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Sample records for ages experiment case

  1. The Clusters AgeS Experiment (CASE). VI. Analysis of Two Detached Eclipsing Binaries in the Globular Cluster M55

    NASA Astrophysics Data System (ADS)

    Kaluzny, J.; Thompson, I. B.; Dotter, A.; Rozyczka, M.; Pych, W.; Rucinski, S. M.; Burley, G. S.

    2014-03-01

    We present an analysis of the detached eclipsing binaries V44 and V54 belonging to the globular cluster M55. For V54 we obtain the following absolute parameters: Mp=0.726±0.015 Msun, Rp=1.006± 0.009 Rsun, Lp=1.38±0.07 Lsun for the primary, and Ms=0.555± 0.008 Msun, Rs=0.528±0.005 Rsun, Ls=0.16±0.01 Lsun for the secondary. The age and apparent distance modulus of V54 are estimated at 13.3-14.7 Gyr and 13.94±0.05 mag, respectively. This derived age is substantially larger than ages we have derived from the analysis of binary systems in 47 Tuc and M4. The secondary of V44 is so weak in the optical domain that only mass function and relative parameters are obtained for the components of this system. However, there is a good chance that the velocity curve of the secondary could be derived from near-IR spectra. As the primary of V44 is more evolved than that of V54, such data would impose much tighter limits on the age and distance of M55.

  2. Age Differences in Mystical Experience.

    ERIC Educational Resources Information Center

    Levin, Jeffrey S.

    1993-01-01

    Examined age differences in mystical experiences. According to 1988 General Social Survey (n=1,481) mystical experiences were somewhat more common in 1988 than in 1973, and deja vu, clairvoyance, and composite mysticism scores had increased with successively younger age cohorts. Private and subjective religiosity were positively related to overall…

  3. The Argon Geochronology Experiment (AGE)

    NASA Technical Reports Server (NTRS)

    Swindle, T. D.; Bode, R.; Fennema, A.; Chutjian, A.; MacAskill, J. A.; Darrach, M. R.; Clegg, S. M.; Wiens, R. C.; Cremers, D.

    2006-01-01

    This viewgraph presentation reviews the Argon Geochronology Experiment (AGE). Potassium-Argon dating is shown along with cosmic ray dating exposure. The contents include a flow diagram of the Argon Geochronology Experiment, and schematic diagrams of the mass spectrometer vacuum system, sample manipulation mechanism, mineral heater oven, and the quadrupole ion trap mass spectrometer. The Laser-Induced Breakdown Spectroscopy (LIBS) Operation with elemental abundances is also described.

  4. THE CLUSTER AGES EXPERIMENT (CASE). IV. ANALYSIS OF THE ECLIPSING BINARY V69 IN THE GLOBULAR CLUSTER 47 Tuc

    SciTech Connect

    Thompson, I. B.; Burley, G. S.; Kaluzny, J.; Pych, W.; Rucinski, S. M.; Krzeminski, W.; Dotter, A. E-mail: burley@obs.carnegiescience.edu E-mail: pych@camk.edu.pl E-mail: wojtek@lco.cl

    2010-02-15

    We use photometric and spectroscopic observations of the eclipsing binary V69-47 Tuc to derive the masses, radii, and luminosities of the component stars. Based on measured systemic velocity, distance, and proper motion, the system is a member of the globular cluster 47 Tuc. The system has an orbital period of 29.5d and the orbit is slightly eccentric with e = 0.056. We obtain M{sub p} = 0.8762 {+-} 0.0048 M {sub sun}, R{sub p} = 1.3148 {+-} 0.0051 R {sub sun}, L{sub p} = 1.94 {+-} 0.21 L {sub sun} for the primary and M{sub s} = 0.8588 {+-} 0.0060 M {sub sun}, R{sub s} = 1.1616 {+-} 0.0062 R {sub sun}, L{sub s} = 1.53 {+-} 0.17 L {sub sun} for the secondary. These components of V69 are the first Population II stars with masses and radii derived directly and with an accuracy of better than 1%. We measure an apparent distance modulus of (m - M) {sub V} = 13.35 {+-} 0.08 to V69. We compare the absolute parameters of V69 with five sets of stellar evolution models and estimate the age of V69 using mass-luminosity-age, mass-radius-age, and turnoff mass-age relations. The masses, radii, and luminosities of the component stars are determined well enough that the measurement of ages is dominated by systematic differences between the evolutionary models, in particular, the adopted helium abundance. By comparing the observations to Dartmouth model isochrones we estimate the age of V69 to be 11.25 {+-} 0.21(random) {+-} 0.85(systematic) Gyr assuming [Fe/H] = -0.70, [{alpha}/Fe] = 0.4, and Y = 0.255. The determination of the distance to V69, and hence to 47 Tuc, can be further improved when infrared eclipse photometry is obtained for the variable.

  5. THE CLUSTER AGES EXPERIMENT (CASE). V. ANALYSIS OF THREE ECLIPSING BINARIES IN THE GLOBULAR CLUSTER M4

    SciTech Connect

    Kaluzny, J.; Rozyczka, M.; Krzeminski, W.; Pych, W.; Thompson, I. B.; Burley, G. S.; Shectman, S. A.; Dotter, A.; Rucinski, S. M. E-mail: mnr@camk.edu.pl E-mail: batka@camk.edu.pl E-mail: ian@obs.carnegiescience.edu E-mail: shec@obs.carnegiescience.edu E-mail: rucinski@astro.utoronto.ca

    2013-02-01

    We use photometric and spectroscopic observations of the eclipsing binaries V65, V66, and V69 in the field of the globular cluster M4 to derive masses, radii, and luminosities of their components. The orbital periods of these systems are 2.29, 8.11, and 48.19 days, respectively. The measured masses of the primary and secondary components (M{sub p} and M{sub s} ) are 0.8035 {+-} 0.0086 and 0.6050 {+-} 0.0044 M{sub Sun} for V65, 0.7842 {+-} 0.0045 and 0.7443 {+-} 0.0042 M{sub Sun} for V66, and 0.7665 {+-} 0.0053 and 0.7278 {+-} 0/0048 M{sub Sun} for V69. The measured radii (R{sub p} and R{sub s} ) are 1.147 {+-} 0.010 and 0.6110 {+-} 0.0092 R{sub Sun} for V66, 0.9347 {+-} 0.0048 and 0.8298 {+-} 0.0053 R{sub Sun} for V66, and 0.8655 {+-} 0.0097 and 0.8074 {+-} 0.0080 R{sub Sun} for V69. The orbits of V65 and V66 are circular, whereas that of V69 has an eccentricity of 0.38. Based on systemic velocities and relative proper motions, we show that all three systems are members of the cluster. We find that the distance to M4 is 1.82 {+-} 0.04 kpc-in good agreement with recent estimates based on entirely different methods. We compare the absolute parameters of V66 and V69 with two sets of theoretical isochrones in mass-radius and mass-luminosity diagrams, and for assumed [Fe/H] = -1.20, [{alpha}/Fe] = 0.4, and Y = 0.25 we find the most probable age of M4 to be between 11.2 and 11.3 Gyr. Color-magnitude diagram (CMD) fitting with the same parameters yields an age close to, or slightly in excess of, 12 Gyr. However, considering the sources of uncertainty involved in CMD fitting, these two methods of age determination are not discrepant. Age and distance determinations can be further improved when infrared eclipse photometry is obtained.

  6. The Cluster Ages Experiment (CASE). VII. Analysis of Two Eclipsing Binaries in the Globular Cluster NGC 6362

    NASA Astrophysics Data System (ADS)

    Kaluzny, J.; Thompson, I. B.; Dotter, A.; Rozyczka, M.; Schwarzenberg-Czerny, A.; Burley, G. S.; Mazur, B.; Rucinski, S. M.

    2015-11-01

    We use photometric and spectroscopic observations of the detached eclipsing binaries V40 and V41 in the globular cluster NGC 6362 to derive masses, radii, and luminosities of the component stars. The orbital periods of these systems are 5.30 and 17.89 days, respectively. The measured masses of the primary and secondary components (Mp, Ms) are (0.8337 ± 0.0063, 0.7947 ± 0.0048) M⊙ for V40 and (0.8215 ± 0.0058, 0.7280 ± 0.0047) M⊙ for V41. The measured radii (Rp, Rs) are (1.3253 ± 0.0075, 0.997 ± 0.013) R⊙ for V40 and (1.0739 ± 0.0048, 0.7307 ± 0.0046) R⊙ for V41. Based on the derived luminosities, we find that the distance modulus of the cluster is 14.74 ± 0.04 mag—in good agreement with 14.72 mag obtained from color-magnitude diagram (CMD) fitting. We compare the absolute parameters of component stars with theoretical isochrones in mass-radius and mass-luminosity diagrams. For assumed abundances [Fe/H] = -1.07, [α/Fe] = 0.4, and Y = 0.25 we find the most probable age of V40 to be 11.7 ± 0.2 Gyr, compatible with the age of the cluster derived from CMD fitting (12.5 ± 0.5 Gyr). V41 seems to be markedly younger than V40. If independently confirmed, this result will suggest that V41 belongs to the younger of the two stellar populations recently discovered in NGC 6362. The orbits of both systems are eccentric. Given the orbital period and age of V40, its orbit should have been tidally circularized some ˜7 Gyr ago. The observed eccentricity is most likely the result of a relatively recent close stellar encounter. This paper includes data gathered with the 6.5 m Magellan Baade and Clay Telescopes, and the 2.5-m du Pont Telescope located at Las Campanas Observatory, Chile.

  7. The Clusters AgeS Experiment (CASE). Analysis of the Detached Eclipsing Binary V15 in the Metal-Rich Open Cluster NGC 6253

    NASA Astrophysics Data System (ADS)

    Rozyczka, M.; Kaluzny, J.; Thompson, I. B.; Dotter, A.; Pych, W.; Narloch, W.

    2014-09-01

    We present the first detailed analysis of the detached eclipsing binary V15 in the super-metal rich open cluster NGC 6253. We obtain the following absolute parameters: Mp=1.303±0.006 MSun, Rp=1.71±0.03 RSun, Lp=2.98±0.10 LSun for the primary, and Ms=1.225±0.006 MSun, Rs=1.44±0.02 RSun, Ls=2.13±0.06 LSun for the secondary. Based on Dartmouth isochrones, the age of NGC 6253 is estimated to be 3.80-4.25 Gyr from the mass-radius diagram and 3.9-4.6 Gyr from color-magnitude diagram fitting. Both of these estimates are significantly higher than those reported so far. The derived apparent distance modulus of 11.65 mag agrees well with the range of 10.9-12.2 mag derived by other authors; however our estimated reddening (0.113 mag) is lower than the lowest published value (0.15 mag). We confirm earlier observations that model atmospheres are not accurate enough to account for the whole CMD of the cluster, with the largest discrepancies appearing on the subgiant and giant branches. Although age estimation from the mass-radius diagram is a relatively safe, distance- and reddening-independent procedure, our results should be verified by photometric and spectroscopic observations of additional detached eclipsing binaries which we have discovered, at least two of which are proper-motion members of NGC 6253.

  8. Emisacrectomy, experience in 11 cases.

    PubMed

    Solini, Antonio; Gargiulo, Giosuè; Fronda, Gianruggero; De Paolis, Paolo; Ruggieri, Nicola; Garino, Mauro

    2009-06-01

    Emisacrectomy is a challenging surgery in the treatment of tumours that affect the sacrum. Authors report their experience in 11 cases affected by tumours of the sacrum (9 chordomas, 1 ependymoma, 1 monostotic bladder metastasis) operated on at the Orthopaedic Department of A.S.O S. Giovanni Battista Molinette in Turin, Italy, from 1998 through 2005 discussing planning surgery, level of osteotomy, functional and oncological results and complications of the treatment at a median follow-up of 5 years (range 2-9), describing the surgical and medical teaching learned from the treatment of these patients. Despite the potential complications, emisacrectomy can be performed successfully and is an important procedure in the treatment of sacral tumours. PMID:19468760

  9. Emisacrectomy, experience in 11 cases

    PubMed Central

    Solini, Antonio; Fronda, Gianruggero; De Paolis, Paolo; Ruggieri, Nicola; Garino, Mauro

    2009-01-01

    Emisacrectomy is a challenging surgery in the treatment of tumours that affect the sacrum. Authors report their experience in 11 cases affected by tumours of the sacrum (9 chordomas, 1 ependymoma, 1 monostotic bladder metastasis) operated on at the Orthopaedic Department of A.S.O S. Giovanni Battista Molinette in Turin, Italy, from 1998 through 2005 discussing planning surgery, level of osteotomy, functional and oncological results and complications of the treatment at a median follow-up of 5 years (range 2–9), describing the surgical and medical teaching learned from the treatment of these patients. Despite the potential complications, emisacrectomy can be performed successfully and is an important procedure in the treatment of sacral tumours. PMID:19468760

  10. Testing a model of aging in animal experiments.

    PubMed

    Tyurin YuN; Yakovlev AYu; Shi, J; Bass, L

    1995-03-01

    A stochastic model of aging is developed in terms of accumulation and expression of intracellular lesions caused by environment or intrinsic genetic program. In contrast to the commonly used Gompertz-Makeham approach to the parametric analysis of mortality data, the model yields a hazard function that is bounded from above. For testing the model in experiments aimed at studying animal longevity, a Kolmogorov-type statistical test is presented with regard to the hypothesis involving unknown parameters. Examples concerning longevity of intact animals of two different species, as well as the effect of a prolonged irradiation at a low dose rate, are given to illustrate the model application and goodness-of-fit testing. The results of the analysis of published data show that the rate of lesion formation is not sustained at a constant level throughout life, though in some cases its variations with age can be considered negligible. PMID:7766791

  11. Continuity and Discontinuity: The Case of Second Couplehood in Old Age

    ERIC Educational Resources Information Center

    Koren, Chaya

    2011-01-01

    Purpose: Continuity and discontinuity are controversial concepts in social theories on aging. The aim of this article is to explore these concepts using the experiences of older persons living in second couplehood in old age as a case in point. Design and Method: Based on a larger qualitative study on second couplehood in old age, following the…

  12. Stability through the ages: the GSK experience.

    PubMed

    Blaxill, Zoe; Holland-Crimmin, Sue; Lifely, Rob

    2009-06-01

    It is common knowledge in the pharmaceutical industry that the quality of a company's compound collection has a major influence on the success of biological screening in drug discovery programs. DMSO is the widely accepted solvent of choice for storage of compounds, despite the hygroscopic nature of the solvent, which can lead to stability issues. Other factors that can affect compound stability (e.g., degradation, precipitation) include concentration of compound, intrinsic compound stability, presence of reactive contaminants, storage format-related factors (vessel, sealing, etc.), storage conditions (temperature, humidity, freeze-thaw technique and cycles, etc.), and storage time. To define the best practice for the storage and handling of solution samples, GlaxoSmithKline has undertaken stability experiments over more than a decade, initially to support the implementation of new automated liquid stores (ALS) and, subsequently, to enhance storage and use of compounds in solution through an understanding of compound degradation under storage and assay conditions. The experiments described used a number of technologies, including hyphenated liquid chromatography, electrospray mass spectrometry, flow chemiluminescence nitrogen detection, nuclear magnetic resonance, and Karl Fischer titration. PMID:19470717

  13. Poetry Efforts by Aged Deaf: Expression of Life Cycle Experience.

    ERIC Educational Resources Information Center

    Wax, Teena M.

    1983-01-01

    Describes a day-long Aging Awareness workshop in which a group of 12 elderly were involved in a poetry-writing exercise focusing on meaningful life change. Ramifications of this positive experience are discussed in view of the cultural/language barrier and traditional aging awareness issues such as reminiscence. (JAC)

  14. Spontaneous hypnotic age regression: case report.

    PubMed

    Spiegel, D; Rosenfeld, A

    1984-12-01

    Age regression--reliving the past as though it were occurring in the present, with age appropriate vocabulary, mental content, and affect--can occur with instruction in highly hypnotizable individuals, but has rarely been reported to occur spontaneously, especially as a primary symptom. The psychiatric presentation and treatment of a 16-year-old girl with spontaneous age regressions accessible and controllable with hypnosis and psychotherapy are described. Areas of overlap and divergence between this patient's symptoms and those found in patients with hysterical fugue and multiple personality syndrome are also discussed. PMID:6501240

  15. Age and Gender Differences in Adolescents' Homework Experiences

    ERIC Educational Resources Information Center

    Kackar, Hayal Z.; Shumow, Lee; Schmidt, Jennifer A.; Grzetich, Janel

    2011-01-01

    Extant data collected through the Experience Sampling Method were analyzed to describe adolescents' subjective experiences of homework. Analyses explored age and gender differences in the time adolescents spend doing homework, and the situational variations (location and companions) in adolescents' reported concentration, effort, interest,…

  16. Lived Experiences of College-Age Transsexual Individuals

    ERIC Educational Resources Information Center

    Goodrich, Kristopher M.

    2012-01-01

    This article reviews the lived experiences of 4 college-age transsexual individuals. A qualitative study using grounded theory was conducted to investigate their experiences influencing their later educational persistence. Results suggested that level of discomfort, perceived social supports, level of secrecy, and academic achievement all affected…

  17. Selection Experiments in the Penna Model for Biological Aging

    NASA Astrophysics Data System (ADS)

    Medeiros, G.; Idiart, M. A.; de Almeida, R. M. C.

    We consider the Penna model for biological aging to investigate correlations between early fertility and late life survival rates in populations at equilibrium. We consider inherited initial reproduction ages together with a reproduction cost translated in a probability that mother and offspring die at birth, depending on the mother age. For convenient sets of parameters, the equilibrated populations present genetic variability in what regards both genetically programmed death age and initial reproduction age. In the asexual Penna model, a negative correlation between early life fertility and late life survival rates naturally emerges in the stationary solutions. In the sexual Penna model, selection experiments are performed where individuals are sorted by initial reproduction age from the equilibrated populations and the separated populations are evolved independently. After a transient, a negative correlation between early fertility and late age survival rates also emerges in the sense that populations that start reproducing earlier present smaller average genetically programmed death age. These effects appear due to the age structure of populations in the steady state solution of the evolution equations. We claim that the same demographic effects may be playing an important role in selection experiments in the laboratory.

  18. Active Ageing and Active Citizenship in Liguria: A Case Study

    ERIC Educational Resources Information Center

    Palumbo, Mauro

    2014-01-01

    Liguria has the oldest age structure in Europe because of a low birth rate and long lifespans and therefore is a very interesting laboratory region in which to experiment with active ageing policies. The generations that are now approaching retirement hold a high level of personal and professional resources; so the "new" elderly people…

  19. Narcolepsy in pediatric age - Experience of a tertiary pediatric hospital.

    PubMed

    Dias Costa, Filipa; Barreto, Maria Inês; Clemente, Vanda; Vasconcelos, Mónica; Estêvão, Maria Helena; Madureira, Núria

    2014-03-01

    Narcolepsy, a chronic disorder of the sleep-wake cycle of multifactorial etiology, is characterized by excessive daytime sleepiness, often associated with cataplexy, hypnagogic/hypnopompic hallucinations and sleep paralysis. Both early clinical suspicion and therapeutic approach are essential for promotion of cognitive development and social integration of these children. The authors present a descriptive retrospective study of a series of eight children in whom symptoms first started between 6.8 and 10.5 years of age. Diagnostic delay ranged from 4 months to 2 years. One child had H1N1 flu vaccination eight months before the clinical onset. The first multiple sleep latency test was positive in 6 of 8 cases. All cases were treated with methylphenidate, and venlafaxine was associated in 4 of them. In one case the initial therapy was exclusively behavioral. In all cases, symptomatic improvement, better school performance and social integration were achieved after therapeutic adjustment. PMID:26483902

  20. Aging assessment of reactor instrumentation and protection system components. Aging-related operating experiences

    SciTech Connect

    Gehl, A.C.; Hagen, E.W.

    1992-07-01

    A study of the aging-related operating experiences throughout a five-year period (1984--1988) of six generic instrumentation modules (indicators, sensors, controllers, transmitters, annunciators, and recorders) was performed as a part of the Nuclear Plant Aging Research Program. The effects of aging from operational and environmental stressors were characterized from results depicted in Licensee Event Reports (LERs). The data are graphically displayed as frequency of events per plant year for operating plant ages from 1 to 28 years to determine aging-related failure trend patterns. Three main conclusions were drawn from this study: (1) Instrumentation and control (I&C) modules make a modest contribution to safety-significant events: 17% of LERs issued during 1984--1988 dealt with malfunctions of the six I&C modules studied, and 28% of the LERs dealing with these I&C module malfunctions were aging related (other studies show a range 25--50%); (2) Of the six modules studied, indicators, sensors, and controllers account for the bulk (83%) of aging-related failures; and (3) Infant mortality appears to be the dominant aging-related failure mode for most I&C module categories (with the exception of annunciators and recorders, which appear to fail randomly).

  1. Explaining age differences in women's emotional well-being: The role of subjective experiences of aging.

    PubMed

    Barrett, Anne E; Toothman, Erica L

    2016-01-01

    Our study examines explanations for the "paradox" of older women's better emotional well-being compared with younger women. We consider the role of subjective experiences of aging in a society that devalues older women. Using a sample of women (n = 872) from the National Survey of Midlife Development in the United States (1995-1996 and 2004-2006), we examine the role of five components of the subjective experience of aging in explaining older women's better emotional well-being compared with younger women: age identity, conceptions of the timing of middle age, aging attitudes, aging anxieties, and self-assessed physiological changes. We find that, compared with women 50-54 years old, those 35-39 years old report lower positive affect, and those 25-49 report higher negative affect. These patterns are partially explained by younger women's greater anxiety about declines in health and attractiveness and older women's more youthful identities. Our study underscores the value of considering the implications of our ageist and sexist society for women's emotional well-being across adulthood. PMID:27029460

  2. The Effects of Age, Years of Experience, and Type of Experience in the Teacher Selection Process

    ERIC Educational Resources Information Center

    Vail, David Scott

    2010-01-01

    Paper screening in the pre-selection process of hiring teachers has been the focus in an ongoing series of similar studies starting with Allison in 1981. There have been many independent variables, including, but not limited to, age, gender, ethnic background, years of experience, type of experience, and grade point average, introduced into the…

  3. [The hepatic porphyrias: experience with 105 cases].

    PubMed

    Armas, R; Wolff, C; Krause, P; Chaná, P; Parraguez, A; Soto, J

    1992-03-01

    Hepatic porphyria is a rare metabolic syndrome caused by abnormal enzyme activity in heme biosynthesis. Between 1974 and 1991; 105 patients have met criteria for diagnosis of hepatic porphyria based on typical clinical findings and/or laboratory abnormalities. According to type, 42% had porphyria cutanea tarda, 21% porphyria variegate, 15% protoporphyria, 6.7% acute intermittent porphyria, 6.7% coproporphyria and 1.9% porphyria due to porphobilinogen deficit. A proper classification was not established in 6.7% of patients. Porphyria cutanea tarda was more common in males (70%) and porphyria variegata, in females (90%). A family history of the disease was present in 33% of patients; 20% of patients were of European descent and 4% of Mapuche descent. Diagnosis was usually established in the third decade, somewhat later in porphyria cutanea tarda (45 years of age) and very early in protoporphyria. 10% of patients were asymptomatic and 29 patients developed at least one porphyric crisis. These were related to pregnancy in 6 patients, to hormone administration in 7, to antibiotics in 5. No cause was established in 21 cases. Severe crisis were successfully treated with Hematin. Venipuncture was used to treat 50% of patients with porphyria cutanea tarda with 95% success. Thus, hepatic porphyria is recognized with increasing frequency and can be treated successfully in most cases. PMID:1342477

  4. Accelerated Aging Experiments for Capacitor Health Monitoring and Prognostics

    NASA Technical Reports Server (NTRS)

    Kulkarni, Chetan S.; Celaya, Jose Ramon; Biswas, Gautam; Goebel, Kai

    2012-01-01

    This paper discusses experimental setups for health monitoring and prognostics of electrolytic capacitors under nominal operation and accelerated aging conditions. Electrolytic capacitors have higher failure rates than other components in electronic systems like power drives, power converters etc. Our current work focuses on developing first-principles-based degradation models for electrolytic capacitors under varying electrical and thermal stress conditions. Prognostics and health management for electronic systems aims to predict the onset of faults, study causes for system degradation, and accurately compute remaining useful life. Accelerated life test methods are often used in prognostics research as a way to model multiple causes and assess the effects of the degradation process through time. It also allows for the identification and study of different failure mechanisms and their relationships under different operating conditions. Experiments are designed for aging of the capacitors such that the degradation pattern induced by the aging can be monitored and analyzed. Experimental setups and data collection methods are presented to demonstrate this approach.

  5. Aging reduces experience-induced sensorimotor plasticity. A magnetoencephalographic study.

    PubMed

    Mary, Alison; Bourguignon, Mathieu; Wens, Vincent; Op de Beeck, Marc; Leproult, Rachel; De Tiège, Xavier; Peigneux, Philippe

    2015-01-01

    Modulation of the mu-alpha and mu-beta spontaneous rhythms reflects plastic neural changes within the primary sensorimotor cortex (SM1). Using magnetoencephalography (MEG), we investigated how aging modifies experience-induced plasticity after learning a motor sequence, looking at post- vs. pre-learning changes in the modulation of mu rhythms during the execution of simple hand movements. Fifteen young (18-30 years) and fourteen older (65-75 years) right-handed healthy participants performed auditory-cued key presses using all four left fingers simultaneously (Simple Movement task - SMT) during two separate sessions. Following both SMT sessions, they repeatedly practiced a 5-elements sequential finger-tapping task (FTT). Mu power calculated during SMT was averaged across 18 gradiometers covering the right sensorimotor region and compared before vs. after sequence learning in the alpha (9/10/11Hz) and the beta (18/20/22Hz) bands separately. Source power maps in the mu-alpha and mu-beta bands were localized using Dynamic Statistical Parametric Mapping (dSPM). The FTT sequence was performed faster at retest than at the end of the learning session, indicating an offline boost in performance. Analyses conducted on SMT sessions revealed enhanced rebound after learning in the right SM1, 3000-3500ms after the initiation of movement, in young as compared to older participants. Source reconstruction indicated that mu-beta is located in the precentral gyrus (motor processes) and mu-alpha is located in the postcentral gyrus (somatosensory processes) in both groups. The enhanced post-movement rebound in young subjects potentially reflects post-training plastic changes in SM1. Age-related decreases in post-training modulatory effects suggest reduced experience-dependent plasticity in the aging brain. PMID:25315784

  6. Canine transposition in prehistoric Pakistan: Bronze Age and Iron Age case reports.

    PubMed

    Lukacs, J R

    1998-10-01

    This report documents two prehistoric cases of canine-first premolar transposition (Mx.C.P1) from the Indo-Pakistan subcontinent. Recent discussion of the etiology of canine transposition and reports of high prevalence for the condition in modern India accentuate the significance of the ancient cases reported there. Case 1 is from the Iron Age site of Sarai Khola in northern Pakistan (1000 BC). The specimen, an adult female, 25 to 30 years of age at death, exhibits unilateral Mx.C.P1 transposition on the left side. The condition is associated with a barrel-shaped maxillary left third molar in an otherwise normal and healthy maxillary dental arch. Case 2 is from the Bronze Age urban site of Harappa (2500 BC), an important center of the Indus Valley Civilization. In this specimen, an adult female, transposition is bilateral, resulting in displacement of premolars and large diastemata between the maxillary lateral incisors and first premolars. Bilateral agenesis of maxillary third molars and rotation of maxillary and mandibular teeth occur with transposition in this specimen. In neither case are the lateral incisors reduced in size, peg-shaped, or congenitally absent. This report of Mx.C.P1 transposition in prehistoric times is significant because it provides historical documentation for the female predilection of the trait and establishes its co-occurrence with specific dental variants, such as agenesis, reduction, and rotation of teeth. PMID:9770107

  7. Trichomycosis (Trichobacteriosis): Clinical and Microbiological Experience with 56 Cases

    PubMed Central

    Bonifaz, Alexandro; Váquez-González, Denisse; Fierro, Leonel; Araiza, Javier; Ponce, Rosa María

    2013-01-01

    Background: Trichomycosis is asymptomatic bacterial infection of the axillary hairs caused by Corynebacterium sp. Objective: to bring a series of cases of trichomycosis, its clinical and microbiological experience. Materials and Methods: This report consists in a linear and observational retrospective study of 15 years of cases of trichomycosis confirmed clinically and microbiologically. Results: Fifty six confirmed cases of trichomycosis were included in this report. The majority were men 53/56 (94.6%), mean age was 32.5 years. The most commonly affected area was the axilla (92%), trichomycosis flava was the principal variant 55/56 (98.2%) and signs and symptoms associated were hyperhidrosis (87.5%), hairs’ texture change (57.1%) and odor (35.7%). Bacterial concretions were observed in all cases, and the predominant causative agent in 89.3% of all cases was Corynebacterium sp. Thirty patients were included in therapeutic portion of the study, and 28 (93.3%) of them experienced a clinical and microbiological cure. Conclusion: Trichomycosis is asymptomatic, superficial infection, which primarily affects axillary hairs. PMID:23960390

  8. Age-related decline and diagnostic performance of more and less prevalent clinical cases.

    PubMed

    St-Onge, Christina; Landry, Marjolaine; Xhignesse, Marianne; Voyer, Gilles; Tremblay-Lavoie, Stéphanie; Mamede, Sílvia; Schmidt, Henk; Rikers, Remy

    2016-08-01

    Since cognitive abilities have been shown to decrease with age, it is expected that older physicians would not perform as well as their younger counterparts on clinical cases unless their expertise can counteract the cognitive effects of aging. However, studies on the topic have shown contradictory results. This study aimed to further investigate the effect of aging on physicians' diagnostic accuracy when diagnosing prevalent and less prevalent cases based on clinical vignettes. A mixed design was used to assess the influence of case prevalence (high vs. low) as a within-subjects factor, and age group as a between subjects factor (<30; n = 23, 30-39; n = 19, 40-49; n = 27, >50 years old; n = 19) on the diagnostic accuracy of 65 family physicians and 25 residents. Repeated Measure ANOVA revealed a significant effect of case prevalence (p < .001) and age group (p < .001). Post-hoc analyses revealed that younger physicians showed the best performance. This study did not demonstrate the positive effect of experience in older physicians. In line with previous studies on expertise development, findings of the present study suggest that skills should be actively maintained to assure a high performance level throughout one's lifespan. If not, performance level could gradually decline with age. PMID:26584578

  9. Emotional Experience Improves With Age: Evidence Based on Over 10 Years of Experience Sampling

    PubMed Central

    Carstensen, Laura L.; Turan, Bulent; Scheibe, Susanne; Ram, Nilam; Ersner-Hershfield, Hal; Samanez-Larkin, Gregory R.; Brooks, Kathryn P.; Nesselroade, John R.

    2012-01-01

    Recent evidence suggests that emotional well-being improves from early adulthood to old age. This study used experience-sampling to examine the developmental course of emotional experience in a representative sample of adults spanning early to very late adulthood. Participants (N = 184, Wave 1; N = 191, Wave 2; N = 178, Wave 3) reported their emotional states at five randomly selected times each day for a one week period. Using a measurement burst design, the one-week sampling procedure was repeated five and then ten years later. Cross-sectional and growth curve analyses indicate that aging is associated with more positive overall emotional well-being, with greater emotional stability and with more complexity (as evidenced by greater co-occurrence of positive and negative emotions). These findings remained robust after accounting for other variables that may be related to emotional experience (personality, verbal fluency, physical health, and demographic variables). Finally, emotional experience predicted mortality; controlling for age, sex, and ethnicity, individuals who experienced relatively more positive than negative emotions in everyday life were more likely to have survived over a 13 year period. Findings are discussed in the theoretical context of socioemotional selectivity theory. PMID:20973600

  10. Emotional experience improves with age: evidence based on over 10 years of experience sampling.

    PubMed

    Carstensen, Laura L; Turan, Bulent; Scheibe, Susanne; Ram, Nilam; Ersner-Hershfield, Hal; Samanez-Larkin, Gregory R; Brooks, Kathryn P; Nesselroade, John R

    2011-03-01

    Recent evidence suggests that emotional well-being improves from early adulthood to old age. This study used experience-sampling to examine the developmental course of emotional experience in a representative sample of adults spanning early to very late adulthood. Participants (N = 184, Wave 1; N = 191, Wave 2; N = 178, Wave 3) reported their emotional states at five randomly selected times each day for a one week period. Using a measurement burst design, the one-week sampling procedure was repeated five and then ten years later. Cross-sectional and growth curve analyses indicate that aging is associated with more positive overall emotional well-being, with greater emotional stability and with more complexity (as evidenced by greater co-occurrence of positive and negative emotions). These findings remained robust after accounting for other variables that may be related to emotional experience (personality, verbal fluency, physical health, and demographic variables). Finally, emotional experience predicted mortality; controlling for age, sex, and ethnicity, individuals who experienced relatively more positive than negative emotions in everyday life were more likely to have survived over a 13 year period. Findings are discussed in the theoretical context of socioemotional selectivity theory. PMID:20973600

  11. A controlled experiment to evaluate the impact of summer research experiences on attitudes towards science in high school aged students

    NASA Astrophysics Data System (ADS)

    White, M. A.; Tcherednichenko, I.; Hamar, M.; Taylor, M. J.; Litizzette, L.

    2006-12-01

    United States funding agencies increasingly are supporting activities designed to increase the enrollment of United States high school students in science, math, or engineering careers. However, in many cases, the likely outcomes of educational activities are unknown. A common approach within the physical and natural sciences is to provide high school aged students with a summer research experience, with the expectation that such experiences will increase student interest in science, possibly as a career choice. With funding support from the National Aeronautics and Space Administration New Investigator Grant program, we conducted a controlled experiment to test this assumption. In collaboration with Mountain Crest High School in Logan, UT, we recruited 40 students currently enrolled in science courses, assessed attitudes towards science (with informed consent), and randomly assigned 20 students to a control group and 20 students to an experimental group. Students in the experimental group were paired with faculty and graduate students in a wide range of field and laboratory research groups in natural resources and biology. Students were employed in at least two different research groups for an average of 30-40 hours per week for eight weeks in the summer of 2006. Following the completion of the summer work experience, we again assessed attitudes towards science in both groups and gathered additional information from the experimental group on satisfaction with the work experience and reasons for participating. Results are presented and discussed.

  12. Using Case Study Analysis and Case Writing to Structure Clinical Experiences in a Teacher Education Program

    ERIC Educational Resources Information Center

    Floyd, Deborah M.; Bodur, Yasar

    2005-01-01

    This study reports on the design and results of a two-semester study on the use of case study analysis and case writing in clinical experiences in an undergraduate teacher education program. Findings indicated that structured experiences with case studies and case writing increase preservice teachers' informed decision making on educational…

  13. Dating, Sex, and Substance Use as Correlates of Adolescents' Subjective Experience of Age

    ERIC Educational Resources Information Center

    Arbeau, Kelly J.; Galambos, Nancy L.; Jansson, S. Mikael

    2007-01-01

    This study examined in a random community-based sample of 664 12-19-year-olds, the relation of subjective experience of age (SEA) with chronological age, dating experience, sexual activity, and substance use. The results revealed a positive linear relation between SEA and chronological age: individuals who were chronologically older felt…

  14. Case Mining for Research Findings in a Case-based Reasoning System in the Biology of Aging.

    PubMed

    Bichindaritz, Isabelle

    2014-01-01

    Scientific literature has been quickly expanding as the availability of articles in electronic form has increased rapidly. For the scientific researcher and the practitioner alike, keeping track with the advancement of the research is an ongoing challenge, and for the most part, the mass of experience recorded in the scientific literature is largely untapped. In particular, novice scientists, non researchers, and students would benefit from a system proposing recommendations for the problems they are interested in resolving. This article presents the first stages of the Digital Knowledge Finder design, a case-based reasoning system to manage experience from the scientific literature. One of the main functionality of the system is to enable both to represent the experience in a declarative and searchable form, and to reason from it through reuse - the latter being a consequence of the former. This article focuses on research findings mining and results from an aging literature dataset. PMID:25488226

  15. Tomographic Gamma Scanner Experience: Three Cases

    SciTech Connect

    Mercer, David J.

    2014-06-30

    This is a summary of field applications of tomographic gamma scanning (TGS). Three cases are shown: enriched uranium scanning at Rocky Flats, heat-source plutonium at LANL, and plutonium-bearing pyrochemical salts at Rocky Flats. Materials are taken from the references shown below.

  16. Aging, source memory, and the experience of "remembering".

    PubMed

    Kuhlmann, Beatrice G; Boywitt, C Dennis

    2016-07-01

    In a previous study, we found source memory for perceptual features to differentiate between younger but not older adults' reports of recollective ("remember"; R) and "know" (K) experiences. In two experiments with younger (17-30 years) and older (64-81 years) participants, we examined whether memory for meaningful speaker sources would accompany older adults' recollective experience. Indeed, memory for male and female speakers (but not partial memory for gender; Experiment 1) as well as bound memory for speakers and their facial expressions (Experiment 2) distinguished between both younger and older adults' RK reports. Thus, memory for some sources forms a common basis for younger and older adults' retrieval experience. Nonetheless, older adults still showed lower objective source memory and lower subjective source-attribution confidence than younger adults when reporting recollective experiences, suggesting that source memory is less relevant to their retrieval experience than for younger adults. PMID:26653292

  17. Semantic Development in Spanish-English Bilingual Children: Effects of Age and Language Experience

    ERIC Educational Resources Information Center

    Sheng, Li; Bedore, Lisa M.; Pena, Elizabeth D.; Fiestas, Christine

    2013-01-01

    This study examines semantic development in 60 Spanish-English bilingual children, ages 7 years 3 months to 9 years 11 months, who differed orthogonally in age (younger, older) and language experience (higher English experience [HEE], higher Spanish experience [HSE]). Children produced 3 associations to 12 pairs of translation equivalents. Older…

  18. School-Based Asthma Case Finding: The Arkansas Experience

    ERIC Educational Resources Information Center

    Vargas, Perla A.; Magee, James S.; Bushmiaer, Margo; Simpson, Pippa M.; Jones, Craig A.; Feild, Charles R.; Jones, Stacie M.

    2006-01-01

    This population-based case-finding study sought to determine asthma prevalence and characterize disease severity and burden among school-aged children in the Little Rock School District. Asthma cases were identified by validated algorithm and parental report of asthma diagnosis. The overall response rate was low. Among schools with greater than…

  19. The Experience of Age-Related Macular Degeneration

    ERIC Educational Resources Information Center

    Wong, Elaine Y. H.; Guymer, Robyn H.; Hassell, Jennifer B.; Keeffe, Jill E.

    2004-01-01

    This qualitative article describes the impact of age-related macular degeneration (ARMD) among 15 participants: how a person makes sense of ARMD, the effect of ARMD on the person's quality of life, the psychological disturbances associated with the limitations of ARMD, and the influence of ARMD on social interactions. Such in-depth appreciation of…

  20. Experiences with physical conditioning programs in middle-aged men

    NASA Technical Reports Server (NTRS)

    Schuster, B.; Stanley, E.

    1969-01-01

    Long term effects of physical exercise and conditioning in the prevention and treatment of coronary heart disease are studied. Some aspects of the problem are outlined and difficulties encountered in a group of middle aged business executives using a carefully prescribed, but non-regimented and loosely supervised conditioning program employing commonly used forms of exercise (bicycling and jogging), are described.

  1. Learning Wellness: How Ageing Australians Experience Health Information Literacy

    ERIC Educational Resources Information Center

    Yates, Christine; Partridge, Helen; Bruce, Christine

    2009-01-01

    Given identified synergies between information use and health status greater understanding is needed about how people use information to learn about their health. This paper presents the findings of preliminary research into health information literacy. Analysis of data from semi-structured interviews revealed six different ways ageing Australians…

  2. [Experiences with varroatosis control (field cases)].

    PubMed

    Sabolic, M; Liebig, G

    1989-01-01

    The prevalence of Varroa jacobsoni in 20 bee-farms with an average of 371 swarms in the administrative districts of Tübingen and Stuttgart was investigated between 1983 and 1987. In summer as well as after each treatment the debris was examined regularly. On 19 bee-farms the population dynamics of the mites showed a similar pattern. During the first year after the varroatosis diagnosis we found an average of 30-50 mites after autumn treatment. This number increased to 300-600 varroa mites during the second and to several thousand during the third and fourth year. Evidently, the late autumn/early winter treatment of the more heavily infected swarms (during the third or fourth year after diagnosis) with Perizin or Folbex-VA-neu was usually insufficient to prevent damage or even a complete breakdown. In such swarms formic acid in form of the Illertisser mite plate must be applied as early as August or at the latest in September (after the end of the honey season). On one of the 20 bee-farms the development of the varroa mite infection differed from the other 19 farms. In this case the mite infection developed very slowly. The husbandry and environmental conditions could not explain this phenomenon. We think that this warrants further investigations. PMID:2617530

  3. AGE (Argon Geochronology Experiment): An Instrument for Geochronology on the Surface of Mars

    NASA Technical Reports Server (NTRS)

    Swindle, T. D.; Bode, R.; Boynton, W. V.; Kring, D. A.; Williams, M.; Chutjian, A.; Darrach, M. R.; Cremers, D. A.; Wiens, R. C.; Baldwin, S. L.

    2003-01-01

    As our knowledge of the planet Mars continues to grow, one parameter that remains elusive is the absolute chronology of the planet s geological history. Although crater counts have provided a robust relative chronology, impactor fluxes are poorly enough known that there are places on Mars where the absolute age is uncertain by a factor of two or more. To resolve these uncertainties, it will be necessary to either analyze well-documented samples returned to the Earth from the Martian surface or to perform in situ measurements with sufficient precision. Sample return is still at least a decade away, and even then it might be from a biologically interesting area that might be geologically complex. Hence an in situ measurement, within an uncertainty of 20% or better, could greatly improve our knowledge of the history of Mars. With funding from the Planetary Instrument Definition and Development Program (PIDDP), we have been working on an instrument to perform potassium-argon (K-Ar) and cosmic-ray exposure (CRE) dating in situ on the surface of Mars. For either of these techniques, it is necessary to measure the abundance of one or more major or minor elements (K in the case of KAr; all majors and minors in the case of CRE) and the abundance and isotopes composition of a noble gas (Ar in the case of K-Ar; He, Ne and Ar for CRE dating). The technology for either of these types of measurements exists, but has never before been integrated for a spacecraft. We refer to the instrument as AGE, the Argon Geochronology Experiment (although we will measure the noble gases He and Ne as well for CRE ages). We report here on the basic components that go into such an instrument, both those that use existing technology and those that had to be developed to create the integrated package.

  4. Utilization of bone impedance for age estimation in postmortem cases.

    PubMed

    Ishikawa, Noboru; Suganami, Hideki; Nishida, Atsushi; Miyamori, Daisuke; Kakiuchi, Yasuhiro; Yamada, Naotake; Wook-Cheol, Kim; Kubo, Toshikazu; Ikegaya, Hiroshi

    2015-11-01

    In the field of Forensic Medicine the number of unidentified cadavers has increased due to natural disasters and international terrorism. The age estimation is very important for identification of the victims. The degree of sagittal closure is one of such age estimation methods. However it is not widely accepted as a reliable method for age estimation. In this study, we have examined whether measuring impedance value (z-values) of the sagittal suture of the skull is related to the age in men and women and discussed the possibility to use bone impedance for age estimation. Bone impedance values increased with aging and decreased after the age of 64.5. Then we compared age estimation through the conventional visual method and the proposed bone impedance measurement technique. It is suggested that the bone impedance measuring technique may be of value to forensic science as a method of age estimation. PMID:26421720

  5. The Subtlety of Age, Gender, and Race Barriers: A Case Study of Early Career African American Female Principals

    ERIC Educational Resources Information Center

    Jean-Marie, Gaetane

    2013-01-01

    While all educational leaders face challenges in achieving success, African American female principals often face a unique set of challenges associated with the complexity of their gender, race, and, as examined in this study, age. This case study investigates the experiences of two highly visible, early career African American female principals…

  6. Awkward or Amazing: Gender and Age Trends in First Intercourse Experiences

    ERIC Educational Resources Information Center

    Walsh, Jennifer L.; Ward, L. Monique; Caruthers, Allison; Merriwether, Ann

    2011-01-01

    Although research continues to highlight significant gender differences in first coital experiences, developmental approaches suggest that some of these patterns may be age-related. Therefore, this study investigated both gender and age differences in first intercourse experiences. Open-ended responses regarding reasons for, and descriptions of,…

  7. Kenyan Student-Teacher Counsellors' Creativity and Its Relationship with Their Gender, Age, and Teaching Experience

    ERIC Educational Resources Information Center

    Kinai, Theresia Kavuli

    2013-01-01

    The purpose of the study was: (1) assess creativity of postgraduate student-teacher counselors whose age range was 25-54 years old, and teaching experience of 4-25 years; and (2) to find out whether age, gender, and teaching experience influence creativity. Seventy-two participants (43 females and 29 males) responded to the ICAS (Ibadan Creativity…

  8. Urethral duplication in males: our experience in ten cases.

    PubMed

    Arena, Salvatore; Arena, Carmela; Scuderi, Maria Grazia; Sanges, Giuseppe; Arena, Francesco; Di Benedetto, Vincenzo

    2007-08-01

    Urethral duplication is a rare congenital anomaly, affecting mainly boys. Clinical presentation varies because of the different anatomical patterns of this abnormality. We report our experience in ten males affected by urethral duplication. We retrospectively reviewed the records of ten males affected by urethral duplication. Mild cases of distal type I duplications as well as "Y-type" duplication associated to anorectal malformation were excluded. Evaluation included voiding cystourethrography, retrograde urethrography, intravenous urography and urethrocystoscopy. Mean age at diagnosis was 46.7 +/- 32.3 months A blind ending duplicated urethra (type I) was present in three patients, two urethras originating from a common bladder neck (type II A2) in three, an "Y-type" duplication in three and a complete bladder with incomplete urethral duplication in one. Surgical management included excision of the duplicated urethra in four patients while a displacement of the ventral urethra (in "Y-type" duplication) in perineal-scrotal or scrotal position was performed in two patients as first stage of urethral reconstruction. Good cosmetical and functional results were achieved in all six treated boys while surgical management was not required in four. Urethral duplication is often associated with genito-urinary and gastro-intestinal abnormalities. Embryology is unclear and a lot of hypotheses have been proposed. We believe that the same embryological explanation cannot be applied to all subtypes of urethral duplication. Management must be evaluated for each case. The overall prognosis is good, in spite of the presence of other severe associate congenital anomalies. PMID:17576574

  9. The Toxicology Investigators Consortium Case Registry--the 2014 Experience.

    PubMed

    Rhyee, Sean H; Farrugia, Lynn; Campleman, Sharan L; Wax, Paul M; Brent, Jeffrey

    2015-12-01

    The Toxicology Investigators Consortium (ToxIC) Case Registry was established in 2010 by the American College of Medical Toxicology. The Registry includes all medical toxicology consultations performed at participating sites. The Registry was queried for all cases entered between January 1 and December 31, 2014. Specific data reviewed for analysis included demographics (age, gender, ethnicity), source of consultation, reasons for consultation, agents involved in toxicological exposures, signs, symptoms, clinical findings, fatalities, and treatment. In 2014, 9172 cases were entered in the Registry across 47 active member sites. Females accounted for 51.1 % of cases. The majority (65.1 %) of cases were adults between the ages of 19 and 65. Caucasians made up the largest identified ethnic group (48.9 %). Most Registry cases originated from the inpatient setting (93.5 %), with a large majority of these consultations coming from the emergency department or inpatient admission services. Intentional and unintentional pharmaceutical exposures continued to be the most frequent reasons for consultation, accounting for 61.7 % of cases. Among cases of intentional pharmaceutical exposure, 62.4 % were associated with a self-harm attempt. Non-pharmaceutical exposures accounted for 14.1 % of Registry cases. Similar to the past years, non-opioid analgesics, sedative-hypnotics, and opioids were the most commonly encountered agents. Clinical signs or symptoms were noted in 81.9 % of cases. There were 89 recorded fatalities (0.97 %). Medical treatment (e.g., antidotes, antivenom, chelators, supportive care) was rendered in 62.3 % of cases. Patient demographics and exposure characteristics in 2014 Registry cases remain similar to prior years. The majority of consultations arose in the acute care setting (emergency department or inpatient) and involved exposures to pharmaceutical products. Among exposures, non-opioid analgesics, sedative/hypnotics, and opioids were the most frequently

  10. Wizards and scientists: the pharmacologic experience in the Middle Ages.

    PubMed

    Rossi, F; Mangrella, M; Loffreda, A; Lampa, E

    1994-01-01

    During the Dark ages, Greco-Roman science survived in the eastern Roman Empire and the most important advances in pharmacology and pharmacy were made in Byzantium. As the Arab empires spread in the 7th and 8th centuries, they incorporated earlier learning, and the most important contribution of Arabic medical writers was probably the introduction of formularies to aid in the preparation of medicines. In turn, the later spread of Arabic knowledge to the West introduced little-known plants and fostered an interest in collecting and cultivating them, and also introduced the palatable dose forms preferred by the Arabic doctors. In the West, however, the Christian Church taught a doctrine of unquestioning faith, and despite the centers of learning, e.g. at Salerno, most ordinary people depended on the healing power of faith, religious relics and traditional folk medicine. Hydrology was also well developed in the Middle Ages. The formularia that survive describe many indigenous plants, but with few illustrations. Their gathering and preparation is generally guided by magic ceremonies and ritual, and plants often took their properties from their habitat, e.g. the wayside plantain was thought good for tired or wounded feet. Concepts of therapeutic plants were also influenced by alchemy and were linked to related metals and planets. PMID:7847474

  11. Use of Facebook: A Case Study of Singapore Students' Experience

    ERIC Educational Resources Information Center

    Hew, Khe Foon; Cheung, Wing Sum

    2012-01-01

    Facebook has become one of the most popular social network sites among many students. However, current research on Facebook use has focused mainly on Anglo-American students. Relatively little is known about Facebook use in Singapore. Data were collected from 83 students (ages ranged from 15 to 23). This study uses a naturalistic case study…

  12. Young Children's Learning of Novel Digital Interfaces: How Technology Experience, Age, and Design Come into Play

    ERIC Educational Resources Information Center

    Gilutz, Shuli

    2009-01-01

    This study looks at the relationship between age, technology experience, and design factors in determining young children's comprehension of novel digital interfaces. In Experiment 1, 35 preschoolers played three games that varied in complexity and familiarity. Parental questionnaires were used to assess children's previous technology experience.…

  13. Correlates of Root Caries Experience in Middle-Aged and Older Adults within the Northwest PRECEDENT

    PubMed Central

    Chi, Donald L.; Berg, Joel H.; Kim, Amy S.; Scott, JoAnna

    2014-01-01

    STRUCTURED ABSTRACT Background We examined the correlates of root caries experience for middle-aged (ages 45–64 years) and older adults (ages 65+ years) to test the hypothesis that the factors related to root caries are different for middle-aged versus older adults. Methods This observational cross-sectional study focused on adult patients ages 45–97 years recruited from the Northwest PRECEDENT (N=775 adults). The outcome variable was any root caries experience (no/yes). Sociodemographic, intraoral, and behavioral factors were hypothesized as potential root caries correlates. We used Poisson regression models to generate overall and age-stratified prevalence ratios (PR) of root caries and Generalized Estimating Equations to account for practice-level clustering of participants. Results About 20% of adults had any root caries. Dentists’ assessment that the patient was at high risk for any caries was associated with greater prevalence of root caries experience in both middle-aged adults (PR=2.70, 95% CI: 1.63,4.46) and older adults (PR=1.87, 95% CI: 1.19,2.95). The following factors were significantly associated with increased root caries prevalence, but only for middle-aged adults: male sex (P=.02), self-reported dry mouth (P<.0001), exposed roots (P=.03), and increased frequency of eating or drinking between meals (P=.03). No other covariates were related to root caries experience for older adults. Conclusions Within a practice-based research network, the factors associated with root caries experience were different for middle-aged and older adults. Future work should identify relevant root caries correlates for adults ages 65+ years. Clinical Implications Interventions aimed at preventing root caries are likely to be different for middle-aged and older adults. Root caries prevention programs should address the appropriate aged-based risk factors. PMID:23633699

  14. The Toxicology Investigators Consortium Case Registry-the 2015 Experience.

    PubMed

    Farrugia, Lynn A; Rhyee, Sean H; Campleman, Sharan L; Ruha, Anne-Michelle; Weigand, Timothy; Wax, Paul M; Brent, Jeffrey

    2016-09-01

    The American College of Medical Toxicology established the Toxicology Investigators Consortium (ToxIC) Case Registry in 2010. The Registry contains all medical toxicology consultations performed at participating sites. The Registry has continued to grow since its inception, and as of December 31, 2015, contains 43,099 cases. This is the sixth annual report of the ToxIC Registry, summarizing the additional 8115 cases entered in 2015. Cases were identified by a query of the Registry for all cases entered between January 1 and December 31, 2015. Specific data reviewed for analysis included demographics (age, race, gender), source of consultation, reason for consultation, agents and agent classes involved in exposures, signs, symptoms, clinical findings, fatalities, and treatment. By the end of 2015, there were 50 active sites, consisting of 101 separate health-care facilities; 51.2 % of cases involved females. Adults between the ages of 19 and 65 made up the majority (64.2 %) of Registry cases. Caucasian race was the most commonly reported (55.6 %); 9.6 % of cases were identified as Hispanic ethnicity. Inpatient and emergency department referrals were by far the most common referral sources (92.9 %). Intentional pharmaceutical exposures remained the most frequent reason for consultation, making up 52.3 % of cases. Of these intentional pharmaceutical exposures, 69 % represented an attempt at self-harm, and 85.6 % of these were a suicide attempt. Nonopioid analgesics, sedative-hypnotics, and antidepressant agents were the most commonly reported agent classes in 2015. Almost one-third of Registry cases involved a diagnosed toxidrome (32.8 %), with a sedative-hypnotic toxidrome being the most frequently described. Significant vital sign abnormalities were recorded in 25.3 % of cases. There were 98 fatalities reported in the Registry (1.2 %). Adverse drug reactions were reported in 4.3 % of cases. Toxicological treatment was given in 65.3 % of cases, with 33.0

  15. Childhood Parasomnias and Psychotic Experiences at Age 12 Years in a United Kingdom Birth Cohort

    PubMed Central

    Fisher, Helen L.; Lereya, Suzet Tanya; Thompson, Andrew; Lewis, Glyn; Zammit, Stanley; Wolke, Dieter

    2014-01-01

    Study Objectives: To examine associations between specific parasomnias and psychotic experiences in childhood. Design: Birth cohort study. Information on the presence of frequent nightmares in children was obtained prospectively from mothers during multiple assessments conducted when children were aged between 2.5 and 9 y. Children were interviewed at age 12 y about nightmares, night terrors, sleepwalking, and psychotic experiences (delusions, hallucinations, and thought interference) occurring in the previous 6 mo. Setting: Assessments were completed in participants' homes or a University clinic within the UK. Patients or Participants: There were 6,796 children (3,462 girls, 50.9%) who completed the psychotic experiences interview. Measurements and Results: Children who were reported by their mothers as experiencing frequent nightmares between 2.5 and 9 y of age were more likely to report psychotic experiences at age 12 y, regardless of sex, family adversity, emotional or behavioral problems, IQ and potential neurological problems (odds ratio (OR) = 1.16, [95% confidence intervals (CI) = 1.00, 1.35], P = 0.049). Children reporting any of the parasomnias at age 12 y also had higher rates of concurrent psychotic experiences than those without such sleeping problems, when adjusting for all confounders (OR = 3.62 [95% CI = 2.57, 5.11], P < 0.001). Difficulty getting to sleep and night waking were not found to be associated with psychotic experiences at age 12 y when controlling for confounders. Conclusion: Nightmares and night terrors, but not other sleeping problems, in childhood were associated with psychotic experiences at age 12 years. These findings tentatively suggest that arousal and rapid eye movement forms of sleep disorder might be early indicators of susceptibility to psychotic experiences. Citation: Fisher HL; Lereya ST; Thompson A; Lewis G; Zammit S; Wolke D. Childhood parasomnias and psychotic experiences at age 12 years in a United Kingdom birth cohort

  16. Appetite and falls: Old age and lived experiences

    PubMed Central

    Sarvimäki, Anneli

    2012-01-01

    Falling among older adults is a well-known public health problem but the association between falling and appetite is seldom studied although poor nutritional status is accepted as a risk factor for falls. On this background the aim of this study was to understand how older adults, who have fallen several times within a year, related their experiences of appetite as a phenomenon in everyday life. In narrative in-depth interviews, eight women and four men contributed with their stories. Using interpretative phenomenology the thematic analysis resulted in three main themes: appetite for food; appetite for social relations and appetite for influence. Eating was not trivial everyday routine and required self-regimentation. Meals were not an object of desire, but of discipline out of the wish to survive. Feelings, reflections and ambivalence were bound to the lack of appetite on food. The participants were oriented towards the forbidden, the delicious and to everyday food as a strengthener and as medicine. In their dependency on help, home was the framework for establishing social relations as means of social support. As well as family and neighbours, the significant others were persons on whom the participants were dependent. Personal relationships and mutual dependencies may ensure social security in lives characterised by contingency and maintain influence in daily life. Falling is both a dramatic and a trivial incident where life and death could be at stake. From this perspective, connectedness was prominent in all fall stories. The quest for influence and a sense of social connectedness was the incentive to re-enter local community arenas and to express solidarity. In health-care practice multi-factorial fall-prevention should be complemented with a multi-dimensional approach in order to balance the medical approach with humanistic and societal approaches towards fall-prevention. PMID:22389651

  17. Aging in poverty: making the case for comprehensive care management.

    PubMed

    Judd, Rebecca G; Moore, Brenda A

    2011-10-01

    A model for holistic care management that would enhance outcomes for economically vulnerable older adults who receive an array of disjointed services administered through the older Americans Act (OAA) and local Area Agencies on Aging (AAA) is proposed. Fragmented service delivery is typically wasteful and ineffectual, but comprehensive care management that includes an autonomous care manager, a single interagency plan of care and ongoing monitoring that is client-centered may protect those aging in poverty from negative health outcomes. PMID:21967136

  18. The effects of age and experience on memory for visually presented music.

    PubMed

    Meinz, E J; Salthouse, T A

    1998-01-01

    Increased age is often associated with lower levels of performance in tests of memory for spatial information. The primary question in the current study was whether this relationship could be moderated as a function of one's relevant experience and/or knowledge. Stimulus materials consisted of short (7-11 note), visually presented musical melodies and structurally equivalent nonmusical stimuli. Participants (N = 128) were recruited from a wide range of age and experience levels. Although there were strong main effects of age and experience on memory for music, there was no evidence that the age-related differences in memory for these stimuli were smaller for individuals with moderate to large amounts of experience with music. PMID:9469173

  19. Aging of nuclear station diesel generators: Evaluation of operating and expert experience: Phase 1, Study

    SciTech Connect

    Hoopingarner, K.R.; Vause, J.W.; Dingee, D.A.; Nesbitt, J.F.

    1987-08-01

    Pacific Northwest Laboratory evaluated operational and expert experience pertaining to the aging degradation of diesel generators in nuclear service. The research, sponsored by the US Nuclear Regulatory Commission (NRC), identified and characterized the contribution of aging to emergency diesel generator failures. This report, Volume I, reviews diesel-generator experience to identify the systems and components most subject to aging degradation and isolates the major causes of failure that may affect future operational readiness. Evaluations show that as plants age, the percent of aging-related failures increases and failure modes change. A compilation is presented of recommended corrective actions for the failures identified. This study also includes a review of current, relevant industry programs, research, and standards. Volume II reports the results of an industry-wide workshop held on May 28 and 29, 1986 to discuss the technical issues associated with aging of nuclear service emergency diesel generators.

  20. Adolescents' Definitions of Bullying: The Contribution of Age, Gender, and Experience of Bullying

    ERIC Educational Resources Information Center

    Byrne, Hollie; Dooley, Barbara; Fitzgerald, Amanda; Dolphin, Louise

    2016-01-01

    The aim of the present research was to examine adolescents' definitions of bullying in a nationally representative sample of adolescents in Ireland. Definitions of bullying were examined according to age, gender, and bullying experiences. A sample of 4358 adolescents aged 12-19 years (M = 14.99 years, SD = 1.63) provided their definitions of…

  1. Voices of Transformational Learning: Life Experiences of Women Aged Eighty and above in the United States

    ERIC Educational Resources Information Center

    Morgan, Lorri A.

    2010-01-01

    This qualitative research study examined the lived experiences and stories of dynamic women over 80 years of age. Their contribution to transformational and lifelong learning may offer a blueprint for baby boomers to age successfully. The exploration disclosed common patterns of the individual lives. The interviews revealed that the women were…

  2. Relationship of Age, Marital Status, and Work Experience of Community College Nursing Students to Grades.

    ERIC Educational Resources Information Center

    Frerichs, Marian L.

    To investigate differences in academic success due to age (younger or older than age 23), marital status, and nursing experience, a three-way analysis of variance was performed on the grade point averages of 1,435 female nursing students enrolled in 22 Associate Degree Nursing (ADN) programs in Illinois. The sample, representing over 90 percent of…

  3. Empathetic Responses and Attitudes about Older Adults: How Experience with the Aging Game Measures up

    ERIC Educational Resources Information Center

    Henry, Beverly W.; Ozier, Amy D.; Johnson, Amy

    2011-01-01

    This study aimed to assess the impact of pre-professional education on students' knowledge and attitudes about aging, including the option of a simulated learning activity. Using a mixed design, groups of nursing and nutrition students (n = 127) were randomly assigned to experience the Aging Game. Pre- and posttest observations included measures…

  4. Large block migration experiments: INTRAVAL phase 1, Test Case 9

    SciTech Connect

    Gureghian, A.B.; Noronha, C.J. . Office of Waste Technology Development); Vandergraaf, T.T. )

    1990-08-01

    The development of INTRAVAL Test Case 9, as presented in this report, was made possible by a past subsidiary agreement to the bilateral cooperative agreement between the US Department of Energy (DOE) and Atomic Energy of Canada Limited (AECL) encompassing various aspects of nuclear waste disposal research. The experimental aspect of this test case, which included a series of laboratory experiments designed to quantify the migration of tracers in a single, natural fracture, was undertaken by AECL. The numerical simulation of the results of these experiments was performed by the Battelle Office of Waste Technology Development (OWTD) by calibrating an in-house analytical code, FRACFLO, which is capable of predicting radionuclide transport in an idealized fractured rock. Three tracer migration experiments were performed, using nonsorbing uranine dye for two of them and sorbing Cs-137 for the third. In addition, separate batch experiments were performed to determine the fracture surface and rock matrix sorption coefficients for Cs-137. The two uranine tracer migration experiment were used to calculate the average fracture aperture and to calibrate the model for the fracture dispersivity and matrix diffusion coefficient. The predictive capability of the model was then tested by simulating the third, Cs-137, tracer test without changing the parameter values determined from the other experiments. Breakthrough curves of both the experimental and numerical results obtained at the outlet face of the fracture are presented for each experiment. The reported spatial concentration profiles for the rock matrix are based solely on numerical predictions. 22 refs., 12 figs., 8 tabs.

  5. International Exchange as a Transformative Learning Experience: A Case Study

    ERIC Educational Resources Information Center

    Choi, Sheena; Slaubaugh, Michael; Kim, Ae-Sook

    2012-01-01

    This study examines the role of international exchange programs on the transformative learning of English-speaking students. A student exchange program at a South Korean university is used for this case study. It explores how learning experiences are translated by participants onto their perceptions about the host country. An analysis of a pre-…

  6. Case Study of the California Experience in Library Collection Building.

    ERIC Educational Resources Information Center

    Voigt, Melvin J.

    A variety of examples of collection development in a university system is provided by this case study. The University of California's nine campuses provide a wide variety of library acquisition experience. A retrospective view of their development reflects the changing pace and pattern of library collection building over the years. The University…

  7. Age Experience, and Learning on the Job: Crossing the Boundaries between Training and Workplace

    ERIC Educational Resources Information Center

    Onnismaa, Jussi

    2008-01-01

    A case study of a tailor-made apprenticeship training program for experienced employees is presented. The existing and aspiring heads, managers, and experts in a single enterprise were offered apprenticeship training for special vocational qualification in engineering. The aim of the case study was to discover participants' views about age,…

  8. The Relative Age Effect in Elite Sport: The French Case

    ERIC Educational Resources Information Center

    Delorme, Nicolas; Boiche, Julie; Raspaud, Michel

    2009-01-01

    The relative age effect (RAE) is considered a common phenomenon in elite sport. However, it has not been examined systematically in previous research, and the mechanisms likely to generate or to limit such an effect are little understood. This paper investigates the prevalence of the RAE in French professional championship-level players, taking…

  9. Spinal dorsal dermal sinus tract: An experience of 21 cases

    PubMed Central

    Singh, Ishwar; Rohilla, Seema; Kumar, Prashant; Sharma, Saurabh

    2015-01-01

    Background: Spinal dorsal dermal sinus is a rare entity, which usually comes to clinical attention by cutaneous abnormalities, neurologic deficit, and/or infection. The present study was undertaken to know the clinical profile of these patients, to study associated anomalies and to assess the results of surgical intervention. Methods: Medical records of 21 patients treated for spinal dorsal dermal sinus from September 2007 to December 2013 were reviewed. Results: We had 21 patients with male: female ratio of 13:8. Only 2 patients were below 1-year of age, and most cases (15) were between 2 and 15 years (mean age = 8.2 years). Lumbar region (11 cases) was most frequently involved, followed by thoracic (4 cases), lumbosacral, and cervical region in 3 patients each. All of our patients presented with neurological deficits. Three patients were admitted with acute meningitis with acute onset paraplegia and had intraspinal abscess. The motor, sensory, and autonomic deficits were seen in 14, 6, and 8 patients, respectively. Scoliosis and congenital talipes equinovarus were the common associated anomalies. All patients underwent surgical exploration and repair of dysraphic state and excision of the sinus. Overall, 20 patients improved or neurological status stabilized and only 1 patient deteriorated. Postoperative wound infection was seen in 2 cases. Conclusions: All patients with spinal dorsal dermal sinuses should be offered aggressive surgical treatment in the form of total excision of sinus tract and correction of spinal malformation, as soon as diagnosed. PMID:26539316

  10. School-Age Prework Experiences of Young People with a History of Specific Language Impairment

    ERIC Educational Resources Information Center

    Durkin, Kevin; Fraser, Jill; Conti-Ramsden, Gina

    2012-01-01

    Young people with specific language impairment (SLI) are at risk for poorer outcomes with respect to employment in adulthood, yet little is known of how early school-age prework experiences prepare them for the job market. This study examined whether young people with SLI engage in similar types of early work experiences as their typically…

  11. Effects of Age, Gender, College Status, and Computer Experience on Attitudes toward Library Computer Systems (LCS).

    ERIC Educational Resources Information Center

    Koohang, Alex A.

