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Short Duration (short + duration)
Kinds of Short Duration Selected AbstractsFirst-year post-fire erosion rates in Bitterroot National Forest, Montana,HYDROLOGICAL PROCESSES, Issue 8 2007Kevin M. Spigel Abstract Accelerated runoff and erosion commonly occur following forest fires due to combustion of protective forest floor material, which results in bare soil being exposed to overland flow and raindrop impact, as well as water repellent soil conditions. After the 2000 Valley Complex Fires in the Bitterroot National Forest of west-central Montana, four sets of six hillslope plots were established to measure first-year post-wildfire erosion rates on steep slopes (greater than 50%) that had burned with high severity. Silt fences were installed at the base of each plot to trap eroded sediment from a contributing area of 100 m2. Rain gauges were installed to correlate rain event characteristics to the event sediment yield. After each sediment-producing rain event, the collected sediment was removed from the silt fence and weighed on site, and a sub-sample taken to determine dry weight, particle size distribution, organic matter content, and nutrient content of the eroded material. Rainfall intensity was the only significant factor in determining post-fire erosion rates from individual storm events. Short duration, high intensity thunderstorms with a maximum 10-min rainfall intensity of 75 mm h,1 caused the highest erosion rates (greater than 20 t ha,1). Long duration, low intensity rains produced little erosion (less than 0·01 t ha,1). Total C and N in the collected sediment varied directly with the organic matter; because the collected sediment was mostly mineral soil, the C and N content was small. Minimal amounts of Mg, Ca, and K were detected in the eroded sediments. The mean annual erosion rate predicted by Disturbed WEPP (Water Erosion Prediction Project) was 15% less than the mean annual erosion rate measured, which is within the accuracy range of the model. Published in 2007 by John Wiley & Sons, Ltd. [source] Skeletal muscle HSP72 response to mechanical unloading: influence of endurance trainingACTA PHYSIOLOGICA, Issue 4 2004D. Desplanches Abstract Aims:, It has been shown that increased contractile activity results in heat shock protein 72 (HSP72) accumulation in various skeletal muscles. By contrast, there is no consensus for muscle HSP72 response to muscle disuse for short duration (5,8 days). On the basis of a greater constitutive HSP72 expression in slow-twitch muscles we tested the hypothesis that mechanical unloading for a longer period (2 weeks) would affect this phenotype to a greater extent. Secondly, we evaluated the effects of a physiological muscle heat shock protein (HSP) enhancer (endurance training) on HSP response to unloading and muscle remodelling. Methods:, Adult male Wistar rats were assigned randomly to four groups: (1) sedentary weight-bearing; (2) hindlimb-unloaded (HU) via tail suspension for 2 week; (3) trained on a treadmill (6 week) and (4) trained 6 week and then HU for 2 week. Results:, Unloading resulted in a preferential atrophy of slow muscles [soleus (SOL), adductor longus (AL)] and a slow-to-fast fibre transition with no change in HSP72 level. HSP72 levels were significantly lower in fast muscles [extensor digitorum longus (EDL) and plantaris (PLA)], and did not change with mechanical unloading. Endurance training was accompanied by a small (SOL) or a large (EDL, PLA) increase in HSP72 level with no change in AL. Training-induced accumulation of HSP72 disappeared with subsequent unloading in the SOL and PLA whereas HSP72 content remained elevated in EDL. Conclusion:, The results of this study indicate that (1) after 2 weeks of unloading no change occurred in HSP72 protein levels of slow-twitch muscles despite a slow-to-fast fibre transition; and (2) the training-induced increase of HSP72 content in skeletal muscles did not attenuate fibre transition. [source] Current Approaches to Venous Ulcers and CompressionDERMATOLOGIC SURGERY, Issue 7 2001FRCPC, Tania J. Phillips MD Background. Venous ulcers affect as many as 2.5 million people in the United States and can cause substantial pain and loss of function. Objective. To review current approaches to venous ulcers and compression. Method. Treatment options that have been proposed in the literature are discussed utilizing the Cochrane library database, Medline, and the author's clinical experience. Results. Diagnostic findings and management strategies for venous ulcers are reviewed. Conclusion. Good wound care and compression therapy will heal the majority of small venous ulcers of short duration. For ulcers that are slow to heal, other approaches such as venous surgery and grafting with conventional or bioengineered skin substitutes should be considered. [source] Managing childhood obesity: when lifestyle change is not enoughDIABETES OBESITY & METABOLISM, Issue 11 2010C. Hearnshaw The management of childhood obesity is a clinical dilemma. Paediatricians will see those children whose weight is at the severe end of the spectrum with obesity-related co-morbidities and for whom more intensive weight loss therapies may be appropriate. A literature review was performed (January 1995,January 2010) of the roles of pharmacotherapy or bariatric surgery in the management of childhood obesity. Three hundred and eighty-three abstracts were reviewed and 76 full-text articles were requested. Of these, 34 were excluded and a total of 21 pharmacotherapy papers and 22 papers on surgery were reviewed in detail. All studies involved adolescents. Pharmacotherapy: Most studies were small and of short duration, the notable exceptions being two large RCTs of sibutramine and orlistat. Sibutramine led to a mean estimated change in BMI from baseline of ,3.1 kg/m2 vs. ,0.3 kg/m2 for placebo over 12 months. Orlistat was also beneficial with a mean reduction in BMI of 0.55 vs. an increase of 0.31 kg/m2 in the placebo group at 12 months. Bariatric surgery: Most papers presented clinical observations and there were no randomised controlled trials (RCTs). Robust selection criteria were not used and ideal candidate selection remains unclear. Most papers showed a significant benefit of surgery in severely obese adolescents in the short term but long-term data were sparse. There were a surprisingly large number of papers examining the benefits of intensive weight management in obese adolescents. The study design of many was inadequate and the role of pharmacotherapy or surgery in childhood obesity remains unclear. [source] Risk assessment for nonindigenous pests: 2.DIVERSITY AND DISTRIBUTIONS, Issue 5 2001Accounting for interyear climate