Science.gov

Sample records for nuclear controversy

  1. Nuclear Weapons: Concepts, Issues, and Controversies.

    ERIC Educational Resources Information Center

    Reardon, Betty; And Others

    1983-01-01

    The schools must confront and deal with the issues of the nuclear weapons controversy on pain of ceasing to be relevant to the critical needs of the rising generation. Every aspect of the nuclear arms controversy needs to be discussed in secondary and university classrooms. (RM)

  2. Teaching Controversial Materials: Teaching about the Nuclear Issue.

    ERIC Educational Resources Information Center

    Wall, Joseph

    1986-01-01

    Describes difficulties encountered in presenting a college course on nuclear weapons and disarmament. Maintains that such courses must strive for a fuller historical account of the arms race, in addition to stressing the humanistic and ethical questions involved. Warns that controversy will arise and concludes that even blind anger is preferable…

  3. Why are U.S. nuclear weapon modernization efforts controversial?

    NASA Astrophysics Data System (ADS)

    Acton, James

    2016-03-01

    U.S. nuclear weapon modernization programs are focused on extending the lives of existing warheads and developing new delivery vehicles to replace ageing bombers, intercontinental ballistic missiles, and ballistic missile submarines. These efforts are contested and controversial. Some critics argue that they are largely unnecessary, financially wasteful and potentially destabilizing. Other critics posit that they do not go far enough and that nuclear weapons with new military capabilities are required. At its core, this debate centers on three strategic questions. First, what roles should nuclear weapons be assigned? Second, what military capabilities do nuclear weapons need to fulfill these roles? Third, how severe are the unintended escalation risks associated with particular systems? Proponents of scaled-down modernization efforts generally argue for reducing the role of nuclear weapons but also that, even under existing policy, new military capabilities are not required. They also tend to stress the escalation risks of new--and even some existing--capabilities. Proponents of enhanced modernization efforts tend to advocate for a more expansive role for nuclear weapons in national security strategy. They also often argue that nuclear deterrence would be enhanced by lower yield weapons and/or so called bunker busters able to destroy more deeply buried targets. The debate is further fueled by technical disagreements over many aspects of ongoing and proposed modernization efforts. Some of these disagreements--such as the need for warhead life extension programs and their necessary scope--are essentially impossible to resolve at the unclassified level. By contrast, unclassified analysis can help elucidate--though not answer--other questions, such as the potential value of bunker busters.

  4. Energy Education: Responding to the Nuclear Power Controversy.

    ERIC Educational Resources Information Center

    Fry-Miller, Kathleen M.

    1982-01-01

    Discusses problems associated with the use of nuclear power as a source of energy. Sources of exposure to radiation, the effects of exposure to radiation on children's health, and safe alternatives to nuclear power that can be taught to children are among the topics addressed. (Author/RH)

  5. The Role of Experts in a Nuclear Siting Controversy

    ERIC Educational Resources Information Center

    Nelkin, Dorothy

    1974-01-01

    Highlights some of the problems involved when public citizens become involved in the development of policy for projects affecting the environment, using as an example a situation in upstate New York where citizens opposed the construction of a nuclear power plant on the shore of Cayuga Lake. (PEB)

  6. The nuclear controversy: Unequal competition in public policy-making

    NASA Astrophysics Data System (ADS)

    Sanderson, I.

    1980-05-01

    The public policy making process as regards nuclear power is analized and the epistemological basis for such an analysis is examined. It is asserted that disputes over the development of nuclear power are not primarily about the objective facts of the matter but rather derive from differences in basic assumptions about, and evaluatory perceptions of, society, technology and the nature of progress. The balance of power in such disputes is therefore not mainly determined by the 'correctness' of the facts upon which a position rests but rather by the extent to which underlying assumptions and values accord with prevailing ideological themes. A meaningful debate can be guaranteed only through the establishment of institutional structures which provide a framework of truely democratic participation and equality of power and influence.

  7. Teaching Controversy without Controversy

    ERIC Educational Resources Information Center

    Stiehm, Judith

    1976-01-01

    Discussion of "Sex, Power, and Politics" course at the University of Southern California in which the videotaping of class sessions is used to reduce classroom controversy while studying controversy. (ND)

  8. Risk of childhood leukaemia in the vicinity of nuclear installations--findings and recent controversies.

    PubMed

    Laurier, Dominique; Grosche, Bernd; Hall, Per

    2002-01-01

    The identification of a local excess of cancer cases, possibly associated with ionizing radiation, always receives substantial media coverage and communication about clusters is difficult. We reviewed studies that examined the risk of leukaemia among young people near nuclear installations. An excess of leukaemia exists near some nuclear installations, at least for the reprocessing plants at Sellafield and Dounreay and the nuclear power plant Krümmel. Nonetheless, the results of multi-site studies invalidate the hypothesis of an increased risk of leukaemia related to nuclear discharge. Up until now, analytic studies have not found an explanation for the leukaemia clusters observed near certain nuclear installations. The hypothesis of an infectious aetiology associated with population mixing has been proposed, but needs to be investigated further. The review illustrates two recent examples in France (La Hague reprocessing plant) and in Germany (Krümmel power plant), where controversies developed after reports of increased leukaemia risks. These examples show the importance of recalling the current epidemiological knowledge and of using systematic recording of cases to replace the alleged excesses in a more general framework. Some elements should also be suggested from the recent French and German experiences to reinforce credibility in the results. PMID:11990512

  9. Pax Atomica: the nuclear defense controversy in West Germany during the Adenauer era

    SciTech Connect

    Cioc, S.M.

    1986-01-01

    NATO's decision to create the Bundeswehr, and train German soldiers to use nuclear-capable weapons systems, was politically explosive in West Germany during the 1950s. Plans for the creation of the Bundeswehr were tied to Chancellor Adenauer's non nuclear pledges of 1952 and 1954. NATO's decision to stockpile nuclear warheads on German soil overshadowed the debate over army legislation within the German parliamentary body. Long before NATO stationed missiles in Central Europe, the specter of nuclear war had transformed West Germany's domestic politics. Until 1958, the nuclear debate occurred mostly in Parliament. From 1958 to 1960, the opposition parties and trade unions financed a peace campaign - the Kampf dem Atomtod. It was an agitational effort that included hundreds of demonstrations, referendum initiatives, and strikes; but it never became a popular movement. When pro-communist peace ideologues tried to seize control of the campaign, the entire anti-nuclear effort lost credibility. In the 1961 elections, Social Democrats and Free Democrats altered their defense postures. Along with the new Kennedy administration, they advocated a conventional buildup in Europe to reduce NATO's reliance on its nuclear arsenal. But they also adopted pro-nuclear defense platforms that insured the continuation of the chancellor's national security policy after his retirement in 1963.

  10. A Discriminant Analysis of Attitudes Related to the Nuclear Power Controversy.

    ERIC Educational Resources Information Center

    Girondi, Alfred J.

    1983-01-01

    This study was designed to develop a test instrument for measuring selected attitudes toward nuclear power, determine if attitudinal differences existed between selected groups of individuals, describe group differences in attitude, and classify group members as either anti- or pronuclear. Results, based on discriminant analysis, are reported and…

  11. Circumcision controversies.

    PubMed

    Pinto, Kirk

    2012-08-01

    Despite its long history and common practice, circumcision remains a controversial procedure. This article reviews the history of this operation, examines the controversy that surrounds it, and emphasizes the performing practitioner's responsibility to the patient and his family in guiding them through the complicated decision making surrounding newborn circumcision. PMID:22857844

  12. Plutonium controversy

    SciTech Connect

    Richmond, C.R.

    1980-01-01

    The toxicity of plutonium is discussed, particularly in relation to controversies surrounding the setting of radiation protection standards. The sources, amounts of, and exposure pathways of plutonium are given and the public risk estimated. (ACR)

  13. Controversy Corner.

    ERIC Educational Resources Information Center

    Morris, John O.

    1986-01-01

    Argues that business communication should encourage the use of plain language while breaking down the ideas that it is unprofessional to write in clear prose and that it is safer to keep prose muddy so as to avoid controversy in an organization. (SRT)

  14. Facelift Controversies.

    PubMed

    Barrett, Dane M; Gerecci, Deniz; Wang, Tom D

    2016-08-01

    The primary purpose of the facelift is to restore the shape, volume, and contours of the youthful face. Facelift surgery has evolved over the years into multiple techniques to accomplish the same results. This article discusses the common controversies in facelift surgery and evaluates the best available evidence to guide surgical decision-making. In regard to the salient question of whether there is a "best" technique, the literature suggests that the options are generally equal in efficacy. This highlights the need for high-quality research with standardized preoperative assessment and evaluation of postoperative results to better assess outcomes. PMID:27400849

  15. Controversial therapies.

    PubMed

    Silver, L B

    1995-01-01

    Parents of children or adolescents with disabilities want the best treatment. They are vulnerable to any person who reports having a quick solution and possibly a cure. It is important that professionals be informed of these controversial therapies so that they can educate parents on what is known about these treatments. There is a relationship between brain function and nutrition, as well as between brain function and allergic reactions. These relations appear to be true for children with learning disabilities, attention deficit hyperactivity disorder, and other neurologic disorders. At this time, however, we do not understand these relationships and there are no known treatments based on these relationships that have been shown to be clinically successful. Professionals must educate parents on proposed new treatments. Parents need to ask themselves why this amazing approach is not used by everyone. If the person proposing the treatment tells them that "most professionals are biased and do not believe the findings because they are different from the traditional treatments," they should feel free to ask to see the data supporting the concept and the treatment. They should not accept without question popular books published by the person proposing the treatment or information provided in a flyer or on a television show by the person proposing the treatment. They should not put their son or daughter through something unproved and unlikely to help. PMID:7751563

  16. Media Coverage and Public Opinion on Scientific Controversies.

    ERIC Educational Resources Information Center

    Mazur, Allan

    1981-01-01

    Examines the relationship of media coverage and public opinion in scientific controversy. A survey of coverage of controversies arising regarding sociobiology, water fluoridation, nuclear power and the Three Mile Island disaster indicates that the media play an active role in shaping and constructing controversy rather than just reporting it. (JMF)

  17. Television's "Soap" Controversy.

    ERIC Educational Resources Information Center

    Stutzman, Brent

    The situation comedy, "Soap," television's first prime-time sex farce, stirred controversy months before its premiere, and subsequent pressure on advertisers forced the network to change the show's concept from an adult comedy to a "whodunit." This report summarizes the controversy, recounts reactions to the series, and lists the implications of…

  18. Managing Controversial Meetings.

    ERIC Educational Resources Information Center

    Marchiony, Eve

    The "management of crisis," as opposed to crisis management," requires prior planning. Boards of education that habitually practice courtesy and have some knowledge of group dynamics do not create controversy by their own actions and will have fewer controversial meetings to manage. Policymakers should know ahead of time what issues are likely to…

  19. The Desolate Desert Controversy: Should Presto Power Company Build a Nuclear Plant? Instructor's Guide [and] Student Materials. A Business-in-the-Classroom Lesson Plan.

    ERIC Educational Resources Information Center

    Maxey, Phyllis F.

    One of a series of units designed to acquaint secondary school students with business issues, this packet focuses on the complex and controversial topic of energy technology. In a 5-day simulation, students play the roles of energy commission members, and business, local, and public interest group witnesses who must determine whether to build a…

  20. The vibrating string controversy

    NASA Astrophysics Data System (ADS)

    Wheeler, Gerald F.; Crummett, William P.

    1987-01-01

    In the mid-1700s a debate raged between Jean d'Alembert, Leonhard Euler, and Daniel Bernoulli concerning the proper solution to the classical wave equation. This controversy was partially solved by Lagrange and, more conclusively, by Fourier (50 years later) and it provides an interesting case study for the role of mathematics in the modeling of physical phenomena. Of particular note in this debate, was the meaning of boundary conditions. The controversy is summarized from the point of view of this mathematical physics perspective.

  1. The Choice Controversy.

    ERIC Educational Resources Information Center

    Cookson, Peter W., Jr., Ed.

    Issues in school choice--constitutionality, feasibility, equity, and educational productivity--are examined in this book. The controversy requires an ongoing analysis of the origins of the school-choice movement, the kinds of plans proposed and implemented, their educational and social consequences, and the philosophical assumptions underlying the…

  2. Controversy Over Student "Rights"

    ERIC Educational Resources Information Center

    Fields, Cheryl

    2005-01-01

    This article reports on the controversy over the "academic bill of rights" that is being pushed by conservative activist David Horowitz of the Center for the Study of Popular Culture. A committee in the Pennsylvania House of Representatives passed a resolution in July that reflects the concerns of this "bill," which has been batted around in state…

  3. The Accountability Controversy

    ERIC Educational Resources Information Center

    Glisson, Charles

    1975-01-01

    Author discusses accountability controversy concerning effectiveness of social services. Turem's mechanistic and Gruber's organic models of accountability are compared and an alternate open system model of organization is offered which combines positive aspects of Turem's and Gruber's models as well as adds other constructive elements to them. (SE)

  4. Controversies in dengue pathogenesis.

    PubMed

    Halstead, Scott B

    2012-05-01

    Research into the pathogenesis of dengue fever has exploded over the last half-century, with issues that were considered simple becoming more complex as additional data are found. This has led to the development of a number of controversies that are being studied across the globe and debated in the literature. In this paper, the following six controversies are analysed and, where possible, resolved: the 1997 World Health Organization (WHO) case definition of dengue haemorrhagic fever (DHF) is not useful; DHF is not significantly associated with secondary dengue infection; DHF results from infection with a 'virulent' dengue virus; DHF is owing to abnormal T-cell responses; DHF results from auto-immune responses; and DHF results from direct infection of endothelial cells. PMID:22668442

  5. Quasars, Redshifts and Controversies

    NASA Astrophysics Data System (ADS)

    Arp, Halton C.

    1988-09-01

    Introduction; 1. Distance of quasars; 2. The battle over statistics; 3. Galaxies visibly connected to quasars; 4. Certain galaxies with many quasars; 5. Distribution of quasars in space; 6. Galaxies with excess redshift; 7. Small excess redshifts, the local group of galaxies, and quantization of redshifts; 8. Correcting intrinsic redshifts and identifying hydrogen clouds within nearby groups of galaxies; 9. Ejection from galaxies; 10. The sociology of the controversy; 11. Interpretations; Glossary; Index.

  6. Controversies in vaccine mandates.

    PubMed

    Lantos, John D; Jackson, Mary Anne; Opel, Douglas J; Marcuse, Edgar K; Myers, Angela L; Connelly, Beverly L

    2010-03-01

    Policies that mandate immunization have always been controversial. The controversies take different forms in different contexts. For routine childhood immunizations, many parents have fears about both short- and long-term side effects. Parental worries change as the rate of vaccination in the community changes. When most children are vaccinated, parents worry more about side effects than they do about disease. Because of these worries, immunization rates go down. As immunization rates go down, disease rates go up, and parents worry less about side effects of vaccination and more about the complications of the diseases. Immunization rates then go up. For teenagers, controversies arise about the criteria that should guide policies that mandate, rather than merely recommend and encourage, certain immunizations. In particular, policy makers have questioned whether immunizations for human papillomavirus, or other diseases that are not contagious, should be required. For healthcare workers, debates have focused on the strength of institutional mandates. For years, experts have recommended that all healthcare workers be immunized against influenza. Immunizations for other infections including pertussis, measles, mumps, and hepatitis are encouraged but few hospitals have mandated such immunizations-instead, they rely on incentives and education. Pandemics present a different set of problems as people demand vaccines that are in short supply. These issues erupt into controversy on a regular basis. Physicians and policy makers must respond both in their individual practices and as advisory experts to national and state agencies. The articles in this volume will discuss the evolution of national immunization programs in these various settings. We will critically examine the role of vaccine mandates. We will discuss ways that practitioners and public health officials should deal with vaccine refusal. We will contrast responses of the population as a whole, within the

  7. Literature for Children: Avoiding Controversy and Intellectual Challenge.

    ERIC Educational Resources Information Center

    Adams, Dennis M.

    1986-01-01

    Discusses lack of literature on controversial subjects that can help prepare children and young adults to deal perceptively with complexities of modern world. Highlights include meeting the issues head-on, glorifying armed conflict in video media, avoiding issues of nuclear war, and intellectual depth and dealing with controversial issues. (12…

  8. Controversies in Screening Mammography.

    PubMed

    Swain, Monique; Jeudy, Myrlene; Pearlman, Mark D

    2016-06-01

    The utility and effectiveness of screening mammography in diagnosing breast cancer at earlier stages and reducing disease-specific mortality remain controversial especially as to when to start and stop routine mammographic screening, and whether mammograms should be performed annually or biennially in average-risk women. This manuscript will analyze the available moderate and high-quality data to analyze both the benefits (lives saved and life-years saved) and inconveniences/harms (additional views, extra biopsies/overdiagnosis, and overtreatment of ductal carcinoma in situ) of different mammography screening guidelines to assist the practitioner in counseling their patients in clinical practice. PMID:27101240

  9. Controversy at Love Canal.

    PubMed

    Paigen, B

    1982-06-01

    A cancer researcher reviews the events surrounding the toxic waste contamination at Love Canal with emphasis on the political nature of the controversy about its health impact. Antagonism between the community and the New York State Department of Health was fueled by several factors: the state's awareness that it gained from delay in investigation, disagreement on health problems to be studied, control over the information gathering process, silencing of opposition opinion, and the violation of norms of scientific behavior. The author calls for the establishment of standards of ethical behavior for scientists in such situations, standards for conflict resolution, and means of appeal for those injured. PMID:7107238

  10. Electrodynamic force law controversy.

    PubMed

    Graneau, P; Graneau, N

    2001-05-01

    Cavalleri et al. [Phys. Rev. E 52, 2505 (1998); Eur. J. Phys. 17, 205 (1996)] have attempted to resolve the electrodynamic force law controversy. This attempt to prove the validity of either the Ampère or Lorentz force law by theory and experiment has revealed only that the two are equivalent when predicting the force on part of a circuit due to the current in the complete circuit. However, in our analysis of internal stresses, only Ampère's force law agrees with experiment. PMID:11415053

  11. The controversy of Warthin's tumor

    SciTech Connect

    Chapnik, J.S.

    1983-06-01

    Warthin's tumor is controversial. This controversy is multifaceted and relates to all aspects of the tumor from its historical beginnings to its pathogenesis, investigations, and treatments. In this paper, an in depth study of Warthin's tumor has been made to help clarify these controversies.

  12. Exxon Valdez controversy revived

    SciTech Connect

    Not Available

    1993-04-26

    Four years after its occurrence rocked the petroleum industry and revitalized the US environmental movement, the Exxon Valdez tanker oil spill off Alaska continues to stir controversy. Conflicting reports abound over whether there is long term damage to the Prince William Sound ecosystem resulting from the March 24, 1989, spill. Government scientists at recent conferences disclosed studies they contend show long term, significant damage to the sound. Exxon this month launched a counteroffensive, disclosing results of studies it funded that it claims show no credible scientific evidence of long term damage. At the same time, the company blasted as flawed the government's data on assessing environmental damage to the sound and charged that test samples from the sound were mishandled. Meantime, Prince William Sound still shows lingering effects from the Exxon Valdez oil spill. But recovery has been so rapid that there is more controversy over how to use $900 million in natural resource recovery funds that Exxon paid than over how badly species are suffering. The paper describes Exxon's studies; faulty data; lingering damage; and an update on tanker safety.

  13. KNOW NUKES: a model for teaching controversial issues

    SciTech Connect

    Thomashow, M.S.

    1986-01-01

    This dissertation articulates elements of an educational strategy derived from the experience of the KNOW NUKES program, a teacher training project designed to introduce the nuclear power controversy in the high school classroom. This strategy can be used as means of furthering the effectiveness of controversial issues education, not only in the area of nuclear power, but in teaching about any environmental issue. This is specifically achieved by (2) placing the KNOW NUKES institute in the broader context of controversial issues education; (2) describing in detail KNOW NUKES project planning; (3) reviewing the structure and content of the various teaching techniques and materials that have been developed for the KNOW NUKES institute; (4) utilizing a particular technique developed by the institute that reveals varying perspectives on controversial issues, in this case, an instrumental for decoding the controversial issues that are explicit and implicit in corporate image advertisements; and (5) qualitatively evaluating the practical implementation of the KNOW NUKES model.

  14. The Uranium Controversy

    ERIC Educational Resources Information Center

    McCarthy, I. E.

    1975-01-01

    Cites many hazards pertaining to nuclear-fueled energy and outlines many alternatives to this type of energy, such as the development of solar energy and existing coal reserves, and the worldwide reduction in energy consumption. (MLH)

  15. The controversy over change.

    PubMed

    Brandon, A N

    1978-01-01

    The full impact of twentieth century technology upon medical libraries was first felt in the late 1950s and early 1960s with the introduction of electronic automation into library methodology. During those years, often the aura of technology for the sake of technology prevailed, and medical librarians did little to inform themselves of capabilities, potentialities, and limitations in relation to cost-effective library usage of automation. Likewise, currently microforms and audiovisuals are frequently acquired for their own sake instead of for their capacity to transmit messages in the most effective and comprehensive way possible. Controversy has raged and still rages over the pros and cons of applying modern technology to library procedures and over the coexistence of the printed page with electronic media. New systems and methodologies, machine or manual, must realistically be evaluated in terms of increased service output by the library to its clientele. Regardless of technological sophistication, any machine that does not significantly contribute to that specific aim has no place in a library. The tradition of the medical librarian has always been to collect, organize, store, and disseminate information in the most efficient manner that the media of the times have had to offer. PMID:75031

  16. Photoprotection: facts and controversies.

    PubMed

    Skotarczak, K; Osmola-Mańkowska, A; Lodyga, M; Polańska, A; Mazur, M; Adamski, Z

    2015-01-01

    Excessive exposure of the skin to sunlight can lead to many negative effects, such as sunburn, photoaging and skin cancer development. Pollution and stratospheric ozone layer depletion are factors that increase exposure to ultraviolet radiation. This work is an accurate summary of the current state of knowledge on broad-spectrum photoprotection. Avoiding the sun, skin protection through the use of protective clothing and protective filters are currently the most effective methods of sunscreen provided that they are suitably used. In addition, discussed are controversial issues such as the toxicity of zinc used in sunscreen preparations and the potential for deficiency of vitamin D3 in relation with the application of strict photoprotection. The study has also addressed issues concerning the most recent lines of research in the exploration of modern methods of photoprotection both local and systemic, such as with the use of photolyase or examination of various enzymes repairing damage after sun exposure, as well as the promising future in photoprotection technology. PMID:25635982

  17. Radon Treatment Controversy

    PubMed Central

    Zdrojewicz, Zygmunt; Strzelczyk, Jadwiga (Jodi)

    2006-01-01

    In spite of long traditions, treatments utilizing radon-rich air or water have not been unequivocally embraced by modern medicine. The objective of this work is to examine factors that contribute to this continuing controversy. While the exact mechanism of radon's effect on human body is not completely understood, recent advances in radiobiology offer new insights into biochemical processes occurring at low-level exposures to ionizing radiation. Medical evidence and patients' testimonials regarding effectiveness of radon spa treatments of various ailments, most notably rheumatoid arthritis are accumulating worldwide. They challenge the premise of the Linear-No-Threshold (LNT) theory that the dose-effect response is the same per unit dose regardless of the total dose. Historically, such inference overshadowed scientific inquiries into the low-dose region and lead to a popular belief that no amount of radiation can be good. Fortunately, the LNT theory, which lacks any scientific basis, did not remain unchallenged. As the reviewed literature suggests, a paradigm shift, reflected in the consideration of hormetic effects at low-doses, is gaining momentum in the scientific community worldwide. The impetus comes from significant evidence of adaptive and stimulatory effects of low-levels of radiation on human immune system. PMID:18648641

  18. The Continuing Valencian Language Controversy.

    ERIC Educational Resources Information Center

    Neugaard, Edward J.

    1995-01-01

    Controversy lingers regarding the name of the language spoken in the Spanish autonomous province of Valencia. Although the variety of Catalan spoken there has long been called both "Catalan" and "Valencian," recent controversy has become bitter and often surrounded by violence. Despite the debate, the language is in danger of dying out. (nine…

  19. Teen Addiction. Current Controversies Series.

    ERIC Educational Resources Information Center

    Winters, Paul A., Ed.

    The Current Controversies series explores social, political, and economic controversies that dominate the national and international scenes today from a variety of perspectives. Recent surveys have shown that, after years of decline, drug use among teenagers has increased during the 1990s, and that alcohol and tobacco use have remained…

  20. Examining Controversies in Adult Education.

    ERIC Educational Resources Information Center

    Kreitlow, Burton W.; And Others

    Controversies over adult education purposes, methods, audiences, and procedures are examined. After outlining a procedure for reviewing competing positions on controversial topics, the book pairs the contrasting views of two authors on each of 10 key issues facing adult education. Chapters cover: philosophies at issue (David L. Boggs); identifying…

  1. The Great School Bus Controversy.

    ERIC Educational Resources Information Center

    Mills, Nicolaus, Ed.

    This anthology attempts to put the great school bus controversy of the 1970's in perspective by providing a forum in which a series of widely differing views, backed by hard data, can be compared. The first section, "Background and Legal History," places the controversy in a perspective that predates the 1970's. One article focuses on the history…

  2. The Science-Textbook Controversies

    ERIC Educational Resources Information Center

    Nelkin, Dorothy

    1976-01-01

    The discrepancies between science and creationism are reflected in curriculum controversies. Students should be free to choose which theory they like, according to the creationists who view Darwinian science as incompatible with absolute moral values. (DS)

  3. Necrotizing enterocolitis: controversies and challenges

    PubMed Central

    Zani, Augusto; Pierro, Agostino

    2015-01-01

    Necrotizing enterocolitis is a devastating intestinal disease that affects ~5% of preterm neonates. Despite advancements in neonatal care, mortality remains high (30–50%) and controversy still persists with regards to the most appropriate management of neonates with necrotizing enterocolitis. Herein, we review some controversial aspects regarding the epidemiology, imaging, medical and surgical management of necrotizing enterocolitis and we describe new emerging strategies for prevention and treatment. PMID:26918125

  4. Controversies in Parotid Defect Reconstruction.

    PubMed

    Tamplen, Matthew; Knott, P Daniel; Fritz, Michael A; Seth, Rahul

    2016-08-01

    Reconstruction of the parotid defect is a complex topic that encompasses restoration of both facial form and function. The reconstructive surgeon must consider facial contour, avoidance of Frey syndrome, skin coverage, tumor surveillance, potential adjuvant therapy, and facial reanimation when addressing parotid defects. With each defect there are several options within the reconstructive ladder, creating controversies regarding optimal management. This article describes surgical approaches to reconstruction of parotid defects, highlighting areas of controversy. PMID:27400838

  5. Sexual Orientation, Controversy, and Science.

    PubMed

    Bailey, J Michael; Vasey, Paul L; Diamond, Lisa M; Breedlove, S Marc; Vilain, Eric; Epprecht, Marc

    2016-09-01

    SummaryOngoing political controversies around the world exemplify a long-standing and widespread preoccupation with the acceptability of homosexuality. Nonheterosexual people have seen dramatic surges both in their rights and in positive public opinion in many Western countries. In contrast, in much of Africa, the Middle East, the Caribbean, Oceania, and parts of Asia, homosexual behavior remains illegal and severely punishable, with some countries retaining the death penalty for it. Political controversies about sexual orientation have often overlapped with scientific controversies. That is, participants on both sides of the sociopolitical debates have tended to believe that scientific findings-and scientific truths-about sexual orientation matter a great deal in making political decisions. The most contentious scientific issues have concerned the causes of sexual orientation-that is, why are some people heterosexual, others bisexual, and others homosexual? The actual relevance of these issues to social, political, and ethical decisions is often poorly justified, however. PMID:27113562

  6. The Academic Controversy Technique: Towards Cooperative Debates

    ERIC Educational Resources Information Center

    Jacobs, George M.

    2010-01-01

    The purpose of this paper is to introduce and explain a cooperative learning technique, Academic Controversy (Johnson, Johnson, & Smith, 1996), also known as Cooperative Controversy, Structured Controversy and Structured Academic Controversy, that has potential for use in education and other areas, and has support in both research and theory.…

  7. The Controversy around Black History.

    ERIC Educational Resources Information Center

    Pitre, Abul; Ray, Ruth

    2002-01-01

    Controversy over black history began in 1926, when Carter G. Woodson introduced Negro history week, and has continued into the 21st century. Proponents of black history believe it promotes diversity, develops self-esteem, and corrects myths and stereotypes. Opponents argue it is dishonest, divisive, and lacks academic credibility and rigor.…

  8. Teacher Quality, Controversy, and NCLB

    ERIC Educational Resources Information Center

    Porter-Magee, Kathleen

    2004-01-01

    No Child Left Behind (NCLB)--the sweeping federal law that requires all schools that receive federal Title I dollars to be held strictly accountable for student outcomes--is the most discussed education reform effort in the past half century. One of the many controversial and vexing elements of the law, especially among teachers, teacher unions,…

  9. Women's Athletics: Coping with Controversy.

    ERIC Educational Resources Information Center

    Hoepner, Barbara J., Ed.

    This book is a collection of papers discussing controversial topics in women's athletics. Section one, "Overview--Women's Rights," includes articles on women's rights and equal opportunities in sports, the emergence of women in sports, and significant events in a century of American women's sports. Section two, "Women's Intercollegiate…

  10. Elementary 72 - The Great Controversy

    ERIC Educational Resources Information Center

    Allsop, R. T.

    1973-01-01

    Discusses the controversy about the discovery of element 72, involving Urbain's isolation of celtium, Dauvillier's reexamination of celtium samples, and Coster and Hevesy's announcement of the existence of hafnium. Indicates that the Copenhagen workers are finally accredited for the element discovery in their x-ray spectral studies. (CC)

  11. Embracing Controversy in the Classroom

    ERIC Educational Resources Information Center

    Cannard, Kelly

    2005-01-01

    Discussing controversial topics such as stem cell research is a great way for students to build scientific understanding, enhance communication skills, and develop an appreciation for civic decision making. Tackling a topic such as stem cells at the middle level, however, can be a challenge because most young adolescents see the world in black and…

  12. Engaging Students in Controversial Issues

    ERIC Educational Resources Information Center

    Malikow, Max

    2006-01-01

    A year ago, an upstate New York college withdrew a speaking invitation to Wade Churchill, a University of Colorado professor who had characterized 9/11 victims as "little Eichmanns." Churchill's portrayal of 9/11 victims as a mixture of conscious and unwitting participants in a systemic evil of Holocaust proportions indeed was controversial. The…

  13. Teaching Controversial Issues of Bioethics.

    ERIC Educational Resources Information Center

    Stronck, David R.

    Many teachers avoid controversial topics because they do not want to upset students or parents, do not know appropriate instructional strategies, and fail to recognize the importance of motivating students through placing science in its relevant context. An example is provided for use in a methods course for helping future high school teachers to…

  14. Eliminating Racism: Profiles in Controversy.

    ERIC Educational Resources Information Center

    Katz, Phyllis A., Ed.; Taylor, Dalmas A., Ed.

    Dialogue and research on racism since the mid-1970s have yielded increased controversy over the theories, foundation, and continued existence of racism. The chapters presented in this book provide various divergent views of what constitutes racism and frameworks for reducing it. The following chapters (and their authors) are included: (1)…

  15. Surveying Students about Controversial Subjects

    ERIC Educational Resources Information Center

    Soronen, Lisa E.

    2007-01-01

    Background: Because of school districts' interest in best serving the health needs of students, many choose to administer surveys addressing controversial topics. Administering such surveys in a voluntary and anonymous manner may help reduce conflict. Methods: This is a review of 2 recent federal court of appeals decisions regarding surveying…

  16. Darwinian Controversies: An Historiographical Recounting

    ERIC Educational Resources Information Center

    Depew, David J.