    1986-01-01

    This investigation of the effects of age, gender, college status, and computer experience on students' attitudes toward an online catalog measured student attitudes on three subscales--computer anxiety, computer confidence, and computer liking. Results of analysis of variance showed that computer experience was significantly related to computer…

  12. Ten years' experience conducting the Aging Game workshop: was it worth it?

    PubMed

    Pacala, James T; Boult, Chad; Hepburn, Ken

    2006-01-01

    In the Aging Game, medical students experience simulated physical, sensory, and cognitive deficits that are associated with disability from chronic diseases. Since 1994, the University of Minnesota has presented an innovative version of the Aging Game as part of the curriculum in a required clinical clerkship. The experiences conducting the Aging Game over the past decade were reviewed, focusing on the resources necessary to produce it and on its worth as an educational tool. Because many of the reusable props were obtained free as donations, start-up material costs were calculated at 530 dollars. Personnel necessary for each half-day presentation of the Aging Game included two faculty and a minimum of five nonfaculty serving as facilitators; a staff coordinator was also essential. Quantitative student evaluations (N=673) exhibited mean ratings of 1.41, 1.35, and 1.40 (1=excellent) for overall value, teaching effectiveness, and quality of a postsimulation discussion. Written student comments regarding the strengths of the Aging Game centered on three major themes: mode of learning, especially using role playing and simulating deficits (total of 192 comments); attitudinal change, specifically raising awareness and stimulating reflection on the experiences of disabled older adults (121 comments); and educational value, particularly the Aging Game's capacity for creating a memorable impression (56 comments). Despite consuming significant personnel resources, the Minnesota version of the Aging Game is an effective tool for stimulating long-lasting awareness and understanding of key issues related to aging and geriatrics. PMID:16420212

  13. Adverse Childhood Experiences and Adult Risk Factors for Age-Related Disease

    PubMed Central

    Danese, Andrea; Moffitt, Terrie E.; Harrington, HonaLee; Milne, Barry J.; Polanczyk, Guilherme; Pariante, Carmine M.; Poulton, Richie; Caspi, Avshalom

    2013-01-01

    Objective To understand why children exposed to adverse psychosocial experiences are at elevated risk for age-related disease, such as cardiovascular disease, by testing whether adverse childhood experiences predict enduring abnormalities in stress-sensitive biological systems, namely, the nervous, immune, and endocrine/metabolic systems. Design A 32-year prospective longitudinal study of a representative birth cohort. Setting New Zealand. Participants A total of 1037 members of the Dunedin Multidisciplinary Health and Development Study. Main Exposures During their first decade of life, study members were assessed for exposure to 3 adverse psychosocial experiences: socioeconomic disadvantage, maltreatment, and social isolation. Main Outcome Measures At age 32 years, study members were assessed for the presence of 3 age-related-disease risks: major depression, high inflammation levels (high-sensitivity C-reactive protein level >3 mg/L), and the clustering of metabolic risk biomarkers (overweight, high blood pressure, high total cholesterol, low high-density lipoprotein cholesterol, high glycated hemoglobin, and low maximum oxygen consumption levels. Results Children exposed to adverse psychosocial experiences were at elevated risk of depression, high inflammation levels, and clustering of metabolic risk markers. Children who had experienced socioeconomic disadvantage (incidence rate ratio, 1.89; 95% confidence interval, 1.36–2.62), maltreatment (1.81; 1.38–2.38), or social isolation (1.87; 1.38–2.51) had elevated age-related-disease risks in adulthood. The effects of adverse childhood experiences on age-related-disease risks in adulthood were nonredundant, cumulative, and independent of the influence of established developmental and concurrent risk factors. Conclusions Children exposed to adverse psychosocial experiences have enduring emotional, immune, and metabolic abnormalities that contribute to explaining their elevated risk for age-related disease. The

  14. Semantic Development in Spanish-English Bilingual Children: Effects of Age and Language Experience

    PubMed Central

    Sheng, Li; Bedore, Lisa M.; Peña, Elizabeth D.; Fiestas, Christine

    2012-01-01

    This study examines semantic development in 60 Spanish-English bilingual children, ages 7 years 3 months to 9 years 11 months, who differed orthogonally in age (younger, older) and language experience (HEE: higher English experience, HSE: higher Spanish experience). Children produced three associations to 12 pairs of translation equivalents. Older children produced more semantic responses and code-switched more often from Spanish to English than younger children. Within each group, children demonstrated better performance in the more frequently used than the less used language. The HEE children outperformed the HSE children in English and the HSE children outperformed the HEE children in Spanish. These effects of age and language experience are consistent with predictions of the Revised Hierarchical Model of bilingual lexical organization. PMID:23163772

  15. Cases of acute gastroenteritis due to calicivirus in outbreaks: clinical differences by age and aetiological agent.

    PubMed

    Sala, M R; Broner, S; Moreno, A; Arias, C; Godoy, P; Minguell, S; Martínez, A; Torner, N; Bartolomé, R; de Simón, M; Guix, S; Domínguez, A

    2014-08-01

    The Caliciviridae family includes norovirus and sapovirus, which both cause acute gastroenteritis (AGE). Currently, norovirus is the most common cause of AGE in all age groups in many countries. We analysed clinical differences in reported cases of acute gastroenteritis caused by caliciviruses (AGC) by age group and agent involved. We conducted a descriptive study of AGE outbreaks reported to the Public Health Agency of Catalonia (Spain) in 2010 and 2011. The odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were calculated to estimate the association between clinical symptoms and age. Clinical differences between the <15 years and ≥15 years age groups were statistically significant: children more frequently presented with vomiting (OR, 3.25; 95% CI, 2.56-4.13), abdominal pain (OR, 3.27; 95% CI, 2.60-4.12), fever (OR, 1.51; 95% CI, 1.17-1.96) and nausea (OR, 1.49; 95% CI, 1.19-1.85). Comparing clinical manifestations of sapovirus and norovirus infection in children aged <15 years, cases caused by norovirus more frequently presented with vomiting and fever (p <0.001), and cases caused by sapovirus more frequently presented with diarrhoea (p 0.013). Determination of the clinical differences associated with cases in outbreaks according to the age of the majority of cases and the symptoms most frequently detected may aid decision making and guide aetiological investigations and the adoption of prevention and control measures. PMID:24382267

  16. Medical case reports in the age of genomic medicine

    PubMed Central

    Cook, Matthew C

    2015-01-01

    The case report has been a pillar of medical literature but has been displaced recently because of inherent risks of bias. As we move towards precision medicine, however, the case report format could provide an important method for describing disease mechanisms based on rare genetic variants. Empirical evidence reveals that many previously unexplained Mendelian diseases are accounted for by rare heterozygous alleles, de novo mutations or compound heterozygous mutations, and that disease-associated variants are often confined to the kindred of the affected individual. Elucidation of the phenotypes of these rare genetic variants will necessarily offer unique insights into disease mechanisms. Even when the association between variants in a specific gene and a disease has already been identified, individual cases are valuable. Allelic series extend both the clinical and laboratory phenotypes. Finally, the prevalence of a disease is not a reliable indicator of the therapeutic importance of the underlying mechanism, so resolving extreme phenotypes even in single cases has the potential to identify new treatment strategies relevant to more common disease. PMID:26682053

  17. Transvaginal aspiration of ovarian cysts: our experience over 121 cases.

    PubMed

    Koutlaki, Nikoleta; Nikas, Ioannis; Dimitraki, Marina; Grapsas, Xenofon; Psillaki, Afrodite; Mandratzi, Jeyaver; Liberis, Anastasios; Liberis, Vasilios

    2011-05-01

    We performed an evaluation of ultrasound-guided transvaginal aspiration of ovarian cysts as a viable alternative to surgery in 104 reproductive and 17 postmenopausal women. One-hundred and twenty-one patients with a simple >4 cm diameter ovarian cyst, with a benign appearance on ultrasound as well as on clinical and blood examination, underwent transvaginal fine needle aspiration of the cyst under ultrasonographic control. One-hundred and four patients were of reproductive age and 12 were postmenopausal. Sixty women who were of reproductive age and in which OCP treatment was not contraindicated followed a six-month therapy with oral contraceptives after the intervention. In the group of patients of reproductive age under OCP treatment the cyst persisted in nine of the 60 women (recurrence rate 15%). In the other group of patients of reproductive age,under no OCP treatment, the recurrence rate was 47% (21 of the 44 women). In the group of postmenopausal patients, the cyst persisted in ten out of 17 cases (recurrence rate 58,9%). Transvaginal aspiration of ovarian cysts is a reliable alternative to surgery with many advantages such as excellent tolerance, low risk and cost of complications and recurrence. The OCP treatment after aspiration seems to increase the success rate of expectant management. PMID:21082900

  18. Cognitive experience and its effect on age-dependent cognitive decline in beagle dogs.

    PubMed

    Milgram, Norton W

    2003-11-01

    Test-sophisticated beagle dogs show marked age sensitivity in a size discrimination learning task, with old and senior dogs performing significantly more poorly than young dogs. By contrast, age differences in learning were not seen in dogs naive with respect to neuropsychological test experience. These results indicate that old animals benefit less from prior cognitive experience than young animals, which is an example of an age-dependent loss in plasticity. This finding also suggests that behaviorally experienced animals are a more useful model of human cognitive aging than behaviorally naïve animals. We also looked at the effect of a program of behavioral enrichment in aged dogs. One year of enrichment did not lead to significant differences, but after 2 years the behaviorally enriched group performed significantly better than the control group. The effect after 2 years indicates that a prolonged program of cognitive enrichment can serve as an effective intervention in aged dogs. These findings demonstrate that cognitive abilities in aged animals can be modified by providing behavioral experience, indicating that cognitive abilities remain moderately plastic, even in very old animals. PMID:14584821

  19. Aging Aircraft Transparencies: AN Italian Air Force Fleet Case History

    NASA Astrophysics Data System (ADS)

    Caucci, D.; Aiello, L.; Bagnoli, F.; Bernabei, M.

    2008-08-01

    Aircraft acrylic transparencies are structural components that must withstand flight and ground loads. Crazing occurrence, known as Environmental Stress Cracking (ESC), causes their substitution during aircraft maintenance operations. This form of aging is mainly a physical phenomenon due to the interaction of transparencies base material with an active liquid and leads craze formation at lower stress that would be required in air. In this paper, an extensive phenomenon of network ESC occurred on transparencies of many aircrafts operating in the same fleet was investigated. Cover application while parking was found to be the critical aspect in crazing appearance, thus acting as physical shield for condensed water and heat transferring.

  20. To cut or not to cut: cosmetic surgery usage and women's age-related experiences.

    PubMed

    Eriksen, Shelley J

    2012-01-01

    Part of the developmental trajectory of middle and late life presumes the adjustment to physical aging, an adjustment that is complicated for women for whom the prioritization of beauty is central to their social value in Western societies. A 60-item written questionnaire was distributed to a volunteer community sample of 202 women ages 19-86. From these data, this study tested whether women's cosmetic surgery usage would act as a protective factor in age-related experiences related to body image, self-esteem, and aging attitudes. Cosmetic surgery recipients evidenced less body satisfaction, and more appearance investment with age increases while only non-recipients showed improvements in self-esteem ratings with advancing age. Both recipients and non-recipients showed declines in body care with age, a greater felt discrepancy between actual and perceived age, and less aging anxiety--but non-recipients more so than recipients. Thus, despite having undertaken action to improve their appearance through surgical means at some point in their adult lives, cosmetic surgery recipients did not inevitably feel younger than their years, or better about themselves, compared to those who have not pursued surgery. Study limitations and implications are outlined, and given that cosmetic surgery may become normative practice in future cohorts of aging adults, it concludes with a call for nationally-representative studies using matched-control group research designs typical of public health inquiry more generally. PMID:22696841

  1. Early experience in microtia reconstruction: the first 100 cases.

    PubMed

    Sabbagh, Walid

    2011-04-01

    Auricular reconstruction in Microtia is a challenging operation with a steep learning curve. In view its rarity attaining a high standard for new surgeons is extremely difficult. This study analyses the first 100 microtia cases looking at complications, technique, pattern of progress and aesthetic outcome. The author performed 100 autologous ear reconstructions for microtia over a period of 4 years utilizing the two stage technique popularised by Nagata and Firmin. In 11 cases a temroparietal fascial flap was utilised because of either a low hairline or scarring. Follow up ranged from 3 to 36 months. Data was collected prospectively. There were 7 cases of partial skin necrosis, 3 of which healed with conservative management. In early cases deficiencies were seen in the proportions of the reconstructed ear and the quality of definition. Better shape and definition were evident as more surgical experience was gained. This occurred as a result of increased appreciation of the ear proportions and improved framework carving. Although two stages were planned 21 cases required further procedures. The series demonstrates the early learning curve in microtia reconstruction and underlines the importance of appropriate training and case availability in achieving high quality results in autologous ear reconstruction. PMID:20739234

  2. Case detection rates of impetigo by gender and age.

    PubMed

    Kiriakis, Kyriakos P; Tadros, Aline; Dimou, Anastasia; Karamanou, Marianna; Banaka, Fotini; Alexoudi, Iliana

    2012-06-01

    A cross sectional study was carried out (impetigo cases n=265, relative prevalence 5.3%, among 50,237 outpatients). Males predominated in childhood, adulthood and overall (OR 2.0) and exhibited a more protracted susceptibility. Impetigo was more prevalent in summer months. Lesions were located on the head and neck (65.4%), followed by 19.6% on an upper extremity and by 7.5% each on the trunk and a lower extremity. PMID:22767309

  3. [Deaths during asphyxia induced to escalate sexual experience. Case reports].

    PubMed

    Okłota, Magdalena; Niemcunowicz-Janica, Anna; Sackiewicz, Adam; Ptaszyńska-Sarosiek, Iwona; Szeremeta, Michał

    2010-01-01

    The authors present two cases of deaths resulting from asphyxia of one of the partners in the act of intercourse to escalate their experience. The first case involved a heterosexual intercourse, in which a 30-year-old woman was led to state of hypoxia through choking and closing respiratory orifices. The other case represented a homosexual intercourse between two men, in which the victim's hands and legs were tied. Moreover, the partner put an open knot around the victim's neck and was holding it controlling the state of asphyxia, while performing an anal intercourse. Both presented victims practiced such paraphilia-associated behaviors in the past. The fact of sexual intercourse was confirmed in both cases by genetic analysis of the man's anus and the woman's oral cavity and vagina. This resulted in finding the genetic material of their partners. Escalating of sexual experience through inducing asphyxia of the nervous system is extremely dangerous and may result in death of one of the sexual partners, what has been proven by the present investigation. PMID:21863736

  4. [Experience in thyroglossal duct pathology: clinical case series].

    PubMed

    Cieri, Patricio; Udaquiola, Julia E; Calello, Santiago E; Libero, Daniel H

    2016-10-01

    The thyroglossal duct cyst pathology represents the second cause of bening cervical anomalies in childhood. Diagnosis is mainly clinical. Sistrunk (1920) proposed a surgical technique that is still considered the gold standard for definitive treatment of this condition. A retrospective study was made including patients who underwent surgery for thyroglossal duct cyst pathology in our department between June 2008 and August 2015. In this period, we performed 54 procedures in 45 patients (39 primary cases). Median age was 4.7 years; 14/39 patients (31.1%) had pre-operative infection. All patients were studied with neck ultrasound. A Sistrunk's procedure was performed in all cases. The global recurrence rate was 17.8% (8/45). PMID:27606652

  5. The toxicology investigators consortium case registry-the 2013 experience.

    PubMed

    Rhyee, Sean H; Farrugia, Lynn; Wiegand, Timothy; Smith, Eric A; Wax, Paul M; Brent, Jeffrey

    2014-12-01

    The Toxicology Investigators Consortium (ToxIC) Case Registry was established in 2010 by the American College of Medical Toxicology. The Registry includes all medical toxicology consultations performed at participating sites. This report summarizes the Registry data for 2013. A query of the ToxIC Registry was carried out for the dates of January 1 through December 31, 2013. Specific data reviewed for analysis included demographics (age, gender), source of consultation, reasons for consultation, agents involved in toxicological exposures, signs, symptoms and clinical findings, and treatment. A total of 8,598 cases were entered into the Registry in 2013. Females accounted for 49.2 % of cases, males for 47.7 %, and gender was not reported in 3.1 %. The majority of patients (63.4 %) were adults between the ages of 19 and 65 years. There were 93 fatalities (1.1 %). Most referrals for medical toxicology consultation originated from the emergency department (59.7 %) or inpatient services (16.7 %). Exposures to pharmaceutical products (intentional and unintentional) made up 50.0 % of cases. Illicit drug abuse (8.0 %) and adverse drug reactions (ADRs) (4.8 %) were the next most frequent reasons for consultation. Similar to past years, nonopioid analgesics, sedative-hypnotics, and opioids were the most commonly encountered agents. Symptoms or clinical findings were documented in 71.1 % of patients. Of all cases, 54.6 % required some form of medical treatment (antidotes, antivenom, chelation, specific types of supportive care). This report serves as a comprehensive survey of medical toxicology practice within participating institutions. Prior trends continued to apply this year and indicate analgesic (opioid and nonopioid), sedative-hypnotic/muscle relaxant agents, illicit drug use, and ADRs continue to be major toxicological problems. Cases requiring medical toxicology consultation in 2013 predominantly involved pharmaceuticals and illicit drugs. Reasons for these drug

  6. [Urethral duplication in pediatric age. A case report].

    PubMed

    Abbate, B; Centonze, N; Danti, D A

    2002-01-01

    Urethral duplication is a rare congenital anomaly, resulting from a wide range of malformations of the urogenital sinus. Generally, the duplication develops on the sagittal plane; the accessory urethra may run dorsally or ventrally to the orthotopic one. The duplication is defined as epispadic in the first case, and hypospadic in the second. In the medical literature approximately 150 cases have been reported. Relatively more frequent among males, it is often associated with other malformations of the urogenital tract or other organs. The authors present a case of a 4 year old child with a complete epispadic duplication, that is, two external meatus, one of which the dorsal aspect of the glans, and the other orthotopic. Clinically, duplication and weakening of the stream, urinary incontinence and UTI were present. US examination documented the normality of the upper urinary tract and of the bladder. Retrograde urethrocystography showed a completely permeable urethral duplication, with two external meatus. The excision of the accessory urethra was carried out together with the reconstruction of the hypospadic meatus with an "overlap anastomosis". The post-operatory period was uneventful, and one year after surgery the patient is asymptomatic, with normal uroflowmetric readings and echographically documented complete bladder emptying. In the opinion of the authors, the treatment is indicated in symptomatic forms and the surgical options varies, depending on the type and grade of malformation, its clinical manifestations and the presence of associated anomalies. Antibiotic treatment is not effective and other treatments, such as diathermocoagulation or the injection of caustic substances into the accessory duct have been abandoned. PMID:12494542

  7. Age of Diagnosis of Squamous Cell Cervical Carcinoma and Early Sexual Experience

    PubMed Central

    Edelstein, Zoe R.; Madeleine, Margaret M.; Hughes, James P.; Johnson, Lisa G.; Schwartz, Stephen M.; Galloway, Denise A.; Carter, Joseph J.; Koutsky, Laura A.

    2009-01-01

    Background Given the established links between young age at first intercourse (AFI), number of sex partners, high-risk human papillomavirus infection, and squamous cell cervical cancer (SCC), we hypothesized that women diagnosed with SCC at younger ages would be more likely to report young AFI than women diagnosed later in life. Methods We performed a population-based investigation among invasive SCC cases who were diagnosed between 1986 and 2004, were 22 to 53 years old, and lived in the metropolitan Seattle-Puget Sound region (n=333). Using multivariate linear regression, we estimated coefficients and 95% confidence intervals (CI) to assess the association between age at SCC diagnosis and AFI (<15, 15–18, ≥19) and number of sex partners before age 20 (0, 1, 2–4, 5–14, 15+), accounting for birth year and other factors. Interactions were assessed using the likelihood ratio test. Results The interval between AFI and SCC diagnosis ranged from 4 to 35 years. In a multivariate model, compared to SCC cases reporting AFI≥19, the mean age of diagnosis was 3.1 years younger for SCC cases reporting AFI<15 (CI: −5.8, −0.5) and 2.6 years younger for SCC cases reporting AFI 15–18 years (CI: −4.6, −0.6). Although number of sex partners before age 20 was associated with age at SCC diagnosis in a crude analysis, the association was not independent of AFI. However, in the AFI≥19 and AFI<15 groups, differences in effect were seen by number of sex partners before age 20 (p for interaction=0.08), with the association remaining strong and significant only in the AFI<15 group that had 2 or more partners before age 20 (coefficient: −4.2, CI: −6.3, −2.1). Conclusion Among younger and middle-aged women with SCC, early age of diagnosis was associated with early AFI, though the effect appeared to be modified by number of sex partners before age 20. PMID:19318437

  8. Musical experience and the aging auditory system: implications for cognitive abilities and hearing speech in noise.

    PubMed

    Parbery-Clark, Alexandra; Strait, Dana L; Anderson, Samira; Hittner, Emily; Kraus, Nina

    2011-01-01

    Much of our daily communication occurs in the presence of background noise, compromising our ability to hear. While understanding speech in noise is a challenge for everyone, it becomes increasingly difficult as we age. Although aging is generally accompanied by hearing loss, this perceptual decline cannot fully account for the difficulties experienced by older adults for hearing in noise. Decreased cognitive skills concurrent with reduced perceptual acuity are thought to contribute to the difficulty older adults experience understanding speech in noise. Given that musical experience positively impacts speech perception in noise in young adults (ages 18-30), we asked whether musical experience benefits an older cohort of musicians (ages 45-65), potentially offsetting the age-related decline in speech-in-noise perceptual abilities and associated cognitive function (i.e., working memory). Consistent with performance in young adults, older musicians demonstrated enhanced speech-in-noise perception relative to nonmusicians along with greater auditory, but not visual, working memory capacity. By demonstrating that speech-in-noise perception and related cognitive function are enhanced in older musicians, our results imply that musical training may reduce the impact of age-related auditory decline. PMID:21589653

  9. Musical Experience and the Aging Auditory System: Implications for Cognitive Abilities and Hearing Speech in Noise

    PubMed Central

    Parbery-Clark, Alexandra; Strait, Dana L.; Anderson, Samira; Hittner, Emily; Kraus, Nina

    2011-01-01

    Much of our daily communication occurs in the presence of background noise, compromising our ability to hear. While understanding speech in noise is a challenge for everyone, it becomes increasingly difficult as we age. Although aging is generally accompanied by hearing loss, this perceptual decline cannot fully account for the difficulties experienced by older adults for hearing in noise. Decreased cognitive skills concurrent with reduced perceptual acuity are thought to contribute to the difficulty older adults experience understanding speech in noise. Given that musical experience positively impacts speech perception in noise in young adults (ages 18–30), we asked whether musical experience benefits an older cohort of musicians (ages 45–65), potentially offsetting the age-related decline in speech-in-noise perceptual abilities and associated cognitive function (i.e., working memory). Consistent with performance in young adults, older musicians demonstrated enhanced speech-in-noise perception relative to nonmusicians along with greater auditory, but not visual, working memory capacity. By demonstrating that speech-in-noise perception and related cognitive function are enhanced in older musicians, our results imply that musical training may reduce the impact of age-related auditory decline. PMID:21589653

  10. Aging With Schizophrenia: A Lifelong Experience of Multidimensional Losses and Suffering.

    PubMed

    Avieli, Hila; Mushkin, Peli; Araten-Bergman, Tal; Band-Winterstein, Tova

    2016-04-01

    The aim of this study was to explore the subjective experience of suffering in aging individuals with schizophrenia. Qualitative interviews were conducted with 18 participants aged 60-69. Phenomenological content analysis was performed. Nine dimensions of suffering emerged: social rejection; familial rejection; the symptoms of schizophrenia; hospitalisation; the side effects of medication; loss of employment potential; loss of independent accommodation; loss of social life, and loss of hope to be a partner and a parent. The suffering of aging people with schizophrenia is cumulative and ongoing and thus evokes issues such as existential loneliness and feelings of homelessness. PMID:26992876

  11. Aging of nuclear station diesel generators: Evaluation of operating and expert experience: Workshop

    SciTech Connect

    Hoopingarner, K.R.; Vause, J.W.

    1987-08-01

    Pacific Northwest Laboratory (PNL) evaluated operational and expert experience pertaining to the aging degradation of diesel generators in nuclear service. The research, sponsored by the US Nuclear Regulatory Commission (NRC), identified and characterized the contribution of aging to emergency diesel generator failures. This report, Volume II, reports the results of an industry-wide workshop held on May 28 and 29, 1986, to discuss the technical issues associated with aging of nuclear service emergency diesel generators. The technical issues discussed most extensively were: man/machine interfaces, component interfaces, thermal gradients of startup and cooldown and the need for an accurate industry database for trend analysis of the diesel generator system.

  12. Bone age assessment by content-based image retrieval and case-based reasoning

    NASA Astrophysics Data System (ADS)

    Fischer, Benedikt; Welter, Petra; Grouls, Christoph; Günther, Rolf W.; Deserno, Thomas M.

    2011-03-01

    Skeletal maturity is assessed visually by comparing hand radiographs to a standardized reference image atlas. Most common are the methods by Greulich & Pyle and Tanner & Whitehouse. For computer-aided diagnosis (CAD), local image regions of interest (ROI) such as the epiphysis or the carpal areas are extracted and evaluated. Heuristic approaches trying to automatically extract, measure and classify bones and distances between bones suffer from the high variability of biological material and the differences in bone development resulting from age, gender and ethnic origin. Content-based image retrieval (CBIR) provides a robust solution without delineating and measuring bones. In this work, epiphyseal ROIs (eROIS) of a hand radiograph are compared to previous cases with known age, mimicking a human observer. Leaving-one-out experiments are conducted on 1,102 left hand radiographs and 15,428 metacarpal and phalangeal eROIs from the publicly available USC hand atlas. The similarity of the eROIs is assessed by a combination of cross-correlation, image distortion model, and Tamura texture features, yielding a mean error rate of 0.97 years and a variance of below 0.63 years. Furthermore, we introduce a publicly available online-demonstration system, where queries on the USC dataset as well as on uploaded radiographs are performed for instant CAD. In future, we plan to evaluate physician with CBIR-CAD against physician without CBIR-CAD rather than physician vs. CBIR-CAD.

  13. HEMIPELVECTOMY: ERASTO GAERTNER HOSPITAL'S EXPERIENCES WITH 32 CASES IN 10 YEARS

    PubMed Central

    Freitas, Rosyane Rena de; Crivellaro, André Luiz Soares; Mello, Glauco José Pauka; Neto, Múrio Armani; Filho, Geraldo de Freitas; Silva, Letícia Viani da

    2015-01-01

    Objective: To show the experience of the Erasto Gaertner Hospital with hemipelvectomy surgery over a 10-year period. Methods: This was a retrospective study on 32 patients who underwent hemipelvectomy at Erasto Gaertner Hospital between 1998 and 2008, assessing clinical and surgical characteristics. Results: Among the 32 patients, 15 were female and 17 were male. The mean age was 37.94 years. Eight cases showed involvement of the neurovascular bundle: three were located in the iliac and extended to the thigh, two were in the acetabulum and extended to the thigh and three were in the acetabulum and pubis. Twenty-three cases presented a neurovascular bundle free from neoplasia: 11 were restricted to the iliac, six were in the acetabular region, two were in the pubic ramus and four extended to the whole hemipelvis bone. One case involved the iliac-femoral vessels: one in the pubic ramus. Seven cases of chondrosarcoma and four cases of Ewing's sarcoma represented the majority. Eight cases underwent external hemipelvectomy and 24 underwent internal hemipelvectomy (11 were type I; four were type II; two were type II + III; three were type III and four were type IV). Of these 24 cases, 13 did not have any reconstruction, 10 had a fibular graft and one had an iliacfemoral vein and artery prosthesis. Twenty-six surgeries were curative and six were palliative. There were 14 deaths. Survival of two and five years was seen in 11 and 10 cases, respectively. For six cases, less than two years had passed since the operation. Three cases were lost during follow-up. Conclusion: This study shows the experiences of an oncology reference service specializing in highly complex surgical treatment. PMID:27022573

  14. Does early establishment of favorable oral health behavior influence caries experience at age 5 years?

    PubMed Central

    Wigen, Tove I.; Wang, Nina J.

    2015-01-01

    Objective The purpose was to study associations between tooth brushing frequency, use of fluoride lozenges and consumption of sugary drinks at 1.5 year of age and having caries experience at 5 years of age. Methods This study was based on data from the Norwegian Mother and Child Cohort Study conducted by the Norwegian Institute of Public Health and by the Public Dental Services. A total of 1095 children were followed from pregnancy to the age of 5 years. Questionnaires regarding oral health behavior were completed by the parents at 1.5 and 5 years of age. Clinical and radiographic examination of the children was performed at the age of 5 years. Results In multiple logistic regression, having caries experience at 5 years of age was associated with; at 1.5 year of age having the teeth brushed less than twice daily (OR 2.1, CI 1.3–3.6) and being offered sugary drinks at least once a week (OR 1.8, CI 1.1–2.9) when controlled for family characteristics and oral health behavior at 5 years of age. Conclusions Tooth brushing frequency and consumption of sugary drinks in early childhood were related to caries development during preschool age independent of family characteristics and oral health behavior at 5 years of age. The results indicate that early established habits regarding tooth brushing and consumption of sugary drinks have long term effects on caries development. Parents encountering difficulties in establishing favorable oral health behavior in children’s first years of life should receive special attention from health personnel. PMID:25385683

  15. Age-Related Decline and Diagnostic Performance of More and Less Prevalent Clinical Cases

    ERIC Educational Resources Information Center

    St-Onge, Christina; Landry, Marjolaine; Xhignesse, Marianne; Voyer, Gilles; Tremblay-Lavoie, Stéphanie; Mamede, Sílvia; Schmidt, Henk; Rikers, Remy

    2016-01-01

    Since cognitive abilities have been shown to decrease with age, it is expected that older physicians would not perform as well as their younger counterparts on clinical cases unless their expertise can counteract the cognitive effects of aging. However, studies on the topic have shown contradictory results. This study aimed to further investigate…

  16. How Do You Know You're Old? Gender Differences in Cues Triggering the Experience of Personal Aging

    ERIC Educational Resources Information Center

    Panek, Paul E.; Hayslip, Bert, Jr.; Pruett, Jessica H.

    2014-01-01

    In order to evaluate the gender differences on the experience of aging, 142 individuals 50 years of age and older completed an interview regarding experiences with another individual conveying the message that they were "old." Interviewees were asked about the type of situation, the age and gender of the response person, and the…

  17. [Emotional experience and regulation across the adult lifespan: comparative analysis in three age groups].

    PubMed

    Márquez-González, María; Izal Fernández de Trocóniz, María; Montorio Cerrato, Ignacio; Losada Baltar, Andrés

    2008-11-01

    The studies focused on age-related differences in emotional experience are still scarce, and most of them have been conducted with North-American samples. This study explores the presence of age-related differences in some facets of emotional experience (subjective well-being and emotional intensity), as well as in variables related to emotion regulation (subjective emotional control and three emotion-regulation mechanisms: situation selection, emotion suppression, rumination) in the Spanish population. One hundred and sixty people from three age groups (younger, middle-aged and older adults) participated in the study. Older participants reported lower levels of life satisfaction and positive emotional intensity than younger ones, as well as higher levels of perceived emotional control, emotional maturity and leveling of positive affect, and more use of emotion suppression. The results partially support the emotional maturity hypothesis of emotional functioning in old age, but also suggest that older adults' emotional regulation may present important peculiarities which have not yet been addressed in the extant literature, such as the moderation or limitation of emotional experience, especially positive emotions. PMID:18940059

  18. Aging--and Experience-Related Changes in Teacher Attitudes toward the Profession.

    ERIC Educational Resources Information Center

    Lipka, Richard P.; Goulet, L. R.

    1979-01-01

    A wide range of teachers were sampled to study whether attitudes toward the profession change with age and/or generation, or the amount of professional experience. Attitudes concerning the fulfillment of altruistic and pragmatic needs were assessed both for present views and for when the career choice was made. (Author/GDC)

  19. How Do People with Learning Disabilities Experience and Make Sense of the Ageing Process?

    ERIC Educational Resources Information Center

    Newberry, Gayle; Martin, Carol; Robbins, Lorna

    2015-01-01

    Background: Not enough is currently known about how people with learning disabilities experience and understand the ageing process. This is particularly important as the population of older people with learning disabilities is growing due to increased life expectancy. This article draws on the first author's doctoral research study, which aimed to…

  20. Ageing-Related Experiences of Adults with Learning Disability Resident in Rural Areas: One Australian Perspective

    ERIC Educational Resources Information Center

    Wark, Stuart; Canon-Vanry, Miranda; Ryan, Peta; Hussain, Rafat; Knox, Marie; Edwards, Meaghan; Parmenter, Marie; Parmenter, Trevor; Janicki, Matthew; Leggatt-Cook, Chez

    2015-01-01

    Background: Access to support services in rural areas is known to be problematic both in Australia, and in other countries around the world, but the majority of research on the population of people ageing with learning disability has so far focussed on metropolitan residents. The authors report about select aspects of the lived experience of older…

  1. False Memories in Children and Adults: Age, Distinctiveness, and Subjective Experience.

    ERIC Educational Resources Information Center

    Ghetti, Simona; Qin, Jianjian; Goodman, Gail S.

    2002-01-01

    Investigated developmental trends associated with the Deese/Roediger-McDermott false-memory effect, the role of distinctive information, and subjective experience of true/false memories. Found that 5-year-olds recalled more false memories than adults but no age differences in recognition of critical lures. Distinctive information reduced false…

  2. Ethics and Retail Management Professionals: An Examination of Age, Education, and Experience Variables

    ERIC Educational Resources Information Center

    Mujtaba, Bahaudin G.; Cavico, Frank J.; McCartney, Timothy O.; DiPaolo, Peter T.

    2009-01-01

    Ethical maturity and behavior are of great concern to all educators, firms, and investors, and even more so in a recession. This research surveyed managers and employees in the retail environment to measure their Personal Business Ethics Scores (PBES) to see if age, education, and management experience makes a difference in making more ethical…

  3. Personal Experience of Aging in the Children of a Parent with Dementia

    ERIC Educational Resources Information Center

    Gerritsen, Debby; Kuin, Volande; Steverink, Nardi

    2004-01-01

    We investigated whether adults with a parent with dementia experience their personal aging differently than adults whose parents do not have dementia. Semi-structured interviews were conducted with 25 adults who had a parent with dementia and 25 controls. We found that, although in a general sense the two groups were quite similar in their…

  4. The Role of Age and Motivation for the Experience of Social Acceptance and Rejection

    ERIC Educational Resources Information Center

    Nikitin, Jana; Schoch, Simone; Freund, Alexandra M.

    2014-01-01

    A study with n = 55 younger (18-33 years, M = 23.67) and n = 58 older (61-85 years, M = 71.44) adults investigated age-related differences in social approach and avoidance motivation and their consequences for the experience of social interactions. Results confirmed the hypothesis that a predominant habitual approach motivation in younger adults…

  5. Age at adoption from institutional care as a window into the lasting effects of early experiences

    PubMed Central

    Julian, Megan M.

    2013-01-01

    One of the major questions of human development is how early experience impacts the course of development years later. Children adopted from institutional care experience varying levels of deprivation in their early life followed by qualitatively better care in an adoptive home, providing a unique opportunity to study the lasting effects of early deprivation and its timing. The effects of age at adoption from institutional care are discussed for multiple domains of social and behavioral development within the context of several prominent developmental hypotheses about the effects of early deprivation (cumulative effects, experience-expectant developmental programming, and experience-adaptive developmental programming). Age at adoption effects are detected in a majority of studies, particularly when children experienced global deprivation and were assessed in adolescence. For most outcomes, institutionalization beyond a certain age is associated with a step-like increase in risk for lasting social and behavioral problems, with the step occurring at an earlier age for children who experienced more severe levels of deprivation. Findings are discussed in terms of their concordance and discordance with our current hypotheses, and speculative explanations for the findings are offered. PMID:23576122

  6. The Advocacy Experiences of Parents of Elementary Age, Twice-Exceptional Children

    ERIC Educational Resources Information Center

    Besnoy, Kevin D.; Swoszowski, Nicole C.; Newman, Jane L.; Floyd, Amanda; Jones, Parrish; Byrne, Caitlin

    2015-01-01

    For many parents, successfully advocating for their twice-exceptional child can be intimidating and overwhelming. Using grounded theory, we conducted a study with parents (n = 8) of elementary age, twice-exceptional children to learn about their advocacy experiences. Findings revealed that parents simultaneously advocated for their child's…

  7. Evaluation of Nontraditional Age Learners' Experiences in Internet-Based Clinical Social Work Courses

    ERIC Educational Resources Information Center

    Swanke, Jayme; Zeman, Laura Dreuth

    2015-01-01

    This study involves an evaluation of online learners' experiences with two Internet-based clinical social work courses. The evaluation sought to discover whether there were differences in learning between traditional (under 25 years old) and nontraditional age learners (25 years and over) who completed the asynchronous online course. The study…

  8. Age, flight experience, and risk of crash involvement in a cohort of professional pilots.

    PubMed

    Li, Guohua; Baker, Susan P; Grabowski, Jurek G; Qiang, Yandong; McCarthy, Melissa L; Rebok, George W

    2003-05-15

    Federal aviation regulations prohibit airline pilots from flying beyond the age of 60 years. However, the relation between pilot age and flight safety has not been rigorously assessed using empirical data. From 1987 to 1997, the authors followed a cohort of 3,306 commuter air carrier and air taxi pilots who were aged 45-54 years in 1987. During the follow-up period, the pilots accumulated a total of 12.9 million flight hours and 66 aviation crashes, yielding a rate of 5.1 crashes per million pilot flight hours. Crash risk remained fairly stable as the pilots aged from their late forties to their late fifties. Flight experience, as measured by total flight time at baseline, showed a significant protective effect against the risk of crash involvement. With adjustment for age, pilots who had 5,000-9,999 hours of total flight time at baseline had a 57% lower risk of a crash than their less experienced counterparts (relative risk = 0.43, 95% confidence interval: 0.21, 0.87). The protective effect of flight experience leveled off after total flight time reached 10,000 hours. The lack of an association between pilot age and crash risk may reflect a strong "healthy worker effect" stemming from the rigorous medical standards and periodic physical examinations required for professional pilots. PMID:12746239

  9. Job tenure and work injuries: a multivariate analysis of the relation with previous experience and differences by age

    PubMed Central

    2013-01-01

    Background One of the consequences of the increasing flexibility in contemporary labour markets is that individuals change jobs more frequently than in the past. Indeed, in many cases, through collecting a lot of contracts, individuals work in the same economic sector or even in the same company, doing the same job in the same way as existing colleagues. A very long literature has established that newly hired workers – whatever the contract type – are more likely to be injured than those with longer job tenures. The objectives of this paper are: 1) to study the relationship between job tenure and injury risk taking into account past experience as a possible confounder; and 2) to evaluate how the effects of past experience and job tenure are modified by age. Methods Using a longitudinal national database, we considered only job contracts starting in 1998–2003 held by men working as blue collars or apprentices in the non-agricultural private sector. We calculated injury rates stratified by job tenure and age. Multivariate analyses were adjusted for background variables and previous experience accrued in the same economic sector of the current job. Results In the study period 58,271 workers who had experienced 10,260 injuries were observed. These people worked on 115,277 contracts in the six years observed (1.98 contracts per worker). Injury rates decrease with job tenure; the trend is the same in each age group; young workers have both the highest injury rate (9.20; CI 95%: 8.95-9.45) and the highest decrease with job tenure. Previous experience is associated with a decreasing injury rate in all age groups and for all job tenures. Multivariate analyses show that, even after checking for previous experience, workers with job tenure of less than 6 months show always higher relative risks compared with job tenure > 2 years: relative risk is 41% higher among under-thirty workers; it is 22% higher among people over forty. Previous experience is protective

  10. Melody recognition at fast and slow tempos: effects of age, experience, and familiarity.

    PubMed

    Dowling, W Jay; Bartlett, James C; Halpern, Andrea R; Andrews, W Melinda

    2008-04-01

    Eighty-one listeners defined by three age ranges (18-30, 31-59, and over 60 years) and three levels of musical experience performed an immediate recognition task requiring the detection of alterations in melodies. On each trial, a brief melody was presented, followed 5 sec later by a test stimulus that either was identical to the target or had two pitches changed, for a same-different judgment. Each melody pair was presented at 0.6 note/sec, 3.0 notes/sec, or 6.0 notes/sec. Performance was better with familiar melodies than with unfamiliar melodies. Overall performance declined slightly with age and improved substantially with increasing experience, in agreement with earlier results in an identification task. Tempo affected performance on familiar tunes (moderate was best), but not on unfamiliar tunes. We discuss these results in terms of theories of dynamic attending, cognitive slowing, and working memory in aging. PMID:18459260

  11. Effects of age and experience on reproductive performance of wood ducks

    SciTech Connect

    Hepp, G.R. ); Kennamer, R.A. )

    1993-10-01

    Data from a long-term study of Wood Ducks breeding in South Carolina were used to test whether reproductive performance was age specific and to evaluate several hypotheses proposed for age-specific variation. We used known-aged females from 1 through 5 yr of age. Yearling females initiated nests 11-19 d later than older females; heavier females, independent of age, nested earlier than lighter females. One-way analyses of covariance using female body mass and nesting date as covariates indicated that clutch size, mean egg mass, number of ducklings per nest, and the percentage of eggs hatching (hatching success) were independent of female age. Probability of nests producing at least one duckling (nest success) also was not related to female egg. We separately tested effects of breeding experience and female age class (yearling vs. adult) on reproductive performance. In the context of this study, females were considered as experienced if they previously were captured using nest boxes and inexperienced if there was no record of nest box use. Adult females with previous breeding experience initiated nests an average of 26 d earlier than adults without previous experience; body mass of experienced adults was greater than that of inexperienced adults. Adult females designated as [open quotes]inexperienced[close quotes] may have nested previously in natural cavities and were simply changing to nest boxes. Nest-site fidelity is known to affect nesting date, so we also compared nesting dates of inexperienced adults with a subset of of experienced females that changed nest sites.

  12. On and Off the Mat: Yoga Experiences of Middle-Aged and Older Adults.

    PubMed

    Wertman, Annette; Wister, Andrew V; Mitchell, Barbara A

    2016-06-01

    This article explores potential differences in yoga practice between middle-and older-aged adults. A health belief - life course model frames this research, and a mixed-methods analytic strategy is employed to examine life course pathways into yoga and motivations to practice, as well as perceived barriers and health benefits. For the quantitative analyses, a convenience sample of 452 participants was collected using an online questionnaire. For the qualitative analyses, face-to-face interviews were conducted with a sub-set of 20 participants. Unique differences between the age groups (both current age and age when started yoga) as well as by gender were found for selected pathways, reasons/motivations, and barriers to engage in yoga as well as for perceived health benefits. In addition, results underscore the importance of informational cues and social linkages that affect how individuals adopt and experience yoga. Implications for health promotion programs that target older adults are discussed. PMID:27086476

  13. Do US Black Women Experience Stress-Related Accelerated Biological Aging?

    PubMed Central

    Hicken, Margaret T.; Pearson, Jay A.; Seashols, Sarah J.; Brown, Kelly L.; Cruz, Tracey Dawson

    2010-01-01

    We hypothesize that black women experience accelerated biological aging in response to repeated or prolonged adaptation to subjective and objective stressors. Drawing on stress physiology and ethnographic, social science, and public health literature, we lay out the rationale for this hypothesis. We also perform a first population-based test of its plausibility, focusing on telomere length, a biomeasure of aging that may be shortened by stressors. Analyzing data from the Study of Women's Health Across the Nation (SWAN), we estimate that at ages 49–55, black women are 7.5 years biologically “older” than white women. Indicators of perceived stress and poverty account for 27% of this difference. Data limitations preclude assessing objective stressors and also result in imprecise estimates, limiting our ability to draw firm inferences. Further investigation of black-white differences in telomere length using large-population-based samples of broad age range and with detailed measures of environmental stressors is merited. PMID:20436780

  14. Exploring Experiences and Perceptions of Aging and Cognitive Decline Across Diverse Racial and Ethnic Groups

    PubMed Central

    Roberts, Lisa R.; Schuh, Holly; Sherzai, Dean; Belliard, Juan Carlos; Montgomery, Susanne B.

    2015-01-01

    Objective To explore how older adults from three prominent ethnoracial groups experience cognitive decline and aging. Method Semistructured key informant interviews (KIIs) and focus groups (FGs) were conducted with caregivers, experts, and older adults. Results (N = 75). Fifteen KIIs regarding cognitive aging issues were conducted among health care professionals and community-based agencies serving older adults. Eight FGs included family caregivers and physicians, and six FGs with Latino, African American, and White older adult community members. Major themes included (a) personal expectations about aging, (b) societal value of older adults, (c) model of care preferred, and (d) community concerns. An overarching theme was a sense of loss associated with aging; however, how this loss was experienced and dealt with varied. Discussion Distinct patterns of concerns and views are important to understand for the development of programs aimed at meeting the needs of diverse older adult community members to improve health outcomes. PMID:26925436

  15. CT manifestations of adrenal trauma: experience with 73 cases.

    PubMed

    Sinelnikov, Alex O; Abujudeh, Hani H; Chan, David; Novelline, Robert A

    2007-03-01

    Adrenal injuries, although an uncommon consequence of abdominal trauma, are important to recognize. If bilateral, adrenal trauma could result in life-threatening adrenal insufficiency. Furthermore, in the setting of trauma, adrenal injury can point to other concomitant injuries and has been associated with overall increased morbidity and mortality. In the past, before the advent of computed tomography (CT), detection was difficult, and the diagnosis was often made only at surgery or postmortem. Today, the diagnosis of adrenal injuries can be quickly and accurately made with CT. This retrospective review was carried out to identify, describe, and analyze different CT appearances of adrenal injuries and correlated with associated injuries and observed clinical context and outcomes. A patient cohort of CT-detected adrenal injuries was identified through a radiology software research tool by searching for keywords in radiology reports. The identified CT scans were reviewed and correlated with the patients' available clinical chart data and follow-up. Between April 1995 and October 2004, 73 cases of CT-detected adrenal injuries were identified, including 48 men and 25 women, with an age range 6 to 90 years and a mean age of 42.7 years. Of the cases, 77% were right-sided, 15% were left-sided, and 8% were bilateral. The causes of injuries were motor vehicle collisions (75%), falls (14%), sports related (4%), and miscellaneous causes (7%). Associated trauma included injuries of the liver (43%), spleen (23%), lung (19%), and kidney (18%), as well as pneumothoraces/hemothoraces (22%). Skeletal injuries included fractures of the ribs, clavicles, and/or scapulae (39%), pelvis and hips (30%), and the spine (23%). Isolated adrenal trauma was seen in only 4% of the cases. The CT findings of adrenal trauma were focal hematoma (30%), indistinct (27%) or enlarged (18%) adrenal gland, gross (15%) or focal (7%) adrenal hemorrhage, and adrenal mass (11%). Associated CT findings

  16. Experiences of identification and differentiation as functions of leprosy, personality and age.

    PubMed

    Chauhan, N S; Dhar, U; Singh, Y

    1984-01-01

    It is a study of sociogenic need satisfactions that determines the homeostasis of 'being' by remaining contingent conditions of perpetuation or debasement of the social 'self'. The paper has a focus on identification satisfaction and differentiation experience of patients of the highly stigmatized leprosy. The study proceeds with an 'Experimental Group--Control-Group' randomized design. Experimental Groups are two, viz., those of Lepromatous and Non-lepromatous patients. 'Control Group' consists of 'disease-free' normal people. The three independent variables are disease types, age, personality factors. The dependent variables are two, viz., score of identification satisfaction and differentiation experience, measured by standardized tools. Each dependent variable has four '3 X 3 X 2' factorial experiments to test 56 'Null Hypotheses'. The sample consists of 360 elements for each one of the eight experiments. Leprosy elements are drawn from the Central JALMA Institute for Leprosy and the 'Kushta Seva Sadan' (Agra). The 'F' test is run for statistical verification of 'Null hypotheses'. Results show presence of 'role-reversion' and 'role negation' of age and personality factors. The disease possesses 'anti-roles'. It does not allow age and personality factors to promote identification satisfaction and to demote differentiation and experience. The disease actively promotes differentiation and demotes identification through its own 'alien system'. The senescents are the greatest sufferers. 'Social Stigma' works a 'social thanatos' and exposes senescents to substantial 'self-erosion'. PMID:6548499

  17. How old am I? Age estimation in living adults: a case report.

    PubMed

    Cattaneo, C; De Angelis, D; Ruspa, M; Gibelli, D; Cameriere, R; Grandi, M

    2008-12-01

    Age estimation is a common task in forensic medicine. Odontologists are frequently involved in the age assessment of human remains or living juveniles. The need to estimate the age of living individuals is becoming more frequent, because of the increasing number of immigrants (illegal or otherwise) without acceptable identification documents and with missing or uncertain birth dates. Whereas age estimation in subadults is usually performed by methods based on the physiological growth of bones and teeth, in the case of living adults age determination is more difficult, because body maturation has come to an end and the most commonly used procedures in forensics on human remains are too invasive for the living individual. The following case report aims at highlighting the difficulties of performing age estimation in the living adult and the importance of a multidisciplinary approach including forensic odontology: a middle-aged woman from Ethiopia who was supposed to be 62 years old (according to one set of documents), was removed from employment lists as she had reached the retirement age for Italy. However another set of documents indicated a younger age (46 years). Hormonal dosage of E2 (17-β estradiol) and FSH (Follicle Stimulating Hormone) showed an age close to the begininng of menopause. An experimental dental method, based on the decrease of canine pulp chamber with age, was performed in order to obtain more information: the result was an estimation of a 47-57 age range. Combined results suggested that it was more likely that the actual age of the woman was closer to 46 than to 62. PMID:22717788

  18. Gender, religion, and the experience of suffering: a case study.

    PubMed

    Black, Helen K

    2013-12-01

    This article explores how gender and religious belief come together in an elderly woman's experience of suffering. It is based on qualitative research that explored experiences of suffering in a group of community-dwelling elders (80+) living in a North American city. We use the case study method to introduce themes that show suffering's uniqueness to the individual whose narrative we report, as well as similarity to themes that emerged in other participants' narratives. In this case, an elderly woman's gender and religious identities merge in her stories of suffering, which include the memory of a childhood disability and an incident of clergy abuse that occurred 70 years previously. A key finding in this paper is that key themes in her story of suffering, which are disablement and clergy abuse, resonate to the general themes of suffering found in our study, which are (1) threats to personal identity; (2) loss of a valued item, quality, or relationship; and (3) a lack of control over self or the circumstances of life. PMID:22033671

  19. The large area crop inventory experiment: An experiment to demonstrate how space-age technology can contribute to solving critical problems here on earth

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The large area crop inventory experiment is being developed to predict crop production through satellite photographs. This experiment demonstrates how space age technology can contribute to solving practical problems of agriculture management.

  20. Correlation between biological and physical availabilities of phenanthrene in soils and soil humin in aging experiments

    SciTech Connect

    White, J.C.; Hunter, M.; Nam, K.; Pignatello, J.J.; Alexander, M.

    1999-08-01

    The bioavailability of an organic compound in a soil or sediment commonly declines with the soil-chemical contact time (aging). A series of parallel desorption and bioavailability experiments was carried out on phenanthrene previously aged up to {approximately}100 d in Mount Pleasant silt loam (Mt. Pleasant, NY, USA) or Pahokee peat soil to determine as a function of the aging period the degree of correlation between the reduction in bioavailability and the rate and extent of desorption and the influence of soil organic matter composition on availability. The mineralization of phenanthrene by two bacteria and the uptake of phenanthrene by earthworms showed expected declines with aging. Likewise, the rate of phenanthrene desorption in the absence of organisms decreased with aging. The decline in initial rate of mineralization or desorption was nearly an order of magnitude after 50 to 60 d of aging. Plots of normalized rates of mineralization or desorption practically coincided. Similarly, plots of normalized fraction mineralized or fraction desorbed during an arbitrary period gave comparable slopes. The partial removal of organic matter from the peat by extraction with dilute NaOH to leave the humin fraction reduced the biodegradation of phenanthrene aged for 38 and 63 d as compared to the nonextracted peat, but the effect disappeared at longer incubation times. The rate of desorption from samples of peat previously extracted with NaOH or Na{sub 4}P{sub 2}O{sub 7} declined with aging and, for a given aging period, was significantly slower than from nonextracted peat. This work shows that the reduction in bioavailability of phenanthrene over time in soil is directly correlated with reduction of its physical availability due to desorption limitations. In addition, this study shows that removal of extractable humic substances leads to a decline in the rate of desorption and in the bioavailability of the substrate.

  1. Narcolepsy in pediatric ageExperience of a tertiary pediatric hospital

    PubMed Central

    Dias Costa, Filipa; Barreto, Maria Inês; Clemente, Vanda; Vasconcelos, Mónica; Estêvão, Maria Helena; Madureira, Núria

    2014-01-01

    Narcolepsy, a chronic disorder of the sleep–wake cycle of multifactorial etiology, is characterized by excessive daytime sleepiness, often associated with cataplexy, hypnagogic/hypnopompic hallucinations and sleep paralysis. Both early clinical suspicion and therapeutic approach are essential for promotion of cognitive development and social integration of these children. The authors present a descriptive retrospective study of a series of eight children in whom symptoms first started between 6.8 and 10.5 years of age. Diagnostic delay ranged from 4 months to 2 years. One child had H1N1 flu vaccination eight months before the clinical onset. The first multiple sleep latency test was positive in 6 of 8 cases. All cases were treated with methylphenidate, and venlafaxine was associated in 4 of them. In one case the initial therapy was exclusively behavioral. In all cases, symptomatic improvement, better school performance and social integration were achieved after therapeutic adjustment. PMID:26483902

  2. "A Shrinking Kind of Life": Gay Men's Experience of Aging With HIV.

    PubMed

    Masten, James

    2015-01-01

    More people are living with HIV into midlife and older age. Although increased longevity brings new hope, it also raises unanticipated challenges--especially for gay men who never thought they would live into middle and older age. Middle-aged and older people are more likely to face multiple comorbidities, yet many lack the necessary supports to help them adapt to the challenges of aging with HIV. This article presents the findings of a qualitative study developed to explore gay men's experience of aging with HIV. Multiple in-depth exploratory interviews were conducted with 15 gay-identified men living with HIV/AIDS over an 18-month period. A systematic strategy data analysis consistent with grounded theory revealed a pattern of subtle adjustments to living with HIV that resulted in diminishing circles of social support and social involvement. This dynamic is referred to as "a shrinking kind of life," an in-vivo code built from the participant's own words. Four themes from the research (physical challenges, a magnitude of loss, internal changes, & stigma) are discussed. Conclusions include recommendations for future research and implications for practice in the field. Practitioners knowledgeable of the factors that impact their social involvement can empower gay men through individual and group interventions to confront a shrinking kind of life and define for themselves what it means to optimally age with HIV. PMID:25590461

  3. Radiological pitfalls of age estimation in adopted children: a case report.

    PubMed

    Gibelli, D; De Angelis, D; Cattaneo, C

    2015-04-01

    Age estimation has a relevant importance in assessing adopted children, also in cases where the age of the minor seems unquestioned, since pathological conditions may radically alter bodily growth. This may lead to an incorrect age evaluation, with consequent social and psychological problems linked to an inadequate collocation in public school. This study aims at exposing a case report concerning age estimation for a newly adopted child from Cambodia; previous clinical documentation reported information suggesting possible malnutrition, which was verified by the observation of a general disalignment of bone and dental structures. This example shows the importance of a thorough forensic evaluation of adopted children from other countries in order to verify the possible environmental modification of physiological growth even where it seems not to be needed, and represents a caveat for clinical and social personnel dealing with adoption procedures. PMID:25786535

  4. Experiments with Test Case Generation and Runtime Analysis

    NASA Technical Reports Server (NTRS)

    Artho, Cyrille; Drusinsky, Doron; Goldberg, Allen; Havelund, Klaus; Lowry, Mike; Pasareanu, Corina; Rosu, Grigore; Visser, Willem; Koga, Dennis (Technical Monitor)

    2003-01-01

    Software testing is typically an ad hoc process where human testers manually write many test inputs and expected test results, perhaps automating their execution in a regression suite. This process is cumbersome and costly. This paper reports preliminary results on an approach to further automate this process. The approach consists of combining automated test case generation based on systematically exploring the program's input domain, with runtime analysis, where execution traces are monitored and verified against temporal logic specifications, or analyzed using advanced algorithms for detecting concurrency errors such as data races and deadlocks. The approach suggests to generate specifications dynamically per input instance rather than statically once-and-for-all. The paper describes experiments with variants of this approach in the context of two examples, a planetary rover controller and a space craft fault protection system.

  5. Effects of age, system experience, and navigation technique on driving with an advanced traveler information system.

    PubMed

    Dingus, T A; Hulse, M C; Mollenhauer, M A; Fleischman, R N; McGehee, D V; Manakkal, N

    1997-06-01

    This paper explores the effects of age, system experience, and navigation technique on driving, navigation performance, and safety for drivers who used TravTek, an Advanced Traveler Information System. The first two studies investigated various route guidance configurations on the road in a specially equipped instrumented vehicle with an experimenter present. The third was a naturalistic quasi-experimental field study that collected data unobtrusively from more than 1200 TravTek rental car drivers with no in-vehicle experimenter. The results suggest that with increased experience, drivers become familiar with the system and develop strategies for substantially more efficient and safer use. The results also showed that drivers over age 65 had difficulty driving and navigating concurrently. They compensated by driving slowly and more cautiously. Despite this increased caution, older drivers made more safety-related errors than did younger drivers. The results also showed that older drivers benefited substantially from a well-designed ATIS driver interface. PMID:9302887

  6. Experiences of drug use and ageing: health, quality of life, relationship and service implications

    PubMed Central

    Roe, Brenda; Beynon, Caryl; Pickering, Lucy; Duffy, Paul

    2010-01-01

    roe b., beynon c., pickering l. & duffy p. (2010)Experiences of drug use and ageing: health, quality of life, relationship and service implications. Journal of Advanced Nursing66(9), 1968–1979. Aim This paper is a report of an exploration of older people’s experiences of substance use in the context of ageing, and its impact on health, quality of life, relationships and service use. Background Use of illicit drugs by older people is a neglected policy, research and service provision and is generally perceived as a lifestyle of younger populations. Method A convenience sample of 11 people aged 49–61 years (mean 57 years) in contact with voluntary sector drug treatment services participated in qualitative semi-structured tape-recorded interviews and thematic content analysis was performed. The data were collected in 2008. Findings Drug use can have negative impacts on health status, quality of life, family relationships and social networks that accrue with age. Participants were identified as early or later onset users of drugs due to the impact of life events and relationships. A range of substances had been used currently and throughout their lives, with no single gateway drug identified as a prelude to personal drug careers. Life review and reflection were common, in keeping with ageing populations, along with regret of ever having started to use drugs. Living alone and their accommodation made them more susceptible to social isolation, and they reported experiences of death and dying of their contemporaries and family members earlier than usual in the life course. Conclusion Older people who continue to use drugs and require the support of services for treatment and care are an important emerging population and their specific needs should recognized. PMID:20626477

  7. Facilitators and Inhibitors of Health-promoting Behaviors: The Experience of Iranian Women of Reproductive Age

    PubMed Central

    Baheiraei, Azam; Mirghafourvand, Mojgan; Charandabi, Sakineh Mohammad-Alizadeh; Mohammadi, Eesa

    2013-01-01

    Background: There is scant information on the facilitators and inhibitors of health-promoting behaviors among reproductive-aged Iranian women. This study aims to explore the experience of factors influencing health-promoting behaviors among Iranian women of reproductive age from a qualitative perspective. Methods: This study was performed in Tehran in 2011, over about 8 months. Qualitative methods, specifically in-depth interviews, were used to gather data on 15 women of reproductive age. Data continued to be collected until introduction of new information ceased. The interviews were recorded, transcribed verbatim, and analyzed by conventional content analysis. Results: The reported factors were categorized into four main groups and 12 subgroups: (1) personal barriers (lack of time, school or work duties, lack of preparation or motivation, physical disability); (2) socio-environmental barriers (family responsibilities, environmental pressures, high-costs and financial pressures); (3) personal facilitators (personal interest and motivation, experience of disease); and (4) socio-environmental facilitators (family and social support networks, encouraging and motivating environment, media, and public education). Conclusions: In these women's experience, factors influencing health-promoting behaviors were either facilitators or inhibitors; most were inhibitors. The findings of this study show that, in addition to personal factors, the pursuit of health-promoting behaviors is affected by socio-environmental factors. These results will be useful in designing interventions and plans for women's health promotion that focus on the improvement of their environment and the modification of social factors. PMID:24049620

  8. The experiences of women of reproductive age regarding health-promoting behaviours: A qualitative study

    PubMed Central

    2012-01-01

    Background Health promotion is critical for community and family health. Health-promoting behaviours provide solutions for maintaining and promoting health. Although several studies have addressed the frequency and different types of health-promoting behaviours in women, little information is available about their experiences. This study aimed to explore the experiences of women of reproductive age regarding health-promoting behaviours. Methods In the present study, which was conducted in Tehran, Iran, 15 females, who were selected purposefully, participated in individual in-depth, semi-structured interviews. The interviews were recorded, transcribed verbatim, and analysed using conventional content analysis. Results Nine main categories were derived from the analysis, including establishing an appropriate eating pattern, establishing a balanced rest/activity pattern, spirituality, stress management, personal sensitivity and responsibility, establishing an appropriate pattern of social interactions, practicing safe and healthy recreations, feeling improvement in physical-functional health, and feeling improvement in emotional and psychological health. The first 7 categories represent the nature and types of real health-promoting behaviours in women of reproductive age, whereas the last 2 constitute feeling and understanding of the implementation of these behaviours. Conclusion The study findings show that the women experience improvement in physical-functional, emotional, and psychological health by implementing health-promoting behaviours. It is therefore necessary to introduce strategies in the context of the community culture for improving different aspects of health-promoting behaviours in women of reproductive age to maintain and improve their overall health. PMID:22846587

  9. Aging.

    PubMed

    Park, Dong Choon; Yeo, Seung Geun

    2013-09-01

    Aging is initiated based on genetic and environmental factors that operate from the time of birth of organisms. Aging induces physiological phenomena such as reduction of cell counts, deterioration of tissue proteins, tissue atrophy, a decrease of the metabolic rate, reduction of body fluids, and calcium metabolism abnormalities, with final progression onto pathological aging. Despite the efforts from many researchers, the progression and the mechanisms of aging are not clearly understood yet. Therefore, the authors would like to introduce several theories which have gained attentions among the published theories up to date; genetic program theory, wear-and-tear theory, telomere theory, endocrine theory, DNA damage hypothesis, error catastrophe theory, the rate of living theory, mitochondrial theory, and free radical theory. Although there have been many studies that have tried to prevent aging and prolong life, here we introduce a couple of theories which have been proven more or less; food, exercise, and diet restriction. PMID:24653904

  10. Aging

    PubMed Central

    Park, Dong Choon

    2013-01-01

    Aging is initiated based on genetic and environmental factors that operate from the time of birth of organisms. Aging induces physiological phenomena such as reduction of cell counts, deterioration of tissue proteins, tissue atrophy, a decrease of the metabolic rate, reduction of body fluids, and calcium metabolism abnormalities, with final progression onto pathological aging. Despite the efforts from many researchers, the progression and the mechanisms of aging are not clearly understood yet. Therefore, the authors would like to introduce several theories which have gained attentions among the published theories up to date; genetic program theory, wear-and-tear theory, telomere theory, endocrine theory, DNA damage hypothesis, error catastrophe theory, the rate of living theory, mitochondrial theory, and free radical theory. Although there have been many studies that have tried to prevent aging and prolong life, here we introduce a couple of theories which have been proven more or less; food, exercise, and diet restriction. PMID:24653904

  11. The effect of aging in recollective experience: the processing speed and executive functioning hypothesis.

    PubMed

    Bugaiska, Aurélia; Clarys, David; Jarry, Caroline; Taconnat, Laurence; Tapia, Géraldine; Vanneste, Sandrine; Isingrini, Michel

    2007-12-01

    This study was designed to investigate the effects of aging on consciousness in recognition memory, using the Remember/Know/Guess procedure (Gardiner, J. M., & Richarson-Klavehn, A. (2000). Remembering and Knowing. In E. Tulving & F. I. M. Craik (Eds.), The Oxford Handbook of Memory. Oxford University Press.). In recognition memory, older participants report fewer occasions on which recognition is accompanied by recollection of the original encoding context. Two main hypotheses were tested: the speed mediation hypothesis (Salthouse, T. A. (1996). The processing-speed theory of adult age differences in cognition. Psychological Review, 3, 403-428) and the executive-aging hypothesis (West, R. L. (1996). An application of prefrontal cortex function theory to cognitive aging. Psychological Bulletin, 120, 272-292). A group of young and a group of older adults took a recognition test in which they classified their responses according to Gardiner, J. M., & Richarson-Klavehn, A. (2000). Remembering and Knowing. In E. Tulving & F. I. M. Craik (Eds.), The Oxford Handbook of Memory. Oxford University Press. remember-know-guess paradigm. Subsequently, participants completed processing speed and executive function tests. The results showed that among the older participants, R responses decreased, but K responses did not. Moreover, a hierarchical regression analysis supported the view that the effect of age in recollection experience is determined by frontal lobe integrity and not by diminution of processing speed. PMID:17251040

  12. INEQUITY ISSUES AND MOTHERS' PREGNANCY, DELIVERY AND EARLY-AGE SURVIVAL EXPERIENCES IN ENDE DISTRICT, INDONESIA.

    PubMed

    Pardosi, Jerico Franciscus; Parr, Nick; Muhidin, Salut

    2015-11-01

    Indonesia's infant mortality rates are among the highest in South-East Asia, and there are substantial variations between its sub-national regions. This qualitative study aims to explore early mortality-related health service provision and gender inequity issues based on mothers' pregnancy, delivery and early-age survival experience in Ende district, Nusa Tenggara Timur province. Thirty-two mothers aged 18-45 years with at least one birth in the previous five years were interviewed in depth in May 2013. The results show most mothers have little knowledge about the danger signs for a child's illness. Mothers with early-age deaths generally did not know the cause of death. Very few mothers had received adequate information on maternal and child health during their antenatal and postnatal visits to the health facility. Some mothers expressed a preference for using a traditional birth attendant, because of their ready availability and the more extensive range of support services they provide, compared with local midwives. Unprofessional attitudes displayed by midwives were reported by several mothers. As elsewhere in Indonesia, the power of health decision-making lies with the husband. Policies aimed at elevating mothers' roles in health care decision-making are discussed as measures that would help to improve early-age survival outcomes. Widening the public health insurance distribution, especially among poorer mothers, and equalizing the geographical distribution of midwives and health facilities are recommended to tackle geographical inequities and to increase early-age survival in Ende district. PMID:25499196

  13. Age Variation in the Prevalence of "DSM-IV" Disorders in Cases of Suicide of Middle-Aged and Older Persons in Sydney

    ERIC Educational Resources Information Center

    Snowdon, John; Draper, Brian; Wyder, Marianne

    2011-01-01

    Data concerning 127 persons aged 35 years or above who died by suicide (as determined in consecutive cases by a Sydney coroner) were analyzed. Psychological autopsy (PA) interviews were conducted in 52 cases, and details were compared with the 75 cases where data were available only from coroner's files (CF). Most characteristics of the two groups…

  14. Canine Sialolithiasis: Two Case Reports with Breed, Gender, and Age Distribution of 29 Cases (1964-2010).

    PubMed

    Han, Hyunjung; Mann, F A; Park, Jee-Yong

    2016-01-01

    This study was conducted to investigate the clinical data of two cases of canine sialolithiasis and to analyze 29 cases identified in the Veterinary Medical Database by year of admission, breed, gender, and age. Medical records from the University of Missouri Veterinary Medical Teaching Hospital were reviewed and two dogs diagnosed with sialolithiasis (calcium oxalate) were identified between 1990 and 2010. The two dogs had cervical or pharyngeal sialocele and were successfully treated by sialolith removal and concurrent sialoadenectomy. Signalments of dogs with sialolithiasis between 1964 and 2010 were collected from the Veterinary Medical Database and evaluated. Several breeds of dogs were represented and the 10 to <15 yr old age group was shown to have significant association with sialolithiasis. Sialolithiasis is a rare veterinary condition. In this study, older dogs were at higher risk. In dogs, concurrent sialocele was common and good outcome could be expected after surgical removal of sialoliths with concurrent sialoadenectomy. PMID:26606211

  15. A Precarious Passage: Aging out of the Child-Only Case Load

    ERIC Educational Resources Information Center

    Hamilton, Mary Agnes; Hamilton, Stephen F.

