135 results on '"O. Herman"'
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2. CRIMINALISTICS ASPECTS OF THE STUDY BALLISTIC CHARACTERISTICS AND STRIKING PROPERTIES OF BULLETS OF PISTOL CARTRIDGES OF 9 × 21 IMI CALIBER
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O. Herman, I. Serbinenko, V. Nikitiuk, O. Kolomiitsev, and V. Sapielkin
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Cartridge ,Materials science ,Caliber ,General Medicine ,Composite material - Abstract
The article presents data based on the results of experimental studies on the external ballistics parameters and the nature of changes in the trajectory of the kinetic energy of four types of pistol cartridges bullets 9 × 21 IMI (9 × 21 mm.), which were shot from two samples of carbines with different lengths of the rifled part of the barrel. Of particular interest are data on the nature of the shell interaction and expansive bullets of cartridges of the indicated caliber with the tissues of a biological object, the imitation of the interaction with which was carried out using ballistic testing backing material (ballistic clay). The use of a simulator of biological tissues of the human body made it possible to determine the features of the shock-contact interaction of shell and expansive bullets with them, as well as to establish the nature of the behavior of these bullets in the thickness of a viscoelastic medium. It was experimentally found that under certain conditions, 9 mm jacketed bullets are capable of inflicting through wounds to the human body at firing distances up to 25 m inclusive, while the bullet, after breaking through the barrier, has energy characteristics that are sufficient to inflict a penetrating injury of varying severity on another biological object. Due to the use of ballistic clay, it became possible to visualize the maximum amount of damage caused by shell and expansive bullets, as well as to determine the features of the formation of exit wounds, taking into account the destabilization of shell bullets in the thickness of the obstacle. It should be noted that at firing distances up to 5 m inclusive, shell bullets, due to the loss of gyroscopic stability in the tissues of a biological object, which have a sufficiently large thickness, are capable of inflicting wounds, the volume and severity of which are comparable to or exceed the corresponding parameters of wounds caused by expansive bullets. The obtained results of measurements of the velocity of the of shell bullets after overcoming an obstacle in the form of a viscoelastic medium can later become the basis for calculating the contact speed of a bullet with a known length of the channel of the inflicted wound. The article for the first time presents the calculated data on the parameters of the flight path of shell and expansive bullets of pistol cartridges 9 × 21 IMI (9 × 21 mm.) at firing distances up to 100 m. The presented results of experimental studies and calculated data will allow experts in the field of forensic ballistics and forensic medicine to solve the tasks set by the pre-trial investigation authorities. Key words: ballistic clay, biological object, elements of the trajectory of a bullet flight, carbine, pistol cartridge, wound, wound channel, damaging properties, damage.
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- 2021
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- View/download PDF
3. Pancreatic enzyme replacement therapy in patients with pancreatic cancer: A national prospective study
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A. Burahee, S. Shaukat, E. Matthews, H. Lucas, T. Clarke, C. Bell, K. Lee, K. Chui, H. Khalil, J. Murrell, W. Blad, Margaret G. Keane, D. Ghosh, A. Badran, R. Inumerable, J. Waters, P. Szatmary, M. Kamarul-bahrin, P. Luthra, R. Merh, E. Murray, N. Palaniyappan, K. Mann, A. Banks, J. Gilliland, J. Cooper, A. Khalil, P. Prasad, A. Kanwar, J. Shah, J. Rees, S. Baker, C. Wakefield, S. Chakravaratty, A. Wan, F. Welsh, M. Yalchin, S. Rajagopal, L. Backhouse, G. Ahmad, A. Gautham, R. Canelo, H. Curry, A. Bailey, A. King, N. Chander, K. Seymour, Z. Majid, A. Millar, L. Mitchell, J. Portal, T. Lloyd, R. Laing, B. Cresswell, H. Edwards, J. Cutting, E. Knight, Y. Reddy, A. Zerafa, S. Aroori, H. Robertson, Z. Afzal, A. Osborne, J. Potts, T. Maccabe, T. Dissanayake, P. Whelan, U. Hassam, V. Kanakala, A. Hakeem, K. Jones, N. Fisher, A. Rollo, S. McNally, Y. Rajjoub, F. Giovinazzo, G. Kirby, R. Kader, E. Lee, K. Dykes, M. Jones, S. Hebbar, J.C. Alberts, J.W.C. Kung, F. Leet, D. Haldar, J. Young, Jeremy French, K.J. Williams, Michael A. Silva, L. O'Flynn, P. Rimmer, I. Reilly, F. Hay, P. Wadsworth, J. Ali, C. Burston, I. Noaman, J. Collins, M. Kandathil, K. Stasinos, G. Akol, W. Jamieson, A. Shahdoost, S. Rekhraj, J. Burke, W. Stupalkowska, S. Rinkoff, S.C. McKay, A. Belgaumkar, N. Shaban, S. Nandi, G. Goodchild, K. Okoth, J. Klaptocz, A. Ward, D. Holroyd, C. Johnston, S. Falconer, M.M. Farhan-Alanie, G. Mckune, A. Chin, S. Coleman, P. Seyed-Safi, S. Drozdzik, S. Krivan, A. Khan, C. Parmar, S. Rushbrook, K. Alford, A. Elshaer, G. Bryce, S. Townsend, H.N. Modi, J. Barker, A. Austin, A. Okaro, J. Pilkington, L. Kennedy, C. Cook, E. Atallah, M. Hall, B. Arnold, S. Brown, D. Trivedi, M. Wilson, N. Eardley, C. Sellahewa, A. Farrugia, P. Hodges, M. Harborne, J.G. Finch, R. Kay, E. Baker, J. Deguara, R. Patel, Andrew M Smith, N. Trudgill, N. Bhamra, S. Ingram, M. McFarlane, S. Hwang, G. Zhou, C. Sandberg, Y. Derwa, J. Morgan, N. Mowbray, T. Athwal, E. McNally, J. Butler, K. McCarthney, G. Garbutt, S. Thomasset, J. Valverde, A. Kumar, J. Thompson, R. Fernandes, P. Molloy, C. Bowler, M. Perry, G. Kourounis, P. Coe, U. Kamran, P. Glen, B. Colleypriest, R. Madhotra, Giuseppe Fusai, J. Harvey, I. Wong, A. Suhool, T. Gray, A. Wilkins, E. Richards, S. Mahgoub, J. Wye, I. Tait, M. Pillai, A. Marley, T. O'nions, G. Shingler, Ryan Baron, A. Pathanki, F. Badrulhisham, A.E. Sherif, M. Somasundaram, S. Varghese, J. Westwood, C. Croitoru, S. Kirk, C. Baillie, C. Katz, D. Scroggie, Adam E Frampton, L D Dickerson, N. Robertson, W. Stockton, P. Wilson, R. Guest, S. Hyde, R. Nelapatia, R. Anjum, M. Riera, O. Tucker, R. Smyth, K. Webb, B. Hicken, K. Yong, E. Khoo, E. Mozdiak, D. King, P. Rodham, S. Prasad, S. Pathak, A. Brant, H. Ayubi, C. Mcardle, O. Al-Allaf, A.C.D. Smith, M. Gomez, T. Whitehead-Clarke, F. Muscara, K.J. Roberts, S. Dyer, S. Mogan, O. Davies, P. Persson, B.T.F. Stephenson, P. Lykoudis, B. Stutchfield, Mark A. Taylor, Z. Hussain, Derek A. O'Reilly, L. Gorard, D. Murugiah, L. Materacki, R.H. Bhogal, J. Ingmire, J. Milburn, Y. Tay, E. Albraba, L. Mealey, M. Elshaer, M. Hughes, G. Baker, N. McLaren, I. Thomas, A. Holt, D. Napier, H. Woodland, Y. Aawsaj, S. Higgs, A. Botes, N. Abbas, C. Devogel, D.F.J. Dunne, T. Johnston, A. Javed, N. Heywood, Z. Brown, R. Jones, A. Awan, D. Elliott, S. Khan, M.K. Brom, M. Bekheit, R. Alame, G. Pinn, A. Buchanan, R. Lalani, S. Menon, L. Alleyne, G. Jones, D. Whitelaw, B. Disney, A.R.G. Sheel, H. McMurtry, L. Phelan, I.D. Sadien, S. Bullock, N. Rajaretnam, E. Darley, K.E. Exarchou, M. Kalisvaart, E. Selvaraj, R. Pande, A. Obisesan, T. Archer, K. McCormack, G.R. Layton, V. Asimba, J. Ishtiaq, S. Lockwood, L. Dichmont, F. Hirri, S. Ramoutar, A. Abbasi, I. Tahir, C. Jones, A. Yoong, G. Zumbo, A. Andreou, L.Y. Leung, J. Apollos, I. Mykoniatis, M. Ghazanfar, Matthew T. Huggett, A. Charalabopoulos, N. Babar, D. Sadigh, R. Ramamoorthy, M. Roderick, A. Baxter, M. King, M. Al-Ardah, M. Abd Alkoddus, M. Joseph, H. Steinitz, G. Sheiybani, R. Thakkar, L. Shala, P.R. Harvey, R. Young, M. Verebcean, A. Asif, H. Malik, O. Herman, J. Spearman, Gourab Sen, H. Tan, G. Maharaj, A. Saha, J. Butterworth, D. Subar, I. Ali, R. Booth, W. Mostafa, S. Sheikh, P. Williams, A. Rossiter, Nariman D. Karanjia, S. Phillpotts, J. Gabriella, V. Mitra, M.C. Stott, T. Talbot, R. Przemioslo, T. Policastro, M. Shiwani, M. Cunningham, A. Ehsan, D. Cheung, S. Patil, N. Walker, C. Barrett, K. Johnson, S. Resool, A. Kordzadeh, L. Merker, S. Powell-Brett, A. Gupta, J. Pease, S. Harper, P. Driscoll, D. Majumdar, S.H. Abbas, B. Wilkinson, R. Thomson, T. Boyce, D. Hou, P.J. Eddowes, V. George, H.T. de Berker, C. Macutkiewicz, S. Pericleous, R. Hutchins, S. Barker, F. Betteridge, B. O'Riordan, R. Johnson, M. Adil, S. Bulathsinhala, R. Noor, A. Dawes, H. Wescott, S. Iyer, S. Saji, L. Ong, N. Kapirial, A. Kurian, R. Law, Z. Tariq, M. Abu, T. Troth, A. Ahmed, K.W.M. Abeysekera, R. Thomas, M. Kasi, L. Carrion-Alvarez, S. Braithwaite, K. Holloway, J. Shepherd, C. Brooks, R.J.W. Wilkin, O. Bajomo, S. Banerjee, I. Thomas-Jones, M. Brookes, M. Burgess, T. Allen, S. Abbott, K. Mitchell, M. Adnan, M. West, K. Vojtekova, A. Ismail, J. Anderson, T. Vaik, M. Mortimer, J. Allen, P. Hall, T. Wothers, C. Bull, S. Mole, M. Davies, M. Elzubier, and M. Baqai
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medicine.medical_specialty ,Hepatology ,Referral ,business.industry ,Endocrinology, Diabetes and Metabolism ,Gastroenterology ,Negative association ,medicine.disease ,Clinical nurse specialist ,Pancreatic cancer ,Internal medicine ,Medicine ,In patient ,Medical prescription ,business ,Prospective cohort study ,Pancreatic enzymes - Abstract
Objective UK national guidelines recommend pancreatic enzyme replacement therapy (PERT) in pancreatic cancer. Over 80% of pancreatic cancers are unresectable and managed in non-surgical units. The aim was to assess variation in PERT prescribing, determine factors associated with its use and identify potential actions to improve prescription rates. Design RICOCHET was a national prospective audit of malignant pancreatic, peri-ampullary lesions or malignant biliary obstruction between April and August 2018. This analysis focuses on pancreatic cancer patients and is reported to STROBE guidelines. Multivariable regression analysis was undertaken to assess factors associated with PERT prescribing. Results Rates of PERT prescribing varied among the 1350 patients included. 74.4% of patients with potentially resectable disease were prescribed PERT compared to 45.3% with unresectable disease. PERT prescription varied across surgical hospitals but high prescribing rates did not disseminate out to the respective referring network. PERT prescription appeared to be related to the treatment aim for the patient and the amount of clinician contact a patient has. PERT prescription in potentially resectable patients was positively associated with dietitian referral (p = 0.001) and management at hepaticopancreaticobiliary (p = 0.049) or pancreatic unit (p = 0.009). Prescription in unresectable patients also had a negative association with Charlson comorbidity score 5–7 (p = 0.045) or >7 (p = 0.010) and a positive association with clinical nurse specialist review (p = 0.028). Conclusion Despite national guidance, wide variation and under-treatment with PERT exists. Given that most patients with pancreatic cancer have unresectable disease and are treated in non-surgical hospitals, where prescribing is lowest, strategies to disseminate best practice and overcome barriers to prescribing are urgently required.