    2010-01-01

    This essay reviews key controversies in the history of the Darwinian research tradition: the Wilberforce-Huxley debate in 1860, early twentieth-century debates about the heritability of acquired characteristics and the consistency of Mendelian genetics with natural selection; the 1925 Scopes trial about teaching evolution; tensions about race,…

  17. The Satanic Ritual Abuse Controversy.

    ERIC Educational Resources Information Center

    Putnam, Frank W.

    1991-01-01

    The issues raised by Jonker and Jonker-Bakker and Young et al (EC 601 187-188) illustrate a major controversy dividing the child abuse community, the alleged existence of a conspiracy of satanic, ritual, sexual abuse of children. No evidence is found to support claims that large numbers of babies and children are being sacrificed or abused in…

  18. Controversial Curriculum? Ask the Community!

    ERIC Educational Resources Information Center

    Davis, William Jeffrey

    2009-01-01

    Involving communities in the process of curriculum development may not be novel, but it seems lacking with regard to controversial issues such as lessons on diverse family structures, homosexuality, and other special situations. Disparity in values and convictions can lead one person to support a decision, while another person might hold an…

  19. Know Nukes: A Model for Teaching Controversial Issues.

    ERIC Educational Resources Information Center

    Thomashow, Mitchell

    1984-01-01

    Summarizes a nuclear power workshop that presented techniques useful in controversial issues education. An introductory exercise and an overview of propagandistic techniques (listed in "The Propaganda Game") related to self-deception, language, irrelevance, exploitation, form, and maneuver are included. Outline of workshop presentation is also…

  20. Controversial Science and the Media

    NASA Astrophysics Data System (ADS)

    Riordon, James

    2012-03-01

    The possibility that the OPERA collaboration has detected superluminal neutrinos was among the most controversial topics in physics news in decades, and one of the most widely covered stories in all of science in 2011. Word of the research initially reached journalists and the public prior to publication in peer-reviewed journals. Understandably, many physicists are concerned that the significance of controversial science may be exaggerated or distorted when news organizations report on science at such an early stage. I will offer an overview of the ways the story was promoted by the media relations personnel, and outline the rationales that motivate media relations efforts along with the associated benefits and drawbacks that can result. Finally, I will examine the accuracy and completeness of the superluminal neutrino news stories that ultimately were made available to the general public.

  1. Controversial Science and the Media

    NASA Astrophysics Data System (ADS)

    Riordon, James

    2012-02-01

    The possibility that the OPERA collaboration has detected superluminal neutrinos was among the most controversial topics in physics news in decades, and one of the most widely covered stories in all of science in 2011. Word of the research initially reached journalists and the public prior to publication in peer-reviewed journals. Understandably, many physicists are concerned that the significance of controversial science may be exaggerated or distorted when news organizations report on science at such an early stage. I will offer an overview of the ways the story was promoted by the media relations personnel, and outline the rationales that motivate media relations efforts along with the associated benefits and drawbacks that can result. Finally, I will examine the accuracy and completeness of the superluminal neutrino news stories that ultimately were made available to the general public.

  2. Controversies in Pediatric Perioperative Airways

    PubMed Central

    Klučka, Jozef; Štourač, Petr; Štoudek, Roman; Ťoukálková, Michaela; Harazim, Hana; Kosinová, Martina

    2015-01-01

    Pediatric airway management is a challenge in routine anesthesia practice. Any airway-related complication due to improper procedure can have catastrophic consequences in pediatric patients. The authors reviewed the current relevant literature using the following data bases: Google Scholar, PubMed, Medline (OVID SP), and Dynamed, and the following keywords: Airway/s, Children, Pediatric, Difficult Airways, and Controversies. From a summary of the data, we identified several controversies: difficult airway prediction, difficult airway management, cuffed versus uncuffed endotracheal tubes for securing pediatric airways, rapid sequence induction (RSI), laryngeal mask versus endotracheal tube, and extubation timing. The data show that pediatric anesthesia practice in perioperative airway management is currently lacking the strong evidence-based medicine (EBM) data that is available for adult subpopulations. A number of procedural steps in airway management are derived only from adult populations. However, the objective is the same irrespective of patient age: proper securing of the airway and oxygenation of the patient. PMID:26759809

  3. Structured Controversy: A Case Study Strategy.

    ERIC Educational Resources Information Center

    Herreid, Clyde Freeman

    1996-01-01

    Introduces a dynamic form of the case instruction method that involves debate and compromise. Discusses two versions of structured controversy and presents an example of structured controversy that involves the use of DNA fingerprinting in forensic medicine. (JRH)

  4. Current controversies in infective endocarditis

    PubMed Central

    Cahill, Thomas J.; Prendergast, Bernard D.

    2015-01-01

    Infective endocarditis is a life-threatening disease caused by a focus of infection within the heart. For clinicians and scientists, it has been a moving target that has an evolving microbiology and a changing patient demographic. In the absence of an extensive evidence base to guide clinical practice, controversies abound. Here, we review three main areas of uncertainty: first, in prevention of infective endocarditis, including the role of antibiotic prophylaxis and strategies to reduce health care-associated bacteraemia; second, in diagnosis, specifically the use of multimodality imaging; third, we discuss the optimal timing of surgical intervention and the challenges posed by increasing rates of cardiac device infection. PMID:26918142

  5. Main controversies in breast cancer

    PubMed Central

    Zervoudis, Stephane; Iatrakis, George; Tomara, Eirini; Bothou, Anastasia; Papadopoulos, George; Tsakiris, George

    2014-01-01

    In this article, we have reviewed available evidence for diagnosis, treatment, and follow-up in female breast cancer (BC). Into daily clinical practice some controversies are occurred. Especially, in the diagnosis field, despite the fact that the optimal age in which screening mammography should start is a subject of intense controversy, there is a shift toward the beginning at the age of 40 although it is suggested that the net benefit is small for women aged 40 to 49 years. In addition, a promising tool in BC screening seems to be breast tomosynthesis. Other tools such as 3D ultrasound and shear wave elastography (SWE) are full of optimism in BC screening although ultrasonography is not yet a first-line screening method and there is insufficient evidence to recommend the systemic use of the SWE for BC screening. As for breast magnetic resonance imaging (MRI), even if it is useful in BC detection in women who have a strong family history of BC, it is not generally recommended as a screening tool. Moreover, based on the lack of randomized clinical trials showing a benefit of presurgical breast MRI in overall survival, it’s integration into breast surgical operations remains debatable. Interestingly, in contrast to fine needle aspiration, core biopsy has gained popularity in presurgical diagnosis. Furthermore, after conservative surgery in patients with positive sentinel lymph nodes, the recent tendency is the shift from axillary dissection to axillary conserving strategies. While the accuracy of sentinel lymph node after neoadjuvant chemotherapy and second BC surgery remains controversial, more time is needed for evaluation and for determining the optimal interval between the two surgeries. Additionally, in the decision between immediate or delayed breast reconstruction, there is a tendency in the immediate use. In the prevention of BC, the controversial issue between tamoxifen and raloxifene becomes clear with raloxifene be more profitable through the toxicities

  6. Controversies in Contemporary Facial Reanimation.

    PubMed

    Kim, Leslie; Byrne, Patrick J

    2016-08-01

    Facial palsy is a devastating condition with profound functional, aesthetic, and psychosocial implications. Although the complexity of facial expression and intricate synergy of facial mimetic muscles are difficult to restore, the goal of management is to reestablish facial symmetry and movement. Facial reanimation surgery requires an individualized treatment approach based on the cause, pattern, and duration of facial palsy while considering patient age, comorbidities, motivation, and goals. Contemporary reconstructive options include a spectrum of static and dynamic procedures. Controversies in the evaluation of patients with facial palsy, timing of intervention, and management decisions for dynamic smile reanimation are discussed. PMID:27400842

  7. Current controversies in childhood vaccination.

    PubMed

    Carrillo-Marquez, Maria; White, Lisa

    2013-01-01

    As pediatric practitioners, one of the contemporary challenges in providing medical care for children is the increasing proportion of vaccination refusal. This occurs in spite of the demonstrated individual and collective benefit and cost effectiveness of vaccination. Controversies regarding vaccine components and side effects have misled parents to believe that vaccines might be harmful based on inaccurate data from the Internet, celebrities, as well as misinterpreted and frankly bad science. This belief of vaccines being harmful has led to fear and decreased immunization rates in spite of sound scientific evidence supporting the safety of vaccines and their lack of association with autism, developmental disabilities or other medical disorders. Some parents also believe in alternative ways to avoid disease, often adhering to practices that have little foundation in the best of empiric science. It is not a coincidence that recent outbreaks of vaccine-preventable diseases, including measles and pertussis (whooping cough), have occurred in areas where vaccination has declined largely due to exemptors. This article intends to review some of the common vaccine myths and controversies and to serve as a resource to provide accurate information and references for busy practitioners and the families that we serve. PMID:23444591

  8. Contact dermatitis: facts and controversies.

    PubMed

    Wolf, Ronni; Orion, Edith; Ruocco, Eleonora; Baroni, Adone; Ruocco, Vincenzo

    2013-01-01

    The history of contact dermatitis (CD) is inseparable from the history of the patch test, and the patch test is inseparable from the pioneer in the field, Josef Jadassohn (1860-1936). Despite the fact that we have been diagnosing, treating, and investigating the condition for more than 100 years, there are still many unsolved questions and controversies, which show no signs of coming to an end in the foreseeable future. This contribution reviews and highlights some of the disagreements and discrepancies associated with CD. For example: • What is the real sensitizer in balsam of Peru, one of the most common allergens, and what, if any, is the value of a low-balsam diet? • Is benzalkonium chloride, which has well-known and undisputed irritant properties, a contact allergen as well? • Is cocamidopropyl betaine (CABP) a common contact allergen and what is the actual sensitizer in CABP allergy the molecule itself, or impurities, or intermediaries in its synthesis? • How can the significant differences in the prevalence of sensitization of formaldehyde (FA, a common cause of contact allergy) between the United States (8%-9%) and Europe (2%-3%) be explained? • What is the relationship between formaldehyde releasers (FRs) allergy and an FA allergy? Should we recommend that FA-allergic patients also avoid FRs, and, if so, to what extent? • What is the true frequency of lanolin allergy? This issue remains enigmatic despite the expenditure of thousands of dollars and the innumerable hours spent investigating this subject. • What is the basis behind the so-called "lanolin paradox"? This label was coined in 1996 and is still a matter of controversy. • Is there such a thing as systemic CD from nickel, and, if so, to what extent? Is there a cross-reactivity or concomitant sensitization between nickel and cobalt?These are some of the controversial problems discussed. We have selected the ones that we consider to be of special interest and importance to the

  9. Cholesterol confusion and statin controversy.

    PubMed

    DuBroff, Robert; de Lorgeril, Michel

    2015-07-26

    The role of blood cholesterol levels in coronary heart disease (CHD) and the true effect of cholesterol-lowering statin drugs are debatable. In particular, whether statins actually decrease cardiac mortality and increase life expectancy is controversial. Concurrently, the Mediterranean diet model has been shown to prolong life and reduce the risk of diabetes, cancer, and CHD. We herein review current data related to both statins and the Mediterranean diet. We conclude that the expectation that CHD could be prevented or eliminated by simply reducing cholesterol appears unfounded. On the contrary, we should acknowledge the inconsistencies of the cholesterol theory and recognize the proven benefits of a healthy lifestyle incorporating a Mediterranean diet to prevent CHD. PMID:26225201

  10. Cholesterol confusion and statin controversy

    PubMed Central

    DuBroff, Robert; de Lorgeril, Michel

    2015-01-01

    The role of blood cholesterol levels in coronary heart disease (CHD) and the true effect of cholesterol-lowering statin drugs are debatable. In particular, whether statins actually decrease cardiac mortality and increase life expectancy is controversial. Concurrently, the Mediterranean diet model has been shown to prolong life and reduce the risk of diabetes, cancer, and CHD. We herein review current data related to both statins and the Mediterranean diet. We conclude that the expectation that CHD could be prevented or eliminated by simply reducing cholesterol appears unfounded. On the contrary, we should acknowledge the inconsistencies of the cholesterol theory and recognize the proven benefits of a healthy lifestyle incorporating a Mediterranean diet to prevent CHD. PMID:26225201

  11. Subclinical hypothyroidism: Controversies to consensus

    PubMed Central

    Raza, Syed Abbas; Mahmood, Nasir

    2013-01-01

    Diagnoses of subclinicaal hypothyroidism (SCH) is biochemically made, when serum thyroid stimulating hormone (TSH) levels is elevated while free thyroid hormone levels are within normal reference range. SCH is diagnosed after excluding all other causes of elevated TSH levels. Symptoms of SCH may vary from being asymptomatic to having mild nonspecific symptoms. The risk of progression to overt hypothyroidism is related to number of factors including initial serum TSH concentration, presence of auto antibodies, family history and presence goiter. Various screening recommendations for thyroid function assessment are in practice. There are still controversies surrounding SCH and associated risk of various cardiovascular diseases (CVDs), pregnancy outcomes, neuropsychiatric issues, metabolic syndrome, and dyslipidemia. Consensus will require more large randomized clinical studies involving various age groups and medical condition, especially in developing countries. All these efforts will definitely improve our understanding of disease and ultimately patient outcomes. PMID:24910826

  12. Controversies Among the Hypertension Guidelines.

    PubMed

    Ripley, Toni L; Baumert, Mary

    2016-02-01

    Hypertension affects 80 million people in the United States. It remains poorly controlled, with only 54% of diagnosed patients treated to blood pressure targets. Hypertension management is complex in part due to the volume of antihypertensive agents, variable patient needs and responses, and inconsistent design and outcomes from clinical trials. Therefore, trustworthy clinical practice guidelines have a key role in hypertension management. The United States experienced a 10-year gap in publication of hypertension guidelines, followed by multiple guideline publications in 2013. These guidelines led to more controversy than clarity, as there was discordance among them. This review summarizes the guidelines and clinical statements influencing the current debate in order to facilitate appropriate application. PMID:26668216

  13. Darwinian Controversies: An Historiographical Recounting

    NASA Astrophysics Data System (ADS)

    Depew, David J.

    2010-05-01

    This essay reviews key controversies in the history of the Darwinian research tradition: the Wilberforce-Huxley debate in 1860, early twentieth-century debates about the heritability of acquired characteristics and the consistency of Mendelian genetics with natural selection; the 1925 Scopes trial about teaching evolution; tensions about race, culture, and eugenics at the 1959 centenary celebration Darwin’s Origin of Species; adaptationism and its critics in the Sociobiology debate of 1970s and, more recently, Evolutionary Psychology; and current disputes about Intelligent Design. These controversies, I argue, are etched into public memory because they occur at the emotionally charged boundaries between public-political, technical-scientific, and personal-religious spheres of discourse. Over most of them falls the shadow of eugenics. The main lesson is that the history of Darwinism cannot be told except by showing the mutual influence of the different norms of discourse that obtain in the personal, technical, and public spheres. Nor can evolutionary biology successfully be taught to citizens and citizens-to-be until the fractious intersections between spheres of discourse have been made explicit. In the course of showing why, I take rival evolutionary approaches to be dynamical historical research traditions rather than static theories. Accordingly, I distinguish Darwin’s version of Darwinism from its later transformations. I pay special attention to the role Darwin assigned to development in evolution, which was marginalized by twentieth-century population genetical Darwinism, but has recently resurfaced in new forms. I also show how the disputed phrases “survival of the fittest” and “social Darwinism” have shaped personal anxieties about “Darwinism,” have provoked public opposition to teaching evolution in public schools, and have cast a shadow over efforts to effectively communicate to the public largely successful technical efforts to make

  14. Issues in the Radiation Controversy

    ERIC Educational Resources Information Center

    Tamplin, Arthur R.

    1971-01-01

    Examines the competing claims of safe" radiation levels from nuclear power plants and analyzes some of the arguments used by protagonists and antagonists. Claims that the real question, Why more power?", is becoming obscured. (AL)

  15. Controversies in kidney paired donation.

    PubMed

    Gentry, Sommer E; Montgomery, Robert A; Segev, Dorry L

    2012-07-01

    Kidney paired donation represented 10% of living kidney donation in the United States in 2011. National registries around the world and several separate registries in the United States arrange paired donations, although with significant variations in their practices. Concerns about ethical considerations, clinical advisability, and the quantitative effectiveness of these approaches in paired donation result in these variations. For instance, although donor travel can be burdensome and might discourage paired donation, it was nearly universal until convincing analysis showed that living donor kidneys can sustain many hours of cold ischemia time without adverse consequences. Opinions also differ about whether the last donor in a chain of paired donation transplants initiated by a nondirected donor should donate immediately to someone on the deceased donor wait-list (a domino or closed chain) or should be asked to wait some length of time and donate to start another sequence of paired donations later (an open chain); some argue that asking the donor to donate later may be coercive, and others focus on balancing the probability that the waiting donor withdraws versus the number of additional transplants if the chain can be continued. Other controversies in paired donation include simultaneous versus nonsimultaneous donor operations, whether to enroll compatible pairs, and interactions with desensitization protocols. Efforts to expand public awareness of and participation in paired donation are needed to generate more transplant opportunities. PMID:22732046

  16. [Sex "addiction": compulsion and controversy].

    PubMed

    Souza y Machorro, Mario

    2002-10-01

    Modern occidental society often distorts and, in some cases, ignores healthy concepts regarding sexuality. Besides, It not always considers this, to be mental health or to represent an expression of whole health. Such ambivalence towards sex and the sexual is located between the limits of the sacred and erotic, both associated to taboos and their transgression. Since the last century, the current "neosexual" revolution intents to dismantle old patterns in favor of the dissociation of human sexual sphere, the dispersion of sexual fragments towards individualism and intimate relationships diversification. Within such context, "addiction" to sex and the sexual, as a compulsive conduct, represents on one side a clinical reality each time better observed and diagnosed, where the importance of family history is recognized, as well as individual psychopathology, and marital life, in its etiology and also for its treatment and prevention. On the other hand, it has not been classified in the mental health catalogues as it is not considered, meanwhile, as the problem is been maintained, the co-morbidity and its consequences multiply, and the controversy continues. PMID:12557802

  17. HPV vaccines: a controversial issue?

    PubMed Central

    Nicol, A.F.; Andrade, C.V.; Russomano, F.B.; Rodrigues, L.L.S.; Oliveira, N.S.; Provance, D.W.

    2016-01-01

    Controversy still exists over whether the benefits of the available HPV vaccines outweigh the risks and this has suppressed uptake of the HPV vaccines in comparison to other vaccines. Concerns about HPV vaccine safety have led some physicians, healthcare officials and parents to withhold the recommended vaccination from the target population. The most common reason for not administering the prophylactic HPV vaccines are concerns over adverse effects. The aim of this review is the assessment of peer-reviewed scientific data related to measurable outcomes from the use of HPV vaccines throughout the world with focused attention on the potential adverse effects. We found that the majority of studies continue to suggest a positive risk-benefit from vaccination against HPV, with minimal documented adverse effects, which is consistent with other vaccines. However, much of the published scientific data regarding the safety of HPV vaccines appears to originate from within the financially competitive HPV vaccine market. We advocate a more independent monitoring system for vaccine immunogenicity and adverse effects to address potential conflicts of interest with regular systematic literature reviews by qualified individuals to vigilantly assess and communicate adverse effects associated with HPV vaccination. Finally, our evaluation suggests that an expanded use of HPV vaccine into more diverse populations, particularly those living in low-resource settings, would provide numerous health and social benefits. PMID:27074168

  18. Bisphenol A: Understanding the Controversy.

    PubMed

    Metz, Cynthia Marie

    2016-01-01

    Healthy People 2020 lists Bisphenol A (BPA) as a potential endocrine disruptor for which exposure should be reduced. The Healthy People 2020 Environmental Health Objectives focus on addressing environmental factors that negatively affect individuals' health even though the health effects of some toxic substances are not yet fully understood. An American Association of Occupational Health Nurses (AAOHN) position statement outlined the role occupational health nurses play in creating healthy and productive workplaces by promoting worker health. BPA is implicated in a variety of health outcomes such as breast and prostate cancer, menstrual irregularities, genital abnormalities in male babies, infertility in men and women, early puberty in girls, and metabolic disorders such as diabetes and obesity. The overall health issues attributed to BPA exposure are complex and controversial. Concerns regarding environmental health are growing as individuals become more dependent on plastics. Numerous health concerns have been directly connected to daily exposures to products manufactured with BPA. Government agencies support the use of BPA as a safe consumer product with the exception of BPA use in baby bottles and sippy cups, which has been banned in the United States and several other countries. Many agencies (e.g., Federal Drug Administration [FDA], World Health Organization [WHO], U.S. Department of Health & Human Services [U.S. DHHS], and the Centers for Disease Control and Prevention [CDC]) have expressed "some concern" about BPA based on research, and stated further research is warranted. PMID:26800896

  19. Get Controversial! Edgy Novels for Older Teens

    ERIC Educational Resources Information Center

    Cox Clark, Ruth

    2007-01-01

    This article is a discussion of authors and controversial novels that should be on the top of library media specialists' reading list if they work with high-school-age teens. "Controversial" is not a dirty word, it is an enticement! The goal of library media specialists is to get teens who may be burned out with reading due to incentive programs…

  20. Teachers, Classroom Controversy, and the Media

    ERIC Educational Resources Information Center

    Faulconer, Tracy; Freeman, Ayesha Coning

    2005-01-01

    This article discusses the relationship between teachers, classroom controversy and the media. It also features the story of Ayesha, who coincidentally is one of the authors of this article. Ayesha's story is a social studies teacher's bad dream featuring one of her worst fears: (1) public criticism; and (2) controversy over something that has…

  1. History Forum Addresses Creation/Evolution Controversy.

    ERIC Educational Resources Information Center

    Schweinsberg, John

    1997-01-01

    A series of programs entitled Creationism and Evolution: The History of a Controversy was presented at the University of Alabama in Huntsville. The controversy was addressed from an historical and sociological, rather than a scientific perspective. Speakers addressed the evolution of scientific creationism, ancient texts versus sedimentary rocks…

  2. "Mysticism" in Quantum Mechanics: The Forgotten Controversy

    ERIC Educational Resources Information Center

    Marin, Juan Miguel

    2009-01-01

    This paper argues that a European controversy over a "mystical" hypothesis, one assigning the mind a role to play at the material level of reality, shaped much of the debate over the interpretation of the quantum equations. It traces back the controversy to the past two decades, beginning in the late 1920s--birth of quantum theory--and concluding…

  3. Evolutionary Psychology: Controversies, Questions, Prospects, and Limitations

    ERIC Educational Resources Information Center

    Confer, Jaime C.; Easton, Judith A.; Fleischman, Diana S.; Goetz, Cari D.; Lewis, David M. G.; Perilloux, Carin; Buss, David M.

    2010-01-01

    Evolutionary psychology has emerged over the past 15 years as a major theoretical perspective, generating an increasing volume of empirical studies and assuming a larger presence within psychological science. At the same time, it has generated critiques and remains controversial among some psychologists. Some of the controversy stems from…

  4. Teaching about NAFTA Using Academic Controversy.

    ERIC Educational Resources Information Center

    Starr, Eileen M.

    1997-01-01

    Examines a teaching strategy called "constructive controversy" where students are required to argue both the pro and con positions concerning a controversial current topic. Describes students' response to a class using this method to examine the North American Free Trade Agreement (NAFTA). Student response was generally favorable. (MJP)

  5. Global controversies and advances in skin cancer.

    PubMed

    Baldwin, Louise; Dunn, Jeff

    2013-01-01

    Advances and controversies of skin cancer prevention in the Asian-Pacific region are to be examined the world's first Global Controversies and Advances in Skin Cancer Conference to be held in Brisbane, Australia this November. APOCP Members are cordially invited to register early for the opportunity to contribute to the debate on a cancer which continues to be a prominent issue in the Asia Pacific and indeed worldwide. We need answers to the questions of why a cancer that is so preventable and easily detectable is still shrouded in controversy. Primary focuses will be on issues like viral involvement, vaccines and novel clinical approaches. PMID:23725105

  6. Sorting Out the Video Game Controversy.

    ERIC Educational Resources Information Center

    Crespi, Pam

    1983-01-01

    This article looks at the controversy over video games; arguments for and against them are offered, along with a list of regulations in force around the country and nine important factors agencies should consider before leasing the machines. (JM)

  7. Controversial Issues within Biology: Enriching Biology Teaching.

    ERIC Educational Resources Information Center

    Van Rooy, Wilhelmina

    2000-01-01

    Describes the development and implementation of a senior high school biology lesson concerned with organ transplantation. Discusses the teacher's rationale and techniques for using controversial issues in science teaching. (Contains 18 references.) (Author/WRM)

  8. Another Look at Controversial Issues and the Curriculum.

    ERIC Educational Resources Information Center

    Gardner, Peter

    1984-01-01

    Controversial issues should be taught in school. Charles Bailey's and R.F. Dearden's opinions of what makes an issue controversial are critiqued. Bailey accounts for controversial issues in behavioral terms; Dearden advances an epistemic account. (RM)

  9. Contrasting Controversies: Fracking and Climate Change

    NASA Astrophysics Data System (ADS)

    Duggan-Haas, D.; Zabel, I. H. H.; Ross, R. M.

    2014-12-01

    Slickwater high-volume hydraulic fracturing (commonly known as "fracking") is highly controversial. So is global warming, and the two issues are closely related, but the natures of these two controversies have substantial and important differences. Building upon years of experience in teaching and developing resources and strategies for teaching about evolution and climate change, staff at the Paleontological Research Institution have engaged in public outreach and educator professional development to help nurture understanding of fracking and the broader energy system. How are these controversies similar to and different from one another, and how should understanding these similarities and differences inform educational programming (and about how you talk about these issues with your Uncle Fred at the family holiday dinner?). It is nearly universally agreed amongst scientists who study climate that changes now underway are real and human caused, and are posing or likely to pose very serious problems for humanity. Scientists who study slickwater high-volume hydraulic fracturing agree that it causes environmental damage, but there is no consensus as to whether fracking causes more or less harm (e.g., among different kinds of environment harm, across different temporal and spatial scales, and among different social contexts) than other ways of producing energy on a large scale. In other words, the basic tenets of climate change are not a matter of scientific controversy, though the implications for policy making obviously remain politically controversial, while fracking is an issue of both scientific and political controversy. Without advocating for or against fracking, we help audiences disentangle scientific and political issues, better understand the energy resources used in their own communities, and consider issues of scale, systems, and complexity. We will compare and contrast the overlapping controversies surrounding climate change and fracking and highlight

  10. The controversy of cranial bone motion.

    PubMed

    Rogers, J S; Witt, P L

    1997-08-01

    Cranial bone motion continues to stimulate controversy. This controversy affects the general acceptance of some intervention methods used by physical therapists, namely, cranial osteopathic and craniosacral therapy techniques. Core to these intervention techniques is the belief that cranial bone mobility provides a compliant system where somatic dysfunction can occur and therapeutic techniques can be applied. Diversity of opinion over the truth of this concept characterizes differing viewpoints on the anatomy and physiology of the cranial complex. Literature on cranial bone motion was reviewed for the purpose of better understanding this topic. Published research overall was scant and inconclusive. Animal and human studies demonstrate a potential for small magnitude motion. Physical therapists should carefully scrutinize the literature presented as evidence for cranial bone motion. Further research is needed to resolve this controversy. Outcomes research, however, is needed to validate cranial bone mobilization as an effective treatment. PMID:9243408

  11. 'Mysticism' in quantum mechanics: the forgotten controversy

    NASA Astrophysics Data System (ADS)

    Marin, Juan Miguel

    2009-07-01

    This paper argues that a European controversy over a 'mystical' hypothesis, one assigning the mind a role to play at the material level of reality, shaped much of the debate over the interpretation of the quantum equations. It traces back the controversy to the past two decades, beginning in the late 1920s—birth of quantum theory—and concluding with Erwin Schrödinger's lectures published as 'Mind and Matter'. Becoming aware of the issues at stake can help us understand the historical, philosophical and cultural background from which today's physics emerged.

  12. Endoscope Reprocessing: Update on Controversial Issues

    PubMed Central

    Choi, Hyun Ho

    2015-01-01

    Several issues concerning endoscope reprocessing remain unresolved based on currently available data. Thus, further studies are required to confirm standard practices including safe endoscope shelf life, proper frequency of replacement of some accessories including water bottles and connecting tubes, and microbiological surveillance testing of endoscopes after reprocessing. The efficacy and cost-effectiveness of newer technology that allows automated cleaning and disinfection is one such controversial issue. In addition, there are no guidelines on whether delayed reprocessing and extended soaking may harm endoscope integrity or increase the bioburden on the external or internal device surfaces. In this review, we discuss the unresolved and controversial issues regarding endoscope reprocessing. PMID:26473115

  13. Evolution as a Controversial Issue: A Review of Instructional Approaches

    ERIC Educational Resources Information Center

    Hermann, Ronald S.

    2008-01-01

    Although evolution has long been considered a controversial issue, little effort has been made to ensure that instructional approaches address the controversial nature of the issue. A framework for understanding the nature of controversy and some defining characteristics of controversial issues are provided. In light of this framework evolution is…

  14. Debating Diversity: Ethics and Controversial Public Issues

    ERIC Educational Resources Information Center

    Darr, Christopher R.

    2016-01-01

    Courses: Ethics, Organizational Communication, Political Communication. Objectives: After completing this unit activity, students should be able to (1) apply multiple ethical perspectives to real-world diversity issues in a debate format, and (2) explain the role of informational and social category diversity in current controversies.

  15. A Constructive Controversy Approach to "Case Studies"

    ERIC Educational Resources Information Center

    Bird, Sharon R.; Erickson, Karla A.

    2010-01-01

    On the basis of analysis of student responses to a case study titled "Drinks and Dinner," the authors evaluate the pedagogical potential of using constructive controversy case studies to teach about inequality. "Drinks and Dinner" is designed to capture the complexity of social interactions that defy simple solutions to engage students in…

  16. Controversy, Trials, and Crime--Oh My!

    ERIC Educational Resources Information Center

    Rott, Kim

    2006-01-01

    Teenagers' innate interest with the justice system is one of the reasons that so many high school literary classics teem with criminals, controversial issues, and trials. Novels such as "To Kill a Mockingbird," "A Separate Peace," "The Crucible," and "Twelve Angry Men" feature high-impact trials. In the author's desire to tap into this interest,…

  17. Controversial Therapies: A Review and Critique.

    ERIC Educational Resources Information Center

    Rooney, Karen J.

    1991-01-01

    The article offers guidelines to educators evaluating controversial therapies and applies them to four such therapies: tinted lenses as a cure for dyslexia; orthomolecular treatments for learning disabilities; pharmaceutical intervention for dyslexia; and visual training for children with learning disabilities. (DB)

  18. Controversial Novels and Censorship in the Schools.

    ERIC Educational Resources Information Center

    Katz, John Stuart

    The legal history of censorship in general in the United States as well as the legal context in particular of the censorship of novels from schools is discussed. This thesis deals with four novels which have aroused substantial controversy when taught in the schools. The novels are: "The Catcher in the Rye," by J. D. Salinger, "The Adventures of…

  19. Science, Politics, and the IQ Controversy.

    ERIC Educational Resources Information Center

    Snyderman, Mark; Rothman, Stanley

    1986-01-01

    The controversy over intelligence testing is more often influenced by political considerations than empirical research. A survey of 1,020 experts found that a majority agree that (1) intelligence can be defined; (2) heredity plays a role in individual and group IQ differences; and (3) intelligence testing in schools should continue at its present…

  20. Apraxia of Speech: Concepts and Controversies

    ERIC Educational Resources Information Center

    Ziegler, Wolfram; Aichert, Ingrid; Staiger, Anja

    2012-01-01

    Purpose: This article was written as an editorial to a collection of original articles on apraxia of speech (AOS) in which some of the more recent advancements in the understanding of this syndrome are discussed. It covers controversial issues concerning the theoretical foundations of AOS. Our approach was motivated by a change of perspective on…

  1. LCA – Unique and Controversial Case Studies

    EPA Science Inventory

    This session will focus on case studies and applications that have a unique or controversial aspect. Some of the most recent topics that seem to have significant interest include: LCA-based product declarations, LCA-based standards, LCA-based labels, alternative energy, agricul...