    2008-01-01

    Child-only cases, minors who receive welfare benefits as individuals, lose their eligibility at age 18 but face the same challenges to self-sufficiency as other "emerging adults." This study examines how 59 youth in 4 New York State communities thought about and prepared for the termination of their benefits. In 8 focus groups and 12 follow-up…

  16. Medullomyoblastoma: A rare case in an unusual location in an atypical age group.

    PubMed

    Bansal, Sumit; Borkar, Sachin A; Suri, Ashish; Sharma, Mehar C; Mahapatra, Ashok K

    2016-01-01

    Medullomyoblastoma is a variant of medulloblastoma with an aggressive course. It is typically seen in children less than 10 years of age and usually arises from the cerebellar vermis. Authors report an unusual case of medullomyoblastoma arising from the right middle cerebellar peduncle in an adult patient and pertinent literature is reviewed regarding this uncommon entity. PMID:27366275

  17. A Case Series of Marijuana Exposures in Pediatric Patients Less than 5 Years of Age

    ERIC Educational Resources Information Center

    Wang, George Sam; Narang, Sandeep K.; Wells, Kathryn; Chuang, Ryan

    2011-01-01

    Objective: In Colorado, there has been a large increase in medical marijuana dispensaries and licenses for the use of medical marijuana over the past year. This is a retrospective case series of marijuana exposures that have presented to the emergency department (ED) in children less than 5 years of age. Methods: We performed a retrospective chart…

  18. Middle-Aged Independent-Living African Americans' Selections for Advance Directives: A Case Study

    ERIC Educational Resources Information Center

    McDaniel, Brenda J.

    2013-01-01

    The purpose of this collective embedded qualitative case study was to examine the perspectives of three middle-aged independent-living African Americans who had participated in the process of advance care planning (ACP) and completed at least two advance directives (ADs), a Durable Power of Attorney for Health Care (DPAHC) and a Living Will (LW).…

  19. Medullomyoblastoma: A rare case in an unusual location in an atypical age group

    PubMed Central

    Bansal, Sumit; Borkar, Sachin A.; Suri, Ashish; Sharma, Mehar C.; Mahapatra, Ashok K.

    2016-01-01

    Medullomyoblastoma is a variant of medulloblastoma with an aggressive course. It is typically seen in children less than 10 years of age and usually arises from the cerebellar vermis. Authors report an unusual case of medullomyoblastoma arising from the right middle cerebellar peduncle in an adult patient and pertinent literature is reviewed regarding this uncommon entity. PMID:27366275

  20. Successful Aging in a 70-Year-Old Man with Down Syndrome: A Case Study

    ERIC Educational Resources Information Center

    Krinsky-McHale, Sharon J.; Devenny, Darlynne A.; Gu, Hong; Jenkins, Edmund C.; Kittler, Phyllis; Murty, Vundavalli V.; Schupf, Nicole; Scotto, Luigi; Tycko, Benjamin; Urv, Tiina K.; Ye, Lingling; Zigman, Warren B.; Silverman, Wayne

    2008-01-01

    The authors present a case study of a 70-year-old man with Down syndrome ("Mr. C.") who they followed for 16 years and who does not exhibit declines in cognitive or functional capacities indicative of dementia, despite having well-documented, complete trisomy 21. The authors describe the age-associated changes that occurred over 16 years as well…

  1. Language, Literacy and Numeracy in National Training Packages: Case Studies in Aged Care and Hospitality.

    ERIC Educational Resources Information Center

    Haines, Christine; Brand, Jennie Bickmore

    The implementation and effectiveness of the inclusion of literacy and numeracy in industry training packages was examined in case studies of three programs in Western Australia. Two were certificate programs in cooking and food and beverage as specified in the hospitality training package, and the third was an aged care program based on the…

  2. Traditional-Aged College Juniors' Career Planning Self-Efficacy: A Case Study

    ERIC Educational Resources Information Center

    Sherman, Dawn C.

    2012-01-01

    The purpose of this single-site case study was to explore and describe traditional-age college juniors' reports of self-efficacy (Bandura, 1997) regarding Career Planning (Barker & Kellen, 1998). More specifically, the career planning confidence levels of college juniors enrolled in a required career development course at a private…

  3. Evolution of Black Carbon Optical Properties during Atmospheric Aging: Comparison Between Theoretical Calculations and Laboratory Experiments

    NASA Astrophysics Data System (ADS)

    He, C.; Liou, K. N.; Takano, Y.; Li, Q.; Yang, P.; Zhang, R.

    2014-12-01

    The optical properties of black carbon (BC) are significantly affected by its aging process in the atmosphere. We have built a conceptual model defining three BC aging stages, including freshly emitted BC aggregates, coating by soluble material and hygroscopic growth. We apply an improved geometric-optics surface-wave approach (Liou et al., 2011; Takano et al., 2013) to calculate the absorption and scattering properties of BC at each stage and compare the theoretical results with those obtained from laboratory experiments (Zhang et al., 2008; Khalizov et al., 2009). Preliminary results show a general agreement between calculated and measured BC absorption cross sections (bias < 10%) and scattering cross sections (bias < 30%) for BC aerosols with mobility diameters of 155, 245 and 320 nm at Stages 1 and 2, where BC is coated by sulfuric acid and its water solution, respectively. We find that the calculated scattering and absorption cross sections for fresh BC aggregates (Stage 0) with different sizes are invariably larger than experimental results partly because of the uncertainty in theoretical calculations for BC with size parameters less than 1. It appears that the uncertainty in the experiment could also contribute to the discrepancy, considering that the measuring instrument missed some scattering in certain angles (0-7° and 170-180°). Finally, we will apply the conceptual model and the single-scattering results to assess the effects of BC aging processes on direct radiative forcing using observed BC vertical profiles.

  4. Neuroprotective effects of yoga practice: age-, experience-, and frequency-dependent plasticity.

    PubMed

    Villemure, Chantal; Čeko, Marta; Cotton, Valerie A; Bushnell, M Catherine

    2015-01-01

    Yoga combines postures, breathing, and meditation. Despite reported health benefits, yoga's effects on the brain have received little study. We used magnetic resonance imaging to compare age-related gray matter (GM) decline in yogis and controls. We also examined the effect of increasing yoga experience and weekly practice on GM volume and assessed which aspects of weekly practice contributed most to brain size. Controls displayed the well documented age-related global brain GM decline while yogis did not, suggesting that yoga contributes to protect the brain against age-related decline. Years of yoga experience correlated mostly with GM volume differences in the left hemisphere (insula, frontal operculum, and orbitofrontal cortex) suggesting that yoga tunes the brain toward a parasympatically driven mode and positive states. The number of hours of weekly practice correlated with GM volume in the primary somatosensory cortex/superior parietal lobule (S1/SPL), precuneus/posterior cingulate cortex (PCC), hippocampus, and primary visual cortex (V1). Commonality analyses indicated that the combination of postures and meditation contributed the most to the size of the hippocampus, precuneus/PCC, and S1/SPL while the combination of meditation and breathing exercises contributed the most to V1 volume. Yoga's potential neuroprotective effects may provide a neural basis for some of its beneficial effects. PMID:26029093

  5. Neuroprotective effects of yoga practice: age-, experience-, and frequency-dependent plasticity

    PubMed Central

    Villemure, Chantal; Čeko, Marta; Cotton, Valerie A.; Bushnell, M. Catherine

    2015-01-01

    Yoga combines postures, breathing, and meditation. Despite reported health benefits, yoga’s effects on the brain have received little study. We used magnetic resonance imaging to compare age-related gray matter (GM) decline in yogis and controls. We also examined the effect of increasing yoga experience and weekly practice on GM volume and assessed which aspects of weekly practice contributed most to brain size. Controls displayed the well documented age-related global brain GM decline while yogis did not, suggesting that yoga contributes to protect the brain against age-related decline. Years of yoga experience correlated mostly with GM volume differences in the left hemisphere (insula, frontal operculum, and orbitofrontal cortex) suggesting that yoga tunes the brain toward a parasympatically driven mode and positive states. The number of hours of weekly practice correlated with GM volume in the primary somatosensory cortex/superior parietal lobule (S1/SPL), precuneus/posterior cingulate cortex (PCC), hippocampus, and primary visual cortex (V1). Commonality analyses indicated that the combination of postures and meditation contributed the most to the size of the hippocampus, precuneus/PCC, and S1/SPL while the combination of meditation and breathing exercises contributed the most to V1 volume. Yoga’s potential neuroprotective effects may provide a neural basis for some of its beneficial effects. PMID:26029093

  6. Rhabdomyomas and Tuberous sclerosis complex: our experience in 33 cases

    PubMed Central

    2014-01-01

    Background Rhabdomyomas are the most common type of cardiac tumors in children. Anatomically, they can be considered as hamartomas. They are usually randomly diagnosed antenatally or postnatally sometimes presenting in the neonatal period with haemodynamic compromise or severe arrhythmias although most neonatal cases remain asymptomatic. Typically rhabdomyomas are multiple lesions and usually regress spontaneously but are often associated with tuberous sclerosis complex (TSC), an autosomal dominant multisystem disorder caused by mutations in either of the two genes, TSC1 or TSC2. Diagnosis of tuberous sclerosis is usually made on clinical grounds and eventually confirmed by a genetic test by searching for TSC genes mutations. Methods We report our experience on 33 cases affected with rhabdomyomas and diagnosed from January 1989 to December 2012, focusing on the cardiac outcome and on association with the signs of tuberous sclerosis complex. We performed echocardiography using initially a Philips Sonos 2500 with a 7,5/5 probe and in the last 4 years a Philips IE33 with a S12-4 probe. We investigated the family history, brain, skin, kidney and retinal lesions, development of seizures, and neuropsychiatric disorders. Results At diagnosis we detected 205 masses, mostly localized in interventricular septum, right ventricle and left ventricle. Only in 4 babies (12%) the presence of a mass caused a significant obstruction. A baby, with an enormous septal rhabdomyoma associated to multiple rhabdomyomas in both right and left ventricular walls died just after birth due to severe heart failure. During follow-up we observed a reduction of rhabdomyomas in terms of both number and size in all 32 surviving patients except in one child. Eight patients (24,2%) had an arrhythmia and in 2 of these cases rhabdomyomas led to Wolf-Parkinson-White Syndrome. For all patients the arrhythmia spontaneously totally disappeared or was reduced gradually. With regarding to association with

  7. Work, Aging, and Risks to Family Life: The Case of Australia.

    PubMed

    Biggs, Simon; Carr, Ashley; Haapala, Irja

    2015-09-01

    The relationship between work and family is considered with an emphasis on policy solutions. Australian policy is a case example in the context of international trends. A mismatch between policy initiatives and familial and personal priorities constitutes a new social risk associated with demographic and sociocultural development. Contemporary trends, both nationally and internationally, evidence solutions to the “problem of demographic aging” by adopting a form of economic instrumentalism. This restricts legitimate age identities to those associated with work and work-related activity. When applied to family life, such a focus runs the risk of reducing policy interest in intergenerational engagement to unpaid care roles, while personal development and age-related life priorities are ignored. The need for cultural adaptation to population aging is becoming accepted in policy debate and is considered here as an effective response to the personal, social, and economic risks of population aging and associated impacts on family life. PMID:26144871

  8. Auricular reconstruction of congenital microtia: personal experience in 225 cases.

    PubMed

    Anghinoni, M; Bailleul, C; Magri, A S

    2015-06-01

    Microtia is a congenital disease with various degrees of severity, ranging from the presence of rudimentary and malformed vestigial structures to the total absence of the ear (anotia). The complex anatomy of the external ear and the necessity to provide good projection and symmetry make this reconstruction particularly difficult. The aim of this work is to report our surgical technique of microtic ear correction and to analyse the short and long term results. From 2000 to 2013, 210 patients affected by microtia were treated at the Maxillo-Facial Surgery Division, Head and Neck Department, University Hospital of Parma. The patient population consisted of 95 women and 115 men, aged from 7 to 49 years. A total of 225 reconstructions have been performed in two surgical stages basing of Firmin's technique with some modifications and refinements. The first stage consists in fabrication and grafting of a three-dimensional costal cartilage framework. The second stage is performed 5-6 months later: the reconstructed ear is raised up and an additional cartilaginous graft is used to increase its projection. A mastoid fascial flap together with a skin graft are then used to protect the cartilage graft. All reconstructions were performed without any major complication. The results have been considered satisfactory by all patients starting from the first surgical step. Low morbidity, the good results obtained and a high rate of patient satisfaction make our protocol an optimal choice for treatment of microtia. The surgeon's experience and postoperative patient care must be considered as essential aspects of treatment. PMID:26246664

  9. Evaluation of one-dimensional and two-dimensional volatility basis sets in simulating the aging of secondary organic aerosol with smog-chamber experiments.

    PubMed

    Zhao, Bin; Wang, Shuxiao; Donahue, Neil M; Chuang, Wayne; Hildebrandt Ruiz, Lea; Ng, Nga L; Wang, Yangjun; Hao, Jiming

    2015-02-17

    We evaluate the one-dimensional volatility basis set (1D-VBS) and two-dimensional volatility basis set (2D-VBS) in simulating the aging of SOA derived from toluene and α-pinene against smog-chamber experiments. If we simulate the first-generation products with empirical chamber fits and the subsequent aging chemistry with a 1D-VBS or a 2D-VBS, the models mostly overestimate the SOA concentrations in the toluene oxidation experiments. This is because the empirical chamber fits include both first-generation oxidation and aging; simulating aging in addition to this results in double counting of the initial aging effects. If the first-generation oxidation is treated explicitly, the base-case 2D-VBS underestimates the SOA concentrations and O:C increase of the toluene oxidation experiments; it generally underestimates the SOA concentrations and overestimates the O:C increase of the α-pinene experiments. With the first-generation oxidation treated explicitly, we could modify the 2D-VBS configuration individually for toluene and α-pinene to achieve good model-measurement agreement. However, we are unable to simulate the oxidation of both toluene and α-pinene with the same 2D-VBS configuration. We suggest that future models should implement parallel layers for anthropogenic (aromatic) and biogenic precursors, and that more modeling studies and laboratory research be done to optimize the "best-guess" parameters for each layer. PMID:25581402

  10. False memories in children and adults: age, distinctiveness, and subjective experience.

    PubMed

    Ghetti, Simona; Qin, Jianjian; Goodman, Gail S

    2002-09-01

    This study investigated developmental trends associated with the Deese/Roediger-McDermott false-memory effect, the role of distinctive information in false-memory formation, and participants' subjective experience of true and false memories. Children (5- and 7-year-olds) and adults studied lists of semantically associated words. Half of the participants studied words alone, and half studied words accompanied by pictures. There were significant age differences in recall (5-year-olds evinced more false memories than did adults) but not in recognition of critical lures. Distinctive information reduced false memory for all age groups. Younger children provided with distinctive information, and older children and adults regardless of whether they viewed distinctive information, expressed higher levels of confidence in true than in false memories. Source attributions did not significantly differ between true and false memories. Implications for theories of false memory and memory development are discussed. PMID:12220049

  11. Experimenting from a Distance in the Case of Rutherford Scattering

    ERIC Educational Resources Information Center

    Grober, S.; Vetter, M.; Eckert, B.; Jodl, H. -J.

    2010-01-01

    The Rutherford scattering experiment plays a central role in working out atomic models in physics and chemistry. Nevertheless, the experiment is rarely performed at school or in introductory physics courses at university. Therefore, we realized this experiment as a remotely controlled laboratory (RCL), i.e. the experiment is set up in reality and…

  12. Modeling old-age wealth with endogenous early-life outcomes: The case of Mexico

    PubMed Central

    DeGraff, Deborah S.; Wong, Rebeca

    2014-01-01

    This paper contributes to the literature on the life course and aging by examining the association between early-life outcomes and late-life well being, using data from the Mexican Health and Aging Study. Empirical research in this area has been challenged by the potential endogeneity of the early-life outcomes of interest, an issue which most studies ignore or downplay. Our contribution takes two forms: (1) we examine in detail the potential importance of two key life-cycle outcomes, age at marriage (a measure of family formation) and years of educational attainment (a measure of human capital investment) for old-age wealth, and (2) we illustrate the empirical value of past context variables that could help model the association between early-life outcomes and late-life well being. Our illustrative approach, matching macro-level historical policy and census variables to individual records to use as instruments in modeling the endogeneity of early-life behaviors, yields a statistically identified two-stage model of old-age wealth with minimum bias. We use simulations to show that the results for the model of wealth in old age are meaningfully different when comparing the approach that accounts for endogeneity with an approach that assumes exogeneity of early-life outcomes. Furthermore, our results suggest that in the Mexican case, models which ignore the potential endogeneity of early-life outcomes are likely to under-estimate the effects of such variables on old-age wealth. PMID:25170434

  13. Modeling old-age wealth with endogenous early-life outcomes: The case of Mexico.

    PubMed

    DeGraff, Deborah S; Wong, Rebeca

    2014-04-01

    This paper contributes to the literature on the life course and aging by examining the association between early-life outcomes and late-life well being, using data from the Mexican Health and Aging Study. Empirical research in this area has been challenged by the potential endogeneity of the early-life outcomes of interest, an issue which most studies ignore or downplay. Our contribution takes two forms: (1) we examine in detail the potential importance of two key life-cycle outcomes, age at marriage (a measure of family formation) and years of educational attainment (a measure of human capital investment) for old-age wealth, and (2) we illustrate the empirical value of past context variables that could help model the association between early-life outcomes and late-life well being. Our illustrative approach, matching macro-level historical policy and census variables to individual records to use as instruments in modeling the endogeneity of early-life behaviors, yields a statistically identified two-stage model of old-age wealth with minimum bias. We use simulations to show that the results for the model of wealth in old age are meaningfully different when comparing the approach that accounts for endogeneity with an approach that assumes exogeneity of early-life outcomes. Furthermore, our results suggest that in the Mexican case, models which ignore the potential endogeneity of early-life outcomes are likely to under-estimate the effects of such variables on old-age wealth. PMID:25170434

  14. Understanding the Experience of Age-Related Vestibular Loss in Older Individuals: A Qualitative Study

    PubMed Central

    Li, Carol; Bridges, John F. P.; Agrawal, Yuri

    2016-01-01

    Background Inner ear balance (or vestibular) function declines with age and is associated with decreased mobility and an increased risk of falls in older individuals. We sought to understand the lived experience of older adults with vestibular loss in order to improve care in this population. Methods Qualitative data were derived from semi-structured interviews of individuals aged 65 years or older presenting to the Balance and Falls Prevention Clinic from February 1, 2014 to March 30, 2015 for evaluation of age-related vestibular loss. Transcripts were analyzed using interpretive phenomenological analysis. We created a taxonomy of overarching superordinate themes based on the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) Framework, and classified key dimensions within each of these themes. Results Sixteen interviews were conducted with individuals (mean age 76.0 years, 75 % female) with age-related vestibular loss. The three superordinate themes and associated key dimensions were (1) body impairment (including depression, fatigue, fear/anxiety, and problems with concentrating and memory); (2) activity limitation and participation restriction (isolation, needing to stop in the middle of activities, reduced participation relative to expectations, reduced ability to drive or travel, and problems with bending/looking up, standing, and walking); and (3) environmental influences (needing help with daily activities). All participants reported difficulty walking. Conclusions Older adults report that vestibular loss impacts their body functioning and restricts their participation in activities. The specific key dimensions uncovered by this qualitative study can be used to evaluate care from the patient's perspective. PMID:26739817

  15. Biosphere reserves in action: Case studies of the American experience

    SciTech Connect

    1995-06-26

    For nearly 20 years, biosphere reserves have offered a unique framework for building the knowledge, skills, and attitudes required for conservation and sustainable use of ecosystems. The 12 case studies in this volume chronicle many of the cooperative efforts to implement the biosphere reserve concept in the United States. Considered together, these efforts involve more than 20 types of protected areas, and the participation of all levels of government, and many private organizations, academic institutions, citizens groups, and individuals. Biosphere reserves are multi-purpose areas that are nominated by the national committee of the Man and the Biosphere Program (MAB) and designated by the United Nations Educational, Scientific and Cultural Organization (UNESCO) to serve as demonstration areas for cooperation in building harmonious relationships between human activities and the conservation of ecosystems and biological diversity. Each biosphere reserve exemplifies the characteristic ecosystems of one of the worlds biogeographical regions. It is a land or coas%arine area involving human communities as integral components and including resources managed for objectives ranging from complete protection to intensive, yet sustainable development. A biosphere reserve is envisioned as a regional ''landscape for learning'' in which monitoring, research, education, and training are encouraged to support sustainable conservation of natural and managed ecosystems. It is a framework for regional cooperation involving government decisionmakers, scientists, resource managers, private organizations and local people (i.e., the biosphere reserve ''stakeholders''). Finally, each biosphere reserve is part of a global network for sharing information and experience to help address complex problems of conservation and development. The 12 case studies presented in this report represent only a few of the possible evolutions of a biosphere reserve in its efforts to reach out to the local

  16. Preventive dental health care experiences of preschool-age children with special health care needs

    PubMed Central

    Huebner, Colleen E.; Chi, Donald L.; Masterson, Erin; Milgrom, Peter

    2014-01-01

    Purpose This study examined the preventive dental health care experiences of young children with special needs and determined the feasibility of conducting clinical dental examinations at a community-based early intervention services center. Methods Study methods included 90 parent interviews and dental examinations of their preschool-age children. Results Thirteen percent of the children received optimal preventive care, defined as twice daily tooth brushing with fluoridated toothpaste and two preventive dental visits in the prior 12 months; 37 percent experienced care that fell short in both areas. Optimal care was more common among children of parents who reported tooth brushing was not a struggle and those with a personal dentist. Parents' opinion of the study experience was generally positive. Conclusions Few children with special needs receive effective preventive care early, when primary prevention could be achieved. Barriers to optimal care could be readily addressed by the dental community in coordination with early intervention providers. PMID:25082666

  17. Experiences of aging among immigrants from India to the United States: social work practice in a global context.

    PubMed

    Bhattacharya, Gauri; Shibusawa, Tazuko

    2009-07-01

    The aging of immigrants is a critical component in the health dynamics of the nation's aging population. To date, few studies have addressed within-group diversity and linked contemporary contexts of global connectedness with the aging experiences of older immigrants. This study aims to conceptually understand the diversity in aging dynamics within a specific immigrant group: Indian immigrants in New York City. The impact of globalization and transnational connection on aging experiences on 2 within groups-Indians who came to the United States at age of 65 or older (LLIs) and those who came at an early age (ELIs) are analyzed. Implications for social work practice, research and policy are discussed. PMID:19585322

  18. Lithium and age of pre-main sequence stars: the case of Parenago 1802

    NASA Astrophysics Data System (ADS)

    Giarrusso, M.; Tognelli, E.; Catanzaro, G.; Degl’Innocenti, S.; Dell’Omodarme, M.; Lamia, L.; Leone, F.; Pizzone, R. G.; Prada Moroni, P. G.; Romano, S.; Spitaleri, C.

    2016-04-01

    With the aim to test the present capability of the stellar surface lithium abundance in providing an estimation for the age of PMS stars, we analyze the case of the detached, double-lined, eclipsing binary system PAR 1802. For this system, the lithium age has been compared with the theoretical one, as estimated by applying a Bayesian analysis method on a large grid of stellar evolutionary models. The models have been computed for several values of chemical composition and mixing length, by means of the code FRANEC updated with the Trojan Horse reaction rates involving lithium burning.

  19. Surgical treatment of hermaphroditism: experience with 25 cases.

    PubMed

    Jingde, Zhang; Xin, Xing; Entan, Guo; Junhui, Li; Chunyu, Xue; Xiaoyun, Wang

    2009-11-01

    This article is a summary of our experience with surgical treatment of 25 patients with hermaphroditism. We treated 25 patients with hermaphroditism since 1985, including 12 with male pseudohermaphroditism, 9 with female pseudohermaphroditism and 4 with true hermaphroditism. Decision on sex reassignment for these patients was made according to their genetic sex, gonad sex, social sex, psychologic sex, and the request of the patients and their relatives. Of the 12 male pseudohermaphrodites, 1 was reassigned with the male sex and penile reconstruction was performed, and the other 11 had a female sex assignment and received undescended testis removal, clitoral reduction, labioplasty of the labia minora and labium majus, and vaginoplasty. Nine female pseudohermaphrodites with female sex assignment underwent clitoral reduction, labioplasty of the labia minora and labium majus, and vaginoplasty. The 4 true hermaphrodites also had female sex assignment, and received such procedures as resection of the ovotestes and undescended testes, clitoral reduction, and labioplasty of the labia minora; resection of the uterus and appendices was also performed in 1 case due to the identification of malignant cells. The reconstructed penis in the patient with male sex assignment had good appearance and allowed normal urination. In patients with female sex assignment, the reconstructed external genitalia had also good appearance and good sensation without obvious contraction. No serious complications occurred in these patients, who were satisfactory with the outcome and reported stable gender identity, and 3 married patients reported normal sexual life. Plastic surgery is still the primary option for correction of hermaphroditism after determination of sex assignment, and satisfactory effect can be achieved by surgical intervention with stable gender identity and minimal complications. PMID:19806042

  20. A case of an adoptive girl with precocious puberty: the problem of age estimation.

    PubMed

    De Donno, Antonio; Roca, Roberta; Introna, Francesco; Santoro, Valeria

    2013-09-10

    Age estimation is one of the main tasks of forensic anthropology and odontology, both on the dead and the living. In living subjects, age estimation may be used to establish an individual's status as a minor in cases involving adoption, criminal responsibility, child pornography, and those seeking asylum, especially where adequate identification documents are lacking. The authors report a case about age assessment of a girl born in Mbujimayi (Democratic Republic of Congo) and later adopted in Italy. The birth certificate issued after finding the child in a state of abandonment (in December 2007), bore date of 12.12.2004, but this was in contrast with the year of birth - 2003 - stated on the certification available to the center that had provided accommodation to the girl in Africa. Her adoptive parents reported that the child had been diagnosed with precocious puberty and was thus under treatment. She weighed 32.5 kg and was 132.5 cm tall. Body mass index (BMI) corresponded to the range between 9.5 and 14 years of age. The assessment of maturity indicators (sexual characteristics) placed the child at the lower limits of Stage II of Tanner's classification (sparse growth of long, slightly darkened, downy straight pubic hair; elevation of the breast and nipple as a small mound with increased diameter of the areolae). The skeletal age was determined by taking X-rays of the hand and wrist using Fels, TW2 and Greulich and Pyle methods. Dental growth was assessed through orthopantomogram using Demirjian's technique. The methods applied were adjusted considering the studies on African population found in the literature, and a skeletal and dental age of 10 years was established. Afterwards, the wrist X-rays performed at the Children's Hospital of Bari, 7 months before our investigation, revealed a skeletal age of 7 years. This evidence showed that, despite the treatment the child had promptly initiated, early puberty had influenced the skeletal growth with an acceleration

  1. Laparoscopic splenectomy: a single center experience. Unusual cases and expanded inclusion criteria for laparoscopic approach.

    PubMed

    Marte, Gianpaolo; Scuderi, Vincenzo; Rocca, Aldo; Surfaro, Giuseppe; Migliaccio, Carla; Ceriello, Antonio

    2013-06-01

    Laparoscopic splenectomy (LS) is nowadays considered as the gold standard for most hematological diseases where splenectomy is necessary, but many questions still remain. The aim of this study was to analyze our 5-years experiences consisting of 48 consecutive LS cases in order to assess the optimal approach and the feasibility of the procedure also in malignant diseases and unusual cases such as a primary spleen lymphoma, a big splenic artery aneurism, or a spleen infarct due to a huge pancreatic pseudo-cyst. Forty-eight consecutive patients underwent LS from January 2006 to January 2011 with at least 1-year follow-up. Clinical data and immediate outcome were retrospectively recorded; age, diagnosis, operation time, perioperative transfusion requirement, conversion rate, accessory incision, hospital stay, and complications were analyzed. We had 14 cases of malignant splenic disease, the most frequent malignant diagnosis was non-Hodgkin's lymphoma (12/14, 85.7 %). Splenomegaly (interpole diameter (ID) >20 cm) was observed in 12 cases (25 %) and massive splenomegaly (ID >25 cm) in 3 cases (6.25 %). Conversion to laparotomy occurred in two patients (4.16 %), both associated to uncontrollable bleeding in patients with splenomegaly. Mean operative time was 138 ± 22 min. Mean hospital stay was 4.5 days. Postoperative morbidity rate was 8.8 % for the benign group and 35.7 % in the malignant group. Mortality occurred in 1/48 patients (2.08 %), as a result of overwhelming post-splenectomy infection (OPSI). LS can be performed safely for malignant splenic disease and splenomegaly without any statistically significant increase of morbidity and mortality rate. Conversion rate is increased for massive splenomegaly. LS should be considered as the preferential approach even in patients with malignant disease, splenomegaly, or unusual cases. Massive splenomegaly should be considered as relative contraindication to LS even at experienced centers. PMID:23355349

  2. Adverse childhood experiences, allostasis, allostatic load, and age-related disease.

    PubMed

    Danese, Andrea; McEwen, Bruce S

    2012-04-12

    How do adverse childhood experiences get 'under the skin' and influence health outcomes through the life-course? Research reviewed here suggests that adverse childhood experiences are associated with changes in biological systems responsible for maintaining physiological stability through environmental changes, or allostasis. Children exposed to maltreatment showed smaller volume of the prefrontal cortex, greater activation of the HPA axis, and elevation in inflammation levels compared to non-maltreated children. Adults with a history of childhood maltreatment showed smaller volume of the prefrontal cortex and hippocampus, greater activation of the HPA axis, and elevation in inflammation levels compared to non-maltreated individuals. Despite the clear limitations in making longitudinal claims from cross-sectional studies, work so far suggests that adverse childhood experiences are associated with enduring changes in the nervous, endocrine, and immune systems. These changes are already observable in childhood years and remain apparent in adult life. Adverse childhood experiences induce significant biological changes in children (biological embedding), modifying the maturation and the operating balance of allostatic systems. Their chronic activation can lead to progressive wear and tear, or allostatic load and overload, and, thus, can exert long-term effects on biological aging and health. PMID:21888923

  3. Ageing studies of wavelength shifter fibers for the TILECAL/ATLAS experiment

    NASA Astrophysics Data System (ADS)

    Silva, J.; Maio, A.; Pina, J.; Santos, J.; Saraiva, J. G.

    2007-09-01

    Natural and accelerated ageing studies for the different components of the TILECAL calorimeter, of the ATLAS experiment, play a central role in forecasting the evolution of the detector's performance throughout its operating life. It is possible that the operation of ATLAS will be extended by 5 years in an upgraded LHC scenario. Such prospect makes these studies even more important, in order to assess the contribution of the natural ageing in relation to the other processes inducing performance loss in the optical components. Among other activities in this LHC/CERN collaboration, the Lisbon calorimetry group is involved in studying the impact of radiation damage and natural ageing in optical characteristics of the TILECAL wavelength shifter (WLS) optical fibers and scintillators, and to reevaluate the light budget of the tile/fiber system. The light yield and the attenuation length of the WLS and scintillating optical fibers are measured using an X- Y table. Results are presented for several sets of WLS optical fibers (Kuraray Y11(200)MSJ) whose characteristics have been monitored since 1999. Most of those 338 fibers are from the mass production for the TILECAL detector: 208 non-aluminized 200 cm fibers, from several production batches, and 128 batch #6 aluminized fibers, with lengths ranging from 114 to 207 cm.

  4. Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases

    PubMed Central

    Choi, Kyung Hwa; Ham, Won Sik; Rha, Koon Ho; Lee, Jae Won; Jeon, Hwang Gyun; Arkoncel, Francis Raymond P.; Yang, Seung Choul

    2011-01-01

    Purpose We report our experience to date with 171 patients who underwent laparoendoscopic single-site surgery for diverse urologic diseases in a single institution. Materials and Methods Between December 2008 and August 2010, we performed 171 consecutive laparoendoscopic single-site surgeries. These included simple nephrectomy (n=18; robotic surgeries, n=1), radical nephrectomy (n=26; robotic surgeries, n=2), partial nephrectomy (n=59; robotic surgeries, n=56), nephroureterectomy (n=20; robotic surgeries, n=12), pyeloplasty (n=4), renal cyst decortications (n=22), adrenalectomy (n=4; robotic surgeries, n=2), ureterolithotomy (n=10), partial cystectomy (n=3), ureterectomy (n=1), urachal mass excision (n=1), orchiectomy (n=1), seminal vesiculectomy (n=1), and retroperitoneal mass excision (n=1). All procedures were performed by use of a homemade single-port device with a wound retractor and surgical gloves. A prospective study was performed to evaluate outcomes in 171 cases. Results Of the 171 patients, 98 underwent conventional laparoendoscopic single-site surgery and 73 underwent robotic laparoendoscopic single-site surgery. Mean patient age was 53 years, mean operative time was 190.8 minutes, and mean estimated blood loss was 204 ml. Intraoperative complications occurred in seven cases (4.1%), and postoperative complications in nine cases (5.3%). There were no complications classified as Grade IIIb or higher (Clavien-Dindo classification for surgical complications). Conversion to mini-incision open surgery occurred in seven (4.1%) cases. Regarding oncologic outcomes, no cancer-related events occurred during follow-up other than one aggressive progression of Ewing sarcoma. Conclusions Laparoendoscopic single-site surgery is technically feasible and safe for various urologic diseases; however, surgical experience and long-term follow-up are needed to test the superiority of laparoendoscopic single-site surgery. PMID:21344028

  5. Experimenting from a distance in the case of Rutherford scattering

    NASA Astrophysics Data System (ADS)

    Gröber, S.; Vetter, M.; Eckert, B.; Jodl, H.-J.

    2010-07-01

    The Rutherford scattering experiment plays a central role in working out atomic models in physics and chemistry. Nevertheless, the experiment is rarely performed at school or in introductory physics courses at university. Therefore, we realized this experiment as a remotely controlled laboratory (RCL), i.e. the experiment is set up in reality and can be operated by a computer via the Internet. We present results of measurements and supplementary didactical material. In addition, we make suggestions on how to use the RCL in class and we describe the added value of performing this experiment as an RCL.

  6. A forensic aspect of age characteristics of dentine using transversal microradiography: a case report

    PubMed Central

    2009-01-01

    Background Translucency of dentine is the result of occlusion of the corresponding dentinal tubules by a mineral substance which has a refractive index similar to that of the rest of the dentine. Case presentation This case report describes the microradiographic features of an upper cadaveric canine. Transverse microradiograph is one of the methods assessing apical dentine translucency for various dental and medical reasons. Conclusion Estimation of age using teeth structures may be of primary value in forensic dentistry, especially when soft tissues are severely destructed. PMID:19121209

  7. Challenges in Recruiting Aging Women Holocaust Survivors to a Case Control Study of Breast Cancer.

    PubMed

    Vin-Raviv, Neomi; Dekel, Rachel; Barchana, Micha; Linn, Shai; Keinan-Boker, Lital

    2015-01-01

    Older adults are underrepresented in medical research for many reasons, including recruitment difficulties. Recruitment of older adults for research studies is often a time-consuming process and can be more challenging when the study involves older adults with unique exposures to traumatic events and from minority groups. The current article provides a brief overview of (a) challenges encountered while recruiting aging women Holocaust survivors for a case control study and (b) strategies used for meeting those challenges. The case group comprised women Holocaust survivors who were recently diagnosed with breast cancer and the control group comprised healthy women from a Holocaust-survivor community in Israel. PMID:26020580

  8. Posterior scleritis in pediatric age group: A case report and review of literature

    PubMed Central

    Shenoy, Radha; Suryawanshi, Milind; Isaac, Roshini; Philip, Santhosh K.

    2016-01-01

    Posterior scleritis is rare in both the adult and pediatric age groups. Increased awareness and availability of advanced diagnostic facilities aid in early diagnosis and management. Visual recovery is possible with systemic steroids and immunosuppression. We report the case of a 12-year-old male child who presented with poor vision in his right eye and was found to have retinal striae and disc edema due to posterior scleritis. PMID:27013832

  9. [Prolapse of the urethra in black girls. Personal experience in 11 cases].

    PubMed

    Falandry, L

    1994-01-01

    The author describes 11 cases of prolapse of the urethral meatus observed in black girls between January 1987 and July 1993 first in Gabon (n = 7) and subsequently in Niger (n = 4). All patients were under the age of 10 years. The revealing symptom was vulvar bleeding (n = 8) or blood in urine (n = 2). In the remaining case prolapse was discovered incidentally. In all cases diagnosis was achieved by physical examination revealing a soft mass that bled on contact. Treatment consisted in surgical resection which was always followed by an uneventful recovery. This experience confirms a predisposition to this uncommon disorder in black children in whom the incidence is probably underestimated. The clinical presentation is consistently the same and the mass can be mistaken for a malignant tumor or for injuries related to sexual abuse. The results of this study demonstrate that the treatment of choice for prolapse of the urethra is surgical resection which is simple, safe, and immediately and lastingly effective. PMID:7934783

  10. Challenging cisgenderism in the ageing and aged care sector: Meeting the needs of older people of trans and/or non-binary experience.

    PubMed

    Ansara, Y Gavriel

    2015-10-01

    Recent Australian legislative and policy changes can benefit people of trans and/or non-binary experience (e.g. men assigned female with stereotypically 'female' bodies, women assigned male with stereotypically 'male' bodies, and people who identify as genderqueer, agender [having no gender], bi-gender [having two genders] or another gender option). These populations often experience cisgenderism, which previous research defined as 'the ideology that invalidates people's own understanding of their genders and bodies'. Some documented forms of cisgenderism include pathologising (treating people's genders and bodies as disordered) and misgendering (disregarding people's own understanding and classifications of their genders and bodies). This system of classifying people's lived experiences of gender and body invalidation is called the cisgenderism framework. Applying the cisgenderism framework in the ageing and aged care sector can enhance service providers' ability to meet the needs of older people of trans and/or non-binary experience. PMID:26525440

  11. Rho GTPase activity in the honey bee mushroom bodies is correlated with age and foraging experience

    PubMed Central

    Dobrin, Scott E.; Fahrbach, Susan E.

    2011-01-01

    Foraging experience is correlated with structural plasticity of the mushroom bodies of the honey bee brain. While several neurotransmitter and intracellular signaling pathways have been previously implicated as mediators of these structural changes, none interact directly with the cytoskeleton, the ultimate effector of changes in neuronal morphology. The Rho family of GTPases are small, monomeric G proteins that, when activated, initiate a signaling cascade that reorganizes the neuronal cytoskeleton. In this study, we measured activity of two members of the Rho family of GTPases, Rac and RhoA, in the mushroom bodies of bees with different durations of foraging experience. A transient increase in Rac activity coupled with a transient decrease in RhoA activity was found in honey bees with 4 days foraging experience compared with same-aged new foragers. These observations are in accord with previous reports based on studies of other species of a growth supporting role for Rac and a growth opposing role for RhoA. This is the first report of Rho GTPase activation in the honey bee brain. PMID:22108023

  12. Statistic analyses of the color experience according to the age of the observer.

    PubMed

    Hunjet, Anica; Parac-Osterman, Durdica; Vucaj, Edita

    2013-04-01

    Psychological experience of color is a real state of the communication between the environment and color, and it will depend on the source of the light, angle of the view, and particular on the observer and his health condition. Hering's theory or a theory of the opponent processes supposes that cones, which are situated in the retina of the eye, are not sensible on the three chromatic domains (areas, fields, zones) (red, green and purple-blue), but they produce a signal based on the principle of the opposed pairs of colors. A reason of this theory depends on the fact that certain disorders of the color eyesight, which include blindness to certain colors, cause blindness to pairs of opponent colors. This paper presents a demonstration of the experience of blue and yellow tone according to the age of the observer. For the testing of the statistically significant differences in the omission in the color experience according to the color of the background we use following statistical tests: Mann-Whitnney U Test, Kruskal-Wallis ANOVA and Median test. It was proven that the differences are statistically significant in the elderly persons (older than 35 years). PMID:23837226

  13. Clinical and Histopathological Diagnosis of Glomus Tumor: An Institutional Experience of 138 Cases

    PubMed Central

    Mravic, Marco; LaChaud, Gregory; Nguyen, Alan; Scott, Michelle A.; Dry, Sarah M.; James, Aaron W.

    2015-01-01

    Background Glomus tumors are relatively uncommon subcentimeteric benign perivascular neoplasms usually located on the fingers. With their blue-red color and common subungual location, they are commonly confused for vascular or melanocytic lesions. To date there is no comprehensive review of an institutional experience with glomus tumors. Methods A 14-year retrospective review of all cases within University of California, Los Angeles, with either a clinical or pathological diagnosis of glomus tumor was performed. Data obtained included demographic information, tumor description, pathological diagnoses, immunohistochemical studies, radiographic and treatment information, and clinical course. Rates of concordance between clinical and pathological diagnoses and an evaluation of overlap with other entities were assessed. Results Clinical diagnosis of glomus tumor showed concordance with a histopathological diagnosis (45.4% of cases). The most common alternate clinical diagnoses included lipoma, cyst, or angioma. A pathological diagnosis of glomus tumor was most common in the fourth to seventh decades of life. The most common presentation was a subcentimeter lesion on the digit. Deep-seated tumors had a strikingly increased risk for malignancy (33%). Radiological studies were not relied on frequently (18.2% of cases). Immunohistochemical analysis showed diffuse αSMA and MSA expression in nearly all cases (99% and 95%, respectively), with focal to diffuse CD34 immunostaining in 32% of cases. Discussion Our study illustrates trends in the clinical versus pathologic diagnoses of glomus tumor, common competing diagnoses, a difference in demographics than is commonly reported (older age groups most commonly affected), and important differences in the use adjunctive diagnostic tools including radiology and immunohistochemistry. PMID:25614464

  14. Tinea barbae (tinea sycosis): experience with nine cases.

    PubMed

    Bonifaz, Alexandro; Ramírez-Tamayo, Teresa; Saúl, Amado

    2003-12-01

    Tinea barbae is a rare dermatophytosis that affects the hair and hair follicles of the beard and mustache. This paper presents 9 cases of tinea barbae observed over an 18-year period of time and classified as follows: 1 was superficial and 8 were deep (6 folliculitis-like and 2 kerion-like). Most of the cases (4) were associated with topical steroid therapy, others with pet contact (3 cases) and one with diabetes. The causal agents isolated were: Trichophyton rubrum in 3; Microsporum canis in 3; Trichophyton mentagrophytes in 2; and Trichophyton tonsurans in one. The involvement of the hair was observed and classified in all cases. The trichophytin skin reaction was positive in all 9 patients. All the patients were treated with systemic antimycotics, 3 cases with griseofulvin, 1 with ketoconazole, 3 with itraconazole, and 2 with terbinafine. Clinical and mycologic cures were achieved at 6 to 8 weeks of treatment at the usual doses. PMID:14739517

  15. The Toxicology Investigators Consortium Case Registry--the 2012 experience.

    PubMed

    Wiegand, Timothy; Wax, Paul; Smith, Eric; Hart, Katherine; Brent, Jeffrey

    2013-12-01

    In 2010, the American College of Medical Toxicology (ACMT) established its Case Registry, the Toxicology Investigators Consortium (ToxIC). All cases are entered prospectively and include only suspected and confirmed toxic exposures cared for at the bedside by board-certified or board-eligible medical toxicologists at its participating sites. The primary aims of establishing this Registry include the development of a realtime toxico-surveillance system in order to identify and describe current or evolving trends in poisoning and to develop a research tool in toxicology. ToxIC allows for extraction of data from medical records from multiple sites across a national and international network. All cases seen by medical toxicologists at participating institutions were entered into the database. Information characterizing patients entered in 2012 was tabulated and data from the previous years including 2010 and 2011 were included so that cumulative numbers and trends could be described as well. The current report includes data through December 31st, 2012. During 2012, 38 sites with 68 specific institutions contributed a total of 7,269 cases to the Registry. The total number of cases entered into the Registry at the end of 2012 was 17,681. Emergency departments remained the most common source of consultation in 2012, accounting for 61 % of cases. The most common reason for consultation was for pharmaceutical overdose, which occurred in 52 % of patients including intentional (41 %) and unintentional (11 %) exposures. The most common classes of agents were sedative-hypnotics (1,422 entries in 13 % of cases) non-opioid analgesics (1,295 entries in 12 % of cases), opioids (1,086 entries in 10 % of cases) and antidepressants (1,039 entries in 10 % of cases). N-acetylcysteine (NAC) was the most common antidote administered in 2012, as it was in previous years, followed by the opioid antagonist naloxone, sodium bicarbonate, physostigmine and flumazenil. Anti-crotalid Fab

  16. Aging public services and the position of older women: an Australian case study.

    PubMed

    Colley, Linda

    2014-01-01

    Contemporary labor markets are characterized by both aging of the workforce and the increase in participation of women. At the intersection of these two policy agendas are older women. Governments and employers recognize the importance of attracting and retaining older workers to address skills shortages, but the aging workforce discourse remains largely gender neutral. This research considers the intersection of age and gender in the context of public services, which are large employers of both women and older workers. It focuses on the agencies in an Australian state public service. The research finds that, despite decades of equal opportunity programs, there is still evidence of subtle inequalities and cumulative disadvantage. While the case study agencies employ a large proportion of older women, these women were generally recruited at younger ages and aged within the workforce. Their advancement and development opportunities were also inferior to those of older men. Despite these lesser opportunities, older women are generally very satisfied with their employment, and the employer should explore these residual inequalities if genuinely seeking to attract and retain all older workers. PMID:24713054

  17. A Case of Acute Disseminated Encephalomyelitis in a Middle-Aged Adult

    PubMed Central

    Mahdi, Nicole; Abdelmalik, Peter A.; Curtis, Mark; Bar, Barak

    2015-01-01

    Objectives. Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disorder that is often preceded by infection or recent vaccination. Encephalopathy and focal neurological deficits are usually manifest several weeks after a prodromal illness with rapidly progressive neurologic decline. ADEM is most commonly seen in children and young adults, in which prognosis is favorable, but very few cases have been reported of older adults with ADEM and thus their clinical course is unknown. Methods. Here we present a case of ADEM in a middle-aged adult that recovered well after treatment. Results. A 62-year-old man presented with encephalopathy and rapid neurological decline following a gastrointestinal illness. A brain MRI revealed extensive supratentorial white matter hyperintensities consistent with ADEM and thus he was started on high dose intravenous methylprednisolone. He underwent a brain biopsy showing widespread white matter inflammation secondary to demyelination. At discharge, his neurological exam had significantly improved with continued steroid treatment and four months later, he was able to perform his ADLs. Conclusions. This case of ADEM in a middle-aged adult represents an excellent response to high dose steroid treatment with a remarkable neurological recovery. Thus it behooves one to treat suspected cases of ADEM in an adult patient aggressively, as outcome can be favorable. PMID:26180647

  18. A Case of Acute Disseminated Encephalomyelitis in a Middle-Aged Adult.

    PubMed

    Mahdi, Nicole; Abdelmalik, Peter A; Curtis, Mark; Bar, Barak

    2015-01-01

    Objectives. Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disorder that is often preceded by infection or recent vaccination. Encephalopathy and focal neurological deficits are usually manifest several weeks after a prodromal illness with rapidly progressive neurologic decline. ADEM is most commonly seen in children and young adults, in which prognosis is favorable, but very few cases have been reported of older adults with ADEM and thus their clinical course is unknown. Methods. Here we present a case of ADEM in a middle-aged adult that recovered well after treatment. Results. A 62-year-old man presented with encephalopathy and rapid neurological decline following a gastrointestinal illness. A brain MRI revealed extensive supratentorial white matter hyperintensities consistent with ADEM and thus he was started on high dose intravenous methylprednisolone. He underwent a brain biopsy showing widespread white matter inflammation secondary to demyelination. At discharge, his neurological exam had significantly improved with continued steroid treatment and four months later, he was able to perform his ADLs. Conclusions. This case of ADEM in a middle-aged adult represents an excellent response to high dose steroid treatment with a remarkable neurological recovery. Thus it behooves one to treat suspected cases of ADEM in an adult patient aggressively, as outcome can be favorable. PMID:26180647

  19. The Toxicology Investigators Consortium Case Registry--the 2011 experience.

    PubMed

    Wiegand, Timothy J; Wax, Paul M; Schwartz, Tayler; Finkelstein, Yaron; Gorodetsky, Rachel; Brent, Jeffrey

    2012-12-01

    In 2010, the American College of Medical Toxicology established its Case Registry, the Toxicology Investigators Consortium (ToxIC). ToxIC is a prospective registry, which exclusively compiles suspected and confirmed toxic exposure cases cared for at the bedside by medical toxicologists at its participating sites. The Registry aims to fulfill two important gaps in the field: a real-time toxicosurveillance system to identify current poisoning trends and a powerful research tool in toxicology. ToxIC allows extraction of information from medical records making it the most robust multicenter database on chemical toxicities in existence. All cases seen by medical toxicologists at participating institutions were entered in a database. Information characterizing patients entered in 2011 was tabulated. 2010 data was also included so that cumulative total numbers could be described as well. The current report is a summary of the data collected in 2011 in comparison to 2010 entries and also includes cumulative data through December 31st, 2011. During 2011, 28 sites with 49 specific institutions contributed a total of 6,456 cases to the Registry. The total number of cases entered into the registry at the end of 2011 was 10,392. Emergency departments remained the most common source of consultations in 2011, accounting for 53 % of cases. The most common reason for consultation was for pharmaceutical overdoses, which occurred in 48 % of patients, including intentional (37 %) and unintentional (11 %) exposures. The most common classes of agents were sedative-hypnotics (1,492 entries in 23 % of cases), non-opioid analgesics (1,368 cases in 21 % of cases), opioids (17 %), antidepressants (16 %), stimulants/sympathomimetics (12 %), and ethanol (8 %). N-acetylcysteine was the most commonly administered antidote during 2011, similar to 2010, followed by the opioid antagonist naloxone, sodium bicarbonate, physostigmine and flumazenil. Anti-crotalid Fab fragments (CroFab) were

  20. [Measles outbreak in the adult age group: evaluation of 28 cases].

    PubMed

    Karakeçili, Faruk; Akın, Hicran; Çıkman, Aytekin; Özçiçek, Fatih; Kalkan, Ahmet

    2016-01-01

    Nowadays, the age group affected from measles has widened and the disease has become more common among adolescents and young adults. The number of measles case reports have increased in our country, particularly from 2010-2011, and measles outbreaks occurred in various regions in 2012 and 2013. The aim of this study was to analyze the demographical and epidemiological characteristics, clinical and laboratory findings, and complications of adult patients with measles who were affected during the outbreak. A total of 28 patients (25 male, 3 female; age range: 19-39 years, median age: 24) who were hospitalized and followed-up in our clinic between January 2013 and June 2013, were evaluated. In the serum sample of the index case, measles-specific IgM antibodies were detected by ELISA, and measles virus RNA by real-time polymerase chain reaction (RT-PCR), then genotyping was performed to detect the epidemiological relationship. In all of the other cases, measles IgM and IgG antibodies were screened by ELISA. The most common symptoms on admission included high fever (n= 28, 100%), malaise (n= 25, 89%), sore throat (n= 25, 89%), headache (n= 20, 71%) and cough (n= 18, 64%). At physical examination, rash (n= 28, 100%), lymphadenopathy (n= 11, 39%) and conjunctivitis (n= 10, 36%) were in the foreground, and Koplik spots were detected in five (18%) cases. The most common laboratory findings were; increased level of C-reactive protein (n= 15, 54%), leukopenia (n= 12, 43%) and increased serum levels of aminotransferases (n= 12, 43%), and thrombocytopenia was detected in five (18%) patients. One or more complications (secondary bacterial pneumonia in 5, diarrhea in 4, hepatitis in 3 and otitis in 2 cases) developed in the eight (29%) patients. Measles RT-PCR and IgM tests yielded positive results for the index case, and the isolate was identified as D8 strain by genotyping. Measles lgM antibodies were also positive in all of the other cases. The hospitalization period was

  1. Integrating Web-Based Applications into Aged Care: Two Case Studies and Discussion.

    PubMed

    Rehm, Imogen C; Musić, Selma; Carlsson, Anthony; Scanlan, Faye; Silver, Mark; Bhar, Sunil S

    2016-09-01

    In anticipation of the growing need for adequate mental health care for older adults in residential aged care facilities, psychologists are challenged to overcome several barriers that impede the uptake and delivery of their services in such settings. Information and communication technologies (ICT) have strong potential to overcome some of these barriers by supporting the delivery of evidence-based psychosocial treatments for common psychogeriatric issues. This paper presents two case studies that illustrate when and how psychologists can use various ICT applications (e.g., tablet devices, web-based applications) integrated with cognitive behavioural and reminiscence-based therapies. Both case studies demonstrate that ICT can effectively support the therapeutic alliance, enhance therapeutic engagement, and individualize treatment delivery to accommodate the needs of elderly patients. It is hoped that these case studies will encourage clinicians to consider using ICT to augment therapy with their elderly patients. PMID:27073103

  2. Experience- and age-mediated oviposition behaviour in the yellow fever mosquito Stegomyia aegypti (=Aedes aegypti).

    PubMed

    Ruktanonchai, N W; Lounibos, L P; Smith, D L; Allan, S A

    2015-09-01

    In repeated behaviours such as those of feeding and reproduction, past experiences can inform future behaviour. By altering their behaviour in response to environmental stimuli, insects in highly variable landscapes can tailor their behaviour to their particular environment. In particular, female mosquitoes may benefit from plasticity in their choice of egg-laying site as these sites are often temporally variable and clustered. The opportunity to adapt egg-laying behaviour to past experience also exists for mosquito populations as females typically lay eggs multiple times throughout their lives. Whether experience and age affect egg-laying (or oviposition) behaviour in the mosquito Stegomyia aegypti (=Aedes aegypti) (Diptera: Culicidae) was assessed using a wind tunnel. Initially, gravid mosquitoes were provided with a cup containing either repellent or well water. After ovipositing in these cups, the mosquitoes were blood-fed and introduced into a wind tunnel. In this wind tunnel, an oviposition cup containing repellent was placed in the immediate vicinity of the gravid mosquitoes. A cup containing well water was placed at the opposite end of the tunnel so that if the females flew across the chamber, they encountered the well water cup, in which they readily laid eggs. Mosquitoes previously exposed to repellent cups became significantly more likely to later lay eggs in repellent cups, suggesting that previous experience with suboptimal oviposition sites informs mosquitoes of the characteristics of nearby oviposition sites. These results provide further evidence that mosquitoes modify behaviour in response to environmental information and are demonstrated in a vector species in which behavioural plasticity may be ecologically and epidemiologically meaningful. PMID:25982411

  3. Residents' perceptions and experiences of social interaction and participation in leisure activities in residential aged care.

    PubMed

    Thomas, Jessica E; O'Connell, Beverly; Gaskin, Cadeyrn J

    2013-10-01

    Social interaction and participation in leisure activities are positively related to the health and well-being of elderly people. The main focus of this exploratory study was to investigate elderly peoples' perceptions and experiences of social interaction and leisure activities living in a residential aged care (RAC) facility. Six residents were interviewed. Themes emerging from discussions about their social interactions included: importance of family, fostering friendships with fellow residents, placement at dining room tables, multiple communication methods, and minimal social isolation and boredom. Excursions away from the RAC facility were favourite activities. Participants commonly were involved in leisure activities to be socially connected. Poor health, family, the RAC facility, staffing, transportation, and geography influenced their social interaction and participation in leisure activities. The use of new technologies and creative problem solving with staff are ways in which residents could enhance their social lives and remain engaged in leisure activities. PMID:24299253

  4. Inquiry style interactive virtual experiments: a case on circular motion

    NASA Astrophysics Data System (ADS)

    Zhou, Shaona; Han, Jing; Pelz, Nathaniel; Wang, Xiaojun; Peng, Liangyu; Xiao, Hua; Bao, Lei

    2011-11-01

    Interest in computer-based learning, especially in the use of virtual reality simulations is increasing rapidly. While there are good reasons to believe that technologies have the potential to improve teaching and learning, how to utilize the technology effectively in teaching specific content difficulties is challenging. To help students develop robust understandings of correct physics concepts, we have developed interactive virtual experiment simulations that have the unique feature of enabling students to experience force and motion via an analogue joystick, allowing them to feel the applied force and simultaneously see its effects. The simulations provide students learning experiences that integrate both scientific representations and low-level sensory cues such as haptic cues under a single setting. In this paper, we introduce a virtual experiment module on circular motion. A controlled study has been conducted to evaluate the impact of using this virtual experiment on students' learning of force and motion in the context of circular motion. The results show that the interactive virtual experiment method is preferred by students and is more effective in helping students grasp the physics concepts than the traditional education method such as problem-solving practices. Our research suggests that well-developed interactive virtual experiments can be useful tools in teaching difficult concepts in science.

  5. Science experiences of six elementary student teachers: A case study

    NASA Astrophysics Data System (ADS)

    Willcox, Jacqueline Kay

    This qualitative study focused on the science experiences of six elementary student teachers. The purpose of the study was to learn how preservice teachers make meaning of science teaching during their student teaching experience. The sources of data were interviews with participants, descriptive field notes from observations of their science teaching, and artifacts collected from the site. The themes that emerged from data analysis were personal and professional career influences and constant adjustments of teaching strategies. The participants experienced these themes in varying intensities. Learning to teach science to elementary children for the first time is complicated by the context of student teaching. The science teaching experiences of student teachers varied with the cooperating teachers' approaches to science teaching, the lengths of time they were assigned to teach science, and the science schedules of the classroom. The role played by mentors interested in science can be important in a student teacher's science experience. Images of science teaching held by student teachers were also found to influence the science teaching experience. The science curriculum, group management skills, and student responses affected the science teaching experience, as did personal knowledge of a science topic being taught. Those student teachers who had limited knowledge of a science topic became factually oriented in their teaching and tried fewer teaching approaches. Lack of experience and management skills with cooperative groups hindered student teachers' use of hands on activities. Affective student responses to their science lessons were important to some of the student teachers, while others were concerned about student questions and cognitive learning. Upon completion of the student teaching experience, four of the participants ranked science third or lower in a rank order of subjects they enjoyed teaching during student teaching. At the end of their student

  6. The prevalence of lacunar infarct decreases with aging in the elderly: a case-controlled analysis

    PubMed Central

    Cai, Zhiyou; He, Wenbo; Peng, Chuan-yong; Zhou, Jin; Xu, Qi-lan; Wu, Zong-shan

    2016-01-01

    Background and purpose Lacunar infarct (LI) is well known as a heterogeneous primary disorder of cerebral small vessel. Compelling results have demonstrated that age is a risk factor to the prevalence of LI. However, the relationship between age and the prevalence of LI remains obscure. It is essential to note the relationship between age and the prevalence of LI through more clinical data. Methods A total of 3,500 patients were included in the case-controlled study. All data were collected from the Examination Center of Magnetic Resonance Imaging, Lu’an People’s Hospital from January 2014 to December 2015. A primary discharge diagnosis of LI was done, and all subjects were evaluated as retrospective data. The relationship between the risk factors and the prevalence of diabetes and the relationship between age and the prevalence of diabetes was analyzed. A chi-square test was used to analyze the associations between different variables. A one-way analysis of variance was used to test the equality of three or more means at one time by using variances. Statistical significance was defined as a P-value of <0.05. Results The one-way analysis of variance demonstrated that the prevalence of LI increased with age before 60 years and decreased with age after 69 years. The same results were found in both the male and the female subjects. These results showed that the age-related risk factors (hypertension, diabetes, cerebral infarct, cardiovascular diseases, smoking, and drinking) have no relationship with the prevalence of LI on the basis of age. There is a significant difference among the different age ranges (P=0.0006). Two-tailed P-value (unpaired t-test) showed the mean significant difference between 30–39 years and 40–49 years (P=0.009) and between 70–79 years and 80–100 years (P=0.0196). F-test (to compare variances) demonstrated that the variances of the different age ranges are significantly different between 30–39 years and 40–49 years (P=0

  7. Sexual Experience Changes Sex Hormones But Not Hypothalamic Steroid Hormone Receptor Expression in Young and Middle-aged Male Rats

    PubMed Central

    Wu, Di; Gore, Andrea C.

    2009-01-01

    Testosterone is well known to regulate sexual behavior in males, but this is dependent upon prior sexual experience. Aging is associated with decreased libido and changes in testosterone, but the role of experience in these age-related processes has not been systematically studied. We examined effects of age and sexual experience on serum hormones (total testosterone, free testosterone, estradiol, LH) and on numbers of androgen receptor (AR) and estrogen receptor α (ERα) immunoreactive cells in the hypothalamus. Extensive sexual experience was given to male rats at 4 months of age. Rats were euthanized at either 4 months (young) or 12 months (middle-aged (MA)). Comparable sexually naïve male rats were handled and placed into the testing arena but did not receive any sexual experience. Thus, we had four groups: young-naïve, young-experienced, MA-naïve and MA-experienced. Serum hormone levels were assayed, and numbers of AR and ERα cells were quantified stereologically in the medial preoptic nucleus (MPN) and the anteroventral periventricular nucleus (AVPV). Sexually experienced males had significantly elevated serum testosterone and free testosterone in both age groups. Both total and free testosterone were higher, and estradiol lower, in middle-aged than young rats. Experience did not alter either AR or ERα expression in the preoptic brain regions studied. Aging was associated with increased expression of AR, but no change in ERα. These results show that sexual experience can induce short-term and long-term alterations in serum hormones but these effects are not manifested upon their receptors in the hypothalamus. PMID:19559704

  8. Ageing under mechanical stress: first experiments for a silver based multilayer mirror

    NASA Astrophysics Data System (ADS)

    Lalo, Arnaud; Ravel, Guillaume; Ignat, Michel; Cousin, Bernard; Swain, Michael V.

