document the incidence of urinary incontinence, its management and complications in rehabilitation inpatients following ABI and to assess adherence to post ABI bladder management guidelines. A retrospective chart survey of a convenience sample of consecutive admissions to two adult neurorehabilitation units Forster Green Hospital, Belfast, and the Scottish Brain Injury Rehabilitation Service, Edinburgh (SBIRSE). Bladder continence and management on transfer to and discharge from rehabilitation, trial removal of catheter, use of bladder drill, ultrasound investigation, anticholinergic medication and complications were recorded. One hundred and forty six patients were identified. Seventy-seven (52.7%) were independent and continent of urine at rehabilitation admission and 109 (74.7%) on discharge. In all, 13 patients had urinary tract infection, 7 had urethral stricture and 1 developed haematuria whilst catheterised. Ultrasound of renal tracts was underused. Trial removal of catheter after transfer to rehabilitation occurred at a median of 10 days. Urinary continence was achieved in almost half of incontinent ABI patients during rehabilitation. There is potential for increased use of investigation of the renal tracts. Rehabilitation physicians should consider urethral stricture in the management of continence post ABI.

The Remarkable 2003--2004 Winter and Other Recent Warm Winters in the Arctic Stratosphere Since the Late 1990s

NASA Technical Reports Server (NTRS)

Manney, Gloria L.; Kruger, Kirstin; Sabutis, Joseph L.; Sena, Sara Amina; Pawson, Steven

2005-01-01

The 2003-2004 Arctic winter was remarkable in the approximately 50-year record of meteorological analyses. A major warming beginning in early January 2004 led to nearly 2 months of vortex disruption with high-latitude easterlies in the middle to lower stratosphere. The upper stratospheric vortex broke up in late December, but began to recover by early January, and in February and March was the strongest since regular observations began in 1979. The lower stratospheric vortex broke up in late January. Comparison with 2 previous years, 1984-1985 and 1986-1987, with prolonged midwinter warming periods shows unique characteristics of the 2003-2004 warming period: The length of the vortex disruption, the strong and rapid recovery in the upper stratosphere, and the slow progression of the warming from upper to lower stratosphere. January 2004 zonal mean winds in the middle and lower stratosphere were over 2 standard deviations below average. Examination of past variability shows that the recent frequency of major stratospheric warmings (7 in the past 6 years) is unprecedented. Lower stratospheric temperatures were unusually high during 6 of the past 7 years, with 5 having much lower than usual potential for polar stratospheric cloud (PSC) formation and ozone loss (nearly none in 1998-1999, 2001-2002, and 2003-2004, and very little in 1997-1998 and 2000-2001). Middle and upper stratospheric temperatures, however, were unusually low during and after February. The pattern of 5 of the last 7 years with very low PSC potential would be expected to occur randomly once every 850 years. This cluster of warm winters, immediately following a period of unusually cold winters, may have important implications for possible changes in interannual variability and for determination and attribution of trends in stratospheric temperatures and ozone.

The Remarkable 2003-2004 Winter and Other Recent Warm Winters in the Arctic Stratosphere Since the Late 1990s

NASA Technical Reports Server (NTRS)

Manney, Gloria L.; Krueger, Kirstin; Sabutis, Joseph L.; Sena, Sara Amina; Pawson, Steven

2004-01-01

The 2003-2004 Arctic winter was remarkable in the 40-year record of meteorological analyses. A major warming beginning in early January 2004 led to nearly two months of vortex disruption with high-latitude easterlies in the middle to lower stratosphere. The upper stratospheric vortex broke up in late December, but began to recover by early January, and in February and March was the strongest since regular observations began in 1979. The lower stratospheric vortex broke up in late January. Comparison with two previous years, 1984-1985 and 1986-1987, with prolonged mid-winter warming periods shows unique characteristics of the 2003-2004 warming period: The length of the vortex disruption, the strong and rapid recovery in the upper stratosphere, and the slow progression of the warming from upper to lower stratosphere. January 2004 zonal mean winds in the middle and lower stratosphere were over two standard deviations below average. Examination of past variability shows that the recent frequency of major stratospheric warmings (seven in the past six years) is unprecedented. Lower stratospheric temperatures were unusually high during six of the past seven years, with five having much lower than usual potential for PSC formation and ozone loss (nearly none in 1998-1999, 2001-2002 and 2003-2004, and very little in 1997-1998 and 2000-2001). Middle and upper stratospheric temperatures, however, were unusually low during and after February. The pattern of five of the last seven years with very low PSC potential would be expected to occur randomly once every approximately 850 years. This cluster of warm winters, immediately following a period of unusually cold winters, may have important implications for possible changes in interannual variability and for determination and attribution of trends in stratospheric temperatures and ozone.

Publication rate of studies presented at veterinary anaesthesia specialty meetings during the years 2003-2008.

PubMed

Wieser, Marilies; Braun, Christina; Moens, Yves

2016-03-01

To assess publication rates, factors predicting publication, and discrepancies between conference abstracts and subsequent full-text publications of abstracts from the veterinary meetings of the American College of Veterinary Anesthesiologists and the Association of Veterinary Anaesthetists from 2003 to 2008. Retrospective cohort study. A total of 607 abstracts were identified and a database search (Scopus, PubMed, CAB) was conducted to identify matching publications. Authors of nonmatching abstracts were contacted to participate in a confidential online survey. Risk ratios were used to assess factors predicting publication and these were tested for significance (p < 0.05) using Fisher's exact test. The overall publication rate was 63.3% and the mean (± SD) time to publication was 25 ± 19 months. Factors significantly associated with subsequent full publication (i.e. publication of a full manuscript in a peer-reviewed journal) were continent of origin (North America), study design (experimental studies), specialty (analgesia) and the presence of a source of funding. The principal reasons why studies remained unpublished were lack of time and responsibility lying with co-authors. Minor changes compared with the original abstract were found in 71.6% of all publications. Major changes were noted in 34.6% and the outcome of the study changed in 7.6%. These data suggest that some of the abstracts reported preliminary findings. Therefore, caution is warranted when quoting abstracts as references in scientific publications. To date, major veterinary journals have not issued recommendations in their author guidelines addressing the use of abstracts as a reference. The authors propose the inclusion of such a statement in author guidelines. © 2015 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesia and Analgesia.

2003 traffic crash facts annual report

DOT National Transportation Integrated Search

2003-01-01

In 2003, the death rate on Nebraska roadways was 1.6 persons killed per : 100 million vehicle miles traveled. The death rate in Nebraska, from 1961 : to 2003 is represented in Figure 1 (Page 2). Even though the death rate : fluctuates from year to ye...

Disparities in Cardiovascular Research Output and Citations From 52 African Countries: A Time‐Trend, Bibliometric Analysis (1999–2008)

PubMed Central

Bloomfield, Gerald S.; Baldridge, Abigail; Agarwal, Anubha; Huffman, Mark D.; Colantonio, Lisandro D.; Bahiru, Ehete; Ajay, Vamadevan S.; Prabhakaran, Poornima; Lewison, Grant; Prabhakaran, Dorairaj

2015-01-01

Background Cardiovascular research output and citations of publications from Africa have historically been low yet may be increasing. However, data from the continent are limited. Methods and Results To evaluate the cardiovascular research output and citations from 52 African countries between 1999 and 2008, we created a bibliometric filter to capture cardiovascular research articles published in the Web of Knowledge based on specialist journals and title words. Two coauthors with expertise in cardiovascular medicine tested and refined this filter to achieve >90% precision and recall. We matched retrieved records with their associated citation reports and calculated the running 5‐year citation count postpublication, including the year of publication. Publications from Africa were identified by author addresses. South Africa published 872 cardiovascular research papers, Egypt 393, Tunisia 264, and Nigeria 192 between 1999 and 2008. The number of publications increased over the time period for a small number of countries (range 0.1 to 4.8 more publications per year by fractional count). Most countries' citations were low (<50), but citations were greatest for South Africa (7063), Egypt (2557), Tunisia (903), and Nigeria (540). The same countries had the greatest annual increase in 5‐year citation index values: 65 (95% CI: 30, 99) for South Africa, 46 (34, 58) for Egypt, 22 (15, 28) for Tunisia, and 8 (2, 14) for Nigeria. The burden of cardiovascular disease had a weak and inconsistent relationship to cardiovascular publications (r2=0.07, P=0.05). Greater gross domestic product was associated with more cardiovascular publications in 2008 (r2=0.53, P<0.0001). Conclusions The increases in cardiovascular research outputs from Africa are concentrated in a few countries. The reasons for regional differences in research outputs require further investigation, particularly relative to competing disease burdens. Higher prioritization of cardiovascular research funding from

Cold cratonic roots and thermal blankets: How continents affect mantle convection

USGS Publications Warehouse

Trubitsyn, V.P.; Mooney, W.D.; Abbott, D.H.

2003-01-01

Two-dimensional convection models with moving continents show that continents profoundly affect the pattern of mantle convection. If the continents are wider than the wavelength of the convection cells (???3000 km, the thickness of the mantle), they cause neighboring deep mantle thermal upwellings to coalesce into a single focused upwelling. This focused upwelling zone will have a potential temperature anomaly of about 200??C, much higher than the 100??C temperature anomaly of upwelling zones generated beneath typical oceanic lithosphere. Extensive high-temperature melts (including flood basalts and late potassic granites) will be produced, and the excess temperature anomaly will induce continental uplift (as revealed in sea level changes) and the eventual breakup of the supercontinent. The mantle thermal anomaly will persist for several hundred million years after such a breakup. In contrast, small continental blocks (<1000 km diameter) do not induce focused mantle upwelling zones. Instead, small continental blocks are dragged to mantle downwelling zones, where they spend most of their time, and will migrate laterally with the downwelling. As a result of sitting over relatively cold mantle (downwellings), small continental blocks are favored to keep their cratonic roots. This may explain the long-term survival of small cratonic blocks (e.g., the Yilgarn and Pilbara cratons of western Australia, and the West African craton). The optimum size for long-term stability of a continental block is <3000 km. These results show that continents profoundly affect the pattern of mantle convection. These effects are illustrated in terms of the timing and history of supercontinent breakup, the production of high-temperature melts, and sea level changes. Such two-dimensional calculations can be further refined and tested by three-dimensional numerical simulations of mantle convection with moving continental and oceanic plates.

Spinoff 2003: 100 Years of Powered Flight

NASA Technical Reports Server (NTRS)

2003-01-01

Today, NASA continues to reach milestones in space exploration with the Hubble Telescope, Earth-observing systems, the Space Shuttle, the Stardust spacecraft, the Chandra X-Ray Observatory, the International Space Station, the Mars rovers, and experimental research aircraft these are only a few of the many initiatives that have grown out of NASA engineering know-how to drive the Agency s missions. The technical expertise gained from these programs has transferred into partnerships with academia, industry, and other Federal agencies, ensuring America stays capable and competitive. With Spinoff 2003, we once again highlight the many partnerships with U.S. companies that are fulfilling the 1958 Space Act stipulation that NASA s vast body of scientific and technical knowledge also benefit mankind. This year's issue showcases innovations such as the cochlear implant in health and medicine, a cockpit weather system in transportation, and a smoke mask benefiting public safety; many other products are featured in these disciplines, as well as in the additional fields of consumer/home/recreation, environment and resources management, computer technology, and industrial productivity/ manufactacturing technology. Also in this issue, we devote an entire section to NASA s history in the field of flight and showcase NASA s newest enterprise dedicated to education. The Education Enterprise will provide unique teaching and learning experiences for students and teachers at all levels in science, technology, engineering, and mathematics. The Agency also is committed, as never before, to engaging parents and families through NASA s educational resources, content, and opportunities. NASA s catalyst to intensify its focus on teaching and learning springs from our mission statement: to inspire the next generation of explorers as only NASA can.

Playgrounds of Learning: Valuing Competence and Agency in Birth to Three-Year-Olds

ERIC Educational Resources Information Center

Macfarlane, Kym; Cartmel, Jennifer

2008-01-01

In the early childhood education and care (ECEC) sector there has been a plethora of literature about practice with children in the birth to five age group (Arthur, Beecher, Dockett, Farmer, Richards, 1995; Dockett & Fleer, 1999; Fleer, 2003, 2005; Hutchins & Sims, 1999; Grieshaber & Cannella, 2001; Press & Hayes, 2000; Stonehouse,…

Palm Beach Community College Strategic Plan, 1999-2004.

ERIC Educational Resources Information Center

Samuels, Seymour

This report addresses strategies and action plans for Palm Beach Community College (PBCC) (Florida) between 1999-2004. As part of a commitment to achieve specific, measurable end results, the college has set various objectives, including: (1) develop, implement and institutionalize a mission driven strategic budget for the 1999-2000 fiscal year;…

Maritime Continent seasonal climate biases in AMIP experiments of the CMIP5 multimodel ensemble

NASA Astrophysics Data System (ADS)

Toh, Ying Ying; Turner, Andrew G.; Johnson, Stephanie J.; Holloway, Christopher E.

2018-02-01

The fidelity of 28 Coupled Model Intercomparison Project phase 5 (CMIP5) models in simulating mean climate over the Maritime Continent in the Atmospheric Model Intercomparison Project (AMIP) experiment is evaluated in this study. The performance of AMIP models varies greatly in reproducing seasonal mean climate and the seasonal cycle. The multi-model mean has better skill at reproducing the observed mean climate than the individual models. The spatial pattern of 850 hPa wind is better simulated than the precipitation in all four seasons. We found that model horizontal resolution is not a good indicator of model performance. Instead, a model's local Maritime Continent biases are somewhat related to its biases in the local Hadley circulation and global monsoon. The comparison with coupled models in CMIP5 shows that AMIP models generally performed better than coupled models in the simulation of the global monsoon and local Hadley circulation but less well at simulating the Maritime Continent annual cycle of precipitation. To characterize model systematic biases in the AMIP runs, we performed cluster analysis on Maritime Continent annual cycle precipitation. Our analysis resulted in two distinct clusters. Cluster I models are able to capture both the winter monsoon and summer monsoon shift, but they overestimate the precipitation; especially during the JJA and SON seasons. Cluster II models simulate weaker seasonal migration than observed, and the maximum rainfall position stays closer to the equator throughout the year. The tropics-wide properties of these clusters suggest a connection between the skill of simulating global properties of the monsoon circulation and the skill of simulating the regional scale of Maritime Continent precipitation.

Is there any difference in pelvic floor muscles performance between continent and incontinent women?

PubMed

Burti, Juliana Schulze; Hacad, Claudia R; Zambon, João Paulo; Polessi, Emily Assis; Almeida, Fernando G

2015-08-01

To compare pelvic floor muscles (PFMs) performance in women with and without stress urinary incontinence (SUI) during endurance test. It is a prospective case-control clinical trial. After determining PFM maximal voluntary contraction (MVC) by electromyography (EMG), women underwent endurance test, which consisted of consecutively PFM 1-sec fast contractions reaching MVC amplitude followed by 1-sec rest. Training time guided by Borg perceived exertion scale was noted. Heart rate (HR) behavior and EMG variables were assessed before and after training making a physiological analysis in both groups. A total of 56 women, mean age 52.19 years old, were evaluated (26 continent and 30 incontinent women). The time that SUI and continent women took to reach fatigue (Borg 10) was 9.1 ± 4.7 and 14.19 ± 8.32 min, respectively (P = 0.006). Confirming that all women performed similar effort during the test, analysis of variance with repeated measures showed that during the endurance test both groups presented similar increase in HR, showing detectable and significant increase from resting time to Borg 10 (P < 0.001). Besides, there was similar behavior in EMG for continent and SUI women, with a decrease from the baseline resting amplitude (P = 0.003 for SUI women and P = 0.006 for continent women). Women with SUI showed worse performance during an endurance test than continent women. It suggests that women have different capacity to perform PFM training. An initial evaluation based on PFM performance would help to define the best individualized PFM training. © 2014 Wiley Periodicals, Inc.

[Measles in Poland in 2003].

PubMed

Stefanoff, Paweł; Czarkowski, Mirosław P

2005-01-01

In Poland 48 measles cases were registered in 2003 (0.13 per 100,000 population)--of which 65% were cases imported from Chechnya and Afghanistan. Measles outbreaks occurred in 3 centers for immigrants. In total, 31 cases were reported, of which 96.8% were unvaccinated, and 93.5% were under 15 years of age. Of 17 local cases, 5 (29.4%) cases occurred in unvaccinated persons, 3 (17.6%) in persons vaccinated with one dose and 7 (41.2%) in those vaccinated with two doses of measles vaccine (administered at the age of 13-15 months and 7 years). Among 12 vaccinated cases only one 2-year old child was recently vaccinated. The remaining cases were in the 3-7 and 10-24 age ranges. The most affected were infants (incidence 0.57 per 100,000), 1-year old (0.28) and 2-year old children (incidence 0.27). Cases among adolescents and adults over 15 years of age increased from 23.5% in 2002 to 47.1% in 2003. The increasing age of locally-acquired cases, together with constantly high immunization coverage indicates high effectiveness of vaccinations in Poland. Out of all reported cases 13 (38%) were hospitalized. There were no deaths due to measles in Poland in 2003. Poland participates in the WHO Measles Elimination Strategy. Presently, the most important is the maintenance of a sensitive and timely surveillance of measles and measles-compatible cases, with serologic confirmation of one rash-like illness per 100 000 population. The performance of the surveillance system is insufficient with only 55 measles-compatible cases reported in 2003 (15% of expected reports). Serologic confirmation of cases was also insufficient, with 22 cases (40.0%) confirmed by IgM ELISA test. These results indicate the need to maintain the high immunisation coverage and improve measles surveillance system.

On the determination of the carbon balance of continents (Vladimir Ivanovich Vernadsky Medal Lecture)

NASA Astrophysics Data System (ADS)

Dolman, Albertus J. Han

2013-04-01

The carbon balance of regions, the size of continents, can be determined, albeit with significant uncertainty, by combining several bottom up and top down methods. The bottom up methods use eddy covariance techniques, biometric inventory measurements and modeling, while the top down methods use atmospheric observations and inverse models. There has been considerable progress in the last few years in determining these balances through more or less standard protocols, as highlighted for instance by studies of the REgional Carbon Cycle Assessment and Processes (RECAPP) project of the Global Carbon Project. Important areas where uncertainty creeps in are the scaling of point measurements in the bottom up methods, the sparseness of the observation network and the role of model and other errors in the inversion methods. Typically these balances hold for periods of several years. They therefore do not resolve the impact of anomalies in weather and climate directly. The role of management in these balances also differs for different continents. For instance in Europe management plays a strong role in the carbon balance, whereas for the Russian continent this is less important. Management in the European carbon balance may potentially override climatically driven variability. In contrast, for Russia, the importance of the role of forest is paramount, but there the vulnerability of the Arctic regions and permafrost is a key uncertainty for future behaviour. I hope to show the importance of these different aspects of the terrestrial carbon balance by comparing the two continents, and also discuss the significant uncertainty we still face in determining the carbon budgets of large areas. I will argue that we need to get a clearer picture of the role of management in these budgets, but also of the time variability of the budgets to be able to determine the impact of anomalous weather and the vulnerability in a future climate.

Continence technologies whitepaper: Informing new engineering science research.

PubMed

Culmer, Pete; Alazmani, Ali; Bryant, Mike; Mancuso, Elena; King, Sarah; Mapunde, Vee; Jeays-Ward, Katherine; Heron, Nicola; Pearson, Russell; Vollebregt, Paul F; Corner, Lynne; Day, Richard

2018-06-01

Advances in healthcare technology for continence have historically been limited compared to other areas of medicine, reflecting the complexities of the condition and social stigma which act as a barrier to participation. This whitepaper has been developed to inspire and direct the engineering science community towards research opportunities that exist for continence technologies that address unmet needs in diagnosis, treatment and long-term management. Our aim is to pinpoint key challenges and highlight related research opportunities for novel technological advances. To do so, we draw on experience and expertise from academics, clinicians, patients and patient groups linked to continence healthcare. This is presented in four areas of consideration: the clinical pathway, patient perspective, research challenges and effective innovation. In each we introduce seminal research, background information and demonstrative case-studies, before discussing their relevance to engineering science researchers who are interested in approaching this overlooked but vital area of healthcare.

Representations of OxyContin in North American newspapers and medical journals

PubMed Central

Whelan, Emma; Asbridge, Mark; Haydt, Susan

2011-01-01

BACKGROUND: There are public concerns regarding OxyContin (Purdue Pharma, Canada) and charges within the pain medicine community that media coverage of the drug has been biased. OBJECTIVE: To analyze and compare representations of OxyContin in medical journals and North American newspapers in an attempt to shed light on how each contributes to the ‘social problem’ associated with OxyContin. METHODS: Using searches of newspaper and medical literature databases, two samples were drawn: 924 stories published between 1995 and 2005 in 27 North American newspapers, and 197 articles published between 1995 and 2007 in 33 medical journals in the fields of addiction/substance abuse, pain/anesthesiology and general/internal medicine. The foci, themes, perspectives represented and evaluations of OxyContin presented in these texts were analyzed statistically. RESULTS: Newspaper coverage of OxyContin emphasized negative evaluations of the drug, focusing on abuse, addiction, crime and death rather than the use of OxyContin for the legitimate treatment of pain. Newspaper stories most often conveyed the perspectives of law enforcement and courts, and much less often represented the perspectives of physicians. However, analysis of physician perspectives represented in newspaper stories and in medical journals revealed a high degree of inconsistency, especially across the fields of pain medicine and addiction medicine. CONCLUSION: The prevalence of negative representations of OxyContin is often blamed on biased media coverage and an ignorant public. However, the proliferation of inconsistent messages regarding the drug from physicians plays a role in the drug’s persistent status as a social problem. PMID:22059195

Determinants of trends in breast-feeding indicators in Nigeria, 1999-2013.

PubMed

Ogbo, Felix Akpojene; Page, Andrew; Agho, Kingsley E; Claudio, Fernanda

2015-12-01

The present study aimed to examine the trends and differentials in key breast-feeding indicators in Nigeria for the period 1999-2013. Longitudinal study of trends (1999-2013) in optimal feeding practices using a series of population-based Nigerian Demographic and Health Surveys. Trends in socio-economic, health service and individual characteristics associated with key breast-feeding indicators were examined using multilevel regression analyses. Nigeria. Children (n 88 152) aged under 24 months (n 8199 in 1999; n 7620 in 2003; n 33 385 in 2008; n 38 948 in 2013). Among educated mothers, there was an increase in prevalence of exclusive breast-feeding (26% in 1999 to 30% in 2013) and predominant breast-feeding (27% in 1999 to 39% in 2013) compared with mothers with no schooling. A similar increasing trend was evident for mothers from wealthier households and mothers who had a higher frequency of health service access compared with mothers from poorer households and women who reported no health service access, respectively. Mothers with no schooling predominantly breast-fed, but the odds for bottle-feeding were higher among educated mothers and women from wealthier households. The odds for early initiation of breast-feeding were lower for mothers who reported no health service contacts and mothers of lower socio-economic status. Significant increasing trends in key breast-feeding indicators were evident among mothers with higher socio-economic status and mothers who had more health service access in Nigeria. Broader national and sub-national policies that underpin nursing mothers in work environments and a comprehensive community-based approach are proposed to improve feeding practices in Nigeria.

Colorectal cancer morbidity in Poland and Japan in the years 1999–2006 – a comparison

PubMed Central

Miśkiewicz, Marta; Mik, Michał; Dziki, Adam; Utada, Mai; Kempińska-Mirosławska, Bogumiła

2014-01-01

Introduction The frequency of colorectal cancer (CRC) is dependent on sex and age. The illness more often affects men than women, and a considerable increase in morbidity is noted after 65 years of age. The aim of the study was to assess the influence of various risk factors on CRC morbidity, statistical data from countries varied in cultural, socioeconomic and biological terms need to be studied. Poland and Japan can serve as examples of such contrasts. Material and methods The basis for the analysis of CRC morbidity was statistical data from Poland and Japan gathered in the period 1999–2006. They were expressed in absolute numbers and were related to the total morbidity, as well as morbidity according to sex and age. Results In the years 1999–2006, the total morbidity in Japan was on average 2.3 times higher than in Poland. The value was 2.5 times higher among men and 2.1 times among women when compared to Poland. In both countries morbidity is closely related to age and it reaches a peak between 65 and 74 years of age. Although the change in morbidity over the period was the same for Poland and Japan, there are considerable differences concerning the sex of the patients. Conclusions There is a substantial increase in CRC morbidity in both countries, especially among elderly people, which may point to the predominant influence of environmental factors and population aging in both countries. The much higher increase in morbidity among Polish men when compared to Polish women, not observed in the Japanese population, requires further study. PMID:25097579

[Tuberculosis in Havana City, 1995-1999].

PubMed

Sevy Court, José I; Peláez Sánchez, Otto; Arteaga Yero, Ana L; Armas Pérez, Luisa; Borroto Gutiérrez, Susana; González Ochoa, C Edilberto

2003-06-01

Tuberculosis is a worldwide health problem getting a prioritized attention by the Cuban National Health System. To describe the main indicators of the Cuban Tuberculosis Control Program. Based on surveillance data from the Provincial Center of Hygiene and Epidemiology, the health care network and strategies of the tuberculosis control program were reviewed; incidence rates, case finding indicators, diagnosis and case management were described. Eight subjects with respiratory symptoms were found per 1,000 attending general medical care services. The incidence rates of all tuberculosis types declined from 16.4 in 1995 to 12.0 x 10(5) people in 1999. Pulmonary tuberculosis incidence rate was reduced from 15.1 in1995 to 10.4 x 10(5) in 1999, whereas extrapulmonary tuberculosis had an increment from 1.3 to 1.6 x 10(5) in the same period. Of all new cases, 40-50 % were diagnosed at multispecialty clinics, 67.6% were diagnosed by positive smears, 15.2 % by positive cultures, 13.8 % by clinical and X-rays evidences only; and 0.9 % and 1.5 % were respectively diagnosed by biopsy and necropsy. There was an increase in the incidence rate in the age group 15-64 years in 1996 and 1997 but it declined again in 1998 and 1999. The age group 64 years and over showed a rate reduction from 1995 to 1999. In general, incidence rates diminished in the overall period. The average delay between onset of symptoms and diagnosis improved from 42 days in 1995 to 28.6 days in 1999. There seems to be a halt in reporting trends of new cases in 1996. Tuberculosis indicators reveal satisfactory changes in the study period.

Pulpwood production in the North-Central Region, 1999

Treesearch

Ronald J. Piva

2003-01-01

Discusses 1999 production and receipts in the Lake, Central, and Plains States. Shows Michigan, Minnesota, and Wisconsin production by species for each county and compares production by Forest Survey Unit with that of previous years. Presents production data for Illinois, Indiana, Iowa, and Missouri by species group and product form. Includes 1999 production for the...

Geographical Variations and Trends in Major Cancer Incidences throughout Korea during 1999-2013.

PubMed

Won, Young-Joo; Jung, Kyu-Won; Oh, Chang-Mo; Park, Eun-Hye; Kong, Hyun-Joo; Lee, Duk Hyoung; Lee, Kang Hyun

2018-01-04

We aimed to describe the temporal trends and district-level geographical variations in cancer incidences throughout Korea during 1999-2013. Data were obtained from the Korean National Cancer Incidence Database. We calculated the age-standardized cumulative cancer incidences according to sex and geographical region (metropolitan cities, provinces, and districts) for three 5-year periods (1999-2003, 2004-2008, and 2009-2013). Each quintile interval contained the same number of regions. Disease maps were created to visualize regional differences in the cancer incidences. Substantial differences in cancer incidences were observed according to district and cancer type. The largest variations between geographical regions were found for thyroid cancer among both men and women. There was little variation in the incidences of stomach, colorectal, and lung cancer according to geographical region. Substantially elevated incidences of specific cancers were observed in Jeollanam-do (thyroid); Daejeon (colorectum); Jeollanam-do, Gyeongsangbuk-do, and Chungcheongbuk-do (lung); Seocho-gu, Gangnam-gu, and Seongnam, Bundang-gu (breast and prostate); Chungcheong and Gyeongsang provinces (stomach); Ulleung-gun and the southern districts of Gyeongsangnam-do and Jeollanam-do (liver); and along the Nakdonggang River (gallbladder and biliary tract). Mapping regional cancer incidences in Korea allowed us to compare the results according to geographical region. Our results may facilitate the development of infrastructure for systematic cancer incidence monitoring, which could promote the planning and implementation of region-specific cancer management programs.

Spreading continents kick-started plate tectonics.

PubMed

Rey, Patrice F; Coltice, Nicolas; Flament, Nicolas

2014-09-18

Stresses acting on cold, thick and negatively buoyant oceanic lithosphere are thought to be crucial to the initiation of subduction and the operation of plate tectonics, which characterizes the present-day geodynamics of the Earth. Because the Earth's interior was hotter in the Archaean eon, the oceanic crust may have been thicker, thereby making the oceanic lithosphere more buoyant than at present, and whether subduction and plate tectonics occurred during this time is ambiguous, both in the geological record and in geodynamic models. Here we show that because the oceanic crust was thick and buoyant, early continents may have produced intra-lithospheric gravitational stresses large enough to drive their gravitational spreading, to initiate subduction at their margins and to trigger episodes of subduction. Our model predicts the co-occurrence of deep to progressively shallower mafic volcanics and arc magmatism within continents in a self-consistent geodynamic framework, explaining the enigmatic multimodal volcanism and tectonic record of Archaean cratons. Moreover, our model predicts a petrological stratification and tectonic structure of the sub-continental lithospheric mantle, two predictions that are consistent with xenolith and seismic studies, respectively, and consistent with the existence of a mid-lithospheric seismic discontinuity. The slow gravitational collapse of early continents could have kick-started transient episodes of plate tectonics until, as the Earth's interior cooled and oceanic lithosphere became heavier, plate tectonics became self-sustaining.

QuickStats: Age-Adjusted Death Rates* for Males Aged 15-44 Years, by the Five Leading Causes of Death(†) - United States, 1999 and 2014.

