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Sample records for countries les enjeux

  1. Enjeux de fin de vie dans les cas de démence avancée

    PubMed Central

    Arcand, Marcel

    2015-01-01

    Résumé Objectif Examiner les enjeux liés à l’établissement d’objectifs des soins pour les patients atteints de démence sévère, décrire lesles respectifs du médecin et des proches du patient dans le processus de prise de décision et suggérer des façons d’appuyer les proches qui souhaitent obtenir plus d’information sur les options thérapeutiques. Sources des données Une recherche d’articles pertinents publiés avant le 7 mars 2014 a été effectuée dans MEDLINE sur Ovid. Aucune étude de niveau I n’a été relevée; la plupart des articles fournissaient des preuves de niveaux III. Message principal Pour les patients atteints de démence avancée, la famille joue un rôle important dans la prise de décisions médicales. Les proches devraient recevoir de l’information ponctuelle sur l’évolution de la démence et les options relatives aux soins. Ils doivent comprendre qu’il pourrait être approprié d’adopter une approche de soins palliatifs, ce qui ne signifie pas que le patient est abandonné à son sort. Ils pourraient aussi souhaiter clarifier leur rôle dans le processus de prise de décision, surtout lorsqu’on envisage de mettre fin aux mesures de prolongement de vie. Conclusion Les médecins doivent voir la démence avancée comme une maladie terminale pour laquelle il existe un continuum de soins qui s’étend de l’approche de soins palliatifs avec mesures acceptables de prolongement de vie à l’approche exclusivement symptomatique. Il est primordial de clarifier les objectifs des soins et d’éduquer les proches pour éviter les interventions non souhaitées et pénibles.

  2. Enjeux de fin de vie dans les cas de démence avancée

    PubMed Central

    Arcand, Marcel

    2015-01-01

    Résumé Objectif Répondre aux questions souvent posées sur la prise en charge de la pneumonie en phase terminale, de l’apport nutritionnel insuffisant et de la déshydratation dans les cas de démence avancée. Sources des données Une recherche a été effectuée dans MEDLINE sur Ovid pour des articles pertinents publiés jusqu’en février 2015. Aucune étude de niveau I n’a été relevée; la plupart des articles fournissaient des preuves de niveaux III. Les suggestions en matière de prise en charge des symptômes s’appuient en partie sur une récente participation à une approche Delphi visant à concevoir une directive pour le soulagement optimal des symptômes chez les patients atteints de pneumonie et de démence. Message principal Les sondes d’alimentation ne sont pas recommandés chez les patients atteints de démence terminale. L’alimentation de confort manuelle est préférable. L’hydratation parentérale pourrait être utile, mais elle peut aussi contribuer à l’inconfort à la fin de la vie. Si les soins buccaux sont adéquats, l’abstention ou la cessation de l’alimentation et de l’hydratation artificielles ne sont généralement pas associées à des manifestations d’inconfort. Puisque la pneumonie est habituellement très inconfortable, les cliniciens doivent être attentifs à la maîtrise des symptômes. La sédation pour maîtriser l’agitation est souvent utile chez les patients atteints de démence terminale. Conclusion Les soins à visée symptomatique sont une option appropriée pour les manifestations terminales de la démence avancée. Les lignes directrices de prise en charge des symptômes proposées s’appuient sur une revue de la littérature et sur un consensus d’experts.

  3. Le renforcement de l'interface entre les services de santé publique et de première ligne : enjeux et pistes de solution

    PubMed Central

    Paquette, Daniel; Reinharz, Daniel

    2009-01-01

    Le développement de liens étroits entre la santé publique et les services cliniques, notamment ceux offerts par les médecins de famille œuvrant en première ligne, est prôné dans tous systèmes de santé occidentaux. On suppose que les collaborations formant une telle interface ont des impacts positifs à la fois sur la qualité des soins, sur le fardeau des maladies et sur l'équité dans le système de santé. Si les acteurs des deux domaines admettent le bien-fondé de l'interface et favorisent en principe son développement, plusieurs barrières nuisent aux collaborations dans la réalité. Or, peu est connu sur ces barrières dans le système de santé québécois. Cette étude vise à répondre à ce manque d'information en étudiant l'interface à partir d'une perspective organisationnelle. Deux cadres conceptuels ont été utilisés, soit la typologie de Lasker (1997) et les archétypes de Hinings et Greenwood (1988). L'analyse met en évidence deux des six formes de collaboration proposées par la typologie utilisée, soit la coordination des services aux individus et la mise à profit des rencontres cliniques pour les fins de la santé publique. Les activités associées à ces formes de collaboration, qui sont importantes eu égard au mandat de la santé publique, comportent un intérêt essentiellement pour la santé publique et sont déterminées en pratique unilatéralement par cette dernière. En outre, le manque de coordination des activités qui impliquent une collaboration avec les médecins constitue un obstacle au développement de telles activités en créant des irritants pour les médecins. Il y a donc, dans le système de santé québécois, des possibilités de développement de l'interface là où la collaboration se fait également au profit du travail clinique et là où elle tient compte des contraintes du milieu clinique. PMID:20436801

  4. ÉVALUER UNE INTERVENTION COMPLEXE: ENJEUX CONCEPTUELS, MÉTHODOLOGIQUES, ET OPÉRATIONNELS

    PubMed Central

    Contandriopoulos, André-Pierre; Rey, Lynda; Brousselle, Astrid; Champagne, François

    2016-01-01

    L’évaluation doit théoriquement aider les décideurs à relever les défis des systèmes de santé contemporains. Paradoxalement, malgré le développement rapide du domaine, l’utilisation des résultats des évaluations par ces décideurs reste faible. Le degré d’utilisation ne dépendrait-il pas de la capacité de l’évaluateur à rendre compte de la complexité des systèmes de santé? La nature complexe d’une intervention amène souvent les évaluateurs à adopter des approches non conventionnelles tenant compte du jeu des acteurs. L’évaluation d’une intervention complexe soulève des enjeux conceptuels, méthodologiques, et opérationnels que doit surmonter l’évaluateur pour accroître le degré d’utilisation des résultats par les décideurs. PMID:27293310

  5. Enjeux technologiques du LHC, le grand collisionneur de particules supraconducteur en projet au CERN

    NASA Astrophysics Data System (ADS)

    Lebrun, Ph.

    1991-02-01

    The LHC large superconducting particle collider project is presented, with particular emphasis on its major technological requirements and returns, mostly in the domains of high-field electromagnets, superfluid helium cryogenics, and integration of such advanced techniques in a large machine. The corresponding cooperation and technological transfer to European laboratories and industries and briefly discussed. Le projet de collisionneur de particules supraconducteur LHC est présenté, en mettant l'accent sur ses enjeux technologiques majeurs, principalement dans le domaine des électro-aimants à champs intenses, de la cryogénie à l'hélium superfluide et de l'intégration de ces techniques de pointe dans une grande machine. Les actions de coopération et les mécanismes de transfert technologique, en cours ou à créer, vers les laboratoires et les industries européens sont brièvement évoqués.

  6. La formation continue des professeurs dans les pays en voie de developpement: la huitieme croisade (Continuing Formation of Teachers in Developing Countries: the Eighth Crusade)

    ERIC Educational Resources Information Center

    Bandon, Pierre

    1978-01-01

    A study of objectives in teacher training. Several theories and methods are compared with the actual educational situation. Suggestions for developing a system by and within these countries that would be more in tune with their own culture are given. (AMH)

  7. Cellules solaires photovoltaïques plastiques enjeux et perspectives

    NASA Astrophysics Data System (ADS)

    Sicot, L.; Dumarcher, V.; Raimond, P.; Rosilio, C.; Sentein, C.; Fiorini, C.

    2002-04-01

    Après avoir détaillé le fonctionnement d'une cellule photovoltaïque plastique et les paramètres photovoltaïques permettant de caractéiser son efficacité, un état de l'art des technologies de fabrication des cellules est présenté. Des moyens d'amélioration des performances des cellules photovoltaïques organiques sont ensuite illustrés par l'étude de dispositifs développés au Laboratoire Composants Organiques (LCO) du CEA Saclay.

  8. Les considérations éthiques relatives à la désadoption d'aspects inefficaces ou nuisibles des soins de santé.

    PubMed

    Niven, Daniel J; Leigh, Jeanna Parsons; Stelfox, Henry T

    2016-09-01

    La désadoption désigne l'abandon d'une pratique médicale ou d'un service de santé inefficace ou nuisible après une période d'adoption. Tandis que les dépenses croissantes en matière de santé menacent de paralyser les sociétés qui les financent, le fait de faciliter la désadoption peut faire partie intégrante de systèmes de santé durables qui prodiguent des soins de qualité. Le présent article explore des enjeux éthiques qui se rapportent à la désadoption, y compris les principes sous-jacents de bénéficience, de non-maléficience, de justice et d'autonomie. PMID:27576859

  9. Les jeux de hasard chez les enfants et les adolescents

    PubMed Central

    Gupta, Rina; Pinzon, Jorge L

    2012-01-01

    RÉSUMÉ Même si, au Canada, les mineurs n’ont pas le droit de jouer à des jeux de hasard légalisés, les adolescents participent souvent à des jeux de hasard soit légalisés (produits de loterie, casino, terminaux de jeux vidéo), soit autonomes (jeux de cartes, paris sportifs, dés) à la maison et en milieu scolaire. Chez les adultes, le taux de prévalence de dépendance aux jeux de hasard au cours de la vie se situe entre 1 % et 2 %. D’après les données existantes, la prévalence chez les adolescents serait de deux à quatre fois plus élevée. On ne sait pas grand-chose des facteurs de risque d’apparition et de perpétuation d’une dépendance pathologique aux jeux de hasard. Le présent document de principes vise à informer les pédiatres, les médecins de famille et les autres professionnels de la santé des connaissances émergentes sur les jeux de hasard pendant l’enfance et l’adolescence et du risque de conséquences graves qui s’y rattachent. On y exhorte également les gouvernements fédéral, provinciaux et territoriaux à inclure cette question dans leur programme et à tenir compte des facteurs sociopolitiques associés aux jeux de hasard.

  10. Diffusion dans les liquides

    NASA Astrophysics Data System (ADS)

    Dianoux, A. J.

    2003-09-01

    Après une brève introduction qui rappelle les concepts détaillés dans le cours de M. Bée, nous présentons un aperçu de trois de nos travaux sur l'étude de la diffusion. Tout d'abord la dynamique de l'eau, dans son état normal ou surfondu, révèle la complexité apportée par le réseau de liaisons hydrogène. Ensuite l'effet du confinement sur la dynamique de l'eau sera étudié dans le cas de la membrane Nafion. Enfin la diffusion dans les phases nématique et smectique A d'un cristal liquide permet d'obtenir la valeur du potentiel qui maintient les couches dans la phase smectique.

  11. Le cycle de l'eau et les activités au sein de l'espace rural. Enjeux globaux, solutions locales et régionales

    NASA Astrophysics Data System (ADS)

    Perrier, Alain; Tuzet, Andrée

    2005-02-01

    The analysis of the water cycle emphasizes the weight of surface evaporation compared to rain and the weight of water availability compared to evaporation. The ocean is a huge machine producing water vapour contrary to the continents, where evaporation is limited by plants that must shield themselves from drying and particularly by bare soils where the surface drying slows down the water losses. The availability of water for the biosphere depends on the difference between rain and evaporation. This difference, often called 'net supply', can be modified by anthropogenic actions on the vegetation; for example, the anthropogenic actions such as drying climate (reducing evapotranspiration) increases the net supply; on the opposite, the large development of more and more covering vegetation (arboreous system, bocages, savannah...) decreases the net supply (larger surface evapotranspiration all over the year). Moreover, the feedback between climate and continental interface can modify the rainfall pattern and the thermal equilibrium, leading ecosystems to extreme situations such as drying climate and desertification (ET lower and lower) or equilibrium situations corresponding to large development of vegetation (ET close to EP). The anthropogenic pressure and the human food requirements lead human beings to keep nearly the whole available water of the biosphere, particularly to practise irrigated agriculture. This practise is on average two times more efficient than the rainy agriculture (which is why it is attractive); moreover, its water efficiency decreases according to the environment and its aridity. Except for arboreous systems and agroforestry, agriculture is always a system that leads more or less towards aridity, but we have to bring it under control and to make it sustainable. A good management of the whole rain requires an efficient organization of the territory to optimise the water consumption in order to protect the environment and its biodiversity, to increase the agricultural production, to avoid pollutions and to reduce everywhere it is possible the natural degradation (deforestation-aridification-desertification), even to reverse it. It is the reason why, in situations nearly always unstable and very often difficult, water is inseparable from environment, and any approach on water management cannot be imagined and evaluated out of the context defined by the triptych 'anthroposphere-biosphere-technosphere'. To cite this article: A. Perrier, A. Tuzet, C. R. Geoscience 337 (2005).

  12. Employer's Guide: A Time for Action on Sexual Harassment in the Workplace = Guide de L'Employeur: Les Enjeux du Harcelement Sexuel au Travail.

    ERIC Educational Resources Information Center

    Ontario Women's Directorate, Toronto.

    Harassment, like other forms of violence against women, is not a new problem. It is not a problem that will just go away, but it can be stopped. This guide is designed for use by organizations and employers to help them develop policies and implement programs in their workplace that address workplace sexual harassment. It focuses on Canadian…

  13. Country News.

    ERIC Educational Resources Information Center

    Population Education Newsletter and Forum, 1987

    1987-01-01

    Reports on the progress of population education programs in various countries in Asia and the Pacific region. Describes current developments in Bangladesh, China, India, Malaysia, Maldives, and Viet Nam. (TW)

  14. Les aspects psychosociaux de l’obésité chez les enfants et les adolescents

    PubMed Central

    Nieman, Peter; LeBlanc, Claire MA

    2012-01-01

    RÉSUMÉ En plus de donner des conseils aux familles au sujet de l’activité physique régulière et d’une saine alimentation, les cliniciens doivent déterminer les facteurs psychosociaux qui contribuent à l’obésité des enfants ou des adolescents et les aider à y faire face. Les personnes touchées peuvent souffrir de dépression, de mauvaise estime de soi, d’intimidation et de préjugés liés au poids, qui sont tous des expériences qui peuvent compliquer l’obtention des résultats de santé souhaités. Les cliniciens devraient tenter de déterminer les facteurs stressants sous-jacents et s’assurer de la mise en œuvre de conseils pertinents.

  15. Les violences conjugales à Dakar

    PubMed Central

    Soumah, Mohamed Maniboliot; Issa, Abdoul Wahab; Ndiaye, Mor; Ndoye, El Hadj Oumar; Sow, Mamadou Lamine

    2015-01-01

    L'objectif était d’évaluer les aspects épidémiologiques des violences conjugales, identifier les facteurs de risques et les différents types de violences conjugales, évaluer les conséquences des violences conjugales sur la santé des victimes, afin d'améliorer la prise en charge des victimes et la prévention du phénomène. Il s'est agit d'une étude transversale effectuée de décembre 2012 à janvier 2013 à Dakar. Les données ont été recueillies, après consentement, sur fiche d'enquête anonyme soumise à toute personne volontaire vivant en couple et résidant à Dakar. L'analyse statistique a été effectuée avec le logiciel SPSS 13.0. Le nombre de personnes victimes de violences conjugales était de 60 soit 37,30% dont 31 femmes (51,70%) et 29 hommes (48,30%). Le sex-ratio était de 0,93. Parmi les victimes, 53 étaient scolarisées soit 88,30%. Le régime matrimonial était de type monogame dans 39 cas (65%) et polygame dans 21 cas (35%). La vie en couple durait depuis moins de 11 ans dans 60% des cas et durait de 11 ans à 20 ans au plus dans 26,6% des cas. L’étude des types de violences montrait la fréquence des agressions physiques. Les armes utilisées étaient surtout les armes naturelles. Les principaux facteurs de risque de violence conjugale sont les facteurs sociodémographiques, culturels et économiques comme le jeune âge, l'inégalité du genre, les jeunes couples, la précarité, le niveau d'instruction élevé. La prise en charge des victimes et la prévention du phénomène restent insuffisantes dans nos pays. PMID:26918077

  16. Une vie active saine pour les enfants et les adolescents

    PubMed Central

    2002-01-01

    De mauvais modes de vie, comme une alimentation malsaine et l’inactivité physique, sont d'importants facteurs contributifs à une augmentation de la morbidité et de la mortalité secondaires à des maladies chroniques à l’âge adulte. Depuis dix ans, on remarque une augmentation du mode de vie sédentaire et de l’obésité chez les enfants et les adolescents, tant en Amérique du Nord qu’ailleurs dans le monde. Les médecins doivent être conscients de l’importance du problème, fournir des conseils de prévention aux familles et promouvoir une vie active saine dans leur pratique.

  17. ["Les Impatients": expression through art].

    PubMed

    Lamontagne, Céline; Palardy, Lorraine

    2015-01-01

    The organization called "Les Impatients" was founded in 1992. Using a unique model, Les Impatients welcomes those with mental health issues who would like to express themselves through art. Les Impatients offers free creative workshops and encourages exchanges with the community through the sharing of its participants' creations. The name Les Impatients reinforces the idea that the organization does not consider those attending its workshops as patients, but rather creators who are eager to heal, develop their craft and find their place in society. The participants contribute to the collective objective of breaking down the stigma that surrounds mental illness.Les Impatients collaborates with various mental health organizations in Quebec, such as the Institut universitaire en santé mentale de Montréal (IUSMM) affiliated to the Université de Montréal, Douglas Mental Health University Institute (DMHUI), the Centre de santé et services sociaux Drummond (CSSS Drummond) and the Centre de santé et services sociaux Pierre-Boucher (CSSS Pierre-Boucher). Les Impatients offers more than 48 workshops in eight different locations to around 450 participants each week.Dissemination activities, remarkable events, original projects: Les Impatients stands out through its realizations. Examples are exhibitions, collections of love letters, comic books, CD, concerts, and reading nights. The organization's originality resides in the exploration of the links between the work of the participants and that of professional artists. An illustration of this interest is the annual Parle-moi d'amour auction-exhibition, which has been one of Les Impatients' major events since 1999.As part of its mission, Les Impatients conserves the works of art created by the participants during the workshops. Its collection includes more than 15,000 works of art from Les Impatients as well as pieces donated by collectors of unconventional art, commonly known as "art brut" or "outsider art". The

  18. Les plaies du tendon patellaire

    PubMed Central

    Mechchat, Atif; Elidrissi, Mohammed; Mardy, Abdelhak; Elayoubi, Abdelghni; Shimi, Mohammed; Elibrahimi, Abdelhalim; Elmrini, Abdelmajid

    2014-01-01

    Les plaies du tendon patellaire sont peu fréquentes et sont peu rapportés dans la littérature, contrairement aux ruptures sous cutanées. Les sections du tendon patellaire nécessitent une réparation immédiate afin de rétablir l'appareil extenseur et de permettre une récupération fonctionnelle précoce. A travers ce travail rétrospectif sur 13 cas, nous analysons les aspects épidémiologiques, thérapeutiques et pronostiques de ce type de pathologie en comparant différents scores. L’âge moyen est de 25 ans avec une prédominance masculine. Les étiologies sont dominées par les accidents de la voie publique (68%) et les agressions par agent tranchant (26%) et contendant (6 %). Tous nos patients ont bénéficié d'un parage chirurgical avec suture tendineuse direct protégée par un laçage au fils d'aciers en légère flexion. La rééducation est débutée après sédation des phénomènes inflammatoires. Au dernier recul les résultats sont excellents et bon à 92%. Nous n'avons pas noté de différence de force musculaire et d'amplitude articulaire entre le genou sain et le genou lésé. Les lésions ouvertes du tendon patellaire est relativement rare. La prise en charge chirurgicale rapide donne des résultats assez satisfaisants. La réparation est généralement renforcée par un semi-tendineux, synthétique ou métallique en forme de cadre de renfort pour faciliter la réadaptation et réduire le risque de récidive après la fin de l'immobilisation. PMID:25170379

  19. Validating LES for Jet Aeroacoustics

    NASA Technical Reports Server (NTRS)

    Bridges, James; Wernet, Mark P.

    2011-01-01

    Engineers charged with making jet aircraft quieter have long dreamed of being able to see exactly how turbulent eddies produce sound and this dream is now coming true with the advent of large eddy simulation (LES). Two obvious challenges remain: validating the LES codes at the resolution required to see the fluid-acoustic coupling, and the interpretation of the massive datasets that are produced. This paper addresses the former, the use of advanced experimental techniques such as particle image velocimetry (PIV) and Raman and Rayleigh scattering, to validate the computer codes and procedures used to create LES solutions. This paper argues that the issue of accuracy of the experimental measurements be addressed by cross-facility and cross-disciplinary examination of modern datasets along with increased reporting of internal quality checks in PIV analysis. Further, it argues that the appropriate validation metrics for aeroacoustic applications are increasingly complicated statistics that have been shown in aeroacoustic theory to be critical to flow-generated sound, such as two-point space-time velocity correlations. A brief review of data sources available is presented along with examples illustrating cross-facility and internal quality checks required of the data before it should be accepted for validation of LES.

  20. Validating LES for Jet Aeroacoustics

    NASA Technical Reports Server (NTRS)

    Bridges, James

    2011-01-01

    Engineers charged with making jet aircraft quieter have long dreamed of being able to see exactly how turbulent eddies produce sound and this dream is now coming true with the advent of large eddy simulation (LES). Two obvious challenges remain: validating the LES codes at the resolution required to see the fluid-acoustic coupling, and the interpretation of the massive datasets that result in having dreams come true. This paper primarily addresses the former, the use of advanced experimental techniques such as particle image velocimetry (PIV) and Raman and Rayleigh scattering, to validate the computer codes and procedures used to create LES solutions. It also addresses the latter problem in discussing what are relevant measures critical for aeroacoustics that should be used in validating LES codes. These new diagnostic techniques deliver measurements and flow statistics of increasing sophistication and capability, but what of their accuracy? And what are the measures to be used in validation? This paper argues that the issue of accuracy be addressed by cross-facility and cross-disciplinary examination of modern datasets along with increased reporting of internal quality checks in PIV analysis. Further, it is argued that the appropriate validation metrics for aeroacoustic applications are increasingly complicated statistics that have been shown in aeroacoustic theory to be critical to flow-generated sound.

  1. SUSY Les Houches Accord 2

    SciTech Connect

    Allanach, B.; Balazs, C.; Belanger, G.; Bernhardt, M.; Boudjema, F.; Choudhury, D.; Desch, K.; Ellwanger, U.; Gambino, P.; Godbole, R.; Goto, T.; /Cambridge U., DAMTP /Monash U. /Annecy, LAPTH /Bonn U. /Harish-Chandra Res. Inst. /Orsay, LPT /Turin U. /INFN, Turin /Bangalore, Indian Inst. Sci. /KEK, Tsukuba /Barcelona U.

    2007-11-08

    The Supersymmetry Les Houches Accord (SLHA) [1] provides a universal set of conventions for conveying spectral and decay information for supersymmetry analysis problems in high energy physics. Here, we propose extensions of the conventions of the first SLHA to include various generalizations: the minimal supersymmetric standard model with violation of CP, R-parity, and flavor, as well as the simplest next-to-minimal model.

  2. SUSY Les Houches Accord 2

    SciTech Connect

    Allanach, B.; Balazs, C.; Belanger, G.; Bernhardt, M.; Boudjema, F.; Choudhury, D.; Desch, K.; Ellwanger, U.; Gambino, P.; Godbole, R.; Goto, T.; Guasch, J.; Guchait, M.; Hahn, T.; Heinemeyer, S.; Hugonie, C.; Hurth, T.; Kraml, S.; Kreiss, S.; Lykken, J.; Moortgat, F.; /Cambridge U., DAMTP /Monash U. /Annecy, LAPTH /Bonn U. /Harish-Chandra Res. Inst. /Orsay, LPT /Turin U. /INFN, Turin /Bangalore, Indian Inst. Sci. /KEK, Tsukuba /Barcelona U. /Tata Inst. /Munich, Max Planck Inst. /Cantabria Inst. of Phys. /Montpellier U. /CERN /SLAC /Edinburgh U. /Fermilab /Zurich, ETH /Southampton U.

    2007-11-08

    The Supersymmetry Les Houches Accord (SLHA) provides a universal set of conventions for conveying spectral and decay information for supersymmetry analysis problems in high energy physics. Here, we propose extensions of the conventions of the first SLHA to include various generalizations: the minimal supersymmetric standard model with violation of CP, R-parity, and flavor, as well as the simplest next-to-minimal model.

  3. Appendicite chronique chez les enfants

    PubMed Central

    Kim, David; Butterworth, Sonia A.; Goldman, Ran D.

    2016-01-01

    Résumé Question Alors que le diagnostic d’appendicite aigu est relativement simple à poser, celui d’appendicite chronique peut être controversé et souvent mal posé. De quelle manière et à quel moment les cliniciens devraient-ils investiguer l’appendicite chronique comme la cause de douleurs abdominales chroniques et récidivantes dans la population pédiatrique? Réponse L’appendicite chronique est une inflammation ou fibrose de longue date de l’appendice dont le tableau clinique est une douleur abdominale prolongée ou intermittente. Son diagnostic est souvent difficile à poser et elle peut entraîner des complications telles que des infections intra-abdominales, ou l’occlusion ou la perforation de l’intestin. Le tableau clinique, de même que les études d’imagerie, peuvent aider le clinicien à écarter d’autres affections, et chez les patients qui reçoivent un diagnostic, dont de nombreux enfants, l’appendicectomie soulage partiellement ou complètement la douleur.

  4. Les etoiles qui ne veulent pas vieillir

    NASA Astrophysics Data System (ADS)

    Bonnet-Bidaud, J. M.

    1995-12-01

    Qu'est-ce qui fait courir Jean-Claude Pecker ? Ses travaux sur les atmospheres stellaires qu'il poursuit aujourd'hui ? Son combat pour les droits de l'homme, ou contre le sceau du secret qui pese encore sur la recherche fondamentale ? Tout a la fois. Pour cette figure emblematique de l'astrophysique francaise, aujourd'hui a la retraite, pas question de raccrocher les armes...

  5. Migration de prothèse herniaire en intravésical : mécanisme et enjeux

    PubMed Central

    El anzaoui, Jihad; Ghoundale, Omar; Touiti, Driss; Savoie, Pierre Henri; Laroche, Julien; Riviere, Philipe; Lemesle, Loic; Fournier, Robert

    2015-01-01

    Résumé La migration d’une prothèse synthétique pour hernie abdominale ou inguinale est un incident rare. Elle peut survenir aussi bien en intrapéritonéal qu’en sous-péritonéal. La migration intrapéritonéale entraîne un risque d’obstruction intestinale et d’infection pouvant menacer le pronostic vital. La migration endovésicale est beaucoup plus rare. La plaque en endovésical se comporte comme un corps étranger avec risque de calcification et de cystite. Le diagnostic différentiel se pose surtout avec un calcul vésical ou une tumeur de la vessie. Devant la prédominance de signes irritatifs non spécifiques, le diagnostic repose sur les observations radiologiques mais surtout cystoscopiques. Le traitement est essentiellement endoscopique, par la résection de l’extrémité prolabée en endovésical. PMID:26279716

  6. America's Country Schools.

    ERIC Educational Resources Information Center

    Gulliford, Andrew

    The book examines the one-room schoolhouse and the memories of this important part of the American past through sections on the country school legacy, country school architecture, and country school preservation. The architectural and historical significance of this distinctive building type is evocatively portrayed by more than 400 photographs.…

  7. Regard sur les lazarets en terre canadienne

    PubMed Central

    Milot, Jean

    2008-01-01

    Puisant dans les nombreuses références qu’offrent les publications médicales canadiennes du milieu du XIXe siècle à nos jours, l’auteur fait découvrir l’existence de lazarets en terre canadienne, décrit l’impact de la maladie sur les conditions vie des lépreux qui y étaient confinés et en souligne les contrecoups tant sur le plan physique et psychologique que social. Il présente un bref aperçu de la maladie, ses symptômes, ses signes ainsi que ses complications oculaires et rappelle les premiers moyens thérapeutiques à base d’huile de chaulmoogra introduits dans la colonie de Tracadie vers 1901. Il illustre son propos en évoquant la vie dans les lazarets de l’île de Sheldrake (1844–1848) et de Tracadie (1848–1965) au Nouveau-Brunswick, puis dans ceux des îles D’Arcy (1891–1924) et de Bentinck (1924–1957) en Colombie-Britannique. PMID:19352451

  8. Les Enjeux juridiques et socio-politiques des conflits linguistiques: le cas de l'Ontario (The Legal and Sociopolitical Stakes of Language Conflicts: The Case of Ontario). Publication G-10.

    ERIC Educational Resources Information Center

    Tremblay, Daniel

    The study of language conflict in Ontario is part of a larger project that is analyzing the links between intercultural relations and legal mechanisms within this and three other Canadian provinces. This study looks at the problems created by the close proximity of communities using the two official languages, French and English, and at the rules…

  9. LES versus DNS: A comparative study

    NASA Technical Reports Server (NTRS)

    Shtilman, L.; Chasnov, J. R.

    1992-01-01

    We have performed Direct Numerical Simulations (DNS) and Large Eddy Simulations (LES) of forced isotropic turbulence at moderate Reynolds numbers. The subgrid scale model used in the LES is based on an eddy viscosity which adjusts instantaneously the energy spectrum of the LES to that of the DNS. The statistics of the large scales of the DNS (filtered DNS field or fDNS) are compared to that of the LES. We present results for the transfer spectra, the skewness and flatness factors of the velocity components, the PDF's of the angle between the vorticity and the eigenvectors of the rate of strain, and that between the vorticity and the vorticity stretching tensor. The above LES statistics are found to be in good agreement with those measured in the fDNS field. We further observe that in all the numerical measurements, the trend was for the LES field to be more gaussian than the fDNS field. Future research on this point is planned.

  10. Les Elements Legers: Diffusion dans les Enveloppes Stellaires et Implications Cosmologiques

    NASA Astrophysics Data System (ADS)

    Richer, Jacques

    1992-01-01

    Les observations des abondances des elements legers (Z <= 5) sont utilisees pour estimer la quantitie de lithium qui a ete produite lors du Big -Bang, et obtenir simultanement des contraintes sur la nature des inhomogeneites qui ont pu exister durant la nucleosynthese primordiale. Nous utilisons un modele simple capable de simuler approximativement la diffusion et la retro-diffusion des neutrons a travers la matiere inhomogene durant les premieres minutes de l'expansion de l'Univers. Nous tenons compte de la difference possible entre l'abondance primordiale de Li et les abondances observees dans les plus vieilles etoiles. Cette difference (un facteur 2, environ) est estimee en construisant des modeles evolutifs d'etoiles peu massives de Population II, incluant la sedimentation gravitationnelle du lithium et de l'helium. Ces modeles montrent egalement que les ages des vieux amas stellaires sont grandement surestimes lorsqu'ils sont determines a partir de modeles stellaires n'incluant pas l'effet de la diffusion de He. Nous calculons ensuite comment evoluent les abondances de Li et Be dans des etoiles plus massives et plus jeunes, de la pre-sequence principale ou de la ZAMS, jusqu'a l'epuisement de leur hydrogene central. Les modeles incluent la sedimentation simultanee de l'helium a travers l'enveloppe. Une approche hierarchique (evolution du coeur--evolution de l'enveloppe --tri des elements traces) est utilisee pour simuler efficacement le grand nombre d'etoiles necessaire pour la construction d'isochrones. Une attention particuliere est portee aux consequences de la sedimentation de He sur l'etendue des zones convectives, et sur la diffusion de Li et Be. Les forces radiatives agissant sur ces deux elements sont calculees en detail a partir des donnees atomiques. Les etoiles simulees correspondent approximativement aux types spectraux A, F, et AmFm. Les abondances de Li et Be observees dans les etoiles jeunes de ces types sont comparees a nos predictions dans le

  11. Country Profiles, Nepal.

    ERIC Educational Resources Information Center

    Taylor, Daniel; Thapa, Rita

    A profile of Nepal is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population--size, growth patterns, age/sex structure, geographical distribution, topographical obstacles, ethnic and religious…

  12. Country Update: Israel 2005

    ERIC Educational Resources Information Center

    Marar, Marianne Maurice

    2005-01-01

    Country Updates is a new section of "Intercultural Education." Starting in "Intercultural Education," Volume 16 No. 5, this column will focus on recent developments during the last two to three years in the field of intercultural education in one particular country. These updates can include recent policy decisions, the main results of important…

  13. Canada: Country Notes.

    ERIC Educational Resources Information Center

    World Eagle, Inc., Wellesley, MA.

    A profile of Canada emerges from this collection of black and white illustrative maps, tables, and graphs. Aspects of the country depicted include: geography, population, resources, international trade, government, and energy. Short texts on multiculturalism, the Canadian economy, the country's history, and U.S.-Canada relations also are included.…

  14. Country Profiles, Chile.

    ERIC Educational Resources Information Center

    Goldsmith, Alfredo; And Others

    A profile of Chile is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  15. Country Profiles, The Philippines.

    ERIC Educational Resources Information Center

    Concepcion, Mercedes B.

    A profile of the Philippines is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition,…

  16. Country Profiles, Ghana.

    ERIC Educational Resources Information Center

    Gaisie, S. K.; And Others

    A profile of Ghana is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  17. Country Profiles, Mauritius.

    ERIC Educational Resources Information Center

    Xenos, Christos

    A profile of Mauritius is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  18. Country Profiles, Taiwan.

    ERIC Educational Resources Information Center

    Keeny, S. M.; And Others

    A profile of Taiwan is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  19. Country Profiles, Thailand.

    ERIC Educational Resources Information Center

    Perkin, Gordon W.; And Others

    A profile of Thailand is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  20. Country Profiles, Indonesia.

    ERIC Educational Resources Information Center

    Population Council, New York, NY.

    A profile of Indonesia is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population - size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  1. Country Profiles, Hong Kong.

    ERIC Educational Resources Information Center

    Population Council, New York, NY.

    A profile of Hong Kong is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  2. Country Profiles, Sierra Leone.

    ERIC Educational Resources Information Center

    Dow, Thomas E., Jr.

    A profile of Sierra Leone is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  3. Country Profiles, Turkey.

    ERIC Educational Resources Information Center

    Anderson, Lewis S.

    A profile of Turkey is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  4. Country Profiles, Pakistan.

    ERIC Educational Resources Information Center

    Hardee, J. Gilbert; Satterthwaite, Adaline P.

    A profile of Pakistan is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  5. Country Profiles, Sweden.

    ERIC Educational Resources Information Center

    Svala, Gertrud

    A profile of Sweden is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population--size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  6. Rich Donors, Poor Countries

    ERIC Educational Resources Information Center

    Thomas, M. A.

    2012-01-01

    The shifting ideological winds of foreign aid donors have driven their policy towards governments in poor countries. Donors supported state-led development policies in poor countries from the 1940s to the 1970s; market and private-sector driven reforms during the 1980s and 1990s; and returned their attention to the state with an emphasis on…

  7. Country Profiles, Malaysia.

    ERIC Educational Resources Information Center

    Marzuki, Ariffin Bin; Peng, J. Y.

    A profile of Malaysia is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  8. Les questions de migrations internationales

    NASA Astrophysics Data System (ADS)

    Samman, Mouna Liliane

    1993-03-01

    International migrations have growing implications for both countries of origin and countries of destination. In the latter, the presence of foreigners and of members of their families today creates problems of integration, causes argument and brings mounting xenophobia. Paralleling political, economic and social measures taken by public authorities to respond to these difficulties, education needs to assist in defusing the resulting social tensions by preparing the minds of learners and helping to develop new attitudes. In particular, when educational programmes address questions of international migration, these should be treated in the framework of historical evolution so that their real significance and their true temporal and spatial dimensions become apparent. It is also important that the growing interdependence between countries should be made plain, that national history should be placed in its international context, and that the true consequences of these developments should be made clear. In this context, learners need to be acquainted with Human Rights, thereby stressing universal moral values and the role of the individual. Lastly, questions relating to international migration are usually presented in the media in a selective and partial manner, and the young people who take in this information often accept the hasty judgments which are made of situations as proven facts. This is why all teaching about international migration needs to be considered or reconsidered in the light of the complementary or competing actions of the media.

  9. Prise en charge de l’infection gonococcique chez les adultes et les jeunes

    PubMed Central

    Pogany, Lisa; Romanowski, Barbara; Robinson, Joan; Gale-Rowe, Margaret; Latham-Carmanico, Cathy; Weir, Christine; Wong, Tom

    2015-01-01

    Résumé Objectif Présenter des recommandations sur la prise en charge de l’infection gonococcique chez les adultes et les jeunes. Qualité des données Les recommandations thérapeutiques des lignes directrices canadiennes sur les infections transmissibles sexuellement reposent sur une recherche documentaire de même que sur des catégories de recommandations et des niveaux de qualité de données déterminés par au moins 2 évaluateurs. Les recommandations ont été revues par des pairs et sont en instance d’approbation par le groupe de travail d’experts. Message principal Les nouvelles recommandations portant sur la prise en charge de l’infection gonococcique chez les adultes et les jeunes préconisent les cultures à titre d’outil diagnostique lorsqu’elles sont pratiques, le traitement par antibiothérapie combinée (ceftriaxone associée à l’azithromycine) et le signalement sans délai de tous les cas dont le traitement a échoué aux autorités de santé publique. Conclusion Si elles sont suivies, ces nouvelles recommandations pourraient réduire l’échec thérapeutique, contribuer à une surveillance plus étroite des tendances à la résistance de Neisseria gonorrhoeae aux antibiotiques et contribuer à prévenir la transmission de gonorrhée résistante à plusieurs médicaments.

  10. Obesity in gulf countries.

    PubMed

    ALNohair, Sultan

    2014-01-01

    Globally obesity has reached to epidemic proportions, and the people of the Gulf countries have also affected, especially high-income, oil-producing countries. The prevalence of obesity in Gulf Countries among children and adolescents ranges from 5% to 14% in males and from 3% to 18% in females. In adult females there is a significant increase of obesity with a prevalence of 2%-55% and in adult males 1%-30% in countries of gulf region. Over the last two decades there is increased consumption of fast foods and sugar-dense beverages (e.g., sodas). Simultaneously, technological advances - cars, elevators, escalators, and remotes have lead to a decrease in level of activity. Traditional dependence on locally grown natural products such as dates, vegetables, wheat and has also shifted. Changes in food consumption, socioeconomic and demographic factors, physical activity, and urbanization are being important factors that contribute to the increased prevalence of obesity in the region. PMID:24899882

  11. Public opinion: Country comparisons

    NASA Astrophysics Data System (ADS)

    Hopkins, Debbie

    2015-11-01

    Climate change awareness, risk perception and policy support vary between and within countries. National-scale comparisons can help to explain this variability and be used to develop targeted interventions.

  12. Prevention in developing countries.

    PubMed

    Black, R E

    1990-01-01

    Developing countries have implemented primary health care programs directed primarily at prevention and management of important infectious and nutritional problems of children. Successful programs have emphasized the need for individual and community involvement and have been characterized by responsible government policies for equitable implementation of efficacious and cost-effective health interventions. Unfortunately, developing countries must also face increases in the chronic disease and social problems commonly associated with industrialized countries. Prevention efforts, for example, to reduce tobacco smoking, to modify the diet, to reduce injuries, or to avert environmental contamination, are needed to contain future morbidity and rapidly increasing medical care costs. Developing countries can build on their successful approaches to program implementation and add other measures directed at preservation of health and prevention of disease in adult as well as child populations. PMID:2231055

  13. Les origines de l'astronomie chinoise

    NASA Astrophysics Data System (ADS)

    de Saussure, Léopold; Ferrand, Preface by Gabriel

    2015-05-01

    Préface; Le texte astronomique du Yao-Tien; 1. L'origine des 'sieou'; 2. Les cinq palais célestes; 3. La série quinaire et ses dérivés; 4. La série des douze 'tche'; 5. Le cycle des douze animaux; 6. La règle des 'cho-t'i'; 7. Le cycle de Jupiter; 8. Le cycle de Jupiter (suite); 9. Les anciennes étoiles polaires; 10. Le zodiaque lunaire.

  14. Allometric scaling of countries

    NASA Astrophysics Data System (ADS)

    Zhang, Jiang; Yu, Tongkui

    2010-11-01

    As huge complex systems consisting of geographic regions, natural resources, people and economic entities, countries follow the allometric scaling law which is ubiquitous in ecological, and urban systems. We systematically investigated the allometric scaling relationships between a large number of macroscopic properties and geographic (area), demographic (population) and economic (GDP, gross domestic production) sizes of countries respectively. We found that most of the economic, trade, energy consumption, communication related properties have significant super-linear (the exponent is larger than 1) or nearly linear allometric scaling relations with the GDP. Meanwhile, the geographic (arable area, natural resources, etc.), demographic (labor force, military age population, etc.) and transportation-related properties (road length, airports) have significant and sub-linear (the exponent is smaller than 1) allometric scaling relations with area. Several differences of power law relations with respect to the population between countries and cities were pointed out. First, population increases sub-linearly with area in countries. Second, the GDP increases linearly in countries but not super-linearly as in cities. Finally, electricity or oil consumption per capita increases with population faster than cities.

  15. Paraquat in developing countries.

    PubMed

    Wesseling, C; van Wendel de Joode, B; Ruepert, C; León, C; Monge, P; Hermosillo, H; Partanen, T J

    2001-01-01

    The herbicide paraquat is considered safe by industry and the bulk of regulators worldwide. However, determinants of exposure from 30 years ago persist in developing countries. Little is known about systemic absorption from occupational exposures. The relationships between exposure determinants, levels of external exposure, biomarkers of exposure, and outcomes are not clear. High rates of severe acute poisonings have been documented. In addition, topical injuries occur in as many as 50% of exposed workers. Non-worker populations are also at risk, particularly children. Long-term and delayed health effects include Parkinson's disease, lung effects, and skin cancer. Regulatory agencies have not fully recognized either the inherent toxicity of paraquat or the particular risks derived from exposures in developing countries. Independent risk assessment in the developing-country context and application of the precautionary principle are necessary to prevent adverse effects of dangerous pesticides in susceptible populations. PMID:11783857

  16. USSR Country Notes.

    ERIC Educational Resources Information Center

    World Eagle, Inc., Wellesley, MA.

    The United Soviet Socialist Republic (USSR) is the largest country in area in the world and ranks third in world population. The geography and the people of the USSR are documented in a series of reproducible black and white maps and graphs designed for use as classroom instructional materials. Maps, graphs, charts, and tables with information…

  17. [Communications in Developing Countries.

    ERIC Educational Resources Information Center

    Manandhar, P. K.; And Others

    1982-01-01

    Eight articles on various aspects of communications in developing countries make up this newsletter issue: (1) "Extension and Communications in Nepal: Reforestation Program Uses Media Support" by P. K. Manandhar, E. Pelinck, and R. H. Gecolea; (2) "Using Puppets to Teach Ideas. 'Khel Dori Ka', an Audiovisual with Puppets from Bombay" by Myron J.…

  18. Country Profiles. Japan.

    ERIC Educational Resources Information Center

    Muramatsu, Minoru

    This occasional paper on Japan is one of a series setting forth the nature, scope, and accomplishments of population activities in specified countries. Here, an overview is given of population characteristics and growth patterns, the relationship of population growth to socioeconomic development, and the history of population concerns and…

  19. Greece. [CME Country Reports].

    ERIC Educational Resources Information Center

    Council of Europe, Strasbourg (France). Documentation Center for Education in Europe.

    There is no immigration problems in Greece today. On the contrary, the country's economic development makes it necessary for Greek workers who have emigrated temporarily to return and be integrated into the production system. The educational policy for emigrant workers' children involves: (1) ensuring that children who have settled abroad know…

  20. Algeria: country profile.

    PubMed

    Harding, J

    1987-12-01

    Data are presented on the economy, the people, the population's health, and the culture in this country profile of Algeria. The population numbers 21.7 million. The infant mortality rate, used as a health indicator, is 81/1000 live births. Algeria's gross national product per capita is $2410 (US$15,390). Its main imports are machinery, transport equipment, food, tobacco, and consumer goods. The primary exports include oil, petroleum products, liquified natural gas, wine, and tobacco. Algeria's traditional Berber culture has survived occupation by Phoenicians, Romans, Arabs, and Europeans. The country is made up of an assortment of different social groups and ethnicities, and modern Algeria realized its unitary identity from the anti-colonial struggle. Recent laws allow freedom of association, an indication of growing pluralism in a state where opposition traditionally has been proscribed. 1987 marks the 25th anniversary of Algeria's independence, obtained after a long and bitter war with France. The victory of the Front de Liberation Nationale (FLN) was a signal for French settlers to leave in droves, and much of the country's managerial and technical expertise left with them. Yet, the FLN inherited a sound infrastructure on which to build a modern post-colonial society. Additionally, the country also was to benefit from plentiful hydrocarbon reserves, which guaranteed good foreign exchange earnings. One of the country's goals is to feed itself by investing in a long-neglected agricultural sector, yet presently oil and gas revenues continue to be the driving force behind development. The plans for increasing food production include greater scope for private farmers. A widening gap exists between those who espouse the old values forged by the liberation struggle and a younger generation, for whom the FLN's founding precepts and the leadership's old authoritarian style mean considerably less. PMID:12315296

  1. A New Formulation for Hybrid LES-RANS Computations

    NASA Technical Reports Server (NTRS)

    Woodruff, Stephen L.

    2013-01-01

    Ideally, a hybrid LES-RANS computation would employ LES only where necessary to make up for the failure of the RANS model to provide sufficient accuracy or to provide time-dependent information. Current approaches are fairly restrictive in the placement of LES and RANS regions; an LES-RANS transition in a boundary layer, for example, yields an unphysical log-layer shift. A hybrid computation is formulated here to allow greater control over the placement of LES and RANS regions and the transitions between them. The concept of model invariance is introduced, which provides a basis for interpreting hybrid results within an LES-RANS transition zone. Consequences of imposing model invariance include the addition of terms to the governing equations that compensate for unphysical gradients created as the model changes between RANS and LES. Computational results illustrate the increased accuracy of the approach and its insensitivity to the location of the transition and to the blending function employed.

  2. Les Troubles Respiratoires Chez Le Brule

    PubMed Central

    Fassi Fihri, J.; Ezzoubi, M.; Boukind, E.H.

    2010-01-01

    Summary A travers une revue de la littérature, cet article se propose d'exposer les particularités des troubles respiratoires chez le brûlé. Ces troubles sont liés à un mécanisme direct, lorsque l'arbre respiratoire est lésé par le transfert d'énergie thermique du à la brûlure et/ou par un mécanisme indirect, lorsque la fonction respiratoire et ventilatoire du poumon est perturbée par les phénomènes loco-régionaux ou généraux du brûlé. Ces troubles respiratoires sont aggravés par l'inhalation des gaz contenus dans la fumée d'incendie. Le diagnostic de ces troubles est clinique et paraclinique. Il doit être précoce et continu. Les patients nécessitent de différents moyens thérapeutiques tels que l'oxygénothérapie, la libération des voies respiratoires, l'amélioration de la mécanique ventilatoire et de la fonction respiratoire, l'antibiothérapie ou la chirurgie des séquelles. Cette prise en charge doit nécessairement être multidisciplinaire. PMID:21991224

  3. Precipitation Indices Low Countries

    NASA Astrophysics Data System (ADS)

    van Engelen, A. F. V.; Ynsen, F.; Buisman, J.; van der Schrier, G.

    2009-09-01

    Since 1995, KNMI published a series of books(1), presenting an annual reconstruction of weather and climate in the Low Countries, covering the period AD 763-present, or roughly, the last millennium. The reconstructions are based on the interpretation of documentary sources predominantly and comparison with other proxies and instrumental observations. The series also comprises a number of classifications. Amongst them annual classifications for winter and summer temperature and for winter and summer dryness-wetness. The classification of temperature have been reworked into peer reviewed (2) series (AD 1000-present) of seasonal temperatures and temperature indices, the so called LCT (Low Countries Temperature) series, now incorporated in the Millennium databases. Recently we started a study to convert the dryness-wetness classifications into a series of precipitation; the so called LCP (Low Countries Precipitation) series. A brief outline is given here of the applied methodology and preliminary results. The WMO definition for meteorological drought has been followed being that a period is called wet respectively dry when the amount of precipitation is considerable more respectively less than usual (normal). To gain a more quantitative insight for four locations, geographically spread over the Low Countries area (De Bilt, Vlissingen, Maastricht and Uccle), we analysed the statistics of daily precipitation series, covering the period 1900-present. This brought us to the following definition, valid for the Low Countries: A period is considered as (very) dry respectively (very) wet if over a continuous period of at least 60 days (~two months) cq 90 days (~three months) on at least two out of the four locations 50% less resp. 50% more than the normal amount for the location (based on the 1961-1990 normal period) has been measured. This results into the following classification into five drought classes hat could be applied to non instrumental observations: Very wet period

  4. Switzerland: country profile.

    PubMed

    Spain, D

    1984-07-01

    This discussion of Switzerland focuses on population growth; the country's regions and cities; age distribution; households, families, and housing; education; the labor force; and income and consumption. On January 1, 1983 the population of Switzerland totaled 6.4 million. This total included 5.5 million Swiss and 960,000 foreigners. No other major country relies on foreigners as heavily as Switzerland. In 1975, 20% of the Swiss labor force was composed of year round foreign workers. Although foreign residents are a large proportion of the Swiss population, immigration to the country is nearly offset by emigration from the country. With a birthrate of 11.6 and a death rate of 9.2 in 1982, the rate of natural increase was only 0.2% per year. Switzerland is composed of 23 cantons (or states) with a long history of independence. The canton with the largest population is Zurich, with 1.1 million people in 1983. Switzerland is about 60% urbanized. The largest city, Zurich, had 364,000 residents in 1983. 4 other cities had populations of 100,000 or more: Basel, Geneva, Berrn, and Lausanne. Switzerland's pluralism is reflected by its recognition of 3 official languages: German; French; and Italian. Aside from immigrant workers there are no distinct ethnic or minority groups in Switzerland due to its long history of varied cultural influences. Switzerland is so thoroughly multicultural that it is common for husbands and wives to have different mother tongues and different religious beliefs. Switzerland's population is relatively old. Only 18% of all Swiss are under age 15 versus 23% of all Americans. 14% of all Swiss are aged 65 and over compared with 11% of Americans. There were 2.5 million Swiss households in 1981, with an average size of 2.5 persons per household. Larget households have declined over the past decade. Most houses in Switzerland have 3 or 4 rooms. The Swiss schools system requires 9 years of compulsory education from age 6 or 7 to age 15 or 16. In the

  5. The Netherlands: country profile.

    PubMed

    1985-12-01

    This discussion of the Netherlands covers the country's cities and regions, population growth, households and families, housing, contruction, and spatial planning; ethnicity and religion; education; labor force and income; consumption; and transport and communications. As a small and mineral poor nation with a seafaring tradition, the Netherlands survives on foreign trade. In 1983, total export earnings amounted to nearly 62% of the entire national income. Over 72% of Dutch exports go to other member countries of the European Economic Community (EEC), but imports are more diversified, with 47% originating outside the EEC. Since 1848, the Netherlands has been a constitutional monarchy with a parliamentary form of government. As such, it is one of the most stable democracies in the world. The main administrative units are the 11 provinces, of which Noord-Holland and Zuid-Holland are the most populous and economically most important. Amsterdam remains the commercial center of the country, but its role as the principal port city has been taken over by Rotterdam. No community has more than 700,000 inhabitants, but the country as a whole is highly urbanized because of the large numbers of medium-sized cities. In 1983 the population of the Netherlands totaled 14.34 million, compared to 5.10 million at the turn of the century. In 1965, the total fertility rate was 3.0. The death rate has virtually stabilized at 8/1000. The Dutch life expectancy stands at 72.7 years for men and 79.4 for women (1983). Natural increase has already dropped to 0.4% a year. Apart from the slight impact of net immigration, the positive growth rate reflects the large proportion (53%) of the population in its reproductive years. Mean household sizes in the 11 provinces vary from 2.5 in Noord-Holland (in 1981) to nearly 3 in Overijssel and Noord-Brabant, whereas the proportion of 1 person households ranges from 16% in Drenthe and 17% in the somewhat traditionalist southern provinces of Limburg and

  6. Country watch: international.

    PubMed

    Dionne, P

    1998-01-01

    The International Tribunal for Children's Rights (ITCR) was established to conduct individual and public inquiries and propose concrete solutions to violations of children's rights. This article reports on the efforts of the ITCR to enforce extraterritorial laws in response to the international dimension of child sex exploitation. The primary message being advocated is that travelers cannot go to foreign countries to engage in sexual crimes against children, evade criminal prosecution in the countries where the crimes are committed and then expect to return home without any consequences. In its first public hearings held in Paris, France to the address the effectiveness of extraterritorial legislation, governments and nongovernmental organizations informed the ITCR about their attempts to halt child sexual exploitation. Several changes needed to make extraterritorial laws more effective were cited. These include public awareness-raising; supporting existing instruments; application of preventive approaches to child abuse; and sensitizing and motivating judicial, police and administrative authorities to provide for the needs to fight child sex tourism. PMID:12348687

  7. Precipitation Indices Low Countries

    NASA Astrophysics Data System (ADS)

    van Engelen, A. F. V.; Ynsen, F.; Buisman, J.; van der Schrier, G.

    2009-09-01

    Since 1995, KNMI published a series of books(1), presenting an annual reconstruction of weather and climate in the Low Countries, covering the period AD 763-present, or roughly, the last millennium. The reconstructions are based on the interpretation of documentary sources predominantly and comparison with other proxies and instrumental observations. The series also comprises a number of classifications. Amongst them annual classifications for winter and summer temperature and for winter and summer dryness-wetness. The classification of temperature have been reworked into peer reviewed (2) series (AD 1000-present) of seasonal temperatures and temperature indices, the so called LCT (Low Countries Temperature) series, now incorporated in the Millennium databases. Recently we started a study to convert the dryness-wetness classifications into a series of precipitation; the so called LCP (Low Countries Precipitation) series. A brief outline is given here of the applied methodology and preliminary results. The WMO definition for meteorological drought has been followed being that a period is called wet respectively dry when the amount of precipitation is considerable more respectively less than usual (normal). To gain a more quantitative insight for four locations, geographically spread over the Low Countries area (De Bilt, Vlissingen, Maastricht and Uccle), we analysed the statistics of daily precipitation series, covering the period 1900-present. This brought us to the following definition, valid for the Low Countries: A period is considered as (very) dry respectively (very) wet if over a continuous period of at least 60 days (~two months) cq 90 days (~three months) on at least two out of the four locations 50% less resp. 50% more than the normal amount for the location (based on the 1961-1990 normal period) has been measured. This results into the following classification into five drought classes hat could be applied to non instrumental observations: Very wet period

  8. Country profile: Hungary

    SciTech Connect

    Not Available

    1991-09-01

    Country Profile: Hungary has been prepared as a background document for use by US Government agencies and US businesses interested in becoming involved with the new democracies of Eastern Europe as they pursue sustainable economic development. The focus of the Profile is on energy and highlights information on Hungary's energy supply, demand, and utilization. It identifies patterns of energy usage in the important economic sectors, especially industry, and provides a preliminary assessment for opportunities to improve efficiencies in energy production, distribution and use by introducing more efficient technologies. The use of more efficient technologies would have the added benefit of reducing the environmental impact which, although is not the focus of the report, is an issue that effects energy choices. The Profile also presents considerable economic information, primarily in the context of how economic restructuring may affect energy supply, demand, and the introduction of more efficient technologies.

  9. Country profile: Hungary

    SciTech Connect

    Not Available

    1991-09-01

    Country Profile: Hungary has been prepared as a background document for use by US Government agencies and US businesses interested in becoming involved with the new democracies of Eastern Europe as they pursue sustainable economic development. The focus of the Profile is on energy and highlights information on Hungary`s energy supply, demand, and utilization. It identifies patterns of energy usage in the important economic sectors, especially industry, and provides a preliminary assessment for opportunities to improve efficiencies in energy production, distribution and use by introducing more efficient technologies. The use of more efficient technologies would have the added benefit of reducing the environmental impact which, although is not the focus of the report, is an issue that effects energy choices. The Profile also presents considerable economic information, primarily in the context of how economic restructuring may affect energy supply, demand, and the introduction of more efficient technologies.

  10. Country watch: Philippines.

    PubMed

    Mercado Carreon, L

    1998-01-01

    The Asian Regional Conference on Gender and Communication, held in the Philippines, developed a plan of action to improve the portrayal of women in the mass media. Even in developing countries with traditional attitudes toward women, pornographic-type images are used to boost product sales. The conference's recommendations address the challenges posed by globalization of the media, commercialization of local media, and the increased violation of women's human rights in the media and the question of who has control over the media. After the conference, ISIS Maila assembled a report, "Status of Women and Media: Focus on Violence Against Women," which will be presented at a forum held during the 1998 meeting of the United Nations Commission on the Status of Women. Gender justice for women in the media requires collaboration among media specialists, women's groups, researchers, nongovernmental organizations, and local and regional networks. PMID:12348696

  11. Criteria for Modeling in LES of Multicomponent Fuel Flow

    NASA Technical Reports Server (NTRS)

    Bellan, Josette; Selle, Laurent

    2009-01-01

    A report presents a study addressing the question of which large-eddy simulation (LES) equations are appropriate for modeling the flow of evaporating drops of a multicomponent liquid in a gas (e.g., a spray of kerosene or diesel fuel in air). The LES equations are obtained from the direct numerical simulation (DNS) equations in which the solution is computed at all flow length scales, by applying a spatial low-pass filter. Thus, in LES the small scales are removed and replaced by terms that cannot be computed from the LES solution and instead must be modeled to retain the effect of the small scales into the equations. The mathematical form of these models is a subject of contemporary research. For a single-component liquid, there is only one LES formulation, but this study revealed that for a multicomponent liquid, there are two non-equivalent LES formulations for the conservation equations describing the composition of the vapor. Criteria were proposed for selecting the multicomponent LES formulation that gives the best accuracy and increased computational efficiency. These criteria were applied in examination of filtered DNS databases to compute the terms in the LES equations. The DNS databases are from mixing layers of diesel and kerosene fuels. The comparisons resulted in the selection of one of the multicomponent LES formulations as the most promising with respect to all criteria.

  12. Glaucoma in developing countries

    PubMed Central

    Thomas, Ravi

    2012-01-01

    Objective: To describe the background and strategy required for the prevention of blindness from glaucoma in developing countries. Materials and Methods: Extrapolation of existing data and experience in eye care delivery and teaching models in an unequally developed country (India) are used to make recommendations. Results: Parameters like population attributable risk percentage indicate that glaucoma is a public health problem but lack of simple diagnostic techniques and therapeutic interventions are barriers to any effective plan. Case detection rather than population-based screening is the recommended strategy for detection. Population awareness of the disease is low and most patients attending eye clinics do not receive a routine comprehensive eye examination that is required to detect glaucoma (and other potentially blinding eye diseases). Such a routine is not taught or practiced by the majority of training institutions either. Angle closure can be detected clinically and relatively simple interventions (including well performed cataract surgery) can prevent blindness from this condition. The strategy for open angle glaucoma should focus on those with established functional loss. Outcomes of this proposed strategy are not yet available. Conclusions: Glaucoma cannot be managed in isolation. The objective should be to detect and manage all potential causes of blindness and prevention of blindness from glaucoma should be integrated into existing programs. The original pyramidal model of eye care delivery incorporates this principle and provides an initial starting point. The routine of comprehensive eye examination in every clinic and its teaching (and use) in residency programs is mandatory for the detection and management of potentially preventable blinding pathology from any cause, including glaucoma. Programs for detection of glaucoma should not be initiated unless adequate facilities for diagnosis and surgical intervention are in place and their monitoring

  13. Towards LES Models of Jets and Plumes

    NASA Technical Reports Server (NTRS)

    Webb, A. T.; Mansour, N. N.

    2000-01-01

    As pointed out by Rodi standard integral solutions for jets and plumes developed for discharge into infinite, quiescent ambient are difficult to extend to complex situations, particularly in the presence of boundaries such as the sea floor or ocean surface. In such cases the assumption of similarity breaks down and it is impossible to find a suitable entrainment coefficient. The models are also incapable of describing any but the most slowly varying unsteady motions. There is therefore a need for full time-dependent modeling of the flow field for which there are three main approaches: (1) Reynolds averaged numerical simulation (RANS), (2) large eddy simulation (LES), and (3) direct numerical simulation (DNS). Rodi applied RANS modeling to both jets and plumes with considerable success, the test being a match with experimental data for time-averaged velocity and temperature profiles as well as turbulent kinetic energy and rms axial turbulent velocity fluctuations. This model still relies on empirical constants, some eleven in the case of the buoyant jet, and so would not be applicable to a partly laminar plume, may have limited use in the presence of boundaries, and would also be unsuitable if one is after details of the unsteady component of the flow (the turbulent eddies). At the other end of the scale DNS modeling includes all motions down to the viscous scales. Boersma et al. have built such a model for the non-buoyant case which also compares well with measured data for mean and turbulent velocity components. The model demonstrates its versatility by application to a laminar flow case. As its name implies, DNS directly models the Navier-Stokes equations without recourse to subgrid modeling so for flows with a broad spectrum of motions (high Re) the cost can be prohibitive - the number of required grid points scaling with Re(exp 9/4) and the number of time steps with Re(exp 3/4). The middle road is provided by LES whereby the Navier-Stokes equations are formally

  14. Les enjuex éthiques entourant la recherche en santé sur les enfants

    PubMed Central

    2008-01-01

    RÉSUMÉ La recherche en santé est un devoir moral parce qu’elle est la base des soins probants prodigués par tous les dispensateurs de soins. Des politiques et des règlements précis régissent la tenue des recherches sur des humains. Il faut procéder à une évaluation éthique d’un projet de recherche donné avant de pouvoir l’entreprendre. La recherche sur les enfants pose d’énormes défis en matière de consentement éclairé et d’assentiment, de vulnérabilité et de potentiel de conflit d’intérêts (CDI). Les chercheurs en santé pédiatrique devraient prôner la participation des enfants à la recherche, tout en se montrant attentifs à en limiter les risques.

