452 research outputs found
Risk of metachronous SCC
No full textBackground: Metachronous multiple squamous cell carcinoma (SCC) of the esophagus and the head and neck is commonly observed in patients who have previously undergone endoscopic resection (ER) for SCC of the esophagus (ESCC). We evaluated the risk for developing metachronous SCC following ER for ESCC based on the genetic polymorphisms for alcohol dehydrogenase-1B (ADH1B) and aldehyde dehydrogenase-2 (ALDH2) as well as the alcohol consumption and smoking habits. Methods: We studied 158 patients who underwent ER for ESCC (median follow-up 80 months). Genotyping of ADH1B/ALDH2 was performed using saliva sampling. The alcohol consumption and smoking histories of the patients before and after the ER were documented. Results: Multivariate analyses revealed that inactive heterozygous ALDH2 [hazard ratio (HR) 2.25] and alcohol consumption after ER (HR 1.94) were independently associated with the risk of developing secondary SCC. Moreover, inactive heterozygous ALDH2 (HR 4.39) and alcohol consumption after the ER (HR 2.82) were independently associated with the risk of a third SCC. We analyzed 110 patients who had a history of moderate or heavy alcohol consumption before the ER. The 3-year cumulative incidence rates of secondary SCC in the temperance (n = 65) and non-temperance groups (n = 45) were 14.0 and 42.1% (p = 0.0002). Further, the 5-year cumulative incidence rates of a third SCC in the temperance and non-temperance groups were 0 and 15.6% (p = 0.0011), respectively. In addition, the 7-year cumulative incidence rates of a fourth SCC in the temperance and non-temperance groups were 0 and 15.3% (p = 0.0015), respectively. Conclusions: Continued alcohol consumption is an important risk factor for the onset of metachronous SCC and is a risk factor for the third and subsequent SCCs. Strict advice in favor of temperance is crucial
Influence of oxide films on primary water stress corrosion cracking initiation of alloy 600
No full textIn the present study alloy 600 was tested in simulated pressurised water reactor (PWR) primary water, at 360 °C, under an hydrogen partial pressure of 30 kPa. These testing conditions correspond to the maximum sensitivity of alloy 600 to crack initiation. The resulting oxidised structures (corrosion scale and underlying metal) were characterised. A chromium rich oxide layer was revealed, the underlying metal being chromium depleted. In addition, analysis of the chemical composition of the metal close to the oxide scale had allowed to detect oxygen under the oxide scale and particularly in a triple grain boundary. Implication of such a finding on the crack initiation of alloy 600 is discussed. Significant diminution of the crack initiation time was observed for sample oxidised before stress corrosion tests. In view of these results, a mechanism for stress corrosion crack initiation of alloy 600 in PWR primary water was proposed
Climate Impacts on Economic Growth as Drivers of Uncertainty in the Social Cost of Carbon
No full textWe reexamine estimates of the social cost of carbon (SCC) used by agencies as the price of carbon emissions in cost-benefit analysis, focusing on those by the federal Interagency Working Group on SCC (IWG). We show that the models used by the IWG assume continued economic growth in the face of substantial temperature increases, which suggests that they may not capture the full range of possible consequences of climate change. Using the DICE integrated assessment model, we examine the possibility that climate change may directly affect productivity and find that even a modest impact of this type increases SCC estimates substantially. The SCC appears to be highly uncertain and sensitive to modeling assumptions. Understanding the impact of climate change therefore requires understanding how climate-related harms may affect productivity and economic growth. Furthermore, we suggest that misunderstandings about growth assumptions in the model may underlie the debate surrounding the proper discount rate
A systematic review of evidence on malignant spinal metastases : natural history and technologies for identifying patients at high risk of vertebral fracture and spinal cord compression
No full textBackground: Spinal metastases can lead to significant morbidity and reduction in quality of life due to spinal cord compression (SCC). Between 5% and 20% of patients with spinal metastases develop metastatic spinal cord compression during the course of their disease. An early study estimated average survival for patients with SCC to be between 3 and 7 months, with a 36% probability of survival to 12 months. An understanding of the natural history and early diagnosis of spinal metastases and prediction of collapse of the metastatic vertebrae are important.
Objective: To undertake a systematic review to examine the natural history of metastatic spinal lesions and to identify patients at high risk of vertebral fracture and SCC.
Data sources: The search strategy covered the concepts of metastasis, the spine and adults. Searches were undertaken from inception to June 2011 in 13 electronic databases [MEDLINE; MEDLINE In-Process & Other Non-Indexed Citations; EMBASE; Cochrane Database of Systematic Reviews; Cochrane Central Register of Controlled Trials (CENTRAL); Database of Abstracts of Reviews of Effects (DARE), NHS Economic Evaluation Database (NHS EED), HTA databases (NHS Centre for Reviews and Dissemination); Science Citation Index and Conference Proceedings (Web of Science); UK Clinical Research Network (UKCRN) Portfolio Database; Current Controlled Trials; ClinicalTrials.gov].