PubMed

2016-08-12

The age-adjusted death rate for males aged 15-44 years was 10% lower in 2014 (156.6 per 100,000 population) than in 1999 (174.1). Among the five leading causes of death, the age-adjusted rates for three were lower in 2014 than in 1999: cancer (from 17.1 to 12.8; 25% decline), heart disease (20.1 to 17.0; 15% decline), and homicide (15.7 to 13.8; 12% decline). The age-adjusted death rates for two of the five causes were higher in 2014 than in 1999: suicide (20.1 to 22.5; 12% increase), and unintentional injuries (from 48.7 to 51.0; 5% increase).

Continent-wide survey reveals massive decline in African savannah elephants

PubMed Central

Schlossberg, Scott; Griffin, Curtice R.; Bouché, Philippe J.C.; Djene, Sintayehu W.; Elkan, Paul W.; Ferreira, Sam; Grossman, Falk; Kohi, Edward Mtarima; Landen, Kelly; Omondi, Patrick; Peltier, Alexis; Selier, S.A. Jeanetta; Sutcliffe, Robert

2016-01-01

African elephants (Loxodonta africana) are imperiled by poaching and habitat loss. Despite global attention to the plight of elephants, their population sizes and trends are uncertain or unknown over much of Africa. To conserve this iconic species, conservationists need timely, accurate data on elephant populations. Here, we report the results of the Great Elephant Census (GEC), the first continent-wide, standardized survey of African savannah elephants. We also provide the first quantitative model of elephant population trends across Africa. We estimated a population of 352,271 savannah elephants on study sites in 18 countries, representing approximately 93% of all savannah elephants in those countries. Elephant populations in survey areas with historical data decreased by an estimated 144,000 from 2007 to 2014, and populations are currently shrinking by 8% per year continent-wide, primarily due to poaching. Though 84% of elephants occurred in protected areas, many protected areas had carcass ratios that indicated high levels of elephant mortality. Results of the GEC show the necessity of action to end the African elephants’ downward trajectory by preventing poaching and protecting habitat. PMID:27635327

Continent-wide survey reveals massive decline in African savannah elephants.

PubMed

Chase, Michael J; Schlossberg, Scott; Griffin, Curtice R; Bouché, Philippe J C; Djene, Sintayehu W; Elkan, Paul W; Ferreira, Sam; Grossman, Falk; Kohi, Edward Mtarima; Landen, Kelly; Omondi, Patrick; Peltier, Alexis; Selier, S A Jeanetta; Sutcliffe, Robert

2016-01-01

African elephants (Loxodonta africana) are imperiled by poaching and habitat loss. Despite global attention to the plight of elephants, their population sizes and trends are uncertain or unknown over much of Africa. To conserve this iconic species, conservationists need timely, accurate data on elephant populations. Here, we report the results of the Great Elephant Census (GEC), the first continent-wide, standardized survey of African savannah elephants. We also provide the first quantitative model of elephant population trends across Africa. We estimated a population of 352,271 savannah elephants on study sites in 18 countries, representing approximately 93% of all savannah elephants in those countries. Elephant populations in survey areas with historical data decreased by an estimated 144,000 from 2007 to 2014, and populations are currently shrinking by 8% per year continent-wide, primarily due to poaching. Though 84% of elephants occurred in protected areas, many protected areas had carcass ratios that indicated high levels of elephant mortality. Results of the GEC show the necessity of action to end the African elephants' downward trajectory by preventing poaching and protecting habitat.

[Perineal colostomy with antegrade continence enemas as an alternative after abdominoperineal resection for low rectal cancer].

PubMed

Penninckx, F; D'Hoore, A; Vanden Bosch, A

2005-06-01

Some young and active patients requiring abdominoperineal resection for rectum cancer ask for an alternative of an abdominal colostomy. We analysed the results after a combination of a perineal colostomy and antegrade continence enemas (ACE). Fifteen patients have been operated between 1999 and 2004. Follow-up was >six months in 12 patients with a mean of two years and with a maximum of 55 months. The QLQ-C30 (version 3) and CR 38 questionnaires of the EORTC have been used to evaluate quality of life aspects. Five out of 15 patients presented complications: infection of the caecal conduit (2), small bowel obstruction (1), prolapse of the perineal colostomy (1), eventration (1), urologic complications (2). ACE are still used by all patients. The volume needed was 400 ml and duration of irrigation was 30 minutes (15-45 minutes). The median score for faecal incontinence was 0 ; faecal pseudocontinence was obtained by 7/12 patients. The scores for all aspects of functioning were excellent, as well as the score for body image. The general health status and quality of life were estimated at 75% from normal value. The procedure is simple and can be performed in one operative session. A perineal colostomy with ACE seems to be a valuable and less expensive alternative for an abdominal colostomy, and certainly for total anorectal reconstruction.

"Dignity": A central construct in nursing home staff understandings of quality continence care.

PubMed

Ostaszkiewicz, Joan; Tomlinson, Emily; Hutchinson, Alison M

2018-02-03

To explore nursing home staff members' beliefs and expectations about what constitutes "quality continence care" for people living in nursing homes. Most nursing home residents require assistance to maintain continence or manage incontinence. Best practice guidelines promote active investigation of incontinence, treatment of underlying potentially reversible causes, and initial conservative interventions to prevent, minimise and/or treat incontinence. Despite research showing the positive benefits of implementing active interventions, translating the findings of research into practice in nursing homes has been modest. Understanding the perspectives of individuals who provide continence care may help bridge the gap between evidence and practice. A qualitative exploratory descriptive design. Qualitative interviews were conducted with 19 nursing home staff: eight registered nurses, four enrolled nurses and seven personal care workers working in a nursing home in Australia between 2014-2015. Data were analysed inductively to identify themes and subthemes that described and explained staff beliefs about quality continence care in nursing homes. Participants' understanding and expectations about quality continence care were linked to beliefs about incontinence being an intractable and undignified condition in nursing homes. The key theme to emerge was "protecting residents' dignity" which was supported by the following six subthemes: (i) using pads, ii) providing privacy, (iii) knowing how to "manage" incontinence, (iv) providing timely continence care, (v) considering residents' continence care preferences and (vi) communicating sensitively. The findings provide new insight into the basis for continence care practices in nursing homes. Education about continence care should challenge beliefs that limit continence care practice to cleaning, containing and concealing incontinence. There is a need for a multidimensional framework that is informed by social, psychological

GPS Observations in Anatahan Island, Northern Mariana Islands, Before and After the Eruption of May 10, 2003

NASA Astrophysics Data System (ADS)

Kato, T.; Matsushima, T.; Nakada, S.; Watanabe, T.; Tabei, T.; Camacho, J. T.; Chong, R.

2003-12-01

A GPS observation project in the Northern Mariana Islands started in 1992 by a joint team of Japan, US and Saipan, CNMI. We have repeated surveys in the area for several times until 2003. Previous results until 1999 showed clear evidence of back arc spreading at the Mariana Trough with velocities of 4-6cm/yr with respect to the Philippine Sea plate. There was no significant volcanic activity in this time periods. Anatahan Island erupted about three months after the latest resurvey of January 2003. In order to investigate crustal deformations of the island related to this eruption, we established a permanent site in Anatahan (ANAT). The site is located about 7km WNW of the active crater in the eastern caldera. Solar panel and a lead battery are used for power and a small PC is used for automatic data archive. A special stainless pillar was designed to set up right above the pre-occupied benchmark. We also established a new permanent site in Saipan on the roof of EMO (EMO1). For a tie to the old site in Saipan, we conducted a survey at MPLC site that have been repeatedly occupied. For a preliminary analysis, we used data sets of 1994, 1998, 1999 and January and July of 2003 for a baseline MPLC - ANAT. The obtained results suggest that Anatahan has linearly drifted to northwest relative to Saipan at least until January 2003 with a rate of about 6.5mm/yr. There was no clear long-term vertical motion of Anatahan Island until January 2003. Comparison of position of ANAT relative to MPLC between January and July, 2003 suggests about 19cm subsidence of the island. Horizontal displacement may not be significant though a few centimeters of offset toward north could be visible. Large subsidence may be due to the spouting of magma. In order to monitor the crustal deformation during the volcanic activity, we are continuing GPS tracking at the established two permanent sites for a while.

Malignant Mesothelioma Mortality - United States, 1999-2015.

PubMed

Mazurek, Jacek M; Syamlal, Girija; Wood, John M; Hendricks, Scott A; Weston, Ainsley

2017-03-03

Malignant mesothelioma is a neoplasm associated with occupational and environmental inhalation exposure to asbestos* fibers and other elongate mineral particles (EMPs) (1-3). Patients have a median survival of approximately 1 year from the time of diagnosis (1). The latency period from first causative exposure to malignant mesothelioma development typically ranges from 20 to 40 years but can be as long as 71 years (2,3). Hazardous occupational exposures to asbestos fibers and other EMPs have occurred in a variety of industrial operations, including mining and milling, manufacturing, shipbuilding and repair, and construction (3). Current exposures to commercial asbestos in the United States occur predominantly during maintenance operations and remediation of older buildings containing asbestos (3,4). To update information on malignant mesothelioma mortality (5), CDC analyzed annual multiple cause-of-death records † for 1999-2015, the most recent years for which complete data are available. During 1999-2015, a total of 45,221 deaths with malignant mesothelioma mentioned on the death certificate as the underlying or contributing cause of death were reported in the United States, increasing from 2,479 deaths in 1999 to 2,597 in 2015 (in the same time period the age-adjusted death rates § decreased from 13.96 per million in 1999 to 10.93 in 2015). Malignant mesothelioma deaths increased for persons aged ≥85 years, both sexes, persons of white, black, and Asian or Pacific Islander race, and all ethnic groups. Despite regulatory actions and the decline in use of asbestos the annual number of malignant mesothelioma deaths remains substantial. The continuing occurrence of malignant mesothelioma deaths underscores the need for maintaining measures to prevent exposure to asbestos fibers and other causative EMPs and for ongoing surveillance to monitor temporal trends.

Multiple sclerosis and continence issues: an exploratory study.

PubMed

Wollin, Judy; Bennie, Mary; Leech, Christine; Windsor, Carol; Spencer, Nancy

The study described in this article aimed to identify issues relating to incontinence and assess the impact of referral to a continence adviser on the lives of people with multiple sclerosis (MS). The study design used an in-depth, two-phase anonymous mail survey within a general community as nominated by the participants. Fifty-six people participated in phase 1 and eleven people completed phase 2. The results indicated that incontinence is a problem for the vast majority of participants--people with MS. One-third of the eligible participants took up the option of a consultation, assessment and treatment from a continence nurse. Reasons for not taking up the visit from the continence nurse included 'managing OK', 'didn't think it would help', 'embarrassed' and 'too busy'. Increasing awareness of urinary incontinence in the community is important and education needs to focus on at-risk groups in presenting the range of options available to assist people experiencing incontinence.

Survival, Continence and Potency (SCP) recovery after radical retropubic prostatectomy: a long-term combined evaluation of surgical outcomes.

PubMed

Schiavina, R; Borghesi, M; Dababneh, H; Pultrone, C V; Chessa, F; Concetti, S; Gentile, G; Vagnoni, V; Romagnoli, D; Della Mora, L; Rizzi, S; Martorana, G; Brunocilla, E

2014-12-01

To offer a comprehensive account of surgical outcomes on a defined series of patients treated with radical retropubic prostatectomy (RRP) for prostate cancer in a single European Center after 5-year minimum follow-up according to the Survival, Continence and Potency (SCP) system. We evaluated our Institutional database of patients who underwent RRP from November 1995 to September 2008. Oncological and functional outcomes were reported according to the recently proposed SCP system. The 5- and 10-year biochemical recurrence-free survival rates were 80.1% and 55.8%, respectively. At the end of follow-up, 611 (78.5%) patients were fully continent (C0), 107 (13.8%) used 1 pad for security (C1) and 60 (7.7%) patients were incontinent (C2). Of the 112 patients who underwent nerve-sparing RRP, 22 (19.6%) were fully potent without aids (P0), 13 (11.6%) were potent with assumption of PDE-5 inhibitors (P1) and 77 (68.8%) experienced erectile dysfunction (P2). The combined SCP outcomes were reported together only in 95 (12.2%) evaluable patients. In patients preoperatively continent and potent, who received a nerve-sparing and did not require adjuvant therapy, oncological and functional success was attained by 29 (30.5%) patients. In the subgroup of 508 patients not evaluable for potency recovery, oncological and continence outcomes were obtained in 357 patients (70.3%). Survival, Continence and Potency (SCP) classification offer a comprehensive report of surgical results, even in those patients who do not represent the best category, thus allowing to provide a much more accurate evaluation of outcomes after RP. Copyright © 2014 Elsevier Ltd. All rights reserved.

A unified model of avian species richness on islands and continents.

PubMed

Kalmar, Attila; Currie, David J

2007-05-01

How many species in a given taxon should be found in a delimited area in a specified place in the world? Some recent literature suggests that the answer to this question depends strongly on the geographical, evolutionary, and ecological context. For example, current theory suggests that species accumulate as a function of area differently on continents and islands. Species richness-climate relationships have been examined separately on continents and on islands. This study tests the hypotheses that (1) the functional relationship between richness and climate is the same on continents and islands; (2) the species-area slope depends on distance-based isolation; (3) species-area relationships differ among land bridge islands, oceanic islands, and continents; (4) richness differs among biogeographic regions independently of climate and isolation. We related bird species numbers in a worldwide sample of 240 continental parcels and 346 islands to several environmental variables. We found that breeding bird richness varies similarly on islands and on continents as a function of mean annual temperature, an area x precipitation interaction, and the distance separating insular samples from the nearest continent (R2 = 0.86). Most studies to date have postulated that the slope of the species-area relationship depends upon isolation. In contrast, we found no such interaction. A richness-environment relationship derived using Old World sites accurately predicts patterns of richness in the New World and vice versa (R2 = 0.85). Our results suggest that most of the global variation in richness is not strongly context-specific; rather, it reflects a small number of general environmental constraints operating on both continents and islands.

DOT Performance Plan FY 1999

DOT National Transportation Integrated Search

1999-01-01

The Department of Transportation Performance Plan is a companion piece to the DOT Strategic Plan and to the DOT Fiscal Year 1999 Budget Request. The Performance Plan defines those performance indicators and goals that will be used to mark progress to...

Interim Performance Objectives. Progress Report, 3rd Quarter Fiscal Year 1999.

ERIC Educational Resources Information Center

Office of Student Financial Assistance (ED), Washington, DC.

This document contains a progress report on three categories of interim performance objectives outlined by the Office of Student Financial Assistance (OSFA) in winter 1999. These objectives were to: (1) improve customer service; (2) reduce the overall cost of delivering student aid; and (3) transform the OSFA into a performance-based organization.…

Pattern recognition receptor-mediated cytokine response in infants across 4 continents.

PubMed

Smolen, Kinga K; Ruck, Candice E; Fortuno, Edgardo S; Ho, Kevin; Dimitriu, Pedro; Mohn, William W; Speert, David P; Cooper, Philip J; Esser, Monika; Goetghebuer, Tessa; Marchant, Arnaud; Kollmann, Tobias R

2014-03-01

Susceptibility to infection as well as response to vaccination varies among populations. To date, the underlying mechanisms responsible for these clinical observations have not been fully delineated. Because innate immunity instructs adaptive immunity, we hypothesized that differences between populations in innate immune responses may represent a mechanistic link to variation in susceptibility to infection or response to vaccination. Determine whether differences in innate immune responses exist among infants from different continents of the world. We determined the innate cytokine response following pattern recognition receptor (PRR) stimulation of whole blood from 2-year-old infants across 4 continents (Africa, North America, South America, and Europe). We found that despite the many possible genetic and environmental exposure differences in infants across 4 continents, innate cytokine responses were similar for infants from North America, South America, and Europe. However, cells from South African infants secreted significantly lower levels of cytokines than did cells from infants from the 3 other sites, and did so following stimulation of extracellular and endosomal but not cytosolic PRRs. Substantial differences in innate cytokine responses to PRR stimulation exist among different populations of infants that could not have been predicted. Delineating the underlying mechanism(s) for these differences will not only aid in improving vaccine-mediated protection but possibly also provide clues for the susceptibility to infection in different regions of the world. Copyright © 2013 The Authors. Published by Mosby, Inc. All rights reserved.

A Graph Is Worth a Thousand Words? The Publication Rate of Graphs in the JCSD, 1999 to 2004

ERIC Educational Resources Information Center

Walker, David

2005-01-01

Graphing data and/or results from quantitative studies have been noted in the social sciences and the field of education as a means toward employing solid methodological practices. The publication rate in the JCSD of six specified graphs was examined under two editor ships from 1999 to 2003 and 2004. Preliminary results from the review suggested…

Minnesota State Grant Statistics Over Time. 2003 Edition.

ERIC Educational Resources Information Center

Minnesota Higher Education Services Office, 2004

2004-01-01

This report contains data on the number and dollar amounts of Minnesota State Grants received by Minnesota undergraduates for Fiscal Years 1978 through 2003. Combined federal Pell and State Grant awards are also reported. The report includes a table showing the parameters used in the State Grant Program from Fiscal Year 1984 through 2003. The…

Late recurrent urothelial carcinoma in the Studer neobladder: conversion to continent reservoir

PubMed Central

Kotb, AF; Alkosiry, M; AbdElkawy, N; Atta, MA

2012-01-01

Bladder cancer represents a considerable issue in Egypt and the Middle East. Radical cystectomy and orthotopic neobladder represent the standard of care for managing cases with invasive bladder tumour. There are few cases reported in the literature considering the urothelial recurrence in the urethra, connected to neobladder. We are presenting a rare case of a young female patient, with an aggressive urothelial tumour, recurring 13-year post-radical cystectomy, and the Studer neobladder. Our case was managed by urethrectomy and conversion of the neobladder into continent reservoir, with good short-term oncological and functional outcomes. We can conclude that bladder cancer cases should be followed thoroughly throughout their life. Follow-up urethroscopy and cytology should be done for all cases of post-radical cystectomy, regardless of patients’ symptoms. Key message Late urothelial recurrence of post-radical cystectomy is possible and, in our case, happened 13 years following surgery. The Studer neobladder can be safely converted into continent reservoir, allowing good functional outcomes. Also, recurrence in the Studer neobladder can be safely managed, allowing good oncological outcomes, without the need for any ureteroileal interventions. PMID:22973413

Comparing the impact of the 2003 and 2010 heatwaves on Net Primary Production in Europe

NASA Astrophysics Data System (ADS)

Bastos, Ana; Gouveia, Célia M.; Trigo, Ricardo M.; Running, Steve W.

2013-04-01

Climate variability is known to influence primary productivity on land ecosystems (Nemani et al., 2003). In particular, extreme climatic events such as major droughts and heatwaves are known to have severe impact on primary productivity and, therefore, to affect significantly the carbon dioxide uptake by land ecosystems at regional (Ciais et al., 2005) or even global scale (Zhao and Running, 2010). In the last decade, Europe was struck by two outstanding heatwaves, the 2003 event in Western Europe and the recent 2010 episode over Eastern Europe. Both were characterised by record breaking temperatures at the daily, weekly, monthly and seasonal scales, although the amplitude and spatial extent of the 2010 mega-heatwave surpassed the 2003 event (Barriopedro et al., 2011). This work aims to assess the influence of both mega-heatwaves on yearly Net Primary Production (NPP) and seasonal Net Photosynthesis (NP), which corresponds to the difference between Gross Primary Production and maintenance respiration. The work relies on yearly NPP and monthly NP data derived from satellite imagery obtained from MODIS (Moderate Resolution Imaging Spectroradiometer) sensor at 1km spatial resolution. Data were selected for the period between 2000 and 2011 over a region extending from 34.6N to 73.5N and 12.1W to 46.8E, covering Eurasia. In 2010 very low primary production anomalies are observed over a very large area in Eastern Europe, at the monthly, seasonal and yearly scale. In western Russia, yearly NPP anomalies fall below 50% of average. These widespread negative anomalous values of NP fields over the western Russia region match the patterns of very high temperature values combined with below-average precipitation, at the seasonal (summer) scale. Moreover, the impact of the heatwave is not only evident at the regional level but also at the wider continental (European) scale and is significantly more extensive and intense than the corresponding heatwave of 2003 in Western Europe

The Malone antegrade continence enema for neurogenic and structural fecal incontinence and constipation.

PubMed

Koyle, M A; Kaji, D M; Duque, M; Wild, J; Galansky, S H

1995-08-01

Problems of fecal elimination are commonly encountered by the pediatric urologist and surgeon. The Malone antegrade continence enema has been described as a means to administer a large volume enema via a continent catheterizable appendicocecostomy, resulting in reliable fecal elimination. Of 22 patients undergoing this procedure 16 reported total continence 4 months or longer after surgery. Complications are relatively minor and tap water appears to be a safe solution for the antegrade continence enema. A nonrefluxing, imbricated appendicocecostomy is preferable to prevent cutaneous fecal or gas leaks.

1999 Research Reports: NASA/ASEE Summer Faculty Fellowship Program

NASA Technical Reports Server (NTRS)

Hosler, E. Ramon (Editor); Buckingham, Gregg (Editor)

2000-01-01

This document is a collection of technical reports on research conducted by the participants in the 1999 NASA/ASEE Summer Faculty Fellowship Program at the Kennedy Space Center (KSC). This was the 15th year that a NASA/ASEE program has been conducted at KSC. The 1999 program was administered by the University of Central Florida in cooperation with KSC. The program was operated under the auspices of the American Society for Engineering Education (ASEE and the Education Division, NASA Headquarters, Washington, DC, and KSC. The KSC Program was one of nine such Aeronautics and Space Research Programs funded by NASA Headquarters in 1999. The NASA/ASEE Program is intended to be a two-year program to allow in-depth research by the university faculty member.

Emergence of silicic continents as the lower crust peels off on a hot plate-tectonic Earth

NASA Astrophysics Data System (ADS)

Chowdhury, Priyadarshi; Gerya, Taras; Chakraborty, Sumit

2017-09-01

The rock record and geochemical evidence indicate that continental recycling has been occurring since the early history of the Earth. The stabilization of felsic continents in place of Earth's early mafic crust about 3.0 to 2.0 billion years ago, perhaps due to the initiation of plate tectonics, implies widespread destruction of mafic crust during this time interval. However, the physical mechanisms of such intense recycling on a hotter, (late) Archaean and presumably plate-tectonic Earth remain largely unknown. Here we use thermomechanical modelling to show that extensive recycling via lower crustal peeling-off (delamination but not eclogitic dripping) during continent-continent convergence was near ubiquitous during the late Archaean to early Proterozoic. We propose that such destruction of the early mafic crust, together with felsic magmatism, may have caused both the emergence of silicic continents and their subsequent isostatic rise, possibly above the sea level. Such changes in the continental character have been proposed to influence the Great Oxidation Event and, therefore, peeling-off plate tectonics could be the geodynamic trigger for this event. A transition to the slab break-off controlled syn-orogenic recycling occurred as the Earth aged and cooled, leading to reduced recycling and enhanced preservation of the continental crust of present-day composition.

Impact of a continence training program on patient safety and quality.

PubMed

Grandstaff, Marcia; Lyons, Deborah

2012-01-01

The purpose of this study is to examine the impact of an evidence-based training program on patient outcomes of continence, falls, and discharge disposition in the rehab population. Criteria for inclusion required new onset of two or more episodes of urinary incontinence. Sixty-six subjects were enrolled with 33 subjects receiving evidence-based interventions. The intervention group showed improvement in continence (p = .020), with no difference between groups on discharge disposition (p = .744). Results showed an unexpected higher occurrence of falls in the treatment group (p = .000). DISCUSSION AND CLINICAL RELEVANCE: This study supports existing literature indicating that continence is not an independent predictor of nursing home admission and offers new evidence that use of an evidence-based intervention bundle can significantly improve patient continence including those patients with mild to moderate cognitive impairment. © 2012 Association of Rehabilitation Nurses.

The thermal influence of continents on a model-generated January climate

NASA Technical Reports Server (NTRS)

Spar, J.; Cohen, C.; Wu, P.

1981-01-01

Two climate simulations were compared. Both climate computations were initialized with the same horizontally uniform state of rest. However, one is carried out on a water planet (without continents), while the second is repeated on a planet with geographically realistic but flat (sea level) continents. The continents in this experiment have a uniform albedo of 0.14, except where snow accumulates, a uniform roughness height of 0.3 m, and zero water storage capacity. Both runs were carried out for a 'perpetual January' with solar declination fixed at January 15.

Evaluation of combined oncologic and functional outcomes after robotic-assisted laparoscopic extraperitoneal radical prostatectomy: trifecta rate of achieving continence, potency and cancer control.

PubMed

Xylinas, Evanguelos; Durand, Xavier; Ploussard, Guillaume; Campeggi, Alexandre; Allory, Yves; Vordos, Dimitri; Hoznek, Andras; Abbou, Claude Clément; de la Taille, Alexandre; Salomon, Laurent

2013-01-01

Outcomes of continence, erectile function, and oncologic control are well-described in isolation especially for the retropubic open approach. However, only few series have yet reported combined results after radical prostatectomy. To determine the proportion of men who are continent, potent, and cancer-free (trifecta rate) 2 years after robot-assisted laparoscopic radical prostatectomy (RALRP). We included patients who underwent a RALRP at our department and who were followed during at least 2 years. Men who were impotent or incontinent before the surgery were excluded from the analysis. Overall, 500 men were included. All patients prospectively completed validated questionnaires (IIEF-5, ICS) before the medical visit and concerning their voiding and sexual disorders, preoperatively, 3, 6, 12, 18, and 24 months after RALRP. Biochemical recurrence was defined as any detectable serum PSA (≥ 0.2 ng/ml). The study end point was the trifecta rate (cancer control, continence, and potency) at 2 years of the surgery. Predictive factors of the trifecta outcome were assessed in univariate and multivariate analyses. Median age and PSA level were 62.2 years and 9.7 ng/mL. A trifecta outcome was achieved in 44% and 53% of men at 12 and 24 months, respectively. The 2-year trifecta rate reached 62% in men undergoing bilateral nerve-sparing surgery and 71% in men < 60 years. Age < 60 years, PSA level < 10 ng/ml, organ-confined disease, and bilateral nerve-sparing procedure were significantly associated with the 2-year trifecta outcome. Two years after RALRP, the trifecta outcome is achieved in 53% of preoperatively potent and continent men. Copyright © 2013 Elsevier Inc. All rights reserved.

Carl D. Perkins Vocational and Technical Education Act of 1998, Report to Congress on State Performance, Program Year 2002-2003

ERIC Educational Resources Information Center

US Department of Education, 2005

2005-01-01

This is the fourth annual report to Congress by the US Department of Education. Among the highlights of this report are: (1) More students were reported by states as having enrolled in vocational and technical education courses in Program Year (PY) 2002-2003 than in the past three years; (2) There remain concerns about the quality and reliability…

Public health implications of changing rodent importation patterns— United States, 1999–2013

PubMed Central

Lankau, Emily W.; Sinclair, Julie R.; Schroeder, Betsy A.; Galland, G. Gale; Marano, Nina

2015-01-01

Summary The United States imports a large volume of live wild and domestic animal species; these animals pose a demonstrated risk for introduction of zoonotic diseases. Rodents are imported for multiple purposes, including scientific research, zoo exhibits, and the pet trade. Current U.S. public health regulatory restrictions specific to rodent importation pertain only to those of African origin. To understand the impacts of these regulations and the potential public health risks of international rodent trade to the United States, we evaluated live rodent import records during 1999 –2013 by shipment volume and geographic origin, source (e.g., wild -caught versus captive-or commercially bred), intended purpose, and rodent taxonomy. Live rodent imports increased from 2,737 animals during 1999 to 173,761 animals during 2013. Increases in both the number and size of shipments contributed to this trend. The proportion of wild-captured imports declined from 75% during 1999 to <1% during 2013. Nearly all shipments during these years were imported for commercial purposes. Imports from Europe and other countries in North America experienced notable increases in volume. Gerbils and hamsters arriving from Europe and chinchillas, guinea pigs, and hamsters arriving from other countries in North America were predominant taxa underlying this trend . After 2003, African-origin imports became sporadic events under the federal permit process. These patterns suggest development of large -scale captive rodent breeding markets abroad for commercial sale in the United States. While the shift from wild-captured imports alleviates many conservation concerns and risks for novel disease emergence, such consolidated sourcing might elevate exposure risks for zoonotic diseases associated with high-density rodent breeding(e.g. , lymphocytic choriomeningitis or salmonellosis). A responsive border health system must periodically re-evaluate importation regulations in conjunction with key

76 FR 73010 - Technical Report Evaluating the 1999-2003 Head Impact Upgrade of FMVSS No. 201, Upper-Interior...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-28

...-Interior Components: Effectiveness of Energy-Absorbing Materials Without Head-Protection Air Bags. DATES... Reporting System--Multiple Cause of Death files for 1999-2007. FMVSS No. 201 without head-protection air bags reduces AIS 4-to-6 head injuries due to contact with upper-interior components by an estimated 24...

International VLBI Service for Geodesy and Astrometry: 1999 Annual Report

NASA Technical Reports Server (NTRS)

Vandenberg, Nancy R. (Editor)

1999-01-01

This volume of reports is the 1999 Annual Report of the International VLBI Service for Geodesy and Astrometry -IVS. The individual reports were contributed by VLBI groups in the international geodetic community who constitute the components of IVS. The 1999 Annual Report documents the work of the IVS components for the year ending March 1, 1999, the official inauguration date of IVS. As the newest of the space technique services, IVS decided to publish this Annual Report as a reference to our organization and its components. The entire contents of this Annual Report also appear on the IVS website at: http://ivscc.gsfc.nasa.gov/pub/arl999. The IVS 1999 Annual Report will be a valuable reference for information about IVS and its components. This Annual Report will serve as a baseline from which we can measure the anticipated progress of IVS in coming years.

Heat-related mortality in the Florentine area (Italy) before and after the exceptional 2003 heat wave in Europe: an improved public health response?