    2004-06-01

    Improving materials and devices reliability is a major concern to the spatial industry. Results are reported for satellite mirrors-like specimens consisting in oxide-protected metal systems. Optical coatings were deposited by electron beam evaporation. Mechanical stress fields in multi-layered materials play an important role. The stress state can have far-reaching implications both in kinetics and thermodynamics. Therefore an integrated apparatus with four-point bending equipment was designed. The technique allowed us to exert stress into a film or a system of films on a substrate concurrently with thermal treatment. In order to achieve the first tests performed with the help of the apparatus, various preliminary characterizations were required. The article reports the preliminary micro-mechanical testing of the materials (ultra micro-indentation to evaluate the elastic modulus of the samples materials and wafer curvature technique to determine the specimen residual stress) and the first ageing experiment. Experimental evidence of accelerated ageing under stress is successfully reported.

  9. The ontogeny of a sexual fetish from birth to age 30 and memory processes. A research case report from a prospective longitudinal study.

    PubMed

    Massie, H; Szajnberg, N

    1997-08-01

    From a longitudinal study that began at birth, a case is described in which a man at the age of 30 recalls the onset of a sexual fetish in his fifth or sixth year of life. The memories activated and dreams reported during the thirty-year follow-up interview, were synthesised with parent-infant film data and historical information contained in the research record concerning the child's development, his parents' behaviour and traumatic experiences. Taken together they provide a detailed description of the psychological ontogenesis of the fetish. The case provides unusual information about the manner in which early childhood events-objectively documented-interdigitate with intrapsychic processes and mental structuralisation. This also illuminates processes by which memories are retained, condensed, distorted and lost. In addition, information from other participants in the project who reported sexually anomalous histories at the age of 30 raises questions of what can be predicted from early life experiences. PMID:9306187

  10. Retrieving relevant experiments: The case of microRNA microarrays.

    PubMed

    Açıcı, Koray; Terzi, Yunus Kasım; Oğul, Hasan

    2015-08-01

    Content-based retrieval of biological experiments in large public repositories is a recent challenge in computational biology and bioinformatics. The task is, in general, to search in a database using a query-by-example without any experimental meta-data annotation. Here, we consider a more specific problem that seeks a solution for retrieving relevant microRNA experiments from microarray repositories. A computational framework is proposed with this objective. The framework adapts a normal-uniform mixture model for identifying differentially expressed microRNAs in microarray profiling experiments. A rank-based thresholding scheme is offered to binarize real-valued experiment fingerprints based on differential expression. An effective similarity metric is introduced to compare categorical fingerprints, which in turn infers the relevance between two experiments. Two different views of experimental relevance are evaluated, one for disease association and another for embryonic germ layer, to discern the retrieval ability of the proposed model. To the best of our knowledge, the experiment retrieval task is investigated for the first time in the context of microRNA microarrays. PMID:26116091

  11. Renewal and Risk: The Dual Experience of Young Motherhood and Aging out of the Child Welfare System

    ERIC Educational Resources Information Center

    Pryce, Julia M.; Samuels, Gina Miranda

    2010-01-01

    This interpretive study examines how childhood history and the personal experience of being mothered impact the meaning attributed to motherhood among young mothers aging out of the child welfare system. Through the use of an interpretive approach, findings are derived from interviews with 15 females who reported an experience of pregnancy or…

  12. Mature-Aged Job Seekers' Experiences of Centrelink and the Job Network Services in an Australian Regional Centre

    ERIC Educational Resources Information Center

    Kossen, Chris; Hammer, Sara

    2010-01-01

    Unemployment may be considered a normal, if not likely, experience of a person's lifelong career. This paper is based on a primary, qualitative study that focused on the way mature-aged unemployed citizens experience government unemployment and employment agencies: Centrelink and the Job Network in a large regional city. It contributes to existing…

  13. Observable Indicators of Flow Experience: A Developmental Perspective on Musical Engagement in Young Children from Infancy to School Age

    ERIC Educational Resources Information Center

    Custodero, Lori A.

    2005-01-01

    Flow experience is an optimal state determined by an individual's perception of high skill and high challenge for a given task. In this study, young children's flow experience is examined in four naturally occurring music learning environments: infants and two-year-olds in childcare settings, and school-age children in Suzuki violin and Dalcroze…

  14. Changes in Experiences With Discrimination Across Pregnancy and Postpartum: Age Differences and Consequences for Mental Health

    PubMed Central

    Earnshaw, Valerie A.; Lewis, Tené T.; Reid, Allecia E.; Lewis, Jessica B.; Stasko, Emily C.; Tobin, Jonathan N.; Ickovics, Jeannette R.

    2015-01-01

    Objectives. We aimed to contribute to growing research and theory suggesting the importance of examining patterns of change over time and critical life periods to fully understand the effects of discrimination on health, with a focus on the period of pregnancy and postpartum and mental health outcomes. Methods. We used hierarchical linear modeling to examine changes across pregnancy and postpartum in everyday discrimination and the resulting consequences for mental health among predominantly Black and Latina, socioeconomically disadvantaged young women who were receiving prenatal care in New York City. Results. Patterns of change in experiences with discrimination varied according to age. Among the youngest participants, discrimination increased from the second to third trimesters and then decreased to lower than the baseline level by 1 year postpartum; among the oldest participants, discrimination decreased from the second trimester to 6 months postpartum and then returned to the baseline level by 1 year postpartum. Within-subjects changes in discrimination over time predicted changes in depressive and anxiety symptoms at subsequent points. Discrimination more strongly predicted anxiety symptoms among participants reporting food insecurity. Conclusions. Our results support a life course approach to understanding the impact of experiences with discrimination on health and when to intervene. PMID:24922166

  15. [Sciatica in the elderly. Apropos of 27 cases operated after the age of 70].

    PubMed

    Bouchacourt, P; Cayla, J; Moser, G; Rondier, J; Pradat, P

    1982-01-01

    From a study of 27 operations for common vertebral sciatica in the elderly, certain specific features stand out. L5 sciatica is predominant though curiously, the pain relieving posture is less frequent than in the S1 variety. The condition is usually most painful at night. In 50% of cases there is a motor deficit which to a great extend determines the decision to operate. Finally, there is very good correlation between clinical features and the discovery of a prolapsed disc. Osteoarthrotic lesions are much more common than in the general sciatica population but the disc protrusion always keeps its localising value. Surgical intervention reveals that the disc plays an equally important role at this age as a prolapsed disc was found in 26 cases (11 extruded herniated discs and 2 ruptured). These lesions are less common in the general sciatica population. In about two thirds of patients a herniated disc alone is found and in the others, it is associated with osteoarthrotic lesions although these do not appear to compromise the success of the operation. Amongst the 9 post-operative complications, there was one death due to pulmonary emboli and 2 cases of reflex algodystrophy of the foot on the operated side. With a mean delay of more than 1 year, a frank improvement was noted in 85% of cases as against 80% immediately following surgery. Only one case of recurrence was reported. PMID:7187126

  16. A multi-case report of the pathways to and through genetic testing and cancer risk management for BRCA mutation-positive women aged 18-25.

    PubMed

    Hoskins, Lindsey M; Werner-Lin, Allison

    2013-02-01

    Much of the extant literature addressing the psychosocial aspects of BRCA1/2 mutation testing and risk management aggregates mutation carriers of all ages in study recruitment, data analysis, and interpretation. This analytic strategy does not adequately address the needs of the youngest genetic testing consumers, i.e., women aged 18-25. Despite low absolute cancer risk estimates before age 30, BRCA1/2 mutation-positive women aged 18-25 feel vulnerable to a cancer diagnosis but find themselves in a management quandary because the clinical utility of screening and prevention options are not yet well defined for such young carriers. We present three cases, selected from a larger study of 32 BRCA1/2 mutation-positive women who completed or considered genetic testing before age 25, to demonstrate the unique developmental, relational and temporal influences, as well as the challenges, experienced by very young BRCA mutation-positive women as they complete genetic testing and initiate cancer risk management. The first case describes the maturation of a young woman whose family participated in a national cancer registry. The second addresses the experiences and expectations of a young woman who completed genetic testing after learning that her unaffected father was a mutation carrier. The third case highlights the experiences of a young woman parentally bereaved in childhood, who presented for genetic counseling and testing due to intense family pressure. Together, these cases suggest that BRCA1/2-positive women aged 18-25 are challenged to reconcile their burgeoning independence from their families with risk-related support needs. Loved ones acting in ways meant to care for these young women may inadvertently apply pressure, convoluting family support dynamics and autonomous decision-making. Ongoing support from competent healthcare professionals will enable these young women to remain informed and receive objective counsel about their risk-management decisions. PMID

  17. Clinical Needs Finding: Developing the Virtual Experience, A Case Study

    PubMed Central

    Mittal, Vaishali; Thompson, Megan; Altman, Stuart M; Taylor, Peter; Summers, Alexander; Goodwin, Kelsey; Louie, Angelique Y

    2013-01-01

    We describe an innovative program at the University of California, Davis for students to engage in clinical needs finding. Using a team-based approach, students participated in clinical rotations to observe firsthand the needs of clinicians at the university affiliated medical center. The teams were asked to develop documentary-style videos to capture key experiences that would allow future viewers to use the videos as “virtual” clinical rotations. This was conceived as a strategy to allow students in prohibitively large classes, or students in programs at institutions without associated medical or veterinary school programs, to experience clinical rotations and perform needs assessments. The students' perspectives on the experience as well as instructor analysis of best practices for this type of activity are presented and discussed. We found that the internship experience was valuable to the students participating, by not only introducing the practice of needs finding but for increasing the students' confidence in the practice of engineering design and their ability to work independently. The videos produced were of such high quality that instructors from other institutions have requested copies for instructional use. Virtual clinical rotations through video experiences may provide a reasonable substitute for students who do not have the ability to participate in rotations in person. PMID:23483373

  18. Review of clinical experience in handling phosgene exposure cases.

    PubMed

    Regan, R A

    1985-10-01

    In summary, we have described our method of treating phosgene inhalation injury. We have presented two serious cases in detail which demonstrate that survival was associated with aggressive therapy. Several points should be mentioned. The pulmonary edema and resulting fluid and foam production can be so copious as to overwhelm efforts to place an endotracheal tube. The solution is early intubation by the nearest experienced person at the first hint of edema or pulmonary failure. Adequate support of the patient's blood volume is imperative to avert hypovolemic shock and renal failure. A balloon flotation catheter is desirable to monitor pulmonary wedge pressure and avoid overload. Follow-up pulmonary function studies and chest x-rays are recommended 2-3 months after hospital discharge. We have not yet found a reliable test to determine which cases will progress to pulmonary edema. The LDH appears to be the only consistently elevated sign in more serious cases. Finally, we would like to make a plea for the sharing of information from instances of fatal phosgene injury so that the facts can be studied and applied to future cases. PMID:3916030

  19. An employer's experience with infertility coverage: a case study.

    PubMed

    Silverberg, Kaylen; Meletiche, Dennis; Del Rosario, Gina

    2009-12-01

    A case study of Southwest Airlines, a Fortune 500 company, demonstrates that a well-designed infertility coverage plan can control resource use. This successful model could be used by employers who wish to ensure that their employees have access to high-quality, cost-effective infertility services in a managed-care environment. PMID:19631318

  20. Hypnobehavioral approaches for school-age children with dysphagia and food aversion: a case series.

    PubMed

    Culbert, T P; Kajander, R L; Kohen, D P; Reaney, J B

    1996-10-01

    The purpose of this article is to describe hypnobehavioral treatment of five school-age children with maladaptive eating behaviors, including functional dysphagia, food aversion, globus hystericus, and conditioned fear of eating (phagophobia). The unique treatment approach described emphasizes the successful use of self-management techniques, particularly hypnosis, by all five children. Common etiological factors, treatment strategies, and proposed mechanisms of change are discussed. To the authors' knowledge, this is the first such case series in the mainstream pediatric literature describing the use of a hypnobehavioral approach for children with these maladaptive eating problems. PMID:8897222

  1. How Experience Shapes Health Beliefs: The Case of Influenza Vaccination

    ERIC Educational Resources Information Center

    Shahrabani, Shosh; Benzion, Uri

    2012-01-01

    This study examines the impact of past experience with influenza and the influenza vaccine on four categories of the Health Belief Model: beliefs about susceptibility to contracting influenza, severity of illness, perceived benefits of the vaccine in preventing influenza, and perceived barriers to getting vaccinated. The study population comprised…

  2. International Experiences of Turkish Student Teachers: A Multiple Case Study

    ERIC Educational Resources Information Center

    Kizilaslan, Irem

    2010-01-01

    In recent years, countries around the world have promoted international experiences for student teachers' development of the knowledge and skills necessary in these interdependent and global times. Using a rigorous qualitative approach, this study explored 10 Turkish student teachers' international opportunities in several European countries…

  3. Differential Susceptibility to Rearing Experience: The Case of Childcare

    ERIC Educational Resources Information Center

    Pluess, Michael; Belsky, Jay

    2009-01-01

    Background: Inconsistencies regarding developmental effects of non-maternal childcare may be caused by neglecting the possibility that children are differentially susceptible towards such experiences. Method: Interactions between difficult/negative child temperament and childcare type, quantity, and quality on teacher-rated behavior problems and…

  4. Exploring the Experiences of Former Alternative Education Participants: Case Studies

    ERIC Educational Resources Information Center

    Washington-Cobb, Shirley L.

    2012-01-01

    Alternative education has become an integral program, in one form or another throughout most school districts in the United States. Alternative education is a very complex and controversial issue that is best understood through the stories of former alternative education students looking back on their lived experiences. Children in the alternative…

  5. Improving Learning Experiences through Gamification: A Case Study

    ERIC Educational Resources Information Center

    Geelan, Benjamin; de Salas, Kristy; Lewis, Ian; King, Carolyn; Edwards, Dale; O'Mara, Aidan

    2015-01-01

    Gamified learning systems are becoming increasingly common within educational institutions, however there is a lack of understanding on the elements of gamification that influence, either positively or negatively, the learning experiences of students using these systems. This study examines an existing gamified learning tool implemented within an…

  6. The Experience of Discrimination: A Case Study Approach.

    ERIC Educational Resources Information Center

    Henry, Franklin J.

    This is a study of discrimination as it was experienced by blacks and Japanese- Canadians living in Hamilton, Ontario. The report was based on 204 interviews conducted during the summer of 1964. In the interviews the respondents discussed their experiences in housing, work, and public accommodations. Respondents were encouraged to elaborate on any…

  7. Pancreatoblastoma an Unusual Occurrence of a Tumour in Paediatric Age Group: A Case Report

    PubMed Central

    Halder, Pankaj; Mukhopadhyay, Bedabrata; Mukhopadhyay, Madhumita

    2016-01-01

    Pancreatoblastoma, is rare exocrine malignant tumour of childhood. We are reporting a case of three-year-old child presented to our hospital suffering from vague abdominal pain for further examination and treatment. Clinical examination revealed only a palpable abdominal mass. CT Scan revealed a huge complex space occupying lesion 9.1x8.8x9.2cm with large central cystic degeneration and lobulated enhancing peripheral solid components with foci of calcification, seem to arise from body and tail regions of pancreas. Surgery was done and mass was removed. By histopathology and immunohistochemistry it was diagnosed as pancreatoblastoma. The prognosis is very good in paediatric age, lacking evidence of metastatic disease at first presentation. Therefore early diagnosis is needed for specific treatment. The case is being reported because of its rarity. PMID:27134883

  8. Pancreatoblastoma an Unusual Occurrence of a Tumour in Paediatric Age Group: A Case Report.

    PubMed

    Halder, Pankaj; Mukhopadhyay, Bedabrata; Das, Chhanda; Mukhopadhyay, Madhumita

    2016-03-01

    Pancreatoblastoma, is rare exocrine malignant tumour of childhood. We are reporting a case of three-year-old child presented to our hospital suffering from vague abdominal pain for further examination and treatment. Clinical examination revealed only a palpable abdominal mass. CT Scan revealed a huge complex space occupying lesion 9.1x8.8x9.2cm with large central cystic degeneration and lobulated enhancing peripheral solid components with foci of calcification, seem to arise from body and tail regions of pancreas. Surgery was done and mass was removed. By histopathology and immunohistochemistry it was diagnosed as pancreatoblastoma. The prognosis is very good in paediatric age, lacking evidence of metastatic disease at first presentation. Therefore early diagnosis is needed for specific treatment. The case is being reported because of its rarity. PMID:27134883

  9. Brain training for silver gamers: effects of age and game form on effectiveness, efficiency, self-assessment, and gameplay experience.

    PubMed

    Nacke, Lennart E; Nacke, Anne; Lindley, Craig A

    2009-10-01

    In recent years, an aging demographic majority in the Western world has come to the attention of the game industry. The recently released "brain-training" games target this population, and research investigating gameplay experience of the elderly using this game form is lacking. This study employs a 2 x 2 mixed factorial design (age group: young and old x game form: paper and Nintendo DS) to investigate effects of age and game form on usability, self-assessment, and gameplay experience in a supervised field study. Effectiveness was evaluated in task completion time, efficiency as error rate, together with self-assessment measures (arousal, pleasure, dominance) and game experience (challenge, flow, competence, tension, positive and negative affect). Results indicate players, regardless of age, are more effective and efficient using pen-and-paper than using a Nintendo DS console. However, the game is more arousing and induces a heightened sense of flow in digital form for gamers of all ages. Logic problem-solving challenges within digital games may be associated with positive feelings for the elderly but with negative feelings for the young. Thus, digital logic-training games may provide positive gameplay experience for an aging Western civilization. PMID:19772440

  10. Social Networking Sites' Influence on Travelers' Authentic Experience a Case Study of Couch Surfing

    ERIC Educational Resources Information Center

    Liu, Xiao

    2013-01-01

    This study explored travelers' experiences in the era of network hospitality 2.0 using CouchSurfing.org as a case study. The following research questions guided this study: 1) what experience does CouchSurfing create for travelers before, during and after their travel? 2) how does couch surfers' experience relate to authenticity in context of…

  11. Metformin use and young age lung cancer: A case series report

    PubMed Central

    DENG, BO; WANG, YI; XIE, DONG; STODDARD, SHAWN M.; YANG, PING

    2016-01-01

    Metformin, a widely-prescribed antihyperglycemic drug for the treatment of diabetes mellitus type 2 (DM-II), has been demonstrated to be antineoplastic in vivo and in vitro. However, various preclinical and epidemiological studies investigating the effects of metformin on lung cancer have obtained inconclusive results. The aim of the present study was to retrospectively investigate the effects of metformin, for the treatment of diabetes mellitus type 2 (DM-II), on the onset of lung cancer. In the present study, the pathological features of ten consecutive young age lung cancer cases, aged between 15 and 45 years old at the time of diagnosis and exhibiting existing primary DM, were investigated using the Mayo Clinic Lung Cancer Cohort database. Amongst this cohort, there were 2 cases of DM type 1 (DM-I) and 8 cases of DM-II. Of these patients, two exhibiting adenocarcinoma and DM-II had not been administered metformin; however, 1 patient exhibiting lymphoma and 4 patients with pulmonary neuroendocrine tumors (NETs) had been administered metformin at least 12 months prior to lung cancer diagnosis. The remaining 3 patients exhibiting NETs and DM-II had been treated with insulin therapy. The present study hypothesized that the high proportion of NETs observed in the cases of metformin-treated DM-II was unlikely to be a random event. It was suggested that metformin treatment was not effective in the prevention of pulmonary NETs, and that metformin may instead induce the occurrence of NETs via as yet unknown signaling pathways. The present hypothesis may potentially serve as a novel indicator for the requirement to monitor young patients with diabetes, who are being treated with metformin, for the occurrence of pulmonary NETs. PMID:27073573

  12. The ARSQ 2.0 reveals age and personality effects on mind-wandering experiences

    PubMed Central

    Diaz, B. Alexander; Van Der Sluis, Sophie; Benjamins, Jeroen S.; Stoffers, Diederick; Hardstone, Richard; Mansvelder, Huibert D.; Van Someren, Eus J. W.; Linkenkaer-Hansen, Klaus

    2014-01-01

    The human brain frequently generates thoughts and feelings detached from environmental demands. Investigating the rich repertoire of these mind-wandering experiences is challenging, as it depends on introspection and mapping its content requires an unknown number of dimensions. We recently developed a retrospective self-report questionnaire—the Amsterdam Resting-State Questionnaire (ARSQ)—which quantifies mind wandering along seven dimensions: “Discontinuity of Mind,” “Theory of Mind,” “Self,” “Planning,” “Sleepiness,” “Comfort,” and “Somatic Awareness.” Here, we show using confirmatory factor analysis that the ARSQ can be simplified by standardizing the number of items per factor and extending it to a 10-dimensional model, adding “Health Concern,” “Visual Thought,” and “Verbal Thought.” We will refer to this extended ARSQ as the “ARSQ 2.0.” Testing for effects of age and gender revealed no main effect for gender, yet a moderate and significant negative effect for age on the dimensions of “Self,” “Planning,” and “Visual Thought.” Interestingly, we observed stable and significant test-retest correlations across measurement intervals of 3–32 months except for “Sleepiness” and “Health Concern.” To investigate whether this stability could be related to personality traits, we correlated ARSQ scores to proxy measures of Cloninger's Temperament and Character Inventory, revealing multiple significant associations for the trait “Self-Directedness.” Other traits correlated to specific ARSQ dimensions, e.g., a negative association between “Harm Avoidance” and “Comfort.” Together, our results suggest that the ARSQ 2.0 is a promising instrument for quantitative studies on mind wandering and its relation to other psychological or physiological phenomena. PMID:24772097

  13. Aged organic aerosol in the Eastern Mediterranean: the Finokalia aerosol measurement experiment-2008

    NASA Astrophysics Data System (ADS)

    Hildebrandt, L.; Engelhart, G. J.; Mohr, C.; Kostenidou, E.; Lanz, V. A.; Bougiatioti, A.; Decarlo, P. F.; Prévôt, A. S. H.; Baltensperger, U.; Mihalopoulos, N.; Donahue, N. M.; Pandis, S. N.

    2010-01-01

    Aged organic aerosol (OA) was measured at a remote coastal site on the island of Crete, Greece during the Finokalia Aerosol Measurement Experiment-2008 (FAME-2008), which was part of the EUCAARI intensive campaign of May 2008. The site at Finokalia is influenced by air masses from different source regions, including long-range transport of pollution from continental Europe. A quadrupole aerosol mass spectrometer (Q-AMS) was employed to measure the size-resolved chemical composition of non-refractory submicron aerosol (NR-PM1), and to estimate the extent of oxidation of the organic aerosol. Factor analysis was used to gain insights into the processes and sources affecting the OA composition. The particles were internally mixed and liquid. The largest fraction of the dry NR-PM1 sampled was ammonium sulfate and ammonium bisulfate, followed by organics and a small amount of nitrate. The variability in OA composition could be explained with two factors of oxygenated organic aerosol (OOA) with differing extents of oxidation but similar volatility. Hydrocarbon-like organic aerosol (HOA) was not detected. There was no statistically significant diurnal variation in the bulk composition of NR-PM1 such as total sulfate or total organic aerosol concentrations. However, the OA composition exhibited statistically significant diurnal variation with more oxidized OA in the afternoon. The organic aerosol was highly oxidized, regardless of the source region. Total OA concentrations also varied little with time of day, suggesting that local sources had only a small effect on OA concentrations measured at Finokalia. The aerosol was transported for about one day before arriving at the site, corresponding to an OH exposure of approximately 4×1011 molecules cm-3 s. The constant extent of oxidation suggests that atmospheric aging results in a highly oxidized OA at these OH exposures, regardless of the aerosol source.

  14. Aged organic aerosol in the Eastern Mediterranean: the Finokalia Aerosol Measurement Experiment - 2008

    NASA Astrophysics Data System (ADS)

    Hildebrandt, L.; Engelhart, G. J.; Mohr, C.; Kostenidou, E.; Lanz, V. A.; Bougiatioti, A.; Decarlo, P. F.; Prevot, A. S. H.; Baltensperger, U.; Mihalopoulos, N.; Donahue, N. M.; Pandis, S. N.

    2010-05-01

    Aged organic aerosol (OA) was measured at a remote coastal site on the island of Crete, Greece during the Finokalia Aerosol Measurement Experiment-2008 (FAME-2008), which was part of the EUCAARI intensive campaign of May 2008. The site at Finokalia is influenced by air masses from different source regions, including long-range transport of pollution from continental Europe. A quadrupole aerosol mass spectrometer (Q-AMS) was employed to measure the size-resolved chemical composition of non-refractory submicron aerosol (NR-PM1), and to estimate the extent of oxidation of the organic aerosol. Factor analysis was used to gain insights into the processes and sources affecting the OA composition. The particles were internally mixed and liquid. The largest fraction of the dry NR-PM1 sampled was ammonium sulfate and ammonium bisulfate, followed by organics and a small amount of nitrate. The variability in OA composition could be explained with two factors of oxygenated organic aerosol (OOA) with differing extents of oxidation but similar volatility. Hydrocarbon-like organic aerosol (HOA) was not detected. There was no statistically significant diurnal variation in the bulk composition of NR-PM1 such as total sulfate or total organic aerosol concentrations. However, the OA composition exhibited statistically significant diurnal variation with more oxidized OA in the afternoon. The organic aerosol was highly oxidized, regardless of the source region. Total OA concentrations also varied little with source region, suggesting that local sources had only a small effect on OA concentrations measured at Finokalia. The aerosol was transported for about one day before arriving at the site, corresponding to an OH exposure of approximately 4×1011 molecules cm-3 s. The constant extent of oxidation suggests that atmospheric aging results in a highly oxidized OA at these OH exposures, regardless of the aerosol source.

  15. The clinical experience and efficacy of bipolar radiofrequency with fractional photothermolysis for aged Asian skin.

    PubMed

    Akita, Hirotaka; Sasaki, Ryosuke; Yokoyama, Yusuke; Negishi, Kei; Matsunaga, Kayoko

    2014-10-01

    Bipolar radiofrequency (RF) technology is developed based on fractional thermolysis, and the literature concerning the efficacy of the rejuvenation and treatment of acne scars has been reported in Europe and the United States of America. Therefore, we examined bipolar RF treatment using fractional thermolysis to evaluate the efficacy and safety of the treatment of Asian photo-aging skin, particularly 'wrinkles' and 'sagging.' Ten Japanese women (mean age: 58.6, skin type III-IV) received three fractional bipolar RF treatments every 4-6 weeks. For the objective evaluation, we evaluated the improvement of the wrinkles on the forehead, lateral canthus (crow's feet) and lower eyelid, and the sagging of the nasolabial fold using digital photographs captured using Visia(™) . For the subjective evaluation, the participants were asked to describe the improvements observed in the wrinkles on the forehead, lateral canthus (crow's feet) and lower eyelid, and sagging nasolabial fold and to evaluate the level pain experienced using a 10-point VAS score. The objective evaluation in each category showed significant improvements in the wrinkles on the lateral canthus (crow's feet) and lower eyelid. As for the nasolabial fold, 60% of the subjects showed improvements, scoring from good to excellent (51-100% improvement), although there was a little improvement of the wrinkle on the forehead. Similar improvements were observed in the subjective evaluation. During each treatment, oedema and erythema were observed in all participants, but the oedema disappeared the following day in all cases. However, mild erythema persisted for an average of 3.1 days. Micro debris disappeared after an average of 5.2 days. The participants were satisfied, as we allowed them to apply make-up the next day. There were no other severe adverse reactions observed during the treatment. The 10-point VAS score was 3.8, and no participants dropped out due to discomfort. Little improvement was observed in

  16. Healthy ageing in Isan-Thai culture--A phenomenographic study based on older persons' lived experiences.

    PubMed

    Manasatchakun, Pornpun; Chotiga, Pleumjit; Roxberg, Åsa; Asp, Margareta

    2016-01-01

    Healthy ageing is a concept that concerns older persons' quality of life and is a key factor in promoting well-being. The older population in Thailand is growing. Isan (a region of north-eastern Thailand) has been reported as having one of the most rapidly increasing older populations in the country. In order to care for and promote the health of older people, healthcare providers should understand how healthy ageing is perceived by this target group. Although healthy ageing has been studied in different contexts as well as perspectives, no studies have previously focused on older persons' experiences of healthy ageing from a lifeworld perspective in Isan-Thai. Therefore, the aim of this study is to describe older persons' qualitatively different conceptions of healthy ageing in Isan-Thai culture. A phenomenographic approach with an epistemological base in lifeworld theory was used to disclose the various ways to conceptualize healthy ageing. Individual, qualitative interviews were conducted with 17 people aged 60 and above who live in Isan-Thai. The findings of this study revealed three categories of descriptions: "being independent in dependence," "being at peace," and "being a valuable person." This study also found family members, friends, healthcare providers, and religion important to healthy ageing in the Isan-Thai culture. Understanding how older people conceptualize healthy ageing is valuable for healthcare providers. They can apply these findings regarding healthy ageing in their fieldwork when caring for older people. PMID:26960686

  17. Severe Anemia and Helicobacter Pylori Infection in school age Children; A case reports

    PubMed Central

    Gheibi, Sh; Noroozi, M; Hejazi, S; Karamyyar, M; Farrokh-Eslamlou, H

    2016-01-01

    Background Iron-deficiency anemia is a widespread public health problem with major consequences for human health especially, children. However, in a fraction of patients an underlying cause is never found during routine investigation. Recent studies have suggested an association between Helicobacter pylori (H. Pylori) infection and iron-deficiency anemia. Case presentation Here is reported four school aged children (two male, two female) with refractory severe iron-deficiency anemia associated H. Pylori gastritis. Mean age of the patients was 13.62 years old and they were admitted with chief complaints of abdominal, chest pain weakness, headache and respiratory distress. Mean hemoglobin level in patients was 6.2 g/dl with persistence to iron therapy. After the diagnosis and therapy of H. pylori infection, clinical complaints, hemoglobin level and iron profiles were being normal and they gained weight. Conclusion This study suggests screening of H. pylori infection and appropriate treatment in any case of refractory moderate to severe iron-deficiency anemia, especially with clinical manifestations of gastrointestinal tract in children. PMID:27222704

  18. Brain regions essential for improved lexical access in an aged aphasic patient: a case report

    PubMed Central

    Meinzer, Marcus; Flaisch, Tobias; Obleser, Jonas; Assadollahi, Ramin; Djundja, Daniela; Barthel, Gabriela; Rockstroh, Brigitte

    2006-01-01

    Background The relationship between functional recovery after brain injury and concomitant neuroplastic changes is emphasized in recent research. In the present study we aimed to delineate brain regions essential for language performance in aphasia using functional magnetic resonance imaging and acquisition in a temporal sparse sampling procedure, which allows monitoring of overt verbal responses during scanning. Case presentation An 80-year old patient with chronic aphasia (2 years post-onset) was investigated before and after intensive language training using an overt picture naming task. Differential brain activation in the right inferior frontal gyrus for correct word retrieval and errors was found. Improved language performance following therapy was mirrored by increased fronto-thalamic activation while stability in more general measures of attention/concentration and working memory was assured. Three healthy age-matched control subjects did not show behavioral changes or increased activation when tested repeatedly within the same 2-week time interval. Conclusion The results bear significance in that the changes in brain activation reported can unequivocally be attributed to the short-term training program and a language domain-specific plasticity process. Moreover, it further challenges the claim of a limited recovery potential in chronic aphasia, even at very old age. Delineation of brain regions essential for performance on a single case basis might have major implications for treatment using transcranial magnetic stimulation. PMID:16916464

  19. Neonatal Sacrococcygeal Teratoma: Our Experience with 10 Cases

    PubMed Central

    Sinha, Shalini; P Deshpande, Vidyanand

    2013-01-01

    Aim: To analyse the outcome of neonatal sacrococcygeal teratomas (SCT) in our setup. Materials and Methods: Hospital records of 10 neonates, who were operated for SCT during 14 years time period, were retrieved and analysed. Letters were sent to 6 parents/ caretakers of children who were lost to follow up; none of them responded. Results: Seven girls and 3 boys with a mean age of 9 days (range 1-30 days) underwent excision of SCT in the neonatal period. Antenatal pickup rates were poor (2/10). Two patients presented with tumor rupture. Though all had an obvious mass at birth, only half of them presented on day 1 of life. The remaining 5 patients came late at a mean age of 11 days. Half of the SCTs were 10 cm or larger in size. One patient was misdiagnosed as meningomyelocoele. All underwent complete excision with coccygectomy by posterior approach in prone position. There were only 2 patients who could be classified as Altman Type II, the rest were all Altman Type I. Histopathology (HPE) revealed mature cystic teratoma (n=8), grade 1 immature teratoma (n=1) and grade 3 immature teratoma (n=1). There was no mortality; and complications were seen in 3/10 patients (1 neurogenic bladder, 1 major wound infection with ventriculitis and 1 minor wound infection). The mean follow up was 25 months (range 1 month to 6 years) in 4 patients with no recurrence. Conclusions: Neonatal SCTs are usually benign with a good outcome after complete surgical excision with a low complication rate. Although long term follow up has been advocated, the follow up was poor in this series. PMID:26023424

  20. Children'S experience of three types of cartoon at two age levels.

    PubMed

    Björkqvist, K; Lagerspetz, K

    1985-01-01

    Three cartoons were shown to 87 children at two age levels: 5-6 years, and 9 years. The children's experience was assessed in interviews. The younger children experienced the cartoons in a fragmentary manner and not as a continuous story, understood less of the cartoons, and tended to base their moral judgements of a character's behaviour on whether or not they identified with that character. Six months later, the younger children remembered best those scenes that had made them the most anxious earlier. A subgroup of children with abundant aggressive fantasies had a lower level of moral reasoning than the other children, preferred violent scenes, became less anxious while watching them and tended to give illogical explanations for the behaviour of the cartoon characters. The degree of anxiety provoked by a cartoon depended not on the amount of explicit violence shown but on the way the violence was presented. One cartoon, which contained no explicit violence, was considered the most frightening one due to its sound effects. PMID:25825063

  1. Accelerated Aging Experiments for Prognostics of Damage Growth in Composite Materials

    NASA Technical Reports Server (NTRS)

    Saxena, Abhinav; Goebel, Kai Frank; Larrosa, Cecilia C.; Janapati, Vishnuvardhan; Roy, Surajit; Chang, Fu-Kuo

    2011-01-01

    Composite structures are gaining importance for use in the aerospace industry. Compared to metallic structures their behavior is less well understood. This lack of understanding may pose constraints on their use. One possible way to deal with some of the risks associated with potential failure is to perform in-situ monitoring to detect precursors of failures. Prognostic algorithms can be used to predict impending failures. They require large amounts of training data to build and tune damage model for making useful predictions. One of the key aspects is to get confirmatory feedback from data as damage progresses. These kinds of data are rarely available from actual systems. The next possible resource to collect such data is an accelerated aging platform. To that end this paper describes a fatigue cycling experiment with the goal to stress carbon-carbon composite coupons with various layups. Piezoelectric disc sensors were used to periodically interrogate the system. Analysis showed distinct differences in the signatures of growing failures between data collected at conditions. Periodic X-radiographs were taken to assess the damage ground truth. Results after signal processing showed clear trends of damage growth that were correlated to damage assessed from the X-ray images.

  2. Pediatric retroperitoneoscopic nephrectomy: An initial experience of 15 cases

    PubMed Central

    Maitra, Souvik; Khanna, Puneet; Baidya, Dalim Kumar; Pawar, Dilip Kumar; Baipai, Minu; Panda, Shasanka Shekhar

    2015-01-01

    Retroperitoneoscopic approach of nephrectomy in pediatric patients is a debatable issue from surgical point of view. Experience of anesthetic management of 15 such patients from a tertiary care teaching hospital has been described here. We found that capno-retroperitoneum increases end-tidal carbon-di-oxide, but normocapnea was achieved in the most of the patients. No significant hemodynamic changes were noted in any patients. However, subcutaneous emphysema was common, but self-limiting without any serious consequence. Postoperative pain after this procedure is usually manageable by nonopioid analgesics. PMID:25788784

  3. Case notes, case histories, and the patient's experience of insanity at Gartnavel Royal Asylum, Glasgow, in the nineteenth century.

    PubMed

    Andrews, J

    1998-08-01

    This article is concerned primarily with questions as to how and why case notes were produced and utilized, and how they may (or may not) be used by historians. More specifically, it discusses how the Glasgow Royal Asylum's case notes may be deployed to access patients' experiences of madness and confinement. The deficiencies and biases of the case record are also explored. So too is the relationship of case notes with other asylum based records, including reception order questionnaires, with a separate section on patient writings as part of the case history corpus. This leads into an analysis of how the Asylum's case notes became case histories and for what purposes. These subjects are related to changes and continuities in medical ideologies about insanity, social attitudes to the insane and the nature of medical practice in asylums. Some fundamental shifts in emphasis in the use of the case note and case history occurred in this period. These shifts were associated with an increased emphasis on organic interpretations of mental disease and on clinical approaches to insanity; with the medicalization of asylum records and the wider discourse on insanity, and with declining deference to the public at large in the presentation of cases. The survey concludes by analysing the changing place of patient testimony within the case record. PMID:11620430

  4. Analgesics use and ESRD in younger age: a case-control study

    PubMed Central

    van der Woude, Fokke J; Heinemann, Lothar AJ; Graf, Helmut; Lewis, Michael; Moehner, Sabine; Assmann, Anita; Kühl-Habich, Doerthe

    2007-01-01

    Background An ad hoc peer-review committee was jointly appointed by Drug Authorities and Industry in Germany, Austria and Switzerland in 1999/2000 to review the evidence for a causal relation between phenacetin-free analgesics and nephropathy. The committee found the evidence as inconclusive and requested a new case-control study of adequate design. Methods We performed a population-based case-control study with incident cases of end-stage renal disease (ESRD) under the age of 50 years and four age and sex-matched neighborhood controls in 170 dialysis centers (153 in Germany, and 17 in Austria) from January 1, 2001 to December 31, 2004. Data on lifetime medical history, risk factors, treatment, job exposure and intake of analgesics were obtained in a standardized face-to-face interview using memory aids to enhance accuracy. Study design, study performance, analysis plan, and study report were approved by an independent international advisory committee and by the Drug Authorities involved. Unconditional logistic regression analyses were performed. Results The analysis included 907 cases and 3,622 controls who had never used phenacetin-containing analgesics in their lifetime. The use of high cumulative lifetime dose (3rd tertile) of analgesics in the period up to five years before dialysis was not associated with later ESRD. Adjusted odds ratios with 95% confidence intervals were 0.8 (0.7 – 1.0) and 1.0 (0.8 – 1.3) for ever- compared with no or low use and high use compared with low use, respectively. The same results were found for all analgesics and for mono-, and combination preparations with and without caffeine. No increased risk was shown in analyses stratifying for dose and duration. Dose-response analyses showed that analgesic use was not associated with an increased risk for ESRD up to 3.5 kg cumulative lifetime dose (98 % of the cases with ESRD). While the large subgroup of users with a lifetime dose up to 0.5 kg (278 cases and 1365 controls) showed a

  5. Adolescent cancer patients' perspectives on their educational experiences: Ten case studies

    NASA Astrophysics Data System (ADS)

    Searle, Nancy Smith

    The goal of this study was to explore the educational experiences of adolescent cancer patients in treatment for cancer and enrolled in hospital, homebound, or community schools. The incidence of students who have or had cancer is becoming more prevalent in schools today because of increases in the population, the incidence rate of cancer, and the survival rate of cancer. The number of students surviving cancer has increased over 41% in the past ten years and underscores the importance of assuring an excellent education to children and adolescents with cancer so that they may enjoy a good quality of life as long-term survivors. This study explored the educational experiences of students who were adolescent cancer patients and identified educational and psychosocial issues important to their success. The goal of this research effort was to provide educators and medical staff with a deeper understanding of the unique psychoeducational needs of this population and to provide a foundation for developing ideas for improving the educational programs and support available to students who continue their middle and high school education while undergoing treatment for cancer. Participants included ten cancer patient whose mean age at onset of disease was 13.8 +/- 1.7 years, and mean age at interview was 15.2 +/- 1.8 years. The researcher conducted individual, in-depth, ethnographic interviews of students, and one parent and one teacher of each student. Case studies of the students included extensive dialogue of each of the contributing participants. An analysis of the case studies was conducted by coding emerging themes so that topics could be fully explored and compared between individuals, groups of individuals, and educational settings to identify the meaning that these students placed on the educational and psychosocial issues that they voiced as important. Advantages and disadvantages of each educational situation, homebound, hospital school, and community school, were

  6. Age-Sensitive Effect of Adolescent Dating Experience on Delinquency and Substance Use

    ERIC Educational Resources Information Center

    Kim, Ryang Hui

    2013-01-01

    This study uses a developmental perspective and focuses on examining whether the impact of adolescent dating is age-sensitive. Dating at earlier ages is hypothesized to have a stronger effect on adolescent criminal behavior or substance use, but the effect would be weaker as one ages. The data obtained from the National Longitudinal Survey of…

  7. The scientific case for a JET D-T experiment

    SciTech Connect

    Weisen, H.; Sips, A. C. C.; Horton, L. D.; Challis, C. D.; Sharapov, S. E.; Zastrow, K.-D.; Batistoni, P. [EURATOM Collaboration: EFDA-JET Contributors

    2014-08-21

    After the first high power D-T experiment in JET in 1997 (DTE1), when JET was equipped with Carbon PFC's, a proposed second high power (up to ∼40MW) D-T campaign (DTE2) in the current Be/W vessel will address essential operational, technical, diagnostics and scientific issues in support of ITER. These experiments are proposed to minimize the risks to ITER by testing strategies for the management of the in-vessel tritium content, by providing the basis for transferring operational scenarios from non-active operation to D-T mixtures and by addressing the issue of the neutron measurement accuracy. Dedicated campaigns with operation in Deuterium, Hydrogen and Tritium before the D-T campaign proper will allow the investigation of isotope scaling of the H-mode transition, pedestal physics, heat, particle, momentum and impurity transport in much greater detail than was possible in DTE1. The D-T campaign proper will include validations of the baseline ELMy H-Mode scenario, of the hybrid H-mode and advanced tokamak scenarios, as well as the investigation of alpha particle physics and the qualification of ICRH scenarios suitable for D-T operation. This paper reviews the scientific goals of DTE2 together with a summary of the results of DTE1.

  8. The scientific case for a JET D-T experiment

    NASA Astrophysics Data System (ADS)

    Weisen, H.; Sips, A. C. C.; Challis, C. D.; Eriksson, L.-G.; Sharapov, S. E.; Batistoni, P.; Horton, L. D.; Zastrow, K.-D.; EFDA-JET Contributors

    2014-08-01

    After the first high power D-T experiment in JET in 1997 (DTE1), when JET was equipped with Carbon PFC's, a proposed second high power (up to ˜40MW) D-T campaign (DTE2) in the current Be/W vessel will address essential operational, technical, diagnostics and scientific issues in support of ITER. These experiments are proposed to minimize the risks to ITER by testing strategies for the management of the in-vessel tritium content, by providing the basis for transferring operational scenarios from non-active operation to D-T mixtures and by addressing the issue of the neutron measurement accuracy. Dedicated campaigns with operation in Deuterium, Hydrogen and Tritium before the D-T campaign proper will allow the investigation of isotope scaling of the H-mode transition, pedestal physics, heat, particle, momentum and impurity transport in much greater detail than was possible in DTE1. The D-T campaign proper will include validations of the baseline ELMy H-Mode scenario, of the hybrid H-mode and advanced tokamak scenarios, as well as the investigation of alpha particle physics and the qualification of ICRH scenarios suitable for D-T operation. This paper reviews the scientific goals of DTE2 together with a summary of the results of DTE1.

  9. Influence of Age, Gender, and Context on Attitudes toward Sexist/Nonsexist Language: Is Sport a Special Case?

    ERIC Educational Resources Information Center

    Parks, Janet B.; Roberton, Mary Ann

    1998-01-01

    Examined the influence of age and gender on attitudes toward sexist and nonsexist language in sport and nonsport contexts. College students, university personnel, and business people (n=272) completed an attitude measure. Sport was not a special case of resistance to nonsexist language. Age and gender explained 23% of the variance in attitude…

  10. Knowledge and experience required for experts in atkins cases.

    PubMed

    Olley, J Gregory

    2009-01-01

    The United States Supreme Court's Atkins v. Virginia (2002) decision has created a need for experts who are knowledgeable and experienced in both mental retardation and forensic psychology. This article summarizes the issues that are critical to the diagnosis in the "close calls" that typify Atkins cases. A resolution of such close calls hinges upon the expert's ability to testify with regard to the characteristics of mild mental retardation and the way that diagnostic standards may be applied differently in clinical versus forensic settings. The critical impairments are not in the form of physical stigmata. They are characterized by difficulties in judgment when engaged in typical community functioning. The keys to these close calls are the individual's problems in functioning in the community with the degree of independence required for adults. PMID:19430995

  11. Emphysematous pyelonephritis: A 10-year experience with 26 cases

    PubMed Central

    Misgar, Raiz Ahmad; Mubarik, Idrees; Wani, Arshad Iqbal; Bashir, Mir Iftikhar; Ramzan, Mahroosa; Laway, Bashir Ahmad

    2016-01-01

    Background: Emphysematous pyelonephritis (EPN) is a necrotizing infection which results in gas within the renal parenchyma, collecting system, or perinephric tissue. A majority of cases occur in patients with diabetes mellitus (DM). In EPN, early aggressive medical treatment may avoid nephrectomy. Aims: The aim of this study was to analyze the characteristics of patients with EPN with respect to patient demographics, clinical presentation, diagnostic investigations, microbiological findings, treatment modality and outcome, and the influence of prognostic factors on the outcome. Materials and Methods: We reviewed the hospital records of 26 patients with EPN for clinical, laboratory, radiological, and microbiological findings, treatments given, and outcome. The severity of EPN was graded as per the Huang classification. We applied the reported prognostic factors to our patients to find out whether these factors correlated with failure of conservative treatment. Results: All the study subjects had DM and all but two of them were females. The majority of our patients (61.5%) had extensive EPN (class 3 or 4) and majority (76.9%) had two or more bad prognostic factors. Escherichia coli was the most common causative organism involved in 50% of our cases. Twenty-three (88.5%) of our patients responded to conservative treatment, two required nephrectomy, and one expired on conservative treatment. Conclusions: In this series of patients with EPN, all had DM, nearly all were women, and E. coli was the most frequently isolated pathogen. Nearly a third of our patients had bilateral disease. Despite the presence of two or more bad prognostic factors and extensive EPN (class 3 or 4) in a majority of our patients, conservative treatment afforded a striking success rate of 88.5%. We recommend early aggressive medical treatment and suggest that nephrectomy should be considered only if patients deteriorate or do not improve on conservative treatment. PMID:27366713

  12. Scleroderma of geriatric age and scleroderma-like paraneoplastic syndrome – description of two cases

    PubMed Central

    Rudny, Robert

    2016-01-01

    Systemic sclerosis (Ssc) is an autoimmune connective tissue disease of unknown origin, characterized by progressive fibrosis of the skin and internal organs. Immune reactions taking part in Ssc pathogenesis may contribute to cancer development; therefore patients with risk factors for this disease require observation for a neoplastic process. On the other hand, symptoms of Ssc may be a mask of various cancers. Differentiating between the idiopathic form of Ssc and scleroderma-like paraneoplastic syndrome often causes a lot of difficulties. The article presents two cases of Ssc at the beginning of the disease after 60 years of age. The first case was diagnosed as Ssc, whereas in the second case the defined diagnosis was scleroderma-like syndrome in the course of colorectal cancer. This paper presents an analysis of differential diagnostic procedures which were performed and led to the final diagnosis, mentions types of cancers co-occurring with Ssc and suggests a screening scheme for cancer development in patients with a diagnosis of Ssc. PMID:27407287

  13. Soft tissue aneurysmal bone cyst: a rare case in a middle aged patient

    PubMed Central

    Baker, Kevin S; Gould, Elaine S; Patel, Hiten B; Hwang, Sonya J

    2015-01-01

    Soft tissue aneurysmal bone cyst is a rare entity, with about 20 cases reported in literature, only 3 of which are in patients over 40 years of age. We present a case of a 41 year old Latin American female who presented for evaluation of atraumatic chest pain with radiation to the left shoulder. Her initial workup was negative, including radiographic imaging of the chest and left shoulder. 4 months later, she presented to her orthopedic surgeon with a palpable mass and mild left shoulder pain. Radiographs acquired at that time demonstrated a 7.0 × 5.5 × 6.7 cm mass with rim calcification in the region of the upper triceps muscle. Subsequent CT imaging showed central areas of hypodensity and thin septations, a few of which were calcified. MR evaluation showed hemorrhagic cystic spaces with multiple fluid-fluid levels and enhancing septations. Surgical biopsy was performed and pathology was preliminarily interpreted as cystic myositis ossificans, however on final review the diagnosis of soft tissue aneurysmal bone cyst was made. The lesion was then surgically excised and no evidence of recurrence was seen on a 3 year post-op radiograph. Following description of our case, we conduct a literature review of the imaging characteristics, diagnosis, and treatment of soft tissue aneurysmal bone cyst. PMID:25926918

  14. Lost in the city: revisiting Milgram's experiment in the age of social networks.

    PubMed

    Szüle, János; Kondor, Dániel; Dobos, László; Csabai, István; Vattay, Gábor

    2014-01-01

    As more and more users access social network services from smart devices with GPS receivers, the available amount of geo-tagged information makes repeating classical experiments possible on global scales and with unprecedented precision. Inspired by the original experiments of Milgram, we simulated message routing within a representative sub-graph of the network of Twitter users with about 6 million geo-located nodes and 122 million edges. We picked pairs of users from two distant metropolitan areas and tried to find a route between them using local geographic information only; our method was to forward messages to a friend living closest to the target. We found that the examined network is navigable on large scales, but navigability breaks down at the city scale and the network becomes unnavigable on intra-city distances. This means that messages usually arrived to the close proximity of the target in only 3-6 steps, but only in about 20% of the cases was it possible to find a route all the way to the recipient, in spite of the network being connected. This phenomenon is supported by the distribution of link lengths; on larger scales the distribution behaves approximately as P(d) ≈ 1/d, which was found earlier by Kleinberg to allow efficient navigation, while on smaller scales, a fractal structure becomes apparent. The intra-city correlation dimension of the network was found to be D2 = 1.25, less than the dimension D2 = 1.78 of the distribution of the population. PMID:25383796

  15. Acute intraperitoneal rupture of hydatid cysts: a surgical experience with 14 cases

    PubMed Central

    2013-01-01

    Introduction Hydatidosis is endemic in the Mediterranean region including morrocco, the Middle and Far East, Australia, New Zealand, and South America—all areas where animal husbandry is common. Rupture into the abdominal cavity is a rare but serious complication of hydatid disease. The cysts may be ruptured after a trauma, or spontaneously as a result of increased intracystic pressure. Rupture of the hydatid cyst requires emergency surgical intervention. Methods Fourteen patients received surgical treatment for intraperitoneal rupture of the cysts over a period of 5 years. Age, gender, time to surgery from the onset of the symptoms, laboratory findings, diagnostic procedures, surgical treatment modalities, in-hospital stay, morbidity, mortality and recurrence were evaluated retrospectively. Results Eight of the patients were men and six were women. All of the patients had signs of peritoneal irritation. One patient (7,14%) had a history of blunt abdominal trauma. Ultrasonography scans revealed intra-abdominal fluid in all cases, intraperitoneal multiple cysts in 11 cases and heterogeneous cavity or cystic structures in the liver in 12 cases. Computed tomography showed multiple cystic lesions in the liver and peritoneum with intra-abdominal free fluid. The ruptured cysts were located in the right lobe of the liver in seven patients, in the left lobe in six patients and in both lobes in one patients. Procedures to fill the cystic cavities were applied after removal of the intraperitoneal fluid. Partial pericystectomy and drainage was the most frequent surgical procedure. No patients died in the early postoperative period. A total of seven morbidities developed in six patients (35.3%). Median hospital stay was 08 days and median follow-up was 12 months. Intra-abdominal recurrence occurred in one case (7.7%). Conclusions Rupture of hydatid cysts into the peritoneal cavity, although rare, presents a challenge for surgeons. This pathology should be included in the

  16. Hepatocellular adenomas associated with hepatic granulomas: experience in five cases.

    PubMed

    Bieze, Matthanja; Bioulac-Sage, Paulette; Verheij, Joanne; Balabaud, Charles; Laurent, Christophe; van Gulik, Thomas M

    2012-09-01

    We present five cases in whom two rare entities were simultaneously found within the liver, i.e. hepatocellular adenomas (HCAs) and granulomas. Coexistence of both entities confuses diagnosis. Our aim is to disclose the association between HCA and hepatic granulomas. Five patients presented with HCA for which they underwent resection. During laparotomy or at pathological examination, granulomas were found in tumorous and non-tumorous tissue. No specific cause for the granulomas was found. Immunohistochemistry showed overexpression of C-reactive protein and serum amyloid A in 4/5 patients, classifying these lesions as inflammatory HCA. HCA and especially the inflammatory subtype may cause formation of granulomas in (peri-)tumorous tissue as a local response to persistent inflammation and/or the presence of a tumor. Both HCA and hepatic granulomas have also been associated with oral contraceptive use. In conclusion, HCAs associated with hepatic granulomas derive from a local response to (inflammatory) HCA or neoplasm, chronic use of oral contraceptives, or a combination of these factors. PMID:23185149

  17. Hepatocellular Adenomas Associated with Hepatic Granulomas: Experience in Five Cases

    PubMed Central

    Bieze, Matthanja; Bioulac-Sage, Paulette; Verheij, Joanne; Balabaud, Charles; Laurent, Christophe; van Gulik, Thomas M.

    2012-01-01

    We present five cases in whom two rare entities were simultaneously found within the liver, i.e. hepatocellular adenomas (HCAs) and granulomas. Coexistence of both entities confuses diagnosis. Our aim is to disclose the association between HCA and hepatic granulomas. Five patients presented with HCA for which they underwent resection. During laparotomy or at pathological examination, granulomas were found in tumorous and non-tumorous tissue. No specific cause for the granulomas was found. Immunohistochemistry showed overexpression of C-reactive protein and serum amyloid A in 4/5 patients, classifying these lesions as inflammatory HCA. HCA and especially the inflammatory subtype may cause formation of granulomas in (peri-)tumorous tissue as a local response to persistent inflammation and/or the presence of a tumor. Both HCA and hepatic granulomas have also been associated with oral contraceptive use. In conclusion, HCAs associated with hepatic granulomas derive from a local response to (inflammatory) HCA or neoplasm, chronic use of oral contraceptives, or a combination of these factors. PMID:23185149

  18. A case of Lassa fever: experience at St Thomas's Hospital.

    PubMed Central

    Cooper, C B; Gransden, W R; Webster, M; King, M; O'Mahony, M; Young, S; Banatvala, J E

    1982-01-01

    An 18-year-old Nigerian girl, normally resident in Jos, was admitted to hospital for five days before she was diagnosed as having Lassa fever. There were several atypical features in the early stages of here illness, notably the absence of prostration, pharyngitis, or bradycardia and the development of appreciable leucocytosis. Consequent control and surveillance measures required checks for 21 days on 173 people who had had contact with as first line if they had handled her or specimens without taking precautions to avoid direct skin contact with her excretions, secretions, and blood; other contacts were categorised as second line. During her time in hospital she was managed in a single room on a general ward. She visited a number of investigative departments within the hospital, and her specimens were examined in five clinical laboratories. Despite this no secondary cases occurred among either first- or second-line contacts, and there was no serological evidence of subclinical infection among any of the contacts tested (159 people). PMID:6812717

  19. What is the role of a case manager in community aged care? A qualitative study in Australia.

    PubMed

    You, Emily Chuanmei; Dunt, David; Doyle, Colleen

    2016-07-01

    This study aimed to explore the perceptions of case managers about their roles in providing community aged care in Australia. Purposeful sampling was used and 33 qualitative semi-structured interviews with 47 participants were conducted. Participants were drawn from a list of all case managers working in aged care organisations that provided publicly funded case-managed community aged care programmes in the State of Victoria, Australia. Participant selection criteria included age, gender, job titles, professional backgrounds, practice locations, organisational attributes and organisational size. Data collection was implemented between September 2012 and March 2013. Thematic analysis was performed. Participants believed that case managers performed diverse roles based on clients' needs. They also articulated 16 important roles of case managers, including advisors, advocates, carers, communicators, co-ordinators, educators, empowering clients, engaging clients and families, liaising with people, managing budgets, navigators, negotiators, networking with people, facilitators, problem solvers and supporters. However, they were concerned about brokers, mediators and counsellors in terms of the terminology or case managers' willingness to perform these roles. Moreover, they perceived that neither gatekeepers nor direct service provision was case managers' role. The findings of this study suggest that case managers working in community aged care sectors may be more effective if they practised the 16 roles aforementioned. With the value of helping rather than obstructing clients to access services, they may not act as gatekeepers. In addition, they may not provide services directly as opposed to their peers working in medical care settings. The findings will also assist organisations to design job descriptions specifying case managers' roles and associated job responsibilities. Clear job descriptions will further benefit the organisations in staff recruitment, orientation

  20. [Our experience with surgery of the rheumatoid metatarsus. 150 cases].

    PubMed

    Denis, A; Huber-Levernieux, C; Debeyre, J; de Sèze, S; Ryckewaert, A; Goutallier, D

    1980-01-01

    The authors report on the results of their experience with surgery of the rheumatoid metatarsus (95 patients operated on--150 operations). The operation most frequently performed was the Lelievre metatarsian resection-alignment. They confirm the advantage of this type of surgery, which provides very handicapped patients with substantial relief, both of pain and of the functional troubles, despite the nature of the disease involved. Out of 80 patients operated on and followed up over a period of 2 to 14 years, and considering the correction of the deformities, the effect on pain and functional troubles, the authors report 103 very good and good results, and 18 poor results and failures. The good results obtained deteriorate only very little in the long run: after 10 years, the very good and good results involving effect on pain, has gone from 96 to 90%. On the other hand, as far as functional troubles are concerned, very good and good results go from 90% to 70%. The authors underline the advantage of a very through examination, in order to look for post-operatory risk factors (peripheral circulatory deficiency and poor resistance to infection). They insist for exercising great prudence when advising an operation consisting of the interposition of an endoprosthesis (Swanson's implant). Indeed, in subjects who are in any way fragile, delays in scarification, related to hematomas complicated or not with skin necrosis appear with increased frequency after interposition of the implant. PMID:7384722

  1. JSC Case Study: Fleet Experience with E-85 Fuel

    NASA Technical Reports Server (NTRS)

    Hummel, Kirck

    2009-01-01

    JSC has used E-85 as part of an overall strategy to comply with Presidential Executive Order 13423 and the Energy Policy Act. As a Federal fleet, we are required to reduce our petroleum consumption by 2 percent per year, and increase the use of alternative fuels in our vehicles. With the opening of our onsite dispenser in October 2004, JSC became the second federal fleet in Texas and the fifth NASA center to add E-85 fueling capability. JSC has a relatively small number of GSA Flex Fuel fleet vehicles at the present time (we don't include personal vehicles, or other contractor's non-GSA fleet), and there were no reasonably available retail E-85 fuel stations within a 15-minute drive or within five miles (one way). So we decided to install a small 1000 gallon onsite tank and dispenser. It was difficult to obtain a supplier due to our low monthly fuel consumption, and our fuel supplier contract has changed three times in less than five years. We experiences a couple of fuel contamination and quality control issues. JSC obtained good information on E-85 from the National Ethanol Vehicle Coalition (NEVC). We also spoke with Defense Energy Support Center, (DESC), Lawrence Berkeley Laboratory, and US Army Fort Leonard Wood. E-85 is a liquid fuel that is dispensed into our Flexible Fuel Vehicles identically to regular gasoline, so it was easy for our vehicle drivers to make the transition.

  2. Accounting for Age Uncertainty in Growth Modeling, the Case Study of Yellowfin Tuna (Thunnus albacares) of the Indian Ocean

    PubMed Central

    Dortel, Emmanuelle; Massiot-Granier, Félix; Rivot, Etienne; Million, Julien; Hallier, Jean-Pierre; Morize, Eric; Munaron, Jean-Marie; Bousquet, Nicolas; Chassot, Emmanuel

    2013-01-01

    Age estimates, typically determined by counting periodic growth increments in calcified structures of vertebrates, are the basis of population dynamics models used for managing exploited or threatened species. In fisheries research, the use of otolith growth rings as an indicator of fish age has increased considerably in recent decades. However, otolith readings include various sources of uncertainty. Current ageing methods, which converts an average count of rings into age, only provide periodic age estimates in which the range of uncertainty is fully ignored. In this study, we describe a hierarchical model for estimating individual ages from repeated otolith readings. The model was developed within a Bayesian framework to explicitly represent the sources of uncertainty associated with age estimation, to allow for individual variations and to include knowledge on parameters from expertise. The performance of the proposed model was examined through simulations, and then it was coupled to a two-stanza somatic growth model to evaluate the impact of the age estimation method on the age composition of commercial fisheries catches. We illustrate our approach using the saggital otoliths of yellowfin tuna of the Indian Ocean collected through large-scale mark-recapture experiments. The simulation performance suggested that the ageing error model was able to estimate the ageing biases and provide accurate age estimates, regardless of the age of the fish. Coupled with the growth model, this approach appeared suitable for modeling the growth of Indian Ocean yellowfin and is consistent with findings of previous studies. The simulations showed that the choice of the ageing method can strongly affect growth estimates with subsequent implications for age-structured data used as inputs for population models. Finally, our modeling approach revealed particularly useful to reflect uncertainty around age estimates into the process of growth estimation and it can be applied to any

  3. Accounting for age uncertainty in growth modeling, the case study of yellowfin tuna (Thunnus albacares) of the Indian Ocean.

    PubMed

    Dortel, Emmanuelle; Massiot-Granier, Félix; Rivot, Etienne; Million, Julien; Hallier, Jean-Pierre; Morize, Eric; Munaron, Jean-Marie; Bousquet, Nicolas; Chassot, Emmanuel

    2013-01-01

    Age estimates, typically determined by counting periodic growth increments in calcified structures of vertebrates, are the basis of population dynamics models used for managing exploited or threatened species. In fisheries research, the use of otolith growth rings as an indicator of fish age has increased considerably in recent decades. However, otolith readings include various sources of uncertainty. Current ageing methods, which converts an average count of rings into age, only provide periodic age estimates in which the range of uncertainty is fully ignored. In this study, we describe a hierarchical model for estimating individual ages from repeated otolith readings. The model was developed within a Bayesian framework to explicitly represent the sources of uncertainty associated with age estimation, to allow for individual variations and to include knowledge on parameters from expertise. The performance of the proposed model was examined through simulations, and then it was coupled to a two-stanza somatic growth model to evaluate the impact of the age estimation method on the age composition of commercial fisheries catches. We illustrate our approach using the sagittal otoliths of yellowfin tuna of the Indian Ocean collected through large-scale mark-recapture experiments. The simulation performance suggested that the ageing error model was able to estimate the ageing biases and provide accurate age estimates, regardless of the age of the fish. Coupled with the growth model, this approach appeared suitable for modeling the growth of Indian Ocean yellowfin and is consistent with findings of previous studies. The simulations showed that the choice of the ageing method can strongly affect growth estimates with subsequent implications for age-structured data used as inputs for population models. Finally, our modeling approach revealed particularly useful to reflect uncertainty around age estimates into the process of growth estimation and it can be applied to any

  4. [Two cases of schizophrenia presenting with 'solar experience': the 'polysolar experience' and its progression].