variability Abstract The paper firstly discusses the importance of accounting for interyear variability when assessing the likelihood of establishment of an alien pest. The potential establishment of Colorado beetle (Leptinotarsa decemlineata) is used as an illustration within the geographical context of England and Wales. An aggregate risk index is introduced as a probabilistic representation of the likelihood that a pest might complete a single generation over a 30-year period (1961,90). Data for individual years were used to compute, objectively, the interyear distribution of risk across the landscape. The standard deviation in area at risk (26 800 km2) was high relative to the average proportion of the landscape potentially at risk (95 700 km2). In 40% of years, the area at risk was estimated to be higher than ,average'. Secondly, the paper demonstrates multiple indices of risk that reflect different aspects of pest risk assessment. Viewing risk from a variety of perspectives provides a means of gauging the consistency and therefore reliability of the results. This contrasts with current practice, where a single mapped output is commonly presented to decision makers. Modelling using a daily time step allowed the use of indices to investigate the long-term probabilities of biotic and abiotic events of short duration. These indices include estimates of pest activity and flight potential. [source] The First-Episode Psychosis Outcome Study: premorbid and baseline characteristics of an epidemiological cohort of 661 first-episode psychosis patientsEARLY INTERVENTION IN PSYCHIATRY, Issue 2 2007Philippe Conus Abstract Aims:, Studies conducted in first-episode psychosis (FEP) samples avoid many biases. However, very few studies are based on epidemiological cohorts treated in specialized FEP services. The aim of this file audit study was to examine premorbid and baseline characteristics of a large epidemiological sample of FEP. Methods:, File audit study of all patients admitted to the Early Psychosis Prevention and Intervention Centre between 1998 and 2000 using a specialized questionnaire. Results:, There were 661 patient files included in the study. Premorbid evaluation revealed high rates of substance use disorder (74.1%), history of psychiatric disorder (47.5%), past traumatic events (82.7%) suicide attempts (14.3%) and family history of psychiatric illness (55.6%). Baseline characteristics revealed high intensity of illness (mean CGI 5.5), high prevalence of lack of insight (62%) and high rate of comorbidity (70%). Conclusion:, High rates of traumatic events or episodes of mental illness before treatment for FEP must be considered when designing treatment approaches because a too narrow focus on positive psychotic symptoms will inevitably lead to incomplete treatment. Additionally, early intervention programmes need sufficient range of resources to address the multiple challenges presented by FEP patients such as high severity of illness, comorbidities and functional impairment. Finally, observation of an important degree of functional impairment despite short duration of untreated psychosis suggests that while early detection of FEP is a necessary step in early intervention, it may not be sufficient to improve functional recovery in psychosis and that efforts aimed at identifying people during the prodromal phase of psychotic disorders should be pursued. [source] Use of collision shear walls to minimize seismic separation and to protect adjacent buildings from collapse due to earthquake-induced poundingEARTHQUAKE ENGINEERING AND STRUCTURAL DYNAMICS, Issue 12 2008S. A. Anagnostopoulos Abstract The use of collision shear walls (bumper-type), acting transversely to the side subject to pounding, as a measure to minimize damage of reinforced concrete buildings in contact, is investigated using 5-story building models. The buildings were designed according to the Greek anti-seismic and reinforced concrete design codes. Owing to story height differences potential pounding in case of an earthquake will occur between floor slabs, a case specifically chosen because this is when pounding can turn out to be catastrophic. The investigation is carried out using nonlinear dynamic analyses for a real earthquake motion and also a simplified solution for a triangular dynamic force of short duration, comparable to the forces caused by pounding. For such analyses, nonlinear, prismatic beam,column elements are used and the effects of pounding are expressed in terms of changes in rotational ductility factors of the building elements. The local effects of pounding on the collision shear walls are investigated using a detailed nonlinear finite element model of the shear walls and results are expressed in terms of induced stresses. It is found that pounding will cause instantaneous acceleration pulses in the colliding buildings and will somewhat increase ductility demands in the members of the top floor, but all within tolerable limits. At the same time the collision walls will suffer repairable local damage at the points of contact, but will effectively protect both buildings from collapse, which could occur if columns were in the place of the walls. Copyright © 2008 John Wiley & Sons, Ltd. [source] End-of-Sample Instability TestsECONOMETRICA, Issue 6 2003D. W. K. Andrews This paper considers tests for structural instability of short duration, such as at the end of the sample. The key feature of the testing problem is that the number, m, of observations in the period of potential change is relatively small,possibly as small as one. The well-known F test of Chow (1960) for this problem only applies in a linear regression model with normally distributed iid errors and strictly exogenous regressors, even when the total number of observations, n+m, is large. We generalize the F test to cover regression models with much more general error processes, regressors that are not strictly exogenous, and estimation by instrumental variables as well as least squares. In addition, we extend the F test to nonlinear models estimated by generalized method of moments and maximum likelihood. Asymptotic critical values that are valid as n,, with m fixed are provided using a subsampling-like method. The results apply quite generally to processes that are strictly stationary and ergodic under the null hypothesis of no structural instability. [source] Review article: Inotrope and vasopressor use in the emergency departmentEMERGENCY MEDICINE AUSTRALASIA, Issue 5 2009Ainslie Senz Abstract Shock is a common presentation to the ED, with the incidence of septic shock increasing in Australasia over the last decade. The choice of inotropic agent is likely dependent on previous experience and local