PubMed

Morabito, Marco; Profili, Francesco; Crisci, Alfonso; Francesconi, Paolo; Gensini, Gian Franco; Orlandini, Simone

2012-09-01

High ambient temperatures have been associated with increased mortality across the world. Several studies suggest that timely preventive measures may reduce heat-related excess mortality. The main aim of this study was to detect the temporal modification of heat-related mortality, in older adults (aged 65-74) and in elderly ≥75 years old, in the Florentine area by comparing previous (1999-2002) and subsequent (2004-2007) periods to the summer of 2003, when a regional Heat-Health Warning System (HHWS) was set up. Mortality data from 1999 to 2007 (May-September) were provided by the Mortality Registry of the Tuscany Region (n = 21,092). Weather data were used to assess daily apparent temperatures (AT). Case-crossover time-stratified designs and constrained segmented distributed lag models were applied. No significant heat-related mortality odds ratio (OR) variations were observed among the sub-periods. Nevertheless, a general OR decrease dating from 1999-2002 (OR 1.23; lack of HHWS) to 2004-2005 (OR 1.21; experimental HHWS running only for Florence) and to 2006-2007 (OR 1.12; official HHWS extended to the whole Florentine area) was observed when the maximum AT was considered. This modification was only evident in subjects ≥75 years old. The heat effect was higher and sustained for more days (until lag 9) during the period 1999-2002 than 2004-2007. The decrease of the excessive heat effect on mortality between periods with the absence and existence of a HHWS is also probably due to the mitigation of preventive measures and the implementation of a HHWS with specific interventions for safeguarding the health of the "frail elderly".

Twelve years of rabies surveillance in Sri Lanka, 1999-2010.

PubMed

Karunanayake, Dushantha; Matsumoto, Takashi; Wimalaratne, Omala; Nanayakkara, Susilakanthi; Perera, Devika; Nishizono, Akira; Ahmed, Kamruddin

2014-10-01

Rabies is endemic in Sri Lanka, but little is known about the temporal and spatial trends of rabies in this country. Knowing these trends may provide insight into past control efforts and serve as the basis for future control measures. In this study, we analyzed distribution of rabies in humans and animals over a period of 12 years in Sri Lanka. Accumulated data from 1999 through 2010 compiled by the Department of Rabies Diagnosis and Research, Medical Research Institute (MRI), Colombo, were used in this study. The yearly mean percentage of rabies-positive sample was 62.4% (47.6-75.9%). Three-fourths of the rabies-positive samples were from the Colombo, Gampaha, and Kalutara districts in Western province, followed by Galle in Southern province. A high percentage of the rabies samples were from dogs (85.2%), followed by cats (7.9%), humans (3.8%), wild animals (2.0%), and livestock (1.1%). Among wild animals, mongooses were the main victims followed by civets. The number of suspect human rabies cases decreased gradually in Sri Lanka, although the number of human samples submitted for laboratory confirmation increased. The number of rabid dogs has remained relatively unchanged, but the number of suspect human rabies is decreasing gradually in Sri Lanka. These findings indicate successful use of postexposure prophylaxis (PEP) by animal bite victims and increased rabies awareness. PEP is free of charge and is supplied through government hospitals by the Ministry of Health, Sri Lanka. Our survey shows that most positive samples were received from Western and Southern provinces, possibly because of the ease of transporting samples to the laboratory. Submissions of wild animal and livestock samples should be increased by creating more awareness among the public. Better rabies surveillance will require introduction of molecular methods for detection and the establishment of more regional rabies diagnostic laboratories.

Water Resources Data, Puerto Rico and the U.S. Virgin Islands, Water Year 1999

USGS Publications Warehouse

Diaz, Pedro L.; Aquino, Zaida; Figueroa-Alamo, Carlos; Vachier, Ricardo J.; Sanchez, Ana V.

2000-01-01

The Water Resources Division of the U.S. Geological Survey, in cooperation with local and federal agencies obtains a large amount of data pertaining to the water resources of the Commonwealth of Puerto Rico and the Territory of the U.S. Virgin Islands each water year. These data, accumulated during many water years, constitute a valuable data base for developing an improved understanding of the water resources of the area. To make these data readily available to interested parties outside the U.S. Geological Survey, the data are published annually in this report series entitled 'Water Resources Data for Puerto Rico and the U.S. Virgin Islands, 1999.' This report includes records on both surface and ground water. Specifically, it contains: (1) discharge records for 76 streamflow gaging stations, daily sediment records for 25 streamflow stations, stage records for 18 reservoirs, and (2) water-quality records for 16 streamflow-gaging stations, and for 42 ungaged stream sites, 11 lake sites, 2 lagoons, and 1 bay, and (3) water-level records for 107 observation wells.

Use of cigarettes and other tobacco products among students aged 13-15 years--worldwide, 1999-2005.

PubMed

2006-05-26

The use of tobacco in any form is a major preventable cause of premature death and disease. Globally, nearly 5 million persons die every year from tobacco-related illnesses, with disproportionately higher mortality occurring in developing countries. The Global Youth Tobacco Survey (GYTS), initiated in 1999 by the World Health Organization (WHO), CDC, and the Canadian Public Health Association, is a school-based survey that includes questions on prevalence of cigarette and other tobacco use; attitudes toward tobacco; access to tobacco products; exposure to secondhand smoke, school curricula on tobacco, media, and advertising; and smoking cessation. This report presents estimates of self-reported cigarette and other tobacco-product use during 1999-2005 in 132 different countries and the Gaza Strip/West Bank. The data are aggregated within each of the six WHO regions. GYTS data indicate that nearly two of every 10 students reported currently using a tobacco product, with no statistically significant difference between the proportion of those reporting cigarette smoking (8.9%) and other tobacco use (11.2%). Use of tobacco by adolescents is a major public health problem in all six WHO regions. Worldwide, more countries need to develop, implement, and evaluate their tobacco-control programs to address the use of all types of tobacco products, especially among girls.

QuickStats: Death Rates for Motor Vehicle Traffic Injury,* Suicide,† and Homicide§ Among Children and Adolescents aged 10-14 Years - United States, 1999-2014.

PubMed

2016-11-04

In 1999, the mortality rate for children and adolescents aged 10-14 years for deaths from motor vehicle traffic injury (4.5 per 100,000) was about four times higher than the rate for deaths for suicide and homicide (both at 1.2). From 1999 to 2014, the death rate for motor vehicle traffic injury declined 58%, to 1.9 in 2014 (384 deaths). From 1999 to 2007, the death rate for suicide fluctuated and then doubled from 2007 (0.9) to 2014 (2.1, 425 deaths). The death rate for homicide gradually declined to 0.8 in 2014. In 2013 and 2014, the differences between death rates for motor vehicle traffic injury and suicide were not statistically significant.

Minnesota Youthbuild Program Overview, 1999.

ERIC Educational Resources Information Center

Minnesota State Dept. of Economic Security, St. Paul.

Minnesota's Youthbuild program helps at-risk youths gain useful job skills while building safe, affordable housing in their neighborhoods and working toward their high school diploma or General Educational Development (GED) certificate. In 1999, the Minnesota Legislature appropriated 751,000 dollars per year in Youthbuild funds. The program…

Streamflow, water quality, and constituent loads and yields, Scituate Reservoir drainage area, Rhode Island, water year 2003

USGS Publications Warehouse

Breault, Robert F.; Campbell, Jean P.

2010-01-01

Streamflow and water-quality data were collected by the U.S. Geological Survey (USGS) or the Providence Water Supply Board, Rhode Island's largest drinking-water supplier. Streamflow was measured or estimated by the USGS following standard methods at 23 streamgage stations; 10 of these stations were also equipped with instrumentation capable of continuously monitoring specific conductance. Streamflow and concentrations of sodium and chloride estimated from records of specific conductance were used to calculate instantaneous (15-minute) loads of sodium and chloride during water year (WY) 2003 (October 1, 2002, to September 30, 2003). Water-quality samples were also collected at 37 sampling stations in the Scituate Reservoir drainage area by the Providence Water Supply Board during WY 2003 as part of a long-term sampling program. Water-quality data are summarized by using values of central tendency and are used, in combination with measured (or estimated) streamflows, to calculate loads and yields (loads per unit area) of selected water-quality constituents for WY 2003. The largest tributary to the reservoir (the Ponaganset River, which was monitored by the USGS) contributed about 31 cubic feet per second (ft3/s) to the reservoir during WY 2003. For the same time period, annual mean streamflows1 measured (or estimated) for the other monitoring stations in this study ranged from about 0.44 to 20 ft3/s. Together, tributary streams (equipped with instrumentation capable of continuously monitoring specific conductance) transported about 1,200,000 kilograms (kg) of sodium and 1,900,000 kg of chloride to the Scituate Reservoir during WY 2003; sodium and chloride yields for the tributaries ranged from 10,000 to 61,000 kilograms per square mile (kg/mi2) and from 15,000 to 100,000 kg/mi2, respectively. At the stations where water-quality samples were collected by the Providence Water Supply Board, the median of the median chloride concentrations was 21.3 milligrams per liter

Prevalence of past-year dental visit among US adults, 1999-2010: comparison of trends and estimates between the Behavioral Risk Factor Surveillance System and three national surveys.

PubMed

Lin, Mei; Li, Chien-Hsun; Wei, Liang; Naavaal, Shillpa; Kolavic Gray, Shellie; Manz, Michael C; Barker, Laurie

2017-03-01

To compare estimated prevalence of past-year dental visit (PPYDV) among US adults aged ≥18 years from the Behavioral Risk Factor Surveillance System (BRFSS) to estimates from the Medical Expenditure Panel Survey (MEPS), National Health Interview Survey (NHIS), and National Health and Nutrition Examination Survey (NHANES). We estimated PPYDV adjusted for covariates (age, race/ethnicity, education level, poverty status, edentulism) using BRFSS, MEPS, and NHIS 1999-2010, and NHANES 1999-2004. We tested trend in overall PPYDV for BRFSS, MEPS, and NHIS from 1999-2010. For 2002 and 2010, we calculated absolute differences (AD) and 95% confidence intervals (CI) in PPYDV between BRFSS and each of the other surveys overall and among subpopulations defined by covariates. We pooled NHANES 1999-2004 data for comparison with BRFSS 2002. From 1999 to 2010, BRFSS (68.5% vs. 67.5%), MEPS (43.5% vs. 39.7%), and NHIS (63.3% vs. 59.7%) showed small but significant decreases in overall PPYDV. In 2002, estimates for overall PPYDV were highest for BRFSS (70.0%) and lowest for MEPS (43.9%) with estimates for NHIS (61.5%) and NHANES (1999-2004: 58.1%) in between; the largest AD (26.2%, 95% CI: 25.0%-27.3%) was between BRFSS and MEPS. ADs were consistent in 2002 and 2010, overall and by covariates, except among edentate persons, where PPYDV estimates from BRFSS and NHIS were similar. Estimates of PPYDV from BRFSS were notably higher than estimates from MEPS, NHIS, or NHANES except among the edentate. Trends in PPYDV over time, however, were consistent across all surveys. © 2016 American Association of Public Health Dentistry.

Subduction Initiation Existed Along the Ancient Continent Margins? Evidence of U-Pb ages of zircons from the Bonin Trench, Japan

NASA Astrophysics Data System (ADS)

Li, Y. B.; Pearce, J. A.; Ryan, J. G.; Li, X. H.; Haraguchi, S.; Iizuka, T.; Kon, Y.; Yamamoto, S.; Sawaki, Y.; Ishii, T.; Maruyama, S.

2017-12-01

Although it is not cleanly known when and where the subduction initiation began on the Paleo-Izu-Bonin-Mariana (IBM) Trench, Jurassic and Cretaceous plutonic rocks, such as gabbroic, granitic and metamorphic rocks had been sampled from the Amami Plateau-Daito Ridge-Okidaito Ridge (ADO) in the Philippine Sea Plate. Furthermore, Mesozonic to Paleozonic ages zircons were obtained from volcaniclastic sandstones collected from northern Izu-Bonin forarc (Tani et al., 2012). We present U-Pb ages, Hf-O isotopes and trace element compositions of zircon grains separated from sediment, volcanic rock, dolerite and gabbro, collected from Chichijima Island and Bonin forearc seafloor (KH03-3, KT04-28 cruise of the University of Tokyo, IODP Leg 352). In the zircon age histogram, several age groups were identified. The age peaks are 0-3 Ma and 13 Ma (Hahajima Seamount: soft mud and volcanic tuff); 38 Ma (Oomachi Seamount: sandstone); 45 Ma (Chichijima Island: volcanic rock); 40 Ma, 48 Ma and 52 Ma (Hahajima Seamount: dolerite and gabbro); 45 Ma and 164-165 Ma (IODP Leg 352: volcanic rock), respectively. Zircon U-Pb ages ranging 0-52 Ma correspond well to the multi-stages of magmatism in the IBM. However, 164-165 Ma maybe represent the ages of zircon xenocryst including in forearc volcanic rock , which pre-existing in ancient continent crustal materials (SE China Continent Crust?) as the basement of Paleo-IBM. It seems reasonable to suppose that the subduction initiation of IBM existed along the ancient SE China Continent margins. The initiation of subduction zone is a consequence of lateral compositional buoyancy contrast within the lithosphere, that advocated by Niu et al. (2003, 2016).

Pandemic Vibrio parahaemolyticus O3:K6 on the American continent

PubMed Central

Velazquez-Roman, Jorge; León-Sicairos, Nidia; de Jesus Hernández-Díaz, Lucio; Canizalez-Roman, Adrian

2014-01-01

Vibrio parahaemolyticus is one of the most important seafood-borne bacterial in recent years and is the leading causal agent of human acute gastroenteritis, primarily following the consumption of raw, undercooked or mishandled marine products. Until 1996, infections caused by V. parahaemolyticus were generally associated with diverse serovars. However, in February 1996, a unique serovar (O3:K6) of V. parahaemolyticus with specific genetic markers (tdh, toxRS/New and/or orf8) appeared abruptly in Kolkata, India. In subsequent years, O3:K6 isolates similar to those isolated in Kolkata have been reported from food borne outbreaks in Southeast Asia, as well as in the Atlantic and Gulf coasts of the United States (U.S). More recently, there have been reports in Europe, Africa and Central and South America. Specifically, in the American continent, some countries have reported cases of gastroenteritis due to the pandemic O3:K6 strain and its serovariants; the pandemic strain was first detected in Peru (1996, >100 cases), subsequently spreading to Chile in 1998 (>16,804 human cases), to the U.S. in 1998 (>700 cases), to Brazil in 2001 (>18 cases) and to Mexico in 2004 (>1200 cases). The arrival of the pandemic clone on the American continent may have resulted in a significant shift on the epidemic dynamics of V. parahaemolyticus. However, although O3:K6 is the predominant serovar of the recognized clinical strains in some countries in the Americas, a decrease in clinical cases caused by O3:K6 and an increase in cases associated with a new serotype (O3:K59, Chile) have been recently reported. The emergence and worldwide dissemination of O3:K6 and other pandemic strains since 1996 have come to represent a threat to public health and should concern health authorities. This review focuses on the presence, distribution and virulence factors of the V. parahaemolyticus O3:K6 pandemic clone and its serovariants in clinical and environmental strains on the American continent. PMID

Uncertainties in TRMM-Era multisatellite-based tropical rainfall estimates over the Maritime Continent

NASA Astrophysics Data System (ADS)

Rauniyar, S. P.; Protat, A.; Kanamori, H.

2017-05-01

This study investigates the regional and seasonal rainfall rate retrieval uncertainties within nine state-of-the-art satellite-based rainfall products over the Maritime Continent (MC) region. The results show consistently larger differences in mean daily rainfall among products over land, especially over mountains and along coasts, compared to over ocean, by about 20% for low to medium rain rates and 5% for heavy rain rates. However, rainfall differences among the products do not exhibit any seasonal dependency over both surface types (land and ocean) of the MC region. The differences between products largely depends on the rain rate itself, with a factor 2 difference for light rain and 30% for intermediate and high rain rates over ocean. The rain-rate products dominated by microwave measurements showed less spread among themselves over ocean compared to the products dominated by infrared measurements. Conversely, over land, the rain gauge-adjusted post-real-time products dominated by microwave measurements produced the largest spreads, due to the usage of different gauge analyses for the bias corrections. Intercomparisons of rainfall characteristics of these products revealed large discrepancies in detecting the frequency and intensity of rainfall. These satellite products are finally evaluated at subdaily, daily, monthly, intraseasonal, and seasonal temporal scales against high-quality gridded rainfall observations in the Sarawak (Malaysia) region for the 4 year period 2000-2003. No single satellite-based rainfall product clearly outperforms the other products at all temporal scales. General guidelines are provided for selecting a product that could be best suited for a particular application and/or temporal resolution.

Water Resources Data, Florida, Water Year 2003, Volume 4. Northwest Florida

USGS Publications Warehouse

prepared by Blum, Darlene A.; Alvarez, A. Ernie

2004-01-01

The U.S. Geological Survey (USGS), in cooperation with Federal, State, and local agencies, obtains a large amount of data on the water resources of the State of Florida each water year. These data, accumulated during many water years, constitute a valuable database that is used by water-resources managers, emergency-management officials, and many others to develop an improved understanding of water resources within the State. This report series for the 2003 water year for the state of Florida consists of records for continuous or daily discharge for 385 streams, periodic discharge for 13 streams, continuous or daily stage for 255 streams, periodic stage for 13 streams, peak stage and discharge for 36 streams, continuous or daily elevations for 13 lakes, periodic elevations for 46 lakes, continuous ground-water levels for 441 wells, periodic ground-water levels for 1,227 wells, and quality-of-water for 133 surface-water sites and 308 wells. This volume (Volume 4, Northwest Florida)contains records of continuous or daily discharge for 72 streams, periodic discharge for 3 stream, continuous or daily stage for 13 streams, periodic stage for 0 stream, peak stage and discharge for 28 streams, continuous or daily elevations for 1 lake, periodic elevations for 0 lakes, continuous ground-water levels for 3 wells, periodic ground-water levels for 0 wells, and quality-of-water for 3 surface-water sites and 0 wells. These data represent the National Water Data System records collected by the U.S. Geological Survey and cooperating local, State, and Federal agencies in Florida.

Clinical application of continent anal plug in bedridden patients with intractable diarrhea.

PubMed

Kim, J; Shim, M C; Choi, B Y; Ahn, S H; Jang, S H; Shin, H J

2001-08-01

Some patients bedridden from various causes such as stroke or spinal cord injury experience poor control of bowel movement. This causes fecal leakage and diarrhea, increases the risk of perianal excoriation and bed sores, and is a burden on caregivers. To evaluate the efficacy of fecal evacuation and the prevention and treatment of skin complications in intractable diarrhea patients using a new device. A continent anal plug (US Patent No. 5 569 216) comprises an inner balloon surrounded by an outer balloon, both of which are mounted on a silicone tube containing a pair of air passages and an enema fluid inlet. The tube is secured in place in the rectum by the inflatable outer balloon and is designed to drain fecal matter through a thin collapsible hose situated in the anal canal. Thirty-two patients (21 male; median age 61 (range, 28-76) years) were evaluated after fully informed consent. Median duration was 12 (range, 3-37) days. The continent anal plug evacuated efficiently in those patients with loose or watery stools who only required irrigation once daily or not at all. Skin excoriations improved in three to seven days. Minimal leakage was seen around the anus. There was no anorectal mucosal injury noted over 37 days. The continent anal plug is an efficient method of treating patients with loss of bowel control and incontinence because it enables controlled fecal evacuation and helps reduce skin complications without causing anorectal mucosal injury.

Use of Antegrade Continence Enema for the Treatment of Fecal Incontinence and Functional Constipation in Adults: A Systematic Review.

PubMed

Patel, Abhilasha S; Saratzis, Athanasios; Arasaradnam, Ramesh; Harmston, Christopher

2015-10-01

Antegrade continence enema is a proximal colonic stoma that allows antegrade lavage of the colon for the treatment of fecal incontinence and functional constipation. Its role in the treatment of these conditions in adults has not been established. This review aimed to evaluate the clinical response and complications of antegrade continence enema in the adult population. A systematic literature search of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases from January 1980 to October 2013 was conducted. Studies reporting clinical outcomes of antegrade continence enema in adult patients were considered. Only studies with participants aged 16 years and older were selected. Use of the antegrade continence enema for the treatment of constipation and incontinence in adults was investigated. The primary outcome was the number of patients irrigating their stoma. Secondary outcomes included the incidence of stoma stenosis, assessment of functional outcome, and evaluation of quality of life. Overall, 15 studies were selected, describing outcomes in 374 patients. All of the reports were observational cross-sectional studies, and 4 were prospective. The number of participants still using their stoma ranged from 47% to 100% over a follow-up period of 6 to 55 months. Eleven studies reported achievement of full continence in 33% to 100% of patients. Four studies described functional outcomes, and 7 studies reported a wide range of patient satisfaction. The rate of stoma stenosis varied from 8% to 50%. There were considerable heterogeneities within and across studies. Most studies were of poor quality, as reflected in the Methodological Index for Nonrandomized Studies score. Antegrade continence enema has been reported as an acceptable treatment of both functional constipation and fecal incontinence in adults across several analyses. There is wide variation regarding outcome measures. Larger prospective studies are required to assess the role of antegrade

Repeat prostate biopsies prior to radical prostatectomy do not impact erectile function recovery and mid- to long-term continence.

PubMed

Furrer, Marc A; Vilaseca, Antoni; Corradi, Renato B; Boxler, Silvan; Thalmann, George N; Nguyen, Daniel P

2018-06-01

A growing number of men undergo repeat biopsies prior to radical prostatectomy for prostate cancer. However, the long-term impact of repeat biopsies on functional outcomes in this patient population remains unelucidated. Thus, we compared functional outcomes between patients who underwent single biopsy versus repeat biopsies before radical prostatectomy. From 1996 to 2015, 1015 consecutive patients underwent radical prostatectomy, and subsequently had urinary continence and erectile function assessed for >2 years follow-up. One-fourth of patients (275; 27%) had ≥2 biopsies before prostatectomy. Logistic regression models tested whether repeat biopsy before prostatectomy predicted continence or erectile function recovery. For the overall cohort, continence rates were 84%, 92%, 96%, and 98% at 3, 6, 12, and 24 months, respectively. Repeat biopsy before prostatectomy was associated with lower continence rate at 3 months compared to single biopsy (P = 0.03); however, no significant differences were observed at 6, 12, or 24 months. In multivariable analyses adjusting for age, body mass index and diabetes/cardiovascular disease/smoking, the association between repeat biopsy and lower likelihood of continence at 3 months remained (odds ratio 0.67, 95% confidence interval 0.47-0.97; P = 0.03). Overall erectile function recovery rates were 16%, 33%, 51%, and 55% at 3, 6, 12, and 24 months, respectively. No difference in erectile function recovery rates was seen at any time point for single biopsy versus repeat biopsy. In multivariable analyses, repeat biopsy was not predictive of erectile function recovery at any time point. Repeat biopsy before radical prostatectomy impairs early continence after surgery. However, erectile function recovery and mid-term to long-term continence are not affected. These data support the current trend towards active surveillance and delayed local treatment in patients with low- to intermediate-risk prostate cancer. © 2018 Wiley

Rurality and Other Determinants of Early Colorectal Cancer Diagnosis in Nebraska: A 6-Year Cancer Registry Study, 1998-2003

ERIC Educational Resources Information Center

Sankaranarayanan, Jayashri; Watanabe-Galloway, Shinobu; Sun, Junfeng; Qiu, Fang; Boilesen, Eugene; Thorson, Alan G.

2009-01-01

Background: There are no studies of rurality, and other determinants of colorectal cancer (CRC) stage at diagnosis with population-based data from the Midwest. Methods: This retrospective study identified, incident CRC patients, aged 19 years and older, from 1998-2003 Nebraska Cancer Registry (NCR) data. Using federal Office of Management and…

Arizona motor vehicle crash facts, 1999

DOT National Transportation Integrated Search

2000-01-01

This publication is a statistical review of the motor vehicle crashes in the State of Arizona for calendar year 1999. : The results are compiled from Arizona Traffic Accident Reports submitted to the Arizona Department of : Transportation by state, c...

Missouri's forest resources in 1999

Treesearch

Thomas L. Schmidt

2000-01-01

The North Central Research Station's Forest Inventory and Analysis Program began fieldwork for the fifth Forest Inventory of Missouri in 1999. This inventory initiates a new annual inventory system. This Research Note contains preliminary estimates of Missouri's forest resources prepared from data gathered during the first year of the inventory.

Iowa's Forest Resources in 1999

Treesearch

Joseph T. II Boykin

2002-01-01

The North Central Research Station's Forest Inventory and Analysis Program began fieldwork for the fourth forest inventory of Iowa in 1999. This inventory initiates a new annual inventory system. This Research Note contains preliminary estimates of Iowa's forest resources prepared from data gathered during the first year of the inventory.

Indiana's Forest Resource in 1999

Treesearch

Patrick D. Miles

2001-01-01

The North Central Research Station's Forest Inventory and Analysis Program began fieldwork for the fifth forest inventory of Indiana in 1999. This inventory initiates a new annual inventory system. This Research Note contains estimates of Indiana's forest resources prepared from the data gathered during the first year of the inventory.

Minnesota's forest resources in 1999

Treesearch

Thomas L. Schmidt

2000-01-01

The North Central Research Station's Forest Inventory and Analysis Program began fieldwork for the sixth Forest Inventory of Minnesota in 1999. This inventory initiates a new annual inventory system. This Research Note contains preliminary estimates of Minnesota's forest resources prepared from data gathered during the first year of the inventory.

Spirituality, religion, and health: over the last 15 years of field research (1999-2013).

PubMed

Lucchetti, Giancarlo; Lucchetti, Alessandra Lamas Granero

2014-01-01

Although several studies have examined the contribution of specific countries, journals, and authors in different scientific disciplines, little is known about the contribution of different world countries, journals, and authors to scientific research in the field of "Spirituality, religion, and health" (S/R). The present study aims to analyze the last 15 years of research in the field of spirituality and religiousness (S/R) through a bibliometric analysis. Using the Pubmed database, we retrieved all articles related to S/R field for the period 1999-2013. We then estimated the total number of publications, number of articles published per year, articles published per country, journals with most publications in S/R field, most productive authors, and most used keywords. We found a growth of publications in the last years, most from the United States and the United Kingdom and published in the English language. Noteworthy, some developing countries such as India, Brazil, Israel, and Iran are at higher positions in this list. The S/R articles were published in journals embracing all fields of research, including high impact journals. In the present study, we took a closer look at the field of "Spirituality, religion, and health," showing that this field of research has been constantly growing and consolidating in the scientific community.

Colon pouch (Mainz III) for continent urinary diversion.

PubMed

Stolzenburg, Jens-Uwe; Schwalenberg, Thilo; Liatsikos, Evangelos N; Sakelaropoulos, George; Rödder, Kilian; Hohenfellner, Rudolph; Fisch, Margit

2007-06-01

To evaluate the use of a continent cutaneous pouch made exclusively of colon (Mainz pouch III), as excellent results with the Mainz pouch III in irradiated patients suggested that the indication for this type of urinary diversion could be extended. The outcome of 24 patients with continent cutaneous urinary diversions using colon segments (Mainz pouch III) was investigated retrospectively. Overall, 22 of the patients had a malignant disease and two a benign disease; 16 had a hysterectomy and pelvic exenteration for gynaecological tumours; two men with a rhabdomyosarcoma of the prostate had a radical cystoprostatectomy; one woman had pelvic exenteration for bladder cancer; one man had a simultaneous rectum resection due to infiltrating rectal cancer, and another a left nephrectomy with cystectomy for concomitant kidney and bladder tumour. Benign indications were hyper-reflexive bladder after polytrauma and two cases of neurogenic bladder dysfunction. Eighteen patients had radiotherapy (32-48 Gy) before the urinary diversion. The mean (range) follow-up was 35 (12-65) months. The mean pouch capacity was 293.8 mL. Three patients died during the follow-up (two from disease progression and one suicide); 20 patients were fully continent, four with reduced pouch capacity (<300 mL) had slight incontinence and are wearing a protective pad (band-aid at the umbilicus). All patients use intermittent self-catheterization (mean catheterization frequency 6.8/day, range 6-12). Complications related to the pouch were one outlet stenosis that required revision. Postoperative pouchograms showed asymptomatic reflux in four patients. None of the patients developed metabolic acidosis or diarrhoea. The Mainz pouch III is an alternative to other types of continent urinary diversion.

U.S. Department of Energy photovoltaic energy program contract summary, fiscal year 1999

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

Surek, T.; Hansen, A.

2000-02-17

This report summarizes the in-house and subcontracted research and development (R and D) activities under the National Center for Photovoltaics (NCPV) and US Department of Energy (DOE) National Photovoltaics Program from October 1, 1998, through September 30, 1999 (FY 1999). The mission of the DOE National Photovoltaics Program is to make PV a significant part of the domestic economy as an industry and an energy resource. The two primary goals of the national program are to (1) maintain the US industry's world leadership in research and technology development and (2) help the US industry remain a major, profitable force inmore » the world market. The NCPV is part of the National PV Program and provides leadership and support to the national program toward achieving its mission and goals.« less

QuickStats: Age-Adjusted Death Rates* for Females Aged 15-44 Years, by the Five Leading Causes of Death(†) - United States, 1999 and 2014.

PubMed

2016-07-01

The age-adjusted death rate for females aged 15-44 years was 5% lower in 2014 (82.1 per 100,000 population) than in 1999 (86.5). Among the five leading causes of death, the age-adjusted rates of three were lower in 2014 than in 1999: cancer (from 19.6 to 15.3, a 22% decline), heart disease (8.9 to 8.2, an 8% decline), and homicide (4.2 to 2.8, a 33% decline). The age-adjusted death rates for two of the five causes were higher in 2014 than in 1999: unintentional injuries (from 17.0 to 20.1, an 18% increase) and suicide (4.8 to 6.5, a 35% increase). Unintentional injuries replaced cancer as the leading cause of death in this demographic group.

The Influence of the Several Very Large Solar Proton Events in Years 2000-2003 on the Neutral Middle Atmosphere

NASA Technical Reports Server (NTRS)

Jackman, Charles H.; Sinnhuber, Miriam; Anderson, John; McPeters, Richard D.; FLeming, Eric L.; Russell, James M.