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- 2021
4. PECULIARITIES OF THE ORIGIN OF LEAD TRACES IN A BORE OF SMOOTHBORE FIREARM
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V. Nikitiuk, O. Pashkova, O. Herman, and A. Kolomiytsev
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Qualitative analysis ,Lead (geology) ,Forensic Ballistic ,Computer science ,Mechanical engineering ,Contact zone - Abstract
The article is devoted to review of the problem of studying traces of metallizing in a smoothbore firearm bore when firing various types of kinetic projectiles. The features of the mechanism of formation of lead traces in a bore as well as conditions contributing to lead plating are considered. The main cases of detecting traces of lead on bore surface in the course of corresponding multidisciplinary forensic ballistic and chemistry analysis are considered. The main methods for detecting traces of lead in the bore of the studied sample of weapon are described, as well as signs on the basis of which it is possible to establish the type of projectile that was fired in cases when a bore has not been thoroughly cleaned. In the course of the survey on the study of traces of metallization, it was found that the contact-diffusion method is suitable only for qualitative analysis of lead traces, it can be used to determine only the presence of lead and visualize the degree of concentration of the studied metal in the contact zone based on the intensity of color display of chemical reaction. To establish quantitative indicators of the chemical elements that make up the traces of metallization, this method is unpromising. Particular attention is paid to the study of traces of metallization in a bore of traumatic guns. The possible problematic aspects of this kind of research are indicated. It is obvious that research in this direction requires the introduction into practice of more advanced equipment and new approaches aimed at identifying individualizing signs of the nature of traces origin.
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- 2020
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5. New functional identity for the DNA uptake sequence in transformation and its presence in transcriptional terminators
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Ambur, O. Herman, Frye, Stephan A., and Tonjum, Tone
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Genetic transformation -- Research ,Neisseria meningitidis -- Genetic aspects ,Neisseria meningitidis -- Research ,Genetic transcription -- Research ,Biological sciences - Abstract
The frequently occurring DNA uptake sequence (DUS), recognized as a 10-bp repeat, is required for efficient genetic transformation in the human pathogens Neisseria meningitidis and Neisseria gonorrhoeae. Genome scanning for DUS occurrences in three different species of Neisseria demonstrated that 76% of the nearly 2,000 neisserial DUS were found to have two semiconserved base pairs extending from the 5' end of DUS to constitute a 12-mer repeat. Plasmids containing sequential variants of the neisserial DUS were tested for their ability to transform N. meningitidis and N. gonorrhoeae, and the 12-met was found to outperform the 10-met DUS in transformation efficiency. Assessment of meningococcal uptake of DNA confirmed the enhanced performance of the 12-met compared to the 10-mer DUS. An inverted repeat DUS was not more efficient in transformation than DNA species containing a single or direct repeat DUS. Genome-wide analysis revealed that half of the nearly 1,500 12-mer DUS are arranged as inverted repeats predicted to be involved in rho-independent transcriptional termination or attenuation. The distribution of the uptake signal sequence required for transformation in the Pasteurellaceae was also biased towards transcriptional terminators, although to a lesser extent. In addition to assessing the intergenic location of DUS, we propose that the 10-met identity of DUS should be extended and recognized as a 12-mer DUS. The dual role of DUS in transformation and as a structural component on RNA affecting transcription makes this a relevant model system for assessing significant roles of repeat sequences in biology.
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- 2007
6. The VanY(sub)D DD-carboxypeptidase of enterococcus faecium BM4339 is a pencillin-binding protein
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Reynolds, Peter E., Ambur, O. Herman, Casadewall, Barbara, and Courvalin, Patrice
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Enterococcus -- Genetic aspects ,Protein binding -- Physiological aspects ,Enzymes -- Structure-activity relationship ,Biological sciences - Abstract
Research reveals that the VanY(sub)D DD-carboxypeptidase is localized to the membranes of Enterococcus faecium BM4339 and vanY(sub)D encodes the enzyme, which functions as a penicillin-binding protein.
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- 2001
7. Enhancement of abdominal structures on MRI at 1.5 and 3 T: a retrospective intraindividual crossover comparison
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Kevin O. Herman, Richard C. Semelka, Fernanda Velloni, Miguel Ramalho, Mamdoh AlObaidy, and A. P. Alves de Matos
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Adult ,Male ,medicine.medical_specialty ,Adolescent ,Population ,Contrast Media ,030218 nuclear medicine & medical imaging ,Young Adult ,03 medical and health sciences ,Meglumine ,0302 clinical medicine ,medicine.artery ,Abdomen ,Organometallic Compounds ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Longitudinal Studies ,education ,Aged ,Retrospective Studies ,Neuroradiology ,Aged, 80 and over ,education.field_of_study ,Cross-Over Studies ,medicine.diagnostic_test ,business.industry ,Abdominal aorta ,Ultrasound ,Reproducibility of Results ,Magnetic resonance imaging ,General Medicine ,Middle Aged ,Image Enhancement ,Magnetic Resonance Imaging ,Crossover study ,medicine.anatomical_structure ,Female ,Radiology ,business ,030217 neurology & neurosurgery ,medicine.drug - Abstract
To quantitatively compare the extent of enhancement of abdominal structures on MRI in an intraindividual fashion at 1.5 and 3 T. HIPAA-compliant, retrospective, longitudinal, intraindividual, crossover study, with waived informed consent, of consecutive individuals scanned at both 1.5 and 3 T closed-bore magnets using gadobenate dimeglumine during different phases of enhancement at tightly controlled arterial phase timing. Quantitative ROI measurements and qualitative sub-phase arterial phase assignments were independently performed by two radiologists. Qualitative discrepancies were resolved by a senior radiologist. Final population included 60 patients [41 female and 19 male; age, 49.35 ± 18.31 years (range 16–81); weight, 78.88 ± 20.3 kg (range 44.5–136)]. Similar enhancement peak patterns were noted at both field strengths. Interobserver agreement of quantitative evaluations was substantial. Significantly higher amplitudes of enhancement peaks were noted for all abdominal solid organs during all phases at 3 T, except for the pancreas (p = 0.17–0.30). Significantly higher amplitudes of enhancement peaks of the abdominal aorta at 1.5 T were noted. Similar peak patterns of enhancement for abdominal structures were observed at 1.5 and 3 T, with solid abdominal organs showing a higher percentage enhancement at 3 T, while unexpectedly higher aortic higher percentage enhancement was observed at 1.5 T. • Similar enhancement peak patterns at both field strengths for studied abdominal structures. • Significantly higher percentage enhancement of most abdominal organs at 3 T. • Non-statistically significant trend of higher pancreatic percentage enhancement at 3 T. • Significantly lower abdominal aortic percentage enhancement at 3 T.
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- 2016
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8. Clinically relevant bleeding in cancer patients treated for venous thromboembolism from the CATCH study
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P.W. Kamphuisen, A.Y.Y. Lee, G. Meyer, R. Bauersachs, M.S. Janas, M.F. Jarner, A.A. Khorana, R. Bella Santiago, S. Cerana, J.J. Zarbá, J. Andel, C.H. Barrios, A. Borba Reiriz, F. Cesario, S. de Azevedo, A.F. Ferreira Filho, F.A. Franke, S. Padilha, R. Paiva Queiroz, A. Pimenta, J. Rerin, R. Rigo, S.B. van Eyll Rocha, G. Santos Borges, G. Vacaro, V. Anastasov, T. Dragneva, G. Georgiev, P. Champion, P. Kuruvilla, C. Gonzalez, P. Ditl, J. Förster, B. Lubomir, J. Vydra, R.A. El Hassan, S. Sabri, N. Allahloubi, A. Elzawawy, S.S. Ezzat, M.S. El Kady, L. Bacchus, J. Beyer‐Westendorf, U. Kamphausen, D. Niederwieser, H. Ostermann, M. Sosada, N. Anagnostopoulos, G. Fountzilas, C. Ioannou, C. Liapis, J.F.B. Schaeffer, S. Atilli, S. Balsubramanian, S. Bondarde, S.C. Desai, C. Deshmukh, D.P. Singh, F. Gharami, L. Goyal, S. Gupta, S. Gupte, K.K. Mukherjee, S. Krishnan, K. Kumar, A. Mehta, K. Mishra, R. Naik, S. Pawar, R.V. Nagarkar, N. Warrier, B. Brenner, I. Gavish, G. Lugassy, M. Kolin, B. Enrico, M.G. Mazzucconi, G. Visani, A. Awidi, N. Novikovs, J. Miscuks, D. Abigerges, F. Farhat, P. Khoueiry, J. Makarem, O. Alvarez Ordorica, E. Anaya Santacruz, G. Calderillo Ruiz, J.H. de la Concha Ureta, W.S.R. Pantigoso, M. Philco, A.R. Pineda, E.A.V. Queszada, K. Gawrychowski, W. Witkiewicz, E. Macias, E. Teixeira, T.‐E. Ciuleanu, C.C. Ligia, D. Lungulescu, I.G. Manolescu, A. Rodica, C. Volovat, Y. Burov, I. Katelnitsky, D. Svistov, K. Ahmad, F. Algahtani, H. Al‐Zahrani, M. Qari, D. Jovanovic, N. Milanovic, B. Perin, V. Stojanovic, L. Tomasic, J. Chovanec, O. Herman, V. Kissova, F. Sasvary, S. Špánik, M. Szentivanyi, F. Barón, E. Gallardo, D. Jiménez, O. Remedios, A. Sanchez, J. Engelbrecht, N. Jonas, G. McAdam, M. Patel, B. Rapoport, B. Robertson, D. Oh, H. Kim, H.‐K. Kim, H.J. Kim, H.S. Kim, J.S. Ahn, J. Chung, J. Jang, K.U. Park, S.‐W. Shin, S.H. Kim, S‐S. Yoon, Y.‐K. Kim, C.‐F. Chiu, C.‐S. Chang, J.‐H. Liu, K.‐M. Rau, S.‐W. Chen, S. Chittima, T. Ekkapong, K. Nonglak, A. Pantep, M. Pramook, S. Thanakrit, S. Patrapim, T. Sumitra, C. Udomluck, I. Kobza, O. Nykonenko, V. Prasol, I. Vladychuk, and Cardiovascular Centre (CVC)
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Male ,medicine.medical_specialty ,anticoagulants ,Time Factors ,INTRACRANIAL HEMORRHAGE ,venous thromboembolism ,neoplasms ,BRAIN METASTASES ,Hemorrhage ,030204 cardiovascular system & hematology ,Malignancy ,Risk Assessment ,ANTICOAGULANT TREATMENT ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Internal medicine ,Medicine ,Humans ,Prospective Studies ,THERAPEUTIC RANGE ,Aged ,COMPLICATIONS ,tinzaparin ,business.industry ,Incidence ,Hazard ratio ,RIETE REGISTRY ,Warfarin ,Cancer ,Hematology ,Tinzaparin ,MOLECULAR-WEIGHT HEPARIN ,Middle Aged ,medicine.disease ,bleeding ,Thrombosis ,Confidence interval ,Exact test ,WARFARIN PATIENTS ,Treatment Outcome ,030220 oncology & carcinogenesis ,INTERNATIONAL NORMALIZED RATIO ,ATRIAL-FIBRILLATION ,Female ,Drug Monitoring ,business ,medicine.drug - Abstract
Essentials Cancer patients receiving anticoagulants for venous thromboembolism have an elevated bleeding risk. This secondary analysis of CATCH assessed characteristics of clinically relevant bleeding (CRB). CRB occurs in 15% of cancer patients with thrombosis using therapeutic doses of anticoagulation. After multivariate analysis, risk factors for CRB were age >75 years and intracranial malignancy. Summary Background Cancer patients with acute venous thromboembolism (VTE) receiving anticoagulant treatment have an increased bleeding risk. Objectives We performed a prespecified secondary analysis of the randomized, open-label, Phase III CATCH trial (NCT01130025) to assess the rate and sites of and the risk factors for clinically relevant bleeding (CRB). Patients/Methods Patients with active cancer and acute, symptomatic VTE received either tinzaparin 175 IU kg-1 once daily or warfarin (target International Normalized Ratio [INR] of 2.0-3.0) for 6 months. Fisher's exact test was used to screen prespecified clinical risk factors; those identified as being significantly associated with an increased risk of CRB then underwent competing risk regression analysis of time to first CRB. Results Among 900 randomized patients, 138 (15.3%) had 180 CRB events. CRB occurred in 60 patients (81 events) in the tinzaparin group and in 78 patients (99 events) in the warfarin group (hazard ratio [HR] 0.64; 95% confidence interval [CI] 0.45-0.89). Common bleeding sites were gastrointestinal (36.7%; n = 66), genitourinary (22.8%; n = 41), and nasal (10.0%; n = 18). In multivariate analysis, the risk of CRB increased with age > 75 years (HR 1.83, 95% CI 1.14-2.94) and intracranial malignancy (HR 1.97, 95% CI 1.07-3.62). In the warfarin group, 40.4% of CRB events occurred in patients with with an INR of 75 years and intracranial malignancy.