    PubMed

    Harashima, Kanoko; Kobayashi, Toshiyuki; Kikuchi, Senichiro; Okajima, Yoshiro; Kato, Satoshi

    2010-01-01

    The 'solar experience' as an abnormal experience of schizophrenia in which patients directly experience the sun itself was first described by Miyamoto in 1974. Patients have delusions of the sun dying, hallucinations of the sun, and even believe that they become the sun. The patient may draw pictures of the sun similar to Edvard Munch's famous painting "The Sun". Miyamoto explained the progression of the solar experience as follows: (1) in the early stage of schizophrenia, patients believe that the sun falls or dies; (2) in the midst of the illness, they occupy the position of the sun in their delusions; and (3) in the recovery stage, they see or draw the sun against a scenic background, indicating that they no longer perceive themselves to be at the center of the world. Because of the absolute centrality of the sun, Miyamoto noted that the patient never experiences multiple suns (a 'polysolar experience'). However, in his book Memoirs of My Nervous Illness (original German title: Denkwürdigkeiten eines Nervenkranken), Daniel Paul Schreber described that he saw two suns. In this paper, the authors report two patients with schizophrenia who presented with a solar experience. Patient 1 was a man in his early forties. Fourteen years before his 'polysolar experience', he had attempted suicide, developed stupor, and was diagnosed with depression. However, he sometimes exhibited cenestopathy. Three years before the experience, he developed catatonic stupor and auditory hallucinations, and his diagnosis was changed to schizophrenia. After two months of hospitalization, the patient, in partial remission, was discharged. Ten months later, he saw two fragments tumble down from the sun, which he described as sons of the sun. Thereafter, his behavior became erratic, which led to a third hospitalization. In the recovery phase, the patient drew a picture of a large sun covering the entire piece of drawing paper and another of the sun set in scenery. Patient 2 was a married

  5. Age-Related Incidence Curve of Hospitalized Shaken Baby Syndrome Cases: Convergent Evidence for Crying as a Trigger to Shaking

    ERIC Educational Resources Information Center

    Barr, Ronald G.; Trent, Roger B.; Cross, Julie

    2006-01-01

    Objective: To determine whether there is an age-specific incidence of hospitalized cases of Shaken Baby Syndrome (SBS) that has similar properties to the previously reported ''normal crying curve,'' as a form of indirect evidence that crying is an important stimulus for SBS. Design and setting: The study analyzed cases of Shaken Baby Syndrome by…

  6. Evaluation of cases with Fasciola hepatica infection: experience in 6 children

    PubMed Central

    Tezer, Hasan; Yuksek, Saliha Kanik; Parlakay, Aslinur Özkaya; Gülhan, Belgin; Tavil, Betül; Tunç, Bahattin

    2013-01-01

    Objective To evaluate 6 pediatric cases diagnosed as fascioliasis. Methods Patients diagnosed as fascioliasis are retrospectively interpreted. Results Herein 6 pediatric cases having a mean age of (12.7±3.1) years with different complaints including fever, weakness, paleness, sweating, cough, headache, rectal bleeding, abdominal pain, and abdominal distension admitting to our hospital are evaluated. Conclusions Diagnosis of fascioliasis needs a high index of suspicion supported by stool microscopy, serology, imaging procedures, and in difficult cases even liver biopsy. Triclabendazole resistance should be kept in mind in unresponsive cases.

  7. HI at z 20: The Large Aperture Experiment to Detect the Dark Ages

    NASA Astrophysics Data System (ADS)

    Greenhill, Lincoln J.; Werthimer, D.; Taylor, G.; Ellingson, S.; LEDA Collaboration

    2012-05-01

    When did the first stars form? Did supermassive black holes form at the same time, earlier, or later? One of the great challenges of cosmology today is the study of these first generation objects. The Large Aperture Experiment to Detect the Dark Ages (LEDA) project seeks to detect, in total-power, emission from neutral Hydrogen (21 cm rest wavelength) in the intergalactic medium about 100 million years after the Big Bang (redshifts 20). Detection would deliver the first observational constraints on models of structure formation and the first pockets of star and black holes formation in the Universe. LEDA will develop and integrate by 2013 signal processing instrumentation into the new first station of the Long Wavelength Array (LWA). This comprises a large-N correlator serving all 512 dipole antennas of the LWA1, leveraging a packetized CASPER architecture and combining FPGAs and GPUs for the F and X stages. Iterative calibration and imaging will rely on warped snapshot imaging and be drawn from a GPU-enabled library (cuWARP) that is designed specifically to support wide-field full polarization imaging with fixed dipole arrays. Calibration techniques will include peeling, correction for ionospheric refraction, direction dependent dipole gains, deconvolution via forward modeling, and exploration of pulsar data analysis to improve performance. Accurate calibration and imaging will be crucial requirements for LEDA, necessary to subtract the bright foreground sky and detect the faint neutral Hydrogen signal. From the computational standpoint, LEDA is a O(100) TeraFlop per second challenge that enables a scalable architecture looking toward development of radio arrays requiring power efficient 10 PetaFlop per second performance. Stage two of the Hydrogen Epoch of Reionization Array (HERA2) is one example.

  8. Trajectories of Marijuana Use in Youth Ages 15–25: Implications for Postsecondary Education Experiences

    PubMed Central

    HOMEL, JACQUELINE; THOMPSON, KARA; LEADBEATER, BONNIE

    2016-01-01

    Objective This study examined associations between longitudinal trajectories of marijuana use from adolescence to young adulthood and postsecondary education (PSE) experiences. Outcomes examined included the type of PSE undertaken, the timing of enrollment, and the likelihood of dropping out. Method Participants (N = 632; 332 females) were from the Victoria Healthy Youth Survey, a five-wave multicohort study of young people interviewed biennially between 2003 and 2011. Latent class growth analysis was used to identify distinct trajectories of the frequency of marijuana use from ages 15 to 25. Logistic regression analyses evaluated class membership as a predictor of the three PSE outcomes, with sex, maternal education, family structure, high school grades, and conduct problems controlled for. Results Three trajectory groups of marijuana use were identified: abstainers (31%), occasional users (44%), and frequent users (25%). Compared with abstainers, frequent users had the lowest high school grades and the most conduct problems and were least likely to enroll in PSE, especially in a university. Occasional users did not differ from abstainers on high school grades or conduct problems and were no less likely than abstainers to enroll in PSE. However, they delayed enrollment longer and were more likely to drop out of PSE. Conclusions Frequent marijuana use from adolescence to young adulthood may close off opportunities for entering PSE, whereas occasional use may create delays in starting and finishing PSE among less at-risk young people. The mechanisms underlying associations between marijuana use and educational difficulties during emerging adulthood as well as adolescence need to be better understood. PMID:24988266

  9. Congenital bizarre parosteal osteochondromatous proliferation in unusual location and age: a case report.

    PubMed

    Sökücü, Sami; Aycan, Osman Emre; Arıkan, Yavuz; Kabukçuoğlu, Yavuz Selim

    2016-01-01

    Bizarre parosteal osteochondromatous proliferation (BPOP, also known as Nora's lesion) is a rare, benign, locally aggressive condition defined as osteochondromatous exostosis arising from the bony cortex. BPOP presents predominantly in the 2nd and 3rd decades of life, and commonly arises from the periosteum of metacarpals and metatarses, though rare locations have been reported, including the long bones, the maxillae, the bones of calvaria, and the sesamoids. The case of an osteochondromatous lesion in an infant with an intra-abdominal mass arising from the iliac wing, an atypical location of benign solitary lesions, is reported. Benign solitary lesions are exceptional in this age group. The parents of the patient, who was born in term at 3600 grams, discovered a mass in the left groin and observed decreased movement in the lower left extremity. No history of trauma was reported. When the patient was 5 months of age, AP pelvic X-ray, computed tomography, and magnetic resonance imaging revealed a bony mass displacing intra-abdominal organs anteromedially. Biopsy reported an osteocartilaginous lesion with calcified mature cartilaginous fragments surrounded by plasmacytoid, monotone, fibrinoid cells in myxoid background. Differential diagnosis included osteochondroma, osteochondromyxoma, BPOP, fibrocartilaginous mesenchymoma, chondromyxoid fibroma, periosteal chondroma, soft tissue chondroma, myositis ossificans, and juxtacortical chondroma. Biopsy of the resected specimen determined a diagnosis of BPOP. At 6-month postoperative follow-up, neither symptoms nor complaints related to the mass were present. PMID:26854060

  10. Caregivers' Experience during Their Children's Transition Process from Early Childhood Special Education Services to School-Aged Special Education Services

    ERIC Educational Resources Information Center

    Hicks, Linda Yvonne

    2011-01-01

    This study investigates caregivers' perceptions of the transition process for children transitioning from Early Childhood Special Education (ECSE) to School Age Special Education services (SA). Interest in this topic developed during the researcher's 18 years of experience as an Itinerant Early Childhood Special Education Teacher during which she…

  11. Instrumental and Terminal Life Values of Faculty by Community College Location, Age, Experience, Highest Degree and Other Employment.

    ERIC Educational Resources Information Center

    Bohan, John F.; Hales, Loyde W.

    A study was conducted to investigate the relationship between the life values of community college faculty and selected demographic variables (i.e., college location, age, teaching experience, highest degree held, and other employment). A stratified random sample of 984 Oregon community college instructors was asked to identify "guiding…

  12. The Impact of Teachers' Age, Gender and Experience on the Use of Information and Communication Technology in EFL Teaching

    ERIC Educational Resources Information Center

    Mahdi, Hassan Saleh; Al-Dera, Abdullah Sa'ad

    2013-01-01

    The integration of information and communication technology (ICT) into language teaching and learning depends on many factors. Some of these factors are associated with teachers. Teachers play a crucial role in the integration of ICT. This study investigates the impact of teacher's age, experience, and gender on the integration of ICT into…

  13. Connecting Informal and Formal Learning Experiences in the Age of Participatory Media: Commentary on Bull et al. (2008)

    ERIC Educational Resources Information Center

    Greenhow, Christine

    2008-01-01

    The recent editorial in this journal by Bull et al. ("Connecting Informal and Formal Learning Experiences in the Age of Participatory Media" Vol 8, Iss 2) discussed the challenges of bridging formal learning practices and informal learning opportunities within the context of today's Web-enhanced world. In this commentary, Christine…

  14. Do the Instructors Differ in Their Behavioral Intention to Adopt E-Learning Based on Age, Gender, and Internet Experience?

    ERIC Educational Resources Information Center

    Altawallbeh, Manal; Thiam, Wun; Alshourah, Sultan; Fong, Soon Fook

    2015-01-01

    The aim of this research is to examine if there are differences of the age, gender, and internet experience on behavioural intention to adopt e-learning of the instructors in Jordanian universities. The paper takes a social, and technical approach in its investigation by using a research model based on the ANOVA and t-test Analysis to identify if…

  15. Technology Implementation: Teacher Age, Experience, Self-Efficacy, and Professional Development as Related to Classroom Technology Integration

    ERIC Educational Resources Information Center

    Tweed, Stephanie

    2013-01-01

    The purpose of this quantitative study was to identify the combination of factors that pertain to the implementation of new technologies in the classroom. Specifically, the study was an analysis of the age of the teacher, years of teaching experience, quality of professional development, and teacher self-efficacy as defined by Bandura (1997) to…

  16. Crossing Borders: The Coming of Age Experience in Josefina Lopez's "Simply Maria" and Jose Cruz Gonzalez's "The Highest Heaven."

    ERIC Educational Resources Information Center

    Aragon, Cecilia Josephine

    2002-01-01

    Examines the coming of age experiences in the protagonists in Josefina Lopez's play "Simply Maria" and Jose Cruz Gonzalez's play "The Highest Heaven." Highlights how two Mexican-American protagonists face the personal challenges of adolescent adjustment as well as the geopolitical difficulties of adapting to two distinct cultures. (PM)

  17. Association of adverse childhood experiences, age of menarche, and adult reproductive behavior: does the androgen receptor gene play a role?

    PubMed

    Jorm, Anthony F; Christensen, Helen; Rodgers, Bryan; Jacomb, Patricia A; Easteal, Simon

    2004-02-15

    Previous research has reported associations between adverse childhood experiences, early menarche, and early sexual activity. One hypothesis to account for these findings is that an X-linked androgen receptor GGC-repeat polymorphism predisposes fathers to behaviors which include family abandonment and their daughters to earlier menarche and sexual activity and less stable relationships. Retrospective data relevant to this theory were examined from a community survey involving 3,702 women in the age groups 20-24, 40-44, and 60-64 years, and another involving 908 women aged 18-79 years. Earlier age of menarche was found to be associated with adverse childhood experiences and earlier sexual activity. However, the androgen receptor gene polymorphism was unrelated to adverse fathering behavior or to marital breakdown. PMID:14755454

  18. Case-based reasoning for space applications: Utilization of prior experience in knowledge-based systems

    NASA Technical Reports Server (NTRS)

    King, James A.

    1987-01-01

    The goal is to explain Case-Based Reasoning as a vehicle to establish knowledge-based systems based on experimental reasoning for possible space applications. This goal will be accomplished through an examination of reasoning based on prior experience in a sample domain, and also through a presentation of proposed space applications which could utilize Case-Based Reasoning techniques.

  19. Maternal Reports of Home Literacy Experiences in Multilingual Mauritius: A Case Study of Pre-Schoolers

    ERIC Educational Resources Information Center

    Auleear Owodally, Ambarin Mooznah

    2014-01-01

    While the extant literature has highlighted the important contribution of home literacy experiences to early literacy development, limited research has been carried out among children living in postcolonial contexts, where there is a mismatch between the home and school language. Such is the case of Mauritius. The present exploratory case study…

  20. Case Study of K-12 Public School Superintendents Having Business Background and No Teaching Experience

    ERIC Educational Resources Information Center

    Novak, James

    2012-01-01

    The purpose of this study was to describe the experiences of superintendents with business backgrounds and who lack teaching experience. There is a shortage of qualified superintendent candidates in K-12 school districts. As a result, some school boards are hiring nontraditional superintendents. This qualitative case study is important because it…

  1. How and What Can We Learn from Replicating Historical Experiments? A Case Study.

    ERIC Educational Resources Information Center

    Hottecke, Dietmar

    2000-01-01

    Argues that historical experiments replicated as closely as possible to the original enable experiences that are intellectual as well as sensual in kind. Demonstrates that learning by replicating makes it possible to learn on different levels of human activity related to mind and body. Introduces a case study of the replication of the kind of…

  2. Early Career Teachers' Emotional Experiences and Development--A Norwegian Case Study

    ERIC Educational Resources Information Center

    Jakhelln, Rachel

    2011-01-01

    Emotional experiences that are an integral part of the process of becoming teachers have been insufficiently explored in the research literature. The early experiences of three new teachers in a Norwegian upper secondary school are analysed using a collective case-study design and a socio-cultural theoretical framework. Emotions arising in the…

  3. Experience of Adjunct Novice Clinical Nursing Faculty: An Interpretive Case Study

    ERIC Educational Resources Information Center

    Mann, Carol

    2013-01-01

    The purpose of this qualitative interpretive case study was to describe the experience of adjunct novice clinical nursing faculty who has less than three years teaching experience or feels novice in this setting. The nursing shortage in the United States is well documented and is forecasted to have significant impacts on the health care delivery…

  4. Organizational Change in Academic Programs: A Case Study of Doctoral Students' Experiences

    ERIC Educational Resources Information Center

    Frazier, Christina Coffee

    2011-01-01

    This qualitative case study explored the experiences of doctoral students at the University of Minnesota-Twin Cities as they transitioned from a fairly stable academic department experiencing significant changes. To achieve the purpose of the study, I investigated the experiences of doctoral students through an organizational development…

  5. Large spatial variations in coastal 14C reservoir age - a case study from the Baltic Sea

    NASA Astrophysics Data System (ADS)

    Lougheed, B. C.; Filipsson, H. L.; Snowball, I.

    2013-05-01

    Coastal locations are highly influenced by input from freshwater river runoff, including sources of terrestrial carbon, which can be expected to modify the 14C reservoir age, or R (t), associated with marine water. In this Baltic Sea case study, pre-bomb museum collection mollusc shells of known calendar age, from 30 locations across a strategic salinity transect of the Baltic Sea, were analysed for 14C, δ13C and δ18O. R (t) was calculated for all 30 locations. Seven locations, of which six are within close proximity of the coast, were found to have relatively higher R (t) values, indicative of hard-water effects. Whenever possible, the Macoma genus of mollusc was selected from the museum collections, in order to exclude species specific reservoir age effects as much as possible. When the Macoma samples are exclusively considered, and samples from hard-water locations excluded, a statistically significant correlation between Macoma R (t) and average salinity is found, indicating a two end-member linear mixing model between 14Cmarine and 14Crunoff. A map of Baltic Sea Macoma aragonite R (t) for the late 19th and early 20th centuries is produced. Such a map can provide an estimate for contemporary Baltic Sea Macoma R (t), although one must exercise caution when applying such estimates back in time or to 14C dates obtained from different sample material. A statistically significant correlation is found between δ18Oaragonite and Macoma R (t), suggesting that δ18Oaragonite can be used to estimate Macoma palaeo-R (t), due to the δ18Oaragonite signal being dominated by the salinity gradient of the Baltic Sea. A slightly increased correlation can be expected when δ18Oaragonite is corrected for temperature fractionation effects. The results of this Baltic Sea case study, which show that R (t) is affected by hydrographic conditions and local carbon inputs, have important consequences for other coastal and estuarine locations, where R (t) is also likely to significantly

  6. Large spatial variations in coastal 14C reservoir age - a case study from the Baltic Sea

    NASA Astrophysics Data System (ADS)

    Lougheed, B. C.; Filipsson, H. L.; Snowball, I.

    2013-02-01

    Coastal locations are highly influenced by input from freshwater river runoff, including sources of terrestrial carbon, which can be expected to modify the 14C reservoir age, or R(t), associated with marine water. In this Baltic Sea case study, pre-bomb museum collection mollusc shells of known calendar age, from 30 locations across a strategic salinity transect of the Baltic Sea, were analysed for 14C, δ13C and δ18O. R(t) was calculated for all 30 locations. Seven locations, of which six are within close proximity of the coast, were found to have relatively higher R(t) values, indicative of hard-water effects. δ13Caragonite values were found to be indicative of hard-water influence only for certain locations, suggesting the possibility of different sources of old carbon in different locations. Whenever possible, the Macoma genus of mollusc was selected from the museum collections, in order to exclude species specific reservoir age effects as much as possible. When the Macoma samples are exclusively considered, and samples from hard-water locations excluded, a statistically significant correlation between Macoma R(t) and average salinity is found, indicating a two end-member linear mixing model between 14Cmarine and 14Crunoff. A map of Baltic Sea Macoma aragonite R(t) for the late 19th and early 20th centuries is produced. Such a map can provide an estimate for contemporary Baltic Sea Macoma R(t), although one must exercise caution when applying such estimates back in time or to 14C dates obtained from different sample material. A statistically significant correlation is also found between δ18Oaragonite and Macoma R(t), suggesting that δ18Oaragonite can be used to estimate Macoma palaeo-R(t). The results of this Baltic Sea case study, which show that R(t) is affected by hydrographic conditions and local carbon inputs, have important consequences for other coastal and estuarine locations, where R(t) is also likely to significantly vary on spatial and temporal

  7. To Cut or Not to Cut: Cosmetic Surgery Usage and Women's Age-Related Experiences

    ERIC Educational Resources Information Center

    Eriksen, Shelley J.

    2012-01-01

    Part of the developmental trajectory of middle and late life presumes the adjustment to physical aging, an adjustment that is complicated for women for whom the prioritization of beauty is central to their social value in Western societies. A 60-item written questionnaire was distributed to a volunteer community sample of 202 women ages 19-86.…

  8. Chinese Eye Exercises and Myopia Development in School Age Children: A Nested Case-control Study.

    PubMed

    Kang, Meng-Tian; Li, Shi-Ming; Peng, Xiaoxia; Li, Lei; Ran, Anran; Meng, Bo; Sun, Yunyun; Liu, Luo-Ru; Li, He; Millodot, Michel; Wang, Ningli

    2016-01-01

    Chinese eye exercises have been implemented in China as an intervention for controlling children's myopia for over 50 years. This nested case-control study investigated Chinese eye exercises and their association with myopia development in junior middle school children. Outcome measures were the onset and progression of myopia over a two-year period. Cases were defined as 1. Myopia onset (cycloplegic spherical equivalent ≤ -0.5 diopter in non-myopic children). 2. Myopia progression (myopia shift of ≥1.0 diopter in those who were myopic at baseline). Two independent investigators assessed the quality of Chinese eye exercises performance at the end of the follow-up period. Of 260 children at baseline (mean age was 12.7 ± 0.5 years), 201 were eligible for this study. There was no association between eye exercises and the risk of myopia-onset (OR = 0.73, 95%CI: 0.24-2.21), nor myopia progression (OR = 0.79, 95%CI: 0.41-1.53). The group who performed high quality exercises had a slightly lower myopia progression of 0.15 D than the children who did not perform the exercise over a period of 2 years. However, the limited sample size, low dosage and performance quality of Chinese eye exercises in children did not result in statistical significance and require further studies. PMID:27329615

  9. Chinese Eye Exercises and Myopia Development in School Age Children: A Nested Case-control Study

    PubMed Central

    Kang, Meng-Tian; Li, Shi-Ming; Peng, Xiaoxia; Li, Lei; Ran, Anran; Meng, Bo; Sun, Yunyun; Liu, Luo-Ru; Li, He; Millodot, Michel; Wang, Ningli

    2016-01-01

    Chinese eye exercises have been implemented in China as an intervention for controlling children’s myopia for over 50 years. This nested case-control study investigated Chinese eye exercises and their association with myopia development in junior middle school children. Outcome measures were the onset and progression of myopia over a two-year period. Cases were defined as 1. Myopia onset (cycloplegic spherical equivalent ≤ −0.5 diopter in non-myopic children). 2. Myopia progression (myopia shift of ≥1.0 diopter in those who were myopic at baseline). Two independent investigators assessed the quality of Chinese eye exercises performance at the end of the follow-up period. Of 260 children at baseline (mean age was 12.7 ± 0.5 years), 201 were eligible for this study. There was no association between eye exercises and the risk of myopia-onset (OR = 0.73, 95%CI: 0.24–2.21), nor myopia progression (OR = 0.79, 95%CI: 0.41–1.53). The group who performed high quality exercises had a slightly lower myopia progression of 0.15 D than the children who did not perform the exercise over a period of 2 years. However, the limited sample size, low dosage and performance quality of Chinese eye exercises in children did not result in statistical significance and require further studies. PMID:27329615

  10. Quantitation of Organics in Supercritical Fluid Aging Experiments Using FTIR Spectroscopy

    SciTech Connect

    Thompson, Christopher J.; Riley, Robert G.; Amonette, James E.; Gassman, Paul L.

    2004-03-31

    Aging is a natural process in which hydrophobic organic contaminants slowly accumulate in the mineral pores and organic matter of soils and sediments. Contaminants in aged soils exhibit decreased bioavailability and slow release to the environment. Therefore, aging may have a significant influence on the applicability and effectiveness of remediation strategies (e.g., bioremediation and natural attenuation) and the accuracy of numerical transport models. Previous research in our laboratory has demonstrated that circulating supercritical carbon dioxide can be used to rapidly prepare artificially aged materials for studying slow-release behavior. In this investigation, FTIR spectroscopy was evaluated as a means of monitoring the progress of the aging process in real time. Solvent interferences, measurement sensitivity for selected halocarbons and the influence of temperature and pressure on the FTIR spectra were assessed. Application of this methodology to monitoring the incorporation of carbon tetrachloride into natural soils will be discussed.

  11. Healthy ageing in Isan-Thai culture—A phenomenographic study based on older persons’ lived experiences

    PubMed Central

    Manasatchakun, Pornpun; Chotiga, Pleumjit; Roxberg, Åsa; Asp, Margareta

    2016-01-01

    Healthy ageing is a concept that concerns older persons’ quality of life and is a key factor in promoting well-being. The older population in Thailand is growing. Isan (a region of north-eastern Thailand) has been reported as having one of the most rapidly increasing older populations in the country. In order to care for and promote the health of older people, healthcare providers should understand how healthy ageing is perceived by this target group. Although healthy ageing has been studied in different contexts as well as perspectives, no studies have previously focused on older persons’ experiences of healthy ageing from a lifeworld perspective in Isan-Thai. Therefore, the aim of this study is to describe older persons’ qualitatively different conceptions of healthy ageing in Isan-Thai culture. A phenomenographic approach with an epistemological base in lifeworld theory was used to disclose the various ways to conceptualize healthy ageing. Individual, qualitative interviews were conducted with 17 people aged 60 and above who live in Isan-Thai. The findings of this study revealed three categories of descriptions: “being independent in dependence,” “being at peace,” and “being a valuable person.” This study also found family members, friends, healthcare providers, and religion important to healthy ageing in the Isan-Thai culture. Understanding how older people conceptualize healthy ageing is valuable for healthcare providers. They can apply these findings regarding healthy ageing in their fieldwork when caring for older people. PMID:26960686

  12. Case aggregation in young adult Hodgkin's disease. Etiologic evidence from a population experience.

    PubMed

    Davis, S

    1986-04-15

    There is evidence to suggest that young adult Hodgkin's Disease (HD) may be initiated by an infectious process and that age at exposure to the etiologic infection is an important modifier of risk. There is little evidence, however, to suggest that HD is transmissible through interpersonal contact. To evaluate this hypothesis, a population-based case-control study was conducted with 103 HD cases diagnosed between January 1, 1974 and June 30, 1979 in King County, Washington. Its purpose was to determine whether cases aggregate before clinical disease through interpersonal contact in either school or employment settings to a greater degree than would be expected in the general population. One control was randomly selected for each case of the same sex, approximate age, and general socioeconomic level. Results showed no indication of case aggregation in employment settings (observed/expected = 0.77; P = 0.77). Case contact was greater than would be expected in schools (observed/expected = 1.2; P = 0.07), particularly in grade schools (observed/expected = 1.94; P = 0.009). This finding is consistent with the possibility that HD is dependent on age at exposure, has an infectious origin, and can be transmitted horizontally in select circumstances. Additional research possibilities are recommended as suggested by these data. PMID:3948131

  13. Caries Experience Differs between Females and Males across Age Groups in Northern Appalachia

    PubMed Central

    Shaffer, John R.; Leslie, Elizabeth J.; Feingold, Eleanor; Govil, Manika; McNeil, Daniel W.; Crout, Richard J.; Weyant, Robert J.; Marazita, Mary L.

    2015-01-01

    Sex disparities in dental caries have been observed across many populations, with females typically exhibiting higher prevalence and more affected teeth. In this study we assessed the sex disparities in two Northern Appalachian populations from West Virginia (WV, N = 1997) and Pennsylvania (PA, N = 1080) by comparing caries indices between males and females across four phases of dental development: primary dentition in children aged 1–5 years, mixed dentition in children aged 6–11 years, permanent dentition in adolescents aged 12–17 years, and permanent dentition in adults aged 18–59 years. No significant sex differences were observed for children aged 1–5 years. Contrary to national and international trends, WV girls aged 6–11 years had 1.5 fewer affected teeth than boys (p < 0.001). However, by ages 12–17, caries indices in the WV girls matched those in boys. In both WV and PA adults, women and men had similar total counts of affected teeth (i.e., DMFT), although women had more dental restorations (p < 0.001) and men had more current decay (p < 0.001). These results suggest that in some Appalachian populations, young girls benefit from protection against caries that is lost during adolescence and that adult women utilize dental health care to a greater degree than men. PMID:26106416

  14. Caries Experience Differs between Females and Males across Age Groups in Northern Appalachia.

    PubMed

    Shaffer, John R; Leslie, Elizabeth J; Feingold, Eleanor; Govil, Manika; McNeil, Daniel W; Crout, Richard J; Weyant, Robert J; Marazita, Mary L

    2015-01-01

    Sex disparities in dental caries have been observed across many populations, with females typically exhibiting higher prevalence and more affected teeth. In this study we assessed the sex disparities in two Northern Appalachian populations from West Virginia (WV, N = 1997) and Pennsylvania (PA, N = 1080) by comparing caries indices between males and females across four phases of dental development: primary dentition in children aged 1-5 years, mixed dentition in children aged 6-11 years, permanent dentition in adolescents aged 12-17 years, and permanent dentition in adults aged 18-59 years. No significant sex differences were observed for children aged 1-5 years. Contrary to national and international trends, WV girls aged 6-11 years had 1.5 fewer affected teeth than boys (p < 0.001). However, by ages 12-17, caries indices in the WV girls matched those in boys. In both WV and PA adults, women and men had similar total counts of affected teeth (i.e., DMFT), although women had more dental restorations (p < 0.001) and men had more current decay (p < 0.001). These results suggest that in some Appalachian populations, young girls benefit from protection against caries that is lost during adolescence and that adult women utilize dental health care to a greater degree than men. PMID:26106416

  15. Age, wage, and job placement: older women's experiences entering the retail sector.

    PubMed

    Frank-Miller, Ellen G; Lambert, Susan J; Henly, Julia R

    2015-01-01

    Older women seeking employment often find opportunities limited to low-wage jobs, such as those in retail. We report findings about job placement and starting wages for hourly workers hired at a women's apparel retailer from August 2006 to December 2009. We examine competing hypotheses regarding the role of age in explaining women's job placement and starting wages. Although newly hired women age 55+ earn higher wages and are placed in higher-quality jobs than the youngest women (ages 18-22), they are less likely to be placed in better-quality jobs than their midlife counterparts. Overall, wage differences are largely explained by job quality. PMID:25607421

  16. [Psychiatric mobile teams for the three ages of live: the Lausanne experience].

    PubMed

    Bonsack, C; Holzer, L; Stancu, I; Baier, V; Samitca, M; Charbon, Y; Koch, N

    2008-09-17

    Mobile teams have been developed for the three ages to meet the needs of people who should receive--but do not access to--a psychiatric assessment or to specialized care. To achieve this goal, the teams built a strong partnership within the social network, both with relatives and professionals involved. The general principles of intervention are similar between the ages: a focused target population, assertive outreach which benefits also relatives and carers, multidisciplinary teams with a limited caseload to ensure availability. The specificities of each age will be analyzed. PMID:18847128

  17. Case-cohort design in practice – experiences from the MORGAM Project

    PubMed Central

    Kulathinal, Sangita; Karvanen, Juha; Saarela, Olli; Kuulasmaa, Kari

    2007-01-01

    When carefully planned and analysed, the case-cohort design is a powerful choice for follow-up studies with multiple event types of interest. While the literature is rich with analysis methods for case-cohort data, little is written about the designing of a case-cohort study. Our experiences in designing, coordinating and analysing the MORGAM case-cohort study are potentially useful for other studies with similar characteristics. The motivation for using the case-cohort design in the MORGAM genetic study is discussed and issues relevant to its planning and analysis are studied. We propose solutions for appending the earlier case-cohort selection after an extension of the follow-up period and for achieving maximum overlap between earlier designs and the case-cohort design. Approaches for statistical analysis are studied in a simulation example based on the MORGAM data. PMID:18053196

  18. A Narrative Study of the Experiences that Impact Educational Choices of Middle-Aged Women

    ERIC Educational Resources Information Center

    Perez, Shireese Redmond

    2011-01-01

    The purpose of this qualitative study was to answer the research questions of how middle-aged women perceive higher education and why they do or do not pursue a higher level of education. According to the U.S. Census Bureau's 2009 American Community Survey microdata, more than half of the women between the ages of 30-50 years in one Midwestern US…

  19. Problem-Based Learning: Case Studies, Experience and Practice. Case Studies of Teaching in Higher Education.

    ERIC Educational Resources Information Center

    Schwartz, Peter, Ed.; Mennin, Stewart, Ed.; Webb, Graham, Ed.

    The case studies in this book consider many of the most important issues perceived and experienced by people who are using or developing problem-based learning (PBL). The book focuses on politics, administration, resources, the roles of teachers, and the effects of PBL on students. The chapters are: (1) "Come and See the Real Thing" (David…

  20. Behavioral and neural plasticity caused by early social experiences: the case of the honeybee

    PubMed Central

    Arenas, Andrés; Ramírez, Gabriela P.; Balbuena, María Sol; Farina, Walter M.

    2013-01-01

    Cognitive experiences during the early stages of life play an important role in shaping future behavior. Behavioral and neural long-term changes after early sensory and associative experiences have been recently reported in the honeybee. This invertebrate is an excellent model for assessing the role of precocious experiences on later behavior due to its extraordinarily tuned division of labor based on age polyethism. These studies are mainly focused on the role and importance of experiences occurred during the first days of the adult lifespan, their impact on foraging decisions, and their contribution to coordinate food gathering. Odor-rewarded experiences during the first days of honeybee adulthood alter the responsiveness to sucrose, making young hive bees more sensitive to assess gustatory features about the nectar brought back to the hive and affecting the dynamic of the food transfers and the propagation of food-related information within the colony. Early olfactory experiences lead to stable and long-term associative memories that can be successfully recalled after many days, even at foraging ages. Also they improve memorizing of new associative learning events later in life. The establishment of early memories promotes stable reorganization of the olfactory circuits inducing structural and functional changes in the antennal lobe (AL). Early rewarded experiences have relevant consequences at the social level too, biasing dance and trophallaxis partner choice and affecting recruitment. Here, we revised recent results in bees' physiology, behavior, and sociobiology to depict how the early experiences affect their cognition abilities and neural-related circuits. PMID:23986708

  1. The Clusters AgeS Experiment (CASE). Variable Stars in the Field of the Globular Cluster M12

    NASA Astrophysics Data System (ADS)

    Kaluzny, J.; Thompson, I. B.; Narloch, W.; Pych, W.; Rozyczka, M.

    2015-09-01

    The field of the globular cluster M12 (NGC 6218) was monitored between 1995 and 2009 in a search for variable stars. BV light curves were obtained for thirty-six periodic or likely periodic variable stars. Thirty-four of these are new detections. Among the latter we identified twenty proper-motion members of the cluster: six detached or semi-detached eclipsing binaries, five contact binaries, five SX Phe pulsators, and three yellow stragglers. Two of the eclipsing binaries are located in the turnoff region, one on the lower main sequence and the remaining three among the blue stragglers. Two contact systems are blue stragglers, and the remaining three reside in the turnoff region. In the blue straggler region a total of 103 objects were found, of which 42 are proper motion members of M12, and another four are field stars. 55 of the remaining objects are located within two core radii from the center of the cluster, and as such they are likely genuine blue stragglers. We also report the discoveries of a radial color gradient of M12, and the shortest period among contact systems in globular clusters in general.

  2. The Clusters AgeS Experiment (CASE). Variable Stars in the Field of the Globular Cluster NGC 3201

    NASA Astrophysics Data System (ADS)

    Kaluzny, J.; Rozyczka, M.; Thompson, I. B.; Narloch, W.; Mazur, B.; Pych, W.; Schwarzenberg-Czerny, A.

    2016-01-01

    The field of the globular cluster NGC 3201 was monitored between 1998 and 2009 in a search for variable stars. BV light curves were obtained for 152 periodic or likely periodic variables, fifty-seven of which are new detections. Thirty-seven newly detected variables are proper motion members of the cluster. Among them we found seven detached or semi-detached eclipsing binaries, four contact binaries, and eight SX Phe pulsators. Four of the eclipsing binaries are located in the turnoff region, one on the lower main sequence and the remaining two slightly above the subgiant branch. Two contact systems are blue stragglers, and another two reside in the turnoff region. In the blue straggler region a total of 266 objects were found, of which 140 are proper motion (PM) members of NGC 3201, and another nineteen are field stars. Seventy-eight of the remaining objects for which we do not have PM data are located within the half-light radius from the center of the cluster, and most of them are likely genuine blue stragglers. Four variable objects in our field of view were found to coincide with X-ray sources: three chromospherically active stars and a quasar at a redshift z≍0.5.

  3. School Experiences Influence Personal Health and Interpersonal Relationships of Adolescents: The Canadian Case

    ERIC Educational Resources Information Center

    Ma, Xin

    2007-01-01

    Canadian data from the 1998 Cross-National Survey on Health Behaviors in School-Aged Children were analyzed to examine the effects of school experiences on personal health (physical health, mental health, self-esteem, helplessness, and body image) and interpersonal relationships (number of close friends and making friends) among adolescents.…

  4. Valproic acid-induced acute pancreatitis in pediatric age: case series and review of literature

    PubMed Central

    COFINI, M.; QUADROZZI, F.; FAVORITI, P.; FAVORITI, M.; COFINI, G.

    2015-01-01

    Valproic acid (VPA) is commonly prescribed medication for epilepsy, migraine and bipolar disorder. Although the common adverse effect associated with VPA are typically benign, less common adverse effect can occur; these include hepatotixicity, teratogenicity and acute pancreatitis (AP). VPA-induced pancreatitis does not depend on valproic acid serum level and may occur anytime after onset of therapy. Re-challenge with VPA is dangerous and should be avoided. The diagnosis of VPA-induced pancreatitis seems to be underestimated because of difficulties in determining the causative agent and the need for a retrospective re-evaluation of the causative factor. More of idiopathic pancreatitis should be a drug-induced pancreatitis. We report four cases of VPA-induced AP found in a group of 52 cases of AP in children come to our attention from January 2008 to December 2012. The aim of these reports is to point out our experience about clinical presentation, diagnosis, management, outcome in children with VPA-induced AP and review of literature. PMID:26712070

  5. Valproic acid-induced acute pancreatitis in pediatric age: case series and review of literature.

    PubMed

    Cofini, M; Quadrozzi, F; Favoriti, P; Favoriti, M; Cofini, G

    2015-01-01

    Valproic acid (VPA) is commonly prescribed medication for epilepsy, migraine and bipolar disorder. Although the common adverse effect associated with VPA are typically benign, less common adverse effect can occur; these include hepatotixicity, teratogenicity and acute pancreatitis (AP). VPA-induced pancreatitis does not depend on valproic acid serum level and may occur anytime after onset of therapy. Re-challenge with VPA is dangerous and should be avoided. The diagnosis of VPA-induced pancreatitis seems to be underestimated because of difficulties in determining the causative agent and the need for a retrospective re-evaluation of the causative factor. More of idiopathic pancreatitis should be a drug-induced pancreatitis. We report four cases of VPA-induced AP found in a group of 52 cases of AP in children come to our attention from January 2008 to December 2012. The aim of these reports is to point out our experience about clinical presentation, diagnosis, management, outcome in children with VPA-induced AP and review of literature. PMID:26712070

  6. He diffusion in zircon: Observations from (U-Th)/He age suites and 4He diffusion experiments and implications for radiation damage and anisotropic effects

    NASA Astrophysics Data System (ADS)

    Guenthner, W. R.; Reiners, P. W.

    2009-12-01

    Despite widespread use of zircon (U-Th)/He thermochronometry in many geologic applications, our understanding of the kinetics of He diffusion in this system is rudimentary. Previous studies have shown that both radiation damage and crystallographic anisotropy may strongly influence diffusion kinetics and ages. We present observations of zircon He ages from multiple single-grain analyses from both detrital and bedrock suites from a wide variety of locations, showing relationships consistent with effects arising from the interaction of radiation damage and anisotropy. Individual zircons in each suite have experienced the same post-depositional or exhumational t-T history but grains appear to have experienced differential He loss that is correlated with effective uranium (eU) content, a proxy for the relative extent of radiation damage within each suite. Several suites of zircons heated to partial resetting upon burial or that have experienced slow cooling show positive correlations between age and eU. Examples of partially reset detrital samples include Cretaceous Sevier foreland basin sandstones buried to ~6-8 km depth, with ages ranging from 88-309 Ma across an eU range of 215-1453 ppm, and Apennines and Olympics greywackes heated to >~120 °C, showing similar trends. Some slowly-cooled bedrock samples also show positive age-eU correlations, suggesting increasing closure temperature with higher extents of radiation damage. Conversely, zircons from cratonal bedrock samples with high levels of radiation damage—measured as accumulated alpha dosage (in this case >~10^18 α/g)—generally show negative age-eU correlations. We interpret these contrasting age-eU relationships as a manifestation of the interaction of radiation damage and anisotropic diffusion: at low damage, He diffusivity is relatively high and preferentially through c-axis-parallel channels. As suggested by Farley (2007), however, with increasing damage, channels are progressively blocked and He

  7. Experience Modulates the Effects of Histone Deacetylase Inhibitors on Gene and Protein Expression in the Hippocampus: Impaired Plasticity in Aging

    PubMed Central

    Sewal, Angila S.; Patzke, Holger; Perez, Evelyn J.; Park, Pul; Lehrmann, Elin; Zhang, Yongqing; Becker, Kevin G.; Fletcher, Bonnie R.; Long, Jeffrey M.

    2015-01-01

    The therapeutic potential of histone deacetylase inhibitor (HDACi) treatment has attracted considerable attention in the emerging area of cognitive neuroepigenetics. The possibility that ongoing cognitive experience importantly regulates the cell biological effects of HDACi administration, however, has not been systematically examined. In an initial experiment addressing this issue, we tested whether water maze training influences the gene expression response to acute systemic HDACi administration in the young adult rat hippocampus. Training powerfully modulated the response to HDACi treatment, increasing the total number of genes regulated to nearly 3000, including many not typically linked to neural plasticity, compared with <300 following HDACi administration alone. Although water maze training itself also regulated nearly 1800 genes, the specific mRNAs, gene networks, and biological pathways involved were largely distinct when the same experience was provided together with HDACi administration. Next, we tested whether the synaptic protein response to HDACi treatment is similarly dependent on recent cognitive experience, and whether this plasticity is altered in aged rats with memory impairment. Whereas synaptic protein labeling in the young hippocampus was selectively increased when HDACi administration was provided in conjunction with water maze training, combined treatment had no effect on synaptic proteins in the aged hippocampus. Our findings indicate that ongoing experience potently regulates the molecular consequences of HDACi treatment and that the interaction of recent cognitive experience with histone acetylation dynamics is disrupted in the aged hippocampus. SIGNIFICANCE STATEMENT The possibility that interventions targeting epigenetic regulation could be effective in treating a range of neurodegenerative disorders has attracted considerable interest. Here we demonstrate in the rat hippocampus that ongoing experience powerfully modifies the molecular

  8. Percutaneous nephrolithotomy in solitary kidneys: experience with 412 cases from Southern Iran.

    PubMed

    Hosseini, Mohammad Mehdi; Yousefi, Alireza; Hassanpour, Abbas; Jahanbini, Shahrokh; Zaki-Abbasi, Mohammad

    2015-06-01

    Some patients with nephrolithiasis who become candidates for percutaneous nephrolithotomy (PCNL) have a single kidney. This poses a challenge for the physician regarding the safety and efficacy of this procedure for these patients. This study has aimed to evaluate the safety and efficacy of PCNL in these patients. Between 2002 and 2014, out of 10,800 cases who underwent PCNL in our centres, 412 had a single kidney. We recorded the results and complications in these patients. Out of 412 patients, 279 were men and 133 women. Their mean age was 46.4 years (range 19-71) and mean stone size was 26.5 mm (range 21-55); 161 of them had a functional single kidney, 36 were congenital, and the remaining 215 had undergone contralateral nephrectomy because of stones, trauma, infection or tumour. Comorbidities included 104 hypertensive, 66 diabetic, 65 morbidly obese, 56 uremic and 47 ischemic heart disease cases. The stone-free rate was 91.3% (376/412) on postoperative X-ray/sonography. However, 42 patients required ancillary measures. Complications include fever (T > 38.3 °C) in 34 cases (8.2%), bleeding requiring transfusion 19 cases (4.6%), UTI nine cases (2%), sepsis one case (0.2%), perinephric collection three cases (0.7%), hydro/pneumothorax two cases (0.4%), access failure in five morbidly obese cases (1.2%), pyonephrosis two cases (0.4%), myocardial infarction four cases (1%), transient increasing of blood urea nitrogen (BUN) and serum creatinine (Scr.) in four normal functioning kidney (1%) and eight uremic cases (1.9%), and two cases resulted in death (0.4%). PCNL seems a safe and effective option in cases of a single kidney, but it needs more attention in order to prevent even minor complications that can result in an anephric state. PMID:25430791

  9. Morphological analysis of age-related iridocorneal angle changes in normal and glaucomatous cases using anterior segment optical coherence tomography

    PubMed Central

    Maruyama, Yuko; Mori, Kazuhiko; Ikeda, Yoko; Ueno, Morio; Kinoshita, Shigeru

    2014-01-01

    Purpose To analyze age-related morphological changes of the iridocorneal angle in normal subjects and glaucomatous cases, using anterior segment optical coherence tomography (AS-OCT). Methods This study involved 58 eyes of 58 open-angle glaucoma cases and 72 eyes of 72 age-matched normal-open-angle control subjects. Iridocorneal angle structures in nasal and temporal regions and anterior chamber depth (ACD) were measured using AS-OCT. Axial length and refractive error were measured by use of an ocular biometer and auto refractor keratometer. Angle opening distance (AOD), angle recess area (ARA), and trabecular-iris space area (TISA), measured at 500 μm (TISA500) and 750 μm (TISA750) distant from the scleral spur, were calculated, in the nasal and temporal regions. A new index, the peripheral angle frame index (PAFI), which represents the peripheral angle structure, was proposed, and was defined as (TISA750-TISA500)/TISA500. Results Refractive power in the glaucoma cases was less than in control cases (P<0.0001). Axial length (P<0.0001) and ACD (P=0.0004) were longer and deeper, respectively, in the glaucoma cases, compared with the control cases. In both control and glaucoma groups, ACD, AOD, ARA, and TISA decreased linearly in an age-dependent manner, while PAFI stayed at relatively constant values throughout the age distribution. AOD in the glaucoma group was longer than in the control group, in both the temporal and nasal regions; ARA and TISA were larger in the glaucoma than in the control group. However, no significant differences in nasal or temporal PAFI were found between the glaucoma and control groups. Conclusion The findings of this study show that AS-OCT is useful for the quantitative evaluation of age-related changes in peripheral angle structure in glaucoma and control cases. PMID:24379654

  10. "Snow on My Eyelashes": Language Awareness through Age-Appropriate Poetry Experiences

    ERIC Educational Resources Information Center

    Elster, Charles A.

    2010-01-01

    Rhymes and poems can be a natural starting point for young children as they experience the world and learn to understand spoken, written, and visual languages. Poetry contains highly patterned, predictable language that has unique potential to promote memorable and pleasurable experiences in preschool, kindergarten, and primary classrooms. As…

  11. Experiences of Supporting People with Down Syndrome and Alzheimer's Disease in Aged Care and Family Environments

    ERIC Educational Resources Information Center

    Carling-Jenkins, Rachel; Torr, Jennifer; Iacono, Teresa; Bigby, Christine

    2012-01-01

    Background: Research addressing the experiences of families of adults with Down syndrome and Alzheimer's disease in seeking diagnosis and gaining support is limited. The aim of this study was to gain a greater understanding of these processes by exploring the experiences of families and carers in supporting people with Down syndrome and…

  12. Age at Adoption from Institutional Care as a Window into the Lasting Effects of Early Experiences

    ERIC Educational Resources Information Center

    Julian, Megan M.

    2013-01-01

    One of the major questions of human development is how early experience impacts the course of development years later. Children adopted from institutional care experience varying levels of deprivation in their early life followed by qualitatively better care in an adoptive home, providing a unique opportunity to study the lasting effects of early…

  13. Meeting the educational needs of an aging population: The Australian experience

    NASA Astrophysics Data System (ADS)

    Minichiello, Victor

    1992-07-01

    The number of older people in Australia is growing fast, and gerontology has recently become a recognised area of study in tertiary institutions. However, negative attitudes persist among health and welfare professionals, and ways in which gerontology courses can combat the myths associated with aging and the aged are discussed. It is pointed out that people do not grow old in isolation, but in a social context. Education for older people should be seen as a part of social policy, recognising the lifelong right to education. The University of the Third Age (U3A) is a response to the demand for education from older people. The origins of this movement in Europe, and its spread to North America and Australia, are outlined. To meet the needs of older people, courses offered by U3A's have to be multidisciplinary.

  14. An unusual case of spontaneous Mycobacterium chelonae corneal ulcer in a healthy middle-aged adult

    PubMed Central

    Bhandari, Vipul; Sriganesh, R; Relekar, Kirti

    2016-01-01

    Background To report a rare presentation of culture-positive Mycobacterium chelonae corneal ulcer and its management. Findings We report a rare case of a patient with a history of chronic pain and blurriness of vision. Examination revealed a chronic nonhealing paracentral corneal ulcer inferiorly at the 5–7 o’clock meridian with anterior chamber reaction unresponsive to routine antibiotic and antifungal medications with Mantoux test positivity in a middle-aged nondiabetic patient with no prior history of trauma, ocular surgery, and contact lens usage. Ziehl–Neelsen staining of the nonhealing ulcer revealed acid-fast bacilli typical of M. chelonae, with subsequent culture positivity in Löwenstein–Jensen medium. Subsequent treatment with topical fortified amikacin and tobramycin resulted in rapid healing of the corneal ulcer. Conclusion M. chelonae presenting as a chronic nonhealing corneal ulcer spontaneously occurring in a healthy adult with no predisposing factor draws attention towards the need to have a good index of suspicion by performing a Ziehl–Neelsen stain and culture, and subsequent successful management with topical fortified amikacin and tobramycin. PMID:27274315

  15. Collaborating, teaching and learning in a cyberspace community: a virtual AGE experience.

    PubMed

    Tompkins, Catherine J; Weinreich, Donna M

    2007-01-01

    This paper describes one outcome of a collaborative teaching and learning partnership between two Universities via a Web-based environment. A description and evaluation of a semester-long project combining students from two different universities is examined. A total of 22 students participated as members of six different virtual health-care teams. Each team was charged with (1) creating a team contract; (2) completing an electronic patient medical record; and (3) a patient care plan. Students posted to discussion threads regularly using learning objects developed by faculty for Virtual AGE (vAGE-Active Gerontology Education). The successes and lessons learned for both students and faculty are discussed. PMID:18032303

  16. A qualitative study examining women's experiences of an appearance-focussed facial-ageing sun protection intervention.

    PubMed

    Williams, Alison Leah; Grogan, Sarah; Buckley, Emily; Clark-Carter, David

    2012-06-01

    The study was designed to investigate women's experiences of an appearance-focussed, facial-ageing, morphing intervention to show the effect of UV exposure on their skin. Forty-seven women aged 18-34 took part in the intervention: 35 women in individual sessions, and 12 in four focus groups. Transcripts were analysed using inductive thematic analysis. Women were shocked about the likely effect of UV exposure on their skin. All of the women stated that they were going to make changes to their UV exposure and sun protection behaviours after viewing the images of themselves which were morphed to show the effects of UV exposure. The results are discussed in relation to suggestions for interventions aimed at women aged 18-34. It is concluded that appearance-based interventions do have a role to play in healthcare and educational settings with regards to UV exposure and sun protection intentions. PMID:22627145

  17. Do I turn left or right? Effects of sex, age, experience and exit route on maze test performance in sheep.

    PubMed

    Hunter, Damien S; Hazel, Susan J; Kind, Karen L; Liu, Hong; Marini, Danila; Owens, Julie A; Pitcher, Julia B; Gatford, Kathryn L

    2015-02-01

    Brain development and function are susceptible to perturbation by environmental factors. Sheep are increasingly being used as a neurodevelopmental model due to timing similarities with humans, but effects of age, experience and sex on cognition are not well characterised in this species. We therefore studied memory and reversal learning in sheep using a modified Y-maze at two ages: naive 18 weeks old (18N: 23 male, 17 female), experienced 40 week old sheep that had previously been tested at 18 weeks (40E: 22 male, 17 female), and naive 40 weeks old (40N: 4 male, 10 female). Younger naive animals (18N) required more trials and time to solve the first reversal task (task R1) than 40E (P=0.007 and P<0.001 respectively). Experience also improved outcomes, with 40N sheep requiring more time to solve tasks L (P=0.034) and R1 (P=0.002) than 40E. Increasing age (40N cf. 18N) decreased bleat frequency in tasks R1, M2 and R2 (each P<0.05). In 40N females, outcomes also differed by exit method in task R1, with those that exited via an indirect route taking less time to pass tasks R1 (P=0.009) and R2 (P=0.015) than those that used a direct route. Age plus experience improved learning outcomes, demonstrating knowledge retention for 22 weeks in this species, whilst age alone affected mostly behavioral responses. These results provide comparison data, and can be utilised to improve experimental design, for studies of neurodevelopment in the sheep. PMID:25449405

  18. The Orthopaedic Trauma Patient Experience: A Qualitative Case Study of Orthopaedic Trauma Patients in Uganda

    PubMed Central

    O'Hara, Nathan N.; Mugarura, Rodney; Slobogean, Gerard P.; Bouchard, Maryse

    2014-01-01

    The disability adjusted life years (DALYs) associated with injuries have increased by 34% from 1990 to 2010, making it the 10th leading cause of disability worldwide, with most of the burden affecting low-income countries. Although disability from injuries is often preventable, limited access to essential surgical services contributes to these increasing DALY rates. Similar to many other low- and middle-income countries (LMIC), Uganda is plagued by a growing volume of traumatic injuries. The aim of this study is to explore the orthopaedic trauma patient's experience in accessing medical care in Uganda and what affects the injury might have on the socioeconomic status for the patient and their dependents. We also evaluate the factors that impact an individual's ability to access an appropriate treatment facility for their traumatic injury. Semi-structured interviews were conducted with patients 18 year of age or older admitted with a fractured tibia or femur at Mulago National Referral Hospital in Kampala, Uganda. As limited literature exists on the socioeconomic impacts of disability from trauma, we designed a descriptive qualitative case study, using thematic analysis, to extract unique information for which little has been previously been documented. This methodology is subject to less bias than other qualitative methods as it imposes fewer preconceptions. Data analysis of the patient interviews (n = 35) produced over one hundred codes, nine sub-themes and three overarching themes. The three overarching categories revealed by the data were: 1) the importance of social supports; 2) the impact of and on economic resources; and 3) navigating the healthcare system. Limited resources to fund the treatment of orthopaedic trauma patients in Uganda leads to reliance of patients on their friends, family, and hospital connections, and a tremendous economic burden that falls on the patient and their dependents. PMID:25360815

  19. The MAGEC Fellowship Experience: A Model for Personalized Adult Education in Aging.

    ERIC Educational Resources Information Center

    Kyllo, Carole J.; Kane, Robert L.

    1996-01-01

    A yearlong training program involved 77 faculty from multiple disciplines in improving aging-related knowledge and appreciation for other disciplines' treatment of the topic. Evaluation showed good results for passive cognitive learning, slightly less for active cognitive learning, and mixed for affective. Four regional geriatric education centers…

  20. Work Experiences and Family Functioning among Employed Fathers with Children of School Age.

    ERIC Educational Resources Information Center

    Kinnunen, Ulla; And Others

    1996-01-01

    Investigated how 657 fathers' job satisfaction and job stress were related to four domains: individual, parent-child, marital, and child. Results showed that the job affected all four domains. Job stress and job satisfaction were directly related to family functioning. Discusses implications for families with school-age children. (RJM)

  1. Effects of a Minimum-Age Tobacco Law--Swedish Experience

    ERIC Educational Resources Information Center

    Sundh, Mona; Hagquist, Curt

    2005-01-01

    The purpose of this study was to increase understanding of the prerequisites for tobacco prevention. The situations before and after the introduction of a minimum-age law were compared with respect to opportunities for adolescents to buy tobacco, and to attitudes towards the law. Data were collected in 1996 and 2000 with a questionnaire among all…

  2. Academic Achievement, Employment, Age and Gender and Students' Experience of Alternative School

    ERIC Educational Resources Information Center

    Poyrazli, Senel; Ferrer-Wreder, Laura; Meister, Denise G.; Forthun, Larry; Coatsworth, J. Doug; Grahame, Kamini Maraj

    2008-01-01

    The purpose of this cross-sectional study was to explore associations between academic achievement, employment, gender, and age in relation to students' sense of school membership and perception of adults in school. The sample consisted of 102 secondary, alternative school students. Results indicated that students with a more positive perception…

  3. Differential Expression of Social Dominance as a Function of Age and Maltreatment Experience

    PubMed Central

    Teisl, Michael; Rogosch, Fred A.; Oshri, Assaf; Cicchetti, Dante

    2013-01-01

    Recent perspectives on social dominance in normative populations suggest a developmental progression from using primarily coercive strategies to incorporation of more socially competent strategies to attain material and social resources. Parental influences on the resource control strategies children use have been proposed, but not investigated empirically. The present study examined age- and gender-related differences in dominance strategies in 470 children from high-risk neighborhoods who were between 6 and 13 years of age, and approximately half of whom had experienced maltreatment. A Q-sort measure of social dominance was developed and received preliminary support. Consistent with predictions from resource control theory, age-related differences in dominance-related behavior were demonstrated in both non-maltreated and maltreated children. Maltreated children were more likely than non-maltreated children to be identified as dominant bullies at any age. Dominance and bullying were not more likely to be associated for children who had experienced physical and sexual abuse relative to those who were neglected or emotionally maltreated. Results are discussed in terms of the influence of maltreatment on the social development of children and intervention approaches for limiting these deleterious effects are recommended. PMID:21823792

  4. Age and experience shape developmental changes in the neural basis of language-related learning.

    PubMed

    McNealy, Kristin; Mazziotta, John C; Dapretto, Mirella

    2011-11-01

    Very little is known about the neural underpinnings of language learning across the lifespan and how these might be modified by maturational and experiential factors. Building on behavioral research highlighting the importance of early word segmentation (i.e. the detection of word boundaries in continuous speech) for subsequent language learning, here we characterize developmental changes in brain activity as this process occurs online, using data collected in a mixed cross-sectional and longitudinal design. One hundred and fifty-six participants, ranging from age 5 to adulthood, underwent functional magnetic resonance imaging (fMRI) while listening to three novel streams of continuous speech, which contained either strong statistical regularities, strong statistical regularities and speech cues, or weak statistical regularities providing minimal cues to word boundaries. All age groups displayed significant signal increases over time in temporal cortices for the streams with high statistical regularities; however, we observed a significant right-to-left shift in the laterality of these learning-related increases with age. Interestingly, only the 5- to 10-year-old children displayed significant signal increases for the stream with low statistical regularities, suggesting an age-related decrease in sensitivity to more subtle statistical cues. Further, in a sample of 78 10-year-olds, we examined the impact of proficiency in a second language and level of pubertal development on learning-related signal increases, showing that the brain regions involved in language learning are influenced by both experiential and maturational factors. PMID:22010887

  5. Listening to Individual Voices and Stories--The Mature-Age Student Experience

    ERIC Educational Resources Information Center

    Stone, Cathy

    2008-01-01

    This paper presents the findings of a qualitative research project, part of a doctoral thesis, which examines the impact of university study on a group of 20 female and male mature-age students at the University of Newcastle, Australia, who have entered university via a non-traditional pathway. These students are in the second to final years of…

  6. Differential expression of social dominance as a function of age and maltreatment experience.

    PubMed

    Teisl, Michael; Rogosch, Fred A; Oshri, Assaf; Cicchetti, Dante

    2012-03-01

    Recent perspectives on social dominance in normative populations have suggested a developmental progression from using primarily coercive strategies to incorporation of more socially competent strategies to attain material and social resources. Parental influences on the resource control strategies children use have been proposed but not investigated empirically. The present study examined age- and gender-related differences in dominance strategies in 470 children from high-risk neighborhoods who were between 6 and 13 years of age, approximately half of whom had experienced maltreatment. A Q-sort measure of social dominance was developed and received preliminary support. Consistent with predictions from resource control theory, age-related differences in dominance-related behavior were demonstrated in both nonmaltreated and maltreated children. Maltreated children were more likely than nonmaltreated children to be identified as dominant bullies at any age. Dominance and bullying were not more likely to be associated for children who had experienced physical and sexual abuse relative to those who were neglected or emotionally maltreated. Results are discussed in terms of the influence of maltreatment on the social development of children, and intervention approaches for limiting these deleterious effects are recommended. PMID:21823792

  7. The Experience of Anger and Sadness in Everyday Problems Impacts Age Differences in Emotion Regulation

    ERIC Educational Resources Information Center

    Blanchard-Fields, Fredda; Coats, Abby Heckman

    2008-01-01

    The authors examined regulation of the discrete emotions anger and sadness in adolescents through older adults in the context of describing everyday problem situations. The results support previous work; in comparison to younger age groups, older adults reported that they experienced less anger and reported that they used more passive and fewer…

  8. Using fluidized bed and flume experiments to quantify cohesion development from aging and drainage

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Temporal variations in soil erosion resistance are often the result of a decrease in soil cohesion due to physical disruption followed by a regain of soil cohesion through a process analogous to a thixotropic sol-gel reaction also called aging, stabilization or consolidation. The goal of this study ...

  9. The Caring Capacity: A Case for Multi-Age Experiential Learning.

    ERIC Educational Resources Information Center

    Tangen-Foster, Jim; Tangen-Foster, Laurel

    1998-01-01

    A multi-age summer adventure camp at the University of Idaho offers 4 days of challenging activities in the wilderness to elementary age students, junior high leaders, high school counselors, and university interns. An associated private school offers up to 20 students, ages 3-10, an alternative to traditional public and private schools. Both…

  10. Tor: Case Study of a Boy with Autism between the Age of Three and Eight

    ERIC Educational Resources Information Center

    Wagner, C Reuterskiold; Nettelbladt, U.

    2005-01-01

    Longitudinal data are presented on a boy between the ages of three and eight. At age three he received a diagnosis of language impairment and at age six a diagnosis of high-functioning autism. Results are presented from extensive assessments at four points in time, including interviews with his mother and teachers. The results indicate that the…

  11. Maternal health and lifestyle and caries experience in preschool children. A longitudinal study from pregnancy to age 5 yr

    PubMed Central

    Wigen, Tove I; Wang, Nina J

    2011-01-01

    In this study, associations were explored between maternal health and lifestyle during pregnancy and in early childhood and preschool children’s caries experience. The study is based on the Norwegian Mother and Child Cohort study conducted by the Norwegian Institute of Public Health and on data from the Public Dental Services. A total of 1348 children were followed from pregnancy to age 5 yr. A clinical dental examination was performed at age 5 yr. Questionnaires were completed by the mothers during pregnancy and the first 18 months of life, and as part of the dental examination. Results from the multivariable logistic regression analysis showed that having an obese mother (OR 2.3, 95% CI 1.3–4.1), with a diet containing more fat (OR 1.6, 95% CI 1.1 – 2.5) or sugar (OR 1.5, 95% CI 1.1–2.3) than recommended, with low education (OR 1.5, 95% CI 1.1–2.3) or having one or both parents of non-western origin (OR 5.4, 95% CI 2.8–10.6) were statistically significant risk indicators for caries experience at age 5 yr. In conclusion, maternal weight and intake of sugar and fat in pregnancy were associated with caries experience in preschool children. These characteristics may enable early referral to the dental services and preventive care to be delivered. PMID:22112032

  12. Effects of age, sex, prior experience, and intraspecific food variation on diet composition of a tropical folivore (Phasmetodea: Phasmatidae)

    SciTech Connect

    Sandlin, E.A.; Willig, M.R. )

    1993-06-01

    Recent attention in ecology has focused on factors that influence the foraging behavior of herbivores. We evaluated responses to different arrays of food plants exhibited by an abundant folivore within the tabonuco forest of Puerto Rico. Previous work indicates that the walkingstick Lamponius portoricensis Rehn forages on a limited array of plant species and selects habitats that contain high densities of Piper treleaseanum Britton Wilson. We designed three separate experiments to evaluate (1) if walkingsticks of different ages or of different sex have different food preferences, (2) if previous exposure to only one food type affects subsequent diet composition, and (3) if walkingsticks distinguish among leaves of different quality from the same plant. Four plants [Dendropanax arboreus (L.) Decne Planch, Piper hispidum Sw., P. treleaseanum, and Urera baccifera (L.) Gaud.] known to be forage for this insect were used in food choice experiments. Multi- variate analyses revealed that, at different ages, males and females exhibit different patterns of consumption. Likewise, preexposure to only one food influences subsequent diet differently depending upon preexposure regime and sex. In addition, preferences are shown for different qualities of leaves within single forage species. In particular, lower (older) leaves of P. treleaseanum are preferred, whereas leaves of D. arboreus and U. baccifera are eaten indiscriminately. These results are consistent with the contention that herbivores forage within nutritional constraints. In addition, walkingsticks distinguish between plant species, recognize differences in leaf quality associated with age or position, and modify their diet to reflect past experience.

  13. Can facial proportions taken from images be of use for ageing in cases of suspected child pornography? A pilot study.

    PubMed

    Cattaneo, Cristina; Obertová, Zuzana; Ratnayake, Melanie; Marasciuolo, Laura; Tutkuviene, J; Poppa, Pasquale; Gibelli, Daniele; Gabriel, Peter; Ritz-Timme, S

    2012-01-01

    The age of the victim plays a crucial role for the legal implications concerning pornography. Judges therefore often call on forensic experts to verify the age of individuals depicted on photographs or videos. However, there is no scientifically established protocol available for forensic practice in such cases. The conventional methods such as the evaluation of secondary sexual characteristics provide unsatisfactory results particularly when the legally relevant ages for child pornography (i.e. 14 and 18 years) are concerned. To overcome these limits, a European research group has explored the applicability of facial proportions as an age indicator on images. In this pilot study, standardized facial images of 353 females and 20 males from four age groups (6, 10, 14 and 18 years) were randomly selected for the metric analysis from a large data set including German, Italian and Lithuanian subjects. In this sample, several indices extracted from the frontal and lateral photographs were closely correlated to their respective indices taken from the living individuals. Furthermore, age-related changes were identified for indices taken from the photographs. The discriminant analysis showed that for the pooled sample, 60.3% of the cases were correctly classified into the respective age group. The percentage of correctly classified cases increased in the respective country samples as follows: 69.9% for Germany, 69.4% for Lithuania and 80.5% for Italy. The present study suggests that the metric assessment of the face may be used for age estimation on images. Nonetheless, more work needs to be done in order to verify the reliability of these findings on a large sample. PMID:21431334

  14. Does age matter in song bird vocal interactions? Results from interactive playback experiments

    PubMed Central

    2011-01-01

    The song of oscines provides an extensively studied model of age-dependent behaviour changes. Male and female receivers might use song characteristics to obtain information about the age of a signaller, which is often related to its quality. Whereas most of the age-dependent song changes have been studied in solo singing, the role of age in vocal interactions is less well understood. We addressed this issue in a playback study with common nightingales (Luscinia megarhynchos). Previous studies showed that male nightingales had smaller repertoires in their first year than older males and males adjusted their repertoire towards the most common songs in the breeding population. We now compared vocal interaction patterns in a playback study in 12 one year old and 12 older nightingales (cross-sectional approach). Five of these males were tested both in their first and second breeding season (longitudinal approach). Song duration and latency to respond did not differ between males of different ages in either approach. In the cross-sectional approach, one year old nightingales matched song types twice as often as did older birds. Similarly, in the longitudinal approach all except one bird reduced the number of song type matches in their second season. Individuals tended to overlap songs at higher rates in their second breeding season than in their first. The higher levels of song type matches in the first year and song overlapping by birds in their second year suggest that these are communicative strategies to establish relationships with competing males and/or choosy females. PMID:22071317

  15. Aging in the shadow of the law: the case of elder guardianship in Israel.

    PubMed

    Doron, Israel

    2004-01-01

    Historically, the frail elderly, as well as other vulnerable populations who are unable to care for themselves, have been subject to legal proceedings known as guardianships. Despite changes and reforms, adult guardianship law has survived as a fundamental legal institution aimed at protecting the frail elderly as well as other incompetent adults. However, very little is known on the reality of adult guardianship under Israeli law, and the experience of the adult population under guardianship was never empirically studied in Israel. The empirical void regarding the workings of the Israeli law in this area served as the impetus for this study. The study investigated the issue of adult and elder guardianship in Israel as revealed in Family Law Courts' rulings, while focusing in particular on the profile of the wards, the reasons and motives, the legal procedure, and the outcome of the guardianship process. The study was a quantitative analysis, based on a random sample that included 523 court cases requesting legal guardianship for adults due to impaired legal competence. Rulings on these cases were provided in Family Courts from Haifa, Nazareth, and the Krayot areas in the period of the years 2000-2002. A clear but somber picture emerges from the findings of this study: Every year thousands of elderly individuals are subjected to the plenary legal authority of guardians appointed by law. This severe legal outcome takes place without providing these elderly the right to express their positions, without the provision of legal representation, and without their being seen or heard by the courts. These findings lead to the conclusion that there is urgent need in Israel to carry out extensive reform in the realm of civil legislation on the issue of guardianship for adults and the elderly. PMID:15724573

  16. [Mining analysis and experience summary for chronic atrophic gastritis cases treated by Professor LIU Feng-bin].