  2. Controversial Issues in Our Schools. Fastback 146.

    ERIC Educational Resources Information Center

    Goldstein, William

    There is virtually nothing taught in the American public school that is not potentially explosive at some time or place. America's cultural makeup provides for the development of controversy whenever such issues as sex, religion, politics, and economics are raised, and particularly when they are raised in the school environment. School…

  3. Anticipation and Controversy Surround "Superman" Release

    ERIC Educational Resources Information Center

    Aarons, Dakarai I.

    2010-01-01

    Well in advance of its official release, the education film "Waiting For Superman" has attracted a level of attention that could make it one of the year's most-watched documentaries--and one of the most controversial among educators, some of whom question its depictions of the American school system and how to improve it. Made by director Davis…

  4. Parental Voices and Controversies in Autism

    ERIC Educational Resources Information Center

    Langan, Mary

    2011-01-01

    Parents of children with autism have played a prominent role in controversies surrounding this condition. Parental voices were critical in challenging the "refrigerator mother" theory and more recently have attracted public attention for claims that autism may be caused by childhood vaccinations and that "unorthodox biomedical" treatments may…

  5. Controversial Issues: A Case for Neutrality?

    ERIC Educational Resources Information Center

    Cain, Paul

    1999-01-01

    Arguments against teachers asserting their own views about controversial issues say that neutrality enables students to develop autonomous reflection. Others claim that a nonneutral stance is morally preferable. There are some teaching situations in which a neutral stance may not be an option. (SK)

  6. Controversies in Pediatric Sports Medicine (Commentary).

    ERIC Educational Resources Information Center

    Dyment, Paul G.

    1989-01-01

    Discusses controversial issues that have arisen in children's sports, including infant exercise programs, trampolines, amenorrhea in the adolescent athlete, coed contact sports, and sport participation by children with Down Syndrome. Policy statements are included from the American Academy of Pediatrics. (JD)

  7. Evolution versus Creationism: The Public Education Controversy.

    ERIC Educational Resources Information Center

    Zetterberg, J. Peter, Ed.

    The University of Minnesota organized a conference ("Evolution and Public Education," December 5, 1981) to help clarify issues in the creation/evolution controversy and to examine arguments of the proponents of scientific creationism. This six-part book, a revised version of a resource manual compiled for the conference: (1) discusses the theory…

  8. Behind the Evolution/Creation Controversy.

    ERIC Educational Resources Information Center

    Parker, Franklin

    This paper discusses the historical background of the creationist movement, presents Federal Judge Overton's analysis of why and how the Creationists got the equal time evolution/creation teaching law passed in Arkansas, and examines how scientists and educators are reacting to the controversy. Creationists were set back when Overton declared…

  9. Courting Controversy: How to Build Interdisciplinary Units.

    ERIC Educational Resources Information Center

    Williams, Jackie; Reynolds, Terry Deal

    1993-01-01

    By focusing on a polluted river and a visit to a rural Tennessee town, sixth-grade students from suburban Asheville, North Carolina, learned more about this controversy than many of their well-informed parents and teachers. Steps for creating similar interdisciplinary thematic units are described, along with the benefits of team teaching and…

  10. Federal Judge Orders Showing of Controversial Film.

    ERIC Educational Resources Information Center

    Flygare, Thomas J.

    1987-01-01

    Reviews a recent court decision in Nebraska regarding the cancellation of a controversial film on the University of Nebraska campus. The film was cancelled after a state senator threatened to close the theater if the movie was shown. The lawsuit alleged the university violated the First Amendment in cancelling the film; the judge ruled for the…

  11. Teaching Controversial Issues in Social Studies.

    ERIC Educational Resources Information Center

    Guyton, Edith M.; Hoffman, Alan J.

    The design of a methods course offered at Georgia State University to prepare social studies teachers for dealing with controversial issues in the middle school or secondary social studies classroom is presented. The course focuses on identification, selection, an analysis of an issue as well as the requirement that the student develop some method…

  12. 30 CFR 281.9 - Jurisdictional controversies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Jurisdictional controversies. 281.9 Section 281.9 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE LEASING OF MINERALS OTHER THAN OIL, GAS, AND SULPHUR IN THE OUTER CONTINENTAL SHELF General § 281.9...

  13. 30 CFR 282.7 - Jurisdictional controversies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Jurisdictional controversies. 282.7 Section 282.7 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE OPERATIONS IN THE OUTER CONTINENTAL SHELF FOR MINERALS OTHER THAN OIL, GAS, AND SULPHUR General §...

  14. Controversial Physics: Perfect Public Outreach Opportunity

    NASA Astrophysics Data System (ADS)

    Thompson, Rebecca

    2012-03-01

    The goal of public outreach is to excite and engage the public in physics. What can be more exciting than controversy? When OPERA announced their discover of superluminal neutrinos, controversy within the physics community quickly followed. This result could overturn a century of established physics. From a public outreach perspective there was no better way to bring people usually unaware of current research into the discussion of this result. If handled well this could be used as a gateway to interest in other physics research. The public drive to learn more about this particular result can be harnessed to create interest in other cutting edge physics research and drive the public to continue their informal physics learning. If the results of OPERA and eventually proven incorrect as many physicists believe they will, that will not erase the public's new-found interest in physics but hopefully continue to fuel it.

  15. Comment: An Apparent Controversy in Auroral Physics

    NASA Astrophysics Data System (ADS)

    Haerendel, Gerhard

    2007-03-01

    In his article ``A turning point in auroral physics,'' Bryant argued against what he called the `standard' theory of auroral acceleration, according to which the electrons ``gain their energy from static electric fields,'' and offered wave acceleration as an alternative. Because of the importance of the process, not only for the aurora borealis but also for other cosmic plasmas, a clarification of this apparent controversy seems to be in place.

  16. Controversies in faith and health care.

    PubMed

    Tomkins, Andrew; Duff, Jean; Fitzgibbon, Atallah; Karam, Azza; Mills, Edward J; Munnings, Keith; Smith, Sally; Seshadri, Shreelata Rao; Steinberg, Avraham; Vitillo, Robert; Yugi, Philemon

    2015-10-31

    Differences in religious faith-based viewpoints (controversies) on the sanctity of human life, acceptable behaviour, health-care technologies and health-care services contribute to the widespread variations in health care worldwide. Faith-linked controversies include family planning, child protection (especially child marriage, female genital mutilation, and immunisation), stigma and harm reduction, violence against women, sexual and reproductive health and HIV, gender, end-of-life issues, and faith activities including prayer. Buddhism, Christianity, Hinduism, Islam, Judaism, and traditional beliefs have similarities and differences in their viewpoints. Improved understanding by health-care providers of the heterogeneity of viewpoints, both within and between faiths, and their effect on health care is important for clinical medicine, public-health programmes, and health-care policy. Increased appreciation in faith leaders of the effect of their teachings on health care is also crucial. This Series paper outlines some faith-related controversies, describes how they influence health-care provision and uptake, and identifies opportunities for research and increased interaction between faith leaders and health-care providers to improve health care. PMID:26159392

  17. The controversy over radiation safety. A historical overview.

    PubMed

    Walker, J S

    1989-08-01

    The hazards of ionizing radiation have aroused concern since a short time after the discovery of x-rays and natural radioactivity in the 1890s. Misuse of x-rays and radium prompted efforts to encourage radiation safety and to set limits on exposure, culminating in the first recommended "tolerance doses" in 1934. After World War II, the problems of radiation protection became more complex because of the growing number of people subjected to radiation injury and the creation of radioactive elements that had never existed before the achievement of atomic fission. Judging the hazards of radiation became a matter of spirited controversy. Major public debates over the dangers of radioactive fallout from atmospheric bomb testing in the 1950s and early 1960s and the risks of nuclear power generation in later periods focused attention on the uncertainties about the consequences of exposure to low-level radiation and the difficulties of resolving them. PMID:2664237

  18. Scientist vs. Citizen: The Shoreham Controversy

    ERIC Educational Resources Information Center

    Carl, Ann; Sailor, Vance L.

    1972-01-01

    Two views on the issue of nuclear reactor safety with reference to the license application of a nuclear power plant on Long Island. Each side presents scientific arguments concerning the safety standards proposed. (AL)

  19. Early Controversies Over Athetosis: II. Treatment

    PubMed Central

    Lanska, Douglas J.

    2013-01-01

    Background Athetosis has been controversial since it was first described by William Hammond in 1871; many aspects of Hammond’s career were equally controversial. Methods Primary sources have been used to review treatment controversies in the 50-year period following the initial description of athetosis. Results The treatments used most commonly employed available pharmaceutical agents and modalities (e.g., galvanism). Initial anecdotal reports of success were seldom confirmed with subsequent experience. Several novel invasive therapies were also developed and promoted, all of which damaged or destroyed either upper or lower motor neuron pathways, and were also often associated with high mortality rates. In general, these therapies substituted paresis for abnormal spontaneous movements. These included peripheral nerve stretching, excision of a portion of the precentral gyrus, rhizotomy, nerve “transplantation” (i.e., neurotomy and nerve-to-nerve anastomoses), and “muscle group isolation” (i.e., alcohol neurolysis). There was no agreement on the appropriateness of such high-risk procedures, particularly given the intentional generation of further neurological morbidity. Discussion Pharmaceutical agents and modalities initially employed for athetosis had little a priori evidence-based justification and no biologically plausible theoretical framework to guide empiric treatment selection. Subsequently, all the invasive procedures employed were directed at lessening or removing the manifestations, rather than the underlying cause, of the abnormal central nervous system “irritation,” usually by imposing paresis or paralysis. Factors contributing to the disparity in outcomes between favorable initial reports and the often-disappointing results of later studies included reliance on anecdotal reports or small uncontrolled case series, placebo effects, biased observation, misdiagnosis, and biased reporting. PMID:23450199

  20. Treatment of genital warts: facts and controversies.

    PubMed

    Wolf, Ronni; Davidovici, Batya

    2010-01-01

    There are two opposing approaches in the treatment of genital warts: (1) the traditional approach advocates complete elimination of all lesions, and (2) a second approach regards condyloma as merely a cosmetic nuisance. After a long journey through many arguments and scientific papers, we have concluded that many unknowns, uncertainties, and controversies concerning the value of treatment of genital warts in terms of clearing and curing the disease (ie, eradicating the viruses, preventing cancer, and reducing infectivity). There is no consensus at present of whether treatment of men with evidence of genital human papillomavirus infection influences the natural history of their female sex partner's cervical disease. PMID:20797516

  1. Breast Cancer Screening Benefits: Research and Controversies.

    PubMed

    Odle, Teresa G

    2016-05-01

    The debate regarding the efficacy of breast cancer screening with mammography has intensified since about 2009, as the literature has reported on benefits, harms, and effectiveness of the technology in breast cancer diagnosis. As a result, women and their referring clinicians have been confused by conflicting reports in medical journals and the media. This article provides an overview of research and methodology used to generate these reports and the effects of contradictory research, screening recommendation changes, and the controversy over mammography efficacy on patients and the public. PMID:27146193

  2. Controversies in ureteroscopy: Wire, basket, and sheath

    PubMed Central

    Rizkala, Emad R; Monga, Manoj

    2013-01-01

    In the last one to two decades, flexible ureteroscopy has rapidly expanded its role in the treatment of urologic stone disease. With the frequent and expanded use of flexible ureteroscopy, other ancillary instruments were developed in order to ease and facilitate this technique, such as ureteral access sheaths (UAS) and a variety of wires and baskets. These developments, along with improved surgeon ureteroscopic competence, have often brought into question the need to implement the “traditional technique” of flexible ureteroscopy. In this review, we discuss a brief history of flexible ureteroscopy, its expanded indications, and the controversy surrounding the use of UAS, wires, and baskets. PMID:24082447

  3. Intellectual property and information controversy (II)

    NASA Astrophysics Data System (ADS)

    Aoyama, Hirokazu

    As advanced information has been proceeded rapidly, intellectual property has become more important than ever as business resources of enterprises. Based on the former report by the author "present status of and trend in intellectual property" this paper describes "information" related intellectual property controversy which have been occurred, that is, 1) affairs related to computer hardwares and softwares (the case of compatible machines and OS, the case of application softwares, computer crimes) and 2) affairs on trade secret (the case of revealing enterprises'secret, the case of industrial espionage). It also discusses how intellectual property should be protected and utilized from now on.

  4. Distal radius fracture: diagnosis, treatment, and controversies.

    PubMed

    Tang, Jin Bo

    2014-07-01

    This article presents the diagnosis and treatment of distal radius fractures with emphasis on (1) current common principles, (2) the author's current practices, and (3) controversies. The author emphasizes that displaced distal radius fractures should be approached first with a trial of closed reduction, with or without percutaneous pinning. If this reduction is unstable or unsuccessful, open reduction is indicated. Early treatments include percutaneous pinning through the distal radioulnar joint, early or delayed reattachment/repair of the avulsed dorsal periphery of the triangular fibrocartilage complex (TFCC), reattachment of the TFCC to the ulna fovea, and late reconstruction. PMID:24996466

  5. Injectables in the Nose: Facts and Controversies.

    PubMed

    Thomas, William Walsh; Bucky, Lou; Friedman, Oren

    2016-08-01

    Nasal injectables and surface treatments alter the appearance of the nose both primarily and following nasal surgery. Fillers such as hyaluronic acids, calcium hydroxyapatite, and fat have a variety of advantages and disadvantages in eliminating small asymmetries postrhinoplasty. All nasal injectables have rare but severe ocular and cerebral ischemic complications. The injection of steroids following nasal reconstruction has a role in preventing supratip swelling and can improve the appearance of grafts to the nose. Resurfacing techniques reduce the appearance of autotransplanted grafts to the nose; there is little controversy about their benefit but surgeon preference for timing is varied. PMID:27400851

  6. Bioavailability of the polyphenols: status and controversies.

    PubMed

    D'Archivio, Massimo; Filesi, Carmelina; Varì, Rosaria; Scazzocchio, Beatrice; Masella, Roberta

    2010-01-01

    The current interest in polyphenols has been driven primarily by epidemiological studies. However, to establish conclusive evidence for the effectiveness of dietary polyphenols in disease prevention, it is useful to better define the bioavailability of the polyphenols, so that their biological activity can be evaluated. The bioavailability appears to differ greatly among the various phenolic compounds, and the most abundant ones in our diet are not necessarily those that have the best bioavailability profile. In the present review, we focus on the factors influencing the bioavailability of the polyphenols. Moreover, a critical overview on the difficulties and the controversies of the studies on the bioavailability is discussed. PMID:20480022

  7. Extracorporeal life support: updates and controversies.

    PubMed

    Gadepalli, Samir K; Hirschl, Ronald B

    2015-02-01

    The use of Extracorporeal Life Support (ECLS) in children and adults has markedly increased during the past few years with over 4000 patients placed on ECLS every year in over 200 centers. This article focuses on updates to the physiology and mechanics of ECLS with use of magnetically levitated centrifugal pumps, hollow-fiber gas-exchange devices, and bi-caval dual-lumen catheters. We also explore controversies in management including indications, cannulation approaches, renal replacement, monitoring of anticoagulation, early ambulation, and termination of ECLS. Finally, we present changes in the systems that provide ECLS including the single-provider model and regionalization of care. PMID:25639803

  8. Retroperitoneal Sarcoma: Fact, Opinion, and Controversy.

    PubMed

    Gladdy, Rebecca A; Gupta, Abha; Catton, Charles N

    2016-10-01

    After diagnosis of retroperitoneal sarcoma (RPS), detailed imaging and multidisciplinary discussion should guide treatment including surgical resection and in select cases, neoadjuvant therapy. Local recurrence is common in RPS and is associated with grade, histologic subtype, completeness of resection, and size. As guidelines to standardize RPS patient management emerge, expert pathologic assessment and management in centers of excellence are benchmarks of quality of care. The efficacy of current chemotherapy is limited and there is a critical need to understand the molecular basis of sarcoma so that new drug therapies are developed. Multicenter clinical trials are needed to limit opinion and controversy in this complex and challenging disease. PMID:27591493

  9. Bioavailability of the Polyphenols: Status and Controversies

    PubMed Central

    D’Archivio, Massimo; Filesi, Carmelina; Varì, Rosaria; Scazzocchio, Beatrice; Masella, Roberta

    2010-01-01

    The current interest in polyphenols has been driven primarily by epidemiological studies. However, to establish conclusive evidence for the effectiveness of dietary polyphenols in disease prevention, it is useful to better define the bioavailability of the polyphenols, so that their biological activity can be evaluated. The bioavailability appears to differ greatly among the various phenolic compounds, and the most abundant ones in our diet are not necessarily those that have the best bioavailability profile. In the present review, we focus on the factors influencing the bioavailability of the polyphenols. Moreover, a critical overview on the difficulties and the controversies of the studies on the bioavailability is discussed. PMID:20480022

  10. Creationism and Evolution: A Systems Perspective on a Textbook Controversy.

    ERIC Educational Resources Information Center

    Thompson, Patricia J.

    This paper addresses the effects of the controversies involved in one state's decision to exclude the study of evolution from its science curriculum and to require equal time for creationism as an alternative theory. Curricula and textbooks are examined for the impacts of evolutionary and creationist controversies. The controversy is discussed…

  11. Glaciers in Patagonia: Controversy and prospects

    NASA Astrophysics Data System (ADS)

    Kargel, J. S.; Alho, P.; Buytaert, W.; Célleri, R.; Cogley, J. G.; Dussaillant, A.; Guido, Z.; Haeberli, W.; Harrison, S.; Leonard, G.; Maxwell, A.; Meier, C.; Poveda, G.; Reid, B.; Reynolds, J.; Rodríguez, C. A. Portocarrero; Romero, H.; Schneider, J.

    2012-05-01

    Lately, glaciers have been subjects of unceasing controversy. Current debate about planned hydroelectric facilities—a US7- to 10-billion megaproject—in a pristine glacierized area of Patagonia, Chile [Romero Toledo et al., 2009; Vince, 2010], has raised anew the matter of how glaciologists and global change experts can contribute their knowledge to civic debates on important issues. There has been greater respect for science in this controversy than in some previous debates over projects that pertain to glaciers, although valid economic motivations again could trump science and drive a solution to the energy supply problem before the associated safety and environmental problems are understood. The connection between glaciers and climate change—both anthropogenic and natural—is fundamental to glaciology and to glaciers' practical importance for water and hydropower resources, agriculture, tourism, mining, natural hazards, ecosystem conservation, and sea level [Buytaert et al., 2010; Glasser et al., 2011]. The conflict between conservation and development can be sharper in glacierized regions than almost anywhere else. Glaciers occur in spectacular natural landscapes, but they also supply prodigious exploitable meltwater.

  12. Sugar substitutes: Health controversy over perceived benefits

    PubMed Central

    Tandel, Kirtida R.

    2011-01-01

    Sugar is an inseparable part of the food we consume. But too much sugar is not ideal for our teeth and waistline. There have been some controversial suggestions that excessive sugar may play an important role in certain degenerative diseases. So artificial sweeteners or artificially sweetened products continue to attract consumers. A sugar substitute (artificial sweetener) is a food additive that duplicates the effect of sugar in taste, but usually has less food energy. Besides its benefits, animal studies have convincingly proven that artificial sweeteners cause weight gain, brain tumors, bladder cancer and many other health hazards. Some kind of health related side effects including carcinogenicity are also noted in humans. A large number of studies have been carried out on these substances with conclusions ranging from “safe under all conditions” to “unsafe at any dose”. Scientists are divided in their views on the issue of artificial sweetener safety. In scientific as well as in lay publications, supporting studies are often widely referenced while the opposing results are de-emphasized or dismissed. So this review aims to explore the health controversy over perceived benefits of sugar substitutes. PMID:22025850

  13. Bleeding Avoidance Strategies: Consensus and Controversy

    PubMed Central

    Dauerman, Harold L.; Rao, Sunil V.; Resnic, Frederic S.; Applegate, Robert J.

    2011-01-01

    Bleeding complications after coronary intervention are associated with prolonged hospitalization, increased hospital costs, patient dissatisfaction, morbidity and one year mortality. Bleeding Avoidance Strategies represent a term incorporating multiple modalities that aim to reduce bleeding and vascular complications after cardiovascular catheterization. Recent improvements in the rates of bleeding complications after invasive cardiovascular procedures suggests that the clinical community has successfully embraced specific strategies and improved patient care in this area. There remains controversy regarding the efficacy, safety and/or practicality of 3 key bleeding avoidance strategies for cardiac catheterization and coronary intervention: procedural (radial artery approach, safezone arteriotomy), pharmacologic (multiple agents) and technological (vascular closure devices) approaches to improved access. In this article, we address areas of consensus with respect to selected modalities in order to define the role of each strategy in current practice. Furthermore, we focus on areas of controversy for selected modalities in order to define key areas warranting cautious clinical approaches and the need for future randomized clinical trials in this area. PMID:21700085

  14. Breast cancer screening: controversy of impact.

    PubMed

    Berry, Donald A

    2013-08-01

    Few medical issues have been as controversial--or as political, at least in the United States-as the role of mammographic screening for breast cancer. The advantages of finding a cancer early seem obvious. Indeed, randomized trials evaluating screening mammography demonstrate a reduction in breast cancer mortality, but the benefits are less than one would hope. Moreover, the randomized trials are themselves subject to criticism, including that they are irrelevant in the modern era because most were conducted before chemotherapy and hormonal therapy became widely used. In this article I chronicle the evidence and controversies regarding mammographic screening, including attempts to assess the relative contributions of screening and therapy in the substantial decreases in breast cancer mortality that have been observed in many countries over the last 20-25 years. I emphasize the trade-off between harms and benefits depending on the woman's age and other risk factors. I also discuss ways for communicating the associated risks to women who have to decide whether screening (and what screening strategy) is right for them. PMID:24074796

  15. Current Controversies With Recent Cholesterol Treatment Guidelines.

    PubMed

    Phillips, Elizabeth; Saseen, Joseph J

    2016-02-01

    Several guidelines and expert recommendations have been published recently regarding the prevention and treatment of atherosclerotic cardiovascular disease (ASCVD) risk. The American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommend a drastic paradigm change in the treatment of cholesterol where treatment, based on level of cardiovascular risk, is based around using a fixed statin intensity therapy. This approach is endorsed by the American Diabetes Association. However, recommendations by the National Lipid Association (NLA) consist of the traditional approach of titrating therapy to achieve patient-specific lipoprotein targets. Despite the differences in overall approaches, the use of statin therapy as the cornerstone of treatment to reduce risk of cardiovascular events in at risk patients is a strong common theme. Clinicians should be aware of these differences, as they represent controversies with the overall treatment of ASCVD risk. Additional controversies related to the treatment of patients with ASCVD risk pertain to the role of nonstatin drugs and approaches to managing side effects. These topics are reviewed within this article and discuss implications for patient care. PMID:26611871

  16. Controversies in cancer pain. Medical perspectives.

    PubMed

    Foley, K M

    1989-06-01

    The treatment of pain in the patient with cancer has focused attention on a series of controversial issues involving medical, social, and moral factors. The medical factors include a lack of knowledge on the part of health care professionals regarding the rational use of opioid drugs. This is coupled with real limitations in the general understanding of the mechanisms of pain and its treatment using pharmacologic, anesthetic, and neurosurgical approaches. Several pharmacologic controversies, including the choice of drug, route and method of administration, and tolerance development and risk of substance abuse, have emerged with the use of opioids on a chronic basis in the cancer population. The social and moral implications involve the issue of who will pay for high technology pain management approaches for patients either at home or in hospice care and the ethical considerations in managing pain with opioid drugs. Carefully designed studies to assess these factors, coupled with broad educational programs, will improve the care of cancer patients in pain and expand our understanding of these important issues. PMID:2566369

  17. Gardnerella vaginalis: characteristics, clinical considerations, and controversies.

    PubMed Central

    Catlin, B W

    1992-01-01

    The clinical significance, Gram stain reaction, and genus affiliation of Gardnerella vaginalis have been controversial since Gardner and Dukes described the organism as the cause of "nonspecific vaginitis," a common disease of women which is now called bacterial vaginosis. The organism was named G. vaginalis when taxonomic studies showed that it was unrelated to bacteria in various genera including Haemophilus and Corynebacterium. Electron microscopy and chemical analyses have elucidated the organism's gram-variable reaction. Controversy over the etiology of bacterial vaginosis was largely resolved by (i) studies using improved media and methods for the isolation and identification of bacteria in vaginal fluids and (ii) standardization of criteria for clinical and laboratory diagnosis. Besides G. vaginalis, Mobiluncus spp., Mycoplasma hominis, and certain obligate anaerobes are now acknowledged as participants in bacterial vaginosis. The finding that G. vaginalis, Mobiluncus spp., and M. hominis inhabit the rectum indicates a potential source of autoinfection in addition to sexual transmission. Extravaginal infections with G. vaginalis are increasingly recognized, especially when the toxic anticoagulant polyanetholesulfonate is omitted from blood cultures and when urine cultures are incubated anaerobically for 48 h. The finding that mares harbor G. vaginalis suggests that an equine model can be developed for studies of Gardnerella pathogenesis. Images PMID:1498765

  18. Dialogs on the Yucca Mountain controversy. Special report No. 10

    SciTech Connect

    Schluter, C.M.; Szymanski, J.S.

    1993-08-01

    In an attempt to resolve the controversial issue of tectonic and hydrologic stability of the Yucca Mountain region, the National Academy of Sciences established a Panel on Coupled Hydrologic/Tectonic/HydrothermaI Systems. The Panel has recently released it`s findings in a report entitled Ground Water at Yucca Mountain: How High Can It Rise? The representation of data and the scientific validity of this report was the subject of comprehensive evaluations and reviews which has led to correspondence between Dr. Charles Archarnbeau and Dr. Frank Press, the President of the National Academy of Sciences. All such correspondence prior to April 9, 1993 is covered by TRAC Special Report No. 5, {open_quotes}Dialogs on the Yucca Mountain Controversy.{close_quotes} The present report represents a continuation of the dialog between Dr. Archambeau and Dr. Press; specifically the letter from Dr. Press to Dr. Archambeau dated April 9, 1993 and Archambeau`s response to Press, dated August 19, 1993. In addition to the correspondence between Press and Archambeau, a series of recent reports by other investigators, referred to in the correspondence from Archambeau, are included in this report and document new data and inferences of importance for resolution of the question of suitability of the Yucca Mountain site as a high level nuclear waste repository. These reports also demonstrate that other scientists, not previously associated with the government`s program at Yucca Mountain or the National Academy review of an aspect of that program, have arrived at conclusions that are different than those stated by the Academy review and DOE program scientists.

  19. Current questions and possible controversies in autophagy

    PubMed Central

    Lindqvist, L M; Simon, A K; Baehrecke, E H

    2015-01-01

    Interest in autophagy has exploded over the last decade, with publications highlighting crosstalk with several other cellular processes including secretion, endocytosis, and cell suicide pathways including apoptosis. Autophagy proteins have also been implicated in other cellular processes independently of their roles in autophagy, creating complexities in the interpretation of autophagy (Atg) mutant gene data. Interestingly, this self-eating process is a survival mechanism that can also promote cell death, but when and how autophagy may ‘switch’ its function is still under debate. Indeed, there are currently many models of how autophagy actually influences cell death. In this review, we highlight some outstanding questions and possible controversies in the autophagy field. PMID:26682061

  20. Lung Cancer—Current Concepts and Controversies

    PubMed Central

    Pett, Stuart B.; Wernly, Jorge A.; Akl, Bechara F.

    1986-01-01

    The recent literature contains a variety of controversial management alternatives for patients with pulmonary malignancy that affect all aspects of the lung cancer problem. Revisions in the classification system have been advanced in which the prognostic implications of specific ultrastructural and histochemical information are acknowledged. Computed tomography and, to a lesser extent, nuclide scanning have revolutionized the staging process, but limitations in these procedures are emerging. Improved survival following aggressive surgical treatment has challenged the adequacy of the standard staging system. The palliative role of radiotherapy is becoming more widely appreciated. Results of immunotherapy are equivocal and gains from chemotherapy are modest. Combinations of treatment modalities will require further documentation before they can be recommended with confidence. PMID:3529632

  1. The dental amalgam controversy: a review

    PubMed Central

    Feuer, George; Injeyan, H Stephen

    1996-01-01

    In spite of the long history of mercury amalgam as a dental restorative material, its use continues to be controversial. Mercury vapour is continuously released from dental amalgam and is ultimately absorbed into a variety of tissues. Experimental data have demonstrated that the uptake, tissue retention and excretion of mercury from dental amalgam is significant. Evidence has accumulated indicating a relationship between tissue mercury levels and a multitude of clinical manifestations. However, the clinical significance of mercury toxicity from dental amalgams is a matter for debate. The literature is devoid of randomized clinical trials that are rigorously designed to address this issue. Thus, although research data renders the notion of amalgam safety questionable, the dental community appears determined to continue its use as long as unequivocal evidence correlating amalgam mercury toxicity to specific clinical conditions is lacking.

  2. Controversies Surrounding Classification of Personality Disorder

    PubMed Central

    Tyrer, Peter

    2010-01-01

    Nowadays, it is apparent that personality disorder is a common condition. Some of the concepts of personality disorder that are currently in use are flawed and need to be revised. The aim of this article is to discuss the controversy created by the uncertainties in the current classification system and to suggest ways forward. In particular, the clinician needs to be aware of the importance of assessing personality abnormality in terms of a severity dimension, and of the ways in which such an abnormality can impact on treatments for other conditions. These changes in the notion of personality disorder are needed as, for the first time, a good evidence base is being established for potential treatments and these will be maximized if we have a classification fit for therapeutic purpose. PMID:20396426

  3. Element 74, the Wolfram Versus Tungsten Controversy

    SciTech Connect

    Holden,N.E.

    2008-08-11

    Two and a quarter centuries ago, a heavy mineral ore was found which was thought to contain a new chemical element called heavy stone (or tungsten in Swedish). A few years later, the metal was separated from its oxide and the new element (Z=74) was called wolfram. Over the years since that time, both the names wolfram and tungsten were attached to this element in various countries. Sixty years ago, IUPAC chose wolfram as the official name for the element. A few years later, under pressure from the press in the USA, the alternative name tungsten was also allowed by IUPAC. Now the original, official name 'wolfram' has been deleted by IUPAC as one of the two alternate names for the element. The history of this controversy is described here.

  4. Epistemological depth in a GM crops controversy.

    PubMed

    Hicks, Daniel J

    2015-04-01

    This paper examines the scientific controversy over the yields of genetically modified [GM] crops as a case study in epistemologically deep disagreements. Appeals to "the evidence" are inadequate to resolve such disagreements; not because the interlocutors have radically different metaphysical views (as in cases of incommensurability), but instead because they assume rival epistemological frameworks and so have incompatible views about what kinds of research methods and claims count as evidence. Specifically, I show that, in the yield debate, proponents and opponents of GM crops cite two different sets of claims as evidence, which correspond to two rival epistemological frameworks, classical experimental epistemology and Nancy Cartwright's evidence for use. I go on to argue that, even if both sides of the debate accepted Cartwright's view, they might still disagree over what counts as evidence, because evidence for use ties standards of evidence to what is sometimes called the "context of application." PMID:25768981

  5. [Oswaldo Cruz and the serology controversy].