  15. Inhibiteurs de la pompe à protons pour les nourrissons irritables

    PubMed Central

    Smith, Christine H.; Israel, David M.; Schreiber, Richard; Goldman, Ran D.

    2013-01-01

    Résumé Question Les pleurs sont communs chez les nourrissons; par ailleurs, prendre soin d'un nourrisson dont les pleurs sont inconsolables et qu'on surnommait aussi auparavant des coliques ou un reflux, peut souvent causer une détresse extrême aux parents. Le recours à un agent de suppression de l'acide gastrique (p. ex. les inhibiteurs de la pompe à protons [IPP]) est-il bénéfique chez ces nourrissons? Réponse On utilise de plus en plus les IPP chez les nourrissons et les enfants depuis quelques années. L'efficacité des inhibiteurs de la pompe à protons n'a pas été démontrée dans le traitement de l'irritabilité et des pleurs excessifs chez des enfants autrement en santé de moins de 3 mois. D'autre part, si les IPP sont généralement bien tolérés, il existe certaines données probantes reliant l'utilisation des IPP avec une susceptibilité accrue aux gastroentérites aiguës, à la pneumonie acquise dans la communauté et à des troubles de l'utilisation et de l'absorption des nutriments. Indépendamment des traitements, les pleurs et l'irritabilité durant la tendre enfance s'améliorent généralement avec le temps. Entre-temps, les inhibiteurs de la pompe à protons n'améliorent pas les symptômes.

  16. Country watch. Brazil.

    PubMed

    Turra, M D

    1994-01-01

    Persons who are infected with human immunodeficiency virus (HIV) or who suffer from acquired immunodeficiency syndrome (AIDS) often have their civil rights violated in Brazil. To remedy this, the Candido Mendes College in Rio de Janeiro introduced a voluntary course, "AIDS - Legal Approaches", into its law curriculum. Incentive was provided by the college's Model Law Office (MLO), where students learn to defend the rights of people in need. Class size is about 25; law professors use recent magazine and newspaper articles, and documentation on lawsuits concerning persons with HIV to teach the class. Course topics include relevant civil law (suits against blood banks), contract law (suits against private health insurance companies which refuse to cover treatment expenses related to HIV or AIDS), family law, inheritance law, labor law (unjust dismissal of persons with HIV), criminal law (intentional transmission of AIDS), violations of basic human rights, and comparative jurisprudence and constitutional law (a comparison of Brazilian law in this area to the laws of other countries). Students, during their field practice periods at the MLO, provide legal assistance to persons with HIV. Approximately 150 cases have been handled, often with positive outcomes, to date. Clients hear about the program via television, radio, and newspapers. Materials and information about lawsuits handled by the MLO are available to other colleges and universities with the hope of stimulating the formation of similar programs elsewhere. PMID:12288109

  17. Analysis of discretization errors in LES

    NASA Technical Reports Server (NTRS)

    Ghosal, Sandip

    1995-01-01

    All numerical simulations of turbulence (DNS or LES) involve some discretization errors. The integrity of such simulations therefore depend on our ability to quantify and control such errors. In the classical literature on analysis of errors in partial differential equations, one typically studies simple linear equations (such as the wave equation or Laplace's equation). The qualitative insight gained from studying such simple situations is then used to design numerical methods for more complex problems such as the Navier-Stokes equations. Though such an approach may seem reasonable as a first approximation, it should be recognized that strongly nonlinear problems, such as turbulence, have a feature that is absent in linear problems. This feature is the simultaneous presence of a continuum of space and time scales. Thus, in an analysis of errors in the one dimensional wave equation, one may, without loss of generality, rescale the equations so that the dependent variable is always of order unity. This is not possible in the turbulence problem since the amplitudes of the Fourier modes of the velocity field have a continuous distribution. The objective of the present research is to provide some quantitative measures of numerical errors in such situations. Though the focus of this work is LES, the methods introduced here can be just as easily applied to DNS. Errors due to discretization of the time-variable are neglected for the purpose of this analysis.

  18. LES of mixing in coastal areas

    NASA Astrophysics Data System (ADS)

    Armenio, Vincenzo; Roman, Federico

    2008-11-01

    Large eddy simulations of near shore mixing are carried out using a new large-scale model, LES-COAST. The model integrates the Boussinesq form of the NS equations using a curvilinear formulation of the fractional step method. Complex geometry is reproduced with a combination of curvilinear mesh and immersed boundaries. Anisotropy of the problem (δxvert/δxhor˜10-2) has required a two eddy-viscosities model. Specifically we use a mixed model, composed of an anisotropic scale-similar part and an eddy viscosity, Smagorinsky part. Two eddy-viscosities are used, νT,v/h=(Cv/hδv/h)^2 |Sv/h| respectively in the two directions. The quantities δv/h are chosen proportional to the local grid spacings in the two directions. Density stratification is also considered using a very simple SGS model, based on the assumption that PrT= ScT=1. The algorithm is being used for real applications. The following studies will be discussed: the intrusion of fresh water of the Tevere river in the Tirreno sea; mixing in the Muggia Bay (Region of Trieste) under the action of the breeze forcing. Results have clearly shown the reliability of new- generation LES large-scale models for applications in problems with horizontal and vertical scales respectively of the order of 10 km and 50 m.

  19. [The drug trade between European countries and developing countries].

    PubMed

    Bruneton, C; Naboulet, P; van der Heide, B; Rey, J L

    1997-01-01

    The quality of medicinal products marketed in developing countries has recently become the focus of lively debate and new interest. This report describes a survey conducted among officials from exporting and importing countries designed to evaluate the content and enforcement of current regulations. Resulting data indicated that, despite the high volume of trading in medicinal products between European and developing countries, regulations are poorly applied and many infractions occur. The most obvious abnormalities involve definition of market status. A list of banned is issued by the WHO but not by the European Economic Community. Regulations regarding generic products differ from one country to another and, since determination of the exact origin of a product may be difficult, compliance with good manufacturing practices is often unverifiable. A more cooperative attitude on the part of exporting countries and standardization of formalities on the part of importing countries will be necessary to stem the growing tendency to consider medicinal products as ordinary goods. PMID:9612781

  20. Les mémoires de la dynastie Tang

    NASA Astrophysics Data System (ADS)

    Bonnet-Bidaud, J. M.

    1996-07-01

    Dans la nuit des temps, les astronomes chinois ont ete d'incomparables observateurs de cometes. Ces savants, dont les notations raffinees ponctuaient l'histoire officielle des empereurs, relevaient chaque passage d'astre errant avec une precision inestimable. Un veritable tresor ou puise encore la science contemporaine.

  1. La Terre - les eaux - l'atmosphère.

    NASA Astrophysics Data System (ADS)

    Bec-Borsenberger, A.; Catoire, M.; Kovalevsky, J.; Guinot, B.; Cazenave, A.; Levallois, J. J.; Lecolazet, R.; Jobert, G.; Francheteau, J.; Le Mouël, J.-L.; Goguel, J.; Serpolay, R.; Berroir, A.; Mégie, G.; Crépon, M.; Saint-Guily, B.; Eyriès, M.-M.; Ramamonjiarisoa, A.; Buat-Menard, P.; Lalou, C.; Serra, L.; Lliboutry, L.; Lorius, C.

    Contents: Repères et forces de gravité (J. Kovalevsky). La rotation de la Terre (B. Guinot). La géodésie (J. Kovalevsky, A. Cazenave, J. J. Levallois). Les marées terrestres (R. Lecolazet). La sismologie (G. Jobert). Lithosphère et tectonique des plaques (J. Francheteau). Le champ magnétique terrestre (J.-L. Le Mouël). Modèles de la constitution physique de la Terre (G. Jobert). La géothermie (J. Goguel). Le rayonnement énergétique (R. Serpolay). Les fluides géophysiques (A. Berroir). L'atmosphère (A. Berroir, R. Serpolay). L'ozonosphère (G. Mégie). Les océans en mouvement (M. Crépon, B. Saint-Guily). La marée océanique (M.-M. Eyriès). La houle et les vagues (A. Ramamonjiarisoa). Les cycles géochimiques dans l'océan (P. Buat-Menard, C. Lalou). La circulation des eaux (L. Serra). Les glaces naturelles et leur dynamique (L. Lliboutry). L'évolution des climats, les données du passé (C. Lorius).

  2. Le sumatriptan intranasal pour la migraine chez les enfants

    PubMed Central

    Goldman, Ran D.; Meckler, Garth D.

    2015-01-01

    Résumé Question Je vois de plus en plus d’enfants et d’adolescents qui souffrent de céphalées pouvant se classer dans la catégorie des migraines. J’ai fait des lectures sur le sumatriptan par voie intranasale comme thérapie abortive. Est-ce un traitement efficace? Réponse La migraine aiguë chez les enfants et les adolescents est fréquente et difficile à traiter. Le sumatriptan intranasal est une option sûre et généralement efficace pour les enfants et les adolescents. La dose actuellement recommandée est de 20 mg pour les enfants qui pèsent plus de 40 kg et de 10 mg pour ceux dont le poids se situe entre 20 et 39 kg. Il faudrait faire des études de plus grande envergure pour contrecarrer les limitations des échantillons de petite taille et mieux comprendre la faible concentration plasmique et les effets placebo observés dans les études jusqu’à présent.

  3. Naines blanches : Les diamants sont éternels

    NASA Astrophysics Data System (ADS)

    Bonnet-Bidaud, J. M.

    1997-08-01

    Ces etoiles minuscules, composantes essentielles de la Galaxie, sont responsables de phenomenes spectaculaires, comme les novae ou certaines supernovae. Mais les naines blanches se sont aussi revelees un fantastique outil pour la physique du XXe siecle, fournissant des confirmations eclatantes de deux grandes theories: la relativite generale et la mecanique quantique.

  4. Country watch: India.

    PubMed

    Mukhopadhyay, A; Sehgal, P N

    1995-01-01

    Linking more than 3000 health and development organizations, the Voluntary Health Association of India (VHAI) is one of the largest networks in the country. In 1990 VHAI began incorporating HIV/STD-related activities into its broader programs. An existing infrastructure for intersectoral collaboration in the areas of community health promotion, public policy, information and documentation, and communications facilitated inclusion of the new activities. Several VHAI departments collaborate in offering training courses, workshops, and seminars at the state and community levels to involve nongovernmental organizations and professional groups in HIV/STD prevention and counseling. More than 950 persons have been trained so far, including trainers of primary health care workers, family physicians, medical practitioners, social scientists, teachers, community volunteer workers, and youth leaders. Local experts act as training resource persons; materials produced locally, abroad, and by VHAI itself are used. Training facilities are offered free of charge to member organizations; VHAI also awards fellowships for field training and financial support for approved projects. VHAI suggests intervention measures to governmental and nongovernmental organizations related to drug users, youth, truck drivers, blood donors, and people living with HIV/AIDS. The information, documentation, and communications departments provide members with a wide variety of information, education, and communication (IEC) materials that can be translated into local languages: posters, folders, flip charts, stickers, and folk songs. VHAI advocacy issues that have been highlighted through the press include: confidentiality, protection against discrimination, the right of all persons to health care, and the need to make properly-equipped STD clinics available. VHAI has established sub-networks in Tamil Nadu (155 organizations) and Manipur (55 organizations) states. VHAI has found that incorporating HIV

  5. Recovery in river country.

    PubMed

    Tyrrell, P J

    1988-07-01

    As the 3rd largest sub-Saharan African country with a highly developed and diversified economy, Zairian's life expectancy rose from 43.5 to 51.5 years between 1965-85. A larger medical staff which in 1980 equated 1 doctor/15,000 people contributed to an increase in health care. Zaire's Project SIPA, one of the largest AIDS programs in Africa, uses, e.g., TV messages to publicize public health messages to the population. Food production increased by 10% into the 1980s; 1982 marked the beginning of an upward trend in per capita income. Between 1984-85, the gross national product (GNP) of US $5.7 billion increased by 2.5%, or US $170/capita. Rich natural resources contributed to exports of US $1.87 billion in 1986 and imports of US $1.5 billion. But, hyperinflation abounds with a family of 6 in 1982 requiring US $330 dollars/month when minimum wage was US $70/month for unskilled workers and US $104 for skilled workers. Basic reforms in 1982 to deal with the foreign-debt of US $5 billion reduced inflation to 30% in 1985 from 76% in 1983 and created aa 1% GNP surplus. However, 50% of the government's annual budget was required recently to meet debt repayment schedules. New investment codes protect foreign investment and efforts are underway to channel this into timber (250 million acres), horticulture, and aquaculture. Favorable assets include low labor costs, well-run air cargo transport, and fertile land. Population data are limited, at present, to un demographic projections. PMID:12343686

  6. Les superpolynomes symetriques dans les problemes a plusieurs corps de la mecanique quantique supersymetrique

    NASA Astrophysics Data System (ADS)

    Desrosiers, Patrick

    S'inspirant de la supersymetrie, on construit dans cette these une nouvelle generalisation de la theorie des fonctions symetriques. Une theorie physique est supersymetrique si: (1) elle contient des bosons (particules de spin entier) et des fermions (particules de spin demi-entier); (2) elle reste inchangee suite a une transformation des bosons en fermions et vice versa. Les fonctions symetriques dans le superespace (superfonctions symetriques) incorporent a la fois des variables commutatives (bosoniques) et anticommutatives (fermioniques). Ces dernieres engendrent une algebre de Grassmann. Une superfonction symetrique est invariante sous l'echange simultane des variables bosoniques et fermioniques (action diagonale du groupe symetrique); elle se caracterise par une superpartition, i.e., une juxtaposition appropriee de partitions usuelles d'entiers non negatifs. On utilise deux approches dans l'elaboration de la theorie des superfonctions symetriques: l'une provient de la combinatoire et l'autre, de la physique. Suivant la premiere approche, on obtient l'extension des elements standards de la theorie des fonctions symetriques fonctions monomiales, fonctions symetriques elementaires, fonctions completement symetriques, series de puissances, fonctions generatrices et formules de Cauchy. On demontre egalement qu'il existe une extension naturelle, a un parametre, du produit scalaire combinatoire defini par l'orthogonalite des series de puissances dans le superespace. La seconde approche consiste a resoudre des problemes a N corps de la mecanique quantique supersymetrique. On etudie les extensions supersymetriques des modeles Calogero-Moser-Sutherland (CMS), lesquels decrivent l'evolution de particules dont le potentiel d'inter action est proportionnel a l'inverse du carre de la distance separant les particules. Deux modeles supersymetriques CMS sont resolus: trigonometrique (sur un cercle) et rationnel (sur une ligne) avec confinement harmonique. Leurs fonctions d

  7. Developed-developing country partnerships: Benefits to developed countries?

    PubMed Central

    2012-01-01

    Developing countries can generate effective solutions for today’s global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed—this is perhaps the single most immediate need in planning for, and realizing, the full potential of international cooperation between developed and

  8. Developed-developing country partnerships: benefits to developed countries?

    PubMed

    Syed, Shamsuzzoha B; Dadwal, Viva; Rutter, Paul; Storr, Julie; Hightower, Joyce D; Gooden, Rachel; Carlet, Jean; Bagheri Nejad, Sepideh; Kelley, Edward T; Donaldson, Liam; Pittet, Didier

    2012-01-01

    Developing countries can generate effective solutions for today's global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed--this is perhaps the single most immediate need in planning for, and realizing, the full potential of international cooperation between developed and

  9. Immigration: perspectives from receiving countries.

    PubMed

    Weiner, M

    1990-01-01

    The author examines the issue of international migration from the standpoint of receiving countries. He attempts "to understand how and why migrant-receiving countries respond as they do, and to suggest some of the new issues in international migration that arise in a world in which the supply of would-be migrants and refugees is now greater than receiving countries are willing to accept." PMID:12283227

  10. Reaching Out to Developing Countries.

    ERIC Educational Resources Information Center

    McDowell, Stirling

    1984-01-01

    Some Canadian teachers play a special role in developing the teaching profession internationally. They participate in helping teachers in developing countries and promoting understanding worldwide. (MD)

  11. LES of propelled bodies in crashback

    NASA Astrophysics Data System (ADS)

    Kumar, Praveen; Mahesh, Krishnan

    2015-11-01

    Crashback is an off-design operating condition to quickly stop a propelled vehicle by rotating the propeller in reverse direction, thus yielding a negative thrust. The interaction of the freestream with the strong reverse flow from the propeller creates massive unsteadiness and flow separation. This talk will discuss our work towards simulation of crashback flow over an entire hull using Large-Eddy Simulation (LES).The results will be compared to the available experimental data and the flow physics will be discussed. The flowfield of the hull-attached propeller in crashback will be analyzed using dynamic mode decomposition to understand the mechanism of the unsteady loads. This work is supported by the Office of Naval Research.

  12. Using multi-country household surveys to understand who provides reproductive and maternal health services in low- and middle-income countries: a critical appraisal of the Demographic and Health Surveys

    PubMed Central

    Footman, K; Benova, L; Goodman, C; Macleod, D; Lynch, C A; Penn-Kekana, L; Campbell, O M R

    2015-01-01

    Objective The Demographic and Health Surveys (DHS) are a vital data resource for cross-country comparative analyses. This study is part of a set of analyses assessing the types of providers being used for reproductive and maternal health care across 57 countries. Here, we examine some of the challenges encountered using DHS data for this purpose, present the provider classification we used, and provide recommendations to enable more detailed and accurate cross-country comparisons of healthcare provision. Methods We used the most recent DHS surveys between 2000 and 2012; 57 countries had data on family planning and delivery care providers and 47 countries had data on antenatal care. Every possible response option across the 57 countries was listed and categorised. We then developed a classification to group provider response options according to two key dimensions: clinical nature and profit motive. Results We classified the different types of maternal and reproductive healthcare providers, and the individuals providing care. Documented challenges encountered during this process were limitations inherent in household survey data based on respondents’ self-report; conflation of response options in the questionnaire or at the data processing stage; category errors of the place vs. professional for delivery; inability to determine whether care received at home is from the public or private sector; a large number of negligible response options; inconsistencies in coding and analysis of data sets; and the use of inconsistent headings. Conclusions To improve clarity, we recommend addressing issues such as conflation of response options, data on public vs. private provider, inconsistent coding and obtaining metadata. More systematic and standardised collection of data would aid international comparisons of progress towards improved financial protection, and allow us to better characterise the incentives and commercial nature of different providers. Objectif Les enqu

  13. How Other Countries "Do Discipline"

    ERIC Educational Resources Information Center

    Arum, Richard; Ford, Karly

    2012-01-01

    It's a challenge for schools in every country: How to provide the right kind of discipline and create a climate that nurtures learning. This challenge may look different in different countries. A school's disciplinary climate not only is the product of educators' beliefs and actions, students' beliefs and actions, and the interaction of these, but…

  14. Country Profiles, United Arab Republic.

    ERIC Educational Resources Information Center

    Croley, H. T.

    A profile of the United Arab Republic is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition,…

  15. Cross-Country Skiing Today.

    ERIC Educational Resources Information Center

    Caldwell, John

    This book presents changes in cross country skiing which have taken place in the last several years and is directed toward both beginning and seasoned tour skiers. Discussed are the following topics: (1) the cross-country revolution (new fiberglass skis); (2) equipment (how to choose from the new waxless touring skis); (3) care of equipment; (4)…

  16. Numerical and physical instabilities in massively parallel LES of reacting flows

    NASA Astrophysics Data System (ADS)

    Poinsot, Thierry

    LES of reacting flows is rapidly becoming mature and providing levels of precision which can not be reached with any RANS (Reynolds Averaged) technique. In addition to the multiple subgrid scale models required for such LES and to the questions raised by the required numerical accurcay of LES solvers, various issues related the reliability, mesh independence and repetitivity of LES must still be addressed, especially when LES is used on massively parallel machines. This talk discusses some of these issues: (1) the existence of non physical waves (known as `wiggles' by most LES practitioners) in LES, (2) the effects of mesh size on LES of reacting flows, (3) the growth of rounding errors in LES on massively parallel machines and more generally (4) the ability to qualify a LES code as `bug free' and `accurate'. Examples range from academic cases (minimum non-reacting turbulent channel) to applied configurations (a sector of an helicopter combustion chamber).

  17. Updrafts, Downdrafts, Entrainment, and Detrainment in the Giga-LES

    NASA Astrophysics Data System (ADS)

    Krueger, S. K.; Glenn, I.

    2012-12-01

    We are investigating the properties of evolving three-dimensional updraft and downdraft "cores" in a model dataset from the Giga-LES, a large-domain LES (large-eddy simulation) of tropical oceanic deep convection (Khairoutdinov et al. 2009). We have also applied the analysis method developed by Kuang and Bretherton (2006) to investigate various aspects of the ensemble characteristics of cumulus convection in the Giga-LES. Our results agree with those of Kuang and Bretherton for the cumulus updraft properties. We have examined the relative merits of different entrainment and cloud-top-height assumptions in spectral plume models of cumulus updrafts, the characteristics of downdrafts, and the nature of a rapid transition from shallow to deep convection.isualization of cumulus clouds from the Giga-LES. The realistic structure is associated with entrainment.

  18. Ressources pour les personnes atteintes de démence

    PubMed Central

    Frank, Christopher; Feldman, Sid; Schulz, Mary

    2011-01-01

    Résumé Objectif Résumer les services offerts par la Société Alzheimer et discuter des autres sources de soutien et d’information à la disposition des personnes atteintes de démence. Sources de l’information On a fait une recension dans Ovid MEDLINE à l’aide des expressions dementia, Alzheimer disease, community health services utilization et caregiver stress. Message principal Il a été démontré qu’il est bénéfique aux patients et aux aidants si le diagnostic de la démence est posé tôt dans la maladie. Une consultation auprès de la Société Alzheimer peut aider dans la prise en charge non pharmacologique de la démence au moment du diagnostic et en tout temps durant l’évolution de la maladie. Parmi les services offerts, on peut mentionner des renseignements au sujet de la démence, le soutien aux aidants, la coordination des services communautaires et une grande diversité de ressources écrites à l’intention des patients et des aidants. Là où il est offert, le programme Premier lien peut aider avec l’orientation vers des services en minimisant la nécessité pour les patients ou les aidants de communiquer eux-mêmes avec les filiales locales de la Société. On discute aussi d’autres ressources, y compris les soins de répit et les approches technologiques pour prendre en charge l’errance. Conclusion La Société Alzheimer joue un rôle important dans la prise en charge de la démence et les médecins de famille devraient toujours envisager d’y référer leurs patients au moment du diagnostic, quelle que soit la gravité de l’état. Premier lien, quand il est accessible, peut faciliter le contact avec les services. Des ressources comme les soins de répit et les programmes de jour devraient toujours être considérés lorsqu’ils sont disponibles.

  19. Country to country transport of anthropogenic sulphur in Southeast Asia

    NASA Astrophysics Data System (ADS)

    Engardt, M.; Siniarovina, U.; Khairul, N. I.; Leong, C. P.

    The MATCH model—driven by archived meteorological data from the ECMWF—has been used to study the long-range transport of pollutants in Southeast Asia during the year 2000. We have specifically investigated the atmospheric export and import of anthropogenic sulphur between nine countries in Southeast Asia as well as the import to these countries from the boundaries of our model domain, from southern China, and from international shipping in the surrounding waters. Compared to the conditions at the mid-latitudes (Europe, North America and East Asia), we find less long-range transport in this part of the world. In all countries in the region (except those with very small area, i.e. Singapore and Brunei), did the major part of the domestic emissions (60-70%) fall down on the emitting country itself. The fraction of the countries own emissions contributing to the total, annually accumulated, national deposition varied from 10% for Laos—which is a country with small emissions neighbouring large emitters—to 80-90% in countries not surrounded by significant emitters (i.e. Thailand, Indonesia, Singapore and Brunei). Sensitivity tests were performed to explore the uncertainties in the model simulations and to investigate to what extent the current results could be used for source-receptor relationships in the future, when the magnitude and location of the emissions may be different. We found that the general feature—with relatively little long-range transport of sulphur—will not be altered, while the absolute magnitude of the deposition in areas downwind of large emitters could change considerably if certain model parameters, or the emission patterns are changed. This is particularly true in light of the seasonal variation of the deposition pathways. The atmospheric import of anthropogenic sulphur from specific countries can vary by an order of magnitude between different months. Incidentally, a decrease in import from one country during a certain period is often

  20. Coupling Turbulence in Hybrid LES-RANS Techniques

    NASA Technical Reports Server (NTRS)

    Woodruff, Stephen L.

    2011-01-01

    A formulation is proposed for hybrid LES-RANS computations that permits accurate computations during resolution changes, so that resolution may be changed at will in order to employ only as much resolution in each subdomain as is required by the physics. The two components of this formulation, establishing the accuracy of a hybrid model at constant resolutions throughout the RANS-to-LES range and maintaining that accuracy when resolution is varied, are demonstrated for decaying, homogeneous, isotropic turbulence.

  1. Progress on LES of Flow Past a Circular Cylinder

    NASA Technical Reports Server (NTRS)

    Mittal, R.

    1996-01-01

    The objective of the present research is to assess the usefulness of large-eddy simulation (LES) methodology for flows in complex geometries. Flow past a circular cylinder has been calculated using a central-difference based solver, and the results have been compared to those obtained by a solver that employs higher-order upwind biased schemes (Beaudan & Moin, 1994). This comparison allows us to assess the suitability of these schemes for LES in complex geometry flows.

  2. Protection des ions organiques contre les dommages induits a l'ADN par les electrons de basse energie

    NASA Astrophysics Data System (ADS)

    Dumont, Ariane

    Il a ete demontre que les electrons de basse energie (EBE) peuvent induire des cassures simple brin (CSB) a l'ADN, via la formation d'anions transitoires qui decroissent par attachement dissociatif, ou dans d'autres etats electroniques dissociatifs menant a la fragmentation. Afin d'effectuer une etude complete des effets des electrons de basse energie sur la matiere biologique, il est necessaire de comprendre leur mecanismes d'interaction non seulement avec l'ADN, mais avec les constituants de son environnement. Les histones sont une composante importante de l'environnement moleculaire de l'ADN. Leur charge positive leur permet de s'associer aux groupements phosphate anionique de l'ADN. Le role principal de ces proteines basiques consiste a organiser l'ADN et l'empaqueter afin de former la chromatine. Les cations sont une autre composante importante de la cellule; ils jouent un role dans la stabilisation de la conformation B de l'ADN in vitro par leurs interactions avec les petits et grands sillons de l'ADN, ainsi qu'avec le groupement phosphate charge negativement. Avec les histones, ils participent egalement a la compaction de l'ADN pour former la chromatine. Cette etude a pour but de comprendre comment la presence d'ions organiques (sous forme de Tris et d'EDTA) a proximite de l'ADN modifie le rendement de cassures simple brin induit par les electrons de basse energie. Le Tris et l'EDTA ont-ete choisis comme objet d'etude, puisqu'en solution, ils forment le tampon standard pour solubiliser l'ADN dans les experiences in vitro (10mM Tris, 1mM EDTA). De plus, la molecule Tris possede un groupement amine alors que l'EDTA possede 4 groupements carboxyliques. Ensembles, ils peuvent se comporter comme un modele simple pour les acides amines. Le ratio molaire de 10 :1 de Tris par rapport a l'EDTA a pour but d'imiter le comportement des histones qui sont riches en arginine et lysine, acides amines possedant un groupement amine charge positivement additionnel. Des films d

  3. Gas in developing countries: Volume 2, Country studies

    SciTech Connect

    Not Available

    1987-01-01

    This volume contains detailed case-studies of the history and prospects for natural gas utilization in eight developing countries: Argentina, Egypt, Malaysia, Nigeria, Pakistan, Tanzania, Thailand and Tunisia. All of these countries have been visited by members of the research team, with the exception of Pakistan. Running through all the case-histories is the importance of defining a clear market for the gas. In some cases this can prove remarkably difficult, especially when the oil price is relatively low. In other cases a market does exist, but is very limited in relation to the size of available reserves. The other theme which recurs over and over again is the importance of the relationship between the government and its agencies, and the foreign oil companies which are involved in exploration and development of gas reserves. These two issues are addressed in detail in each case study. But it is also the case that each country highlights specific aspects of the gas story.

  4. Physics teaching in developing countries

    NASA Astrophysics Data System (ADS)

    Talisayon, V. M.

    1984-05-01

    The need for endogeneous learning materials that will relate physics to the student's culture and environment spurred countries like India, Thailand, The Philippines and Indonesia to develop their own physics curriculum materials and laboratory equipment. Meagre resources and widespread poverty necessitated the development of laboratory materials from everyday items, recycled materials and other low-cost or no-cost local materials. The process of developing learning materials for one's teaching-learning needs in physics and the search from within for solutions to one's problems contribute in no small measure to the development of self-reliance in physics teaching of a developing country. Major concerns of developing countries are food supply, livelihood, health, nutrition and growth of economy. At the level of the student and his family, food, health, and livelihood are also primary concerns. Many physics teaching problems can be overcome on a large scale, given political support and national will. In countries where national leadership recognises that science and technology developed is essential to national development and that science education in turn is crucial to science and technology development, scarce resources can be allocated to science education. In developing countries where science education receives little or no political support, the most important resource in the physics classroom is the physics teacher. A highly motivated and adequately trained teacher can rise above the constraining circumstances of paucity of material resources and government apathy. In developing countries the need is great for self-reliance in physics teaching at the country level, and more importantly at the teacher level.

  5. Republic of Venezuela. Country profile.

    PubMed

    Hakkert, R

    1985-06-01

    Venezuela's current economic and demographic situation is described. Venezuela is a major oil country, and the oil industry accounts for 90% of the country's foreign exchange, 70% of the government's revenues, and 15% of the gross domestic product. The economy experienced a sudden and high rate of economic growth in the mid-1970s as a result of high oil prices; however, in recent years, declining oil prices have had a negative effect on the economy. The country is now faced with a serious trade deficit, and the government recently imposed restrictions on imports. Imports in recently years had increased markedly. The emphasis on the oil industry weakened the agricultural sector and, as a result, food imports increased. In addition, the rapid economic growth experienced during the 1970s greatly increased the demand for imported consumer goods. Venezuela has the 4th highest foreign debt in the world (US$35 billion). Despite these problems Venezuela has a relatively high per capita income (US$4,140) and living standard, compared to other countries in the region. Venezuela's total population is 14.6 million, and the population is unevenly distributed. 86% of the population lives in cities of 2500 or more. 37.4% of the population and 70% of the industry is concentrated in the Federal District which contains Caracas, and in the surrounding states of Aragua, Miranda, and Carabobo. This area constitutes only 2.36% of the country's territory. Most of the oil fields are located in the state of Zulia which also contains the country's 2nd largest city (Maracaibo). The country's coastal area contains most of the agricultural lands, and the prairies just south of the coastal mountain ranges are devoted primarily to cattle raising. The remaining 58.2% of the country's territory is essentially jungle and contains only 6.9% of the country's population. The annual population growth rate is 3.11%. Although the rate declined in recent years it is higher than in most of the other

  6. Ventilatory impairment in the dysmyelinated Long Evans shaker (les) rat

    PubMed Central

    Johnson, Rebecca A.; Baker-Herman, Tracy L.; Duncan, Ian D.; Mitchell, Gordon S.

    2010-01-01

    Although respiratory complications significantly contribute to morbidity/mortality in advanced myelin disorders, little is known concerning mechanisms whereby dysmyelination impairs ventilation, or how patients compensate (i.e. plasticity). To establish a model for studies concerning mechanisms of ventilatory impairment/compensation, we tested the hypotheses that respiratory function progressively declines in a model of CNS dysmyelination, the Long Evans shaker rat (les). The observed impairment is associated with abnormal inspiratory neural output. Minimal myelin staining was found throughout the CNS of les rats, including the brainstem and cervical bulbospinal tracts. Ventilation (via whole-body plethysmography) and phrenic motor output were assessed in les and wild-type (WT) rats during baseline, hypoxia (11% O2) and hypercapnia (7% CO2). Hypercapnic ventilatory responses were similar in young adult les and WT rats (2 months old); in hypoxia, rats exhibited seizure-like activity with sustained apneas. However, 5–6 month old les rats exhibited decreased breathing frequencies, mean inspiratory flow (VT/TI) and ventilation (V̇E) during baseline and hypercapnia. Although phrenic motor output exhibited normal burst frequency and amplitude in 5–6 month old les rats, intra-burst activity was abnormal. In WT rats, phrenic activity was progressive and augmenting; in les rats, phrenic activity was decrementing with asynchronized, multipeaked activity. Thus, although ventilatory capacity is maintained in young, dysmyelinated rats, ventilatory impairment develops with age, possibly through discoordination in respiratory motor output. This study is the first reporting age-related breathing abnormalities in a rodent dysmyelination model, and provides the foundation for mechanistic studies of respiratory insufficiency and therapeutic interventions. PMID:20542092

  7. Les Johnson Views Interstellar Sail Material

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Engineers at Marshall Space Flight Center's (MSFC) Interstellar Propulsion Research department are proposing different solutions to combustion propellants for future space travel. One alternative being tested is the solar sail. The idea is, once deployed, the sail will allow solar winds to propel a spacecraft away from Earth and towards its destination. This would allow a spacecraft to travel indefinitely without the need to refuel during its ong journey. Thin reflective sails could be propelled through space by sunlight, microwave beams, or laser beams, just as the wind pushes sailboats on Earth. The sail will be the largest spacecraft ever built, sparning 440 yards, twice the diameter of the Louisiana Super Dome. Construction materials are being tested in a simulated space environment, where they are exposed to harsh conditions to test their performance and durability in extremely hot and cold temperatures. A leading candidate for the construction material is a carbon fiber material whose density is less than 1/10 ounce per square yard, the equivalent of flattening one raisin to the point that it covers a square yard. In space, the material would unfurl like a fan when it is deployed from an expendable rocket. This photo shows Les Johnson, manager of MSFC's Interstellar Propulsion Research Center holding the rigid, lightweight carbon fiber. An artist's concept of the sail is on the right. Mankind's first venture outside of our solar system is proposed for launch in a 2010 timeframe. An interstellar probe, powered by the fastest spacecraft ever flown, will zoom toward the stars at 58 miles per second. It will cover the distance from New York to Los Angeles in less than a minute and will travel over 23 billion miles beyond the edge of the solar system.

  8. The chemical industry, by country

    SciTech Connect

    Not Available

    1995-03-01

    Beijing will be the site for the third ACHEMASIA, international petrochemical and chemical exhibition and conference, May 15--20, 1995. In preparation for this conference, Hydrocarbon Processing contacted executives of petrochemical/chemical industries and trade associations, seeking views on the state of the industry. The Asia-Pacific region is the center of new construction and expanded capacity and also a mixture of mature, developing and emerging petrochemical industries. Established countries must mold and grow with emerging economies as the newcomers access natural resources and develop their own petrochemical infrastructures. The following nation reports focus on product supply/demand trends, economic forecasts, new construction, etc. Space limitations prohibit publishing commentaries from all countries that have petrochemical/chemical capacity. Reports are published from the following countries: Australia, China, Japan, Korea, Malaysia, Philippines, Thailand, and Vietnam.

  9. Peritoneal dialysis in developing countries.

    PubMed

    Nayak, K S; Prabhu, M V; Sinoj, K A; Subhramanyam, S V; Sridhar, G

    2009-01-01

    Peritoneal dialysis (PD) is acknowledged worldwide as a well-accepted form of renal replacement therapy (RRT) for end-stage renal disease (ESRD). Ideally, PD should be the preferred modality of RRT for ESRD in developing countries due to its many inherent advantages. Some of these are cost savings (especially if PD fluids are manufactured locally or in a neighboring country), superior rehabilitation and quality of life (QOL), home-based therapy even in rural settings, avoidance of hospital based treatment and the need for expensive machinery, and freedom from serious infections (hepatitis B and C). However, this is not the ground reality, due to certain preconceived notions of the health care givers and governmental agencies in these countries. With an inexplicable stagnation or decline of PD numbers in the developed world, the future of PD will depend on its popularization in Latin America and in Asia especially countries such as China and India, with a combined population of 2.5 billion and the two fastest growing economies worldwide. A holistic approach to tackle the issues in the developing countries, which may vary from region to region, is critical in popularizing PD and establishing PD as the first-choice RRT for ESRD. At our center, we have been pursuing a 'PD first' policy and promoting PD as the therapy of choice for various situations in the management of renal failure. We use certain novel strategies, which we hope can help PD centers in other developing countries working under similar constraints. The success of a PD program depends on a multitude of factors that are interlinked and inseparable. Each program needs to identify its strengths, special circumstances, and deficiencies, and then to strategize accordingly. Ultimately, teamwork is the 'mantra' for a successful outcome, the patient being central to all endeavors. A belief and a passion for PD are the fountainhead and cornerstone on which to build a quality PD program. PMID:19494625

  10. Breast health in developing countries.

    PubMed

    Yip, C H; Taib, N A

    2014-12-01

    Breast cancer is one of the leading cancers world-wide. While the incidence in developing countries is lower than in developed countries, the mortality is much higher. Of the estimated 1 600 000 new cases of breast cancer globally in 2012, 794 000 were in the more developed world compared to 883 000 in the less developed world; however, there were 198 000 deaths in the more developed world compared to 324 000 in the less developed world (data from Globocan 2012, IARC). Survival from breast cancer depends on two main factors--early detection and optimal treatment. In developing countries, women present with late stages of disease. The barriers to early detection are physical, such as geographical isolation, financial as well as psychosocial, including lack of education, belief in traditional medicine and lack of autonomous decision-making in the male-dominated societies that prevail in the developing world. There are virtually no population-based breast cancer screening programs in developing countries. However, before any screening program can be implemented, there must be facilities to treat the cancers that are detected. Inadequate access to optimal treatment of breast cancer remains a problem. Lack of specialist manpower, facilities and anticancer drugs contribute to the suboptimal care that a woman with breast cancer in a low-income country receives. International groups such as the Breast Health Global Initiative were set up to develop economically feasible, clinical practice guidelines for breast cancer management to improve breast health outcomes in countries with limited resources. PMID:25131779

  11. Soalr cooking in developing countries

    SciTech Connect

    Stone, L.

    1994-11-01

    Solar cooking must overcome a number of obstacles to realize its potential to improve the lives of women in developing countries. Unlike historical interest in solar cooking, current interest derives from vital environmental and human needs. Deforestation and reliance on wood for cooking lead to many hardships, especially for women, and women in developing countries need access to technology and funding. If the woman builds the oven herself, it notonly makes her more willing to use it but the process empower her with new knowledge and kills. The physical design of the oven must be adapted to local conditions and materials for the oven should be inexpensive and locally available.

  12. Les inconvénients de perdre du poids

    PubMed Central

    Bosomworth, N. John

    2012-01-01

    Résumé Objectif Explorer les raisons pour lesquelles la perte de poids à long terme échoue la plupart du temps et évaluer les conséquences de diverses trajectoires pondérales, y compris la stabilité, la perte et le gain. Source des données Les études qui évaluent les paramètres pondéraux dans la population sont en majorité observationnelles. Des données probantes de niveau I ont été publiées pour évaluer l’influence des interventions relatives au poids sur la mortalité et la qualité de vie. Message principal Seulement un petit pourcentage des personnes qui désirent perdre du poids réussissent à le faire de manière durable. La mortalité est la plus faible chez les personnes se situant dans la catégorie de poids élevé-normal et surpoids. La trajectoire pondérale la plus sécuritaire est la stabilité du poids avec une optimisation de la condition physique et métabolique. Il est démontré que la mortalité est plus faible chez les personnes ayant des comorbidités reliées à l’obésité si elles perdent du poids. Il est aussi établi que la qualité de vie sur le plan de la santé est meilleure chez les personnes obèses qui perdent du poids. Par contre, la perte de poids chez une personne obèse autrement en santé est associée à une mortalité accrue. Conclusion La perte de poids est recommandable seulement chez les personnes qui ont des comorbidités reliées à l’obésité. Les personnes obèses en santé qui veulent perdre du poids devraient être informées qu’il peut y avoir des risques à le faire. Une stratégie qui se traduit par un indice de masse corporelle stable avec une condition physique et métabolique optimisée, peu importe le poids, est l’option d’intervention la plus sécuritaire en ce qui concerne le poids.

  13. Country Paper--Japan (Employers').

    ERIC Educational Resources Information Center

    Sakiyama, Narumi

    Japanese industrialization started later than in other countries and thus relied at first on foreign-trained persons. Soon, however, Japanese companies began systems of in-house training for their employees. Eventually, some companies paid tuition for their employees to attend night schools at educational institutions and even to study abroad.…

  14. Hampshire Country School Staff Commitments.

    ERIC Educational Resources Information Center

    Hampshire Country School, Rindge, NH.

    Intended for professional personnel of the Hampshire Country School, which treats gifted children with immobilizing emotional dysfunctions, the handbook specifies staff commitments. The Code of Ethics, adapted from the National Education Association Code as supplemented by The Council for Exceptional Children, sets forth four principles:…

  15. Physics in the Developing Countries

    ERIC Educational Resources Information Center

    Moravcsik, Michael J.

    1972-01-01

    International cooperation for scientific advancement in developing countries is recognized as possible and necessary. Areas of manpower shortage and feelings of isolation among physicists could be partially solved by modifying science education programs for foreign students in the United States. Several programs in physics departments and…

  16. A Tale of Two Countries

    ERIC Educational Resources Information Center

    Back, Susan Malone; Rogers, Steven; Li, Jiaqi

    2014-01-01

    A model is presented for coordinated community planning to address multiple service needs in two countries. Two communities, one in western Texas and one in the United Kingdom, found that despite the considerable efforts of multiple organizations, the local social, educational, and health services remained uncoordinated. Furthermore, there was no…

  17. Physician Migration: Donor Country Impact

    ERIC Educational Resources Information Center

    Aluwihare, A. P. R.

    2005-01-01

    Physician migration from the developing to developed region of a country or the world occurs for reasons of financial, social, and job satisfaction. It is an old phenomenon that produces many disadvantages for the donor region or nation. The difficulties include inequities with the provision of health services, financial loss, loss of educated…

  18. Clean Water for Developing Countries.

    PubMed

    Pandit, Aniruddha B; Kumar, Jyoti Kishen

    2015-01-01

    Availability of safe drinking water, a vital natural resource, is still a distant dream to many around the world, especially in developing countries. Increasing human activity and industrialization have led to a wide range of physical, chemical, and biological pollutants entering water bodies and affecting human lives. Efforts to develop efficient, economical, and technologically sound methods to produce clean water for developing countries have increased worldwide. We focus on solar disinfection, filtration, hybrid filtration methods, treatment of harvested rainwater, herbal water disinfection, and arsenic removal technologies. Simple, yet innovative water treatment devices ranging from use of plant xylem as filters, terafilters, and hand pumps to tippy taps designed indigenously are methods mentioned here. By describing the technical aspects of major water disinfection methods relevant for developing countries on medium to small scales and emphasizing their merits, demerits, economics, and scalability, we highlight the current scenario and pave the way for further research and development and scaling up of these processes. This review focuses on clean drinking water, especially for rural populations in developing countries. It describes various water disinfection techniques that are not only economically viable and energy efficient but also employ simple methodologies that are effective in reducing the physical, chemical, and biological pollutants found in drinking water to acceptable limits. PMID:26247291

  19. Educational Policy in Foreign Countries.

    ERIC Educational Resources Information Center

    Cole, Barbara, Ed.

    Five talks given at a seminar on educational policy in foreign countries are presented in this document. The first contends that while schools established for Americans abroad tend to be isolated from the local community for several reasons, opportunities for extended cultural interchange exist and should be used. The second examines the nature of…

  20. Adult Educator in Developing Countries

    ERIC Educational Resources Information Center

    Dutta, S. C.

    1973-01-01

    The role of adult education in developing countries is preparation of the people for accepting and inculcating change and helping to establish a pattern of social values enabling progress. Recommendations from the Asian Regional Seminar were a high degree of professionalism for adult educators and the establishing of a regional institute. (EA)

  1. Reference Services in Developing Countries.

    ERIC Educational Resources Information Center

    Velho Lopes, Roseanne R.

    1992-01-01

    Discusses the development of reference services in developing countries and describes some of the functions of libraries and information services. Topics discussed include meeting users' needs; criteria for the planning and organization of services; and technology, including electronic dictionaries, computerized community information files,…

  2. Country Energy Profile, South Africa

    SciTech Connect

    1995-08-01

    This country energy profile provides energy and economic information about South Africa. Areas covered include: Economics, demographics, and environment; Energy situation; Energy structure; Energy investment opportunities; Department of Energy (DOE) programs in South Africa; and a listing of International aid to South Africa.

  3. Gasoline demand in developing Asian countries

    SciTech Connect

    McRae, R.

    1994-12-31

    This paper presents econometric estimates of motor gasoline demand in eleven developing countries of Asia. The price and GDP per capita elasticities are estimated for each country separately, and for several pooled combinations of the countries. The estimated elasticities for the Asian countries are compared with those of the OECD countries. Generally, one finds that the OECD countries have GDP elasticities that are smaller, and price elasticities that are larger (in absolute value). The price elasticities for the low-income Asian countries are more inelastic than for the middle-income Asian countries, and the GDP elasticities are generally more elastic. 13 refs., 6 tabs.

  4. Les effets des interfaces sur les proprietes magnetiques et de transport des multicouches nickel/iron et cobalt/silver

    NASA Astrophysics Data System (ADS)

    Veres, Teodor

    Cette these est consacree a l'etude de l'evolution structurale des proprietes magnetiques et de transport des multicouches Ni/Fe et nanostructures a base de Co et de l'Ag. Dans une premiere partie, essentiellement bibliographique, nous introduisons quelques concepts de base relies aux proprietes magnetiques et de transport des multicouches metalliques. Ensuite, nous presentons une breve description des methodes d'analyse des resultats. La deuxieme partie est consacree a l'etude des proprietes magnetiques et de transport des multicouches ferromagnetiques/ferromagnetiques Ni/Fe. Nous montrerons qu'une interpretation coherente de ces proprietes necessite la prise en consideration des effets des interfaces. Nous nous attacherons a mettre en evidence, a evaluer et a etudier les effets de ces interfaces ainsi que leur evolution, et ce, suite a des traitements thermiques tel que le depot a temperature elevee et l'irradiation ionique. Les analyses correlees de la structure et de la magnetoresistance nous permettront d'emettre des conclusions sur l'influence des couches tampons entre l'interface et le substrat ainsi qu'entre les couches elles-memes sur le comportement magnetique des couches F/F. La troisieme partie est consacree aux systemes a Magneto-Resistance Geante (MRG) a base de Co et Ag. Nous allons etudier l'evolution de la microstructure suite a l'irradiation avec des ions Si+ ayant une energie de 1 MeV, ainsi que les effets de ces changements sur le comportement magnetique. Cette partie debutera par l'analyse des proprietes d'une multicouche hybride, intermediaire entre les multicouches et les materiaux granulaires. Nous analyserons a l'aide des mesures de diffraction, de relaxation superparamagnetique et de magnetoresistance, les evolutions structurales produites par l'irradiation ionique. Nous etablirons des modeles qui nous aideront a interpreter les resultats pour une serie des multicouches qui couvrent un large eventail de differents comportements magnetiques

  5. A filtered tabulated chemistry model for LES of premixed combustion

    SciTech Connect

    Fiorina, B.; Auzillon, P.; Darabiha, N.; Gicquel, O.; Veynante, D.; Vicquelin, R.

    2010-03-15

    A new modeling strategy called F-TACLES (Filtered Tabulated Chemistry for Large Eddy Simulation) is developed to introduce tabulated chemistry methods in Large Eddy Simulation (LES) of turbulent premixed combustion. The objective is to recover the correct laminar flame propagation speed of the filtered flame front when subgrid scale turbulence vanishes as LES should tend toward Direct Numerical Simulation (DNS). The filtered flame structure is mapped using 1-D filtered laminar premixed flames. Closure of the filtered progress variable and the energy balance equations are carefully addressed in a fully compressible formulation. The methodology is first applied to 1-D filtered laminar flames, showing the ability of the model to recover the laminar flame speed and the correct chemical structure when the flame wrinkling is completely resolved. The model is then extended to turbulent combustion regimes by including subgrid scale wrinkling effects in the flame front propagation. Finally, preliminary tests of LES in a 3-D turbulent premixed flame are performed. (author)

  6. Eulerian Time-Domain Filtering for Spatial LES

    NASA Technical Reports Server (NTRS)

    Pruett, C. David

    1997-01-01

    Eulerian time-domain filtering seems to be appropriate for LES (large eddy simulation) of flows whose large coherent structures convect approximately at a common characteristic velocity; e.g., mixing layers, jets, and wakes. For these flows, we develop an approach to LES based on an explicit second-order digital Butterworth filter, which is applied in,the time domain in an Eulerian context. The approach is validated through a priori and a posteriori analyses of the simulated flow of a heated, subsonic, axisymmetric jet.

  7. Status of the SUSY Les Houches Accord II Project

    SciTech Connect

    Allanach, B.C.; Balazs, C.; Belanger, G.; Boudjema, F.; Choudhury, D.; Desch, K.; Ellwanger, U.; Gambino, P.; Godbole, R.; Guasch, J.; Guchait, M.; Heinemeyer, S.; Hugonie, C.; Hurth, T.; Kraml, S.; Lykken, J.; Mangano, M.; Moortgat, F.; Moretti, S.; Penaranda, S.; Porod, W.; /Fermilab

    2005-05-01

    Supersymmetric (SUSY) spectrum generators, decay packages, Monte-Carlo programs, dark matter evaluators, and SUSY fitting programs often need to communicate in the process of an analysis. The SUSY Les Houches Accord provides a common interface that conveys spectral and decay information between the various packages. Here, we propose extensions of the conventions of the first SUSY Les Houches Accord to include various generalizations: violation of CP, R-parity and flavor as well as the simplest next-to-minimal supersymmetric standard model (NMSSM).

  8. Les Hemorragies Gastroduodenales de Stress Chez le Brule Grave

    PubMed Central

    Siah, S.; Fouadi, F.E.; Ababou, K.; Nassim Sabah, T.; Ihrai, I.

    2008-01-01

    Summary Les Auteurs rapportent trois observations d'hémorragies gastroduodénales de stress chez le brûlé grave. Ils rappellent l'importance des mesures thérapeutiques qui doivent être prises chez le brûlé grave, comme le traitement du choc, du sepsis, des plaies et de la douleur, la nutrition entérale précoce et l'oxygénothérapie. Tout cela permet de réduire les facteurs de risque de survenue d'une hémorragie gastroduodénale de stress. PMID:21991137

  9. On integrating LES and laboratory turbulent flow experiments

    SciTech Connect

    Grinstein, Fernando Franklin

    2008-01-01

    Critical issues involved in large eddy simulation (LES) experiments relate to the treatment of unresolved subgrid scale flow features and required initial and boundary condition supergrid scale modelling. The inherently intrusive nature of both LES and laboratory experiments is noted in this context. Flow characterization issues becomes very challenging ones in validation and computational laboratory studies, where potential sources of discrepancies between predictions and measurements need to be clearly evaluated and controlled. A special focus of the discussion is devoted to turbulent initial condition issues.

  10. Solid waste management for climate change policy in industrial countries, newly industrialized countries, and developing countries

    SciTech Connect

    Horng, J.J.

    1996-12-31

    Although the First FCCC COP did not reach agreement on controlling greenhouse gases, the intention of international society on limiting climate change problems is obvious. Among the important greenhouse gases of CO{sub 2}, CH{sub 4}, and N{sub 2}O, the control of CO{sub 2} emission is more important for industrial countries than for the others due to their large emission. The CO{sub 2} reduction for export-oriented NICs (Newly Industrialized Countries) is a growth-limited or -killing policy that will severely hurt the national economics and will be carefully evaluated before taking any action. On the other hand, the reduction of methane emission by proper managing solid wastes, especially landfills, stands for good short- and long-term investments for NICs and developing countries. A 50 to 90% CH{sub 4} recovery from landfill is feasible and profitable, but the methane recovery technology or capital cost needs to come from industrial countries. Taking the example in Taiwan, more than 60% of methane emission is from landfills. A medium 50% reduction can contribute to more than 5% reduction of CO{sub 2} equivalent basis on global warming potentials (GWPs). However, the landfill gas recovery program is still under demonstration without actual applications.

  11. Invasive aspergillosis in developing countries.

    PubMed

    Chakrabarti, Arunaloke; Chatterjee, Shiv Sekhar; Das, Ashim; Shivaprakash, M R

    2011-04-01

    To review invasive aspergillosis (IA) in developing countries, we included those countries, which are mentioned in the document of the International Monetary Fund (IMF), called the Emerging and Developing Economies List, 2009. A PubMed/Medline literature search was performed for studies concerning IA reported during 1970 through March 2010 from these countries. IA is an important cause of morbidity and mortality of hospitalized patients of developing countries, though the exact frequency of the disease is not known due to inadequate reporting and facilities to diagnose. Only a handful of centers from India, China, Thailand, Pakistan, Bangladesh, Sri Lanka, Malaysia, Iran, Iraq, Saudi Arabia, Egypt, Sudan, South Africa, Turkey, Hungary, Brazil, Chile, Colombia, and Argentina had reported case series of IA. As sub-optimum hospital care practice, hospital renovation work in the vicinity of immunocompromised patients, overuse or misuse of steroids and broad-spectrum antibiotics, use of contaminated infusion sets/fluid, and increase in intravenous drug abusers have been reported from those countries, it is expected to find a high rate of IA among patients with high risk, though hard data is missing in most situations. Besides classical risk factors for IA, liver failure, chronic obstructive pulmonary disease, diabetes, and tuberculosis are the newly recognized underlying diseases associated with IA. In Asia, Africa and Middle East sino-orbital or cerebral aspergillosis, and Aspergillus endophthalmitis are emerging diseases and Aspergillus flavus is the predominant species isolated from these infections. The high frequency of A. flavus isolation from these patients may be due to higher prevalence of the fungus in the environment. Cerebral aspergillosis cases are largely due to an extension of the lesion from invasive Aspergillus sinusitis. The majority of the centers rely on conventional techniques including direct microscopy, histopathology, and culture to diagnose IA

  12. Detailed characteristics of drop-laden mixing layers: LES predictions compared to DNS

    NASA Technical Reports Server (NTRS)

    Okong'o, N.; Leboissetier, A.; Bellan, J.

    2004-01-01

    Results have been compared from Direct Numerical Simulation (DNS) and Large Eddy Simulation (LES) of a temporal mixing layer laden with evaporating drops, to assess the ability of LES to reproduce detailed characteristics of DNS.

  13. Définir les choix à risque: l'éthique et les effets des décisions organisationnelles.

    PubMed

    Warren, Marika

    2016-07-01

    Les choix de vivre « à risque » sont complexes et difficiles. Ils peuvent être structurés par les politiques organisationnelles. Certaines personnes veulent vraiment vivre dans des situations à haut risque ou perçues comme telles parce qu'elles en tirent un avantage important. Cependant, il est probable que ces choix dépendent en grande partie du contexte et qu'ils ne se soient pas posés dans une autre situation. L'article plaide pour la responsabilité d'être attentif aux effets des décisions organisationnelles sur les choix de vivre à risque et sur la répartition globale du risque. PMID:27365384

  14. Republic of Austria. Country profile.

    PubMed

    Newcomb, L C

    1985-07-01

    A summary description of Austria's demographic situation, economic conditions, labor force characteristics, housing conditions, household characteristics, and marriage patterns is provided. Austria, the former center of the Hapsburg Empire, covers 32,375 square miles and is divided into 9 provinces, including Vienna, the federal capital. Austria's population increased from 6.9 million in 1950 to 7.6 million in 1980. Since 1980 it declined slightly and in 1985 it was estimated to be 7,487,000. Between 1961-81, the industrial, western region of the country grew more rapidly than the predominantly rural eastern section of the country. Vienna, the largest city in the country, experienced a decline in population size from 1.9 million to 1.5 million since 1923. Part of the decline was due to the annihilation of the city's Jewish population in 1938. Austria has a lower urban population (56%) than most other industrialized countries. This low rate reflects the availability of tourist related jobs in the rural areas. 98% of the population is Austrian, the official language is German, and most of the inhabitants are Roman Catholic. Due to the homogeneity of the population, the country has few religious and racial problems; however, a recent study indicated that about 1/2 of the population has anti-Semetic attitudes. Life expectancy is 69 years for men and 76 years for women. Austria's population is aging. Currently, 18% of the population is under 15 years of age, and 14% is 65 years of age or older. Births are expected to increase slightly until the end of the 1900s and then decline slightly. Austrians place a high value on children and family life. Between 1978-82 the marriage rate increased from 4.5/1000 to 4.8/1000, and the median age at marriage increased from 22.4-23.0 years for women and from 25.6-25.8 years for men. The number of divorces/year increased from 11,168-14.298 between 1976-82. Currently, there are 2,767,000 households, and the average household size is 2

  15. Space science in developing countries

    NASA Astrophysics Data System (ADS)

    Okeke, P. N.; Rao, U. R.; Anyaegbunam, F. C. C.

    1994-01-01

    The space era marked by the effort in organising the International Geophysical Year (IGY) more than three decades ago ushered in a new awakening of international cooperation in space sciences. Since then, there has been a growing awareness amongst developed and developing countries on what space technology has in store for explorations in astronomy and cosmology and for studying the changing global environment. Results from numerous space platforms, rockets, balloon borne instrumentation and ground based experiments have revealed the growing potential of the field. The role of developing countries in a concerted mode is vital, as the planning of scientific experiments, data analysis and interpretation would need mobilisation of regional talent and intellectual resources to understand the complex ensemble of problems of geosphere-biosphere interactions facing the planet earth and its residents.

  16. Space science in developing countries

    NASA Astrophysics Data System (ADS)

    Okeke, P. N.; Rao, U. R.; Anyaegbunam, F. C. C.

    1994-01-01

    The space era marked by the effort in organizing the International Geophysical Year (IGY) more than three decades ago ushered in a new awakening of international cooperation in space sciences. Since then, there has been a growing awareness among developed and developing countries on what space technology has in store for explorations in astronomy and cosmology and for studying the changing global environment. Results from numerous space platforms, rockets, balloon borne instrumentation and ground based experiments have revealed the growing potential of the field. The role of developing countries in a concerted mode is vital, as the planning of scientific experiments, data analysis and interpretation would need mobilization of regional talent and intellectual resources to understand the complex ensemble of problems of geosphere-biosphere interactions facing the planet earth and its residents.