practices of the emergency and other critical care departments. The relatively short duration of stay in the ED before transfer leaves little room for evaluating the appropriateness of and response to the agent chosen. Delays in transfer to inpatient facilities means that patients receive advanced critical care within the ED for longer, requiring initiation and titration of vasoactive agents in the ED. This article discusses the general concepts of shock and the indicators for inotrope and vasopressor use, revises the various agents available and reviews the current evidence for their use. [source] Contrasting microcystin production and cyanobacterial population dynamics in two Planktothrix -dominated freshwater lakesENVIRONMENTAL MICROBIOLOGY, Issue 10 2005Ingmar Janse Summary Microcystin concentrations in two Dutch lakes with an important Planktothrix component were related to the dynamics of cyanobacterial genotypes and biovolumes. Genotype composition was analysed by using denaturing gradient gel electrophoresis (DGGE) profiling of the intergenic transcribed spacer region of the rrn operon (rRNA-ITS), and biovolumes were measured by using microscopy. In Lake Tjeukemeer, microcystins were present throughout summer (maximum concentration 30 µg l,1) while cyanobacterial diversity was low and very constant. The dominant phototroph was Planktothrix agardhii. In contrast, Lake Klinckenberg showed a high microcystin peak (up to 140 µg l,1) of short duration. In this lake, cyanobacterial diversity was higher and very dynamic with apparent genotype successions. Several genotypes derived from DGGE field profiles matched with genotypes from cultures isolated from field samples. The microcystin peak measured in Lake Klinckenberg could be confidently linked to a bloom of Planktothrix rubescens, as microscopic and genotypic analysis showed identity of bloom samples and a toxin-producing P. rubescens culture. Toxin-producing genotypes were detected in the microbial community before they reached densities at which they were detected by using microscopy. Cyanobacterial biovolumes provided additional insights in bloom dynamics. In both lakes, the microcystin content per cell was highest at the onset of the blooms. Our results suggest that while genotypic characterization of a lake can be valuable for detection of toxic organisms, for some lakes a monitoring of algal biomass has sufficient predictive value for an assessment of toxin production. [source] Intravenous and intratracheal administration of trimetoquinol, a fast-acting short-lived bronchodilator in horses with ,heaves'EQUINE VETERINARY JOURNAL, Issue 6 2006F. C. CAMARGO Summary Reason for performing study: Trimetoquinol (TMQ) is a potent ,-adrenoceptor agonist bronchodilator used in human medicine but has not been evaluated for potential use as a therapeutic agent for horses with ,heaves'. Objectives: To assess the pharmacodynamics of TMQ in horses with ,heaves' to determine potential therapeutic effects. Methods: Increasing doses of TMQ were administered to horses with ,heaves' by i.v. and intratracheal (i.t.) routes. Doses ranged 0.001,0.2 ,g/kg bwt i.v. and 0.01,2 ,g/kg bwt i.t. Cardiac and airways effects were assessed by measurement of heart rate (HR) and maximal change in pleural pressure (,Pplmax), respectively. Side effects of sweating, agitation and muscle trembling were scored subjectively. Duration of action to i.v. (0.2 ,g/kg bwt) and i.t. (2 ,g/kg bwt) TMQ was evaluated over 6 h. Results: Intravenous TMQ was an exceptionally potent cardiac stimulant. Heart rate increased at 0.01 ,g/kg bwt, and was still increasing after administration of highest dose, 0.2 ,g/kg bwt. Airway bronchodilation, measured as a decrease in ,Pplmax, also commenced at 0.01 ,g/kg bwt. By the i.t. route, TMQ was 50,100-fold less potent than by i.v. Side effects included sweating, agitation and muscle trembling. Overall, the onset of HR and bronchodilator effects was rapid, within about 3 min, but effects were over at 2 h. Conclusion: When administered i.v. and i.t., TMQ is a highly potent cardiac stimulant and a modest bronchodilator. It may not be an appropriate pharmacological agent by i.v. and i.t. routes for the alleviation of signs in horses with ,heaves'. Further studies of TMQ by oral and aerosol routes are necessary. Potential relevance: In horses, TMQ is a fast-acting bronchodilator with a short duration of action. It could be used as a rescue agent during an episode of ,heaves'. The i.v. and i.t. administration of TMQ is associated with side effects, similar to those reported for all other ,-agonists. However, other routes, such as aerosol and oral, may prove useful and safe for the alleviation of bronchoconstriction typical of ,heaves'. [source] DV-ICE, intensive induction and early transplantation for adult patients with acute lymphoblastic leukemia: a phase II studyEUROPEAN JOURNAL OF HAEMATOLOGY, Issue 6 2009Christine Dudler Abstract Objectives:, Eighty percent of adult patients with acute lymphoblastic leukemia (ALL) achieve a complete remission (CR) but only 30,40% are long term survivors. Best treatment strategies remain to be defined. The role of induction intensity, first remission hematopoietic stem cell transplantation (HSCT) and maintenance chemotherapy continues to be discussed. We tested a strategy of high intensity treatment of short duration followed by HSCT. Patients and methods:, This prospective phase II study used induction with DV-ICE followed by immediate allogeneic or autologous HSCT (depending on donor availability) without additional consolidation or maintenance treatment. DV-ICE consisted of dexamethasone, vincristine, idarubicin, etoposide, and conventional dose cytosine arabinoside; HSCT was planned immediately if CR was achieved or after an additional course of intermediate high dose cytosine arabinoside and etoposide for patients with induction failure. A total of 42 consecutive patients between 17 and 67 yr of age (median 43 yr) were enrolled. Of the 42 patients, 57% were male, 76% had B-lineage ALL, 19% T-lineage ALL and two patients biphenotypic ALL. 29% were Ph+; 7% had 11q23 and 45% had a normal karyotype. CNS involvement was found in three patients. Results:, Thirty-three patients (79%) achieved a CR, 24 patients after induction I or II and nine patients after rescue HSCT. 31 patients received a HSCT (seven autologous and 24 allogeneic). 