    PubMed

    Carreta, Jorge Augusto

    2011-01-01

    This analysis of the discussion surrounding the efficacy of the plague serum produced by Manguinhos Institute in the early twentieth century begins with an overview of Oswaldo Cruz's service as head of the Public Health Directorship (Diretoria de Saúde Pública). The controversy itself is then addressed, through an exploration of correspondence exchanged by physicians Oswaldo Cruz, Miguel Pereira, Vital Brazil, Chapot Prévost, and Francisco Fajardo. Their letters reveal how bacteriology in Brazil was then marked by uncertainty and experimentation, even while this field of knowledge publicly touted itself as safe and incontestable. The article shows how arguments of an extra-scientific nature interfere with both research development and the acceptance of medical products. PMID:22012092

  6. The Spokane flood controversy and the Martian outflow channels

    NASA Technical Reports Server (NTRS)

    Baker, V. R.

    1978-01-01

    The controversy over Bretz's hypothesis concerning the cataclysmic Spokane flood is discussed. Attention is directed to similarities between the Channeled Scabland of Washington and some Martian land features considered to be catastrophic flood channels. Characteristics of the enormous plexus of proglacial stream channels eroded into the loess and basalt of the Columbia Plateau in eastern Washington are described. The controversiality of the suggestion that a catastrophic flood is responsible for the Martian features is considered with respect to the Spokane flood controversy.

  7. Maxillary reconstruction: Current concepts and controversies

    PubMed Central

    Iyer, Subramania; Thankappan, Krishnakumar

    2014-01-01

    Maxillary reconstruction is still an evolving art when compared to the reconstruction of the mandible. The defects of maxilla apart from affecting the functions of the speech, swallowing and mastication also cause cosmetic disfigurement. Rehabilitation of the form and function in patients with maxillary defects is either by using an obturator prosthesis or by a surgical reconstruction. Literature is abundant with a variety of reconstructive methods. The classification systems are also varied, with no universal acceptance of any one of them. The oncologic safety of these procedures is still debated, and conclusive evidence in this regard has not emerged yet. Management of the orbit is also not yet addressed properly. Tissue engineering, that has been hyped to be one of the possible solutions for this vexing reconstructive problem, has not come out with reliable and reproducible results so far. This review article discusses the rationale and oncological safety of the reconstructing the maxillary defects, critically analyzes the classification systems, offers the different reconstructive methods and touches upon the controversies in this subject. The management of the retained and exenterated orbit associated with maxillectomy is reviewed. The surgical morbidity, complications and the recent advances in this field are also looked into. An algorithm, based on our experience, is presented. PMID:24987199

  8. Cytomegalovirus and glioblastoma; controversies and opportunities.

    PubMed

    Lawler, Sean E

    2015-07-01

    One of the more polarized ongoing debates in the brain tumor field over recent years has centered on the association of cytomegalovirus (CMV) with glioblastoma. Several laboratories have reported the presence of CMV antigens in glioblastoma patient specimens, whereas others have failed to detect them. CMV genomic DNA and mRNAs have been detected by PCR, but not in next-generation sequencing studies. CMV promotes high grade glioma progression in a mouse genetic model, and many CMV proteins promote cancer hallmarks in vitro, but actively replicating virus has not been isolated from tumor samples. A consensus is gradually emerging in which the presence of CMV antigens in glioblastoma is increasingly accepted. However, it remains challenging to understand this mechanistically due to the low levels of CMV nucleic acids and the absence of viral replication observed in tumors thus far. Nonetheless, these observations have inspired the development of novel therapeutic approaches based on anti-viral drugs and immunotherapy. The potential benefit of valganciclovir in glioblastoma has generated great interest, but efficacy remains to be established in a randomized trial. Also, early stage immunotherapy trials targeting CMV have shown promise. In the near future we will know more answers to these questions, and although areas of controversy may remain, and the mechanisms and roles of CMV in tumor growth are yet to be clearly defined, this widespread virus may have created important new therapeutic concepts and opportunities for the treatment of glioblastoma. PMID:25682092

  9. Controversies in proton therapy for prostate cancer.

    PubMed

    Bryant, Curtis; Henderson, Randal H; Hoppe, Bradford S; Mendenhall, William M; Nichols, R Charles; Su, Zhong; Li, Zuofeng; Mendenhall, Nancy P

    2016-08-01

    Proton therapy (PT) for prostate cancer has been a subject of controversy over the past two decades. Because of its dosimetric advantages when compared to conventional radiation, PT has the potential to improve the therapeutic ratio in the management of prostate cancer by decreasing toxicity and improving disease control. Nevertheless, its higher costs and the current lack of level I evidence documenting improved clinical outcomes have led some to question its cost-effectiveness. A number of new PT centers have been built over the past decade, leading many stakeholders, including patients, physicians, and insurers, to demand comparative effectiveness data to support its current use. In this review, we summarize the results of recently published studies that support the safety and efficacy of PT in the treatment of prostate cancer. We also review the available cost-effectiveness data for PT and discuss the future of PT, including the current randomized trial comparing PT to intensity-modulated radiation therapy and the need for additional research that may help to establish the relative benefit of PT when compared to photon-based radiation therapy. PMID:27558255

  10. More on SUPPORT: the controversy continues.

    PubMed

    Macklin, Ruth

    2015-01-01

    The article by Sunita VS Bandewar in the January-March issue does an excellent job of describing the controversy over informed consent in the SUPPORT clinical trial. As one of the authors of the duelling articles Bandewar cites, I commend the author's conclusions calling for disclosure not only of randomisation in so-called "standard of care" clinical trials, but also the comprehensive disclosure of risks in this type of research (also known as "comparative effectiveness research [CER]"). Bandewar surmises that the disclosure of randomisation could result in a "much higher chance of patients declining to participate in a randomised trial"; and that this may be one of the motives of those who argue for non-disclosure of randomisation. In fact, at least some supporters of limited disclosure of the risks in CER trials have expressly acknowledged their concerns about the recruitment of participants if all the risks of "standard of care" treatments are mentioned in the consent forms. PMID:25910283

  11. World bank in AIDS prevention controversy.

    PubMed

    James, J S

    1995-06-16

    A controversial editorial review article on AIDS prevention by researchers at the Center for AIDS Prevention Studies (CAPS) of the University of California was recently published in the British journal, AIDS. The article's thesis is that in addition to individual behavior, social and economic forces have played a role in promoting the spread of HIV in developing countries, where, by the year 2000, 90 percent of HIV infection will have occurred. The researchers argue that an economic approach, called structural adjustment programs [begun and spearheaded by the International Monetary Fund (IMF) and the World Bank], may have created conditions favoring the spread of HIV infection. The article is concerned about four alleged consequences of these programs: the decline of rural subsistence economy; the development of a transportation infrastructure; migration and urbanization; and reduced spending on health and social services. The CAPS authors recommend changes in development programs which focus on the satisfaction of basic human needs and movement from paternalistic to cooperative development policy. They suggest changing the charter of the World Bank and IMF to allow rescheduling or canceling of debt. World Bank officials, in letters to AIDS, tried to persuade the journal not to publish the article, citing that it falls below the journal's current standards and that some of the information is wrong. PMID:11362526

  12. Advances and controversies in yellow fever vaccination.

    PubMed

    Jonker, Emile F F; Visser, Leonardus G; Roukens, Anna H

    2013-11-01

    Ever since its development in 1937, the live-attenuated 17D yellow fever (YF) vaccine has been one of the most effective vaccines available to man. In this review we highlight the major steps in the development of 17D YF vaccine. We discuss the use of neutralizing antibodies as a surrogate marker for protection, and explore the strengths and weaknesses of the current plaque reduction neutralization test (PRNT), a technique developed in the 1960s that continues to be superior to every modern test in both sensitivity and specificity. The neutralizing antibodies demonstrated by the PRNT can be detected for several decades after vaccination, possibly even for the remainder of the recipient's natural life. We review the available evidence on the duration of protection after primary vaccination, a topic that has been the subject of controversy over the last few months. For persons who are immunocompromised due to disease, medication or advancing age, the duration of protection may be shorter: they should always have their vaccine response checked by PRNT. Due to the higher risk of severe adverse events after vaccination with 17D YF in this group, the development of a new, inactivated vaccine will have substantial benefits in this population. PMID:24757521

  13. Publication of Controversial Papers in Life.

    PubMed

    Lin, Shu-Kun

    2012-01-01

    Life (ISSN 2075-1729, http://www.mdpi.com/journal/life/) is a new journal that deals with new and sometime difficult interdisciplinary matters. Consequently, the journal will occasionally be presented with submitted articles that are controversial and/or outside conventional scientific views. Some papers recently accepted for publication in Life have attracted significant attention. Moreover, members of the Editorial Board have objected to these papers; some have resigned, and others have questioned the scientific validity of the contributions. In response I want to first state some basic facts regarding all publications in this journal. All papers are peer-reviewed, although it is often difficult to obtain expert reviewers for some of the interdisciplinary topics covered by this journal. I feel obliged to stress that although we will strive to guarantee the scientific standard of the papers published in this journal, all the responsibility for the ideas contained in the published articles rests entirely on their authors. Discussions on previously published articles are welcome and I hope that, by fostering discussion and by keeping an open-minded attitude towards new ideas, the journal will spur progress in this little explored, difficult and very exciting area of knowledge. [...]. PMID:26791663

  14. Current Controversies in Lung Cancer Staging.

    PubMed

    Carter, Brett W; Godoy, Myrna C B; Wu, Carol C; Erasmus, Jeremy J; Truong, Mylene T

    2016-07-01

    Lung cancer remains the leading cause of cancer-related mortality in the United States, and accurate staging of disease plays an important role in the formulation of treatment strategies and optimization of patient outcomes. The International Association for the Study of Lung Cancer has recently proposed changes to the upcoming eighth edition of the tumor, node, and metastasis (TNM-8) staging system used for lung cancer. This revised classification is based on significant differences in patient survival identified on analysis of a new large international database of lung cancer cases. Key changes include: further modifications to the T descriptors based on 1 cm increments in tumor size; grouping of tumors resulting in partial or complete lung atelectasis/pneumonitis; grouping of tumors involving a main bronchus with respect to distance from the carina; reassignment of diaphragmatic invasion; elimination of mediastinal pleural invasion as a descriptor; and further subdivision of metastatic disease into distinct descriptors based on the number of extrathoracic metastases and involved organs. Because of these changes, several new stage groups have been developed, and others have shifted. Although TNM-8 represents continued improvement upon modifications previously made to the staging system, reflecting an evolving understanding of tumor behavior and patient management, several limitations and unaddressed issues persist. Understanding the proposed revisions to TNM-8 and awareness of key limitations and potential controversial issues still unaddressed will allow radiologists to accurately stage patients with lung cancer and optimize treatment decisions. PMID:27306388

  15. Maxillary reconstruction: Current concepts and controversies.

    PubMed

    Iyer, Subramania; Thankappan, Krishnakumar

    2014-01-01

    Maxillary reconstruction is still an evolving art when compared to the reconstruction of the mandible. The defects of maxilla apart from affecting the functions of the speech, swallowing and mastication also cause cosmetic disfigurement. Rehabilitation of the form and function in patients with maxillary defects is either by using an obturator prosthesis or by a surgical reconstruction. Literature is abundant with a variety of reconstructive methods. The classification systems are also varied, with no universal acceptance of any one of them. The oncologic safety of these procedures is still debated, and conclusive evidence in this regard has not emerged yet. Management of the orbit is also not yet addressed properly. Tissue engineering, that has been hyped to be one of the possible solutions for this vexing reconstructive problem, has not come out with reliable and reproducible results so far. This review article discusses the rationale and oncological safety of the reconstructing the maxillary defects, critically analyzes the classification systems, offers the different reconstructive methods and touches upon the controversies in this subject. The management of the retained and exenterated orbit associated with maxillectomy is reviewed. The surgical morbidity, complications and the recent advances in this field are also looked into. An algorithm, based on our experience, is presented. PMID:24987199

  16. Microsurgical free flaps: Controversies in maxillofacial reconstruction

    PubMed Central

    George, Rinku K.; Krishnamurthy, Arvind

    2013-01-01

    Reconstructive microsurgery for oral and maxillofacial (OMF) defects is considered as a niche specialty and is performed regularly only in a handful of centers. Till recently the pectoralis major myocutaneous flap (PMMC) was considered to be the benchmark for OMF reconstruction. This philosophy is changing fast with rapid advancement in reconstructive microsurgery. Due to improvement in instrumentation and the development of finer techniques of flap harvesting we can positively state that microsurgery has come of age. Better techniques, microscopes and micro instruments enable us to do things previously unimaginable. Supramicrosurgery and ultrathin flaps are a testimony to this. Years of innovation in reconstructive microsurgery have given us a reasonably good number of very excellent flaps. Tremendous work has been put into producing some exceptionally brilliant research articles, sometimes contradicting each other. This has led to the need for clarity in some areas in this field. This article will review some controversies in reconstructive microsurgery and analyze some of the most common microvascular free flaps (MFF) used in OMF reconstruction. It aims to buttress the fact that three flaps-the radial forearm free flap (RFFF), anterolateral thigh flap (ALT) and fibula are the ones most expedient in the surgeon's arsenal, since they can cater to almost all sizeable defects we come across after ablative surgery in the OMF region. They can thus aptly be titled as the workhorses of OMF reconstruction with regard to free flaps. PMID:23662264

  17. South Africa's AIDS play provokes controversy.

    PubMed

    Lee, N

    1996-03-01

    The European Union (EU) has earmarked a total of 40 million rand (US$12 million) to foster AIDS awareness in South Africa. 14.27 million rand, approximately US$3.45 million, has been allocated by the Department of Health to fund "Sarafina 2," a controversial musical show about AIDS awareness written by Mbongeni Ngema. The allocation of such a large portion of EU funding to this one play has been strongly criticized. The funds could have instead been used to provide essential services. In response, the Department of Health claims that the money had not been subjected to the usual checking processes because the amount had been specifically dedicated to the production of the play. The EU ambassador, however, has reportedly stated that the play was never discussed and was not part of their program. The director of the AIDS directorate was out of the country when Ngema's tender for the play was accepted last August, and it was not until November that she learned about her department's sponsoring of the play. The health department has now forbade its employees from discussing the matter with the media. Minister of Health Nkosazana Zuma should expect a tough time when she goes before Manto Tshabalala's parliamentary portfolio committee on health which has been charged with investigating the matter. The committee will also review some of the accounting related to this issue. PMID:8596329

  18. Phytosynthesis of nanoparticles: concept, controversy and application

    PubMed Central

    2014-01-01

    Nanotechnology is an exciting and powerful discipline of science; the altered properties of which have offered many new and profitable products and applications. Agriculture, food and medicine sector industries have been investing more in nanotechnology research. Plants or their extracts provide a biological synthesis route of several metallic nanoparticles which is more eco-friendly and allows a controlled synthesis with well-defined size and shape. The rapid drug delivery in the presence of a carrier is a recent development to treat patients with nanoparticles of certain metals. The engineered nanoparticles are more useful in increasing the crop production, although this issue is still in infancy. This is simply due to the unprecedented and unforeseen health hazard and environmental concern. The well-known metal ions such as zinc, iron and copper are essential constituents of several enzymes found in the human system even though the indiscriminate use of similar other metal nanoparticle in food and medicine without clinical trial is not advisable. This review is intended to describe the novel phytosynthesis of metal and metal oxide nanoparticles with regard to their shape, size, structure and diverse application in almost all fields of medicine, agriculture and technology. We have also emphasized the concept and controversial mechanism of green synthesis of nanoparticles. PMID:24910577

  19. Phytosynthesis of nanoparticles: concept, controversy and application

    NASA Astrophysics Data System (ADS)

    Husen, Azamal; Siddiqi, Khwaja Salahuddin

    2014-05-01

    Nanotechnology is an exciting and powerful discipline of science; the altered properties of which have offered many new and profitable products and applications. Agriculture, food and medicine sector industries have been investing more in nanotechnology research. Plants or their extracts provide a biological synthesis route of several metallic nanoparticles which is more eco-friendly and allows a controlled synthesis with well-defined size and shape. The rapid drug delivery in the presence of a carrier is a recent development to treat patients with nanoparticles of certain metals. The engineered nanoparticles are more useful in increasing the crop production, although this issue is still in infancy. This is simply due to the unprecedented and unforeseen health hazard and environmental concern. The well-known metal ions such as zinc, iron and copper are essential constituents of several enzymes found in the human system even though the indiscriminate use of similar other metal nanoparticle in food and medicine without clinical trial is not advisable. This review is intended to describe the novel phytosynthesis of metal and metal oxide nanoparticles with regard to their shape, size, structure and diverse application in almost all fields of medicine, agriculture and technology. We have also emphasized the concept and controversial mechanism of green synthesis of nanoparticles.

  20. LDL cholesterol: controversies and future therapeutic directions.

    PubMed

    Ridker, Paul M

    2014-08-16

    Lifelong exposure to raised concentrations of LDL cholesterol increases cardiovascular event rates, and the use of statin therapy as an adjunct to diet, exercise, and smoking cessation has proven highly effective in reducing the population burden associated with hyperlipidaemia. Yet, despite consistent biological, genetic, and epidemiological data, and evidence from randomised trials, there is controversy among national guidelines and clinical practice with regard to LDL cholesterol, its measurement, the usefulness of population-based screening, the net benefit-to-risk ratio for different LDL-lowering drugs, the benefit of treatment targets, and whether aggressive lowering of LDL is safe. Several novel therapies have been introduced for the treatment of people with genetic defects that result in loss of function within the LDL receptor, a major determinant of inherited hyperlipidaemias. Moreover, the usefulness of monoclonal antibodies that extend the LDL-receptor lifecycle (and thus result in substantial lowering of LDL cholesterol below the levels achieved with statins alone) is being assessed in phase 3 trials that will enrol more than 60,000 at-risk patients worldwide. These trials represent an exceptionally rapid translation of genetic observations into clinical practice and will address core questions of how low LDL cholesterol can be safely reduced, whether the mechanism of LDL-cholesterol lowering matters, and whether ever more aggressive lipid-lowering provides a safe, long-term mechanism to prevent atherothrombotic complications. PMID:25131980

  1. Obestatin: an interesting but controversial gut hormone.

    PubMed

    Lacquaniti, Antonio; Donato, Valentina; Chirico, Valeria; Buemi, Antoine; Buemi, Michele

    2011-01-01

    Obestatin is a 23-amino acid peptide hormone released from the stomach and is present not only in the gastrointestinal tract, but also in the spleen, mammary gland, breast milk and plasma. Obestatin appears to function as part of a complex gut-brain network whereby hormones and substances from the stomach and intestines signal the brain about satiety or hunger. In contrast to ghrelin, which causes hyperphagia and obesity, obestatin appears to act as an anorectic hormone, decreasing food intake and reducing body weight gain. Further studies have shown that obestatin is also involved in improving memory, regulating sleep, affecting cell proliferation, increasing the secretion of pancreatic juice enzymes and inhibiting glucose-induced insulin secretion. This hormone has not only been studied in the field of physiology but also in the fields of obesity and diabetes mellitus, and in patients with psychogenic eating disorders. Obestatin has a role in regulating the cell cycle by exerting proliferative effects that may be seen in cell physiology and oncology. Given the current controversy regarding the effects of obestatin and its cognate ligand, this article provides the latest review of the physiological and pathological characteristics of this hormone. PMID:22156552

  2. Endoscopic vein harvesting: technique, outcomes, concerns & controversies

    PubMed Central

    Sarang, Zubair

    2013-01-01

    The choice of the graft conduit for coronary artery bypass grafting (CABG) has significant implications both in the short- and long-term. The patency of a coronary conduit is closely associated with an uneventful postoperative course, better long-term patient survival and superior freedom from re-intervention. The internal mammary artery is regarded as the primary conduit for CABG patients, given its association with long-term patency and survival. However, long saphenous vein (LSV) continues to be utilized universally as patients presenting for CABG often have multiple coronary territories requiring revascularization. Traditionally, the LSV has been harvested by creating incisions from the ankle up to the groin termed open vein harvesting (OVH). However, such harvesting methods are associated with incisional pain and leg wound infections. In addition, patients find such large incisions to be cosmetically unappealing. These concerns regarding wound morbidity and patient satisfaction led to the emergence of endoscopic vein harvesting (EVH). Published experience comparing OVH with EVH suggests decreased wound related complications, improved patient satisfaction, shorter hospital stay, and reduced postoperative pain at the harvest site following EVH. Despite these reported advantages concerns regarding risk of injury at the time of harvest with its potential detrimental effect on vein graft patency and clinical outcomes have prevented universal adoption of EVH. This review article provides a detailed insight into the technical aspects, outcomes, concerns, and controversies associated with EVH. PMID:24251019

  3. Controversies in the Mechanism of Total Parenteral Nutrition Induced Pathology

    PubMed Central

    Kumar, Jain Ajay; Teckman, Jeffery H.

    2015-01-01

    Over 30,000 patients are permanently dependent on Total Parenteral Nutrition (TPN) for survival with several folds higher requiring TPN for a prolonged duration. Unfortunately, it can cause potentially fatal complications. TPN infusion results in impairment of gut mucosal integrity, enhanced inflammation, increased cytokine expression and trans-mucosal bacterial permeation. It also causes endotoxin associated down regulation of bile acid transporters and Parenteral Nutrition Associated Liver Disease (PNALD), which includes steatosis, disrupted glucose metabolism, disrupted lipid metabolism, cholestasis and liver failure. Despite multiple theories, its etiology and pathophysiology remains elusive and is likely multifactorial. An important cause for TPN related pathologies appears to be a disruption in the normal enterohepatic circulation due to a lack of feeding during such therapy. This is further validated by the fact that in clinical settings, once cholestasis sets in, its reversal occurs when a patient is receiving a major portion of calories enterally. There are several other postulated mechanisms including gut bacterial permeation predisposing to endotoxin associated down regulation of bile acid transporters. An additional potential mechanism includes toxicity of the TPN solution itself, such as lipid mediated hepatic toxicity. Prematurity, leading to a poor development of bile acid regulating nuclear receptors and transporters has also been implicated as a causative factor. This review presents the current controversies and research into mechanisms of TPN associated injury. PMID:27417369

  4. Risk Assessment-- A Science in Controversy.

    ERIC Educational Resources Information Center

    Ravetz, J. R.

    1982-01-01

    Discusses principle themes/issues of risk assessment, using examples from the "nuclear debate." Indicates that while an objective scientific core to decisions on risks exists, this is conditioned in its interpretation by inexactness, uncertainty, and value-commitments. Considers risk assessment elements, risk quantification in real problems, and…

  5. Blastocystis: Consensus of treatment and controversies

    PubMed Central

    Sekar, Uma; Shanthi, M

    2013-01-01

    Blastocystis is a highly controversial protozoan parasite. It has been variably regarded as a commensal and pathogen. Scientists have for decades wondered whether it is truly an enteropathogen and if it is observed in symptomatic patients whether treatment is required because patient recovery and improvement has been noted even without any treatment. Though associated with self-limiting infection, treatment is warranted in many patients due to persistence of symptoms. This particularly holds true for children and adults who are immuno compromised. Several drugs have been used to treat Blastocystis but each one of them has produced widely variable rates of clinical cure and eradication of the parasite from the feces. Based on the studies carried out in vitro and clinical responses obtained in patients, metronidazole appears to be the most effective drug for Blastocystis infection. However, the therapy is complicated due to different dosages and regimens adopted and the unresponsiveness to treatment observed in several sections of the population studied. Recently, the finding of different subsets of Blastocystis exhibiting resistance to metronidazole and associated with variable degrees of symptoms has underscored the importance of typing the subsets of the parasite in order to foretell the clinical response and the need to treat. Till date, the mode of action of the drugs used and the mechanism of resistance is not entirely known and is a topic of speculation. Other drugs with anti Blastocystis activity and used in therapy includes trimethoprim sulfamethoxazole and nitazoxanide. Several other compounds have also been evaluated for the treatment either alone or in combination with the first or second line drugs. A lot of interest has also been generated on the role of probiotics particularly Saccharomyces boularrdii and other natural food compounds on eradication of the parasite. This review provides a comprehensive overview of antimicrobials used to target

  6. The Gaia Controversy: AGU'S Chapman Conference

    NASA Astrophysics Data System (ADS)

    Kauffman, Eric G.

    The controversial Gaia Hypothesis of James Lovelock of Coombe Mill, Launceston, Cornwall, U.K., and his colleagues variously contends that throughout Earth history the global biosphere has influenced, even controlled, the physicochemical evolution of Earth's environments (especially oceans and climate) for its own benefit. Since the origin of life, the biosphere has influenced selective pressures on evolution, maintained the Earth in a kind of homeostasis, and thus created an environmental optimum through time, regulated by and for the biosphere. Rarely has a hypothesis immediately sparked such passionate response. There is something in it for everybody, from hard core scientists to philosophers, ultraconservationists, students of world religions, mystics, politicians, and space enthusiasts; they were all there in San Diego, March 7-11, 1988, for the AGU Chapman Conference on Gaia Hypotheses. For 4 days an impressive list of specialists presented and debated the pros and cons of Gaia Hypotheses from diverse perspectives: modern and ancient biology, ecology, biochemistry, the physicochemical systems of the Earth, oceans, and atmosphere, and the evolution of the solar system. Focus was on modern to Pleistocene atmosphere-ocean-Earth systems, case histories of their interaction with the biosphere, and relatively simple models drawn from these observations and projected back through time. Equivalent studies on the geological and paleobiological history of the Earth-life system over the past 3.5 b.y. were underrepresented. Extended debates that followed generally strong presentations were lively, argumentative, and remarkably civil despite widely held views. The grace with which Jim Lovelock moved between his strongest critics and supporters set high standards for the debates. Everybody acknowledged a high learning curve.

  7. Cold dark matter: Controversies on small scales

    PubMed Central

    Weinberg, David H.; Bullock, James S.; Governato, Fabio; Kuzio de Naray, Rachel; Peter, Annika H. G.

    2015-01-01

    The cold dark matter (CDM) cosmological model has been remarkably successful in explaining cosmic structure over an enormous span of redshift, but it has faced persistent challenges from observations that probe the innermost regions of dark matter halos and the properties of the Milky Way’s dwarf galaxy satellites. We review the current observational and theoretical status of these “small-scale controversies.” Cosmological simulations that incorporate only gravity and collisionless CDM predict halos with abundant substructure and central densities that are too high to match constraints from galaxy dynamics. The solution could lie in baryonic physics: Recent numerical simulations and analytical models suggest that gravitational potential fluctuations tied to efficient supernova feedback can flatten the central cusps of halos in massive galaxies, and a combination of feedback and low star formation efficiency could explain why most of the dark matter subhalos orbiting the Milky Way do not host visible galaxies. However, it is not clear that this solution can work in the lowest mass galaxies, where discrepancies are observed. Alternatively, the small-scale conflicts could be evidence of more complex physics in the dark sector itself. For example, elastic scattering from strong dark matter self-interactions can alter predicted halo mass profiles, leading to good agreement with observations across a wide range of galaxy mass. Gravitational lensing and dynamical perturbations of tidal streams in the stellar halo provide evidence for an abundant population of low-mass subhalos in accord with CDM predictions. These observational approaches will get more powerful over the next few years. PMID:25646464

  8. Cold dark matter: Controversies on small scales.

    PubMed

    Weinberg, David H; Bullock, James S; Governato, Fabio; Kuzio de Naray, Rachel; Peter, Annika H G

    2015-10-01

    The cold dark matter (CDM) cosmological model has been remarkably successful in explaining cosmic structure over an enormous span of redshift, but it has faced persistent challenges from observations that probe the innermost regions of dark matter halos and the properties of the Milky Way's dwarf galaxy satellites. We review the current observational and theoretical status of these "small-scale controversies." Cosmological simulations that incorporate only gravity and collisionless CDM predict halos with abundant substructure and central densities that are too high to match constraints from galaxy dynamics. The solution could lie in baryonic physics: Recent numerical simulations and analytical models suggest that gravitational potential fluctuations tied to efficient supernova feedback can flatten the central cusps of halos in massive galaxies, and a combination of feedback and low star formation efficiency could explain why most of the dark matter subhalos orbiting the Milky Way do not host visible galaxies. However, it is not clear that this solution can work in the lowest mass galaxies, where discrepancies are observed. Alternatively, the small-scale conflicts could be evidence of more complex physics in the dark sector itself. For example, elastic scattering from strong dark matter self-interactions can alter predicted halo mass profiles, leading to good agreement with observations across a wide range of galaxy mass. Gravitational lensing and dynamical perturbations of tidal streams in the stellar halo provide evidence for an abundant population of low-mass subhalos in accord with CDM predictions. These observational approaches will get more powerful over the next few years. PMID:25646464

  9. Risky, early, controversial. Puberty in medical discourses.

    PubMed

    Cozzi, Donatella; Vinel, Virginie

    2015-10-01

    This article comes within the compass of a research program (entitled CorAge. Bodily Experiences and AgePassages among 9-13 year-olds (ANR-09-ENFT-017) conducted between 2009 and 2013 about the emergence of a "new" age in life--"preadolescence"--as instanced in France (Alsace, Lorraine) and Italy (Venetia). The impressive amount of references to "early puberty" and "precocious puberty", in a context of feeling of a premature end of childhood, led us to make an in-depth study of this issue: first, through an analysis of international and French and Italian medical journals; second, through interviews with health professionals. Following the thesis of Foucault, we assume that the discourses on puberty timing participate of classifications of the child body drenched with moral representations of childhood, especially on gender and age issue. Our results: the question of whether a secular trend in puberty timing even exists continues to be debated between American and European scientists. Second, the terms "puberty", "precocious puberty", "early puberty" have been used to indicate a variety of puberty markers, increasing confusion. A controversy has focused on early breast development in girls, because this attribute is questioning the order of ages and gender. Moreover, psychosocial factors presented as accelerating early puberty, do not demonstrate the relation between earliness and risk behavior. The literature, as it is moved by the female precocity, creates a medical category to objectify the complex and flexible process of puberty and invent female child precocity. These differences between American and European scholars and the interviews with French and Italian health professional show a gap between the international literature and practitioners, clinicians and nurses who regularly work with children: they neither find pubertal advancement, nor increase of "true precocious puberty", although they share concerns about premature feminization of girls (France) or

  10. Research controversies in management of oral mucositis.

    PubMed

    Biron, P; Sebban, C; Gourmet, R; Chvetzoff, G; Philip, I; Blay, J Y

    2000-01-01

    The management of mucositis is the subject of many controversies, and the optimal treatment is still not known. Several evaluation scoring systems have been described, but no one of these is appropriate to all clinical situations: a simple scale such as that devised by the WHO can be used routinely, and more sophisticated ones can be implemented by trained experimenters working in research. We have considered the impact of each of the treatments currently available on each stage of mucositis. In attempts at prevention, self-care, in the sense of oral hygiene, must remain atraumatic. It is probably advisable to differentiate patients with good previous oral care, in whom tooth brushing is beneficial, from others, in whom the risk of hemorrhage and infection excludes any brushing. Before the dosage of chemotherapy is reduced, the curative or palliative intent of the strategy must be carefully evaluated. In the vascular phase protection of the proliferating cells is attempted by means of vasoconstriction (cryotherapy), cytoprotection (prostaglandin E2 and other antioxidants) or epithelial cell-inhibiting factors such as TGF-B3. Treatments applied in the epithelial phase are directed at increasing the cell proliferation to accelerate epithelial restoration by sucralfate and several growth factors: hematopoietic GF, which has demonstrated a direct effect on the mucosa (GM-CSF), or epithelial growth factors such as keratinocyte GF. In the ulcerative and bacteriological phase attempts are made to attenuate sepsis by means of antiseptics (chlorhexidine), amphotericin B and antiviral agents or antibiotic lozenges. In the healing phase application of the low-energy helium-neon laser has demonstrably been followed by a later time of onset, less pronounced peak severity and shorter duration of oral mucositis. After cancer treatment, oral hygiene, inhibition of oral flora, and pain relief are the main goals. Physiopathogen-specific treatment is the next step, with the emphasis

  11. Screening for cancer: concepts and controversies.

    PubMed

    Gates, Thomas J

    2014-11-01

    Early detection of cancer is a core task in family medicine, and patients have come to expect screening tests, sometimes out of proportion to what evidence can justify. To understand the controversies surrounding screening and to provide sound advice to patients, family physicians should be familiar with the fundamental concepts of screening. Failure to account for the effects of lead-time, length-time, and overdiagnosis biases can lead to overestimation of screening benefits. For this reason, the best method for evaluating the benefit of screening tests is a randomized controlled trial showing decreased disease-specific or all-cause mortality. The number needed to screen can be used to measure the magnitude of benefit of screening tests. Accepted screening tests often require screening several hundred to more than 1,000 asymptomatic patients to prevent one death from the disease. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend screening for colorectal cancer in adults 50 to 75 years of age, and recommend against prostate-specific antigen testing to screen for prostate cancer. Annual low-dose computed tomography screening for lung cancer reduces mortality in persons 55 to 80 years of age with at least a 30-pack-year history who are otherwise healthy smokers or who have quit smoking within the past 15 years; however, it is associated with a high false-positive rate, uncertain harms from radiation exposure, and overdiagnosis. Therefore, it should be performed only in conjunction with smoking cessation interventions. PMID:25368922

  12. The Procedurally Directive Approach to Teaching Controversial Issues

    ERIC Educational Resources Information Center

    Gregory, Maughn Rollins

    2014-01-01

    Recent articles on teaching controversial topics in schools have employed Michael Hand's distinction between "directive teaching," in which teachers attempt to persuade students of correct positions on topics that are not rationally controversial, and "nondirective teaching," in which teachers avoid persuading students on…

  13. Visualizing Social Justice: Using Controversial Images in Social Studies Classrooms

    ERIC Educational Resources Information Center

    Hawley, Todd S.; Crowe, Alicia R.; Mooney, Evan

    2016-01-01

    In this article, we promote the use of controversial images to enhance the discussion of social justice issues in schools. Controversial images provide rich opportunities for students to question what is occurring currently in society as well as what has occurred in the past. We provide an example set of activities to be used in teacher education…

  14. Culture Shock: Using Art and Art Controversy To Teach History.

    ERIC Educational Resources Information Center

    McBride, Robert, Jr.

