OBJECTIVES A mass casualty incident (MCI) may strain a health care system beyond surge capacity, affecting patterns of care for casualties and other patients. Prior studies of MCIs have assessed clinical care for casualty patients, but have not examined outcomes or expenditures for noncasualty inpatients in the same time period. METHODS This was a retrospective analysis of administrative hosp...

Storm surges and the resulting extreme high sea levels are among the most dangerous natural disasters and are responsible for widespread social, economic and environmental consequences. Using a set of 220 tide gauges, this paper investigates the temporal variations in storm surges around the world and the spatial coherence of its variability. We compare results derived from two parameters used ...

A hindcast of typical extratropical storm surge occurring in the Bohai Sea in Oct. 2003 is performed using a three-dimensional storm surge model system based on Finite-Volume Coastal Ocean Model (FVCOM). The surface winds are obtained from the WRF data set. Some preliminary sensitivity studies of the influential factors affecting the storm surge simulation in the Bohai Sea are studied with the ...

In the present study, the role of the medial preoptic area (MPO) in the neural control of the nocturnal prolactin (PRL) surge was investigated in ovariectomized rats. Cervical stimulation (CS) or bilateral MPO lesions caused a marked nocturnal PRL surge at 0400 h on the fourth day after CS or the lesions in ovariectomized rats in which blood samples were obtained by decapitation. However, opera...

BACKGROUND Occlusion break surge during phacoemulsification cataract surgery can lead to potential surgical complications. The purpose of this study was to quantify occlusion break surge and vacuum rise time of current phacoemulsification systems used in cataract surgery. METHODS Occlusion break surge at vacuum pressures between 200 and 600 mmHg was assessed with the Infiniti® Vision System, ...

We described simultaneous observations of a surge in Hβ and an X-ray jet in NOAA 8100 on November 1, 1997. We found that the Hβ surge was spatially coincident with the X-ray jet. They occurred at the site where the pre-existing magnetic flux was “cancelled” by a newly emerging flux of opposite polarity. At the base of the surge we identified surge-flaring in the Hβ filtergrams, and both blueshi...

This study was conducted to establish guidelines for monitoring bulk tank milk somatic cell count and bacterial counts, and to understand the relationship between different bacterial groups that occur in bulk tank milk. One hundred twenty-six dairy farms in 14 counties of Pennsylvania participated, each providing one bulk tank milk sample every 15 d for 2 mo. The 4 bulk tank milk samples from e...

Osteoclasts are the principle bone-resorbing cells. Precise control of balanced osteoclast activity is indispensable for bone homeostasis. Osteoclast activation mediated by RANK-TRAF6 axis has been clearly identified. However, a negative regulation-machinery in osteoclast remains unclear. TRAF family member-associated NF-κB activator (TANK) is induced by about 10 folds during osteoclastogenesis...