11 patients did not receive a HSCT because of early death in nine (treatment toxicity in five, refractory disease in four), one patient refused transplantation, one patient was not suitable. Disease-free survival (DFS) of the entire cohort was 46% (95% CI ±16%) at 1 yr and 16% (±13%) at 5 yr. Overall survival (OS) was 63% (±15%) at 1 yr and 23% (±15%) at 5 yr, with a median follow-up of surviving patients of 55 (4,136) months. Neither disease subtype, cytogenetic abnormalities nor patient age or gender was significantly associated with survival. Conclusions:, Intensive induction using DV-ICE followed by early transplantation without treatment beyond 4 months failed to improve outcome compared with standard treatment. [source] Fossilized embryos are widespread but the record is temporally and taxonomically biasedEVOLUTION AND DEVELOPMENT, Issue 2 2006Philip C. J. Donoghue SUMMARY We report new discoveries of embryos and egg capsules from the Lower Cambrian of Siberia, Middle Cambrian of Australia and Lower Ordovician of North America. Together with existing records, embryos have now been recorded from four of the seven continents. However, the new discoveries highlight secular and systematic biases in the fossil record of embryonic stages. The temporal window within which the embryos and egg capsules are found is of relatively short duration; it ends in the Early Ordovician and is roughly coincident with that of typical "Orsten"-type faunas. The reduced occurrence of such fossils has been attributed to reducing levels of phosphate in marine waters during the early Paleozoic, but may also be owing to the increasing depth of sediment mixing by infaunal metazoans. Furthermore, most records younger than the earliest Cambrian are of a single kind,large eggs and embryos of the priapulid-like scalidophoran Markuelia. We explore alternative explanations for the low taxonomic diversity of embryos recovered thus far, including sampling, size, anatomy, ecology, and environment, concluding that the preponderance of Markuelia embryos is due to its precocious development of cuticle at an embryonic stage, predisposing it to preservation through action as a substrate on which microbially mediated precipitation of authigenic calcium phosphate may occur. The fossil record of embryos may be limited to a late Neoproterozoic to early Ordovician snapshot that is subject to dramatic systematic bias. Together, these biases must be considered seriously in attempts to use the fossil record to arbitrate between hypotheses of developmental and life history evolution implicated in the origin of metazoan clades. [source] Two-thumb vs Two-finger Chest Compression in an Infant Model of Prolonged Cardiopulmonary ResuscitationACADEMIC EMERGENCY MEDICINE, Issue 10 2000Michele L. Dorfsman MD Abstract. Objective: Previous experiments in the authors swine lab have shown that cardiopulmonary resuscitation (CPR) using two-thumb chest compression with a thoracic squeeze (TT) produces higher blood and perfusion pressures when compared with the American Heart Association (AHA)-recommended two-finger (TF) technique. Previous studies were of short duration (1-2 minutes). The hypothesis was that TT would be superior to TF during prolonged CPR in an infant model. Methods: This was a prospective, randomized crossover experiment in a laboratory setting. Twenty-one AHA-certified rescuers performed basic CPR for two 10-minute periods, one with TT and the other with TF. Trials were separated by 2-14 days, and the order was randomly assigned. The experimental circuit consisted of a modified manikin with a fixed-volume arterial system attached to a neonatal monitor via an arterial pressure transducer. The arterial circuit was composed of a 50-mL bag of normal saline solution (air removed) attached to the manikin chest plate and connected to the transducer with a 20-gauge intravenous catheter and tubing. Rescuers were blinded to the arterial pressure tracing. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were recorded in mm Hg, and pulse pressures (PPs) were calculated. Data were analyzed with two-way repeated-measures analysis of variance. Sphericity assumed modeling, with Greenhouse-Geisser and Huynh-Feldt adjustments, was applied. Results: Marginal means for TT SBP (68.9), DBP (17.6), MAP (35.3), and PP (51.4) were higher than for TF SBP (44.8), DBP (12.5), MAP (23.3), and PP (32.2). All four pressures were significantly different between the two techniques (p , 0.001). Conclusion: In this infant CPR model, TT chest compression produced higher MAP, SBP, DBP, and PP when compared with TF chest compression during a clinically relevant duration of prolonged CPR. [source] Comparison of the firing patterns of human postganglionic sympathetic neurones and spinal , motoneurones during brief burstsEXPERIMENTAL PHYSIOLOGY, Issue 1 2004Vaughan G. Macefield Focal recordings from individual postganglionic sympathetic neurones in awake human subjects have revealed common firing properties. One of the most striking features is that they tend to fire only once per sympathetic burst. Why this should be so is not known, but we propose that the short duration of the burst may limit the number of times a sympathetic neurone can fire. Indeed, while the normal variation in cardiac interval and burst duration is too narrow to reveal a correlation between burst duration and the number of spikes generated, we know that spike generation is doubled when burst duration is doubled following ectopic heart beats. To test the hypothesis that the burst duration constrains the firing of individual sympathetic neurones to one per burst, we used the human skeletomotor system as a model for the sympathetic nervous system, which allowed us to vary burst duration and amplitude experimentally. Intramuscular recordings were made from 27 single motor units (, motoneurones) in the tibialis anterior or soleus muscles of seven subjects; multiunit EMG activity was recorded via surface electrodes and blood pressure was recorded continuously. Subjects were instructed to generate EMG bursts of varying amplitude in the intervals between heart beats. By constraining the firing of , motoneurones to brief (,400 ms) bursts we could emulate real sympathetic bursts. Individual motoneurones generated 0,7 spikes during the emulated sympathetic bursts, with firing patterns similar to those exhibited by real sympathetic neurones. Eleven motor units showed significant positive linear correlations between the number of spikes they generated within a burst and its amplitude, whereas for 17 motor units there were significant positive correlations between the number of spikes and burst duration. This indicates that burst duration is a major determinant of the number of times an , motoneurone will fire during a brief burst, and we suggest that the same principle may explain the firing pattern typical of human sympathetic neurones. [source] The impact of salinity pulses on the emergence of plant and zooplankton from wetland seed and egg banksFRESHWATER BIOLOGY, Issue 5 2007DARYL L. NIELSEN Summary 1. In this study we compared the emergence of aquatic biota from sediments under 14-day pulses of high (5000 mg L,1) and low (1000 mg L,1) salinity with emergence under freshwater and equivalent constant salinity levels. We tested the hypothesis that pulses of high salinity and short duration have no impact on the emergence of aquatic plants and zooplankton from wetland sediment. 