    PubMed

    Hou, Zheng-kun; Liu, Feng-bin; Li, Pei-wu; Zhuang, Kun-hai

    2015-06-01

    To summarize Professor LIU Feng-bin's clinical experience and theoretical thoughts on chronic atrophic gastritis (CAG), the study group designed a retrospective study on his case series and expert interview. First of all, the data of CAG patients treated in the First Affiliated Hospital of Guangzhou University of Chinese Medicine between 2009 and 2013, e. g. herbs, diseases, syndrome type, prescription amount and number of herbs, was collected and processed. The statistical description and binary logistic regression were used to determined the syndrome type, initial basic remedy and modification. During the statistics, a complete and sub-group analysis was performed simultaneously. After the expert interview, the syndrome type and medication were finalized. As a result, a total of 228 CAG patients aged at (50.30 ± 10.18) were collected, including 151 males (66.23%). Of them, the TCM diagnosis and syndrome type were extracted from the information of 157 patients, including 115 cases with gastric stuffiness, 23 cases with gastric pain, 19 missing cases, 2 cases with spleen-stomach weakness syndrome, 57 cases with spleen deficiency and dampness-heat syndrome, 18 cases with spleen-stomach disharmony syndrome, 23 cases with syndrome of liver depression syndrome, 21 cases with liver qi invading stomach syndrome and 26 qi and yin deficiency syndrome, respectively. All of the 228 patients used totally 104 herbs, while the subgroups with 157 patients used 94 herbs. The most frequently used 15 herbs used in each groups were analyzed to determine the initial basic remedy and modification. Subsequently, based on the information of the sub-groups with 157 patients, with the syndrome type as the dependent variable, the logistic regression analysis was made on the most frequently used 32 herbs, in order to determined the modification in herbs for different syndrome types. After experts reviewed and modified, they believed the main causes of CAG were dietary irregularities

  17. How and What Can We Learn From Replicating Historical Experiments? A Case Study

    NASA Astrophysics Data System (ADS)

    Ho-Ttecke, Dietmar

    This article focusses on the topic of replicating historical experiments as learning and teaching devices. It will be argued that historical experiments replicated as close as possible to the original enable experiences that are intellectual as well as sensual in kind. It will be demonstrated that learning by replicating makes it possible to learn on different levels of human activity related to the mind and the body. It will be discussed what the notion of replication means and what one can learn by replicating. Furthermore, a case study will be introduced, the replication of a rotation apparatus (a kind of electric motor) which was developed by Michael Faraday in 1821. The case study reveals that reconstructing and redoing historical experimental situations disclose laboratory dimensions of natural sciences. I will give an account of the process of replicating this experiment and its relation to the historical background. At the end, the experiment will be placed in a broad historical context of electricity and motion in order to demonstrate that the case study is related to a history of experiments by which mechanical motion is produced through electrical means.

  18. Effects of Early Auditory Experience on the Spoken Language of Deaf Children at 3 Years of Age

    PubMed Central

    Nicholas, Johanna Grant; Geers, Ann E.

    2010-01-01

    Objective: By age three, typically developing children have achieved extensive vocabulary and syntax skills that facilitate both cognitive and social development. Substantial delays in spoken language acquisition have been documented for children with severe-profound deafness, even those with auditory oral training and early hearing aid use. This study documents the spoken language skills achieved by orally educated three-year-olds whose profound hearing loss was identified and hearing aids fitted between 1 and 30 months of age and who received a cochlear implant between 12 and 38 months of age. The purpose of the analysis was to examine the effects of age, duration and type of early auditory experience on spoken language competence at age 3.5. Design: The spoken language skills of 76 children who had used a cochlear implant for at least 7 months were evaluated via standardized 30-minute language sample analysis, a parent-completed vocabulary checklist, and a teacher language-rating scale. The children were recruited from and enrolled in oral education programs or therapy practices across the United States. Inclusion criteria included: presumed deaf since birth, English the primary language of the home, no other known conditions that interfere with speech/language development, enrolled in programs using oral education methods, and no known problems with the cochlear implant lasting over 30 days. Results: Strong correlations were obtained among all language measures. Therefore, principal components analysis was used to derive a single Language Factor score for each child. A number of possible predictors of language outcome were examined, including age at identification and intervention with a hearing aid, duration of use of a hearing aid, pre-implant PTA threshold with a hearing aid, PTA threshold with a cochlear implant, and duration of use of a cochlear implant/ age at implantation (the last two variables were practically identical since all children were tested

  19. Towards a richer understanding of school-age children's experiences of domestic violence: the voices of children and their mothers.

    PubMed

    Swanston, Jennifer; Bowyer, Laura; Vetere, Arlene

    2014-04-01

    Millions of children are exposed to domestic violence. How children negotiate and make sense of living with domestic violence is still under-researched. This study sought to capture the dual-perspectives of school-aged children and their mothers, to develop a richer understanding of children's experiences of domestic violence, using a community-based sample. A qualitative research design was employed, with interpretative phenomenological analysis used to interpret the data. Five school-aged children and three of their mothers participated in the study. Two master themes are discussed from the analysis of the children's perspective: domestic violence through the eyes of children; and learning from children's experiences. Two master themes are discussed from the analysis of the mothers' perspective: reflecting on the child in the context of domestic violence; and learning from mothers: insights, support and services. The crucial importance of the mother-child relationship in shaping children's experience of domestic violence was illustrated in both the perspectives; a finding which may have important implications for the development of interventions. It was also evident that children as young as eight were able to powerfully articulate their experiences of domestic violence. PMID:23615339

  20. The Development of Cooperation and Competition in Children from Ages Five to Ten Years Old: Effects of Sex, Situational Determinants, and Prior Experiences.

    ERIC Educational Resources Information Center

    Nelson, Linden

    Six experiments were designed in order to compare the cooperative and competitive interaction of five-year-olds with that of older children up to age 10. For all experiments, children of the same age and same sex were matched in dyads. The children played various two-person games where they could obtain prizes in a variety of reward contingency…

  1. Experiments and modeling of flow processes in freshwater lenses in layered island aquifers: Analysis of age stratification, travel times and interface propagation

    NASA Astrophysics Data System (ADS)

    Stoeckl, Leonard; Houben, Georg J.; Dose, Eduardo J.

    2015-10-01

    The management of fresh groundwater resources and the delineation of protection zones on islands require a thorough understanding of flow processes within freshwater lenses. Previous studies of freshwater lenses have mainly focused on interface geometries, disregarding flow patterns within the lens. In this study we use physical, analytical and numerical modeling to investigate the influence of vertically and horizontally layered aquifers and variations in recharge on the age stratification, travel times and transient development of freshwater lenses. Four generalized settings were examined in detail on a laboratory-scale. The experiments show significant deviations from homogeneous models. The case of a high permeability layer underlying a layer of lower permeability shows the strongest deviations in the processes investigated here. Water in the more permeable lower layer overtakes water flowing only through the upper layer, causing a bimodal distribution of travel times and a vertical repeating of the age stratification near the coast. The effects of heterogeneities revealed by the physical model experiments are expected to also occur on real islands and have thus to be considered when developing conceptual models for the management of such freshwater lenses.

  2. Inequality of Experience of Dental Caries between Different Ethnic Groups of Brazilians Aged 15 to 19 Years

    PubMed Central

    2015-01-01

    Introduction The aim of this study was to assess inequality of experience of dental caries, based on race/ethnicity, among Brazilian adolescents aged 15 to 19 years in 2010 and test whether socioeconomic indicators fully explain ethnic differences in dental caries. Methods Data from a National Oral Health Survey conducted in Brazil in 2010 was analysed. Race/ethnicity was self-assigned and modified to White, African descents, East Asian descents, Mixed Race and Indigenous descents. The prevalence of caries experience by race/ethnic group in 2010(n = 5,367) was calculated. Further analysis included conceptual hierarchical modelling and mediation analysis. Results Caries experience was 76.9% in 15 to 19 year old Brazilians in 2010. While African descents were 32% more likely to have caries experience than Whites, Mixed Race were 69% more likely to have caries experience than Whites. Hierarchical conceptual modelling analysis confirmed the highly significant association between caries and race/ethnicity. Mixed Race and East Asian descents were 1.44 (95% CI 1.24–1.67) and 1.81 (95% CI 1.02–3.20) times more likely to experience caries than Whites after adjusting for age, sex, education and income. The difference in the likelihood of experiencing caries between Whites and African descents was not statistically significant after adjusting for years of education and family income. The results of mediation analysis confirmed that inequality of caries experience between Whites and Mixed Race and East Asian descents was mediated through education and income. The likelihood that Mixed Race and East Asian descents would experience caries compared to Whites was attenuated, by 14.8% and by 9.5% respectively, after adjusting for years of education and income. Conclusions Data analysis demonstrated that Whites have benefited more from the significant reduction in dental caries experience in 15 to 19 year old Brazilians, as compared to African descents and Mixed Race. Education

  3. The case for human agency, well-being, and community reintegration for people aging in prison: a statewide case analysis.

    PubMed

    Maschi, Tina; Morrisey, Mary Beth; Leigey, Margaret

    2013-07-01

    This study profiled 2,913 adults aged 50 and older sentenced to a statewide correctional system and their parole eligibility status with implications for community reintegration, resettlement, and recovery needs. The research team developed the Correctional Tracking Data Extraction Tool to gather official data and personal and legal characteristics from a state department of corrections website. The majority of older prisoners were men from racial/ethnic minorities between the ages of 50 and 59 with a range of minor to serious offenses. Time served in prison ranged from 1 month to 45 years; more than 40% were eligible for parole within 5 years. These findings underscore the need for an intervention that can address the differing typologies and individual-level and systemic issues that gave rise to the aging prisoner population. Promising practices that address elements of a conceptual model in prison and community reintegration and recovery for older adult prisoners are reviewed. PMID:23711801

  4. Community College Students' Experiences with Financial Aid Policies and Practices: A Critical Case Study

    ERIC Educational Resources Information Center

    White, Julie A.

    2013-01-01

    This case study describes community college students' experiences with governmental financial aid policies and institutional financial aid processes at an urban community college campus in the Northeastern United States. Drawing from theories of social justice, conceptions of social capital, and institutionalist analyses of the community…

  5. "I'm Really Quiet": A Case Study of an Asian, Language Minority Preservice Teacher's Experiences.

    ERIC Educational Resources Information Center

    Pailliotet, Ann Watts

    1997-01-01

    This case study describes the experiences over two years of an Asian, language minority preservice teacher. Data from interviews, observations, student work, videotapes, course syllabi, and program documents indicated that she faced difficulties related to language and communication, home/school tensions, finances, social isolation, stereotyping,…

  6. Academic and Social Experiences of Undergraduate College Students at a Branch Campus: A Case Study

    ERIC Educational Resources Information Center

    Mindrup, Kristi S.

    2012-01-01

    Previous research about undergraduate students with nontraditional college experiences has focused primarily on students' demographic characteristics, their deficits compared to residential students, and their risk for attrition. This case study conducted at a university branch campus in the Midwest examined undergraduate college experiences…

  7. Using Infant Massage Following a Mother's Unfavorable Neonatal Intensive Care Unit Experiences: A Case Study

    ERIC Educational Resources Information Center

    Lappin, Grace

    2005-01-01

    The purpose of this case study was to explore the synchronous behaviors enacted by mother and infant with blindness. In the study, a mother's less than optimal experience with the neonatal intensive care unit (NICU) had a profound effect not only on her and her infant son, who was born 3 months prematurely and was visually impaired, but also on…

  8. Understanding Student Experiences: A Case Study in Scientific Visualization and Civics and Economics

    ERIC Educational Resources Information Center

    Jessee, Emily George

    2012-01-01

    This research study provides the finding of a qualitative case study in Technology, Engineering, and Design Education as well as Social Studies Education. The purpose of this study was to describe the role of graphics within a social studies lesson by examining a student's experience when a new lesson is implemented in class. The participants…

  9. Ear Playing and Aural Development in the Instrumental Lesson: Results from a "Case-Control" Experiment

    ERIC Educational Resources Information Center

    Baker, David; Green, Lucy

    2013-01-01

    This article reports on a case-control experiment that was conducted in 2012 as part of the Ear Playing Project (EPP) at the Institute of Education, University of London. The EPP developed from the "informal learning" strand of Musical Futures and engaged instrumental students in the UK in learning from specially-created audio recordings…

  10. The Gift of Time: Today's Academic Acceleration Case Study Voices of Experience

    ERIC Educational Resources Information Center

    Scheibel, Susan Riley

    2010-01-01

    The purpose of this qualitative case study was to examine today's academic acceleration from the lived experience and perspectives of two young adults whose education was shortened, thereby allowing them the gift of time. Through personal interviews, parent interviews, and physical artifacts, the researcher gained a complex, holistic understanding…

  11. Gay, Rural, and Coming Out: Case Study of One School's Experience

    ERIC Educational Resources Information Center

    Pace, Nicholas J.

    2004-01-01

    This case study details the events surrounding a gay student's "coming out" in a small, rural high school. Through the eyes and experiences of the student, his teachers, classmates, and community, we hear the story of how the school and community dealt with an issue they had never before actively considered. Through qualitative interviews, the…

  12. Service Learning Experience and Undergraduate Leadership Behaviors: An Action Research Case Study

    ERIC Educational Resources Information Center

    Kenary, Judy

    2010-01-01

    Service-learning has been shown to be an effective practice that positively affects students' academic achievement, self-esteem, and problem-solving skills (Billig, 2002; Eyler & Giles, 1999; Wilczenski & Coomey, 2007). This mixed-method action research case study was conducted to explore the possible link between service-learning experience and…

  13. Effects of Professional Experience and Group Interaction on Information Requested in Analyzing IT Cases

    ERIC Educational Resources Information Center

    Lehmann, Constance M.; Heagy, Cynthia D.

    2008-01-01

    The authors investigated the effects of professional experience and group interaction on the information that information technology professionals and graduate accounting information system (AIS) students request when analyzing business cases related to information systems design and implementation. Understanding these effects can contribute to…

  14. Behavioral Experiments in the Treatment of Paranoid Schizophrenia: A Single Case Study

    ERIC Educational Resources Information Center

    Hagen, Roger; Nordahl, Hans M.

    2008-01-01

    Since the first description of cognitive therapy of paranoid delusions appeared in the literature, the empirical support for cognitive behavioral therapy in treating psychotic symptoms has been widely established. The aim of the present case study is to show how the behavioral experiment can be used as a powerful tool to change delusional thinking…

  15. Teacher, Text, and Experience: A Case of Young Children's Scientific Inquiry

    ERIC Educational Resources Information Center

    Hapgood, Susanna; Magnusson, Shirley J.; Sullivan Palincsar, Annemarie

    2004-01-01

    In this descriptive case study, we describe a 10-day program of study of motion down inclined planes during which a class of 21 second graders investigated scientific relations such as mass and speed, speed and momentum, and mass and momentum via both text-based experiences ("second-hand investigations") and hands-on, materials-based experiments…

  16. Schooling Experiences and Career Aspirations of Indigenous Vocational High School Students: A Case Study in Taiwan

    ERIC Educational Resources Information Center

    Wu, Ya-Ling

    2012-01-01

    In Taiwan, substantial resources have been invested in upper-secondary vocational education for Aborigines as a solution to their lack of career development opportunities. This study examined the schooling experiences and career aspirations of Taiwanese indigenous vocational high school students. A case study was designed to collect data through…

  17. The Research-Teaching Nexus: A Case Study of Students' Awareness, Experiences and Perceptions of Research

    ERIC Educational Resources Information Center

    Healey, Mick; Jordan, Fiona; Pell, Barney; Short, Chris

    2010-01-01

    This paper presents a case study of students' awareness, experiences and perceptions of research in a "new" university in the UK. The findings are based on a questionnaire of almost 200 students and five small group interviews. Many of the students participating in this research perceived clear benefits to their learning from staff research,…

  18. Microteaching Experience in Distance English Language Teacher Training: A Case Study

    ERIC Educational Resources Information Center

    Merc, Ali

    2015-01-01

    The purpose of this single-subject case study was to document the experiences of a teacher trainee during a 12-week microteaching process in the Distance English Language Teacher Training program (DELT). The student teacher subject responded to questionnaires, submitted online dialogue journals, and answered open-ended questions before and after…

  19. Students' Perceptions of Meaningfulness in First Year Experience Courses: A Case Study

    ERIC Educational Resources Information Center

    Evans, Nancy J.

    2012-01-01

    This qualitative case study, framed by a constructivist perspective, addresses a deficit in the literature and the knowledge base of a first year experience (FYE) academic program at a large, urban university regarding freshmen perceptions of meaningfulness in their courses. Existing studies identify concepts related to meaningfulness, but do not…

  20. Leaders' Experiences with High School-College Writing Center Collaborations: A Qualitative Multiple-Case Study

    ERIC Educational Resources Information Center

    Story, Julie A.

    2014-01-01

    The purpose of this qualitative multiple-case study was to explore academic leaders' experiences with the organizational elements of their own high school-college writing center collaborations. Conjoining theories framed this study: collaborative leadership theory, Kenneth Bruffee's notion of social constructionism and collaborative learning…

  1. Elementary Teachers' Experiences and Perceptions of Departmentalized Instruction: A Case Study

    ERIC Educational Resources Information Center

    Strohl, Alecia; Schmertzing, Lorraine; Schmertzing, Richard

    2014-01-01

    This case study investigated elementary teachers' experiences and perceptions during a trial year of departmentalized instruction in a rural south Georgia elementary school. To inform their decision about whole-school departmentalization for the future, school administrators appointed twelve first through third grade teachers to pilot the…

  2. Age Matters: Student Experiences with Audio Learning Guides in University-Based Continuing Education

    ERIC Educational Resources Information Center

    Mercer, Lorraine; Pianosi, Birgit

    2012-01-01

    The primary objective of this research was to explore the experiences of undergraduate distance education students using sample audio versions (provided on compact disc) of the learning guides for their courses. The results of this study indicated that students responded positively to the opportunity to have word-for-word audio versions of their…

  3. The commodification of patient opinion: the digital patient experience economy in the age of big data.

    PubMed

    Lupton, Deborah

    2014-07-01

    As part of the digital health phenomenon, a plethora of interactive digital media platforms have been established in recent years to elicit lay people's experiences of illness and health care. The overt function of these platforms is to provide forums where patients and caregivers can share their experiences with others, benefit from the support and knowledge of other users and contribute to large aggregated data archives as part of developing better medical treatments and services and conducting medical research. However, what may not always be readily apparent to the users of these platforms are the growing commercial uses by many of the platforms' owners of the data they contribute. This article examines this phenomenon of what I term 'the digital patient experience economy'. Such aspects of this economy as prosumption (the combination of content consumption and production that is characteristic of the use of Web 2.0 technologies), the valorising of big data, the discourse and ethic of sharing and the commercialisation of affective labour are discussed. It is argued that via these online platforms patients' opinions and experiences may be expressed in more diverse and accessible forums than ever before, but simultaneously they have become exploited in novel ways. PMID:24443847

  4. The Other Three Months: Connecting Transition-Age Youth with Disabilities to Meaningful Summer Experiences

    ERIC Educational Resources Information Center

    Carter, Erik W.; Swedeen, Beth; Trainor, Audrey A.

    2009-01-01

    Summer provides valuable but often untapped opportunities for youth to explore or deepen their interests, preferences, and strengths; accrue valuable work-related skills and experiences; and establish connections to their communities. At the same time, it is clear that summer opportunities do not happen automatically for many youth with…

  5. Memories of Menarche: Age, Preparation, and Prior Knowledge as Determinants of Initial Menstrual Experience.

    ERIC Educational Resources Information Center

    Koff, Elissa; And Others

    1982-01-01

    A retrospective questionnaire administered to 97 women found that the more knowledgeable a girl was prior to menarche, the more adequate she perceived her preparation for menarche to have been; and the older she was at the time of menarche, the more likely she was to report a positive initial experience. (Author/PN)

  6. Commentary: Explicit Attention to Age and Gender Disparities is Key to Understanding Adolescent Experiences and Outcomes

    ERIC Educational Resources Information Center

    Blanc, Ann K.; Bruce, Judith

    2013-01-01

    This special issue addresses an ambitious set of concerns around the experience of adolescents in the majority world: expanded models of development, successful models of intervention, and the impact of globalization. The papers, which vary widely in both substance and methodology, make a substantial contribution to pushing forward the boundaries…

  7. "I Grew Up Too Fast for My Age:" Postdischarge Issues and Experiences of Male Juvenile Offenders

    ERIC Educational Resources Information Center

    Hartwell, Stephanie; McMackin, Robert; Tansi, Robert; Bartlett, Nozomi

    2010-01-01

    This study adopts a contextual approach to examine factors related to the community reentry experiences and post discharge recidivism among youth who have been placed in residential juvenile justice treatment programs for a minimum of 6 months. A total of 35 youth were interviewed: 18 youth who remained arrest free in the community after discharge…

  8. Adult-Age Inflammatory Pain Experience Enhances Long-Term Pain Vigilance in Rats

    PubMed Central

    Li, Sheng-Guang; Wang, Jin-Yan; Luo, Fei

    2012-01-01

    Background Previous animal studies have illustrated a modulatory effect of neonatal pain experience on subsequent pain-related behaviors. However, the relationship between chronic pain status in adulthood and future pain perception remains unclear. Methodology/Principal Findings In the current study, we investigated the effects of inflammatory pain experience on subsequent formalin-evoked pain behaviors and fear conditioning induced by noxious stimulation in adult rats. Our results demonstrated an increase of the second but not the first phase of formalin-induced pain behaviors in animals with a history of inflammatory pain that have recovered. Similarly, rats with persistent pain experience displayed facilitated acquisition and prolonged retention of pain-related conditioning. These effects of prior pain experience on subsequent behavior were prevented by repeated morphine administration at an early stage of inflammatory pain. Conclusions/Significance These results suggest that chronic pain diseases, if not properly and promptly treated, may have a long-lasting impact on processing and perception of environmental threats. This may increase the susceptibility of patients to subsequent pain-related disorders, even when chronic pain develops in adulthood. These data highlight the importance of treatment of chronic pain at an early stage. PMID:22574223

  9. Prioritising sewerage maintenance using inferred sewer age: a case study for Edinburgh.

    PubMed

    Arthur, S; Burkhard, R

    2010-01-01

    The reported research project focuses on using a database which contains details of customer contacts and CCTV data for a key Scottish catchment to construct a GIS based sewer condition model. Given the nature of the asset registry, a key research challenge was estimating the age of individual lengths of pipe. Within this context, asset age was inferred using the estimated age of surface developments-this involved overlaying the network in a GIS with historical digital maps. The paper illustrates that inferred asset age can reliably be used to highlight assets which are more likely to fail. PMID:20418640

  10. Impact of age on the prognosis after liver transplantation for patients with hepatocellular carcinoma: a single-center experience

    PubMed Central

    Wang, Pusen; Wang, Chunguang; Li, Hao; Shi, Baojie; Wang, Jianning; Zhong, Lin

    2015-01-01

    Background Liver transplantation (LT) offers the most effective treatment for hepatocellular carcinoma patients. Various preoperative variables are correlated with survival after LT, but the prognostic role of aging on LT remains controversial. Methods Between January 2001 and December 2011, 290 consecutive transplants for patients with hepatocellular carcinoma performed in Shanghai First People’s Hospital (People’s Republic of China) were analyzed retrospectively. We compared patient characteristics and survival curves between a younger group (less than 49 years, n=135) and an aged group (50 years or older, n=155). We then performed Cox multivariate regression analysis of the risk factors for survival in aged and younger patients. Results Younger age was associated with higher alpha-fetoprotein (P=0.014), larger tumor size (P=0.038), poorer differentiation (P=0.025), portal lymph node metastasis (P=0.001), and higher recurrence rate (P=0.038). Aged patients had significantly longer recurrence-free survival and overall survival (P=0.020 and P=0.014, respectively); however, there were no significant differences between the younger and aged patients who met the Milan criteria (P>0.05). The 1-, 3-, and 5-year recurrence-free survival rates were 59.7%, 44.5%, and 37.3%, respectively, in the younger group, and 67.9%, 55.3%, and 53.8%, respectively, in the aged group. The 1-, 3-, and 5-year overall survival rates were 68.4%, 45.5%, and 38.9%, respectively, in the younger group, and 76.1%, 59.7%, and 53.9%, respectively, in the aged group. Alpha-fetoprotein ≥400 ng/mL, microvascular invasion, and tumor size >5 cm were independent risk factors for prognosis in both groups. Conclusion Younger patients in our center tended to present with more aggressive tumors and have a higher risk of recurrence. Our single-center experience suggests that younger patients should be assessed more rigorously before LT, while aged patients should be actively considered for LT after

  11. Academic achievement, employment, age and gender and students' experience of alternative school.

    PubMed

    Poyrazli, Senel; Ferrer-Wreder, Laura; Meister, Denise G; Forthun, Larry; Coatsworth, J Doug; Grahame, Kamini Maraj

    2008-01-01

    The purpose of this cross-sectional study was to explore associations between academic achievement, employment, gender, and age in relation to students' sense of school membership and perception of adults in school. The sample consisted of 102 secondary, alternative school students. Results indicated that students with a more positive perception of school personnel also reported a greater sense of school membership. Male students and older students had a more negative perception of administrators relative to female and younger students. In addition, students who worked tended to report higher grades than students who did not. Study implications are discussed. PMID:19086669

  12. Age- and schooling-related effects on executive functions in young children: a natural experiment.

    PubMed

    Burrage, Marie S; Ponitz, Claire Cameron; McCready, Elizabeth A; Shah, Priti; Sims, Brian C; Jewkes, Abigail M; Morrison, Frederick J

    2008-11-01

    We employed a cutoff design in order to examine age- and schooling-related effects on executive functions. Specifically, we looked at development of working memory and response inhibition over the period of 1 school year in prekindergarten and kindergarten students born within 4 months of each other. All children improved on executive function and word-decoding tasks from the beginning to the end of the year. Additionally, we found prekindergarten- and kindergarten-schooling effects for the working memory and word-decoding tasks (p < .05), and a trend-level prekindergarten-schooling effect for the response inhibition task (p < .10). PMID:18982508

  13. Biosecurity on a multiple-age egg production complex: a 15-year experience.

    PubMed

    Halvorson, David A

    2011-03-01

    A multiple-age egg production farm was conceived, designed, constructed, and managed with the goal of blocking the introduction of preventable poultry diseases and infestations. Fifteen years after conception and 13 years after housing the first hens, the 4 million-hen farm remains free of Mycoplasma gallisepticum, infectious laryngotracheitis, and Ornithonyssus sylviarum. Annual savings in vaccine use exceed the estimated annual costs of the biosecurity program. The cumulative design, construction, and operation of this farm are a successful demonstration of practical, effective biosecurity on a commercial poultry farm. PMID:21500651

  14. Assessing the cognitive impact of Alzheimer disease pathology and vascular burden in the aging brain: the Geneva experience.

    PubMed

    Giannakopoulos, Panteleimon; Gold, Gabriel; Kövari, Enikö; von Gunten, Armin; Imhof, Anouk; Bouras, Constantin; Hof, Patrick R

    2007-01-01

    The progressive development of Alzheimer disease (AD)-related lesions, such as neurofibrillary tangles (NFT), amyloid deposits and synaptic loss, and the occurrence of microvascular and small macrovascular pathology within the cerebral cortex are conspicuous neuropathologic features of brain aging. Recent neuropathologic studies strongly suggested that the clinical diagnosis of dementia depends more on the severity and topography of pathological changes than on the presence of a qualitative marker. However, several methodological problems, such as selection biases, case-control design, density-based measures and masking effects, of concomitant pathologies persisted. In recent years, we performed several clinicopathologic studies using stereological counting of AD lesions. In order to define the cognitive impact of lacunes and microvascular lesions, we also analyzed pure vascular cases without substantial AD pathology. Our data revealed that total NFT numbers in the CA1 field, cortical microinfarcts and subcortical gray matter lacunes were the stronger determinants of dementia. In contrast, the contribution of periventricular and subcortical white matter demyelinations had a modest cognitive effect even in rare cases with isolated microvascular pathology. Importantly, in cases with pure AD pathology, more than 50% of Clinical Dementia Rating scale variability was not explained by NFT, amyloid deposits and neuronal loss in the hippocampal formation. In cases with microvascular pathology or lacunes, this percentage was even lower. The present review summarizes our data in this field and discusses their relevance within the theoretical framework of the functional neuropathology of brain aging and with particular reference to the current efforts to develop standardized neuropathological criteria for mixed dementia. PMID:17036244

  15. Intravenous leiomyomatosis revisited: an experience of 14 cases at a single medical center.

    PubMed

    Carr, Ryan J; Hui, Pei; Buza, Natalia

    2015-03-01

    Intravenous leiomyomatosis (IVL) is a rare neoplasm of smooth muscle origin with the capacity for distant vascular and/or organ extension. The primary lesion is typically found in the uterus, with the most common extrauterine sites being pelvic/broad ligament vessels, and less often inferior vena cava, right heart chambers, and pulmonary vasculature. Extrauterine involvement can result in direct mass effect or vascular obstruction with associated clinical sequelae. Fourteen cases of IVL were identified in our pathology archives over a 25-yr period. Patient medical records and gross pathologic findings were reviewed. Histologic and related immunohistochemical slides (smooth muscle actin, desmin, CD31, CD34, and CD10) were re-evaluated by 2 gynecologic pathologists to confirm the diagnosis using conventional diagnostic criteria. Patient age at initial diagnosis ranged from 35 to 64 yr (mean: 46.1 yr), with a median age of 45 yr. Four cases demonstrated extrauterine extension, 2 cases were associated with disease recurrence, and 1 case was found to be extrauterine in origin (i.e. arising from the broad ligament). In summary, our study represents the fourth largest IVL cohort in literature to date, and contains the first case of IVL arising from the broad ligament in the absence of a uterine mass. IVL is a rare and potentially underdiagnosed neoplastic condition of smooth muscle origin that may result in significant morbidity when extrauterine vasculature or organs are involved. A high index of suspicion must be maintained, as the histologic diagnosis may be particularly challenging in cases in which the intracaval/intracardiac portion of the tumor is removed before the uterine IVL diagnosis, or a significant interval of time has elapsed since the initial IVL diagnosis was made. Prompt diagnosis combined with surgical excision has been shown to portend an increased survival rate and good overall prognosis in such cases. PMID:25675187

  16. The life experience and status of Chinese rural women from observation of three age groups.

    PubMed

    Dai, K

    1991-03-01

    Interview data gathered during 2 surveys in Anhui and Shejiang Provinces in 1986 and 1987 are used to depict changes in the social status and life situation of rural women in China in 3 age groups, 18-36, 37-55, and 56 and over. For the younger women, marriage increasingly is a result of discussion with parents, not arrangement, but 3rd-party introductions are increasing. They are active in household and township enterprises and aspire to more education and economic independence. The middle-aged group experienced war and revolution and now work nonstop under the responsibility system of household production, aspiring to university education for sons and enterprise work for daughters. The older women, while supported by their sons, live a frugal existence. In general, preference for sons is still prevalent and deep-seated. At the same time, the bride price and costs of marriage are increasing and of widespread concern. Rural socioeconomic growth is required before Confucian traditions are overcome. PMID:12179888

  17. Comparing Record Dynamics Predictions with Simulations and Experiments of Aging Colloids

    NASA Astrophysics Data System (ADS)

    Boettcher, Stefan; Becker, Nikolaj; Sibani, Paolo

    2014-03-01

    We describe the spontaneous off-equilibrium relaxation process known as aging in a simple, real-space model: Kinetic constraints bind on-lattice particles together in ``clusters,'' where a phenomenological function of size controls their lifetime. But once a cluster breaks down, its particles can move independently in space, a process akin to ``cage breaking,'' to join other clusters.Known properties of glassy systems emerge, such as spatial heterogeneity and record dynamics. Here we compare our simple model with recent molecular dynamics studies of hard-sphere colloids.We find agreement with the scaling properties of the particles mean square displacement, and the aging properties of the interface energy, of the intermediate scattering function, and of the probability density function of the particle displacements occurring within different time windows. These properties are related to an underlying Poisson process which describes the salient events or quakes which correspond to the break up of clusters and give a coarse-grained description of the model dynamics, confirmed by re-analysis of experimental data. SB acknowledges support from NSF with DMR-grant #1207431, and thanks SDU for its hospitality and the Villum Foundation for support.

  18. Age-related effects of practice experience on collective behaviours of football players in small-sided games.

    PubMed

    Barnabé, Luís; Volossovitch, Anna; Duarte, Ricardo; Ferreira, António Paulo; Davids, Keith

    2016-08-01

    The purpose of this study was to examine whether offensive and defensive collective behaviours emerging in six-a-side football games (GK+5 vs. 5+GK) varied according to age-related practice experience of young, male players (U16, U17 and U19yrs). Players' were not instructed to implement specific tactical plans and their movement trajectories (2D analyses) were recorded using 10 GPS units. Four common measures of team dispersion investigated in previous research (surface area, stretch index, length and width of a team) were used to analyse team performance behaviours. After recording these collective variables, we used sample entropy (SampEn) and cross-sample entropy (Cross-SampEn) measures to assess the regularity and synchronization of participant actions in teams. Results demonstrated clear age-related variations in effects on the collective performance measures analysed. In attacking phases, older and more experienced players occupied a greater surface area and displayed higher values of team width and stretch index. In defensive phases, significant differences were observed in team length and stretch index. Cross-SampEn analysis demonstrated a greater synchronization between offensive and defensive surface areas and team width in older age groups (U17 and U19yrs). Data suggest how coaches can manipulate practice task constraints to enhance development of team tactical performance behaviours in developing footballers between 16 and 19yrs of age. PMID:27132155

  19. The East Asian age-friendly cities promotion - Taiwan's experience and the need for an oriental paradigm.

    PubMed

    Chao, Tzuyuan Stessa; Huang, Huiwen

    2016-03-01

    It is the consensus that the rapid increase of the ageing population has become a global phenomenon. In 2007, the World Health Organization (WHO) advanced a handbook called Global Age-friendly Cities: A Guide The core concept of the age-friendly cities (AFC) movement is 'active ageing'. Taiwan became one of the few Asian countries that initially responded to the WHO AFC movement in 2010. Following the guidance set by the WHO, Taiwan began its promotion at a national level, and with local authorities. However, during the advocacy process, the fundamental differences between Eastern and Western cultures in terms of family values and deep-rooted respect for the elderly have raised an awareness of the need for an oriental paradigm. This paper identifies three key elements for AFC promotion in East Asian countries based on an analysis of Taiwan's experience: during needs assessment take collectivism into consideration, during action plans at the community level community leaders' views will be more important (particularism), and when promoting AFC at the institutional level a top-down approach will be more acceptable (high power distance concept). PMID:27199021

  20. "Not a replacement": emotional experiences and practical consequences of Israeli second couplehood stepfamilies constructed in old age.

    PubMed

    Koren, Chaya; Lipman-Schiby, Sharon

    2014-12-01

    The increase in life expectancy enhances phenomena such as second couplehood in old age following widowhood or divorce as an alternative way of coping with changes that occur with aging. Research on the phenomenon has focused mainly on individual and dyadic perspectives of the repartnered. The aim of this article was to explore repartnering from the stepfamily's perspective, which has scarcely been studied. Nineteen Israeli stepfamilies (38 multigenerational families) were recruited using criterion sampling, of men who repartnered at age 65+ and women at 60+, with children and grandchildren from a lifelong marriage that ended in widowhood or divorce. We audio-recorded and transcribed verbatim 107 semi-structured, qualitative interviews with older partners, their adult children, and grandchildren. Analysis was based on grounded theory and dyadic analysis principles adapted to families. It showed how repartnering in old age changed the family structure, constructing complex stepfamilies, which require further study. Emotional experiences refer to repartnering being a replacement for couplehood but not for parenthood/grandparenthood. Practical consequences refer to "knowing their place" within the stepfamily and included the following subthemes: showing affection; participating in memorials for the deceased spouse; sharing, listening, and assisting. Findings are discussed regarding life course and family life cycle perspectives. PMID:25456624

  1. Adaptation to Low Vision Caused by Age-Related Macular Degeneration: A Case Study

    ERIC Educational Resources Information Center

    Smith, Theresa Marie

    2008-01-01

    One in eight Americans aged 65 and older has an eye disease resulting in low vision, and more women than men are visually impaired, mainly because women live longer. Age-related visual impairments are an indicator of a decline in activities of daily living and self-help skills. The top eye conditions that affect older adults are macular…

  2. Mathematical Models as Aids for Design and Development of Experiments: The Case of Transgenic Mosquitoes

    PubMed Central

    Robert, Michael A.; Legros, Mathieu; Facchinelli, Luca; Valerio, Laura; Ramsey, Janine M.; Scott, Thomas W.; Gould, Fred; Lloyd, Alun L.

    2013-01-01

    We demonstrate the utility of models as aids in the design and development of experiments aimed at measuring the effects of proposed vector population control strategies. We describe the exploration of a stochastic, age-structured model that simulates field cage experiments that test the ability of a female-killing strain of the mosquito Aedes aegypti (L.) to suppress a wild-type population. Model output predicts that choices of release ratio and population size can impact mean extinction time and variability in extinction time among experiments. We find that unless fitness costs are >80% they will not be detectable in experiments with high release ratios. At lower release ratios, the predicted length of the experiment increases significantly for fitness costs >20%. Experiments with small populations may more accurately reflect field conditions, but extinction can occur even in the absence of a functional female-killing construct because of stochastic effects. We illustrate how the model can be used to explore experimental designs that aim to study the impact of density dependence and immigration; predictions indicate that cage population eradication may not always be obtainable in an operationally realistic time frame. We propose a method to predict the extinction time of a cage population based on the rate of population reduction with the goal of shortening the duration of the experiment. We discuss the model as a tool for exploring and assessing the utility of a wider range of scenarios than would be feasible to test experimentally because of financial and temporal restraints. PMID:23270145

  3. Effects of migration on population aging (the case of the Valencian Community).

    PubMed

    Simo, C; Mendez, S; Safarova, G

    2012-01-01

    For Spain as a whole and the Valencian Community (VC) in particular both aging and migration have numerous important effects on their demographic development, e.g. in this century Spain has the greatest net migration in Europe, and inside Spain in the VC the proportion of the population of foreign citizenship is high. The paper aims at studying the interplay between aging and migration in the Valencian Community since the beginning of the 1990s. A number of aging characteristics have been computed for the VC and its regions for Spanish citizens and the population of foreign citizenship. Age structure of migration flows will be examined. The paper is based on censuses and micro-data on vital events. Results of the study revealing interrelations between migration and age structure may contribute to the management, administration and planning of social and health services. PMID:22708442

  4. Foreign Bodies Ingestion in Children: Experience of 61 Cases in a Pediatric Gastroenterology Unit from Romania

    PubMed Central

    Diaconescu, Smaranda; Gimiga, Nicoleta; Sarbu, Ioan; Stefanescu, Gabriela; Olaru, Claudia; Ioniuc, Ileana; Ciongradi, Iulia; Burlea, Marin

    2016-01-01

    The ingestion of foreign bodies is a worldwide pediatric pathology. We assessed the clinical, endoscopic, and therapeutic aspects of this condition in a pediatric gastroenterology unit. We reviewed 61 patients (median age of 3.25 ± 4.7 years). The most frequently ingested objects were coins (26.23%), unidentified metal objects (13.11%), bones (8.19%), batteries, and buttons (6.55%). The clinical features we encountered included abdominal pain (55.73%), vomiting (34.42%), and asymptomatic children (29.5%). Routine X-ray examination enabled finding the foreign body in 42 of the cases. An esophagogastroduodenoscopy was performed within 24–72 hours. 25 cases resulted in a negative endoscopy (40.98%), 19 objects (31.14%) were removed using a polypectomy snare, and extraction failure occurred in 17 patients (27.86%). 28 foreign bodies were passed without incidents; in 14 cases, the swallowed objects were never found. In one case, a battery was stuck in the esophageal folds and led to tracheal-esophageal fistula and bronchopneumonia and later to esophageal stenosis. We report a large proportion of foreign bodies that could not be identified or removed due to lack of early endoscopy and poor technical settings. Batteries and sharp objects lead to severe complications and preschool-age children are at high risk for such events. PMID:26949384

  5. Children's environmental knowing: A case study of children's experiences during an environmental education programme

    NASA Astrophysics Data System (ADS)

    Scott, Sandra Anne

    This study explores children's experiences during WaterWorlds (pseudonym) a field-based environmental education programme at a marine science centre. The study objectives were to investigate how children understand and interpret their experiences, and how these experiences foster their environmental knowing. To address these objectives, I carried out a case study at a marine science centre in British Columbia. I examined children's WaterWorlds experiences and explored their environmental understandings and commitment to environmental action. I analysed the experiences of children in four separate classes and carried out an in-depth examination of four individual children. Data were collected using informal semi-structured interviews, observations, conversations, researcher journal logs, and student documents including their writing and illustrations. My findings indicate that the WaterWorlds programme experience fosters children's environmental knowing. Participation in WaterWorlds activities led to connection, caring, and concern for other species and in some cases, for the marine environment as a whole. During the programme, children chose the ways they interpreted and expressed their environmental knowledge, ethic of care, advocacy, and commitment to action. This development of each child's self-expression resulted in motivational and powerful learning experiences that inspired and nurtured their connections to the earth. This research provides evidence and examples of how educators can foster children's environmental knowing through multi-disciplinary environmental education experiences. It illustrates that activities such as observing and documenting the lives of other animal species, collecting data and conducting research on those species, and working and learning alongside experts in the field of environmental education are powerful experiences that motivate concern and care for the earth among children.

  6. The influence of sex, age, and race experience on pacing profiles during the 90 km Vasaloppet ski race.

    PubMed

    Carlsson, Magnus; Assarsson, Hannes; Carlsson, Tomas

    2016-01-01

    The purpose of this study was to investigate pacing-profile differences during the 90 km Vasaloppet ski race related to the categories of sex, age, and race experience. Skiing times from eight sections (S1 to S8) were analyzed. For each of the three categories, 400 pairs of skiers were matched to have a finish time within 60 seconds, the same start group, and an assignment to the same group for the other two categories. Paired-samples Student's t-tests were used to investigate sectional pacing-profile differences between the subgroups. Results showed that males skied faster in S2 (P=0.0042), S3 (P=0.0049), S4 (P=0.010), and S1-S4 (P<0.001), whereas females skied faster in S6 (P<0.001), S7 (P<0.001), S8 (P=0.0088), and S5-S8 (P<0.001). For the age category, old subjects (40 to 59 years) skied faster than young subjects (19 to 39 years) in S3 (P=0.0029), and for the other sections, there were no differences. Experienced subjects (≥4 Vasaloppet ski race completions) skied faster in S1 (P<0.001) and S1-S4 (P=0.0054); inexperienced skiers (<4 Vasaloppet ski race completions) had a shorter mean skiing time in S5-S8 (P=0.0063). In conclusion, females had a more even pacing profile than that of males with the same finish time, start group, age, and race experience. No clear age-related pacing-profile difference was identified for the matched subgroups. Moreover, experienced skiers skied faster in the first half whereas inexperienced skiers had higher skiing speeds during the second half of the race. PMID:26937207

  7. The influence of sex, age, and race experience on pacing profiles during the 90 km Vasaloppet ski race

    PubMed Central

    Carlsson, Magnus; Assarsson, Hannes; Carlsson, Tomas

    2016-01-01

    The purpose of this study was to investigate pacing-profile differences during the 90 km Vasaloppet ski race related to the categories of sex, age, and race experience. Skiing times from eight sections (S1 to S8) were analyzed. For each of the three categories, 400 pairs of skiers were matched to have a finish time within 60 seconds, the same start group, and an assignment to the same group for the other two categories. Paired-samples Student’s t-tests were used to investigate sectional pacing-profile differences between the subgroups. Results showed that males skied faster in S2 (P=0.0042), S3 (P=0.0049), S4 (P=0.010), and S1–S4 (P<0.001), whereas females skied faster in S6 (P<0.001), S7 (P<0.001), S8 (P=0.0088), and S5–S8 (P<0.001). For the age category, old subjects (40 to 59 years) skied faster than young subjects (19 to 39 years) in S3 (P=0.0029), and for the other sections, there were no differences. Experienced subjects (≥4 Vasaloppet ski race completions) skied faster in S1 (P<0.001) and S1–S4 (P=0.0054); inexperienced skiers (<4 Vasaloppet ski race completions) had a shorter mean skiing time in S5–S8 (P=0.0063). In conclusion, females had a more even pacing profile than that of males with the same finish time, start group, age, and race experience. No clear age-related pacing-profile difference was identified for the matched subgroups. Moreover, experienced skiers skied faster in the first half whereas inexperienced skiers had higher skiing speeds during the second half of the race. PMID:26937207

  8. Do fertility control policies affect health in old age? Evidence from China's one-child experiment.

    PubMed

    Islam, Asadul; Smyth, Russell

    2015-05-01

    How do fertility control policies contribute to the welfare of women, and their husbands, particularly as they get older? We consider whether the reduction in fertility resulting from population control policies has had any effect on the health of elderly parents in China. In particular, we examine the influence of this fertility decline, experienced due to China's one-child policy, on several measures of the health of parents in middle and old age. Overall, our results suggest that having fewer children has a positive effect on self-reported parental health but generally no effect on other measures of health. The results also suggest that upstream financial transfers have a positive effect on several measures of parental health. PMID:24692342

  9. Learning from Multiple Cases: A New Paradigm for Investigating the Effects of Clinical Experience on Knowledge Restructuring and Knowledge Acquisition.

    ERIC Educational Resources Information Center

    Boshuizen, Henny P. A.; Bongaerts, Maureen Machiels; van de Wiel, Margaretha W. J.; Schmidt, Henk G.

    The effects of experience with a series of similar cases on the knowledge restructuring and learning from text were studied in a longitudinal design. Two groups of fourth-year medical students were confronted with a series of cases, part of them having the same underlying disease. The cases were interspersed with fillers, and each set of cases had…

  10. Chikungunya fever: Atypical and lethal cases in the Western hemisphere: A Venezuelan experience.

    PubMed

    Torres, Jaime R; Leopoldo Códova G; Castro, Julio S; Rodríguez, Libsen; Saravia, Víctor; Arvelaez, Joanne; Ríos-Fabra, Antonio; Longhi, María A; Marcano, Melania

    2015-01-01

    A large epidemic of Chikungunya fever currently affects the Caribbean, Central and South America. Despite a high number of reported cases, little is known on the occurrence of severe clinical complications. We describe four Venezuelan patients with a severe and/or lethal course who exhibit unusual manifestations of the disease. Case 1 describes a 75 year-old man with rapid onset of septic shock and multi-organ failure. Cases 2 and 3 describe two patients with rapid aggressive clinical course who developed shock, severe purpuric lesions and a distinct area large of necrosis in the nasal region. Case 4 depicts a splenectomized woman with shock, generalized purpuric lesions, bullous dermatosis and acronecrosis of an upper limb. Chikungunya fever in the Western hemisphere may also associate with atypical and severe manifestations. Some patients experience a life-threatening, aggressive clinical course, with rapid deterioration and death due to multisystem failure. PMID:26793440

  11. Observation of Dust Aging Processes During Transport from Africa into the Caribbean - A Lagrangian Case Study

    NASA Astrophysics Data System (ADS)

    Weinzierl, B.; Sauer, D. N.; Walser, A.; Dollner, M.; Reitebuch, O.; Gross, S.; Chouza, F.; Ansmann, A.; Toledano, C.; Freudenthaler, V.; Kandler, K.; Schäfler, A.; Baumann, R.; Tegen, I.; Heinold, B.

    2014-12-01

    Aerosol particles are regularly transported over long distances impacting air quality, health, weather and climate thousands of kilometers downwind of the source. During transport, particle properties are modified thereby changing the associated impact on the radiation budget. Although mineral dust is of key importance for the climate system many questions such as the change of the dust size distribution during long-range transport, the role of wet and dry removal mechanisms, and the complex interaction between mineral dust and clouds remain open. In June/July 2013, the Saharan Aerosol Long-range Transport and Aerosol-Cloud-Interaction Experiment (SALTRACE: http://www.pa.op.dlr.de/saltrace) was conducted to study the transport and transformation of Saharan mineral dust. Besides ground-based lidar and in-situ instruments deployed on Cape Verde, Barbados and Puerto Rico, the DLR research aircraft Falcon was equipped with an extended aerosol in-situ instrumentation, a nadir-looking 2-μm wind lidar and instruments for standard meteorological parameters. During SALTRACE, five large dust outbreaks were studied by ground-based, airborne and satellite measurements between Senegal, Cape Verde, the Caribbean, and Florida. Highlights included the Lagrangian sampling of a dust plume in the Cape Verde area on 17 June which was again measured with the same instrumentation on 21 and 22 June 2013 near Barbados. Between Cape Verde and Barbados, the aerosol optical thickness (500 nm) decreased from 0.54 to 0.26 and the stratification of the dust layers changed significantly from a rather homogenous structure near Africa to a 3-layer structure with embedded cumulus clouds in the Caribbean. In the upper part of the dust layers in the Caribbean, the aerosol properties were similar to the observations near Africa. In contrast, much more variability in the dust properties was observed between 0.7 and 2.5 km altitude probably due to interaction of the mineral dust with clouds. In our

  12. Going around in a Circle: A Norwegian Study of Suicidal Experiences in Old Age

    PubMed Central

    Holm, Anne Lise; Lyberg, Anne; Berggren, Ingela; Åström, Sture; Severinsson, Elisabeth

    2014-01-01

    Depression has repeatedly been found to be a risk factor for completed suicide, particularly when coupled with a pervasive sense of hopelessness. The aim of this study was to evaluate depressed older persons' suicidal experiences. Data were collected by means of individual in-depth interviews with nine informants living in two districts of Norway. A hermeneutic analysis was performed. One main theme: Going around in a circle and two themes: being alone without meaning in life and struggling to achieve reconciliation emerged from the analysis. An important implication for mental healthcare practice is the need to develop a person's ability to shape and take control of her/his life. The healthcare organisation must be committed to a plan that sets out strategies enabling suicidal individuals to avoid the negative experience of meaninglessness. It was concluded that suicidal depressed elderly persons need help to escape from their desperate situation. More research is urgently required in order to prevent suicide in depressed elderly persons whose emotional pain is unbearable. PMID:25574387

  13. The effects of age and previous experience on social rank in female red junglefowl, Gallus gallus spadiceus.

    PubMed

    Kim; Zuk

    2000-08-01

    Social rank can influence lifetime reproductive success and therefore fitness. We examined the effects of morphology, age, previous social experience and aggressiveness on social rank in all-female flocks of red junglefowl. None of the morphological characters measured (mass, tarsus length, comb height or comb length) appeared to play a role in determining rank. Older females were not more likely to be dominant, while previous social experience and aggression levels were both important in dominance determination. Flock-experienced hens were more likely to be dominant as were more aggressive individuals. Red junglefowl females most likely use a combination of characters to establish social order in a newly formed flock. Copyright 2000 The Association for the Study of Animal Behaviour. PMID:10973726

  14. The Spatio-temporal Distribution of Japanese Encephalitis Cases in Different Age Groups in Mainland China, 2004 – 2014

    PubMed Central

    Wang, Huanyu; Song, Miao; Li, Minghua; Fu, Shihong; Lv, Zhi; He, Ying; Lei, Wenwen; Wang, Bin; Lu, Xiaoqing; Liang, Guodong

    2016-01-01

    Background Japanese encephalitis (JE) is very prevalent in China, but the incidence of JE among children has been greatly reduced by extensive promotion of vaccinations. The incidence of JE among adults, however, has increased in some parts of China. Methods/Principal Findings Data on JE in mainland China, in terms of incidence, gender, and age, were collected between 2004 and 2014. We conducted spatial and temporal analyses on data from different age groups. Generally, children aged 0–15 years still represent the major population of JE cases in China, despite the gradual decrease in incidence over years. However, the incidence of JE among adults in several provinces is notably higher than the national average, especially during the epidemic waves in 2006, 2009, and 2013. The JE cases in the 0–15-year-old group are distributed mainly in the area south of the Yangtze River, with peak incidence occurring from July to September. In the adult group, especially for those over 40 years old, the JE cases are concentrated mainly in the area north of the Yangtze River. JE incidence in the adult group in September and October is significantly greater compared to the other groups. Further analysis using Local Indicators of Spatial Association (LISA) reveals that the distribution of adult JE cases in the six provinces north of the Yangtze River, between north 30–35° latitude and east 110–130° longitude, is a hotspot for adult JE cases. Conclusions/Significance The rate of JE case increase for adults is much greater than for children and has become a public health issue. Therefore, studies on the necessity and feasibility of vaccinating adults who live in JE-endemic areas, but have never been vaccinated for JE, should become a new focus of JE prevention in the future. PMID:27050414

  15. Uranium-series comminution ages of continental sediments: Case study of a Pleistocene alluvial fan

    SciTech Connect

    Lee, Victoria E.; DePaolo, Donald J.; Christensen, John N.

    2010-04-30

    Obtaining quantitative information about the timescales associated with sediment transport, storage, and deposition in continental settings is important but challenging. The uranium-series comminution age method potentially provides a universal approach for direct dating of Quaternary detrital sediments, and can also provide estimates of the sediment transport and storage timescales. (The word"comminution" means"to reduce to powder," reflecting the start of the comminution age clock as reduction of lithic parent material below a critical grain size threshold of ~;;50 mu m.) To test the comminution age method as a means to date continental sediments, we applied the method to drill-core samples of the glacially-derived Kings River Fan alluvial deposits in central California. Sediments from the 45 m core have independently-estimated depositional ages of up to ~;;800 ka, based on paleomagnetism and correlations to nearby dated sediments. We characterized sequentially-leached core samples (both bulk sediment and grain size separates) for U, Nd, and Sr isotopes, grain size, surface texture, and mineralogy. In accordance with the comminution age model, where 234U is partially lost from small sediment grains due to alpha recoil, we found that (234U/238U) activity ratios generally decrease with age, depth, and specific surface area, with depletions of up to 9percent relative to radioactive equilibrium. The resulting calculated comminution ages are reasonable, although they do not exactly match age estimates from previous studies and also depend on assumptions about 234U loss rates. The results indicate that the method may be a significant addition to the sparse set of available tools for dating detrital continental sediments, following further refinement. Improving the accuracy of the method requires more advanced models or measurements for both the recoil loss factor fa and weathering effects. We discuss several independent methods for obtaining fa on individual samples

  16. Understanding reliance on automation: effects of error type, error distribution, age and experience

    PubMed Central

    Sanchez, Julian; Rogers, Wendy A.; Fisk, Arthur D.; Rovira, Ericka

    2015-01-01

    An obstacle detection task supported by “imperfect” automation was used with the goal of understanding the effects of automation error types and age on automation reliance. Sixty younger and sixty older adults interacted with a multi-task simulation of an agricultural vehicle (i.e. a virtual harvesting combine). The simulator included an obstacle detection task and a fully manual tracking task. A micro-level analysis provided insight into the way reliance patterns change over time. The results indicated that there are distinct patterns of reliance that develop as a function of error type. A prevalence of automation false alarms led participants to under-rely on the automation during alarm states while over relying on it during non-alarms states. Conversely, a prevalence of automation misses led participants to over-rely on automated alarms and under-rely on the automation during non-alarm states. Older adults adjusted their behavior according to the characteristics of the automation similarly to younger adults, although it took them longer to do so. The results of this study suggest the relationship between automation reliability and reliance depends on the prevalence of specific errors and on the state of the system. Understanding the effects of automation detection criterion settings on human-automation interaction can help designers of automated systems make predictions about human behavior and system performance as a function of the characteristics of the automation. PMID:25642142

  17. Experiences in the measurement of RBC-bound IgG as markers of cell age.

    PubMed

    Paleari, Renata; Ceriotti, Ferruccio; Azzario, Franco; Maccioni, Liliana; Galanello, Renzo; Mosca, Andrea

    2004-05-01

    An immunologically mediated pathway has been largely accepted to be one of the mechanisms involved in the clearance of senescent or prematurely damaged RBC. According to this pathway, RBC removal is mediated by binding of naturally occurring IgG to clustered integral membrane proteins, followed by complement deposition. The validation of an immunoenzymatic method for the detection of RBC-bound autologous IgG is presented. The use of RBC-bound IgG as an index related to red cell age was evaluated by measuring IgG binding in RBC treated with the clustering agent ZnCl2, in density fractionated RBC and in a selected group of patients expected to have an altered RBC life span. The immunoenzymatic method for IgG detection resulted to be reproducible (CV = 3.4%). IgG binding to in vitro clustered RBC was found to be enhanced to a very great extent, about 20 times higher with respect to untreated RBC. A slight but significant increase (about 1.8-fold) in membrane-bound IgG was observed in the highest density fraction of normal RBC, which constituted 1% of the total cells. A significantly greater number of RBC-bound IgG was measured in splenectomized beta-thalassemia intermedia patients and in subjects with secondary decreases in the C3 complement fraction concentration. PMID:15039023

  18. Indicators of Preclinical Disability: Women’s Experiences of an Aging Body

    PubMed Central

    LORENZ, REBECCA ANN

    2010-01-01

    This paper is derived from a larger multimethod longitudinal study of women’s bodily experiences and coping practices before the onset of disability. Twelve women participated in repeated performance measures, in-depth interviews of daily life and physically challenging events, and observations of daily activities conducted over 18 months. Interpretive phenomenological analysis of textual data showed that women’s bodies provided multiple indicators or symptoms of preclinical disability. These indicators informed the women that their body was out of synch with their environment; conspicuous during social activities; and vulnerable to becoming dependent on others, technology, or assistive devices to accomplish daily activities. Greater attention to bodily indicators or symptoms may offer a practical method for clinicians to identify preclinical disability. PMID:19418344

  19. Twin pregnancy after intracytoplasmic sperm injection in woman aged 49 using autologous oocytes by mild ovarian stimulation: a case report

    PubMed Central

    Yan, Guimin; Xie, Xiaodong; Wang, Yanqiu; Shi, Lihong; Zhou, Wei; Liu, Yingling; Tong, Xiaowen; Ji, Yazhong

    2015-01-01

    There were few reports about infertile women aged 45 and above undergoing IVF/ICSI. We are reporting the case of an aged 49 woman who delivered the twins after ICSI using autologous oocytes by mild ovarian stimulation. The patient presented with 26-year primary infertility caused by double fallopian tubes obstruction and man oligoasthenozoospermia. We gave her the treatment with mild ovarian stimulation cycle of clomiphene citrate (CC) and follicle stimulating hormone (FSH) undergoing ICSI, and transferred two fertilization-blastocysts. The outcome measured was the live birth. The twins were delivered by cesarean section operation at 37 pregnancy weeks for the moderate pregnancy-induced hypertension. In summary, we found it is feasible for women with advanced age to undergo ART while the accompanied risk of pregnancy complications and other issues need to be further evaluated. PMID:26770601

  20. Lionfish string experiences of an inland poison center: a retrospective study of 23 cases.

    PubMed

    Trestrail, J H; al-Mahasneh, Q M

    1989-04-01

    From January 1979 through March 1988, our regional poison center, located many hundreds of miles from the nearest coastal salt water, documented 23 cases of envenomation by "Lionfish" (members of genus Pterois). All cases involved specimens which were maintained in the homes of amateur aquarists. A study of patient epidemiology showed the following: patient's sex 91.3% male, 8.7% female; patients ages ranged from 17 to 50 years with an average age for males of 29.8 years and 35 years for females; the site of the envenomation accident was always in the home; the only part of the body envenomated was the hand or finger; and all of the patients were symptomatic. Symptoms noted included sharp pain, swelling, redness, bleeding, nausea, numbness, joint pain, anxiety, headache, disorientation, and dizziness. One patient had a complication of cellulitis. Treatment provided included immersion of the effected area in hot water at 40 C for 60 to 90 min, analgesics, tetanus toxoid, and antibiotics. There were no deaths noted and treatment proved effective in all cases. This paper also discusses the natural history, clinical effects, and current treatment for envenomations from these beautiful but dangerous venomous fish, which can cause poisoning exposures that are likely to be encountered by poison centers anywhere in the world. PMID:2929130

  1. Ten-year experience in management of diabetic ketoacidosis and ketosis: 140 episodes at pediatric age.

    PubMed

    Yordam, Nuren; Gönç, E Nazli; Kandemir, Nurgün; Alikaşifoğlu, Ayfer; Ozön, Alev

    2005-01-01

    One hundred and forty episodes in 112 patients (58 boys) with diabetic ketoacidosis (96 episodes) and diabetic ketosis (44 episodes) were studied to elucidate the clinical and laboratory risk factors for altered level of consciousness at presentation and to analyze the outcome of a distinct protocol in the treatment of diabetic ketoacidosis. The patients were analyzed according to demographic data and clinical and laboratory findings at admission. The treatment protocol involved use of 0.45% sodium chloride (NaCl) in 2.5% dextrose as the initial fluid therapy following volume expansion. Dextrose content of the fluid was doubled once the serum glucose level fell below 250 mg/dl. The mean ages at presentation with diabetic ketoacidosis and ketosis were 10.3 +/- 4.4 and 10.2 +/- 4.0 years, respectively. Thirty-one percent of patients had altered consciousness at presentation. The level of consciousness correlated negatively with serum bicarbonate level (r=-0.485; p<0.001). A serum bicarbonate level below 15 mmol/L was a risk factor for altered consciousness. There was no correlation between effective osmolality and the level of consciousness. Serum effective osmolality above 320 mOsm/kg H2O did not appear to be a risk factor for altered consciousness. No mortality or any signs of clinical brain edema were observed in patients treated with the distinct treatment protocol. In conclusion, acidosis appears to be the major factor in the pathogenesis of altered consciousness at presentation. Serum effective osmolality does not seem to be a risk factor as suggested previously. Dextrose added to the infusion fluid early in treatment seems to prevent the development of brain edema, and this may be due to a protective effect of higher osmolality in the resultant solution. PMID:16363342

  2. Variation among individuals in photoperiod responses: Effects of breeding schedule, photoperiod, and age-related photoperiodic experience in birds.

    PubMed

    Watts, Heather E; MacDougall-Shackleton, Scott A; Hahn, Thomas P

    2015-07-01

    Many organisms use environmental cues to regulate reproductive function in order to time reproduction to coincide with favorable environmental conditions. Whereas we understand much about how environmental cues are used to time reproduction, we know relatively little about variation among individuals in responsiveness to environmental cues. However, this variation among individuals may represent a crucial component of a population's capacity to respond to changing environmental conditions. In this study, we quantify variation among individuals in photoperiod responsiveness of the avian reproductive system and investigate three potential underlying sources of this variation in environmental cue responsiveness. Specifically, we tested whether age-related photoperiodic experience, strength of the photoperiodic cue (day length), and degree of flexibility in breeding schedule influenced the degree of variation observed in experimental studies of seven species of cardueline finches. Overall, we found a high degree of variation among individuals in photoperiod response, and this was influenced by experimental photoperiod and breeding schedule. As experimental photoperiod became longer, the degree of variation declined. Opportunistic breeders showed greater variation in response compared with more seasonal breeders. We found no effect of age-related photoperiodic experience in one species for which we could examine this factor. The results of this study highlight the extent to which individuals can vary in their response to environmental cues and point to both species ecology and characteristics of the cue as important influences on the degree of this variation. PMID:25865942

  3. Dynamic poverty experiences and development of overweight in a prospective cohort of US children ages 4 to 14

    PubMed Central

    Zilko, C.E. Margerison; Cubbin, C.