  17. Bulgaria mental health country profile.

    PubMed

    Tomov, Toma; Mladenova, Maya; Lazarova, Irina; Sotirov, Vladimir; Okoliyski, Mihail

    2004-01-01

    The mental health profile of Bulgaria has been compiled and following analysis of both the factual findings and the process of data collection a report has been prepared. The subject of discussion in the paper concerns several major findings: the discrepancy between what the policy documents state and the actual situation in mental health; the organizational culture, which alienates; and the peculiarities of the process of change and how it is driven under political pressure from outside the country. Analysis extends to encompass the influence of the general health reform on the mental health sector, the deficits of the leadership and how they impact on the effectiveness of the system, and the interdependence between the country's economy and the health sector. A conclusion is made about the need to consolidate the public health approach using the lever of international collaboration in the field of mental health. PMID:15276942

  18. Chagas disease in Andean countries.

    PubMed

    Guhl, Felipe

    2007-10-30

    The Andean Countries' Initiative (ACI) for controlling Chagas disease was officially created in 1997 within the framework of the Hipolito Unanue Agreement (UNANUE) between the Ministries of Health of Colombia, Ecuador, Peru, and Venezuela. Its objective was to interrupt transmission via vector and transfusion in the region, taking into account that there are 12.5 million people at risk in the four Andean countries forming the initiative in the area and around 3 million people are infected by Trypanosoma cruzi. The progress of control activities for the vector species present in the Andean sub-region, for different reasons, has been slow and control interventions have still not been installed in all geographical areas occupied by the target species. This has been partly due to lack of knowledge about these vector populations' biological characteristics, and consequent uncertainty about which are the appropriate control measures and strategies to be implemented in the region. The main vector species present important similarities in Venezuela and Colombia and in Ecuador and Northern Peru and they can be approached in a similar way throughout the whole regions, basing approaches on and adapting them to the current strategies being developed in Venezuela during the 1960s which have been progressively adopted in the Southern Cone and Central-American region. Additional measures are needed for keeping endemic areas free from Rhodnius prolixus silvatic populations, widely spread in the Orinoco region in Colombia and Venezuela. Regarding aetiological treatment, it is worth mentioning that (with the exception of Colombia) none of the other countries forming the ACI have registered medicaments available for treating infected young people. There are no suitable follow-up programmes in the sub-region or for treating cases of congenital Chagas disease. An integral and integrated programme encompassing all the aspects including transmission by transfusion which seems to have

  19. Malaysia mental health country profile.

    PubMed

    Parameshvara Deva, M

    2004-01-01

    Malaysia is a tropical country in the heart of south east Asia with a population of 24 million people of diverse ethnic, cultural and religious backgrounds living in harmony in 330,000 km(2) of land on the Asian mainland and Borneo. Malaysia, which lies on the crossroads of trade between east and west Asia, has an ancient history as a centre of trading attracting commerce between Europe, west Asia, India and China. It has had influences from major powers that dominated the region throughout its history. Today the country, after independence in 1957, has embarked on an ambitious development project to make it a developed country by 2020. In this effort the economy has changed from one producing raw material to one manufacturing consumer goods and services and the colonial health system has been overhauled and social systems strengthened to provide better services for its people. The per capita income, which was under 1,000 US dollars at independence, has now passed 4,000 US dollars and continues to grow, with the economy largely based on strong exports that amount to over 100 billion US dollars. The mental health system that was based on institutional care in four mental hospitals at independence from British colonial rule in 1957 with no Malaysian psychiatrists is today largely based on over 30 general hospital psychiatric units spread throughout the country. With three local postgraduate training programmes in psychiatry and 12 undergraduate departments of psychiatry in the country--all started after independence--there is now a healthy development of mental health services. This is being supplemented by a newly established primary care mental health service that covers community mental health by integrating mental health into primary health care. Mental health care at the level of psychiatrists rests with about 140 psychiatrists most of whom had undertaken a four-year masters course in postgraduate psychiatry in Malaysia since 1973. However, there continues to be

  20. CHARACTERIZATION OF THE 'PSEUDOMONAS AERUGINOSA' RECA GENE: THE LES (LYSOGENY ESTABLISHMENT DEFICIENT)- PHENOTYPE (JOURNAL VERSION)

    EPA Science Inventory

    The Les- (lysogeny establishment deficient) phenotype is a pleiotropic effect of the lesB908 mutation of Pseudomonas aruginosa PAO. LesB908-containing strains are also deficient in general recombination, sensitive to UV irradiation, and deficient in UV-stimulated induction of pro...

  1. Les reconstructions acétabulaires dans les prothèses totales de hanche

    PubMed Central

    Zejjari, Hassane; Louaste, Jamal; Cherrad, Taoufik; Bousbae, Hicham; Kasmaoui, Housseine; Amhajji, Larbi; Rachid, Khalid

    2015-01-01

    La chirurgie de reconstruction acétabulaire est une technique qui consiste à combler les pertes de substance osseuse siégeant au niveau du cotyle. Il s'agit d'une étude rétrospective de 15 patients (16 cotyles), sur une période de 6 ans (2006- 2012). Dans douze cas il s'agissait de prothèse totales de la hanche de première intention et dans quatre cas il s'agissait de reprise cotyloïdienne de PTH. L’évaluation clinique préopératoire et postopératoire de tous nos patients a été effectuée par le score de Postel et Merle d'Aubigné. L’évaluation des pertes de substances osseuse du cotyle a été classée selon la classification de Paprosky. L’âge moyen de nos patients au moment de l'intervention a été de 57 ans avec des extrêmes allant de 20 ans à 76 ans. La greffe osseuse a été utilisée chez 12 de nos patients. La reconstruction prothétique a été utilisée chez 8 patients (anneau de Kerboul dans six cas et anneau de Burch-Schneider dans deux cas). Recul post opératoire moyen a été de 56 mois. L’évaluation radiologique a été basée sur les clichés radiologiques du bassin de face strict ainsi que des radiographies de la hanche opérée de face prenant la totalité de la prothèse. Nos résultats cliniques et radiologiques ont été jugé bon à très bon dans la majorité des cas. Pour nous, nous optant pour le recentrage-reconstruction car c'est lui qui s'approche le plus de l'anatomie et de la biomécanique normale de la hanche. PMID:26955415

  2. [The Les Morts de la Rue collective, strong social commitment].

    PubMed

    Rocca, Cécile

    2016-02-01

    The problems faced by homeless people are varied and complex. They require numerous qualities on the part of professionals. Living on the streets often means dying on the streets. Professionals are thereby confronted with practical and ethical questions. They have a key role both in listening and providing support. This article shows the example of the Les Morts de la Rue collective. PMID:26861085

  3. DNS and LES of a Shear-Free Mixing Layer

    NASA Technical Reports Server (NTRS)

    Knaepen, B.; Debliquy, O.; Carati, D.

    2003-01-01

    The purpose of this work is twofold. First, given the computational resources available today, it is possible to reach, using DNS, higher Reynolds numbers than in Briggs et al.. In the present study, the microscale Reynolds numbers reached in the low- and high-energy homogeneous regions are, respectively, 32 and 69. The results reported earlier can thus be complemented and their robustness in the presence of increased turbulence studied. The second aim of this work is to perform a detailed and documented LES of the shear-free mixing layer. In that respect, the creation of a DNS database at higher Reynolds number is necessary in order to make meaningful LES assessments. From the point of view of LES, the shear-free mixing-layer is interesting since it allows one to test how traditional LES models perform in the presence of an inhomogeneity without having to deal with difficult numerical issues. Indeed, as argued in Briggs et al., it is possible to use a spectral code to study the shear-free mixing layer and one can thus focus on the accuracy of the modelling while avoiding contamination of the results by commutation errors etc. This paper is organized as follows. First we detail the initialization procedure used in the simulation. Since the flow is not statistically stationary, this initialization procedure has a fairly strong influence on the evolution. Although we will focus here on the shear-free mixing layer, the method proposed in the present work can easily be used for other flows with one inhomogeneous direction. The next section of the article is devoted to the description of the DNS. All the relevant parameters are listed and comparison with the Veeravalli & Warhaft experiment is performed. The section on the LES of the shear-free mixing layer follows. A detailed comparison between the filtered DNS data and the LES predictions is presented. It is shown that simple eddy viscosity models perform very well for the present test case, most probably because the

  4. Stochasticity of convection in Giga-LES data

    NASA Astrophysics Data System (ADS)

    De La Chevrotière, Michèle; Khouider, Boualem; Majda, Andrew J.

    2015-12-01

    The poor representation of tropical convection in general circulation models (GCMs) is believed to be responsible for much of the uncertainty in the predictions of weather and climate in the tropics. The stochastic multicloud model (SMCM) was recently developed by Khouider et al. (Commun Math Sci 8(1):187-216, 2010) to represent the missing variability in GCMs due to unresolved features of organized tropical convection. The SMCM is based on three cloud types (congestus, deep and stratiform), and transitions between these cloud types are formalized in terms of probability rules that are functions of the large-scale environment convective state and a set of seven arbitrary cloud timescale parameters. Here, a statistical inference method based on the Bayesian paradigm is applied to estimate these key cloud timescales from the Giga-LES dataset, a 24-h large-eddy simulation (LES) of deep tropical convection (Khairoutdinov et al. in J Adv Model Earth Syst 1(12), 2009) over a domain comparable to a GCM gridbox. A sequential learning strategy is used where the Giga-LES domain is partitioned into a few subdomains, and atmospheric time series obtained on each subdomain are used to train the Bayesian procedure incrementally. Convergence of the marginal posterior densities for all seven parameters is demonstrated for two different grid partitions, and sensitivity tests to other model parameters are also presented. A single column model simulation using the SMCM parameterization with the Giga-LES inferred parameters reproduces many important statistical features of the Giga-LES run, without any further tuning. In particular it exhibits intermittent dynamical behavior in both the stochastic cloud fractions and the large scale dynamics, with periods of dry phases followed by a coherent sequence of congestus, deep, and stratiform convection, varying on timescales of a few hours consistent with the Giga-LES time series. The chaotic variations of the cloud area fractions were

  5. Republic of Senegal. Country profile.

    PubMed

    Gold, D

    1985-04-01

    The demographic and economic characteristics and some of the cultural traditions of the Republic of Senegal are described. Senegal obtained its independence from France in 1960. Despite the fact that the majority of the population derives its living from agriculture, the country must import additional food staples to feed its population. Conditions contributing to poor crop yields in recent years include 1) the frequent occurrence of droughts, 2) soil depletion caused by overintensive cultivation practices, and 3) land dessication caused by poor forestry management. In 1984 crop yields were only 10% of the normal crop yields. The government under the leadership of the president, Adbou Diouf, is currently developing plans to improve agricultural conditions and to encourage the industrial development of the country. The tourist industry is also growing. In 1976 Senegal conducted it 1st national census. According to the census the total population was 5,068,741 and the population growth rate was 2.6%. The US Census Bureau estimates that the population growth rate is now 3.2% and that 654,000 people were added to the population between 1976 and 1985. 27% of the population is urban, and the majority of the urban population resides in Dakar. In recent years, the rate of rural to urban migration increased rapidly as a result of the deteriorating agricultural conditions. The population is unevenly distributed throughout the country; 82% of the population lives in 39% of the country's territory. In 1977, 18% of the population lived in housing with electricity, and in 1983, 37% of the population lived in housing with running water. Most rural residents live in villages consisting of clusters of clay structures with thatched roofs and dirt floors. Most of the urban poor live in crowded shantytowns, which lack urban services. More than 1/2 of the population is under the age of 18. According to the 1978 World Fertility Survey, 83% of all women of reproductive age are married

  6. Protéger les nourrissons contre la coqueluche

    PubMed Central

    Gilley, Meghan; Goldman, Ran D.

    2014-01-01

    Résumé Question Compte tenu du taux à la hausse de la coqueluche chez les enfants, plusieurs familles m’ont demandé quels moyens prendre pour protéger leurs tout-petits de cette infection. Quelles devraient être mes recommandations à ces familles? Réponse La coqueluche est une maladie évitable qui est endémique dans le monde entier. Chez les adultes, la coqueluche cause une maladie bénigne semblable à un rhume, suivie d’une toux persistante. Chez les nourrissons, elle peut causer de l’apnée, des convulsions, une encéphalopathie, une bronchopneumonie et la mort. Les décès dus à la coqueluche se produisent dans 86 % des cas chez des nourrissons de moins de 4 mois. La stratégie du cocooning, c’est-à-dire la vaccination des adultes en étroit contact avec des nourrissons, est recommandée par de nombreuses agences mondiales et nationales, mais elle ne prévient probablement que 20 % des cas de coqueluche chez les nourrissons. La vaccination durant la grossesse est plus efficace, mais elle n’est pas encore approuvée au Canada. Il n’a pas été démontré que la vaccination à la naissance soit uniformément efficace et elle n’est donc pas recommandée à l’heure actuelle.

  7. Nepal mental health country profile.

    PubMed

    Regmi, S K; Pokharel, A; Ojha, S P; Pradhan, S N; Chapagain, G

    2004-01-01

    The Kingdom of Nepal is situated in the heart of Asia, between its two big neighbours China and India. Nepal is home to several ethnic groups. The majority of the 23 million population reside in the countryside. Although figures on many of the health and socio-economic indicators are non-existing, some existing ones show gradual improvement over the years. However the figures for illiteracy and infant mortality are still one of the highest in the world. As per GDP, and population living below the poverty line and per capita income, Nepal still remains one of the poorest countries in the world. Despite this, it provides shelter to thousands of Bhutanese refugees in its land. Frequent natural disasters and recent violent conflicts in Nepal have further added hardship to life. Less than 3% of the national budget is allocated to the health sector. Mental health receives insignificant attention. The Government spends about 1% of the health budget on mental health. There is no mental health act and the National Mental Health Policy formulated in 1997 is yet to be fully operational. Mental ill health is not much talked about because of the stigma attached. The roles of the legal and insurance systems are almost negligible. The financial burden rests upon the family. The traditional/religious healing methods still remain actively practiced, specifically in the field of mental health. The service, comprising little more than two-dozen psychiatrists along with a few psychiatric nurses and clinical psychologists (mainly practicing in modern health care facilities) has started showing its impact--however this is limited to specific urban areas. The majority of the modern health care facilities across the country are devoid of a mental health facility. The main contextual challenges for mental health in Nepal are the provision of adequate manpower, spreading the services across the country, increasing public awareness and formulating and implementing an adequate policy. PMID

  8. Urban nutrition in developing countries.

    PubMed

    Solomons, N W; Gross, R

    1995-04-01

    In developing countries, the past decades have seen a marked demographic shift from rural to urban. By the year 2000, 40% of the population of the Third World will live in urban areas. We have limited specific knowledge of the similarities and differences in diet, nutrition status, and health effects of diet and lifestyle between the traditional rural populations and the emerging urban poor. Such information will be useful for basic descriptive information as well as for assistance in the design and execution of health and nutrition projects for the urban poor. PMID:7624063

  9. Les astronomes européens auscultent les cieux avec le plus grand télescope du monde

    NASA Astrophysics Data System (ADS)

    Malbet, F.

    2008-09-01

    À l'heure des projets de télescopes extrêmement grands, l'Europe a déjà une longueur d'avance. Le télescope européen (VLT), en mode interférométrique avec l'instrument AMBER devient le plus grand télescope jamais utilisé dans le domaine optique aussi bien en surface de miroir (plus de 150 m2) qúen finesse de résolution qui atteint celle d'un télescope de 130 m de diamètre. Le journal professionnel Astronomy & Astrophysics a publié en 2007 un numéro spécial qui rapporte les premiers résultats obtenus avec l'instrument AMBER (Astronomical MultiBEam Recombiner) par le très grand télescope européen. Ces articles couvrent pratiquement tous les stades de l'évolution stellaire depuis la formation des étoiles et des planètes jusqu'a l'observation de l'explosion de type nova dans un système stellaire évolué. Ces résultats inédits ont été obtenus en utilisant simultanément 3 des 4 télescopes du VLT basés à l'Observatoire européen austral du mont Paranal au Chili. L'instrument AMBER équipant le VLTI (mode interférométrique du VLT) permet dâatteindre une résolution angulaire inégalée de l'ordre du millième de seconde d'angle autorisant l'observation des astres dans différentes longueurs d'onde, dans l'infrarouge proche. Les astronomes obtiennent donc des observations avec une finesse 13 fois plus importante que celle d'un télescope seul. Il devient alors possible de sonder les régions de formation de planètes, d'observer les vents des étoiles en rotation très rapide, d'étudier les différents types de matières éjectées par une étoile massive, de séparer les deux composantes d'une étoile double serrée et de voir en direct l'évolution d'une nova quelques jours seulement après son explosion.

  10. Les maladies chroniques non transmissibles chez les militaires sénégalais: étude transversale en 2013

    PubMed Central

    Aziz, Ndiaye Abdoul; Mohamed, Seck Sidy; Badara, Tall Alioune; Boubacar, Gueye; Gallo, Sow Papa; Awa, Gaye; Anta, Tal-Dia

    2015-01-01

    Introduction Les maladies chroniques non transmissibles (MCNT) constituent un problème de santé publique. La transition épidémiologique coexiste avec les maladies infectieuses. En Afrique subsaharienne, leur ampleur est peu connue et l'OMS recommande aux pays à faible et moyen revenu de réaliser des enquêtes STEPS portant sur les comportements, des mesures physiques et biochimiques. L'absence de données au niveau national justifie cette étude auprès d'un groupe spécifique. L'objectif de l’étude était de déterminer la prévalence des MCNT et de leurs facteurs de risque chez les militaires Sénégalais. Méthodes Une enquête transversale a été réalisée incluant les militaires âgés de 25 à 60 ans. La participation était volontaire et l'accord des autorités hiérarchiques a préalablement été obtenu. Un sondage stratifié à deux niveaux a été utilisé permettant d'avoir un échantillon ajusté de 1513 individus. Les données ont été saisies avec le logiciel EPI Info 6 et analysées à l'aide de R. Un score de risque a été déterminé sur la base de cinq facteurs. Résultats Les résultats préliminaires concernent 1125 personnes. L’âge moyen était de 39,7 ±9,1 ans et le sex-ratio de 28,6. La prévalence du tabagisme actif était de 17,3% et ne variait pas significativement entre les différentes catégories d’âge. L’âge moyen auquel ils ont commencé à fumer était de 20,8 ±4,05 ans. La consommation médiane de fruits et légumes était de l'ordre de 4 par jour et seulement 5,7% des enquêtés prenaient au moins 5 portions par jour. Environs 72% des enquêtés avaient une activité physique intense ou modérée. Les prévalences de la surcharge pondérale, de l'HTA et du diabète étaient de 30,5%, 28,4% et 3,0% respectivement alors que la maladie rénale chronique était retrouvée chez un seul cas. Le calcul du score de risque cardiovasculaire a montré que 39,1% des militaires étaient à risque élevé (≥3 facteurs

  11. Health, globalization and developing countries.

    PubMed

    Cilingiroglu, Nesrin

    2005-02-01

    In health care today, scientific and technological frontiers are expanding at unprecedented rates, even as economic and financial pressures shrink profit margins, intensify competition, and constrain the funds available for investment. Therefore, the world today has more economic, and social opportunities for people than 10 or 100 years since globalization has created a new ground somewhat characterized by rapid economic transformation, deregulation of national markets by new trade regimes, amazing transport, electronic communication possibilities and high turnover of foreign investment and capital flow as well as skilled labor. These trends can easily mask great inequalities in developing countries such as importation and spreading of infectious and non-communicable diseases; miniaturization of movement of medical technology; health sector trades management driven by economics without consideration to the social and health aspects and its effects, increasing health inequalities and their economic and social burden creation; multinational companies' cheap labor employment promotion in widening income differentials; and others. As a matter of fact, all these factors are major determinants of ill health. Health authorities of developing countries have to strengthen their regulatory framework in order to ensure that national health systems derive maximum benefit in terms of equity, quality and efficiency, while reducing potential social cost to a minimum generated risky side of globalization. PMID:15770290

  12. Renal transplantation in developing countries.

    PubMed

    Rizvi, S Adibul Hasan; Naqvi, S A Anwar; Hussain, Zafar; Hashmi, Altaf; Akhtar, Fazal; Hussain, Manzoor; Ahmed, Ejaz; Zafar, M Naqi; Hafiz, Saleem; Muzaffar, Rana; Jawad, Fatema

    2003-02-01

    Healthcare in developing countries less funded than developed nations (0.8 to 4% vs. 10 to 15%, respectively), and must contend against approximately 1/3 of the population living below the poverty line ($1US/day), poor literacy (58% males/29% females), and less access to potable water and basic sanitation. Cultural and societal constraints combine with these economic obstacles to translate into poor transplantation activity. Donor shortage is a universal problem. Paid donation comprises 50% of all transplants in Pakistan. Post-transplant infections are a major problem in developing countries, with 15% developing tuberculosis, 30% cytomegalovirus, and nearly 50% bacterial infections. The solutions to these problems may seem simplistic: alleviate poverty, educate the general population, and expand the transplant programs in public sector hospitals where commerce is less likely to play a major role. The SIUT model of funding in a community-government partnership has increased the number of transplantations and patient and organ survival substantially. Over the last 15 years, it has operated by complete financial transparency, public audit and accountability. The scheme has proven effective and currently 110 transplants/year are performed, with free after care and immunosuppressive drugs. Confidence has been built in the community, with strong donations of money, equipment and medicines. We believe this model could be sustained in other developing nations. PMID:12864884

  13. Effective subsidies in developing countries.

    PubMed

    Kelman, J

    2004-01-01

    During the last decades, significant subsidies have been allocated to government-owned water and sewerage enterprises in developing countries. However, water and sewerage coverage is still far from desirable and the poor are particularly affected by the shortage of these services. The truth is that a considerable part of these subsidies have been used up to build huge infrastructure works that would make some construction firms happy, while often decreasing the service costs for the richer. The costs associated of delivering water and sanitation services to the poor are significantly higher, as they often live in slums or irregular urban developments without urban infrastructure. It is possible, and desirable, to improve government's effectiveness through the use of appropriate economic incentives. The Brazilian River Basin Pollution Abatement Program, based on the "output-based aid" concept, is a good example of how this can be achieved. The Program is a success story that shows that the quality of expenditures on sanitation can be considerably improved if governments of developing countries refrain from contracting sanitation infrastructure works and start paying for results, not for promises. PMID:15195416

  14. AIDS in the developing countries.

    PubMed

    Tinker, J

    1988-01-01

    Without a medical miracle, it seems inevitable that the Acquired Immune Deficiency Syndrome (AIDS) pandemic will become not only the most serious public health problem of this generation but a dominating issue in 3rd world development. As a present-day killer, AIDS in developing countries is insignificant compared to malaria, tuberculosis, or infant diarrhea, but this number is misleading in 3 ways. First, it fails to reflect the per capita rate of AIDS cases. On this basis, Bermuda, French Guyana, and the Bahamas have much higher rates than the US. Second, there is extensive underreporting of AIDS cases in most developing nations. Finally, the number of AIDS cases indicates where the epidemic was 5-7 years ago, when these people became infected. Any such projections of the growth of 3rd world AIDS epidemics are at this time based on epidemiologic data from the industrialized rations of the north and on the assumption that the virus acts similarly in the south as it does in the US and Europe. Yet, 3rd world conditions differ. Sexually transmitted diseases usually are more prevalent, and people have a different burden of other diseases and of other stresses to the immune system. In Africa, AIDS already is heavily affecting the mainstream population in some nations. Some regions will approach net population declines over the next decade. How far their populations eventually could decline because of AIDS is unclear and will depend crucially on countermeasures taken or not taken over the next 1-2 years. In purely economic terms, AIDS will affect the direct costs of health care, expenses which are unrealistic for most 3rd world countries. Further, the vast majority of deaths from AIDS in developing countries will occur among those in the sexually active age groups -- the wage earners and food producers. Deaths in this age group also will reduce the labor available for farming and industry. AIDS epidemics also may have significant effects on foreign investment in the 3rd

  15. Microfluidique et applications biologiques : enjeux et tendances

    NASA Astrophysics Data System (ADS)

    Minc, Nicolas; Viovy, Jean-Louis

    2004-06-01

    Bioanalytical systems based on microfluidics, also called "lab-on-chips" or "micro Total Analysis Systems (microTAS), are still not very common, but they represent a very challenging and fast-developing area of research. They bear the promise of developing in the near future low cost, powerful and high throughput systems for biological and medical research, in strong synergy with the genomic revolution. They should also provide the basis for simple, low cost and user friendly 'point of care' devices, to help the application of the rapid progress of molecular biology and genomics in the fields of diagnosis and biotechnology. In the present review, we recall the biological and medical context in which this research takes place, and we provide a few examples of present challenges and trends, and of devices and technologies presently under development. To cite this article: N. Minc, J.-L. Viovy, C. R. Physique 5 (2004).

  16. Antenatal care in developing countries.

    PubMed

    Nylander, P P; Adekunle, A O

    1990-03-01

    The problem of antenatal care in developing countries may be considered from two aspects: (a) areas where antenatal facilities are absent or are inadequate, and (b) areas where antenatal facilities are adequate but for some reasons are not adequately utilized. The solution to the first part of the problem would appear to be simple. The governments concerned should provide the required facilities. This obviously is not an easy task in many areas of the world, especially with the present profound economic depression in many developing countries. The people just have to use the facilities available to their best advantage, or do without the facilities. The second part of the problem presents more difficulties. Where antenatal facilities are available, inadequate utilization has been shown to be due to a number of factors: 1. The facilities are too distant or too expensive. It has been shown how the Nigerian authorities dealt with this problem in the Ibarapa district. However, it is a very expensive solution and few governments will be able to afford this. 2. Illiteracy or ignorance. The obvious solution to this difficulty is to educate the masses and a few governments have already embarked on these commendable programmes. Unfortunately, this procedure is expensive, may take a long time and, as already pointed out, even literate women may not use the antenatal services. 3. Traditional and cultural beliefs and prejudices. It has already been shown that this factor is a very important one in the population in developing countries, even among literate patients. The saying that 'old habits die hard' is probably apt here. Probably, with time, education and closer contact with the developed world, these prejudices will disappear. From the above observations, it would appear that an inexpensive short-term solution to the two parts of the problem mentioned above is for governments to train and use the TBAs who are already 'in our midst' and who already enjoy the confidence of

  17. Les recommandations thérapeutiques relatives aux effets secondaires extrapyramidaux associés à l’utilisation d’antipsychotiques de deuxième génération chez les enfants et les adolescents

    PubMed Central

    Pringsheim, Tamara; Doja, Asif; Belanger, Stacey; Patten, Scott

    2012-01-01

    HISTORIQUE ET OBJECTIF : L’utilisation d’antipsychotiques augmente chez les enfants. Le présent article visait à orienter les cliniciens quant à la prise en charge clinique des effets secondaires extrapyramidaux des antipsychotiques de deuxième génération. MÉTHODOLOGIE : Les publications, les entrevues avec des informateurs clés et des échanges avec les membres d’un groupe de discussion et les partenaires ont permis de déterminer les principaux secteurs cliniques d’orientation et les préférences quant à la structure des présentes recommandations. Les membres responsables des lignes directrices ont reçu le projet de recommandations, ont évalué l’information recueillie grâce à une analyse bibliographique systématique et ont utilisé un processus de groupe nominal pour parvenir à un consensus quant aux recommandations thérapeutiques. Les lignes directrices contiennent une description des anomalies neurologiques souvent observées avec l’utilisation d’antipsychotiques ainsi que les recommandations sur le moyen d’examiner et de quantifier ces anomalies. Une démarche séquentielle sur la prise en charge des anomalies neurologiques est présentée. RÉSULTATS : On peut observer plusieurs types de symptômes extrapyramidaux attribuables à l’utilisation d’antipsychotiques chez les enfants, y compris la dystonie aiguë, l’akathisie, le parkinsonisme et la dyskinésie tardive, toutes induites par les neuroleptiques, de même que la dystonie tardive, l’akathisie tardive et les dyskinésies de sevrage. La forte majorité des données probantes sur le traitement des troubles du mouvement induits par les antipsychotiques proviennent de patients adultes atteints de schizophrénie. Étant donné le peu de données pédiatriques, les recommandations découlent de publications portant tant sur des adultes que sur des enfants. Compte tenu des limites de généralisation des données provenant de sujets adultes pour des enfants, il

  18. Republic of Botswana. Country profile.

    PubMed

    Tarver, J

    1985-08-01

    A summary of Botswana's population characteristics, population distribution, labor force characteristics, health situation, and transportation and communication facilities is provided. 87% of the country's 941,027 inhabitants live in the catchment area of the Limpopo River in the eastern region of the country. Much of the remaining area is covered by the Kalahari Desert. The population is growing at an annual rate of 3.6%, the birth rate is 50 and the total fertility rate is 6.6. The government has no official population policy. Major ethnic groups are the cattle raising Tswanas, which make up 50% of the population, the Herero, and the Basarwa, or Bushmen, of the Kalahri Desert. Urban areas are officially defined as population centers which contain 5000 or more residents and in which at least 75% of the inhabitants are engaged in nonagricultural work. According to this classification, 84% of the population is rural; however, most rural inhabitants live in agrotowns and temporarily move to outlying cattle and land posts during part of the year. Some of the agrotowns have almost 25,000 inhabitants. Major urban centers include 1) Gaborone, the capital and major administrative center, with a popualtion of 59,657; 2) Francistown, a large commercial center, with a population of 31,065; 3) Selebi-Phikwe, a mining center, populated by 29,469; and 4) Lobatse, a livestock marketing and processing center, with 19,034 residents. The urban population increased from 54,416 to 150,021 between 1971-81. The population has a young age structure. A large number of working aged males migrate temporarily to the Republic of South Africa to work in the gold mines. 37% of the economically active population is engaged in government services, 26% in mining, manufacturing, and construction, 21% in trade and finance, 6% in transportation, utilities, and communication, and 4.5% in agriculture. Only 1.3% of the land is cultivatable. The working age population is expected to double by the end of

  19. Environmental problems and developing countries.

    PubMed

    1992-06-01

    The status of environmental conditions for forests, soils, water, air, and atmospheric changes is presented for developing countries. Loss and degradation of forests continue. The rate of cutting of moist tropical forests is 17-20 million hectares/year. The consequences would be eventual total destruction within several generations, lost soil and watershed protection, local climate change, and habitat destruction. The human toll can also be great as seen by the flooding deaths of 5000 Philippine villagers. Soil erosion is a greater danger than desertification. In sub-Saharan Africa, total harvest and yields of important food crops have declined compared to increases elsewhere in the world. In countries such as Costa Rica, Malawi, Mali, and Mexico the soil losses approximate .5-1.5% of gross domestic product annually. Progress has been made in water purification, but there are still nearly 1 million people in the developing world without access to clean water for drinking and bathing. 1.7 billion have inadequate sanitation. Access to sanitation in urban areas is on the rise. Waterborne diseases are a result of poor sanitation: 900 million cases of diarrheal disease/year, 500 million with trachoma, 200 million with schistosomiasis, or bilharzia, and 900 million from hookworm. Other diseases resulting from improper sanitation are cholera, typhoid, and paratyphoid. Water scarcity is another problem. Air quality is threatened by dust and smoke pollution which contribute to respiratory illnesses, by indoor burning of wood and charcoal particularly in rural Africa and south Asia, and high levels of lead from automobile emissions. Hundreds of thousands of people are affected through increased illness and even loss of mental functioning as in the case of lead poisoning. Atmospheric changes such as ozone depletion or global warming may not show their impact until decades later. The consequences are high levels of ultraviolet radiation which cause cancers, cataracts, and

  20. Federation of Malaysia. Country profile.

    PubMed

    Newcomb, L

    1985-01-01

    The 1984 population of Malaysia has been estimated at 14.7 million and the population growth rate averaged 2.3% in 1970-80. Population growth is officially encouraged to form a substantial home market for economic development. Toward this end, the 1985 budget has increased tax deductions for families with 5 children. The capital city of Kuala Lumpur is the largest metropolitan area (1 million population) and the Federal Territory is the most densely populated region. Immigration is strictly controlled by the government, and the percentage of foreign-born citizens was 5% in 1980. China, India, and Pakistan are decreasing in importance as countries of origin. Internal mobility, however, is increasing. Rural-rural migration accounted for 45% of internal migration in 1970-80 and was largely motivated by family reasons. Only 7% of Malaysians are estimated to move in search of work. Racial tensions led the government to grant special economic privileges to native-born Islamic Malays. The greatest proportion of the population is centered in the lowest age groups. The percentage of females 15-29 years of age rose from 26% in 1970 to 30% in 1980 and is expected to continue to rise. Fertility is on the decline. The majority of households in the country involve nuclear families. There has been an increase in the number of men and women who delay marriage or remain single. Education is widely available for children aged 6-15 years and those who meet certain academic standards receive free education up to age 19 years. The current labor force is estimated at 5.4 million, with an annual growth rate of 3.1%. Malaysia's per capita income (US $1860 in 1982) is among the highest in Southeast Asia and the gross national product increased by an average annual rate of 8% in 1970-81. The government plans to move toward the development of heavier industries and more manufacturing concerns. PMID:12266604

  1. 31 CFR 515.301 - Foreign country.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Foreign country. 515.301 Section 515... FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY CUBAN ASSETS CONTROL REGULATIONS General Definitions § 515.301 Foreign country. The term foreign country also includes, but not by way of limitation: (a)...

  2. 31 CFR 500.301 - Foreign country.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Foreign country. 500.301 Section 500... FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY FOREIGN ASSETS CONTROL REGULATIONS General Definitions § 500.301 Foreign country. The term foreign country also includes, but not by way of limitation: (a)...

  3. Informational and Cultural Situation in Developing Countries.

    ERIC Educational Resources Information Center

    Nadirova, Goulnar

    Cultural development of modern countries in the East, including the Republic of Kazakhstan, is a complicated and contradictory process, where common cultural ways were shaped differently and specifically in the countries. Common historical fate has influenced this development and given these countries some common problems, but there is some…

  4. Emergency Surgery Risky Business in Poor Countries

    MedlinePlus

    ... after surgery were three times higher in low-income countries than in high-income countries. This disparity remained even after the investigators ... surgery. "The association between increasing mortality and lower-income countries might be explained by differences in prognosis, ...

  5. Lignes directrices simplifiées sur les lipides

    PubMed Central

    Allan, G. Michael; Lindblad, Adrienne J.; Comeau, Ann; Coppola, John; Hudson, Brianne; Mannarino, Marco; McMinis, Cindy; Padwal, Raj; Schelstraete, Christine; Zarnke, Kelly; Garrison, Scott; Cotton, Candra; Korownyk, Christina; McCormack, James; Nickel, Sharon; Kolber, Michael R.

    2015-01-01

    Résumé Objectif Produire un guide de pratique clinique comportant une approche simplifiée à la prévention primaire des maladies cardiovasculaires (MCV), en insistant sur l’estimation du risque de MCV et la prise en charge des profils lipidiques à l’intention des cliniciens de soins primaires et leurs équipes; nous avons recherché la contribution de professionnels des soins primaires qui n’avaient que peu ou pas de conflits d’intérêts et nous nous sommes concentrés sur les données probantes de la plus haute qualité accessibles. Méthodes Neuf professionnels de la santé (4 médecins de famille, 2 internistes, 1 infirmière praticienne, 1 infirmière autorisée et 1 pharmacienne) et 1 membre non votant (pharmacienne gestionnaire de projet) formaient le comité principal appelé le Lipid Pathway Committee (le comité). La sélection des membres s’est fondée sur la profession, le milieu de pratique et son emplacement. Les membres ont divulgué tous leurs conflits d’intérêts potentiels ou réels. Le processus d’élaboration des lignes directrices était itératif et s’appuyait sur des affichages en ligne, une révision détaillée des données probantes, des réunions par téléphone et en ligne. Le comité a cerné 12 questions prioritaires à répondre. Le groupe de révision des données probantes a répondu à ces questions. À la suite d’un examen des réponses, les principales recommandations ont été formulées par consensus du comité. Nous avons produit une ébauche des lignes directrices qui a ensuite été peaufinée, distribuée à un groupe de cliniciens (médecins de famille, autres spécialistes, pharmaciens, infirmières et infirmières praticiennes) et à des patients pour obtenir de la rétroaction, la réviser en conséquence et le comité l’a ensuite finalisée. Recommandations Des recommandations sont présentées concernant le dépistage et les analyses, les évaluations du risque, le suivi, de même que le r

  6. Signal transduction in esophageal and LES circular muscle contraction.

    PubMed Central

    Harnett, K. M.; Cao, W.; Kim, N.; Sohn, U. D.; Rich, H.; Behar, J.; Biancani, P.

    1999-01-01

    Contraction of normal esophageal circular muscle (ESO) in response to acetylcholine (ACh) is linked to M2 muscarinic receptors activating at least three intracellular phospholipases, i.e., phosphatidylcholine-specific phospholipase C (PC-PLC), phospholipase D (PLD), and the high molecular weight (85 kDa) cytosolic phospholipase A2 (cPLA2) to induce phosphatidylcholine (PC) metabolism, production of diacylglycerol (DAG) and arachidonic acid (AA), resulting in activation of a protein kinase C (PKC)-dependent pathway. In contrast, lower esophageal sphincter (LES) contraction induced by maximally effective doses of ACh is mediated by muscarinic M3 receptors, linked to pertussis toxin-insensitive GTP-binding proteins of the G(q/11) type. They activate phospholipase C, which hydrolyzes phosphatidylinositol bisphosphate (PIP2), producing inositol 1,4,5-trisphosphate (IP3) and DAG. IP3 causes release of intracellular Ca++ and formation of a Ca++-calmodulin complex, resulting in activation of myosin light chain kinase and contraction through a calmodulin-dependent pathway. Signal transduction pathways responsible for maintenance of LES tone are quite distinct from those activated during contraction in response to maximally effective doses of agonists (e.g., ACh). Resting LES tone is associated with activity of a low molecular weight (approximately 14 kDa) pancreatic-like (group 1) secreted phospholipase A2 (sPLA2) and production of arachidonic acid (AA), which is metabolized to prostaglandins and thromboxanes. These AA metabolites act on receptors linked to G-proteins to induce activation of PI- and PC-specific phospholipases, and production of second messengers. Resting LES tone is associated with submaximal PI hydrolysis resulting in submaximal levels of inositol trisphosphate (IP3-induced Ca++ release, and interaction with DAG to activate PKC. In an animal model of acute esophagitis, acid-induced inflammation alters the contractile pathway of ESO and LES. In LES circular

  7. Adaptive resolution LES of a reacting non-premixed jet

    NASA Astrophysics Data System (ADS)

    Pantano, Carlos; Deiterding, Ralf; Hill, David; Pullin, Dale

    2004-11-01

    We present results of a turbulent reactive non-premixed jet using Large-Eddy Simulation (LES) performed within the blockstructured adaptive mesh refinement infrastructure AMROC. A fully compressible formulation of the transport equations and the stretched-vortex subgrid-stress model of Misra & Pullin (1997) are integrated with the assumed Beta subgrid pdf model for non-premixed combustion. Flamelet libraries are precomputed with the Cantera chemistry package. The modeling technique has been previously used and validated/verified in prior work, primarily for incompressible flows. One difficulty commonly encountered for these unstationary flows is the need to resolve certain regions of the flow field more finely than others. These can include thin shear layers and regions of steep density gradients produced by combustion. We show that adaptive resolution can be used successfully in the context of LES. This work is part of Caltech's ASC center supported by the Department of Energy (DOE).

  8. Tuberculose multifocale chez les immunocompétents

    PubMed Central

    Rezgui, Amel; Fredj, Fatma Ben; Mzabi, Anis; Karmani, Monia; Laouani, Chadia

    2016-01-01

    La tuberculose multifocale est définie par la l'atteinte d'au moins deux sites extra-pulmonaires associée ou non à une atteinte pulmonaire. On se propose d’étudier les différentes caractéristiques cliniques et évolutives de la tuberculose multifocale à travers une étude rétrospective de 10 cas. Parmi 41 cas de tuberculose colligés entre 1999 et 2013. Dix patients avaient une tuberculose multifocale, soit 24% des patients. Il s'agissait de 9 femmes et 1 homme d’âge moyen à 50 ans (30-68 ans). Nos patients étaient tous correctement vaccinés par le BCG. Un bilan à la recherche d'une éventuelle immunodépression fait pour tous les patients était négatif. Il s'agissait d'une tuberculose ganglionnaire dans 7 cas, digestive dans 3 cas, péricardique dans 2 cas, ostéo-articulaire dans 2 cas, cérébrale dans 1 cas, urinaire dans 2 cas, uro-génitale dans 4 cas, surrénalienne dans 1 cas, cutanée dans 1 cas et musculaire dans 1 cas. Tous nos patients ont bénéficié d'un traitement antituberculeux pour une durée moyenne de 10 mois avec bonne évolution. La tuberculose multifocale est une des maladies à diagnostic difficile. Elle peut toucher les immunocompétents mais son pronostic est souvent bon. Un traitement anti-tuberculeux doit être instauré le plus rapidement possible pour éviter les séquelles. PMID:27583077

  9. A standard format for Les Houches Event Files

    NASA Astrophysics Data System (ADS)

    Alwall, J.; Ballestrero, A.; Bartalini, P.; Belov, S.; Boos, E.; Buckley, A.; Butterworth, J. M.; Dudko, L.; Frixione, S.; Garren, L.; Gieseke, S.; Gusev, A.; Hinchliffe, I.; Huston, J.; Kersevan, B.; Krauss, F.; Lavesson, N.; Lönnblad, L.; Maina, E.; Maltoni, F.; Mangano, M. L.; Moortgat, F.; Mrenna, S.; Papadopoulos, C. G.; Pittau, R.; Richardson, P.; Seymour, M. H.; Sherstnev, A.; Sjöstrand, T.; Skands, P.; Slabospitsky, S. R.; Waş, Z.; Webber, B. R.; Worek, M.; Zeppenfeld, D.

    2007-02-01

    A standard file format is proposed to store process and event information, primarily output from parton-level event generators for further use by general-purpose ones. The information content is identical with what was already defined by the Les Houches Accord five years ago, but then in terms of Fortran commonblocks. This information is embedded in a minimal XML-style structure, for clarity and to simplify parsing.

  10. La force de Casimir et les plasmons de surface

    NASA Astrophysics Data System (ADS)

    Intravaia, F.; Lambrecht, A.; Reynaud, S.

    2004-11-01

    La présence de fluctuations irréductibles de champ dans le vide est une prédiction importante de la théorie quantique. Ces fluctuations ont de nombreux effets bien connus, dont l'archétype est la force de Casimir apparaîssant entre deux miroirs placés dans le vide par suite de la pression de radiation du vide. Elle a été récemment mesurée avec une précision de l'ordre du %. De nombreux travaux sont consacrés à l'évaluation théorique de cette force en visant une précision du même ordre. Ici nous étudions la force de Casimir dans la configuration de deux miroirs métalliques plans parallèles à température nulle. En supposant les miroirs décrits par un modèle plasma nous interprétons la force de Casimir comme le résultat de l'interaction entre les plasmons de surface des deux miroirs.

  11. Les fracture-luxations transolécraniennes

    PubMed Central

    Fahsi, Mohamed; Benameur, Hamza; El Andaloussi, Yassir; Bennouna, Driss; Fadili, Mustapha; Nechad, Mohamed

    2015-01-01

    Les fracture-luxations transolécraniennes sont une entité rare des fracture-luxations du coude. Il s'agit d'une lésion complexe qui peut compromettre le pronostic fonctionnel du coude. Dix patients étaient diagnostiqués dans notre service entre janvier 2005 et novembre 2012. Tous nos patients étaient de sexe masculin, l’âge moyen était de 29 ans. Les fractures de l'olécrane étaient complexes et comminutives dans sept cas et simples chez trois patients. Deux cas étaient associés à des fractures de la tête radiale (Mason III) et deux autres à des fractures de l'apophyse coronoïde. Les résultats étaient évalués après un recul moyen de trois ans et demi par le score de BROBERG et MORREY: trois cas étaient excellents, quatre bons, deux moyens et un mauvais. Cette lésion complexe nécessite une bonne reconstruction de la surface articulaire et une réparation des lésions associées pour permettre une rééducation précoce, seul garant d'une bonne récupération fonctionnelle. PMID:26664553

  12. DNS and LES of Separated Flows at Moderate Reynolds Numbers

    NASA Astrophysics Data System (ADS)

    Cadieux, F.; Domaradzki, J. A.; Sayadi, T.; Bose, S.; Duchaine, F.

    2012-11-01

    Flows in rotating machinery, for unmanned and micro aerial vehicles, wind turbines, and propellers consist of different flow regimes. First, a laminar boundary layer is followed by a laminar separation bubble with a shear layer on top of it that experiences transition to turbulence. Subsequently, the separated turbulent flow reattaches and evolves downstream from a nonequilibrium turbulent boundary layer to an equilibrium one. Typical RANS and LES turbulence modeling methods experience difficulties when simulating such flows because they were developed for fully developed turbulent flows. This currently leaves DNS as the only reliable but computationally expensive alternative. Our work assesses the capability of LES to reduce the resolution requirements for such flows. Flow over a flat plate with suitable velocity boundary conditions away from the plate to produce a separation bubble is considered. Benchmark DNS data for this configuration was generated with the resolution of 50 ×106 mesh points; also used was a different DNS database with 15 ×106 points reported by Spalart and Strelets in JFM 403 (2000). Employing two codes, one using structured and another unstructured mesh, we concluded that accurate LES are possible using O(1%) of the DNS resolution. Work performed during Stanford-CTR Summer Program 2012.

  13. Nonequilibrium Behavior of the Daytime Atmospheric Boundary Layer, from LES

    NASA Astrophysics Data System (ADS)

    Jayaraman, Balaji; Brasseur, James; McCandless, Tyler; Haupt, Sue

    2014-11-01

    LES of the daytime atmospheric boundary layer (ABL) over flat topography is universally developed as an equilibrium ABL with steady surface heat flux Q0 and steady unidirectional ``geostrophic'' wind vector Vg above a capping inversion, where Vg also defines a spatially uniform transverse mean pressure gradient. The LES approaches a quasiequilibrium state characterized statistically by the ratio of boundary layer depth to Obukhov length scale. In contrast, the true daytime ABL is driven by surface heat flux increases to peak mid-day and drops in the afternoon, and by mesoscale wind vectors Ug that change in magnitude and direction during the day. We study the consequences of mesoscale weather on ABL dynamics by forcing ABL LES with a WRF simulation of the Midwest during 3 days of frontal passage over Kansas. Assuming horizontal homogeneity, we derive the relationship between Ug and Vg and study ABL response with systematic variation in Q0 and the magnitude and direction of Ug. Interesting results include: (1) asymmetry nonequilibrium diurnal response of the ABL; (2) directional changes in surface layer winds relevant to wind turbine function; and (3) changes in ABL stability state arising solely from changes in the direction of Ug. Supported by DOE. Computer resources by NSF/XSEDE.

  14. Les astronomes de l'Empire du Milieu

    NASA Astrophysics Data System (ADS)

    Bonnet-Bidaud, J. M.

    2007-02-01

    Explosions d'étoiles, comètes, durée du jour, taches solaires, dans tous ces domaines, des observations chinoises datant de plusieurs siècles sont encore utilisées aujourd'hui. Pendant plus de 4000 ans, les astronomes de l'Empire du Milieu, organisés dans les grands observatoires impériaux, ont noté jour après jour, mois après mois, avec la plus grande précision tous les phénomènes célestes. Et ce sont des milliers de textes couvrant des périodes depuis au moins le Ve siècle avant l'ère moderne jusqu'à fin de la dernière dynastie des Qing en 1911, qui ont été conservés et dont une grande partie n'a pu encore être véritablement étudiée. Un véritable trésor, malheureusement très mal connu en Europe et, de façon incompréhensible, largement ignoré par l'histoire moderne des sciences.

  15. Spectres d'absorption X dans les plasmas femtosecondes

    NASA Astrophysics Data System (ADS)

    Bastiani-Ceccotti, S.; Audebert, P.; Renaudin, P.; Chenais-Popovics, C.; Geindre, J. P.; Tzortzakis, S.; Nagels-Silvert, V.; Shepherd, R.; Matsushima, I.; Gary, S.; Girard, F.; Peyrusse, O.; Gauthier, J. C.

    2005-06-01

    Nous avons mesuré le spectre d'absorption en couche K de plasmas d'aluminium à haute densité. Deux faisceaux de la chaîne laser femtoseconde 100 TW du LULI (de durée 300 fs) ont été utilisés pour produire le plasma absorbant sur une feuille mince d'Al (830 Å ou 500 Å), et la source de radiographie sur du samarium massif. Les spectres X étaient résolus spatialement dans une direction perpendiculaire à la direction de la dispersion spectrale. Les spectres ont été mesurés pour différents retards entre la source deradiographie et le plasma d'Al. Des simulations des spectres et de l'ionisation en fonction du temps et de l'intensité, obtenues au moyen de codes hydrodynamiques et de structure atomique, montrent un bon accord avec les résultats expérimentaux.

  16. Ventilation of idealised urban area, LES and wind tunnel experiment

    NASA Astrophysics Data System (ADS)

    Kukačka, L.; Fuka, V.; Nosek, Š.; Kellnerová, R.; Jaňour, Z.

    2014-03-01

    In order to estimate the ventilation of vehicle pollution within street canyons, a wind tunnel experiment and a large eddy simulation (LES) was performed. A model of an idealised urban area with apartment houses arranged to courtyards was designed according to common Central European cities. In the wind tunnel, we assembled a set-up for simultaneous measurement of vertical velocity and tracer gas concentration. Due to the vehicle traffic emissions modelling, a new line source of tracer gas was designed and built into the model. As a computational model, the LES model solving the incompressible Navier-Stokes equations was used. In this paper, we focused on the street canyon with the line source situated perpendicular to an approach flow. Vertical and longitudinal velocity components of the flow with the pollutant concentration were obtained from two horizontal grids placed in different heights above the street canyon. Vertical advective and turbulent pollution fluxes were computed from the measured data as ventilation characteristics. Wind tunnel and LES data were qualitatively compared. A domination of advective pollution transport within the street canyon was determined. However, the turbulent transport with an opposite direction to the advective played a significant role within and above the street canyon.

  17. Characterization of the Pseudomonas aeruginosa recA gene: the Les- phenotype

    SciTech Connect

    Kokjohn, T.A.; Miller, R.V.

    1988-02-01

    The Les- phenotype (lysogeny establishment deficient) is a pleiotropic effect of the lesB908 mutation of Pseudomonas aeruginosa PAO. lesB908-containing strains are also (i) deficient in general recombination, (ii) sensitive to UV irradiation, and (iii) deficient in UV-stimulated induction of prophages. The P. aeruginosa recA-containing plasmid pKML3001 complemented each of these pleiotropic characteristics of the lesB908 mutation, supporting the hypothesis that lesB908 is an allele of the P. aeruginosa recA gene. The phenotypic effects of the lesB908 mutation may be best explained by the hypothesis that the lesB908 gene product is altered in such a way that it has lost synaptase activity but possesses intrinsic protease activity in the absence of DNA damage. The Les- phenotype is a result of the rapid destruction of newly synthesized phage repressor, resulting in lytic growth of the infecting virus. This hypothesis is consistent with the observations that increasing the number of copies of the phage repressor gene by increasing the multiplicity of infection (i.e., average number of phage genomes per cell) or by introducing the cloned phage repressor gene into a lesB908 mutant will also suppress the Les- phenotype in a phage-specific fashion.

  18. Republic of Colombia. Country Profile.

    PubMed

    Canak, W L

    1985-03-01

    This discussion of Colombia covers population growth, age distribution, regions and cities, households and families, housing and construction, ethnicity and religion, labor force and income, education, communications and transportation, and sources of information. Colombia's 1985 population is estimated at 28.7 million, making it the largest country in South America after Brazil. Colombia's growth in the last 5 years has averaged 2% annually, compared with an average of 2.3% a year for Latin America as a region. Colombia's moderate growth has been accompanied by shifts in population distribution and composition. In particular a massive internal migration has increased the urban population from roughly 1/3 in th 1950s to 2/3 at this time. Improved housing, education, and access to public health facilities have accompanied this rural to urban migration. At this time Colombia is holding its own economically and anticipates economic growth based on recovery in the US and Europe as well as on its own coal exports. Colombia's fertility rate, at 3.9 children/women in 1980-81, is the lowest in tropical South America but higher than the total fertility rate in the more temperate South American countries. Compared with other South American nations, Colombia's crude birthrate of 29-31 births/1000 population is low. Reflecting the impact of urban migration and the widescale effectiveness of family planning programs initiated in the 1960s and 1970s, median age has increased from 17 years in 1970 to almost 21 years in 1985. About 37% of the population is aged 14 or under at this time. The population aged 65 and older is only 3.8% and by 2000 will constitute only 4.5% of the population. From 1951-82 the urban population grew at 4.4% annually, exceeding the national average of 2.6% and the rural growth rate of less than 1%. Since 1982 the urban growth rate has been about 3% annually. In 1964 the average completed family size was 6.8 children. By 1980 it was 3.9 children. A steady

  19. A unified RANS–LES model: Computational development, accuracy and cost

    SciTech Connect

    Gopalan, Harish; Heinz, Stefan; Stöllinger, Michael K.

    2013-09-15

    Large eddy simulation (LES) is computationally extremely expensive for the investigation of wall-bounded turbulent flows at high Reynolds numbers. A way to reduce the computational cost of LES by orders of magnitude is to combine LES equations with Reynolds-averaged Navier–Stokes (RANS) equations used in the near-wall region. A large variety of such hybrid RANS–LES methods are currently in use such that there is the question of which hybrid RANS-LES method represents the optimal approach. The properties of an optimal hybrid RANS–LES model are formulated here by taking reference to fundamental properties of fluid flow equations. It is shown that unified RANS–LES models derived from an underlying stochastic turbulence model have the properties of optimal hybrid RANS–LES models. The rest of the paper is organized in two parts. First, a priori and a posteriori analyses of channel flow data are used to find the optimal computational formulation of the theoretically derived unified RANS–LES model and to show that this computational model, which is referred to as linear unified model (LUM), does also have all the properties of an optimal hybrid RANS–LES model. Second, a posteriori analyses of channel flow data are used to study the accuracy and cost features of the LUM. The following conclusions are obtained. (i) Compared to RANS, which require evidence for their predictions, the LUM has the significant advantage that the quality of predictions is relatively independent of the RANS model applied. (ii) Compared to LES, the significant advantage of the LUM is a cost reduction of high-Reynolds number simulations by a factor of 0.07Re{sup 0.46}. For coarse grids, the LUM has a significant accuracy advantage over corresponding LES. (iii) Compared to other usually applied hybrid RANS–LES models, it is shown that the LUM provides significantly improved predictions.

  20. Projected uranium requirements of developing countries

    SciTech Connect

    1990-02-01

    The objective of this paper is to examine the uranium requirements of developing countries both in aggregate and individually. Although the cumulative uranium requirements of these countries are expected to account for less than eight percent of total requirements, the fact that many of these countries are expressing renewed interest in nuclear is, in itself, encouraging. The countries analyzed in this paper are Argentina, Brazil, Egypt, India, Israel, Mexico, Pakistan, South Africa, South Korea and Taiwan. For each country, the existing and planned nuclear capacity levels have been identified and capacity factors have been projected. For countries with no previous nuclear power, the world weighted average capacity factor for the specific reactor type is utilized. Other factors influencing nuclear power demand and operations of these developing countries will be discussed, and finally, uranium requirements based on a calculated optimal tails assay of .30 will be provided.

  1. Maintenance dialysis in developing countries.

    PubMed

    Sinha, Aditi; Bagga, Arvind

    2015-02-01

    Patients with end-stage renal disease require renal replacement therapy with maintenance hemodialysis or chronic peritoneal dialysis while awaiting transplantation. In addition to economic issues and limited state funding for advanced health care, the lack of trained medical personnel contributes to scarce dialysis facilities for children in developing countries. The establishment and operation of a hemodialysis unit with multidisciplinary facilities is both cost- and labor-intensive. Hemodialysis is usually carried out three times a week in a hospital setting and affects the curricular and extracurricular activities of the patient. Chronic ambulatory or cyclic peritoneal dialysis is technically simpler and allows better nutrition and growth, but is expensive for the majority of patients who must pay out of their own pocket. Multiple initiatives to enhance the training of pediatricians and nurses in skills related to initiating and managing patients on maintenance dialysis have resulted in the improved survival of children with end-stage renal disease. Support from state governments and philanthropic institutions have helped in establishing pediatric nephrology units that are equipped to provide renal replacement therapy for children. PMID:24469439

  2. LES validation for contaminant transport in urban areas

    NASA Astrophysics Data System (ADS)

    Hertwig, D.; Leitl, B.; Schatzmann, M.; Patnaik, G.

    2010-09-01

    Contaminant transport in urban areas poses a major challenge with respect to its simulation with computational fluid dynamics (CFD) models. The use of time-resolved approaches like large-eddy simulation (LES) can provide insight into transient flow and dispersion regimes, which are strongly influenced by the urban geometry. LES models have the potential to resolve the characteristic unsteady flow features and their impact on plume dynamics, whereas standard industrial codes based on Reynolds-averaged Navier-Stokes (RANS) equations can only yield steady state solutions. However, the potential to simulate the energetically dominating part of an inherently unsteady turbulent flow with LES also sets higher requirements for validation strategies. This includes that the evaluation of the model performance must go beyond comparisons of first and second order statistics which were adequate for RANS models and currently provide the basis for most of the validation metrics used as a standard. With regard to an a posteriori validation of model results for atmospheric boundary layer (ABL) flow and dispersion in complex geometry, laboratory data from boundary-layer wind tunnels are of special value. Since inflow and boundary conditions are well-defined, systematic laboratory studies provide high statistical confidence levels of measured quantities. The potential of field measurements - in this regard - is limited due to the natural atmospheric variability. In order to verify the realistic simulation of the spatio-temporal behavior of turbulent eddies, transient flow phenomena have to be characterized in experimental validation data sets as well. This topic is closely linked to structure identification and the characterization of organized motions in ABL flows, for which advanced analysis strategies like wavelet transforms, orthogonal decomposition, or stochastic estimation can be employed. Systematic comparisons of wind-tunnel measurements and LES simulation results are planned

  3. Dissolution de la matiere lignocellulosique dans les liquides ioniques

    NASA Astrophysics Data System (ADS)

    Rebiere, Jeremy

    De nos jours, avec la raréfaction des ressources fossiles, le développement de procédés entrant dans le cadre de la chimie verte s'accentue. De plus, ces procédés utilisent comme ressources, des matériaux d'origine végétale, abondants et biodégradables. Au cours de ces 20 dernières années, la littérature utilisant les liquides ioniques (LI) connait une importante croissance. Ces solvants sont de plus en plus employés dans des réactions chimiques classiques. Cependant le coût de leur synthèse en fait un solvant réactionnel cher dont l'application en tant que tel dans l'industrie ne peut être raisonnablement envisagée. Ces liquides ioniques permettent la dissolution des matériaux lignocellulosiques (lignine ou cellulose) et possèdent des propriétés physico-chimiques intéressantes. Nous savons également que la dissolution de la cellulose par des procédés d'hydrolyse classique s'effectue dans des conditions dures, dues à la structure cristalline de la cellulose, (fortes concentrations en acide) qui paraissent limitées pour une utilisation à grande échelle. Il est donc nécessaire de rechercher des méthodes moins onéreuses et plus efficaces écologiquement. S'appuyant sur des recherches démontrant que la dissolution de la cellulose dans les LI, diminue la cristallinité de la cellulose, nous allons chercher à démontrer au cours de ces travaux, la possibilité d'utiliser les LI comme moyen de prétraitement pour la dissolution de la cellulose. Nous allons nous attacher à dissoudre la cellulose, et à étudier les proportions pouvant être dissoutes. Puis nous chercherons à récupérer puis à réutiliser ces LI. Enfin nous cherchons à caractériser les modifications apportées à notre cellulose. Mots Clés liquide ionique, cellulose, cristallinité, réactivité, dissolution, régénération, non-solvant, purification, prétraitement, zone amorphe.