Review methods: Titles and abstracts of retrieved studies were assessed by two reviewers independently. Disagreement was resolved by consensus agreement. Full data were extracted independently by one reviewer. All included studies were reviewed by a second researcher with disagreements resolved by discussion. A quality assessment instrument was used to assess bias in six domains: study population, attrition, prognostic factor measurement, outcome measurement, confounding measurement and account, and analysis. Data were tabulated and discussed in a narrative review. Each tumour type was looked at separately.
Results: In all, 2425 potentially relevant articles were identified, of which 31 met the inclusion criteria. No study examined natural history alone. Seventeen studies reported retrospective data, 10 were prospective studies, and three were other study designs. There was one systematic review. There were no randomised controlled trials (RCTs). Approximately 5782 participants were included. Sample sizes ranged from 41 to 859. The age of participants ranged between 7 and 92 years. Types of cancers reported on were lung alone (n= 3), prostate alone (n= 6), breast alone (n= 7), mixed cancers (n= 13) and unclear (n= 1). A total of 93 prognostic factors were identified as potentially significant in predicting risk of SCC or collapse. Overall findings indicated that the more spinal metastases present and the longer a patient was at risk, the greater the reported likelihood of development of SCC and collapse. There was an increased risk of developing SCC if a cancer had already spread to the bones. In the prostate cancer studies, tumour grade, metastatic load and time on hormone therapy were associated with increased risk of SCC. In one study, risk of SCC before death was 24%, and 2.37 times greater with a Gleason score 7 than with a score of < 7 (p= 0.003). Other research found that patients with six or more bone lesions were at greater risk of SCC than those with fewer than six lesions [odds ratio (OR) 2.9, 95% confidence interval (CI) 1.012 to 8.35, p= 0.047]. For breast cancer patients who received a computerised tomography (CT) scan for suspected SCC, multiple logistic regression in one study identified four independent variables predictive of a positive test: bone metastases 2 years (OR 3.0 95% CI 1.2 to 7.6; p= 0.02); metastatic disease at initial diagnosis (OR 3.4, 95% CI 1.0 to 11.4; p= 0.05); objective weakness (OR 3.8, 95% CI 1.5 to 9.5; p= 0.005); and vertebral compression fracture on spine radiograph (OR 2.6, 95% CI 1.0 to 6.5; p= 0.05). A further study on mixed cancers, among patients who received surgery for SCC, reported that vertebral body compression fractures were associated with presurgery chemotherapy (OR 2.283, 95% CI 1.064 to 4.898; p= 0.03), cancer type [primary breast cancer (OR 4.179, 95% CI 1.457 to 11.983; p= 0.008)], thoracic involvement (OR 3.505, 95% CI 1.343 to 9.143; p= 0.01) and anterior cord compression (OR 3.213, 95% CI 1.416 to 7.293; p= 0.005).
Limitations: Many of the included studies provided limited information about patient populations and selection criteria and they varied in methodological quality, rigour and transparency. Several studies identified type of cancer (e.g. breast, lung or prostate cancer) as a significant factor in predicting SCC, but it remains difficult to determine the risk differential partly because of residual bias. Consideration of quantitative results from the studies does not easily allow generation of a coherent numerical summary, studies were heterogeneous especially with regard to population, results were not consistent between studies, and study results almost universally lacked corroboration from other independent studies.