    1999-01-01

    Endorses the television series entitled "Culture Shock" that views controversial art as an artifact suggesting that the arts, and controversies surrounding them, can help viewers think critically about the issues of past and present societies. Focuses on "The Adventures of Huckleberry Finn," the painting "Olympia," jazz, and films in the…

  15. Urquhart's and Garfield's Laws: The British Controversy over Their Validity.

    ERIC Educational Resources Information Center

    Bensman, Stephen J.

    2001-01-01

    The British controversy over the validity of Urquhart's and Garfield's bibliometric laws during the 1970s constitutes an important episode in the formulation of the probability structure of human knowledge. Concludes with a resolution of the controversy by means of a statistical technique that incorporates Brookes' criticism of the Spearman…

  16. 16 CFR 2.3 - Policy as to private controversies.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... other action when the alleged violation of law is merely a matter of private controversy and does not... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Policy as to private controversies. 2.3... NONADJUDICATIVE PROCEDURES Inquiries; Investigations; Compulsory Processes § 2.3 Policy as to...

  17. Implants and Ethnocide: Learning from the Cochlear Implant Controversy

    ERIC Educational Resources Information Center

    Sparrow, Robert

    2010-01-01

    This paper uses the fictional case of the "Babel fish" to explore and illustrate the issues involved in the controversy about the use of cochlear implants in prelinguistically deaf children. Analysis of this controversy suggests that the development of genetic tests for deafness poses a serious threat to the continued flourishing of Deaf culture.…

  18. Resisting the Pendulum Swing: Informed Perspectives on Education Controversies.

    ERIC Educational Resources Information Center

    Jalongo, Mary Renck, Ed.

    Designed to offer more than slogans and buzzwords to practitioners who are grappling with an array of education controversies, this book provides classroom teachers with a spectrum of information about current controversies so that they will be better equipped to blend action with reflection. The book deliberately resists extremes and argues for…

  19. Teaching and Learning about Controversial Issues: Lessons from Northern Ireland

    ERIC Educational Resources Information Center

    King, John T.

    2009-01-01

    Teaching about controversial issues is a powerful tool in the repertoire of civic educators. Despite widespread agreement concerning the social, academic, and civic benefits to be gained from discussing controversial public issues within the classroom, empirical research reveals that doing so is a rare occurrence. While the literature explains…

  20. Preparing Students for Science in the Face of Social Controversy

    ERIC Educational Resources Information Center

    Bramschreiber, Terry; Westmoreland, David

    2015-01-01

    Science educators often teach topics that are largely resolved in the scientific community yet remain controversial in broader society. In such cases, students may perceive the teacher as biased. We present two exercises that foster more objective learning about the scientific underpinnings of socially controversial topics. The first exercise…

  1. Approaching Civic Responsibility Using Guided Controversies about Environmental Issues

    ERIC Educational Resources Information Center

    Dresner, Marion; Blatner, Jen Seamans

    2006-01-01

    We implemented a series of three guided controversies to provide experience in environmental problem solving to students in a science course designed for nonmajors. Students wrote essays in response to their experiences in each controversy; we analyzed these essays for five problem-solving criteria. A questionnaire administered at the end of the…

  2. Improving Learning by Discussing Controversies in 20th Century Physics.

    ERIC Educational Resources Information Center

    Niaz, Mansoor; Rodriguez, Maria A.

    2002-01-01

    Textbooks rarely emphasize how controversial some physics theories were at the time of their proposal. Makes the case that useful classroom debate can be generated by considering the controversy that arose over models of the atom such as Rutherford's and Bohr's, and ideas about fractional charges put forward by Millikan and arising from quark…

  3. Teachers' Perspectives on Incorporating Current Controversial Issues into the Curriculum.

    ERIC Educational Resources Information Center

    Wilson, Elizabeth; Sunal, Cynthia; Haas, Mary; Laughlin, Margaret

    Does a current controversial issue become part of the social studies curriculum in a context where the media focus largely on the issue? A study explored this question through surveys and in-depth interviews that investigated K-12 social studies teachers' perspectives on the incorporation of current controversial issues into the curriculum. A…

  4. Structured Academic Controversies in the Professional Physical Education Classroom.

    ERIC Educational Resources Information Center

    Overby, Lynnette Young; And Others

    1996-01-01

    Structured academic controversy is a cooperative learning strategy that can promote learning in theoretical physical education classes at the college level. This article explains how to conduct structured academic controversy, providing examples of topics (e.g., adapted physical education, biomechanics, motor development, and sport psychology).…

  5. Tennessee to Texas: Tracing the Evolution Controversy in Public Education

    ERIC Educational Resources Information Center

    Armenta, Tony; Lane, Kenneth E.

    2010-01-01

    Darwin's Theory of Evolution has stirred controversy since its inception. Public schools in the United States, pressed by special interest groups on both sides of the controversy, have struggled with how best to teach the theory, if at all. Court cases have dealt with whether states can ban the teaching of evolutionary theory, whether Creationism…

  6. Covering Conflict and Controversy: Measuring Balance, Fairness, Defamation.

    ERIC Educational Resources Information Center

    Simon, Todd F.; And Others

    1989-01-01

    Measures balance, fairness, and defamation in local stories containing controversy and covering law enforcement, education, local government, and business. Finds that most stories lack balance and that the opposing side of the controversy was not contacted in 28 percent of the instances. (RS)

  7. What's Wrong with the "Teach the Controversy" Slogan?

    ERIC Educational Resources Information Center

    Scott, Eugenie C.

    2007-01-01

    Teachers are often exhorted by creationists to "teach the controversy." Although such encouragement sounds on the surface like a proposal for critical thinking instruction, the history of the creationist movement in North America belies this claim. Rather than teach students to analyze and evaluate actual scientific controversies, the intent of…

  8. Main Field Test Report. Discussing Controversial Issues. Revised.

    ERIC Educational Resources Information Center

    Lai, Morris K.; And Others

    Discussing Controversial Issues (DCI) is a skill training program designed for high school students and teachers with an overall objective of developing student and teacher skill in discussing controversial issues effectively. The course materials identify 13 moderator techniques which teachers practice, and 13 participant techniques which…

  9. The NSF Science Education Controversy: Issues, Events, Decisions.

    ERIC Educational Resources Information Center

    Wiley, Karen B.

    Discussion of National Science Foundation (NSF) funding of precollege science education revolves around the controversy of whether NSF should fund "Man: A Course of Study" (MACOS). NSF had funded MACOS' curriculum development, implementation, and postevaluation during 1963-1975. The controversy began in March 1975 when U.S. Congressman John Conlan…

  10. The Recovered Memory Controversy: A Representative Case Study

    ERIC Educational Resources Information Center

    Colangelo, James J.

    2009-01-01

    The recovered memory controversy has been an ongoing debate within the mental health profession for the past two decades. Disagreement remains in the field over the veracity of "forgotten" memories of childhood sexual abuse that are recalled or recovered during therapy. At the heart of the controversy are the concepts of repression and…

  11. 12 CFR 1080.3 - Policy as to private controversies.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 9 2014-01-01 2014-01-01 false Policy as to private controversies. 1080.3 Section 1080.3 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION RULES RELATING TO INVESTIGATIONS § 1080.3 Policy as to private controversies. The Bureau shall act only in the public interest and...

  12. 12 CFR 1080.3 - Policy as to private controversies.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Policy as to private controversies. 1080.3 Section 1080.3 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION RULES RELATING TO INVESTIGATIONS § 1080.3 Policy as to private controversies. The Bureau shall act only in the public interest and...

  13. From Classroom to Controversy: Conflict in the Teaching of Religion

    ERIC Educational Resources Information Center

    Neal, Lynn S.

    2013-01-01

    What happens when a class assignment becomes a source of controversy? How do we respond? What do we learn? By describing the controversy surrounding an assignment on religion and representation, this article examines conflict's productive role in teaching about New Religious Movements (NRMs) and religion. It suggests that we consider how our…

  14. The Rasch Rating Model and the Disordered Threshold Controversy

    ERIC Educational Resources Information Center

    Adams, Raymond J.; Wu, Margaret L.; Wilson, Mark

    2012-01-01

    The Rasch rating (or partial credit) model is a widely applied item response model that is used to model ordinal observed variables that are assumed to collectively reflect a common latent variable. In the application of the model there is considerable controversy surrounding the assessment of fit. This controversy is most notable when the set of…

  15. Controversial Higher-Education Reforms Spark Riots in Athens

    ERIC Educational Resources Information Center

    Labi, Aisha

    2007-01-01

    This article discusses the Greek Parliament's controversial education bill passed recently that sparked riots and unrest in Athens. The government's controversial education package includes measures that would limit the number of years students can take to complete a university degree and would curtail university asylum laws. A separate proposal…

  16. Why Map Issues? On Controversy Analysis as a Digital Method

    PubMed Central

    2015-01-01

    This article takes stock of recent efforts to implement controversy analysis as a digital method in the study of science, technology, and society (STS) and beyond and outlines a distinctive approach to address the problem of digital bias. Digital media technologies exert significant influence on the enactment of controversy in online settings, and this risks undermining the substantive focus of controversy analysis conducted by digital means. To address this problem, I propose a shift in thematic focus from controversy analysis to issue mapping. The article begins by distinguishing between three broad frameworks that currently guide the development of controversy analysis as a digital method, namely, demarcationist, discursive, and empiricist. Each has been adopted in STS, but only the last one offers a digital “move beyond impartiality.” I demonstrate this approach by analyzing issues of Internet governance with the aid of the social media platform Twitter. PMID:26336325

  17. Controversy and the state: lord ARPA and intelligent computing.

    PubMed

    Guice, J

    1998-02-01

    This is a study of a well-known controversy in computer science, between artificial intelligence and neural networks researchers. It examines claims made by participants in the field that the controversy was triggered, shaped and finally resolved in connection to activities of state research agencies, particularly the US Department of Defense Advanced Research Projects Agency (ARPA). In contrast to these claims, this account concludes that, although ARPA's relations to the controversy among researchers were important, they were indirect. This study thus beings the analytical resources of studies of scientific controversy to bear on a domain which has so far gone largely unexamined in studies of 20th-century controversies - namely, state research policy and management. The account is based on contemporary documents, historical literatuare, and interviews with researchers and ARPA officials. PMID:11619937

  18. Nuclear Electricity. 5th Edition.

    ERIC Educational Resources Information Center

    Hore-Lacy, Ian

    Educators must address the need for young people to be informed about both the scientific concepts and the reasons for controversy when dealing with controversial issues. Young people must be given the opportunity to form their own opinions when presented with evidence for conflicting arguments. Previous editions of "Nuclear Electricity" have…

  19. The controversial age of Kilimanjaro's plateau glaciers

    NASA Astrophysics Data System (ADS)

    Uglietti, Chiara; Zapf, Alexander; Szidat, Sönke; Salazar, Gary; Hardy, Doug; Schwikowski, Margit

    2015-04-01

    Interpreting climate signals contained in natural archives requires a precise chronology. Radiocarbon analysis can be a powerful tool for dating high-altitude ice cores, especially for the lowermost segments for which ice flow-induced thinning limits the counting of annual layers. Radiocarbon dating has been applied to ice cores containing sufficient organic material, which is a limiting factor to the wider application of this technique. We present a novel radiocarbon dating approach using carbonaceous aerosols enclosed in the ice to help resolve the debate about the age of the Kilimanjaro's plateau glaciers. Paleoclimate reconstructions based on six ice cores drilled in 2000 assigned a basal age of 11'700 years. A recent study claims recurring cycles of waxing and waning controlled primarily by atmospheric moisture and an absence of the ice bodies was suggested for 1200 AD. The Kilimanjaro ice fields are subject to rapid areal shrinkage and thinning and are expected to disappear within several decades. Resolving the controversy of the time frame for the extinction of the Kilimanjaro ice might have wide implications for the understanding of the natural climate variability in the tropics. A stratigraphic sequence of samples from the exposed vertical ice cliffs at the margins of the Northern Ice Field (NIF) was collected in 2011. A total of 45 horizontal short cores (50 cm length) were extracted from 22 horizons characterized by varying micro-particle concentrations. Additionally, 3 samples were taken from the glacier surface to investigate a potential age offset. All samples were shipped frozen to Paul Scherrer Institute, decontaminated in a cold room by removing the outer layer (0.3 mm) and by rinsing the samples with ultra-pure water. The insoluble carbonaceous particles were filtrated by using freshly preheated quartz fibre filters. Procedural blanks were estimated using artificial ice blocks of frozen ultra-pure water treated as real ice samples and were

  20. Borderline viability: controversies in caring for the extremely premature infant.

    PubMed

    Leuthner, Steven R

    2014-12-01

    Controversy surrounding the decision to resuscitate at the limits or borderline of viability has been at the center of neonatal ethical debate for decades. This debate has led to numerous reports from individual institutions, councils, and advisory committees that all have remarkable consistency in the development of gestational age-based guidelines. This article reviews legal or regulatory concerns that may contradict ethical discussion and guidelines, discriminatory and scientific basis concerns with consensus guidelines, and personal controversy about how to determine best interest. Guidelines are a reasonable place to start in helping determine parental authority and autonomy. The article also addresses controversies raised in counseling and costs. PMID:25459775

  1. Controversies in the Management of Papillary Thyroid Cancer Revisited

    PubMed Central

    Guerrero, Marlon A.; Clark, Orlo H.

    2011-01-01

    The debate on the appropriate treatment of patients with papillary thyroid cancer (PTC) has persisted for several decades. The main controversies focus on the extent of surgery, the timing of central neck dissection, and the indications for radioactive iodine ablation. These controversies continue, for the most part, due to the good prognosis of PTC patients and the questionable effect these treatment modalities have on patient survival. This paper addresses these three controversies and the role of molecular tumor markers in the appropriate treatment selection. PMID:22091417

  2. Antenatal detection of pelviureteric junction stenosis: main controversies.

    PubMed

    Piepsz, Amy

    2011-01-01

    Although renography has been used for half a century to evaluate the function of the infant kidney, there are still important disagreements among the specialists involved in this particular pathology. Each department of nuclear medicine has his own way to acquire and process a renogram; to interpret the obtained images, curves, and quantitative parameters; and to make recommendations for the referring physician. The urologist has his or her part of responsibilities because the decision for operating or not operating varies from one center to another and is generally determined by a series of unproven assumptions. The aim of the present work is to focus on the main controversies involving both the nuclear medicine physician and the urologist. Concerning the technique of renography. The bladder catheter, systematically recommended in different centers, can best be replaced in most of the cases by a much less-invasive procedure, namely the acquisition and processing of late postmicturition (PM) posterect images. The change of patient's position contributes strongly to the renal washout. Intravenous hydration is used to standardize the level of hydration. However, the patients, in most of the cases, are in good health, and adequate oral hydration is sufficient. Even if hydration was not ideal when the procedure began, the administration of furosemide and the late PM images will result in a very good drainage of a normal kidney. Any renal tracer with high extraction rate is adequate, but diethylene triamine pentaacetic acid ((99m)Tc-DTPA) does not allow a precise estimation of differential function in children younger than 6 months. The moment of furosemide injection (F0, F+20, F-15) does not influence the quality of the final renal washout, and the F0 procedure is recommended in cases of known hydronephrosis because it shortens the time of acquisition on the gamma camera and allows the simultaneous injection of both the tracer and the diuretic. Background correction

  3. Commentary: The Anatomy of Controversy: Freedom and Responsibility for Teaching.

    ERIC Educational Resources Information Center

    Carter, Jack L.

    1979-01-01

    The role of the biology teacher in American schools and colleges is discussed with regard to the social, political, and economic implications of new discoveries in science. Controversial ethical issues related to teaching human genetics are presented. (SA)

  4. Understanding and Developing Controversial Issues in College Courses.

    ERIC Educational Resources Information Center

    Payne, Brian K.; Gainey, Randy R.

    2003-01-01

    Discusses common controversial issues in different college disciplines, such as the death penalty and drug legalization. Also suggests useful methods for encouraging enlightening discussions, such as verbal and physical cues, student-centered activities, and text selection. (SLD)

  5. Building on faults: How to represent controversies with digital methods.

    PubMed

    Venturini, Tommaso

    2012-10-01

    In a previous article in this journal, I introduced Bruno Latour's cartography of controversies and I discussed half of it, namely how to observe techno-scientific controversies. In this article I will concentrate on the remaining half: how to represent the complexity of social debates in a legible form. In my previous paper, we learnt how to explore the richness of collective existence through Actor-Network Theory. In this one, I will discuss how to render such complexity through an original visualization device: the controversy-website. Capitalizing on the potential of digital technologies, the controversy-website has been developed as a multilayered toolkit to trace and aggregate information on public debates. PMID:23832559

  6. A Critique of "Controversial Medical Treatments of Learning Disabilities"

    ERIC Educational Resources Information Center

    Feingold, Benjamin F.

    1977-01-01

    The author replies to the article titled "Controversial Medical Treatments of Learning Disabilities" (R. Sieben), and discusses research on the relationship between food additives and hyperactivity, and dietary treatments for learning disabled children. (IM)

  7. Superluminal Neutrinos: The Good Kind of Science Controversy

    NASA Astrophysics Data System (ADS)

    Lucibella, Michael

    2012-03-01

    After OPERA released results indicating neutrinos were traveling faster than the speed of light, a number of vocal of scientists said that they shouldn't have prematurely engaged in ``science by press release.'' However, controversial claims like this, if handled right, can actually be a boon to science. Getting the public interested in cutting edge physics is notoriously difficult, but the public is always interested in hearing about a controversy. The press conference and following debate becomes a great teaching moment that offers the public a unique opportunity to get an inside and have an in-depth look at how science works. Scientists willing to publicly engage in this kind of civil controversy are important because when other scientific controversies arise, ones with major public policy implications, the public starts out with a better understanding of how science works, and scientists have better practice managing questions from the public.

  8. Recent developments in health care law: culture and controversy.

    PubMed

    Berry, Roberta M; Bliss, Lisa; Caley, Sylvia; Lombardo, Paul A; Wolf, Leslie E

    2013-03-01

    This article reviews recent developments in health care law, focusing on controversy at the intersection of health care law and culture. The article addresses: emerging issues in federal regulatory oversight of the rapidly developing market in direct-to-consumer genetic testing, including questions about the role of government oversight and professional mediation of consumer choice; continuing controversies surrounding stem cell research and therapies and the implications of these controversies for healthcare institutions; a controversy in India arising at the intersection of abortion law and the rights of the disabled but implicating a broader set of cross-cultural issues; and the education of U.S. health care providers and lawyers in the theory and practice of cultural competency. PMID:23180091

  9. 37 CFR 351.3 - Controversy and further proceedings.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... participant who has filed a written direct statement. (2) Bad faith inflation of claim. If the Copyright Royalty Judges determine that a participant asserts in bad faith an amount in controversy in excess of...

  10. 37 CFR 351.3 - Controversy and further proceedings.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... participant who has filed a written direct statement. (2) Bad faith inflation of claim. If the Copyright Royalty Judges determine that a participant asserts in bad faith an amount in controversy in excess of...

  11. Summerhill Dismembered: Using Controversy to Motivate Adult Learners.

    ERIC Educational Resources Information Center

    Murray, Louis; Lawrence, Brenda

    1995-01-01

    Workshops for teachers engaged in practitioner-based inquiry centered on the controversial issues raised by a television documentary on the Summerhill School. Learners normally engaged in distance education were motivated by the processes of dissent, argument, and disputation. (SK)

  12. Paraphilias across cultures: contexts and controversies.

    PubMed

    Bhugra, Dinesh; Popelyuk, Dmitri; McMullen, Isabel

    2010-03-01

    Cultures define and describe what is normal and what is deviant. These definitions of normality vary across cultures and are influenced by a number of factors, such as religion. Cultures have been described in various ways, including sex-positive where the sexual act itself is seen as important for pleasure, or sex-negative where the sexual act is seen only as for procreative purposes. The role and development of paraphilias across cultures is also variable, with cultures defining what is legal or illegal. Such differences make collection of epidemiological data and comparison across paraphilias problematic. This discussion suggests that characteristics of cultures may influence the rate of reporting paraphilias, as well as the rate of paraphilias themselves. Furthermore, with increased industrialization and urbanization, families will become more nuclear, with attitudes toward sex and paraphilias changing as well. This review also explores whether paraphilias can be seen as culture-bound syndromes, and recommends consideration of a number of conceptual issues regarding the diagnosis and prevalence of paraphilias as future cross-cultural studies on this topic are developed. PMID:20358463

  13. The Chilling Effect: How Do Researchers React to Controversy?

    PubMed Central

    Kempner, Joanna

    2008-01-01

    Background Can political controversy have a “chilling effect” on the production of new science? This is a timely concern, given how often American politicians are accused of undermining science for political purposes. Yet little is known about how scientists react to these kinds of controversies. Methods and Findings Drawing on interview (n = 30) and survey data (n = 82), this study examines the reactions of scientists whose National Institutes of Health (NIH)-funded grants were implicated in a highly publicized political controversy. Critics charged that these grants were “a waste of taxpayer money.” The NIH defended each grant and no funding was rescinded. Nevertheless, this study finds that many of the scientists whose grants were criticized now engage in self-censorship. About half of the sample said that they now remove potentially controversial words from their grant and a quarter reported eliminating entire topics from their research agendas. Four researchers reportedly chose to move into more secure positions entirely, either outside academia or in jobs that guaranteed salaries. About 10% of the group reported that this controversy strengthened their commitment to complete their research and disseminate it widely. Conclusions These findings provide evidence that political controversies can shape what scientists choose to study. Debates about the politics of science usually focus on the direct suppression, distortion, and manipulation of scientific results. This study suggests that scholars must also examine how scientists may self-censor in response to political events. PMID:19018657

  14. Nuclear Waste Disposal

    SciTech Connect

    Gee, Glendon W.; Meyer, Philip D.; Ward, Andy L.

    2005-01-12

    Nuclear wastes are by-products of nuclear weapons production and nuclear power generation, plus residuals of radioactive materials used by industry, medicine, agriculture, and academia. Their distinctive nature and potential hazard make nuclear wastes not only the most dangerous waste ever created by mankind, but also one of the most controversial and regulated with respect to disposal. Nuclear waste issues, related to uncertainties in geologic disposal and long-term protection, combined with potential misuse by terrorist groups, have created uneasiness and fear in the general public and remain stumbling blocks for further development of a nuclear industry in a world that may soon be facing a global energy crisis.

  15. Medical ethics: principles, persons, and perspectives: from controversy to conversation.

    PubMed

    Boyd, K M

    2005-08-01

    Medical ethics, principles, persons, and perspectives is discussed under three headings: History, Theory, and Practice. Under Theory, the author will say something about some different approaches to the study and discussion of ethical issues in medicine--especially those based on principles, persons, or perspectives. Under Practice, the author will discuss how one perspectives based approach, hermeneutics, might help in relation first to everyday ethical issues and then to public controversies. In that context some possible advantages of moving from controversy to conversation will be explored; and that will then be illustrated with reference to a current controversy about the use of human embryos in stem cell therapy research. The paper begins with history, and it begins in the author's home city of Edinburgh. PMID:16076975

  16. Teaching controversial issues in the secondary school science classroom

    NASA Astrophysics Data System (ADS)

    van Rooy, Wilhelmina

    1993-12-01

    A sample of fourteen secondary school biology teachers chosen from twelve schools were interviewed. The purpose was to determine their views on how controversial issues in science might be handled in the secondary school science classroom and whether the issues of surrogacy and human embryo experimentation were suitable controversial issues for discussion in schools. In general, teachers indicated that controversial issues deserve a more prominent place in the science curriculum because they have the potential to foster thinking, learning, and interest in science. The issues of surrogacy and human embryo experimentation were seen as appropriate contexts for learning, provided that teachers were well informed and sensitive to both the students and to the school environment.

  17. Why Is Studying the Genetics of Intelligence So Controversial?

    PubMed

    Tabery, James

    2015-01-01

    From the very beginning, studies of the nature and nurture of intelligence have been closely associated with an interest in intervening, and those interventions have been surrounded by controversy. The nature of those controversies has not always been the same, however. Since the mid-nineteenth century, when Francis Galton imagined a science that would assess the extent to which a trait like "genius" was due to nature or due to nurture, science and technology have changed dramatically, and so have the interventions that have been envisioned in light of those developments. A scientist today can search for particular stretches of DNA and assess whether differences in those stretches are associated with differences in a human trait of interest; a genetic counselor today can genetically test an individual (be it an embryo, fetus, newborn, child, or adult) and provide information about what that genetic result means, allowing for interventions that can range from terminating a pregnancy to prescribing chemotherapy. So when one asks a question like, "Why is studying the genetics of intelligence controversial?," it is important to realize up front that the answer will be, "It can be controversial for a variety of different reasons, and those reasons have evolved over time." The purpose of this essay is to provide a survey of the controversies that surround genetic studies of intelligence. With the survey in place, I will then draw out several lessons both for scientists who study the genetics of intelligence as well as for science studies scholars (bioethicists, philosophers, historians, sociologists) who reflect and comment on the controversies surrounding that research. PMID:26413953

  18. Communicating A Controversial and Complex Project to the Public: Yucca Mountain Tours - Real and Virtual Communication

    SciTech Connect

    A.B. Benson; P.V. Nelson; M. d'Ouville

    2000-03-01

    activists, local residents and governmental officials are protesting proposed waste facilities from Taiwan to Texas''. Here in Nevada, Yucca Mountain is no exception. The Department's study of the Yucca Mountain site for possible development as a permanent repository for spent nuclear fuel and high-level radioactive waste has been criticized by many, for many reasons. The Yucca Mountain Project is both controversial and complex--a fact that makes communication with the public a challenge.

  19. Controversial ultrasound findings in mid trimester pregnancy. Evidence based approach.

    PubMed

    Ebrashy, Alaa; Kurjak, Asim; Adra, Abdallah; Aliyu, Labaran Dayyabu; Wataganara, Tuangsit; de Sá, Renato Augusto Moreira; Pooh, Ritsuko; Sen, Cihat; Stanojevic, Milan

    2016-03-01

    Mid trimester fetal anatomy scan is a fundamental part of routine antenatal care. Some U/S soft markers or controversial U/S signs are seen during the scan and create some confusion regarding their relation to fetal chromosomal abnormalities. Example of these signs: echogenic focus in the heart, echogenic bowel, renal pyelectasis, ventriculomegaly, polydactely, club foot, choroid plexus cyst, single umbilical artery. We are presenting an evidence based approach from the literature for management of these controversial U/S signs. PMID:26506099

  20. Controversies in the pathophysiology and management of hyphema.

    PubMed

    Bansal, Svati; Gunasekeran, Dinesh Visva; Ang, Bryan; Lee, Jiaying; Khandelwal, Rekha; Sullivan, Paul; Agrawal, Rupesh

    2016-01-01

    Traumatic hyphemas present dilemmas to physicians. There are numerous controversies pertaining to the optimal approach to traumatic hyphema and no standardized guidelines for its management. We address some of these controversies and present a pragmatic approach. We discuss various medical agents and surgical techniques available for treatment, along with the indications for their use. We address the complications associated with hyphema and how to diagnose and manage them and consider the management of hyphema in special situations such as in children and sickle-cell anemia and in rare clinical syndromes such as recurrent hyphema after placement of anterior chamber intraocular lenses. PMID:26632664

  1. Reading "Daddy's Roommate": Preservice Teachers Respond to a Controversial Text.

    ERIC Educational Resources Information Center

    Williams, Shawyn

    2002-01-01

    Explores the responses of the author's 31 pre-service teachers to a controversial picture book. Begins by searching for a short text geared to elementary age children and suited for read-alouds. Notes that she believes that the majority of pre-service teachers at this stage in the program are still very impressionable and must be given multiple…

  2. Before We Were Us, We Were Them: Curating Controversy

    ERIC Educational Resources Information Center

    Watson, Keri

    2014-01-01

    Prompted by the passage of Alabama House Bill 56, I organized the museum studies course I taught for Auburn University at Montgomery in the 2013 spring semester around an exhibition on immigration. The course offered the opportunity to engage students, faculty, and the community in discussion of an important, timely, and controversial topic.…

  3. Education Dept. to End Controversial Study of Upward Bound

    ERIC Educational Resources Information Center

    Field, Kelly

    2008-01-01

    Yielding to pressure from Congress and grant recipients, the U.S. Education Department has agreed to abandon a controversial evaluation of the Upward Bound (UB) college-preparation program. The study, which began last year, was designed to measure whether Upward Bound would have a bigger impact on college-going rates if it were refocused on…

  4. Taking One's Principles Seriously: A Teacher Confronts Controversy

    ERIC Educational Resources Information Center

    Hare, William

    2010-01-01

    A teacher faces hostility from certain colleagues who view his decision to attend a controversial lecture as tantamount to the repudiation of the principle of inclusive education and the rights of students with disabilities. The teacher sees the proposed boycott of the lecture as a form of censorship threatening freedom of inquiry and critical…

  5. The Reverse Discrimination Controversy. A Moral and Legal Analysis.

    ERIC Educational Resources Information Center

    Fullinwider, Robert K.

    This book has two principal aims: to clarify the topical and controversial issue of reverse discrimination and to reach some conclusions about the rights and wrongs involved in this issue. Focusing mainly on preferential hiring, the book explicitly and extensively addresses the law and the institutional context of the issues. Examination of the…

  6. The Vocational-Liberal Arts Controversy: Looking Backwards.

    ERIC Educational Resources Information Center

    Miles, Sue L.

