841 research outputs found
Estimating daily recharge to the Chalk aquifer of southern England ? a simple methodology
International audienceA simple, practical model for estimating daily recharge - as hydrologically effective rainfall (HER) - to the Chalk outcrop of southern England is presented. Daily meteorological observations are the only data requirements. The model was calibrated for a Chalk river, the Wey, in south Dorset. Six different root constant thresholds were used to estimate daily actual evapotranspiration (AET) rates for the river. The model was then used to calculate HER using the six estimates of AET. Daily mean flow was simulated using three different models: CAPTAIN, IHACRES and INCA. The six HER estimates provided independent model inputs. HER calculated using a root constant of 200mm proved suitable not only for the Wey, but also (via a validation exercise) for other rivers on the Chalk of southern England for riverflow simulations as well as the timing and magnitude of groundwater recharge. The results suggest that a root constant of 200mm is optimal for the Chalk outcrop of southern England. The model is particularly useful for studies where the application of more complex methods of recharge estimation is impractical. Keywords: Chalk aquifer, root constant, recharge, Hydrologically Effective Rainfall, model, riverflow, CAPTAIN, IHACRES, INCA, River Wey</p
Developing a Viable Cause of Action fro Student Victims of Sexual Harrassment: a Look at Medical Schools
Evaluación del lenguaje
Documento PDF, 74 páginasGuía de estudio para el curso Evaluación del lenguaje, código 2055, que imparte la Escuela de Educación de la UNED.Universidad Estatal a Distancia de Costa Ric
On the role of the corpus callosum in interhemispheric functional connectivity in humans
Resting state functional connectivity is defined in terms of temporal correlations between physiologic signals, most commonly studied using functional magnetic resonance imaging. Major features of functional connectivity correspond to structural (axonal) connectivity. However, this relation is not one-to-one. Interhemispheric functional connectivity in relation to the corpus callosum presents a case in point. Specifically, several reports have documented nearly intact interhemispheric functional connectivity in individuals in whom the corpus callosum (the major commissure between the hemispheres) never develops. To investigate this question, we assessed functional connectivity before and after surgical section of the corpus callosum in 22 patients with medically refractory epilepsy. Section of the corpus callosum markedly reduced interhemispheric functional connectivity. This effect was more profound in multimodal associative areas in the frontal and parietal lobe than primary regions of sensorimotor and visual function. Moreover, no evidence of recovery was observed in a limited sample in which multiyear, longitudinal follow-up was obtained. Comparison of partial vs. complete callosotomy revealed several effects implying the existence of polysynaptic functional connectivity between remote brain regions. Thus, our results demonstrate that callosal as well as extracallosal anatomical connections play a role in the maintenance of interhemispheric functional connectivity
Predicting blunt cerebrovascular injury in pediatric trauma: Validation of the Utah Score
Risk factors for blunt cerebrovascular injury (BCVI) may differ between children and adults, suggesting that children at low risk for BCVI after trauma receive unnecessary computed tomography angiography (CTA) and high-dose radiation. We previously developed a score for predicting pediatric BCVI based on retrospective cohort analysis. Our objective is to externally validate this prediction score with a retrospective multi-institutional cohort. We included patients who underwent CTA for traumatic cranial injury at four pediatric Level I trauma centers. Each patient in the validation cohort was scored using the “Utah Score” and classified as high or low risk. Before analysis, we defined a misclassification rate <25% as validating the Utah Score. Six hundred forty-five patients (mean age 8.6 ± 5.4 years; 63.4% males) underwent screening for BCVI via CTA. The validation cohort was 411 patients from three sites compared with the training cohort of 234 patients. Twenty-two BCVIs (5.4%) were identified in the validation cohort. The Utah Score was significantly associated with BCVIs in the validation cohort (odds ratio 8.1 [3.3, 19.8], p < 0.001) and discriminated well in the validation cohort (area under the curve 72%). When the Utah Score was applied to the validation cohort, the sensitivity was 59%, specificity was 85%, positive predictive value was 18%, and negative predictive value was 97%. The Utah Score misclassified 16.6% of patients in the validation cohort. The Utah Score for predicting BCVI in pediatric trauma patients was validated with a low misclassification rate using a large, independent, multicenter cohort. Its implementation in the clinical setting may reduce the use of CTA in low-risk patients
A comparison of resting state functional magnetic resonance imaging to invasive electrocortical stimulation for sensorimotor mapping in pediatric patients