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- 2018
9. Conceptualization of category terrain of outer space in contemporary geopolitics
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Y. O. Herman
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lcsh:Philosophy (General) ,космічний простір ,простір ,lcsh:Political science ,геополітичний простір ,lcsh:B1-5802 ,lcsh:J ,геополітичні ресурси - Abstract
It is analyzed the category of terrain for the purpose of finding out it new conceptual framework, based on consideration of contemporary global processes whose influence now extends far beyond the earthly geographical environment. It is claimed that technological progress constantly modifies the format of classical geopolitics, and offers new tools of gaining control over the zones favorable for development. It is demonstrated the expanding of boundaries of the space sector as a repository of geopolitical resources to the borders of the near-Earth space environment. One of the key reasons for expansion of the spatial relations is limited or even exhaustion of terrestrial resources on which, among other things, bases geopolitical power of specific geopolitical player. Attention is drawn to the almost limitless and inexhaustible reserves of potential resources of near-Earth space environment. It is emphasized the communication and transport potential of cosmic tracks, which is promising for the realization of the successful commercial space and other projects. The main actors which are definitely interested in gaining instruments for establishing their global status by controlling space they are nation-states and multinational corporations. It is researched the basic properties of terrain and the likely nature of the spatial relationships among key geopolitical players.
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- 2014
10. Springtime nitrogen oxides and tropospheric ozone in Svalbard: results from the measurement station network
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A. Dekhtyareva, M. Hermanson, A. Nikulina, O. Hermansen, T. Svendby, K. Holmén, and R. G. Graversen
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Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
Svalbard is a remote and scarcely populated Arctic archipelago and is considered to be mostly influenced by long-range-transported air pollution. However, there are also local emission sources such as coal and diesel power plants, snowmobiles and ships, but their influence on the background concentrations of trace gases has not been thoroughly assessed. This study is based on data of tropospheric ozone (O3) and nitrogen oxides (NOx) collected in three main Svalbard settlements in spring 2017. In addition to these ground-based observations and radiosonde and O3 sonde soundings, ERA5 reanalysis and BrO satellite data have been applied in order to distinguish the impact of local and synoptic-scale conditions on the NOx and O3 chemistry. The measurement campaign was divided into several sub-periods based on the prevailing large-scale weather regimes. The local wind direction at the stations depended on the large-scale conditions but was modified due to complex topography. The NOx concentration showed weak correlation for the different stations and depended strongly on the wind direction and atmospheric stability. Conversely, the O3 concentration was highly correlated among the different measurement sites and was controlled by the long-range atmospheric transport to Svalbard. Lagrangian backward trajectories have been used to examine the origin and path of the air masses during the campaign.
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- 2022
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11. The Effect of Chronic Hyperinsulinemia on Plasma Adiponectin Levels in Sprague-Dawley Rats
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Yehuda Kamari, Edna Peleg, Yehonatan Sharabi, M.-O. Herman, Ehud Grossman, and Michael Bursztyn
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Blood Glucose ,Male ,medicine.medical_specialty ,Time Factors ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Clinical Biochemistry ,Blood Pressure ,Type 2 diabetes ,Biochemistry ,Rats, Sprague-Dawley ,chemistry.chemical_compound ,Insulin Infusion Systems ,Endocrinology ,Insulin resistance ,Hyperinsulinism ,Internal medicine ,medicine ,Hyperinsulinemia ,Animals ,Insulin ,Triglycerides ,Adiponectin ,Triglyceride ,business.industry ,Body Weight ,Biochemistry (medical) ,nutritional and metabolic diseases ,General Medicine ,medicine.disease ,Rats ,Blood pressure ,chemistry ,Chronic Disease ,Insulin Resistance ,Metabolic syndrome ,business ,hormones, hormone substitutes, and hormone antagonists - Abstract
Adiponectin is an important vascular protective substance whose levels are reduced in states of insulin resistance. The relationships between plasma insulin levels and adiponectin are not fully understood, and it is not known whether it is the elevated circulating levels of insulin or insulin resistance that directly affects adiponectin levels. The present study evaluates the direct effect of chronic hyperinsulinemia on plasma adiponectin levels. Male Sprague-Dawley rats were treated with insulin (n=15) administered by a sustained-release implant or were given a sham implantation (n=10) as a control group. Body weight, systolic blood pressure, plasma glucose, triglycerides, insulin, and adiponectin were measured at baseline and after 20 and 40 d of treatment. Insulin-treated rats and controls showed a similar increase in body weight. The insulin-treated group had a significant increase in plasma insulin levels and a decrease in plasma glucose levels compared with the sham group, with no change in blood pressure or triglyceride levels. Adiponectin levels remained unchanged despite the significant increase in insulin levels. High circulating insulin levels do not affect plasma adiponectin levels. These results support the concept that the primary defect that results in insulin resistance and hyperinsulinemia is responsible for the altered plasma adiponectin levels in the metabolic syndrome and type 2 diabetes.
- Published
- 2008
- Full Text
- View/download PDF
12. New Functional Identity for the DNA Uptake Sequence in Transformation and Its Presence in Transcriptional Terminators
- Author
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Tone Tønjum, O. Herman Ambur, and Stephan A. Frye
- Subjects
DNA, Bacterial ,Terminator Regions, Genetic ,Genetics ,biology ,Base pair ,Inverted repeat ,Nucleic acid sequence ,Genetics and Molecular Biology ,Neisseria meningitidis ,biology.organism_classification ,Microbiology ,Genome ,Neisseria gonorrhoeae ,Plasmid ,Direct repeat ,Transformation, Bacterial ,Neisseria ,Uptake signal sequence ,Molecular Biology ,Conserved Sequence ,Repetitive Sequences, Nucleic Acid - Abstract
The frequently occurring DNA uptake sequence (DUS), recognized as a 10-bp repeat, is required for efficient genetic transformation in the human pathogens Neisseria meningitidis and Neisseria gonorrhoeae . Genome scanning for DUS occurrences in three different species of Neisseria demonstrated that 76% of the nearly 2,000 neisserial DUS were found to have two semiconserved base pairs extending from the 5′ end of DUS to constitute a 12-mer repeat. Plasmids containing sequential variants of the neisserial DUS were tested for their ability to transform N. meningitidis and N. gonorrhoeae , and the 12-mer was found to outperform the 10-mer DUS in transformation efficiency. Assessment of meningococcal uptake of DNA confirmed the enhanced performance of the 12-mer compared to the 10-mer DUS. An inverted repeat DUS was not more efficient in transformation than DNA species containing a single or direct repeat DUS. Genome-wide analysis revealed that half of the nearly 1,500 12-mer DUS are arranged as inverted repeats predicted to be involved in rho-independent transcriptional termination or attenuation. The distribution of the uptake signal sequence required for transformation in the Pasteurellaceae was also biased towards transcriptional terminators, although to a lesser extent. In addition to assessing the intergenic location of DUS, we propose that the 10-mer identity of DUS should be extended and recognized as a 12-mer DUS. The dual role of DUS in transformation and as a structural component on RNA affecting transcription makes this a relevant model system for assessing significant roles of repeat sequences in biology.
- Published
- 2007
- Full Text
- View/download PDF
13. Atmospheric composition in the European Arctic and 30 years of the Zeppelin Observatory, Ny-Ålesund
- Author
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S. M. Platt, Ø. Hov, T. Berg, K. Breivik, S. Eckhardt, K. Eleftheriadis, N. Evangeliou, M. Fiebig, R. Fisher, G. Hansen, H.-C. Hansson, J. Heintzenberg, O. Hermansen, D. Heslin-Rees, K. Holmén, S. Hudson, R. Kallenborn, R. Krejci, T. Krognes, S. Larssen, D. Lowry, C. Lund Myhre, C. Lunder, E. Nisbet, P. B. Nizetto, K.-T. Park, C. A. Pedersen, K. Aspmo Pfaffhuber, T. Röckmann, N. Schmidbauer, S. Solberg, A. Stohl, J. Ström, T. Svendby, P. Tunved, K. Tørnkvist, C. van der Veen, S. Vratolis, Y. J. Yoon, K. E. Yttri, P. Zieger, W. Aas, and K. Tørseth
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
The Zeppelin Observatory (78.90∘ N, 11.88∘ E) is located on Zeppelin Mountain at 472 m a.s.l. on Spitsbergen, the largest island of the Svalbard archipelago. Established in 1989, the observatory is part of Ny-Ålesund Research Station and an important atmospheric measurement site, one of only a few in the high Arctic, and a part of several European and global monitoring programmes and research infrastructures, notably the European Monitoring and Evaluation Programme (EMEP); the Arctic Monitoring and Assessment Programme (AMAP); the Global Atmosphere Watch (GAW); the Aerosol, Clouds and Trace Gases Research Infrastructure (ACTRIS); the Advanced Global Atmospheric Gases Experiment (AGAGE) network; and the Integrated Carbon Observation System (ICOS). The observatory is jointly operated by the Norwegian Polar Institute (NPI), Stockholm University, and the Norwegian Institute for Air Research (NILU). Here we detail the establishment of the Zeppelin Observatory including historical measurements of atmospheric composition in the European Arctic leading to its construction. We present a history of the measurements at the observatory and review the current state of the European Arctic atmosphere, including results from trends in greenhouse gases, chlorofluorocarbons (CFCs) and hydrochlorofluorocarbons (HCFCs), other traces gases, persistent organic pollutants (POPs) and heavy metals, aerosols and Arctic haze, and atmospheric transport phenomena, and provide an outline of future research directions.