2. The way salt is moved through the landscape may alter the response of biota to increases in salinity. Under natural hydrological regimes in rivers and floodplains salinity pulses occur often at concentrations that exceed predicted tolerance levels for aquatic biota. The impacts of natural pulses of high salinity followed by rapid return to fresh conditions may be used to inform management guidelines for the potential release of non-natural saline water into river systems with minimal impact. 3. For both aquatic plants and zooplankton the abundance and richness of the emerging taxa decreased at higher salinities kept at constant levels. In contrast, pulses of salinity followed by return to freshwater conditions did not have a negative impact on the emergence of aquatic plants or zooplankton. For many taxa of zooplankton a positive impact was demonstrated with higher emergence following the salinity pulse. 4. The responses of aquatic plant and zooplankton taxa are grouped into five response types. Type 1: negatively impacted by all salt regimes. Type 2: preference for constant salinities. Type 3: no difference between fresh and either pulse regime. Type 4: preference for high concentration pulses. Type 5: emergence higher under a low concentration pulse. 5. Although previous studies indicate that constant high-level salinity in rivers and wetlands can decrease the species richness of aquatic communities, this current study shows pulses may not have the same impact. Our results support the hypothesis that pulses of high salinity and short duration do not impact on the emergence of aquatic plants and zooplankton from wetland sediments. For zooplankton, pulses of salt may trigger emergence. 6. These trends may be used to explore the potential to use managed water releases to move salt through the landscape with minimal impact of salinity on aquatic biota. However, before such preliminary results are applied in management of saline water releases we need to determine the implications for interacting processes in natural ecosystems. [source] Superficial selective cervical plexus block following total thyroidectomy: A randomized trialHEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 8 2010Isaak Kesisoglou MD Abstract Background. Pain after thyroid surgery is of moderate intensity and short duration. Bilaterally superficial cervical plexus block (BSCPB) may reduce analgesic requirements. However, its effectiveness in decreasing pain after thyroidectomy is debated. Methods. This double-blind, randomized placebo-controlled study in 100 patients undergoing total thyroidectomy evaluates the effects of BSCPB done with 20 mL of 0.75% ropivacaine. Additional parecoxib was administrated immediately postoperatively and 12 hours later. Results. Postoperative pain was assessed by visual analogue rating scale. All parameters were recorded at 0, 3, 6, 9, 12, and 24 hours after surgery. The control group had higher values than the ropivacaine group at all moments (p < .05) except H12 (p = .76). Additional analgesia was needed for 7 patients (14%) in the control group and for 8 patients (16%) in the group with ropivacaine (p = .96). Conclusion. Two-point bilateral BSCPB has a major analgesic effect on patients after total thyroidectomy, with a statistically significant reduction in postoperative pain scores. However, no significant difference was noted in the proportion of patients that required additional analgesics. © 2009 Wiley Periodicals, Inc. Head Neck, 2010 [source] Response to paclitaxel and carboplatin in metastatic salivary gland cancer: A case report,HEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 4 2002Janet C. Ruzich DO Abstract Background Malignant tumors of the salivary gland are rare entities that are treated primarily by surgical resection. For patients with recurrent or unresectable disease, options include radiation therapy or chemotherapy; however, responses are few and of short duration. Patients with metastatic disease have been treated with chemotherapy, but, again, response rates have been low and of short duration. Methods A 52-year-old man was seen with a mass on his tongue. A biopsy revealed adenocarcinoma of a minor salivary gland. Ten months after surgical resection, neck dissection, and radiation therapy, the patient was found to have metastatic disease to the lung. Chemotherapy was initiated with carboplatin and paclitaxel. Results The patient obtained a complete response after six cycles of carboplatin and paclitaxel. Conclusions The use of carboplatin and paclitaxel in the setting of metastatic salivary gland cancer is a viable option. © 2002 Wiley Periodicals, Inc. Head Neck 24: 406,410, 2002 [source] Frontal operculum temporal difference signals and social motor response learningHUMAN BRAIN MAPPING, Issue 5 2009Poornima Kumar Abstract Substantial experimental evidence supports the theory that the dopaminergic system codes a phasic (short duration) signal predicting the delivery of primary reinforcers, such as water when thirsty, during Pavlovian learning. This signal is described by the temporal difference (TD) model. Recently, it has been suggested that the human dopaminergic system also codes more complex cognitive goal states, including those required for human social interaction. Using functional magnetic resonance imaging (fMRI) with 18 healthy subjects, we tested the hypothesis that TD signals would be present during a Pavlovian learning task, and during a social motor response learning task. Using an identical model, TD signals were present in both tasks, although in different brain regions. Specifically, signals were present in the dorsal anterior cingulate, ventral striatum, amygdala, and thalamus with Pavlovian learning, and the dorsal anterior cingulate and bilateral frontal operculum with social motor response learning. The frontal operculum is believed to be the human homologue of the monkey mirror neuron system, and there is evidence which links the region with inference about other peoples' intentions and goals. The results support the contention that the human dopaminergic system predicts both primary reinforcers, and more complex cognitive goal states, such as motor responses required for human social group interaction. Dysfunction of such a mechanism might be associated with abnormal affective responses and