40 research outputs found

    Historic Trends in the Secchi Disk Transparency of Lake Pontchartrain

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    A major environmental concern about Lake Pontchartrain is an assumed long-term increase in turbidity based on Secchi disk transparency observations. Regression of the available data on Secchi disk transparency versus time (1953 through 1990) reveals a statistically significant decrease in transparency of about 40%. However, the data set is biased in that it does not adequately represent the seasonal effects of salinity and wind speed. Two analytical procedures were undertaken to determine the extent to which the apparent long-term decrease in transparency was dependent on the seasonal bias. One procedure involved seasonal adjustment of the data for the effects of salinity and wind speed. The other procedure was to remove the seasonal bias by constructing unbiased data sets. Seasonal adjustment for the effects of salinity and wind speed reduced the level of significance for the relationship between Secchi disk transparency and time from about 1% to about 10%. This result indicates that some of the apparent decrease in transparency in the original data is the result of inadequate representation of seasonal effects in the biased data set. In most years data are not available for all months with the result that the seasonal effects of salinity and wind speed are not adequately represented. When the bias was removed by constructing unbiased data sets, the data no longer supported the conclusion of a statistically significant change in Secchi disk transparency from 1953 to 1990; p \u3e 0.5

    The Conley Conjecture and Beyond

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    This is (mainly) a survey of recent results on the problem of the existence of infinitely many periodic orbits for Hamiltonian diffeomorphisms and Reeb flows. We focus on the Conley conjecture, proved for a broad class of closed symplectic manifolds, asserting that under some natural conditions on the manifold every Hamiltonian diffeomorphism has infinitely many (simple) periodic orbits. We discuss in detail the established cases of the conjecture and related results including an analog of the conjecture for Reeb flows, the cases where the conjecture is known to fail, the question of the generic existence of infinitely many periodic orbits, and local geometrical conditions that force the existence of infinitely many periodic orbits. We also show how a recently established variant of the Conley conjecture for Reeb flows can be applied to prove the existence of infinitely many periodic orbits of a low-energy charge in a non-vanishing magnetic field on a surface other than a sphere.Comment: 34 pages, 1 figur

    EUFOREA Rhinology Research Forum 2016: report of the brainstorming sessions on needs and priorities in rhinitis and rhinosinusitis

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    The first European Rhinology Research Forum organized by the European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA) was held in the Royal Academy of Medicine in Brussels on 17th and 18th November 2016, in collaboration with the European Rhinologic Society (ERS) and the Global Allergy and Asthma European Network (GA2LEN). One hundred and thirty participants (medical doctors from different specialties, researchers, as well as patients and industry representatives) from 27 countries took part in the multiple perspective discussions including brainstorming sessions on care pathways and research needs in rhinitis and rhinosinusitis. The debates started with an overview of the current state of the art, including weaknesses and strengths of the current practices, followed by the identification of essential research needs, thoroughly integrated in the context of Precision Medicine (PM), with personalized care, prediction of success of treatment, participation of the patient and prevention of disease as key principles for improving current clinical practices. This report provides a concise summary of the outcomes of the brainstorming sessions of the European Rhinology Research Forum 2016

    Comparison of echo-planar diffusion-weighted imaging and delayed postcontrast T1-weighted MR imaging for the detection of residual cholesteatoma.

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    International audienceBACKGROUND AND PURPOSE: Echo-planar diffusion-weighted imaging (DWI) and delayed postcontrast T1-weighted MR imaging (DPI) have been proposed in previous studies to detect residual middle ear cholesteatomas, with varying results. We assessed and compared these 2 techniques in patients with canal wall-up tympanoplasty. MATERIALS AND METHODS: This was a prospective cohort study. Patients who underwent surgery for middle ear cholesteatoma had CT scanning 9 months after the surgery. If opacity was observed (64%) on CT scans, DWI and DPI were performed before second-look surgery. CT, MR imaging, and surgical data were available for 31 patients. Charts were reviewed independently by 3 blinded examiners. Interobserver agreement for MR imaging was calculated (Cohen kappa). Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated for these techniques: 1) alone or in association, and 2) according to the residual cholesteatoma size measured during surgery. RESULTS: Interobserver agreement was better for DWI (kappa = 0.81) than for DPI (kappa = 0.51). Sensitivity, specificity, PPV, and NPV values were 60%, 72.73%, 80%, and 50%, respectively, with DWI; and 90%, 54.55%, 78.26%, and 75%, respectively, with DPI. With cholesteatomas >5 mm, the sensitivity and specificity of DWI reached 100% and 88%, respectively, with values for DPI reaching 100% and 80%, respectively. The association of both techniques only allowed improvements in the specificity for lesions >5 mm. CONCLUSIONS: Both techniques gave acceptable results for residual cholesteatoma detection. DWI is more specific but less sensitive than DPI. Their concurrent use may benefit patients by avoiding undue surgery

    Outcomes in endoscopic sinus surgery: olfaction, nose scale and quality of life in a prospective cohort study.

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    peer reviewedOBJECTIVES: To determine the efficacy of endoscopic sinus surgery (ESS) on olfactory function in chronic rhinosinusitis patients with nasal polyps (CRSwNP) and without nasal polyps (CRSsNP) and to compare the nasal obstruction and symptom evaluation (NOSE) scale before and after surgery. DESIGN: A prospective cohort study SETTING: Royal National Throat and Nose and Ear Hospital, London UK. PARTICIPANTS: One hundred and thirteen patients with CRS; 60 CRSwNP and 53 CRSsNP. OUTCOME MEASUREMENTS: Olfaction was measured using both the University of Pennsylvania Smell Investigation Test (UPSIT) and the 'sense of smell' visual analogue scale (VAS). The NOSE scale, the sinonasal outcome test (SNOT 22) and the Lund-Kennedy (LK) surgeon reported scores were also measured pre- and postoperatively at 6 months. RESULTS: The UPSIT psychophysical measurement significantly improved following ESS in the CRSwNP subgroup as did the patients perceived VAS sense of smell. However, in the CRSsNP subgroup, the improved VAS and UPSIT measurements were not significant. The NOSE, SNOT 22 and LK scores all improved significantly. The olfactory improvement as measured by the UPSIT correlated to the SNOT-22, but a correlation between the NOSE score and UPSIT was not found. CONCLUSIONS: Endoscopic sinus surgery significantly improved the patient's perceived and measured sense of smell in the CRSwNP subgroup which is the most surgically responsive CRS subgroup. Additionally, improved olfaction in the CRSwNP subgroup is most likely to improve the patient's quality of life. Endoscopic sinus surgery significantly improved the NOSE scale in both CRS subgroups at 6 months following surgery

    Historic Trends in the Secchi Disk Transparency of Lake Pontchartrain

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