- Published
- 2022
- Full Text
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14. The VanYD DD-carboxypeptidase of Enterococcus faecium BM4339 is a penicillin-binding protein
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Barbara Casadewall, O. Herman Ambur, Patrice Courvalin, and Peter E. Reynolds
- Subjects
Penicillin binding proteins ,Penicillin Resistance ,Enterococcus faecium ,Carboxypeptidases ,Peptidoglycan ,Muramoylpentapeptide Carboxypeptidase ,Biology ,Models, Biological ,Microbiology ,Benzylpenicillin ,chemistry.chemical_compound ,Bacterial Proteins ,Catalytic Domain ,polycyclic compounds ,medicine ,Penicillin-Binding Proteins ,Enzyme Inhibitors ,Binding protein ,Membrane Proteins ,Active site ,Penicillin G ,Vancomycin Resistance ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,Uridine Diphosphate N-Acetylmuramic Acid ,carbohydrates (lipids) ,Hexosyltransferases ,chemistry ,Biochemistry ,Peptidyl Transferases ,biology.protein ,Carboxypeptidase A ,bacteria ,Carrier Proteins ,Protein A ,Oligopeptides ,medicine.drug - Abstract
VanD-type Enterococcus faecium BM4339 is constitutively resistant to vancomycin and to low levels of teicoplanin. This strain produces peptidoglycan precursors terminating in D-lactate but, unlike VanA- and VanB-type strains, E. faecium BM4339 has a mutated ddl ligase gene and cannot synthesize D-Ala-D-Ala. Consequently, although it possesses vanX(D) and vanY(D) genes, it should not require an active VanX-type DD-dipeptidase or a VanY-type DD-carboxypeptidase for resistance. The vanY(D) gene contains the signatures of a penicillin-binding protein (PBP) and is believed to encode a penicillin-sensitive DD-carboxypeptidase. The enzyme activity was found to be membrane-bound and inhibited by low concentrations of benzylpenicillin in membrane preparations and in intact bacteria, indicating that the active site was present on the outside surface of the membrane. The 38 kDa protein was revealed as a PBP present in more copies per cell than conventional PBPs and all the protein was accessible to benzylpenicillin added externally, confirming the localization of the active site. A glycopeptide-susceptible strain of E. faecium lacked this PBP, and the membrane-bound DD-carboxypeptidase activity was less than 5% of that of E. faecium BM4339. Although the active site of VanY(D) was external to the membrane, UDP-MurNAc-tetrapeptide was produced internally, probably from UDP-MurNAc-pentadepsipeptide. The presence of benzylpenicillin at low concentrations in the growth medium substantially reduced the amount of tetrapeptide produced, indicating that inhibition of VanY(D) by benzylpenicillin influenced production of peptidoglycan precursors internally. A model to explain these contrasting observations is proposed.
- Published
- 2001
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15. Use of non-contrast cone-beam computed tomography (CBCT) as a surrogate marker for adequacy of uterine fibroid embolization (UFE)
- Author
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Yosef Golowa, P. Agarwal, Arthie Jeyakumar, D. Krausz, Jacob Cynamon, A. Daftari, and O. Herman
- Subjects
medicine.medical_specialty ,Cone beam computed tomography ,Uterine fibroid embolization ,business.industry ,Surrogate endpoint ,media_common.quotation_subject ,medicine ,Contrast (vision) ,Radiology, Nuclear Medicine and imaging ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,media_common - Published
- 2016
- Full Text
- View/download PDF
16. Sternal erosion detected by computed tomographic angiography before repeat sternotomy in an adolescent with congenital heart disease
- Author
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U. Joseph Schoepf, Kevin O. Herman, Anthony M. Hlavacek, and Scott M. Bradley
- Subjects
Heart Defects, Congenital ,Male ,Reoperation ,medicine.medical_specialty ,Sternum ,Heart disease ,Adolescent ,Pseudoaneurysm ,Aneurysm ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,cardiovascular diseases ,business.industry ,Angiography ,medicine.disease ,Sternotomy ,Surgery ,Computed tomographic angiography ,Unexpected finding ,medicine.anatomical_structure ,Treatment Outcome ,cardiovascular system ,Tomography ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Tomography, X-Ray Computed ,Aneurysm, False ,Artery - Abstract
The case of a 17-year-old male with congenital heart disease who was found to have erosion of a pseudoaneurysm into his posterior sternum is presented. The pseudoaneurysm originated from a right ventricle-to-pulmonary artery homograft, which had been placed 11 years before. It had not been appreciated by echocardiography. The pseudoaneurysm and erosion were visualized with computed tomographic angiography before scheduled surgical replacement of the homograft. This unexpected finding was critical for operative planning and was confirmed on direct visualization in the operating room.
- Published
- 2009
17. Large seasonal and interannual variations of biogenic sulfur compounds in the Arctic atmosphere (Svalbard; 78.9° N, 11.9° E)
- Author
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S. Jang, K.-T. Park, K. Lee, Y. J. Yoon, K. Kim, H. Y. Chung, E. Jang, S. Becagli, B. Y. Lee, R. Traversi, K. Eleftheriadis, R. Krejci, and O. Hermansen
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
Seasonal to interannual variations in the concentrations of sulfur aerosols (< 2.5 µm in diameter; non sea-salt sulfate: NSS-SO42-; anthropogenic sulfate: Anth-SO42-; biogenic sulfate: Bio-SO42-; methanesulfonic acid: MSA) in the Arctic atmosphere were investigated using measurements of the chemical composition of aerosols collected at Ny-Ålesund, Svalbard (78.9∘ N, 11.9∘ E) from 2015 to 2019. In all measurement years the concentration of NSS-SO42- was highest during the pre-bloom period and rapidly decreased towards summer. During the pre-bloom period we found a strong correlation between NSS-SO42- (sum of Anth-SO42- and Bio-SO42-) and Anth-SO42-. This was because more than 50 % of the NSS-SO42- measured during this period was Anth-SO42-, which originated in northern Europe and was subsequently transported to the Arctic in Arctic haze. Unexpected increases in the concentration of Bio-SO42- aerosols (an oxidation product of dimethylsulfide: DMS) were occasionally found during the pre-bloom period. These probably originated in regions to the south (the North Atlantic Ocean and the Norwegian Sea) rather than in ocean areas in the proximity of Ny-Ålesund. Another oxidation product of DMS is MSA, and the ratio of MSA to Bio-SO42- is extensively used to estimate the total amount of DMS-derived aerosol particles in remote marine environments. The concentration of MSA during the pre-bloom period remained low, primarily because of the greater loss of MSA relative to Bio-SO42- and the suppression of condensation of gaseous MSA onto particles already present in air masses being transported northwards from distant ocean source regions (existing particles). In addition, the low light intensity during the pre-bloom period resulted in a low concentration of photochemically activated oxidant species including OH radicals and BrO; these conditions favored the oxidation pathway of DMS to Bio-SO42- rather than to MSA, which acted to lower the MSA concentration at Ny-Ålesund. The concentration of MSA peaked in May or June and was positively correlated with phytoplankton biomass in the Greenland and Barents seas around Svalbard. As a result, the mean ratio of MSA to the DMS-derived aerosols was low (0.09 ± 0.07) in the pre-bloom period but high (0.32 ± 0.15) in the bloom and post-bloom periods. There was large interannual variability in the ratio of MSA to Bio-SO42- (i.e., 0.24 ± 0.11 in 2017, 0.40 ± 0.14 in 2018, and 0.36 ± 0.14 in 2019) during the bloom and post-bloom periods. This was probably associated with changes in the chemical properties of existing particles, biological activities surrounding the observation site, and air mass transport patterns. Our results indicate that MSA is not a conservative tracer for predicting DMS-derived particles, and the contribution of MSA to the growth of newly formed particles may be much larger during the bloom and post-bloom periods than during the pre-bloom period.
- Published
- 2021
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18. Massive breast hypertrophy during pregnancy: failure of medical treatment
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M. Gutman, D. Pausner, Joseph M. Klausner, S. Abu Abid, O. Herman, and Raphael Shafir
- Subjects
medicine.medical_specialty ,Pregnancy ,Necrosis ,business.industry ,medicine.medical_treatment ,General Medicine ,medicine.disease ,Prolactin ,Reduction Mammoplasty ,Bromocriptine ,Surgery ,medicine ,Caesarean section ,medicine.symptom ,skin and connective tissue diseases ,business ,Tamoxifen ,medicine.drug ,Hormone - Abstract
A 30-year-old woman developed massive bilateral breast hypertrophy (MBH) during her third pregnancy. Both breasts became very heavy and painful and more than tripled in size. The skin became oedematous and red, and subsequently ulceration, necrosis and bleeding occurred. The patient was bedridden because of the enormous size of the breasts. Prolactin, oestrogen and steroid levels were normal. Hormonal manipulation with bromocriptine, tamoxifen and cortico-steroids had no effect on the progression of the MBH. A caesarean section performed at the 32nd week arrested the MBH and caused a significant reduction in breast size. Later a reduction mammoplasty was performed and more than 10 kg of breast tissue was excised.
- Published
- 1995
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- View/download PDF
19. Evaluation and optimization of ICOS atmosphere station data as part of the labeling process
- Author
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C. Yver-Kwok, C. Philippon, P. Bergamaschi, T. Biermann, F. Calzolari, H. Chen, S. Conil, P. Cristofanelli, M. Delmotte, J. Hatakka, M. Heliasz, O. Hermansen, K. Komínková, D. Kubistin, N. Kumps, O. Laurent, T. Laurila, I. Lehner, J. Levula, M. Lindauer, M. Lopez, I. Mammarella, G. Manca, P. Marklund, J.-M. Metzger, M. Mölder, S. M. Platt, M. Ramonet, L. Rivier, B. Scheeren, M. K. Sha, P. Smith, M. Steinbacher, G. Vítková, and S. Wyss
- Subjects
Environmental engineering ,TA170-171 ,Earthwork. Foundations ,TA715-787 - Abstract
The Integrated Carbon Observation System (ICOS) is a pan-European research infrastructure which provides harmonized and high-precision scientific data on the carbon cycle and the greenhouse gas budget. All stations have to undergo a rigorous assessment before being labeled, i.e., receiving approval to join the network. In this paper, we present the labeling process for the ICOS atmosphere network through the 23 stations that were labeled between November 2017 and November 2019. We describe the labeling steps, as well as the quality controls, used to verify that the ICOS data (CO2, CH4, CO and meteorological measurements) attain the expected quality level defined within ICOS. To ensure the quality of the greenhouse gas data, three to four calibration gases and two target gases are measured: one target two to three times a day, the other gases twice a month. The data are verified on a weekly basis, and tests on the station sampling lines are performed twice a year. From these high-quality data, we conclude that regular calibrations of the CO2, CH4 and CO analyzers used here (twice a month) are important in particular for carbon monoxide (CO) due to the analyzer's variability and that reducing the number of calibration injections (from four to three) in a calibration sequence is possible, saving gas and extending the calibration gas lifespan. We also show that currently, the on-site water vapor correction test does not deliver quantitative results possibly due to environmental factors. Thus the use of a drying system is strongly recommended. Finally, the mandatory regular intake line tests are shown to be useful in detecting artifacts and leaks, as shown here via three different examples at the stations.
