Construction of the Iowa Highway 60 Precast Prestressed Concrete Pavement Bridge Approach Slab Demonstration Project, HR-1085, 2007

Reconstruction of bridge approach slabs which have failed due to a loss of support from embankment fill consolidation or erosion can be particularly challenging in urban areas where lane closures must be minimized. Precast prestressed concrete pavement is a potential solution for rapid bridge approach slab reconstruction which uses prefabricated pavement panels that can be installed and opened to traffic quickly. To evaluate this solution, the Iowa Department of Transportation constructed a precast prestressed approach slab demonstration project on Highway 60 near Sheldon, Iowa in August/September 2006. Two approach slabs at either end of a new bridge were constructed using precast prestressed concrete panels. This report documents the successful development, design, and construction of the precast prestressed concrete bridge approach slabs on Highway 60. The report discusses the challenges and issues that were faced during the project and presents recommendations for future implementation of this innovative construction technique.

Temozolomide versus standard 6-week radiotherapy versus hypofractionated radiotherapy in patients older than 60 years with glioblastoma: the Nordic randomised, phase 3 trial.

BACKGROUND: Most patients with glioblastoma are older than 60 years, but treatment guidelines are based on trials in patients aged only up to 70 years. We did a randomised trial to assess the optimum palliative treatment in patients aged 60 years and older with glioblastoma. METHODS: Patients with newly diagnosed glioblastoma were recruited from Austria, Denmark, France, Norway, Sweden, Switzerland, and Turkey. They were assigned by a computer-generated randomisation schedule, stratified by centre, to receive temozolomide (200 mg/m(2) on days 1-5 of every 28 days for up to six cycles), hypofractionated radiotherapy (34·0 Gy administered in 3·4 Gy fractions over 2 weeks), or standard radiotherapy (60·0 Gy administered in 2·0 Gy fractions over 6 weeks). Patients and study staff were aware of treatment assignment. The primary endpoint was overall survival. Analyses were done by intention to treat. This trial is registered, number ISRCTN81470623. FINDINGS: 342 patients were enrolled, of whom 291 were randomised across three treatment groups (temozolomide n=93, hypofractionated radiotherapy n=98, standard radiotherapy n=100) and 51 of whom were randomised across only two groups (temozolomide n=26, hypofractionated radiotherapy n=25). In the three-group randomisation, in comparison with standard radiotherapy, median overall survival was significantly longer with temozolomide (8·3 months [95% CI 7·1-9·5; n=93] vs 6·0 months [95% CI 5·1-6·8; n=100], hazard ratio [HR] 0·70; 95% CI 0·52-0·93, p=0·01), but not with hypofractionated radiotherapy (7·5 months [6·5-8·6; n=98], HR 0·85 [0·64-1·12], p=0·24). For all patients who received temozolomide or hypofractionated radiotherapy (n=242) overall survival was similar (8·4 months [7·3-9·4; n=119] vs 7·4 months [6·4-8·4; n=123]; HR 0·82, 95% CI 0·63-1·06; p=0·12). For age older than 70 years, survival was better with temozolomide and with hypofractionated radiotherapy than with standard radiotherapy (HR for temozolomide vs standard radiotherapy 0·35 [0·21-0·56], p<0·0001; HR for hypofractionated vs standard radiotherapy 0·59 [95% CI 0·37-0·93], p=0·02). Patients treated with temozolomide who had tumour MGMT promoter methylation had significantly longer survival than those without MGMT promoter methylation (9·7 months [95% CI 8·0-11·4] vs 6·8 months [5·9-7·7]; HR 0·56 [95% CI 0·34-0·93], p=0·02), but no difference was noted between those with methylated and unmethylated MGMT promoter treated with radiotherapy (HR 0·97 [95% CI 0·69-1·38]; p=0·81). As expected, the most common grade 3-4 adverse events in the temozolomide group were neutropenia (n=12) and thrombocytopenia (n=18). Grade 3-5 infections in all randomisation groups were reported in 18 patients. Two patients had fatal infections (one in the temozolomide group and one in the standard radiotherapy group) and one in the temozolomide group with grade 2 thrombocytopenia died from complications after surgery for a gastrointestinal bleed. INTERPRETATION: Standard radiotherapy was associated with poor outcomes, especially in patients older than 70 years. Both temozolomide and hypofractionated radiotherapy should be considered as standard treatment options in elderly patients with glioblastoma. MGMT promoter methylation status might be a useful predictive marker for benefit from temozolomide. FUNDING: Merck, Lion's Cancer Research Foundation, University of Umeå, and the Swedish Cancer Society.