  4. Les sarcomes des tissus mous: à propos de 33 cas

    PubMed Central

    Abdou, Jiddou; Elkabous, Mustapha; M'rabti, Hind; Errihani, Hassan

    2015-01-01

    L'objectif de cette étude est de rapporter les particularités épidémiologiques, cliniques, histologiques, thérapeutiques et évolutives des sarcomes des tissus mous à l'Institut National d'Oncologie et de définir les facteurs influençant la survie des patients. C'est une étude rétrospective de 33 cas de sarcome des tissus mous, colligés entre janvier 2008 et décembre 2010. Les critères d’éligibilité étaient un âge supérieur à 16 ans, une épreuve histologique d'un sarcome des tissus mous à l'exclusion des tumeurs stromales gastro-intestinales (GIST). Les items recueillis étaient: épidémiologiques, cliniques, histologiques, Radiologiques, et thérapeutiques. Des analyses univariées puis multivariées ont été réalisées à la recherche de facteurs influençant la survie à 2 ans. Il s'agit de 33 cas, 17 Hommes et 16 Femmes, l’âge moyen était de 43,21 ans (Extrêmes= 18-76 ans). La tumeur était localisée aux extrémités dans 24 cas (72,72%). Le type histologique prédominant était le Liposarcome dans 9 cas (27,27%). Le stade tumoral était localisé dans 25 cas (75,8%), métastatique dans 8 cas (24,2%). Vingt-cinq tumeurs ont été traitées chirurgicalement dont 21 cas (84%) de chirurgie conservatrice et 4 cas (16%) de chirurgie radicale. La radiothérapie a été réalisée chez 10 patients (30,3%). La chimiothérapie a été faite chez 20 patients. En analyse univariée les facteurs pronostiques étaient l’âge (p=0,03) et le stade tumoral (p=0,09). L’âge et le stade tumoral sont des facteurs pronostiques influençant la survie des sarcomes des tissus mous. PMID:27022434

  5. Hémogramme chez les hypertendus vus au laboratoire du CHU-HJRB d'Antananarivo en 2013

    PubMed Central

    Rakotovao-Ravahatra, Zafindrasoa Domoina; Randriatsarafara, Fidiniaina Mamy; Razafimanantsoa, Fetralinjiva; Rabetokotany, Felana Ranaivo; Rakotovao, Andriamiadana Luc

    2016-01-01

    Introduction L'hémogramme est un bilan biologique de routine demandé chez tout patient souffrant d'Hypertension Artérielle (HTA). Cette étude se propose de décrire les résultats d'hémogramme chez les hypertendus et d'identifier les pathologies associées. Méthodes Il s'agit d'une étude rétrospective type descriptif s’étalant du 01 Décembre 2012 au 31 Décembre 2013 au laboratoire du Centre Hospitalo-Universitaire Hôpital Joseph Raseta Befelatanana (CHU-HJRB) d'Antananarivo. Tous les registres des résultats des hypertendus demandant un hémogramme ont été exploités. Résultats Parmi les 151 hypertendus, 91 (60,3%) ont présenté des hémogrammes pathologiques. Parmi ces derniers, 64 (70,4%) ont montré un seul type d'anomalie et 27 (29,6%) des anomalies multiples. Les anémies (33,91%), les hyperleucocytoses (33,04%), les polyglobulies (10,43%) et les leucopénies (9,57%) sont les plus fréquentes. Pour les anomalies multiples, les anémies associées aux hyperleucocytoses sont les plus observées (29,6%). Les anémies microcytaires (41%) et les hyperleucocytoses à polynucléaires neutrophiles sont les plus dominantes (47,4%). Les patients hospitalisés en néphrologie (90%) et en endocrinologie (81,3%) sont les plus concernés (p = 0,008). Les hypertendus moins de 20 ans (100%) et les femmes (61,5%) sont les plus affectés (p > 0,05). Les crises convulsives (100%), les œdèmes des membres inférieurs (100%) et le diabète (70%) sont les signes et pathologies associés les plus rencontrés (p > 0,05). Conclusion L'hémogramme doit être prescrit chez tout patient hypertendu pour connaître les affections sous-jacentes qui seront traitées simultanément avec l'HTA. Ainsi, le patient hypertendu sera pris en charge convenablement et son espérance de vie sera améliorée. PMID:27217875

  6. Western South Dakota's Country Schools. Country School Legacy: Humanities on the Frontier.

    ERIC Educational Resources Information Center

    Hatton, Caroline

    As part of an eight-state research effort to locate and preserve information related to country schools, this report examines western South Dakota's country schools as historic sites, country schools as community centers, teachers (their roles, rules, and restrictions), school curriculum, education for Sioux Indians, and country schools today.…

  7. Food science in developing countries.

    PubMed

    Brown, N L; Pariser, E R

    1975-05-01

    suck salt-rich earth to avoid salt depletion symptoms after arduous exertion in tropical heat long before "modern science" learned why (20). The enumeration of examples could go on, but this was not meant to be an essay in folklore. The point is that all so-called primitive societies developed technologies, techniques, and a store of practical knowledge of a wide range of sophistication, by what must be admitted to be the scientific method, and neither their accomplishments and skills nor those of societies "en voie de développement" should be ignored or discounted. We are confident that modern food science and technology has much to contribute to helping the food-deficit nations eat adequately. First, we must find a way of using the best of Western technology without losing sight of the reality of the situation in the third world and without failing to take into account, better than we have done so far, the secondary and tertiary implications of the changes suggested. Second, we must encourage the examination of local problems in terms of the use and improvement of local technologies which are often quite sophisticated and the result of centuries of development. And third, we must inject a greater component of cultural awareness in the education of students to make them more creative in their application of scientific knowledge to local problems and more adaptable to the conditions that exist in developing countries. We should not lose sight of the fact that because of the precarious nature of their food supply, very often developing countries have much more rigid rules governing the production, preparation, and consumption of food than usually is the case in food-surplus societies, and disturbing these rules is a very serious matter. The time is past when "West is best" can be taken for granted; "adapt and adopt" is surely less offensively arrogant and much more to the point. PMID:17740013

  8. Comparison of linear and nonlinear subgrid scale model for hybrid RANS/LES modelling

    NASA Astrophysics Data System (ADS)

    Straka, Petr

    2016-06-01

    The contribution deals with application of the hybrid RANS/LES model for calculation of flow around the circular cylinder. Used hybrid RANS/LES model is based on transport equation for the kinetic energy which is shared in both RANS and LES modes. The linear and the nonlinear closure formulas are described in the paper. Numerical results are compared with the experimental data. Results show that the nonlinear model predicts development of the wake behind the cylinder better than the linear model.

  9. L’évaluation du risque cardiaque avant l’utilisation de stimulants chez les enfants et les adolescents

    PubMed Central

    Bélanger, SA; Warren, AE; Hamilton, RM; Gray, C; Gow, RM; Sanatani, S; Côté, J-M; Lougheed, J; LeBlanc, J; Martin, S; Miles, B; Mitchell, C; Gorman, DA; Weiss, M; Schachar, R

    2009-01-01

    Les décisions en matière de réglementation et les documents scientifiques au sujet de la prise en charge du trouble de déficit de l’attention avec hyperactivité (TDAH) soulèvent des questions quant à l’innocuité des médicaments et à l’évaluation convenable à effectuer avant le traitement afin de déterminer la pertinence d’une pharmacothérapie. Ce constat est particulièrement vrai en présence de cardiopathies structurelles ou fonctionnelles. Le présent article contient l’analyse des données disponibles, y compris les publications révisées par des pairs, des données tirées du site Web de la Food and Drug Administration des États-Unis au sujet des réactions indésirables déclarées chez des enfants qui prennent des stimulants, ainsi que des données de Santé Canada sur le même problème. Des lignes directrices consensuelles sur l’évaluation pertinente sont proposées d’après l’apport des membres de la Société canadienne de pédiatrie, de la Société canadienne de cardiologie et de l’Académie canadienne de psychiatrie de l’enfant et de l’adolescent, qui possèdent notamment des compétences et des connaissances précises tant dans le secteur du TDAH que de la cardiologie pédiatrique. Le présent document de principes prône une anamnèse et un examen physique détaillés avant la prescription de stimulants et s’attarde sur le dépistage des facteurs de risque de mort subite, mais il ne contient pas de recommandations systématiques de dépistage électrocardiographique ou de consultations avec un spécialiste en cardiologie, à moins que les antécédents ou que l’examen physique ne le justifient. Le document contient un questionnaire pour repérer les enfants potentiellement vulnérables à une mort subite (quel que soit le type de TDAH ou les médicaments utilisés pour le traiter). Même si les recommandations dépendent des meilleures données probantes disponibles, le comité s’entend pour affirmer que

  10. Agriculture and biotechnology in Pacific countries.

    PubMed

    Shigaki, Toshiro

    2014-01-01

    The Pacific countries are small in land mass and therefore represent one of the most fragile ecosystems. Due to the isolation of these island counties, these are home to unique species of plants and animals as well as crop varieties and landraces. Biosafety issues in the Pacific countries, therefore, require special attention to take these factors into account. The issues are shared with other small island nations such as the Caribbean countries. Although most Pacific countries do not have scientific capacity to develop genetically modified organisms (GMOs), they are inadvertently introduced from the developed world. As the countries do not have appropriate capacity to monitor the introduction and commerce of GMO's, it is imperative to establish biosafety legislation and capacity by pooling the resources within the Pacific countries. PMID:25412740

  11. Screening for Developmental Disabilities in Developing Countries

    PubMed Central

    Bornstein, Marc H.; Hendricks, Charlene

    2012-01-01

    Despite waxing international interest in child disability, little information exists about the situation of children with disabilities in developing countries. Using a culture-free screen for child disability from the 2005–2007 Multiple Indicator Cluster Survey, this study reports percentages of children in 16 developing countries who screened positive for cognitive, language, sensory, and motor disabilities, covariation among disabilities, deviation contrasts that compare each country to the overall effect of country (including effects of age and gender and their interactions), and associations of disabilities with the Human Development Index. Developmental disabilities vary by child age and country, and younger children in developing countries with lower standards of living are more likely to screen positive for disabilities. The discussion of these findings revolves around research and policy implications. PMID:23294875

  12. Effects of country size and language similarity on international attitudes: a six-nation study.

    PubMed

    van Oudenhoven, Jan Pieter; Selenko, Eva; Otten, Sabine

    2010-02-01

    Linguistically similar neighbouring nations that differ in size are often asymmetrical in their attitudinal relations towards each other: Citizens of smaller nations tend to see larger nations as less likeable and less similar than vice versa. We hypothesized that the smaller nations' reaction is the consequence of a threatened identity due to its relative size combined with too much similarity on a vital part of its identity, namely language. To test this hypothesis, 832 high-school students from six different ethnic/national entities (France, Germany, Austria, the French- and German-speaking parts of Switzerland, the French- and Dutch-speaking parts of Belgium, and The Netherlands) completed a questionnaire on liking and similarity ratings. The results-to a large extent-showed that differences in size, in combination with linguistic similarity with another nation, pose a threat to the identity of the smaller nation or ethnic group. Differences in size, in combination with linguistic similarity, were associated with asymmetries in mutual liking on one hand and asymmetrical perceptions of similarity to the other country on the other hand. The conclusions of this study are consistent with findings of earlier research and stress the importance of language for a nation's identity. Moreover, the findings support social identity theory as a useful theory for understanding intergroup and international relations. Les nations voisines linguistiquement similaires qui diffèrent en taille sont souvent asymétriques dans leurs relations attitudinales l'une envers l'autre: les citoyens des nations plus petites tendent à voir les nations plus grandes comme moins sympathiques et moins semblables et vice-versa. Notre hypothèse était que la réaction des nations plus petites est la conséquence d'un sentiment de menace à l'identité dû à leur taille réduite combinée avec trop de similitudes concernant une partie vitale de leur identité: c'est-à-dire le langage. Pour

  13. Le gingembre contre la nausée et les vomissements de la grossesse

    PubMed Central

    Lindblad, Adrienne J.; Koppula, Sudha

    2016-01-01

    Question clinique Le gingembre peut-il traiter la nausée et les vomissements de la grossesse? Résultats Durant le premier trimestre, le gingembre soulagerait la nausée et les vomissements de quelque 4 points sur une échelle de 40 points, ou éliminerait les vomissements chez 1 femme sur 3 au jour 6. L’étude la plus vaste ne laisse croire à aucune hausse des malformations congénitales ou de la mortinatalité, mais les études de moins grande envergure laissent croire le contraire.

  14. La planification préalable des soins pour les patients en pédiatrie

    PubMed Central

    2008-01-01

    RÉSUMÉ Les progrès médicaux et technologiques ont permis d’ac-croître les taux de survie et d’améliorer la qualité de vie des nourrissons, des enfants et des adolescents ayant des maladies chroniques mettant la vie en danger. La planifi-cation préalable des soins inclut le processus relié aux discussions sur les traitements essentiels au maintien de la survie et la détermination des objectifs des soins de longue durée. Les dispensateurs de soins pédiatriques ont l’obligation éthique d’assimiler cet aspect des soins médicaux. Le présent document de principes vise à aider les dispensateurs de soins à discuter de la planification préalable des soins des patients pédiatriques dans diverses situations. La planification préalable des soins exige des communications efficaces afin de clarifier les objectifs des soins et de s’entendre sur les traitements pertinents ou non pour réaliser ces objectifs, y compris les mesures de réanimation et les mesures palliatives.

  15. Determinants of energy efficiency across countries

    NASA Astrophysics Data System (ADS)

    Yao, Guolin

    With economic development, environmental concerns become more important. Economies cannot be developed without energy consumption, which is the major source of greenhouse gas emissions. Higher energy efficiency is one means of reducing emissions, but what determines energy efficiency? In this research we attempt to find answers to this question by using cross-sectional country data; that is, we examine a wide range of possible determinants of energy efficiency at the country level in an attempt to find the most important causal factors. All countries are divided into three income groups: high-income countries, middle-income countries, and low-income countries. Energy intensity is used as a measurement of energy efficiency. All independent variables belong to two categories: quantitative and qualitative. Quantitative variables are measures of the economic conditions, development indicators and energy usage situations. Qualitative variables mainly measure political, societal and economic strengths of a country. The three income groups have different economic and energy attributes. Each group has different sets of variables to explain energy efficiency. Energy prices and winter temperature are both important in high-income and middle-income countries. No qualitative variables appear in the model of high-income countries. Basic economic factors, such as institutions, political stability, urbanization level, population density, are important in low-income countries. Besides similar variables, such as macroeconomic stability and index of rule of law, the hydroelectricity share in total electric generation is also a driver of energy efficiency in middle-income countries. These variables have different policy implications for each group of countries.

  16. Recent growth trends in developing countries.

    PubMed

    1978-03-01

    The unprecedented economic conditions of the mid-1970s have created problems with economic development for all countries of the world. Recent economic growth trends in the following main groups of developing countries are reviewed: 1) low-income countries; 2) lower middle-income countries; 3) intermediate middle-income countries; 4) upper middle-come countries; and 5) balance of payments deficit oil exporting countries. Economic indicators for each group of countries are tabulated. The tables show that the developing countries have continued domestic economic growth at only moderately slower rates during the years since 1973. They have been helped by foreign aid or private-source borrowing. As a group, they have, in fact, helped to keep the world economy from plunging deeper into recession and to prevent world trade from contracting more than it actually did already in 1974 and 1975. The performance of these developing economies during these difficult years contributes to continued optimism regarding their future prospects. PMID:12335967

  17. Professionalism in Broadcasting in Developing Countries

    ERIC Educational Resources Information Center

    O'Brien, Rita Cruise

    1977-01-01

    Examines the modes of professionalism and organizational structure in broadcasting and investigates how these modes transfer from industrialized nations to developing countries such as Algeria and Senegal. (MH)

  18. Pneumocystis jirovecii pneumonia in developing countries*

    PubMed Central

    De Armas Rodríguez, Y.; Wissmann, G.; Müller, A.L.; Pederiva, M.A.; Brum, M.C.; Brackmann, R.L.; Capó De Paz, V.; Calderón, E.J.

    2011-01-01

    Pneumocystis pneumonia (PcP) is a serious fungal infection among immunocompromised patients. In developed countries, the epidemiology and clinical spectrum of PcP have been clearly defined and well documented. However, in most developing countries, relatively little is known about the prevalence of pneumocystosis. Several articles covering African, Asian and American countries were reviewed in the present study. PcP was identified as a frequent opportunistic infection in AIDS patients from different geographic regions. A trend to an increasing rate of PcP was apparent in developing countries from 2002 to 2010. PMID:21894262

  19. Une vie saine et active : des directives en matière d’activité physique chez les enfants et les adolescents

    PubMed Central

    Lipnowski, Stan; LeBlanc, Claire MA

    2012-01-01

    RÉSUMÉ L’épidémie d’obésité juvénile augmente partout dans le monde. Même si les facteurs de risque d’obésité sont multifactoriels, bon nombre sont liés au mode de vie et se prêtent à une intervention. Ces facteurs incluent le comportement sédentaire et la thermogenèse sans activité physique, de même que la fréquence, l’intensité, la quantité et le type d’activité physique. Les dispensateurs de soins de première ligne sont en position idéale pour surveiller le taux d’activité physique des enfants, des adolescents et de leur famille, évaluer les choix liés au mode de vie et offrir des conseils pertinents. Le présent document de principes contient des directives visant à réduire le comportement sédentaire et à accroître le taux d’activité physique au sein de la population pédiatrique. Des recommandations d’activités physiques adaptées au développement et visant les nourrissons, les tout-petits, les enfants d’âge préscolaire, les enfants et les adolescents sont présentées. Des stratégies de promotion d’une vie saine et active sur les scènes locale, municipale, provinciale, territoriale et fédérale sont proposées.

  20. Climatic Variability In Tropical Countries

    NASA Astrophysics Data System (ADS)

    Seneviratne, L. W.

    2003-04-01

    Introduction Droughts in tropical countries are proved as periodic and its occurrence is shown remarkable in 9.25 year cycles as explained by the author. These cycles exist as soon or late around the central point. In the tropical regions monsoons or trade winds has a definite origin and pattern of advancing towards land mass. Ocean evaporation is the main source of rain clouds, which is drifted on to low vapour pressure zones. In the drought situation low vapour pressure zones are reduced and high vapour pressure zones are increased. Evaporation is reduced and incident solar radiation (insolation) is relatively reduced. Wind effect needed to form a cloud is low. Dry wind is passing along the land mass. Most rainy lands are subjected to prolonged droughts and hence cultivation is affected. Drought impacts create severe losses to irrigation projects. Civilization is affected by lack of food production. Lack of drinking water entirely eliminates the living animals and creatures. Eco system slowly changes to dried jungles and abandoned skeletons. Tropical conditions Sri Lanka experienced drought in 2001. Hambanthota District suffered for entire year 2000 with low rainfall. This area is not in line with monsoons and mountain ranges are not available to form dynamic cooling of air. So as the Puttalam and Mannar Districts Rainfall is very low in these areas. Drought continued for 2001 and half of 2002 in the main land. Hambanthota District is still continuing with low rainfall. The central mountains are well placed to bring monsoon rains. This position is not purely effective to form sufficient precipitation in drought years. The reason is highly stable atmosphere in this region. Due to global warming of 1deg C in 60 years and high carbon dioxide gas creating high density in low atmospheres, evaporation and rainmaking has a general reduction. It is identified by the author that the common plane episode of Moon and Earth, which occurs in 9.25 years is creating stable

  1. Transition de phase quantique de type verrouillage-deverrouillage dans les canaux lineaires coherents des phases en rayures dans les doubles puits quantiques sous champ magnetique perpendiculaire

    NASA Astrophysics Data System (ADS)

    Faribault, Alexandre

    On peut creer un gaz electronique bidimensionnel en utilisant le potentiel de confinement d'une couche mince d'un semiconducteur dans un substrat fait d'une autre semiconducteur de gap plus eleve. L'ajout d'un champ magnetique perpendiculaire au plan de confinement modifie de facon drastique les proprietes du gaz electronique. Pour des densites et des valeurs du champ magnetique adequatement choisies, on obtient un etat fondamental en onde de densite de charge. Dans un systeme compose de deux de ces gaz bidimensionnels suffisamment rapproches l'un de l'autre, on prevoit theoriquement l'existence d'un etat fondamental compose d'une onde de densite de charge dans chacun des puits et d'une serie de regions lineaires ou l'on a une delocalisation coherente des electrons entre les deux puits. Dans cette these, on etudie le comportement a temperature nulle de cet etat fondamental en rayures coherentes. L'etude numerique des modes collectifs de ces phases laisse croire qu'un deverrouillage des canaux coherents est envisageable dans ce systeme. Afin d'etudier cette possibilite, nous construisons d'abord un modele effectif de canaux quasi-unidimensionnels couples qui permettent de reproduire correctement les excitations collectives a basse energie de la phase en rayures coherentes du double puits quantique. Dans un systeme de coordonnees adequatement choisi, ces excitations peuvent etre decrites par des ondes de pseudospin. Les parametres de ce modele effectif simple peuvent etre extraits des calculs des fonctions de reponse realises dans l'approximation Hartree-Fock dependante du temps (appelee aussi Generalized Random Phase Approximation). On constate l'efficacite de ce modele a decrire la dynamique basse energie du systeme pour une certaine plage de distances inter-puits. En retirant de ce modele les contributions a l'hamiltonien provenant des couplages de type Josephson entre les canaux, on obtient alors un systeme ou les canaux sont deverrouilles. Un traitement en

  2. L’acétaminophène chez les enfants

    PubMed Central

    Goldman, Ran D.

    2013-01-01

    Résumé Question Je suggère fréquemment aux parents d’utiliser de l’acétaminophène comme traitement de la fièvre et de la douleur pour leurs enfants. J’ai récemment reçu un enfant à mon cabinet qui s’est présenté avec une éruption cutanée sous forme de lésions en cibles une journée après avoir pris de l’acétaminophène. L’éruption s’est résorbée 3 jours après qu’on ait arrêté l’administration d’acétaminophène. L’acétaminophène comporte-t-elle des risques d’événements indésirables comme celui-ci? Réponse Comme les autres médicaments ou substances actives, les préparations d’acétaminophène pourraient poser des risques d’événements indésirables. Au cours des dernières années, on a procédé à une investigation concernant une association potentielle entre l’acétaminophène et l’asthme et la Food and Drug Administration des États-Unis a récemment publié un avertissement à propos de réactions cutanées éventuelles, graves mais rares, associées à l’acétaminophène. Même si l’acétaminophène est principalement un médicament sûr, les professionnels de la santé devraient être alertes et informer les parents à propos de la possibilité d’événements indésirables rares mais sévères.

  3. Overview: epilepsy surgery in developing countries.

    PubMed

    Wieser, H G; Silfvenius, H

    2000-01-01

    Epilepsy surgery (ES) is addressed in relation to economic classifications of national resources and welfare in developing countries. A decade ago, ten developing countries conducted ES; now 26 such countries have reported results of ES. A number of international authorities define indicators of national economic welfare. Adopting the economic classification of the International Monetary Fund. we find that ES is nonexistent in 98% of African countries, 76% of Asian countries, 58% of European countries, 82% of Middle East countries, and in 86% of countries of the Western Hemisphere. The 1980-1990 global ES survey conducted by the International League Against Epilepsy identified ten developing countries reporting ES (DCRES): Brazil, China, Czechoslovakia, Hungary, Mexico, Poland, Taiwan, the U.S.S.R., Yugoslavia, and Viet Nam. The present survey based on the proceedings of the 19th-23rd International Epilepsy Congresses and Medline reports from 1991 to November 1999 revealed at least 26 (18.3%) DCRES of 142 developing countries: Argentina, Brazil, Chile, China, Colombia, Czech Republic, Egypt, Estonia, Hungary, India, Iran, Israel, Korea, Lithuania, Mexico, P.R.China, the U.S.S.R., Singapore, Slovenia, South Africa, South Korea, Taiwan, Turkey, Ukraine, Uruguay, and former Yugoslavia. National vital statistics expose the hardships of developing countries. The population ratio of developed countries to developing countries is approximately 1:5. The reverse per capita Gross Domestic Product ratio is 20:1. Great disparities exist in vital statistics, all to the disadvantage of the DCRES. The World Health Organization defines health-related sectors geographically, then divides developing countries into several subgroups. Disability caused by length of disease and years lived with disability can be quantified monetarily for epilepsy, and the total health expenditures of developed and developing countries can be compared. The DCRES are short of technology, and their ES

  4. Grid Effects on LES Thermo-Acoustic Limit-Cycle of a Full Annular Aeronautical Engine

    NASA Astrophysics Data System (ADS)

    Wolf, Pierre; Gicquel, Laurent Y. M.; Staffelbach, Gabriel; Poinsot, Thierry

    Recent developments in large scale computer architectures allow Large Eddy Simulation (LES) to be considered for the prediction of turbulent reacting flows in geometries encountered in industry. To do so, various difficulties must be overcome and the first one is to ensure that proper meshes can be used for LES. Indeed, the quality of meshes is known to be a critical factor in LES of reacting flows. This issue becomes even more crucial when LES is used to compute large configurations such as full annular combustion chambers. Various analysis of mesh effects on LES results have been published before but all are limited to single-sector computational domains. However, real annular gas-turbine engines contain ten to twenty of such sectors and LES must also be used in such full chambers for the study of ignition or azimuthal thermo-acoustic interactions. Instabilities (mostly azimuthal modes involving the full annular geometry) remain a critical issue to aeronautical or power-generation industries and LES seems to be a promising path to properly apprehend such complex unsteady couplings. Based on these observations, mesh effects on LES in a full annular gas-turbine combustion chamber (including its casing) is studied here in the context of its azimuthal thermo-acoustic response. To do so, a fully compressible, multi-species reacting LES is used on two meshes yielding two fully unsteady turbulent reacting predictions of the same configuration. The two tetrahedra meshes contain respectively 38 and 93 millions cells. Limit-cycles as obtained by the two LES are gauged against each other for various flow quantities such as mean velocity profiles, flame position and temperature fields. The thermo-acoustic limit-cycles are observed to be relatively indepedent of the grid resolution which comforts the use of LES tools to provide insights and understanding of the mechanisms triggering the coupling between the system acoustic eigenmodes and combustion.

  5. La prévention des blessures dans les terrains de jeux

    PubMed Central

    Fuselli, Pamela; Yanchar, Natalie L

    2012-01-01

    RÉSUMÉ Dans un climat d’inquiétude croissante à l’égard de l’obésité juvénile et de l’inactivité, les terrains de jeux permettent aux enfants d’être actifs. Ils comportent toutefois aussi des risques, les blessures causées par des chutes étant de loin les plus courants. Les recherches démontrent la possibilité de réduire les blessures dans les terrains de jeux si on abaisse la hauteur des structures de jeu et si on utilise des surfaces molles et profondes pour amortir les chutes. L’Association canadienne de normalisation a publié des normes volontaires qu’elle a mises à jour plusieurs fois pour tenir compte de ces risques. Afin de contribuer à les réduire, les parents peuvent respecter des stratégies simples. Le présent document de principes souligne le fardeau des blessures subies dans les terrains de jeux. Il procure également aux parents et aux dispensateurs de soins des occasions de réduire l’incidence et la gravité des blessures grâce à l’éducation et à la défense d’intérêts, ainsi que de mettre en œuvre des normes de sécurité probantes et des stratégies plus sécuritaires dans les terrains de jeux locaux. Enfin, il remplace le document de principes de la Société canadienne de pédiatrie publié en 2002 sur le sujet.

  6. Les recommandations de prise en charge des complications métaboliques associées aux antipsychotiques de deuxième génération chez les enfants et les adolescents

    PubMed Central

    Ho, Josephine; Panagiotopoulos, Constadina; McCrindle, Brian; Grisaru, Silviu; Pringsheim, Tamara

    2012-01-01

    HISTORIQUE : Les antipsychotiques de deuxième génération s’associent souvent à des complications métaboliques. Ces médicaments sont utilisés plus souvent pour le traitement des troubles de santé mentale chez les enfants, ce qui a requis l’élaboration de lignes directrices officielles sur la surveillance de leur innocuité et de leur efficacité. Des lignes directrices ont déjà été élaborées pour surveiller les complications métaboliques et neurologiques. Afin d’aider les praticiens qui effectuent ces interventions de surveillance, une série de recommandations thérapeutiques complémentaires a été élaborée pour les cas où l’on observe des mesures ou des résultats anormaux. OBJECTIF : Créer des recommandations probantes afin de contribuer à la prise en charge des complications métaboliques chez les enfants traités au moyen d’antipsychotiques de deuxième génération. MÉTHODOLOGIE : Les auteurs ont procédé à une analyse systématique des publications sur les complications métaboliques des antipsychotiques de deuxième génération chez les enfants. Les membres du groupe consensuel ont évalué l’information recueillie grâce à l’analyse bibliographique systématique et ont fait appel à un processus de groupe nominal pour parvenir à un consensus à l’égard de recommandations thérapeutiques. Dans la mesure du possible, ils se sont reportés aux lignes directrices existantes sur l’évaluation et le traitement des anomalies métaboliques chez les enfants. RÉSULTATS : Des recommandations probantes sont présentées pour contribuer à la prise en charge des complications métaboliques, y compris la prise de poids, l’augmentation du tour de taille, l’élévation des taux de prolactine, de cholestérol, de triglycérides et de glucose, les épreuves de fonction hépatique anormales et les études thyroïdiennes anormales. CONCLUSION : Il faut recourir à des mesures de surveillance convenables lorsqu’on prescrit

  7. Programmed Language Instruction for Developing Countries.

    ERIC Educational Resources Information Center

    Bung, Klaus

    This paper considers the differences in the initial education and financial situation between industrial and developing countries. Programed learning (PL) techniques and PS research cannot be taken over wholesale from industrial countries, but techniques have to be adapted and the emphasis of research has to be changed. These principles are…

  8. Demographics and Education: The 20 Richest Countries

    ERIC Educational Resources Information Center

    Marchant, Gregory J.; Johnson, Jessica J.

    2012-01-01

    This paper explores the PISA [Programme for International Student Assessment] achievement of twenty countries in light of some of their demographic differences. SES [student socioeconomic status], nuclear family, gender, home language, and native status were predictive of achievement for every country. Demographics accounted for as little as 8…

  9. 15 CFR 752.4 - Eligible countries.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 15 Commerce and Foreign Trade 2 2012-01-01 2012-01-01 false Eligible countries. 752.4 Section 752.4 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) BUREAU OF INDUSTRY AND SECURITY, DEPARTMENT OF COMMERCE EXPORT ADMINISTRATION REGULATIONS SPECIAL COMPREHENSIVE LICENSE § 752.4 Eligible countries....

  10. Entrepreneurship Education: Experiences in Selected Countries

    ERIC Educational Resources Information Center

    Bakar, Rosni; Islam, Md Aminul; Lee, Jocelyne

    2015-01-01

    Entrepreneurship and education play a role in enhancing the country's economic state. Entrepreneurship helps the economy by providing job opportunities. The lack of job opportunities has caused unemployment rates to increase tremendously throughout the years making the development rate of a country slow down. One way for the economy to improve is…

  11. Cultural Influences on Confidence: Country and Gender.

    ERIC Educational Resources Information Center

    Lundeberg, Mary A.; Fox, Paul W.; Brown, Amy C.; Elbedour, Salman

    2000-01-01

    Investigates gender differences in confidence judgments when they were correct and incorrect on exam items with postsecondary students (N=551) in five countries. Large and significant differences were found in overall confidence, confidence when correct, and confidence when wrong, associated primarily with country and culture. In contrast, gender…

  12. Childrearing Discipline and Violence in Developing Countries

    ERIC Educational Resources Information Center

    Lansford, Jennifer E.; Deater-Deckard, Kirby

    2012-01-01

    The present study examined the prevalence and country-level correlates of 11 responses to children's behavior, including nonviolent discipline, psychological aggression, and physical violence, as well as endorsement of the use of physical punishment, in 24 countries using data from 30,470 families with 2- to 4-year-old children that participated…

  13. Designing Training Materials for Developing Countries.

    ERIC Educational Resources Information Center

    Rosenweig, Fred

    1984-01-01

    Describes four training guides developed by the Water and Sanitation for Health Project for use in rural water supply and sanitation projects in developing countries, explains the development process, offers insights gained from the process, and presents five considerations for designing training in third world countries. (MBR)

  14. Country Profiles, The Republic of Korea.

    ERIC Educational Resources Information Center

    Han, Dae Woo; And Others

    A profile of the Republic of Korea is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition,…

  15. Entrepreneurial Intentions in Developing and Developed Countries

    ERIC Educational Resources Information Center

    Iakovleva, Tatiana; Kolvereid, Lars; Stephan, Ute

    2011-01-01

    Purpose: This study proposes to use the Theory of Planned Behaviour to predict entrepreneurial intentions among students in five developing and nine developed countries. The purpose is to investigate whether entrepreneurial intention and its antecedents differ between developing and developed countries, and to test the theory in the two groups of…

  16. EWork in EU Candidate Countries. IES Report.

    ERIC Educational Resources Information Center

    Mako, Csaba.; Keszi, Roland.

    Using data of an 18-country employer survey and facts of company case studies of the EMERGENCE project, a project illustrated diffusion of eWork in 3 these Central European countries: Czech Republic, Hungary, Poland. Mainstream views of the transforming economies and various practices of generic business services were studied. Establishments…

  17. Wind Energy Developments: Incentives In Selected Countries

    EIA Publications

    1999-01-01

    This paper discusses developments in wind energy for the countries with significant wind capacity. After a brief overview of world capacity, it examines development trends, beginning with the United States - the number one country in wind electric generation capacity until 1997.

  18. Library Consortia in Developing Countries: An Overview

    ERIC Educational Resources Information Center

    Moghaddam, Golnessa Galyani; Talawar, V. G.

    2009-01-01

    Purpose: The purpose of this paper is to review consortia efforts in developing countries. Design/methodology/approach: This paper reviews the literature on library consortia in developing countries in general and India in particular. The paper also outlines the advantages and disadvantages of consortia. Findings: "Library consortia" refers to…

  19. Entrepreneurial University Conceptualization: Case of Developing Countries

    ERIC Educational Resources Information Center

    Farsi, Jahangir Yadollahi; Imanipour, Narges; Salamzadeh, Aidin

    2012-01-01

    Purpose: The main purpose of the present paper is to elaborate an entrepreneurial university conceptualization which could be appropriate for developing countries. A conceptualization which distinguishes between different elements of entrepreneurial universities in developing countries, and identifies the common ones. This conceptualization…

  20. Teacher Labor Markets in Developing Countries

    ERIC Educational Resources Information Center

    Vegas, Emiliana

    2007-01-01

    Emiliana Vegas surveys strategies used by the world's developing countries to fill their classrooms with qualified teachers. With their low quality of education and wide gaps in student outcomes, schools in developing countries strongly resemble hard-to-staff urban U.S. schools. Their experience with reform may thus provide insights for U.S.…

  1. Politics, Violence, and Education: Other People's Countries.

    ERIC Educational Resources Information Center

    Christodoulou, Niki

    This paper's purpose is to illustrate, through the author's personal experiences, that violent actions occur in the world that affect people, countries, and relations in multiple levels and numerous ways. Using autobiographical inquiry, the author narrates how she experienced violence in three different countries in which she has lived. In Cyprus,…

  2. Research in Indian Country: Challenges and Changes.

    ERIC Educational Resources Information Center

    Hillabrant, Walter

    This paper describes selected settings, circumstances, problems, and barriers to research in Indian country, and suggests ways to mitigate or overcome such problems and barriers. Examples are drawn from four research projects. Distinctions are drawn among sponsors of research in Indian country (usually federal agencies); consumers of such research…

  3. Childcare Practices in Three Asian Countries

    ERIC Educational Resources Information Center

    Yunus, Sham ah Md.

    2005-01-01

    Childcare practices such as feeding, toilet training, sleeping arrangement and discipline in three Asian countries (China, Japan, and India) are compared. These countries differ from each other in culture, religion, language and ethnic makeup from Euro-American culture. The differences in childcare practices are broadly related to the differences…

  4. Country logistics performance and disaster impact.

    PubMed

    Vaillancourt, Alain; Haavisto, Ira

    2016-04-01

    The aim of this paper is to deepen the understanding of the relationship between country logistics performance and disaster impact. The relationship is analysed through correlation analysis and regression models for 117 countries for the years 2007 to 2012 with disaster impact variables from the International Disaster Database (EM-DAT) and logistics performance indicators from the World Bank. The results show a significant relationship between country logistics performance and disaster impact overall and for five out of six specific logistic performance indicators. These specific indicators were further used to explore the relationship between country logistic performance and disaster impact for three specific disaster types (epidemic, flood and storm). The findings enhance the understanding of the role of logistics in a humanitarian context with empirical evidence of the importance of country logistics performance in disaster response operations. PMID:26282578

  5. Epidemiology of epilepsy in developing countries.

    PubMed Central

    Senanayake, N.; Román, G. C.

    1993-01-01

    Epilepsy is an important health problem in developing countries, where its prevalence can be up to 57 per 1000 population. This article reviews the epidemiology of epilepsy in developing countries in terms of its incidence, prevalence, seizure type, mortality data, and etiological factors. The prevalence of epilepsy is particularly high in Latin America and in several African countries, notably Liberia, Nigeria, and the United Republic of Tanzania. Parasitic infections, particularly neurocysticercosis, are important etiological factors for epilepsy in many of these countries. Other reasons for the high prevalence include intracranial infections of bacterial or viral origin, perinatal brain damage, head injuries, toxic agents, and hereditary factors. Many of these factors are, however, preventable or modifiable, and the introduction of appropriate measures to achieve this could lead to a substantial decrease in the incidence of epilepsy in developing countries. PMID:8490989

  6. Strategies of Asian oil-importing countries

    SciTech Connect

    Yang, M.

    1997-04-01

    Various strategies are used by oil-importing countries to reduce their economic dependence on imported oil: national oil production, energy conservation, and the change of economic structures from high energy intensity sectors to low ones. In this article, the roles of these different strategies have been identified for 10 selected oil-importing countries in Asia: Bangladesh, India, Nepal, Pakistan, Sri Lanka, the Philippines, Thailand, Hong Kong, R.O Korea, and Taiwan. The results show that most of the selected countries (although Hong Kong and Taiwan are independent economic entities, for simplicity, the author refers to them as countries) have succeeded in reducing their national economy dependence on imported oil since 1973. Hong Kong, Sri Lanka, Thailand, and India are among the most successful countries, with more than 40% reduction in their economic dependence on imported oil.

  7. LES of Langmuir supercells under constant crosswind tidal forcing

    NASA Astrophysics Data System (ADS)

    Walker, Rachel; Zhang, Jie; Juha, Mario; Gosch, Chester; Tejada-Martinez, Andres

    2015-11-01

    We report on the impact of a crosswind tidal current on Langmuir supercells (LSCs) in shallow water computed via LES. LSCs consist of parallel counter rotating vortices engulfing the water column in unstratified conditions. These cells have been observed in shallow continental shelf regions of ~15 meters depth during the passage of storms. The cells are aligned roughly in the wind direction and are generated by the interaction of the wind-driven shear current with the Stokes drift velocity induced by surface gravity waves. Without tides, LES reveals that the typical crosswind width of a LSC is ~4 times the water column depth (H). Under a relatively weak crosswind tidal current (weaker than the downwind current), the constant crosswind tidal forcing applied causes a merging of cells leading to cells of width ~8H. The opposite occurs under a crosswind tidal current stronger than the downwind current as the constant crosswind tidal force is able to break up the LSCs giving rise to smaller scale cells with different turbulent structure than that associated with LSC. Statistics of the turbulence during strong and weak crosswind tides will be contrasted and implications of an oscillating crosswind tidal force will be discussed. Support from the US National Science Foundation and the Gulf of Mexico Research Initiative is gratefully acknowledged.

  8. LES with wall models for trailing-edge flow prediction

    NASA Astrophysics Data System (ADS)

    Wang, Meng; Cabot, William; Moin, Parviz

    1999-11-01

    Large-eddy simulation of wall-bounded turbulent flows becomes formidably expensive at high Reynolds numbers, unless the severe near-wall resolution requirement is removed though the use of a suitable wall model. The applicability of this approach to complex turbulent flows with separation is assessed by considering turbulent boundary layer flows past an asymmetric trailing-edge and the associated aeroacoustics. A simple stress balance model coupled with a mixing-length eddy viscosity, with or without pressure gradient imposed from the outer LES solution, is found to predict velocity statistics fairly well compared with those from the resolved LES, at less than 10 % of the original computational cost. In particular, the separation point near the trailing-edge is predicted correctly. The pressure gradient term is found necessary for the model to capture the correct behavior of the wall shear-stress in the favorable pressure gradient region. Numerical experiments using more elaborate wall models based on approximate boundary layer equations are underway. The effect of wall-modeling on the prediction of surface pressure fluctuations and noise radiation is investigated, and the results will be discussed.

  9. High speed turbulent reacting flows: DNS and LES

    NASA Technical Reports Server (NTRS)

    Givi, Peyman

    1990-01-01

    Work on understanding the mechanisms of mixing and reaction in high speed turbulent reacting flows was continued. Efforts, in particular, were concentrated on taking advantage of modern computational methods to simulate high speed turbulent flows. In doing so, two methodologies were used: large eddy simulations (LES) and direct numerical simulations (DNS). In the work related with LES the objective is to study the behavior of the probability density functions (pdfs) of scalar properties within the subgrid in reacting turbulent flows. The data base obtained by DNS for a detailed study of the pdf characteristics within the subgrid was used. Simulations are performed for flows under various initializations to include the effects of compressibility on mixing and chemical reactions. In the work related with DNS, a two-dimensional temporally developing high speed mixing layer under the influence of a second-order non-equilibrium chemical reaction of the type A + B yields products + heat was considered. Simulations were performed with different magnitudes of the convective Mach numbers and with different chemical kinetic parameters for the purpose of examining the isolated effects of the compressibility and the heat released by the chemical reactions on the structure of the layer. A full compressible code was developed and utilized, so that the coupling between mixing and chemical reactions is captured in a realistic manner.

  10. LES on unstructured deforming meshes: Towards reciprocating IC engines

    NASA Technical Reports Server (NTRS)

    Haworth, D. C.; Jansen, K.

    1996-01-01

    A variable explicit/implicit characteristics-based advection scheme that is second-order accurate in space and time has been developed recently for unstructured deforming meshes (O'Rourke & Sahota 1996a). To explore the suitability of this methodology for Large-Eddy Simulation (LES), three subgrid-scale turbulence models have been implemented in the CHAD CFD code (O'Rourke & Sahota 1996b): a constant-coefficient Smagorinsky model, a dynamic Smagorinsky model for flows having one or more directions of statistical homogeneity, and a Lagrangian dynamic Smagorinsky model for flows having no spatial or temporal homogeneity (Meneveau et al. 1996). Computations have been made for three canonical flows, progressing towards the intended application of in-cylinder flow in a reciprocating engine. Grid sizes were selected to be comparable to the coarsest meshes used in earlier spectral LES studies. Quantitative results are reported for decaying homogeneous isotropic turbulence, and for a planar channel flow. Computations are compared to experimental measurements, to Direct-Numerical Simulation (DNS) data, and to Rapid-Distortion Theory (RDT) where appropriate. Generally satisfactory evolution of first and second moments is found on these coarse meshes; deviations are attributed to insufficient mesh resolution. Issues include mesh resolution and computational requirements for a specified level of accuracy, analytic characterization of the filtering implied by the numerical method, wall treatment, and inflow boundary conditions. To resolve these issues, finer-mesh simulations and computations of a simplified axisymmetric reciprocating piston-cylinder assembly are in progress.

  11. LES of an ignition sequence in a gas turbine engine

    SciTech Connect

    Boileau, M.; Staffelbach, G.; Cuenot, B.; Poinsot, T.; Berat, C.

    2008-07-15

    Being able to ignite or reignite a gas turbine engine in a cold and rarefied atmosphere is a critical issue for many manufacturers. From a fundamental point of view, the ignition of the first burner and the flame propagation from one burner to another are phenomena that are usually not studied. The present work is a large eddy simulation (LES) of these phenomena. To simulate a complete ignition sequence in an annular chamber, LES has been applied to the full 360 geometry, including 18 burners. This geometry corresponds to a real gas turbine chamber. Massively parallel computing (700 processors on a Cray XT3 machine) was essential to perform such a large calculation. Results show that liquid fuel injection has a strong influence on the ignition times. Moreover, the rate of flame progress from burner to burner is much higher than the turbulent flame speed due to a major effect of thermal expansion. This flame speed is also strongly modified by the main burner aerodynamics due to the swirled injection. Finally, the variability of the combustor sectors and quadrant ignition times is highlighted. (author)

  12. Investigation of pressure gradient aware wall modeling in LES

    NASA Astrophysics Data System (ADS)

    Thiry, Olivier; Winckelmans, Gregoire; Duponcheel, Matthieu

    2015-11-01

    This work focuses on the investigation of various wall modeling strategies for the simulation of high Reynolds number wall-bounded turbulent flows with acceleration and/or deceleration. Our code is based on fourth order finite differences, is momentum conserving, and is energy conserving up to fourth order. We here use a ``channel flow'' set-up, with no slip and wall modeling at the bottom, with slip at the top, and with blowing and/or suction at the top in order to generate the desired acceleration-deceleration profile. Two strategies are investigated and compared. Pressure gradient corrected algebraic models are first considered, and we investigate various local averaging techniques so as to avoid imposing mean profile laws pointwise. RANS sub-layer models are then also considered, where the turbulent viscosity is corrected to account for pressure gradient effects and for resolved LES fluctuations effects. A wall-resolved LES was also performed to provide a reference solution. Research fellow (Ph.D. student) at the F.R.S. - FNRS (Belgium).

  13. Les médicaments à libération prolongée pour les enfants et les adolescents ayant un trouble de déficit de l’attention avec hyperactivité

    PubMed Central

    Feldman, M; Bélanger, S

    2009-01-01

    Le trouble de déficit de l’attention avec hyperactivité (TDAH) touche un enfant canadien sur 20 et s’associe à un dossier scolaire et à un registre d’emploi défavorables, à des taux élevés de blessures et de consommation de drogues ou d’alcool, à des relations interpersonnelles médiocres, à de mauvaises issues en santé mentale et à une qualité de vie insatisfaisante. Des essais contrôlés démontrent que les médica-ments sont efficaces pour traiter les symptômes de TDAH tandis que des études d’observation indiquent qu’ils s’associent à de meilleures issues sociales et de santé. De nombreuses familles, ainsi que leur médecin traitant, préfèrent les médicaments à libération prolongée (LP) contre le TDAH aux médicaments à libération immédiate (LI) et à action brève. Toutefois, les préparations à LP sont souvent inabor-dables pour les familles, dont un nombre disproportionné fait partie de la strate à faible statut socioéconomique. Le présent document de principes vise à proposer une évaluation critique des données probantes sur l’efficacité relative des médicaments à LP par rapport aux médicaments à LI ainsi que des recommandations au sujet de leur utilisation convenable dans le traitement du TDAH. Lorsque les médicaments sont indiqués, il faut envisager d’utiliser des préparations à LP comme traitement de première intention contre le TDAH parce qu’elles sont plus efficaces et moins susceptibles d’être détournées. Les futures recherches et les analyses coûts-avantages doivent tenir compte à la fois de l’efficacité de médicaments dans des études contrôlées et de leur efficacité clinique en situation réelle ainsi que du potentiel de détournement et de mésusage de ces médicaments. L’industrie, les sociétés d’assurance et le gouvernement doivent collaborer pour rendre ces médicaments accessibles à tous les enfants et adolescents ayant un TDAH.

  14. 76 FR 35245 - Country Investors Life Assurance Company, et al.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-16

    ... COMMISSION Country Investors Life Assurance Company, et al. June 9, 2011. AGENCY: Securities and Exchange... securities. Applicants: COUNTRY Investors Life Assurance Company (the ``Company''), COUNTRY Investors Variable Life Account (the ``Life Account'') and COUNTRY Investors Variable Annuity Account (the...

  15. Strategies for comparing LES and experimental data of urban turbulence

    NASA Astrophysics Data System (ADS)

    Hertwig, D.; Nguyen van yen, R.; Patnaik, G.; Leitl, B.

    2012-12-01

    Unsteady flow within and above built environments is an important example of the complex nature of near-surface atmospheric turbulence. Typically, obstacle-resolving micro-scale meteorological models based on the Reynolds-averaged conservation equations are adopted to investigate and predict the mean-states of urban flow phenomena. The rapid advancements in computer capacities, however, fostered the use of time-resolved approaches like large-eddy simulation (LES) for applications on the urban micro-scale. LES has the potential to provide a realistic picture of the spatio-temporal behavior of turbulent flows within and above the urban canopy layer, which cannot be easily achieved with classic in-situ micro-meteorological measurements. The further success of eddy-resolving techniques, however, is coupled to the critical assessment of the model performance in terms of a rigorous validation against suitable reference data. This task is particularly challenging with regard to the time-dependent nature of the problem and the need to verify whether the model predicts turbulence structures in a realistic way. In this study, a hierarchy of validation strategies for urban LES flow fields is formulated and systematically applied. The test case is neutrally stratified turbulent flow in the inner city of Hamburg, Germany. The LES computations were conducted by the U.S. Naval Research Laboratory on the basis of a monotone integrated LES methodology. Reference experiments in terms of single-point, high resolution time-series measurements were carried out in the boundary-layer wind-tunnel facility at the University of Hamburg. The wind-tunnel model was built on a scale of 1:350 and included building structures with a full-scale spatial resolution of 0.5 m. Benchmark parameters for the congruent representation of atmospheric inflow conditions in the physical and the numerical model were obtained from long-term sonic anemometer measurements at a suburban meteorological field site

  16. Relation entre les caractéristiques des table-bancs et les mesures anthropométriques des écoliers au Benin

    PubMed Central

    Falola, Stève Marjelin; Gouthon, Polycarpe; Falola, Jean-Marie; Fiogbe, Michel Armand; Nigan, Issiako Bio

    2014-01-01

    Introduction Le mobilier scolaire et la posture assise en classe sont souvent impliqués dans l'apparition des douleurs rachidiennes, influant de fait sur la qualité des tâches réalisées par les apprenants. Aucune étude n'a encore vérifié le degré d'adéquation entre les caractéristiques du mobilier et celles des écoliers au Bénin. L'objectif de cette étude transversale est donc de déterminer la relation entre les dimensions des table-bancs utilisées en classe et les mesures anthropométriques des écoliers au Bénin. Methods Elle a été réalisée avec un échantillon probabiliste de 678 écoliers, âgés de 4 à 17 ans. Les mesures anthropométriques des écoliers et les mensurations relatives aux longueurs, largeurs et hauteurs des table-bancs ont été mesurées, puis intégrées aux équations proposées dans la littérature. Les pourcentages des valeurs situées hors des limitesacceptables, dérivées de l'application des équations ont été calculés. Results La largeur et la hauteur des table-bancs utilisées par les écoliers étaient plus élevées (p < 0,05) que les valeurs de référence recommandées par les structures officielles de contrôle et de production des mobiliers scolaires au Bénin. Quel que soit le sexe, il y avait une inadéquation entre la largeur du banc et la longueur fesse-poplité, puis entre la hauteur de la table et la distance coude-bancdes écoliers. Conclusion Les résultats suggèrent de prendre en compte l’évolution des mesures anthropométriques des écoliers dans la confection des table-bancs, afin de promouvoir de bonnes postures assises en classe et de réduire le risque de troubles du rachis. PMID:25317232

  17. STS-47 MS Davis dons LES with technicians' help prior to JSC bailout training

    NASA Technical Reports Server (NTRS)

    1992-01-01

    STS-47 Endeavour, Orbiter Vehicle (OV) 105, Mission Specialist (MS) N. Jan Davis, wearing a launch and entry suit (LES), looks on as technicians adjust her LES parachute pack prior to launch emergency egress (bailout) exercises in JSC's Mockup and Integration Laboratory (MAIL) Bldg 9A. Davis is making her first flight in space.

  18. Prediction of dynamic and mixing characteristics of drop-laden mixing layers using DNS and LES

    NASA Technical Reports Server (NTRS)

    Okong'o, N.; Leboissetier, A.; Bellan, J.

    2004-01-01

    Direct Numerical Simulation (DNS) and Large Eddy Simulation (LES) have been conducted of a temporal mixing layer laden with evaporating drops, in order to assess the ability of LES to reproduce dynamic and mixing aspects of the DNS which affect combustion, independently of combustion models.

  19. Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q): Reliability and Validity

    ERIC Educational Resources Information Center

    Endicott, Jean; Nee, John; Yang, Ruoyong; Wohlberg, Christopher

    2006-01-01

    Objective: The pediatric version of the Short Form of the Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) was developed to aid in the assessment of an important aspect of life experience in children and adolescents. Method: The reliability and validity of the PQ-LES-Q was tested using data from a sample of 376 outpatient…

  20. Clean development mechanism: Perspectives from developing countries

    SciTech Connect

    Sari, Agus P.; Meyers, Stephen

    1999-06-01

    This paper addresses the political acceptability and workability of CDM by and in developing countries. At COP-3 in Kyoto in 1997, the general position among developing countries changed from strong rejection of joint implementation to acceptance of CDM. The outgrowth of CDM from a proposal from Brazil to establish a Clean Development Fund gave developing countries a sense of ownership of the idea. More importantly, establishing support for sustainable development as a main goal for CDM overcame the resistance of many developing countries to accept a carbon trading mechanism. The official acceptance of CDM is not a guarantee of continued acceptance, however. Many developing countries expect CDM to facilitate a substantial transfer of technology and other resources to support economic growth. There is concern that Annex I countries may shift official development assistance into CDM in order to gain carbon credits, and that development priorities could suffer as a result. Some fear that private investments could be skewed toward projects that yield carbon credits. Developing country governments are wary regarding the strong role of the private sector envisioned for CDM. Increasing the awareness and capacity of the private sector in developing countries to initiate and implement CDM projects needs to be a high priority. While private sector partnerships will be the main vehicle for resource transfer in CDM, developing country governments want to play a strong role in overseeing and guiding the process so that it best serves their development goals. Most countries feel that establishment of criteria for sustainable development should be left to individual countries. A key issue is how CDM can best support the strengthening of local capacity to sustain and replicate projects that serve both climate change mitigation and sustainable development objectives.There is support among developing countries for commencing CDM as soon as possible. Since official commencement must

  1. Western Kansas Country Schools. Country School Legacy: Humanities on the Frontier.

    ERIC Educational Resources Information Center

    Jones, Donna R.

    Oral histories provide background information for five essays which address the development of country schools in Western Kansas during the late 1800's. The first paper provides a historical review of the founding of country schools in Western Kansas, with specific country schools (many are now historical sites) described. The second paper…

  2. 48 CFR 722.170 - Employment of third country nationals (TCN's) and cooperating country nationals (CCN's).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... country nationals (CCN's) and third country nationals (TCN's), who are hired abroad for work in a... differentials. TCN's and CCN's, hired abroad for work in a cooperating country, are not eligible for allowances... program responsibility for the project. (g) Travel and transportation for TCN's and CCN's. Travel...

  3. Preliminary Country Reports on Feasibility Survey: Policy Research and Education Institutions for Developing Countries.

    ERIC Educational Resources Information Center

    Mitchell, James M.; Luikart, F. W.

    The feasibility of creating independent research and education centers that deal with public policy issues in developing countries is assessed. Countries that were surveyed include Brazil, Colombia, Bolivia, Costa Rica, Guatemala, South Korea, Philippines, Pakistan, and Nepal. For each country, a report describes the social and political climate…

  4. Les calculs urinaires de l'enfant au Burkina Faso: à propos de 67 cas

    PubMed Central

    Ouédraogo, Isso; Napon, Aïcha Madina; Bandré, Emile; Ouédraogo, Francis Somkieta; Tapsoba, Wendlamita Toussaint; Wandaogo, Albert

    2015-01-01

    L'objectif de cette étude est de déterminer la fréquence, de décrire les circonstances de découverte, les signes cliniques et paracliniques, la composition chimique des calculs prélevés et les difficultés rencontrées dans le traitement des lithiases urinaires. Notre étude a été rétrospective sur une période de six ans (janvier 2005 à décembre 2010) et a eu pour cadre le CHUP-CDG et a concerné 67 patients âgés de moins de 15 ans opérés pour lithiases urinaires. Les calculs de la dernière année au nombre de douze ont fait l'objet d'une analyse spectrophotométrique. La lithiase urinaire figure parmi les dix premières pathologies du service de chirurgie et représente 1,32% des hospitalisations. L’âge moyen de nos patients est de deux ans et varie de 6 mois à 14 ans. La symptomatologie de la lithiase urinaire est polymorphe. Le diagnostic des lithiases urinaires a été essentiellement radiologique (ASP) dans 87, 50 des cas. Les localisations les plus fréquentes sont: vésicales (49,25%) et pyéliques (46,26%). L'ECBU a révélé une infection urinaire chez 9 patients. Les germes le plus fréquemment rencontrés sont: Klebsiella pneumoniae pneumoniae (22,22%) et staphyloccocus aureus (22,22%). Les difficultés du traitement sont dues à la modicité de nos moyens diagnostiques et à la nature chimique des calculs et le traitement a été dans tous les cas chirurgical. La composition chimique est dominée par les sels calciques notamment les oxalates, les phosphates et les carbonates. PMID:26175840

  5. Regulatory pathways for vaccines for developing countries.

    PubMed Central

    Milstien, Julie; Belgharbi, Lahouari

    2004-01-01

    Vaccines that are designed for use only in developing countries face regulatory hurdles that may restrict their use. There are two primary reasons for this: most regulatory authorities are set up to address regulation of products for use only within their jurisdictions and regulatory authorities in developing countries traditionally have been considered weak. Some options for regulatory pathways for such products have been identified: licensing in the country of manufacture, file review by the European Medicines Evaluation Agency on behalf of WHO, export to a country with a competent national regulatory authority (NRA) that could handle all regulatory functions for the developing country market, shared manufacturing and licensing in a developing country with competent manufacturing and regulatory capacity, and use of a contracted independent entity for global regulatory approval. These options have been evaluated on the basis of five criteria: assurance of all regulatory functions for the life of the product, appropriateness of epidemiological assessment, applicability to products no longer used in the domestic market of the manufacturing country, reduction of regulatory risk for the manufacturer, and existing rules and regulations for implementation. No one option satisfies all criteria. For all options, national infrastructures (including the underlying regulatory legislative framework, particularly to formulate and implement local evidence-based vaccine policy) must be developed. WHO has led work to develop this capacity with some success. The paper outlines additional areas of action required by the international community to assure development and use of vaccines needed for the developing world. PMID:15042235

  6. Approche en soins primaires pour les problèmes de consommation de cannabis

    PubMed Central

    Turner, Suzanne D.; Spithoff, Sheryl; Kahan, Meldon

    2014-01-01

    Résumé Objectif Étudier les caractéristiques et complications cliniques de la consommation à risque de cannabis et du trouble de consommation de cannabis, et présenter un protocole en cabinet pour le dépistage, l’identification et la prise en charge de ces problèmes. Sources des données Une recherche des essais contrôlés, des études d’observation et des révisions sur l’usage de cannabis par les adolescents et les jeunes adultes; les méfaits psychiatriques et médicaux liés au cannabis; le trouble de consommation de cannabis et son traitement; et les lignes directrices sur la consommation à faible risque de cannabis a été effectuée dans PubMed. Message principal Les médecins doivent questionner tous leurs patients quant à leur usage de cannabis. Ils doivent questionner plus souvent les adolescents et jeunes adultes de même que les personnes qui présentent un risque élevé de problèmes liés au cannabis (qui ont un trouble psychiatrique ou de consommation de drogue concomitant). Les problèmes pouvant être causés par le cannabis, comme les troubles de l’humeur, la psychose et les symptômes respiratoires, devraient susciter des questions sur la consommation de cannabis. Aux patients qui rapportent un usage de cannabis, les médecins devraient poser des questions sur la fréquence et la quantité consommée, la présence de symptômes de tolérance ou de sevrage, les tentatives de réduire leur consommation et la présence de problèmes liés au cannabis. Les usagers à faible risque fument, inhalent ou ingèrent le cannabis occasionnellement sans aucun signe de dysfonctionnement scolaire, professionnel ou social; les personnes dont l’usage est problématique consomment tous les jours ou presque tous les jours, ont de la difficulté à réduire leur consommation et leur fonctionnement scolaire, professionnel et social est perturbé. Les médecins devraient offrir à tous les patients dont l’usage est problématique des conseils

  7. Evaluating the Relative Environmental Impact of Countries

    PubMed Central

    Bradshaw, Corey J. A.; Giam, Xingli; Sodhi, Navjot S.

    2010-01-01

    Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy ‘models’ can be identified. We provide novel metrics of country-specific environmental impact ranks – one proportional to total resource availability per country and an absolute (total) measure of impact – that explicitly avoid incorporating confounding human health or economic indicators. Our rankings are based on natural forest loss, habitat conversion, marine captures, fertilizer use, water pollution, carbon emissions and species threat, although many other variables were excluded due to a lack of country-specific data. Of 228 countries considered, 179 (proportional) and 171 (absolute) had sufficient data for correlations. The proportional index ranked Singapore, Korea, Qatar, Kuwait, Japan, Thailand, Bahrain, Malaysia, Philippines and Netherlands as having the highest proportional environmental impact, whereas Brazil, USA, China, Indonesia, Japan, Mexico, India, Russia, Australia and Peru had the highest absolute impact (i.e., total resource use, emissions and species threatened). Proportional and absolute environmental impact ranks were correlated, with mainly Asian countries having both high proportional and absolute impact. Despite weak concordance among the drivers of environmental impact, countries often perform poorly for different reasons. We found no evidence to support the environmental Kuznets curve hypothesis of a non-linear relationship between impact and per capita wealth, although there was a weak reduction in environmental impact as per capita wealth increases. Using structural equation models to account for cross-correlation, we found that increasing wealth was the most important driver of environmental impact. Our results show that the global community not only has to encourage better environmental performance in less

  8. Teacher labor markets in developed countries.

    PubMed

    Ladd, Helen F

    2007-01-01

    Helen Ladd takes a comparative look at policies that the world's industrialized countries are using to assure a supply of high-quality teachers. Her survey puts U.S. educational policies and practices into international perspective. Ladd begins by examining teacher salaries-an obvious, but costly, policy tool. She finds, perhaps surprisingly, that students in countries with high teacher salaries do not in general perform better on international tests than those in countries with lower salaries. Ladd does find, however, that the share of underqualified teachers in a country is closely related to salary. In high-salary countries like Germany, Japan, and Korea, for example, only 4 percent of teachers are underqualified, as against more than 10 percent in the United States, where teacher salaries, Ladd notes, are low relative to those in other industrialized countries. Teacher shortages also appear to stem from policies that make salaries uniform across academic subject areas and across geographic regions. Shortages are especially common in math and science, in large cities, and in rural areas. Among the policy strategies proposed to deal with such shortages is to pay teachers different salaries according to their subject area. Many countries are also experimenting with financial incentive packages, including bonuses and loans, for teachers in specific subjects or geographic areas. Ladd notes that many developed countries are trying to attract teachers by providing alternative routes into teaching, often through special programs in traditional teacher training institutions and through adult education or distance learning programs. To reduce attrition among new teachers, many developed countries have also been using formal induction or mentoring programs as a way to improve new teachers' chances of success. Ladd highlights the need to look beyond a single policy, such as higher salaries, in favor of broad packages that address teacher preparation and certification

  9. LES and Hybrid LES/RANS Study of Flow and Heat Transfer around a Wall-Bounded Short Cylinder

    NASA Astrophysics Data System (ADS)

    Borello, D.; Delibra, G.; Hanjalić, K.; Rispoli, F.

    The flow in plate-fin-and-tube heat exchangers is featured by interesting dynamics of vortical structures, which, due to close proximity of bounding walls that suppress instabilities, differs significantly from the better-known patterns around long cylinders. Typically, several distinct vortex systems can be identified both in front and behind the pin. Their signature on the pin and end-walls reflects directly in the local heat transfer. The Reynolds numbers is usually moderate and the incoming flow is non-turbulent, transiting to turbulence on or just behind the first or few subsequent pin/tube rows. Upstream from the first pin a sequence of several horseshoe vortices attached to the boundingwall is created, while the unsteady wake contains also multiple vortical systems which control the entrainment of fresh fluid and its mixing with the hot fluid that was in contact with the heated surfaces [1]. The conventional CFD using standard turbulence models, as practiced by heat exchangers industries, falls short in capturing the subtle details of the complex vortex systems. A fine-grid LES can provide accurate solutions, but for more complex configurations and higher Re numbers a hybrid RANS/LES using a coarser grid seems a more rational option, provided it can capture all important flow and vortical features.