Conclusion: No studies were found which examined natural history. Overall burden of metastatic disease, confirmed metastatic bone involvement and immediate symptomatology suggestive of spinal column involvement are already well known as factors for metastatic SCC, vertebral collapse or progression of vertebral collapse. Although we identified a large number of additional possible prognostic factors, those which currently offer the most potential are unclear. Current clinical consensus favours magnetic resonance imaging and CT imaging modalities for the investigation of SCC and vertebral fracture. Future research should concentrate on: (1) prospective randomised designs to establish clinical and quality-of-life outcomes and cost-effectiveness of identification and treatment of patients at high risk of vertebral collapse and SCC; (2) Service Delivery and Organisation research on magnetic resonance imaging (MRI) scans and scanning (in tandem with research studies on use of MRI to monitor progression) in order to understand best methods for maximising use of MRI scanners; and (3) investigation of prognostic algorithms to calculate probability of a specified event using high-quality prospective studies, involving defined populations, randomly selected and clearly identified samples, and with blinding of investigators
Fresh and hardened properties of self-compacting concrete containing recycled fine clay brick aggregates
No full textClay brick is one of the major components of demolition waste, which is generally landfilled. Effective and new uses of recycled clay brick may provide sustainability benefits in terms of landfill reduction. Therefore, this research aims at applying Recycled fine clay brick aggregates (RFCBA) with sizes from 0.075 mm–4.75 mm to prepare Self-compacting concrete (SCC). The effects of RFCBA on fresh and hardened properties of SCC were investigated. Saturated surface dry RFCBA was used to replace Natural fine aggregate (NFA) with the percentage of 25%, 50%, 75% and 100%, respectively, in making the SCC mixes. Although experimental results showed that the flowability, passing ability, and segregation resistance of SCC containing RFCBA (RFCBA-SCC) decreased with the increasing RFCBA content, these properties still satisfy the criteria of SCC. The compressive strength, splitting strength, flexural strength, and elastic modulus of the RFCBA-SCC mixes decreased with an increase of RFCBA content. Due to their porous nature, recycled fine clay brick aggregates may also be a source of additional water for internal curing. The internal curing effect was confirmed by the mercury intrusion porosimetry, X-ray diffraction, and thermogravimetric analysis measurements. Moreover, a significant autogenous shrinkage reduction of SCC is achieved by using the RFCBA due to the release of additional water pre-stored in the RFCBA. Therefore, it can be concluded that the addition of RFCBA to SCC mixtures can provide additional practical benefits in the hardened state.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work publicMaterials and Environmen
Fast Process Migration on Intel SCC using Lookup Tables (LUTs)
No full textabstract: Process migration is a heavily studied research area and has a number of applications in distributed systems. Process migration means transferring a process running on one machine to another such that it resumes execution from the point at which it was suspended. The conventional approach to implement process migration is to move the entire state information of the process (including hardware context, virtual memory, files etc.) from one machine to another. Copying all the state information is costly. This thesis proposes and demonstrates a new approach of migrating a process between two cores of Intel Single Chip Cloud (SCC), an experimental 48-core processor by Intel, with each core running a separate instance of the operating system. In this method the amount of process state to be transferred from one core's memory to another is reduced by making use of special registers called Lookup tables (LUTs) present on each core of SCC. Thus this new approach is faster than the conventional method.Dissertation/ThesisM.S. Computer Science 201
Incidence of clinical mastitis in dairy herds grouped in three categories by bulk milk somatic cell counts
No full textIncidence of clinical mastitis was studied in 274 herds grouped in three categories by bulk milk somatic cell count (SCC). Mean incidence rate of clinical mastitis was 0.278, 0.257, and 0.252 cases per 365 cow-days at risk in herds with low (< or = 150,000), medium (150,000 to 250,000), and high (250,000 to 400,000 cells/ml) bulk milk SCC, respectively. The incidence rate of clinical mastitis was not different among the three categories. Variance in the incidence of clinical mastitis among herds increased as bulk milk SCC decreased. Clinical mastitis caused by Gram-negative pathogens, such as Escherichia coli, Klebsiella spp., or Pseudomonas spp., occurred more often in herds with a low bulk milk SCC. Clinical mastitis caused by Staphylococcus aureus, Streptococcus dysgalactiae, and Streptococcus agalactiae occurred more often in herds with a high bulk milk SCC. Systemic signs of illness caused by clinical mastitis occurred more often in herds with a low bulk milk SCC. Both overall culling rate and culling rate for clinical mastitis were not different among groups catergorized by bulk milk SCC. In herds with a high bulk milk SCC, however, more cows that produced milk with a high SCC were culled. In herds with a low bulk milk SCC, more cows were culled for teat lesions, milkability, udder shape, fertility, and character than were cows in herds with a high bulk milk SCC. In herds with a low bulk milk SCC, cows were also culled more for export and production reasons.LR: 20061115; PUBM: Print; JID: 2985126R; ppublishSource type: Electronic(1
The use of elements of management system according to the SCC:2011 standard for creating a safety culture and employees’ commitment to the OHS in polish enterprises