2004-01-01

Solar proton events (SPEs) are known to have caused changes in constituents in the Earth's neutral middle atmosphere. The highly energetic protons produce ionizations, excitations, dissociations, and dissociative ionizations of the background constituents, which lead to the production of HOx (H, OH, HO2) and NOy (N, NO, NO2, NO3, N2O5, HNO3, HO2NO2, ClONO2, BrONO2). The HOx increases lead to short-lived ozone decreases in the mesosphere and upper stratosphere due to the short lifetimes of the HOx constituents. The NOy increases lead to long-lived stratospheric ozone changes because of the long lifetime of the NOy family in this region. The past four years, 2000-2003, have been replete with SPEs and huge fluxes of high energy protons occurred in July and November 2000, September and November 2001, April 2002, and October 2003. Smaller, but still substantial, proton fluxes impacted the Earth during other months from year 2000 to 2003. The Goddard Space Flight Center (GSFC) Two-dimensional (2D) Model was used in computing the influence of the SPEs. The impact of these extremely large SPEs was calculated to be especially large in the upper stratosphere and mesosphere. The results of the GSFC 2D Model will be shown along with comparisons to the Upper Atmosphere Research Satellite (UARS) Halogen Occultation Experiment (HALOE) and Solar Backscatter Ultraviolet 2 (SBUV/2) instruments.

Evolution of Tropical and Extratropical Precipitation Anomalies During the 1997 to 1999 ENSO Cycle

NASA Technical Reports Server (NTRS)

Curtis, Scott; Adler, Robert; Huffman, George; Nelkin, Eric; Bolvin, David; Einaudi, Franco (Technical Monitor)

2000-01-01

The 1997-1999 ENSO period was very powerful, but also well observed. Multiple satellite rainfall estimates combined with gauge observations allow for a quantitative analysis of precipitation anomalies in the tropics and elsewhere accompanying the 1997-99 ENSO cycle. An examination of the evolution of the El Nino and accompanying precipitation anomalies revealed that a dry Maritime Continent preceded the formation of positive SST anomalies in the eastern Pacific Ocean. 30-60 day oscillations in the winter of 1996/97 may have contributed to this lag relationship. Furthermore, westerly wind burst events may have maintained the drought over the Maritime Continent. The warming of the equatorial Pacific was then followed by an increase in convection. A rapid transition from El Nino to La Nina occurred in May 1998, but as early as October-November 1997 precipitation indices captured substantial changes in Pacific rainfall anomalies. The global precipitation patterns for this event were in good agreement with the strong consistent ENSO-related precipitation signals identified in earlier studies. Differences included a shift in precipitation anomalies over Africa during the 1997-98 El Nino and unusually wet conditions over northeast Australia during the later stages of the El Nino. Also, the typically wet region in the north tropical Pacific was mostly dry during the 1998-99 La Nina. Reanalysis precipitation was compared to observations during this time period and substantial differences were noted. In particular, the model had a bias towards positive precipitation anomalies and the magnitudes of the anomalies in the equatorial Pacific were small compared to the observations. Also, the evolution of the precipitation field, including the drying of the Maritime Continent and eastward progression of rainfall in the equatorial Pacific was less pronounced for the model compared to the observations.

Comparing the impact of the 2003 and 2010 heatwaves on Net Ecosystem Production in Europe

NASA Astrophysics Data System (ADS)

Bastos, A. F.; Gouveia, C. M.; Trigo, R. M.

2012-12-01

Climate variability is known to influence primary productivity on land ecosystems (Nemani et al., 2003). In particular, extreme climatic events such as major droughts and heatwaves are known to have severe impact on primary productivity and, therefore, to affect significantly the carbon dioxide uptake by land ecosystems at regional (Ciais et al., 2005) or even global scale (Zhao and Running, 2010). In the last decade, Europe was struck by two outstanding heatwaves, the 2003 event in Western Europe and the recent 2010 episode over Eastern Europe. Both were characterised by record breaking temperatures at the daily, weekly, monthly and seasonal scales, although the amplitude and spatial extent of the 2010 mega-heatwave surpassed the 2003 event (Barriopedro et al., 2011). This work aims to assess the influence of both mega-heatwaves on seasonal and yearly Net Ecosystem Production (NEP). The work relies on monthly NEP data derived from satellite imagery obtained from MODIS (Moderate Resolution Imaging Spectroradiometer) sensor at 1km spatial resolution. Data were selected for the period between 2000 and 2011 over a region extending from 34.6 oN to 73.5 oN and 12.1 oW to 46.8 oE, covering Eurasia. In 2010 very low NEP anomalies are observed over a very large area in Eastern Europe, at the monthly, seasonal and yearly scale. In western Russia, yearly NEP anomalies fall below 50% of average cumulative NEP. These widespread negative anomalous values of NEP fields over the western Russia region match the patterns of very high temperature values combined with below-average precipitation, at the seasonal (summer) scale. Moreover, the impact of the heatwave is not only evident at the regional level but also at the wider continental (European) scale and is significantly more extensive and intense than the corresponding heatwave of 2003 in Western Europe (Ciais et al., 2005). References: Barriopedro, D., E. M. Fischer, J. Luterbacher, R. M. Trigo, and R. Garcia-Herrera (2011

Do nurses promote urinary continence in hospitalized older people?: An exploratory study.

PubMed

Dingwall, Lindsay; McLafferty, Ella

2006-10-01

The aim of this paper is to explore whether nurses working in elderly medicine and in acute medical settings promote urinary continence in older people or in reality use containment strategies. Untreated urinary incontinence in older adults can result in prolonged hospital admission and increased risk of admission to long-term care. Urinary incontinence can also have severe psychosocial effects on older people. Most studies relating to this topic have relied on quantitative approaches to data collection with a seeming lack of qualitative investigation into how nursing staff promote urinary continence in hospitalized older people. Focus groups and one-to-one semi-structured interviews were carried out in two NHS regions in Scotland. Registered and non-Registered Nurses were invited to participate. Five focus groups (n = 17) and four single interviews (n = 4) were conducted. Data generated were analysed thematically using QSR N-VIVO 2. Some nurses believe that older people accept urinary incontinence as a consequence of ageing. Lack of assessment results in older people being labelled as incontinent of urine. Assessment strategies in medicine for the elderly tend to focus on product identification and management of incontinence. Although nurses from all clinical areas identify the importance of promoting continence, the problem continues to be contained rather than treated. Conflicting clinical priorities, varying staff approaches to urinary continence and deficits in education are cited among the barriers to promoting continence. The results suggest that nurses continue to contain urinary incontinence rather than promoting continence in older people. Nursing staff need to be aware of the impact of untreated urinary incontinence on older people. Practitioners should promote continence rather than employing containment strategies. A validated assessment tool for older people needs to be developed. Views of older people should be sought regarding their attitudes

Risk of injury in basketball, football, and soccer players, ages 15 years and older, 2003-2007.

PubMed

Carter, Elizabeth A; Westerman, Beverly J; Hunting, Katherine L

2011-01-01

A major challenge in the field of sports injury epidemiology is identifying the appropriate denominators for injury rates. To characterize risk of injury from participation in basketball, football, and soccer in the United States, using hours of participation as the measure of exposure, and to compare these rates with those derived using population estimates in the denominator. Descriptive epidemiology study. United States, 2003-2007. People ages 15 years and older who experienced an emergency department-treated injury while playing basketball, football, or soccer. Rates of emergency department-treated injuries resulting from participation in basketball, football, or soccer. Injury rates were calculated for people ages 15 and older for the years 2003-2007 using the U.S. population and hours of participation as the denominators. The risk of injury associated with each of these sports was compared for all participants and by sex. From 2003 through 2007, annual injury rates per 1000 U.S. population were as follows: 1.49 (95% confidence interval [CI] = 1.30, 1.67) in basketball, 0.93 (95% CI = 0.82, 1.04) in football, and 0.43 (95% CI = 0.33, 0.53) in soccer. When the denominator was hours of participation, the injury rate in football (5.08 [95% CI = 4.46, 5.69]/10 000 hours) was almost twice as high as that for basketball (2.69 [95% CI = 2.35, 3.02]/10 000 hours) and soccer (2.69 [95% CI = 2.07, 3.30]/10 000 hours). Depending on the choice of denominator, interpretation of the risk of an emergency department-treated injury in basketball, football, or soccer varies greatly. Using the U.S. population as the denominator produced rates that were highest in basketball and lowest in soccer. However, using hours of participation as a more accurate measure of exposure demonstrated that football had a higher rate of injury than basketball or soccer for both males and females.

Ten-Year Secular Trends in Youth Violence: Results From the Philadelphia Youth Risk Behavior Survey 2003-2013.

PubMed

Pool, Andrew C; Patterson, Freda; Luna, Ingrid Y; Hohl, Bernadette; Bauer, Katherine W

2017-04-01

Youth violence reduction is a public health priority, yet few studies have examined secular trends in violence among urban youth, who may be particularly vulnerable to numerous forms of violence. This study examines 10-year secular trends in the prevalence of violence-related behaviors among Philadelphia high school students. Repeated cross-sectional data were analyzed from 5 waves of the Philadelphia Youth Risk Behavior Survey (YRBS) from 2003 to 2013. Sex-specific multivariate regression models were used to examine secular trends in multiple types of violence, accounting for age, race/ethnicity, and sampling strategy. In 2013, the most prevalent violent behavior was physical fighting among boys (38.4%) and girls (32.7%). Among girls, the prevalence of sexual assault and suicide attempts declined between 2003 and 2013 (β = -0.13, p = .04 and β = -0.14, p = .007, respectively). Among boys, significant declines in carrying a weapon (β = -0.31, p < .001), carrying a gun (β = -0.16, p = .01), and physical fighting (β = -0.35, p = .001) were observed. Whereas the prevalence of some forms of violence stabilized or declined among Philadelphia youth during 2003-2013 time span, involvement in violence-related behaviors remains common among this population. Continued surveillance and evidence-based violence reduction strategies are needed to address violence among urban youth. © 2017, American School Health Association.

DOT's budget : management and performance issues facing the department in fiscal year 1999

DOT National Transportation Integrated Search

1998-02-12

This testimony discusses key resource management issues and performance challenges facing the Department of Transportation in 1999 and beyond. 1. There is a need for increased management attention to highway, transit, and rail programs - which accoun...

Shell-free biomass and population dynamics of dreissenids in offshore Lake Michigan, 2001-2003

USGS Publications Warehouse

French, J. R. P.; Adams, J.V.; Craig, J.; Stickel, R.G.; Nichols, S.J.; Fleischer, G.W.

2007-01-01

The USGS-Great Lakes Science Center has collected dreissenid mussels annually from Lake Michigan since zebra mussels (Dreissena polymorpha) became a significant portion of the bottom-trawl catch in 1999. For this study, we investigated dreissenid distribution, body mass, and recruitment at different depths in Lake Michigan during 2001-2003. The highest densities of dreissenid biomass were observed from depths of 27 to 46 m. The biomass of quagga mussels (Dreissena bugensis) increased exponentially during 2001-2003, while that of zebra mussels did not change significantly. Body mass (standardized for a given shell length) of both species was lowest from depths of 27 to 37m, highest from 55 to 64 m, and declined linearly at deeper depths during 2001-2003. Recruitment in 2003, as characterized by the proportion of mussels < 11 mm in the catch, varied with depth and lake region. For quagga mussels, recruitment declined linearly with depth, and was highest in northern Lake Michigan. For zebra mussels, recruitment generally declined non-linearly with depth, although the pattern was different for north, mid, and southern Lake Michigan. Our analyses suggest that quagga mussels could overtake zebra mussels and become the most abundant mollusk in terms of biomass in Lake Michigan.

Preoperative predictive model of recovery of urinary continence after radical prostatectomy.

PubMed

Matsushita, Kazuhito; Kent, Matthew T; Vickers, Andrew J; von Bodman, Christian; Bernstein, Melanie; Touijer, Karim A; Coleman, Jonathan A; Laudone, Vincent T; Scardino, Peter T; Eastham, James A; Akin, Oguz; Sandhu, Jaspreet S

2015-10-01

To build a predictive model of urinary continence recovery after radical prostatectomy (RP) that incorporates magnetic resonance imaging (MRI) parameters and clinical data. We conducted a retrospective review of data from 2,849 patients who underwent pelvic staging MRI before RP from November 2001 to June 2010. We used logistic regression to evaluate the association between each MRI variable and continence at 6 or 12 months, adjusting for age, body mass index (BMI) and American Society of Anesthesiologists (ASA) score, and then used multivariable logistic regression to create our model. A nomogram was constructed using the multivariable logistic regression models. In all, 68% (1,742/2,559) and 82% (2,205/2,689) regained function at 6 and 12 months, respectively. In the base model, age, BMI and ASA score were significant predictors of continence at 6 or 12 months on univariate analysis (P < 0.005). Among the preoperative MRI measurements, membranous urethral length, which showed great significance, was incorporated into the base model to create the full model. For continence recovery at 6 months, the addition of membranous urethral length increased the area under the curve (AUC) to 0.664 for the validation set, an increase of 0.064 over the base model. For continence recovery at 12 months, the AUC was 0.674, an increase of 0.085 over the base model. Using our model, the likelihood of continence recovery increases with membranous urethral length and decreases with age, BMI and ASA score. This model could be used for patient counselling and for the identification of patients at high risk for urinary incontinence in whom to study changes in operative technique that improve urinary function after RP. © 2015 The Authors BJU International © 2015 BJU International Published by John Wiley & Sons Ltd.

Accelerated measles control--Cambodia, 1999-2002.

PubMed

2003-01-10

Cambodia is recovering from approximately 30 years of civil war that resulted in the breakdown of the country's public health infrastructure. In 1999, the Ministry of Health initiated a measles-control program with the goal of reducing the annual incidence of measles to <10,000 cases in 2005 by strengthening measles surveillance, improving routine vaccination coverage, implementing supplementary measles immunization activities (SIAs), and providing vitamin A during outbreak investigations and SIAs. This report summarizes measles-vaccination activities and their impact in reducing reported measles cases from 13,827 in 1999 to 1,234 in 2002 and suggests options for future measles-control efforts in postconflict situations.

Impact of posterior rhabdosphincter reconstruction during robot-assisted radical prostatectomy: retrospective analysis of time to continence.

PubMed

Woo, Jason R; Shikanov, Sergey; Zorn, Kevin C; Shalhav, Arieh L; Zagaja, Gregory P

2009-12-01

Posterior rhabdosphincter (PR) reconstruction during robot-assisted radical prostatectomy (RARP) was introduced in an attempt to improve postoperative continence. In the present study, we evaluate time to achieve continence in patients who are undergoing RARP with and without PR reconstruction. A prospective RARP database was searched for most recent cases that were accomplished with PR reconstruction (group 1, n = 69) or with standard technique (group 2, n = 63). We performed the analysis applying two definitions of continence: 0 pads per day or 0-1 security pad per day. Patients were evaluated by telephone interview. Statistical analysis was carried out using the Kaplan-Meier method and log-rank test. With PR reconstruction, continence was improved when defined as 0-1 security pad per day (median time of 90 vs 150 days; P = 0.01). This difference did not achieve statistical significance when continence was defined as 0 pads per day (P = 0.12). A statistically significant improvement in continence rate and time to achieve continence is seen in patients who are undergoing PR reconstruction during RARP, with continence defined as 0-1 security/safety pad per day. A larger, prospective and randomized study is needed to better understand the impact of this technique on postoperative continence.

Nebraska's forest resources in 2003

Treesearch

W. Keith Moser; Gary J. Brand; Mark H. Hansen; William R. Lovett

2005-01-01

Reports results of the first three yearly panels (2001-2003) of the fourth inventory of Nebraska's forest resources. Includes information on forest area; volume; biomass; growth, removals, and mortality; and forest health.

NASA Hydrogen Research at Florida Universities, Program Year 2003

NASA Technical Reports Server (NTRS)

Block, David L.; Raissi, Ali

2006-01-01

This document presents the final report for the NASA Hydrogen Research at Florida Universities project for program year 2003. This multiyear hydrogen research program has positioned Florida to become a major player in future NASA space and space launch projects. The program is funded by grants from NASA Glenn Research Center with the objective of supporting NASA's hydrogen-related space, space launch and aeronautical research activities. The program conducts over 40 individual projects covering the areas of cryogenics, storage, production, sensors, fuel cells, power and education. At the agency side, this program is managed by NASA Glenn Research Center and at the university side, co-managed by FSEC and the University of Florida with research being conducted by FSEC and seven Florida universities: Florida International University, Florida State University, Florida A&M University, University of Central Florida, University of South Florida, University of West Florida and University of Florida. For detailed information, see the documents section of www.hydrogenresearch.org. This program has teamed these universities with the nation's premier space research center, NASA Glenn, and the nation's premier space launch facility, NASA Kennedy Space Center. It should be noted that the NASA Hydrogen Research at Florida Universities program has provided a shining example and a conduit for seven Florida universities within the SUS to work collaboratively to address a major problem of national interest, hydrogen energy and the future of energy supply in the U.S.

Public Health Implications of Changing Rodent Importation Patterns - United States, 1999-2013.

PubMed

Lankau, E W; Sinclair, J R; Schroeder, B A; Galland, G G; Marano, N

2017-04-01

The United States imports a large volume of live wild and domestic animal species; these animals pose a demonstrated risk for introduction of zoonotic diseases. Rodents are imported for multiple purposes, including scientific research, zoo exhibits and the pet trade. Current U.S. public health regulatory restrictions specific to rodent importation pertain only to those of African origin. To understand the impacts of these regulations and the potential public health risks of international rodent trade to the United States, we evaluated live rodent import records during 1999-2013 by shipment volume and geographic origin, source (e.g. wild-caught versus captive- or commercially bred), intended purpose and rodent taxonomy. Live rodent imports increased from 2737 animals during 1999 to 173 761 animals during 2013. Increases in both the number and size of shipments contributed to this trend. The proportion of wild-captured imports declined from 75% during 1999 to <1% during 2013. Nearly all shipments during these years were imported for commercial purposes. Imports from Europe and other countries in North America experienced notable increases in volume. Gerbils and hamsters arriving from Europe and chinchillas, guinea pigs and hamsters arriving from other countries in North America were predominant taxa underlying this trend. After 2003, African-origin imports became sporadic events under the federal permit process. These patterns suggest development of large-scale captive rodent breeding markets abroad for commercial sale in the United States. While the shift from wild-captured imports alleviates many conservation concerns and risks for novel disease emergence, such consolidated sourcing might elevate exposure risks for zoonotic diseases associated with high-density rodent breeding (e.g. lymphocytic choriomeningitis or salmonellosis). A responsive border health system must periodically re-evaluate importation regulations in conjunction with key stakeholders to ensure a

A "Stratospheric Drain" over the Maritime Continent

NASA Technical Reports Server (NTRS)

Sherwood, Steve

1999-01-01

Evidence is presented from operational rawinsonde data surrounding the maritime continent that the net mass flux near the tropopause is downward over this region, contrary to the behavior of current numerical models. The air is descending year-round, despite mean upward motion below and above the descending layer. This sinking implies the existence of a significant energy-removing process, which is argued to be the injection of cold air by overshooting convective clouds. The mass, energy, and horizontal momentum budgets are examined in reaching these conclusions. The implied cooling effect of convective overshoots can be simulated with a simple, parcel-sorting convective mixing model. The findings contradict the common view that the mean flow enters the stratosphere in this strongly-convecting region, and have important implications for transport of water vapor and other gases into the stratosphere.

Kansas' forest resources in 2003

Treesearch

W. Keith Moser; Robert L. Atchison; Gary J. Brand

2005-01-01

Reports the results of the first three yearly panels (2001-2003) of the fifth inventory of Kansas' forest resources. Includes information on forest area; volume; biomass; growth, removals, and mortality; and forest health.

Sonographic evaluation of the bladder neck in continent and stress-incontinent women.

PubMed

Schaer, G N; Perucchini, D; Munz, E; Peschers, U; Koechli, O R; Delancey, J O

1999-03-01

To evaluate a new sonographic method to measure depth and width of proximal urethral dilation during coughing and Valsalva maneuver and to report its use in a group of stress-incontinent and continent women. Fifty-eight women were evaluated, 30 with and 28 without stress incontinence proven urodynamically, with a bladder volume of 300 mL and the subjects upright. Urethral pressure profiles at rest were performed with a 10 French microtip pressure catheter. Bladder neck dilation and descent were assessed by perineal ultrasound (5 MHz curved linear array transducer) with the help of ultrasound contrast medium (galactose suspension-Echovist-300), whereas abdominal pressure was assessed with an intrarectal balloon catheter. Statistical analysis used the nonparametric Mann-Whitney test. The depth and diameter of urethral dilation could be measured in all women. During Valsalva, all 30 incontinent women exhibited urethral dilation. One incontinent woman showed dilation only while performing a Valsalva maneuver, not during coughing. In the continent group, 12 women presented dilation during Valsalva and six during coughing. In continent women, dilation was visible only in those who were parous. Nulliparous women did not have dilation during Valsalva or coughing. Bladder neck descent was visible in continent and incontinent women. This method permits quantification of depth and diameter of bladder neck dilation, showing that both incontinent and continent women might have bladder neck dilation and that urinary continence can be established at different locations along the urethra in different women. Parity seems to be a main prerequisite for a proximal urethral defect with bladder neck dilation.

Streamflow characteristics and trends in New Jersey, water years 1897-2003

USGS Publications Warehouse

Watson, Kara M.; Reiser, Robert G.; Nieswand, Steven P.; Schopp, Robert D.

2005-01-01

Streamflow statistics were computed for 111 continuous-record streamflow-gaging stations with 20 or more years of continuous record and for 500 low-flow partial-record stations, including 66 gaging stations with less than 20 years of continuous record. Daily mean streamflow data from water year 1897 through water year 2001 were used for the computations at the gaging stations. (The water year is the 12-month period, October 1 through September 30, designated by the calendar year in which it ends). The characteristics presented for the long-term continuous-record stations are daily streamflow, harmonic mean flow, flow frequency, daily flow durations, trend analysis, and streamflow variability. Low-flow statistics for gaging stations with less than 20 years of record and for partial-record stations were estimated by correlating base-flow measurements with daily mean flows at long-term (more than 20 years) continuous-record stations. Instantaneous streamflow measurements through water year 2003 were used to estimate low-flow statistics at the partial-record stations. The characteristics presented for partial-record stations are mean annual flow; harmonic mean flow; and annual and winter low-flow frequency. The annual 1-, 7-, and 30-day low- and high-flow data sets were tested for trends. The results of trend tests for high flows indicate relations between upward trends for high flows and stream regulation, and high flows and development in the basin. The relation between development and low-flow trends does not appear to be as strong as for development and high-flow trends. Monthly, seasonal, and annual precipitation data for selected long-term meteorological stations also were tested for trends to analyze the effects of climate. A significant upward trend in precipitation in northern New Jersey, Climate Division 1 was identified. For Climate Division 2, no general increase in average precipitation was observed. Trend test results indicate that high flows at

Improved quality of life and sexuality with continent urinary diversion in quadriplegic women with umbilical stoma.

PubMed

Moreno, J G; Chancellor, M B; Karasick, S; King, S; Abdill, C K; Rivas, D A

1995-08-01

Quality of life issues prompted us to offer continent urinary diversion to quadriplegic women who required cystectomy for end-stage neurogenic vesical dysfunction complicated by urethral destruction as a result of chronic indwelling catheterization. Three women with spinal cord injury (SCI) and resultant quadriplegia of 5 to 15 years duration underwent continent urinary diversion. Preoperative evaluation and urodynamic studies in each showed a bladder capacity of less than 150mL, bilateral vesicoureteral reflux, recurrent febrile urinary tract infections, an incompetent urethral sphincter, and incontinence around an indwelling catheter in all three patients. Although highly motivated, these women showed minimal dexterity and were unable to perform urethral self-catheterization. Each was opposed to having an incontinent abdominal urinary stoma. The urinary reservoir was created from 30cm of detubularized right colon. The continence mechanism used an intussuscepted and imbricated ileocecal valve. The umbilicus was chosen as the urostomy site because of cosmetic appearance and ease of catheterization for a patient with minimal dexterity. Follow-up ranged from 18 to 30 months. Reservoir capacity ranged from 550 to 800mL without evidence of reflux or stomal leakage. The incidence of symptomatic autonomic dysreflexia and urinary tract infection decreased postoperatively in all patients. Of the two women who were sexually active, the frequency of activity increased from 8 to 15 episodes per month in one and 3 to 4 episodes per month in the other. Both reported improved sexual enjoyment. Body image and satisfaction with urologic management increased in all three patients. In conclusion, continent urinary diversion in selected quadriplegic patients is a reasonable alterative to incontinent intestinal urinary diversion. The umbilical stoma provides an excellent cosmetic result which patients with minimal dexterity are able to catheterize easily. Continent urinary diversion

Determinants of inequalities in the quality of Brazilian diet: trends in 12-year population-based study (2003-2015).

PubMed

Mello, Aline Veroneze de; Sarti, Flávia Mori; Pereira, Jaqueline Lopes; Goldbaum, Moisés; Cesar, Chester Luiz Galvão; Alves, Maria Cecilia Goi Porto; Fisberg, Regina Mara

2018-06-07

Recent studies have explored the influence of socioeconomic inequalities on the diet quality. However, there is lack of evidence regarding the level of inequalities in dietary quality and its main contributing factors from population-based follow-up studies. The primary objective of this study was to investigate the level and the determinants of inequalities in diet quality in a representative sample of adolescents, adults and older adults resident in São Paulo, Brazil. Data from the Health Survey of São Paulo (ISA-Capital) were analyzed for 2003 (n = 2398), 2008 (n = 1662) and 2015 (n = 1742) surveys. Information on food consumption was obtained through 24-h dietary recall, and diet quality was assessed based on the Revised Brazilian Healthy Eating Index (BHEI-R). The descriptive variables were compared using 95% confidence interval. The scores of BHEI-R and its components were compared across age groups and year. The association between socioeconomic inequalities and diet quality was based on the estimation of concentration index. We observed that the BHEI-R scores gradually improved over 12-years, with older adults showing the greatest improvement. The increase in overall population score was observed for total fruits, whole fruits, whole grains, oils and sodium. The main contributor to socioeconomic inequality in diet quality in 2003 was ethnic group, and in 2008 and 2015, it was per capita household income; age was a persistent factor of inequality in the population over the years. Concentration indices indicated that lower income individuals had higher BHEI-R scores in 2003; however, there was a shift in favor of higher income individuals in 2008 and 2015. Changes in the patterns of determination of inequalities according to age, ethnic group or income during the period analyzed show the existence of ongoing process of contribution of demographic and socioeconomic factors in the diet quality of individuals in a large urban center.

Are natural and unnatural appetites equally controllable? A response to Jensen's "Is continence enough?".

PubMed

Smith, Janet E

2004-01-01

This response challenges Jensen's analysis in no substantial way. Rather, it explains more fully some of the moral character categories that Aristotle provides. It argues that Aristotle understood there to be two forms of continence: the continence that enables us to control natural appetites and"some form"of continence directed towards unnatural appetites, generally engendered by some pathology or abuse.

Trends in Guillain-Barré syndrome mortality in Spain from 1999 to 2013.

PubMed

Ruiz, Elena; Ramalle-Gómara, Enrique; Quiñones, Carmen; Martínez-Ochoa, Eva

2016-11-01

Guillain-Barré syndrome (GBS) is a rare disease that consists of a group of neuropathic conditions. Very few epidemiological studies of GBS have been carried out in Spain. The aim of this study was to determine the trends in GBS mortality in the total population of Spain for the period 1999 to 2013. Data on GBS deaths were drawn from the National Statistics Institute of Spain. Crude and overall age-standardised GBS mortality rates were calculated and joinpoint regression models were used to describe trend changes. Mean age of deceased by GBS each year was also assessed. The overall age-standardised GBS mortality rate was 0.71 per million in 1999 and 0.40 in 2013. It was higher in men, 1.08 vs. 0.42 in 1999 and 0.48 vs. 0.35 in 2013. There was a statistically significant decrease in mortality during the study period. All the age-standardised mortality rates decreased (overall and by gender) from 1999 to 2013. The mean age at death increased with time, from 73 years in 1999 to 77 years in 2013. GBS mortality has improved in Spain during the last 15 years. The age of death has risen and the mortality rate has decreased.

Quality audit--a review of the literature concerning delivery of continence care.

PubMed

Swaffield, J

1995-09-01

This paper outlines the role of quality audit within the framework of quality assurance, presenting the concurrent and retrospective approaches available. The literature survey provides a review of the limited audit tools available and their application to continence services and care delivery, as well as attempts to produce tools from national and local standard setting. Audit is part of a process; it can involve staff, patients and their relatives and the team of professionals providing care, as well as focusing on organizational and management levels. In an era of market delivery of services there is a need to justify why audit is important to continence advisors and managers. Effectiveness, efficiency and economics may drive the National Health Service, but quality assurance, which includes standards and audit tools, offers the means to ensure the quality of continence services and care to patients and auditing is also required in the purchaser/provider contracts for patient services. An overview and progress to date of published and other a projects in auditing continence care and service is presented. By outlining and highlighting the audit of continence service delivery and care as a basis on which to build quality assurance programmes, it is hoped that this knowledge will be shared through the setting up of a central auditing clearing project.

Smart wireless continence management system for persons with dementia.

PubMed

Wai, Aung Aung Phyo; Fook, Victor Foo Siang; Jayachandran, Maniyeri; Biswas, Jit; Nugent, Chris; Mulvenna, Maurice; Lee, Jer-En; Kiat, Philp Yap Lian

2008-10-01

Incontinence is highly prevalent in the elderly population, especially in nursing home residents with dementia. It is a distressing and costly health problem that affects not only the patients but also the caregivers. Effective continence management is required to provide quality care, and to eliminate high labor costs and annoyances to the caregivers resulting from episodes of incontinence. This paper presents the design, development, and preliminary deployment of a smart wireless continence management system for dementia-impaired elderly or patients in institutional care settings such as nursing homes and hospitals. Specifically, the mote wireless platform was used to support the deployment of potentially large quantities of wetness sensors with wider coverage and with dramatically less complexity and cost. It consists of an intelligent signal relay mechanism so that the residents are free to move about in the nursing home or hospital and allows personalized continence management service. Preliminary results from a trial in a local nursing home are promising and can significantly improve the quality of care for patients.