- Published
- 2021
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20. Feasibility of transcaval needle core biopsies from a femoral vein approach
- Author
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Jacob Cynamon, A. Daftari, M. Jagust, O. Herman, and Yosef Golowa
- Subjects
medicine.medical_specialty ,business.industry ,Femoral vein ,medicine ,Radiology, Nuclear Medicine and imaging ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Core biopsy - Published
- 2015
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21. Consumption of CH3Cl, CH3Br, and CH3I and emission of CHCl3, CHBr3, and CH2Br2 from the forefield of a retreating Arctic glacier
- Author
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M. L. Macdonald, J. L. Wadham, D. Young, C. R. Lunder, O. Hermansen, G. Lamarche-Gagnon, and S. O'Doherty
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
The Arctic is one of the most rapidly warming regions of the Earth, with predicted temperature increases of 5–7 ∘C and the accompanying extensive retreat of Arctic glacial systems by 2100. Retreating glaciers will reveal new land surfaces for microbial colonisation, ultimately succeeding to tundra over decades to centuries. An unexplored dimension to these changes is the impact upon the emission and consumption of halogenated organic compounds (halocarbons). Halocarbons are involved in several important atmospheric processes, including ozone destruction, and despite considerable research, uncertainties remain in the natural cycles of some of these compounds. Using flux chambers, we measured halocarbon fluxes across the glacier forefield (the area between the present-day position of a glacier's ice-front and that at the last glacial maximum) of a high-Arctic glacier in Svalbard, spanning recently exposed sediments ( years) to approximately 1950-year-old tundra. Forefield land surfaces were found to consume methyl chloride (CH3Cl) and methyl bromide (CH3Br), with both consumption and emission of methyl iodide (CH3I) observed. Bromoform (CHBr3) and dibromomethane (CH2Br2) have rarely been measured from terrestrial sources but were here found to be emitted across the forefield. Novel measurements conducted on terrestrial cyanobacterial mats covering relatively young surfaces showed similar measured fluxes to the oldest, vegetated tundra sites for CH3Cl, CH3Br, and CH3I (which were consumed) and for CHCl3 and CHBr3 (which were emitted). Consumption rates of CH3Cl and CH3Br and emission rates of CHCl3 from tundra and cyanobacterial mat sites were within the ranges reported from older and more established Arctic tundra elsewhere. Rough calculations showed total emissions and consumptions of these gases across the Arctic were small relative to other sources and sinks due to the small surface area represented by glacier forefields. We have demonstrated that glacier forefields can consume and emit halocarbons despite their young age and low soil development, particularly when cyanobacterial mats are present.
- Published
- 2020
- Full Text
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22. The role of transverse thoracic muscle in sternal wound dehiscence
- Author
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O, Herman
- Subjects
Sternum ,Surgical Wound Dehiscence ,Humans ,Coronary Artery Bypass ,Muscle, Skeletal - Published
- 2000
23. Etiology and risk factors of 180 cases of native valve endocarditis. Report from a 5-year national prospective survey in Slovak Republic
- Author
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V, Hricak, J, Kovacik, P, Marx, E, Schramekova, V, Fischer, D, Vitekova, T, Sedlak, I, Duris, J, Samudovsky, M, Semanova, M, Kovac, T, Duris, O, Herman, M, Cernoskova, J, Sefara, M, Kojsova, D, Baranikova, M, Ayazi, J, Dacok, M, Mraz, S, Krizan, J, Danaj, A M, Sulcava, D, Neuschlova, and V, Krcmery
- Subjects
Adult ,Male ,Analysis of Variance ,Slovakia ,Incidence ,Pilot Projects ,Bacterial Infections ,Endocarditis, Bacterial ,Middle Aged ,Health Surveys ,Heart Valves ,Survival Rate ,Age Distribution ,Risk Factors ,Humans ,Female ,Prospective Studies ,Sex Distribution - Abstract
Risk factors, etiology, and outcome of 180 cases of infective endocarditis (IE) in the Slovak Republic for 5 years were prospectively studied in a national survey. According to the Duke Endocarditis Service Criteria (1994), 169 cases were considered definitive and 21 possible/probable. The aortic valve was infected in 46.7%, mitral in 47.2%, and tricuspidal/pulmonary in 6.1% of cases. The majority of endocarditis cases was caused by Staphylococcus aureus and coagulase-negative staphylococci (CNS) (33.3%); only 12.2% were due to viridans streptococci; 11.7% were due to Enterococcus faecalis; 6.1% due to Haemophilus spp.; 10.1% due to other organisms; and 26.7% were culture negative. Single positive cultures of CNS were not considered clinically significant. More than 25% of 180 patients were older than 60 years. Rheumatic fever was a risk factor in 35.5%, dental surgery in 20.5%, prior cardiosurgery in 7.8%, and neoplasia in 6.7%. All patients were treated with antimicrobials (average length of therapy was 29.5 days) and 33.3% of patients also had surgery (valvular prosthesis replacement). Forty (22.2%) died, and 140 (77.8%) survived at day 60 after the diagnosis of endocarditis was made. All 40 deaths were attributable to infection. Univariate analysis comparing deaths and survivors did not show significant differences in most of the recorded risk factors between both groups, except age60 (40.0% versus 21.4%, p0.05), staphylococcal etiology (55.0% versus 27.1%, p0.04), and antibiotic therapy21 days (without surgery) (65.0% versus 3.6%, p0.01). These risk factors were significantly more frequently associated with deaths. Viridans streptococcal IE and surgical therapy in addition to antibiotics were associated with lower mortality in comparison to staphylococcal endocarditis (p0.045) or to cases treated with antibiotics only (p0.05). In comparison to other nationally based surveys in Europe (Greece, Croatia, France), the percentage of culture-negative endocarditis and spectrum of pathogens differed significantly.
- Published
- 1998
24. Sternal wound infection: our experience with 200 cases
- Author
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R, Shafir, J, Weiss, E, Gur, O, Herman, Y, Siegman-Igra, P, Sorkine, and V, Rudick
- Subjects
Heart Defects, Congenital ,Male ,Reoperation ,Sternum ,Heart-Lung Transplantation ,Ribs ,Middle Aged ,Staphylococcal Infections ,Surgical Flaps ,Recurrence ,Staphylococcus epidermidis ,Heart Transplantation ,Humans ,Surgical Wound Infection ,Female ,Pseudomonas Infections ,Cardiac Surgical Procedures ,Coronary Artery Bypass ,Aged - Abstract
More than 200 patients with sternal wound infections have been treated in the Plastic Surgery Department of our Medical Center over the years 1984-1993. Most of these were referrals from other hospitals. In recent years, the cases have become more severe, partially due to the fact that cardiac surgeons tend to operate older and sicker patients more readily than they previously did. 80% of these were post coronary bypass surgery, and the others heart and heart-lung transplants, repair of congenital heart anomalies, valve replacements etc. Several of the cases were cardiac surgery re-do's. Risk factors for developing this complication, such as diabetes, obesity, technical errors of sternal incision, prolonged intubation, the use of aortic balloon, etc. will be discussed. Many of our earlier patients had chronic fistulae following conservative therapy with old treatment modalities. In recent years, patients are usually referred at the acute stage. Most patients undergo removal of sternum and ribs. Previously, reconstruction included mainly transfer of the rectus ahdominis muscle, whereas lately the pectoralis muscles is utilized. Omentum was used in only one case. The importance of pre-operative imaging procedures has been thoroughly studied in our series. Especially important is the definition of the extent of the infection, and localization of foreign bodies causing chronic infections, such as suture material, epicardial electrodes etc. A change in infectants has also been noticed. In the first half of the study period, Pseudomonas aeruginosa comprised at least 40%.(ABSTRACT TRUNCATED AT 250 WORDS)
- Published
- 1994
25. [Our experience with diagnosis, evaluation and treatment of poststernotomy sternal wound infections]
- Author
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E, Gur, J, Weiss, O, Herman, E, Wertheym, Y, Igra, M, Giladi, P, Sorkin, Z, Rudik, and R, Shafir
- Subjects
Sternum ,Debridement ,Recurrence ,Risk Factors ,Heart Valve Prosthesis ,Humans ,Surgical Wound Infection ,Coronary Artery Bypass ,Surgical Flaps ,Anti-Bacterial Agents - Abstract
During 1984-1992 162 patients with post-sternotomy sternal wound infections were treated. Between 0.4-5% of these undergoing sternotomy suffer from this complication which carries a mortality of about 50% when treated by conventional, nonsurgical methods. 80% of our patients had undergone aortocoronary bypass surgery and 11% valve replacement. Major risk factors identified for postoperative infection were prolonged mechanical ventilation, prolonged extracorporeal bypass, smoking, diabetes, obesity and chronic lung disease. Of 152 patients who underwent surgery, 35 had recurrent infections, especially during the first years of the study. 10 were managed by conservative methods. Reconstruction of the chest wall was performed in 125, using pectoralis major flaps (74 cases), rectus abdominis muscle flaps (53), myocutaneous flaps (5) and omental flap (1). Our series demonstrates the importance of a comprehensive, multi-disciplinary approach in evaluating and stabilizing these often critically ill patients. Computed tomography together with sinography have proven to be of major importance in diagnosing the location and extent of sternal wound infections. Strict adherence to antibiotic protocols, radical debridement of infected bone and soft tissues and subsequent reconstruction with muscle flaps has enabled us to reduce recurrent infection and improve morbidity and mortality rates.