    The liberal arts-vocational education controversy is examined in this article through a series of fictitious letters based on historical facts that present the thoughts of key educational personalities regarding the community college's role in providing vocational education and liberal arts education. Part I, which takes the form of a letter and…

  7. Use of Dramatic Enquiry to Explore Controversies in Science

    ERIC Educational Resources Information Center

    Phillipson, Neil; Poad, Gordon

    2010-01-01

    With the increasing prominence of "How science works" in science courses in England and the imperative of equipping students to engage with the controversies thrown up by the advance of science, science departments need new teaching strategies. Here we describe the application of "Dramatic Enquiry" to GCSE science. The project, developed by…

  8. Teaching About the Creation/Evolution Controversy. Fastback 134.

    ERIC Educational Resources Information Center

    Bergman, Jerry

    The booklet discusses questions related to teaching engendered by the creation/evolution controversy, presents current positions of educators and textbooks, and recommends a two-model teaching approach. It is divided into six chapters. Chapter I defines and summarizes evolution and creationism as different belief structures, and outlines various…

  9. Socio-Scientific Controversies and Students' Conceptions about Scientists

    ERIC Educational Resources Information Center

    Reis, Pedro; Galvao, Cecilia

    2004-01-01

    This article discusses the results of a mainly qualitative study into possible impacts of recent controversial socio-scientific issues on a group of Portuguese secondary school students regarding their conceptions about scientists. The 86 participants: (1) answered a questionnaire with open-ended questions; and (2) wrote a science fiction story…

  10. Scientific Controversies in Teaching Science: The Case of Volta.

    ERIC Educational Resources Information Center

    Kipnis, Nahum

    2001-01-01

    Discusses a way of introducing a scientific controversy that emphasizes objective aspects of such issues as multiple theoretical interpretation of phenomena, choosing a theory, and insistence on the chosen theory. The goal is to give students a better insight into the workings of science and provide guidelines for building theories in their own…

  11. Controversial Therapies for Young Children with Developmental Disabilities.

    ERIC Educational Resources Information Center

    Nickel, Robert E.

    1996-01-01

    This article examines reasons parents may choose a controversial alternative treatment for a child with developmental disabilities and reviews a few specific treatments--vitamin B-6 and magnesium, auditory integration training, megavitamins and minerals, Piracetam, intravenous immunoglobulin, and melatonin. Recommendations on talking with families…

  12. The Ecology Controversy: Opposing Viewpoints. Critical Issues Series.

    ERIC Educational Resources Information Center

    McCuen, Gary E., Ed.; Bender, David L., Ed.

    Ecological problems are explored in this book of sixteen student readings and exercises aimed at developing and applying critical thinking skills. The readings, mostly extracts from books and periodicals, are introduced by the editor and accompanied by questions. Chapter I, The Population Controversy, includes selections from Paul Ehrlich's The…

  13. Improving the Quality of Science Classroom Discourse on Controversial Issues.

    ERIC Educational Resources Information Center

    Geddis, Arthur N.

    1991-01-01

    Illustrates how the sophistication of students' discussion on controversial issues can be increased by explicit attention to (1) the defensibility of more than one position, and (2) the relationship between protagonist's interests and the positions adopted. Presents a case study of a teacher using this scheme as he reflects on and modifies his…

  14. Disaster, Controversy--Are You Prepared for the Worst?

    ERIC Educational Resources Information Center

    Heller, Robert W.; And Others

    1991-01-01

    Provides demographic profiles from "Executive Educator's" fourth annual survey of U.S. school executives. Regarding disaster preparedness, only a small percentage of all districts in earthquake-prone areas have earthquake and fire action plans. Concerning controversial issues, teaching about substance abuse, child abuse, and teen suicide meets…

  15. Piaget, IQ, and the Nature-Nurture Controversy

    ERIC Educational Resources Information Center

    Furth, H. G.

    1973-01-01

    Four basic assumptions of IQ tests - age constancy, scholastic validity, standard environment and performance suggiciency are alien to Piaget's theory. Heredity cannot be statistically separated from environment; therefore, Piagetian theory would suggest the nature-nurture controversy is devoid of meaning. (ST)

  16. The Animal Experimentation Controversy: Ethical Views of Prospective Teachers

    ERIC Educational Resources Information Center

    de Villiers, Rian

    2012-01-01

    Vivisection (live animal experimentation) is a controversial issue for many people. The purpose of this case study is to examine the attitudes of prospective teachers toward vivisection in education and research, to determine if gender has an influence on these attitudes, and to discuss the implications of these attitudes with regard to teaching…

  17. Controversial Issues in Orientation and Mobility: Then and Now.

    ERIC Educational Resources Information Center

    Hill, Everett W.; Jacobson, William H.

    1985-01-01

    A review of issues in orientation and mobility (0M) considers controversies in: (1) OM systems (use of short cane vs. long cane, dog guide vs. cane, electronic travel aids); (2) OM personnel preparation (such as bachelor's vs. master's level training); and (3) direct services (such as one-to-one vs. group OM lessons). (CL)

  18. The Legitimizing Function of Judicial Rhetoric in the Eugenics Controversy.

    ERIC Educational Resources Information Center

    Hasian, Marouf, Jr.; Croasmun, Earl

    1992-01-01

    Investigates the possibility that judicial policymaking is responsive to the situational exigencies created in part through public discourse. Investigates the elite and public perspectives regarding the eugenics controversy in the 1920s to explore the emergent relationship between the public and technical spheres of argument. (SR)

  19. The Continuing Controversy over Grades. TM Report 51.

    ERIC Educational Resources Information Center

    Warren, Jonathan R.

    Although grades have been criticized for lack of reliability, end-of course grades and grade-point averages are reliable enough for most uses. The charge of unreliability applies only to grades on themes, tests, or other individual pieces of student work. On the other side of the controversy, grades have been said to be essential to the learning…

  20. The Seal Killing Controversy: What Are the Facts?

    ERIC Educational Resources Information Center

    Scheffer, Victor B.

    1973-01-01

    Discusses the seal controversy using the harp and Alaska fur seals to illustrate the two distinct issues, i.e., conservation (the effect of killing upon the animal population); and two, morality (the effect of killing upon the human spirit). Factual information combines with personal philosophy. (LK)

  1. Teaching Darwin: Contemporary Social Studies through Controversial Issues

    ERIC Educational Resources Information Center

    Swanson, Helge

    2010-01-01

    I explore Darwin and his Theory of Natural Selection from a Social Science perspective and a social studies approach of inquiry into contemporary issues. This approach augments the more common natural science focus on the mechanics of natural selection and evolution in favor of a focus on social issues, controversy, and dialog necessary to support…

  2. Cagney and Lacey: Negotiating the Controversial in Popular Television.

    ERIC Educational Resources Information Center

    Hillier, Jim

    This paper discusses some of the ways in which the commitment of the television series Cagney and Lacey to the examination of often controversial social issues from liberal or progressive standpoints--especially issues associated with the women's movement--is worked through in narrative practice. The origins and development of the series are…

  3. Creationism in the Classroom: A Controversy with Serious Consequences

    ERIC Educational Resources Information Center

    Baker, Sylvia

    2010-01-01

    The resignation of the Revd Professor Michael Reiss from his position as Director of Education at the Royal Society over the issue of the teaching of creationism in school science classes provides the background to this article. The immediate controversy is described and considered in relation to its wider context and to the serious questions that…

  4. Aptitude Testing Controversy: Beliefs, Not Values, Are on Trial.

    ERIC Educational Resources Information Center

    Gonzalez-Tamayo, Eulogio

    This paper analyzes research findings about the role of values and beliefs in aptitude testing. Indications are found that the ongoing controversy over the lack of ethnic, racial, and sex fairness in aptitude testing is rooted in the tests themselves. Test designers, it is argued, are influenced by their socioeconomic position (they are usually…

  5. Diversity in Information Technology Education: Issues and Controversies

    ERIC Educational Resources Information Center

    Trajkovski, Goran, Ed.

    2006-01-01

    "Diversity in Information Technology Education: Issues and Controversies" sheds light on the status of diversity in the field of IT education. It identifies a wide range of problems that educators face on a daily basis, and gives practical, applicable solutions, mainly by showcasing successful and replicable examples. The chapters in "Diversity in…

  6. Fair Use or Exploitation?: The Google Book Search Controversy

    ERIC Educational Resources Information Center

    Baksik, Corinna

    2006-01-01

    The Google Book Search Library Project, in which millions of books from libraries will be scanned and made searchable on the Web, has led to controversy and legal action. Publishers are suing Google for copyright infringement, while Google claims their use falls under the fair use privilege of the "Copyright Act". An overview of the library…

  7. "We Make It Controversial": Elementary Preservice Teachers' Beliefs about Race

    ERIC Educational Resources Information Center

    Buchanan, Lisa Brown

    2015-01-01

    The impetus for this study began during an elementary teacher education course meeting, where preservice teachers discussed whether or not it was appropriate to discuss controversial topics--including race--with young children. Preservice teachers disclosed their "uncomfortableness" with race at large, and emphasized that discussions…

  8. Media Coverage in a Community Controversy: Initial and Subsequent Effects.

    ERIC Educational Resources Information Center

    Watt, James H., Jr.; van den Berg, Sjef

    The choice of time lag between variables can affect surveys of public opinion and audience behavior, according to this report on the effects of media coverage of the controversy surrounding the operation of the supersonic transport Concorde out of Dulles Airport, near Washington, D.C. Five theories of media effects are outlined, including direct…

  9. Race and Genetics: Controversies in Biomedical, Behavioral, and Forensic Sciences

    ERIC Educational Resources Information Center

    Ossorio, Pilar; Duster, Troy

    2005-01-01

    Among biomedical scientists, there is a great deal of controversy over the nature of race, the relevance of racial categories for research, and the proper methods of using racial variables. This article argues that researchers and scholars should avoid a binary-type argument, in which the question is whether to use race always or never.…

  10. Teaching Controversy by Seminar: An Example in Quaternary Geomorphology.

    ERIC Educational Resources Information Center

    Harwood, Doug

    1987-01-01

    Describes how seminar work can be structured to help students develop skills of critical thinking and expression when discussing controversial issues in their chosen subject. Particular emphasis is given to methods of organizing instructional materials and appropriate roles for seminar leaders. The debate surrounding the existence of a prehistoric…

  11. Design Piracy: Student Perceptions of a Constructive Controversy Activity

    ERIC Educational Resources Information Center

    Marcketti, Sara B.

    2007-01-01

    Optimal learning occurs when students are interested in the subject matter, are motivated with challenging and quality learning opportunities, and when immersed in atmospheres that make learning enjoyable. One technique to promote optimal learning is through the use of constructive controversies. The purpose of this study was to provide an example…

  12. Childhood Psychological Disorders: Current Controversies. Making Sense of Psychology

    ERIC Educational Resources Information Center

    Bursztyn, Alberto M., Ed.

    2011-01-01

    This accessible, informative book will help teachers, parents, and practitioners make sense of current issues and controversies surrounding childhood disabilities. Almost 12 percent of children in American schools have been identified as disabled in ways that interfere with their capacity to learn. Yet parents of children with disabilities often…

  13. Should We Teach Homosexuality as a Controversial Issue?

    ERIC Educational Resources Information Center

    Hand, Michael

    2007-01-01

    Philosophers of education disagree on how the question of the moral status of homosexual acts should be tackled in the classroom. Some argue that the question should be taught as a controversial issue, that we should present rival moral positions as even-handedly as possible; others maintain that we should actively promote the view that homosexual…

  14. Hate Speech: The History of an American Controversy.

    ERIC Educational Resources Information Center

    Walker, Samuel

    Noting that no other country in the world offers protection to offensive speech, this book provides a comprehensive account of the history of the hate speech controversy in the United States. The book examines the issue, from the conflicts over the Ku Klux Klan in the 1920s and American Nazi groups in the 1930s, to the famous Skokie, Illinois…

  15. 16 CFR 2.3 - Policy as to private controversies.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Policy as to private controversies. 2.3 Section 2.3 Commercial Practices FEDERAL TRADE COMMISSION ORGANIZATION, PROCEDURES AND RULES OF PRACTICE NONADJUDICATIVE PROCEDURES Inquiries; Investigations; Compulsory Processes § 2.3 Policy as to...

  16. The Evolution/Creation Science Controversy: Educate Rather Than Debate.

    ERIC Educational Resources Information Center

    Jane, Beverley

    This paper is linked to the theme History and Philosophy of Science. The Evolution and creation science controversy is now in the general public's arena and poses a challenge for school science. The paper begins by briefly describing the current situation concerning this issue in Australia and the United States of America. In the subject Biology,…

  17. Ethical Perspectives on the Current Controversy Regarding Openness in Adoption.

    ERIC Educational Resources Information Center

    Tavis, Timothy M.

    This paper outlines current changes in American adoption practice and the controversies surrounding these changes. It includes a discussion of the role that neo-Kantian and utilitarian perspectives have played in American adoption policy and practice, and offers an alternative, the communitarian perspective, described by Sandel (1984). Adoption…

  18. 42 CFR 405.1839 - Amount in controversy.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) Aggregation of claims. For purposes of satisfying the applicable amount in controversy requirement for a... the same cost reporting period. Aggregation of claims from more than one cost reporting period to meet... reporting periods under appeal would increase, in the aggregate, by at least $50,000. (2) Aggregation...

  19. Liebig-Wohler Controversy and the Concept of Isomerism

    ERIC Educational Resources Information Center

    Esteban, Soledad

    2008-01-01

    Very often controversies contribute to the development of science. An example is the conflict between Liebig and Wohler on the occasion of their analyses of fulminates and cyanates, which showed that compounds with different properties could have the same composition. Their results, together with other similar evidences, led Berzelius to recognize…

  20. Millennia of Discord: The Controversial Educational Program of Isocrates

    ERIC Educational Resources Information Center

    Marsh, Charles

    2010-01-01

    Five years ago in "Theory and Research in Education", James R. Muir fired a new salvo in the debate regarding the merits of Isocrates' educational program, a controversy that has endured for more than two millennia. Was the Isocratean program misguided and lowbrow, as in the estimations of Plato and Aristotle--or was it the most successful program…

  1. "Smoky Night" and "Crack": Controversial Subjects in Current Children's Stories.

    ERIC Educational Resources Information Center

    Koehnecke, Dianne

    2001-01-01

    Discusses two children's picture books: "Smoky Night" and "The House that Crack Built." Notes that the books deal with the Los Angeles riots and the use and distribution of crack cocaine. Concludes that each book treats important issues with sensitivity and honesty and is engaging, even when dealing with controversial topics in a didactic…

  2. The Continuum and Current Controversies in the USA.

    ERIC Educational Resources Information Center

    Taylor, Steven J.

    2001-01-01

    This article reviews policy developments in deinstitutionalization and community inclusion in North America, specifically the United States. It begins with a critique of the continuum concept and the associated principle of the least restrictive environment. Past and current controversies surrounding deinstitutionalization are then examined.…

  3. Relational Frame Theory: An Overview of the Controversy

    ERIC Educational Resources Information Center

    Gross, Amy C.; Fox, Eric J.

    2009-01-01

    Although Skinner's "Verbal Behavior" (1957) was published over 50 years ago, behavior-analytic research on human language and cognition has been slow to develop. In recent years, a new behavioral approach to language known as relational frame theory (RFT) has generated considerable attention, research, and debate. The controversy surrounding RFT…

  4. Is Race Really Controversial in the University Classroom?

    ERIC Educational Resources Information Center

    Philion, Stephen

    2009-01-01

    Today, even though "social justice" programs exist as a virtual growth industry on US campuses and many universities have incorporated classes on race and racism into their curricula, everyone continues to be faced with the perception that race is a "controversial" topic that has to be broached with care due to its "sensitive nature". This is even…

  5. Supreme Court Actions Push a Wrenching Controversy Straight at You.

    ERIC Educational Resources Information Center

    Harrington-Lueker, Donna

    1989-01-01

    The Supreme Court's past and expected future rulings on abortion cases will add controversy and costs to schools. Estimates the costs of teenage pregnancy; reviews the legal history of abortion; and offers guidelines on how schools can help reduce teenage pregnancy. (MLF)

  6. Medical effects of internal contamination with actinides: further controversy on depleted uranium and radioactive warfare.

    PubMed

    Durakovic, Asaf

    2016-05-01

    The Nuclear Age began in 1945 with testing in New Mexico, USA, and the subsequent bombings of Hiroshima and Nagasaki. Regardless of attempts to limit the development of nuclear weapons, the current world arsenal has reached the staggering dimensions and presents a significant concern for the biosphere and mankind. In an explosion of a nuclear weapon, over 400 radioactive isotopes are released into the biosphere, 40 of which pose potential dangers including iodine, cesium, alkaline earths, and actinides. The immediate health effects of nuclear explosions include thermal, mechanical, and acute radiation syndrome. Long-term effects include radioactive fallout, internal contamination, and long-term genotoxicity. The current controversial concern over depleted uranium's somatic and genetic toxicity is still a subject of worldwide sustained research. The host of data generated in the past decades has demonstrated conflicting findings, with the most recent evidence showing that its genotoxicity is greater than previously considered. Of particular concern are the osteotropic properties of uranium isotopes due to their final retention in the crystals of exchangeable and nonexchangeable bone as well as their proximity to pluripotent stem cells. Depleted uranium remains an unresolved issue in both warfare and the search for alternative energy sources. PMID:27002520

  7. Molecular structures of amyloid and prion fibrils: consensus versus controversy.

    PubMed

    Tycko, Robert; Wickner, Reed B

    2013-07-16

    Many peptides and proteins self-assemble into amyloid fibrils. Examples include mammalian and fungal prion proteins, polypeptides associated with human amyloid diseases, and proteins that may have biologically functional amyloid states. To understand the propensity for polypeptides to form amyloid fibrils and to facilitate rational design of amyloid inhibitors and imaging agents, it is necessary to elucidate the molecular structures of these fibrils. Although fibril structures were largely mysterious 15 years ago, a considerable body of reliable structural information about amyloid fibril structures now exists, with essential contributions from solid state nuclear magnetic resonance (NMR) measurements. This Account reviews results from our laboratories and discusses several structural issues that have been controversial. In many cases, the amino acid sequences of amyloid fibrils do not uniquely determine their molecular structures. Self-propagating, molecular-level polymorphism complicates the structure determination problem and can lead to apparent disagreements between results from different laboratories, particularly when different laboratories study different polymorphs. For 40-residue β-amyloid (Aβ₁₋₄₀) fibrils associated with Alzheimer's disease, we have developed detailed structural models from solid state NMR and electron microscopy data for two polymorphs. These polymorphs have similar peptide conformations, identical in-register parallel β-sheet organizations, but different overall symmetry. Other polymorphs have also been partially characterized by solid state NMR and appear to have similar structures. In contrast, cryo-electron microscopy studies that use significantly different fibril growth conditions have identified structures that appear (at low resolution) to be different from those examined by solid state NMR. Based on solid state NMR and electron paramagnetic resonance (EPR) measurements, the in-register parallel β-sheet organization

  8. Ten years of HPV vaccines: State of art and controversies.

    PubMed

    Angioli, Roberto; Lopez, Salvatore; Aloisi, Alessia; Terranova, Corrado; De Cicco, Carlo; Scaletta, Giuseppe; Capriglione, Stella; Miranda, Andrea; Luvero, Daniela; Ricciardi, Roberto; Montera, Roberto; Plotti, Francesco

    2016-06-01

    The human papillomavirus (HPV) represents one of the most common sexually transmitted infections and it has been related to cervical cancer. The HPV vaccines prevent infection with certain species of HPV associated with the development of cervical cancer or genital warts. We carried out a PubMed search up to 2015 evaluating all randomized studies published in literature. This review discusses the current status of HPVs vaccines on the global market, efficacy, safety profiles, controversies and future vaccine developments. Three HPVs vaccines are currently on the global market: bivalent, quadrivalent and ninevalent. Bivalent and quadrivalent vaccines can protect against almost 70% of cervical HPV-related cancerous and precancerous conditions and the ninevalent vaccine, instead, provides a protection against almost 90%. The use of vaccinations raised several controversies in the last years and, currently, is not possible to establish which type of vaccine is most effective, however all of them are safe. PMID:27066937

  9. [Trend in person-situation controversy about personality research].

    PubMed

    Wakabayashi, A

    1993-10-01

    The purpose is to review the trend in "person-situation controversy", and to comment on recent literature and their implications. "Person-situation controversy" is related to whether people do or do not have consistent personality traits. Although the topic is not at all new, it aroused a great deal of interest since the publication of Mischel's (1968) "personality and assessment". Here, we began with Mischel's criticism against the trait approach, then, we discussed two opposite viewpoints of situationism and interactionism. Situationism is the idea that situational variables influence more on the behavior of people than personality traits, while interactionism is the idea that personality traits and situations interact with each other to influence behavior. Furthermore, this article focussed on three conceptual issues, such as consistency, prediction, and meaning of traits. Finally, the reconsideration and evaluation of the two viewpoints were presented from a viewpoint of personality psychology. PMID:8301895

  10. Social controversy belongs in the climate science classroom

    NASA Astrophysics Data System (ADS)

    Walsh, Elizabeth M.; Tsurusaki, Blakely K.

    2014-04-01

    Scientists, educators and stakeholders are grappling with how to best approach climate change education for diverse audiences, a task made difficult due to persistent social controversy. This Perspective examines how sociocultural learning theories can inform the design and implementation of climate change education experiences for learners with varied understandings of and attitudes towards climate change. The literature demonstrates that explicitly addressing learners' social and community experiences, values and knowledge supports understandings of and increased concern about climate change. Science learning environments that situate climate change in its social context can support conceptual understandings, shift attitudes and increase the participation of diverse communities in responding to climate change. Examples are provided of successful programmes that attend to social dimensions and learners' previous experiences, including experiences of social controversy.

  11. Questions raised by the controversy over recovered memories of incest.

    PubMed

    Lief, Harold I

    2003-01-01

    The controversy in the mental health community over recovered memory has been heated. The devastation to families falsely accused of incest has been profound. A fortunate consequence, however, has been the vigorous pursuit of answers to a variety of mind-behavior questions raised by the controversy. In this article I raise some of the important questions and in reply I review and summarize some of the data. Some questions deal with the nature of memory and of unconscious processes, especially the role of implicit memory; the techniques of recovered memory therapy and the evolution of pseudomemories and its relevance to clinical practice; the effects, real and alleged, of trauma; the place of dreams, flashbacks, and repetitive patterns of behavior in the understanding of memory and behavior; and finally, questions dealing with the definition of reality. All of these are important issues for the psychoanalyst. PMID:12866698

  12. Controversial issues in home health care: a roundtable discussion.

    PubMed

    McAllister, J C; Black, B L; Griffin, R E; Smith, J E

    1986-04-01

    Controversial issues in home health care (HHC) were discussed by a panel of four individuals involved in or knowledgeable about HHC. The panel addressed the following issues: reluctance of health professionals to participate in home care, challenges in providing HHC services, assigning responsibility for HHC services, reimbursement considerations in joint-venture arrangements, assuming fiscal responsibility for unreimbursed care, selecting HHC providers, defining patient rights, selecting drug products for home-care patients, competing with community pharmacists, circumvention of pharmacist input in preparation of solutions for home infusion, and the future of HHC. Hospital pharmacists who plan to become involved or are already involved in providing HHC services should become familiar with these controversial issues. PMID:3706341

  13. Understanding the agreements and controversies surrounding childhood psychopharmacology

    PubMed Central

    Parens, Erik; Johnston, Josephine

    2008-01-01

    The number of children in the US taking prescription drugs for emotional and behavioral disturbances is growing dramatically. This growth in the use of psychotropic drugs in pediatric populations has given rise to multiple controversies, ranging from concerns over off-label use and long-term safety to debates about the societal value and cultural meaning of pharmacological treatment of childhood behavioral and emotional disorders. This commentary summarizes the authors' eight main findings from the first of five workshops that seek to understand and produce descriptions of these controversies. The workshop series is convened by The Hastings Center, a bioethics research institute located in Garrison, New York, U.S.A. PMID:18261228

  14. Controversies in the management of primary sclerosing cholangitis.

    PubMed

    Nayagam, Jeremy S; Pereira, Stephen P; Devlin, John; Harrison, Phillip M; Joshi, Deepak

    2016-02-18

    Primary sclerosing cholangitis (PSC) remains a rare but significant disease, which affects mainly young males in association with inflammatory bowel disease. There have been few advances in the understanding of the pathogenesis of the condition and no therapeutics with proven mortality benefit aside from liver transplantation. There remain areas of controversy in the management of PSC which include the differentiation from other cholangiopathies, in particular immunoglobulin G4 related sclerosing cholangitis, the management of dominant biliary strictures, and the role of ursodeoxycholic acid. In addition, the timing of liver transplantation in PSC remains difficult to predict with standard liver severity scores. In this review, we address these controversies and highlight the latest evidence base in the management of PSC. PMID:26925200

  15. Alveolar Osteitis: A Comprehensive Review of Concepts and Controversies

    PubMed Central

    Kolokythas, Antonia; Olech, Eliza; Miloro, Michael

    2010-01-01

    Alveolar osteitis, “dry socket”, remains amongst the most commonly encountered complications following extraction of teeth by general dentists and specialists. A great body of literature is devoted to alveolar osteitis addressing the etiology and pathophysiology of this condition. In addition numerous studies are available discussing methods and techniques to prevent this condition. To this date though great controversy still exists regarding the appropriate terminology used for this condition as well as the actual etiology, pathophysiology, and best methods of prevention and treatment. This article is a comprehensive critical review of the available literature addressing the concepts and controversies surrounding alveolar osteitis. We aim to assist the dental health care professional with patient preparation and management of this commonly encountered postoperative condition should be encountered. PMID:20652078

  16. Chlorine: Undergraduate Research on an Element of Controversy

    NASA Astrophysics Data System (ADS)

    Chang, Hasok

    2009-04-01

    If chemical elements were people, chlorine would be a celebrity. Although intrinsically no more or less important than any other element, chlorine has had a knack of making headlines. The genre of "object biography" has been quite successful in popular science recently. We took this opportunity to write a "biographical" study of chlorine. Chlorine's wide range of interesting controversies is well suited for attracting and maintaining the enthusiasm of the diverse range of students we teach in our department.

  17. Controversies in the antiphospholipid syndrome: can we ever stop warfarin?

    PubMed Central

    Fonseca, Ana G; D'Cruz, David P

    2008-01-01

    Patients with antiphospholipid syndrome are at increased risk for recurrent arterial and venous thrombosis and therefore benefit from long term warfarin therapy. The optimal duration of warfarin therapy after a first venous thromboembolic event is however a matter of some controversy and many questions remain unanswered. After reviewing and analysing the available evidence, we discuss some common scenarios in everyday clinical practice where treatment decisions are difficult. PMID:19014462

  18. Controversies and challenges of vaccination: an interview with Elizabeth Miller.

    PubMed

    Miller, Elizabeth

    2015-01-01

    Although strong evidence exists that the benefits of vaccination by far outweigh potential adverse events, controversy still exists. This has led opponents of vaccination to question its safety, efficacy and necessity. In an interview with Professor Elizabeth Miller, we discuss the continuum of beliefs held by vaccine refusers and hesitators, the resulting health consequences, and ways in which health professionals and industry regulators can help promote transparency to better convey the substantial health benefits of vaccination. PMID:26472230

  19. Controversies in Knee Rehabilitation: Anterior Cruciate Ligament Injury

    PubMed Central

    Failla, Mathew J.; Arundale, Amelia J.H.; Logerstedt, David S.; Snyder-Mackler, Lynn

    2014-01-01

    Controversy in management of athletes exists after anterior cruciate ligament injury and reconstruction. Consensus criteria for evaluating successful outcomes following ACL injury include no re-injury or recurrent giving way, no joint effusion, quadriceps strength symmetry, restored activity level and function, and returning to pre-injury sports. Using these criterions, we will review the success rates of current management strategies after ACL injury and provide recommendations for the counseling of athletes after ACL injury. PMID:25818715

  20. The tidelands oil controversy: The prize and the responsibility

    SciTech Connect

    Hagar, A.V.

    1995-12-31

    This article reviews the legal history of the Tidelands oil controversy in the Santa Barbara Channel of Southern California. A blowout of a well in an offshore platform in 1969 marked the beginning of California`s anti-oil movement. Santa Barbara today is a combination of industrialization and recreation, and like the oil and water that are the lifeblood of these two pursuits, they do not mix.

  1. Monarch butterfly migration in North America: Controversy and conservation.

    PubMed

    Malcolm, S B

    1987-05-01

    The monarch butterfly is the most spectacular example of insect migration known. Monarchs are threatened by the destruction of their over-wintering sites in Mexico, California and elsewhere, and many efforts are being made to conserve these sites. However, a controversial recent suggestion, that some monarch populations may not migrate at all, has jeopardized some of these efforts. This article assesses the evidence for and against the new suggestion. PMID:21227836

  2. Common controversies in total knee replacement surgery: Current evidence

    PubMed Central

    Nikolaou, Vasileios S; Chytas, Dimitrios; Babis, George C

    2014-01-01

    Total knee replacement (TKR) is a widely used operation that has radically improved the quality of life of millions of people during the last few decades. However, some technical details, concerning the surgical procedure and the rehabilitation following total knee arthroplasty, are still a matter of a strong debate. In this review of the literature, we have included the best evidence available of the last decade, in an effort to shed light on some of the most controversial subjects related to TKR surgery. Posterior-stabilized or cruciate-retaining prosthesis? To use a tourniquet during operation or not? Do patients need continuous passive motion for their post-surgery rehabilitation? To resurface patella or not? These are some of the most controversial topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and more well conducted high quality trials are needed in order to gain more secure answers. At the same time, it is becoming apparent that a meticulous operative technique, respecting the soft tissue envelope and knowing the principles of alignment and soft tissue balancing, are some of the parameters that might contribute more to achieving the optimal results for the patients. PMID:25232522

  3. Empowerment in healthcare policy making: three domains of substantive controversy.

    PubMed

    Chiapperino, Luca; Tengland, Per-Anders

    2015-12-01

    This paper distinguishes between the uses of empowerment across different contexts in healthcare policy and health promotion, providing a model for the ethical and political scrutiny of those uses. We argue that the controversies currently engendered by empowerment are better understood by means of a historical distinction between two concepts of empowerment, namely, what we call the radical empowerment approach and the new wave of empowerment. Building on this distinction, we present a research agenda for ethicists and policy makers, highlighting three domains of controversy raised by the new wave of empowerment, namely: (1) the relationship between empowerment and paternalistic interferences on the part of professionals; (2) the evaluative commitment of empowerment strategies to the achievement of health-related goals; and (3) the problems arising from the emphasis on responsibility for health in recent uses of empowerment. Finally, we encourage the explicit theorisation of these moral controversies as a necessary step for the development and implementation of ethically legitimate empowerment processes. PMID:26650538

  4. Embryo stem cell research: ten years of controversy.

    PubMed

    Robertson, John A

    2010-01-01

    This overview of 10 years of stem cell controversy reviews the moral conflict that has made ESCs so controversial and how this conflict plays itself out in the legal realm, focusing on the constitutional status of efforts to ban ESC research or ESC-derived therapies. It provides a history of the federal funding debate from the Carter to the Obama administrations, and the importance of the Raab memo in authorizing federal funding for research with privately derived ESCs despite the Dickey-Wicker ban on federal funding of embryo research. It also reviews the role that scientists themselves have played in developing regulations for ESC research, the emergence of ESCROs as special review bodies for ESC research, and the thorough consent requirements for donation of IVF embryos to ESC research. With research now transitioning from the lab to the clinic, the article reviews the challenges of ensuring safety and consent in translational research. It concludes with a call for respecting those persons who have to using or working with ESC products and an account of how obtaining stem cells from a person's own cells will alleviate some but not all of the controversy surrounding ESC research. PMID:20579242

  5. Open questions in autoimmunity: discussions from the 2013 Controversies in Rheumatology and Autoimmunity Meeting.

    PubMed

    Selmi, Carlo; Shoenfeld, Yehuda

    2014-01-01

    The recent CORA (Controversies in Rheumatology and Autoimmunity) meeting held in 2013 represented a unique opportunity for rheumatologists to address several topics. Among these, four topics include: (i) the role of epigenetic changes in the pathogenesis of rheumatoid arthritis (RA), as shown by studies in monozygotic twins; (ii) the cardiovascular and atherosclerotic risk in patients with RA treated with biologics; (iii) the use of new biomarkers for the diagnosis and follow-up of RA and other autoimmune diseases, as represented by the new automatic machines for anti-nuclear antibodies detection, or ultrasound imaging to follow RA progression; and (iv) the latest guidelines on how to use and manage biologic therapies in RA and other autoimmune diseases, such as lupus. In summary, we will herein present these topics of discussion and underline the conclusions obtained by rheumatologists during the 2013 CORA Meeting. PMID:24642104

  6. France`s nuclear dilemmas

    SciTech Connect

    Yost, D.S.