  10. Ebola virus disease in nonendemic countries.

    PubMed

    Wong, Samson Sai-Yin; Wong, Sally Cheuk-Ying

    2015-05-01

    The 2014 West African outbreak of Ebola virus disease was unprecedented in its scale and has resulted in transmissions outside endemic countries. Clinicians in nonendemic countries will most likely face the disease in returning travelers, either among healthcare workers, expatriates, or visiting friends and relatives. Clinical suspicion for the disease must be heightened for travelers or contacts presenting with compatible clinical syndromes, and strict infection control measures must be promptly implemented to minimize the risk of secondary transmission within healthcare settings or in the community. We present a concise review on human filoviral disease with an emphasis on issues that are pertinent to clinicians practicing in nonendemic countries. PMID:25882189

  11. Reforming Earth science education in developing countries

    NASA Astrophysics Data System (ADS)

    Aswathanarayana, U.

    Improving the employability of Earth science graduates by reforming Earth science instruction is a matter of concern to universities worldwide. It should, however, be self-evident that the developing countries cannot follow the same blueprint for change as the industrialized countries due to constraints of affordability and relevance. Peanuts are every bit as nutritious as almonds; if one with limited means has to choose between a fistful of peanuts and just one almond, it is wise to choose the peanuts. A paradigm proposed here would allow institutions in developing countries to impart good quality relevant Earth science instruction that would be affordable and lead to employment.

  12. Ozone layer protection: Country incremental costs

    SciTech Connect

    King, K.; Munasinghe, M.

    1995-07-01

    The framework presented in Chapter 1 by King and Munasinghe was developed to estimate the country-level incremental cost. This framework has been applied in several developing countries in transition. The purpose of the Workshop on Country-Level Incremental Costs of Phasing Out Ozone-Depleting Substances was to gather key analysts engaged in this work to review the framework and its practical application. They present the results of their work in India, Turkey, Jordan, and Zimbabwe (Chapter 2: Mason); Egypt (Chapter 3: Catanach); Thailand (Chapter 4: Widge, Radka, and Dillon); and Tunisia and Czechoslovakia (Chapter 5; Bendtsen).

  13. Les psychoses de l’épileptique: approche clinique à propos d'un cas

    PubMed Central

    Charfi, Nada; Trigui, Dorsaf; Ben Thabet, Jihène; Zouari, Nasreddine; Zouari, Lobna; Maalej, Mohamed

    2014-01-01

    Pour discuter les liens entre épilepsie et psychose, les auteurs rapportent l'observation d'une fille âgée de 22 ans, traitée pour épilepsie fronto-temporale, adressée en psychiatrie pour des hallucinations sensorielles et cénesthésiques et un délire mystique et d'influence, apparus secondairement et non améliorés par le traitement antiépileptique. Les symptômes psychotiques, chez l’épileptique, peuvent entrer dans le cadre de psychoses intercritiques, post-critiques ou alternatives. Pour le cas rapporté, les symptômes psychotiques étaient intercritiques et chroniques. Il s'agissait vraisemblablement d'une psychose schizophréniforme. Dans ce type de psychose, une indifférence affective et une restriction des activités sont rarement rencontrés, alors que les fluctuations rapides de l'humeur sont fréquentes. Les thématiques délirantes sont assez souvent mystiques, alimentées par des hallucinations auditives et par des hallucinations visuelles inhabituelles. Les troubles négatifs sont rares. Les psychoses épileptiques n'ont pas été identifiées comme des entités nosographiques dans les systèmes de classification psychiatrique (DSM-IV et CIM-10), ce qui pose un problème de reconnaissance de ces troubles. Une collaboration entre psychiatre et neurologue devient ainsi nécessaire pour mieux comprendre cette comorbidité complexe, éviter les erreurs diagnostiques et optimiser la prise en charge. PMID:25309665

  14. L'Attitude Chirurgicale dans les Brulures Electriques Graves par Haut Voltage: À Propos de Deux Cas

    PubMed Central

    Moussaoui, A.; Fejjal, N.; Achbouk, A.; Tourabi, K.; Ribag, Y.; Bakkali, H.; Ababou, K.; Ihrai, H.

    2008-01-01

    Summary Devant une brûlure électrique grave, deux attitudes chirurgicales se distinguent: 1. une attitude conservatrice; 2. une attitude d'amputation. A la lumière de deux observations, les Auteurs discutent les avantages et les difficultés de la mise en oeuvre de chaque attitude. PMID:21991118

  15. The Training of Modern Language Teachers in Various Countries. Collection d'"Etudes linguistiques," No. 20. Selected papers from the Association Internationale pour la Recherche et la Diffusion des Methodes Audio-Visuelles et Structuro-Globales Seminar (5th, August 27-September 1, 1973).

    ERIC Educational Resources Information Center

    Nivette, Jos, Ed.

    Selected papers that address theoretical and practical training of the modern language teacher and language teaching experiments in various countries are presented. Some of the articles included are the following: "Les problemes de la formation linguistique et pedagogique des professeurs de francais en Afrique Subsaharienne" (The Problems of the…

  16. 19 CFR 10.196 - Cost or value of materials produced in a beneficiary country or countries.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... beneficiary country in the production or manufacture of an article imported into the U.S. The tanned skin... beneficiary country or countries. 10.196 Section 10.196 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION... country or countries. (a) “Materials produced in a beneficiary country or countries” defined. For...

  17. 19 CFR 10.196 - Cost or value of materials produced in a beneficiary country or countries.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... beneficiary country in the production or manufacture of an article imported into the U.S. The tanned skin... beneficiary country or countries. 10.196 Section 10.196 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION... country or countries. (a) “Materials produced in a beneficiary country or countries” defined. For...

  18. 19 CFR 10.196 - Cost or value of materials produced in a beneficiary country or countries.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... beneficiary country in the production or manufacture of an article imported into the U.S. The tanned skin... beneficiary country or countries. 10.196 Section 10.196 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION... country or countries. (a) “Materials produced in a beneficiary country or countries” defined. For...

  19. 19 CFR 10.196 - Cost or value of materials produced in a beneficiary country or countries.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... beneficiary country or countries. 10.196 Section 10.196 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION... country or countries. (a) “Materials produced in a beneficiary country or countries” defined. For purposes of § 10.195, the words “materials produced in a beneficiary country or countries” refer to...

  20. Les déterminants du statut “perdu de vue” chez les patients pris en charge pour cancer au Maroc: situation avant le Plan Cancer

    PubMed Central

    Najdi, Adil; Berraho, Mohamed; Bendahhou, Karima; Obtel, Majdouline; Zidouh, Ahmed; Errihani, Hassan; Nejjari, Chakib

    2014-01-01

    Introduction Le cancer au Maroc représente un problème majeur de santé publique, sa prise en charge doit être globale, active et complète pour tous les patients. L'objectif de ce travail était d'estimer la fréquence des perdus de vue « PDV » en oncologie au Maroc durant la première année de suivi et de déterminer les facteurs associés à ce problème. Méthodes Par une étude rétrospective portant sur 2854 dossiers de malades hospitalisés dans les trois principaux centres d'oncologie au Maroc depuis janvier 2003 jusqu’à juin 2007 et concernant les cinq principales localisations de cancer au Maroc, nous avons cherché la date des dernières nouvelles des patients ayant un recul de 18 mois minimum afin de déterminer le statut de ces malades après un an de suivi. Résultats La moyenne d’âge était de 52±14 ans, une proportion féminine de 63%, les sujets actifs constituaient 28%, les mariés 71%, les analphabètes 51%, 70% des patients habitaient en milieu urbain et seulement 11% des malades disposaient d'une couverture sociale. La localisation cancéreuse la plus fréquente était le poumon (23,8%) suivie du colon-rectum (23,5%) puis le col (21,9%), le sein (20,4%) et les lymphomes (10,4%). Le taux des «PDV» à un an de suivi était de 48%, ce statut était significativement lié au sexe, à l’âge, au NSE et au statut matrimonial. Sur le plan médical, le statut «PDV» était lié à la localisation du cancer, au stade de diagnostic et au type de traitement reçu. Conclusion Notre étude a mis en évidence la grande ampleur du problème des PDV en cancérologie au Maroc ainsi que ces déterminants. Ces résultats incitent tous les acteurs dans le domaine de la cancérologie à collaborer ensemble pour prendre les mesures qui s'imposent pour y pallier PMID:25400850

  1. Commerce de detail de l'essence automobile: Modelisation de l'impact a court terme des facteurs endogenes et exogenes sur les ventes d'essence dans les stations-service a Montreal

    NASA Astrophysics Data System (ADS)

    Nguimbus, Raphael

    La determination de l'impact des facteurs sous controle et hors controle qui influencent les volumes de vente des magasins de detail qui vendent des produits homogenes et fortement substituables constitue le coeur de cette these. Il s'agit d'estimer un ensemble de coefficients stables et asymtotiquement efficaces non correles avec les effets specifiques aleatoires des sites d'essence dans le marche de Montreal (Quebec, Canada) durant is periode 1993--1997. Le modele econometrique qui est ainsi specifie et teste, isole un ensemble de quatre variables dont le prix de detail affiche dans un site d'essence ordinaire, la capacite de service du site pendant les heures de pointe, les heures de service et le nombre de sites concurrents au voisinage du site dans un rayon de deux kilometres. Ces quatre facteurs influencent les ventes d'essence dans les stations-service. Les donnees en panel avec les methodes d'estimation robustes (estimateur a distance minimale) sont utilisees pour estimer les parametres du modele de vente. Nous partons avec l'hypothese generale selon laquelle il se developpe une force d'attraction qui attire les clients automobilistes dans chaque site, et qui lui permet de realiser les ventes. Cette capacite d'attraction varie d'un site a un autre et cela est du a la combinaison de l'effort marketing et de l'environnement concurrentiel autour du site. Les notions de voisinage et de concurrence spatiale expliquent les comportements des decideurs qui gerent les sites. Le but de cette these est de developper un outil d'aide a la decision (modele analytique) pour permettre aux gestionnaires des chaines de stations-service d'affecter efficacement les ressources commerciales dans ies points de vente.

  2. Drones Could Deliver Vaccines in Developing Countries

    MedlinePlus

    ... nlm.nih.gov/medlineplus/news/fullstory_159549.html Drones Could Deliver Vaccines in Developing Countries Machines might ... Right now, people often associate the use of drones with warfare. But in the future they could ...

  3. Health aid and governance in developing countries.

    PubMed

    Fielding, David

    2011-07-01

    Despite anecdotal evidence that the quality of governance in recipient countries affects the allocation of international health aid, there is no quantitative evidence on the magnitude of this effect, or on which dimensions of governance influence donor decisions. We measure health-aid flows over 1995-2006 for 109 aid recipients, matching aid data with measures of different dimensions of governance and a range of country-specific economic and health characteristics. Everything else being equal, countries with more political rights receive significantly more aid, but so do countries with higher corruption levels. The dependence of aid on political rights, even when we control for other governance indicators, suggests that health aid is sometimes used as an incentive to reward political reforms. PMID:20575152

  4. Drones Could Deliver Vaccines in Developing Countries

    MedlinePlus

    ... page: https://medlineplus.gov/news/fullstory_159549.html Drones Could Deliver Vaccines in Developing Countries Machines might ... Right now, people often associate the use of drones with warfare. But in the future they could ...

  5. Ozone layer protection: Country incremental costs

    SciTech Connect

    King, K.; Munasinghe, M.

    1997-12-31

    The report evaluates the frameworks established in various countries to finance the incremental costs of phasing out ozone-depleting substances. The Multilateral Fund and the Global Environment Facility (GEF) were established to assist developing countries in financing the incremental costs of phasing out ozone-depleting substances. Both the Fund and the GEF require a strategic framework for the activities they finance to demonstrate that overall phaseout of these substances will be accomplished. The framework, known as the `country program,` establishes a national strategy and program of proposed activities. This paper describes the country programs in general and reviews the work and results of key analysts who carried out these programs in the former Czechoslovakia, Egypt, India, Jordan, Thailand, Tunisia, Turkey, and Zimbabwe.

  6. Perceived neighborhood environment and physical activity in 11 countries: Do associations differ by country?

    PubMed Central

    2013-01-01

    Background Increasing empirical evidence supports associations between neighborhood environments and physical activity. However, since most studies were conducted in a single country, particularly western countries, the generalizability of associations in an international setting is not well understood. The current study examined whether associations between perceived attributes of neighborhood environments and physical activity differed by country. Methods Population representative samples from 11 countries on five continents were surveyed using comparable methodologies and measurement instruments. Neighborhood environment × country interactions were tested in logistic regression models with meeting physical activity recommendations as the outcome, adjusted for demographic characteristics. Country-specific associations were reported. Results Significant neighborhood environment attribute × country interactions implied some differences across countries in the association of each neighborhood attribute with meeting physical activity recommendations. Across the 11 countries, land-use mix and sidewalks had the most consistent associations with physical activity. Access to public transit, bicycle facilities, and low-cost recreation facilities had some associations with physical activity, but with less consistency across countries. There was little evidence supporting the associations of residential density and crime-related safety with physical activity in most countries. Conclusion There is evidence of generalizability for the associations of land use mix, and presence of sidewalks with physical activity. Associations of other neighborhood characteristics with physical activity tended to differ by country. Future studies should include objective measures of neighborhood environments, compare psychometric properties of reports across countries, and use better specified models to further understand the similarities and differences in associations across countries

  7. Administrative costs in selected industrialized countries.

    PubMed

    Poullier, J P

    1992-01-01

    The costs of health administration are compared across several countries, accompanied by discussion of some of the variations in the definition of health administration. The influence of American health accounting on other countries is examined, and findings are presented regarding the relative costs of insurance-based and direct-delivery systems. Data are presented on health administrative spending providing gross as well as per capita measures. PMID:10122004

  8. Gastroenterology in developing countries: Issues and advances

    PubMed Central

    Mandeville, Kate L; Krabshuis, Justus; Ladep, Nimzing Gwamzhi; Mulder, Chris JJ; Quigley, Eamonn MM; Khan, Shahid A

    2009-01-01

    Developing countries shoulder a considerable burden of gastroenterological disease. Infectious diseases in particular cause enormous morbidity and mortality. Diseases which afflict both western and developing countries are often seen in more florid forms in poorer countries. Innovative techniques continuously improve and update gastroenterological practice. However, advances in diagnosis and treatment which are commonplace in the West, have yet to reach many developing countries. Clinical guidelines, based on these advances and collated in resource-rich environments, lose their relevance outside these settings. In this two-part review, we first highlight the global burden of gastroenterological disease in three major areas: diarrhoeal diseases, hepatitis B, and Helicobacter pylori. Recent progress in their management is explored, with consideration of future solutions. The second part of the review focuses on the delivery of clinical services in developing countries. Inadequate numbers of healthcare workers hamper efforts to combat gastroenterological disease. Reasons for this shortage are examined, along with possibilities for increased specialist training. Endoscopy services, the mainstay of gastroenterology in the West, are in their infancy in many developing countries. The challenges faced by those setting up a service are illustrated by the example of a Nigerian endoscopy unit. Finally, we highlight the limited scope of many clinical guidelines produced in western countries. Guidelines which take account of resource limitations in the form of “cascades” are advocated in order to make these guidelines truly global. Recognition of the different working conditions facing practitioners worldwide is an important step towards narrowing the gap between gastroenterology in rich and poor countries. PMID:19533805

  9. Fungal infection in Latin American countries.

    PubMed

    Rios-Fabra, A; Moreno, A R; Istúriz, R E

    1994-03-01

    Fungal infections remain a frequent health problem in Latin American countries. Although these diseases exhibit an extraordinary heterogeneity, they have certain features in common. Most patients belong to low socioeconomic groups and live in rural areas. This article presents a general view of the most prevalent subcutaneous mycoses, with emphasis on epidemiology, clinical manifestations, laboratory diagnosis, and treatment options in the developing countries of Latin America. PMID:8021441

  10. The solar dilemma in developing countries

    SciTech Connect

    Saif-Ul-Rehman, M. )

    1991-08-01

    This article examines the contribution that solar energy has made to the energy systems of developing countries. The topics discussed in the article are wealth and energy consumption disparities, past and present status of solar energy, inherent limitations of solar energy, modes of solar energy utilization, why solar energy has contributed little to the energy systems of the developing countries, and suggestions for promoting the solar industry.

  11. Managing international migration in developing countries.

    PubMed

    Farrag, M

    1997-01-01

    This article summarizes the findings of 180 participants from 57 governments attending the UN's International Office of Migration's (IOM) Migration Seminar in April 1997 in Geneva. The teams of researchers represented the four developing world regions: sub-Saharan Africa; South Asia; the Arab Region; and Mexico, Central America, and the Caribbean. The seminar was part of IOM's research project on emigration dynamics in developing countries, which was begun in 1993. Researchers shared a common conceptual framework, which recognized the changing socioeconomic, sociopolitical, demographic, and ecological conditions in each country and subregion, the role of networks between people in sending and receiving countries, and the nature of entry restrictions. The research and workshop aimed to help policymakers in developed and developing countries. Conference delegates found the research framework acceptable despite the differences between regions and countries. Conference delegates agreed that the IOM research project was a unique forum for exchange of information and experience between sending and receiving countries. Many participants wanted IOM to provide technical assistance that would help countries manage migration. Delegates strongly desired international commitments to human rights for migrants. Delegates wanted better information exchanges, particularly interchanges of experience on policy measures among Governments, and the stronger inclusion of migrants in management. Returning migrants needed assistance with reintegration. The delegates made 12 recommendations about establishment of an effective system of information exchange, research on emigration dynamics and return migration, development of measures for managing flows that respect existing employment structures, new agreements, and reliable information for migrants on living conditions in host countries. PMID:12348081

  12. Electric network interconnection of Mashreq Arab Countries

    SciTech Connect

    El-Amin, I.M.; Al-Shehri, A.M.; Opoku, G.; Al-Baiyat, S.A.; Zedan, F.M.

    1994-12-01

    Power system interconnection is a well established practice for a variety of technical and economical reasons. Several interconnected networks exist worldwide for a number of factors. Some of these networks cross international boundaries. This presentation discusses the future developments of the power systems of Mashreq Arab Countries (MAC). MAC consists of Bahrain, Egypt, Iraq, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, United Arab Emirates (UAE), and Yemen. Mac power systems are operated by government or semigovernment bodies. Many of these countries have national or regional electric grids but are generally isolated from each other. With the exception of Saudi Arabia power systems, which employ 60 Hz, all other MAC utilities use 50 Hz frequency. Each country is served by one utility, except Saudi Arabia, which is served by four major utilities and some smaller utilities serving remote towns and small load centers. The major utilities are the Saudi Consolidated electric Company in the Eastern Province (SCECO East), SCECO Center, SCECO West, and SCECO South. These are the ones considered in this study. The energy resources in MAC are varied. Countries such as Egypt, Iraq, and Syria have significant hydro resources.The gulf countries and Iraq have abundant fossil fuel, The variation in energy resources as well as the characteristics of the electric load make it essential to look into interconnections beyond the national boundaries. Most of the existing or planned interconnections involve few power systems. A study involving 12 countries and over 20 utilities with different characteristics represents a very large scale undertaking.

  13. Hepatitis B virus burden in developing countries

    PubMed Central

    Zampino, Rosa; Boemio, Adriana; Sagnelli, Caterina; Alessio, Loredana; Adinolfi, Luigi Elio; Sagnelli, Evangelista; Coppola, Nicola

    2015-01-01

    Hepatitis B virus (HBV) infection has shown an intermediate or high endemicity level in low-income countries over the last five decades. In recent years, however, the incidence of acute hepatitis B and the prevalence of hepatitis B surface antigen chronic carriers have decreased in several countries because of the HBV universal vaccination programs started in the nineties. Some countries, however, are still unable to implement these programs, particularly in their hyperendemic rural areas. The diffusion of HBV infection is still wide in several low-income countries where the prevention, management and treatment of HBV infection are a heavy burden for the governments and healthcare authorities. Of note, the information on the HBV epidemiology is scanty in numerous eastern European and Latin-American countries. The studies on molecular epidemiology performed in some countries provide an important contribution for a more comprehensive knowledge of HBV epidemiology, and phylogenetic studies provide information on the impact of recent and older migratory flows. PMID:26576083

  14. Establishing Ergonomics in Industrially Developing Countries

    SciTech Connect

    Stewart, K; Silverstein, B; Kiefer, M

    2005-08-29

    The introduction of ergonomics is an ongoing effort in industrially developing countries and will ultimately require an organized, programmatic approach spanning several countries and organizations. Our preliminary efforts with our partner countries of Viet Nam, Thailand, and Nicaragua have demonstrated that a one-time course is just the first step in a series of necessary events to provide skills and create an infrastructure that will have lasting impact for the host country. To facilitate that any sort of training has a lasting impact, it is recommended that host countries establish a 'contract' with class participants and the guest instructors for at least one follow-up visit so instructors can see the progress and support the participants in current and future efforts. With repeated exchanges, the class participants can become the 'in country experts' and the next generation of ergonomic trainers. Additionally, providing participants with an easy to use hazard assessment tool and methods for evaluating the financial impact of the project (cost/benefit analysis) will assist increase the likelihood of success and establish a foundation for future projects. In the future, developing trade and regionally/culturally specific 'ergonomics toolkits' can help promote broader implementation, especially where training resources may be limited.

  15. Comparing UCLALES-SALSA and WRF-Chem LES

    NASA Astrophysics Data System (ADS)

    Tonttila, Juha; Dunne, Eimear; Ahola, Jaakko; Korhonen, Hannele; Kokkola, Harri; Romakkaniemi, Sami

    2016-04-01

    The new UCLALES-SALSA model, which uses a sectional representation of aerosols and cloud droplets, is compared against the LES configuration of the established WRF-Chem model. Two configurations of WRF-Chem are compared: the first using the sectional MOSAIC aerosol representation, and the second using the modal MADE/SORGAM representation. Both sets of WRF-Chem simulations use the two-moment Morrisson bulk cloud scheme. Wherever possible, the three sets of simulations have identical processes and initial conditions. By comparing UCLALES-SALSA against an established model in an ideal scenario, we demonstrate that the new model provides a realistic representation of warm cloud processes. The two configurations of WRF-Chem make it possible (to an extent) to isolate whether differences in model outputs are due to meteorological or microphysical effects.

  16. A Hybrid RANS/LES Approach for Predicting Jet Noise

    NASA Technical Reports Server (NTRS)

    Goldstein, Marvin E.

    2006-01-01

    Hybrid acoustic prediction methods have an important advantage over the current Reynolds averaged Navier-Stokes (RANS) based methods in that they only involve modeling of the relatively universal subscale motion and not the configuration dependent larger scale turbulence. Unfortunately, they are unable to account for the high frequency sound generated by the turbulence in the initial mixing layers. This paper introduces an alternative approach that directly calculates the sound from a hybrid RANS/LES flow model (which can resolve the steep gradients in the initial mixing layers near the nozzle lip) and adopts modeling techniques similar to those used in current RANS based noise prediction methods to determine the unknown sources in the equations for the remaining unresolved components of the sound field. The resulting prediction method would then be intermediate between the current noise prediction codes and previously proposed hybrid noise prediction methods.

  17. Etude des effets du martelage repetitif sur les contraintes residuelles

    NASA Astrophysics Data System (ADS)

    Hacini, Lyes

    L'assemblage par soudage peut engendrer des contraintes residuelles. Ces contraintes provoquent des fissurations prematurees et un raccourcissement de la duree de vie des composants. Dans ce contexte, le martelage robotise est utilise pour relaxer ces contraintes residuelles. Trois volets sont presentes: le premier est l'evaluation des effets des impacts unitaires repetes sur le champ de contraintes developpe dans des plaques d'acier inoxydable austenitique 304L vierges ou contenant des contraintes residuelles initiales. Dans la deuxieme partie de ce projet, le martelage est applique grace au robot SCOMPI. Les contraintes residuelles induites et relaxees par martelage sont ensuite mesurees par la methode des contours, qui a ete adaptee a cet effet. Dans la troisieme partie, le martelage est modelise par la methode des elements finis. Un modele axisymetrique developpe grace au logiciel ANSYS permet de simuler des impacts repetes d'un marteau elastique sur une plaque ayant un comportement elastoplastique.

  18. LES/RANS Simulation of a Supersonic Reacting Wall Jet

    NASA Technical Reports Server (NTRS)

    Edwards, Jack R.; Boles, John A.; Baurle, Robert A.

    2010-01-01

    This work presents results from large-eddy / Reynolds-averaged Navier-Stokes (LES/RANS) simulations of the well-known Burrows-Kurkov supersonic reacting wall-jet experiment. Generally good agreement with experimental mole fraction, stagnation temperature, and Pitot pressure profiles is obtained for non-reactive mixing of the hydrogen jet with a non-vitiated air stream. A lifted flame, stabilized between 10 and 22 cm downstream of the hydrogen jet, is formed for hydrogen injected into a vitiated air stream. Flame stabilization occurs closer to the hydrogen injection location when a three-dimensional combustor geometry (with boundary layer development resolved on all walls) is considered. Volumetric expansion of the reactive shear layer is accompanied by the formation of large eddies which interact strongly with the reaction zone. Time averaged predictions of the reaction zone structure show an under-prediction of the peak water concentration and stagnation temperature, relative to experimental data and to results from a Reynolds-averaged Navier-Stokes calculation. If the experimental data can be considered as being accurate, this result indicates that the present LES/RANS method does not correctly capture the cascade of turbulence scales that should be resolvable on the present mesh. Instead, energy is concentrated in the very largest scales, which provide an over-mixing effect that excessively cools and strains the flame. Predictions improve with the use of a low-dissipation version of the baseline piecewise parabolic advection scheme, which captures the formation of smaller-scale structures superimposed on larger structures of the order of the shear-layer width.

  19. Les abcès froids pariétaux thoraciques chez les sujets immunocompétents

    PubMed Central

    Benjelloun, Hanane; Morad, Sanaa; Zaghba, Nahid; Bakhatar, Abdelaziz; Yassine, Najiba; Bahlaoui, Abdelkrim

    2015-01-01

    Les abcès froids de la paroi thoracique représentent une forme rare et inhabituelle de tuberculose extrapulmonaire. Sa fréquence est estimée à moins de 5% des tuberculoses ostéoarticulaires, évaluées elles-mêmes à 15% des tuberculoses extrapulmonaires. L'objectif de ce travail est de rapporter la prise en charge diagnostique et thérapeutique de cette localisation dans notre structure. Etude rétrospective portant sur 18 cas colligés au service des maladies respiratoires du centre hospitalier universitaire Ibn Rochd de Casablanca, sur une période de 13 ans. La moyenne d’âge était de 34 ans (21-57). Un antécédent de tuberculose traitée était relevé dans un cas. Le tableau clinique était révélé par l'apparition insidieuse d'une masse pariétale de taille, de consistance et de siège variables. A l'imagerie thoracique, l'abcès pariétal était associé à une lyse osseuse dans sept cas, une atteinte parenchymateuse et pleurale dans quatre cas chacune et des adénopathies médiastinales dans deux cas. La confirmation diagnostique était bactériologique et/ou histologique dans tous les cas. La sérologie du virus de l'immunodéficience humaineétait négative chez tous nos malades. L’évolution sous traitement antibacillaire couplé ou non à une résection chirurgicale était favorable chez tous nos malades. Malgré la fréquence de la tuberculose dans notre contexte, la localisation pariétale thoracique reste rare, survenant chez une population non immunodéprimée et non toxicomane, contrairement à ce qui est souvent rapporté dans la littérature. Les abcès froids tuberculeux représentent une forme rare de tuberculose extrapulmonaire dont l’évolution reste favorable sous traitement précoce et bien conduit. PMID:26113904

  20. Enhanced capacitative calcium entry and TRPC channel gene expression in human LES smooth muscle.

    PubMed

    Wang, Jian; Laurier, Lisanne G; Sims, Stephen M; Preiksaitis, Harold G

    2003-06-01

    Transient receptor potential channel (TRPC) genes encode Ca(2+)-permeable channels mediating capacitative Ca(2+) entry (CCE), which maintains intracellular Ca(2+) stores. We compared TRPC gene expression and CCE in human esophageal body (EB) and lower esophageal sphincter (LES), because these smooth muscles have distinct contractile functions that are likely associated with different Ca(2+) regulatory mechanisms. Circular layer smooth muscle cells were grown in primary culture. Transcriptional expression of TRPC genes was compared by semiquantitative RT-PCR. CCE was measured by fura 2 Ca(2+) fluorescence after blockade of sarcoplasmic reticulum Ca(2+)-ATPase with thapsigargin. mRNA for TRPC1, TRPC3, TRPC4, TRPC5, and TRPC6 was identified in EB and LES. TRPC3 and TRPC4 were more abundant in LES than EB. Basal concentration of free intracellular Ca(2+) ([Ca(2+)](i)) was similar in cells from LES (138 +/- 8 nmol/l) and EB (110 +/- 6 nmol/l) and increased with ACh (10 micromol/l; 650 +/- 28 and 590 +/- 21 nmol/l, respectively). With zero Ca(2+) in bath, thapsigargin (2 micromol/l) increased [Ca(2+)](i) more in LES (550 +/- 22 nmol/l) than EB (250 +/- 15 nmol/l, P < 0.001). Subsequent external application of 1 mmol/l Ca(2+) increased [Ca(2+)](i) more in LES (585 +/- 35 nmol/l) than EB (295 +/- 21 nmol/l, P < 0.001), indicating enhanced CCE in LES. This demonstrates CCE and TRPC transcriptional expression in human esophageal smooth muscle. In LES cells, enhanced CCE and expression of TRPC3 and TRPC4 may contribute to the physiological characteristics that distinguish LES from EB. PMID:12736151

  1. Les corps étrangers en ORL: expérience de dix ans

    PubMed Central

    Hssaine, Khaoula; Belhoucha, Btissam; Rochdi, Youssef; Nouri, Hassan; Aderdour, Lahcen; Raji, Abdelaziz

    2015-01-01

    Les corps étrangers (CE) représentent une pathologie fréquemment rencontrée en pratique ORL d'urgence. Ils peuvent constituer une urgence vitale par leur aspect ou leur siège. Nous présentons le bilan de dix ans sur la prise en charge des CE de la sphère ORL avec une revue de la littérature. Il s'agit d'une étude rétrospective entre Janvier 2004 et Décembre 2013, incluant tous les cas de CE des voies aéro-digestives supérieures et auriculaires colligés dans le service d'ORL au CHU Mohammed VI de Marrakech au Maroc. Sur les 1317 cas de CE de la sphère ORL colligés durant cette période, 80,48% concernaient les enfants. Le sex-ratio était de 1,5. L’âge moyen était de 12,92 ans. Les CE œsophagiens étaient les plus fréquents (47,53%). Les complications ont été rencontrées dans 11,69% des cas. Les CE dans la sphère ORL restent fréquents en pratique quotidienne surtout chez les enfants. Leur prise en charge nécessite une intervention rapide avec un matériel adapté et des médecins entrainés. La prévention reste la meilleure solution. PMID:26516392

  2. Des recommandations probantes pour surveiller l’innocuité des antipsychotiques de deuxième génération chez les enfants et les adolescents

    PubMed Central

    Pringsheim, Tamara; Panagiotopoulos, Constadina; Davidson, Jana; Ho, Josephine

    2012-01-01

    HISTORIQUE : Au Canada, l’utilisation d’antipsychotiques, notamment les antipsychotiques de deuxième génération (ADG), a augmenté de façon considérable depuis cinq ans chez les enfants ayant des troubles de santé mentale. Ces médicaments ont le potentiel de causer de graves complications métaboliques et neurologiques lorsqu’on les utilise de manière chronique. OBJECTIF : Synthétiser les données probantes relatives aux effets secondaires métaboliques et neurologiques précis associés à l’usage d’ADG chez les enfants et fournir des recommandations probantes sur la surveillance de ces effets secondaires. MÉTHODOLOGIE : Les auteurs ont procédé à une analyse systématique des essais cliniques contrôlés des ADG auprès d’enfants. Ils ont fait des recommandations à l’égard de la surveillance de l’innocuité des ADG d’après un modèle de classification fondé sur le système GRADE (système de notation de l’évaluation et de l’élaboration des recommandations). Lorsque les données probantes n’étaient pas suffisantes, ils fondaient leurs recommandations sur le consensus et l’avis d’experts. Un groupe consensuel multidisciplinaire a analysé toutes les données probantes pertinentes et est parvenu à un consensus à l’égard des recommandations. RÉSULTATS : Les recommandations probantes portant sur la surveillance de l’innocuité des ADG figurent dans les présentes lignes directrices. Les auteurs indiquent la qualité des recommandations relatives à des examens physiques et tests de laboratoire précis à l’égard de chaque ADG à des moments déterminés. CONCLUSION : De multiples essais aléatoires et contrôlés ont permis d’évaluer l’efficacité de bon nombre des ADG utilisés pour traiter les troubles de santé mentale en pédiatrie. Toutefois, leurs avantages ne sont pas sans risques : on observe à la fois des effets secondaires métaboliques et neurologiques chez les enfants traités au moyen d

  3. Assessment of stretched vortex subgrid-scale models for LES of incompressible inhomogeneous turbulent flow.

    PubMed

    Shetty, Dinesh A; Frankel, Steven H

    2013-09-20

    The physical space version of the stretched vortex subgrid scale model [Phys. Fluids 12, 1810 (2000)] is tested in large eddy simulations (LES) of the turbulent lid driven cubic cavity flow. LES is carried out using a higher order finite-difference method [J. Comput. Phys. 229, 8802 (2010)]. The effects of different vortex orientation models and subgrid turbulence spectrums are assessed through comparisons of the LES predictions against direct numerical simulations (DNS) [Phys. Fluids 12, 1363 (2000)]. Three Reynolds numbers 12000, 18000, and 22000 are studied. Good agreement with the DNS data for the mean and fluctuating quantities is observed. PMID:24187423

  4. Les valvulopathies cardiaques en milieu hospitalier à Lomé (Togo)

    PubMed Central

    Balaka, Abago; Tchamdja, Toyi; Djibril, Mohaman Awalou; Djagadou, Kodjo Agbéko; Tchandana, Makilioubè; Damorou, Findibé; Agbétra, Aïssah

    2015-01-01

    Introduction Notre étude a consisté en l'identification les principales valvulopathies retrouvées en milieu hospitalier à Lomé (Togo). Méthodes Il s'agit d'une étude rétrospective, transversale, multicentrique menée du 1er janvier 2006 au 31 décembre 2010 et portant sur les dossiers de patients suivis dans le service de cardiologie du CHU Campus de Lomé. Résultats Du 1er janvier 2006 au 31 Décembre 2010,5412 patients ont été consulté dans le service de cardiologie du CHU Campus. Parmi eux, 241 (4,45%) présentaient une valvulopathie. On notait une prédominance féminine avec un sex-ratio H/F à 0,60. La moyenne d’âge était de 62,32 ans avec des extrêmes allant de 16 à 89 ans et un écart type de 14,27. Les antécédents le plus souvent retrouvés étaient l'hypertension artérielle (26,97%) et le diabète (8,29%). Parmi les motifs de consultations, les plus fréquents étaient la dyspnée (39,00%), les précordialgies (32,78%) et les palpitations (21,16%). A l'examen physique 30,70% des patients présentaient des signes de d'insuffisance cardiaque. A l’échographie, on notait des atteintes d'une seule valve (77,17%), de 02 valves (17,42%) ou 03 valves (5,4%). L'insuffisance mitrale (56,84%) et l'insuffisance aortique (30,70%) ont été les valvulopathies les plus fréquemment retrouvées. La maladie mitrale a été notée chez 05 patients. Les principales étiologies étaient dégénératives et ischémiques. Conclusion Les valvulopathies sont relativement fréquentes à Lomé. L'insuffisance cardiaque est leur principal mode de révélation. Les plus retrouvées sont l'insuffisance mitrale et aortique. PMID:26113911

  5. Model-Invariant Hybrid LES-RANS Computation of Separated Flow Past Periodic Hills

    NASA Technical Reports Server (NTRS)

    Woodruff, Stephen

    2014-01-01

    The requirement that physical quantities not vary with a hybrid LESRANS model's blending parameter imposes conditions on the computation that lead to better results across LES-RANS transitions. This promises to allow placement of those transitions so that LES is performed only where required by the physics, improving computational efficiency. The approach is applied to separated flow past periodic hills, where good predictions of separation-bubble size are seen due to the gradual, controlled, LES-RANS transition and the resulting enhanced near-wall eddy viscosity.

  6. Evaluation des complications cardiaques chez les hémodialysés chroniques de Dakar

    PubMed Central

    Moustapha, Cissé Mouhamadou; Tall, Lemrabott Ahmed; Maria, Faye; Khodia, Fall; Moustapha, Faye; Fary, Ka El Hadji; Abdou, Niang; Boucar, Diouf

    2016-01-01

    Introduction L’évaluation cardiovasculaire est essentielle en hémodialyse périodique car les affections cardiovasculaires sont la première cause de mortalité chez les hémodialysés chroniques. Nous avons conduit cette étude afin de déterminer la prévalence et le type des différentes complications cardiovasculaires et d'identifier les principaux facteurs de risque cardiovasculaire. Méthodes Il s'agissait d'une étude rétrospective de 4 ans portant sur les dossiers de patients traités au moins 6 mois en hémodialyse et ayant des explorations cardio-vasculaires comportant une radiographie du thorax de face, un électrocardiogramme et une échographie cardiaque. Les données épidémiologiques, cliniques, paracliniques, les aspects évolutifs des complications cardiaques ont été recueillies pour chaque patient retenu. Résultats Trente huit dossiers de patients ont été inclus dans cette étude. L’âge moyen était de 52 ans ± 12,85 et le sex-ratio H/F de 1,53. Les complications cardiovasculaires étaient dominées par l'hypertrophie ventriculaire gauche (71,05%), la maladie coronaire (34,21%), l'insuffisance cardiaque congestive (18,42%), Calcifications vasculaires (5,78%), les troubles du rythme (7.89%), les fuites valvulaires mitrales (44,73%), tricuspidiennes (42,10%) et les accidents vasculaires cérébraux hémorragiques (5,26%). L'incidence moyenne de l'HVG était de 81% chez les patients hypertendus. Au cours de cette étude, 27 patients avaient poursuivi l'hémodialyse et 11 étaient décédés dont 6 de causes cardiovasculaires (54,55%). Conclusion L'hémodialyse est une technique d’épuration qui expose les patients à de multiples complications cardiovasculaires. PMID:27217869

  7. Groundwater socio-ecology and governance: a review of institutions and policies in selected countries

    NASA Astrophysics Data System (ADS)

    Mukherji, Aditi; Shah, Tushaar

    2005-03-01

    Groundwater is crucial for the livelihoods and food security of millions of people, and yet, knowledge formation in the field of groundwater has remained asymmetrical. While, scientific knowledge in the discipline (hydrology and hydrogeology) has advanced remarkably, relatively little is known about the socio-economic impacts and institutions that govern groundwater use. This paper therefore has two objectives. The first is to provide a balanced view of the plus and the down side of groundwater use, especially in agriculture. In doing so, examples are drawn from countries such as India, Pakistan, Bangladesh, China, Spain and Mexico—all of which make very intensive use of groundwater. Second, institutions and policies that influence groundwater use are analyzed in order to understand how groundwater is governed in these countries and whether successful models of governance could be replicated elsewhere. Finally, the authors argue that there is a need for a paradigm shift in the way groundwater is presently perceived and managed—from management to governance mode. In this attempt, a number of instruments such as direct regulation, indirect policy levers, livelihood adaptation and people's participation will have to be deployed simultaneously in a quest for better governance. L'eau souterraine est cruciale pour la survie et la sécurité alimentaire de plusieurs millions de personnes mais cependant la foramtion en matière d'eaux souterraines reste asymmétrique. Alors que la connaissance scientifique dans la discipline (hydrologie et hydrogéologie) a avancée de manière remarquable, on connaît peu de choses sur les impacts socio-économiques et les institutions qui gouvernent l'utilisation des eaux souterraines. Cet article a par conséquent deux objectifs. Le premier est d'assurer un point de vue balancé entre le côté positif et le côté négatif de l'utilisation de l'eau souterraine, spécialement en agriculture. De cette manière, des exemples d

  8. Groundwater socio-ecology and governance: a review of institutions and policies in selected countries

    NASA Astrophysics Data System (ADS)

    Mukherji, Aditi; Shah, Tushaar

    2005-03-01

    Groundwater is crucial for the livelihoods and food security of millions of people, and yet, knowledge formation in the field of groundwater has remained asymmetrical. While, scientific knowledge in the discipline (hydrology and hydrogeology) has advanced remarkably, relatively little is known about the socio-economic impacts and institutions that govern groundwater use. This paper therefore has two objectives. The first is to provide a balanced view of the plus and the down side of groundwater use, especially in agriculture. In doing so, examples are drawn from countries such as India, Pakistan, Bangladesh, China, Spain and Mexico—all of which make very intensive use of groundwater. Second, institutions and policies that influence groundwater use are analyzed in order to understand how groundwater is governed in these countries and whether successful models of governance could be replicated elsewhere. Finally, the authors argue that there is a need for a paradigm shift in the way groundwater is presently perceived and managed—from management to governance mode. In this attempt, a number of instruments such as direct regulation, indirect policy levers, livelihood adaptation and people's participation will have to be deployed simultaneously in a quest for better governance. L'eau souterraine est cruciale pour la survie et la sécurité alimentaire de plusieurs millions de personnes mais cependant la foramtion en matière d'eaux souterraines reste asymmétrique. Alors que la connaissance scientifique dans la discipline (hydrologie et hydrogéologie) a avancée de manière remarquable, on connaît peu de choses sur les impacts socio-économiques et les institutions qui gouvernent l'utilisation des eaux souterraines. Cet article a par conséquent deux objectifs. Le premier est d'assurer un point de vue balancé entre le côté positif et le côté négatif de l'utilisation de l'eau souterraine, spécialement en agriculture. De cette manière, des exemples d

  9. [Risk sharing methods in middle income countries].

    PubMed

    Inotai, András; Kaló, Zoltán

    2012-01-01

    The pricing strategy of innovative medicines is based on the therapeutic value in the largest pharmaceutical markets. The cost-effectiveness of new medicines with value based ex-factory price is justifiable. Due to the international price referencing and parallel trade the ex-factory price corridor of new medicines has been narrowed in recent years. Middle income countries have less negotiation power to change the narrow drug pricing corridor, although their fair intention is to buy pharmaceuticals at lower price from their scarce public resources compared to higher income countries. Therefore the reimbursement of new medicines at prices of Western-European countries may not be justifiable in Central-Eastern European countries. Confidential pricing agreements (i.e. confidential price discounts, claw-back or rebate) in lower income countries of the European Union can alleviate this problem, as prices of new medicines can be adjusted to local purchasing power without influencing the published ex-factory price and so the accessibility of patients to these drugs in other countries. In order to control the drug budget payers tend to apply financial risk sharing agreements for new medicines in more and more countries to shift the consequences of potential overspending to pharmaceutical manufacturers. The major paradox of financial risk-sharing schemes is that increased mortality, poor persistence of patients, reduced access to healthcare providers, and no treatment reduce pharmaceutical spending. Consequently, payers have started to apply outcome based risk sharing agreements for new medicines recently to improve the quality of health care provision. Our paper aims to review and assess the published financial and outcome based risk sharing methods. Introduction of outcome based risk-sharing schemes can be a major advancement in the drug reimbursement strategy of payers in middle income countries. These schemes can help to reduce the medical uncertainty in coverage

  10. Quality of life in developing countries.

    PubMed

    Olweny, C L

    1992-01-01

    80% of cancers in developing countries present at an advanced stage and progress rapidly. Since ministries of health in these countries typically do not have the resources to afford aggressive responses to these conditions, the prevention and palliation of disease and related adverse circumstances are of paramount importance. To a clinical investigator, quality of life (QOL) is a measure of success in evaluating treatment outcomes; a means of assessing rehabilitation needs; and a predictor of response to treatment. It embraces broader functional domains than simply physical function and its measurement is likely to serve as a more accurate predictor of outcome than performance status alone. Under the aforementioned conditions under which cancer tends to present in developing countries, practitioners and programs should strive to attain the highest possible QOL for patients and families. Pain and distressing symptoms should be alleviated as much as possible. Socioeconomic and cultural aspects of developing countries are described followed by sections addressing QOL in terms of the impact of social influence; cultural influence on health, illness and QOL; measuring quality of life; and QOL studies in developing countries. Policy change is ultimately called for to ensure the constant availability of cheap analgesics, especially opioids, in a form easily transportable to rural areas. Essential drugs and priority on prevention and palliation are also needed; studies on QOL should help realize these goals. PMID:1432373

  11. Adaptation to Climate Change in Developing Countries

    NASA Astrophysics Data System (ADS)

    Mertz, Ole; Halsnæs, Kirsten; Olesen, Jørgen E.; Rasmussen, Kjeld

    2009-05-01

    Adaptation to climate change is given increasing international attention as the confidence in climate change projections is getting higher. Developing countries have specific needs for adaptation due to high vulnerabilities, and they will in this way carry a great part of the global costs of climate change although the rising atmospheric greenhouse gas concentrations are mainly the responsibility of industrialized countries. This article provides a status of climate change adaptation in developing countries. An overview of observed and projected climate change is given, and recent literature on impacts, vulnerability, and adaptation are reviewed, including the emerging focus on mainstreaming of climate change and adaptation in development plans and programs. The article also serves as an introduction to the seven research articles of this special issue on climate change adaptation in developing countries. It is concluded that although many useful steps have been taken in the direction of ensuring adequate adaptation in developing countries, much work still remains to fully understand the drivers of past adaptation efforts, the need for future adaptation, and how to mainstream climate into general development policies.

  12. Obesity and poverty paradox in developed countries.

    PubMed

    Żukiewicz-Sobczak, Wioletta; Wróblewska, Paula; Zwoliński, Jacek; Chmielewska-Badora, Jolanta; Adamczuk, Piotr; Krasowska, Ewelina; Zagórski, Jerzy; Oniszczuk, Anna; Piątek, Jacek; Silny, Wojciech

    2014-01-01

    Obesity is a civilization disease and the proportion of people suffering from it continues to grow, especially in the developed countries. Number of obese people in Europe has increased threefold over the last 20 years. The paradox of obesity and poverty relationship is observed especially in the developed and developing countries. In developing countries, along with economic development and income growth, the number of people with overweight and obesity is increasing. This paradox has a relationship with both the easy availability and low cost of highly processed foods containing 'empty calories' and no nutritional value. To date, this paradox has been described in the United States and the United Kingdom, although many European countries are also experiencing high percentages of obese people. Among the reasons for the growing obesity in the population of poor people are: higher unemployment, lower education level, and irregular meals. Another cause of obesity is low physical activity, which among the poor is associated with a lack of money for sports equipment. Due to the large rate of deaths caused by diseases directly linked to obesity, the governments of many countries implement prevention programmes of overweight and obesity. These programmes are based primarily on educating the public about a healthy lifestyle based on healthy eating, daily physical activity and avoiding alcohol and cigarettes. PMID:25292135

  13. Three countries' experience with Norplant introduction.

    PubMed

    Hardee, K; Balogh, S; Villinski, M T

    1997-09-01

    Despite international efforts to plan for Norplant introduction, the method has drawn the attention of critics of family planning programmes, and has raised several issues for debate since it was introduced into family planning programmes. The experiences of three countries with the introduction of Norplant highlight some of the unique features of the method that have affected its introduction. Indonesia, Bangladesh and the United States represent diverse cultural settings and systems of family planning provision. Experience in each country has highlighted the need to focus on quality of care for clients, most notably the need for good counselling and attention to removal as well as insertion. The cost of Norplant also has influenced its introduction in each country. Another issue includes the need to work with women's health advocacy groups, which is illustrated particularly in Bangladesh. Finally, the role of litigation in the United States, and its potential role in influencing Norplant introduction in other countries, is discussed. These three countries' experience illustrate the importance of understanding the programmatic context of contraceptive introduction. PMID:10173401

  14. Is astronomical research appropriate for developing countries?

    NASA Astrophysics Data System (ADS)

    Snowden, Michael S.

    An unproductive 45-cm astronomical telescope, given by JICA (Japan) to Sri Lanka, raises general questions as to the reasons for unproductive pure science in developing countries. Before installation, site, maintenance, and scientific objectives were discussed. The facility was launched with a conference organised by the UN Office for Outer Space Affairs. Unfortunately, no research or significant education has resulted after four years. The annual operating cost is U.S. $5000 per year, including salary for a trainee, maintenance, and a modest promotional programme. Comparison with a similar installation in Auckland suggests lack of funding or technical competence do not explain the failure in Sri Lanka. The facility in New Zealand, on the roof of Auckland University's Physics Department, has a slightly smaller budget but has led to modest but useful research and teaching. Lack of financial backing and expertise are often blamed for weak science in developing countries, but examination shows most of these countries have adequately skilled people, and plenty of resources for religion and military. General lack of motivation for science appears to be the principal reason. This lack of interest and highly inefficient bureaucracies are common to scientifically unproductive countries. They mostly lack the cultural and philosophical base of the European Renaissance that motivate the pursuit of modern science, an activity that violates human preferences. There are excellent facilities (ESO, SAAO, Cerro Tololo, and GONG) in some of these same countries, when administered from the West.

  15. Economic Growth and the Ehrenfest Fleas:. the Convergence among Countries

    NASA Astrophysics Data System (ADS)

    di Gennaro, Luca; Garibaldi, Ubaldo

    The aim of this work is to predict the economic convergence among countries by using a generalization of Ehrenfest's urn. In particular this work shows that the Ehrenfest model captures the convergence among countries. A empirical analysis is presented on the European Union countries, the G7 countries and the emerging countries.

  16. 27 CFR 12.21 - List of examples of names by country.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...-Fronsac, Cassis, Cerons, Charlemagne, Chateau Chalon, Chateau-Grillet, Chinon, Chorey-les-Beaunes, Clos de... Provence, Cotes du Jura, Cotes du Roussillon, Cotes du Ventoux, Crepy, Dezize-les-Maranges, Faugeres,...

  17. 27 CFR 12.21 - List of examples of names by country.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...-Fronsac, Cassis, Cerons, Charlemagne, Chateau Chalon, Chateau-Grillet, Chinon, Chorey-les-Beaunes, Clos de... Provence, Cotes du Jura, Cotes du Roussillon, Cotes du Ventoux, Crepy, Dezize-les-Maranges, Faugeres,...

  18. 27 CFR 12.21 - List of examples of names by country.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...-Fronsac, Cassis, Cerons, Charlemagne, Chateau Chalon, Chateau-Grillet, Chinon, Chorey-les-Beaunes, Clos de... Provence, Cotes du Jura, Cotes du Roussillon, Cotes du Ventoux, Crepy, Dezize-les-Maranges, Faugeres,...

  19. 27 CFR 12.21 - List of examples of names by country.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...-Fronsac, Cassis, Cerons, Charlemagne, Chateau Chalon, Chateau-Grillet, Chinon, Chorey-les-Beaunes, Clos de... Provence, Cotes du Jura, Cotes du Roussillon, Cotes du Ventoux, Crepy, Dezize-les-Maranges, Faugeres,...

  20. 27 CFR 12.21 - List of examples of names by country.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...-Fronsac, Cassis, Cerons, Charlemagne, Chateau Chalon, Chateau-Grillet, Chinon, Chorey-les-Beaunes, Clos de... Provence, Cotes du Jura, Cotes du Roussillon, Cotes du Ventoux, Crepy, Dezize-les-Maranges, Faugeres,...

  1. United Nations geothermal activities in developing countries

    SciTech Connect

    Beredjick, N.

    1987-07-01

    The United Nations implements technical cooperation projects in developing countries through its Department of Technical Cooperation for Development (DTCD). The DTCD is mandated to explore for and develop natural resources (water, minerals, and relevant infrastructure) and energy - both conventional and new and renewable energy sources. To date, the United Nations has been involved in over 30 geothermal exploration projects (completed or underway) in 20 developing countries: 8 in Africa (Djibouti, Ethiopia, Kenya, Madagascar); 8 in Asia (China, India, Jordan, Philippines, Thailand); 9 in Latin America (Bolivia, Chile, El Salvador, Honduras, Mexico, Nicaragua, Panama) and 6 in Europe (Greece, Romania, Turkey, Yugoslavia). Today, the DTCD has seven UNDP geothermal projects in 6 developing countries. Four of these (Bolivia, China, Honduras, and Kenya) are major exploration projects whose formulation and execution has been possible thanks to the generous contributions under cost-sharing arrangements from the government of Italy. These four projects are summarized.

  2. Obesity Prevention in the Nordic Countries.

    PubMed

    Stockmarr, Anders; Hejgaard, Tatjana; Matthiessen, Jeppe

    2016-06-01

    Previous studies have shown that mean BMI and prevalences of overweight/obesity and obesity have increased over the last decades in the Nordic countries, despite highly regulated societies with a focus on obesity prevention. We review recent overweight/obesity and obesity prevention initiatives within four of the five Nordic countries: Sweden, Denmark, Finland, and Iceland. Moreover, we analyze the current situation based on monitoring data on BMI collected in 2011 and 2014, and obtain overall estimates of overweight/obesity and obesity prevalences for the Nordic Region. Data analysis shows that obesity in adults has increased from 2011 to 2014, while no significant changes were found for children. No significant increases were found for mean BMI and overweight/obesity prevalence. Obesity prevention initiatives among the Nordic countries are highly similar although minor differences are present, which is rooted in transnational Nordic cooperation and comparable societal structures. PMID:27033877

  3. Feasible mitigation actions in developing countries

    NASA Astrophysics Data System (ADS)

    Jakob, Michael; Steckel, Jan Christoph; Klasen, Stephan; Lay, Jann; Grunewald, Nicole; Martínez-Zarzoso, Inmaculada; Renner, Sebastian; Edenhofer, Ottmar

    2014-11-01

    Energy use is not only crucial for economic development, but is also the main driver of greenhouse-gas emissions. Developing countries can reduce emissions and thrive only if economic growth is disentangled from energy-related emissions. Although possible in theory, the required energy-system transformation would impose considerable costs on developing nations. Developed countries could bear those costs fully, but policy design should avoid a possible 'climate rent curse', that is, a negative impact of financial inflows on recipients' economies. Mitigation measures could meet further resistance because of adverse distributional impacts as well as political economy reasons. Hence, drastically re-orienting development paths towards low-carbon growth in developing countries is not very realistic. Efforts should rather focus on 'feasible mitigation actions' such as fossil-fuel subsidy reform, decentralized modern energy and fuel switching in the power sector.

  4. Understanding the LANDSAT market in developing countries

    NASA Technical Reports Server (NTRS)

    Willard, M. R.

    1980-01-01

    The constraints on the growth of the market which stem from the development process itself and from a country's technical, political, and institutional attributes were examined. Four competing factors guide the development of policy regarding an operational land remote sensing system and are summarized. The factors are: there is a need to boost U.S. experts in areas where the U.S. holds a technological lead; the need to develop user applications in developing countries on their terms coincides with foreign policy; developing countries desire to take control of their own development; and the U.S. government wants to enlist the participation of major companies in the management, operation, and ownership of the operational system.

  5. Disaster Risk Transfer for Developing Countries

    NASA Astrophysics Data System (ADS)

    Linneroothbayer, J.; Mechler, R.; Pflug, G.; Hochrainer, S.

    2005-12-01

    Financing disaster recovery often diverts resources from development, which can have long-term effects on economic growth and the poor in developing countries. Moreover, post-disaster assistance, while important for humanitarian reasons, has failed to meet the needs of developing countries in reducing their exposure to disaster risks and assuring sufficient funds to governments and individuals for financing the recovery process. The authors argue that part of disaster aid should be refocused from post-disaster to pre-disaster assistance including financial disaster risk management. Such assistance is now possible with new modeling techniques for estimating and pricing risks of natural disasters coupled with the advent of novel insurance instruments for transferring catastrophe risk to the global financial markets. The authors illustrate the potential for risk transfer in developing countries using the IIASA CATSIM model, which shows the potential impacts of disasters on economic growth in selected developing countries and the pros and cons of financial risk management to reduce those adverse impacts. The authors conclude by summarizing the advantages of investing in risk-transfer instruments (coupled with preventive measures) as an alternative to traditional post-disaster donor assistance. Donor-supported risk-transfer programs would not only leverage limited disaster aid budgets, but would also free recipient countries from depending on the vagaries of post-disaster assistance. Both the donors and the recipients stand to gain, especially since the instruments can be designed to encourage preventive measures. Precedents already exist for imaginative risk-transfer programs in highly exposed developing countries, including national insurance systems, micro-insurance schemes like weather derivatives and novel instruments (e.g., catastrophe bonds) to provide insurance cover for public sector risks.

  6. Priorities in neonatal care in developing countries.

    PubMed

    Ho, N K

    1996-08-01

    Lower perinatal and neonatal mortality have been achieved in the developed countries following advancement of neonatal care, introduction of high technologies, and better knowledge of pathophysiology of the newborn infants. Other contributing factors are organised delivery room care with skillful resuscitative techniques as well as risk identification and efficient transport of the sick infants including in utero transfer of the fetus, etc. It cannot be assumed that similar results can be attained in developing countries where financial and human resources are the problems. With limited resources, it is necessary to prioritize neonatal care in the developing countries. It is essential to collect minimum meaningful perinatal data to define the problems of each individual country. This is crucial for monitoring, auditing, evaluation, and planning of perinatal health care of the country. The definition and terminology in perinatology should also be uniform and standardised for comparative studies. Paediatricians should be well trained in resuscitation and stabilisation of the newborn infants. Resuscitation should begin in the delivery room and a resuscitation team should be formed. This is the best way to curtail complication and morbidity of asphyxiated births. Nosocomial infections have been the leading cause of neonatal deaths. It is of paramount importance to prevent infections in the nursery. Staff working in the nursery should pay attention to usage of sterilised equipment, isolation of infected babies and aseptic procedures. Paediatricians should avoid indiscriminate use of antibiotics. Most important of all, hand-washing before examination of the baby is mandatory and should be strictly adhered to. Other simpler measures include warming devices for maintenance of body temperature of the newborn babies, blood glucose monitoring, and antenatal steroid for mothers in premature labour. In countries where neonatal jaundice is prevalent, effective management to

  7. Laryngeal cancer mortality trends in European countries.

    PubMed

    Chatenoud, Liliane; Garavello, Werner; Pagan, Eleonora; Bertuccio, Paola; Gallus, Silvano; La Vecchia, Carlo; Negri, Eva; Bosetti, Cristina

    2016-02-15

    After a steady increase between the 1950s and the 1970s, laryngeal cancer mortality has been levelling off since the early 1980s in men from most western and southern European countries and since the early 1990s in central and eastern Europe. To update trends in laryngeal cancer mortality, we analyzed data provided by the World Health Organization over the last two decades for 34 European countries and the European Union (EU) as a whole. For major European countries, we also identified significant changes in trends between 1980 and 2012 using joinpoint regression analysis. Male mortality in the EU was approximately constant between 1980 and 1991 (annual percent change, APC=-0.5%) and declined by 3.3% per year in 1991-2012. EU age-standardized (world population) rates were 4.7/100,000 in 1990-91 and 2.5/100,000 in 2010-2011. Rates declined in most European countries, particularly over the last two decades. In 2010-11, the highest male rates were in Hungary, the Republic of Moldova, and Romania (over 6/100,000), and the lowest ones in Finland, Norway, Sweden, and Switzerland (below 1/100,000). In EU women, mortality was stable around 0.29/100,000 between 1980 and 1994 and slightly decreased thereafter (APC=-1.3%; 0.23/100,000 in 2000-01). We also considered male incidence trends for nine European countries or cancer registration areas. In most of them, declines were observed over recent decades. Laryngeal cancer mortality thus showed favourable trends over the last few decades in most Europe, following favourable changes in tobacco and, mostly for Mediterranean countries, alcohol consumption. PMID:26335030

  8. Geothermal development opportunities in developing countries

    SciTech Connect

    Kenkeremath, D.C.

    1989-11-16

    This report is the proceedings of the Seminar on geothermal development opportunities in developing countries, sponsored by the Geothermal Division of the US Department of Energy and presented by the National Geothermal Association. The overall objectives of the seminar are: (1) Provide sufficient information to the attendees to encourage their interest in undertaking more geothermal projects within selected developing countries, and (2) Demonstrate the technological leadership of US technology and the depth of US industry experience and capabilities to best perform on these projects.

  9. L’administration postnatale de corticoïdes pour traiter ou prévenir les affections pulmonaires chroniques chez les prématurés

    PubMed Central

    2002-01-01

    Le présent énoncé est conçu à l’intention des professionnels de la santé qui soignent des nouveau-nés et de jeunes nourrissons. Il vise à examiner les effets à court et à long terme de l’administration postnatale de corticoïdes systémiques et par inhalation pour prévenir ou traiter une affection pulmonaire chronique évolutive ou établie et à faire des recommandations quant à l’usage de corticoïdes chez les nourrissons à très faible poids de naissance. Le recours systématique à la dexaméthasone systémique pour prévenir ou traiter une affection pulmonaire chronique n’est pas recommandé chez les nourrissons à très faible poids de naissance.