incorrect social predictions, as occur in psychiatric disorders. Hum Brain Mapp 2009. © 2008 Wiley-Liss, Inc. [source] Daytime pharmacodynamic and pharmacokinetic evaluation of low-dose sublingual transmucosal zolpidem hemitartrateHUMAN PSYCHOPHARMACOLOGY: CLINICAL AND EXPERIMENTAL, Issue 1 2008Thomas Roth Abstract Objectives Buffered low-dose sublingual transmucosal zolpidem lozenge hemitartrate (ST zolpidem) is being developed for the treatment of middle-of-the-night insomnia. The objective of this double-blind placebo-controlled cross-over study (n,=,24) was to evaluate the pharmacokinetics (PK) and daytime-sedative profile of 1.0, 1.75, and 3.5,mg dose of the formulation. Methods Daytime sedation was measured pre-dose and up to 5,h post-dose objectively by the Digit Symbol Substitution Test (DSST) and subjectively using the Visual Analog Scale (VAS). Blood samples for PK assessment was collected pre-dose and up to 12,h post-dose. Results The 1.75 and 3.5,mg, but not the 1,mg, ST zolpidem produced significant sedation versus placebo within 20,min of dosing which lasted for up to 3,h. Zolpidem from the formulation was rapidly absorbed and reached maximum plasma concentrations within 38,min of dosing, however the half-life was independent of the dose and side effects were consistent with the known pharmacology of the drug. Conclusions ST zolpidem produced rapid, short duration of sedation and the effect was consistent with its PK profile. This novel low-dose formulation of zolpidem may provide clinicians and patients with a prn option for the management of sleep maintenance insomnia. Copyright © 2007 John Wiley & Sons, Ltd. [source] A classification of drainage and macropore flow in an agricultural catchmentHYDROLOGICAL PROCESSES, Issue 1 2002Dr C. M. Heppell Abstract This paper uses a variety of multivariate statistical techniques in order to improve current understanding of the antecedent and rainfall controls on drainage characteristics for an agricultural underdrained clay site. Using the dataset obtained from a two-year hillslope study at Wytham (Oxfordshire, UK) a number of patterns in the nature and style of drainage events were explored. First, using principal components analysis, a distinction was drawn between drainflow controlled by antecedent conditions and drainflow controlled by rainfall characteristics. Dimensional analysis then distinguished between two further types of drainflow event: antecedent limited events (ALE) and non-antecedent limited events (NALE). These were drainflow events requiring a minimum antecedent hydraulic head to occur (ALE) and events that occurred in response to rainfall irrespective of the antecedent conditions, because the rainfall was either of high enough intensity or duration to prompt a response in drainflow (NALE). 2. The dataset also made possible a preliminary investigation into the controls on and types of macropore flow at the site. Principal components analysis identified that rainfall characteristics were more important than antecedent conditions in generating high proportions of macropore flow in drainflow. Of the rainfall characteristics studied, rainfall amount and intensity were the dominant controls on the amount of macropore flow, with duration as a secondary control. Two styles of macropore flow were identified: intensity-driven and duration-driven. Intensity-driven events are characterized by rainfall of high intensity and short duration. During such events the amount of macropore flow is proportional to the rainfall intensity and the interaction between macropore and matrix flow is kinetically limited. The second style of macropore flow is characterized by long-duration events. For these events the amount of macropore flow approaches a maximum value whatever the rainfall duration. This suggests that these events are characterized by an equilibrium interaction between macropores and matrix flow. Copyright © 2002 John Wiley & Sons, Ltd. [source] Toothache referred from auriculotemporal neuralgia: case reportINTERNATIONAL ENDODONTIC JOURNAL, Issue 9 2009R. A. Murayama Abstract Aim, To present a 52-year-old male patient who complained of intense pain of short duration in the region of the left external ear and in the ipsilateral maxillary second molar that was relieved by blockade of the auriculotemporal nerve in the infratemporal fossa. Summary, Extra- and intraoral physical examination revealed a trigger point that reproduced the symptoms upon finger pressure in the ipsilateral auriculotemporal nerve and in the outer auricular pavilion. The patient's medical history was unremarkable. The maxillary left second molar tooth was not responsive to pulp sensitivity testing and there was no pain upon percussion or palpation of the buccal sulcus. Periapical radiographs revealed a satisfactory root filling in the maxillary left second molar. On the basis of the clinical signs and symptoms, the auriculotemporal was blocked with 0.5 mL 2% lidocaine and 0.5 mL of a suspension containing dexamethasone acetate (8 mg mL,1) and dexamethasone disodium sulfate (2 mg mL,1), with full remission of pain 6 months later. The diagnosis was auriculotemporal neuralgia. Key learning point ,,Auriculotemporal neuralgia should be considered as a possible cause of nonodontogenic toothache and thus included in the differential diagnoses. ,,The blockade of the auriculotemporal nerve in the infratemporal fossa is diagnostic and therapeutic. It can be achieved with a solution of lidocaine and dexamethasone. [source] In vitro and in vivo evaluation and a case report of intense nanosecond pulsed electric field as a local therapy for human malignanciesINTERNATIONAL JOURNAL OF CANCER, Issue 3 2007Edward B. Garon Abstract When delivered to cells, very short duration, high electric field pulses (nanoelectropulses) induce primarily intracellular events. We present evidence that this emerging modality may have a role as a local cancer therapy. Five hematologic and 16 solid tumor cell lines were pulsed in vitro. Hematologic cells proved particularly sensitive to nanoelectropulses, with more than a 60% decrease in viable cells measured by MTT assay 96 hr after pulsing in 4 of 5 cell lines. In solid tumor cell lines, 10 out of 16 cell lines had more than a 10% decrease in viable cells. AsPC-1, a pancreatic cancer cell line, demonstrated the greatest in vitro sensitivity among solid tumor cell lines, with a 64% decrease in viable cells. When nanoelectropulse therapy was applied to AsPC-1 tumors in athymic nude mice, responses were seen in 4 of 6 tumors, including clinical complete responses in 3 of 6 animals. A single human subject applied nanoelectropulse therapy to his own basal cell carcinoma and had a complete pathologic