- Published
- 1994
26. Perfluorocyclobutane (PFC-318, c-C4F8) in the global atmosphere
- Author
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J. Mühle, C. M. Trudinger, L. M. Western, M. Rigby, M. K. Vollmer, S. Park, A. J. Manning, D. Say, A. Ganesan, L. P. Steele, D. J. Ivy, T. Arnold, S. Li, A. Stohl, C. M. Harth, P. K. Salameh, A. McCulloch, S. O'Doherty, M.-K. Park, C. O. Jo, D. Young, K. M. Stanley, P. B. Krummel, B. Mitrevski, O. Hermansen, C. Lunder, N. Evangeliou, B. Yao, J. Kim, B. Hmiel, C. Buizert, V. V. Petrenko, J. Arduini, M. Maione, D. M. Etheridge, E. Michalopoulou, M. Czerniak, J. P. Severinghaus, S. Reimann, P. G. Simmonds, P. J. Fraser, R. G. Prinn, and R. F. Weiss
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
We reconstruct atmospheric abundances of the potent greenhouse gas c-C4F8 (perfluorocyclobutane, perfluorocarbon PFC-318) from measurements of in situ, archived, firn, and aircraft air samples with precisions of ∼1 %–2 % reported on the SIO-14 gravimetric calibration scale. Combined with inverse methods, we found near-zero atmospheric abundances from the early 1900s to the early 1960s, after which they rose sharply, reaching 1.66 ppt (parts per trillion dry-air mole fraction) in 2017. Global c-C4F8 emissions rose from near zero in the 1960s to 1.2±0.1 (1σ) Gg yr−1 in the late 1970s to late 1980s, then declined to 0.77±0.03 Gg yr−1 in the mid-1990s to early 2000s, followed by a rise since the early 2000s to 2.20±0.05 Gg yr−1 in 2017. These emissions are significantly larger than inventory-based emission estimates. Estimated emissions from eastern Asia rose from 0.36 Gg yr−1 in 2010 to 0.73 Gg yr−1 in 2016 and 2017, 31 % of global emissions, mostly from eastern China. We estimate emissions of 0.14 Gg yr−1 from northern and central India in 2016 and find evidence for significant emissions from Russia. In contrast, recent emissions from northwestern Europe and Australia are estimated to be small (≤1 % each). We suggest that emissions from China, India, and Russia are likely related to production of polytetrafluoroethylene (PTFE, “Teflon”) and other fluoropolymers and fluorochemicals that are based on the pyrolysis of hydrochlorofluorocarbon HCFC-22 (CHClF2) in which c-C4F8 is a known by-product. The semiconductor sector, where c-C4F8 is used, is estimated to be a small source, at least in South Korea, Japan, Taiwan, and Europe. Without an obvious correlation with population density, incineration of waste-containing fluoropolymers is probably a minor source, and we find no evidence of emissions from electrolytic production of aluminum in Australia. While many possible emissive uses of c-C4F8 are known and though we cannot categorically exclude unknown sources, the start of significant emissions may well be related to the advent of commercial PTFE production in 1947. Process controls or abatement to reduce the c-C4F8 by-product were probably not in place in the early decades, explaining the increase in emissions in the 1960s and 1970s. With the advent of by-product reporting requirements to the United Nations Framework Convention on Climate Change (UNFCCC) in the 1990s, concern about climate change and product stewardship, abatement, and perhaps the collection of c-C4F8 by-product for use in the semiconductor industry where it can be easily abated, it is conceivable that emissions in developed countries were stabilized and then reduced, explaining the observed emission reduction in the 1980s and 1990s. Concurrently, production of PTFE in China began to increase rapidly. Without emission reduction requirements, it is plausible that global emissions today are dominated by China and other developing countries. We predict that c-C4F8 emissions will continue to rise and that c-C4F8 will become the second most important emitted PFC in terms of CO2-equivalent emissions within a year or two. The 2017 radiative forcing of c-C4F8 (0.52 mW m−2) is small but emissions of c-C4F8 and other PFCs, due to their very long atmospheric lifetimes, essentially permanently alter Earth's radiative budget and should be reduced. Significant emissions inferred outside of the investigated regions clearly show that observational capabilities and reporting requirements need to be improved to understand global and country-scale emissions of PFCs and other synthetic greenhouse gases and ozone-depleting substances.
- Published
- 2019
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27. THE ROLE OF TRANSVERSE THORACIC MUSCLE IN STERNAL WOUND DEHISCENCE
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O. Herman
- Subjects
Surgery - Published
- 1999
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28. Methane at Svalbard and over the European Arctic Ocean
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S. M. Platt, S. Eckhardt, B. Ferré, R. E. Fisher, O. Hermansen, P. Jansson, D. Lowry, E. G. Nisbet, I. Pisso, N. Schmidbauer, A. Silyakova, A. Stohl, T. M. Svendby, S. Vadakkepuliyambatta, J. Mienert, and C. Lund Myhre
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
Methane (CH4) is a powerful greenhouse gas. Its atmospheric mixing ratios have been increasing since 2005. Therefore, quantification of CH4 sources is essential for effective climate change mitigation. Here we report observations of the CH4 mixing ratios measured at the Zeppelin Observatory (Svalbard) in the Arctic and aboard the research vessel (RV) Helmer Hanssen over the Arctic Ocean from June 2014 to December 2016, as well as the long-term CH4 trend measured at the Zeppelin Observatory from 2001 to 2017. We investigated areas over the European Arctic Ocean to identify possible hotspot regions emitting CH4 from the ocean to the atmosphere, and used state-of-the-art modelling (FLEXPART) combined with updated emission inventories to identify CH4 sources. Furthermore, we collected air samples in the region as well as samples of gas hydrates, obtained from the sea floor, which we analysed using a new technique whereby hydrate gases are sampled directly into evacuated canisters. Using this new methodology, we evaluated the suitability of ethane and isotopic signatures (δ13C in CH4) as tracers for ocean-to-atmosphere CH4 emission. We found that the average methane / light hydrocarbon (ethane and propane) ratio is an order of magnitude higher for the same sediment samples using our new methodology compared to previously reported values, 2379.95 vs. 460.06, respectively. Meanwhile, we show that the mean atmospheric CH4 mixing ratio in the Arctic increased by 5.9±0.38 parts per billion by volume (ppb) per year (yr−1) from 2001 to 2017 and ∼8 pbb yr−1 since 2008, similar to the global trend of ∼ 7–8 ppb yr−1. Most large excursions from the baseline CH4 mixing ratio over the European Arctic Ocean are due to long-range transport from land-based sources, lending confidence to the present inventories for high-latitude CH4 emissions. However, we also identify a potential hotspot region with ocean–atmosphere CH4 flux north of Svalbard (80.4∘ N, 12.8∘ E) of up to 26 nmol m−2 s−1 from a large mixing ratio increase at the location of 30 ppb. Since this flux is consistent with previous constraints (both spatially and temporally), there is no evidence that the area of interest north of Svalbard is unique in the context of the wider Arctic. Rather, because the meteorology at the time of the observation was unique in the context of the measurement time series, we obtained over the short course of the episode measurements highly sensitive to emissions over an active seep site, without sensitivity to land-based emissions.
- Published
- 2018
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29. History of chemically and radiatively important atmospheric gases from the Advanced Global Atmospheric Gases Experiment (AGAGE)
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R. G. Prinn, R. F. Weiss, J. Arduini, T. Arnold, H. L. DeWitt, P. J. Fraser, A. L. Ganesan, J. Gasore, C. M. Harth, O. Hermansen, J. Kim, P. B. Krummel, S. Li, Z. M. Loh, C. R. Lunder, M. Maione, A. J. Manning, B. R. Miller, B. Mitrevski, J. Mühle, S. O'Doherty, S. Park, S. Reimann, M. Rigby, T. Saito, P. K. Salameh, R. Schmidt, P. G. Simmonds, L. P. Steele, M. K. Vollmer, R. H. Wang, B. Yao, Y. Yokouchi, D. Young, and L. Zhou
- Subjects
Environmental sciences ,GE1-350 ,Geology ,QE1-996.5 - Abstract
We present the organization, instrumentation, datasets, data interpretation, modeling, and accomplishments of the multinational global atmospheric measurement program AGAGE (Advanced Global Atmospheric Gases Experiment). AGAGE is distinguished by its capability to measure globally, at high frequency, and at multiple sites all the important species in the Montreal Protocol and all the important non-carbon-dioxide (non-CO2) gases assessed by the Intergovernmental Panel on Climate Change (CO2 is also measured at several sites). The scientific objectives of AGAGE are important in furthering our understanding of global chemical and climatic phenomena. They are the following: (1) to accurately measure the temporal and spatial distributions of anthropogenic gases that contribute the majority of reactive halogen to the stratosphere and/or are strong infrared absorbers (chlorocarbons, chlorofluorocarbons – CFCs, bromocarbons, hydrochlorofluorocarbons – HCFCs, hydrofluorocarbons – HFCs and polyfluorinated compounds (perfluorocarbons – PFCs), nitrogen trifluoride – NF3, sulfuryl fluoride – SO2F2, and sulfur hexafluoride – SF6) and use these measurements to determine the global rates of their emission and/or destruction (i.e., lifetimes); (2) to accurately measure the global distributions and temporal behaviors and determine the sources and sinks of non-CO2 biogenic–anthropogenic gases important to climate change and/or ozone depletion (methane – CH4, nitrous oxide – N2O, carbon monoxide – CO, molecular hydrogen – H2, methyl chloride – CH3Cl, and methyl bromide – CH3Br); (3) to identify new long-lived greenhouse and ozone-depleting gases (e.g., SO2F2, NF3, heavy PFCs (C4F10, C5F12, C6F14, C7F16, and C8F18) and hydrofluoroolefins (HFOs; e.g., CH2 = CFCF3) have been identified in AGAGE), initiate the real-time monitoring of these new gases, and reconstruct their past histories from AGAGE, air archive, and firn air measurements; (4) to determine the average concentrations and trends of tropospheric hydroxyl radicals (OH) from the rates of destruction of atmospheric trichloroethane (CH3CCl3), HFCs, and HCFCs and estimates of their emissions; (5) to determine from atmospheric observations and estimates of their destruction rates the magnitudes and distributions by region of surface sources and sinks of all measured gases; (6) to provide accurate data on the global accumulation of many of these trace gases that are used to test the synoptic-, regional-, and global-scale circulations predicted by three-dimensional models; and (7) to provide global and regional measurements of methane, carbon monoxide, and molecular hydrogen and estimates of hydroxyl levels to test primary atmospheric oxidation pathways at midlatitudes and the tropics. Network Information and Data Repository: http://agage.mit.edu/data or http://cdiac.ess-dive.lbl.gov/ndps/alegage.html (https://doi.org/10.3334/CDIAC/atg.db1001).
- Published
- 2018
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30. Inverse modelling of European CH4 emissions during 2006–2012 using different inverse models and reassessed atmospheric observations
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P. Bergamaschi, U. Karstens, A. J. Manning, M. Saunois, A. Tsuruta, A. Berchet, A. T. Vermeulen, T. Arnold, G. Janssens-Maenhout, S. Hammer, I. Levin, M. Schmidt, M. Ramonet, M. Lopez, J. Lavric, T. Aalto, H. Chen, D. G. Feist, C. Gerbig, L. Haszpra, O. Hermansen, G. Manca, J. Moncrieff, F. Meinhardt, J. Necki, M. Galkowski, S. O'Doherty, N. Paramonova, H. A. Scheeren, M. Steinbacher, and E. Dlugokencky
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
We present inverse modelling (top down) estimates of European methane (CH4) emissions for 2006–2012 based on a new quality-controlled and harmonised in situ data set from 18 European atmospheric monitoring stations. We applied an ensemble of seven inverse models and performed four inversion experiments, investigating the impact of different sets of stations and the use of a priori information on emissions. The inverse models infer total CH4 emissions of 26.8 (20.2–29.7) Tg CH4 yr−1 (mean, 10th and 90th percentiles from all inversions) for the EU-28 for 2006–2012 from the four inversion experiments. For comparison, total anthropogenic CH4 emissions reported to UNFCCC (bottom up, based on statistical data and emissions factors) amount to only 21.3 Tg CH4 yr−1 (2006) to 18.8 Tg CH4 yr−1 (2012). A potential explanation for the higher range of top-down estimates compared to bottom-up inventories could be the contribution from natural sources, such as peatlands, wetlands, and wet soils. Based on seven different wetland inventories from the Wetland and Wetland CH4 Inter-comparison of Models Project (WETCHIMP), total wetland emissions of 4.3 (2.3–8.2) Tg CH4 yr−1 from the EU-28 are estimated. The hypothesis of significant natural emissions is supported by the finding that several inverse models yield significant seasonal cycles of derived CH4 emissions with maxima in summer, while anthropogenic CH4 emissions are assumed to have much lower seasonal variability. Taking into account the wetland emissions from the WETCHIMP ensemble, the top-down estimates are broadly consistent with the sum of anthropogenic and natural bottom-up inventories. However, the contribution of natural sources and their regional distribution remain rather uncertain. Furthermore, we investigate potential biases in the inverse models by comparison with regular aircraft profiles at four European sites and with vertical profiles obtained during the Infrastructure for Measurement of the European Carbon Cycle (IMECC) aircraft campaign. We present a novel approach to estimate the biases in the derived emissions, based on the comparison of simulated and measured enhancements of CH4 compared to the background, integrated over the entire boundary layer and over the lower troposphere. The estimated average regional biases range between −40 and 20 % at the aircraft profile sites in France, Hungary and Poland.