  10. Improved engine wall models for Large Eddy Simulation (LES)

    NASA Astrophysics Data System (ADS)

    Plengsaard, Chalearmpol

    Improved wall models for Large Eddy Simulation (LES) are presented in this research. The classical Werner-Wengle (WW) wall shear stress model is used along with near-wall sub-grid scale viscosity. A sub-grid scale turbulent kinetic energy is employed in a model for the eddy viscosity. To gain better heat flux results, a modified classical variable-density wall heat transfer model is also used. Because no experimental wall shear stress results are available in engines, the fully turbulent developed flow in a square duct is chosen to validate the new wall models. The model constants in the new wall models are set to 0.01 and 0.8, respectively and are kept constant throughout the investigation. The resulting time- and spatially-averaged velocity and temperature wall functions from the new wall models match well with the law-of-the-wall experimental data at Re = 50,000. In order to study the effect of hot air impinging walls, jet impingement on a flat plate is also tested with the new wall models. The jet Reynolds number is equal to 21,000 and a fixed jet-to-plate spacing of H/D = 2.0. As predicted by the new wall models, the time-averaged skin friction coefficient agrees well with experimental data, while the computed Nusselt number agrees fairly well when r/D > 2.0. Additionally, the model is validated using experimental data from a Caterpillar engine operated with conventional diesel combustion. Sixteen different operating engine conditions are simulated. The majority of the predicted heat flux results from each thermocouple location follow similar trends when compared with experimental data. The magnitude of peak heat fluxes as predicted by the new wall models is in the range of typical measured values in diesel combustion, while most heat flux results from previous LES wall models are over-predicted. The new wall models generate more accurate predictions and agree better with experimental data.

  11. LES SOFTWARE FOR THE DESIGN OF LOW EMISSION COMBUSTION SYSTEMS FOR VISION 21 PLANTS

    SciTech Connect

    Steven Cannon; Virgil Adumitroaie; Keith McDaniel; Clifford Smith

    2002-07-01

    Further development of a combustion Large Eddy Simulation (LES) code for the design of advanced gaseous combustion systems is described in this seventh quarterly report. CFD Research Corporation is developing the LES module within the parallel, unstructured solver included in the commercial CFD-ACE+ software. In this quarter, the Localized Dynamic subgrid Kinetic energy Model (LDKM) was improved and an initial Turbulent Artificial Neural Net (TANN) was developed. Validation and testing of the combustion LES code was performed for the Vanderbilt lean premixed combustor and the Loughborough University combustor port flow experiment. Next quarter, LES software development and testing will continue. Alpha testing of the code will continue to be performed on cases of interest to the industrial consortium. Optimization of the subgrid models will be pursued, particularly with the In Situ Adaptive Tabulation (ISAT) approach. Also next quarter, the demonstration of the TANN approach in CFD-ACE+ will be accomplished.

  12. Development of a Hybrid RANS/LES Method for Compressible Mixing Layer Simulations

    NASA Technical Reports Server (NTRS)

    Georgiadis, Nicholas J.; Alexander, J. Iwan D.; Reshotko, Eli

    2001-01-01

    A hybrid method has been developed for simulations of compressible turbulent mixing layers. Such mixing layers dominate the flows in exhaust systems of modem day aircraft and also those of hypersonic vehicles currently under development. The hybrid method uses a Reynolds-averaged Navier-Stokes (RANS) procedure to calculate wall bounded regions entering a mixing section, and a Large Eddy Simulation (LES) procedure to calculate the mixing dominated regions. A numerical technique was developed to enable the use of the hybrid RANS/LES method on stretched, non-Cartesian grids. The hybrid RANS/LES method is applied to a benchmark compressible mixing layer experiment. Preliminary two-dimensional calculations are used to investigate the effects of axial grid density and boundary conditions. Actual LES calculations, performed in three spatial directions, indicated an initial vortex shedding followed by rapid transition to turbulence, which is in agreement with experimental observations.

  13. A la recherches d'autres mondes - les exoplanètes

    NASA Astrophysics Data System (ADS)

    Nazé, Yaël

    2013-10-01

    Habiter ailleurs que sur Terre, en dehors du système solaire, est-ce vraiment possible ? Est-ce que la vie existe en dehors du Système solaire et comment la chercher ? Ces questions sont celles que les hommes et les femmes se posent et celles qu'ils se sont posées de tout temps. Les scientifiques n'échappent pas à cette règle et nous vivons à une époque fascinante où cette recherche évolue extrêmement vite : ils ont découvert d'autres lieux potentiellement habitables ou habités, les exoplanètes, des planètes tournant autour d'autres soleils dans l'univers. À ce jour, plus de 900 exoplanètes ont ainsi été détectées

  14. STS-26 Pilot Richard O. Covey adjusts LES neck dam during preflight suiting

    NASA Technical Reports Server (NTRS)

    1988-01-01

    STS-26 Discovery, Orbiter Vehicle (OV) 103, Pilot Richard O. Covey adjusts launch and entry suit (LES) neck dam during preflight suiting activities in the Operations and Checkout (O and C) Building at the Kennedy Space Center (KSC).

  15. Les retractions cervicales post-brulure - a propos de 49 cas et revue de la litterature

    PubMed Central

    Elamrani, D.; Zahid, A.; Aboujaafr, N.; Diouri, M.; Bahechar, N.; Boukind, E.H.

    2011-01-01

    Summary Les brides cervicales post-brûlure sont la conséquence de brûlures profondes, souvent négligées ou mal prises en charge. Elles affectent la fonction, l’esthétique et l’état psychologique des patients et peuvent être de traitement difficile. A partir d’une étude rétrospective étalée sur une période de six ans (janvier 2002-janvier 2008), nous avons analysé les caractéristiques épidémiologiques et cliniques ainsi que les indications et les résultats thérapeutiques chez 49 patients présentant des brides cervicales post-brûlure, suivis au Centre National des Brûlés et de Chirurgie Plastique de Casablanca. L’enfant et l’adulte jeune sont les plus touchés, avec une légère prédominance féminine (59,2%). Les brûlures domestiques sont les plus fréquentes (93,9%) et l’étiologie de l’accident est dominée par la brûlure thermique (98,0%). Les brides cervicales modérées et sévères (selon la classification d’Achauer) sont les plus fréquentes et représentent respectivement 30,6% et 38,8% des cas. Le traitement chirurgical a fait appel aux greffes cutanées dans 67,3% des cas, aux plasties locales dans 24,5% des cas et aux lambeaux dans 8,2% des cas. Chez les 47 patients suivis à long terme, les résultats fonctionnels et esthétiques sont jugés bons dans 83,0% des cas et moyens dans 8,5% des cas, tandis que les cas restants (8,5%) ont nécessité une reprise chirurgicale. Sur le plan épidémiologique (âge, sexe, caractéristiques de la brûlure) et clinique (localisation des séquelles, formes cliniques), les résultats de notre série sont comparables aux données de la littérature. Le rôle de la prise en charge initiale (excision-greffe précoce, pressothérapie et immobilisation par minerve) dans la réduction de l’incidence et de la sévérité des séquelles de brûlures cervicales est prouvé. Lorsqu’un traitement chirurgical est indiqué, le choix du procédé de réparation dépend essentiellement de

  16. Issues of environmental compliance in developing countries.

    PubMed

    Singh, S; Rajamani, S

    2003-01-01

    Environmental laws define the scarcity of environmental resources as they affect the factor endowment of a country and therefore its position in the international division of labour. There is now also a general agreement that applying the "polluter pays" principle should solve environmental problems. As the burden of abatement increases, as measured by the ratio of abatement expenditure to sales, there is definitely an incentive for firms to either invest in cleaner technology or more efficient abatement technology. There is also evidence that taxes and charges, designed to internalise externalities, can actually affect trade. It is interesting to know if the developing countries face particular market access problems in the face of stringent environmental standards and regulations. While it is true that stringent measures impose market access restrictions and cause limitations on competitiveness, this is much more widely felt by the developing countries because of lack of infrastructure and monitoring facilities, limited technology choices, inadequate access to environment-friendly raw materials, lack of complete information, presence of small-scale exporters and emergence of environmental standards in sectors of export interest to developing countries. The small and medium enterprises often divert sales either to the domestic market or to external markets where environmental requirements are less stringent, in order to save on their costs. In developing countries, 80% of the tanning industry is comprised of small and medium enterprises (SMEs) processing raw to semi-finished leather, usually less than 2 tons per day. In Europe and other developed countries the SMEs in the leather sector have vanished due to strict environmental legislation and this will likely occur in developing countries also. The environmental legislation has not always been practical, either because the laws are too ambitious or unrealistic in certain parameters, or because they have lacked

  17. Les fluctuations supraconductrices dans le compose praseodyme-cerium-oxyde de cuivre

    NASA Astrophysics Data System (ADS)

    Renaud, Jacques

    Ce travail etudie les fluctuations supraconductrices dans le compose supraconducteur a haute temperature critique dope aux electrons Pr2-xCe xCuO4+delta. La technique utilisee pour sonder ces fluctuations est le transport electrique DC dans le plan ab. Il s'agit, a notre connaissance, de la premiere etude de ce type dans la classe generale des supraconducteurs a haute temperature critique dopes aux electrons et, plus particulierement, dans Pr2-xCe xCuO4+delta. De plus, l'etude est effectuee pour trois regimes de dopage, soit sous-dope x = 0.135, dopage optimal x = 0.15 et surdope x = 0.17. Les echantillons etudies sont des couches minces d'epaisseur plus grande que 100 nm crues par ablation laser. Les mesures electriques DC effectuees dans ce travail sont la resistance en reponse lineaire et les courbes IV en reponse non lineaire en fonction de la temperature. La mise en oeuvre experimentale de ces mesures a necessite une grande attention au filtrage et aux effets de chauffage a haut courant. Nous montrons que, sans cette attention, les donnees experimentales sont toujours erronees dans le regime pertinent pour nos echantillons. Les resultats pour le dopage optimal x = 0.15 sont expliques de facon tres convaincante dans le cadre de fluctuations purement 2D. D'abord, le regime des fluctuations gaussiennes est tres bien decrit par le modele d'Aslamazov-Larkin en deux dimensions. Ensuite, le regime de fluctuations critiques, se trouvant a plus basse temperature que le regime gaussien, est tres bien decrit par la physique 2D de Kosterlitz-Thouless. Dans cette analyse, les deux regimes ont des temperatures critiques coherentes entre elles, ce qui semble confirmer ce scenario 2D. Une analyse des donnees dans le cadre de fluctuations 3D est exploree mais donne des conclusions incoherentes. Les resultats pour les autres dopages sont qualitativement equivalents avec le dopage optimal et permettent donc une explication purement 2D. Par contre, contrairement au dopage optimal

  18. Can Norms Developed in One Country Be Applicable to Children of Another Country?

    ERIC Educational Resources Information Center

    Lam, Hazel Mei Yung

    2008-01-01

    The primary aim this study was to investigate whether a gross motor proficiency norm developed in one country could be applied to young children in another country. The secondary aim of the study was to assess the gross motor proficiency of Hong Kong preschoolers aged five years. The Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) (subtests…

  19. Southeastern Wyoming's Country Schools. Country School Legacy: Humanities on the Frontier.

    ERIC Educational Resources Information Center

    Riske, Milton

    Information from 22 oral history interviews, periodicals, unpublished manuscripts, and school records provides an indication of the role played by country schools in the history of southeastern Wyoming and forms part of an 8-state research effort to locate and preserve information related to country schools. The report focuses on six aspects of…

  20. 15 CFR 740.4 - Shipments to Country Group B countries (GBS).

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... (GBS). 740.4 Section 740.4 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign... REGULATIONS LICENSE EXCEPTIONS § 740.4 Shipments to Country Group B countries (GBS). License Exception GBS... requirement to the ultimate destination for national security reasons only and identified by “GBS—Yes” on...

  1. 15 CFR 740.4 - Shipments to Country Group B countries (GBS).

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... (GBS). 740.4 Section 740.4 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign... REGULATIONS LICENSE EXCEPTIONS § 740.4 Shipments to Country Group B countries (GBS). License Exception GBS... requirement to the ultimate destination for national security reasons only and identified by “GBS—Yes” on...

  2. 15 CFR 740.4 - Shipments to Country Group B countries (GBS).

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... (GBS). 740.4 Section 740.4 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign... REGULATIONS LICENSE EXCEPTIONS § 740.4 Shipments to Country Group B countries (GBS). License Exception GBS... requirement to the ultimate destination for national security reasons only and identified by “GBS—Yes” on...

  3. 15 CFR 740.4 - Shipments to Country Group B countries (GBS).

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... (GBS). 740.4 Section 740.4 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign... REGULATIONS LICENSE EXCEPTIONS § 740.4 Shipments to Country Group B countries (GBS). License Exception GBS... requirement to the ultimate destination for national security reasons only and identified by “GBS—Yes” on...

  4. 15 CFR 740.4 - Shipments to Country Group B countries (GBS).

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... (GBS). 740.4 Section 740.4 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign... REGULATIONS LICENSE EXCEPTIONS § 740.4 Shipments to Country Group B countries (GBS). License Exception GBS... requirement to the ultimate destination for national security reasons only and identified by “GBS—Yes” on...

  5. The Country School in Literature. Country School Legacy: Humanities on the Frontier.

    ERIC Educational Resources Information Center

    Grundy, Ernest

    A review of the country school in literature discusses Irving's "The Legend of Sleppy Hollow," Whittier's "Snowbound" and "In School Days," Eggleston's "The Hoosier School Master," and Stuart's "To Teach, To Love" and "The Thread That Runs So True." These literary works portray the country school teacher as being the brunt of larger or older boys'…

  6. New Liberian President Seeks to Rehabilitate Country's Education System: Finding Teachers Still Country's Main Hurdle

    ERIC Educational Resources Information Center

    Powell, Tracie

    2007-01-01

    Troubled by the difficulties of training teachers in Liberia, President Ellen Johnson Sirleaf says she hopes to attract them from U.S. colleges and universities. Sirleaf envisions the Liberian Education Trust as a way to help repair a country devastated by two civil wars. The trust seeks to raise money so that the West African country can build 50…

  7. Northeastern South Dakota's Country Schools. Country School Legacy: Humanities on the Frontier.

    ERIC Educational Resources Information Center

    Brown, Philip L.

    Northeastern South Dakota's country schools are examined in this volume of the Mountain Plains Library Association's eight-state research effort to locate and preserve information related to country schools. Rural school buildings are discussed in the broad social and historical context that shaped their form and style. Both national trends in…

  8. 48 CFR 722.170 - Employment of third country nationals (TCN's) and cooperating country nationals (CCN's).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Employment of third country nationals (TCN's) and cooperating country nationals (CCN's). 722.170 Section 722.170 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT SOCIOECONOMIC PROGRAMS APPLICATION...

  9. Eastern Nebraska's Country Schools. Country School Legacy: Humanities on the Frontier.

    ERIC Educational Resources Information Center

    Dertien, James

    The role of the rural school on the plains of eastern Nebraska from the early days of the frontier to 1980 is examined in this portion of an eight-state research effort, the Country School Legacy Project, sponsored by the Mountain Plains Library Association to locate and preserve information related to country schools. Data and anecdotes obtained…

  10. Les Brulures Electriques par Haut Voltage - A Propos de 10 Cas

    PubMed Central

    Belmir, R.; Fejjal, N.; El Omari, M.; El Mazouz, S.; Gharib, N.; Abassi, A.; Belmahi, A.

    2008-01-01

    Summary Les accidents électriques par haute tension (AEHT) provoquent des brûlures profondes par effet Joule le long des axes vasculo-nerveux entre les points d'entrée et de sortie, qui sont le siège de lésions délabrantes. Les Auteurs rapportent une série de dix cas d'AEHT admis au service de chirurgie réparatrice et de brûlés de l'Hôpital Ibn Sina de Rabat à travers laquelle ils étudient les caractéristiques épidémiologiques, cliniques et thérapeutiques. Tous les patients étaient des adultes de sexe masculin dont l'âge moyen était de 31 ans. Dans 70% des cas, ces brûlures étaient secondaires à un contact avec les distributeurs d'électricité avec une surface brûlée inférieure à 20%. Le traitement des lésions électrothermiques a nécessité des interventions itératives avec amputation des segments de membres nécrosés dans 70% des cas, dont les suites étaient marquées par des séquelles fonctionnelles invalidantes. La prévention des AEHT, en particulier pour les accidents du travail au sein des professions exposées, reste fondamentale. PMID:21991124

  11. Development and Application of LES for the Unsteady Flows in Turbomachinery

    NASA Technical Reports Server (NTRS)

    Hah, Chunill

    2012-01-01

    Recent progress in applying the Large Eddy Simulation (LES) to flow control in turbomachinery is reviewed. The development of flow control in turbomachinery requires accurate prediction of detailed three-dimensional flow structures including unsteady motion of various vortex systems. It has been shown that LES provides more realistic description of the complex flowfields compared to steady and unsteady Reynolds-averaged Navier- Stokes simulations (RANS & URANS).

  12. Fluctuations quantiques et instabilites structurales dans les conducteurs a basse dimensionalite

    NASA Astrophysics Data System (ADS)

    Dikande, Alain Moise

    Un engouement particulier s'est manifeste ces dernieres annees pour les systemes electroniques fortement correles, ce en rapport avec l'immense richesse de leurs proprietes physiques. En general, ces proprietes sont induites par la presence d'interactions entre electrons qui, combinees a la structure du reseau moleculaire, donnent parfois lieu a une tres grande variete de phases electroniques et structurales ayant des incidences directes sur les phenomenes de transport dans ces materiaux. Les systemes electroniques couples a un reseau moleculaire et designes systemes electron-phonon font partie de cette classe de materiaux qui ont recemment capte l'attention, en raison notamment de la competition entre plusieurs echelles d'energie dans un environnement caracterise par une forte anisotropie cristalline et une dynamique moleculaire assez importante. En effet, en plus des proprietes electroniques et structurales particulieres la dimensionalite de ces systemes contribue egalement a leur richesse. Ainsi, une tres forte anisotropie structurale peut rehausser de facon considerable l'importance des interactions entre electrons et entre molecules constituant le reseau au point ou la physique du systeme soit regie par de tres fortes fluctuations. Ce dernier contexte est devenu un domaine a part de la physique des systemes fortement correles, a savoir celui des les phenomenes critiques quantiques . Parmi les systemes electron-phonon, on retrouve les composes inorganique KCP et organique TTF-TCNQ decouverts durant les annees 70, et explores en profondeur a cause de leur tendance vers une instabilite du type onde de densite de charge a basse temperature. Ces composes, en general designes systemes de Peierls en reference a l'instabilite de leurs structures electroniques regie par le reseau moleculaire, ont recemment connu un regain d'interet a la lumiere des nouveaux developpements dans les techniques de caracterisation des structures electroniques ainsi que sur le plan de

  13. STS-26 Mission Specialist Nelson in LES prior to JSC WETF emergency exercises

    NASA Technical Reports Server (NTRS)

    1988-01-01

    STS-26 Discovery, Orbiter Vehicle (OV) 103, Mission Specialist (MS) George D. Nelson, wearing newly designed (navy blue) launch and entry suit (LES), gets some moral support from Aimee Tess Nelson, his sixteen-year-old lifeguard daughter. Nelson was about to participate in a simulation of escape and rescue operations utilizing the crew escape system (CES) pole mode of egress from the Space Shuttle. Nelson is equipped with the LES partial pressure suit and parachute gear.

  14. Admission to Medical Education in Ten Countries.

    ERIC Educational Resources Information Center

    Burn, Barbara B., Ed.

    As part of a study of access and admission to higher education in Germany and the United States, a group of papers on medical admissions in various countries was commissioned. The papers presented in this book reveal wide differences in admissions policies and procedures. Barbara Burn examines some of the major issues in a foreword: representation…

  15. Origins of food crops connect countries worldwide

    PubMed Central

    Achicanoy, Harold A.; Bjorkman, Anne D.; Navarro-Racines, Carlos; Guarino, Luigi; Flores-Palacios, Ximena; Engels, Johannes M. M.; Wiersema, John H.; Dempewolf, Hannes; Sotelo, Steven; Ramírez-Villegas, Julian; Castañeda-Álvarez, Nora P.; Fowler, Cary; Jarvis, Andy; Rieseberg, Loren H.; Struik, Paul C.

    2016-01-01

    Research into the origins of food plants has led to the recognition that specific geographical regions around the world have been of particular importance to the development of agricultural crops. Yet the relative contributions of these different regions in the context of current food systems have not been quantified. Here we determine the origins (‘primary regions of diversity’) of the crops comprising the food supplies and agricultural production of countries worldwide. We estimate the degree to which countries use crops from regions of diversity other than their own (‘foreign crops’), and quantify changes in this usage over the past 50 years. Countries are highly interconnected with regard to primary regions of diversity of the crops they cultivate and/or consume. Foreign crops are extensively used in food supplies (68.7% of national food supplies as a global mean are derived from foreign crops) and production systems (69.3% of crops grown are foreign). Foreign crop usage has increased significantly over the past 50 years, including in countries with high indigenous crop diversity. The results provide a novel perspective on the ongoing globalization of food systems worldwide, and bolster evidence for the importance of international collaboration on genetic resource conservation and exchange.

  16. Private health insurance: implications for developing countries.

    PubMed Central

    Sekhri, Neelam; Savedoff, William

    2005-01-01

    Private health insurance is playing an increasing role in both high- and low-income countries, yet is poorly understood by researchers and policy-makers. This paper shows that the distinction between private and public health insurance is often exaggerated since well regulated private insurance markets share many features with public insurance systems. It notes that private health insurance preceded many modern social insurance systems in western Europe, allowing these countries to develop the mechanisms, institutions and capacities that subsequently made it possible to provide universal access to health care. We also review international experiences with private insurance, demonstrating that its role is not restricted to any particular region or level of national income. The seven countries that finance more than 20% of their health care via private health insurance are Brazil, Chile, Namibia, South Africa, the United States, Uruguay and Zimbabwe. In each case, private health insurance provides primary financial protection for workers and their families while public health-care funds are targeted to programmes covering poor and vulnerable populations. We make recommendations for policy in developing countries, arguing that private health insurance cannot be ignored. Instead, it can be harnessed to serve the public interest if governments implement effective regulations and focus public funds on programmes for those who are poor and vulnerable. It can also be used as a transitional form of health insurance to develop experience with insurance institutions while the public sector increases its own capacity to manage and finance health-care coverage. PMID:15744405

  17. Governing Public Universities in Arab Countries

    ERIC Educational Resources Information Center

    ElObeidy, Ahmed A.

    2014-01-01

    Traditionally in Arab public universities, presidents are appointed by government authorities. Recently, in uprising Arab countries universities' presidents have been elected by universities' faculty members. Neither traditional nor self-governance pattern succeeded to modernise Arab universities. Reforming patterns of governance is…

  18. Household Water Treatments in Developing Countries

    ERIC Educational Resources Information Center

    Smieja, Joanne A.

    2011-01-01

    Household water treatments (HWT) can help provide clean water to millions of people worldwide who do not have access to safe water. This article describes four common HWT used in developing countries and the pertinent chemistry involved. The intent of this article is to inform both high school and college chemical educators and chemistry students…

  19. Poverty in the Developing Countries--1985.

    ERIC Educational Resources Information Center

    Clausen, A. W.

    Although the number of people in developing nations who are too poor to provide themselves with an adequate diet is rising, this is not reason to assume that such poverty is inevitable. Strategies that foster economic growth and include poor people in the growth process can be found in countries with such diverse political and economic systems as…

  20. Special Education in Arab Countries: Current Challenges

    ERIC Educational Resources Information Center

    Hadidi, Muna S.; Al Khateeb, Jamal M.

    2015-01-01

    Arab countries have undertaken various measures to develop special education programmes and services over the last three decades; nevertheless, major challenges remain regarding the expansion of these programmes and services and improving their quality. "This article provides an update on disability and special education in Arab…

  1. Educational Access in Bangladesh. Country Policy Brief

    ERIC Educational Resources Information Center

    Ahmed, Manzoor

    2008-01-01

    This Policy Brief describes and explains patterns of access to schooling in Bangladesh. It outlines types of educational provision and provides some basic statistics on access, vulnerability and exclusion, as well as insights into the characteristics of those denied access. It is based on findings from the "Country Analytic Review on Access to…

  2. Gifted Education in German-Speaking Countries

    ERIC Educational Resources Information Center

    Herrmann, Anna; Nevo, Baruch

    2011-01-01

    The purpose of this article is to provide the reader with a comprehensive yet detailed account of the current giftedness and gifted education situation in Austria, Germany, and Switzerland. It is concerned with four main research questions: (1) How is "giftedness" defined in German-speaking countries? (2) How are gifted children identified? (3)…

  3. Education for Copeability: Perspective on Developing Countries.

    ERIC Educational Resources Information Center

    Atta-Safoh, Alex

    Stressing the application of progressive thought as a possible innovation toward development in developing countries, the paper discusses three major educational philosophies: romanticism, cultural transmission, and progressivisim (emphasizing the cognitive-developmental theory). Educational innovation and strategies for reform in the Soviet Union…

  4. Outcome Assessment Plan, North Country Community College.

    ERIC Educational Resources Information Center

    Rice, Gail Rogers; Pope, Sandra

    In 1990, North Country Community College (NCCC) in New York developed an outcome assessment plan as a response to a requirement of the State University of New York. The planning process began in summer 1989 with an inventory of current assessment processes and a review of their effectiveness. A new plan was then developed, reviewed, and refined.…

  5. Prevention of burns in developing countries.

    PubMed

    Van der Merwe, A E; Steenkamp, W C

    2012-12-31

    Burns represent an important health and economic problem in Africa and in the developing countries. Prevention programs in the developing countries are still at an infant phase. It is well known that prevention includes surveillance with data analysis and reporting. With information campaigns, an effort can be made to use regulatory action, to educate the population and modify the environment. The aim of this paper is to identify the risk factors in communities in order to implement communitybased burn prevention strategies, not only on the African continent but also in other developing countries. Effective prevention programs are highlighted. Evidence regarding adequate safety legislation with policing seems to show immediate effects with multiparty involvement and statistical decrease of injury and death. Three examples are discussed where political commitment is mobilised to ensure regulatory action. Other programs are cost-effective and have long-lasting effects, but they take time. Cochrane database system reviews highlighted the problems when people were encouraged to change their lifestyle. NGOs play a definite role in developing countries, and in Bangladesh and Pakistan efforts are being made to curb acid-throwing violence. Communities consist of many groups. There must be a societal responsibility to design products a. PMID:23766751

  6. Space missions in the Arab countries

    NASA Astrophysics Data System (ADS)

    Mosalam Shaltout, M. A.

    Since about twenty years ago, artificial satellites for the Arab countries, were manufactured and released by developed countries for TV and communication purposes such as Arabsat, Nilesat, and Soryia. But with the starting of the 21st century, there are few space missions developed by Arab Countries in Cooperation with International Partners, in Alger, Saudi Arabia, and Egypt. Where: 1. The National Administration of Space Science and Technology in Alger developed two Experimental Space Missions released at November 2002 (AlgerSat-1), and November 2003 (AlgerSat-2). The program is still continuous for developing more space missions with High Technology for different purposes. 2. Space Research Institute in King Abd-Alaziz city for science and Technology, Riyadh, Saudi Arabia developed three space missions in collaboration with international partners, where the three missions are released for different purposes. 3. The National Authority for Remote Sensing and Space Sciences (NARSS) in Cairo-Egypt developed in cooperation with Ukraine a mission Egyptsat-1, by total price 30 million US, for the purpose of studding the desert geology and Environment. It will be released at October 2004. The program will be continued for developing more space mission by high technology. This paper describe in detail Arabian three programs for the three Arabian countries (Alger, Saudi Arabia, and Egypt), and will discuss on what we can expect for the future, focussing on international cooperation in the field of space science and technology.

  7. Academic Perspectives on Internationalisation in Three Countries

    ERIC Educational Resources Information Center

    Mertova, Patricie

    2014-01-01

    This article examines the perspectives of senior academics on internationalisation of higher education across three countries: England, Czech Republic and Australia. In particular, it investigates the perspectives and experiences of academics in a range of leadership positions in university faculties and schools. The research utilises a critical…

  8. The Book Famine in Developing Countries

    ERIC Educational Resources Information Center

    Malhotra, Dina N.

    1970-01-01

    Problems facing book publishing in developing countries include lack of experienced authors, insufficient or complete non-availablility of paper, shortage of printing and binding facilities, publishers' lack of knowledge about editing, production and distribution techniques and shortage of finances. (Author)

  9. Essays on Child Development in Developing Countries

    ERIC Educational Resources Information Center

    Humpage, Sarah Davidson

    2013-01-01

    This dissertation presents the results of three field experiments implemented to evaluate the effectiveness of strategies to improve the health or education of children in developing countries. In Guatemala, community health workers at randomly selected clinics were given patient tracking lists to improve their ability to remind parents when their…

  10. Challenges for lupus management in emerging countries.

    PubMed

    Tazi Mezalek, Zoubida; Bono, Wafaa

    2014-06-01

    In emerging countries, systemic lupus erythematosus (SLE) has been associated with several unfavorable outcomes including disease activity, damage accrual, work disability and mortality. Poor socioeconomic status (SES) and lack of access to healthcare, especially in medically underserved communities, may be responsible for many of the observed disparities. Diagnostic delay of SLE or for severe organ damages (renal involvement) have a negative impact on those adverse outcomes in lupus patients who either belong to minority groups or live in emerging countries. Longitudinal and observational prospective studies and registries may help to identify the factors that influence poor SLE outcomes in emerging countries. Infection is an important cause of mortality and morbidity in SLE, particularly in low SES patients and tuberculosis appears to be frequent in SLE patients living in endemic areas (mainly emerging countries). Thus, tuberculosis screening should be systematically performed and prophylaxis discussed for patients from these areas. SLE treatment in the developing world is restricted by the availability and cost of some immunosuppressive drugs. Moreover, poor adherence has been associated to bad outcomes in lupus patients with a higher risk of flares, morbidity, hospitalization, and poor renal prognosis. Low education and the lack of money are identified as the main barrier to improve lupus prognosis. Newer therapeutic agents and new protocols had contributed to improve survival in SLE. The use of corticoid-sparing agents (hydroxychloroquine, methotrexate, azathioprine and mycophenolate mofetif) is one of the most useful strategy; availability of inexpensive generics may help to optimize access to these medications. PMID:24857588

  11. Myths about the Country Walk Case

    ERIC Educational Resources Information Center

    Cheit, Ross E.; Mervis, David

    2007-01-01

    The Country Walk case in Dade County, Florida was long considered a model for how to prosecute a multi-victim child sexual abuse case involving young children. In the past 10 years, however, a contrary view has emerged that the case was tainted by improper interviewing and was likely a false conviction. This is the first scholarly effort to assess…

  12. Evaluating "Cat Country": The Humor within Satire

    ERIC Educational Resources Information Center

    Chang, Chung-chien Karen

    2010-01-01

    Satire, as a mode, is not frequently employed in Chinese narratives. "Cat Country," or "Mao Cheng Ji," written by Lao She (pen name of Shu Qing Chun, 1898--1966) has come under much attack of its literary values. Whereas most critics have no doubt that this work sets out to satirize China through the portrayal of a society of cats on Mars, the…

  13. Health Care System Reforms in Developing Countries

    PubMed Central

    Han, Wei

    2012-01-01

    This article proposes a critical but non-systematic review of recent health care system reforms in developing countries. The literature reports mixed results as to whether reforms improve the financial protection of the poor or not. We discuss the reasons for these differences by comparing three representative countries: Mexico, Vietnam, and China. First, the design of the health care system reform, as well as the summary of its evaluation, is briefly described for each country. Then, the discussion is developed along two lines: policy design and evaluation methodology. The review suggests that i) background differences, such as social development, poverty level, and population health should be considered when taking other countries as a model; ii) although demand-side reforms can be improved, more attention should be paid to supply-side reforms; and iii) the findings of empirical evaluation might be biased due to the evaluation design, the choice of outcome, data quality, and evaluation methodology, which should be borne in mind when designing health care system reforms. PMID:25170464

  14. Africa Adult Education. Chronologies in Commonwealth Countries.

    ERIC Educational Resources Information Center

    Draper, James A., Ed.

    In this document, leading educators from 12 African Commonwealth countries trace the development of adult education in Africa and show how providers of adult education outside the formal education system (including government and nongovernment organizations, trade unions, women's groups, and religious organizations) have met the needs of their…

  15. Apheresis in developing countries around the World.

    PubMed

    Eichbaum, Quentin; Smid, W Martin; Crookes, Robert; Naim, Norris; Mendrone, Alfredo; Marques, José Francisco Comenalli; Marques, Marisa B

    2015-08-01

    At the combined American Society for Apheresis (ASFA) Annual Meeting/World Apheresis Association (WAA) Congress in San Francisco, California, in April of 2014, the opening session highlighted the status of apheresis outside of the United States. The organizers invited physicians active in apheresis in countries not usually represented at such international gatherings to give them a forum to share their experiences, challenges, and expectations in their respective countries with regard to both donor and therapeutic apheresis. Apheresis technology is expensive as well as technically and medically demanding, and low and median income countries have different experiences to share with the rest of the world. Apheresis procedures also require resources taken for granted in the developed world, such as reliable electrical power, that can be unpredictable in parts of the developing world. On the other hand, it was obvious that there are significant disparities in access to apheresis within the same country (such as in Brazil), as well as between neighboring nations in Africa and South America. A common trend in the presentations from Brazil, Indonesia, Malaysia, Nigeria, and South Africa, was the need for more and better physicians and practitioners' training in the indications of the various apheresis modalities and patient oversight during the procedures. As ASFA and WAA continue to work together, and globalization allows for increased knowledge-sharing, improved access to apheresis procedures performed by qualified personnel with safety and high-quality standards will be increasingly available. PMID:25346394

  16. Information Communication Technology Planning in Developing Countries

    ERIC Educational Resources Information Center

    Malapile, Sandy; Keengwe, Jared

    2014-01-01

    This article explores major issues related to Information Communication Technology (ICT) in education and technology planning. Using the diffusion of innovation theory, the authors examine technology planning opportunities and challenges in Developing countries (DCs), technology planning trends in schools, and existing technology planning models…

  17. A Human Rights Crisis in Indian Country

    ERIC Educational Resources Information Center

    Vigil, Chris

    2015-01-01

    There is a human rights crisis in Indian Country. This crisis--one of many--is the result of an almost universal lack of legal representation of Native people when they appear as defendants in tribal courts. The lack of lay advocates and attorneys representing Native defendants creates tremendous problems for tribal members who find themselves in…

  18. Private health insurance: implications for developing countries.

    PubMed

    Sekhri, Neelam; Savedoff, William

    2005-02-01

    Private health insurance is playing an increasing role in both high- and low-income countries, yet is poorly understood by researchers and policy-makers. This paper shows that the distinction between private and public health insurance is often exaggerated since well regulated private insurance markets share many features with public insurance systems. It notes that private health insurance preceded many modern social insurance systems in western Europe, allowing these countries to develop the mechanisms, institutions and capacities that subsequently made it possible to provide universal access to health care. We also review international experiences with private insurance, demonstrating that its role is not restricted to any particular region or level of national income. The seven countries that finance more than 20% of their health care via private health insurance are Brazil, Chile, Namibia, South Africa, the United States, Uruguay and Zimbabwe. In each case, private health insurance provides primary financial protection for workers and their families while public health-care funds are targeted to programmes covering poor and vulnerable populations. We make recommendations for policy in developing countries, arguing that private health insurance cannot be ignored. Instead, it can be harnessed to serve the public interest if governments implement effective regulations and focus public funds on programmes for those who are poor and vulnerable. It can also be used as a transitional form of health insurance to develop experience with insurance institutions while the public sector increases its own capacity to manage and finance health-care coverage. PMID:15744405

  19. Media Representation of Teachers across Five Countries

    ERIC Educational Resources Information Center

    Alhamdan, Bandar; Al-Saadi, Khalid; Baroutsis, Aspa; Du Plessis, Anna; Hamid, Obaidul M.; Honan, Eileen

    2014-01-01

    This paper reports on an investigation into the representation of teachers in newspapers in five countries. An innovative methodology was used to develop a method of inquiry that supports a deeper understanding of media representations of teachers which can also be used by other researchers in comparative education. The paper explores relevant…

  20. Health care system reforms in developing countries.

    PubMed

    Han, Wei

    2012-12-28

    This article proposes a critical but non-systematic review of recent health care system reforms in developing countries. The literature reports mixed results as to whether reforms improve the financial protection of the poor or not. We discuss the reasons for these differences by comparing three representative countries: Mexico, Vietnam, and China. First, the design of the health care system reform, as well as the summary of its evaluation, is briefly described for each country. Then, the discussion is developed along two lines: policy design and evaluation methodology. The review suggests that i) background differences, such as social development, poverty level, and population health should be considered when taking other countries as a model; ii) although demand-side reforms can be improved, more attention should be paid to supply-side reforms; and iii) the findings of empirical evaluation might be biased due to the evaluation design, the choice of outcome, data quality, and evaluation methodology, which should be borne in mind when designing health care system reforms. PMID:25170464

  1. Educational Systems Efficiency in European Union Countries

    ERIC Educational Resources Information Center

    Giambona, Fracesca; Vassallo, Erasmo; Vassiliadis, Elli

    2011-01-01

    We use the PISA 2006 results to analyse students' proficiency in EU countries with regard to two indexes that represent the home background, viz the educational resources available at home and the family background of students. However, many factors affect proficiency and therefore, using a DEA-bootstrap, we intend to measure the efficiency of the…

  2. Encapsulation, the Curriculum, and Third World Countries.

    ERIC Educational Resources Information Center

    Jarchow, Elaine M.; Dhawan, Gita

    1982-01-01

    The global desire to educate the whole person is validated by interviews with Third World faculty and students concerning curriculums in India, Cameroon and Kenya to determine whether encapsulation--a partial and distorted image of external reality--is present and affects studies in their countries. (Author/CM)

  3. Mathematics Teaching in Four European Countries

    ERIC Educational Resources Information Center

    Andrews, Paul; Sayers, Judy

    2006-01-01

    This article discusses a comparative study, funded by the European Union, of the teaching of mathematics in five European countries, (Flanders, England, Finland, Hungary and Spain) to students in the upper primary (ages 10-12) and lower secondary (12-14) years. These ages were chosen as they represent a time when many students' experiences of…

  4. Educating Civil Engineers for Developing Countries

    ERIC Educational Resources Information Center

    Stanley, D.

    1974-01-01

    Based on engineering teaching experience in Africa and Asia, ideas are presented on educating civil engineers for developing countries, especially those in Africa. Some of the problems facing educational planners, teachers, and students are addressed, including responsibilities of a newly graduated civil engineer, curriculum development, and…

  5. Cooperation between Countries--The Nordic Model.

    ERIC Educational Resources Information Center

    Vasstrom, Ulf

    1992-01-01

    The Nordic Committee on Educational Software and Technology has been overseeing cooperative development and production of software and technology in all areas of education except the university since 1986. Costly duplication of effort has been avoided, and all the Nordic countries have access to more educational software than they could develop…

  6. Country Information Available in Government Documents.

    ERIC Educational Resources Information Center

    Richey, Debora J., Comp.

    This annotated bibliography lists federal and international documents at the library of California State University at Fullerton which provide information on foreign countries. Documents are organized under the following subject headings: (1) general information; (2) aging; (3) agriculture/food supply and consumption; (4) children; (5) civil…

  7. Electricity demand growth in developing countries

    SciTech Connect

    Sheahen, T.P.

    1998-07-01

    On the presumption of inevitable global warming, the US and some other industrialized countries signed a treaty in Kyoto, Japan to reduce the amount of CO{sub 2} being emitted (but only by those countries who agreed to the limitations). Many observers have criticized this move as too hasty, because it would drastically impact the economies of the industralized nations, eliminating jobs and raising prices. They point out that manufacturing will shift to third-world countries who are not going to limit their CO{sub 2} emissions. Consequently, the Kyoto treaty may not be ratified by the US Senate. However, it has escaped attention just how numerically large will be the CO{sub 2} emitted by the non-participating countries as their electricity generation increases, despite the efforts of the industralized nations to cut back on CO{sub 2}. This paper presents calculation to estimate the seriousness of such emissions. The predictions follow from two clearly-stated assumptions, both of which are entirely plausible. Future R and D in combustion technology could partially offset the impact of the expected growth.

  8. The Economy of a Lucky Country.

    ERIC Educational Resources Information Center

    Thomas, Tony

    1984-01-01

    Australia has one of the highest standards of living in the world. Agriculture, grazing, and mining are the mainstays of the country's economy. Since the end of World War II, Australia has developed an advanced industrial base that manufactures a wide range of goods, from automobiles to clothespins. (RM)

  9. The geostationary orbit and developing countries

    NASA Technical Reports Server (NTRS)

    Medina, E. R.

    1982-01-01

    The geostationary orbit is becoming congested due to use by several countries throughout the world, and the request for use of this orbit is increasing. There are 188 geostationary stations in operation. An equitable distribution of stations on this orbit is requested.

  10. Decomposing Achievement Gaps among OECD Countries

    ERIC Educational Resources Information Center

    Zhang, Liang; Lee, Kristen A.

    2011-01-01

    In this study, we use decomposition methods on PISA 2006 data to compare student academic performance across OECD countries. We first establish an empirical model to explain the variation in academic performance across individuals, and then use the Oaxaca-Blinder decomposition method to decompose the achievement gap between each of the OECD…

  11. Faculty Research Productivity in Six Arab Countries

    ERIC Educational Resources Information Center

    Abouchedid, Kamal; Abdelnour, George

    2015-01-01

    This article analyses the research output of a sample of higher education institutions (HEIs) in six Arab countries in order to start quantifying academic research productivity in the wider region of the Middle East and North Africa (MENA). A questionnaire classifying HEIs was administered to 310 institutions in Lebanon, Qatar, the United Arab…

  12. Empathy, Projection and Negation in Seven Countries.

    ERIC Educational Resources Information Center

    Alexander, Ralph A.; And Others

    This report describes an experimental study designed to manipulate and test cross-cultural similarities and differences in interpersonal perception despite the increasingly cosmopolitan nature of people from all cultures, greater frequency of social, business, educational and governmental contact among people from different countries, and the…

  13. Cognitive and Socioemotional Caregiving in Developing Countries

    ERIC Educational Resources Information Center

    Bornstein, Marc H.; Putnick, Diane L.

    2012-01-01

    Enriching caregiving practices foster the course and outcome of child development. This study examined 2 developmentally significant domains of positive caregiving--cognitive and socioemotional--in more than 127,000 families with under-5 year children from 28 developing countries. Mothers varied widely in cognitive and socioemotional caregiving…

  14. Hybrid RANS/LES simulations of bluff-body flows on unstructured grids

    NASA Astrophysics Data System (ADS)

    Salvetti, Maria Vittoria; Camarri, Simone; Koobus, Bruno; Dervieux, Alain

    2004-11-01

    A hybrid RANS/LES model is set up by blending a k-\\varepsilon model and the Smagorinsky model according to the LNS idea [1], i.e. using the minimum value among the eddy viscosities given by the RANS and the LES closures. The Navier-Stokes equations are discretized by a mixed finite-volume/finite-element formulation applicable to unstrucured grid. A low diffusion MUSCL scheme, designed for LES, is adopted [2]. Both explicit (Runge-Kutta) and implicit (second-order accurate) time advancing can be used. The hybrid model is applied to the simulation of the flows around a square cylinder and around a sphere. Results are compared with those obtained with RANS and LES and with experimental data. REFERENCES: [1] P.Batten.LNS-An approach towards embedded LES. In phAIAA Paper 2002-0427. American Institute of Aeronautics and Astronautics, 2002. [2] S.Camarri,M.V.Salvetti,B.Koobus and A.Dervieux. A low-diffusion MUSCL scheme for LES on unstructured grids. phComputers and Fluids 2003; 33:1101-1129.

  15. Progress Towards an LES Wall Model Including Unresolved Roughness

    NASA Astrophysics Data System (ADS)

    Craft, Kyle; Redman, Andrew; Aikens, Kurt

    2015-11-01

    Wall models used in large eddy simulations (LES) are often based on theories for hydraulically smooth walls. While this is reasonable for many applications, there are also many where the impact of surface roughness is important. A previously developed wall model has been used primarily for jet engine aeroacoustics. However, jet simulations have not accurately captured thick initial shear layers found in some experimental data. This may partly be due to nozzle wall roughness used in the experiments to promote turbulent boundary layers. As a result, the wall model is extended to include the effects of unresolved wall roughness through appropriate alterations to the log-law. The methodology is tested for incompressible flat plate boundary layers with different surface roughness. Correct trends are noted for the impact of surface roughness on the velocity profile. However, velocity deficit profiles and the Reynolds stresses do not collapse as well as expected. Possible reasons for the discrepancies as well as future work will be presented. This work used the Extreme Science and Engineering Discovery Environment (XSEDE), which is supported by National Science Foundation grant number ACI-1053575. Computational resources on TACC Stampede were provided under XSEDE allocation ENG150001.

  16. RANS and LES simulations of the airflow through nasal cavities

    NASA Astrophysics Data System (ADS)

    Lamberti, Giacomo

    2015-11-01

    The prediction of detailed flow patterns in nasal cavities using computational fluid dynamics (CFD) can provide essential information on the potential relationship between patient-specific geometrical characteristics and health problems. The long-term goal of the OpenNOSE project is to develop a reliable open-source computational tool based on the OpenFOAM CFD toolbox that can assist surgeons in their daily practice. The objective of this study was to investigate the effect of the turbulence model and boundary conditions on simulations of the airflow in nasal cavities. The geometry, including paranasal sinuses, was reconstructed from a carefully selected CT scan, and RANS and LES simulations were carried out for steady inspiration and expiration. At a flow rate near 20 l/min, the flow is laminar in most of the domain. During the inspiration phase, turbulence develops in nasopharynx and oropharynx regions; during the expiration phase, another vortical region is observed down the nostrils. A comparison between different boundary conditions suggests the use of a total pressure condition, or alternatively a uniform velocity, at the inlet and outlet. In future work the same geometry will be used for setting up a laboratory experiment, intended to cross-validate the numerical results.

  17. LES ARM Symbiotic Simulation and Observation (LASSO) Implementation Strategy

    SciTech Connect

    Gustafson Jr., WI; Vogelmann, AM

    2015-09-01

    This document illustrates the design of the Large-Eddy Simulation (LES) ARM Symbiotic Simulation and Observation (LASSO) workflow to provide a routine, high-resolution modeling capability to augment the U.S. Department of Energy (DOE) Atmospheric Radiation Measurement (ARM) Climate Research Facility’s high-density observations. LASSO will create a powerful new capability for furthering ARM’s mission to advance understanding of cloud, radiation, aerosol, and land-surface processes. The combined observational and modeling elements will enable a new level of scientific inquiry by connecting processes and context to observations and providing needed statistics for details that cannot be measured. The result will be improved process understanding that facilitates concomitant improvements in climate model parameterizations. The initial LASSO implementation will be for ARM’s Southern Great Plains site in Oklahoma and will focus on shallow convection, which is poorly simulated by climate models due in part to clouds’ typically small spatial scale compared to model grid spacing, and because the convection involves complicated interactions of microphysical and boundary layer processes.

  18. Turbulence effects on hemolysis by revisiting experiments with LES computations

    NASA Astrophysics Data System (ADS)

    Ozturk, Mesude; O'Rear, Edgar; Papavassiliou, Dimitrios

    2015-11-01

    Determining mechanically stimulated red blood cell trauma as a function of turbulence properties is required to design prosthetic heart devices. Because blood is typically exposed to turbulence in such devices, the design of prosthetic heart devices depends on determining the effect of turbulent stresses on hemolysis. While turbulent stresses increase hemolysis when cells are exposed to them, turbulent flow characteristics in the vicinity of lysed blood cells, and the mechanism of cell damage remains uncertain. In this work, LES computations are used to investigate the effect of turbulent eddy structure on cell damage. The flow was simulated for classic Couette and capillary tube experiments, in order to examine the relation between hemolysis turbulence properties related to the dissipation of turbulent kinetic energy. The hypothesis tested is that eddies that are close in size with the erythrocytes are the ones that are responsible for hemolysis, rather than Reynolds stresses or viscous stresses. We define extensive measures, like the eddy areas for small eddies comparable to the size of the red blood cells, to provide a more general understanding of the mechanical cause of blood trauma.

  19. Marine Propeller Analysis with an Immersed Boundary LES methodology

    NASA Astrophysics Data System (ADS)

    Schroeder, Seth; Balaras, Elias

    2011-11-01

    Modern marine propeller design and analysis techniques employ a wide range of computational methods to balance time constraints and accuracy requirements. Potential flow and RANS based methods have historically comprised the tools necessary for design and global performance analysis. However, for analysis where unsteady flow phenomena are of interest, eddy resolving methodologies are required. In the present study we use the large-eddy simulation (LES) approach coupled with an immersed-boundary (IB) method to perform computations of the flow around a rotating propeller at laboratory Reynolds numbers. Compared to classical boundary conforming strategies our formulation eliminates meshing overhead time and allows for body motion without additional treatments such as overset or dynamic meshing. The structured Cartesian grid also allows for a non-dissipative solver which conserves mass, momentum and energy. We will focus on the Italian Ship Model Basin (INSEAN) E1619 propeller and compare the predictions of our method to experimental results. The E1619 propeller is a 7-bladed submarine stock propeller that has been the subject of extensive experimental testing and previous computational studies. Supported by ONR.

  20. Experimental assessment of subgrid mixing models for LES

    NASA Astrophysics Data System (ADS)

    Sun, O. S.; Su, L. K.

    2003-11-01

    Large eddy simulation (LES) models for subgrid scalar flux and dissipation include dynamic structure models,(Chumakov, S. and Rutland, C.J., submitted to phAIAA J.) based on scale similarity ideas, as well as one-equation models that relate subgrid variance and dissipation.(Jiménez, C. phet al.) phPhys. Fluids 13 (2001) Previously, these models have only been tested a posteriori, or a priori using data from direct numerical simulations. Here, these models are evaluated a priori using simultaneous planar laser-induced fluorescence (PLIF) and particle image velocimetry (PIV) measurements in a turbulent crossflowing jet. The models are tested by filtering the experimental data and comparing the results with computed model quantities. The measurements have sufficient resolution to permit accurate determination of subgrid quantities. Of primary interest is the structural accuracy of the models, which can be assessed by computing a correlation coefficient between exact and modeled terms. Preliminary results suggest that the assumptions of scale similarity underlying the dynamic structure models are more valid for modeling subgrid scalar flux than subgrid scalar dissipation.

  1. Migration for employment among the Arab countries.

    PubMed

    Birks, S; Sinclair, C

    1979-10-01

    The large-scale recent migrations from Arab countries for jobs in the Persian Gulf and Libya are examined with analyses of the problems from the perspectives of both the importing and the exporting countries. In 1975 there were more than 2.5 million Arab workers living in Arab states other than their own, about 1/2 of whom were employed. Since that time the numbers have increased by about 9% annually; an estimated 1,570,000 Arab workers were living abroad in early 1979. It is estimated that another 975,000 non-Arab migrant workers were employed within the Arab world in January 1979, a total of over 2,500,000 migrants for employment in the Arab Near East. The sheer volume of this migration for employment and its relative importance within the labor markets of the Arab world, the impact that migration for employment has upon economic development, and the mutual independence among countries that labor exporting and importing brings about have made migrant labor movements a leading issue in the Near East. Focus is on the distribution of wealth in the Near East, population and workforce in the Arab states, economic development of the capital-rich and the capital-poor states, the international transfers of labor, and impacts on the labor-supply countries. The impacts of an emigrant workforce vary considerably with the conditions in the different exporting countries. Some of these effects are highlighted by citing examples from Egypt, Jordan, the Yemen and Sudan. PMID:12336017

  2. Aeromonas in Arab countries: 1995-2014.

    PubMed

    Ghenghesh, Khalifa Sifaw; Rahouma, Amal; Zorgani, Abdulaziz; Tawil, Khaled; Al Tomi, Abdurazzaq; Franka, Ezzadin

    2015-10-01

    The aim of this review is to provide information on the prevalence, clinical syndromes, and antimicrobial resistance and therapy of Aeromonas spp. infections in Arab countries. The data were obtained by an English language literature search from 1995 to 2014 of Medline and PubMed for papers using the search terms "Aeromonas+name of Arab country (i.e. Algeria, Egypt, etc.)". Additional data were obtained from a Google search using the aforementioned terms. The organisms have been reported from diarrheal children, patients with cholera-like diarrhea, an outbreak of acute gastroenteritis and from different types of animals, foods and water source in several Arab countries in the Middle East and North Africa with predominance of A. hydrophila, A. caviae and A. sobria. Using molecular techniques few studies reported genes encoding several toxins from aeromonads isolated from different sources. Among the antimicrobials examined in the present review third generation cephalosporins, fluoroquinolones and aminoglycosides showed excellent activity and can be employed in the treatment of Aeromonas-associated human infections in Arabic countries. Whenever possible, treatment should be guided by the susceptibility testing results of the isolated organism. In the future, studies employing molecular testing methods are required to provide data on circulating genospecies and their modes of transmission in the community, and on their mechanisms of resistance to antimicrobials. Microbiology laboratories and research centers are encouraged to look for these organisms in clinical, food and water sources to attain a better understanding of the public health risks from these organisms in Arab countries. PMID:26577192

  3. [Sociodemographic indicators of the Andean Pact countries].

    PubMed

    1991-12-01

    The Andean Pact, also known as the Cartagena Accord, was signed on May 26, 1969, with the goal of promoting the socioeconomic integration of the countries of the subregion (Venezuela, Colombia, Ecuador, Peru, and Bolivia). 1992 marked a new stage in the Andean Pact by the consolidation of the integration process with the establishment of the Andean Free Trade Zone, allowing the uninhibited flow of goods. The subregion's population was 91.8 million in 1990, the most populous being Colombia with 32.9 million people. 71.5% of the total population (65 million people) live in cities with a high level of urban growth. During the period of 1990-95 the average rate of population growth was the highest in Bolivia with 2.8% and the lowest in Colombia with 1.95%. By comparison, the rate of growth was 0.2% in western Europe and 0.7% in the US. According to projections of the UN, approximately 113 million people will be living in the subregion in the year 2000. The indices of life expectancy and infant mortality have improved in recent decades; however, they are still poor compared to those of developed countries. The highest rate of infant mortality was registered in Bolivia with 93/1000 live births, followed by Peru with 76/1000, Ecuador with 53/1000, Colombia with 37/1000, and Venezuela with 33/1000 live births. The average rate of European countries is 7/1000 live births. Life expectancy increased from an average of 50 years in 1950 to 65.4 years in 1990. In 1990, average life expectancy was 76 years in the US, indicating that there are significant differences in medical care and social security between the countries of the region and developed countries. PMID:12284746

  4. La violence sur les réseaux canadiens de télévision

    PubMed Central

    Paquette, Guy

    2003-01-01

    La question des effets de la violence à la télévision occupe une place très importante dans l’opinion publique depuis les vingt dernières années, et des centaines d’études y ont été consacrées. Plusieurs chercheurs concluent à une influence négative de cette violence sur le comportement. Le public, les diffuseurs et les autorités politiques ont tous endossé l’idée de réduire la quantité totale de violence présentée au petit écran – en particulier dans les émissions accessibles aux enfants. Nous avons analysé un millier d’émissions de fiction présentées entre 1993 et 2001 sur les principaux réseaux généralistes de télévision au Canada : TVA et TQS ainsi que CTV et Global pour les réseaux privés français et anglais, ainsi que Radio-Canada français et anglais pour les réseaux publics. La méthodologie utilisée est l’analyse de contenu classique, où l’acte de violence constitue l’unité d’analyse. Les données recueillies démontrent que la quantité de violence a augmenté régulièrement depuis 1993, malgré la volonté affirmée des télédiffuseurs de présenter une programmation moins violente. C’est le cas du nombre brut d’actes et du nombre d’actes à l’heure, qui est lui aussi en forte croissance. Les réseaux privés véhiculent trois fois plus de violence que les réseaux publics. On constate également qu’une très forte proportion d’actes de violence figure dans des émissions qui commencent avant 21 h, et que de nombreux enfants y sont probablement exposés. Nous signalons finalement la place de plus en plus importante occupée par la violence psychologique. PMID:20020031

  5. Les manifestations ophtalmologiques de la maladie de Behçet, à propos de 33 cas

    PubMed Central

    Andaloussi, Idriss Benatiya; Alami, Bouchra; Abdellaoui, Meryem; Bhallil, Salima; Bono, Wafae; Tahri, Hicham

    2012-01-01

    Les manifestations ophtalmologiques au cours de la maladie de Behçet sont dominées par les uvéites, les vascularites rétiniennes et les thromboses veineuses rétiniennes. Nous rapportons une étude rétrospective portant sur tous les malades atteints de la maladie de Behçet, hospitalisés au sein du service d'Ophtalmologie de Fès de Janvier 2007 à Décembre 2009. Au total ce sont 33 patients qui sont inclut dans l'étudeLa moyenne d’âge est de 28,4 ans. Le délai moyen de consultation varie entre 1 jour et 3 ans. L'atteinte oculaire est bilatérale chez 26 patients (78,8% des yeux). L'AV est très basse avant le traitement: 28,8% à moins de 1/10. Les manifestations oculaires sont dominées par l'uvéite avec 77,3%, suivie de la vascularite rétinienne 54, 5% et la maculopathie 51, 5%. Le pourcentage des yeux dont l'AV était inférieur à 1/10 est passé à 19,7% après traitement. La fréquence de l'atteinte oculaire au cours de la maladie de Behçet est diversement appréciée selon les auteurs et selon le mode de recrutement des patients: elle va de 29% à 100%. L'atteinte uvéale est la plus fréquente des manifestations ophtalmologiques. Les lésions vasculaires rétiniennes sont dominées par la vascularite rétinienne essentiellement la périphlébite aussi bien au pôle postérieur qu’à la périphérie rétinienne. En l'absence de traitement et de mauvaise observance, le pronostic oculaire de la maladie de Behçet est très mauvais. La cécité s'installe dans 13 à 32%. Les manifestations ophtalmologiques au cours de la maladie de Behçet ont une valeur considérable, tant sur le plan diagnostique que pronostique. Notre étude a permis de décrire les aspects cliniques de l'atteinte oculaire de la maladie de Behçet dans un service d'Ophtalmologie tertiaire au Maroc. PMID:23396991

  6. Photovaporisation prostatique au laser chez les patients à haut risque hémorragique

    PubMed Central

    Bouabdallah, Zakaria; Kharbouchi, Amine; Colau, Alexandre; Cariou, Gerard

    2013-01-01

    Introduction Les patients sous traitement anticoagulant sont à risque élevé de saignement lors de la résection transurétrale de la prostate ou de l'adénomectomie par taille vésicale et ils se voient souvent récuser pour la chirurgie de l'hyperplasie bénigne de la prostate symptomatique. En Utilisant la photovaporisation de la prostate, les patients à haut risque peuvent subir en toute sécurité la chirurgie. Nous avons évalué l'innocuité et l'efficacité de la photovaporisation de la prostate (PVP) chez les patients sous anticoagulants en cours avec les dérivés de la coumarine, l'aspirine ou le clopidogrel, se plaignant de symptômes d'hypertrophie bénigne de la prostate. Méthodes Entre janvier 2009 et mai 2010, 47 hommes sous anticoagulation systémique ont subi une photovaporisation de la prostate. Les données ont été recueillies sur les caractéristiques démographiques, les comorbidités, les complications, la natrémie, l'hémoglobine, le débit urinaire maximal, le résidu post-mictionnel, l'IPSS et les complications. Résultats L'âge moyen était de 78 ans, le volume prostatique moyen était de 44g et le PSA était de 3.4ng/ml. Parmi les 10 patients (21.2%) étaient sous AVK, 27 (57.4%) étaient sous aspirine, 2 (4.2%) étaient sous clopidogrel, un sous fondaparinux et 6 (12.7%) étaient sous 2 anticoagulants ou plus. Le score ASA moyen était de 3. La durée moyenne de fonctionnement de l'appareil était de 38 minutes, l'énergie moyenne utilisée était de 200kJ. La durée moyenne d'hospitalisation était de 2 jours. Les complications survenant dans les 30 jours comprenaient une infection urinaire chez 5 patients (10.6%), une dysurie chez 4 patients et une hémorragie retardée chez 4 autres (8.5%). Un seul de ces patients a nécessité une transfusion sanguine et aucun patient n'a nécessité une réintervention. En 3 mois de suivi un seul patient a nécessité une incision du col vésical pour sclérose du col. Aucune incontinence

  7. Reducing stillbirths in low-income countries.

    PubMed

    Goldenberg, Robert L; Saleem, Sarah; Pasha, Omrana; Harrison, Margo S; Mcclure, Elizabeth M

    2016-02-01

    Worldwide, 98% of stillbirths occur in low-income countries (LIC), where stillbirth rates are ten-fold higher than in high-income countries (HIC). Although most HIC stillbirths occur prenatally, in LIC most stillbirths occur at term and during labor/delivery. Conditions causing stillbirths include those of maternal origin (obstructed labor, trauma, antepartum hemorrhage, preeclampsia/eclampsia, infection, diabetes, other maternal diseases), and fetal origin (fetal growth restriction, fetal distress, cord prolapse, multiples, malpresentations, congenital anomalies). In LIC, aside from infectious origins, most stillbirths are caused by fetal asphyxia. Stillbirth prevention requires recognition of maternal conditions, and care in a facility where fetal monitoring and expeditious delivery are possible, usually by cesarean section (CS). Of major causes, only syphilis and malaria can be managed prenatally. Targeting single conditions or interventions is unlikely to substantially reduce stillbirth. To reduce stillbirth rates, LIC must implement effective modern antepartum and intrapartum care, including fetal monitoring and CS. PMID:26577070

  8. Surgical services for children in developing countries.

    PubMed Central

    Bickler, S. W.; Rode, H.