response. In summary, we demonstrate that electric pulses 20 ns or less kill a wide variety of human cancer cells in vitro, induce tumor regression in vivo, and show efficacy in a single human patient. Therefore, nanoelectropulse therapy deserves further study as a potentially effective cancer therapy. © 2007 Wiley-Liss, Inc. [source] Synoptic climatological influences on the spatial and temporal variability of aerosols over North AmericaINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 6 2006Helen C. Power Abstract The spatial and temporal variability of atmospheric aerosols is not well understood, as most studies have been constrained to data sets that include few stations and are of short duration. Furthermore, all methods for quantifying atmospheric turbidity suffer from a major constraint in that they require cloudless sky conditions. This restriction produces gaps in the turbidity record and sampling bias, which has led to questionable inferences about the variability of aerosols. In this research, we address these concerns via analyses at scales broader than all previous studies. We analyzed the spectral aerosol optical depth at 500 nm (,a5) and Ångström's wavelength exponent (,), which represents the relative size distribution of aerosols. A total of 27 sites, with a mean period of record of 7.3 years, are included. Beyond seasonal and spatial summaries of aerosol variability, we have divided observations by synoptic condition, utilizing the Spatial Synoptic Classification (SSC). Our results show that atmospheric turbidity across North America is greatest over the east. Seasonality of both parameters was shown, most notably a greater ,a5 during summertime. Utilizing the SSC, we have uncovered significant differences across weather types. Moist weather types, especially moist tropical, display considerably higher turbidity, while the colder, drier dry polar weather type is associated with low aerosol optical depth. Certain weather types show considerable seasonal variability; the dry tropical weather type is associated with relatively low values in winter, but high values in summer, when convection is significant. Cluster analyses of stations yielded three general regions, each with similar synoptic variability: a western cluster with low aerosol optical depth and minimal synoptic variability, an eastern cluster with higher turbidity and variability, and a cluster located on the periphery of the eastern cluster, associated with moderate levels of turbidity but very high variability, suggesting a varied influence of nearby industrial areas. Copyright © 2006 Royal Meteorological Society. [source] Problems in evaluating regional and local trends in temperature: an example from eastern Colorado, USAINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 4 2002R. A. Pielke SR Abstract We evaluated long-term trends in average maximum and minimum temperatures, threshold temperatures, and growing season in eastern Colorado, USA, to explore the potential shortcomings of many climate-change studies that either: (1) generalize regional patterns from single stations, single seasons, or a few parameters over short duration from averaging dissimilar stations; or (2) generalize an average regional pattern from coarse-scale general circulation models. Based on 11 weather stations, some trends were weakly regionally consistent with previous studies of night-time temperature warming. Long-term (80 + years) mean minimum temperatures increased significantly (P < 0.2) in about half the stations in winter, spring, and autumn and six stations had significant decreases in the number of days per year with temperatures , , 17.8 °C (,0 °F). However, spatial and temporal variation in the direction of change was enormous for all the other weather parameters tested, and, in the majority of tests, few stations showed significant trends (even at P < 0.2). In summer, four stations had significant increases and three stations had significant decreases in minimum temperatures, producing a strongly mixed regional signal. Trends in maximum temperature varied seasonally and geographically, as did trends in threshold temperature days ,32.2 °C (,90 °F) or days ,37.8 °C (,100 °F). There was evidence of a sub-regional cooling in autumn's maximum temperatures, with five stations showing significant decreasing trends. There were many geographic anomalies where neighbouring weather stations differed greatly in the magnitude of change or where they had significant and opposite trends. We conclude that sub-regional spatial and seasonal variation cannot be ignored when evaluating the direction and magnitude of climate change. It is unlikely that one or a few weather stations are representative of regional climate trends, and equally unlikely that regionally projected climate change from coarse-scale general circulation models will accurately portray trends at sub-regional scales. However, the assessment of a group of stations for consistent more qualitative trends (such as the number of days less than ,17.8 °C, such as we found) provides a reasonably robust procedure to evaluate climate trends and variability. Copyright © 2002 Royal Meteorological Society [source] Repetition effect in visual recognition of letters1JAPANESE PSYCHOLOGICAL RESEARCH, Issue 2 2004TOSHINORI KUWANA Abstract:, This study examined the influence of the repetitive presentation of a letter on the recognition of two letters. In two experiments4, two letters, which were either identical or not, were presented successively for a short duration at different spatial locations, and the subjects were required to identify them. In Experiment 1, the presentation time of the first letter was varied, whereas that of the second letter was constant. The results revealed that a reduced performance in identifying a second letter was observed in the case that the first letter, which was identical to the second letter, could be identified correctly. Experiment 2 examined whether or not this reduction was due to the identity of the visual shape of two letters. The first letter was presented either in the usual vertical orientation or rotated orientation by 180 degrees and the second letter was constantly presented in the usual orientation. The results revealed that a reduced performance in identifying a repeated letter was observed, regardless of the orientation of the first letter. The findings from the two experiments suggested that the identity of the information in memory was a main cause of the interference effect by repetition. [source] Therapy of metastasized Merkel cell carcinoma with liposomal doxorubicin in combination with radiotherapyJOURNAL DER DEUTSCHEN DERMATOLOGISCHEN GESELLSCHAFT, Issue 6 2009Marion Wobser