    2013-01-01

    Objective To examine the associations between poverty dynamics and the long-term risk of developing overweight or obesity. Design and methods Our data are a representative sample of U.S. children from the National Longitudinal Survey of Youth 1979 Child and Young Adult Survey (1986-2008). We used survival analysis to compare risk of developing overweight or obesity among 5,613 children aged 4 to 14 from never poor households, transient poor households (those that became poor only once), recurrent poor households (those that became poor more than once), and persistent poor households (those that became poor and remained poor for at least 4 consecutive years) and examined interactions by race/ethnicity, gender, and age. Results Compared with children from never poor households, children from transient poor households (HR 0.79, 95% CI: 0.68, 0.92), recurrent poor households (HR: 0.73, 95% CI: 0.62, 0.87), and persistently poor households (HR: 0.62, 95% CI: 0.51, 0.74) had significantly reduced risks of becoming overweight or obese. These associations did not vary by race/ethnicity, gender, or age. Conclusions Our findings suggest that poverty experiences are associated with reduced risk of becoming overweight or obese among children 4 to 14. PMID:23418139

  4. Age or Experience? The Influence of Age at Implantation and Social and Linguistic Environment on Language Development in Children with Cochlear Implants

    ERIC Educational Resources Information Center

    Szagun, Gisela; Stumper, Barbara

    2012-01-01

    Purpose: The authors investigated the influence of social environmental variables and age at implantation on language development in children with cochlear implants. Method: Participants were 25 children with cochlear implants and their parents. Age at implantation ranged from 6 months to 42 months (M[subscript age] = 20.4 months, SD = 22.0…

  5. Intussusception in children under 2 years of age in the State of Qatar : analysis of 67 cases.

    PubMed

    Dawod, S T; Osundwa, V M

    1992-01-01

    Intussusception is one of the leading causes of bowel obstruction in early infancy and childhood. From 1984-1989, 67 patients under 2 years of age with intussusception were diagnosed and treated in our institution. There were 48 boys and 19 girls ranging in age from 2 months to 2 years with a mean of 7.4 months. Presenting symptoms and signs included abdominal pain (96%), vomiting (93%), rectal bleeding (60%) and a palpable mass (67%). Symptoms and signs were present for less than 24 hours in about 80% of cases. Most of the intussusceptions were of the ileocolic type (75%). The overall success rate of hydrostatic barium enema reduction was 49%. The highest rate of reduction by enema was among patients between 9 and 16 months of age (83%). The success rate of barium enema reduction was negligible after 24 hours of cardinal symptoms. Five children underwent surgical exploration without contrast studies because of delayed presentation and signs of an acute abdomen. A pathological lead point was found in only four cases, the commonest being Meckel's diverticulum. The average length of hospitalization was 2.57 days after barium enema reduction and 7.55 days after surgical reduction. There were no deaths. There was no case of perforation during enema reduction. Three children had recurrence within 3 months of initial presentation. The best outcome is associated with early diagnosis and barium enema reduction, or selected surgical intervention when indicated. PMID:1376579

  6. The use of Zostavax in Spain: the economic case for vaccination of individuals aged 50 years and older.

    PubMed

    Lopez-Belmonte, Juan Luis; Cisterna, Ramón; Gil de Miguel, Angel; Guilmet, Caroline; Bianic, Florence; Uhart, Mathieu

    2016-06-01

    Background Population aging brings up a number of health issues, one of which is an increased incidence of herpes zoster (HZ) and its complication, post-herpetic neuralgia (PHN). Zostavax vaccine has recently become available to prevent HZ and PHN. This study evaluates the cost-effectiveness of vaccination against HZ in Spain considering a vaccination of the population aged 50 years and older and comparing this to the current situation where no vaccination is being administered. Methods An existing, validated, and published economic model was adapted to Spain using relevant local input parameters and costs from 2013. Results Vaccinating 30% of the Spanish population aged 50 years and older resulted in €16,577/QALY gained, €2025/HZ case avoided, and €5594/PHN case avoided under the third-party payer perspective. From a societal perspective, the ICERs increased by 6%, due to the higher price of the vaccine. The number needed to vaccinate to prevent one case was 20 for HZ, and 63 for PHN3. Sensitivity analyses showed that the model was most sensitive to the HZ and PHN epidemiological data, the health state utilities values, and vaccine price used. Conclusion Considering an acceptable range of cost-effectiveness of €30,000-€50,000 per QALY gained, vaccination of the 50+ population in Spain against HZ with a new vaccine, Zostavax, is cost-effective and makes good use of the valuable healthcare budget. PMID:26808422

  7. The challenge of cancer in middle-income countries with an ageing population: Mexico as a case study.

    PubMed

    Aggarwal, Ajay; Unger-Saldaña, Karla; Lewison, Grant; Sullivan, Richard

    2015-01-01

    Mexico is undergoing rapid population ageing as a result of its epidemiological transition. This study explores the interface between this rapid population ageing and the burden of cancer. The number of new cancer cases is expected to increase by nearly 75% by 2030 (107,000 additional cases per annum), with 60% of cases in the elderly (aged ≥ 65). A review of the literature was supplemented by a bibliometric analysis of Mexico's cancer research output. Cancer incidence projections for selected sites were estimated with Globocan software. Data were obtained from recent national census, surveys, and cancer death registrations. The elderly, especially women and those living in rural areas, face high levels of poverty, have low rates of educational attainment, and many are not covered by health insurance schemes. Out of pocket payments and private health care usage remain high, despite the implementation of Seguro Popular that was designed to achieve financial protection for the lowest income groups. A number of cancers that predominate in elderly persons are not covered by the scheme and individuals face catastrophic expenditure in seeking treatment. There is limited research output in those cancer sites that have a high burden in the elderly Mexican population, especially research that focuses on outcomes. The elderly population in Mexico is vulnerable to the effects of the rising cancer burden and faces challenges in accessing high quality cancer care. Based on our evidence, we recommend that geriatric oncology should be an urgent public policy priority for Mexico. PMID:26015805

  8. The challenge of cancer in middle-income countries with an ageing population: Mexico as a case study

    PubMed Central

    Aggarwal, Ajay; Unger-Saldaña, Karla; Lewison, Grant; Sullivan, Richard

    2015-01-01

    Mexico is undergoing rapid population ageing as a result of its epidemiological transition. This study explores the interface between this rapid population ageing and the burden of cancer. The number of new cancer cases is expected to increase by nearly 75% by 2030 (107,000 additional cases per annum), with 60% of cases in the elderly (aged ≥ 65). A review of the literature was supplemented by a bibliometric analysis of Mexico’s cancer research output. Cancer incidence projections for selected sites were estimated with Globocan software. Data were obtained from recent national census, surveys, and cancer death registrations. The elderly, especially women and those living in rural areas, face high levels of poverty, have low rates of educational attainment, and many are not covered by health insurance schemes. Out of pocket payments and private health care usage remain high, despite the implementation of Seguro Popular that was designed to achieve financial protection for the lowest income groups. A number of cancers that predominate in elderly persons are not covered by the scheme and individuals face catastrophic expenditure in seeking treatment. There is limited research output in those cancer sites that have a high burden in the elderly Mexican population, especially research that focuses on outcomes. The elderly population in Mexico is vulnerable to the effects of the rising cancer burden and faces challenges in accessing high quality cancer care. Based on our evidence, we recommend that geriatric oncology should be an urgent public policy priority for Mexico. PMID:26015805

  9. When ageing and disasters collide: lessons from 16 international case studies.

    PubMed

    Powell, Simone; Plouffe, Louise; Gorr, Patti

    2009-06-01

    Sixteen case studies examined the impact of various natural disasters and conflict-related emergencies on older people, the strengths and gaps in emergency planning, response and recovery, and the contributions older people made to their families and communities. Case examples were chosen from both developed and developing countries. Older persons suffered disproportionate impacts in several cases. Regardless of the country's level of prosperity, those most affected tended to be economically disadvantaged, disabled or frail, women, socially isolated, or caregivers of family members. Emergency responders were often not aware of distinct needs or abilities of older persons and not equipped to respond appropriately. The best emergency practices recognised and included specific needs within mainstream efforts and integrated older persons in community planning, response and recovery activities. This paper presents the 'lessons learned' from these case studies and makes the case for greater attention to this segment of the population in emergency management. PMID:19435731

  10. In the vanguard of biomedicine? The curious and contradictory case of anti-ageing medicine

    PubMed Central

    Fishman, Jennifer R.; Settersten, Richard A.; Flatt, Michael A.

    2012-01-01

    The rise of anti-ageing medicine is emblematic of the current conditions of American biomedicine. Through in-depth interviews with 31 anti-ageing practitioners, we examine how practitioners strive for—and justify—a model of care that runs counter to what they see as the ‘assembly line’ insurance-managed industry of healthcare. Their motivation, however, is not merely a reaction to conventional medicine. It is derived from what they see as a set of core beliefs about the role of the physician, the nature of the physician-patient relationship, and the function of biomedicine. We analyse this ideology to underscore how anti-ageing medicine is built on a ‘technology of the self’, a self in need of constant surveillance, intervention, and maintenance. The ultimate goal is to create an optimal self, not just a self free of illness. A fundamental irony is that, despite their self-presentation and the perception of the public, anti-ageing providers do not use practices that are especially ‘high-tech’ or unconventional. Instead, the management of ageing bodies rests on providers’ perceived knowledge of their patients, tailored treatments, and a collaborative pact between the provider and patient. PMID:20003037

  11. Inaccuracy of age assessment from images of postpubescent subjects in cases of alleged child pornography.

    PubMed

    Rosenbloom, Arlan L

    2013-03-01

    Despite frequent medical expert testimony authoritatively stating that images of individuals who are postpubescent indicate age less than 18 and therefore, child pornography, developmental experts have noted that a scientific basis for such estimation is lacking. In fact, recent studies have demonstrated a high degree of inaccuracy in such estimates, and that the stage of breast development often used as indicative of age under 18 years is present in a substantial percentage of adult women. Ten images of adult women from legitimate pornographic sites promoting youthful images were shown to 16 pediatric endocrinologists expert in evaluating maturation, who determined whether or not the individuals represented were under 18 years of age. They also provided information about what features were most important in their evaluations. Sixty-nine percent of the 160 estimates were that the images represented females under 18 years of age. There was wide variability in the designation of importance of the various features of maturation in reaching conclusions, with breast development and facial appearance considered most important. This study confirms that medical testimony, even by experts in adolescent development, can deem images of adult women selected for their youthful appearance to be under age 18 two thirds of the time. Thus, important as prosecuting users of child pornographic material may be, justice requires the avoidance of testimony that is not scientifically based. PMID:22960879

  12. The relationship between mothering in infancy, childhood experience and adult mental health: results of the Brody prospective longitudinal study from birth to age 30.

    PubMed

    Massie, Henry; Szajnberg, Nathan

    2002-02-01

    This longitudinal study has followed seventy-six individuals from birth to age 30 using films of the mother-child interaction, psychoanalytically informed interviews of parents and children, and psychodiagnostic testing to assess how the quality of mothering a child receives in the first year of life contributes to his/her subsequent emotional well-being. The thirty-year follow-up of the now adult participants found that those who had received more effective care in infancy in terms of maternal empathy, consistency, control, thoughtfulness, affection and management of aggression had higher-level psychological defence mechanisms as adults than children receiving less effective nurturing--suggesting a process in which the children internalised their mothers' own defence mechanisms. Other measures at 30 years (Global Functioning, Erikson psychosocial attainment, mental representation of security of attachment to parents and presence or absence of a psychiatric diagnosis) did not achieve statistical significance. On the other hand, trauma after infancy and before age 18 provided the strongest correlation with adult outcome: consistent with the theory of the effect of cumulative trauma on psychic functioning, children experiencing two or more adverse circumstances had significantly lower levels of global functioning as adults than those spared multiple traumas. With case examples, the findings illustrate how the effect of pre-verbal experience attenuates over time, and how later influences overlie early life in the course of psychological structuralisation. PMID:11915148

  13. Experience of Southern Chinese: new challenges in treating young female breast cancer patients at child-bearing age--a call for multi-disciplinary collaboration.

    PubMed

    Kwong, Ava; Chu, Annie Tsz-Wai

    2012-01-01

    Compared with western populations, Southern Chinese, especially those residing in Hong Kong, are experiencing increasing breast cancer incidence and also a younger onset of breast cancer. Combating this problem and treating young women with breast cancer poses specific challenges and complicated considerations. With reference to the postponement in the age of marriage and reproduction in modern societies, the issue of fertility after breast cancer, especially for high-risk young patients, is one significant quality of life concern that cannot be underestimated as a secondary medical topic. While the issue has its significance and is confronting front-line breast cancer care teams of different disciplines, related research is mostly on Caucasians. In cultures where the traditional expectation on women for child-bearing is still prominent, young breast cancer patients may endure significant distress over fertility options after breast cancer. There is a lack of related data on Asian breast cancer survivors at child-bearing age, which calls for a pressing need to encourage qualitative groundwork, case reports, and cohort experiences in hope for providing insight and arouse research interest. In order to provide a long-term comprehensive multidisciplinary management service with encouragement to encompass prospects for a positive future among young breast cancer survivors, relevant disciplines need to collaborate and work efficaciously together both on clinical and research aspects of cancer-related fertility issues. PMID:22994790

  14. Analysis, prediction, and case studies of early-age cracking in bridge decks

    NASA Astrophysics Data System (ADS)

    ElSafty, Adel; Graeff, Matthew K.; El-Gharib, Georges; Abdel-Mohti, Ahmed; Mike Jackson, N.

    2016-05-01

    Early-age cracking can adversely affect strength, serviceability, and durability of concrete bridge decks. Early age is defined as the period after final setting, during which concrete properties change rapidly. Many factors can cause early-age bridge deck cracking including temperature change, hydration, plastic shrinkage, autogenous shrinkage, and drying shrinkage. The cracking may also increase the effect of freeze and thaw cycles and may lead to corrosion of reinforcement. This research paper presents an analysis of causes and factors affecting early-age cracking. It also provides a tool developed to predict the likelihood and initiation of early-age cracking of concrete bridge decks. Understanding the concrete properties is essential so that the developed tool can accurately model the mechanisms contributing to the cracking of concrete bridge decks. The user interface of the implemented computer Excel program enables the user to input the properties of the concrete being monitored. The research study and the developed spreadsheet were used to comprehensively investigate the issue of concrete deck cracking. The spreadsheet is designed to be a user-friendly calculation tool for concrete mixture proportioning, temperature prediction, thermal analysis, and tensile cracking prediction. The study also provides review and makes recommendations on the deck cracking based mainly on the Florida Department of Transportation specifications and Structures Design Guidelines, and Bridge Design Manuals of other states. The results were also compared with that of other commercially available software programs that predict early-age cracking in concrete slabs, concrete pavement, and reinforced concrete bridge decks. The outcome of this study can identify a set of recommendations to limit the deck cracking problem and maintain a longer service life of bridges.

  15. Analysis, prediction, and case studies of early-age cracking in bridge decks

    NASA Astrophysics Data System (ADS)

    ElSafty, Adel; Graeff, Matthew K.; El-Gharib, Georges; Abdel-Mohti, Ahmed; Mike Jackson, N.

    2016-06-01

    Early-age cracking can adversely affect strength, serviceability, and durability of concrete bridge decks. Early age is defined as the period after final setting, during which concrete properties change rapidly. Many factors can cause early-age bridge deck cracking including temperature change, hydration, plastic shrinkage, autogenous shrinkage, and drying shrinkage. The cracking may also increase the effect of freeze and thaw cycles and may lead to corrosion of reinforcement. This research paper presents an analysis of causes and factors affecting early-age cracking. It also provides a tool developed to predict the likelihood and initiation of early-age cracking of concrete bridge decks. Understanding the concrete properties is essential so that the developed tool can accurately model the mechanisms contributing to the cracking of concrete bridge decks. The user interface of the implemented computer Excel program enables the user to input the properties of the concrete being monitored. The research study and the developed spreadsheet were used to comprehensively investigate the issue of concrete deck cracking. The spreadsheet is designed to be a user-friendly calculation tool for concrete mixture proportioning, temperature prediction, thermal analysis, and tensile cracking prediction. The study also provides review and makes recommendations on the deck cracking based mainly on the Florida Department of Transportation specifications and Structures Design Guidelines, and Bridge Design Manuals of other states. The results were also compared with that of other commercially available software programs that predict early-age cracking in concrete slabs, concrete pavement, and reinforced concrete bridge decks. The outcome of this study can identify a set of recommendations to limit the deck cracking problem and maintain a longer service life of bridges.

  16. The whole world had a case of the ice age shivers

    SciTech Connect

    Kerr, R.A.

    1993-12-24

    There is now worldwide evidence of short-term increases in the earth's temperature during the last ice ages. This evidence comes from South American glaciers, Antarctic ice cores, and sediment cores from the tropical oceans, as well as Greenland ice cores. Researcher are unsure of the causes of these fluctuations. Some speculate a means for transmitting a climate signal from the North Atlantic to the rest of the world, while others look to some shorter-term version of the orbital variations that pace the cycle of the ice ages.

  17. Definitions of fitness in age-structured populations: Comparison in the haploid case.

    PubMed

    Lessard, Sabin; Soares, Cintia

    2016-02-21

    Fisher's (1930) Fundamental Theorem of Natural Selection (FTNS), and in particular the development of an explicit age-structured version of the theorem, is of everlasting interest. In a recent paper, Grafen (2015a) argues that Fisher regarded his theorem as justifying individual rather than population fitness maximization. The argument relies on a new definition of fitness in age-structured populations in terms of individual birth and death rates and age-specific reproductive values in agreement with a principle of neutrality. The latter are frequency-dependent and defined without reference to genetic variation. In the same paper, it is shown that the rate of increase in the mean of the breeding values of fitness weighted by the reproductive values, but keeping the breeding values constant as in Price (1972) is equal to the additive genetic variance in fitness. Therefore, this partial change is obtained by keeping constant not only the genotypic birth and death rates but also the mean age-specific birth and death rates from which the age-specific reproductive values are defined. In this paper we reaffirm that the Malthusian parameter which measures the relative rate of increase or decrease in reproductive value of each genotype in a continuous-time age-structured population is the definition of fitness used in Fisher's (1930) FTNS. This is shown by considering an age-structured asexual haploid population with constant age-specific birth and death (or survival) parameters for each type. Although the original statement of the FTNS is for a diploid population, this simplified haploid model allows us to address the definition of fitness meant in this theorem without the complexities and effects of a changing genic environment. In this simplified framework, the rate of change in mean fitness in continuous time is expected to be exactly equal to the genetic variance in fitness (or to the genetic variance in fitness divided by the mean fitness in discrete time), which can

  18. Prospects for cosmic neutrino detection in tritium experiments in the case of hierarchical neutrino masses

    SciTech Connect

    Blennow, Mattias

    2008-06-01

    We discuss the effects of neutrino mixing and the neutrino mass hierarchy when considering the capture of the cosmic neutrino background (CNB) on radioactive nuclei. The implications of mixing and hierarchy at future generations of tritium decay experiments are considered. We find that the CNB should be detectable at these experiments provided that the resolution for the kinetic energy of the outgoing electron can be pushed to a few 0.01 eV for the scenario with inverted neutrino mass hierarchy, about an order of magnitude better than that of the upcoming KATRIN experiment. Another order of magnitude improvement is needed in the case of normal neutrino mass hierarchy. We also note that mixing effects generally make the prospects for CNB detection worse due to an increased maximum energy of the normal beta decay background.

  19. Living with semantic dementia: a case study of one family's experience.

    PubMed

    Kindell, Jacqueline; Sage, Karen; Wilkinson, Ray; Keady, John

    2014-03-01

    Semantic dementia is a variant of frontotemporal dementia and is a recently recognized diagnostic condition. There has been some research quantitatively examining care partner stress and burden in frontotemporal dementia. There are, however, few studies exploring the subjective experiences of family members caring for those with frontotemporal dementia. Increased knowledge of such experiences would allow service providers to tailor intervention, support, and information better. We used a case study design, with thematic narrative analysis applied to interview data, to describe the experiences of a wife and son caring for a husband/father with semantic dementia. Using this approach, we identified four themes: (a) living with routines, (b) policing and protecting, (c) making connections, and (d) being adaptive and flexible. Each of these themes were shared and extended, with the importance of routines in everyday life highlighted. The implications for policy, practice, and research are discussed. PMID:24532121

  20. Case Studies Behavior Modification.

    ERIC Educational Resources Information Center

    Wark, David M.

    The case histories of five students enrolled in a university course in how to study are reported. The students ranged in age from 18 to 35, included two males and three females, and varied in school experience from no college in one case and some college in two cases to college degrees in two cases. Students were initially taught to chart their…

  1. Motivation to Learn English and Age Differences: The Case of Chinese Immigrants

    ERIC Educational Resources Information Center

    Wong, Ruth M. H.

    2008-01-01

    Numerous studies have been carried out to investigate motivation; however, limited research has been done to evaluate how age differences have an impact on the second language learning pattern. This study, therefore, investigated how gender differences place impact on a group of Chinese immigrant students' motivation to learn English. It is hoped…

  2. A Case for Early Learning: An Invitational Environment for Children, Ages 3 - 6.

    ERIC Educational Resources Information Center

    Randazzo, Joseph D.

    The challenges facing education today, in particular the educational programs for children aged 3 to 6, are found to be many and varied, with the failures in urban settings pointing up the need for different and responsive learning environments. In the development of alternatives to current conditions in the schools today, the following are…

  3. The Knowledge Institutions in the Information Age. The Special Case of the Public Library.

    ERIC Educational Resources Information Center

    Molz, R. Kathleen

    This essay explores the somewhat uneven course of the public library as a knowledge institution in America and its relevance during the current information age, particularly in the United States, where there is a basic connection between access to knowledge and the political system. The public library situation is considered in terms of the…

  4. Celestial Symbolism in Central European Later Prehistory - Case Studies from the Bronze Age Carpathian Basin

    NASA Astrophysics Data System (ADS)

    Pásztor, Emília

    It is commonly held that the sun played a particularly important cultural role in later prehistoric Europe. The rise of a general European sun cult has even been suggested for the Bronze Age. During this period, the increasing use of special symbols assumed to represent the sun is easily discernible on different types of archaeological finds.

  5. Preschool Age Children, Divorce and Adjustment: A Case Study in Greek Kindergarten

    ERIC Educational Resources Information Center

    Babalis, Thomas; Xanthakou, Yiota; Papa, Christina; Tsolou, Olympia

    2011-01-01

    Introduction: The aim of this research, which was carried out in 2010, is the comparative study of the psychosocial adjustment of preschool children from divorced and nuclear families in the nursery school. Method: The sample of the study consisted of 60 students (mean age = 5.21), 30 preschool children of divorced parents and 30 preschool…

  6. Reconstructing merger timelines using star cluster age distributions: the case of MCG+08-11-002

    NASA Astrophysics Data System (ADS)

    Davies, Rebecca L.; Medling, Anne M.; U, Vivian; Max, Claire E.; Sanders, David; Kewley, Lisa J.

    2016-05-01

    We present near-infrared imaging and integral field spectroscopy of the centre of the dusty luminous infrared galaxy merger MCG+08-11-002, taken using the Near InfraRed Camera 2 (NIRC2) and the OH-Suppressing InfraRed Imaging Spectrograph (OSIRIS) on Keck II. We achieve a spatial resolution of ˜25 pc in the K band, allowing us to resolve 41 star clusters in the NIRC2 images. We calculate the ages of 22/25 star clusters within the OSIRIS field using the equivalent widths of the CO 2.3 μm absorption feature and the Br γ nebular emission line. The star cluster age distribution has a clear peak at ages ≲ 20 Myr, indicative of current starburst activity associated with the final coalescence of the progenitor galaxies. There is a possible second peak at ˜65 Myr which may be a product of the previous close passage of the galaxy nuclei. We fit single and double starburst models to the star cluster age distribution and use Monte Carlo sampling combined with two-sided Kolmogorov-Smirnov tests to calculate the probability that the observed data are drawn from each of the best-fitting distributions. There is a >90 per cent chance that the data are drawn from either a single or double starburst star formation history, but stochastic sampling prevents us from distinguishing between the two scenarios. Our analysis of MCG+08-11-002 indicates that star cluster age distributions provide valuable insights into the timelines of galaxy interactions and may therefore play an important role in the future development of precise merger stage classification systems.

  7. We Still Have a Lot to Learn: Learning Experiences of Individuals Age 80 and Older in Care Facilities in a Midwestern State

    ERIC Educational Resources Information Center

    Grebert, Sheila

    2012-01-01

    This qualitative study focused on the learning experiences of individuals, age 80 and older, in care facilities in a Midwestern state. Even with the well documented growth of the over age 85 demographic, there are few studies about learning that included this demographic or considered the wants and needs of this group. Using a phenomenological…

  8. Qualitative case studies of five cochlear implant recipients' experience with music.

    PubMed

    Bartel, Lee R; Greenberg, Simon; Friesen, Lendra M; Ostroff, Jodi; Bodmer, Daniel; Shipp, David; Chen, Joseph M

    2011-02-01

    Cochlear implantation has revolutionized the management of those who suffer from severe-to-profound hearing loss because many patients now achieve excellent speech understanding with objective testing. Nevertheless, speech understanding in noisy conditions and music appreciation remain significant challenges to cochlear implant (CI) users. Music appreciation is an extremely complex experience that is difficult to quantify through a conventional outcome study. This paper aims at documenting the experience of five CI patients with regard to music appreciation using qualitative techniques. This information was obtained through a semi-structured interview process. The interviews were then transcribed and analysed using a constant comparative method of qualitative description. The results together with medical case records were used to identify emerging themes. The common themes that evolved were: musical background, the experience of receiving the implant, current experience with music, attention, musical prediction ability, internal hearing, hedonic vs. critical listening, determination, and timbre perception. By documenting their experiences in this manner, novel insights into the patient perspective are provided that are unique to the literature. These descriptions will aid clinicians and researchers who work in the area of cochlear implantation to better understand the needs of their patients. PMID:21756456

  9. Experiences of patients undergoing anti-VEGF treatment for neovascular age-related macular degeneration: a systematic review.

    PubMed

    Boyle, Jessica; Vukicevic, Meri; Koklanis, Konstandina; Itsiopoulos, Catherine

    2015-01-01

    Current therapy to slow disease progression in patients with neovascular age-related macular degeneration (AMD) often entails intra-vitreal injection of an anti-vascular endothelial growth factor (VEGF) agent, that begins with a three-month loading phase of four weekly injections followed by regular monthly visits with clinician-determined re-treatment. The effects of AMD on quality of life and visual function have been extensively reported in the literature, however, less is known about the burden imposed on patients by the arduous and often indefinite treatment schedule which habitually follows a diagnosis of wet AMD. To date, no systematic review has been conducted of research investigating patients' experiences of anti-VEGF treatment for AMD. A systematic search of the Embase, Medline, PsycINFO and PubMed electronic databases was undertaken to identify all studies between January 2004 and December 2013, published in the English language and involving human participants. A hand-search of an additional four journals was conducted. Ten articles were identified for inclusion in this review. A critical appraisal was undertaken using the Critical Appraisal Skills Programme Qualitative Research Checklist and the results synthesised to form a narrative review. Few studies to date have investigated patients' experiences of treatment for AMD. These studies have focused primarily on patients' experiences of the injection procedure with respect to pain and anxiety. Anticipated discomfort is often greater than actual discomfort experienced during intra-vitreal injection. However, different stages of the treatment procedure produce varying levels of patient discomfort. No one method of anaesthesia has consistently been shown to be more effective in reducing discomfort associated with treatment. Common reasons underlying patient apprehension surrounding treatment include the thought of having an injection, fear of losing eyesight and fear of the unknown. Whilst these studies

  10. Molecular ageing: Free radical initiated epimerization of thymopentin - A case study

    NASA Astrophysics Data System (ADS)

    Sheykhkarimli, Dayag; Choo, Ken-Loon; Owen, Michael; Fiser, Béla; Jójárt, Balázs; Csizmadia, Imre G.; Viskolcz, Béla

    2014-05-01

    The epimerization of amino acid residues increases with age in living organisms. In the present study, the structural consequences and thermodynamic functions of the epimerization of thymopentin (TP-5), the active site of the thymic hormone thymopoietin, were studied using molecular dynamics and density functional theory methods. The results show that free radical-initiated D-amino acid formation is energetically favoured (-130 kJmol-1) for each residue and induces significant changes to the peptide structure. In comparison to the wild-type (each residue in the L-configuration), the radius of gyration of the D-Asp3 epimer of the peptide decreased by 0.5 Å, and disrupted the intramolecular hydrogen bonding of the native peptide. Beyond establishing important structural, energetic and thermodynamic benchmarks and reference data for the structure of TP-5, these results disseminate the understanding of molecular ageing, the epimerization of amino acid residues.

  11. Molecular ageing: Free radical initiated epimerization of thymopentin – A case study

    SciTech Connect

    Sheykhkarimli, Dayag; Choo, Ken-Loon; Owen, Michael; Csizmadia, Imre G.; Fiser, Béla; Jójárt, Balázs; Viskolcz, Béla

    2014-05-28

    The epimerization of amino acid residues increases with age in living organisms. In the present study, the structural consequences and thermodynamic functions of the epimerization of thymopentin (TP-5), the active site of the thymic hormone thymopoietin, were studied using molecular dynamics and density functional theory methods. The results show that free radical-initiated D-amino acid formation is energetically favoured (−130 kJmol{sup −1}) for each residue and induces significant changes to the peptide structure. In comparison to the wild-type (each residue in the L-configuration), the radius of gyration of the D-Asp{sup 3} epimer of the peptide decreased by 0.5 Å, and disrupted the intramolecular hydrogen bonding of the native peptide. Beyond establishing important structural, energetic and thermodynamic benchmarks and reference data for the structure of TP-5, these results disseminate the understanding of molecular ageing, the epimerization of amino acid residues.

  12. Measuring the performance of electronic health records: a case study in residential aged care in Australia.

    PubMed

    Yu, Ping; Qian, Siyu; Yu, Hui; Lei, Jianbo

    2013-01-01

    Measuring the performance of electronic health records (EHR) is an important, yet un-resolved challenge. Various measurements have addressed different aspects of EHR success, yet a holistic, comprehensive measurement tool needs to be developed to capture the potential EHR success variables completely. A self-administered questionnaire survey instrument was developed based on the theoretical framework of the DeLone and McLean Information Systems Success Model. It measures nigh variables of EHR success: system quality, information quality, service quality, training, self efficacy, intention to use, use, user satisfaction and net benefits. The instrument was used to measure the performance of aged care EHR systems in three aged care organizations. The results suggest that the instrument was reliable. PMID:23920809

  13. Age, transvestism, bondage, and concurrent paraphilic activities in 117 fatal cases of autoerotic asphyxia.

    PubMed

    Blanchard, R; Hucker, S J

    1991-09-01

    Autoerotic asphyxia is the practice of self-inducing cerebral anoxia, usually by hanging, strangulation, or suffocation, during masturbation. This study investigated the relationships between: asphyxiators' ages; two paraphilias commonly accompanying autoerotic asphyxia, bondage and transvestism; and various other types of simultaneous sexual behaviour. Subjects were two concurrent series totalling 117 males aged 10-56 who died accidentally during autoerotic asphyxial activities. Data concerning sexual paraphernalia at the scene of death or among the deceased's effects were extracted from coronors' files using standardised protocols. Anal self-stimulation with dildos, etc., and self-observation with mirrors or cameras were correlated with transvestism. Older asphyxiators were more likely to have been simultaneously engaged in bondage or transvestism, suggesting elaboration of the masturbatory ritual over time. The greatest degree of transvestism was associated with intermediate rather than high levels of bondage, suggesting that response competition from bondage may limit asphyxiators' involvement in a third paraphilia like transvestism. PMID:1958948

  14. One teacher's experience interpreting and enacting a new science curriculum framework: An ethnographic case study

    NASA Astrophysics Data System (ADS)

    Burrows, Betsy Denton

    What experiences does a teacher have when interpreting and enacting curriculum frameworks and national and state standards? What does a teacher think about as she moves between the text of the written curriculum framework, her own particular experiences, and the context of a classroom? What are the negotiations that a teacher makes as she adopts and adapts curriculum policy for her own classroom? The purpose of this ethnographic case study was to explore these questions in the context of an eighth-grade science class as the teacher interpreted and enacted a new inquiry-based, constructivist curriculum framework. This yearlong study employed qualitative methods of data collection including open-ended interviews, classroom observations, guiding conversations (Cole & Knowles, 2001) and cogenerative dialogues and reflections (Roth & Tobin, 2005) with the teacher, and analysis of classroom artifacts. Constant comparative analysis and narrative analysis were used to analyze data and produce a narrative truth that emphasized verisimilitude or truthlike observations in order to capture one teacher's classroom experiences and advance an empathic form of understanding so the reader could experience the teacher's world. Reflections upon the teacher's story at the conclusion of this study suggest the following educational policy changes and areas of further study: (1) the need for more professional learning experiences for both preservice and practicing teachers that help them construct an understanding of the theoretical frameworks that underlie the curriculum they are enacting, (2) the need for more research, particularly qualitative case studies, describing learning communities in schools and constructivist leaders who have successfully facilitated authentic professional development, (3) the need for curriculum developers to address the pressing issue of depth vs. breadth in curriculum reform, and (4) the need for more studies that show how teachers adapt and improvise

  15. Case report: Taiwan's experience in adopting IHE technical framework to integrate systems.

    PubMed

    Lian, Jenn-Dong; Lin, I-Chun; Wu, Hsiang-Chin

    2006-01-01

    Though more and more hospitals adopt PACS in Taiwan, they all meet the same problem of system integration. The Integrating the Healthcare Enterprise (IHE) association proposes an integrated technical framework and process profiles to solve problems of heterogeneous system integration in medical environment for information sharing. Therefore, this paper reports the experience of a case hospital that successfully applied IHE framework to integrate its HIS, RIS and PACS in Taiwan. This paper indicates that using the IHE can help evaluate the integration ability of PACS vendors, enhance staff's ability, shorten the PACS implementation time, reduce the cost, and reserve system's expansibility. The case hospital was able to successfully implement it's PACS because of executive's full support, using the standard, and providing complete training to reduce user's resistance. This paper not only shares the experiences of IHE adoption of a case hospital but also summarizes key factors to implement PACS successfully. Again, this paper confirms that standard is helpful to integrate heterogeneous system. PMID:17102437

  16. Older adults' experiences of living with cleft lip and palate: a qualitative study exploring aging and appearance.

    PubMed

    Hamlet, Claire; Harcourt, Diana

    2015-03-01

    Objective : To explore older adults' experiences of living with cleft lip and/or palate (CL/P), focusing on aging and appearance. Design : An exploratory-descriptive qualitative study. Participants : Individual semi-structured interviews (five via telephone, one face-to-face) conducted with six adults between the ages of 57 and 82 years. Results : Interview transcripts were analyzed using interpretative phenomenological analysis, which resulted in five themes: cleft across the life span, keeping up appearances, being one of a kind, resilience and protection, and cleft in an ever-changing society. A CL/P had an ongoing impact on participants' lives, although its relevance shifted over time and some aspects of life (e.g., romantic relationships, decisions about having children of their own) were particularly affected. Participants seemed at ease living with CL/P as an older adult and considered it an important aspect of their identity, yet they still described feeling isolated at times and had little contact with other people with a cleft. They felt that health care could be more considerate to the needs of older people with a cleft, particularly around dentistry and information provision. Participants thought societal attitudes toward visible differences had changed over the years, but not necessarily for the better. A paradox was evident between reports of being noticed by others because of their cleft and simultaneously feeling invisible or ignored because of their age. Conclusions : These findings have implications for provision of care for older adults with a CL/P and for younger people with a CL/P who will be the older generation of the future. PMID:24853484

  17. Experiences of Women Who Underwent Predictive BRCA 1/2 Mutation Testing Before the Age of 30.

    PubMed

    Brunstrom, Kate; Murray, Alexandra; McAllister, Marion

    2016-02-01

    This qualitative interview study focuses on the experiences of a sample of British female BRCA 1/2 carriers who had predictive testing before the age of 30, which is the minimum age for breast screening in the UK. Following appropriate informed consent procedures participants were recruited through the Cancer Genetics Service for Wales. Semi-structured interviews were conducted face-to-face with seven participants, transcribed in full and analyzed using thematic analysis. The motives for testing and perceived advantages described by participants were similar to those identified in previous studies with older participants, such as increased awareness and knowledge and feeling more in control. However some of the perceived disadvantages were specific to younger women, including feeling pressured to make important life decisions earlier than they would have liked, such as about family planning and risk reducing surgery. Participants also reported feeling abandoned or forgotten because of lack of ongoing clinical contact, or feeling "stuck waiting" for screening to begin. However, none felt that these disadvantages were a reason to regret having testing. Findings in this small study suggest that having BRCA 1/2 predictive testing can have positive outcomes for young women even though they may be unable to access interventions such as breast screening. However it may be helpful to encourage young women during pre-test counseling to explore the decisions and choices they may face. These young women could benefit from ongoing support and follow up and increased interaction with healthcare professionals. PMID:25983051

  18. Hormesis-based anti-aging products: a case study of a novel cosmetic.

    PubMed

    Rattan, Suresh I S; Kryzch, Valérie; Schnebert, Sylvianne; Perrier, Eric; Nizard, Carine

    2013-01-01

    Application of hormesis in aging research and interventions is becoming increasingly attractive and successful. The reason for this is the realization that mild stress-induced activation of one or more stress response (SR) pathways, and its consequent stimulation of repair mechanisms, is effective in reducing the age-related accumulation of molecular damage. For example, repeated heat stress-induced synthesis of heat shock proteins has been shown to have a variety of anti-aging effects on growth and other cellular and biochemical characteristics of normal human skin fibroblasts, keratinocytes and endothelial cells undergoing aging in vitro. Therefore, searching for potential hormetins - conditions and compounds eliciting SR-mediated hormesis - is drawing attention of not only the researchers but also the industry involved in developing healthcare products, including nutriceuticals, functional foods and cosmeceuticals. Here we present the example of a skin care cosmetic as one of the first successful product developments incorporating the ideas of hormesis. This was based on the studies to analyse the molecular effects of active ingredients extracted from the roots of the Chinese herb Sanchi (Panax notoginseng) on gene expression at the level of mRNAs and proteins in human skin cells. The results showed that the ginsenosides extracted from Sanchi induced the transcription of stress genes and increased the synthesis of stress proteins, especially the heat shock protein HSP1A1 or Hsp70, in normal human keratinocytes and dermal fibroblasts. Furthermore, this extract also has significant positive effects against facial wrinkles and other symptoms of facial skin aging as tested clinically, which may be due to its hormetic mode of action by stress-induced synthesis of chaperones involved in protein repair and removal of abnormal proteins. Acceptance of such a hormesis-based product by the wider public could be instrumental in the social recognition of the concept of

  19. Perceptions of Victims and Perpetrators in a Depicted Child Sexual Abuse Case: Gender and Age Factors

    ERIC Educational Resources Information Center

    Rogers, Paul; Davies, Michelle

    2007-01-01

    This study investigated the roles of respondent, perpetrator, and victim gender on attributions toward a 10- or 15-year-old victim and an adult perpetrator in a hypothetical sexual abuse case. It was predicted (a) that female respondents would be more provictim and antiperpetrator than men, (b) that 10-year-old victims would be deemed more…

  20. Twin pregnancy after intracytoplasmic sperm injection in woman aged 49 using autologous oocytes by mild ovarian stimulation: a case report

    PubMed Central

    Yan, Guimin; Xie, Xiaodong; Wang, Yanqiu; Shi, Lihong; Zhou, Wei; Liu, Yingling; Tong, Xiaowen; Ji, Yazhong

    2015-01-01

    There were few reports about infertile women aged 45 and above undergoing IVF/ICSI. We are reporting the case of an aged 49 woman who delivered the twins after ICSI using autologous oocytes by mild ovarian stimulation. The patient who presented with 26-year primary infertility was caused by double fallopian tubes obstruction and man oligoasthenozoospermia. We gave her the treatment with mild ovarian stimulation cycle of clomiphene citrate (CC) and follicle stimulating hormone (FSH) undergoing ICSI, and transferred two fertilization-blastocysts. The outcome measured was the live birth. The twins were delivered by cesarean section operation at 37 pregnancy weeks for the moderate pregnancy-induced hypertension. Our study showed that the successof advanced agewomen undergoing ART was feasible to some extent, while, the accompanied risk of pregnancy complications and other issues need to be further evaluated. PMID:26885131

  1. [Surgical treatment of priapism: experience of 56 cases in an African setting].

    PubMed

    Falandry, L; Berlizot, P; Fournier, R; Mechali, P; Thuret, R; Palascak, R; Houlgatte, A

    2000-01-01

    Since priapism is uncommon, treatment is controversial and difficult. In this article we describe a practical, well-documented approach for management of priapism in countries with a high incidence of sickle cell disease. This approach is based on our experience including a total of 56 black patients (49 adults and 7 children) as well as on the results reported in the literature. The patients in our series were examined and treated by the same physician over an 18 year period in various African countries, i.e., Burkina (n = 8), Chad (n = 12), Gabon (n = 19), and Niger (n = 17). Etiologies and pathophysiology are reviewed. In all cases, surgical treatment involved diversion from corpora cavernosa. In the 51 cases with follow-up periods of 3 months or longer, results were considered as excellent in 17 cases (33 p. 100), partial in 5 (9.8 p. 100), and unsuccessful in 29 (56.8). Since 1984, needle drainage with a unilateral transglandular cavernosal-spongiosum shunt based on the technique described by Al Ghorab's has led to better results with immediate detumescence in 80 p. 100 of cases and a long-term success rate of 52 p. 100 (13/25 cases with sufficient follow-up). Except in cases involving sickle cell anemia in which concomitant medical treatment of priapism can be useful, immediate surgical treatment is the only technique effective in avoiding secondary impotence, which was common in our series (58.6). Our p. 100 needle drainage technique appears to be the method of choice for simplified achievement of a unilateral transglandular cavernosal-spongiosum shunt. PMID:10989793

  2. Continuity, Change and Mature Musical Identity Construction: Using "Rivers of Musical Experience" to Trace the Musical Lives of Six Mature-Age Keyboard Players

    ERIC Educational Resources Information Center

    Taylor, Angela

    2011-01-01

    "Rivers of Musical Experience" were used as a research tool to explore the wide range of musical experiences and concomitant identity construction that six amateur keyboard players over the age of 55 brought to their learning as mature adults. It appears that significant changes in their lives acted as triggers for them to engage in musical…

  3. Education Project Management in the Information Age: The Case of the Kimberley Thusanang Project

    ERIC Educational Resources Information Center

    Harvey, Stephen

    2004-01-01

    This article reports on the experiences of the Kimberley Thusanang Project (KTP). It proposes that the project's use of a database system as a management tool represents a significant development in the design of effective education projects in South Africa. The article describes how this system assists project management in overcoming two key…

  4. Who Should Report Abnormal Behavior at Preschool Age? The Case of Behavioral Inhibition

    ERIC Educational Resources Information Center

    Ballespi, Sergi; Jane, Ma Claustre; Riba, Ma Dolors

    2012-01-01

    Children who are behaviorally "inhibited"--a condition at the extreme of the behavioral inhibition dimension--experience distress in uncertain social situations. Although parents and teachers are in the best position to detect this condition, they rarely agree. This study aims to analyze the agreement between parents and teachers and to examine…

  5. Ensemble streamflow forecasting experiments in a tropical basin: The São Francisco river case study

    NASA Astrophysics Data System (ADS)

    Fan, Fernando Mainardi; Collischonn, Walter; Meller, Adalberto; Botelho, Luiz César Mendes

    2014-11-01

    The present study shows experiments of ensemble forecasting applied to a large tropical river basin, where such forecasting methodologies have many potential applications. The case study is the Três Marias hydroelectric power plant basin (Brazil), on the São Francisco river, where forecast results are particularly important for reservoir operation and downstream flood control. Results showed some benefits in the use of ensembles, particularly for the reservoir inflow on flooding events, and in comparison to the deterministic values given by the control member of the ensemble and by the ensemble mean. The study also discusses the improvements that must be tested and implemented in order to achieve better results, what is particularly important for the smaller basins within the study case. Despite the necessary improvements mentioned, the results suggest that benefits can result from the application of ensemble forecasts for hydropower plants with large basins within the Brazilian energy system.

  6. Recent regulatory experience of low-Btu coal gasification. Volume III. Supporting case studies

    SciTech Connect

    Ackerman, E.; Hart, D.; Lethi, M.; Park, W.; Rifkin, S.

    1980-02-01

    The MITRE Corporation conducted a five-month study for the Office of Resource Applications in the Department of Energy on the regulatory requirements of low-Btu coal gasification. During this study, MITRE interviewed representatives of five current low-Btu coal gasification projects and regulatory agencies in five states. From these interviews, MITRE has sought the experience of current low-Btu coal gasification users in order to recommend actions to improve the regulatory process. This report is the third of three volumes. It contains the results of interviews conducted for each of the case studies. Volume 1 of the report contains the analysis of the case studies and recommendations to potential industrial users of low-Btu coal gasification. Volume 2 contains recommendations to regulatory agencies.

  7. Structural control sensors for CASES. [Control, Astrophysics and Structures Experiment in Space

    NASA Technical Reports Server (NTRS)

    Davis, Hugh W.; Sharkey, John P.; Carrington, Connie K.

    1990-01-01

    The Remote Attitude Measurement Sensor (RAMS) is currently baselined to meet two important sensor needs for CASES (Control, Astrophysics and Structures Experiment in Space). First, as a tip displacement sensor, RAMS is designed to provide accurate knowledge of the position and orientation of the boom tip assembly. Secondly, as a boom motion tracker, it is designed to monitor 43 reflective targets which are distributed along the length of the boom and provide displacment information for post facto processing. The design and operation of RAMS as these two types of sesnors are described, and attention is given to how RAMS interfaces with the CASES closed-loop control system and how systems identification is accommodated.

  8. Age and seasonal effects on predator-sensitive foraging in squirrel monkeys (Saimiri sciureus): a field experiment.

    PubMed

    Stone, Anita I

    2007-02-01

    A field experiment was conducted to examine the effect of perceived predation risk on the use of foraging areas by juvenile and adult primates under different conditions of local food abundance. Wild squirrel monkeys, Saimiri sciureus, were observed in an experiment conducted during the dry and the wet seasons at a site in Eastern Amazonia, Brazil. Animals were presented with feeding platforms that differed in food quantity and exposure to aerial predators through varying vegetative cover. In the dry season, juveniles and adults chose platforms based solely on food quantity. However, in the wet season, juveniles foraged preferentially on high-reward platforms only if cover level also was high (i.e., potentially offered greater concealment from predators). In contrast, adults showed the same pattern of platform use regardless of season. These results indicate that age and local resource availability based on seasonality affect whether primates forage in a predator-sensitive manner. Juveniles may be more sensitive to predation risk when foraging, and individuals may take fewer risks when resource abundance is high in their environment. PMID:17154385

  9. Toward Mass Customization in the Age of Information: The Case for Open Engineering Systems

    NASA Technical Reports Server (NTRS)

    Simpson, Timothy W.; Lautenschlager, Uwe; Mistree, Farrokh

    1997-01-01

    In the Industrial Era, manufacturers used "dedicated" engineering systems to mass produce their products. In today's increasingly competitive markets, the trend is toward mass customization, something that becomes increasingly feasible when modern information technologies are used to create open engineering systems. Our focus is on how designers can provide enhanced product flexibility and variety (if not fully customized products) through the development of open engineering systems. After presenting several industrial examples, we anchor our new systems philosophy with two real engineering applications. We believe that manufacturers who adopt open systems will achieve competitive advantage in the Information Age.

  10. Experiment.com's first $1M - case studies and trends in online scientific crowdfunding

    NASA Astrophysics Data System (ADS)

    Luan, D.

    2014-12-01

    Experiment is an online platform for connecting scientists and communities of online donors. After funding nearly 200 projects in topic areas ranging from life science to social science, we've amassed some knowledge about how science is kickstarted. As online crowdfunding and science communication on the internet continues to grow, we'd like to share some historical data as well as forecast the future of science funding. We'd like to present several successful case studies of scientists conducting their research online and in the open. Successful projects include spin-off startups, undergraduate and graduate student projects, and some of AGU's own scientists and faculty. If this absract is accepted, interested parties can submit questions or requests for figures in advance to denny@experiment.com. Also, we hope this talk will be entertaining.

  11. The Stateville penitentiary malaria experiments: a case study in retrospective ethical assessment.

    PubMed

    Miller, Franklin G

    2013-01-01

    During World War II, malaria research was conducted in prisons. A notable example was the experiments at Stateville Penitentiary in Illinois, in which prisoner-subjects were infected with malaria for the purpose of testing the safety and efficacy of novel anti-malaria drugs. Over time, commentators have shifted from viewing the malaria research at Stateville as a model of ethical clinical research to seeing the experiments as paradigmatic of abusive human experimentation. This essay undertakes a retrospective ethical assessment of the Stateville malaria research during the 1940s in light of basic ethical principles and the Nuremberg Code, as well as contemporary malaria research. In addition to its historical interest, this case study provides a rich context for addressing basic issues of research ethics, including the voluntariness of consent, the justification of risks, and the exploitation of vulnerable subjects. PMID:24769747

  12. Clinical case reviews in multiple sclerosis spasticity: experiences from around Europe.

    PubMed

    Koehler, Jürgen; Amato, Maria P; Oreja-Guevara, Celia; Lycke, Jan

    2013-12-01

    Spasticity is one of the main symptoms associated with multiple sclerosis (MS). Epidemiological studies indicate that approximately two-thirds of MS patients experience spasticity and, in a relevant proportion of this group, spasticity is moderate to severe. Yet, spasticity remains largely undertreated. The most commonly used oral antispasticity agents (e.g., baclofen, tizanidine, gabapentin) generally do not reduce spasticity adequately at dosages that are well tolerated by patients. This review of MS spasticity cases from around Europe presents current knowledge of considerations for administration of a new agent (tetrahydrocannabinol/cannabidiol-based nabiximols [Sativex®] oromucosal spray) for management of MS spasticity, with the aim of ensuring appropriate and optimal use for best outcomes. Assessment of the European clinical experience is intended to provide a better understanding of the prescribing regulations for MS spasticity treatments, facilitate identification of suitable candidate patients for Sativex and increase awareness of alternative management approaches for MS-related spasticity. PMID:24289846

  13. Structured storage in ATLAS Distributed Data Management: use cases and experiences

    NASA Astrophysics Data System (ADS)

    Lassnig, Mario; Garonne, Vincent; Molfetas, Angelos; Beermann, Thomas; Dimitrov, Gancho; Canali, Luca; Zang, Donal; Azzurra Chinzer, Lisa

    2012-12-01

    The distributed data management system of the high-energy physics experiment ATLAS has a critical dependency on the Oracle Relational Database Management System. Recently however, the increased appearance of data warehouselike workload in the experiment has put considerable and increasing strain on the Oracle database. In particular, the analysis of archived data, and the aggregation of data for summary purposes has been especially demanding. For this reason, structured storage systems were evaluated to offload the Oracle database, and to handle processing of data in a non-transactional way. This includes distributed file systems like HDFS that support parallel execution of computational tasks on distributed data, as well as non-relational databases like HBase, Cassandra, or MongoDB. In this paper, the most important analysis and aggregation use cases of the data management system are presented, and how structured storage systems were established to process them.

  14. Optimization of surface plasmon resonance experiments: Case of high mobility group box 1 (HMGB1) interactions.

    PubMed

    Anggayasti, Wresti L; Mancera, Ricardo L; Bottomley, Steven; Helmerhorst, Erik

    2016-04-15

    Surface plasmon resonance (SPR) is a powerful technique for evaluating protein-protein interactions in real time. However, inappropriately optimized experiments can often lead to problems in the interpretation of data, leading to unreliable kinetic constants and binding models. Optimization of SPR experiments involving "sticky" proteins, or proteins that tend to aggregate, represents a typical scenario where it is important to minimize errors in the data and the kinetic analysis of those data. This is the case of High Mobility Group Box 1 and the receptor of advanced glycation end products. A number of improvements in protein purification, buffer composition, immobilization conditions, and the choice of flow rate are shown to result in substantial improvements in the accurate characterization of the interactions of these proteins and the derivation of the corresponding kinetic constants. PMID:26869083

  15. Cochlear implantation in Cockayne syndrome: our experience of two cases with different outcomes.

    PubMed

    Morris, David P; Alian, Wael; Maessen, Heather; Creaser, Cathy; Demmons-O'Brien, Stephanie; Van Wijhe, Rene; Bance, Manohar

    2007-05-01

    Cockayne syndrome is a rare autosomal recessive defect in DNA repair resulting in a classic facies with potential visual and auditory impairment. The hearing loss begins peripherally and may become central as the condition progresses. Coexisting sensory deprivation from visual impairment and the possibility of progressive deterioration in mental function conspire with a lack of published experience to produce many challenges for the cochlear implant team. To the best of our knowledge, we present the first case reports with documented follow-up of cochlear implantation in two patients with different manifestations of Cockayne syndrome. PMID:17473700

  16. In situ vitrification and the effects of soil additives; A mixture experiment case study

    SciTech Connect

    Piepel, G.F.; Shade, J.W. )

    1992-01-01

    This paper presents a case study involving in situ vitrification (ISV), a process for immobilizing chemical or nuclear wastes in soil by melting-dissolving the contaminated soil into a glass block. One goal of the study was to investigate how viscosity and electrical conductivity were affected by mixing CaO and Na{sub 2}O with soil. A three-component constrained-region mixture experiment design was generated and the viscosity and electrical conductivity data collected. Several second-order mixture models were considered, and the Box-Cox transformation technique was applied to select property transformations. The fitted models were used to produce contour and component effects plots.

  17. Spontaneous uterine rupture after abdominal myomectomy at the gestational age of 20 weeks in pregnancy: A case report

    PubMed Central

    Pakniat, Hamideh; Soofizadeh, Nasrin; Khezri, Marzieh Beigom

    2016-01-01

    Background: Uterine rupture in pregnancy is rare and often could be life threatening and catastrophic. Myomectomy is one of very common surgeries in gynecology, performed as the vaginal, abdominal and laparoscopic surgeries. Pregnancies occured after abdominal and laparoscopic myomectomy are high risk for uterine rapture. Case: Patient was a 28 Years old female, pregnant woman at the 20 wks of gestational age with abdominal pain and a history of abdominal myomectomy 6 yrs ago. Uterus was ruptured and fetus in amniotic sac was found in abdominal cavity. Conclusion: Early diagnosis of uterine rupture after myomectomy can save patients from death. PMID:27525334

  18. Spondylolisthesis in an Etruscan woman from Spina (Ferrara, Italy): an iron age case report.

    PubMed

    Manzon, Vanessa Samantha; Onisto, Nicoletta; Gualdi-Russo, Emanuela

    2014-06-01

    Spondylolisthesis consists of the slippage of a vertebra in relation to the one beneath. It is caused by separation of the neural arch from the vertebral body (spondylolysis), and predominantly occurs at the isthmus (pars interarticularis). Originally thought to be a congenital anomaly, its strict correlation with certain activities that seem to exert stress on lower spine was later demonstrated. This paper describes a case of progression of spondylolysis to spondylolisthesis found on an adult female skeleton from the Etruscan necropolis of Spina (Ferrara, Italy). The case in question was identified among 209 skeletons exhumed at Spina. As spondylolisthesis is strictly connected with activities that exert stress on lower spine, the evidence suggests that this woman was engaged in stressful physical activity, perhaps related to the specific trade function of the site. PMID:25145016

  19. The Role of Patients’ Age on Their Preferences for Choosing Additional Blood Pressure-Lowering Drugs: A Discrete Choice Experiment in Patients with Diabetes

    PubMed Central

    de Vries, Sieta T.; de Vries, Folgerdiena M.; Dekker, Thijs; Haaijer-Ruskamp, Flora M.; de Zeeuw, Dick; Ranchor, Adelita V.; Denig, Petra

    2015-01-01

    Objectives To assess whether patients’ willingness to add a blood pressure-lowering drug and the importance they attach to specific treatment characteristics differ among age groups in patients with type 2 diabetes. Materials and Methods Patients being prescribed at least an oral glucose-lowering and a blood pressure-lowering drug completed a questionnaire including a discrete choice experiment. This experiment contained choice sets with hypothetical blood pressure-lowering drugs and a no additional drug alternative, which differed in their characteristics (i.e. effects and intake moments). Differences in willingness to add a drug were compared between patients <75 years (non-aged) and ≥75 years (aged) using Pearson χ2-tests. Multinomial logit models were used to assess and compare the importance attached to the characteristics. Results Of the 161 patients who completed the questionnaire, 151 (72%) could be included in the analyses (mean age 68 years; 42% female). Aged patients were less willing to add a drug than non-aged patients (67% versus 84% respectively; P = 0.017). In both age groups, the effect on blood pressure was most important for choosing a drug, followed by the risk of adverse drug events and the risk of death. The effect on limitations due to stroke was only significant in the non-aged group. The effect on blood pressure was slightly more important in the non-aged than the aged group (P = 0.043). Conclusions Aged patients appear less willing to add a preventive drug than non-aged patients. The importance attached to various treatment characteristics does not seem to differ much among age groups. PMID:26445349

  20. Multiple case study analysis of young women's experiences in high school engineering

    NASA Astrophysics Data System (ADS)

    Pollock, Meagan C.

    richly describe the diversity of experiences. A multiple case study analysis, this study answers the question: How do gender, class, race, and other components of intersectionality, influence high school females' experiences in engineering? Nine young women taking a high school engineering course in a suburban high school in Central Texas during the school year 2011-2012 volunteered to participate. The students were observed in their engineering classes for half of the spring 2012 semester, with bi-weekly interviews with the students, monthly interviews with the teacher, and a single interview with a parent of each volunteer. The nine rich case studies provide us with new stories that help prevent us from narrowing the experiences of women to a single incomplete stereotype, because these young women vary across race, socioeconomic backgrounds, and sexual orientation. Although each story is unique, there are commonalities among their experiences, including family, influence, classroom environment, biases, and beliefs. By drawing from their collective experiences in high school engineering, the findings direct us toward recommendations for educators, parents, engineering curriculum developers, designers of teacher professional development, and future research to improve equity and access for every student in engineering.

  1. [Acute ischemia and arterial mesenteric infarction in patients aged over 75. Apropos of a comparative series of 38 cases].

    PubMed

    Bronner, J F; Boissel, P

    1997-08-01

    We report our experience in a series of 20 patients over 75 years of age with acute mesenteric ischemia and mesenteric infarction. This series was compared with 18 patients under 75 used a control group for scores of specific aspects to acute mesenteric ischemia. Overall mortality (80% versus 55%) (p = 0.1) and desertion rate after exploratory laparotomy (60% versus 35%) were high in the elderly patients with advanced stage disease. There was also a female predominance (80% versus 44%, p < 0.05). PMID:9378793

  2. Mycetoma: experience of 482 cases in a single center in Mexico.

    PubMed

    Bonifaz, Alexandro; Tirado-Sánchez, Andrés; Calderón, Luz; Saúl, Amado; Araiza, Javier; Hernández, Marco; González, Gloria M; Ponce, Rosa María

    2014-08-01

    Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013). A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11%) were actinomycetomas and 38 cases (7.88%) were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3:1. The mean age was 34.5 years old (most ranged from 21 to 40 years). The main affected localization was lower and upper limbs (70.74% and 14.52% respectively). Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported). The main clinical presentation was as tumor-like soft tissue swelling with draining sinuses (97.1%). Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21%) and Actinomadura madurae (8.7%); meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii) were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico. PMID:25144462

  3. Mycetoma: Experience of 482 Cases in a Single Center in Mexico

    PubMed Central

    Bonifaz, Alexandro; Tirado-Sánchez, Andrés; Calderón, Luz; Saúl, Amado; Araiza, Javier; Hernández, Marco; González, Gloria M.; Ponce, Rosa María

    2014-01-01

    Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013). A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11%) were actinomycetomas and 38 cases (7.88%) were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3∶1. The mean age was 34.5 years old (most ranged from 21 to 40 years). The main affected localization was lower and upper limbs (70.74% and 14.52% respectively). Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported). The main clinical presentation was as tumor-like soft tissue swelling with draining sinuses (97.1%). Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21%) and Actinomadura madurae (8.7%); meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii) were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico. PMID:25144462

  4. Utility of Gel Nails in Improving the Appearance of Cosmetically Disfigured Nails: Experience with 25 Cases

    PubMed Central

    Nanda, Soni; Grover, Chander

    2014-01-01

    Background: Gel nails are a commonly used cosmetic procedure, though their use by dermatologists has not been evaluated. These can be used to improve the appearance of cosmetically disfigured nails where other treatment options have failed; the condition is self-limiting or irreversible; or to camouflage the dystrophy until healing. Materials and Methods: A prospective, uncontrolled, open-label study on 25 participants presenting with cosmetically disfigured nails was undertaken. Mycologically negative, consenting patients with various nail plate surface abnormalities like trachyonychia (n =8); superficial pitting (n =6); onychorrhexis (n =4); superficial pitting with onychoschizia (n =3); Beau's lines (n =3) and pterygium (n =1) were included. The patients received gel nail application using Ranara gel nail kit®. Extra care was taken to avoid any damage to cuticle. Standard pre- and post-treatment photographs were taken to assess improvement. Patient satisfaction score (1-10); Global assessment score of improvement (no improvement to excellent improvement) and any side effects reported were recorded. Results: The average age of treated patients was 30.44±11.39 years (range 18-60 years). A total of 69 nails were treated (average of 2.76 per patient). Post-procedure, the average patient satisfaction score was 9.08 ± 0.86 (range 7-10). The Global assessment showed excellent improvement (40% cases); good improvement (56% cases) and mild improvement in the single case of pterygium treated. Conclusions: The use of Gel nails in patients with cosmetically disfiguring nail plate surface abnormalities (like trachyonychia, onychoschizia, pitting, etc.) was found to produce good to excellent improvement in most of the cases. The patient satisfaction with the procedure was rated as high. This, coupled with absence of side effects, make gel nails a valuable tool in improving cosmesis and satisfaction among patients presenting with nail plate surface abnormalities. Further

  5. The Impact of Case Definition on ADHD Prevalence Estimates in Community-Based Samples of School-Aged Children

    PubMed Central

    McKeown, Robert E.; Holbrook, Joseph R.; Danielson, Melissa L.; Cuffe, Steven P.; Wolraich, Mark L.; Visser, Susanna N.

    2015-01-01

    Objective To determine the impact of varying ADHD diagnostic criteria, including new DSM-5 criteria, on prevalence estimates. Method Parent and teacher reports identified ADHD high and low screen children from elementary schools in two states that produced a diverse overall sample. The parent interview stage included the Diagnostic Interview Schedule for Children – IV (DISC-IV), and up to four additional follow-up interviews. Weighted prevalence estimates, accounting for complex sampling, quantified the impact of varying ADHD criteria using baseline and the final follow-up interview data. Results At baseline 1060 caregivers were interviewed; 656 had at least one follow-up interview. Teachers and parents reported six or more ADHD symptoms for 20.5% (95% CI: 18.1%–23.2%) and 29.8% (CI: 24.5%–35.6%) of children respectively, with criteria for impairment and onset by age seven (DSM-IV) reducing these proportions to 16.3% (CI: 14.7%–18.0%) and 17.5% (CI: 13.3%–22.8%); requiring at least four teacher-reported symptoms reduced the parent-reported prevalence to 8.9% (CI: 7.4%–10.6%). Revising age of onset to 12 years per DSM-5 increased this estimate to 11.3% (CI: 9.5%–13.3%), with a similar increase seen at follow-up: 8.2% with age seven onset (CI: 5.9%–11.2%) versus 13.0% (CI: 7.6%–21.4%) with onset by age 12. Reducing the number of symptoms required for those aged 17 and older increased the estimate to 13.1% (CI: 7.7%–21.5%). Conclusion These findings quantify the impact on prevalence estimates of varying case definition criteria for ADHD. Further research of impairment ratings and data from multiple informants is required to better inform clinicians conducting diagnostic assessments. DSM-5 changes in age of onset and number of symptoms required for older adolescents appear to increase prevalence estimates, although the full impact is uncertain due to the age of our sample. PMID:25524790

  6. Sex- and age-dependent association of SLC11A1 polymorphisms with tuberculosis in Chinese: a case control study

    PubMed Central

    Leung, Kim Hung; Yip, Shea Ping; Wong, Wa Sang; Yiu, Lap San; Chan, Kam Keung; Lai, Wai Man; Chow, Eudora YD; Lin, Che Kit; Yam, Wing Cheong; Chan, Kin Sang

    2007-01-01

    Background Host genetic factors are important determinants in tuberculosis (TB). The SLC11A1 (or NRAMP1) gene has been studied extensively for genetic association with TB, but with inconsistent findings. In addition, no study has yet looked into the effect of sex and age on the relationship between SLC11A1 polymorphisms and TB. Methods A case-control study was conducted. In total, 278 pulmonary TB patients and 282 sex- and age-matched controls without TB were recruited. All subjects were ethnic Chinese. On the basis of linkage disequilibrium pattern, three genetic markers from SLC11A1 and one from the nearby IL8RB locus were selected and examined for association with TB susceptibility. These markers were genotyped using single strand conformation polymorphism analysis or fragment analysis of amplified products. Results Statistically significant differences in allele (P = 0.0165, OR = 1.51) and genotype (P = 0.0163, OR = 1.59) frequencies of the linked markers SLC6a/b (classically called D543N and 3'UTR) of the SLC11A1 locus were found between patients and controls. With stratification by sex, positive associations were identified in the female group for both allele (P = 0.0049, OR = 2.54) and genotype (P = 0.0075, OR = 2.74) frequencies. With stratification by age, positive associations were demonstrated in the young age group (age ≤65 years) for both allele (P = 0.0047, OR = 2.52) and genotype (P = 0.0031, OR = 2.92) frequencies. All positive findings remained significant even after correction for multiple comparisons. No significant differences were noted in either the male group or the older age group. No significant differences were found for the other markers (one SLC11A1 marker and one IL8RB marker) either. Conclusion This study confirmed the association between SLC11A1 and TB susceptibility and demonstrated for the first time that the association was restricted to females and the young age group. PMID:17371589

  7. Molecular classification and prognostication of 300 node-negative breast cancer cases: A tertiary care experience

    PubMed Central

    Shemin, K. M. Zuhara; Smitha, N. V.; Jojo, Annie; Vijaykumar, D. K.