    2002-01-01

    There is growing evidence that childhood surgical conditions, especially injuries, are common in developing countries and that poor care results in significant numbers of deaths and cases of disability. Unfortunately, however, surgical care is not considered an essential component of most child health programmes. Strategies for improving paediatric surgical care should be evidence-based and cost-effective and should aim to benefit the largest possible number of children. The most likely way of achieving policy change is to demonstrate that childhood surgical conditions are a significant public health problem. For paediatric purposes, special attention should also be given to defining a cost-effective package of surgical services, improving surgical care at the community level, and strengthening surgical education. Surgical care should be an essential component of child health programmes in developing countries. PMID:12471405

  9. Hazards in cottage industries in developing countries.

    PubMed

    McCann, M

    1996-08-01

    Occupational health and safety research and prevention programs in developing countries have focused almost exclusively on large-scale industries. The informal sector--especially home-based arts and crafts industries such as pottery, jewelry, weaving, and woodworking, as well as other cottage industries--are a major and neglected part of the economies of developing countries. These industries have many hazards, including lead, silica, toxic woods, cadmium, dyes, and ergonomic problems. Since the work is often done in the home and can involve whole families, the entire family, including children, can be at risk. Prevention programs involving training and education about the hazards, suitable precautions, and development of safer substitutes are needed. This will also require training of local health care providers in the diagnosis and treatment of occupational diseases related to hazards in these cottage industries. PMID:8844041

  10. Cognitive and Socioemotional Caregiving in Developing Countries

    PubMed Central

    Bornstein, Marc H.; Putnick, Diane L.

    2011-01-01

    Enriching caregiving practices foster the course and outcome of child development. We studied two developmentally significant domains of positive caregiving -- cognitive and socioemotional -- in more than 127,000 families with under-5 year children from 28 developing countries. Mothers varied widely in cognitive and socioemotional caregiving and engaged in more socioemotional than cognitive activities. More than half of mothers played with their children and took them outside, but only a third or fewer read books and told stories to their children. The GDP of countries related to caregiving after controlling for life expectancy and education. The majority of mothers report that they do not leave their under-5s alone. Policy and intervention recommendations are elaborated. PMID:22277006

  11. Educational support agencies in some European countries

    NASA Astrophysics Data System (ADS)

    Braaksma, J.; Heinink, A. L.

    1993-05-01

    Economic and social constraints in the '50s and '60s resulted in an increasing interest in educational matters. As a response it was felt that a more professional and scientific approach in education was needed. Thus the educational specialist entered the labour market and institutional frameworks for educational support developed. Despite the common societal context, each country acquired its own unique educational support system. It will be argued that national pecularities in educational support systems are related to educational traditions. In order to clarify this, educational support agencies in some European countries are defined in terms of: the institutional level at which educational support agencies operate; and the functions and roles of support agencies in the education systems concerned.

  12. Grid and Cloud for Developing Countries

    NASA Astrophysics Data System (ADS)

    Petitdidier, Monique

    2014-05-01

    The European Grid e-infrastructure has shown the capacity to connect geographically distributed heterogeneous compute resources in a secure way taking advantages of a robust and fast REN (Research and Education Network). In many countries like in Africa the first step has been to implement a REN and regional organizations like Ubuntunet, WACREN or ASREN to coordinate the development, improvement of the network and its interconnection. The Internet connections are still exploding in those countries. The second step has been to fill up compute needs of the scientists. Even if many of them have their own multi-core or not laptops for more and more applications it is not enough because they have to face intensive computing due to the large amount of data to be processed and/or complex codes. So far one solution has been to go abroad in Europe or in America to run large applications or not to participate to international communities. The Grid is very attractive to connect geographically-distributed heterogeneous resources, aggregate new ones and create new sites on the REN with a secure access. All the users have the same servicers even if they have no resources in their institute. With faster and more robust internet they will be able to take advantage of the European Grid. There are different initiatives to provide resources and training like UNESCO/HP Brain Gain initiative, EUMEDGrid, ..Nowadays Cloud becomes very attractive and they start to be developed in some countries. In this talk challenges for those countries to implement such e-infrastructures, to develop in parallel scientific and technical research and education in the new technologies will be presented illustrated by examples.

  13. Digital processing system for developing countries

    NASA Technical Reports Server (NTRS)

    Nanayakkara, C.; Wagner, H.

    1977-01-01

    An effort was undertaken to perform simple digital processing tasks using pre-existing general purpose digital computers. An experimental software package, LIGMALS, was obtained and modified for this purpose. The resulting software permits basic processing tasks to be performed including level slicing, gray mapping and ratio processing. The experience gained in this project indicates a possible direction which may be used by other developing countries to obtain digital processing capabilities.

  14. Special Session: Astronomy for Developing Countries

    NASA Astrophysics Data System (ADS)

    Batten, A. H.

    A Special Session was held during the XXIV General Assembly on the topic "Astronomy for Developing Countries". During two-and-a-half days, thirty-eight oral papers were presented and a similar number of poster papers were displayed. Edited summaries of the oral papers are presented here. Full texts of those papers and abstracts of the posters appear in a separate volume published in 2001 by the ASP.

  15. Erosion and sedimentation in Arab countries

    NASA Astrophysics Data System (ADS)

    This symposium is organized by the Iraqi National Committee for the International Hydrological Program (IHP) and the International Association of Hydrological Sciences (IAHS) International Commission on Continental Erosion (ICCE). It will be held February 15-19, 1986, at the Water Research Center in Baghdad, Iraq. The program will cover a wide range of topics associated with erosion and sedimentation in Arab countries. These topics include soil erosion and sedimentation problems, erosion, transport and deposition processes, sediment yields, reservoir sedimentation, and river training.

  16. Simulation numérique d'écoulement compressible dans les joints labyrinthe

    NASA Astrophysics Data System (ADS)

    Sriti, M.; Agouzoul, M.; Ouazar, D.; Micheau, P.

    1997-05-01

    The labyrinth seals are the devices used machines which serve to restrict the leakages crossing a carter (or stator) by a rotating shaft (or rotor) and to avoid the important friction to high rotation speeds. These devices, which in addition behave as shaft bearings, can modify the dynamics characteristics of the line of the shaft in which they are integrated. The present work has been carried out with the purpose of controlling better the flows within the labyrinth seals and to determine their static (leakage-pressure) and dynamic (stiffness and damping coefficients) characteristics. It's based on the development of a global numerical model, and on the integration of the obtained correlations by 3D axisymmetric computation in this model. Les joints labyrinthe sont des dispositifs utilisés dans les machines, ils servent à limiter les fuites à la traversée d'un carter (ou stator) par un arbre tournant (ou rotor) et éviter le frottement important aux vitesses de rotation élevées. Ces dispositifs, qui de plus, se comportent comme des paliers, peuvent modifier les caractéristiques dynamiques de la ligne d'arbre dans laquelle ils sont intégrés. Le travail présenté a été effectué dans le but de mieux maîtriser les écoulements dans les joints labyrinthe et de déterminer leurs caractéristiques statiques (débit-pression) et dynamiques (coefficients de raideur et d'amortissement). Il s'appuie sur le développement d'outils numériques intégrant dans les calculs globaux des résultats de calculs locaux (3D axisymétriques).

  17. Mesusage du tramadol par les adolescents et jeunes adultes en situation de rue

    PubMed Central

    Maiga, Djibo Douma; Seyni, Houdou; Moussa, Ali Ousmane; Sidikou, Amadou

    2012-01-01

    L’objectif de cette étude transversale et descriptive était de décrire quelques caractéristiques de l’addiction au Tramadol chez les adolescents et jeunes adultes en situation de rue, rattachés aux centres d’écoute du Service Educatif, Judiciaire et préventif (SEJUP) de Niamey. Le recueil des données a porté sur les variables sociodémographiques et la consommation de tramadol. L’analyse des données a calculé les moyennes, minima, maxima et écarts types. Les résultats indiquent que : trois centres d’écoute sur huit participaient à l’étude. L’échantillon constituait 61 adolescents et jeunes adultes dont l’âge moyen était de 17,49 ans. L’analyse indique que 47 adolescents et jeunes adultes de toutes les catégories sociodémographiques (sexe, niveau d’instruction, provenance familiale ; région de provenance ; antécdents médicaux; antécédents judiciaires) étaient usagers du Tramadol. 46 étaient dépendants du Tramadol. La quantité moyenne consommée était de 1455,31 ± 901,4mg. Le mésusage du tramadol par les jeunes en situation de rue est probablement une des conséquences de la vente illicite et libre des médicaments, dont il est urgent de préciser les données médicales et sociales. PMID:23330046

  18. Les liquéfacteurs d'hélium en France

    NASA Astrophysics Data System (ADS)

    Gianèse, P.; Maréchal, J. C.

    1991-02-01

    This article is a synopsis of a meeting held at the begining of 1990 between the managers of the principal helium liquefaction installations in France. The mains types of helium liquefiers encountered are described and then the French installations are listed and detailed. The problems encountered in different parts of the installations (liquefier, recovery system, purifying, ...) during the last few years are discussed. In a final section about the economics of liquefaction, the cost of liquefying helium and nitrogen is compared with the cost of purchasing these liquids commercially. Cet article constitue la synthèse d'une réunion tenue début 1990 qui regroupait les principaux responsables français des centres de liquéfaction d'hélium. L'article décrit successivement les principaux types de liquéfacteurs rencontrés puis recense les installations françaises en fournissant leurs principales caractéristiques. Il énumère ensuite les problèmes survenus avec les différents éléments d'une installation (liquéfacteur, circuit de récupération, épurateur, ...). L'article s'achève par un volet économique fournissant les coûts moyens actuels soit pour l'achat, soit pour la liquéfaction sur place de l'hélium et de l'azote liquide. Une comparaison entre les deux solutions est effectuée.

  19. Human Evolution in Science Textbooks from Twelve Different Countries

    ERIC Educational Resources Information Center

    Quessada, Marie-Pierre; Clement, Pierre; Oerke, Britta; Valente, Adriana

    2008-01-01

    What kinds of images of human beings illustrate human evolution in school textbooks? A comparison between the textbooks of eighteen different countries (twelve European countries and six non-European countries) was attempted. In six countries (Algeria, Malta, Morocco, Mozambique, Portugal, and Tunisia), we did not find any chapter on the topic of…

  20. Financing Bologna: Which Country Will Pay for Foreign Students?

    ERIC Educational Resources Information Center

    Gerard, Marcel

    2007-01-01

    In an integrated set of jurisdictions, where residents of one country may obtain higher education in another country and later return home (with some probability), the question arises of which country has to pay for higher education abroad - the country of origin of the student, which is likely to benefit from the education acquired abroad, or the…

  1. 19 CFR 134.11 - Country of origin marking required.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Country of origin marking required. 134.11 Section... OF THE TREASURY COUNTRY OF ORIGIN MARKING Articles Subject to Marking § 134.11 Country of origin... English name of the country of origin of the article, at the time of importation into the...

  2. Distribution épidémiologique de l'infection à VIH chez les femmes enceintes dans les dix régions du Cameroun et implications stratégiques pour les programmes de prévention

    PubMed Central

    Billong, Serge-Clotaire; Fokam, Joseph; Billong, Edson-Joan; Nguefack-Tsague, Georges; Essi, Marie-Josée; Fodjo, Raoul; Sosso, Samuel-Martin; Gomba, Armelle; Mosoko-Jembia, Joseph; Loni-Ekali, Gabriel; Colizzi, Vittorio; Bissek, Anne-Cécile Zoung-Kani; Monebenimp, Francisca; Nfetam, Jean-Bosco Elat

    2015-01-01

    Introduction Le Cameroun se situe dans un contexte d’épidémie généralisée du VIH. La sous-population des femmes enceintes, facilement accessible au sein de la population générale, représente une cible probante pour mener la surveillance du VIH et estimer l’évolution épidémiologique. L'objectif de notre étude était d’évaluer la distribution épidémiologique du VIH chez les femmes enceintes. Méthodes Étude transversale menée en 2012 chez 6521 femmes enceintes (49,3% âgées de 15-24 ans) en première consultation prénatale (CPN1) dans 60 sites des 10 régions Camerounaises. L'algorithme en série a été utilisé pour le sérodiagnostic du VIH. Résultats La prévalence du VIH était de 7,8% (508/6521), avec une différence non significative (p = 0,297) entre milieu rural (7,4%) et milieu urbain (8,1%). En zone rurale, cette prévalence variait de 0,7% à l'Extrême-Nord à 11,8% au Sud. Cependant, en zone urbaine elle variait de 4% à l'Ouest à 11,1% au Sud-Ouest. Suivant l’âge, la prévalence était plus élevée (11,3%) chez les femmes de 35-39 ans. Suivant le niveau de scolarisation, la prévalence du VIH était plus faible (4,4%) chez celles non-scolarisées, et plus élevée (9,3%) chez celles ayant un niveau primaire. Selon la profession, l'infection était plus élevée chez les coiffeuses (15,5%), secrétaires (14,8%), commerçantes (12,9%) et institutrices/enseignantes (10,8%). Conclusion La prévalence du VIH reste élevée chez les femmes enceintes au Cameroun, sans distinction entre milieux rural et urbain. Les stratégies de prévention devraient s'orienter préférentiellement chez les femmes enceintes âgées, celles du niveau d'instruction primaire, et celles du secteur des petites et moyennes entreprises. PMID:26090037

  3. Epidemiology of oral cancer in Arab countries

    PubMed Central

    Al-Jaber, Abeer; Al-Nasser, Lubna; El-Metwally, Ashraf

    2016-01-01

    Objectives: To review the oral cancer (OC) studies that were conducted in Arab countries with regard to epidemiology, risk factors, and prognosis. Methods: A computer-based PubMed literature search was performed to retrieve studies conducted in the Arab world on epidemiology of OC. After screening for exclusion criteria, cross-referencing, and searching local journals, a total of 19 articles were included. Results: Eight prevalence studies found an OC prevalence ranging from 1.8 to 2.13 per 100,000 persons. Oral cancer patients were mostly in their fifth to sixth decade of life, and the incidence in younger age was reported in some Arab countries. Yemenis have an alarming high prevalence of OC among people younger than 45 years. Eleven studies explored determinants or prognosis of OC. Behavioral determinants such as smokeless tobacco (Shamma and Qat), and cigarette smoking were strongly associated with OC. Alcohol drinking and solar radiation exposures were cited as possible risk factors. The most affected sites were tongue, floor of the mouth, and lower lip variations in the affected site were attributed to the socio-cultural behavior of the populations under study. Squamous cell carcinoma was the most frequently detected cancer, and usually patients were in late stages (III and IV) at the time of diagnosis. Conclusion: No solid evidence exists regarding the true OC prevalence/incidence in most Arab countries due to the lack of national cancer registries and population-based studies. PMID:26905345

  4. Aroma components of American country ham.

    PubMed

    Song, H; Cadwallader, K R

    2008-01-01

    The aroma-active compounds of American country ham were investigated by using direct solvent extraction-solvent assisted flavor evaporation (DSE-SAFE), dynamic headspace dilution analysis (DHDA), gas chromatography-olfactometry (GCO), aroma extract dilution analysis (AEDA), and gas chromatography-mass spectrometry (GC-MS). The results indicated the involvement of numerous volatile constituents in the aroma of country ham. For DHDA, 38 compounds were identified as major odorants, among them, 1-octen-3-one, 2-acetyl-1-pyrroline, 1-nonen-3-one, decanal, and (E)-2-nonenal were the most predominant, having FD-factors >or= 125 in all 3 hams examined, followed by 3-methylbutanal, 1-hexen-3-one, octanal, acetic acid, phenylacetaldehyde, and Furaneol. For the DSE-SAFE method, the neutral/basic fraction was dominated by 1-octen-3-one, methional, guaiacol, (E)-4,5-epoxy-(E)-decenal, p-cresol as well as 3-methylbutanal, hexanal, 2-acetyl-1-pyrroline, phenylacetaldehyde, and gamma-nonalactone. The acidic fraction contained mainly short-chain volatile acids (3-methylbutanoic acid, butanoic acid, hexanoic acid, and acetic acid) and Maillard reaction products (for example, 4-hydroxy-2,5-dimethyl-3(2H)-furanone). The above compounds identified were derived from lipid oxidation, amino acid degradation, and Maillard/Strecker and associated reactions. Both methods revealed the same nature of the aroma components of American country ham. PMID:18211346

  5. La prévention des blessures non intentionnelles chez les enfants et adolescents autochtones au Canada

    PubMed Central

    Banerji, Anna

    2012-01-01

    RÉSUMÉ Les blessures non intentionnelles sont la principale cause de décès chez les enfants et adolescents autochtones canadiens, à un taux de trois à quatre fois la moyenne nationale. Non seulement les décès et les blessures invalidantes dévastent les familles et les communautés, mais elles font également d’énormes ravages sur les ressources de santé. L’absence de statistiques, de surveillance continue ou de programmes de prévention des blessures à l’égard des enfants et adolescents autochtones exacerbe les coûts en matière de main-d’œuvre et de santé. Les communautés autochtones sont hétérogènes sur le plan culturel, qu’il s’agisse de l’accès aux ressources ou même des risques et des types de blessures. Pourtant, en général, ces communautés sont beaucoup plus susceptibles d’être pauvres, d’habiter dans un logement insalubre et d’éprouver de la difficulté à accéder aux soins de santé, des facteurs qui accroissent le risque et les conséquences des blessures. Il existe un besoin urgent de surveillance des blessures, de recherche, de renforcement des capacités, de diffusion des connaissances et de programmes de prévention des blessures qui sont axés sur les populations autochtones. Pour prévenir les blessures de manière efficace, il faut adopter des démarches multidisciplinaires, coopératives et durables, fondées sur des pratiques exemplaires, tout en étant spécifiques et sensibles sur le plan culturel et linguistique.

  6. [Food and population: study of three countries].

    PubMed

    1988-12-01

    In 1985, despite a nearly 25% worldwide surplus of cereals, more than 700 million poor people had insufficient food and some 17 million children died of malnutrition or related causes. 16% of the developing world's population is undernourished. Rapid population growth is a major reason for the world's hunger. Large families exhaust the resources of many urban couples and rural couples with little land. Closely spaced pregnancies deplete the nutritional resources of the mother and lead to low birth weight babies and inadequate lactation. Population growth in already densely populated countries reduces the land available for each family, inevitably contributing to poverty and rural malnutrition. Unemployment and underemployment reach alarming proportions in the city, where the combination of high fertility rates and migration from the countryside have produced growth twice that of the world population as a whole. Few developing countries have been able to generate sufficient investment to create new jobs for all seeking them. Unstable governments attempt to pacify urban unrest by subsidizing food prices and concentrating social and economic investments in the cities, causing further deterioration in rural conditions. Today more than 60 countries have food deficits, although not all are suffering. India, Kenya, and Mexico are 3 countries that have had some success in balancing population growth and food production, but each still has undernourished population sectors because of economic policies that fail to provide sufficient help to their poor and because of implacable population growth. Ending malnutrition in the 3 countries will require reducing the cost of food for households and increasing their incomes, but both objectives are made more difficult by rapid population growth. As a result of the green revolution and other factors, food production in India has tripled since 1950, but population has almost doubled in the same years. With rapid population growth, per

  7. Socioeconomic implications of AIDS in developing countries.

    PubMed

    Armstrong, J

    1991-12-01

    The author succinctly presents the socioeconomic impact of AIDs in developing countries in terms of demographic effects; economic impact; and the impact on the formal sector, agriculture, human capital, health, food and nutrition, and women and children. The answer to what can be done is directed to policymakers. First, prevention, which has been urged by WHO, is necessary even in areas sexual behavior. Knowledge is not enough. The use of condoms and treatment of sexually transmitted diseases helps; i.e., Thailand's well established and highly visible program. Blood screening is needed as well as the use of protective medical garments (gloves) and clean syringes. The 2nd approach is to concentrate on designing measures to ameliorate the consequences of the HIV infection. Such strategies may involve providing school fees for orphans, introducing and providing labor saving technology, and disseminating prevention messages. The effort should involve cooperative effort between government, nongovernmental and community organizations. Governments must acknowledge the seriousness of the problem and take action. The donor community is faced with the challenge to identify areas of comparative expertise and coordinate approaches. Without such undertakings, the decline in economic and social progress in developing countries and human tragedy will ensue. WHO estimates that in 1991 9 million adults and 1 million children are HIV infected worldwide, of which 80% are in developing countries. Prior focus on the human toll and the strain on national health care systems obfuscates the present threat to economic and social systems. AIDs victims are young and economically productive adults. AIDs has been difficult to model because of the immunological effect, the long incubation period, and the sexual mode of transmission. The epidemic has spread the quickest in sub Saharan Africa, which accounts for 66% of infection world wide. It is expected that by 2000 increase in AIDs cases in

  8. Cross-Country Variation in Adult Skills Inequality: Why Are Skill Levels and Opportunities so Unequal in Anglophone Countries?

    ERIC Educational Resources Information Center

    Green, Andy; Green, Francis; Pensiero, Nicola

    2015-01-01

    This article examines cross-country variations in adult skills inequality and asks why skills in Anglophone countries are so unequal. Drawing on the Organization for Economic Cooperation and Development's recent Survey of Adult Skills and other surveys, it investigates the differences across countries and country groups in inequality in both…

  9. 19 CFR 134.46 - Marking when name of country or locality other than country of origin appears.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... than country of origin appears. 134.46 Section 134.46 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY COUNTRY OF ORIGIN MARKING Method and Location of Marking Imported Articles § 134.46 Marking when name of country or locality other than country of...

  10. Theorie de la Levitation Radiative a L'equilibre dans les Etoiles Naines Blanches Chaudes

    NASA Astrophysics Data System (ADS)

    Chayer, Pierre

    1995-01-01

    Les resultats de nouveaux calculs detailles de levitation radiative dans des naines blanches chaudes utilisant la base de donnees atomiques TOPBASE sont presentes. Des accelerations radiatives et des abondances d'equilibre ont ete calculees pour C, N, O, Ne, Na, Mg, Al, Si, S, Ar, Ca, et Fe, sur des grilles de modeles d'enveloppes stellaires riches en hydrogene et riches en helium. La grille des modeles de DA a des gravites telles que log g = 7.0, 7.5, 8.0, et 8.5, et couvre les temperatures effectives pour lesquelles 100,000K >= T_ {rm eff} >= 20,000K par sauts de 2,500K. La grille des modeles de DO/DB est similaire mais se prolonge a T_{rm eff } = 130,000K. Les resultats d'abondances d'equilibre de Ni dans des DA utilisant la base de donnees de Kurucz sont aussi presentes. Nous discutons dans les moindres details de la physique incluse dans les calculs afin de fournir une bonne comprehension physique de la levitation radiative sous les conditions rencontrees dans les naines blanches. Nous discutons aussi de la forme et de la dependance en fonction de la profondeur des reservoirs des elements, crees par un equilibre entre l'acceleration radiative et la gravite locale effective dans differentes enveloppes stellaires. Nous soulignons le role important joue dans la morphologie de ces reserviors par les etats d'ionisation dominants se trouvant dans la configuration gaz noble. Nos resultats centraux sont presentes sous forme de figures montrant le comportement de l'abondance photospherique estimee pour chaque element en fonction de la temperature effective et de la gravite de surface. Nous apportons egalement des ameliorations aux calculs de levitation radiative en utilisant une approche de modeles d'atmospheres pour les etoiles riches en hydrogene. Nous mettons l'emphase, en particulier, sur le role des traces d'elements lourds qui peuvent etre presents dans le plasma. Nous utilisons une table d'opacite monochromatique detaillee calculee pour un plasma compose de H

  11. Enquete sur les aspects toxicologiques de la phytotherapie utilisee par un herboriste à Fes, Maroc

    PubMed Central

    Zeggwagh, Ali Amine; Lahlou, Younes; Bousliman, Yassir

    2013-01-01

    Introduction Dans le but d'étudier l'aspect toxicologique des plantes médicinales utilisées en médecine traditionnelle, une étude ethnobotanique a été réalisée à la ville de Fès au centre du Maroc. Méthodes Ont été inclus dans l'étude tous les patients ayant bénéficié d'une prescription par l'herboriste de plantes à visée thérapeutique. La discussion de nos résultats s'est faite sur la base d'une revue de la littérature avec identification des principales plantes toxiques utilisées en phytothérapie au Maroc. L'approche bibliographique a permis de compléter les informations. Résultats L'âge moyen des patients traités par des plantes (38 femmes, 32 hommes) était de 35 ± 18 ans. L'enquête ethnobotanique à révélé que la majorité des plantes médicinales étaient utilisées contre les affections urinaires (21%), suivi des maladies de l'appareil digestif (19.6%) et des maladies rhumatologiques (18.2%). Le nombre de plantes prescrits par l'herboriste a été de 53 dont 5 sont potentiellement toxiques. L'identification taxonomique des plantes prescrites a recensé 30 familles dont les plus représentées sont les Lamiaceae (23.33%), les Apiaceae (13,33%) et les Asteraceae (10%). La prescription des plantes considérées comme toxiques a concerné 7,1% des consultants traités par les plantes médicinales. Aucune complication inhérente aux plantes prescrites n'a été déplorée. Conclusion Malgré les résultats encourageants de notre enquête sur le compte de la phytothérapie, la pratique de la phytothérapie est laissée à la vulgarisation et à l'oubli scientifique, législatif et universitaire. PMID:23734270

  12. Les tumeurs annexielles cutanées: étude anatomopathologique à propos de 96 cas

    PubMed Central

    El Ochi, Mohamed Réda; Boudhas, Adil; Allaoui, Mohammed; Rharrassi, Issam; Chahdi, Hafsa; Bouzidi, Abderrahman Al; Oukabli, Mohammed

    2015-01-01

    Les tumeurs annexielles cutanées sont des tumeurs primitives cutanées à la fois rares et hétérogènes. Elles sont le plus souvent bénignes et rarement malignes. Elles sont dominées du point de vu morphologique par leur polymorphisme lésionnel. Le but de cette étude est de relever le profil épidémiologique et les différents aspects anatomopathologiques de ce groupe de tumeurs dans une cohorte de population marocaine et de les comparer avec les données de la littérature. Il s'agit d'une étude rétrospective de 96 cas de tumeurs annexielles cutanées colligées au service d'anatomie et de cytologie pathologique de l'Hôpital Militaire d'Instruction Mohammed V de rabat durant une période de 6 ans, de Janvier 2009 à Décembre 2014. Le pic de fréquence est situé entre 31 et 40 ans. L’âge moyen est de 36 ans avec une prédominance masculine (63,5%). Le siège de prédilection est la région de la tête et cou (47,9%). Les tumeurs bénignes (97,9%) sont plus fréquentes que les tumeurs malignes. La différenciation est folliculaire dans 51% des cas, eccrine/apocrine dans 44,8% des cas et sébacée dans 4,2% des cas. Le type histologique le plus fréquent est le pilomatrixome (33,4%) suivi par l'hidradénome (12,5%) et le spiradénome eccrine (11,5%). Les tumeurs annexielles cutanées sont rares et très variées. Le profil épidémiologique et les aspects anatomopathologiques qui ressortent sont globalement superposables à ceux rapportés dans la littérature. Elles sont majoritairement bénignes, à prédominance masculine et dominées par le pilomatrixome et l'hidradénome nodulaire. Les tumeurs malignes sont rares, agressives et surviennent à un âge plus avancé. PMID:26185579

  13. Les bisphosphonates dans le traitement de l’ostéoporose

    PubMed Central

    Brown, Jacques P.; Morin, Suzanne; Leslie, William; Papaioannou, Alexandra; Cheung, Angela M.; Davison, Kenneth S.; Goltzman, David; Hanley, David Arthur; Hodsman, Anthony; Josse, Robert; Jovaisas, Algis; Juby, Angela; Kaiser, Stephanie; Karaplis, Andrew; Kendler, David; Khan, Aliya; Ngui, Daniel; Olszynski, Wojciech; Ste-Marie, Louis-Georges; Adachi, Jonathan

    2014-01-01

    Résumé Objectif Exposer l’efficacité et les risques du traitement par les bisphosphonates dans la prise en charge de l’ostéoporose et décrire les patients qui seraient de bons candidats aux congés thérapeutiques. Qualité des données Une recherche dans MEDLINE (PubMed, jusqu’au 31 décembre 2012) a permis de relever les publications pertinentes pour l’inclusion. La plupart des données probantes citées sont de niveau II (tirées d’essais non randomisés, de cohorte et d’autres essais comparatifs). Message principal L’efficacité des bisphosphonates de premier recours homologués pour la prévention des fractures a été éprouvée dans le cadre d’essais cliniques randomisés et contrôlés. Cependant, l’usage clinique répandu et prolongé des bisphosphonates a donné lieu à des rapports de manifestations indésirables rares, mais graves. L’ostéonécrose maxillaire et les fractures atypiques sous-trochantériennes ou diaphysaires du fémur seraient liées à l’emploi des bisphosphonates dans le traitement de l’ostéoporose, mais ces manifestations sont extrêmement rares et lorsqu’elles surviennent, elles sont accompagnées d’autres comorbidités ou de l’emploi concomitant de médicaments. Les congés thérapeutiques ne peuvent être envisagés que chez les patients à faible risque et dans un groupe restreint de patients dont le risque de fracture est modéré après un traitement de 3 à 5 ans. Conclusion Lorsque les bisphosphonates sont prescrits à des patients dont le risque de fracture est élevé, leur effet de prévention des fractures l’emporte de loin sur leurs torts potentiels. Chez les patients qui prennent des bisphosphonates depuis 3 à 5 ans, il faut réévaluer le besoin de poursuivre le traitement.

  14. Altération des sulfures des granulats dans les chaussées

    NASA Astrophysics Data System (ADS)

    Jigorel, A.; Jauberthie, R.

    2002-07-01

    Sulfides present in hornsfeld aggregates, used in light pavanent construction in contact with humid air alter rapidly. Crystallisation of sulfates at the interface of bitumastic material and sub-base creates serious problems (intumescence and crazing) that can lead to a total reconstruction of the project (roads, sidewalks, sports areas, etc). The sulfides in the aggregates and the sulfates produced due to alteration are studied by SEM and XRD. The results show that the intensity of this phenomenon is linked to the nature and the crystallinity of the sulfides. The evolution of the sulfates formed during this alteration process is slow and complex. In new pavements (3 years) the sulfates have a pulverised appearance and consist mostly of epsomite, associated with pickeringite and halotrichite. In older pavements (20 years) the sulfates form a fibrous concretion consisting of pickeringite and small quantities of halotrichite. Les sulfures présents dans les granulats élaborés à partir de cornéen nes s'altèrent rapidement dans les chaussées légères en présence d'air humide. La cristallisation des sulfates à l'interface enrobé-couche de fondation crée des désordres si importants (intumescences, faiençage) qu'il est bien souvent nécessaire d'assurer la réfection totale des ouvrages (routes, trottoirs, plateaux sportifs...). Les sulfures des granulats et les sulfates issus du processus d'altération ont été étudiés par diffractométrie X et examen su Microscope Electronique à Balayage équipé de microanalyse X. Les résultats montrent que !intensité des désordres est liée à la nature et à la cristallinité des sulfures. Les sulfates formés évoluent su cours du processus d'altération qui est long et complexe. Dans les chaussées récentes (3 ans) ils ont un aspect pulvérulent et sont constitués d'epsomite dominante associée à de la pickeringite et à de l'halotrichite. Dans les chaussées plus anciennes (20 ans) ils forment des concr

  15. Extended LES-PaSR model for simulation of turbulent combustion

    NASA Astrophysics Data System (ADS)

    Sabelnikov, V.; Fureby, C.

    2013-03-01

    In this work, a novel model for Large Eddy Simulations (LES) of high Reynolds moderate Damköhler number turbulent flames is proposed. The development is motivated by the need for more accurate and versatile LES combustion models for engineering applications such as jet engines. The model is based on the finite rate chemistry approach in which the filtered species equations of a reduced reaction mechanism are solved prior to closure modeling. The modeling of the filtered reaction rate provides the challenge: as most of the chemical activity, and thus also most of the exothermicity occurs on the subgrid scales, this model needs to be based on the properties of fine-scale turbulence and mixing and Arrhenius chemistry. The model developed here makes use of the similarities with the mathematical treatment of multiphase flows together with the knowledge of fine-scale turbulence and chemistry obtained by Direct Numerical Simulation (DNS) and experiments. In the model developed, equations are proposed for the fine-structure composition and volume fraction that are solved together with the LES equations for the resolved scales. If subgrid convection can be neglected, the proposed model simplifies to the Partially Stirred Reactor (PaSR) model. To validate the proposed LES model, comparisons with experimental data and other LES results are made, using other turbulence chemistry interaction models, for a lean premixed bluff-body stabilized flame.

  16. Comparison of LES and DNS simulations for the late stratified wake

    NASA Astrophysics Data System (ADS)

    Bogucki, Darek J.; Yang, X.; Radhakrishnan, S.; Domaradzki, Julian A.

    2001-11-01

    We have carried out fully three-dimensional Large Eddy Simulations of stratified late non-zero momentum wake using the sub-grid scale estimation model and the truncated Navier-Stokes dynamics. The LES runs were performed for a wide range of Froude numbers between Fr=10 and Fr= ∞ with the Reynolds numbers up to 10^5. The runs were initiated with a mean flow with cylindrical Gaussian streamwise non-zero momentum and with a background flow and temperature possessing mid-scale fluctuations with the k^(-5/3) spectrum and a rapid roll-off at the smallest scales. LES were validated by comparing cases with analogous DNS runs performed for the same values of flow parameters. The subgrid-scale quantities from DNS and LES as well as the time-dependent spectra of the velocity and the temperature fields are examined. Physical processes such as internal wave and vortex generations and propagation in both LES and DNS are also investigated. The usefulness of LES to stratified future wake simulations is discussed.

  17. LES SOFTWARE FOR THE DESIGN OF LOW EMISSION COMBUSTION SYSTEMS FOR VISION 21 PLANTS

    SciTech Connect

    Steve Cannon; Baifang Zuo; Virgil Adumitroaie; Keith McDaniel; Cliff Smith

    2002-01-01

    Further development of a combustion Large Eddy Simulation (LES) code for the design of advanced gaseous combustion systems is described in this fifth quarterly report. CFD Research Corporation (CFDRC) is developing the LES module within the parallel, unstructured solver included in the commercial CFD-ACE+ software. In this quarter, in-situ adaptive tabulation (ISAT) for efficient chemical rate storage and retrieval was further tested in the LES code. The use of multiple trees and periodic tree dumping was investigated. Implementation of the Linear Eddy Model (LEM) for subgrid chemistry was finished for serial applications. Validation of the model on a backstep reacting case was performed. Initial calculations of the SimVal experiment were performed for various barrel lengths, equivalence ratio, combustor shapes, and turbulence models. The effects of these variables on combustion instability was studied. Georgia Tech continues the effort to parameterize the LEM over composition space so that a neural net can be used efficiently in the combustion LES code. Next quarter, the 2nd consortium meeting will be held at CFDRC. LES software development and testing will continue. Alpha testing of the code will be performed on cases of interest to the industrial consortium. Optimization of subgrid models will be pursued, particularly with the ISAT approach. Also next quarter, the demonstration of the neural net approach, for chemical kinetics speed-up in CFD-ACE+, should be accomplished.

  18. Towards the understanding of cyclic variability in a spark ignited engine using multi-cycle LES

    SciTech Connect

    Vermorel, O.; Richard, S.; Colin, O.; Angelberger, C.; Benkenida, A.; Veynante, D.

    2009-08-15

    Large-Eddy Simulation (LES) has been used to analyze the occurrence and the causes of cycle-to-cycle combustion variations in a spark ignited four-valve single cylinder engine fueled with a homogeneous propane-air mixture. The combustion modeling combines an Eulerian model derived from the RANS AKTIM model that mimics the spark ignition and the Extended Coherent Flame Model (ECFM-LES) that describes the flame propagation. The motion of piston and valves is accounted for using an Arbitrary Eulerian Lagrangian (ALE) technique with body-fitted meshes. The computation covers nine consecutive complete four-stroke cycles following an initialization cycle. The obtained LES results are compared with experimental measurements. Although the number of computed cycles is fairly low, LES is shown to be able to reproduce both quantitatively and qualitatively the cyclic variability observed experimentally. The investigation of the possible causes of variability illustrates the unprecedented possibility LES offers for understanding cycle-to-cycle variations. (author)

  19. DNS/LES Simulations of Separated Flows at High Reynolds Numbers

    NASA Technical Reports Server (NTRS)

    Balakumar, P.

    2015-01-01

    Direct numerical simulations (DNS) and large-eddy simulations (LES) simulations of flow through a periodic channel with a constriction are performed using the dynamic Smagorinsky model at two Reynolds numbers of 2800 and 10595. The LES equations are solved using higher order compact schemes. DNS are performed for the lower Reynolds number case using a fine grid and the data are used to validate the LES results obtained with a coarse and a medium size grid. LES simulations are also performed for the higher Reynolds number case using a coarse and a medium size grid. The results are compared with an existing reference data set. The DNS and LES results agreed well with the reference data. Reynolds stresses, sub-grid eddy viscosity, and the budgets for the turbulent kinetic energy are also presented. It is found that the turbulent fluctuations in the normal and spanwise directions have the same magnitude. The turbulent kinetic energy budget shows that the production peaks near the separation point region and the production to dissipation ratio is very high on the order of five in this region. It is also observed that the production is balanced by the advection, diffusion, and dissipation in the shear layer region. The dominant term is the turbulent diffusion that is about two times the molecular dissipation.

  20. Consommation de lait et production de mucus chez les enfants asthmatiques

    PubMed Central

    Thiara, Gurkaran; Goldman, Ran D.

    2012-01-01

    Résumé Question De nombreux parents qui ont des enfants asthmatiques hésitent de plus en plus à leur donner du lait parce qu’ils croient que cela aggrave leur asthme en augmentant la production de mucus. Sachant que le lait fait partie d’un régime alimentaire sain qui favorise la croissance et l’apport en calcium, est-il avisé d’exclure le lait de l’alimentation? Réponse Depuis le 12e siècle, on proscrit le lait chez les patients atteints d’asthme. Ceci étant dit, jusqu’à maintenant, aucune étude n’a pu établir de lien définitif qui puisse appuyer cette recommandation. Puisqu’il faudrait des preuves plus concluantes pour déterminer l’effet qu’a la consommation de lait chez les enfants asthmatiques et qu’on doit mieux comprendre les mécanismes de production de mucus, on ne devrait pas exclure le lait ou en consommer moins. Santé Canada recommande 2 portions de lait (0,5 l) par jour pour les enfants de 2 à 8 ans et 3 à 4 portions de lait par jour (0,75 à 1 l) pour les enfants de 9 à 13 ans pour un développement et une santé optimale.

  1. Midazolam intranasal pour arrêter les convulsions en contexte extra-hospitalier

    PubMed Central

    Zelcer, Michal; Goldman, Ran D.

    2016-01-01

    Résumé Question Il arrive parfois que des parents se présentent à ma clinique après que leur enfant eut eu une crise convulsive et qu’une deuxième crise ait lieu à la clinique. En attendant le transfert à l’hôpital, existe-t-il des moyens de mettre fin aux convulsions sans devoir obtenir l’accès intraveineux à la clinique? Réponse Le diazépam par voie intraveineuse est depuis de nombreuses années un traitement de première intention pour mettre fin aux crises convulsives chez les enfants. Il est aussi possible d’administrer le médicament par les voies intramusculaire, rectale ou buccale, mais ces voies d’administration s’accompagnent de plusieurs inconvénients. D’autres données probantes laissent croire que la voie intranasale est rapide et efficace chez les enfants, et le midazolam continue de se montrer prometteur pour mettre fin aux crises convulsives. Doté d’un bon profil d’innocuité, le midazolam intranasal s’utilise en clinique et en contexte préhospitalier pour arrêter les convulsions chez les enfants.

  2. Seatbelt wearing rates in middle income countries: a cross-country analysis.

    PubMed

    Vecino-Ortiz, Andres I; Bishai, David; Chandran, Aruna; Bhalla, Kavi; Bachani, Abdulgafoor M; Gupta, Shivam; Slyunkina, Ekaterina; Hyder, Adnan A

    2014-10-01

    In settings with low seatbelt use prevalence, self-reported seatbelt use estimates often lack validity, and routine observational studies are scarce. In this paper, we aim to describe the prevalence of seatbelt use and associated factors in drivers and front-seat passengers across eight sites in four countries (Egypt, Mexico, Russia, Turkey) using observational studies as well as to produce estimates of country-level and site-level variance. As part of the Bloomberg Philanthropies Global Road Safety Program, data on driver and passenger seatbelt use across four middle-income countries was collected between October 2010 and May 2011 (n=122,931 vehicles). Logistic regression and Intraclass Correlation Coefficient analyses for sites- and country-level clustering were performed. We found high variability of seatbelt wearing rates ranging from 4 to 72% in drivers and 3-50% in front-seat passengers. Overall, average seatbelt wearing rates were low (under 60% in most sites). At the individual level, older and female drivers were more likely to wear seatbelts, as well as drivers of vehicles transiting at times of increased vehicle flow. We also found that 26-32% and 37-41% of the variance in seatbelt use among drivers and front-seat passengers respectively was explained by differences across sites and countries. Our results demonstrate that there is room for improvement on seatbelt use in middle-income countries and that standardized cross-country studies on road safety risk factors are feasible, providing valuable information for prevention and monitoring activities. PMID:24906165

  3. Climate change and agriculture in developing countries

    SciTech Connect

    Antle, J.M.

    1995-08-01

    Most analysts agree that the poorest countries` agricultures are likely to be the most vulnerable to-and least capable of adapting to-climate change or other environmental disruptions. Research has only recently begun to assess what the likely impacts of climate change on developing countries` agricultures may be, how these agricultures might adapt to climate change, and how policies might be designed to facilitate adaptation. This paper begins with a discussion of what researchers currently believe the impacts of climate change could be on developing country agriculture, principally tropical agriculture. Climate changes are expected to occur from thirty to more than one hundred years in the future. These time horizons mean that predictions of the key factors determining impacts and adaptation-population, income, institutions, and technology-are probably as uncertain as predictions of climate change itself. Rates of productivity growth and technological adaptation will be critical to future food supplies, with or without climate change. Continuation of the trend of the past forty years could make so abundant that climate change effects would be inconsequential, but lower rates of growth could result in population growth outstripping food supplies. The second section of this paper addresses the critical issue of predicting the long-term trend in productivity by building on the substantial knowledge we have about the economic factors determining agricultural innovation and adaptation. Considering the time horizons and uncertainties involved in climate change, the wise policy strategy is to pursue investments that are economically justified, whether or not climate change occurs. A better understanding of managed ecosystems would improve our understanding of agricultural sustainability as well as climate change impacts and adaptation. The third section of this paper outlines an economic approach to modeling managed ecosystems. 21 refs.

  4. OpportunitiesandPerceptionofSpaceProgramsintheDevelopingCountries

    NASA Astrophysics Data System (ADS)

    Abubakar, B.

    2007-05-01

    Although the space program as a whole is a true reflection of the level of achievement in human history in the field of Science and Technology, but it is also important to note that there are numbers of communities and societies on this earth that are ignorant about this great achievement, hence leading to the continuous diverting of Potential Astronomers, Aerospace Engineers and Astrologist to other disciplines, thereby undermining the development of the space program over time. It was in view of the above that this research was conducted and came up with the under listed Suggestions/Recommendations:- (1) The European Space Agency (ESA), National Aeronautic Space Agency (NASA) and the Russian Space Agency, should be organising and sponsoring public enlightenment conferences, seminars and workshops towards creating awareness and attracting Potential Astronomers and other Space Scientist mostly in the developing countries into the space program. (2) Esteemed organisations in space programs like NASA, ESA and others should be awarding scholarships to potential space scientist that lacks the financial capability to pursue studies in the field of space science from the developing countries. (3) The European Space Agency, National Aeronautic Space Agency and the Russian Space Agency, should open their offices for the development of the space program in the third world countries. I believe that if the above suggestions/recommendations are adopted and implemented it will lead to the development of the space program in general, otherwise the rate at which potential Astronomers, Aerospace Engineers and Astrologists will be diverting into other disciplines will ever remain on the increase. Thanks for listening.

  5. Emigration dynamics of eastern African countries.

    PubMed

    Oucho, J O

    1995-01-01

    This examination of emigration dynamics focuses on 13 countries extending from Eritrea to Zimbabwe and Mozambique on the eastern African mainland and on 5 Indian Ocean island nations. The first part of the study looks at the temporal, spatial, and structural perspectives of emigration dynamics. Part 2 considers international migration in the region according to Appleyard's typology (permanent settlers, labor migration, refugees, and illegal migrants) with the additional category of return migration. Measurement issues in emigration dynamics are discussed in part 3, and the demographic/economic setting is the topic of part 4. The demographic factors emphasized include spatial distribution, population density, population structure, population dynamics, demographic transition, and the relationship between internal and international migration. Other major topics of this section of the study are the economic base, the human resource base, population and natural resources, the sociocultural context (emigration, chain migration, return migration, and migration linkages and networks), political factors (including human rights, minority rights and security, regional integration and economic cooperation, and the impact of structural adjustment programs), and a prediction of future emigration dynamics. It is concluded that refugee flows remain a major factor in eastern African countries but the development of human resources in the northern portion of the region indicates development of potential labor migration from this area. Data constraints have limited measurement of emigration in this region and may contribute to the seeming indifference of most eastern African countries to emigration policies. Emigration in this region has been triggered by deteriorating economic and political conditions and is expected to increase. PMID:12347007

  6. Révision systématique des effets de la fréquence des repas en famille sur les résultats psychosociaux chez les jeunes

    PubMed Central

    Harrison, Megan E.; Norris, Mark L.; Obeid, Nicole; Fu, Maeghan; Weinstangel, Hannah; Sampson, Margaret

    2015-01-01

    Résumé Objectif Effectuer une révision systématique des effets de repas en famille fréquents sur les résultats psychosociaux chez les enfants et les adolescents et examiner s’il existe des différences dans les résultats selon le sexe. Sources des données Des études ont été cernées à la suite d’une recherche dans MEDLINE (de 1948 à la dernière semaine de juin 2011) et dans PsycINFO (de 1806 à la première semaine de juillet 2011) à l’aide de l’interface Ovide. Les expressions et mots clés MeSH utilisés seuls ou en combinaisons étaient les suivants : family, meal, food intake, nutrition, diets, body weight, adolescent attitudes, eating behaviour, feeding behaviour et eating disorders. Les bibliographies des articles jugés pertinents ont aussi été passées en revus. Sélection des études La recherche initiale a produit 1783 articles. Pour être incluses dans l’analyse, les études devaient répondre aux critères suivants : être publiées en anglais dans une revue révisée par des pairs; porter sur des enfants ou des adolescents; traiter de l’influence des repas en famille sur les paramètres psychosociaux (p. ex. consommation de drogues et autres substances, troubles de l’alimentation, dépression) chez les enfants ou les adolescents; avoir une conception d’étude appropriée, notamment des méthodes statistiques acceptables pour l’analyse des paramètres. Quatorze articles satisfaisaient aux critères d’inclusion. Deux examinateurs indépendants ont étudié et analysé les articles. Synthèse Dans l’ensemble, les résultats font valoir que la fréquence des repas en famille est inversement proportionnelle aux troubles de l’alimentation, à la consommation d’alcool et de drogues, aux comportements violents, aux sentiments de dépression ou aux pensées suicidaires chez les adolescents. Il existe une relation positive entre de fréquents repas en famille, une bonne estime de soi et la réussite scolaire. Les

  7. National energy planning for developing countries

    SciTech Connect

    Wilbanks, T.J.

    1986-01-01

    This paper is a summary of what has been learned from the experience with national energy planning in developing countries. It considers lessons learned about the roles of data, analysis, and modeling in this enterprise, because of the connections between these components and our common interest in research to advance the state of the art; but it concludes that the most important needs at this time are institutional rather than analytical, which suggests a somewhat different set of priorities for scholarship related to national energy planning in the developing world.

  8. Options for developing countries in mining development

    SciTech Connect

    Walrond, G.W.; Kumar, R.

    1985-01-01

    This book is a study of the issues that developing countries face in planning and implementing mineral development, taking as case studies Botswana, Sierra Leone, Zambia, Tanzania, Malaysia, Papua New Guinea and the developed states of Quebec and Western Australia. The authors consider the major aspects of the matter including organization and administration; regulation; taxation and surplus distribution; the dynamics of such instruments as royalty, rent resource tax and capital allowances under various cost/price scenarios; and selected mining agreements and their key provisions. They stress throughout the need for foreign investment while maximizing the economic benefits reaped from exhaustible resources.

  9. ACTS for distance education in developing countries

    NASA Astrophysics Data System (ADS)

    Kalu, A.; Ventre, G.

    1995-08-01

    The need for electrical energy supply in the rural communities of developing countries has been well documented. Equally well known is the potential for photovoltaic in cost effectively meeting this need. A major impediment to fulfilling the need is the lack of indigenous personnel with a knowledgeof photovoltaic systems, and the associated infrastructure required to implement project. Various delivery schemes for providing the needed training to developing countries personnel have been investigated. Various train methods and programs that have been employed to remedy the problem have had significant drawbacks in terms of cost, consistency, impact, reach, and sustainability. The hypothesis to be tested in this project posits that satellite-based distance education using ACTS technologies can overcome these impediments. The purpose of the project is to investigate the applicability of the ACTS satellite in providing distance education in photovoltaic systems to developing countries and rural communities. An evaluation of the cost effectiveness of using ACTS unique technologies to overcome identified problems shall be done. The limitations of ACTS in surmounting distance education problems in developing countries shall be investigated. This project will, furthermore, provide training to Savannah State College faculty in photovoltaic (PV) systems and in distance education configurations and models. It will also produce training materials adequate for use in PV training programs via distance education. Savannah State College will, as a consequence become well equipped to play a leading role in the training of minority populations in photovoltaic systems and other renewables through its Center for Advanced Water Technology and Energy Systems. This communication provides the project outline including the specific issues that will be investigated during the project. Also presented i the project design which covers the participations of the various components of a network

  10. Indoor radon survey in Visegrad countries.

    PubMed

    Műllerová, Monika; Kozak, Krzysztof; Kovács, Tibor; Smetanová, Iveta; Csordás, Anita; Grzadziel, Dominik; Holý, Karol; Mazur, Jadwiga; Moravcsík, Attila; Neznal, Martin; Neznal, Matej

    2016-04-01

    The indoor radon measurements were carried out in 123 residential buildings and 33 schools in Visegrad countries (Slovakia, Hungary and Poland). In 13.2% of rooms radon concentration exceeded 300Bqm(-3), the reference value recommended in the Council Directive 2013/59/EURATOM. Indoor radon in houses shows the typical radon behavior, with a minimum in the summer and a maximum in the winter season, whereas in 32% of schools the maximum indoor radon was reached in the summer months. PMID:26774389

  11. Three-dimensional Printing in Developing Countries.

    PubMed

    Ibrahim, Ahmed M S; Jose, Rod R; Rabie, Amr N; Gerstle, Theodore L; Lee, Bernard T; Lin, Samuel J

    2015-07-01

    The advent of 3-dimensional (3D) printing technology has facilitated the creation of customized objects. The lack of regulation in developing countries renders conventional means of addressing various healthcare issues challenging. 3D printing may provide a venue for addressing many of these concerns in an inexpensive and easily accessible fashion. These may potentially include the production of basic medical supplies, vaccination beads, laboratory equipment, and prosthetic limbs. As this technology continues to improve and prices are reduced, 3D printing has the potential ability to promote initiatives across the entire developing world, resulting in improved surgical care and providing a higher quality of healthcare to its residents. PMID:26301132

  12. Energy conservation in typical Asian countries

    SciTech Connect

    Yang, M.; Rumsey, P.

    1997-06-01

    Various policies and programs have been created to promote energy conservation in Asia. Energy conservation centers, energy conservation standards and labeling, commercial building codes, industrial energy use regulations, and utility demand-side management (DSM) are but a few of them. This article attempts to analyze the roles of these different policies and programs in seven typical Asian countries: China, Indonesia, Japan, Pakistan, South Korea, the Philippines, and Thailand. The conclusions show that the two most important features behind the success policies and programs are (1) government policy support and (2) long-run self-sustainability of financial support to the programs.

  13. Three-dimensional Printing in Developing Countries

    PubMed Central

    Ibrahim, Ahmed M. S.; Jose, Rod R.; Rabie, Amr N.; Gerstle, Theodore L.; Lee, Bernard T.

    2015-01-01

    Summary: The advent of 3-dimensional (3D) printing technology has facilitated the creation of customized objects. The lack of regulation in developing countries renders conventional means of addressing various healthcare issues challenging. 3D printing may provide a venue for addressing many of these concerns in an inexpensive and easily accessible fashion. These may potentially include the production of basic medical supplies, vaccination beads, laboratory equipment, and prosthetic limbs. As this technology continues to improve and prices are reduced, 3D printing has the potential ability to promote initiatives across the entire developing world, resulting in improved surgical care and providing a higher quality of healthcare to its residents. PMID:26301132

  14. Alcohol themes within country-western songs.

    PubMed

    Connors, G J; Alpher, V S

    1989-05-01

    Cultural norms regarding alcohol use and drinking behavior can be communicated through the lyrics of songs. An analysis of alcohol themes in country-western lyrics was undertaken. Seven categories emerged from a rational clustering procedure used with 58 alcohol-related lyrics. Almost two-thirds of the lyrics were placed in three of the categories, labeled Existential Dilemmas and Lessons Learned, Loneliness and Lost Love, and Negative Consequences. There were few references to drinking for positive, celebratory reasons. Implications for prevention efforts and for further research on drinkers' perceptions and the relationship between popular culture and drinking behavior are discussed. PMID:2793292

  15. Recent health policy initiatives in Nordic countries

    PubMed Central

    Saltman, Richard B.

    1992-01-01

    Health care systems in Sweden, Finland, and Denmark are in the midst of substantial organizational reconfiguration. Although retaining their tax-based single source financing arrangements, they have begun experiments that introduce a limited measure of competitive behavior in the delivery of health services. The emphasis has been on restructuring public operated hospitals and health centers into various forms of public firms, rather than on the privatization of ownership of institutions. If successful, the reforms will enable these Nordic countries to combine their existing macroeconomic controls with enhanced microeconomic efficiency, effectiveness, and responsiveness to patients. PMID:10122003

  16. ACTS for distance education in developing countries

    NASA Technical Reports Server (NTRS)

    Kalu, A; Ventre, G.

    1995-01-01

    The need for electrical energy supply in the rural communities of developing countries has been well documented. Equally well known is the potential for photovoltaic in cost effectively meeting this need. A major impediment to fulfilling the need is the lack of indigenous personnel with a knowledgeof photovoltaic systems, and the associated infrastructure required to implement project. Various delivery schemes for providing the needed training to developing countries personnel have been investigated. Various train methods and programs that have been employed to remedy the problem have had significant drawbacks in terms of cost, consistency, impact, reach, and sustainability. The hypothesis to be tested in this project posits that satellite-based distance education using ACTS technologies can overcome these impediments. The purpose of the project is to investigate the applicability of the ACTS satellite in providing distance education in photovoltaic systems to developing countries and rural communities. An evaluation of the cost effectiveness of using ACTS unique technologies to overcome identified problems shall be done. The limitations of ACTS in surmounting distance education problems in developing countries shall be investigated. This project will, furthermore, provide training to Savannah State College faculty in photovoltaic (PV) systems and in distance education configurations and models. It will also produce training materials adequate for use in PV training programs via distance education. Savannah State College will, as a consequence become well equipped to play a leading role in the training of minority populations in photovoltaic systems and other renewables through its Center for Advanced Water Technology and Energy Systems. This communication provides the project outline including the specific issues that will be investigated during the project. Also presented i the project design which covers the participations of the various components of a network

  17. Compressible and low Mach number LES of a swirl experimental burner

    NASA Astrophysics Data System (ADS)

    Barré, David; Kraushaar, Matthias; Staffelbach, Gabriel; Moureau, Vincent; Gicquel, Laurent Y. M.

    2013-01-01

    Large-Eddy Simulations (LES) of a swirl experimental burner are performed using a compressible and a low Mach number solver. The investigations are focused on the modeling strategies in LES aimed at validating the flow predictions and principally the associated pressure losses. Accurate prediction of pressure drop through complex geometries, such as those typically encountered in industrial swirlers, is indeed of paramount importance to design and optimize the engine efficiency. LES is here probed and tested to identify the model parameters affecting pressure losses: grid resolution, wall treatment or solver accuracy, with the aim of highlighting the requirements for accurate pressure drop predictions. Results show that for the high Reynolds number flow considered, the wall law model provides the best predictions and minimizes the error compared to experimental findings with a reasonable overall CPU cost.

  18. L’hypertension chez les diabétiques de type 2

    PubMed Central

    Campbell, Norm R.C.; Gilbert, Richard E.; Leiter, Lawrence A.; Larochelle, Pierre; Tobe, Sheldon; Chockalingam, Arun; Ward, Richard; Morris, Dorothy; Tsuyuki, Ross T.; Harris, Stewart B.

    2011-01-01

    Résumé Objectif Résumer les données qui rappellent la nécessité d’améliorer le traitement pharmacologique de l’hypertension chez les diabétiques de type 2 et de fournir des conseils d’experts sur la façon d’améliorer le traitement de la tension artérielle (TA) en contexte de soins primaires. Source de l’information À partir d’études recueillies grâce à une revue systématique de la littérature sur l’hypertension et le diabète, on a élaboré et révisé des recommandations et on les a soumises au vote d’un groupe d’experts du Programme éducatif canadien sur l’hypertension et de l’Association canadienne du diabète; on a également tenu compte de l’opinion avisée des auteurs sur le traitement pharmacologique optimal. Principal message La pathogénie de l’hypertension chez les diabétiques est complexe et fait intervenir plusieurs facteurs biologiques et environnementaux, ainsi qu’une prédisposition génétique; par conséquent, l’hypertension du diabétique présente un plus grand danger de problèmes et de complications. Les diabétiques qui n’obtiennent pas un contrôle de la TA (c’est-à-dire une valeur cible de moins de 130/80 mm Hg) ont un taux de mortalité et de morbidité plus élevé. De vastes essais cliniques randomisés et des méta-analyses d’essais cliniques randomisés ont montré qu’à elle seule, une réduction pharmacologique de la TA est la façon la plus efficace de réduire les taux de décès et d’incapacité chez le diabétique, notamment le risque de problèmes cardiovasculaires. Pour que le traitement soit efficace, il est souvent nécessaire d’utiliser deux médicaments ou plus (diurétiques, inhibiteurs de l’enzyme de conversion de l’angiotensine, β–bloqueurs, bloqueurs des récepteurs de l’angiotensine, bloqueurs des canaux calciques, spironolactone, etc.), en particulier chez les patients dont la TA est difficile à contrôler. Toutefois, les coûts de santé engendr

  19. Autonomous system for cross-country navigation

    NASA Astrophysics Data System (ADS)

    Stentz, Anthony; Brumitt, Barry L.; Coulter, R. C.; Kelly, Alonzo

    1993-05-01

    Autonomous cross-country navigation is essential for outdoor robots moving about in unstructured environments. Most existing systems use range sensors to determine the shape of the terrain, plan a trajectory that avoids obstacles, and then drive the trajectory. Performance has been limited by the range and accuracy of sensors, insufficient vehicle-terrain interaction models, and the availability of high-speed computers. As these elements improve, higher- speed navigation on rougher terrain becomes possible. We have developed a software system for autonomous navigation that provides for greater capability. The perception system supports a large braking distance by fusing multiple range images to build a map of the terrain in front of the vehicle. The system identifies range shadows and interpolates undersamples regions to account for rough terrain effects. The motion planner reduces computational complexity by investigating a minimum number of trajectories. Speeds along the trajectory are set to provide for dynamic stability. The entire system was tested in simulation, and a subset of the capability was demonstrated on a real vehicle. Results to date include a continuous 5.1 kilometer run across moderate terrain with obstacles. This paper begins with the applications, prior work, limitations, and current paradigms for autonomous cross-country navigation, and then describes our contribution to the area.