Report of the ASCA Ethics Committee: 1997-1999.

ERIC Educational Resources Information Center

Dansby-Giles, G.; Carpenter, J.; Howes, J.; Hubert, R. M.; Huss, S. Norris; Kraus, K.; Reed, S.; Thomas, R.; Whitledge, J.

Ethical inquiries processed by the Ethics Committee of the American School Counselor Association (ASCA) were reviewed for the years 1997-1999. During the first years, 38 inquiries were reported. In the following year, the Ethical Standards for School Counselors was published and that helped drop the number of inquiries. The topical areas of…

Antidepressants and Youth Suicide in New York City, 1999-2002

ERIC Educational Resources Information Center

Leon, Andrew C.; Marzuk, Peter M.; Tardiff, Kenneth; Bucciarelli, Angela; Piper, Tinka Markham; Galea, Sandro

2006-01-01

Objective: To determine the proportion of youth suicides in New York City from 1999 to 2002 in which antidepressants were detected at autopsy. Method: This is a medical examiner surveillance study of suicides in New York City among those younger than 18 years of age. The outcome measure is serum toxicology for antidepressants. Results: From 1999…

Water Resources Data North Dakota Water Year 2003, Volume 1. Surface Water

USGS Publications Warehouse

Robinson, S.M.; Lundgren, R.F.; Sether, B.A.; Norbeck, S.W.; Lambrecht, J.M.

2004-01-01

Water-resources data for the 2003 water year for North Dakota consists of records of discharge, stage, and water quality for streams; contents, stage, and water quality for lakes and reservoirs; and water levels and water quality for ground-water wells. Volume 1 contains records of water discharge for 108 streamflow-gaging stations; stage only for 24 river-stage stations; contents and/or stage for 14 lake or reservoir stations; annual maximum discharge for 32 crest-stage stations; and water-quality for 99 streamflow-gaging stations, 5 river-stage stations, 11 lake or reservoir stations, 8 miscellaneous sample sites on rivers, and 63 miscellaneous sample sites on lakes and wetlands. Data are included for 7 water-quality monitor sites on streams and 2 precipitation-chemistry stations. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating Federal, State, and local agencies in North Dakota.

Impact of metabolic syndrome on early recovery of continence after robot-assisted radical prostatectomy.

PubMed

Nishikawa, Masatomo; Watanabe, Hiromitsu; Kurahashi, Toshifumi

2017-09-01

To evaluate the impact of metabolic syndrome on the early recovery of urinary continence after robot-assisted radical prostatectomy. The present study included a total of 302 consecutive Japanese patients with clinically localized prostate cancer who underwent robot-assisted radical prostatectomy. In this study, postoperative urinary continence was defined as no leak or the use of a security pad. The continence status was assessed by interviews before and 1 and 3 months after robot-assisted radical prostatectomy. Metabolic syndrome was defined as follows: body mass index ≥25 kg/m 2 and two or more of the following: hypertension, diabetes mellitus and dyslipidemia. The effect of the presence of metabolic syndrome on the continence status of these patients was retrospectively examined. A total of 116 (38.4%) and 203 (67.2%) of the 302 patients were continent at 1 and 3 months after robot-assisted radical prostatectomy, respectively. A total of 31 (10.3%) patients were judged to have metabolic syndrome. Despite the operative time being longer in patients with metabolic syndrome, no significant differences were observed in the remaining preoperative, intraoperative or postoperative variables between patients with or without metabolic syndrome. On multivariate logistic regression analysis, metabolic syndrome and the duration of hospitalization were significantly correlated with the 1-month continence status. Similarly, metabolic syndrome and estimated blood loss during surgery were independent predictors of continence rates at 3 months after robot-assisted radical prostatectomy. These findings suggest that the presence of metabolic syndrome could have a significant impact on the early recovery of urinary continence after robot-assisted radical prostatectomy. © 2017 The Japanese Urological Association.

The EDUTECH Report, 1999-2000.

ERIC Educational Resources Information Center

EDUTECH Report, 2000

2000-01-01

This document consists of the 12 issues, an entire volume year, of the 1999-2000 EDUTECH Report. The newsletter's purpose is to alert faculty and administrators to issues in educational technology. Each issue contains two or three articles, a page of news briefs, a preview of the upcoming issue, and a question and answer column. Most issues also…

The pathologic characteristics of breast cancer in China and its shift during 1999-2008: a national-wide multicenter cross-sectional image over 10 years.

PubMed

Zheng, Shan; Bai, Jing-Qiao; Li, Jing; Fan, Jin-Hu; Pang, Yi; Song, Qing-Kun; Huang, Rong; Yang, Hong-Jian; Xu, Feng; Lu, Ning; Qiao, You-Lin

2012-12-01

In China, breast cancer is currently the most common malignancy and the sixth leading cause of cancer death in women. But, the characteristics of breast cancer in the whole population are not determined. The aim of this study was to perform a detailed study on pathologic characteristics of breast cancer representing the whole population in China during 1999-2008 and to compare the difference in invasive breast cancer between the Western and Chinese. We randomly collected 4,211 inpatient at seven hospitals in representative geographical regions of China during 1999-2008. All the hospitals had the ability of comprehensive cancer treatment. The pathologic characters including estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2) status were surveyed. The shift of pathologic characters was evaluated and the data from China were also compared with those of the Western, both using Chi-square test. We found as follow. (i) The median age of the patients was 48 years and showed the similar characters of Asia. (ii) Breast cancer in China showed more invasive ductal carcinoma with larger tumor size, later stage, lower ER and PR expression and higher HER2 overexpression than those in the Western (p < 0.001). (iii) Both tumor size and stage at diagnosis decreased year by year (p < 0.001). Breast cancer in China showed more aggressive behavior than those in western countries, although tumor size and stage at diagnosis decreased by year during 1999-2008. We addressed the urgent needs for employ race-specific breast cancer screen, diagnosis methods, and therapeutic models in China. Copyright © 2012 UICC.

Ohio traffic crash facts, 2003

DOT National Transportation Integrated Search

2004-04-28

Information contained in this report represents traffic crash data and supporting information from the : Ohio Integrated Traffic Records System (ITRS) for the calendar year 2003. Data presented herein : represents the crash report forms as submitted ...

Polish universal neonatal hearing screening program-4-year experience (2003-2006).

PubMed

Szyfter, Witold; Wróbel, Maciej; Radziszewska-Konopka, Marzanna; Szyfter-Harris, Joanna; Karlik, Michał

2008-12-01

The aim of this paper is to share our experience and observations in running the Universal Neonatal Hearing Screening Program on a national level, present results and indicate some problems that have arisen during these 4 years. Polish Universal Neonatal Hearing Screening Program started back in 2002 in all neonatal units in Poland. Implemented testing methods consisted of test of transient evoked otoacoustic emission (TEOAE) performed in all new born children in their first 2-3 days of life and auditory brainstem response testing (ABR) conducted on children, who did not meet the TEOAE pass criteria. Additional questionnaire registered information on ototoxic drugs and family history of hearing impairment in every newborn. Diagnosed children were further referred for treatment and rehabilitation. After 4 years of running the program (between 2003 and 2006) a total number of 1,392,427 children were screened for hearing impairment, what stands for 96.3% of all delivered babies, registered in Poland. The screening program enabled to identify and refer for further treatment 2485 children with various types of hearing loss, 312 with profound (0.02% of population) and 145 with severe sensorineural hearing loss (0.11% of population). Our results indicate the accuracy of newborn hearing screening which remain an issue. Although improvement is needed in both intervention systems and diagnostic follow-up of hospitals, the Polish Universal Neonatal Hearing Program fully has achieved the main goal, the identification and treatment of hearing impaired children.

OxyContin in Ontario: the multiple materialities of prescription painkillers.

PubMed

King, Samantha

2014-05-01

In the past decade, OxyContin diversion and misusehave been firmly established in Ontarian public discourse as serious problems requiring major intervention.This article contextualizes and theorizesthe processes through which the marketing of the prescription opioid and its subsequent problematization occurred. Theanalysis refuses the impossible choice between the 'deserving pain patient' and the 'undeserving addict,' between the war on pain and the war on drugs, and between a notion of OxyContin as either miracle panacea or destructive poison. Rather than falling in step with these binaries, OxyContinis theorized across them, or multiply, with the aim of moving beyond established moral and theoretical registers for exploring embodied consumption. This discursive study is based on a broad range of texts collected between 2009-2013: Hansard reports from the Legislative Assembly of Ontario; newspaper, magazine, and internet coverage of OxyContin; and policy documents, research reports, and position papers and news releases produced by government agencies, advocacy organizations, professional bodies, think tanks, tribal councils, and law enforcement agencies. Pharmaceutical industry and state actors have attempted to dualistically parse disparate materializations of OxyContin, a tactic that intensified as media pressure helped produce the notion of a public health crisis and, implicitly, a crisis of welfare dependence. By focusing on the (impossible) task of stratifying proper from improper use, the drug's advocatessought to secure the integrity of opioid painkillers and to protect their materialization as vehicles for maintaining a body that is normal, stable, and in control, as opposed to a body of excess that threatens to expose the consumerist logic of contemporary medicine. Attempts to contain the multiplicity of OxyContin result in the further entrenchment of privatized and individualized approaches to pain and painkilling and serve to undermine rather than

Thermal bioclimate in Strasbourg - the 2003 heat wave

NASA Astrophysics Data System (ADS)

Matzarakis, Andreas; de Rocco, Manuela; Najjar, Georges

2009-10-01

This case study highlights the implications of the 2003 heat wave for the city of Strasbourg, France. The urban centers of France and other European countries were particularly affected by the heat wave. In some urban areas, the mortality rate was 60% above the expected value (Institute de Veille Sanitaire, 2003). The 2003 heat wave demonstrated once again that populations in urban centers are much more affected by extreme meteorological events than people living in rural areas. The aim of this analysis is to explore differences in thermal comfort conditions of (a) the city center of Strasbourg, and (b) its hinterland. The differences in thermal conditions existing between rural and urban areas are quantified by using a bio-climatological index termed physiologically equivalent temperature (PET). This index is based on the human energy balance and builds a relevant index for the quantification of the thermal environment of humans. We calculate the PET for the years 2003 and 2004 to highlight the temporal changes in the severity of climate extremes. The spatial scope of this study is improved compared to previous works in the field through the inclusion of PET calculations for five different sites on a central place in Strasbourg (Place Kléber). The calculations are characterized by different sky view factors and are compared to the reference site, which is located in a rural area. In the rural hinterland (Entzheim), the analysis of PET indicates a strong cold thermal stress during the winter months but no significant stress in summer. In 2003, summer temperatures were sensed as warmer compared to other years, but did not reach the extreme temperatures that may cause severe heat stress. For both the rural and the urban study sites PET was higher in the summer of 2003 than in 2004, which reflects the inferior thermal conditions in the urban area during the heat wave in 2003. For the entire study period, urban and rural day-time PET reached similar maximal values

Earth's first stable continents did not form by subduction.

PubMed

Johnson, Tim E; Brown, Michael; Gardiner, Nicholas J; Kirkland, Christopher L; Smithies, R Hugh

2017-03-09

The geodynamic environment in which Earth's first continents formed and were stabilized remains controversial. Most exposed continental crust that can be dated back to the Archaean eon (4 billion to 2.5 billion years ago) comprises tonalite-trondhjemite-granodiorite rocks (TTGs) that were formed through partial melting of hydrated low-magnesium basaltic rocks; notably, these TTGs have 'arc-like' signatures of trace elements and thus resemble the continental crust produced in modern subduction settings. In the East Pilbara Terrane, Western Australia, low-magnesium basalts of the Coucal Formation at the base of the Pilbara Supergroup have trace-element compositions that are consistent with these being source rocks for TTGs. These basalts may be the remnants of a thick (more than 35 kilometres thick), ancient (more than 3.5 billion years old) basaltic crust that is predicted to have existed if Archaean mantle temperatures were much hotter than today's. Here, using phase equilibria modelling of the Coucal basalts, we confirm their suitability as TTG 'parents', and suggest that TTGs were produced by around 20 per cent to 30 per cent melting of the Coucal basalts along high geothermal gradients (of more than 700 degrees Celsius per gigapascal). We also analyse the trace-element composition of the Coucal basalts, and propose that these rocks were themselves derived from an earlier generation of high-magnesium basaltic rocks, suggesting that the arc-like signature in Archaean TTGs was inherited from an ancestral source lineage. This protracted, multistage process for the production and stabilization of the first continents-coupled with the high geothermal gradients-is incompatible with modern-style plate tectonics, and favours instead the formation of TTGs near the base of thick, plateau-like basaltic crust. Thus subduction was not required to produce TTGs in the early Archaean eon.

Paleoseismology of the Chelungpu Fault during the past 1900 years

USGS Publications Warehouse

Chen, W.-S.; Lee, K.-J.; Lee, L.-S.; Ponti, D.J.; Prentice, C.; Chen, Y.-G.; Chang, H.-C.; Lee, Y.-H.

2003-01-01

The 1999 earthquake brought about 80-km-long surface ruptures along the Shihkang, Chelungpu, and Tajienshan Faults, central Taiwan. Several trenches have been excavated across the Chelungpu Fault of the middle segment. The surface ruptures display clear scarps ranging from 0.2 to 4 m high, showing a complex geomorphic pattern due to coseismic faulting and folding. In the study, measurement of the vertical offset or structural relief was taken with reference to the hanging wall beyond the trishear deformation zone. Therefore we suggest that, for the measurement of offset, we should disregard the trishear zone, and that structural relief on the hanging wall should be represented as a real vertical offset. The net slip is then calculated from the structural relief and dip angle of the thrust on a vertical plane along the slip direction. Through the excavation of a pineapple field across the Chelungpu Fault, we are able to provide evidence of at least four earthquake events for the past about 1900 years, including the 1999 earthquake. Furthermore, based on the radiocarbon dates and historical record, the timing of the penultimate event is bracketed to be between 430 and 150 years ago, and the average recurrence interval is less than 700 years. These data indicate that the average slip rate is about 8.7 mm/yr for the past 1900 years. ?? 2003 Published by Elsevier Ltd.

U.S. Army Aeromedical Research Laboratory Annual Progress Report, Calendar Year 1999

DTIC Science & Technology

2000-03-01

has continued basic flat panel research with the intent of transitioning the approach to applied, in-flight examination of flat panel technology...Department of Psychology was executed in CY99 for cooperative investigation of hierarchically ordered information in intelligent multifunction displays...1999 Instructional courses on fatigue management were given at the Aviation Precommand Course, the Aviation Psychology Course, the Flight Surgeon’s

Proceedings of the 1999 U.S. DOE Hydrogen Program Review

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

NREL

2000-08-28

The Proceedings of the 1999 US Department of Energy (DOE) Hydrogen Program Review serve as an important technology reference for the DOE Hydrogen Program. This document contains technical progress reports on 60 research and technology validation projects funded by the DOE Hydrogen Program in Fiscal Year 1999, in support of its mission to make hydrogen a cost-effective energy carrier for utility, building, and transportation applications. Each year, the Program conducts a rigorous review of its portfolio of projects, utilizing teams of experts to provide vital feedback on the progress of research.

Binary Lenses in OGLE-III EWS Database. Seasons 2002-2003

NASA Astrophysics Data System (ADS)

Jaroszynski, M.; Udalski, A.; Kubiak, M.; Szymanski, M.; Pietrzynski, G.; Soszynski, I.; Zebrun, K.; Szewczyk, O.; Wyrzykowski, L.

2004-06-01

We present 15 binary lens candidates from OGLE-III Early Warning System database for seasons 2002-2003. We also found 15 events interpreted as single mass lensing of double sources. The candidates were selected by visual light curves inspection. Examining the models of binary lenses of this and our previous study (10 caustic crossing events of OGLE-II seasons 1997--1999) we find one case of extreme mass ratio binary (q approx 0.005) and the rest in the range 0.1

Globalization in Urology: A Bibliographical Analysis of Cross-Continent Publication between 2002 and 2012.

PubMed

Mani, Jens; Juengel, Eva; Bartsch, Georg; Filmann, Natalie; Ackermann, Hanns; Nelson, Karen; Haferkamp, Axel; Engl, Tobias; Blaheta, Roman A

2015-01-01

Asian scientists have now increasingly begun to contribute to globalization; yet it is not clear whether publishing in the field of urology is paralleled by elevated cross-continental scientific publishing. An exemplary bibliometric analysis of urologic journals from 3 different continents was conducted between 2002 and 2012. Based on the ISI Web of Knowledge Journal Citation Reports, 2 urologic journals with similar impact factors (IFs) in 2013 were selected from Europe ('British Journal of Urology International', 'World Journal of Urology'), Asia ('International Journal of Urology', 'Asian Journal of Andrology') and North America ('Urologic Oncology-Seminars and Original Investigations', 'Urology'). The home continent of the journal, the workplace continental affiliation of the last author, article type (clinical, experimental or review) as well as the IF were documented. Most authors published their manuscripts in journals from the same continent in which they worked. However, a significant increase in cross-continental publishing was apparent from 2002 to 2012. Asians publishing in North America increased from 17% in 2002 to 35% in 2012. Europeans also increased the number of articles they published in North American journals, while publications from North American authors were shifted towards both European and Asian journals. Experimental and clinical articles showed significant increases in cross-continental publishing, while review publishing showed no significant change. The average IF for authors from all 3 continents increased from 2002 to 2012 (p < 0.001). The largest increase in the IF was found for Asian authors (0.11 per year). Cross-continental publication significantly increased during the period from 2002 to 2012. The impact that the Asian authors have experienced was found to be gradually impacting the North American and European colleagues. © 2015 S. Karger AG, Basel.

Site Environmental Report for Calendar Year 2003 DOE Operations at The Boeing Company, Rocketdyne Propulsion & Power

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

Liu, Ning; Rutherford, Phil; Samuels, Sandy

2004-09-30

This Annual Site Environmental Report (ASER) for 2003 describes the environmental conditions related to work performed for the Department of Energy (DOE) at Area IV of Boeing Rocketdyne’s Santa Susana Field Laboratory (SSFL). In the past, the Energy Technology Engineering Center (ETEC), a government-owned, company-operated test facility, was located in Area IV. The operations at ETEC included development, fabrication, and disassembly of nuclear reactors, reactor fuel, and other radioactive materials. Other activities at ETEC involved the operation of large-scale liquid metal facilities that were used for testing liquid metal fast breeder components. All nuclear work was terminated in 1988; allmore » subsequent radiological work has been directed toward decontamination and decommissioning (D&D) of the former nuclear facilities and their associated sites. Closure of the liquid metal test facilities began in 1996. Results of the radiological monitoring program for the calendar year 2003 continue to indicate that there are no significant releases of radioactive material from Area IV of SSFL. All potential exposure pathways are sampled and/or monitored, including air, soil, surface water, groundwater, direct radiation, transfer of property (land, structures, waste), and recycling.« less

Increasing malaria hospital admissions in Uganda between 1999 and 2009

PubMed Central

2011-01-01

Background Some areas of Africa are witnessing a malaria transition, in part due to escalated international donor support and intervention coverage. Areas where declining malaria rates have been observed are largely characterized by relatively low baseline transmission intensity and rapid scaling of interventions. Less well described are changing patterns of malaria burden in areas of high parasite transmission and slower increases in control and treatment access. Methods Uganda is a country predominantly characterized by intense, perennial malaria transmission. Monthly pediatric admission data from five Ugandan hospitals and their catchments have been assembled retrospectively across 11 years from January 1999 to December 2009. Malaria admission rates adjusted for changes in population density within defined catchment areas were computed across three time periods that correspond to periods where intervention coverage data exist and different treatment and prevention policies were operational. Time series models were developed adjusting for variations in rainfall and hospital use to examine changes in malaria hospitalization over 132 months. The temporal changes in factors that might explain changes in disease incidence were qualitatively examined sequentially for each hospital setting and compared between hospital settings Results In four out of five sites there was a significant increase in malaria admission rates. Results from time series models indicate a significant month-to-month increase in the mean malaria admission rates at four hospitals (trend P < 0.001). At all hospitals malaria admissions had increased from 1999 by 47% to 350%. Observed changes in intervention coverage within the catchments of each hospital showed a change in insecticide-treated net coverage from <1% in 2000 to 33% by 2009 but accompanied by increases in access to nationally recommended drugs at only two of the five hospital areas studied. Conclusions The declining malaria disease

Improving and ensuring best practice continence management in residential aged care.

PubMed

Heckenberg, Gayle

2008-06-01

Background  Continence Management within residential aged care is an every day component of care that requires assessment, implementation of strategies, resource allocation and evaluation. At times the management of incontinence of aged residents can be challenging and unsuccessful. The project chosen through the Clinical Fellowship program was Continence Management with the aim of raising awareness of best practice to assist in improving and providing person-centred resident care. Aims/objectives •  Review the literature on best practice management of incontinence •  Evaluate current practice in continence management for elderly residents within residential aged care services •  Improve adherence to best practice strategies of care for incontinence •  Raise awareness within the nursing home of the best practice management of incontinence •  Promote appropriate and effective use of resources for continence management •  Deliver individualised person-centred care to residents. •  Ensure best practice in continence management Methods  The Joanna Briggs Institute (JBI) Practical Application of Clinical Evidence System clinical audit tool was utilised to measure current practice against best practice. The results identify gaps that require improvement. The Getting Research into Practice process then allowed analysis of the level of compliance with each of the audit criteria, which would identify any barriers in implementing a selected course of action and aim to improve compliance. The project team was consulted with additional stakeholder consultation to form an action plan and implement strategies to improve practice. Results  Although 100% compliance with all audit criteria in audit 1 and 2 was not achieved, there was improvement in the criteria concerning the documented fluid intake for residents. Further strategies have been identified and implemented and this continues to be a 'work in progress'. Staff now have an acute awareness

Improving continence services for older people from the service-providers’ perspective: a qualitative interview study

PubMed Central

Orrell, Alison; McKee, Kevin; Dahlberg, Lena; Gilhooly, Mary; Parker, Stuart

2013-01-01

Objective To examine in depth the views and experiences of continence service leads in England on key service and continence management characteristics in order to identify and to improve our understanding of barriers to a good-quality service and potential facilitators to develop and to improve services for older people with urinary incontinence (UI). Design Qualitative semistructured interviews using a purposive sample recruited across 16 continence services. Setting 3 acute and 13 primary care National Health Service Trusts in England. Participants 16 continence service leads in England actively treating and managing older people with UI. Results In terms of barriers to a good-quality service, participants highlighted a failure on the part of commissioners, managers and other health professionals in recognising the problem of UI and in acknowledging the importance of continence for older people and prevalent negative attitudes towards continence and older people. Patient assessment and continence promotion regardless of age, rather than pad provision, were identified as important steps for a good-quality service for older people with UI. More rapid and appropriate patient referral pathways, investment in service capacity, for example, more trained staff and strengthened interservice collaborations and a higher profile within medical and nurse training were specified as being important facilitators for delivering an equitable and high-quality continence service. There is a need, however, to consider the accounts given by our participants as perhaps serving the interests of their professional group within the context of interprofessional work. Conclusions Our data point to important barriers and facilitators of a good-quality service for older people with UI, from the perspective of continence service leads. Further research should address the views of other stakeholders, and explore options for the empirical evaluation of the effectiveness of identified service

Water Resources Data, New Jersey, Water Year 2003; Volume 1. Surface-Water Data

USGS Publications Warehouse

Reed, T.J.; White, B.T.; Centinaro, G.L.; Dudek, J.F.; Protz, A.R.; Shvanda, J.C.; Watson, A.F.

2004-01-01

Water-resources data for the 2003 Water Year for New Jersey are presented in three volumes, and consists of records of stage, discharge, and water quality of streams; stage and contents of lakes and reservoirs; and water levels and water quality of ground water. Volume 1 contains discharge records for 100 gaging stations; tide summaries at 29 tidal gaging stations; and stage and contents at 39 lakes and reservoirs. Also included are stage and discharge for 106 crest-stage partial-record stations, stage-only at 33 tidal crest-stage gages, and discharge for 142 low-flow partial- record stations. Locations of these sites are shown in figures 8-11. Additional discharge measurements were made at 143 miscellaneous sites that are not part of the systematic data-collection program. Discontinued station tables for gaging stations, crest-stage gages, tidal crest-stage and tidal gaging stations show historical coverage. The data in this report represent that part of the National Water Information System (NWIS) data collected by the United States Geological Survey (USGS). Hydrologic conditions are also described for this water year, including streamflow, precipitation, reservoir conditions, and air temperatures.

The invisible trauma patient: emergency department discharges.

PubMed

Reilly, Patrick M; Schwab, C William; Kauder, Donald R; Dabrowski, G Paul; Gracias, Vicente; Gupta, Rajan; Pryor, John P; Braslow, Benjamin M; Kim, Patrick; Wiebe, Douglas J

2005-04-01

As the malpractice and financial environment has changed, injured patients evaluated by the trauma team and discharged from the emergency department (ED) are now commonplace. The evaluation, care, and disposition of this population has become a significant workload component but is not reported to accrediting organizations and is relatively invisible to hospital administrators. Our objective was to quantify and begin to qualify the evolving picture of the trauma ED discharge population as a work component of trauma service function in an urban, Level I trauma center with an aeromedical program. Trauma registry (contacts, mechanism, transport, injuries, and disposition) and hospital databases (ED closure, occupancy rates) were queried for a 5-year period (1999-2003). Trend analysis provided statistical comparisons for questions of interest. During the 5-year study period, the total number of trauma contacts rose by 18.1% (2,220 in 1999 vs. 2,622 in 2003; trend p < 0.05). This increase in total contacts was not a manifestation of an increase in admissions (1,672 in 1999 vs. 1,544 in 2003) but rather a reflection of a marked increase in patients seen primarily by the trauma team and discharged from the ED (473 in 1999 vs. 1,000 in 2003; trend p < 0.05). These ED discharge patients were increasingly transported by helicopter (12.3% in 1999 vs. 29.2% in 2003; trend p < 0.05) and less frequently from urban areas (57.1% in 1999 vs. 48.1% in 2003; trend p < 0.05) over the course of the study period. Average injury severity of this group increased over the study period (Injury Severity Score of 2.7 +/- 0.1 in 1999 vs. 3.3 +/- 0.1 in 2003; trend p < 0.05). ED length of stay for this group increased 19.8% over the study period (trend p < 0.05), averaging nearly 5 hours in 2003. The total number, relative percentage, and injury severity of patients evaluated by the trauma team and discharged from the ED has significantly increased over the last 5 years, representing nearly 5

Risk of Injury in Basketball, Football, and Soccer Players, Ages 15 Years and Older, 2003–2007

PubMed Central

Carter, Elizabeth A.; Westerman, Beverly J.; Hunting, Katherine L.

2011-01-01

Context: A major challenge in the field of sports injury epidemiology is identifying the appropriate denominators for injury rates. Objective: To characterize risk of injury from participation in basketball, football, and soccer in the United States, using hours of participation as the measure of exposure, and to compare these rates with those derived using population estimates in the denominator. Design: Descriptive epidemiology study. Setting: United States, 2003–2007. Participants: People ages 15 years and older who experienced an emergency department–treated injury while playing basketball, football, or soccer. Main Outcome Measure(s): Rates of emergency department–treated injuries resulting from participation in basketball, football, or soccer. Injury rates were calculated for people ages 15 and older for the years 2003–2007 using the U.S. population and hours of participation as the denominators. The risk of injury associated with each of these sports was compared for all participants and by sex. Results: From 2003 through 2007, annual injury rates per 1000 U.S. population were as follows: 1.49 (95% confidence interval [CI] = 1.30, 1.67) in basketball, 0.93 (95% CI = 0.82, 1.04) in football, and 0.43 (95% CI = 0.33, 0.53) in soccer. When the denominator was hours of participation, the injury rate in football (5.08 [95% CI = 4.46, 5.69]/10 000 hours) was almost twice as high as that for basketball (2.69 [95% CI = 2.35, 3.02]/10 000 hours) and soccer (2.69 [95% CI = 2.07, 3.30]/10 000 hours). Conclusions: Depending on the choice of denominator, interpretation of the risk of an emergency department–treated injury in basketball, football, or soccer varies greatly. Using the U.S. population as the denominator produced rates that were highest in basketball and lowest in soccer. However, using hours of participation as a more accurate measure of exposure demonstrated that football had a higher rate of injury than basketball or soccer for both males and

Four-year evolution of insulin regimens, glycaemic control, hypoglycaemia and body weight after starting insulin therapy in type 2 diabetes across three continents.

PubMed

Home, Philip D; Dain, Marie-Paule; Freemantle, Nick; Kawamori, Ryuzo; Pfohl, Martin; Brette, Sandrine; Pilorget, Valérie; Scherbaum, Werner A; Vespasiani, Giacomo; Vincent, Maya; Balkau, Beverley

2015-05-01

It is of interest to understand how insulin therapy currently evolves in clinical practice, in the years after starting insulin in people with type 2 diabetes. We aimed to describe this evolution prospectively over 4 years, to assist health care planning. People who had started any insulin were identified from 12 countries on three continents. Baseline, then yearly follow-up, data were extracted from clinical records over 4 years. Of the 2999 eligible people, 2272 were followed over 4 years. When starting insulin, mean (SD) duration of diabetes was 10.6 (7.8) years, HbA1c 9.5 (2.0)% (80 [22]mmol/mol) and BMI 29.3 (6.3)kg/m(2). Initial insulin therapy was basal 52%, premix 23%, mealtime+basal 14%, mealtime 8% and other 3%; at 4 years, 30%, 25%, 33%, 2% and 5%, respectively, with 5% not on insulin. Insulin dose was 20.2U/day at the start and 45.8U/day at year 4. There were 1258 people (55%) on their original regimen at 4 years, and this percentage differed according to baseline insulin regimen. HbA1c change was -2.0 (2.2)% (-22 [24]mmol/mol) and was similar by final insulin regimen. Hypoglycaemia prevalence was <20% in years 1-4. Body weight change was mostly in year 1, and was very variable, mean +2.7 (7.5)kg at year 4. Different insulin regimens were started in people with differing characteristics, and they evolved differently; insulin dose, hypoglycaemia and body weight change were diverse and largely independent of regimen. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Adolescent vaccination: coverage achieved by ages 13-15 years, and vaccinations received as recommended during ages 11-12 years, National Health Interview Survey 1997-2003.

