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Risk assessment for optimal drought management of an integrated water resources system using a genetic algorithm

A decision support system (DSS) is developed and applied to assess the susceptibility of water supply systems to droughts, and to aid decision-makers in determining optimal supply strategies. The DSS integrates three fundamental modules for water resources management: (1) a real time rainfall-runoff forecasting model enhanced by Kalman filtering; (2) a water demand forecast model; and (3) a reserv

A randomized trial of basing treatment on human papillomavirus and/or cytology results in low-grade cervical lesion triage

OBJECTIVE: This study was undertaken to compare management algorithms that base treatment with loop electrosurgical excision procedure on human papillomavirus and/or repeat Papanicolaou test smear results. STUDY DESIGN: A randomized trial that referred 674 women with either atypical squamous cells of undetermined significance or low-grade squamous intraepithelial lesions cytology results, detected

Germline and somatic NF1 mutations in sporadic and NF1-associated malignant peripheral nerve sheath tumours

Malignant peripheral nerve sheath tumours (MPNSTs) are a malignancy occurring with increased frequency in patients with neurofibromatosis type 1 (NF1). In contrast to the well-known spectrum of germline NF1 mutations, the information on somatic mutations in MPNSTs is limited. In this study, we screened NF1, KRAS, and BRAF in 47 MPNSTs from patients with (n = 25) and without (n = 22) NF1. In additi

The BRCA1 syndrome and other inherited breast or breast-ovarian cancers in a Norwegian prospective series

Inherited breast cancer is a heterogenous group of diseases. We examined this heterogeneity in a prospective series of inherited breast and ovarian cancers, previously demonstrated to include 84% of inherited cancers. Ninety-two tumours (65 breast and 27 ovarian) in 82 patients from 70 kindreds were prospectively diagnosed. Fifteen of the breast cancers were in situ, 50 were infiltrating. 40 (49%)

Zero modes for the magnetic Pauli operator in even-dimensional Euclidean space

We study the ground state of the Pauli Hamiltonian with a magnetic field in R2d,d>1. We consider the case where a scalar potential W is present and the magnetic field B is given by B=2i ∂̄∂W. The main result is that there are no zero modes if the magnetic field decays faster than quadratically at infinity. If the magnetic field decays quadratically then zero modes may appear, and we give a lower b

On the construction of perfect authentication codes that permit arbitration

Authentication codes that permit arbitration are codes that unconditionally protect against deceptions from the outsiders and additionally also protect against some forms of deceptions from the insiders. Simmons introduced this authentication model and he also showed a way of constructing such codes, called the Cartesian product construction. We present a general way of constructing such codes and

Clinical Variability of Waardenburg-Shah Syndrome in Patients With Proximal 13q Deletion Syndrome Including the Endothelin-B Receptor Locus

Waardenburg-Shah syndrome (Waardenburg syndrome type IV-WS4) is an auditory-pigmentary disorder that combines clinical features of pigmentary abnormalities of the skin, hair and irides, sensorineural hearing loss, and Hirschsprung disease (HSCR). Mutations in the endothelin-B receptor (EDNRB) gene on 13q22 have been found to cause this syndrome. Mutations in both alleles cause the full phenotype,

Parents: the best experts in child health care? Viewpoints from parents and staff concerning child health services

The aim was to describe what parents and staff think about child health care, to identify agreements and disagreements. A qualitative study was made with semi-structured interviews based on a phenomenographic approach. Sixty parents, 14 nurses and six doctors from southern Sweden were interviewed. Parents and staff emphasized two tasks as being of particular importance: support and check-ups. Ther

The role of exercise in the rehabilitation of patients with systemic lupus erythematosus and patients with primary Sjögren's syndrome.

Purpose of review: The purpose of this review is to present an update on the evidence-based effects of exercise in systemic lupus erythematosus and in primary Sjögren's syndrome. Recent findings: Physical capacity is reduced in both systemic lupus erythematosus and primary Sjögren's syndrome and fatigue is a dominating and disabling symptom in both conditions. The documentation on the effect of e

Evaluation of wild-type MIC distributions as a tool for determination of clinical breakpoints for Mycobacterium tuberculosis

Objectives: The aim of this study was to establish wild-type MIC distributions of first-line drugs for Mycobacterium tuberculosis, as well as to explore the usefulness of such distributions when setting clinical breakpoints. Methods: We determined the MICs of rifampicin, isonlazid and ethambutol for M. tuberculosis using a Middlebrook 7H10 dilution method for 90 consecutive clinical isolates, 8 re

Poststernotomy mediastinitis: a review of conventional surgical treatments, vacuum-assisted closure therapy and presentation of the Lund University Hospital mediastinitis algorithm.

Poststernotomy mediastinitis, also commonly called deep sternal wound infection, is one of the most feared complications in patients undergoing cardiac surgery. The overall incidence of poststernotomy mediastinitis is relatively low, between 1% and 3%, however, this complication is associated with a significant mortality, usually reported to vary between 10% and 25%. At the present time, there is

Mass transport of aliphatic alcohols and esters through hydrophobic pervaporation membranes

Mass transport in pervaporation of multi-component mixtures of homologous series of alcohols and esters through composite pervaporation membranes has been investigated. Pervaporation experiments were performed in a concentration range relevant for aroma recovery, using a membrane with an active layer of poly (octyl) methylsiloxane (POMS) caste on a porous polyetherimide (PEI) support. The fluxes,

Function of adult pig hearts after 2 and 12 hours of cold cardioplegic preservation

BACKGROUND: Most cardioplegic solutions have been developed using the classic Langendorf heart perfusion model, which only allows a short experimental follow-up. Our aim was to investigate hearts after prolonged storage by using a physiologic model including prolonged perfusion with normal, fresh blood. METHODS: Sixteen hearts from 60-kg pigs were preserved with dextran-enriched (dextran-40, 35 g/

Transport biofuels in the European Union: The state of play

The implementation of the Biofuels Directive (2003/30/EC) in 25 member states is assessed here. Implementation problems are identified and analysed for the purpose of suggesting a way forward for biofuels policy in the European Union. Three main patterns are observed: effective implementation, formal compliance and weak implementation. Problems encountered in the policy process are both of a pract

The tectonothermal evolution and provenance of the Tyrone Central Inlier, Ireland: Grampian imbrication of an outboard Laurentian microcontinent?

The Tyrone Central Inlier is a metamorphic terrane of uncertain affinity situated outboard of the main Dalradian outcrop (south of the Fair Head-Clew Bay Line) and could represent sub-arc basement to part of the enigmatic Midland Valley Terrane. Using a combination of isotopic, structural and petrographic evidence, the tectonothermal evolution of the Tyrone Central Inlier was investigated. Sillima