  20. Epidemiology of tattoos in industrialized countries.

    PubMed

    Kluger, Nicolas

    2015-01-01

    In 1974, the first professional French tattooist C. Bruno wrote a book, entitled 'Tatoués, qui êtes-vous?', depicting his experience as a tattooist in the picturesque Pigalle tourist district of Paris. However, we have come a long way since then. Tattooing has gained tremendous visibility, notoriety and popularity in Western countries. In Germany, 8.5% of the population (aged between 14 and 90 years) has a tattoo. Similar trends have been found in France, Finland and Australia, where approximately 10% of the populations have at least one tattoo. However, the overall tattoo prevalences overseas and in Europe are even higher, especially among the youth, for whom it is up to 15-25% according to the country. Much has been written about the tattooed and tattooists. However, who are they currently? What motivates them to get tattooed and give tattoos? How do they see themselves? Why do some individuals remove their tattoos? Is there a 'profile' of the tattooed? Are they really 'risk takers'? And how do the nontattooed perceive them? Through a critical review of the literature, we will reconsider tattooing from an epidemiological aspect, challenge current beliefs and explore new insights into the motivations and fears of tattoo artists and their clients. PMID:25833619

  1. Rethinking HIV prevalence determination in developing countries.

    PubMed

    Makinde, Olusesan A; Oyediran, Kolawole A

    2015-01-01

    The process for HIV prevalence determination using antenatal clinic (ANC) sentinel surveillance data has been plagued by criticisms of its biasness. Exploring other means of HIV prevalence determination is necessary to validate that estimates are near actual values or to replace the current system. We propose a data collection model that leverages the increasing adoption and penetration of the Internet and mobile technology to collect and archive routine data from HIV counseling and testing (HCT) client intake forms from all HCT centers and prevention of mother-to-child transmission (PMTCT) sites in a country. These data will then be mined to determine prevalence rates and risk factors at the community level. The need to improve the method for the generation of HIV prevalence rates has been repeatedly echoed by researchers though no one has been able to fashion out a better and more reliable way to the current ANC sentinel surveillance method at a reasonable cost. The chance of using routinely generated data during HCT and PMTCT is appealing and needs to be envisioned as the technology to achieve this is increasingly becoming available and affordable in countries worst hit by the pandemic. Triangulating data generated from routine HCT and PMTCT sites with data from sentinel surveillance and where the confidence of its quality is assured, as the sole source of HIV prevalence rate determination and behavioral risk assessment will improve the acceptance by communities and drive evidence-based interventions at the community level. PMID:25174731

  2. Occupational cancer research in the Nordic countries.

    PubMed Central

    Kjaerheim, K

    1999-01-01

    Occupational cancer research in the Nordic countries benefits from certain structural advantages, including the existence of computerized population registries, national cancer registries with high-quality data on cancer incidence, and a personal identification number for each inhabitant. This article outlines the utilization of this research infrastructure in Denmark, Finland, Iceland, Norway, and Sweden, together with research examples from the different countries. Future research on occupational cancer in this region requires that national legislation on electronic handling of sensitive personal information should not be stricter than the European Union Directive on individual protection with regard to personal data. A personal identification number is essential both for keeping up the high quality of data of the registers and for the high quality of the process of linking the different data sources together. Although previous occupational research has focused on male workers, a broader approach is needed in the future, including a study of how cancer risk in women may be affected by occupational activity and the question of possible cancer risk in offspring of men and women exposed to workplace carcinogens. PMID:10350505

  3. Food Safety Program in Asian Countries.

    PubMed

    Yamaguchi, Ryuji; Hwang, Lucy Sun

    2015-01-01

    By using the ILSI network in Asia, we are holding a session focused on food safety programs in several Asian areas. In view of the external environment, it is expected to impact the global food system in the near future, including the rapid increase in food demand and in public health services due to population growth, as well as the threats to biosecurity and food safety due to the rapid globalization of the food trade. Facilitating effective information sharing holds promise for the activation of the food industry. At this session, Prof. Hwang shares the current situation of Food Safety and Sanitation Regulations in Taiwan. Dr. Liu provides a talk on the role of risk assessment in food regulatory control focused on aluminum-containing food additives in China. After the JECFA evaluation of aluminum-containing food additives in 2011, each country has carried out risk assessment based on dietary intake surveys. Ms. Chan reports on the activities of a working group on Food Standards Harmonization in ASEAN. She also explains that the ILSI Southeast Asia Region has actively supported the various ASEAN Working Groups in utilizing science to harmonize food standards. Prof. Park provides current research activities in Korea focused on the effect of climate change on food safety. Climate change is generally seen as having a negative impact on food security, particularly in developing countries. We use these four presentations as a springboard to vigorous discussion on issues related to Food Safety in Asia. PMID:26598886

  4. A renal transplantation model for developing countries.

    PubMed

    Rizvi, S A H; Naqvi, S A A; Zafar, M N; Hussain, Z; Hashmi, A; Hussain, M; Akhtar, S F; Ahmed, E; Aziz, T; Sultan, G; Sultan, S; Mehdi, S H; Lal, M; Ali, B; Mubarak, M; Faiq, S M

    2011-11-01

    The estimated incidence of end-stage renal disease (ESRD) in Pakistan is 100 per million population. Paucity and high costs of renal replacement therapy allows only 10% to get dialysis and 4-5% transplants. Our center, a government organization, started a dialysis and transplant program in 1980s where all services were provided free of charge to all patients. It was based on the concept of community government partnership funded by both partners. The guiding principles were equity, transparency, accountability and development of all facilities under one roof. This partnership has sustained itself for 30 years with an annual budget of $25 million in 2009. Daily 600 patients are dialyzed and weekly 10-12 receive transplants. One- and 5-year graft survival of 3000 transplants is 92% and 85%, respectively. The institute became a focus of transplantation in Pakistan and played a vital role in the campaign against transplant tourism and in promulgation of transplant law of 2007, and also helped to increase altruistic transplants in the country. This model emphasizes that in developing countries specialized centers in government sector are necessary for transplantation to progress and community support can make it available to the common man. PMID:21883911

  5. Work security impacts in developing countries: India.

    PubMed

    Joshi, T K

    2003-01-01

    Given the rapid pace of globalization, newly industrialized countries cannot adequately protect workers from emerging hazards. Only 5-10% of workers in developing countries have access to occupational health services. Work-related health problems are exacerbated by a scarcity of resources, socioeconomic dislocation, and poor general health status. The author considers the case of India and looks at its background in occupational safety and health (OSH) regulation, national health policy, and recent experience. He notes the decline in trade unions and rise of hazardous industries, and presents a case study of the situation in the state of Delhi. He concludes that the progress of OSH has stalled since economic reform. The high rate of injury and illness is a bad omen for productivity. Lowering the guard on safety and health will ultimately harm the businesses that currently seek to profit from it. The well-being of workers may deteriorate further if poor enforcement and widespread ignorance of OSH persist. Labor standards must be reevaluated and responsible legislation must be developed. Training and nutrition subsidies should be offered to increase productivity and improve worker health. PMID:17208723

  6. Faculty research productivity in six Arab countries

    NASA Astrophysics Data System (ADS)

    Abouchedid, Kamal; Abdelnour, George

    2015-10-01

    This article analyses the research output of a sample of higher education institutions (HEIs) in six Arab countries in order to start quantifying academic research productivity in the wider region of the Middle East and North Africa (MENA). A questionnaire classifying HEIs was administered to 310 institutions in Lebanon, Qatar, the United Arab Emirates (UAE), Morocco, Saudi Arabia and Jordan. The study revealed a lack of capacity of HEIs to provide quality data, raising issues concerning institutional excellence and transparency. Those data which were available were analysed using a number of statistical methods. The result is that faculty research output in the Arab world is relatively low, confirming the existing notion of a lagging knowledge sector in the region. While traditional scholarship has focused on institutional factors such as budgetary allocation as one prime determinant of research productivity, this study claims that other factors need to be considered in explaining the low output, with broad implications for policy formulation. Such factors include overall satisfaction levels of academic staff, socialisation of faculty staff members into a research climate, and university mission vis-à-vis academic research. Given the distinct paucity of studies on faculty research productivity in HEIs in the Arab region, this study seeks to bridge this gap in the literature by providing original data derived from six Arab countries. The authors aim to provide a basis for further research into this topic.

  7. Interventional bioethics: epistemology for peripheral countries.

    PubMed

    Garrafa, Volnei; Porto, Dora

    2008-01-01

    Principlism, which originated in the United States based on four supposedly universal principles, brought international visibility to the field of bioethics over the final years of the twentieth century. Nevertheless, from 1990 onwards, criticism regarding the universal applicability of these principles emerged, especially concerning their limitations in dealing with collective macroproblems--social, sanitary and environmental--that are seen in poor developing countries every day. In this respect, the idea of Intervention Bioethics was presented at the University of Brasília, Brazil, in 1998, and was subsequently expanded to encompass other Latin American countries. From the outset, this epistemological proposal of third-world construction and perspective advocated politicisation of the international bioethics agenda, and this aim was achieved through the content of UNESCO's Universal Declaration on Bioethics and Human Rights, which was adopted in 2005. Grounded in a utilitarian and consequentialistic approach, Intervention Bioethics gives priority, ahead of vulnerabilities relating to gender, sexual orientation, ethnicity and similar considerations, to the fields of social and sanitary justice in order to defend the poorest and most disempowered populations in the asymmetrical contemporary world. PMID:18664003

  8. LES SOFTWARE FOR THE DESIGN OF LOW EMISSION COMBUSTION SYSTEMS FOR VISION 21 PLANTS

    SciTech Connect

    Steven Cannon; Baifang Zuo; Virgil Adumitroaie; Keith McDaniel; Clifford Smith

    2002-04-30

    Further development of a combustion Large Eddy Simulation (LES) code for the design of advanced gaseous combustion systems is described in this sixth quarterly report. CFD Research Corporation (CFDRC) is developing the LES module within the parallel, unstructured solver included in the commercial CFD-ACE+ software. In this quarter, in-situ adaptive tabulation (ISAT) for efficient chemical rate storage and retrieval was implemented and tested within the Linear Eddy Model (LEM). ISAT type 3 is being tested so that extrapolation can be performed and further improve the retrieval rate. Further testing of the LEM for subgrid chemistry was performed for parallel applications and for multi-step chemistry. Validation of the software on backstep and bluff-body reacting cases were performed. Initial calculations of the SimVal experiment at Georgia Tech using their LES code were performed. Georgia Tech continues the effort to parameterize the LEM over composition space so that a neural net can be used efficiently in the combustion LES code. A new and improved Artificial Neural Network (ANN), with log-transformed output, for the 1-step chemistry was implemented in CFDRC's LES code and gave reasonable results. This quarter, the 2nd consortium meeting was held at CFDRC. Next quarter, LES software development and testing will continue. Alpha testing of the code will continue to be performed on cases of interest to the industrial consortium. Optimization of subgrid models will be pursued, particularly with the ISAT approach. Also next quarter, the demonstration of the neural net approach, for multi-step chemical kinetics speed-up in CFD-ACE+, will be accomplished.

  9. Etude morphométrique de l'oreille externe chez les jeunes adultes

    PubMed Central

    Nyemb, Philippe Manyacka Ma; Sankale, Anne-Aurore; Ndiaye, Lamine; NDiaye, Aïnina; Gaye, Magaye

    2014-01-01

    Introduction Connaitre les dimensions normales de l'oreille externe constitue un pré-requis en chirurgie. Le but de ce travail est de déterminer les valeurs moyennes des différentes mesures morphométriques des oreilles gauches et droites dans notre population d’étude. Méthodes Notre groupe d’étude était constitué de 100 sujets adultes jeunes (50 femmes et 50 hommes) âgés de 18 à 25 ans, et exempts de traumatismes ou d'anomalies congénitale de l'oreille externe. Les différentes mesures répertoriées étaient représentées par: la hauteur totale de l'oreille, la largeur totale de l'oreille, la hauteur lobulaire, la largeur lobulaire, la distance tragus - anti-hélix, la distance tragus - hélix, ainsi que la projection de l'oreille. Résultats L’âge moyen de notre population d’étude était de 22 ans. La hauteur totale de l'oreille était respectivement de 61,6 et 60,3 mm chez les sujets de sexe masculin et féminin. La largeur totale retrouvée était respectivement de 32,5 et 30,8 mm. Pour toutes les distances mesurées, nous retrouvions des différences entre hommes et femmes, ainsi que d'un coté à l'autre. Conclusion Pour le clinicien, il est important de prendre en compte les mesures morphométriques de l'oreille externe non seulement dans un but diagnostic, mais également pour reproduire lors de sa reconstruction une oreille anatomiquement correcte. PMID:25932068

  10. Modelisations des effets de surface sur les jets horizontaux subsoniques d'hydrogene et de methane

    NASA Astrophysics Data System (ADS)

    Gomez, Luis Fernando

    Le developpement des codes et de normes bases sur une methodologie scientifique requiert la capacite de predire l'etendue inflammable de deversements gazeux d'hydrogene sous differentes conditions. Des etudes anterieures ont deja etabli des modeles bases sur les lois de conservation de la mecanique des fluides basees sur des correlations experimentales qui permettent de predire la decroissance de la concentration et de la vitesse d'un gaz le long de l'axe d'un jet libre vertical. Cette etude s'interesse aux effets de proximite a une surface horizontale parallele sur un jet turbulent. Nous nous interessons a son impact sur l'etendue du champ de la concentration et sur l'enveloppe inflammable en particulier. Cette etude est comparative : l'hydrogene est compare au methane. Ceci permet de degager l'influence des effets de difference de la densite sur le comportement du jet, et de comparer le comportement de l'hydrogene aux correlations experimentales, qui ont ete essentiellement etablies pour le methane. Un modele decrivant l'evolution spatio-temporelle du champ de concentration du gaz dilue est propose, base sur la mecanique des fluides computationnelle. Cette approche permet de varier systematiquement les conditions aux frontieres (proximite du jet a la surface, par exemple) et de connaitre en detail les proprietes de l'ecoulement. Le modele est implemente dans le code de simulations par volumes finis de FLUENT. Les resultats des simulations sont compares avec les lois de similitudes decoulant de la theorie des jets d'ecoulements turbulents libres ainsi qu'avec les resultats experimentaux disponibles. L'effet de la difference des masses molaires des constituantes du jet et des constituantes du milieu de dispersion est egalement etudie dans le contexte du comportement d'echelle de la region developpee du jet.

  11. Energy and development in Central America. Volume II. country assesments

    SciTech Connect

    Park, W.; Neves, C.; Trehan, R.; Ackerman, E.; Gallagher, W.

    1980-03-01

    This volume presents a country-by-country energy assessment of six Central American countries: Guatemala, El Salvador, Honduras, Nicaragua, Costa Rica, and Panama. For each country it includes an assessment of geographic, social, and economic aspects of energy development, an assessment of energy resources, current and projected energy use, potential strategies for energy development, and finally recommendations to USAID for the orientation of its energy development programs. Each country assessment is supplemented with a summary of energy R and D activities and a description of each country's energy-related institutions.

  12. LES, DNS and RANS for the analysis of high-speed turbulent reacting flows

    NASA Technical Reports Server (NTRS)

    Adumitroaie, V.; Colucci, P. J.; Taulbee, D. B.; Givi, P.

    1995-01-01

    The purpose of this research is to continue our efforts in advancing the state of knowledge in large eddy simulation (LES), direct numerical simulation (DNS), and Reynolds averaged Navier Stokes (RANS) methods for the computational analysis of high-speed reacting turbulent flows. In the second phase of this work, covering the period 1 Aug. 1994 - 31 Jul. 1995, we have focused our efforts on two programs: (1) developments of explicit algebraic moment closures for statistical descriptions of compressible reacting flows and (2) development of Monte Carlo numerical methods for LES of chemically reacting flows.

  13. STS-65 Commander Cabana dons LES equipment prior to WETF bailout exercise

    NASA Technical Reports Server (NTRS)

    1994-01-01

    STS-65 Commander Robert D. Cabana, suited in his launch and entry suit (LES), is assisted by Lockheed's John A. Hopkins with LES safety gear prior to a launch emergency egress (bailout) training session at the Johnson Space Center's (JSC's) Weightless Environment Training Facility (WETF) Bldg 29. Cabana was joined by five other NASA astronauts and a Japanese payload specialist for the training session. The crew will spend approximately two weeks aboard the Space Shuttle Columbia, Orbiter Vehicle (OV) 102, later this year in support of the second International Microgravity Laboratory 2 (IML-2) mission.

  14. Integrated RANS-LES Computations of Turbomachinery Components: Generic Compressor/Diffuser

    NASA Technical Reports Server (NTRS)

    Schlueter, J. U.; Wu, X.; Kim, S.; Alonso, J. J.; Pitsch, H.

    2003-01-01

    The goal of the current study is to apply the coupled RANS-LES approach to a compressor-diffuser geometry of a gas turbine. This flow configuration is important, since the outflow of the compressor alters the flow field in the subsequent diffuser. A detailed knowledge of the flow field in this section allows to optimize the difuser design in order to to achieve a decrease of pressure loss. Here, the NASA stage 35 compressor is coupled with a generic diffuser in order to assess the integrated RANS-LES approach.

  15. On the simulation of trailing edge noise with a hybrid LES/APE method

    NASA Astrophysics Data System (ADS)

    Ewert, R.; Schröder, W.

    2004-02-01

    A hybrid method is applied to predict trailing edge noise based on a large eddy simulation (LES) of the compressible flow problem and acoustic perturbation equations (APE) for the time-dependent simulation of the acoustic field. The acoustic simulation in general considers the mean flow convection and refraction effects such that the computational domain of the flow simulation has to comprise only the significant acoustic source region. Using a modified rescaling method for the prediction of the unsteady turbulent inflow boundary layer, the LES just resolves the flow field in the immediate vicinity of the trailing edge. The linearized APE completely prevent the unbounded growth of hydrodynamic instabilities in critical mean flows.

  16. LES SOFTWARE FOR THE DESIGN OF LOW EMISSION COMBUSTION SYSTEMS FOR VISION 21 PLANTS

    SciTech Connect

    Clifford Smith

    2003-09-01

    Application and testing of the new combustion Large Eddy Simulation (LES) code for the design of advanced gaseous combustion systems is described in this 12th quarterly report. In this quarter, continued validation and testing of the combustion LES code was performed for the DOE-SimVal combustor. Also, beta testing by six consortium members was performed for various burner and combustor configurations. A list of suggested code improvements by the beta testers was itemized. Work will continue in FY04. A conditional modification to the contract will be granted. The additional work will focus on modeling/analyzing the SimVal experiments.

  17. Confronting multi-year idealized LES with measurements at a mid-latitude meteorological site

    NASA Astrophysics Data System (ADS)

    Schemann, V.; Neggers, R.; Wegener, C.

    2015-12-01

    Long-term Large-Eddy Simulation (LES) at permanent meteorological sites is increasingly being used for the evaluation and improvement of parameterizations of fast boundary-layer physics for weather and climate models. Typically, idealized LES are generated that represent fine-scale downscalings of a large-scale model state at locations of interest, resolved at temporal and spatial resolutions at which turbulence and boundary layer clouds can be expected to be resolved. The setup relies on prescribed large-scale forings in combination with continuous nudging, at a time-scale large enough to allow the resolved fast physics to have enough freedom to establish their own, unique state. This study critically assesses the representativeness of such long-term LES, and asks to what degree the continuous nudging affects the budgets of thermodynamic state variables. To this purpose long-term, multi-year LES is confronted with relevant observations at a European midlatitude continental site. The large-scale advective forcings and surface properties used to drive the LES are derived from analyses of the Integrated Forecasting System (IFS) of the European Centre for Medium-Range Weather Forecasts (ECMWF). Evaluated aspects of the boundary layer include near-surface meteorology, vertical structure, and bulk properties including clouds. The evaluation focuses on the diurnal cycle, with the oservational datasets derived from state-of-the-art instrumentation at the Juelich Observatory for Cloud Evolution (JOYCE) in Germany. Conditional sampling is used to highlight results for regimes of interest, including the clear convective and shallow cumulus topped boundary layer. We find that the LES is able to reproduce the observed amplitude and time-variation of key boundary layer properties, including clouds. Budget studies of the thermodynamic state variables reveal that a rough balance exists between the prescribed larger-scale advection and the turbulence/convection as resolved by the

  18. L'observance thérapeutique dans les dermatoses chroniques: à propos de 200 cas

    PubMed Central

    Amraoui, Nissrine; Gallouj, Salim; Berraho, Mohamed Amine; Najjari, Chakib; Mernissi, Fatima zohra

    2015-01-01

    Introduction L'observance thérapeutique est la capacité à prendre correctement son traitement, tel qu'il est prescrit par le médecin. Elle est peu étudiée en dermatologie. Méthodes Le but de notre étude est d’évaluer l'observance chez les patients suivis au service de dermatologie du Centre Hospitalier Universitaire Hassan II de Fès pour une dermatose chronique et de rechercher les facteurs liés à une mauvaise observance à travers une étude incluant 200 patients suivis depuis au moins 6 mois. L’évaluation de l'observance s'est faite essentiellement à l'aide d'un entretien et les facteurs liés à l'observance ont été recherchés par un questionnaire. Résultats 68% de nos patients étaient observant, la mauvaise observance était associée à un niveau socio économique et d’étude bas, à une vie solitaire, à une durée de suivi longue, aux effets secondaires et au coût élevé des traitements, à l'absence d'efficacité, à une faible visibilité des lésions, à une ordonnance complexe, à une explication faible de la maladie, et à des difficultés d'accès à la consultation. Le taux d'observance retrouvé dans notre étude est un taux satisfaisant selon les données de la littérature, notre étude a confirmée certaines facteurs connues et a mis le point sur d'autres facteurs peu étudiés tel un traitement traditionnel associé, la part de chaque forme de traitement dans le respect de l'ordonnance, les dermatoses les plus touchées par les difficulté d'observance a savoir les dermatoses bulleuses et le psoriasis, et l'intérêt du pharmacien. Conclusion Cette analyse de la fréquence de ce phénomène et des facteurs essentiels qui l'influencent permet de cibler la prise en charge à travers une personnalisation de l'entretien médical, une adaptation du suivi au contexte de nos patients et à la nature de notre institution de santé. PMID:26848363

  19. Geovisualization and analysis of the Good Country Index

    NASA Astrophysics Data System (ADS)

    Tan, C.; Dramowicz, K.

    2016-04-01

    The Good Country Index measures the contribution of a single country in the humanity and health aspects that are beneficial to the planet. Countries which are globally good for our planet do not necessarily have to be good for their own citizens. The Good Country Index is based on the following seven categories: science and technology, culture, international peace and security, world order, planet and climate, prosperity and equality, and health and well-being. The Good Country Index is focused on the external effects, in contrast to other global indices (for example, the Human Development Index, or the Social Progress Index) showing the level of development of a single country in benefiting its own citizens. The authors verify if these global indices may be good proxies as potential predictors, as well as indicators of a country's ‘goodness’. Non-spatial analysis included analyzing relationships between the overall Good Country Index and the seven contributing categories, as well as between the overall Good Country Index and other global indices. Data analytics was used for building various predictive models and selecting the most accurate model to predict the overall Good Country Index. The most important rules for high and low index values were identified. Spatial analysis included spatial autocorrelation to analyze similarity of index values of a country in relation to its neighbors. Hot spot analysis was used to identify and map significant clusters of countries with high and low index values. Similar countries were grouped into geographically compact clusters and mapped.

  20. Les Droits de l'Homme et l'Education

    NASA Astrophysics Data System (ADS)

    Best, Francine

    2002-07-01

    The 21st century will, we hope, be the century of education or, as Jacques Delors put it in his report for UNESCO, the century of "lifelong learning". But this hope will only be realised if education is the subject and aim of a universal right. This right is enshrined in the 1948 Universal Declaration of Human Rights, which ought to be recognised in all countries of the world as the set of principles that should guide human action. The recognition of these rights should lead to a functioning democracy within educational establishments, where the rules of life should be the same for all: pupils, teachers and administrators. It is no less essential that human rights should constitute guiding principles for educational practice. The United Nations Decade for Human Rights (1995-2004) is an outstanding opportunity for each state to establish a plan of action for a true programme of human rights education.

  1. Douleurs induites par les soins: la réalité au Centre Hospitalier Universitaire de Befelatanana Antananarivo, Madagascar

    PubMed Central

    Mahavivola, Ernestho-Ghoud Indretsy; Olivah, Razanaparany Miarisoa Mireille; Mihary, Dodo; Hendriniaina, Rakotoharivelo; Lalao, Randriamboavonjy Rado; Henintsoa, Rakotonirainy Oliva; Fahafahantsoa, Rapelanoro Rabenja

    2014-01-01

    La douleur induite par les soins correspond à la douleur survenant lors des actes à visé diagnostique et/ou thérapeutique. A notre connaissance, nous n'avons pas encore des données disponibles pour les douleurs induites par les soins à l'Hôpital de Befelatanana. Nos objectifs étaient de décrire le profil épidémiologique de la douleur induite par les soins, d'identifier les principaux facteurs influençant sur l'intensité de la douleur et leurs retentissements chez les patients. Il s'agissait d'une étude rétrospective, transversale type un jour donné menée dans les douze services de Médecines au Centre Hospitalier Universitaire de Befelatanana en Novembre 2013. Cent deux patients ont été retenus dans l’étude et trois cent vingt trois actes douloureux étaient enregistrés. La fréquence de la douleur induite par les soins était de 69,86%. Le genre féminin prédominait dans 52% des cas (n = 53) avec un sex-ratio à 0,92. L’âge moyen était de 46 ans. Les ponctions vasculaires étaient l'acte prédominant dans 49,54% (n = 109) des cas. Les infirmiers réalisaient les soins dans 47,05% (n = 48) des cas. L'information verbale était la mesure préventive utilisée dans 57,84% des cas (n = 59). Le transport par marche à pied et au dos représentait 16,67% des cas (n = 17). Les patients naïfs des gestes étaient plus anxieux. Ces patients gardaient de mauvais souvenir dans 64,71% des cas (n = 66). La fréquence de douleur induite par les soins était trop élevée. Un effort important est nécessaire pour réduire la douleur induite par les soins PMID:25932071

  2. Solar Energy and the Western Asian Countries

    NASA Astrophysics Data System (ADS)

    De Morais Mendonca Teles, Antonio

    2016-07-01

    The Western Asian countries receive the most abundant solar radiation of the world. They also have enormous reserves of oil and natural gas. But the world reserves of those fuels will certainly diminish greatly as the worldwide demand for energy will increase steadily in the coming decades. And the suppliers of energy will have to contend with public concerns about the polluting effects of those fuels and the possible dangers of nuclear energy. Clearly a power source based on an non exhaustible and non-polluting fuel could be expected to find a role. It now appears that such a source is at hand in the solar energy. Here in this paper, under the principles in the United Nations' Agenda 21, we suggest to Western Asian countries, the study and own development of the following technologies based on solar energy; and comment about them: *photo-voltaic solar cell power plants - in the future, its cost per kilowatt-hour will probably be competitive as to other sources of electrical energy. A new technique, the solar non-imaging concentrator, with amorphous silicon-based thin films solar cells at the focus of the concentrators, can collect and intensify solar radiation far better than conventional concentrators do, thus reducing much more the cost; *bio-gas - using biological gas to produce energy and for heating/cooling purposes; *wind generation of electricity - it's nowadays, a non-expensive technique; *water pump for irrigation and human consuming, driving their power from photovoltaic cells; *and the study and own development of solar lasers for peaceful scientific studies. In this new kind of laser, the external necessary pumping energy comes from the high intensity of sunlight, produced with non-imaging concentrators. Solar lasers can give unexpected new great uses for mankind. Those achievements will require international cooperation and transfer of information, sustained research and development work, and some initial subsides by independent governments. Solar

  3. Vaccination against poliomyelitis in economically underdeveloped countries

    PubMed Central

    Sabin, Albert B.

    1980-01-01

    Poliomyelitis lameness surveys in children of school age recently reported from Burma, Egypt, Ghana, and the Philippines have indicated an estimated, average annual endemic incidence of paralytic poliomyelitis similar to or higher than the overall average annual rate in the USA during the peak years in the prevaccine era. Contrary to oft-expressed dogma, high rates of paralytic poliomyelitis are occurring annually in regions with high infant mortality rates, continuing undernutrition, and absence of basic sanitary facilities. Recent data indicate that prolonged breast feeding does not impede the effectiveness of oral poliovirus vaccine (OPV). A high prevalence of nonpoliovirus enteric infections can modify, delay, and lower the frequency of seroconversion after OPV, but these effects are overcome by multiple doses. The problem of eliminating paralytic poliomyelitis from economically underdeveloped countries depends on administrative rather than immunological or epidemiological factors, although a specially concentrated effort is needed in countries where most of the cases occur during the first two years of life and where paralytic polioviruses are propagating throughout the year in a large proportion of the infant population. Under such circumstances, expanded routine infant immunization programmes, which include OPV but reach at best only 20-40% of the total infant population, who receive only one or a few doses of vaccines requiring multiple doses, cannot be expected to eliminate paralytic poliomyelitis as an important public health problem. Injections of multiple doses of quadruple vaccine (DPT + inactivated poliomyelitis vaccine) would not only greatly increase the cost of routine immunizations but would not achieve more or as much as feeding OPV at the time of the DPT injections. Mass administration of OPV each year on 2 days of the year 2 months apart, to all children under 2, 3, or 4 years of age (depending on the epidemiological situation), without

  4. The roles of livestock in developing countries.

    PubMed

    Herrero, M; Grace, D; Njuki, J; Johnson, N; Enahoro, D; Silvestri, S; Rufino, M C

    2013-03-01

    Livestock play a significant role in rural livelihoods and the economies of developing countries. They are providers of income and employment for producers and others working in, sometimes complex, value chains. They are a crucial asset and safety net for the poor, especially for women and pastoralist groups, and they provide an important source of nourishment for billions of rural and urban households. These socio-economic roles and others are increasing in importance as the sector grows because of increasing human populations, incomes and urbanisation rates. To provide these benefits, the sector uses a significant amount of land, water, biomass and other resources and emits a considerable quantity of greenhouse gases. There is concern on how to manage the sector's growth, so that these benefits can be attained at a lower environmental cost. Livestock and environment interactions in developing countries can be both positive and negative. On the one hand, manures from ruminant systems can be a valuable source of nutrients for smallholder crops, whereas in more industrial systems, or where there are large concentrations of animals, they can pollute water sources. On the other hand, ruminant systems in developing countries can be considered relatively resource-use inefficient. Because of the high yield gaps in most of these production systems, increasing the efficiency of the livestock sector through sustainable intensification practices presents a real opportunity where research and development can contribute to provide more sustainable solutions. In order to achieve this, it is necessary that production systems become market-orientated, better regulated in cases, and socially acceptable so that the right mix of incentives exists for the systems to intensify. Managing the required intensification and the shifts to new value chains is also essential to avoid a potential increase in zoonotic, food-borne and other diseases. New diversification options and improved

  5. The birth rate decline in developing countries.

    PubMed

    Robey, B

    1993-01-01

    Family planning programs historically have played an important role in providing information and counseling and supplying modern methods. Most programs are effective due to socioeconomic development and strong political support. Potential demand for services will be growing. This means that donor agencies must commit additional funding, and users must begin paying or paying more for contraceptives. Services and method choices need to be expanded, and quality of care needs to be improved. Three primary factors will impact on fertility decline: 1) the rate of social development, 2) the speed with which small family norms spread and contraception is adopted, and 3) the facility of private and public suppliers to meet contraceptive demand. Other factors influence reproductive decisions (women's roles and status, economic hardships or opportunities, religion, ethnicity, culture, and tradition). Contraceptive prevalence has increased from under 10% in the 1960s to 38% of all married, reproductive age women in the developing world, excluding China, which has contraceptive prevalence of 72%. Regional differences are wide. In Latin America, contraceptive use averages nearly 60% and ranges from over 50% in 10 countries and below 38% in Bolivia, Guatemala, and Haiti. Contraceptive prevalence is above average in Indonesia (50%), Sri Lanka (62%), and Thailand (68%) and just below average in Bangladesh (40%), India (45%), Philippines (34%), and Vietnam (53%). Sub-Saharan Africa has the lowest prevalence, except for Zimbabwe (45%), Botswana (35%), and Kenya (27%). 80% of current users rely on modern methods. In most surveyed countries, 20-30% of married women have unmet demand. Fertility decline, unmet demand, and contraceptive use have all been affected by the diffusion of ideas about the use of family planning and the small family norm. Innovators are usually high status, educated women, who spread their views to other social groups or geographic areas. The spread can be rapid

  6. Neuroinfections in developed versus developing countries.

    PubMed

    Krcméry, Vladimír; Fedor-Freybergh, P G

    2007-06-01

    In recent supplement of neuroendocrinology letters, first time the authors from West and East, North and South of EU and the "Third World" present data on neuroinfections in high technology society - on nosocomial meningitis and vice versa in low technology and income countries of sub-Saharan Africa. 14 years survey of 171 cases of nosocomial paediatric meningitis is presented by Rudinsky et al. [1] and subpopulations of Acinetobacter baumannii and Pseudomonas aeruginosa [1,2] within last 20 years are briefly analyzed by Huttova et al. [2] and Ondrusova et al. [3]. All cases were complicating high technology procedures, such as neurosurgery, very low birth weight neonates after shunt implants etc. Current problems of management of nosocomial meningitis are reviewed by Bauer et al. [4] and consequence of inappropriate therapy by Huttova et al. [5]. Another high technology associated infection is septic embolisation followed by brain abscess and meningitis in patients with endocarditis after cardiac surgery (Kovac et al.) [6]. Experience from more than 600 cases is discussed in the article by Karvaj et al. [7] who outlines extremely high mortality in patients with endocarditis embolizing to central nervous system - up to 60%. The rest of papers are in contrary to problems of neuroinfections in EU and US focused on meningitis and cerebral malaria as commonest neuroinfections in the third world: 261 cases of cerebral malaria are discussed in a brief research note by Sudanese team of tropical programme in area of famine and civil war in southern Sudan (Bartkovjak and Ianetti et al.) [8]. Fungal neuroinfections complicating AIDS are of decreasing trend as reported by Njambi et al. from Kenya [9] and data from 497 cases from Uganda, Ethiopia and Burundi are presented by Benca et al. [10]. Finally an outbreak of meningococcal meningitis is reported by Benca et al. [11] from meningitis belt in Darfur and southern Sudan. We hope that the supplement may show difference in

  7. Immigrants' health in Europe: a cross-classified multilevel approach to examine origin country, destination country, and community effects.

    PubMed

    Huijts, Tim; Kraaykamp, Gerbert

    2012-01-01

    In this study, we examined origin, destination, and community effects on first- and second-generation immigrants' health in Europe. We used information from the European Social Surveys (2002–2008) on 19,210 immigrants from 123 countries of origin, living in 31 European countries. Cross-classified multilevel regression analyses reveal that political suppression in the origin country and living in countries with large numbers of immigrant peers have a detrimental influence on immigrants' health. Originating from predominantly Islamic countries and good average health among natives in the destination country appear to be beneficial. Additionally, the results point toward health selection mechanisms into migration. PMID:22803186

  8. Le transfert de connaissances entre les mathematiques et les sciences. Une etude exploratoire aupres d'eleves de 4e secondaire

    NASA Astrophysics Data System (ADS)

    Samson, Ghislain

    2003-06-01

    Au moment ou dans plusieurs pays on travaille a refondre les programmes d'etudes, tant au primaire qu'au secondaire, l'interet pour le transfert renait. Un des concepts fondamentaux en apprentissage consiste en l'habilete a reutiliser de facon consciente et efficace un acquis d'une situation a une autre situation. Cette recherche emane de preoccupations professionnelles au moment ou le chercheur etait enseignant au secondaire. Au cours de ces annees, il lui a ete possible de constater que plusieurs eleves percevaient difficilement les liens presents entre les disciplines mathematiques et scientifiques. Des travaux en psychologie cognitive et plus particulierement selon une perspective du traitement de l'information ont servi de cadre de reference pour evaluer et analyser les capacites de transfert aupres d'eleves de 4e secondaire. Ce cadre de reference permet de formuler le principal objectif qui est de mieux comprendre le processus de transfert chez des eleves en situation de resolution de problemes scientifiques. Cette these s'interesse donc au transfert en tant que phenomene important du processus d'apprentissage au sens de l'integration. La methode de recherche choisie, de nature qualitative, est principalement axee sur l'evaluation de la capacite a transferer des connaissances lors d'une epreuve et d'un entretien. Pour evaluer ce potentiel de transfert, nous avons elabore deux outils: une epreuve en mathematiques et en sciences et un guide d'entretien. Pour la passation de l'epreuve, le chercheur a pu compter sur la collaboration de 130 sujets provenant de deux ecoles. L'entretien complete la prise de donnees avec 13 sujets ayant accepte de poursuivre l'etude. Les donnees recueillies par ces instruments font ensuite l'objet d'une analyse de contenu. En premier lieu, les verbatims de l'epreuve et de l'entretien ont ete transcrits, puis codifies. La correction des reponses fournies pour les problemes resolus s'est faite a partir d'une grille d

  9. Persistent differences in mortality patterns across industrialized countries.

    PubMed

    d'Albis, Hippolyte; Esso, Loesse Jacques; Pifarré I Arolas, Héctor

    2014-01-01

    The epidemiological transition has provided the theoretical background for the expectation of convergence in mortality patterns. We formally test and reject the convergence hypothesis for a sample of industrialized countries in the period from 1960 to 2008. After a period of convergence in the decade of 1960 there followed a sustained process of divergence with a pronounced increase at the end of the 1980's, explained by trends within former Socialist countries (Eastern countries). While Eastern countries experienced abrupt divergence after the dissolution of the Soviet Union, differences within Western countries remained broadly constant for the whole period. Western countries transitioned from a strong correlation between life expectancy and variance in 1960 to no association between both moments in 2008 while Eastern countries experienced the opposite evolution. Taken together, our results suggest that convergence can be better understood when accounting for shared structural similarities amongst groups of countries rather than through global convergence. PMID:25181447

  10. Abortion Rates Rising in Zika-Affected Countries, Study Shows

    MedlinePlus

    ... nlm.nih.gov/medlineplus/news/fullstory_159500.html Abortion Rates Rising in Zika-Affected Countries, Study Shows ... from mosquito-borne Zika may be driving up abortion rates in Latin American countries affected by the ...

  11. Persistent Differences in Mortality Patterns across Industrialized Countries

    PubMed Central

    d'Albis, Hippolyte; Esso, Loesse Jacques; Pifarré i Arolas, Héctor

    2014-01-01

    The epidemiological transition has provided the theoretical background for the expectation of convergence in mortality patterns. We formally test and reject the convergence hypothesis for a sample of industrialized countries in the period from 1960 to 2008. After a period of convergence in the decade of 1960 there followed a sustained process of divergence with a pronounced increase at the end of the 1980's, explained by trends within former Socialist countries (Eastern countries). While Eastern countries experienced abrupt divergence after the dissolution of the Soviet Union, differences within Western countries remained broadly constant for the whole period. Western countries transitioned from a strong correlation between life expectancy and variance in 1960 to no association between both moments in 2008 while Eastern countries experienced the opposite evolution. Taken together, our results suggest that convergence can be better understood when accounting for shared structural similarities amongst groups of countries rather than through global convergence. PMID:25181447

  12. Implementing microbicides in low-income countries.

    PubMed

    Gengiah, Tanuja N; Abdool Karim, Quarraisha

    2012-08-01

    The magnitude of the global human immunodeficiency virus (HIV) epidemic is determined by women from lower income countries, specifically sub-Saharan Africa. Microbicides offer women who are unable to negotiate safe sex practices a self-initiated HIV prevention method. Of note, is its potential to yield significant public health benefits even with relatively conservative efficacy, coverage and user adherence estimates, making microbicides an effective intervention to invest scarce healthcare resources. Existing healthcare delivery systems provide an excellent opportunity to identify women at highest risk for infection and to also provide an access point to initiate microbicide use. Innovative quality improvement approaches, which strengthen existing sexual reproductive health services and include HIV testing, and linkages to care and treatment services, provide an opportunity to lay the foundations for wide-scale provision of microbicides. The potential to enhance health outcomes in women and infants and potentially affect rates of new HIV infection may soon be realised. PMID:22498040

  13. Predator-Free New Zealand: Conservation Country

    PubMed Central

    Russell, James C.; Innes, John G.; Brown, Philip H.; Byrom, Andrea E.

    2015-01-01

    Eradications of invasive species from over 1000 small islands around the world have created conservation arks, but to truly address the threat of invasive species to islands, eradications must be scaled by orders of magnitude. New Zealand has eradicated invasive predators from 10% of its offshore island area and now proposes a vision to eliminate them from the entire country. We review current knowledge of invasive predator ecology and control technologies in New Zealand and the biological research, technological advances, social capacity and enabling policy required. We discuss the economic costs and benefits and conclude with a 50-year strategy for a predator-free New Zealand that is shown to be ecologically obtainable, socially desirable, and economically viable. The proposal includes invasive predator eradication from the two largest offshore islands, mammal-free mainland peninsulas, very large ecosanctuaries, plus thousands of small projects that will together merge eradication and control concepts on landscape scales. PMID:26955079

  14. Delivering golden rice to developing countries.

    PubMed

    Mayer, Jorge E

    2007-01-01

    Micronutrient deficiencies create a vicious circle of malnutrition, poverty, and economic dependency that we must strive to break. Golden Rice offers a sustainable solution to reduce the prevalence of vitamin A deficiency-related diseases and mortality, a problem that affects the health of millions of children in all developing countries. The technology is based on the reconstitution of the carotenoid biosynthetic pathway by addition of 2 transgenes. The outcome of this high-tech approach will be provided to end users as nutrient-dense rice varieties that are agronomically identical to their own, locally adapted varieties. This intervention has the potential to reach remote rural populations without access to fortification and supplementation programs. As part of our delivery strategy, we are partnering with government and nongovernment, national and international agricultural institutions to navigate through cumbersome and expensive regulatory regimes that affect the release of genetically modified crops, and to create local demand for the biofortified rice varieties. PMID:17955992

  15. [Quality of medicines in least developed countries].

    PubMed

    Videau, J Y

    2006-12-01

    Due to worsening economic conditions and poor enforcement of existing pharmaceutical and customs regulations, third world countries are faced with a growing threat from counterfeit and substandard medicines. With the expansion of illicit markets in urban areas, the sales of medicines of uncertain quality and origin are increasing. Most victims of this illicit trade are among the world's poorest populations that cannot afford to buy quality drugs through private-sector distribution channels. National pharmaceutical programs promoting universal access to essential generic medicines at reasonable cost are the key to curbing this problem. A system based on strict, rational pharmaceutical purchasing and distribution policies with quality assurance at every level of the supply chain is needed to guarantee that patients receive safe effective high quality healthcare products. PMID:17286015

  16. Country break-out session highlights.

    PubMed

    Fazekas, Franz; Gehring, Klaus; Gallo, Paolo; Lebrun-Frénay, Christine; Moral, Ester; Myhr, Kjell-Morten

    2015-01-01

    Individuals with multiple sclerosis (MS) spasticity present a wide range of symptoms and disability levels that are frequently challenging to manage. At the MS Experts Summit 2015, five country breakout sessions were conducted in parallel, and mainly in the native language, to examine various aspects about the management of treatment-resistant MS spasticity. Topics covered included video documentation of MS spasticity management (Germany), use of cannabinoid medicines in daily practice (Italy), multidisciplinary approach to MS spasticity care (France), titration and adherence to treatments for MS spasticity (Spain) and management of MS symptoms (Norway/Rest of World). For the benefit of all attendees, session highlights were collated and presented in a Plenary Session which is summarized herein. PMID:26611270

  17. Management of Membranous Nephropathy in Western Countries

    PubMed Central

    Alfaadhel, Talal; Cattran, Daniel

    2015-01-01

    Background Idiopathic membranous nephropathy (IMN) is a common cause of nephrotic syndrome (NS) in adults in Western countries. In 2012, the KDIGO (Kidney Disease: Improving Global Outcomes) working group published guidelines for the management of glomerulonephritis, thus providing a template for the treatment of this condition. While being aware of the impact of the clinicians' acumen and that patients may choose a different therapeutic option due to the risks of specific drugs and also of the evolving guidelines, this review details our approach to the management of patients with IMN in a Western center (Toronto). Summary Based on studies published in Europe and North America, we included recent advances in the diagnosis and management of patients with membranous nephropathy similar to our practice population. We highlight the importance of establishing the idiopathic nature of this condition before initiating immunosuppressive therapy, which should include the screening for secondary causes, especially malignancy in the elderly population. The expected outcomes with and without treatment for patients with different risks of progression will be discussed to help guide clinicians in choosing the appropriate course of treatment. The role of conservative therapy as well as of established immunosuppressive treatment, such as the combination of cyclophosphamide and prednisone, and calcineurin inhibitors (CNIs), as well as of newer agents such as rituximab will be reviewed. Key Messages Appropriate assessment is required to exclude secondary conditions causing membranous glomerulonephritis. The role of antibodies to phospholipase A2 receptor (anti-PLA2R) in establishing the primary disease is growing, though more data are required. The increase in therapeutic options supports treatment individualization, taking into account the availability, benefits and risks, as well as patient preference. Facts from East and West (1) The prevalence of IMN is increasing worldwide

  18. Indian psychiatry, research and Asian countries.

    PubMed

    Trivedi, J K; Gupta, Pawan Kumar; Saha, Rahul

    2010-01-01

    Asia has some of the largest conglomerations of human populations and also the fastest growing economies of the world. About 23% of the world's population lives in the South Asian region, and one-fifth of psychiatrically ill patients in the world live in this part of the world. Despite vast cultural, religious, geographical, and political diversities, the factors influencing mental health remain the same throughout this wide region, as highlighted at the recently concluded Asian summit, where the slogan, 'One vision, one identity, one community,' was launched. Thus, the need to strengthen regional cooperation in the field of mental health has always been felt. This article highlights facts about influence of Indian Psychiatry research as well as of some Asian countries in the world psychiatry and vice versa. PMID:21836718

  19. Problems with packaged sources in foreign countries

    SciTech Connect

    Abeyta, Cristy L; Matzke, James L; Zarling, John; Tompkin, J. Andrew

    2010-01-01

    The Global Threat Reduction Initiative's (GTRI) Off-Site Source Recovery Project (OSRP), which is administered by the Los Alamos National Laboratory (LANL), removes excess, unwanted, abandoned, or orphan radioactive sealed sources that pose a potential threat to national security, public health, and safety. In total, GTRI/OSRP has been able to recover more than 25,000 excess and unwanted sealed sources from over 825 sites. In addition to transuranic sources, the GTRI/OSRP mission now includes recovery of beta/gamma emitting sources, which are of concern to both the U.S. government and the International Atomic Energy Agency (IAEA). This paper provides a synopsis of cooperative efforts in foreign countries to remove excess and unwanted sealed sources by discussing three topical areas: (1) The Regional Partnership with the International Atomic Energy Agency; (2) Challenges in repatriating sealed sources; and (3) Options for repatriating sealed sources.

  20. Malnutrition and vaccination in developing countries

    PubMed Central

    Prendergast, Andrew J.

    2015-01-01

    Malnutrition contributes to an estimated 45% of deaths among children under 5 years of age in developing countries, predominantly due to infections. Malnourished children therefore stand to benefit hugely from vaccination, but malnutrition has been described as the most common immunodeficiency globally, suggesting that they may not be able to respond effectively to vaccines. The immunology of malnutrition remains poorly characterized, but is associated with impairments in mucosal barrier integrity, and innate and adaptive immune dysfunction. Despite this, the majority of malnourished children can mount a protective immune response following vaccination, although the timing, quality and duration of responses may be impaired. This paper reviews the evidence for vaccine immunogenicity in malnourished children, discusses the importance of vaccination in prevention of malnutrition and highlights evidence gaps in our current knowledge. PMID:25964453

  1. [Nutrition and population: study of three countries].

    PubMed

    1988-12-01

    The cases of Mexico, Kenya, and India are described to illustrate the difficulty of assuring national food supplies in the face of rapid population growth. In 1985, despite a world cereal surplus, some 700 million of the earth's poorest inhabitants lacked sufficient food to support a normal life, and some 17 million children died of malnutrition or diseases aggravated by malnutrition. 16% of today's Third World population lacks sufficient food to maintain health. Rapid population growth is a cause of hunger in both countries and households. In already densely populated countries such as Bangladesh, population growth reduces the availability of agricultural land for each rural family, causing rural incomes to decrease and worsening rural unemployment. Few developing countries have been able to avoid serious urban unemployment and underemployment. Unstable governments try to calm urban unrest by concentrating all social and economic investment in the cities, causing suffering and diminished production in the countryside. Today more than 60 countries have food deficits. The majority of them are poor and becoming poorer. India, Kenya, and Mexico have had relative success in balancing food production and population growth, but each still has malnutrition due to inadequate economic policies for most of the poor and to implacable population growth. India's population of 785 million is growing at a rate of 2.3%/year. 1984 per capita calorie consumption was 92% of the required minimum. The poorest 20% of the population shared 7% of total household income. Since 1950 food production in India has almost tripled, but population nearly doubled in the same years. Poor food distribution and unequal agricultural progress have meant that malnutrition continues to plague India. Approximately 45% of the population suffered some degree of malnutrition in 1986. It is unlikely that India's future agricultural progress will be as rapid as that of the past 3 decades. Erosion

  2. The diffusion of medical techniques to less developed countries.

    PubMed

    Piachaud, D

    1979-01-01

    This paper describes a study of the extent to which a set of eight modern medical techniques had been introduced in less developed countries in 1977. The results are presented for each country and related to the characteristics of the country. Many very poor countries were found to have introduced many very recent techniques. The reasons for this are discussed, and appropriate questions to be asked about any new technique are suggested. PMID:114497

  3. Nursing ethics in a developing country.

    PubMed

    Botes, A

    1999-03-01

    Nursing is a true profession, distinguished by its philosophy of care, its full-time commitment to human wellbeing, its particular blend of knowledge and skills and its valuable service to the community (Curtin & Flaherty, 1982:92). Ethics is vital to nursing. Being a professional implies ethical behaviour and knowledge of what it means to be ethical (Pera & Van Tonder, 1996:v). Ethics is the foundation of committed service to humankind. When nurses practice is an ethical manner they should adhere to ethical principles like autonomy, beneficence, justice, veracity, fidelity, confidentiality and privacy. From this conceptual framework two questions can be asked, namely: Does the behaviour of nurses in health services in South Africa comply with the principles of ethics? How can ethical behaviour be facilitated in nurses in South Africa? The first question was answered by doing a critical analysis of thirty-two case studies of recent ethical phenomena in health services. The ethical principles will be used as criteria for this analysis. Some of the ethical case studies will be presented in this paper to indicate the problems in relation to autonomy, beneficence, justice, veracity and fidelity. It will be demonstrated that from deontological ethical theories nurses are not doing their duty as advocates for the vulnerable patient and from utilitarianism the poor and uneducated patients are being exploited. To empower patients in developing countries it is of vital importance for nurses to behave in an ethical manner. From a literature study a program for rational interaction for moral sensitivity (Rossouw, 1995) and virtue-based ethics in Nursing Education is identified to facilitate moral behaviour amongst nurses in developing countries. PMID:11040612

  4. Ahead with Cairo. Monitoring country activities.

    PubMed

    Danguilan, M; Wainer, J; Widyantoro, N; Capoor, I; Huq, N; Ashino, Y; Sadasivam, B; Le Thi Nham Tuyet

    1995-04-01

    In the aftermath of the 1994 UN Conference on Population and Development (ICPD) in Cairo, countries are proceeding with their implementation of the plan of action adopted at the conference. A brief description is given of some actions taken by specific countries toward plan implementation. In the Philippines meetings were held immediately after the conference in October on the implications for the Management, Family Planning, and Nongovernmental Organizations programs. The issues of concern were identified as the need for regular consultative meetings among relevant agencies, consultations with women's groups, and a responsive adolescents program. In Australia the program thrust was to focus on the implications for immigration. Monitoring of the plans of action will be undertaken by nongovernmental organizations (NGOs). In Malaysia committees are preparing a program of action suitable for implementation in Malaysia. A regional women's NGO organized a forum on the implications of ICPD for women's reproductive health, women's rights, and empowerment in Malaysia. In Vietnam, press conferences are used to communicate conference results. An NGO translated relevant ICPD materials into Vietnamese. In Indonesia, several ministries convened meetings among donors, NGOs, women's groups, and experts. In India, the government held a national conference. One view was that population issues should be discussed in the context of gender equality and empowerment of women. Another issue was the importance of placing reproductive health in the larger context of health and primary health services. Health personnel at all levels were considered in need of sensitization on gender issues. Problems such as anemia have not been successfully addressed in existing programs. The government agreed to remove in phases target driven programs and the sterilization emphasis. In Bangladesh, a national committee was formed, and NGOs are actively distributing information. In Japan, the Family Planning

  5. Risk analysis. HIV / AIDS country profile: Mozambique.

    PubMed

    1996-12-01

    Mozambique's National STD/AIDS Control Program (NACP) estimates that, at present, about 8% of the population is infected with human immunodeficiency virus (HIV). The epidemic is expected to peak in 1997. By 2001, Mozambique is projected to have 1,650,000 HIV-positive adults 15-49 years of age, of whom 500,000 will have developed acquired immunodeficiency syndrome (AIDS), and 500,000 AIDS orphans. Incidence rates are highest in the country's central region, the transport corridors, and urban centers. The rapid spread of HIV has been facilitated by extreme poverty, the social upheaval and erosion of traditional norms created by years of political conflict and civil war, destruction of the primary health care infrastructure, growth of the commercial sex work trade, and labor migration to and from neighboring countries with high HIV prevalence. Moreover, about 10% of the adult population suffers from sexually transmitted diseases (STDs), including genital ulcers. NACP, created in 1988, is attempting to curb the further spread of HIV through education aimed at changing high-risk behaviors and condom distribution to prevent STD transmission. Theater performances and radio/television programs are used to reach the large illiterate population. The integration of sex education and STD/AIDS information in the curricula of primary and secondary schools and universities has been approved by the Ministry of Education. Several private companies have been persuaded to distribute condoms to their employees. Finally, the confidentiality of HIV patients has been guaranteed. In 1993, the total AIDS budget was US $1.67 million, 50% of which was provided by the European Union. The European Commission seeks to develop a national strategy for managing STDs within the primary health care system. PMID:12320532

  6. Country, School and Students Factors Associated with Extreme Levels of Science Literacy across 25 Countries

    ERIC Educational Resources Information Center

    Alivernini, F.; Manganelli, S.

    2015-01-01

    A huge gap in science literacy is between students who do not show the competencies that are necessary to participate effectively in life situations related to science and technology and students who have the skills which would give them the potential to create new technology. The objective of this paper is to identify, for 25 countries, distinct…

  7. Is Deindustrialization Causing High Unemployment in Affluent Countries? Evidence from 16 OECD Countries, 1970-2003

    ERIC Educational Resources Information Center

    Kollmeyer, Christopher; Pichler, Florian

    2013-01-01

    This study assesses the possibility that deindustrialization has been contributing to the persistently high unemployment rates experienced by most affluent countries since the mid-1970s. Combining insights from Lilien's (1982) "sectoral shift" thesis and the literature on deindustrialization, the authors assert that the decades-long contraction of…

  8. Global National Qualifications Framework Inventory: Country Cases from EU and ETF Partner Countries

    ERIC Educational Resources Information Center

    Cedefop - European Centre for the Development of Vocational Training, 2013

    2013-01-01

    Certificates, diplomas and titles are commonly known as qualifications. Their purpose is to show employers, training providers, and individuals what the person holding the qualification has learned and can do. Every country issues many different qualifications, but for the European labor market to work as intended--that is for European citizens to…

  9. The Legacy of Utah's Country Schools, 1847-1896. Country School Legacy: Humanities on the Frontier.

    ERIC Educational Resources Information Center

    Birkinshaw, Scott B.

    This section of the Country School Legacy: Humanities on the Frontier Project, funded by the National Endowment for the Humanities and sponsored by the Mountain Plains Library Association, traces the development of schools in Utah during the Territorial Period (1847-1896). Following a discussion of the influence of the Church of Jesus Christ of…

  10. Guide de pratique clinique pour les lésions cérébrales traumatiques légères et les symptômes persistants

    PubMed Central

    Marshall, Shawn; Bayley, Mark; McCullagh, Scott; Velikonja, Diana; Berrigan, Lindsay

    2012-01-01

    Résumé Objectif Présenter les nouvelles lignes directrices sur la prise en charge des lésions cérébrales traumatiques légères (LCTL) et les symptômes persistants post-commotion (SPPC) afin de renseigner et d’orienter les médecins qui prennent en charge des patients qui se remettent d’une LCTL. Qualité des données On a effectué une recherche des guides de pratique clinique existants portant sur les LCTL et une synthèse critique des ouvrages scientifiques évaluant le traitement des SPPC. Étant donné la rareté des conseils sur la prise en charge des SPPC dans les travaux sur les lésions cérébrales traumatiques, une deuxième recherche documentaire a été faite pour recenser les guides de pratique clinique et les synthèses critiques concernant la prise en charge de ces symptômes communs dans la population en général. On a convoqué des professionnels de la santé provenant de différentes disciplines et régions du Canada et de l’étranger à une conférence consensuelle d’experts pour examiner les lignes directrices et les données probantes existantes et élaborer un guide complet pour la prise en charge des LCTL et des SPPC. Message principal À l’aide d’un processus Delphi modifié, on a produit 71 recommandations portant sur le diagnostic et la prise en charge des LCTL et des SPPC. De plus, on a inclus dans le guide de nombreuses ressources et des outils pour faciliter la mise en œuvre des recommandations. Conclusion Un guide de pratique clinique a été élaboré pour aider les professionnels de la santé à fournir des soins fondés sur les données probantes et les pratiques exemplaires à la population complexe de personnes qui ont des SPPC à la suite d’une LCTL.

  11. 15 CFR 738.3 - Commerce Country Chart structure.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 15 Commerce and Foreign Trade 2 2011-01-01 2011-01-01 false Commerce Country Chart structure. 738... COMMERCE CONTROL LIST OVERVIEW AND THE COUNTRY CHART § 738.3 Commerce Country Chart structure. (a) Scope.... If an “X” appears in a particular cell, transactions subject to that particular Reason for...

  12. 15 CFR 738.3 - Commerce Country Chart structure.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 15 Commerce and Foreign Trade 2 2012-01-01 2012-01-01 false Commerce Country Chart structure. 738... COMMERCE CONTROL LIST OVERVIEW AND THE COUNTRY CHART § 738.3 Commerce Country Chart structure. (a) Scope.... If an “X” appears in a particular cell, transactions subject to that particular Reason for...

  13. 15 CFR 738.3 - Commerce Country Chart structure.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 15 Commerce and Foreign Trade 2 2013-01-01 2013-01-01 false Commerce Country Chart structure. 738... COMMERCE CONTROL LIST OVERVIEW AND THE COUNTRY CHART § 738.3 Commerce Country Chart structure. (a) Scope.... If an “X” appears in a particular cell, transactions subject to that particular Reason for...

  14. Inclusion Education and the Developing Countries: The Case of Bangladesh

    ERIC Educational Resources Information Center

    Kibria, Gholam

    2005-01-01

    Following the trends of "Inclusion" movement in the USA and some Western countries, a number of Developing countries have been imbued with the philosophy of inclusion education. Some of these countries have enacted laws to safeguard the educational rights and welfare of children with disabilities, and others have been trying to initiate inclusion…

  15. Phare Multi-Country Programme for Distance Education. Programme Compendium.

    ERIC Educational Resources Information Center

    European Training Foundation, Turin (Italy).

    This publication provides information on the achievements of the Phare Multi-Country Program for Distance Education. Chapter 1 contains two introductory papers. Chapter 2 contains country profiles that describe establishment of distance education infrastructures in the 13 Phare partner countries: Albania; Federation of Bosnia and Herzegovina;…

  16. Creating World-Class Universities: Implications for Developing Countries

    ERIC Educational Resources Information Center

    Lee, Jeongwoo

    2013-01-01

    Many countries are now creating world-class universities (WCUs) as essential parts of their higher education reform agendas, and as national goals. It is legitimate to ask whether every country that aspires to build a WCU can do so--especially developing countries. To answer this question, this paper provides a three-step framework. The first step…

  17. 27 CFR 9.136 - Texas Hill Country.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2011-04-01 2011-04-01 false Texas Hill Country. 9.136... Texas Hill Country. (a) Name. The name of the viticultural area described in this section is “Texas Hill Country.” (b) Approved maps. The appropriate maps for determining the boundaries of the “Texas...

  18. 27 CFR 9.136 - Texas Hill Country.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2012-04-01 2012-04-01 false Texas Hill Country. 9.136... Texas Hill Country. (a) Name. The name of the viticultural area described in this section is “Texas Hill Country.” (b) Approved maps. The appropriate maps for determining the boundaries of the “Texas...

  19. 27 CFR 9.136 - Texas Hill Country.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2013-04-01 2013-04-01 false Texas Hill Country. 9.136... Texas Hill Country. (a) Name. The name of the viticultural area described in this section is “Texas Hill Country.” (b) Approved maps. The appropriate maps for determining the boundaries of the “Texas...

  20. 27 CFR 9.136 - Texas Hill Country.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Texas Hill Country. 9.136... Texas Hill Country. (a) Name. The name of the viticultural area described in this section is “Texas Hill Country.” (b) Approved maps. The appropriate maps for determining the boundaries of the “Texas...