Summary Background: Merkel cell carcinoma is a rare skin cancer of neuroendocrine origin, which is characterized by a high rate of recurrence, metastatic spread and mortality. Because of its rarity, evidence-based therapeutic regimens are difficult to establish. Merkel cell carcinoma is known to be both radio- and chemosensitive. Toxicity is a key factor in assessing any regimen, as the patients are usually elderly and likely to have other significant medical problems. Patients and Methods: We retrospectively evaluated five patients with metastatic Merkel cell carcinoma to see if liposomal doxorubicin (Caelyx® or Myocet®) in combination with radiotherapy exhibited clinical anti-tumoral effects accompanied by acceptable side effects. Results: The outpatient chemotherapy regimen was tolerated without major side effects and produced good response rates. All patients achieved at least tumor stabilization; four of five had a partial remission. Effects of therapy were usually seen in the first cycle of therapy but the responses were of short duration with an average interval of two months until progression. Conclusions: As combined radiochemotherapy with liposomal doxorubicin is well tolerated even in older patients with other illnesses and can be given on an outpatient basis, it is an attractive option for metastatic Merkel cell carcinoma. Based on response rate or overall survival, it offers no advantages compared to polychemotherapy. [source] Dehydroepiandrosterone Combined with Exercise Improves Muscle Strength and Physical Function in Frail Older WomenJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 9 2010Anne M. Kenny MD OBJECTIVES: To investigate the effects of dehydroepiandrosterone (DHEA) combined with exercise on bone mass, strength, and physical function in older, frail women. DESIGN: Double-blind, randomized, placebo-controlled trial. SETTING: A major medical institution. PARTICIPANTS: Ninety-nine women (mean age 76.6 ± 6.0) with low sulfated DHEA (DHEAS) levels, low bone mass, and frailty. INTERVENTION: Participants received 50 mg/d DHEA or placebo for 6 months; all received calcium and cholecalciferol. Women participated in 90-minute twice-weekly exercise regimens. MEASUREMENTS: Hormone levels, bone mineral density (BMD), bone turnover markers, body composition, upper and lower extremity strength, physical performance. RESULTS: Eighty-seven women (88%) completed 6 months. There were no significant changes in BMD or bone turnover markers. DHEA supplementation resulted in gains in lower extremity strength (from 459 ± 121 N to 484 ± 147 N; P=.01). There was also improvement in Short Physical Performance Battery score, a composite score that focuses on lower extremity function, in those taking DHEA (from 10.1 ± 1.8 to 10.7 ± 1.9; P=.02). There were significant changes in all hormone levels, including DHEAS, estradiol, estrone, and testosterone, and a decline in sex hormone-binding globulin levels in those taking DHEA. CONCLUSION: DHEA supplementation improved lower extremity strength and function in older, frail women involved in a gentle exercise program of chair aerobics or yoga. No changes were found in BMD either due to small sample size, short duration of study or no effect. The physical function findings are promising and require further evaluation as frail women are at high risk for falls and fracture. [source] Evaluation of Ssp I polymerase chain reaction assay in the detection of Wuchereria bancrofti infection in field-collected Culex quinquefasciatus and its application in the transmission studies of lymphatic filariasisJOURNAL OF APPLIED ENTOMOLOGY, Issue 7-8 2002S. L. Hoti The evaluation of the assay was carried out using pools of vector mosquitoes collected from areas under filariasis survey and control trial projects, in comparison with the standard dissection and microscopy technique. In the filariasis survey area the infection rate as determined by the dissection and microscopy technique was 0.89% whereas it was 1.7% by PCR assay. In the Bacillus sphaericus trial area the infection rates as assessed by the conventional technique were 6.6 and 4.5% in the treated and check areas, respectively, whereas those obtained by the PCR assay were 4.7 to 2.2%. Although the infection rates determined by the PCR assay are slightly higher or lower than the rates obtained by the conventional technique, the difference was not statistically significant (P=0.451 for filariasis survey area, and P=0.203 and 0.161 for B. sphaericus trial area). When the pool size of Cx. quinquefasciatus was increased to 50 the sensitivity of the PCR was affected. The changes in infection rates as influenced by the antifilarial chemotherapy were similar when determined by PCR assay and the standard method. The major advantage of the PCR assay over the conventional technique is that thousands of mosquitoes can be processed within a short duration and this attribute has potential application in rapid assessment of disease prevalence and monitoring of the transmission dynamics. [source] Habitat utilisation during staging affects body condition in a long distance migrant, Branta bernicla hrota: potential impacts on fitness?JOURNAL OF AVIAN BIOLOGY, Issue 6 2008R. Inger There is considerable evidence to suggest that an animal's ability to access the appropriate resources at one time of year may profoundly restrict its performance at another. For migrants, wintering and breeding periods are often connected by refuelling or staging periods, critical (particularly for females) in attaining the body reserves required to ensure successful breeding. However in many instances there are differences in the extent to which different individuals gain access to the highest quality resources. Here we demonstrate how body condition in brent geese Branta bernicla hrota, during spring staging is related to differences in marine and terrestrial habitat utilisation (inferred from stable isotope analysis). Female birds with high fat scores feed to a greater extent on marine resources. Body mass and condition are also higher in individuals utilising more marine resources. Given that body mass at spring staging is correlated with reproductive success, the extent of marine habitat maybe critical to this population. Combining this with data from previous studies of dark-bellied brent geese Branta bernicla bernicla, we predict the potential impacts of spring staging resource utilisation on future breeding success. Although staging is of short duration compared to the other components of annual cycles of migratory species, our results suggest that the quality of staging grounds may be vitally important to population processes. [source] | ||||||||||||||||||||||||||||||||||||||||||||||||||||