    1996-01-01

    Ignoring worldwide protests, France conducted the first of several scheduled nuclear tests in September. The controversy has overshadowed France`s more important nuclear challenges: maintaining a strong deterrent under a test ban, moving ahead with its proposals for {open_quotes}Europeanization{close_quotes} of that deterrent, and developing a consensus on how nuclear threats should be used in response to those who would brandish other weapons of mass destruction. 1 fig.

  7. Teaching Controversial Topics to Skeptical High School Students

    NASA Astrophysics Data System (ADS)

    Ford, K. S.

    2012-12-01

    Tennessee passes the "Monkey Bill" (HB 0368, SB 0893), North Carolina's state government passes a law to criminalize reference in state documents to scientific models that predict sea level rise to reach at least one meter by the next century, and public concern still lags far behind the scientific community's concern on climate change. The American public and even science teachers across the country seem to have lost faith in the ability of the scientific community to unify a strong message about several important scientific lessons, including global warming in particular. This lack of a unified message has weakened the ability of science teachers to effectively teach the lesson of global warming. For science teachers in strongly conservative areas of the country, it is much easier to omit difficult topics and avoid angering parents and school board members. Teachers who do feel strongly about scientifically proven, yet publically controversial topics CAN teach these topics in conservative areas by confirming students' belief systems by being honest and open about motivations surrounding both sides of controversial topics, and by using vocabulary that avoids triggering negative perceptions about these controversial topics. For true learning and change of preconceived opinion to take place, it is important for students to come to the understanding in their own minds in an open and safe learning environment instead of having the message "preached" to them, which only serves to make them feel unintelligent and defensive if they disagree. This presentation will include lessons learned from a practicing science teacher who works in a community that overwhelmingly disputes the validity of human impacts on climate change.

  8. Nuclear Winter: Uncertainties Surround the Long-Term Effects of Nuclear War. Report to the Congress.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC.

    Nuclear winter, a term used to describe potential long-term climate and environmental effects of nuclear war, has been a subject of debate and controversy. This report examines and presents scientific and policy implications of nuclear winter. Contents include: (1) an executive summary (highlighting previous and current studies on the topic); (2)…

  9. Agonist treatment in opioid use: advances and controversy.

    PubMed

    Viswanath, Biju; Chand, Prabhat; Benegal, Vivek; Murthy, Pratima

    2012-06-01

    Opioid dependence is a chronic relapsing condition which requires comprehensive care; pharmacological agents form the mainstay of its long term treatment. The two most popular approaches are the harm reduction method using agonists and the complete abstinence method using antagonists. Currently, particularly from the harm minimization perspective and the low feasibility of an abstinence based approach, there is an increasing trend toward agonist treatment. The use of buprenorphine has gained popularity in view of its safety profile and the availability of the buprenorphine-naloxone combination has made it popular as a take-home treatment. This review outlines the pharmacological advances and controversies in this area. PMID:22813654

  10. Cancer stem cell targeted therapy: progress amid controversies

    PubMed Central

    Wang, Tao; Shigdar, Sarah; Gantier, Michael P.; Hou, Yingchun; Wang, Li; Li, Yong; Shamaileh, Hadi Al; Yin, Wang; Zhou, Shu-Feng; Zhao, Xinhan; Duan, Wei

    2015-01-01

    Although cancer stem cells have been well characterized in numerous malignancies, the fundamental characteristics of this group of cells, however, have been challenged by some recent observations: cancer stem cells may not necessary to be rare within tumors; cancer stem cells and non-cancer stem cells may undergo reversible phenotypic changes; and the cancer stem cells phenotype can vary substantially between patients. Here the current status and progresses of cancer stem cells theory is illustrated and via providing a panoramic view of cancer therapy, we addressed the recent controversies regarding the feasibility of cancer stem cells targeted anti-cancer therapy. PMID:26496035

  11. Global challenges, efforts, and controversies in neonatal care.

    PubMed

    St Clair, Nicole E; Batra, Maneesh; Kuzminski, Jacquelyn; Lee, Anne C C; O'Callahan, Cliff

    2014-12-01

    Simple low-cost, evidence-based interventions such as clean delivery practices, immediate warming, umbilical cord care, and neonatal resuscitation could prevent 40% to 70% of newborn deaths globally, but many obstacles preclude the provision of those basic interventions for all newborns, particularly in low-resource regions. Global efforts have led to widespread development of neonatal clinical practice guidelines, training programs, and policies. Because of a shortage of health care resources, standards of care have been redefined to meet the needs of underserved populations. This article provides an overview of the challenges, efforts, and controversies surrounding neonatal health in low-resource settings. PMID:25459772

  12. Beyond Controversies: Sexuality Education for Adolescents in India

    PubMed Central

    Khubchandani, Jagdish; Clark, Jeffrey; Kumar, Raman

    2014-01-01

    Sexuality education for adolescents is one of the most controversial topics in the field of child health. In the past decade, policymakers in India have also struggled with the issue and there has been greater public discourse. However, policymaking and public discussions on adolescent sexuality education are frequently fueled by religious, social, and cultural values, while receiving scant scientific attention. To meet the needs of an expanding young population in India, scientific evidence for best practices must be kept at the core of policymaking in the context of sexuality education for adolescents. PMID:25374847

  13. Controversies in the Management of Traumatic Brain Injury.

    PubMed

    Jinadasa, Sayuri; Boone, M Dustin

    2016-09-01

    Traumatic brain injury (TBI) is a physical insult (a bump, jolt, or blow) to the brain that results in temporary or permanent impairment of normal brain function. TBI describes a heterogeneous group of disorders. The resulting secondary injury, namely brain swelling and its sequelae, is the reason why patients with these vastly different initial insults are homogenously treated. Much of the evidence for the management of TBI is poor or conflicting, and thus definitive guidelines are largely unavailable for clinicians at this time. A substantial portion of this article focuses on discussing the controversies in the management of TBI. PMID:27521198

  14. Controversies in the Management of the Trauma Patient.

    PubMed

    Rodman, Regina E; Kellman, Robert M

    2016-08-01

    Facial trauma is a significant cause of morbidity in the United States. Despite the large volume of trauma surgeries at most academic institutions, there is still controversy regarding management of many traumatic injuries. The literature lacks clear-cut best practices for most fractures. In orbital trauma, there is debate about the optimal timing of repair, preferred biomaterial to be used, and the utility of evaluation afterward with intraoperative computed tomographic scan. In repair of mandible fractures, there is debate regarding open versus closed reduction of subcondylar fractures, or alternatively, endoscopic repair. PMID:27400843

  15. Controversies and Trends in United Kingdom Bunion Surgery.

    PubMed

    Harrison, William D; Walker, Christopher R

    2016-06-01

    Current practice and controversies in UK bunion surgery are discussed. Patients tend to be offered a distally based metatarsal osteotomy, such as a chevron or scarf osteotomy, for mild to moderate symptomatic bunions. Greater deformities are managed with a more extreme scarf, supplemented with a proximal phalangeal osteotomy. A proximal fusion in the form of the Lapidus-type procedure is still reserved for the most severe, hypermobile, or arthritic cases. Minimally invasive techniques for bunions have failed to disseminate into common UK practice. The trends in the United Kingdom regarding litigation, venous thromboembolism, and osteodesis for bunion surgery are also discussed. PMID:27261802

  16. The XY female in sport: the controversy continues.

    PubMed Central

    Hipkin, L J

    1993-01-01

    The summer and winter Olympic Games have been accompanied by much press coverage of the controversy and confusion over sex tests for sportswomen. Much of this has centred on the eligibility of subjects with androgen insensitivity to compete in women's events. The purpose of this paper is to review the process of sex differentiation and its abnormalities, highlighting those conditions in which biologically active testosterone is secreted which might confer an advantage in women's sporting events. Images Figure 1 Figure 2 Figure 6 Figure 7 Figure 8 Figure 9 PMID:8242269

  17. Antidepressant Use During Pregnancy: Current Controversies and Treatment Strategies

    PubMed Central

    Payne, Jennifer L.; Meltzer-Brody, Samantha

    2009-01-01

    The treatment of depression during pregnancy is both a common and complex clinical challenge. The decision to expose the fetus to antidepressant medication during pregnancy must be weighed against the risks of untreated maternal depression to both mother and fetus. Maternal depression during pregnancy has been associated with increased rates of preterm birth and maternal substance use. The safety of antidepressant use during pregnancy appears to be largely reassuring but there remain two areas of controversy including neonatal withdrawal syndrome and primary pulmonary hypertension of the newborn (PPHN). Individualized treatment recommendations based on the patient's history are essential in order to optimize outcomes. PMID:19661762

  18. Breast cancer screening controversies: who, when, why, and how?

    PubMed

    Chetlen, Alison; Mack, Julie; Chan, Tiffany

    2016-01-01

    Mammographic screening is effective in reducing mortality from breast cancer. The issue is not whether mammography is effective, but whether the false positive rate and false negative rates can be reduced. This review will discuss controversies including the reduction in breast cancer mortality, overdiagnosis, the ideal screening candidate, and the optimal imaging modality for breast cancer screening. The article will compare and contrast screening mammography, tomosynthesis, whole-breast screening ultrasound, magnetic resonance imaging, and molecular breast imaging. Though supplemental imaging modalities are being utilized to improve breast cancer diagnosis, mammography still remains the gold standard for breast cancer screening. PMID:26093511

  19. Controversies in water management: Frames and mental models

    SciTech Connect

    Kolkman, M.J. Veen, A. van der Geurts, P.A.T.M.

    2007-10-15

    Controversies in decision and policy-making processes can be analysed using frame reflection and mental model mapping techniques. The purpose of the method presented in this paper is to improve the quality of the information and interpretations available to decision makers, by surfacing and juxtaposing the different frames of decision makers, experts, and special interests groups. The research provides a new method to analyse frames. It defines a frame to consist of perspectives and a mental model, which are in close interaction (through second order learning processes). The mental model acts like a 'filter' through which the problem situation is observed. Five major perspective types guide the construction of meaning out of the information delivered by the mental model, and determine what actors see as their interests. The perspective types are related to an actor's institutional and personal position in the decision making process. The method was applied to a case, in order to test its viability. The case concerns the decision making process and environmental impact assessment procedure for the improvement of dike ring 53 in the Netherlands, which was initiated by the Dutch 'Flood Defences Act 1996'. In this specific case the perspectives and mental models of stakeholders were elicited to explain controversies. The case was analysed with regard to the conflicts emerging between stakeholders, on an individual level. The influence of institutional embedding of individuals on the use of information and the construction of meaning, and the limits of a participatory approach were analysed within the details of controversies that emerged during the case analysis. Complicating factor appeared to be the interaction between national dike safety norms (short term) and local water management problems (long term). Revealed controversies mainly concerned disputes between an organisational and a technical perspective. But also disputes on distribution of responsibilities

  20. Case-Based Teacher Preparation for Teaching Controversial Topics in Middle School

    ERIC Educational Resources Information Center

    Muth, K. Denise; Polizzi, Nicholas C.; Glynn, Shawn M.

    2007-01-01

    Many middle school teachers are not prepared to develop units and lesson plans on controversial topics. In addition, many are not prepared to respond effectively when controversial topics arise unexpectedly during routine lessons. This is a significant problem because controversial topics are arising with increasing frequency in middle school…

  1. Several Controversial Issues on Early Childhood Education and Care in Contemporary Japan.

    ERIC Educational Resources Information Center

    Takeuchi, Michio

    This paper provides an overview of current controversial issues in early childhood education in Japan. One controversy discussed is the increasing emphasis on cognitive development in early childhood programs since World War II, especially the focus on reading and writing; and presents the controversy surrounding the task of learning Japanese and…

  2. Some Personal Perspectives on Controversial Practices in Early Childhood Special Education.

    ERIC Educational Resources Information Center

    Strain, Phillip S.; van den Pol, Richard

    1999-01-01

    This response to McWilliams (EC 623 401) concerning controversial early intervention practices with young children with disabilities recounts the authors' involvement with programs originally considered controversial but now generally accepted. It notes that controversial practices that merit review and study and those that are hopelessly flawed…

  3. Communications Contingency Plan: Planning for Crises and Controversy. Phase 1

    NASA Technical Reports Server (NTRS)

    Treise, Deborah; Bernstein, Arla G.; Yates, Brad

    1998-01-01

    Interviews were conducted with a variety of Marshall Space Flight Center personnel and local media representatives in Huntsville, Alabama, in order to identify the current perceptions of these individuals regarding communication effectiveness between MSFC and the media. The purposes of the Phase One report are to (1) assess the need for a contingency plan for communicating in situations of crisis and controversy; (2) identify goals and objectives for the planning process; and (3) provide recommendations for future planning activities to achieve the goals and objectives outlined in Phase One. It is strongly recommended that MSFC personnel who are involved in communications with the media participate in a facilitated, strategic communications planning process in order to develop Phase Two of the Communications Contingency Plan (CCP). Phase Two will address (1) the categorizing, ranking and prioritizing of crises and controversies; (2) the development of action steps and implementation strategies for the CCP; and (3) the development of a monitoring and evaluation process for ongoing plan effectiveness.

  4. Distinguishing GERD from eosinophilic oesophagitis: concepts and controversies

    PubMed Central

    2016-01-01

    Over the past three decades, the detection of oesophageal mucosal eosinophils has transitioned from a biomarker of GERD to a diagnostic criterion for eosinophilic oesophagitis (EoE). In GERD, oesophageal eosinophils are considered part of the chronic inflammatory response to acid reflux, whereas the marked eosinophilia in EoE is viewed as a central feature of the immune response to ingested food and/or environmental antigen stimulation. Descriptions of a considerable subset of patients with symptomatic, endoscopic and histological findings of EoE that resolve with PPI therapy has led to confusion and controversy regarding the distinction of EoE from GERD. Study findings indicate that PPI-responsive oesophageal eosinophilia (PPI-REE) more closely resembles EoE than GERD, both from a clinical and immunological aspect. Although responsiveness to PPI therapy should not be utilized to exclude EoE, PPI therapy is effective at reducing oesophageal eosinophilia in ~40% of patients, and PPI therapy is both a safe and practical initial step in the management of patients with oesophageal eosinophilia. Ongoing studies elucidating the mechanism behind PPI-REE will improve our understanding and management of EoE. In this Review, the mechanisms and evidence that underlie the controversy in the distinction between GERD and EoE are evaluated. PMID:25986303

  5. Lung Transplantation in Cystic Fibrosis: Trends and Controversies

    PubMed Central

    Sweet, Stuart

    2015-01-01

    This article is not an overview of all facets of lung transplantation in cystic fibrosis (CF), but rather it is intended as a review of current allocation controversies, as well as of trends in diagnostics and management in lung transplant recipients and in patients with end-stage lung disease. Despite changes in donor and recipient selection, long-term survival in pediatric lung transplant has continued to be limited by chronic lung allograft dysfunction (CLAD). Due to, in part, this short survival benefit, transplant continues to be an appropriate option for only a subset of pediatric patients with CF. The feasibility of transplant as a therapeutic option is also affected by the limited pediatric organ supply, which has moreover contributed to controversy over lung allocation. Debates over the allocation of this scarce resource, however, may also help to drive innovation in the field of lung transplant. Longer pretransplant survival—as aided by new lung bypass technologies, for example—could help to alleviate organ shortages, as well as facilitate the transport of organs to suitable pediatric recipients. Improved diagnosis and treatment for CLAD and for antibody-mediated rejection have the potential to extend survival in pediatric lung transplant. Regardless, the relative rarity of transplant could pose future challenges for pediatric lung transplant programs, which require adequate numbers of patients to maintain proper expertise. PMID:26697265

  6. Staggering successes amid controversy in California water management

    NASA Astrophysics Data System (ADS)

    Lund, J. R.

    2012-12-01

    Water in California has always been important and controversial, and it probably always will be. California has a large, growing economy and population in a semi-arid climate. But California's aridity, hydrologic variability, and water controversies have not precluded considerable economic successes. The successes of California's water system have stemmed from the decentralization of water management with historically punctuated periods of more centralized strategic decision-making. Decentralized management has allowed California's water users to efficiently explore incremental solutions to water problems, ranging from early local development of water systems (such as Hetch Hetchy, Owens Valley, and numerous local irrigation projects) to more contemporary efforts at water conservation, water markets, wastewater reuse, and conjunctive use of surface and groundwater. In the cacophony of local and stakeholder interests, strategic decisions have been more difficult, and consequently occur less frequently. California state water projects and Sacramento Valley flood control are examples where decades of effort, crises, floods and droughts were needed to mobilize local interests to agree to major strategic decisions. Currently, the state is faced with making strategic environmental and water management decisions regarding its deteriorating Sacramento-San Joaquin Delta. Not surprisingly, human uncertainties and physical and fiscal non-stationarities dominate this process.

  7. Review of controversies in management of non-benign meningioma.

    PubMed

    Paldor, Iddo; Awad, Mohammed; Sufaro, Yuval Z; Kaye, Andrew H; Shoshan, Yigal

    2016-09-01

    Meningiomas are one of the most common brain tumors. World Health Organisation (WHO) Grade II and Grade III meningiomas are grouped together as non-benign meningioma (NBM). There are several controversies surrounding NBM management, including the significance of extent of resection and the efficacy of post-operative radiation and drug treatment. We reviewed the literature to develop recommendations for management of NBM. The questions we sought to answer were: Does gross total resection (GTR) improve patient outcome? Is radiation therapy (RT) warranted after complete or after incomplete resection of NBM? What drug therapies have been proven to improve outcome in patients with NBM? We found that GTR improves outcome in WHO Grade II meningioma, and should be attempted whenever considered safe. GTR correlates less closely to outcome in Grade III meningioma compared to subtotal resection (STR). Extreme measures to completely resect Grade III meningioma are not warranted. RT following GTR of Grade II meningioma does not improve patient outcome, and may be reserved for recurrence. RT improves outcome following STR of Grade II meningioma. RT improves outcome after resection of Grade III meningioma. No drug therapy has been shown to improve outcome in NBM. This review elucidates recommendations for some of the controversies involving NBM. PMID:27338209

  8. Issues and controversies with vitamin A in childhood.

    PubMed

    Murguía Peniche, María Teresa

    2012-01-01

    Vitamin A deficiency is common in the developing world. Vitamin A supplementation (VAS) has been used to prevent or treat vitamin A deficiency and to decrease mortality and morbidity in children. However, there are still controversial issues in relation to the role of universal VAS in different populations. Thus, studies that look at mortality outcomes reveal that VAS decreases mortality in children >6 months of age; however, there is still controversy on the extent to which reduction in morbidity from diarrhea and respiratory infection, other than measles, decreases mortality. Studies in infants 1-5 months old show no protective effect of VAS on mortality; whether this is secondary to environmental influences (breastfeeding), or interactions with DTP vaccine, needs to be further investigated. Studies with VAS in newborns have resulted in contrasting results in countries in Africa and Asia; trials are underway to better understand this. VAS does not have a universal protective effect on lower respiratory tract infection in children; some studies reveal an increase in respiratory morbidity associated with VAS, especially in well-nourished children; in contrast, VAS may confer some protection to malnourished children. The interaction of VAS with different vaccines is under current debate; some discussions are presented. PMID:25825299

  9. Polycystic ovary syndrome: the controversy of diagnosis by ultrasound.

    PubMed

    Porter, Misty Blanchette

    2008-05-01

    Polycystic ovary syndrome (PCOS) is a heterogeneous endocrine disorder. The criteria used to establish the diagnosis remain controversial. The 1990 National Institutes of Health conference guidelines required a combination of both chronic anovulation and clinical/or biochemical signs of hyperandrogenism. These criteria were revised in 2003 at the Rotterdam European Society of Human Reproduction and Embryology/American Society of Reproductive Medicine consensus workshop to include ultrasound polycystic ovarian morphology (PCOM) as one of the two of three criteria necessary for establishing the diagnosis of PCOS. The inclusion of PCOM sparked a controversy as it broadens the population of women who meet the criteria for PCOS and allows for the creation of two phenotypically different patient populations who previously would have been excluded. The ultrasound findings, which are consistent with PCOM, include an assessment of follicle number and/or ovarian volume. As technology advances with two-dimensional and three-dimensional ultrasound, our ability to discretely evaluate independent portions of the ovary may help to redefine the criteria of PCOM and thus standardize for clinical and research interests a more specific descriptor for PCOM. PMID:18504699

  10. Automixis in Artemia: solving a century-old controversy.

    PubMed

    Nougué, O; Rode, N O; Jabbour-Zahab, R; Ségard, A; Chevin, L-M; Haag, C R; Lenormand, T

    2015-12-01

    Parthenogenesis (reproduction through unfertilized eggs) encompasses a variety of reproduction modes with (automixis) or without (apomixis) meiosis. Different modes of automixis have very different genetic and evolutionary consequences but can be particularly difficult to tease apart. In this study, we propose a new method to discriminate different types of automixis from population-level genetic data. We apply this method to diploid Artemia parthenogenetica, a crustacean whose reproductive mode remains controversial despite a century of intensive cytogenetic observations. We focus on A. parthenogenetica from two western Mediterranean populations. We show that they are diploid and that markers remain heterozygous in cultures maintained up to ~36 generations in the laboratory. Moreover, parallel patterns of population-wide heterozygosity levels between the two natural populations strongly support the conclusion that diploid A. parthenogenetica reproduce by automictic parthenogenesis with central fusion and low, but nonzero recombination. This settles a century-old controversy on Artemia, and, more generally, suggests that many automictic organisms harbour steep within-chromosome gradients of heterozygosity due to a transition from clonal transmission in centromere-proximal regions to a form of inbreeding similar to self-fertilization in centromere-distal regions. Such systems therefore offer a new avenue for contrasting the genomic consequences of asexuality and inbreeding. PMID:26356354

  11. Hormonal Therapy in Metastatic Prostate Cancer: Current Perspectives and Controversies

    PubMed Central

    Garg, Manish; Singh, Vishwajeet; Kumar, Manoj; Sankhwar, Satya Narayan

    2013-01-01

    Ever since the introduction of androgen deprivation therapy (ADT) in prostate cancer, various controversial aspects of hormonal therapy have come to light. There has been tremendous progress in this area, marked by several important developments in the availability of various new androgen-suppressing agents and refinements to the existing therapies. Parallel to these developments, various more debatable aspects have arisen in the use of these therapies with regards to their negative impact on quality of life parameters. Various modifications in these hormonal agents, their doses, and protocols have been tried in different scenarios in order to improve ADT tolerability. As a result, these controversies continue to evolve even with optimal use of the androgen ablation therapy. This review assesses the present status of hormonal therapy in metastatic prostate cancer and specifically deals with those aspects of androgen ablation therapy that are still a subject of debate. In spite of the fact that various trials have been conducted, some of which are still ongoing, the multitude of questions related to the best possible use of these hormonal agents have still not been answered. Treatment guidelines concerning these issues are continuing to evolve as progress continues to be made in this field. PMID:25992227

  12. Important controversies associated with isotretinoin therapy for acne.

    PubMed

    Wolverton, Stephen E; Harper, Julie C

    2013-04-01

    Isotretinoin is a remarkably effective drug for severe, recalcitrant acne vulgaris. Soon after the drug's release in the early 1980s, a number of important adverse effects were reported subsequently leading to a variety of medical and medicolegal controversies. Three of these controversies will be highlighted concerning the putative role of isotretinoin in (1) depression and suicide, (2) inflammatory bowel disease, and (3) iPledge and pregnancy prevention programs. It appears that a very small subset of patients receiving isotretinoin for acne are at risk for depression, which is very manageable provided there is adequate patient awareness of the possibility, maximum communication between the patient and physician, and cessation of therapy if clinically important depression occurs (after which the depression rapidly resolves in a week or less). Multiple controlled studies actually suggest a very favorable effect of isotretinoin on depression and anxiety common in the population requiring isotretinoin. With regard to inflammatory bowel disease, in just one study, only ulcerative colitis association with isotretinoin reached statistical significance. The actual incidence of this association is strikingly low. Finally, it is clear that even the most recent pregnancy prevention program (iPledge) is no more successful than prior programs; there will likely always be a small number of female patients becoming pregnant while receiving isotretinoin for acne vulgaris. PMID:23559397

  13. Hematopoietic cell transplantation for hemophagocytic lymphohistiocytosis: recent advances and controversies

    PubMed Central

    2015-01-01

    Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening hyperinflammatory clinical syndrome of uncontrolled immune response which results in hypercytokinemia due to underlying primary or secondary immune defect. A number of genetic defects in transport, processing and function of cytotoxic granules which result in defective granule exocytosis and cytotoxicity of cytotoxic T lymphocytes (CTL) and natural killer (NK) cells have been well identified at the cellular and molecular level. Important advances have been made during the last 20 years in the diagnosis and treatment of HLH. The Histiocyte Society has proposed diagnostic guideline using both clinical and laboratory findings in HLH-2004 protocol, and this has been modified partly in 2009. HLH used to be a fatal disease, but the survival of HLH patients has improved to more than 60% with the use of chemoimmunotherapy combined with hematopoietic cell transplantation (HCT) over the past 2 decades. However, HCT is still the only curative option of treatment for primary HLH and refractory/relapsed HLH after proper chemoimmunotherapy. The outcome of HCT for HLH patients was also improved steadily during last decades, but HCT for HLH still carries significant mortality and morbidity. Moreover, there remain ongoing controversies in various aspects of HCT including indication of HCT, donor selection, timing of HCT, conditioning regimen, and mixed chimerism after HCT. This review summarized the important practical issues which were proven by previous studies on HCT for HLH, and tried to delineate the controversies among them. PMID:26457279

  14. Playful biometrics: controversial technology through the lens of play.

    PubMed

    Ellerbrok, Ariane

    2011-01-01

    This article considers the role of play in the context of technological emergence and expansion, particularly as it relates to recently emerging surveillance technologies. As a case study, I consider the trajectory of automated face recognition—a biometric technology of numerous applications, from its more controversial manifestations under the rubric of national security to a clearly emerging orientation toward play. This shift toward “playful” biometrics—or from a technology traditionally coded as “hard” to one now increasingly coded as “soft”—is critical insofar as it renders problematic the traditional modes of critique that have, up until this point, challenged the expansion of biometric systems into increasingly ubiquitous realms of everyday life. In response to this dynamic, I propose theorizing the expansion of face recognition specifically in relation to “play,” a step that allows us to broaden the critical space around newly emerging playful biometrics, as well as playful surveillance more generally. In addition, play may also have relevance for theorizing other forms of controversial technology, particularly given its potential role in processes of obfuscation, normalization, and marginalization. PMID:22175066

  15. Measles virus 1998-2002: progress and controversy.

    PubMed

    Rall, Glenn F

    2003-01-01

    Despite the extensive media exposure that viruses such as West Nile, Norwalk, and Ebola have received lately, and the emerging threat that old pathogens may reappear as new agents of terrorism, measles virus (MV) persists as one of the leading causes of death by infectious agents worldwide, approaching the annual mortality rate of human immunodeficiency virus (HIV)-1. For most MV victims, fatality is indirect: Virus-induced transient immunosuppression predisposes the individual to opportunistic infections that, left untreated, can result in mortality. In rare cases, MV may also cause progressive neurodegenerative disease. During the past five years (1998-2002), development of animal models and the application of reverse genetics and immunological assays have collectively contributed to major progress in our understanding of MV biology and pathogenesis. Nevertheless, questions and controversies remain that are the basis for future research. In this review, major advances and current debates are discussed, including MV receptor usage, the cellular basis of immunosuppression, the suspected role of MV in "nonviral" diseases such as multiple sclerosis and Paget's disease, and the controversy surrounding MV vaccine safety. PMID:14527283

  16. Current controversies in the management of malignant pleural effusions.

    PubMed

    Azzopardi, Maree; Porcel, José M; Koegelenberg, Coenraad F N; Lee, Y C Gary; Fysh, Edward T H

    2014-12-01

    Malignant pleural effusion (MPE) can complicate most malignancies and is a common clinical problem presenting to respiratory and cancer care physicians. Despite its frequent occurrence, current knowledge of MPE remains limited and controversy surrounds almost every aspect in its diagnosis and management. A lack of robust data has led to significant practice variations worldwide, inefficiencies in healthcare provision, and threats to patient safety. Recent studies have highlighted evolving concepts in MPE care that challenge traditional beliefs. Advancing laboratory techniques have improved the diagnostic yield from pleural fluid cytology, minimizing the need for invasive tissue biopsies, even in many cases of mesothelioma. Imaging-guided biopsy is comparable to thoracoscopy in suitable patients, if cytological examination was noncontributory. Cumulating evidence for the benefits of indwelling pleural catheters (IPCs) has led some centers to adopt this approach as first-line definitive management for MPE over conventional talc pleurodesis. The optimal technique of talc pleurodesis is still debated despite its use for many decades. Strategies combining pleurodesis and IPC are being studied. MPE consists of a heterogenous group of diseases and careful phenotyping of malignant effusion patients can provide important clinical information that will advance the field and allow better stratification of patients and planning of therapy accordingly. This review addresses the controversies in MPE diagnosis and management and exposes the deficits in knowledge of MPE that should be the focus of future research. PMID:25463163

  17. Solving the United States National Park overflight controversy

    NASA Astrophysics Data System (ADS)

    Eisinger, Douglas S.; Peacock, Marcus C.; Falk, Steven B.

    1989-03-01

    By mid-1990 the National Park Service (NPS) must present to Congress recommendations for managing overflights of at least ten national parks. The authors examine the potential role of formal negotiation in setting overflight policy in these parks by reviewing the overflight controversy at Grand Canyon National Park (GCNP). Regulations controlling overflights of the GCNP are only now being implemented after a 17-year conflict that culminated in a congressionally mandated solution. The authors review this controversy and find that, contrary to common perception, the number of park visitors bothered by overflights is not small but roughly equals the number of airborne visitors (up to 450,000 per year). On the basis of this investigation, the authors determine that formal negotiation would have been an appropriate policy-making process because of the clearly defined and limited number of parties and issues involved. Considering the number of park visitors that will continue to be affected by this issue, the authors conclude that formal negotiations should be considered for overflight problems involving other parks. Such negotiations should be park-specific. Differences in park size, extent of the problem, and parties involved would prohibit park-wide negotiations.