- Published
- 2018
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31. Atmospheric histories and emissions of chlorofluorocarbons CFC-13 (CClF3), ΣCFC-114 (C2Cl2F4), and CFC-115 (C2ClF5)
- Author
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M. K. Vollmer, D. Young, C. M. Trudinger, J. Mühle, S. Henne, M. Rigby, S. Park, S. Li, M. Guillevic, B. Mitrevski, C. M. Harth, B. R. Miller, S. Reimann, B. Yao, L. P. Steele, S. A. Wyss, C. R. Lunder, J. Arduini, A. McCulloch, S. Wu, T. S. Rhee, R. H. J. Wang, P. K. Salameh, O. Hermansen, M. Hill, R. L. Langenfelds, D. Ivy, S. O'Doherty, P. B. Krummel, M. Maione, D. M. Etheridge, L. Zhou, P. J. Fraser, R. G. Prinn, R. F. Weiss, and P. G. Simmonds
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
Based on observations of the chlorofluorocarbons CFC-13 (chlorotrifluoromethane), ΣCFC-114 (combined measurement of both isomers of dichlorotetrafluoroethane), and CFC-115 (chloropentafluoroethane) in atmospheric and firn samples, we reconstruct records of their tropospheric histories spanning nearly 8 decades. These compounds were measured in polar firn air samples, in ambient air archived in canisters, and in situ at the AGAGE (Advanced Global Atmospheric Gases Experiment) network and affiliated sites. Global emissions to the atmosphere are derived from these observations using an inversion based on a 12-box atmospheric transport model. For CFC-13, we provide the first comprehensive global analysis. This compound increased monotonically from its first appearance in the atmosphere in the late 1950s to a mean global abundance of 3.18 ppt (dry-air mole fraction in parts per trillion, pmol mol−1) in 2016. Its growth rate has decreased since the mid-1980s but has remained at a surprisingly high mean level of 0.02 ppt yr−1 since 2000, resulting in a continuing growth of CFC-13 in the atmosphere. ΣCFC-114 increased from its appearance in the 1950s to a maximum of 16.6 ppt in the early 2000s and has since slightly declined to 16.3 ppt in 2016. CFC-115 increased monotonically from its first appearance in the 1960s and reached a global mean mole fraction of 8.49 ppt in 2016. Growth rates of all three compounds over the past years are significantly larger than would be expected from zero emissions. Under the assumption of unchanging lifetimes and atmospheric transport patterns, we derive global emissions from our measurements, which have remained unexpectedly high in recent years: mean yearly emissions for the last decade (2007–2016) of CFC-13 are at 0.48 ± 0.15 kt yr−1 (> 15 % of past peak emissions), of ΣCFC-114 at 1.90 ± 0.84 kt yr−1 (∼ 10 % of peak emissions), and of CFC-115 at 0.80 ± 0.50 kt yr−1 (> 5 % of peak emissions). Mean yearly emissions of CFC-115 for 2015–2016 are 1.14 ± 0.50 kt yr−1 and have doubled compared to the 2007–2010 minimum. We find CFC-13 emissions from aluminum smelters but if extrapolated to global emissions, they cannot account for the lingering global emissions determined from the atmospheric observations. We find impurities of CFC-115 in the refrigerant HFC-125 (CHF2CF3) but if extrapolated to global emissions, they can neither account for the lingering global CFC-115 emissions determined from the atmospheric observations nor for their recent increases. We also conduct regional inversions for the years 2012–2016 for the northeastern Asian area using observations from the Korean AGAGE site at Gosan and find significant emissions for ΣCFC-114 and CFC-115, suggesting that a large fraction of their global emissions currently occur in northeastern Asia and more specifically on the Chinese mainland.
- Published
- 2018
- Full Text
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32. Detectability of Arctic methane sources at six sites performing continuous atmospheric measurements
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T. Thonat, M. Saunois, P. Bousquet, I. Pison, Z. Tan, Q. Zhuang, P. M. Crill, B. F. Thornton, D. Bastviken, E. J. Dlugokencky, N. Zimov, T. Laurila, J. Hatakka, O. Hermansen, and D. E. J. Worthy
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
Understanding the recent evolution of methane emissions in the Arctic is necessary to interpret the global methane cycle. Emissions are affected by significant uncertainties and are sensitive to climate change, leading to potential feedbacks. A polar version of the CHIMERE chemistry-transport model is used to simulate the evolution of tropospheric methane in the Arctic during 2012, including all known regional anthropogenic and natural sources, in particular freshwater emissions which are often overlooked in methane modelling. CHIMERE simulations are compared to atmospheric continuous observations at six measurement sites in the Arctic region. In winter, the Arctic is dominated by anthropogenic emissions; emissions from continental seepages and oceans, including from the East Siberian Arctic Shelf, can contribute significantly in more limited areas. In summer, emissions from wetland and freshwater sources dominate across the whole region. The model is able to reproduce the seasonality and synoptic variations of methane measured at the different sites. We find that all methane sources significantly affect the measurements at all stations at least at the synoptic scale, except for biomass burning. In particular, freshwater systems play a decisive part in summer, representing on average between 11 and 26 % of the simulated Arctic methane signal at the sites. This indicates the relevance of continuous observations to gain a mechanistic understanding of Arctic methane sources. Sensitivity tests reveal that the choice of the land-surface model used to prescribe wetland emissions can be critical in correctly representing methane mixing ratios. The closest agreement with the observations is reached when using the two wetland models which have emissions peaking in August–September, while all others reach their maximum in June–July. Such phasing provides an interesting constraint on wetland models which still have large uncertainties at present. Also testing different freshwater emission inventories leads to large differences in modelled methane. Attempts to include methane sinks (OH oxidation and soil uptake) reduced the model bias relative to observed atmospheric methane. The study illustrates how multiple sources, having different spatiotemporal dynamics and magnitudes, jointly influence the overall Arctic methane budget, and highlights ways towards further improved assessments.
- Published
- 2017
- Full Text
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33. The VanYD DD-carboxypeptidase of Enterococcus faecium BM4339 is a penicillin-binding protein.
- Author
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Reynolds, Peter E., Ambur, O. Herman, Casadewall, Barbara, and Courvalin, Patrice
- Subjects
- *
CARBOXYPEPTIDASES , *PENICILLIN , *ENTEROCOCCUS , *CARRIER proteins - Abstract
Reports that the VanY[sub D] DD-carboxypeptidase of Enterococcus faecium BM4339 is a penicillin-binding protein. Glycopeptide resistance and penicillin action; Effect of growth in the presence of benzylpenicillin on peptidoglycan precursors; Inhibition of DD-carboxypeptidase activity by benzylpenicillin.
- Published
- 2001
34. THE EFFECT OF CROUP CONSENSUS ON THE RADIOLOGIC EVALUATION OF CHF
- Author
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P. O. Herman, Arfa Khan, O. P. Carmodv, and K. A. Rojas
- Subjects
medicine.medical_specialty ,business.industry ,Croup ,Radiologic Evaluation ,Medicine ,Radiology, Nuclear Medicine and imaging ,General Medicine ,Radiology ,business ,medicine.disease - Published
- 1991
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35. Atmospheric constraints on the methane emissions from the East Siberian Shelf
- Author
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A. Berchet, P. Bousquet, I. Pison, R. Locatelli, F. Chevallier, J.-D. Paris, E. J. Dlugokencky, T. Laurila, J. Hatakka, Y. Viisanen, D. E. J. Worthy, E. Nisbet, R. Fisher, J. France, D. Lowry, V. Ivakhov, and O. Hermansen
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
Subsea permafrost and hydrates in the East Siberian Arctic Shelf (ESAS) constitute a substantial carbon pool, and a potentially large source of methane to the atmosphere. Previous studies based on interpolated oceanographic campaigns estimated atmospheric emissions from this area at 8–17 TgCH4 yr−1. Here, we propose insights based on atmospheric observations to evaluate these estimates. The comparison of high-resolution simulations of atmospheric methane mole fractions to continuous methane observations during the whole year 2012 confirms the high variability and heterogeneity of the methane releases from ESAS. A reference scenario with ESAS emissions of 8 TgCH4 yr−1, in the lower part of previously estimated emissions, is found to largely overestimate atmospheric observations in winter, likely related to overestimated methane leakage through sea ice. In contrast, in summer, simulations are more consistent with observations. Based on a comprehensive statistical analysis of the observations and of the simulations, annual methane emissions from ESAS are estimated to range from 0.0 to 4.5 TgCH4 yr−1. Isotopic observations suggest a biogenic origin (either terrestrial or marine) of the methane in air masses originating from ESAS during late summer 2008 and 2009.
- Published
- 2016
- Full Text
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36. BLEEDING FROM OCCULT DISEASE DURING ANTICOAGULANT THERAPY.
- Author
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Stern, Shmuel and Dreskin, O. Herman
- Subjects
ANTICOAGULANTS ,HEMATOLOGIC agents ,THERAPEUTICS ,HEMORRHAGE ,ANEMIA ,PATHOLOGY ,HEMATOLOGY - Abstract
Five cases with bleeding complications during anticoagulant therapy are described. Each harbored a pre-existing pathologic lesion. In three cases the hemorrhage served as the very first symptom of obscure lesion. Bleeding complications during anticoagulant therapy have been discussed and the importance of careful evaluation of such episodes has been stressed. [ABSTRACT FROM AUTHOR]
- Published
- 1957
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37. New Hemophilia-like Disease Caused by Deficiency of a Third Plasma Thromboplastin Factor.∗.
- Author
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Rosenthal, Robert L., Dreskin, O. Herman, and Rosenthal, Nathan
- Published
- 1953
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38. MEGALOBLASTIC ANEMIA DUE TO DILANTIN THERAPY.
- Author
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Lustberg, Alfred, Goldman, Douglas, and Dreskin, O. Herman
- Subjects
MEGALOBLASTIC anemia ,ANTICONVULSANTS - Abstract
Details the case of a 42-year-old female diagnosed with megaloblastic anemia due to dilantin therapy. Presenting signs and symptoms; Past medical history; Diagnostic procedures; Treatment; Outcome.
- Published
- 1961
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39. Base rate data for the WAIS-R: Test-Retest stability and VIQ-PIQ differences
- Author
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Joseph D. Matarazzo and David O. Herman
- Subjects
Adult ,Male ,medicine.medical_specialty ,Psychometrics ,Intelligence ,Neurocognitive Disorders ,Audiology ,Vocabulary ,symbols.namesake ,Statistics ,medicine ,Humans ,Reliability (statistics) ,Age Factors ,Wechsler Scales ,Wechsler Adult Intelligence Scale ,Middle Aged ,humanities ,Pearson product-moment correlation coefficient ,Test (assessment) ,Psychiatry and Mental health ,Neuropsychology and Physiological Psychology ,Standard error ,symbols ,Female ,Psychology ,Psychomotor Performance - Abstract
The data analyzed were the 14 WAIS-R scores from each of the individuals who comprised the WAIS-R standardization sample. Examined was the individual VIQ-PIQ difference from only the initial examination of each of the 1880 subjects, as well as the test-retest change in each of the 14 WAIS-R scores for each of the 119 subjects who were retested. The results revealed that, although the WAIS-R has excellent psychometric reliability as reflected in its standard error of measurement of a VIQ-PIQ difference and its impressively high test-retest Pearson r values, the actual magnitudes of the differences between the VIQ and PIQ assessed in a single examination, or the magnitudes of gain or loss in the 14 scores on retest, for some of these normal individuals were sufficiently high that such base-rate data should be routinely considered by clinical neuropsychologists and other practitioners.