Frações da matéria orgânica de Latossolo sob influência de doses de lodo de esgoto

O objetivo deste trabalho foi avaliar o efeito da aplicação contínua de doses crescentes de lodo de esgoto sobre os teores de carbono (C) associados à fração leve (C-FL) e à fração pesada (associado à areia - C-areia; associado ao silte - C-silte - e associado à argila - C-argila) de matéria orgânica em amostras de Latossolo. O experimento foi instalado em 1999, em Jaguariúna, SP, e os dados foram obtidos após a sexta aplicação de lodo de esgoto com doses acumuladas em base seca - 0, 30, 60, 120 e 240 Mg ha-1 -, após seis cultivos subseqüentes de milho. Os tratamentos foram: testemunha, sem adição de lodo (L0); aplicação de lodo de esgoto para fornecer uma (L1), duas (L2), quatro (L4) e oito (L8) vezes a dose de nitrogênio requerida pelo milho. Como referência, foi amostrada uma área sob mata nativa, adjacente ao local do experimento. O acréscimo nas doses de lodo de esgoto aplicadas aumenta de modo linear os teores de C orgânico, C-silte e C-areia, e não interfere nos teores de C-argila. À medida que se aumenta a dose de lodo de esgoto até 120 Mg ha-1, há acréscimo no teor de C-FL no solo. Em relação ao C orgânico, os teores de C associado aos compartimentos avaliados de matéria orgânica do solo têm a seguinte ordem de contribuição: C-FL

Water Summary Update, January 14, 2016, No. 60

A snapshot of water resource trends prepared by the Iowa DNR in collaboration with the Iowa Department of Agriculture and Land Stewardship, the U.S. Geological Survey, and The Iowa Homeland Security and Emergency Management Department.

Improvement of rehabilitation possibilities with the MotionMaker (TM)

"MotionMaker (TM)" is a stationary programmable test and training system for the lower limbs developed at the 'Ecole Polytechnique Federale de Lausanne' with the 'Fondation Suisse pour les Cybertheses'.. The system is composed of two robotic orthoses comprising motors and sensors, and a control unit managing the trans-cutaneous electrical muscle stimulation with real-time regulation. The control of the Functional Electrical Stimulation (FES) induced muscle force necessary to mimic natural exercise is ensured by the control unit which receives a continuous input from the position and force sensors mounted on the robot. First results with control subjects showed the feasibility of creating movements by such closed-loop controlled FES induced muscle contractions. To make exercising with the MotionMaker (TM) safe for clinical trials with Spinal Cord Injured (SCI) volunteers, several original safety features have been introduced. The MotionMaker (TM) is able to identify and manage the occurrence of spasms. Fatigue can also be detected and overfatigue during exercise prevented.

Evapotranspiração e estimativa da água consumida em perímetro irrigado do Semiárido brasileiro por sensoriamento remoto

O objetivo deste trabalho foi mapear a evapotranspiração real (ETr) e determinar o volume de água utilizado no projeto de irrigação de São Gonçalo, PB, no Semiárido brasileiro, com auxílio do sensoriamento remoto. Foram adquiridas imagens TM/Landsat 5 da área em estudo, em 2008, que foram utilizadas na obtenção dos mapas temáticos da ETr diária. Selecionaram-se dois pomares de coqueiro‑anão para validação dos resultados da evapotranspiração obtida com o "surface energy balance algorithm for land" (ET Sebal) e com o método FAO‑56 (ET FAO). Para determinação da ET FAO, utilizou-se o produto entre o coeficiente de cultura, o coeficiente de ajuste e a evapotranspiração de referência. As diferenças obtidas, com uso das duas técnicas, resultaram em raiz do erro quadrado médio, erro relativo médio e erro absoluto médio iguais a 0,53 mm, 9,46% e 0,43 mm, respectivamente. Nas áreas irrigadas, a ETr representou 85% do saldo de radiação e, nas de sequeiro, apenas 12,5%. O mapeamento da ETr delimitou claramente as áreas irrigadas das de sequeiro, bem como as diferenças existentes no interior do perímetro irrigado do projeto em investigação. O volume de água empregado no projeto de irrigação representa, somente no período de julho a dezembro, mais de 60% da capacidade do açude de São Gonçalo.