No full textSystem SCC (ang. Safety Checklistfor Contractors) to system zarządzania bezpieczeństwem, zdrowiem i środowiskiem, zyskujący w ostatnich latach popularność w Polsce, a jednocześnie jeden z najszerzej stosowanych systemów zarządzania bezpieczeństwem w Europie. Jednym z czynników mających wpływ na rosnące zainteresowanie systemem SCC, poza jego przejrzystością i dobrym skorelowaniem z krajowymi przepisami bhp, może być jego bezpośrednia przydatność w kreowaniu pozytywnych postaw i zaangażowania pracowników w sprawy bhp przedsiębiorstwa. W artykule przedstawiono wybrane wymagania normy SCC:2011, stanowiące jednocześnie narzędzia z obszaru edukacji, a służące do właściwego przygotowania pracowników do wykonywania prac szczególnie niebezpiecznych. Omówiono wymagania dla certyfikacji personalnej, zarówno pracowników operacyjnych, jak i kadry zarządzającej oraz bezpośredniego nadzoru. Przedstawiono przykłady sposobu realizacji szkoleń, instruktarzy i spotkań narzędziowych bhp (safety-toolbox-meeting), zgodnie z normą SCC:2011. W opracowaniu przedstawiona została również idea modyfikacji tradycyjnego modelu realizacji szkoleń okresowych bhp, pozwalająca na zmniejszenie zjawiska oporu i zniechęcenia ze strony uczestników, jak również na uniknięcie powszechnych zjawisk patologicznych w obszarze szkoleń okresowych. Tezy stawiane w opracowaniu przez autora, audytora wiodącego systemów zarządzania wg normy SCC, poparte zostały analizami i obserwacjami funkcjonujących systemów zarządzania wdrożonych i certyfikowanych w kilkunastu polskich przedsiębiorstwach.The SCC (Safety Checklist for Contractors) is a system for managing safety, health and the environment, gaining the popularity in recent years in Poland, and one of the most widely used safety management systems in Europe. One of the factors affecting the growing interest in the SCC system, beyond its transparency and good correlation with national health and safety regulations, may be its direct usefulness in creating the positive attitudes and the involvement of employees in the OHS issues of the company. The author presents the selected requirements of the SCC: 2011 standard, which are also the tools in the education, and used to prepare employees to perform particularly hazardous works. The paper discusses the requirements for the certification of personnel, both operational staff, management and the direct supervisors. The author shows some examples of the implementation of trainings, instructions and safety meetings according to the SCC: 2011 standard. The paper presents the idea of the traditional model of periodic safety training modification, which allows to reduce the level of resistance and discouragement of participants, as well as gives a chance to avoid widespread pathological phenomena in the area of periodic safety trainings. The thesis presented by the author – the leading auditor of management systems according to the SCC standard, have been supported by the analysis and observations of the management systems implemented and certified in several Polish companies
Somatic cell count distributions during lactation predict clinical mastitis
No full textThis research investigated somatic cell count (SCC) records during lactation, with the purpose of identifying distribution characteristics (mean and measures of variation) that were most closely associated with clinical mastitis. Three separate data sets were used, one containing quarter SCC (n = 1444) and two containing cow SCC (n = 933 and 11,825). Clinical mastitis was defined as a binary outcome, present or absent, for each lactation, and SCC were log (base 10) transformed. A generalized linear mixed model within a Bayesian framework was used for analysis. Parameters were estimated using Markov Chain Monte Carlo with Gibbs sampling. Results from the 3 data sets were similar. Increased maximum and standard deviation log SCC during lactation, rather than increased geometric mean, were the best overall indicators of clinical mastitis. Distributions of SCC were also investigated separately for different mastitis pathogens. Increased maximum log SCC was associated with clinical mastitis caused by all pathogen types. Increased standard deviation log SCC was associated with Staphylococcus aureus, and Streptococcus uberis clinical mastitis and increased coefficient of variation log SCC (standard deviation divided by mean) was associated with Escherichia coli clinical mastitis. Increased geometric mean lactation SCC was associated with an increased risk of Staph. aureus clinical mastitis but a reduced risk of E. coli clinical mastitis. Our results suggest that using measures of variation and maximum cow SCC would enhance the accuracy of predicting clinical mastitis, compared with geometric mean SCC, and therefore improve genetic programs that aim to select for clinical mastitis resistance. The results are also consistent with low SCC increasing susceptibility to some mastitis pathogens.Source type: Electronic(1
Somatic cell count during and between milkings
No full textThe objectives of the study were to determine 1) how sampling time between milkings affects the sensitivity and specificity of somatic cell count (SCC) as an indicator for intramammary infection (IMI) status, and 2) which cells are responsible for the diurnal variation in SCC. Six Prince Edward Island, Canada, dairy herds were selected. Quarter samples for SCC were collected immediately before the a.m. milking (pre-a.m.), halfway through the a.m. milking, immediately after the a.m. milking, every 60 min after detachment of the milking unit, and immediately before the p.m. milking (pre-p.m.). Compared with the geometric mean SCC at the pre-a.m. milking, SCC of quarters with no IMI between milkings was higher up to 7 h after milking. The pre-p.m. SCC was significantly lower than the pre-a.m. SCC in quarters with no IMI. Specificity of SCC at a cutoff of 200,000 or 500,000 cells/mL as an indicator for IMI status declined substantially after the a.m. milking. In quarters with elevated SCC, the proportion of polymorphonuclear leukocytes was larger immediately after milking. For accurate interpretations of SCC tests—whether by a laboratory, portable SCC device, or the California Mastitis Test—veterinarians, researchers, and udder health advisors should take milk samples immediately before milking
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