    2015-01-01

    Background: The proportion of node-negative breast cancer patients has been increasing with improvement of diagnostic modalities and early detection. However, there is a 20–30% recurrence in node-negative breast cancers. Determining who should receive adjuvant therapy is challenging, as the majority are cured by surgery alone. Hence, it requires further stratification using additional prognostic and predictive factors. Subjects and Methods: Ours is a single institution retrospective study, on 300 node-negative breast cancer cases, who underwent primary surgery over a period of 7 years (2005–2011). We excluded all cases who took NACT. Prognostic factors of age, size, lymphovascular emboli, estrogen receptor (ER), progesterone receptor (PR), HER2neu Ki-67, grade and molecular classification were analyzed with respect to those with and without early events (recurrence, metastases or second malignancy, death) using-Pearson Chi-square method and logistic regression method for statistical analysis. Results: Majority belonged to the age group of 50–70 years. On univariate analysis, size >5 cm (P = 0.03) and ER negativity had significant association (P = 0.05) for early failures; PR negativity and lymphovascular emboli (LVE) had borderline significance (P = 0.07). Multivariate analysis showed size >5 cm to be significant (P = 0.04) and LVE positivity showed borderline significant association (P = 0.07) with early failures. About 62% belonged to luminal category followed by basal-like (25%) in molecular classification. Conclusions: ER negativity, PR negativity, LVE/lymphovascular invasion positivity and size >5 cm (T3 and T4) are associated with poor prognosis in node-negative breast cancers. PMID:26981506

  8. Studying abroad: a multiple case study of nursing students' international experiences.

    PubMed

    Green, Barbara F; Johansson, Inez; Rosser, Megan; Tengnah, Cassam; Segrott, Jeremy

    2008-11-01

    This paper examines the experiences of nursing students undertaking an international placement during their pre-registration education. The study took place in two schools--one in the United Kingdom, and one in Sweden. The move of nursing education into higher education enabled students to participate in international exchange programmes. Previous research demonstrates that students participating in such programmes may gain enhanced cultural awareness and experience personal and professional growth. The study comprised a multiple case study, utilising semi-structured individual and group interviews and documentary analysis. Eighteen students from the UK and 14 from Sweden participated. Participants described an increase in confidence, self-reliance and professional knowledge and skills resulting from their international placement. There was an awareness of how healthcare roles differ between countries and a change in attitudes to others from different backgrounds and cultures. The differences between the two cases were marginal. Whilst there was support from both home and host universities this varied between the international placement providers. The international placements were beneficial; however, there is a need for change in the preparation, support and monitoring of students, greater engagement with the partner institutions, and more effective mentoring of staff. PMID:18692278

  9. Development of a Rubber-Based Product Using a Mixture Experiment: A Challenging Case Study

    SciTech Connect

    Kaya, Yahya; Piepel, Gregory F.; Caniyilmaz, Erdal

    2013-07-01

    Many products used in daily life are made by blending two or more components. The properties of such products typically depend on the relative proportions of the components. Experimental design, modeling, and data analysis methods for mixture experiments provide for efficiently determining the component proportions that will yield a product with desired properties. This article presents a case study of the work performed to develop a new rubber formulation for an o-ring (a circular gasket) with requirements specified on 10 product properties. Each step of the study is discussed, including: 1) identifying the objective of the study and requirements for properties of the o-ring, 2) selecting the components to vary and specifying the component constraints, 3) constructing a mixture experiment design, 4) measuring the responses and assessing the data, 5) developing property-composition models, 6) selecting the new product formulation, and 7) confirming the selected formulation in manufacturing. The case study includes some challenging and new aspects, which are discussed in the article.

  10. Enhanced ergonomics approaches for product design: a user experience ecosystem perspective and case studies.

    PubMed

    Xu, Wei

    2014-01-01

    This paper first discusses the major inefficiencies faced in current human factors and ergonomics (HFE) approaches: (1) delivering an optimal end-to-end user experience (UX) to users of a solution across its solution lifecycle stages; (2) strategically influencing the product business and technology capability roadmaps from a UX perspective and (3) proactively identifying new market opportunities and influencing the platform architecture capabilities on which the UX of end products relies. In response to these challenges, three case studies are presented to demonstrate how enhanced ergonomics design approaches have effectively addressed the challenges faced in current HFE approaches. Then, the enhanced ergonomics design approaches are conceptualised by a user-experience ecosystem (UXE) framework, from a UX ecosystem perspective. Finally, evidence supporting the UXE, the advantage and the formalised process for executing UXE and methodological considerations are discussed. Practitioner Summary: This paper presents enhanced ergonomics approaches to product design via three case studies to effectively address current HFE challenges by leveraging a systematic end-to-end UX approach, UX roadmaps and emerging UX associated with prioritised user needs and usages. Thus, HFE professionals can be more strategic, creative and influential. PMID:24405167

  11. Senior medical student perceived ability and experience in giving peer feedback in formative long case examinations

    PubMed Central

    2013-01-01

    Background Learning to provide feedback on a peer’s performance in formative clinical assessments can be a valuable way of enriching the students’ own learning experience. Students are often reluctant to provide honest, critical feedback to their peers. Nevertheless, it is an area of practice that is important to develop as students report feeling ill prepared in feedback techniques when entering the medical workforce. We sought to investigate students’ perceptions of their ability to provide feedback to their peers using the positive critique method, and their perceived benefits and challenges during the experience. Methods Over a two year period (2011 to 2012), senior medical students assessed and gave feedback to their peers alongside academic examiners during formative long case clinical examinations. Rating scales, open ended questions and focus group discussions were used to evaluate student perceptions. Results Of the 94 participants, 89/94 (95%) completed the questionnaire, and 39/94 (41%) participated in focus groups. Students found the positive critique method provided a useful framework. Some students raised concerns about the accuracy of their feedback, and felt that further training was required. A substantial number of respondents (42%) did not report feeling confident providing negative feedback to their peers, and qualitative analysis indicated concerns around potential impacts on social relationships. Despite these concerns, the majority (90%) of respondents found the exercise useful, identifying several benefits, including development in the understanding of knowledge content; development of professionalism skills, and increased responsibility. Conclusion Students identified several challenging aspects to providing feedback to their peers. While the experience of giving feedback to peers was perceived by students to provide a valuable learning experience, further training in this area may help to improve the learning experience for students

  12. A case study of a mother's intertwining experiences with incest and postpartum depression

    PubMed Central

    Røseth, Idun; Bongaardt, Rob; Binder, Per-Einar

    2011-01-01

    The association between childhood sexual abuse (CSA) and major depression disorder (MDD) gives reason to suspect that many mothers with postpartum depression (PPD) have a history of CSA. However, few studies have investigated how CSA and PPD are related. In this case study we explore how the experience of incest intertwines with the experience of postpartum depression. We focus on participant subject “Nina,” who has experienced both. We interviewed her three times and we analysed the interviews with Giorgi's phenomenological descriptive method to arrive at a contextualised meaning structure. Nina's intruding fantasies of men who abuse her children merge with her recollections of her own incest experiences. She may succeed in forcing these fantasies out of her consciousness, but they still alter her perceptions, thoughts, and emotions. She feels overwhelmed and succumbs to sadness, while she also is drawn towards information about CSA, which in turn feeds her fantasies. The psychodynamic concepts of repetition compulsion, transference, and projection may provide some explanation of Nina's actions, thoughts, and emotions through her past experiences. With our phenomenological stance, we aim to acknowledge Nina's descriptions of her everyday life here and now. With reference to Husserl, Heidegger, Merleau-Ponty, and Minkowski, we show that Nina's past is not a dated memory; rather it determines the structure of her consciousness that constitutes her past as her true present and future. Incest dominates Nina's world, and her possibilities for action are restricted by this perceived world. Any suspension of action implies anguish, and she resolves this by incest-structured action that in turn feeds and colours her expectations. Thus anxiety and depression are intertwined in the structure of this experience. PMID:21760836

  13. A case study of collaboration in science education: Integrating informal learning experiences into the school curriculum

    NASA Astrophysics Data System (ADS)

    Robertson, Amy Michelle

    This is a study of a collaboration between multiple stakeholders in science education for the purpose of creating educational field trip experiences. The collaboration involves four major facets of science education: formal education at the elementary and university levels, informal education, and educational research. The primary participants in the collaboration include two elementary school teachers, a scientist from a local university, an informal educator from an environmental education site, and the researcher acting as a participant observer. The coming together of these different sides of science education provided a unique opportunity to explore the issues and experiences that emerged as such a partnership was formed and developed. Strongly influenced by action research, this study is a qualitative case study. The data was collected by means of observation, semi-structured interviews, and written document review, in order to provide both a descriptive and an interpretive account of this collaboration. The final analysis integrates a description of the participants' experiences as evidenced in the data with the issues that arose from these experiences. The evolution of the collaborators' roles was examined, as was the development of shared vision. In this study, there were several factors that significantly affected the progress towards a shared vision and a successful collaboration. These factors include time, communication, understanding others' perspectives, dedication and ownership, as well as the collaborative environment. Each collaborator benefited both professionally and personally from their participation in the collaboration. In addition, the students gained cognitively, affectively, and socially from the educational experiences created through the collaboration. Steps, such as working towards communication and understanding others' perspectives, should continue to be taken to ensure the collaboration continues beyond the term of the current key

  14. “Open” repair of ruptured thoracoabdominal aortic aneurysm (experience of 51 cases)

    PubMed Central

    Zanetti, Piero Paolo; Walas, Ryszard; Cebotaru, Theodor; Popa, Calin; Vintila, Bogdan; Steiu, Flaviu

    2015-01-01

    Introduction Surgical treatment of toracoabdominal aortic aneurysms (TAAA) represents a difficult problem for the vascular surgeon and may become a formidable challenge in an emergency procedure. In patient with hemodynamic instability, protective measures as cerebral spinal fluid drainage and bio-pump against spinal cord, visceral and renal ischemia, may be ineffective or impracticable. Material and methods We report our experience of 51 emergency-operated patients with TAAA out of 660 treated between 1994 and 2014; 48 patients (94%) were hemodynamically unstable, 3 (6%) were hemodynamically stable. The TAAA patients were evaluated, according to Crawford classification, as: 18 type I, 13 type II, 15 type III, 5 type IV. Results Overall mortality was 23 cases out of 51 (43.1%); 8 deaths occurred during the surgical procedure and 14 in the postoperative period. Early deaths, subdivided by Crawford TAAA classification, were: type I 9/18 (50%), type II 9/13 (69.2%), type III 7/15 (46.6%), type IV 3/5 (60%). Paraplegia-paraparesis developed in 6 cases out of 43 (16.2%), excluding 8 deaths during the operative procedure. Acute renal failure was observed in 8 out of 43 patients (18.6%). Dialysis was found to be a risk factor for hospital mortality (p = 0.03). Pulmonary insufficiency was diagnosed in 15 patients out of 43 (34.8%), and 5 patients (15.5%) needed tracheostomy, out of whom 3 died (p = 0.04%). Postoperative bleeding was present in 8 cases out of 43 (18.6%). Inferior laryngeal nerve palsy was present in 6 cases out of 43 (13.5%). The follow-up period comprised 1-3-5-10 years postoperative follow-up. The actuarial survival rate of patients discharged from hospital was respectively 75%, 63%, 48%, 35%. Conclusions In the literature there are very few studies published on emergency treatment for TAAA. Having usually low numbers of patients in the groups wider experiences are still needed to give more light on the pathophysiology and surgical treatment of this type

  15. Age-related Epstein-Barr Virus-positive lymphoproliferative disorders of the orbit and maxillary sinus : a case report.

    PubMed

    Mitsui, Takeki; Mawatari, Momoko; Koiso, Hiromi; Yokohama, Akihiko; Uchiumi, Hideki; Saitoh, Takayuki; Handa, Hiroshi; Hirato, Junko; Karasawa, Masamitsu; Murakami, Hirokazu; Kojima, Masaru; Nakamura, Shigeo; Nojima, Yoshihisa; Tsukamoto, Norifumi

    2012-01-01

    We report a rare case of age-related Epstein-Barr virus (EBV)-positive B-cell lymphoproliferative disorder (aEBVBLPD) primarily involving the orbit and maxillary sinus. Lesions in the left orbit and maxillary sinus were observed in a 59-year-old man presenting with pain in the left orbit and maxilla. Owing to the presence of Reed-Sternberg-like cells, the initial diagnosis was nodular sclerosis-type Hodgkin's lymphoma. Clinical stage was IIAE, and response to chemotherapy and radiotherapy was favorable. Further immunohistochemical and in situ hybridization analyses of the Reed-Sternberg-like giant cells revealed CD30, CD15, CD20, Bob-1, Oct-2, EBV-encoded RNAs (EBERs) and latent membrane protein-1 (LMP-1) expression. The characteristics of the present case, which included immunohistochemical findings, sites of primary lesions, absence of other lymph node lesions and relatively old age, suggested aEBVBLPD. Owing to the similarity in morphology, higher frequency at extranodal sites and poor prognosis, aEBVBLPD represents a differential diagnostic issue from classical Hodgkin's lymphoma when Reed-Sternberg cells are positive for EBV. PMID:23269081

  16. Peripheral Desmoplastic Ameloblastoma in Adolescent Age: Clinico-Pathological and Immunohistochemical Analisys of a Case

    PubMed Central

    Oteri, Giacomo; Lentini, Maria; Pisano, Michele; Cicciù, Marco

    2014-01-01

    The Extraosseous or Peripheral Ameloblastoma (PA) is a rare and benign odontogenic tumour, representing 1% to 5% of all ameloblastomas. It is usually localized in the soft oral tissues, without deep bone involvement. Its biological behaviour is specific, and several authors define PA as a non-infiltrating hamartomatous lesion. Indeed, recurrences rarely occur and progression in malignant tumors appears to be rare. The PA originates from the tooth-forming apparatus and it consists of proliferating odontogenic epithelium, exhibiting the same histological cell types and patterns of the intraosseous counterpart or infiltrating ameloblastoma. The peripheral desmoplastic ameloblastoma (PDA) can be classified as a newly recognized and very rare histological variant. To our knowledge, only a few cases of adult patients affected by PDA have been published. The aim of this paper is to report a case of PDA affecting an adolescent patient. The clinical-pathological and immunohistological features are discussed in order to improve knowledge regarding a correct diagnosis and to differentiate PDA lesions from similar diseases. PMID:25317210

  17. Single vs dual (en bloc) kidney transplants from donors ≤ 5 years of age: A single center experience

    PubMed Central

    Al-Shraideh, Yousef; Farooq, Umar; El-Hennawy, Hany; Farney, Alan C; Palanisamy, Amudha; Rogers, Jeffrey; Orlando, Giuseppe; Khan, Muhammad; Reeves-Daniel, Amber; Doares, William; Kaczmorski, Scott; Gautreaux, Michael D; Iskandar, Samy S; Hairston, Gloria; Brim, Elizabeth; Mangus, Margaret; Stratta, Robert J

    2016-01-01

    AIM: To compare outcomes between single and dual en bloc (EB) kidney transplants (KT) from small pediatric donors. METHODS: Monocentric nonprospective review of KTs from pediatric donors ≤ 5 years of age. Dual EB KT was defined as keeping both donor kidneys attached to the inferior vena cava and aorta, which were then used as venous and arterial conduits for the subsequent transplant into a single recipient. Donor age was less useful than either donor weight or kidney size in decision-making for kidney utilization as kidneys from donors < 8 kg or kidneys < 6 cm in length were not transplanted. Post-transplant management strategies were standardized in all patients. RESULTS: From 2002-2015, 59 KTs were performed including 34 dual EB and 25 single KTs. Mean age of donors (17 mo vs 38 mo, P < 0.001), mean weight (11.0 kg vs 17.4 kg, P = 0.046) and male donors (50% vs 84%, P = 0.01) were lower in the dual EB compared to the single KT group, respectively. Mean cold ischemia time (21 h), kidney donor profile index (KDPI; 73% vs 62%) and levels of serum creatinine (SCr, 0.37 mg/dL vs 0.49 mg/dL, all P = NS) were comparable in the dual EB and single KT groups, respectively. Actuarial graft and patient survival rates at 5-years follow-up were comparable. There was one case of thrombosis resulting in graft loss in each group. Delayed graft function incidence (12% dual EB vs 20% single KT, P = NS) was slightly lower in dual EB KT recipients. Initial duration of hospital stay (mean 5.4 d vs 5.6 d) and the one-year incidences of acute rejection (6% vs 16%), operative complications (3% vs 4%), and major infection were comparable in the dual EB and single KT groups, respectively (all P = NS). Mean 12 mo SCr and abbreviated MDRD levels were 1.17 mg/dL vs 1.35 mg/dL and 72.5 mL/min per 1.73 m2 vs 60.5 mL/min per 1.73 m2 (both P = NS) in the dual EB and single KT groups, respectively. CONCLUSION: By transplanting kidneys from young pediatric donors into adult recipients, one can

  18. A Rare Case of Multple Myeloma (Mm) Presented With Pancytopaenia in A Patient of HIV – At Very Early Age

    PubMed Central

    Soren, Manoj; Das, Anjan Kumar; Mangal, Srishtidhar

    2015-01-01

    Non-hodgkin`s lymphoma (NHL) is the most common haematological malignancy which is seen in HIV infected patients. Among NHLs, immunoblastic lymphomas are most common and a majority of these are diffuse large B-cell lymphomas. Multiple myeloma is a disease of the elderly. It is extremely rare below 30 years of age. On the other hand, in HIV infected individuals, the average age of presentation with plasma cell disorders is 33 years, which is far younger than the average age of presentation in general population. The incidence of AIDS defining malignancies has declined markedly, whereas non-AIDS defining cancers are being increasingly diagnosed in patients with HIV infection during the HAART-era and they may be the presenting manifestations of AIDS. Multiple myeloma, however, usually is not a first presenting feature of AIDS. The usual clinical presentation of multiple myeloma is bone pain and pallor. Pancytopaenia is a rare presenting feature of multiple myeloma. Here, we are reporting a case of pancytopaenia which occurred in a 28-year-old, newly diagnosed, HIV-1 positive female, who with the help of bone marrow examination and further investigations, was subsequently diagnosed as multiple myeloma. PMID:25737998

  19. COMPREHENSIVE POST‐ARTHROSCOPIC MANAGEMENT OF A MIDDLE‐AGED ADULT WITH GLENOHUMERAL OSTEOARTHRITIS: A CASE REPORT

    PubMed Central

    Olson, Thomas; Millett, Peter

    2013-01-01

    Comprehensive Arthroscopic Management (CAM) is a new glenohumeral debridement procedure developed as a joint preserving alternative to total shoulder arthroplasty (TSA). The procedure consists of several arthroscopic components including: A. scar tissue and chondral debridement, B. synovectomy, C. inferior humeral osteoplasty, D. capsular release, E. axillary nerve decompression, and F. tenodesis of the long head of the biceps. In this case, an active, middle age patient who failed physical therapy treatment and corticosteroid injections was evaluated and diagnosed with glenohumeral osteoarthritis. Anterior‐ posterior (AP) and axillary radiographs showed grade IV changes of the articular cartilage, confirming the diagnosis. The patient was not an ideal candidate for TSA because of her age, activity level, and concern for implant survival; therefore surgical intervention was performed using the CAM procedure. After the surgery, the patient demonstrated increased joint space as shown using radiographic imaging. The patient underwent intensive postoperative rehabilitation with a heavy emphasis on joint range of motion (ROM) and capsular mobility. By eight weeks she achieved 85% active ROM compared to her uninvolved shoulder, and a 55% improvement on the Pennsylvania Shoulder Score. Radiographic imaging provided an understanding of the severity of the arthritic changes present in this patient, identified the limited potential of continued conservative management, and showed structural changes that may be correlated with improved function following the surgical intervention. For patients less than 55 years of age diagnosed with severe glenohumeral osteoarthritis, the CAM procedure and intensive, motion focused therapy presents a promising treatment combination. Level of Evidence: IIIb PMID:23439911

  20. The lived experience of low back pain among Irish farmers: case studies.

    PubMed

    Osborne, Aoife; Blake, Catherine; Meredith, David; McNamara, John; Phelan, Jim; Cunningham, Caitriona

    2014-01-01

    Low back pain (LBP) is the most commonly reported musculoskeletal disorder (MSD) among farmers. There is limited researching regarding the lived experience of LBP among farmers. Video interviews were conducted with three dairy farmers who reported having a significant episode of LBP. The interview data were transcribed and analyzed, and results were presented in relation to the constructs explored. The farmers experienced their first significant episode of LBP in their late 20s or early 30s and all attributed their LBP to farm work or a farm-related incident. Hours worked per day ranged from 9 to 13 hours. Tasks identified by farmers that they were unable to do due to LBP included physical work, working with sheep, building work, and "certain jobs." Work changes made due to LBP included getting help, slowing down, avoiding strenuous work, carrying smaller loads, mechanizing the farm, using the tractor more, and wearing a back belt for certain jobs. Each farmer had his own way of preventing or managing his LBP, including a mix of active self-management and passive coping strategies such as swimming, using ice, spinal manipulation, and taking medication. The farmers were unable to quantify how much their LBP had cost them directly or indirectly. The case studies illustrate farmers engaging in ongoing work despite significant pain. All of the farmers have adapted at work and engaged in self-management strategies to reduce the occurrence of LBP. Given the rich data produced by these case studies, future case studies are recommended to gain greater insights into farmers' experiences concerning LBP. PMID:24911693

  1. FISH of uncultured amniocytes for prenatal diagnosis: Experience in 24 cases using commercially available probes

    SciTech Connect

    Weremowicz, S.; Sandstrom, M.McH.; Walsh, K.A.

    1994-09-01

    Rapid prenatal diagnosis of chromosomal aneuploidies is being requested increasingly by physicians at our institution. We report our experience in providing rapid diagnoses in prenatal samples referred following an abnormal ultrasound examination (n=22) and for confirmation of trisomy 21 prior to selective termination in a twin gestation (n=22). Uncultured amniocytes (46,XY) and cultured lymphocytes (46,SY) were used as control cells and a DXZ1 probe was hybridized separately from the test probes as a control probe. In 23 cases our FISH interpretation was concordant with the cytogenetic analysis. In one case referred to rule out trisomy 21 in which cystic hygroma was detected on ultrasound exam in a 35 y.o. G2 P1, a FISH interpretation of disomy 21 was based on 18% of cells with 1 signal, 65% with 2, 15% with 3, and 2% with 4; the large percentage of 3 signals was also reported. Cytogenetic analysis was 47,XX,+21 in 63 metaphases. Subsequent FISH analysis of metaphases revealed a large number of chromosomes 21 with only one site of hybridization that might have contributed to the discordant interpretation. Whether this result reflects population polymorphism in hybridization of this cosmid remains to be elucidated. Our findings confirm use of FISH as an invaluable adjunct to conventional cytogenetics; however, results must be interpreted cautiously until larger numbers of cases have been analyzed to detect potentially rare events.

  2. Experience and Opinions of Forensic Psychiatrists Regarding PTSD in Criminal Cases.

    PubMed

    Cohen, Ziv E; Appelbaum, Paul S

    2016-03-01

    By the end of 2014, 1.5 million veterans of the Second Iraq and Afghan wars were to have returned home, up to 35 percent with PTSD. The potential use of PTSD as the basis for legal claims in criminal defense is therefore a pressing problem. Using a Web-based survey, we examined the experiences and attitudes of members of the American Academy of Psychiatry and the Law (AAPL) regarding PTSD in the criminal forensic setting. Of 238 respondents, 50 percent had been involved in a criminal case involving PTSD, 41 percent in the previous year. Eighty-six percent of cases involved violent crime and 40 percent homicides. Forty-two percent of defendants were soldiers in active service or veterans, of whom 89 percent had had combat exposure, mostly in the Second Iraq and Afghan wars. Outcomes reported were not guilty by reason of insanity (NGRI) (7%), guilty on the original charge (40%), and pleading guilty to a lesser charge (23%). The findings suggest that many forensic psychiatrists will be asked to evaluate PTSD in the criminal setting, with a growing number of cases related to combat exposure in recent veterans. The implications of these findings for the practice of forensic psychiatry are discussed. PMID:26944743

  3. Controls Astrophysics and Structures Experiment in Space (CASES) advanced studies and planning

    NASA Technical Reports Server (NTRS)

    Wu, S. T.

    1989-01-01

    The CASES (Controls, Astrophysics, and Structures Experiment in Space) program consists of a flight demonstration of CSI (Controls-Structures Interactions) technology on the Space Shuttle. The basis structure consists of a 32 m deployable boom with actuators and sensors distributed along its length. Upon deployment from the Orbiter bay, the CASES structure will be characterized dynamically and its deformations controlled by a series of experimental control laws; and cold gas thrusters at its tip will be used to orient the Orbiter to a fixed celestial reference. The scientific observations will consist of hard x-ray imaging, at high resolution, of the Sun and the Galactic center. The hard x-ray observations require stable (few arc min) pointing at these targets for one or more position-sensitive proportional counters in the Orbiter bay, which view the object to be imaged through an aperture-encoding mask at the boom tip. This report gives the concensus developed at the second CASES Science Working Group meeting, which took place at NASA Marshall Space Flight Center May 16-17, 1990. An earlier paper and scientific summaries are available and form the basis for the present discussion.

  4. Cholecystitis: the Ethiopian experience, a report of 712 operated cases from one of the referral hospitals.

    PubMed

    Bekele, Zenebe; Tegegn, Kassahun

    2002-07-01

    This is a prospective study conducted from September 1991 to September 2000. Seven-hundred and twelve patients operated for acute and chronic cholecystitis were studied. The male to female ratios for elective and emergency admissions were 1:5 and 1:2.4, respectively. The mean age was 42.7 years. Acute cholecystitis accounted for 10.6% of the 712 cases. There were a total of 666 (93.5%) calculus and 46 (6.5%) acalculus cases. Empyema was seen in 77 (10.8%) patients and hydrops of the gallbladder in 35 (4.9%). Iatrogenic Common Bile Duct (CBD) injury was found to be more of a problem of the contracted gallbladder. In this study severe complications like gangrenous gallbladder, perforated gallbladder, suppurative cholangitis and subhepatic abscess were found more in males than in females. Calculus cholecystitis was found to be a common disease in Ethiopia, and that its features and prevalence as well as sex predilection compare well with reports from other areas. However the findings in this report were found to be different from the reports of the rest of the African Continent. PMID:12602244

  5. Precocious puberty presenting with menarche at the age of 6 years - a case report.

    PubMed

    Banu, J; Sultana, P; Chowdhury, M A

    2014-07-01

    Precocious puberty or central precocious puberty can be very confusing and truly unexpected. After all who know children could go into puberty too early? There is treatment for this condition. Present report has stated that central precocious puberty is becoming more frequent. Many factors may contribute to children who exhibit signs of early precocious puberty. Here we are reporting a case of premature menarche of 6 years old girl who initially presented with continuous per vaginal bleeding for 3 months as a onset of menarche later on after clinical examination and investigations she was diagnosed a precocious puberty due to juvenile premature hypothyroidism. After the successful treatment with thyroxin, level of TSH gradually was decreased and subsequently normal. There after per vaginal bleeding stopped and clinically improved. PMID:25178615

  6. Generalized aggressive periodontitis in prepubertal age: description and comparison of two cases.

    PubMed

    Piergallini, G; Malerba, A; Mazzucchelli, L; Strohmenger, L

    2014-01-01

    Aggressive periodontitis is a rare form of periodontal disease and it can involve both the deciduous dentition and the permanent one. It causes a rapid loss of periodontal attachment. The paper aims to describe two cases of severe generalized prepubertal periodontitis: the first child doesn't suffer from neither systemic diseases nor alteration of functionality of polymorphonuclear and periodontal disease involved both his deciduous dentition and the first permanent molars. The second child had a deficiency of functionality of polymorphonuclear but periodontal disease involved only primary dentition thanks to his immediate improvement of home dental hygiene. This comparison shows the importance of early diagnosis and especially of optimal dental oral hygiene. Infant healthcare professionals, as pediatric dentists and pediatricians, should have the necessary knowledge for early and correct diagnosis and clinical management of disease. PMID:25573711

  7. Dietary Protein to Maintain Muscle Mass in Aging: A Case for Per-meal Protein Recommendations.

    PubMed

    Murphy, C H; Oikawa, S Y; Phillips, S M

    2016-01-01

    It is well accepted that daily protein intake is an important dietary consideration to limit and treat age-related declines in muscle mass, strength, and function. Furthermore, we propose that there is a growing appreciation for the need to consider protein intake on a per-meal basis rather than simply focusing on the total daily protein intake. The existence of a saturable dose-response relationship between muscle protein synthesis (MPS) and the quantity of protein consumed in a single meal/bolus provides the rationale for promoting an even/balanced pattern of daily protein intake. We hypothesize that a balanced/even protein intake pattern with the ingestion a quantity of protein shown to optimally stimulate MPS at each meal may be an effective strategy to alleviate sarcopenic muscle loss. In this review we examine the available evidence supporting the influence of dietary protein intake pattern on muscle protein turnover, muscle mass, and muscle function. We present several practical considerations that, it is proposed, should be taken into account when translating a per-meal protein recommendation into dietary advice for older adults. PMID:26980369

  8. Towards Age-Friendly Hospitals in Developing Countries: A Case Study in Iran

    PubMed Central

    Ahmadi, Ahmad; Seyedin, Hesam; Fadaye-Vatan, Reza

    2015-01-01

    Background: Developing countries such as Iran are experiencing a growth in the elderly population. This is a challenge for healthcare providers and their families. This study investigated the extent in which hospitals at Tehran meet the criteria of age-friendly hospitals. Methods: In this descriptive study, using convenience sampling, 26 hospitals were selected in Tehran, the capital city of Iran. The instrument was a checklist included 50 items in the three dimensions of information and training of service providers, management systems in health care centers, physical environment and accessibility of hospitals. Results: Most hospitals were in a good condition regarding physical environment and access to public transportation, but in a poor condition for special healthcare programs for the elderly, teaching principles of geriatrics and gerontology, interaction of medical staff, physicians and nurses with senior patients and systems of priority for them. Conclusion: Due to the growing elderly population, it is necessary for health policymakers, especially in developing countries, to consider seriously the issue of elderly healthcare and their need for special outpatient and inpatient services. PMID:26000245

  9. Self-Determination in Relation to Having or Not Having a Legal Guardian: Case Studies of Two School-Aged Young Adults with Developmental Disabilities

    ERIC Educational Resources Information Center

    Millar, Dorothy Squatrito

    2008-01-01

    IDEA mandates that all rights accorded to parents transfer to students when they reach the age of majority, unless their competence is questioned. Using case studies, this research examined the concern that when competence is challenged, guardian appointments may occur, thus negatively impacting the self-determination of school-aged young adults…

  10. Nonkeratinised Squamous Metaplasia of the Urinary Bladder in Children: A Report of Case Experiences

    PubMed Central

    Jurkiewicz, Beata

    2014-01-01

    Background. Squamous metaplasia refers to the pathological transformation of the urothelium leading to nonkeratinised stratified squamous metaplasia (N-KSM). Objective. To present our experiences in the diagnosis and treatment of N-KSM of the urinary bladder in children. Materials and Methods. In this study, we present our experiences in the diagnosis and treatment of N-KSM of the urinary bladder in children aged from 5 to 17 years. From 2005 to 2013, metaplasia was diagnosed in 119 patients. The reasons behind visiting the hospital were nonspecific intense pain in the abdomen, recurrent urinary tract infections, and urination disorders. The most common symptoms of urinary bladder dysfunction were pollakiuria and difficulties in initiating micturition and retention of urine (reduced detrusor muscle activity). Results. In 20/119 patients (16.8%), metaplasia was incidentally diagnosed during cystoscopy performed for other causes. The changes characteristic for squamous metaplasia were diagnosed—in all these patients, a biopsy was performed. In all 119 patients, a squamous metaplasia was histopathologically diagnosed. Conclusions. Squamous metaplasia of the urinary bladder mucosa occurs in children and adolescents. Symptomatic treatment is administered mainly to improve the patients' quality of life and disease prognosis. PMID:24822222

  11. Exploring the complexities of body image experiences in middle age and older adult women within an exercise context: The simultaneous existence of negative and positive body images.

    PubMed

    Bailey, K Alysse; Cline, Lindsay E; Gammage, Kimberley L

    2016-06-01

    Despite many body changes that accompany the aging process, the extant research is limited on middle age and older adults' body image experiences. The purpose of the present study was to explore how body image is represented for middle age and older adult women. Using thematic analysis, 10 women over the age of 55 were interviewed within an exercise context. The following themes were found: body dissatisfaction, body satisfaction despite ageist stereotypes, neutral body image within cohort, and positive body image characteristics. Negative and positive body images were experienced simultaneously, with neutral experiences expressed as low levels of dissatisfaction. This supports the contention that negative and positive body images exist on separate continuums and neutral body image is likely on the same continuum as negative body image. Programs that foster a social support network to reduce negative body image and improve positive body image in older female populations are needed. PMID:26989980

  12. The Madrid Affective Database for Spanish (MADS): Ratings of Dominance, Familiarity, Subjective Age of Acquisition and Sensory Experience.

    PubMed

    Hinojosa, José A; Rincón-Pérez, Irene; Romero-Ferreiro, M Verónica; Martínez-García, Natalia; Villalba-García, Cristina; Montoro, Pedro R; Pozo, Miguel A

    2016-01-01

    The current study presents ratings by 540 Spanish native speakers for dominance, familiarity, subjective age of acquisition (AoA), and sensory experience (SER) for the 875 Spanish words included in the Madrid Affective Database for Spanish (MADS). The norms can be downloaded as supplementary materials for this manuscript from https://figshare.com/s/8e7b445b729527262c88 These ratings may be of potential relevance to researches who are interested in characterizing the interplay between language and emotion. Additionally, with the aim of investigating how the affective features interact with the lexicosemantic properties of words, we performed correlational analyses between norms for familiarity, subjective AoA and SER, and scores for those affective variables which are currently included in the MADs. A distinct pattern of significant correlations with affective features was found for different lexicosemantic variables. These results show that familiarity, subjective AoA and SERs may have independent effects on the processing of emotional words. They also suggest that these psycholinguistic variables should be fully considered when formulating theoretical approaches to the processing of affective language. PMID:27227521

  13. Paternal age and diet: The contributions of a father's experience to susceptibility for post-concussion symptomology.

    PubMed

    Hehar, Harleen; Yu, Katrina; Ma, Irene; Mychasiuk, Richelle

    2016-09-22

    In an attempt to improve current understanding of risk factors that influence individual susceptibility to poor outcomes following mild traumatic brain injury (mTBI) or concussion, this project investigated whether modifications to paternal experiences (Advanced Age (AA) or High-Fat Diet (HFD)) affected offspring susceptibility to behavioral symptomology and changes in gene expression following pediatric concussion in a rodent model. The study demonstrated that paternal treatment prior to conception altered behavioral outcomes and molecular characterization of offspring. Offspring of AA fathers demonstrated abnormal behavioral performance when compared to offspring of control fathers. Similarly, paternal HFD altered pathophysiological outcomes for offspring, contributing to the heterogeneity in post-concussion syndrome. Additionally, this study provided insight into the mechanisms that mediate non-genetic paternal inheritance. Paternal treatment and the mTBI significantly influenced expression of a majority of the genes under examination in the prefrontal cortex, hippocampus, and nucleus accumbens, with changes being dependent upon sex and the brain region examined. These epigenetic changes may have contributed to the differences in offspring susceptibility to concussion. PMID:27365176

  14. The Madrid Affective Database for Spanish (MADS): Ratings of Dominance, Familiarity, Subjective Age of Acquisition and Sensory Experience

    PubMed Central

    Hinojosa, José A.; Rincón-Pérez, Irene; Romero-Ferreiro, Mª Verónica; Martínez-García, Natalia; Villalba-García, Cristina; Montoro, Pedro R.; Pozo, Miguel A.

    2016-01-01

    The current study presents ratings by 540 Spanish native speakers for dominance, familiarity, subjective age of acquisition (AoA), and sensory experience (SER) for the 875 Spanish words included in the Madrid Affective Database for Spanish (MADS). The norms can be downloaded as supplementary materials for this manuscript from https://figshare.com/s/8e7b445b729527262c88 These ratings may be of potential relevance to researches who are interested in characterizing the interplay between language and emotion. Additionally, with the aim of investigating how the affective features interact with the lexicosemantic properties of words, we performed correlational analyses between norms for familiarity, subjective AoA and SER, and scores for those affective variables which are currently included in the MADs. A distinct pattern of significant correlations with affective features was found for different lexicosemantic variables. These results show that familiarity, subjective AoA and SERs may have independent effects on the processing of emotional words. They also suggest that these psycholinguistic variables should be fully considered when formulating theoretical approaches to the processing of affective language. PMID:27227521

  15. Online Learning and Teaching with Technology: Case Studies, Experience and Practice. Case Studies of Teaching in Higher Education.

    ERIC Educational Resources Information Center

    Murphy, David, Ed.; Walker, Rob, Ed.; Webb, Graham, Ed.

    This book contains case studies that look at using technology in a wide range of situations, from fully online courses to more traditional face-to-face settings. The case studies deal with issues related to student interaction, teaching and assessment, planning and development, and policy. The following case studies are included: (1) "Flame War"…

  16. A middle-aged female with recurrent sinopulmonary infections: a case report

    PubMed Central

    Yalavarthy, Umesh C; Panda, Mukta

    2008-01-01

    Introduction Common variable immunodeficiency (CVID) is a form of severe antibody deficiency with an estimated prevalence of 1 in 25,000 to 1 in 100,000. The disorder apparently results from currently undefined immune deregulations resulting in failed B-cell differentiation with impaired secretion of immunoglobulins. It has a broad range of clinical symptoms including recurrent infections of the respiratory tract, chronic lung disease, autoimmune diseases, liver and gastrointestinal disorders, granulomatous infiltrations, lymphoma and solid tumors. Case presentation A 42-year-old Caucasian female presented with a one-day history of high-grade fever and productive cough associated with retrosternal chest pain. The patient had been discharged one week prior after a prolonged stay in an intensive care unit with multiorgan failure requiring temporary hemodialysis for two weeks secondary to sepsis. Past medical history was significant for chronic obstructive pulmonary disease, recurrent pneumonias and recurrent sinus infections since adolescence. She had a temperature of 99.8°F, was tachycardic (137/min), tachypneic (26/min) with a blood pressure of 109/59 mmHg and oxygen saturation of 88% on 2 l/min nasal oxygen. Physical examination was significant for bibasilar rhonchi. Laboratory data were significant for leukocytosis of 15,700/mm3. Chest X-ray demonstrated bibasilar infiltrates. The patient was started on intravenous levofloxacin and vancomycin, and sputum gram stain and cultures were performed. Given the patient's recurrent respiratory infections, an underlying immunologic disorder was considered. Work-up revealed immunoglobulin A (IgA) 11 mg/dl (normal 70–400 mg/dl), immunoglobulin M (IgM) 2 mg/dl (normal 40–230 mg/dl) and IgG 53 mg/dl (normal 700–1,600 mg/dl). The patient was diagnosed with CVID and started on intravenous immunoglobulin. She was initially started on a four-week regimen of intravenous immunoglobulin, which was later switched to a three

  17. Experiences from active membership and participation in decision-making processes and age in moral reasoning and goal orientation of referees.

    PubMed

    Proios, Miltiadis; Doganis, George

    2003-02-01

    The purpose of the present study was to investigate the effect of experiences of active membership and participation in decision-making processes and age on moral reasoning and goal orientations of referees in sport. The sample consisted of 148 referees of whom 56 judged soccer, 55 basketball, and 37 handball. Their ages ranged from 17 to 50 years (M=36.6, SD=7.4). Of the total number of referees, 8.3% have no experiences from active membership and participation in decision-making processes in organizations (social, athletic, political), 53.1% were simply active members, and 38.6% were involved in decision-making in their respective organizations. A two-way multivariate analysis of variance showed an interaction between experiences and age on moral reasoning and goal orientation of referees. PMID:12705518

  18. [Complete repair of tetralogy of Fallot in infants under the age of 6 months. Apropos of 25 cases].

    PubMed

    Guirgis, N H; Losay, J; Serraf, A; Ouaknine, R; Chambran, P; Lacour-Gayet, F; Bruniaux, J; Binet, J P; Planché, C

    1991-05-01

    Between January 1982 and October 1988, 25 infants with Tetralogy of Fallot underwent total correction, total primary repair was carried out in 22 cases; 3 underwent correction after a palliative anastomosis. The average age was 3.7 +/- 1.6 months; the average weight was 5.06 +/- 1.41 kg and average body surface area was 0.30 +/- 0.06 m2. Nineteen patients had a regular anatomic form and 6 had an irregular form of the condition. The hospital mortality was 8% (2 cases): the mortality was nil in the regular anatomic form but 33% in the irregular anatomic forms. Twenty-one patients have been followed up for an average of 50.8 +/- 19.2 months. There were no late deaths; two patients were reoperated for a residual pulmonary stenosis; 19 patients are well and asymptomatic. Doppler echocardiography shows a residual pressure gradient between the right ventricule and pulmonary artery of 17.8 +/- 22.7 mmHg associated with a grade 1-2/4 pulmonary regurgitation. There are no residual ventricular septal defects or cases of atrioventricular block requiring permanent pacing. PMID:1898202

  19. Well Wishes: A Case on Septic Systems and Well Water Requiring In-Depth Analysis and Including Optional Laboratory Experiments

    ERIC Educational Resources Information Center

    Walczak, Mary M.; Lantz, Juliette M.

    2004-01-01

    The case of Well Wishes involves students in a thorough examination of the interaction among nitrogen-composed species in the septic systems and well water, which helps to clean household water. The case supports the attainment of five goals for students, and can be analyzed through classroom discussions or laboratory experiments.

  20. "It's All Connected!" Nursing Students' Experiences of a New Form of Case Seminar Integrating Medical and Nursing Science

    ERIC Educational Resources Information Center

    Turunen Olsson, Pernilla; Weurlander, Maria; Mattiasson, Anne-Cathrine; Wärn Hede, Gunnel; Panagiotidis, Georgios; Broberger, Eva; Hult, Håkan; Wernerson, Annika

    2016-01-01

    Traditionally, nursing students learn medical subjects and nursing separately, which makes it difficult to develop an integrated understanding. This study aimed to explore nursing students' experiences of participating in a case seminar integrating medical and nursing sciences and if, and how, it contributed to their learning. A case seminar…

  1. Understanding Students' Experience of Transition from Lecture Mode to Case-Based Teaching in a Management School in India

    ERIC Educational Resources Information Center

    Roy, Subhadip; Banerjee, Pratyush

    2012-01-01

    In this study, we aimed to understand experience of students about transition from lecture mode to case study pedagogy in business management courses. Indian education system is predominantly a follower of the lecture mode of teaching from the grass-root level till graduation. Hence Indian students are relatively less familiar with the case based…

  2. Importance of wave age and resonance in storm surges: The case Xynthia, Bay of Biscay

    NASA Astrophysics Data System (ADS)

    Bertin, Xavier; Bruneau, Nicolas; Breilh, Jean-François; Fortunato, André B.; Karpytchev, Mikhail

    This study aims to hindcast and analyze the storm surge associated with Xynthia, a mid-latitude depression that severely hit the French central part of the Bay of Biscay on the 27-28th of February 2010. The main losses in human lives and damages were caused by the associated storm surge, which locally exceeded 1.5 m and peaked at the same time as a high spring tide, causing the flooding of low-lying coasts. A new storm surge modeling system was developed, based on the unstructured-grid circulation model SELFE and the spectral wave model WaveWatchIII. The modeling system was implemented over the North-East Atlantic Ocean and resulted in tidal and wave predictions with errors of the order of 3% and 15%, respectively. The storm surge associated with Xynthia was also well predicted along the Bay of Biscay, with only a slight underestimation of the surge peak by 3-8%. Numerical experiments were then performed to analyze the physical processes controlling the development of the storm surge and revealed firstly that the wind caused most of the water level anomaly through an Ekman setup process. The comparison between a wave-dependant and a quadratic parameterization to compute wind stress showed that the storm surge was strongly amplified by the presence of steep and young wind-waves, related to their rapid development in the restricted fetch of the Bay of Biscay. In the central part of the Bay of Biscay, both observed and predicted water level anomalies at landfall displayed ˜6 h oscillations, with amplitudes of up to 0.2 m (10-20% of the surge peak). An analytical shelf resonance model and numerical experiments demonstrated that the period of the observed oscillations corresponds to the resonant mode of the continental shelf in the central part of the Bay of Biscay. It is concluded that these oscillations originate from the interactions between the water level perturbation and the continental shelf and this phenomenon is expected to be relevant at other places along

  3. A case study of change in conceptions and practices of prospective science teachers during field experiences

    NASA Astrophysics Data System (ADS)

    Bradford, Cristine Schoneweg

    Field experiences are a pivotal component in the development of science pedagogy amongst future science teachers. This study sought to examine the ways in which prospective high school science teachers' conceptions of science pedagogy change, if at all, during the field experiences component of a science teacher preparation program. The following research questions guided this investigation of the experiences of two participating prospective science teachers: (1) What are the conceptions of teaching science held by participants? (2) How do these conceptions change as participants progress through pre-student teaching and student teaching? (3) What is the role of pre-student teaching and student teaching in the construction of these conceptions, from the perspective of the participants? (4) In what ways did the pre-student teaching and student teaching experiences constrain or support the development of conceptual change pedagogy among participants? This interpretive case study of participants' development in conceptions about science pedagogy was guided by principles of phenomenological inquiry. Primary sources of data were transcripts of semi-structured formal interviews with participants. Field notes from classroom observations and documents, such as journal entries and lesson plans, were used as supporting data. Data collection occurred during Fall 1995 and Spring 1996, as participants progressed through pre-student teaching and student teaching, respectively. The data were analyzed through an inductive procedure. There were two levels of data analysis. First, the data for each individual participant were analyzed; second, a cross-participant analysis was performed. The overarching assertion that emerged from the analysis was that 'the nature of the field experiences for these participants may have (inadvertently) rewarded the pursuit of technical proficiency at the expense of both critical reflection and development on issues related to participants

  4. A case of learning to teach elementary science: Investigating beliefs, experiences, and tensions

    NASA Astrophysics Data System (ADS)

    Bryan, Lynn Ann

    This study examines how preservice elementary teacher beliefs and experiences within the context of reflective science teacher education influence the development of professional knowledge. From a cognitive constructivist theoretical perspective, I conducted a case analysis to investigate the beliefs about science teaching and learning held by a preservice teacher (Barbara), identify the tensions she encountered in learning to teach elementary science, understand the frames from which she identified problems of practice, and discern how her experiences influenced the process of reflecting on her own science teaching. From an analysis of interviews, observation, and written documents, I constructed a profile of Barbara's beliefs that consisted of three foundational and three dualistic beliefs about science teaching and learning. Her foundational beliefs concerned: (a) the value of science and science teaching, (b) the nature of scientific concepts and goals of science instruction, and (c) control in the science classroom. Barbara held dualistic beliefs about: (a) how children learn science, (b) the science students' role, and (c) the science teacher's role. The dualistic beliefs formed two contradictory nests of beliefs. One nest, grounded in life-long science learner experiences, reflected a didactic teaching orientation and predominantly guided her practice. The second nest, not well-grounded in experience, embraced a hands-on approach and predominantly guided her vision of practice. Barbara encountered tensions in thinking about science teaching and learning as a result of inconsistencies between her vision of science teaching and her actual practice. Confronting these tensions prompted Barbara to rethink the connections between her classroom actions and students' learning, create new perspectives for viewing her practice, and consider alternative practices more resonant with her visionary beliefs. However, the self-reinforcing belief system created by her

  5. Development and Evaluation of a Longitudinal Case-Based Learning (CBL) Experience for a Geriatric Medicine Rotation

    ERIC Educational Resources Information Center

    Struck, Bryan D.; Teasdale, Thomas A.

    2008-01-01

    The DWR Department of Geriatric Medicine at OUHSC and the OKC VA Medical Center began a mandatory third-year geriatric medicine clerkship in 2003. As part of the didactic sessions, the Department created a longitudinal Case-Based Learning (CBL) experience. The purpose of this paper is to describe the CBL experience, report student satisfaction…

  6. A Case Study of Understanding the Influence of Cultural Patterns on International Students' Perception and Experience with Online Learning

    ERIC Educational Resources Information Center

    Paralejas, Cynthia G.

    2013-01-01

    This dissertation aimed to understand the influence of cultural patterns on international students' perception and experience with online learning. This case study utilized Hofstede's cultural dimension model as an interpretative framework to understand what are the international students' perceptions and experiences with online courses. Two…

  7. Exploring the Experiences of Successful Completers of a System of Care for Children and Their Families through Case Narratives

    ERIC Educational Resources Information Center

    Anderson, Jeffrey A.; McIntyre, Janet S.; Somers, John W.

    2004-01-01

    This paper explores the experiences of three young people with emotional and behavioral challenges and their families as they entered, participated in, and completed a community-based system of care. Using a case narrative approach, the characteristics and experiences of the children and families who successfully completed the Dawn Project system…

  8. Factors influencing the caries experience of a group of children at the ages of 11-12 and 15-16 years: results from an ongoing epidemiological survey.

    PubMed

    Dummer, P M; Oliver, S J; Hicks, R; Kingdon, A; Kingdon, R; Addy, M; Shaw, W C

    1990-02-01

    An analysis of factors influencing the caries experience of adolescents in South Wales is presented. Approximately 1000 children were assessed for caries status and oral cleanliness in 1980 when aged 11-12 years and again in 1984 when aged 15-16 years. In addition, on both occasions, the children completed detailed questionnaires on dental health-related topics. When aged 11-12 years, the observed mean DMFT, DMFS and DFS scores of the children were 4.0, 6.7 and 5.5 respectively. The corresponding scores at age 15-16 years were 6.5, 11.8 and 10.2. A preliminary analysis using conventional multiple regression techniques revealed that a number of factors had a significant influence on the caries experience of the children. The significance of the factors depended on the sex of the population subgroup, the age of the children and the particular caries index studied. However, at both ages the factors of most significance were the number of erupted teeth, total mean plaque score and the reported amount of money spent on sweets per week. A further evaluation using analysis of covariance with the number of erupted teeth and surfaces as the covariates confirmed the significant influence of the total mean plaque score and amount of money spent on sweets. In addition, both analyses indicated that toothbrushing frequency and social class had a significant influence on the caries experience of boys. PMID:2312888

  9. Cancer and frailty in older adults: a nested case-control study of the Mexican Health and Aging Study

    PubMed Central

    Pérez-Zepeda, Mario Ulises; Cárdenas-Cárdenas, Eduardo; Cesari, Matteo; Navarrete-Reyes, Ana Patricia; Gutiérrez-Robledo, Luis Miguel

    2016-01-01

    Purpose Understanding how the convergence between chronic and complex diseases—such as cancer—and emerging conditions of older adults—such as frailty—takes place would help in halting the path that leads to disability in this age group. The objective of this manuscript is to describe the association between a past medical history of cancer and frailty in Mexican older adults. Methods This is a nested in cohort case-control study of the Mexican Health and Aging Study. Frailty was categorized by developing a 55-item frailty index that was also used to define cases in two ways: incident frailty (incident >0.25 frailty index score) and worsening frailty (negative residuals from a regression between 2001 and 2012 frailty index scores). Exposition was defined as self-report of cancer between 2001 and 2012. Older adults with a cancer history were further divided into recently diagnosed (<10 years) and remotely diagnosed (>10 years from the initial diagnosis). Odds ratios were estimated by fitting a logistic regression adjusted for confounding variables. Results Out of a total of 8022 older adults with a mean age of 70.6 years, the prevalence of a past medical history of cancer was 3.6 % (n = 288). Among these participants, 45.1 % had been diagnosed with cancer more than 10 years previously. A higher risk of incident frailty compared to controls [odds ratio (OR) 1.53 (95 % confidence interval (CI) 1.04–2.26, p = 0.03); adjusted model OR 1.74 (95 % CI 1.15–2.61, p = 0.008)] was found in the group with a recent cancer diagnosis. Also, an inverse association between a remote cancer diagnosis and worsening frailty was found [OR = 0.56 (95 % CI 0.39–0.8), p = 0.002; adjusted model OR 0.61 (95 % CI 0.38–0.99, p = 0.046)]. Conclusions Cancer is associated with a higher frailty index, with a potential relevant role of the time that has elapsed since the cancer diagnosis. Implications for cancer survivors Cancer survivors may be more likely to develop frailty or

  10. Impact of age and level of experience on occupational stress experienced by non-gazetted officers of the central reserve police force

    PubMed Central

    Balakrishnamurthy, C.; Shankar, Swetha

    2009-01-01

    Background: The study explores the effect of demographic variables such as age and level of experience on the level of stress experienced by non-gazette officers of the Central Reserve Police Force (CRPF). Materials and Methods: A purposive sample of 163 CRPF personnel was chosen. The Police Stress Inventory developed for use among CRPF personnel was administered. Various statistical parameters such as mean, standard deviation, standard error, mean difference and single-factor ANOVA were used to analyze the data. Conclusion: The study strongly indicates the relationship between stress and demographic variables such as age and level of experience. PMID:21180481

  11. Beneficial effect of botulinum A toxin in blepharospasm: 16 months' experience with 16 cases.

    PubMed

    Maurri, S; Brogelli, S; Alfieri, G; Barontini, F

    1988-08-01

    After introducing the problem of blepharospasm, we report our experience on treatment with purified botulinum A toxin in 16 cases of blepharospasm, symptomatic in two and essential in 14, than had not responded to drugs. The changes in intensity and frequency of spasm after treatment were evaluated on a clinical scale and by review of videotapes. The beneficial effect appeared within a week in most patients, lasting from 6 to 28 weeks (mean 13), and reached the maximum at the third-seventh week. Mild spasms and female patients responded better. Repeated injections were followed by better response to the drug. Complications, exclusively local, were represented by transient corneal exposure, ptosis, lacrimation or diplopia. PMID:3220708

  12. The experiences of close persons caring for people with chronic kidney disease stage 5 on conservative kidney management: Contested discourses of ageing

    PubMed Central

    Myers, Jason; Smith, Glenn; Higgs, Paul; Burns, Aine; Hopkins, Katherine; Jones, Louise

    2014-01-01

    Chronic kidney disease stage 5 is a global health challenge in the context of population ageing across the world. The range of treatment options available to patients at all ages has increased and includes transplantation and dialysis. However, these options are often seen as inappropriate for older frailer patients who are now offered the option of conservative kidney management, which is presented as a non-invasive alternative to dialysis, involving symptom management and addressing psychosocial needs. In this study, we conducted qualitative interviews with 26 close persons caring for someone with chronic kidney disease stage 5 in the United Kingdom to investigate how conservative kidney management interacted with implicit ideas of ageing, in both the experience of conservative kidney management and the understanding of the prognosis and future care of the kidney disease. Our findings highlighted participant confusion about the nature of conservative kidney management, which stems from an initial lack of clarity about how conservative kidney management differed from conventional treatments for chronic kidney disease stage 5. In particular, some respondents were not aware of the implicit palliative nature of the intervention or indeed the inevitable end-of-life issues. Although these findings can be situated within the context of communication failure, we would further argue that they also bring to the surface tensions in the discourses surrounding ageing and old age, drawing on the use of a ‘natural’ and a ‘normal’ paradigm of ageing. In the context of chronic kidney disease stage 5, more patients are being dialysed at older ages, but conservative kidney management is being advanced as a better option than dialysis in terms of quality of life and experience. However, in doing so, conservative kidney management implicitly draws on a notion of older age that echoes natural ageing rather than advocate a more interventionist approach. The role of discourses

  13. The experiences of close persons caring for people with chronic kidney disease stage 5 on conservative kidney management: contested discourses of ageing.

    PubMed

    Low, Joe; Myers, Jason; Smith, Glenn; Higgs, Paul; Burns, Aine; Hopkins, Katherine; Jones, Louise

    2014-11-01

    Chronic kidney disease stage 5 is a global health challenge in the context of population ageing across the world. The range of treatment options available to patients at all ages has increased and includes transplantation and dialysis. However, these options are often seen as inappropriate for older frailer patients who are now offered the option of conservative kidney management, which is presented as a non-invasive alternative to dialysis, involving symptom management and addressing psychosocial needs. In this study, we conducted qualitative interviews with 26 close persons caring for someone with chronic kidney disease stage 5 in the United Kingdom to investigate how conservative kidney management interacted with implicit ideas of ageing, in both the experience of conservative kidney management and the understanding of the prognosis and future care of the kidney disease. Our findings highlighted participant confusion about the nature of conservative kidney management, which stems from an initial lack of clarity about how conservative kidney management differed from conventional treatments for chronic kidney disease stage 5. In particular, some respondents were not aware of the implicit palliative nature of the intervention or indeed the inevitable end-of-life issues. Although these findings can be situated within the context of communication failure, we would further argue that they also bring to the surface tensions in the discourses surrounding ageing and old age, drawing on the use of a 'natural' and a 'normal' paradigm of ageing. In the context of chronic kidney disease stage 5, more patients are being dialysed at older ages, but conservative kidney management is being advanced as a better option than dialysis in terms of quality of life and experience. However, in doing so, conservative kidney management implicitly draws on a notion of older age that echoes natural ageing rather than advocate a more interventionist approach. The role of discourses of ageing

  14. Participation in play activities: a single-case study focusing on a child with obesity experiences.

    PubMed

    Skär, Lisa; Prellwitz, Maria

    2008-06-01

    The purpose of this study was to describe how a child with obesity perceived participation in play activities. A single-case study design was chosen to optimize the understanding of the complexities of the research question. A 9-year-old boy diagnosed with obesity was studied. This is a typical case and is studied mainly to provide understanding to the issue. The data were collected from interviews with the boy, his mother and his teacher. Data were also collected through observations and a self-report assessment instrument called Kid Play Profile. The results showed that the boy was ridiculed by his peers and that at times he felt excluded from them, which prevented him from participating in play activities. The boy's experience came from different perceived problems such as lack of friends to play with, his inability to know how to perform in different play activities, and lack of proper support and encouragement from adults. Supporting children to overcome social skills deficits could prevent them from being teased and may have a positive effect on health. To optimize children's participation in play activities, it is important for adults to give them proper support and encouragement. The results were discussed with regard to earlier research, and topics for further research are suggested. PMID:18489691

  15. Running a postmortem service--a business case and clinical experience.

    PubMed

    Cohen, Marta C; Whitby, Elspeth; Fink, Michelle A; Collett, Jacquelene M; Offiah, Amaka C

    2015-04-01

    The purpose of the postmortem examination is to offer answers to explain the cause and manner of death. In the case of perinatal, infant and paediatric postmortem examinations, the goal is to identify unsuspected associated features, to describe pathogenic mechanisms and new conditions, and to evaluate the clinical management and diagnosis. Additionally, the postmortem examination is useful to counsel families regarding the probability of recurrence in future pregnancies and to inform family planning. Worldwide the rate of paediatric autopsy examinations has significantly declined during the last few decades. Religious objections to postmortem dissection and organ retention scandals in the United Kingdom provided some of the impetus for a search for non-invasive alternatives to the traditional autopsy; however, until recently, imaging studies remained an adjunct to, rather than a replacement for, the traditional autopsy. In 2012, Sheffield Children's Hospital National Health Service Foundation Trust set up the service provision of minimally invasive fetal, perinatal and neonatal autopsy, while a postmortem imaging service has been running in Melbourne, Australia, since 2008. Here we summarise the essentials of a business case and practical British and Australian experiences in terms of the pathological and radiologic aspects of setting up a minimally invasive clinical service in the United Kingdom and of developing a clinical postmortem imaging service as a complementary tool to the traditional autopsy in Australia. PMID:25828353

  16. Hunter syndrome with late age of presentation: clinical description of a case and review of the literature.

    PubMed

    Gupta, Ashish; Uttarilli, Anusha; Dalal, Ashwin; Girisha, Katta M

    2015-01-01

    Hunter syndrome is an X linked recessive mucopolysaccharidosis (type II) caused by the deficiency of iduronate 2-sulfatase. This in turn leads to the accumulation of glycosaminoglycans, dermatan and heparan sulfate. The intracellular and extracellular accumulation of these substances lead to multisystemic organ abnormality. It is a rare syndrome with a very low prevalence of 1.3:100,000 male live births. Usual presentation is in early childhood although milder variants have been documented to present at a later age. We present a rare case of Hunter syndrome in a 24-year-old male patient who presented with joint contractures and recent onset hoarseness of voice. X-rays were suggestive of dysostosis multiplex. Clinical diagnosis of Hunter syndrome was confirmed by enzyme assay and further by mutational analysis. PMID:25976201

  17. [Coronary artery bypass graft for Bland-White-Garland syndrome in an old age; report of a case].

    PubMed

    Komagamine, Masahide; Saito, Satoshi; Nishinaka, Tomohiro; Katsube, Ken; Yamazaki, Kenji

    2010-12-01

    We report a case of Bland-White-Garland syndrome with advanced age. The patient, a 67-year-old women, presented with a history of congestive heart failure. Coronary catheterization revealed an anomalous origin of the left coronary artery (LCA) from the trunk of the pulmonary artery and huge right coronary aneurysm. Myocardial single photon emission computed tomography (SPECT) showed previous myocardial infarction with reversible ischemia in left anterior descending (LAD) region. We performed LCA direct closure and coronary artery bypass graft. The patient recovered uneventfully without signs of ischemia. Although a bypass graft was patent, left ventricular function had not been improved immediately probably due to the coronary flow pattern changes. PMID:21174671

  18. Early Experience With Laparoscopic Approach for Solid Liver Tumors: Initial 16 Cases

    PubMed Central

    Descottes, Bernard; Lachachi, Fouzi; Sodji, Maxime; Valleix, Denis; Durand-Fontanier, Sylvaine; Pech, Bertrand; Laclause, de; Grousseau, Dominique

    2000-01-01

    Objective To evaluate the feasibility and outcome of laparoscopic hepatectomy in patients with solid liver tumors. Summary Background Data Although the laparoscopic approach has become popular in the surgical field, the value of laparoscopy in liver surgery is unknown. Methods Fifteen patients with solid liver tumors underwent 16 consecutive laparoscopic resections at the authors’ institution between 1994 and 1999. Indications were symptomatic hemangioma, focal nodular hyperplasia, liver cell adenoma, isolated metastasis from a colon cancer, and hepatocellular carcinoma. The laparoscopic procedure was performed using four to seven ports (four 10-mm, two 5-mm, and one 12-mm). Results One patient underwent a major hepatic resection (right lobectomy); the others underwent minor hepatic resections (left lateral segmentectomies, IVb subsegmentectomies, segmentectomy, and nonanatomical excisions). The laparoscopic procedure was uneventful in 15 patients; one patient required conversion to open laparotomy because of inadequate free surgical margins. Conclusion Laparoscopic surgery of the liver is feasible. The use of this new technical approach offers many advantages but requires extensive experience in hepatobiliary surgery and laparoscopic skills. The authors’ experience suggests that laparoscopic procedures should be reserved for benign tumors in selected cases. Its application must be verified by further studies. PMID:11066134

  19. The National Analysis Facility at DESY - status and use cases by the participating experiments

    NASA Astrophysics Data System (ADS)

    Aplin, S.; Ehrenfeld, W.; Haupt, A.; Kemp, Y.; Langenbruch, C.; Leffhalm, K.; Lucaci-Timoce, A.; Stadie, H.

    2011-12-01

    The German National Analysis Facility (NAF) was set up at DESY, starting end of 2007 in the context of the Helmholtz Alliance "Physics at the Terascale". The NAF complements the DESY and the German Grid resources, and hence offers users from the German HEP institutes the best possible environment for data analysis. In the first part, the key aspects and components of the NAF are briefly presented with an emphasis on recent improvements. In the second part, the use cases of the three participating LHC experiments, ATLAS, CMS and LHCb, will be presented. Differences and commonalities in the usage of the NAF will be shown. Special emphasis will be placed on the usage of PROOF, whose usage on the NAF has been pioneered by CMS. It is now adapted by ATLAS. The third part will concentrate on how the NAF was used for detector optimisation studies in the preparation of one of the ILC Lol's (ILD 2009), as well as how CALICE uses the NAF for the analysis of their data taken in several test beam experiments performed for detector R & D. Finally, future developments of the NAF are presented.

  20. Evaluation of system quality of hospital information system: a case study on nurses' experiences.

    PubMed

    Sheikhtaheri, Abbas; Kimiafar, Khalil; Sarbaz, Masoumeh

    2014-01-01

    In this study, we aimed at measuring the nurses' experiences on the system quality of the hospital information system (HIS). This applied, cross-sectional study was conducted in a case hospital in Iran. We developed a three part questionnaire including demographic information, nurses' experiences and satisfaction about different factors of system quality of a HIS. We asked the participants to rate their responses using five-point Likert scale. A total of 120 questionnaires were sent out for all 120 eligible nurses, with 80 completed copies returned. The data was finally analyzed using descriptive statistics. Regarding the interface quality, the most of nurses (37.5%) stated that data entry through input devices was somewhat quick. We found that HIS developers should pay more attention to the technical aspects of HIS and their correspondence with the nurses' needs, especially in terms of documentation, online assistance, response time, system reliability and flexibility, integration with current and new duties, as well as ability of the system to prevent data lose and handle bugs. PMID:25160330