- Published
- 1984
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40. Relationship of education and IQ in the WAIS—R standardization sample
- Author
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David O. Herman and Joseph D. Matarazzo
- Subjects
Test Standardization ,Psychiatry and Mental health ,Clinical Psychology ,Intelligence quotient ,Standardization ,Wechsler Adult Intelligence Scale ,Sample (statistics) ,Psychology ,Educational attainment ,Developmental psychology - Published
- 1984
- Full Text
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41. Inter-subtest scatter in the WAIS-R standardization sample
- Author
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Joseph D. Matarazzo, David O. Herman, Mark Daniel, and Aurelio Prifitera
- Subjects
Clinical Psychology ,education.field_of_study ,Arts and Humanities (miscellaneous) ,Standardization ,Test score ,Sample (material) ,Population ,Statistics ,Neuropsychology ,Range (statistics) ,Wechsler Adult Intelligence Scale ,Psychology ,education - Abstract
To be able to evaluate the possible diagnostic significance of the magnitude of subtest-to-subtest scatter on the Wechsler Adult Intelligence Scale—Revised (WAIS-R), it is important to know the frequency of various levels of scatter in the general population. To provide this information, the magnitude of scatter across all 11 subtests, and across the subtests of the Verbal and Performance scales, was computed for each of the 1,880 individuals used in the WAIS-R standardization. The range (difference between highest and lowest subtest scaled scores) was found to be an effective measure of scatter when compared with other, more complex indices. Scaled score scatter, which ranged from 2 to 16 points on the Full Scale, averaged 6.7 points for the Full Scale and 4.7 points each for the Verbal and Performance scales. Scatter had little relationship to age, sex, race, and years of education completed. However, the average amount of scatter increased substantially with IQ level. Normative tables for interpreting scatter are provided, and implications of these findings for the practitioner, especially in neuropsychology, are discussed.
- Published
- 1988
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42. Development of the wechsler memory scale-revised
- Author
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Jackson Heights and David O. Herman
- Subjects
Wechsler Memory Scale ,Norm-referenced test ,Scale (ratio) ,Clinical diagnosis ,Wechsler memory scale revised ,General Medicine ,Psychology ,Cognitive psychology - Abstract
The 1945 Wechsler Memory Scale has been revised in terms of content, structure, scoring procedures, and norms. The changes and additions were guided in part by limitations of the original scale. This paper describes this process.
- Published
- 1988
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43. Statistically inferred vs. Empirically observed VIQ-PIQ differences in the WAIS-R
- Author
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Joseph D. Matarazzo, Fred M. Grossman, and David O. Herman
- Subjects
Performance IQ ,Clinical Psychology ,Arts and Humanities (miscellaneous) ,Intelligence quotient ,Wechsler Adult Intelligence Scale ,Frequency data ,Sample (statistics) ,Psychology ,Developmental psychology - Abstract
A discussion on the distinction between statistically significant Verbal-Performance IQ discrepancies and the frequencies with which such differences occur in the WAIS-R standardization sample is presented. An example is provided to aid in the determination of Wechsler Verbal-Performance IQ frequency data, and comparisons are made between statistically derived and empirically observed WAIS-R Verbal-Performance IQ frequencies. Implications for placing additional emphasis upon evaluating Verbal versus Performance IQ frequencies are delineated.
- Published
- 1985
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44. Contents, Vol. 34, 1958
- Author
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J. Kurucz, Dale Smith, V. Džidrov, A. Erkoçak, Luigi Scullica, George R. Holcomb, P. Loustalot, Z. Križan, Madeleine Friant, and O. Herman
- Subjects
Histology ,Anatomy - Published
- 1958
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45. A HEMOPHILIA-LIKE DISEASE WITH PROLONGED COAGULATION TIME AND A CIRCULATING ANTICOAGULANT
- Author
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Nathan Rosenthal and O. Herman Dreskin
- Subjects
medicine.medical_specialty ,biology ,Coagulation time ,business.industry ,Immunology ,Cell Biology ,Hematology ,Disease ,Biochemistry ,Gastroenterology ,Circulating anticoagulant ,Internal medicine ,biology.protein ,Medicine ,Antibody ,business ,Blood coagulation test - Published
- 1950
- Full Text
- View/download PDF
46. Plasma Thromboplastin Antecedent (PTA) Deficiency: Clinical, Coagulation, Therapeutic and Hereditary Aspects of a New Hemophilia-like Disease
- Author
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Nathan Rosenthal, O. Herman Dreskin, and Robert L. Rosenthal
- Subjects
medicine.medical_specialty ,business.industry ,Immunology ,Autosomal dominant trait ,Cell Biology ,Hematology ,Heparin ,Biochemistry ,Penetrance ,Gastroenterology ,Surgery ,Variable Expression ,Coagulation ,Clotting time ,Internal medicine ,medicine ,Coagulation testing ,business ,Factor XI ,medicine.drug - Abstract
1. An analysis of the original PTA deficient family, including coagulation studies performed upon 13 members comprising 4 generations, has been presented. 2. PTA deficiency is transmitted as an autosomal dominant trait with a probable high degree of penetrance and variable expression of the gene. 3. PTA deficiency can occur its varying degrees ranging from a severe form with prolonged clotting time and markedly abnormal heparin clotting time and prothrombin utilization to a mild form manifesting a normal clotting time and slightly impaired prothrombin utiliztition. 4. Studies on the treatment of PTA deficiency reveal that the defect is corrected by the administration of stored plasma with the effect gradually disappearing over the period of one week. 5. Various properties of PTA are discussed and compared with AHG and PTC.
- Published
- 1955
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47. TEILWEISER FORTBESTAND DES SUPRA-CARDINALSYSTEMS NEBEN DER NORMALEN VENA CAVA INFERIOR BEIM MENSCHEN
- Author
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V. Džidrov, O. Herman, and Z. Križan
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Histology ,business.industry ,Medicine ,Anatomy ,business - Published
- 1958
- Full Text
- View/download PDF
48. REGISTER RERUM ad Vol. 34
- Author
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George R. Holcomb, Dale Smith, V. Džidrov, A. Erkoçak, J. Kurucz, Madeleine Friant, P. Loustalot, Luigi Scullica, O. Herman, and Z. Križan
- Subjects
Histology ,History ,Register (music) ,Anatomy ,Humanities - Published
- 1958
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49. Global and regional emissions estimates of 1,1-difluoroethane (HFC-152a, CH3CHF2) from in situ and air archive observations
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P. G. Simmonds, M. Rigby, A. J. Manning, M. F. Lunt, S. O'Doherty, A. McCulloch, P. J. Fraser, S. Henne, M. K. Vollmer, J. Mühle, R. F. Weiss, P. K. Salameh, D. Young, S. Reimann, A. Wenger, T. Arnold, C. M. Harth, P. B. Krummel, L. P. Steele, B. L. Dunse, B. R. Miller, C. R. Lunder, O. Hermansen, N. Schmidbauer, T. Saito, Y. Yokouchi, S. Park, S. Li, B. Yao, L. X. Zhou, J. Arduini, M. Maione, R. H. J. Wang, D. Ivy, and R. G. Prinn
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Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
High frequency, in situ observations from 11 globally distributed sites for the period 1994–2014 and archived air measurements dating from 1978 onward have been used to determine the global growth rate of 1,1-difluoroethane (HFC-152a, CH3CHF2). These observations have been combined with a range of atmospheric transport models to derive global emission estimates in a top-down approach. HFC-152a is a greenhouse gas with a short atmospheric lifetime of about 1.5 years. Since it does not contain chlorine or bromine, HFC-152a makes no direct contribution to the destruction of stratospheric ozone and is therefore used as a substitute for the ozone depleting chlorofluorocarbons (CFCs) and hydrochlorofluorocarbons (HCFCs). The concentration of HFC-152a has grown substantially since the first direct measurements in 1994, reaching a maximum annual global growth rate of 0.84 ± 0.05 ppt yr−1 in 2006, implying a substantial increase in emissions up to 2006. However, since 2007, the annual rate of growth has slowed to 0.38 ± 0.04 ppt yr−1 in 2010 with a further decline to an annual average rate of growth in 2013–2014 of −0.06 ± 0.05 ppt yr−1. The annual average Northern Hemisphere (NH) mole fraction in 1994 was 1.2 ppt rising to an annual average mole fraction of 10.1 ppt in 2014. Average annual mole fractions in the Southern Hemisphere (SH) in 1998 and 2014 were 0.84 and 4.5 ppt, respectively. We estimate global emissions of HFC-152a have risen from 7.3 ± 5.6 Gg yr−1 in 1994 to a maximum of 54.4 ± 17.1 Gg yr−1 in 2011, declining to 52.5 ± 20.1 Gg yr−1 in 2014 or 7.2 ± 2.8 Tg-CO2 eq yr−1. Analysis of mole fraction enhancements above regional background atmospheric levels suggests substantial emissions from North America, Asia, and Europe. Global HFC emissions (so called “bottom up” emissions) reported by the United Nations Framework Convention on Climate Change (UNFCCC) are based on cumulative national emission data reported to the UNFCCC, which in turn are based on national consumption data. There appears to be a significant underestimate ( > 20 Gg) of “bottom-up” reported emissions of HFC-152a, possibly arising from largely underestimated USA emissions and undeclared Asian emissions.
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- 2016
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50. Global emissions of HFC-143a (CH3CF3) and HFC-32 (CH2F2) from in situ and air archive atmospheric observations
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S. O'Doherty, M. Rigby, J. Mühle, D. J. Ivy, B. R. Miller, D. Young, P. G. Simmonds, S. Reimann, M. K. Vollmer, P. B. Krummel, P. J. Fraser, L. P. Steele, B. Dunse, P. K. Salameh, C. M. Harth, T. Arnold, R. F. Weiss, J. Kim, S. Park, S. Li, C. Lunder, O. Hermansen, N. Schmidbauer, L. X. Zhou, B. Yao, R. H. J. Wang, A. J. Manning, and R. G. Prinn
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Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
High-frequency, in situ observations from the Advanced Global Atmospheric Gases Experiment (AGAGE), for the period 2003 to 2012, combined with archive flask measurements dating back to 1977, have been used to capture the rapid growth of HFC-143a (CH3CF3) and HFC-32 (CH2F2) mole fractions and emissions into the atmosphere. Here we report the first in situ global measurements of these two gases. HFC-143a and HFC-32 are the third and sixth most abundant hydrofluorocarbons (HFCs) respectively and they currently make an appreciable contribution to the HFCs in terms of atmospheric radiative forcing (1.7 ± 0.04 and 0.7 ± 0.02 mW m−2 in 2012 respectively). In 2012 the global average mole fraction of HFC-143a was 13.4 ± 0.3 ppt (1σ) in the lower troposphere and its growth rate was 1.4 ± 0.04 ppt yr−1; HFC-32 had a global mean mole fraction of 6.2 ± 0.2 ppt and a growth rate of 1.1 ± 0.04 ppt yr−1 in 2012. The extensive observations presented in this work have been combined with an atmospheric transport model to simulate global atmospheric abundances and derive global emission estimates. It is estimated that 23 ± 3 Gg yr−1 of HFC-143a and 21 ± 11 Gg yr−1 of HFC-32 were emitted globally in 2012, and the emission rates are estimated to be increasing by 7 ± 5% yr−1 for HFC-143a and 14 ± 11% yr−1 for HFC-32.
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- 2014
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