PubMed

McCauley, Mary Mason; Stokley, Shannon; Stevenson, John; Fishbein, Daniel B

2008-12-01

To present progress toward Healthy People 2010 vaccination objectives for adolescents aged 13-15 years, and to determine how much catch-up and routine vaccination was administered at the recommended ages of 11-12 years. Data from the 1997-2003 National Health Interview Survey were evaluated. In the first analysis, vaccination coverage levels for adolescents aged 13-15 years were determined for each survey year. Main outcome measures include the percent of adolescents who had received the three-dose hepatitis B vaccine (Hep B) series, the two-dose measles/mumps/rubella vaccine (MMR) series, the tetanus and diphtheria toxoids (Td) booster, and one dose of varicella vaccine. In the second analysis, data from all survey years were combined and vaccination dates were analyzed to determine the percentage of adolescents who were missing any vaccines at ages 11-12 and received them at that age. Data for varicella vaccine were sufficient only for the first analysis. Among the approximately 15%-20% of respondents who reported vaccination history from records in the home and who were reporting on a 13-15-year-old, coverage with three doses of Hep B increased significantly during 1997-2001, from 15.2% to 55.0%. Coverage with MMR and Td fluctuated, with no significant increase; highs were 76.7% for MMR in 2003 and 36.2% for Td in 2002. Examination of vaccination dates for all surveyed adolescents showed that among 11-12-year-olds who needed catch-up vaccine, 0.6%-31.3% were brought up to date for Hep B and 22.1%-31.8% were brought up to date for MMR. For Td, 2.6%-15.4% of 11-12-year-olds who had not previously received Td received the vaccine. Vaccination coverage among adolescents aged 13-15 years was below the Healthy People 2010 goals of 90%, but generally increased over the survey years. However, the suboptimal delivery of needed vaccines during ages 11 and 12 is concerning in light of recent vaccine recommendations targeted at this age. Continuing to focus on strategies to

Pulpwood production in the North-Central Region, 2003

Treesearch

Ronald J. Piva

2005-01-01

Discusses 2003 production and receipts in the Lake, Central, and Plains States. Shows Michigan, Minnesota, and Wisconsin production by species for each county and compares production by Forest Survey Unit with that of previous years. Presents production data for Illinois, Indiana, Iowa, and Missouri by species group and product form. Includes 2003 production for the...

Trends in overweight and obesity among 5-7-year-old White and South Asian children born between 1991 and 1999.

PubMed

Balakrishnan, Ravikumar; Webster, Premila; Sinclair, Don

2008-06-01

To determine the trends in overweight and obesity among White and South Asian children aged 5-7 years born between 1991 and 1999 and included in the East Berkshire Child Health System. Children were grouped into nine cohorts based on their year of birth. The UK National BMI percentile classification was used to classify the children as overweight and obese and to examine the prevalence and trends by year of birth, sex and ethnicity. Overall, more boys (10.1%; 9.7-10.6%) than girls (9.1%; 8.7-9.6%) were obese (P < 0.003). South Asian boys were more likely to be overweight (OR 1.92; 95% CI 1.62-2.28; P < 0.01) and obese (OR 1.53; 95% CI 1.28-1.89; P < 0.01) than South Asian girls. Overweight (1.77; 1.56-2.00; P < 0.05) and obesity (1.76; 1.50-2.06; P < 0.05) were significantly higher among South Asian boys compared with their White counterparts (baseline). After adjusting for sex, ethnicity and year of birth, South Asian children were 27% more overweight (P < 0.01) and 45% more obese (P < 0.01) compared with White children, and boys were 6% more overweight (P = 0.04) and 12% more obese (P = 0.003) compared with girls. There was an increasing trend in overweight among boys (P = 0.01) and girls (P = 0.003); and in obesity among boys (P < 0.001) and girls (P = 0.008) in children born from 1991 to 1999. There is a significant rise in childhood obesity among 5-7-year-old children. Overweight and obesity among South Asian boys are significantly higher than that among South Asian girls. This group may be at greater risk of morbidity and mortality related to obesity and may need to be targeted appropriately for interventions to reduce obesity.

Clinical Evaluation of a Prototype Underwear Designed to Detect Urine Leakage From Continence Pads.

PubMed

Long, Adele; Edwards, Julia; Worthington, Joanna; Cotterill, Nikki; Weir, Iain; Drake, Marcus J; van den Heuvel, Eleanor

2015-01-01

We evaluated the performance of prototype underwear designed to detect urine leakage from continence pads, their acceptability to users, and their effect on health-related quality of life and psychosocial factors. Prototype product evaluation. Participants were 81 women with an average age of 67 years (range, 32-98 years) recruited between October 2010 and February 2012 from outpatient clinics, general practice surgeries, community continence services, and through charities and networks. The TACT3 project developed and manufactured a prototype undergarment designed to alert the wearer to a pad leak before it reaches outer clothing or furniture. The study was conducted in 2 stages: a pilot/feasibility study to assess general performance and a larger study to measure performance, acceptability to users, health-related quality of life, and psychosocial impact. Participants were asked to wear the prototype underwear for a period of 2 weeks, keeping a daily diary of leakage events for the first 7 days. They also completed validated instruments measuring lower urinary tract symptoms, health-related quality of life, and psychosocial impact. On average, 86% of the time participants were alerted to pad leakage events. More than 90% thought the prototype underwear was "good" or "OK" and that it would or could give them more confidence. Mean scores for the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form indicated no change in the level of symptoms reported before or after the intervention, and no significant changes in health-related quality of life status occurred, except improvement in for travel restrictions. Evaluation via the Psychosocial Impact of Assistive Devices Scale also indicated a positive impact. The prototype underwear evaluated in this study was effective and acceptable for 5 out of every 10 wearers. Findings also suggest that the prototype underwear is suitable for women of all ages, dress sizes, and continence

Public Education Finances, 2003

ERIC Educational Resources Information Center

US Department of Commerce, 2005

2005-01-01

The United States Census Bureau conducts an Annual Survey of Government Finances as authorized by law under Title 13, United States Code, Section 182. The 2003 survey, similar to other annual surveys and censuses of governments conducted for many years, covers the entire range of government finance activities--revenue, expenditure, debt, and…

Trends in resource utilization and prescription of anticonvulsants for patients with active epilepsy in Germany from 2003 to 2013 - A ten-year overview.

PubMed

Willems, Laurent M; Richter, Saskia; Watermann, Nina; Bauer, Sebastian; Klein, Karl Martin; Reese, Jens-Peter; Schöffski, Oliver; Hamer, Hajo M; Knake, Susanne; Rosenow, Felix; Strzelczyk, Adam

2018-06-01

This study evaluated trends in resource use and prescription patterns in patients with active epilepsy over a 10-year period at the same outpatient clinic of a German epilepsy center. We analyzed a cross-sectional patient sample of consecutive adults with active epilepsy over a 3-month period in 2013 and compared them with equally acquired data from the years 2003 and 2008. Using validated patient questionnaires, data on socioeconomic status, course of epilepsy, as well as direct and indirect costs were recorded. A total of 198 patients (mean age: 39.6±15.0years, 49.5% male) were enrolled and compared with our previous assessments in 2003 (n=101) and 2008 (n=151). In the 2013 cohort, 75.8% of the patients had focal epilepsy, and the majority were taking antiepileptic drugs (AEDs) (39.9% monotherapy, 59.1% polytherapy). We calculated epilepsy-specific costs of €3674 per three months per patient. Direct medical costs were mainly due to anticonvulsants (20.9% of total direct costs) and to hospitalization (20.8% of total direct costs). The proportion of enzyme-inducing anticonvulsants and 'old' AEDs decreased between 2003 and 2013. Indirect costs of €1795 in 2013 were mainly due to early retirement (55.0% of total indirect costs), unemployment (26.5%), and days off due to seizures (18.2%). In contrast to our previous findings from 2003 and 2008, our data show a stagnating cost increase with slightly reduced total costs and balanced direct and indirect costs in patients with active epilepsy. These findings are accompanied by an ongoing cost-neutral increase in the prescription of 'newer' and non-enzyme-inducing AEDs. However, the number and distribution of indirect cost components remained unchanged. Copyright © 2018 Elsevier Inc. All rights reserved.

Anorectal function investigations in incontinent and continent patients. Differences and discriminatory value.

PubMed

Felt-Bersma, R J; Klinkenberg-Knol, E C; Meuwissen, S G

1990-06-01

Anal manometry, rectal capacity measurement, and the saline-infusion test were performed in 350 patients, 178 of whom had fecal incontinence and 172 of whom were continent. Anal manometry was also performed in 80 control subjects, whose results were compared with the patients. Women and older patients exhibited lower pressures. Compared with continent patients, incontinent patients had lower anal sphincter pressures at rest and during squeeze, a smaller rectal capacity, and leaked earlier and more with the saline infusion test. Differentiation between incontinent and continent patients was not possible with a single test because there was complete overlap. The maximum squeeze pressure showed the best discrimination. Combining the three tests did not show better discrimination than any individual test. Anal pressure and rectal capacity below the normal range only were found in very few incontinent patients. The authors' study demonstrates that no prediction can be made about continence with anorectal function tests. Therefore, in the individual patient, an abnormal result in one test must be interpreted with caution and only in relationship with other tests, especially when therapeutic surgery is considered.

A simplified technique for continent urinary diversion: an all-stapled colonic reservoir.

PubMed

Parra, R O

1991-12-01

A simple continent colonic reservoir was constructed in its entirety with the aid of surgical stapling techniques in 17 men and 10 women. In 5 men an orthotopic pouch was created and in the rest a continent stoma was designed. Detubularization of the entire colonic segment assures a low pressure system with disruption of directional peristaltic activity. The ureters are implanted by simply burying them in a mucosal furrow. Operative time required for the creation of the reservoir (excluding time for cystectomy) has ranged between 70 and 140 minutes (mean 95.4 minutes). With a followup of 9 to 60 months (mean 22.8 months) continence has been achieved in all but 1 patient with no ureteral reflux or obstruction. Urodynamically the pouch has achieved a large capacity (mean 750 cc) with low filling pressures (8.1 cm. water) because of technical ease of construction together with a shortened operative time due to the stapling techniques. This form of bladder replacement offers an option for select patients in whom continent urinary diversion is contemplated.

Comparing reactions to two severe tornadoes in one Oklahoma community.

PubMed

Comstock, R Dawn; Mallonee, Sue

2005-09-01

The authors compared the effect of the 3 May 1999 F5 and 8 May 2003 F3 tornadoes on the community of Moore, Oklahoma, by canvassing damaged areas after both tornadoes and surveying residents. Significantly more 1999 than 2003 residents reported property damage and injuries. Television and tornado sirens were the most common warnings each year, however, more 1999 residents received and responded to television warnings. Importantly, storm shelters were used more frequently in 2003. Fifty-one per cent of residents who experienced both tornadoes took the same amount of protective action in 2003 as they had in 1999; 22% took less; and 27% took more. Residents who took less action said that the reason for doing so was inadequate warning and shelter. First-hand experience of tornadoes prompts people to heed warnings when adequate notification is received and to take effective protective action when adequate shelter is available.

Deepwater Spawning of Fall Chinook Salmon (Oncorhynchus tshawtscha) Near Ives and Pierce Island of the Columbia River, 2003-2004 Annual Report.

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

Mueller, Robert

2004-10-01

Pacific Northwest National Laboratory conducted video-based boat surveys in fall 2003 to identify spawning areas for fall Chinook salmon (Oncorhynchus tshawytscha) in deep water (>1 m) downstream of Bonneville Dam. This report documents the number and extent of Chinook salmon spawning near Ives and Pierce islands of the Columbia River, and is the fifth in a series of reports prepared since 1999. The primary objective of this study was to find deepwater spawning locations of fall Chinook salmon in the main Columbia River channel, collect additional data on physical habitat parameters at spawning sites, and provide estimates of adult spawnersmore » in the surveyed area. The secondary objective was to document the occurrence of any chum salmon (O. keta) redds in the deeper sections near below Hamilton Creek. Results from the 2003 study show a continuing trend upward in the number of fall Chinook salmon redds found within the survey zones. The number of fall Chinook redds found in the Ives Pierce Island complex (river km 228.5) has increased by a factor of five since the surveys began in 1999. The total number of redds found during 2003 was 336, which compares to 192 in 2002, 43 in 2001, 76 in 2000, and 64 in 1999. The redds encompassed an area of 13.7 ha occurring adjacent to the lower part of Ives Island and Pierce Island. Peak spawning activity, based on redd counts and live fish seen near redds, was on or near November 24, 2003. An expanded redd count based on percentage of video coverage in the primary and secondary search zones was 3,218 fall Chinook salmon redds in water exceeding 1 m deep and flowing at about 125 kcfs. Fall Chinook salmon redds were found at water depths from 1.07 to 7.6 m and were constructed predominantly of medium cobbles ranging from 7.6 to 15.2 cm in diameter. Two chum salmon redds were found in a small location downstream from Hamilton Creek in water depths of approximately 1 m. No salmon redds were found in other areas searched

Earth's early O2 cycle suppressed by primitive continents

NASA Astrophysics Data System (ADS)

Smit, Matthijs A.; Mezger, Klaus

2017-10-01

Free oxygen began to accumulate in Earth's surface environments between 3.0 and 2.4 billion years ago. Links between oxygenation and changes in the composition of continental crust during this time are suspected, but have been difficult to demonstrate. Here we constrain the average composition of the exposed continental crust since 3.7 billion years ago by compiling records of the Cr/U ratio of terrigenous sediments. The resulting record is consistent with a predominantly mafic crust prior to 3.0 billion years ago, followed by a 500- to 700-million-year transition to a crust of modern andesitic composition. Olivine and other Mg-rich minerals in the mafic Archaean crust formed serpentine minerals upon hydration, continuously releasing O2-scavenging agents such as dihydrogen, hydrogen sulfide and methane to the environment. Temporally, the decline in mafic crust capable of such process coincides with the first accumulation of O2 in the oceans, and subsequently the atmosphere. We therefore suggest that Earth's early O2 cycle was ultimately limited by the composition of the exposed upper crust, and remained underdeveloped until modern andesitic continents emerged.

Promoting the health of Europeans in a rapidly changing world: a historical study of the implementation of World Health Organisation policies by the Nursing and Midwifery Unit, European Regional Office, 1970-2003.

PubMed

Hallett, Christine; Wagner, Lis

2011-12-01

Promoting the health of Europeans in a rapidly changing world: a historical study of the implementation of World Health Organisation policies by the Nursing and Midwifery Unit, European Regional Office, 1970-2003 The World Health Organisation (WHO) was inaugurated in 1948. Formed in a period of post-war devastation, WHO aimed to develop and meet goals that would rebuild the health of shattered populations. The historical study reported here examined the work of the Nursing and Midwifery Unit (NMU) of WHO's European Regional Office during the later part of the twentieth century. The study examined archive sources lodged at the NMU archive. The sources included manuscripts relating to important NMU initiatives, reports and papers published by WHO, and a range of secondary sources. The study identified three main driving forces in the work of the NMU of the European Regional Office of WHO. One of the strongest of these was a drive to develop and promote the nursing profession within the countries of the European Region. The second was the promulgation and implementation of the positive public health strategies of WHO, particularly its '38 Targets for Health for All by the Year 2000'. The third focussed on securing equity across the European continent and on promoting the development of the nursing professions in poorer and less-developed countries. The study concludes that the nursing professions in European states grew in strength and influence, and that the health of populations improved throughout the continent between 1970 and 2003. It discusses the extent to which the role of the NMU in these advances may have been significant. © 2011 Blackwell Publishing Ltd.

Monitoring of Internet Forums to Evaluate Reactions to the Introduction of Reformulated OxyContin to Deter Abuse

PubMed Central

Coplan, Paul M; Black, Ryan A; Weber, Sarah E; Chilcoat, Howard D; Butler, Stephen F

2014-01-01

Background Reformulating opioid analgesics to deter abuse is one approach toward improving their benefit-risk balance. To assess sentiment and attempts to defeat these products among difficult-to-reach populations of prescription drug abusers, evaluation of posts on Internet forums regarding reformulated products may be useful. A reformulated version of OxyContin (extended-release oxycodone) with physicochemical properties to deter abuse presented an opportunity to evaluate posts about the reformulation in online discussions. Objective The objective of this study was to use messages on Internet forums to evaluate reactions to the introduction of reformulated OxyContin and to identify methods aimed to defeat the abuse-deterrent properties of the product. Methods Posts collected from 7 forums between January 1, 2008 and September 30, 2013 were evaluated before and after the introduction of reformulated OxyContin on August 9, 2010. A quantitative evaluation of discussion levels across the study period and a qualitative coding of post content for OxyContin and 2 comparators for the 26 month period before and after OxyContin reformulation were conducted. Product endorsement was estimated for each product before and after reformulation as the ratio of endorsing-to-discouraging posts (ERo). Post-to-preintroduction period changes in ERos (ie, ratio of ERos) for each product were also calculated. Additionally, post content related to recipes for defeating reformulated OxyContin were evaluated from August 9, 2010 through September 2013. Results Over the study period, 45,936 posts related to OxyContin, 18,685 to Vicodin (hydrocodone), and 23,863 to Dilaudid (hydromorphone) were identified. The proportion of OxyContin-related posts fluctuated between 6.35 and 8.25 posts per 1000 posts before the reformulation, increased to 10.76 in Q3 2010 when reformulated OxyContin was introduced, and decreased from 9.14 in Q4 2010 to 3.46 in Q3 2013 in the period following the reformulation

Monitoring of internet forums to evaluate reactions to the introduction of reformulated OxyContin to deter abuse.

PubMed

McNaughton, Emily C; Coplan, Paul M; Black, Ryan A; Weber, Sarah E; Chilcoat, Howard D; Butler, Stephen F

2014-05-02

Reformulating opioid analgesics to deter abuse is one approach toward improving their benefit-risk balance. To assess sentiment and attempts to defeat these products among difficult-to-reach populations of prescription drug abusers, evaluation of posts on Internet forums regarding reformulated products may be useful. A reformulated version of OxyContin (extended-release oxycodone) with physicochemical properties to deter abuse presented an opportunity to evaluate posts about the reformulation in online discussions. The objective of this study was to use messages on Internet forums to evaluate reactions to the introduction of reformulated OxyContin and to identify methods aimed to defeat the abuse-deterrent properties of the product. Posts collected from 7 forums between January 1, 2008 and September 30, 2013 were evaluated before and after the introduction of reformulated OxyContin on August 9, 2010. A quantitative evaluation of discussion levels across the study period and a qualitative coding of post content for OxyContin and 2 comparators for the 26 month period before and after OxyContin reformulation were conducted. Product endorsement was estimated for each product before and after reformulation as the ratio of endorsing-to-discouraging posts (ERo). Post-to-preintroduction period changes in ERos (ie, ratio of ERos) for each product were also calculated. Additionally, post content related to recipes for defeating reformulated OxyContin were evaluated from August 9, 2010 through September 2013. Over the study period, 45,936 posts related to OxyContin, 18,685 to Vicodin (hydrocodone), and 23,863 to Dilaudid (hydromorphone) were identified. The proportion of OxyContin-related posts fluctuated between 6.35 and 8.25 posts per 1000 posts before the reformulation, increased to 10.76 in Q3 2010 when reformulated OxyContin was introduced, and decreased from 9.14 in Q4 2010 to 3.46 in Q3 2013 in the period following the reformulation. The sentiment profile for OxyContin

Retrospective comparison of surgical ligation and transarterial catheter occlusion for treatment of patent ductus arteriosus in two hundred and four dogs (1993-2003).

PubMed

Goodrich, Kimberly R; Kyles, Andrew E; Kass, Phillip H; Campbell, Fiona

2007-01-01

To compare procedure time, complications, mortality, and short-term outcome in dogs with patent ductus arteriosus (PDA) treated by surgical ligation (SL) or transarterial coil occlusion (TCO). Retrospective study. Dogs with PDA (n=204). Medical records of dogs treated for PDA were reviewed. Dogs treated by SL when it was the primary method used for PDA treatment (1993-1998) were compared with dogs treated by TCO when it was the primary method used for PDA treatment (1999-2003). Dogs treated during the transition between techniques, dogs treated with SL (1999-2003) and dogs treated with TCO before 1999, as well as dogs with pulmonary hypertension, or bidirectional or reversed (right-to-left) flow through the PDA were excluded from analysis. Age, weight, gender distribution, and procedure times (P=.43) were similar for both groups. Major complications were more common with SL (12% versus 4.3%; P=.035) whereas minor complications were more common with TCO (12% versus 26%; P=.015). Initial success rate was higher for SL (94%) compared with TCO (84%; P=.027). There was no significant difference in mortality between SL (5.6%) and TCO (2.6%; P=.27). Both SL and TCO are acceptable PDA treatments with comparable mortality; however, SL was associated with a higher risk of major complications and TCO was associated with a lower initial success rate.

How Do People Make Continence Care Happen? An Analysis of Organizational Culture in Two Nursing Homes

ERIC Educational Resources Information Center

Lyons, Stacie Salsbury

2010-01-01

Purpose: Although nursing homes (NHs) are criticized for offering poor quality continence care, little is known about the organizational processes that underlie this care. This study investigated the influence of organizational culture on continence care practices in two NHs. Design and Methods: This ethnographic study explored continence care…

Report to the Congress of the United States on the Activities of the Office of Correctional Job Training and Placement during Fiscal Year 1999.

ERIC Educational Resources Information Center

National Inst. of Corrections (Dept. of Justice/LEAA), Washington, DC.

During fiscal year 1999, the Office of Correctional Job Training and Placement (OCJTP) conducted numerous activities related to its primary functions, which are as follows: (1) coordinate federal departments' and agencies' efforts related to correctional job training and placement; (2) provide training to develop staff competencies needed by state…

Combinations of Earth Orientation Measurements: SPACE2003, COMB2003, and POLE2003

NASA Technical Reports Server (NTRS)

Gross, Richard S.

2004-01-01

Independent Earth orientation measurements taken by the space-geodetic techniques of lunar and satellite laser ranging, very long baseline interferometry, and the global positioning system have been combined using a Kalman filter. The resulting combined Earth orientation series, SPACE2003, consists of values and uncertainties for Universal Time, polar motion, and their rates that span from September 28.0, 1976 to January 31.0, 2004 at daily intervals and is available in versions whose epochs are given at either midnight or noon. The space-geodetic measurements used to generate SPACE2003 have then been combined with optical astrometric measurements to form two additional combined Earth orientation series: (1) COMB2003, consisting of values and uncertainties for Universal Time, polar motion, and their rates that span from January 20.0, 1962 to January 31.0, 2004 at daily intervals and which is also available in versions whose epochs are given at either midnight or noon, and (2) POLE2003, consisting of values and uncertainties for polar motion and its rate that span from January 20, 1900 to January 21,2004 at 30.4375-day intervals.

African Universities Tackle the Continent's Agricultural Crisis

ERIC Educational Resources Information Center

Lindow, Megan

2009-01-01

Pests, population growth, and depleted soil have wreaked havoc on agriculture in Africa, so universities across the continent are rethinking how they teach the topic. Some African universities have been building their own networks and pooling their limited resources to train more agricultural scientists and improve their responsiveness to the…

Local and Remote Climate Response to Deforestation in Maritime Continent

NASA Astrophysics Data System (ADS)

Chen, C. C.; Lo, M. H.; Yu, J. Y.

2016-12-01

Deforestation in tropical regions would lead to changes in local energy and moisture budget, resulting in further impacts on regional and global climate. Previous studies have indicated that the reduction of evapotranspiration dominates the influence of tropical deforestation, which causes a warmer and drier climate. Most studies agree that the deforestation leads to an increase in temperature and decline in precipitation over the deforested area. However, unlike Amazon or Africa, Maritime Continent consists of islands surrounded by oceans so the drying effects found in Amazon or Africa may not be the case in Maritime Continent. Thus, our objective is to investigate the local and remote climate responses to deforestation in such unique region. We conduct deforestation experiments using NCAR Community Earth System Model (CESM) and through converting the tropical rainforest into grassland. The preliminary results show that deforestation in Maritime Continent leads to an increase in both temperature and precipitation, which is not predicted by earlier studies. We will further perform moisture budget analysis to explore how the precipitation changes with the deforestation forcing.

Is "Warm Arctic, Cold Continent" A Fingerprint Pattern of Climate Change?

NASA Astrophysics Data System (ADS)

Hoerling, M. P.; Sun, L.; Perlwitz, J.

2015-12-01

Cold winters and cold waves have recently occurred in Europe, central Asia and the Midwest to eastern United States, even as global mean temperatures set record highs and Arctic amplification of surface warming continued. Since 1979, Central Asia winter temperatures have in fact declined. Conjecture has it that more cold extremes over the mid-latitude continents should occur due to global warming and the impacts of Arctic sea ice loss. A Northern Hemisphere temperature signal termed the "Warm Arctic, Cold Continent" pattern has thus been surmised. Here we use a multi-model approach to test the hypothesis that such a pattern is indeed symptomatic of climate change. Diagnosis of a large model ensemble of historical climate simulations shows some individual realizations to yield cooling trends over Central Asia, but importantly the vast majority show warming. The observed cooling has thus likely been a low probability state of internal variability, not a fingerprint of forced climate change. We show that daily temperature variations over continents decline in winter due to global warming, and cold waves become less likely. This is partly related to diminution of Arctic cold air reservoirs due to warming-induced sea ice loss. Nonetheless, we find some evidence and present a physical basis that Arctic sea ice loss alone can induce a winter cooling over Central Asia, though with a magnitude that is appreciably smaller than the overall radiative-forced warming signal. Our results support the argument that recent cooling trends over central Asia, and cold extreme events over the winter continents, have principally resulted from atmospheric internal variability and have been neither a forced response to Arctic seas ice loss nor a symptom of global warming. The paradigm of climate change is thus better expressed as "Warm Arctic, Warm Continent" for the NH winter.

Trends in the Distribution of Opioids in Puerto Rico, 1999-2013.

PubMed

El Burai Félix, Sausan; Mack, Karin A; Jones, Christopher M

2016-09-01

Limited information has been published about opioid prescribing practices in Puerto Rico. The objective of this study was to create baseline trends of opioids distributed over a period of fourteen years in Puerto Rico. We examined data from the U.S. Drug Enforcement Administration's Automation of Reports and Consolidated Orders System (ARCOS) for the period 1999-2013. ARCOS data reflects the amount of controlled substances legally dispensed. Analyses include the distribution of opioids (in morphine milligram equivalent kg per 10,000 persons) by year and entity (pharmacy, hospital, practitioner). The distribution of four drugs (fentanyl, hydromorphone, methadone, oxycodone) increased over 100% between 1999 and 2013. The distribution of two drugs (hydrocodone and meperidine) declined between 1999 and 2013. Oxycodone distribution grew from 0.13 MME kg grams per 10,000 persons in 1999 to 0.29 MME kg in 2013. ARCOS data showed that the overall amount of opioid pain relievers distributed in Puerto Rico increased by 68% between 1999 and 2013. Currently, prescription opioid pain reliever overdose deaths in Puerto Rico do not appear to be skyrocketing as they are in the mainland U.S. However, the ongoing problem with prescription opioid pain reliever overdoses in certain areas should serve as a warning to monitor consumption of opioid pain relievers, as well as changes in prescription drug abuse, overdoses, and deaths.

Major brazilian gold deposits - 1982 to 1999

USGS Publications Warehouse

Thorman, C.H.; Dewitt, E.; Maron, M.A.; Ladeira, E.A.

2001-01-01

Brazil has been a major but intermittent producer of gold since its discovery in 1500. Brazil led the world in gold production during the 18th and early 19th centuries. From the late 19th century to the late 20th century, total mining company and garimpeiro production was small and relatively constant at about 5 to 8 t/year. The discovery of alluvial deposits in the Amazon by garimpeiros in the 1970s and the opening of eight mines by mining companies from 1983 to 1990 fueled a major boom in Brazil's gold production, exceeding 100 t/year in 1988 and 1989. However, garimpeiro alluvial production decreased 'rapidly in the 1990s, to about 10 t/year by 1999. Company production increased about tenfold from about 4 t/year in 1982 to 40 t in 1992. Production from 1992 to the present remained relatively stable, even though several mines were closed or were in the process of closing and no new major mines were put into production during that period. Based on their production history from 1982-1999, 17 gold mines are ranked as major (> 20 t) and minor (3-8 t) mines. From 1982-1999, deposits hosted in Archean rocks produced 66% of the gold in Brazil, whereas deposits in Paleoproterozoic and Neoproterozoic rocks accounted for 19% and 15%, respectively. Deposits in metamorphosed sedimentary rocks, especially carbonate-rich rocks and carbonate iron-formation, yielded the great bulk of the gold. Deposits in igneous rocks were of much less importance. The Archean and Paleoproterozoic terranes of Brazil largely lack base-metal-rich volcanogenic massive sulfide deposits, porphyry deposits, and polymetallic veins and sedimentary exhalative deposits. An exception to this is in the Caraja??s Mineral Province.

Alberta Learning Results Report, 1999/2000.

ERIC Educational Resources Information Center

Alberta Learning, Edmonton.

Alberta Learning was created in May 1999 to enhance the focus of the government of Alberta, Canada, on lifelong learning and equipping all Albertans with the information and skills needed to live and work in the information age. During its first year of operation, Alberta Learning focused on its core businesses of basic learning, adult learning,…

Understanding Barriers to Continence Care in Institutions

ERIC Educational Resources Information Center

Tannenbaum, Cara; Labrecque, Danielle; Lepage, Christiane

2005-01-01

This work seeks to identify factors that facilitate or diminish care-providers' propensity to improve continence care in long-term care (LTC) settings. We conducted a cross-sectional qualitative study using focus group methodology in four long-term care institutions in Montreal, QC. Forty-two nurses, nursing assistants, and orderlies caring for…

The Library of Congress Information Bulletin, 1999.