Localizing neurologic function within the brain remains a significant challenge in clinical neurosurgery. Invasive mapping with direct electrocortical stimulation currently is the clinical gold standard but is impractical in young or cognitively delayed patients who are unable to reliably perform tasks. Resting state functional magnetic resonance imaging non-invasively identifies resting state networks without the need for task performance, hence, is well suited to pediatric patients. We compared sensorimotor network localization by resting state fMRI to cortical stimulation sensory and motor mapping in 16 pediatric patients aged 3.1 to 18.6 years. All had medically refractory epilepsy that required invasive electrographic monitoring and stimulation mapping. The resting state fMRI data were analyzed using a previously trained machine learning classifier that has previously been evaluated in adults. We report comparable functional localization by resting state fMRI compared to stimulation mapping. These results provide strong evidence for the utility of resting state functional imaging in the localization of sensorimotor cortex across a wide range of pediatric patients
The evolving loci of new music
This thesis argues that the nature of the performance of new music has evolved. Its arguments and evidence are taken from case-studies, presented by a performer, that reflect on recent and historical practices. The focus of the research is on the development of performance practices in contemporary music over recent decades, following the innovations of composers such as Stockhausen, Boulez and Xenakis since the 1950s, particularly in the field of writing for percussion. It acknowledges that musical performance has many dimensions and is determined by a complex configuration of conditions and factors such as musical materials, local and geographical physical location, cultural context and technologies. These dimensions offer perspectives for understanding the multivalent site of music performance, as a configuration of practical and theoretical ideas grouped under the headings practice, technology and community. This thesis proposes the notion of the locus of performance generated by a set of such conditions. My experiences as a performer are the basis for an auto-ethnographic methodology and central to the articulation of this notion. My creative work contributes to a model of practice-based research, and establishes my perspective as the performer, able to witness how the locus of performance has evolved. The roles of the composer, performer and audience, and their identity and presence in the musical performance, are considered in relation to factors such as new musical practices, technologies and communities. The relationship between these contributing factors is considered in an attempt to create a model of musical performance. The critical perspectives gained from this process will contribute to an evolved notion of the loci for new music
MR diffusion changes in the perimeter of the lateral ventricles demonstrate periventricular injury in post-hemorrhagic hydrocephalus of prematurity
OBJECTIVES: Injury to the preterm lateral ventricular perimeter (LVP), which contains the neural stem cells responsible for brain development, may contribute to the neurological sequelae of intraventricular hemorrhage (IVH) and post-hemorrhagic hydrocephalus of prematurity (PHH). This study utilizes diffusion MRI (dMRI) to characterize the microstructural effects of IVH/PHH on the LVP and segmented frontal-occipital horn perimeters (FOHP).
STUDY DESIGN: Prospective study of 56 full-term infants, 72 very preterm infants without brain injury (VPT), 17 VPT infants with high-grade IVH without hydrocephalus (HG-IVH), and 13 VPT infants with PHH who underwent dMRI at term equivalent. LVP and FOHP dMRI measures and ventricular size-dMRI correlations were assessed.
RESULTS: In the LVP, PHH had consistently lower FA and higher MD and RD than FT and VPT (p\u3c.050). However, while PHH FA was lower, and PHH RD was higher than their respective HG-IVH measures (p\u3c.050), the MD and AD values did not differ. In the FOHP, PHH infants had lower FA and higher RD than FT and VPT (p\u3c.010), and a lower FA than the HG-IVH group (p\u3c.001). While the magnitude of AD in both the LVP and FOHP were consistently less in the PHH group on pairwise comparisons to the other groups, the differences were not significant (p\u3e.050). Ventricular size correlated negatively with FA, and positively with MD and RD (p\u3c.001) in both the LVP and FOHP. In the PHH group, FA was lower in the FOHP than in the LVP, which was contrary to the observed findings in the healthy infants (p\u3c.001). Nevertheless, there were no regional differences in AD, MD, and RD in the PHH group.
CONCLUSION: HG-IVH and PHH results in aberrant LVP/FOHP microstructure, with prominent abnormalities among the PHH group, most notably in the FOHP. Larger ventricular size was associated with greater magnitude of abnormality. LVP/FOHP dMRI measures may provide valuable biomarkers for future studies directed at improving the management and neurological outcomes of IVH/PHH
Hate Speech, Insurrections, and Fake News: “No Problems Here,” Says the Fifth Circuit: A Split on Free Speech and Content Moderation
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