ERIC Educational Resources Information Center

Library of Congress Information Bulletin, 1999

1999-01-01

These 12 issues, representing 1 calendar year (1999) of "The Library of Congress Information Bulletin," contain information on Library of Congress new collections and program developments, lectures and readings, financial support and materials donations, budget, honors and awards, Web sites and digital collections, new publications,…

Mantle temperature under drifting deformable continents during the supercontinent cycle

NASA Astrophysics Data System (ADS)

Yoshida, Masaki

2013-04-01

The thermal heterogeneity of the Earth's mantle under the drifting continents during a supercontinent cycle is a controversial issue in earth science. Here, a series of numerical simulations of mantle convection are performed in 3D spherical-shell geometry, incorporating drifting deformable continents and self-consistent plate tectonics, to evaluate the subcontinental mantle temperature during a supercontinent cycle. Results show that the laterally averaged temperature anomaly of the subcontinental mantle remains within several tens of degrees (±50 °C) throughout the simulation time. Even after the formation of the supercontinent and the development of subcontinental plumes due to the subduction of the oceanic plates, the laterally averaged temperature anomaly of the deep mantle under the continent is within +10 °C. This implies that there is no substantial temperature difference between the subcontinental and suboceanic mantles during a supercontinent cycle. The temperature anomaly immediately beneath the supercontinent is generally positive owing to the thermal insulation effect and the active upwelling plumes from the core-mantle boundary. In the present simulation, the formation of a supercontinent causes the laterally averaged subcontinental temperature to increase by a maximum of 50 °C, which would produce sufficient tensional force to break up the supercontinent. The periodic assembly and dispersal of continental fragments, referred to as the supercontinent cycle, bear close relation to the evolution of mantle convection and plate tectonics. Supercontinent formation involves complex processes of introversion, extroversion or a combination of these in uniting dispersed continental fragments, as against the simple opening and closing of individual oceans envisaged in Wilson cycle. In the present study, I evaluate supercontinent processes in a realistic mantle convection regime. Results show that the assembly of supercontinents is accompanied by a

Immunization coverage among Hispanic ancestry, 2003 National Immunization Survey.

PubMed

Darling, Natalie J; Barker, Lawrence E; Shefer, Abigail M; Chu, Susan Y

2005-12-01

The Hispanic population is increasing and heterogeneous (Hispanic refers to persons of Spanish, Hispanic, or Latino descent). The objective was to examine immunization rates among Hispanic ancestry for the 4:3:1:3:3 series (> or = 4 doses diphtheria, tetanus toxoids, and pertussis vaccine; > or = 3 doses poliovirus vaccine; > or = 1 doses measles-containing vaccine; > or = 3 doses Haemophilus influenzae type b vaccine; and > or = 3 doses hepatitis B vaccine). The National Immunization Survey measures immunization coverage among 19- to 35-month-old U.S. children. Coverage was compared from combined 2001-2003 data among Hispanics and non-Hispanic whites using t-tests, and among Hispanic ancestry using a chi-square test. Hispanics were categorized as Mexican, Mexican American, Central American, South American, Puerto Rican, Cuban, Spanish Caribbean (primarily Dominican Republic), other, and multiple ancestry. Children of Hispanic ancestry increased from 21% in 1999 to 25% in 2003. These Hispanic children were less well immunized than non-Hispanic whites (77.0%, +/-2.1% [95% confidence interval] compared to 82.5%, +/-1.1% (95% CI) > in 2003). Immunization coverage did not vary significantly among Hispanics of varying ancestries (p=0.26); however, there was substantial geographic variability. In some areas, immunization coverage among Hispanics was significantly higher than non-Hispanic whites. Hispanic children were less well immunized than non-Hispanic whites; however, coverage varied notably by geographic area. Although a chi-square test found no significant differences in coverage among Hispanic ancestries, the range of coverage, 79.2%, +/-5.1% for Cuban Americans to 72.1%, +/-2.4% for Mexican descent, may suggest a need for improved and more localized monitoring among Hispanic communities.

Fluid Percolation Within AN Ocean-Continent Transition

NASA Astrophysics Data System (ADS)

Kaczmarek, M.; Reddy, S. M.

2013-12-01

Divergent plate boundaries, such as ocean-continent transitions (OCT) are the perfect target to study mechanisms activated during extension leading to localisation of deformation. The Platta-Totalp massifs in the Eastern Central Alps (Grison, Switzerland) represent a type example of a zone of exhumed continental mantle and offer a complete stratigraphic sequence of an OCT. A detailed study of the geochemistry and microstructures is undertaken to characterise the deformation in such setting. The mantle rocks are spinel lherzolites and harzburgites, into which gabbros and basaltic dykes were intruded, and are partially covered by ophicarbonates. Previous work across the Platta reveals that mantle rocks close to the continent may represent spinel peridotite mixed with (garnet)-pyroxenite layers while the ultramafic rocks at some distance from the continent are pyroxenite-poor peridotites that equilibrated in the plagioclase stability field (Muntener et al. 2004). Fieldwork across the mantle sequence shows localization of deformation with metric or centimetric shear-zones. Peridotites in shear-zones close to the continent have an ultra-mylonitic texture, and contain amphibole testifying fluid percolation. In a centimetric shear-zone amphibole is observed within a matrix made up of a mixture of pyroxenes, olivine, amphibole and spinel with a grain size from 1 to 8 μm, and as round grains (grain size from 30 to 50μm) embedded in the fine-grained matrix. The host peridotite, which is also deformed, contains larger grains of amphibole with a grain size up to 400 μm. The chemical composition of the amphibole changes from large to small grains, increasing in K2O and decreasing in TiO2 (wt%) indicating an evolution of the percolating fluid during the localisation of deformation. Another ultra-mylonite (grain size ~ 5μm) from the same mantle sequence displays unmixed areas of clinopyroxene-amphibole and olivine-orthopyroxene, which are folded together. The chemical

Everyday TLC: Teaching, Learning, Caring, 2003.

ERIC Educational Resources Information Center

Durkin, Lisa L., Ed.; Miller, Sandy, Ed.

2003-01-01

This document is comprised of weekly newsletters, compiled by month, for family child care providers for the year 2003. Each theme-based four-page newsletter contains: (1) creative activities for use with mixed-age groups of 2- to 5-year-olds; (2) ideas on guiding behavior, organization tips, and Monthly Planning Calendar; (3) special sections for…

[Functional anatomy of the male continence mechanism].

PubMed

Schwalenberg, T; Neuhaus, J; Dartsch, M; Weissenfels, P; Löffler, S; Stolzenburg, J-U

2010-04-01

The basic structures and organs contributing to continence in men are far less well investigated than in women. This concerns anatomical and functional aspects as well. Especially the cooperation of single components and the dynamic anchoring in the pelvic floor require further investigation. An improved anatomical-functional interpretation is needed to generate therapeutic concepts orientated at the physiology of the bladder neck.Therefore, the focus of anatomical investigations should be on the external sphincter which is the main muscle responsible for urethral closure as well as on the connective tissue, smooth muscular and neuronal structures in the pelvis. The smooth muscular structures involved are the internal sphincter, the inner parts of the external sphincter, the urethral longitudinal musculature, and parts of the centrum perinei and of the ventral suspension apparatus which fixes the position of the bladder neck and seems to be vital for continence and initiation of micturition. These new findings imply an integral concept for men as was developed for women. A first step in this regard would be a consistent and updated anatomical nomenclature.

Twelve Years of Rabies Surveillance in Sri Lanka, 1999–2010

PubMed Central

Karunanayake, Dushantha; Matsumoto, Takashi; Wimalaratne, Omala; Nanayakkara, Susilakanthi; Perera, Devika; Nishizono, Akira; Ahmed, Kamruddin

2014-01-01

Background Rabies is endemic in Sri Lanka, but little is known about the temporal and spatial trends of rabies in this country. Knowing these trends may provide insight into past control efforts and serve as the basis for future control measures. In this study, we analyzed distribution of rabies in humans and animals over a period of 12 years in Sri Lanka. Methods Accumulated data from 1999 through 2010 compiled by the Department of Rabies Diagnosis and Research, Medical Research Institute (MRI), Colombo, were used in this study. Results The yearly mean percentage of rabies-positive sample was 62.4% (47.6–75.9%). Three-fourths of the rabies-positive samples were from the Colombo, Gampaha, and Kalutara districts in Western province, followed by Galle in Southern province. A high percentage of the rabies samples were from dogs (85.2%), followed by cats (7.9%), humans (3.8%), wild animals (2.0%), and livestock (1.1%). Among wild animals, mongooses were the main victims followed by civets. The number of suspect human rabies cases decreased gradually in Sri Lanka, although the number of human samples submitted for laboratory confirmation increased. Conclusions The number of rabid dogs has remained relatively unchanged, but the number of suspect human rabies is decreasing gradually in Sri Lanka. These findings indicate successful use of postexposure prophylaxis (PEP) by animal bite victims and increased rabies awareness. PEP is free of charge and is supplied through government hospitals by the Ministry of Health, Sri Lanka. Our survey shows that most positive samples were received from Western and Southern provinces, possibly because of the ease of transporting samples to the laboratory. Submissions of wild animal and livestock samples should be increased by creating more awareness among the public. Better rabies surveillance will require introduction of molecular methods for detection and the establishment of more regional rabies diagnostic laboratories. PMID:25299511

Family Planning in Five Continents: Africa, America, Asia, Europe, Oceania. December 1976 Update.

ERIC Educational Resources Information Center

International Planned Parenthood Federation, London (England).

This document gives highlights of the family planning situation in many countries of the world. Its purpose is to provide a quick reference source for those who work in family planning. Population statistics are included for five continents and many countries. Data for the continents include population in 1976, projected population in 2000,…

From Exotic to Mainstream: A 10-year Odyssey from Internet Speed to Boundary Spanning with Scrum

NASA Astrophysics Data System (ADS)

Baskerville, Richard; Pries-Heje, Jan; Madsen, Sabine

Based on four empirical studies conducted over a 10-year time period from 1999 to 2008 we investigate how local software processes interact with global changes in the software development context. In 1999 companies were developing software at high speed in a desperate rush to be first-to-market. In 2001 a new high speed/quick results development process had become established practice. In 2003 changes in the market created the need for a more balanced view on speed and quality, and in 2008 companies were successfully combining agile and plan driven approaches to achieve the benefits of both. The studies reveal a twostage pattern in which dramatic changes in the market causes disruption of established practices, experimentation, and process adaptations followed by consolidation of lessons learnt into a new (and once again mature) software development process. Limitations, implications, and areas for future research are discussed.

Cancer Incidence in Five Continents: Inclusion criteria, highlights from Volume X and the global status of cancer registration.

PubMed

Bray, F; Ferlay, J; Laversanne, M; Brewster, D H; Gombe Mbalawa, C; Kohler, B; Piñeros, M; Steliarova-Foucher, E; Swaminathan, R; Antoni, S; Soerjomataram, I; Forman, D

2015-11-01

Cancer Incidence in Five Continents (CI5), a longstanding collaboration between the International Agency for Research on Cancer and the International Association of Cancer Registries, serves as a unique source of cancer incidence data from high-quality population-based cancer registries around the world. The recent publication of Volume X comprises cancer incidence data from 290 registries covering 424 populations in 68 countries for the registration period 2003-2007. In this article, we assess the status of population-based cancer registries worldwide, describe the techniques used in CI5 to evaluate their quality and highlight the notable variation in the incidence rates of selected cancers contained within Volume X of CI5. We also discuss the Global Initiative for Cancer Registry Development as an international partnership that aims to reduce the disparities in availability of cancer incidence data for cancer control action, particularly in economically transitioning countries, already experiencing a rapid rise in the number of cancer patients annually. © 2015 UICC.

Arizona motor vehicle crash facts, 2003

DOT National Transportation Integrated Search

2004-01-01

This publication is an annual statistical review of the motor vehicle crashes in the State of Arizona for calendar year : 2003. The results are compiled from Arizona Traffic Accident Reports submitted to the Arizona Department of : Transportation by ...

Declines in Cancer Death Rates Among Children and Adolescents in the United States, 1999-2014.

PubMed

Curtin, Sally C; Minino, Arialdi M; Anderson, Robert N

2016-09-01

Data from the National Vital Statistics System •During 1999-2014, the cancer death rate for children and adolescents aged 1-19 years in the United States declined 20%, from 2.85 to 2.28 per 100,000 population. •The cancer death rate for males aged 1-19 years in 2014 was 30% higher than for females. •Declines in cancer death rates during 1999-2014 were experienced among both white and black persons aged 1-19 years and for all 5-year age groups. •During 1999-2014, brain cancer replaced leukemia as the most common cancer causing death among children and adolescents aged 1-19 years, accounting for 3 out of 10 cancer deaths in 2014. Since the mid-1970s, cancer death rates among children and adolescents in the United States showed marked declines despite a slow increase in incidence for some of the major types (1-3). These trends have previously been shown through 2012. This data brief extends previous research by showing trends in cancer death rates through 2014 among children and adolescents aged 1-19 years in the United States. Cancer death rates for 1999-2014 are presented and trends are compared for both females and males, by 5-year age group, and for white and black children and adolescents. Percent distributions of cancer deaths among children and adolescents aged 1-19 years are shown by anatomical site for 1999 and 2014. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Community development and health project: a 5-year (1995-1999) experience in Mozambique, Africa.

PubMed

Ferrell, B J A G

2002-03-01

The Community Development and Health Project (1995-1999) in Mozambique, East Africa, was undertaken to help alleviate the dire circumstances of daily life following years of internal warfare. The project was supported by the International United Methodist Church and was administered by the Mozambique Conference of the United Methodist Church, Chicuque Rural Hospital and Cambine Health Center. The target population, whose daily survival depended on subsistence farming, lived throughout the country, in particular in rural areas, far from health care facilities. The Project Content included the following topics: basic education in personal and environmental hygiene; proper nutrition using locally available food products; methods of agriculture that would ensure the best use of the land for growing nutritious food; economic methods to guarantee a supply of safe drinking water; disease prevention/home treatment; maternal child health; self-esteem issues; and establishing a representatively inclusive community-development committee. Indigenous women, the 'promotoras/os', were selected from their communities, attended a 4-week training session and then returned to their homes as 'Promotoras/os of Community Development and Health'.

11 years of tracking aid to reproductive, maternal, newborn, and child health: estimates and analysis for 2003-13 from the Countdown to 2015.

PubMed

Grollman, Christopher; Arregoces, Leonardo; Martínez-Álvarez, Melisa; Pitt, Catherine; Mills, Anne; Borghi, Josephine

2017-01-01

Tracking aid flows helps to hold donors accountable and to compare the allocation of resources in relation to health need. With the use of data reported by donors in 2015, we provided estimates of official development assistance and grants from the Bill & Melinda Gates Foundation (collectively termed ODA+) to reproductive, maternal, newborn, and child health for 2013 and complete trends in reproductive, maternal, newborn, and child health support for the period 2003-13. We coded and analysed financial disbursements to reproductive, maternal, newborn, and child health to all recipient countries from all donors reporting to the creditor reporting system database for the year 2013. We also revisited disbursement records for the years 2003-08 and coded disbursements relating to reproductive and sexual health activities resulting in the Countdown dataset for 2003-13. We matched this dataset to the 2015 creditor reporting system dataset and coded any unmatched creditor reporting system records. We analysed trends in ODA+ to reproductive, maternal, newborn, and child health for the period 2003-13, trends in donor contributions, disbursements to recipient countries, and targeting to need. Total ODA+ to reproductive, maternal, newborn, and child health reached nearly US$14 billion in 2013, of which 48% supported child health ($6·8 billion), 34% supported reproductive and sexual health ($4·7 billion), and 18% maternal and newborn health ($2·5 billion). ODA+ to reproductive, maternal, newborn, and child health increased by 225% in real terms over the period 2003-13. Child health received the most substantial increase in funding since 2003 (286%), followed by reproductive and sexual health (194%), and maternal and newborn health (164%). In 2013, bilateral donors disbursed 59% of all ODA+ to reproductive, maternal, newborn, and child health, followed by global health initiatives (23%), and multilateral agencies (13%). Targeting of ODA+ to reproductive, maternal, newborn, and

Participation Trends and Patterns in Adult Education: 1991-1999. Statistical Analysis Report.

ERIC Educational Resources Information Center

Creighton, Sean; Hudson, Lisa

Participation of U.S. adults in formal learning activities during the 1990s was examined by analyzing data from the 1991, 1995, and 1999 Adult Education Surveys that were part of the National Household Education Surveys Program. Overall, participation in adult education between 1991 and 1999 increased among all but one age group (35-44 years), all…

NASA/ASEE Faculty Fellowship Program: 2003 Research Reports

NASA Technical Reports Server (NTRS)

Kotnour, Tim (Editor); LopezdeCastillo, Eduardo (Editor)

2003-01-01

This document is a collection of technical reports on research conducted by the participants in the 2003 NASA/ASEE Faculty Fellowship Program at the John F. Kennedy Space Center (KSC). This was the nineteenth year that a NASA/ASEE program has been conducted at KSC. The 2003 program was administered by the University of Central Florida (UCF) in cooperation with KSC. The program was operated under the auspices of the American Society for Engineering Education (ASEE) and the Education Division, NASA Headquarters, Washington, D.C. The KSC program was one of nine such Aeronautics and Space Research Programs funded by NASA Headquarters in 2003. The basic common objectives of the NASA/ASEE Faculty Fellowship Program are: A) To further the professional knowledge of qualified engineering and science faculty members; B) To stimulate an exchange of ideas between teaching participants and employees of NASA; C) To enrich and refresh the research and teaching activities of participants institutions; D) To contribute to the research objectives of the NASA center. The KSC Faculty Fellows spent ten weeks (May 19 through July 25, 2003) working with NASA scientists and engineers on research of mutual interest to the university faculty member and the NASA colleague. The editors of this document were responsible for selecting appropriately qualified faculty to address some of the many research areas of current interest to NASA/KSC. A separate document reports on the administrative aspects of the 2003 program. The NASA/ASEE program is intended to be a two-year program to allow in-depth research by the university faculty member. In many cases a faculty member has developed a close working relationship with a particular NASA group that had provided funding beyond the two-year limit.

Integrated Mid-Continent Carbon Capture, Sequestration & Enhanced Oil Recovery Project

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

Brian McPherson

2010-08-31

A consortium of research partners led by the Southwest Regional Partnership on Carbon Sequestration and industry partners, including CAP CO2 LLC, Blue Source LLC, Coffeyville Resources, Nitrogen Fertilizers LLC, Ash Grove Cement Company, Kansas Ethanol LLC, Headwaters Clean Carbon Services, Black & Veatch, and Schlumberger Carbon Services, conducted a feasibility study of a large-scale CCS commercialization project that included large-scale CO{sub 2} sources. The overall objective of this project, entitled the 'Integrated Mid-Continent Carbon Capture, Sequestration and Enhanced Oil Recovery Project' was to design an integrated system of US mid-continent industrial CO{sub 2} sources with CO{sub 2} capture, and geologicmore » sequestration in deep saline formations and in oil field reservoirs with concomitant EOR. Findings of this project suggest that deep saline sequestration in the mid-continent region is not feasible without major financial incentives, such as tax credits or otherwise, that do not exist at this time. However, results of the analysis suggest that enhanced oil recovery with carbon sequestration is indeed feasible and practical for specific types of geologic settings in the Midwestern U.S.« less

Infants and Toddlers, 1999-2000.

ERIC Educational Resources Information Center

Kroenke, Lillian DeVault, Ed.

2000-01-01

This document is comprised of the four 1999-2000 issues of a quarterly journal for teachers and parents of children in Montessori infant and toddler programs. The May 1999 issue presents articles on eating in the prepared environment and meeting infants' basic needs for food. The August 1999 issue includes articles discussing infants' sensory…

Effect of spinal anaesthesia on the lower urinary tract in continent women.

PubMed

Haeusler, G; Sam, C; Chiari, A; Tempfer, C; Hanzal, E; Koelbl, H

1998-01-01

To evaluate the effect of spinal anaesthesia on the bladder neck position and the urethral closure function in the resting state and during clinical stress test in healthy, continent women. Controlled clinical trial. Department of Gynaecology and Obstetrics, Vienna University Medical School. Fourteen continent women, of which seven were nulliparous and seven parous, underwent minor gynaecological procedures under spinal anaesthesia. Urodynamics and ultrasound investigations were performed before and during spinal anaesthesia. Changes in the bladder neck position and the urethral closure function before and during spinal anaesthesia. Bladder neck position was found to be lower and more posterior during spinal anaesthesia as compared with pre-operative assessment. The posterior urethrovesical angle increased significantly both at rest and during maximum straining. We observed a significant increase in bladder compliance, and all parameters of the urethral pressure profile decreased significantly. While none of the nulliparous women had a positive clinical stress test during spinal anaesthesia, 4/7 parous women demonstrated leakage (Fisher's exact test, P = 0.003). Blockage of nerve supply to the pelvic floor muscles in continent women is associated with a significant loss of support of the bladder neck region confirming the theory of an active mechanism of muscular elements providing continence.

SELECTION AND TREATMENT OF STRIPPER GAS WELLS FOR PRODUCTION ENHANCEMENT IN THE MID-CONTINENT

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

Scott Reeves

2003-03-01

Stripper gas wells are an important source of domestic energy supply and under constant threat of permanent loss (shut-in) due to marginal economics. In 1998, 192 thousand stripper gas wells produced over a Tcf of gas, at an average rate of less than 16 Mcfd. This represents about 57% of all producing gas wells in the onshore lower-48 states, yet only 8% of production. Reserves of stripper gas wells are estimated to be only 1.6 Tcf, or slightly over 1% of the onshore lower-48 total (end of year 1996 data). Obviously, stripper gas wells are at the very margin ofmore » economic sustenance. As the demand for natural gas in the U.S. grows to the forecasted estimate of over 30 Tcf annually by the year 2010, supply from current conventional sources is expected to decline. Therefore, an important need exists to fully exploit known domestic resources of natural gas, including those represented by stripper gas wells. The overall objectives of this project are to develop an efficient and low-cost methodology to broadly categorize the well performance characteristics for a stripper gas field, identify the high-potential candidate wells for remediation, and diagnose the specific causes for well underperformance. With this capability, stripper gas well operators can more efficiently and economically produce these resources and maximize these gas reserves. A further objective is to identify/develop, evaluate and test ''new and novel,'' economically viable remediation options. Finally, it is the objective of this project that all the methods and technologies developed in this project, while being tested in the Mid-Continent, be widely applicable to stripper gas wells of all types across the country. The project activities during the reporting period were: (1) Continued coordinating the final selection of candidates and field implementation with Oneok. Oneok plans on performing the operations early in 2003.« less

SELECTION AND TREATMENT OF STRIPPER GAS WELLS FOR PRODUCTION ENHANCEMENT IN THE MID-CONTINENT

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

Scott Reeves

2003-04-01

Stripper gas wells are an important source of domestic energy supply and under constant threat of permanent loss (shut-in) due to marginal economics. In 1998, 192 thousand stripper gas wells produced over a Tcf of gas, at an average rate of less than 16 Mcfd. This represents about 57% of all producing gas wells in the onshore lower-48 states, yet only 8% of production. Reserves of stripper gas wells are estimated to be only 1.6 Tcf, or slightly over 1% of the onshore lower-48 total (end of year 1996 data). Obviously, stripper gas wells are at the very margin ofmore » economic sustenance. As the demand for natural gas in the U.S. grows to the forecasted estimate of over 30 Tcf annually by the year 2010, supply from current conventional sources is expected to decline. Therefore, an important need exists to fully exploit known domestic resources of natural gas, including those represented by stripper gas wells. The overall objectives of this project are to develop an efficient and low-cost methodology to broadly categorize the well performance characteristics for a stripper gas field, identify the high-potential candidate wells for remediation, and diagnose the specific causes for well underperformance. With this capability, stripper gas well operators can more efficiently and economically produce these resources and maximize these gas reserves. A further objective is to identify/develop, evaluate and test ''new and novel,'' economically viable remediation options. Finally, it is the objective of this project that all the methods and technologies developed in this project, while being tested in the Mid-Continent, be widely applicable to stripper gas wells of all types across the country. The project activities during the reporting period were: Continued coordinating the final selection of candidates and field implementation with Oneok. Oneok plans on performing the operations early in 2003.« less

Assessment Program Technical Progress Report, 1998-1999.

ERIC Educational Resources Information Center

Eickmeyer, Barbara; Hill, Stephen; Kozak, Kathryn

This report records the assessment and institutional research activities at Coconino Community College during the 1998-1999 academic year. These activities are part of an effort to evaluate institutional effectiveness with respect to college mission, programs, and instruction. It focuses on past and present assessment activities and future goals,…

Work Programme, 2003.

ERIC Educational Resources Information Center

European Centre for the Development of Vocational Training, Thessaloniki (Greece).

This publication presents work program 2003 in light of the new medium-term priorities 2003-06 and activities 2003 as a consistent and systematic translation of this multiannual approach, specifying activities and outputs to meet the medium-term strategy. A main strategic activity is described--further development of a knowledge management system…

Comment on ''Sensitivity Analysis and Determination of Streambed Leakance and Aquifer Hydraulic Properties'' by Xunhong Chen and Xi Chen, Journal of Hydrology, 2003, v.284, 270-284

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

Kollet, S

2004-05-17

Recently, studies of the Platte River watershed have gained significant attention from federal and Nebraska, USA, state agencies due to the importance of groundwater/surface-water interactions under drought conditions. Using archive data from a 1983 pumping test, Chen and Chen (2003) interpret the hydraulic properties of the alluvium and a streambed of the Platte River near Kearney, Nebraska, and compare their data with results of other studies performed over the past several years. Three important inconsistencies of this article will be highlighted here: (1) misuse of the analytical model of Hunt (1999), (2) departure of their results from previously published data,more » and (3) unsatisfactory explanation of these anomalous results.« less

SUMMER 2003 DOCUMENTATION TEAM FOR THE HOUSE, THE 2003 SALLY ...

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

SUMMER 2003 DOCUMENTATION TEAM FOR THE HOUSE, THE 2003 SALLY KRESS TOMPKINS FELLOW, AND HABS STAFF IN FRONT OF THE MAIN ENTRANCE AT THE WOODLANDS DURING THE PROJECT CLOSE-OUT, 14 AUGUST 2003. LEFT TO RIGHT, FRONT ROW: SHALINI MAHAJAN, CATHERINE C. LAVOIE, STEVEN B. UTZ, COURTNEY L. GUNDERSON. BACK ROW: MARGARET TULLOCH, JAMES A. JACOBS, ROBERT R. ARZOLA, MORGAN GICK - The Woodlands, 4000 Woodlands Avenue, Philadelphia, Philadelphia County, PA

Health-related quality of life after 5-12 years of continent ileal urostomy (Kock reservoir) in children and adolescents.

PubMed

Abd-el-Gawad, G; Abrahamsson, K; Hellström, A L; Hjälmås, K; Hanson, E

2002-02-01

To assess quality of life after continent ileal reservoir diversion in children and adolescents. Nine boys and 9 girls (10.8-18 years old at surgery) were operated with a Kock reservoir and followed for 5-12 years. They participated in an interview using a questionnaire based on the Swedish self-esteem inventory, "I think I am". The questionnaire consisted of 76 questions that covered medical, physical, psychological, social, body image and sexual aspects. Six of 18 patients had some difficulties on catheterization. Five complained of pain or bleeding during evacuation. Two patients had slight urinary leakage between evacuations and 6 had mucus secretion. Ten patients had diarrhea with different frequencies. Physical activities were not hampered by the operation in any patient. Instead, activities such as full day outside home, friend at home overnight, using all types of clothes, and participation in camps were increased in 8, 6, 5 and 5 patients, respectively. All patients but 2 had an excellent relation with friends and family members. More than half of patients had excellent positive self-esteem and body image and the rest had very good self-esteem. However, some patients were concerned about how they looked and felt that life was unfair to them. The patients were satisfied with their operation. They were physically active and declared a positive perspective regarding self-esteem and body image. The medical problems related to the operation did not have any negative influence on the self-esteem or body image. The choice of the operation can only be determined on the basis of an attentive dialogue between surgeon, child and parents.

The Landsat Image Mosaic of Antarctica

USGS Publications Warehouse

Bindschadler, Robert; Vornberger, P.; Fleming, A.; Fox, A.; Mullins, J.; Binnie, D.; Paulsen, S.J.; Granneman, Brian J.; Gorodetzky, D.

2008-01-01

The Landsat Image Mosaic of Antarctica (LIMA) is the first true-color, high-spatial-resolution image of the seventh continent. It is constructed from nearly 1100 individually selected Landsat-7 ETM+ scenes. Each image was orthorectified and adjusted for geometric, sensor and illumination variations to a standardized, almost seamless surface reflectance product. Mosaicing to avoid clouds produced a high quality, nearly cloud-free benchmark data set of Antarctica for the International Polar Year from images collected primarily during 1999-2003. Multiple color composites and enhancements were generated to illustrate additional characteristics of the multispectral data including: the true appearance of the surface; discrimination between snow and bare ice; reflectance variations within bright snow; recovered reflectance values in regions of sensor saturation; and subtle topographic variations associated with ice flow. LIMA is viewable and individual scenes or user defined portions of the mosaic are downloadable at http://lima.usgs.gov. Educational materials associated with LIMA are available at http://lima.nasa.gov.

Factors affecting choice between ureterostomy, ileal conduit and continent reservoir after radical cystectomy: Japanese series.

PubMed

Sugihara, Toru; Yasunaga, Hideo; Horiguchi, Hiromasa; Fujimura, Tetsuya; Fushimi, Kiyohide; Yu, Changhong; Kattan, Michael W; Homma, Yukio

2014-12-01

Little is known about the disparity of choices between three urinary diversions after radical cystectomy, focusing on patient and institutional factors. We identified urothelial carcinoma patients who received radical cystectomy with cutaneous ureterostomy, ileal conduit or continent reservoir using the Japanese Diagnosis Procedure Combination database from 2007 to 2012. Data comprised age, sex, comorbidities (converted into the Charlson index), TNM classification (converted into oncological stage), hospitals' academic status, hospital volume, bed volume and geographical region. Multivariate ordinal logistic regression analyses fitted with the proportional odds model were performed to analyze factors affecting urinary diversion choices. For dependent variables, the three diversions were converted into an ordinal variable in order of complexity: cutaneous ureterostomy (reference), ileal conduit and continent reservoir. Geographical variations were also examined by multivariate logistic regression models. A total of 4790 patients (1131 cutaneous ureterostomies [23.6 %], 2970 ileal conduits [62.0 %] and 689 continent reservoirs [14.4 %]) were included. Ordinal logistic regression analyses showed that male sex, lower age, lower Charlson index, early tumor stage, higher hospital volume (≥3.4 cases/year) and larger bed volume (≥450 beds) were significantly associated with the preference of more complex urinary diversion. Significant geographical disparity was also found. Good patient condition and early oncological status, as well as institutional factors, including high hospital volume, large bed volume and specific geographical regions, are independently related to the likelihood of choosing complex diversions. Recognizing this disparity would help reinforce the need for clinical practice uniformity.

FY 2003-2007 proposed airport improvement program

DOT National Transportation Integrated Search

2002-01-01

Governor Ryan's Illinois FIRST infrastructure investment initiative provides state funding to match airport improvement projects. For Fiscal Years 2003 through 2007, the Illinois Department of Transportation's Proposed Airport Improvement Program inc...

Rainfall over the African continent from the 19th through the 21st century

NASA Astrophysics Data System (ADS)

Nicholson, Sharon E.; Funk, Chris; Fink, Andreas H.

2018-06-01

Most of the African continent is semi-arid and hence prone to extreme variations in rainfall from year to year. The extreme droughts that have plagued the Sahel and eastern Africa are particularly well known. This article uses a markedly expanded and updated rainfall data set to examine rainfall variability in 13 sectors that cover most of the continent. Annual rainfall is presented for each sector; the March-to-May and October-November seasons are also examined for equatorial sectors. In each case, the article includes the longest and most comprehensive precipitation gauge series ever published. All time series cover at least a century and most cover roughly one and one-half centuries or more. Although towards the end of the 20th century there was a widespread trend towards more arid conditions, few significant trends are evident over the entire period of record. The largest were downward trends in the Sahel and western sectors of North Africa. In those regions, an abrupt reduction in rainfall occurred around 1968, but a synchronous change occurred many other parts of Africa. A recovery did occur in the Sahel, but to varying degrees across the east-west expanse of the region. Noteworthy is that the west-to-east rainfall gradient across the region appears to have weakened in recent decades. For the continent as a whole, another change began in the 1980s decade, with more arid conditions persisting at the continental scale until early in the twenty-first century. No other such period of dry conditions occurred within the roughly one and one-half centuries evaluated here. A notable change also occurred at the seasonal level. During the period 1980 to 1998 rainfall during March-to-May was well below the long-term mean throughout most of the area from 20° N to 35° S. At the same time rainfall was above the long-term mean in most of eastern sectors within this latitude span, indicating a change in the seasonality of rainfall of a large part of Africa.

From yellow perch to round goby: A review of double-crested cormorant diet and fish consumption at three St. Lawrence River colonies, 1999–2013

USGS Publications Warehouse

Johnson, James H.; Farquhar, James F.; Klindt, Rodger M; Mazzocchi, Irene; Mathers, Alastair

2015-01-01

The number of double-crested cormorants (Phalacrocorax auritus) in the upper St. Lawrence River has increased markedly since the early 1990s. In 1999, a binational study was initiated to examine the annual diet composition and fish consumption of cormorants at colonies in the upper river. Since 1999, 14,032 cormorant pellets, collected from May through September each year, have been examined from St. Lawrence River colonies to estimate fish consumption and determine temporal and spatial variation in diet. Seasonal variation in diet composition within a colony was low. Prior to 2006 yellow perch was the primary fish consumed by cormorants in the upper St. Lawrence River. Round goby were first observed in cormorant diets in 2003 and by 2006 were the main fish consumed at two of the three colonies. The time interval it took from the first appearance of round goby in the diet at a colony to when goby were the dominant prey species varied by island, ranging from two to five years. Daily fish consumption at each cormorant colony increased significantly from the pre-round goby to post-round goby period. The mean annual biomass of yellow perch consumed decreased significantly during the post-round goby period at the three colonies. Reduced consumption of yellow perch by cormorants may alleviate suspected localized impacts on perch near some of the larger river colonies.

Fear and overprotection in Australian residential aged-care facilities: The inadvertent impact of regulation on quality continence care.

PubMed

Ostaszkiewicz, Joan; O'Connell, Beverly; Dunning, Trisha

2016-06-01

Most residents in residential aged-care facilities are incontinent. This study explored how continence care was provided in residential aged-care facilities, and describes a subset of data about staffs' beliefs and experiences of the quality framework and the funding model on residents' continence care. Using grounded theory methodology, 18 residential aged-care staff members were interviewed and 88 hours of field observations conducted in two facilities. Data were analysed using a combination of inductive and deductive analytic procedures. Staffs' beliefs and experiences about the requirements of the quality framework and the funding model fostered a climate of fear and risk adversity that had multiple unintended effects on residents' continence care, incentivising dependence on continence management, and equating effective continence care with effective pad use. There is a need to rethink the quality of continence care and its measurement in Australian residential aged-care facilities. © 2015 AJA Inc.

MEETING: Chlamydomonas Annotation Jamboree - October 2003

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

Grossman, Arthur R

2007-04-13

Shotgun sequencing of the nuclear genome of Chlamydomonas reinhardtii (Chlamydomonas throughout) was performed at an approximate 10X coverage by JGI. Roughly half of the genome is now contained on 26 scaffolds, all of which are at least 1.6 Mb, and the coverage of the genome is ~95%. There are now over 200,000 cDNA sequence reads that we have generated as part of the Chlamydomonas genome project (Grossman, 2003; Shrager et al., 2003; Grossman et al. 2007; Merchant et al., 2007); other sequences have also been generated by the Kasuza sequence group (Asamizu et al., 1999; Asamizu et al., 2000) ormore » individual laboratories that have focused on specific genes. Shrager et al. (2003) placed the reads into distinct contigs (an assemblage of reads with overlapping nucleotide sequences), and contigs that group together as part of the same genes have been designated ACEs (assembly of contigs generated from EST information). All of the reads have also been mapped to the Chlamydomonas nuclear genome and the cDNAs and their corresponding genomic sequences have been reassembled, and the resulting assemblage is called an ACEG (an Assembly of contiguous EST sequences supported by genomic sequence) (Jain et al., 2007). Most of the unique genes or ACEGs are also represented by gene models that have been generated by the Joint Genome Institute (JGI, Walnut Creek, CA). These gene models have been placed onto the DNA scaffolds and are presented as a track on the Chlamydomonas genome browser associated with the genome portal (http://genome.jgi-psf.org/Chlre3/Chlre3.home.html). Ultimately, the meeting grant awarded by DOE has helped enormously in the development of an annotation pipeline (a set of guidelines used in the annotation of genes) and resulted in high quality annotation of over 4,000 genes; the annotators were from both Europe and the USA. Some of the people who led the annotation initiative were Arthur Grossman, Olivier Vallon, and Sabeeha Merchant (with many individual

Calendar year 2003 annual site environmental report for Sandia National Laboratories, New Mexico.

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

Wagner, Katrina; Sanchez, Rebecca V.; Mayeux, Lucie

2004-09-01

Sandia National Laboratories, New Mexico (SNL/NM) is a government-owned, contractor-operated facility owned by the U.S. Department of Energy (DOE), National Nuclear Security Administration (NNSA) and managed by the Sandia Site Office (SSO), Albuquerque, New Mexico. Sandia Corporation, a wholly-owned subsidiary of Lockheed Martin Corporation, operates SNL/NM. This annual report summarizes data and the compliance status of Sandia Corporation's environmental protection and monitoring programs through December 31, 2003. Major environmental programs include air quality, water quality, groundwater protection, terrestrial surveillance, waste management, pollution prevention (P2), environmental restoration (ER), oil and chemical spill prevention, and the National Environmental Policy Act (NEPA). Environmentalmore » monitoring and surveillance programs are required by DOE Order 450.1, ''Environmental Protection Program'' (DOE 2003a) and DOE Order 231.1 Chg.2, ''Environment, Safety, and Health Reporting'' (DOE 1996).« less

Temporal trends in the relative prevalence of dysphagia etiologies from 1999-2009

PubMed Central

Kidambi, Trilokesh; Toto, Erin; Ho, Nancy; Taft, Tiffany; Hirano, Ikuo

2012-01-01

AIM: To examine the relative prevalence and temporal variation of dysphagia etiologies in patients undergoing upper endoscopy (EGD) over the past decade. METHODS: EGDs with the indication of dysphagia at an urban, university medical center in 1999, 2004 and 2009 were retrospectively identified from the electronic medical record. The entire patient chart, including EGD, pathology, manometry, radiographic and clinician reports, was reviewed for demographic and clinical data and to determine the etiology of dysphagia. The number of EGDs in which an esophageal biopsy was performed was also noted. Gastroesophageal reflux disease (GERD) as a cause of dysphagia independent of peptic stricture was defined by symptoms with erosive esophagitis or symptom response to proton pump inhibition (PPI). Cases of eosinophilic esophagitis (EoE) were defined by an appropriate clinical history and histological criteria of ≥ 15 eosinophils per high powered field. PPI-responsive esophageal eosinophilia was not routinely reported prior to 2008. Statistical analysis was performed using one-way analysis of variance to analyze for trends between 1999, 2004 and 2009 and a post-hoc Tukey analysis was performed following a significant main effect. RESULTS: A total of 1371 cases (mean age 54 years, 43% male) met pre-specified inclusion criteria with 191, 504 and 675 cases in 1999, 2004 and 2009, respectively. Patients were older in 2004 compared to 2009 (mean ± SD, 54.0 ± 15.7 years vs 52.3 ± 16.8 years, P = 0.02) and there were more males in 1999 compared to 2004 (57.5% vs 40.8%, P = 0.005). Overall, GERD (27.6%) and EoE (7.7%) were the most common identifiable causes of dysphagia. An unspecified diagnosis accounted for 21% of overall cases. There were no significant differences in the relative prevalence of achalasia or other motility disorders, peptic stricture, Schatzki’s ring, esophageal cancer or unspecified diagnoses over the 10-year time period. There was, however, a decrease in

Temporal trends in the relative prevalence of dysphagia etiologies from 1999-2009.

PubMed

Kidambi, Trilokesh; Toto, Erin; Ho, Nancy; Taft, Tiffany; Hirano, Ikuo

2012-08-28

To examine the relative prevalence and temporal variation of dysphagia etiologies in patients undergoing upper endoscopy (EGD) over the past decade. EGDs with the indication of dysphagia at an urban, university medical center in 1999, 2004 and 2009 were retrospectively identified from the electronic medical record. The entire patient chart, including EGD, pathology, manometry, radiographic and clinician reports, was reviewed for demographic and clinical data and to determine the etiology of dysphagia. The number of EGDs in which an esophageal biopsy was performed was also noted. Gastroesophageal reflux disease (GERD) as a cause of dysphagia independent of peptic stricture was defined by symptoms with erosive esophagitis or symptom response to proton pump inhibition (PPI). Cases of eosinophilic esophagitis (EoE) were defined by an appropriate clinical history and histological criteria of ≥ 15 eosinophils per high powered field. PPI-responsive esophageal eosinophilia was not routinely reported prior to 2008. Statistical analysis was performed using one-way analysis of variance to analyze for trends between 1999, 2004 and 2009 and a post-hoc Tukey analysis was performed following a significant main effect. A total of 1371 cases (mean age 54 years, 43% male) met pre-specified inclusion criteria with 191, 504 and 675 cases in 1999, 2004 and 2009, respectively. Patients were older in 2004 compared to 2009 (mean ± SD, 54.0 ± 15.7 years vs 52.3 ± 16.8 years, P = 0.02) and there were more males in 1999 compared to 2004 (57.5% vs 40.8%, P = 0.005). Overall, GERD (27.6%) and EoE (7.7%) were the most common identifiable causes of dysphagia. An unspecified diagnosis accounted for 21% of overall cases. There were no significant differences in the relative prevalence of achalasia or other motility disorders, peptic stricture, Schatzki's ring, esophageal cancer or unspecified diagnoses over the 10-year time period. There was, however, a decrease in the relative prevalence of

Vulnerability to episodes of extreme weather: Butajira, Ethiopia, 1998-1999.

PubMed

Emmelin, Anders; Fantahun, Mesganaw; Berhane, Yemane; Wall, Stig; Byass, Peter

2008-12-16

During 1999-2000, great parts of Ethiopia experienced a period of famine which was recognised internationally. The aim of this paper is to characterise the epidemiology of mortality of the period, making use of individual, longitudinal population-based data from the Butajira demographic surveillance site and rainfall data from a local site. Vital statistics and household data were routinely collected in a cluster sample of 10 sub-communities in the Butajira district in central Ethiopia. These were supplemented by rainfall and agricultural data from the national reporting systems. Rainfall was high in 1998 and well below average in 1999 and 2000. In 1998, heavy rains continued from April into October, in 1999 the small rains failed and the big rains lasted into the harvesting period. For the years 1998-1999, the mortality rate was 24.5 per 1,000 person-years, compared with 10.2 in the remainder of the period 1997-2001. Mortality peaks reflect epidemics of malaria and diarrhoeal disease. During these peaks, mortality was significantly higher among the poorer. The analyses reveal a serious humanitarian crisis with the Butajira population during 1998-1999, which met the CDC guideline crisis definition of more than one death per 10,000 per day. No substantial humanitarian relief efforts were triggered, though from the results it seems likely that the poorest in the farming communities are as vulnerable as the pastoralists in the North and East of Ethiopia. Food insecurity and reliance on subsistence agriculture continue to be major issues in this and similar rural communities. Epidemics of traditional infectious diseases can still be devastating, given opportunities in nutritionally challenged populations with little access to health care.

Spatiotemporal distribution of interplate slip following the 2003 Tokachi-oki earthquake deduced from ocean bottom pressure gauges and onland GNSS data

NASA Astrophysics Data System (ADS)

Itoh, Y.; Nishimura, T.; Ariyoshi, K.; Matsumoto, H.

2017-12-01

The 2003 Tokachi-oki earthquake (Mw 8.0) is an interplate earthquake along the Kurile trench. Its co- and post-seismic deformation has been observed by onland GNSS [e.g., Miyazaki et al. 2004] and modeled with afterslip and/or viscoelastic relaxation [e.g., Itoh and Nishimura 2016]. In the offshore region, two ocean bottom pressure gauges (OBPs) are operated by JAMSTEC since July 1999 [Hirata et al. 2002] and they have continuously observed the pre-, co- and post-seismic pressure change of the 2003 event [Baba et al. 2006]. The observed pressure change can be interpreted as vertical displacement, and the resolution of slip beneath the seafloor far from the land was improved by incorporating these pressure data into onland GNSS data [Baba et al. 2006]. However, no previous studies used postseismic pressure data for several years to estimate an interplate slip. Because, in this region, an M8 class event similar to the 2003 event has occurred in 1952, it is important to clarify a healing process of an interplate coupling which may lead to a next M8 class event in terms of the earthquake cycle. Itoh and Nishimura [2017, JpGU-AGU Joint Meeting] estimated it but used only onland GNSS data. In this study, we use both onland GNSS and OBP data. For OBP data analysis, we first removed the tidal component using BAYTAP08 [Tamura et al. 1991; Tamura and Agnew 2008]. Next, we corrected the temporal fluctuation of data correlating with temperature [Baba et al. 2006]. We estimated the linear trend before the 2003 event using the corrected time series from 2002 Jan. 1 to 2003 Sep. 1 and remove the estimated trend from the data after the 2003 event. Here, we assumed a non-linear drift could be ignored. Finally, we down-sampled the remained time series with an interval of 1 month. For the onland GNSS data, we used the same data set of Itoh and Nishimura [2017, JpGU-AGU Joint Meeting]. We constructed the model consisting of coseismic slip of the 2003 and M6-7 events in the postseismic

Anorectal function in patients with complete rectal prolapse. Differences between continent and incontinent individuals.

PubMed

Roig, J V; Buch, E; Alós, R; Solana, A; Fernández, C; Villoslada, C; García-Armengol, J; Hinojosa, J

1998-11-01

A study is made of the alterations in anorectal physiology among rectal prolapse patients, evaluating the differences between fecal continent and incontinent individuals. Eighteen patients with complete rectal prolapse were divided into two groups: Group A (8 continent individuals) and Group B (10 incontinent women), while 22 healthy women were used as controls (Group C). Clinical exploration and perineal level measurements were performed, along with anorectal manometry, electrophysiology, and anorectal sensitivity to electrical stimuli. The main antecedents of the continent subjects were excess straining efforts, while the incontinent women presented excess straining and complex deliveries. Pathological perineal descent was a frequent finding in both groups, with a hypotonic anal canal at rest (p < 0.001 vs controls) and at voluntary squeezing (p < 0.001 vs controls). In turn, the incontinent patients exhibited a significantly lower anal canal pressure at rest than the continent women (p < 0.05). There were no significant differences between Groups A and C in terms of pudendal motor latency, though latency was significantly longer in Group B than in the controls (p < 0.01). Moreover, pudendal neuropathy was more common, severe and often bilateral in Group B. There were no differences in rectal sensation to distention or in terms of the volumes required to relax the internal anal sphincter. In turn, both prolapse groups exhibited diminished anal canal and rectal sensitivity to electrical stimuli. Patients with rectal prolapse exhibit a hypotonic anal canal at rest, regardless of whether they are continent to feces or not. Continent patients have less pudendal neuropathy and therefore less pressure alterations at voluntary sphincter squeeze than incontinent individuals.

Trend Analysis of Indiana K-12 Library Services Since the School Library Printed Materials Grant

ERIC Educational Resources Information Center

Plucker, Jonathan; Humphrey, Jack; Simmons, Ada; Ravert, Russell; Kohler, Kristin; Hansen, John

2004-01-01

The Indiana General Assembly recognized the importance of updating school library book collections by appropriating $4 million for K-8 schools during the 1997-1999 school years, $6 million for K-12 schools during the 1999-2001 school years, and $6 million for K-12 schools for the 2001-2003 school years. However, due to state budgetary restraints,…

Self-consistent formation of continents on early Earth

NASA Astrophysics Data System (ADS)

Noack, Lena; Van Hoolst, Tim; Breuer, Doris; Dehant, Véronique

2013-04-01

In our study we want to understand how Earth evolved with time and examine the initiation of plate tectonics and the possible formation of continents on Earth. Plate tectonics and continents seem to influence the likelihood of a planet to harbour life [1], and both are strongly influenced by the planetary interior (e.g. mantle temperature and rheology) and surface conditions (e.g. stabilizing effect of continents, atmospheric temperature), and may also depend on the biosphere. Earth is the only terrestrial planet (i.e. with a rocky mantle and iron core) in the solar system where long-term plate tectonics evolved. Knowing the factors that have a strong influence on the occurrence of plate tectonics allows for prognoses about plate tectonics on terrestrial exoplanets that have been detected in the past decade, and about the likelihood of these planets to harbour Earth-like life. For this purpose, planetary interior and surface processes are coupled via 'particles' as computational tracers in the 3D code GAIA [2,3]. These particles are dispersed in the mantle and crust of the modelled planet and can track the relevant rock properties (e.g. density or water content) over time. During the thermal evolution of the planet, the particles are advected due to mantle convection and along melt paths towards the surface and help to gain information about the thermo-chemical system. This way basaltic crust that is subducted into the silicate mantle is traced in our model. It is treated differently than mantle silicates when re-molten, such that granitic (felsic) crust is produced (similar to the evolution of continental crust on early Earth [4]), which is stored in the particle properties. We apply a pseudo-plastic rheology and use small friction coefficients (since an increased reference viscosity is used in our model). We obtain initiation of plate tectonics and self-consistent formation of pre-continents after a few Myr up to several Gyr - depending on the initial conditions

A scientometric analysis of Indian research output in medicine during 1999–2008

PubMed Central

Gupta, B. M.; Bala, Adarsh

2011-01-01

Objective: This study analyzes the research activities of India in medicine during 1999–2008, based on the total publication output, its growth rate, quality of papers published and rank of India in the global context. Patterns of international collaborative research output and the major partner countries of India are also discussed. This study also evaluates the research performance of different types of Indian medical colleges, hospitals, research institutes, universities and research foundations and the characteristics of published literature in Indian and foreign journals. It also analyzes the medical research output by disease and organs. Materials and Methods: The publication data on medicine has been retrieved by using SCOPUS database. Results: India holds 12th rank among the productive countries in medicine research consisting of 65,745 papers with a global publication share of 1.59% and registering a growth rate of 76.68% for the papers published during 1999–2003 to 2004–2008. Conclusion: High quality research in India is grossly inadequate and requires strategic planning, investment and resource support. There is also a need to improve the existing medical education system, which should foster research culture. PMID:22470241

Global Mapping of Oceanic and Continental Shelf Crustal Thickness and Ocean-Continent Transition Structure

NASA Astrophysics Data System (ADS)

Kusznir, Nick; Alvey, Andy; Roberts, Alan

2017-04-01

The 3D mapping of crustal thickness for continental shelves and oceanic crust, and the determination of ocean-continent transition (OCT) structure and continent-ocean boundary (COB) location, represents a substantial challenge. Geophysical inversion of satellite derived free-air gravity anomaly data incorporating a lithosphere thermal anomaly correction (Chappell & Kusznir, 2008) now provides a useful and reliable methodology for mapping crustal thickness in the marine domain. Using this we have produced the first comprehensive maps of global crustal thickness for oceanic and continental shelf regions. Maps of crustal thickness and continental lithosphere thinning factor from gravity inversion may be used to determine the distribution of oceanic lithosphere, micro-continents and oceanic plateaux including for the inaccessible polar regions (e.g. Arctic Ocean, Alvey et al.,2008). The gravity inversion method provides a prediction of continent-ocean boundary location which is independent of ocean magnetic anomaly and isochron interpretation. Using crustal thickness and continental lithosphere thinning factor maps with superimposed shaded-relief free-air gravity anomaly, we can improve the determination of pre-breakup rifted margin conjugacy and sea-floor spreading trajectory during ocean basin formation. By restoring crustal thickness & continental lithosphere thinning to their initial post-breakup configuration we show the geometry and segmentation of the rifted continental margins at their time of breakup, together with the location of highly-stretched failed breakup basins and rifted micro-continents. For detailed analysis to constrain OCT structure, margin type (i.e. magma poor, "normal" or magma rich) and COB location, a suite of quantitative analytical methods may be used which include: (i) Crustal cross-sections showing Moho depth and crustal basement thickness from gravity inversion. (ii) Residual depth anomaly (RDA) analysis which is used to investigate OCT

Trend (1999-2009) in U.S. death rates from myelodysplastic syndromes: utility of multiple causes of death in surveillance.

PubMed

Polednak, Anthony P

2013-10-01

For myelodysplastic syndromes (MDS) (formerly known as preleukemia), a diverse group of myeloid neoplasms usually involving anemia in elderly persons, trends in U.S. death rates apparently have not been reported. Trends in annual age-standardized rates per 100,000 from 1999 to 2009 were examined for MDS using multiple causes vs. underlying cause alone, coded on death certificates for U.S. residents. The death rate (all ages combined) for MDS increased from 1999 to 2009, from 1.62 to 1.84 using underlying cause alone and from 2.89 to 3.27 using multiple causes. Rates using multiple causes were about 80% higher than those based on underlying cause alone. From 2001 to 2004 the rate for MDS using underlying cause alone (but not using multiple causes) declined, accompanied by an increase in the rate for deaths from leukemia as underlying cause with mention of MDS; this trend coincided with the advent of the 2001 World Health Organization's reclassification of certain MDS as leukemia. The MDS rate for age 65+ years increased after 2005, whereas the rate for age 25-64 years was low but declined from 2001 to 2003 and then stabilized. For deaths with MDS coded as other than underlying cause, rates did not decline for deaths from each of the two most common causes (i.e., cardiovascular diseases and leukemia). Evidence for decreases in MDS-related mortality rates was limited; the increase at age 65+ years is consistent with increases in incidence rates reported from cancer registries. Using multiple causes of death vs. only the underlying cause results in substantially higher MDS-related death rates, shows the impact of changes in the classification of myeloid neoplasms and emphasizes the importance of reducing cardiovascular disease mortality in MDS patients. Copyright © 2013 Elsevier Ltd. All rights reserved.

Prostate cancer mortality risk in relation to working underground in the Wismut cohort study of German uranium miners, 1970-2003.

PubMed

Walsh, Linda; Dufey, Florian; Tschense, Annemarie; Schnelzer, Maria; Sogl, Marion; Kreuzer, Michaela

2012-01-01

A recent study and comprehensive literature review has indicated that mining could be protective against prostate cancer. This indication has been explored further here by analysing prostate cancer mortality in the German 'Wismut' uranium miner cohort, which has detailed information on the number of days worked underground. An historical cohort study of 58 987 male mine workers with retrospective follow-up before 1999 and prospective follow-up since 1999. Uranium mine workers employed during the period 1970-1990 in the regions of Saxony and Thuringia, Germany, contributing 1.42 million person-years of follow-up ending in 2003. Simple standardised mortality ratio (SMR) analyses were applied to assess differences between the national and cohort prostate cancer mortality rates and complemented by refined analyses done entirely within the cohort. The internal comparisons applied Poisson regression excess relative prostate cancer mortality risk model with background stratification by age and calendar year and a whole range of possible explanatory covariables that included days worked underground and years worked at high physical activity with γ radiation treated as a confounder. The analysis is based on miner data for 263 prostate cancer deaths. The overall SMR was 0.85 (95% CI 0.75 to 0.95). A linear excess relative risk model with the number of years worked at high physical activity and the number of days worked underground as explanatory covariables provided a statistically significant fit when compared with the background model (p=0.039). Results (with 95% CIs) for the excess relative risk per day worked underground indicated a statistically significant (p=0.0096) small protective effect of -5.59 (-9.81 to -1.36) ×10(-5). Evidence is provided from the German Wismut cohort in support of a protective effect from working underground on prostate cancer mortality risk.

Incidence of colorectal cancer in Poland in 1999-2008

PubMed Central

Klimczak, Alicja; Kempińska-Mirosławska, Bogumiła; Mik, Michał; Dziki, Łukasz; Dziki, Adam

2011-01-01

Introduction Malignant neoplasm of the colon is one of the most common gastrointestinal cancers and takes the second place in terms of incidence in the world. In Asian countries compared with Western countries the incidence is a bit lower. In recent years in Poland there has been a disturbing increase in the incidence of this cancer, particularly in the voivodships Mazowieckie, Slaskie, and Wielkopolskie. Material and methods Statistical data from the National Cancer Registry on the incidence of colorectal cancer in Poland in 1999-2008, including the provinces which are grouped into provinces of Eastern, Western and Central Poland. We analysed data on both men and women, with the division of colon cancer, rectal folds esico and rectum. The analysis took into account the recognized incidence in absolute numbers and age-standardized incidence rates. Results The incidence of colon cancer in 1999 was 3438 cases among men and 3476 women, while in 2008 this number increased in both men and women and for men was 4763, and 4340 for women. In all Polish provinces, in 1999, 2165 men and 1719 women, and in 2008, 3188 men and 2150 women suffered from rectal cancer. Conclusions In the years 1999-2008 there was an increase in incidence of cancer of the colon. In Poland, there are territorial differences in the incidence of colorectal cancer described by the standardized incidence ratio. The incidence in Western and Central Poland is generally higher than for Eastern Poland. Probably, these differences have multiple bases. PMID:22291804

Class of 2003 High School Graduate SAT Takers Enrolling in Los Rios Colleges in the Summer after Their Freshmen Year. Research Brief

ERIC Educational Resources Information Center

Beachler, Judith

2005-01-01

During the Spring of 2004, graduates of Sacramento County (California) High Schools' Class of 2003, who took SAT exams during their senior year, were sent letters by the Los Rios Community College District's Communications Office. Through these letters the graduates were invited to attend a Los Rios college while at home on their summer breaks…

State of the Climate in 2003.

NASA Astrophysics Data System (ADS)

Levinson, D. H.; Waple, A. M.

2004-06-01

The earth's climate was influenced by a moderate El Niño in the tropical Pacific Ocean at the beginning of 2003. This ENSO warm event developed during October November of 2002, and eventually dissipated during March April 2003, giving way to near-neutral ENSO conditions for the remainder of the year. Despite the cessation of El Niño during the boreal spring, the ENSO warm event affected regional precipitation anomalies over a broad area of the Pacific basin, including wet anomalies along the west coast of South America, and dry anomalies in eastern Australia, the southwest Pacific, and Hawaii.The global mean surface temperature in 2003 was within the highest three annual values observed during the period of regular instrumental records (beginning in approximately 1880), but below the 1998 record-high value. Global surface temperatures in 2003 were 0.46°C (0.83°F) above the 1961 90 mean, according to one U.K. record, which ranked as third highest in this archive. In the U.S. temperature archive, the 2003 anomaly was also 0.46°C (0.83°F), equivalent to the 2002 value, which ranked second over the period of record. Similar to the surface temperature anomalies, satellite retrievals of global midtropospheric temperatures ranked 2003 as third warmest relative to the 1979 98 mean value.The hurricane season was extremely active in the Atlantic basin, with a total of 16 tropical storms, seven hurricanes, and three major hurricanes in 2003. Five of these tropical cyclones made landfall in the United States, three made landfall in northeastern Mexico, and a tropical storm affected Hispañola. In addition, Nova Scotia and Bermuda experienced devastating impacts from hurricanes in 2003. Another notable aspect of the season in the Atlantic was the formation of five tropical storms over the Gulf of Mexico, which tied the season high observed in 1957. In addition, three tropical storms formed outside of the normal (June November) hurricane season in 2003—one in April and

China's Education in 2003: From Growth to Reform