  18. Seborrheic dermatitis: etiology, risk factors, and treatments: facts and controversies.

    PubMed

    Dessinioti, Clio; Katsambas, Andreas

    2013-01-01

    Seborrheic dermatitis (SD) is a common skin condition seen frequently in clinical practice. The use of varying terms such as sebopsoriasis, seborrheic dermatitis, seborrheic eczema, dandruff, and pityriasis capitis reflects the complex nature of this condition. Despite its frequency, much controversy remains regarding the pathogenesis of SD. This controversy extends to its classification in the spectrum of cutaneous diseases, having being classified as a form of dermatitis, a fungal disease, or an inflammatory disease, closely related with psoriasis. Some have postulated that SD is caused by Malassezia yeasts, based on the observation of their presence in affected skin and the therapeutic response to antifungal agents. Others have proposed that Malassezia is incidental to a primary inflammatory dermatosis that resulted in increased cell turnover, scaling, and inflammation in the epidermis, similar to psoriasis. The presence of host susceptibility factors, permitting the transition of M furfur to its pathogenic form, may be associated with immune response and inflammation. Metabolites produced by Malassezia species, including oleic acid, malssezin, and indole-3-carbaldehyde, have been implicated. SD also has been traditionally considered to be a form of dermatitis based on the presence of Malassezia in healthy skin, the absence the pathogenic mycelial form of Malassezia yeasts in SD, and its chronic course. As a result, proposed treatments vary, ranging from topical corticosteroids to topical antifungals and antimicrobial peptides. PMID:23806151

  19. Controversies and research agenda in nephropathic cystinosis: conclusions from a "Kidney Disease: Improving Global Outcomes" (KDIGO) Controversies Conference.

    PubMed

    Langman, Craig B; Barshop, Bruce A; Deschênes, Georges; Emma, Francesco; Goodyer, Paul; Lipkin, Graham; Midgley, Julian P; Ottolenghi, Chris; Servais, Aude; Soliman, Neveen A; Thoene, Jess G; Levtchenko, Elena N

    2016-06-01

    Nephropathic cystinosis is an autosomal recessive metabolic, lifelong disease characterized by lysosomal cystine accumulation throughout the body that commonly presents in infancy with a renal Fanconi syndrome and, if untreated, leads to end-stage kidney disease (ESKD) in the later childhood years. The molecular basis is due to mutations in CTNS, the gene encoding for the lysosomal cystine-proton cotransporter, cystinosin. During adolescence and adulthood, extrarenal manifestations of cystinosis develop and require multidisciplinary care. Despite substantial improvement in prognosis due to cystine-depleting therapy with cysteamine, no cure of the disease is currently available. Kidney Disease: Improving Global Outcomes (KDIGO) convened a Controversies Conference on cystinosis to review the state-of-the-art knowledge and to address areas of controversies in pathophysiology, diagnostics, monitoring, and treatment in different age groups. More importantly, promising areas of investigation that may lead to optimal outcomes for patients afflicted with this lifelong, systemic disease were discussed with a research agenda proposed for the future. PMID:27181776

  20. 10 years of NICE: still growing and still controversial.

    PubMed

    Littlejohns, Peter; Garner, Sarah; Doyle, Nick; Macbeth, Fergus; Barnett, David; Longson, Carole

    2009-04-01

    The National Institute for Health and Clinical Excellence (NICE) will have existed for 10 years on April 1, 2009. Over the past decade, the institute's methodological approach to the development of guidance and assessment of the value of health-care interventions has received international interest and acclaim. Furthermore, individual decisions, in particular those made on new cancer drugs, have generated enormous controversy. An early example was the appraisal of irinotecan and oxaliplatin for colorectal cancer in 2002. In 2003, NICE described the rationale behind its decision making. The 10th anniversary of the institute provides an opportunity to review some of the key issues affecting cancer appraisals and to explain the development of other NICE guidance programmes relevant to the provision of cancer services. PMID:19341973

  1. Imaging in Spondyloarthritis: Controversies in Recognition of Early Disease.

    PubMed

    Weber, Ulrich; Jurik, Anne Grethe; Lambert, Robert G W; Maksymowych, Walter P

    2016-09-01

    Advanced imaging has become essential for recognition of clinically suspected early spondyloarthritis. This report summarizes recent progress towards a data-driven comprehensive definition of a positive sacroiliac joint MRI in axial spondyloarthritis, which incorporates contextual information provided by structural lesions alongside with active changes. A focus is on emerging limitations and challenges with increasing use of imaging in spondyloarthritis. We discuss the ongoing controversy as to whether sacroiliac joint MRI due to its superior reliability and ability to depict both structural and active lesions should be the preferred imaging modality in early disease over the traditional approach with pelvic radiographs. Another challenge is transferring the expanding knowledge about imaging evaluation in spondyloarthritis to the community of rheumatologists and radiologists. Advanced imaging modalities will not become the gold standard for diagnosis of spondyloarthritis, which remains a process of composite deduction based on complementary information obtained from clinical, laboratory, and imaging assessment. PMID:27435070

  2. Neural tube defects – recent advances, unsolved questions and controversies

    PubMed Central

    Copp, Andrew J.; Stanier, Philip; Greene, Nicholas D. E.

    2014-01-01

    Neural tube defects (NTDs) are severe congenital malformations affecting around 1 in every 1000 pregnancies. Here we review recent advances and currently unsolved issues in the NTD field. An innovation in clinical management has come from the demonstration that closure of open spina bifida lesions in utero can diminish neurological dysfunction in children. Primary prevention by folic acid has been enhanced through introduction of mandatory food fortification in some countries, although not yet in UK. Genetic predisposition comprises the majority of NTD risk, and genes that regulate folate one-carbon metabolism and planar cell polarity have been strongly implicated. The sequence of human neural tube closure events remains controversial, but study of mouse NTD models shows that anencephaly, open spina bifida and craniorachischisis result from failure of primary neurulation, while skin-covered spinal dysraphism results from defective secondary neurulation. Other ‘NTD’ malformations, such as encephalocele, are likely to be post-neurulation disorders. PMID:23790957

  3. [Controversies in the current management of traumatic abdominal wall hernias].

    PubMed

    Moreno-Egea, Alfredo; Girela, Enrique; Parlorio, Elena; Aguayo-Albasini, José Luis

    2007-11-01

    The management of traumatic abdominal wall hernias is controversial. We performed a MEDLINE search and report a personal series of 10 patients. Cases were classified according to the cause of injury. Fifty-six percent were caused by car accidents and 14% by bicycle accidents. Diagnosis was clinical in 22% and surgical in 13% and intra-abdominal lesions were found in 67%. Treatment was delayed in 12%. In our series, 55% were lumbar hernias due to traffic accidents and all were associated with pelvic fracture. Treatment was delayed in 50%, including laparoscopic surgery with good results. In conclusion, traumatic hernias due to road traffic accidents are frequently associated with intra-abdominal lesions. The diagnostic technique of choice is computed tomography and delayed surgery (laparoscopy) is an effective option. PMID:18021624

  4. Ethical issues and controversies in assisted reproductive technologies.

    PubMed

    Harvey, J C

    1992-10-01

    The current ethical issues and controversies concerning in vitro fertilization revolve around micromanipulation of the gametes, cryopreservation of the fertilized ova, selective termination in multiple pregnancies, surrogacy, and gamete donation. At the basis of these ethical issues is the philosophic question of personhood, or the term "human person," and the consideration given to the normal weight that is ascribed to the various forms of living matter that are found in the process of development after human spermatozoa have been placed together with harvested oocytes in the petri dish. The papers of very special importance and special importance written during the past year on these ethical problems are listed and classified. The summaries of their arguments and positions on these problems are enumerated. PMID:1391649

  5. The effect of public controversy on occupational health problems: byssinosis.

    PubMed Central

    Bronstein, J M

    1984-01-01

    The effect of the byssinosis controversy on surveillance programs in the cotton textile industry is reviewed. The federally regulated format for industry medical surveillance guarantees neither automatic reduction of cotton dust exposure for high-risk workers nor wage rate retention for workers who are transferred to less dusty job sites. The absence of universal guidelines for worker management, combined with doubt over the severity and prevalence of byssinosis, encourages employers to evaluate medical surveillance programs primarily on the basis of their economic impact. When employers use the programs to control their losses, the potential costs of worker participation are increased. Comparisons with medical surveillance programs in the coal industry suggest that health benefits to workers can be guaranteed in the context of disputes over occupational diseases if industry, labor, and government agencies all participate in program design and operation. PMID:6236698

  6. Controversies about the use of antidepressants in pregnancy.

    PubMed

    Robinson, Gail Erlick

    2015-03-01

    There is controversy about the use of antidepressant medication during pregnancy. Decisions about their use are affected by understanding the risks of these medications causing pregnancy loss, congenital malformations, neonatal adaptation syndrome, persistent pulmonary hypertension of the newborn, autism spectrum disorder, or long-term neurocognitive deficits. Although some research has raised concerns about antidepressants causing harm to the fetus and neonate, other studies have disputed these findings or noted that any risks found do not exceed the risk of congenital problems found in 1% to 3% of neonates in the general population. Untreated depression during pregnancy can also cause harm from poor diet, substance abuse, suicidal behavior, or prematurity. Decisions about the use of antidepressants during pregnancy must be based on a risk-benefit analysis based on the best evidence of the risks of treating or not treating maternal depression. PMID:25714252

  7. The angus mammoth: A decades-old scientific controversy resolved

    USGS Publications Warehouse

    Holen, S.R.; May, D.W.; Mahan, S.A.

    2011-01-01

    The Angus Mammoth site in south-central Nebraska has been controversial since its discovery in 1931 when a fluted artifact was reported to be associated with the mammoth. For nearly 80 years it has not been known if Angus was a paleontol??gica! site predating the human occupation of North America as has been asserted by some geologists and paleontologists, or an archaeological site dating to the late Pleistocene as has been advocated by some archaeologists. Geomorphic study and luminescence dating have finally solved the problem after nearly eight decades. Although microwear and technological analyses have determined that the Angus biface is an authentic artifact, TL and IRSL dates have shown that the matrix above the mammoth is much too old for a mammoth/fluted point association to be valid. Copyright ??2011 by the Society for American Archaeology.

  8. Controversial approaches to treating learning disabilities and attention deficit disorder.

    PubMed

    Silver, L B

    1986-10-01

    It is estimated that between 3% and 7% of children and adolescents in this country--up to 4 million--are learning disabled. Of this group, about 20% also have attention deficit disorder. Many professionals in multiple disciplines have proposed treatment approaches. When research has been done to support the approach, the reports and data may be published in journals not normally read by the practicing physician. When research data are not available, the information may be in a popular book, newspapers, or lay magazines or on television. Thus, parents may know of ideas and suggestions before the professional in clinical practice. These acceptable and controversial approaches to treatment are reviewed. It is understandable that a parent would seek out improved ways of helping his or her child. I reviewed the significant literature in an effort to assist the practicing physician in providing appropriate parental guidance and clinical interventions. PMID:2875647

  9. Vitamin D supplementation: less controversy, more guidance needed

    PubMed Central

    Stokes, Caroline S.; Lammert, Frank

    2016-01-01

    Vitamin D is a secosteroid hormone with multiple functions that extend beyond the regulation of intestinal calcium absorption. In recent years, the publication of research articles investigating associations between vitamin D status and health has reached an all-time high, and an increase in supplementation studies has followed. Given the pleiotropic effects of vitamin D, the scientific focus has gone beyond its known classic benefits on skeletal health to include diabetes and cardiovascular, neurological, respiratory, renal, and liver diseases, yet numerous conflicting findings continue to emerge. This review presents some examples of recent work within the context of controversies surrounding vitamin D and highlights key factors that should be considered when designing vitamin D supplementation regimens. PMID:27594987

  10. "With malice aforethought": revisiting the BJ Palmer "patricide" controversy.

    PubMed

    Gibbons, R W

    1994-06-01

    For over eight decades of chiropractic's existence, one of the myths associated with Founder Daniel David Palmer was the unsupported and largely surreptitious allegation that his son, B.J. Palmer, was somehow respondible for his death; What became known as the Palmer "patricide controversy" involved many of the players in early chiropractic and became little more than a sordid melodrama involving rival schools, chiropractic politicians and lawyers. It involved three Iowa grand juries and lawsuits and brought out the worst passions and actions of a family that had never really understood the father or the son. This study will review the original events, the allegations by those who sought to indict B.J. Palmer for the wrongful death of his father and the ultimate disposition of the incident, which still finds credence today among some who see conspiracy theories within the evolution of chiropractic. PMID:11613380

  11. Controversies related to electromagnetic field exposure on peripheral nerves.

    PubMed

    Say, Ferhat; Altunkaynak, Berrin Zuhal; Coşkun, Sina; Deniz, Ömür Gülsüm; Yıldız, Çağrı; Altun, Gamze; Kaplan, Arife Ahsen; Kaya, Sefa Ersan; Pişkin, Ahmet

    2016-09-01

    Electromagnetic field (EMF) is a pervasive environmental presence in modern society. In recent years, mobile phone usage has increased rapidly throughout the world. As mobile phones are generally held close to the head while talking, studies have mostly focused on the central and peripheral nervous system. There is a need for further research to ascertain the real effect of EMF exposure on the nervous system. Several studies have clearly demonstrated that EMF emitted by cell phones could affect the systems of the body as well as functions. However, the adverse effects of EMF emitted by mobile phones on the peripheral nerves are still controversial. Therefore, this review summarizes current knowledge on the possible positive or negative effects of electromagnetic field on peripheral nerves. PMID:26718608

  12. [Abortion and misoprostol: health practices and scientific controversy].

    PubMed

    Corrêa, Marilena Cordeiro Dias Villela; Mastrella, Miryam

    2012-07-01

    This article puts into perspective the controversy between the association of the use of misoprostol for abortion and teratogenicity studies of the type found in a case report. The use of herbal medicinal drugs and the medical-obstetric and national and international norms governing the registration and circulation of pharmaceutical products were examined. Official documents of ANVISA, the Ministry of Health and the World Health Organization on the use of misoprostol, as well as 68 articles such as case reports published in national journals, linking abortion, misoprostol and teratogenicity were reviewed, systematically filed and analyzed using the monographic method. The legal prohibition of abortion prevents the proper prescription and use of a drug such as misoprostol that is both safe and effective. Thus, the danger for the health of women is linked not to the intrinsic characteristics of the drug, but to the moral arguments that constitute negligence and disregard for the fundamental rights of women. PMID:22872339

  13. Leukemic blast cells and controversies in models of hematopoiesis.

    PubMed

    Gluzman, D F; Sklyarenko, L M; Zavelevich, M P; Koval, S V; Ivanovskaya, T S

    2015-03-01

    Classical and up-to-date models of hematopoietic lineage determination are briefly reviewed with the focus on myeloid-based models challenging the existence of the common progenitor for T cells, B cells and NK cells. The analysis of immunophenotype of leukemic blast cells seems to be a promising approach for interpreting some controversies in the schemes of normal hematopoiesis. The literature data as well as our own findings in the patients with various types of acute leukemias are in favor of the concept postulating that common myeloid-lymphoid progenitors giving rise to T and B cell branches retain the myeloid potential. The similarity of some immunophenotypic features of blast cells in pro-B acute lymphoblastic leukemia and acute monoblastic leukemia is consistent with monocyte origin postulated in the studies of normal hematopoiesis. Study of acute leukemias may be the challenging area of research allowing for new insight into the origin of hematopoietic cell lineages. PMID:25804223

  14. Object knowledge in infancy: current controversies and approaches.

    PubMed

    Mareschal

    2000-11-01

    Studies relying on looking-time measures have found evidence of a far more precocious understanding of hidden objects than Piaget originally described. However, there is now a heated controversy surrounding the results from looking-time studies - do they constitute any evidence of a conceptual or explicit understanding of objects? Moreover, even within the looking-time paradigm, young infants show rapid changes in their understanding of what constitutes a legitimate occlusion event, and in their ability to use feature information to individuate or keep track of the number of hidden objects. The picture that emerges from these studies is that young infants have a limited and sometimes fragmented understanding of hidden objects. We suggest that computational modelling could help provide a coherent account of the emergence of object-directed behaviours in infancy, although the fit between current models and existing data remains poor. PMID:11058818

  15. Atopic dermatitis and vitamin D: facts and controversies*

    PubMed Central

    Mesquita, Kleyton de Carvalho; Igreja, Ana Carolina de Souza Machado; Costa, Izelda Maria Carvalho

    2013-01-01

    Patients with atopic dermatitis have genetically determined risk factors that affect the barrier function of the skin and immune responses that interact with environmental factors. Clinically, this results in an intensely pruriginous and inflamed skin that allows the penetration of irritants and allergens and predisposes patients to colonization and infection by microorganisms. Among the various etiological factors responsible for the increased prevalence of atopic diseases over the past few decades, the role of vitamin D has been emphasized. As the pathogenesis of AD involves a complex interplay of epidermal barrier dysfunction and dysregulated immune response, and vitamin D is involved in both processes, it is reasonable to expect that vitamin D's status could be associated with atopic dermatitis' risk or severity. Such association is suggested by epidemiological and experimental data. In this review, we will discuss the evidence for and against this controversial relationship, emphasizing the possible etiopathogenic mechanisms involved. PMID:24474104

  16. Challenges and controversies in the management of penile cancer.

    PubMed

    Shabbir, Majid; Kayes, Oliver; Minhas, Suks

    2014-12-01

    Penile cancer is a rare disease, accounting for ~1% of all malignancies in men. Poor awareness of the condition among the public and clinicians often causes long delays in diagnosis and treatment, which may result in the development of advanced disease that might require extensive and emasculating surgery. In the UK, the development of supraregional penile cancer centres has pooled resources and expertise, which has led to considerable improvements in our understanding and management of this rare condition over the past decade. However, significant gaps in our knowledge still exist. Several areas of diagnosis and management remain areas of controversy, ranging from preventive strategies and treatment of premalignant disease to the assessment of lymph node involvement and the management of advanced disease. PMID:25403241

  17. Restaurant Menu Labeling Policy: Review of Evidence and Controversies.

    PubMed

    VanEpps, Eric M; Roberto, Christina A; Park, Sara; Economos, Christina D; Bleich, Sara N

    2016-03-01

    In response to high rates of obesity in the USA, several American cities, counties, and states have passed laws requiring restaurant chains to post labels identifying the energy content of items on menus, and nationwide implementation of menu labeling is expected in late 2016. In this review, we identify and summarize the results of 16 studies that have assessed the impact of real-world numeric calorie posting. We also discuss several controversies surrounding the US Food and Drug Administration's implementation of federally mandated menu labeling. Overall, the evidence regarding menu labeling is mixed, showing that labels may reduce the energy content of food purchased in some contexts, but have little effect in other contexts. However, more data on a range of ong-term consumption habits and restaurant responses is needed to fully understand the impact menu labeling laws will have on the US population's diet. PMID:26877095

  18. A VLBI resolution of the Pleiades distance controversy.

    PubMed

    Melis, Carl; Reid, Mark J; Mioduszewski, Amy J; Stauffer, John R; Bower, Geoffrey C

    2014-08-29

    Because of its proximity and its youth, the Pleiades open cluster of stars has been extensively studied and serves as a cornerstone for our understanding of the physical properties of young stars. This role is called into question by the "Pleiades distance controversy," wherein the cluster distance of 120.2 ± 1.5 parsecs (pc) as measured by the optical space astrometry mission Hipparcos is significantly different from the distance of 133.5 ± 1.2 pc derived with other techniques. We present an absolute trigonometric parallax distance measurement to the Pleiades cluster that uses very long baseline radio interferometry (VLBI). This distance of 136.2 ± 1.2 pc is the most accurate and precise yet presented for the cluster and is incompatible with the Hipparcos distance determination. Our results cement existing astrophysical models for Pleiades-age stars. PMID:25170147

  19. Atopic dermatitis and vitamin D: facts and controversies.

    PubMed

    Mesquita, Kleyton de Carvalho; Igreja, Ana Carolina de Souza Machado; Costa, Izelda Maria Carvalho

    2013-01-01

    Patients with atopic dermatitis have genetically determined risk factors that affect the barrier function of the skin and immune responses that interact with environmental factors. Clinically, this results in an intensely pruriginous and inflamed skin that allows the penetration of irritants and allergens and predisposes patients to colonization and infection by microorganisms. Among the various etiological factors responsible for the increased prevalence of atopic diseases over the past few decades, the role of vitamin D has been emphasized. As the pathogenesis of AD involves a complex interplay of epidermal barrier dysfunction and dysregulated immune response, and vitamin D is involved in both processes, it is reasonable to expect that vitamin D's status could be associated with atopic dermatitis' risk or severity. Such association is suggested by epidemiological and experimental data. In this review, we will discuss the evidence for and against this controversial relationship, emphasizing the possible etiopathogenic mechanisms involved. PMID:24474104

  20. Controversies in the diagnosis and treatment of early cutaneous melanoma.

    PubMed

    Orzan, O A; Șandru, A; Jecan, C R

    2015-01-01

    Cutaneous melanoma (CM) is a disease with an unpredictable evolution mainly due to its high metastatic ability. The steadily increasing incidence and the poor outcome in advanced stages made this cancer an interesting field for many research groups. Given that CM is a curable disease in early stages, efforts have been made to detect it as soon as possible, which led to the diversification and refining of diagnosis methods and therapies. But, as the data from trials have been published, doubts about the indications and efficacy of established treatments have arisen. In fact, there is probably no single aspect of early CM that has not given birth to controversy. This article intends to present the current disputes regarding the early detection, diagnosis, treatment and postoperative follow-up of patients with localized CM. After analyzing both pros and cons, several conclusions were drawn, that reflect our experience in managing patients with early CM. PMID:25866567

  1. Controversies in the diagnosis and treatment of early cutaneous melanoma

    PubMed Central

    Orzan, OA; Șandru, A; Jecan, CR

    2015-01-01

    Cutaneous melanoma (CM) is a disease with an unpredictable evolution mainly due to its high metastatic ability. The steadily increasing incidence and the poor outcome in advanced stages made this cancer an interesting field for many research groups. Given that CM is a curable disease in early stages, efforts have been made to detect it as soon as possible, which led to the diversification and refining of diagnosis methods and therapies. But, as the data from trials have been published, doubts about the indications and efficacy of established treatments have arisen. In fact, there is probably no single aspect of early CM that has not given birth to controversy. This article intends to present the current disputes regarding the early detection, diagnosis, treatment and postoperative follow-up of patients with localized CM. After analyzing both pros and cons, several conclusions were drawn, that reflect our experience in managing patients with early CM. PMID:25866567

  2. Vitamin D supplementation: less controversy, more guidance needed.

    PubMed

    Stokes, Caroline S; Lammert, Frank

    2016-01-01

    Vitamin D is a secosteroid hormone with multiple functions that extend beyond the regulation of intestinal calcium absorption. In recent years, the publication of research articles investigating associations between vitamin D status and health has reached an all-time high, and an increase in supplementation studies has followed. Given the pleiotropic effects of vitamin D, the scientific focus has gone beyond its known classic benefits on skeletal health to include diabetes and cardiovascular, neurological, respiratory, renal, and liver diseases, yet numerous conflicting findings continue to emerge. This review presents some examples of recent work within the context of controversies surrounding vitamin D and highlights key factors that should be considered when designing vitamin D supplementation regimens. PMID:27594987

  3. [Neurosis as a mental disease--controversies surrounding insurance certification].

    PubMed

    Jabłoński, Christian; Kobek, Mariusz; Kowalczyk-Jabłońska, Dorota

    2011-01-01

    In the years 2008-2009, experts from the Department of Forensic Medicine in Katowice issued a dozen of expert opinions on the nature of the neurosis, addressing the question whether neurosis is a mental disease as understood under the general insurance conditions or whether neurosis is a mental disease as such. All the submitted cases involved policemen who had been diagnosed as neurotic and were refused insurance payments since the insurance company claimed payments could not have been effected due to the diagnosis of mental disease, meaning neurosis in the discussed cases. The plaintiffs invoked the fact that medical terminology describes such states as "mental disorders". In the article, the authors present the adopted model of opinionating, make an attempt at explaining the controversy and discuss the subtleties of medical terminology and the core differences between the terms "mental disorder" and "mental disease" as employed in medico-legal opinionating in such cases. PMID:22117491

  4. Herpes Zoster Vaccination: Controversies and Common Clinical Questions.

    PubMed

    Van Epps, Puja; Schmader, Kenneth E; Canaday, David H

    2016-01-01

    Herpes zoster, clinically referred to as shingles, is an acute, cutaneous viral infection caused by reactivation of the varicella zoster virus, the same virus that causes chickenpox. The incidence of herpes zoster and its complications increase with decline in cell-mediated immunity, including age-associated decline. The most effective management strategy for herpes zoster is prevention of the disease through vaccination in those who are most vulnerable. Despite the demonstrated efficacy in reducing the incidence and severity of herpes zoster, the uptake of vaccine remains low. Here, we will discuss the controversies that surround the live herpes zoster vaccine and address the common clinical questions that arise. We will also discuss the new adjuvanted herpes zoster vaccine currently under investigation. PMID:26184711

  5. Evolving role of adiponectin in cancer-controversies and update

    PubMed Central

    Katira, Arnav; Tan, Peng H.

    2016-01-01

    Adiponectin (APN), an adipokine produced by adipocytes, has been shown to have a critical role in the pathogenesis of obesity-associated malignancies. Through its receptor interactions, APN may exert its anti-carcinogenic effects including regulating cell survival, apoptosis and metastasis via a plethora of signalling pathways. Despite the strong evidence supporting this notion, some work may indicate otherwise. Our review addresses all controversies critically. On the whole, hypoadiponectinaemia is associated with increased risk of several malignancies and poor prognosis. In addition, various genetic polymorphisms may predispose individuals to increased risk of obesity-associated malignancies. We also provide an updated summary on therapeutic interventions to increase APN levels that are of key interest in this field. To date efforts to manipulate APN levels have been promising, but much work remains to be done. PMID:27144066

  6. Sugars and Health Controversies: What Does the Science Say?123

    PubMed Central

    Rippe, James M; Angelopoulos, Theodore J

    2015-01-01

    The consumption of sugar and its relation to various potential adverse health consequences are the subjects of considerable debate and controversy. This supplement to Advances in Nutrition provides an expanded summary of a symposium held on 26 April 2014 entitled “Sugars and Health Controversies: What Does the Science Say?” as part of the ASN Scientific Sessions and Annual Meeting at Experimental Biology 2014. The articles in the supplement discuss results of current systematic reviews and meta-analyses as well as randomized controlled trials and draw implications for public policy considerations. In addition, future research gaps are identified. Current research trials conducted with commonly consumed sugars [e.g., sucrose and high-fructose corn syrup (HFCS)] do not support a unique relation to obesity, metabolic syndrome, diabetes, risk factors for heart disease, or nonalcoholic fatty liver disease. Neurologic differences in response to studies that used pure fructose compared with pure glucose have not been confirmed using typical sugars that are consumed (i.e., sucrose and HFCS), which contain ∼50% glucose and fructose. We conclude that added sugars consumed in the normal forms in which humans consume them, at amounts typical of the human diet and for the time period studied in randomized controlled trials, do not result in adverse health consequences. Although more research trials are needed in many areas of sugar consumption and health, there is little scientific justification for recommending restricting sugar consumption below the reasonable upper limit recommended by the Dietary Guidelines for Americans, 2010 of no more than 25% of calories.

  7. Mapping Intravascular Ultrasound Controversies in Interventional Cardiology Practice

    PubMed Central

    Maresca, David; Adams, Samantha; Maresca, Bruno; van der Steen, Antonius F. W.

    2014-01-01

    Intravascular ultrasound is a catheter-based imaging modality that was developed to investigate the condition of coronary arteries and assess the vulnerability of coronary atherosclerotic plaques in particular. Since its introduction in the clinic 20 years ago, use of intravascular ultrasound innovation has been relatively limited. Intravascular ultrasound remains a niche technology; its clinical practice did not vastly expand, except in Japan, where intravascular ultrasound is an appraised tool for guiding percutaneous coronary interventions. In this qualitative research study, we follow scholarship on the sociology of innovation in exploring both the current adoption practices and perspectives on the future of intravascular ultrasound. We conducted a survey of biomedical experts with experience in the technology, the practice, and the commercialization of intravascular ultrasound. The collected information enabled us to map intravascular ultrasound controversies as well as to outline the dynamics of the international network of experts that generates intravascular ultrasound innovations and uses intravascular ultrasound technologies. While the technology is praised for its capacity to measure coronary atherosclerotic plaque morphology and is steadily used in clinical research, the lack of demonstrated benefits of intravascular ultrasound guided coronary interventions emerges as the strongest factor that prevents its expansion. Furthermore, most of the controversies identified were external to intravascular ultrasound technology itself, meaning that decision making at the industrial, financial and regulatory levels are likely to determine the future of intravascular ultrasound. In light of opinions from the responding experts', a wider adoption of intravascular ultrasound as a stand-alone imaging modality seems rather uncertain, but the appeal for this technology may be renewed by improving image quality and through combination with complementary imaging

  8. Sci-Tech Feature: Plutonium. Fuel for Controversy.

    ERIC Educational Resources Information Center

    Iikubo, Ryuko

    1993-01-01

    Despite opposition by environmental organizations, Japan plans to import plutonium from France and Great Britain. Interviews Toichi Sakata, director of the nuclear fuel division of the Science and Technology Agency, who explains why Japan needs the radioactive substance. (MDH)

  9. Teaching About Nuclear Power: A Simulation.

    ERIC Educational Resources Information Center

    Maxey, Phyllis F.

    1980-01-01

    Recommends that simulation games be used to teach high school students in social studies courses about contemporary and controversial issues such as nuclear power. A simulation is described which involves students in deciding whether to build a nuclear power plant in the California desert. Teaching and debriefing tips are also provided. (DB)

  10. A Nuclear Power Primer: Issues for Citizens.

    ERIC Educational Resources Information Center

    Beane, Marjorie

    The history, problems, arguments, and controversy concerning power created by nuclear fission are outlined. The purpose of the booklet is to present unbiased information for the layman in understandable language in order to improve the quality of national debate over nuclear power. Information for the booklet was gathered from journals, government…

  11. The Geopolitics of Nuclear Waste.

    ERIC Educational Resources Information Center

    Marshall, Eliot

    1991-01-01

    The controversy surrounding the potential storage of nuclear waste at Yucca Mountain, Nevada, is discussed. Arguments about the stability of the site and the groundwater situation are summarized. The role of the U.S. Department of Energy and other political considerations are described. (CW)

  12. A Conceptual Framework for Teaching about Nuclear Weapons.

    ERIC Educational Resources Information Center

    Jacobson, Willard; And Others

    1983-01-01

    Concepts which represent the minimal conceptual essentials for the study of nuclear weapons in secondary level social studies classes are discussed, and issues and controversies which may rise during such a study are examined. (RM)

  13. Scientific Experts and the Controversy About Teaching Creation/Evolution in the UK Press

    NASA Astrophysics Data System (ADS)

    Allgaier, Joachim

    2010-06-01

    The issue whether creationist accounts of the origins of life should be taught in science education alongside or even instead Darwin’s theory of evolution is controversial in many countries. In 2002 there was a controversy around teaching creationism in science classes at a secondary school in England. The research presented in this paper uses this controversy around teaching creationism/evolution as case study to find out more about the public representation of science education. Here it focuses on the question who the experts were that appeared in the press coverage and examines the role of scientific experts in this controversy. Expertise is a key resource in many public controversies involving science and can also have an impact on decision-making processes and on the public opinion. Also the way expert sources are presented in media accounts of socio-scientific controversies can have an effect on how their credibility is perceived and the arguments being made.

  14. Nonpalpable thyroid carcinoma: clinical controversies on preoperative selection.

    PubMed

    Carpi, Angelo; Nicolini, Andrea; Casara, Dario; Rubello, Domenico; Rosa Pelizzo, Maria

    2003-06-01

    This article emphasizes some controversies concerning the preoperative selection of nonpalpable thyroid tumors. The prevalence of occult thyroid carcinoma in surgical series (1.8-10%) is not higher than in autopsy thyroid series (2.7-24%). The prevalence of occult thyroid carcinoma in thyroid glands examined in the same institution by ultrasound, for a clinical thyroid abnormality or for investigation of other neck structures without clinically evident or suspected thyroid disease, varies from 3% to 8% and is very similar independent of the fact that a thyroid abnormality is or is not the indication for ultrasonography. These data suggest that the presence of a thyroid disease is not a risk factor for harboring an occult thyroid carcinoma (except for C-cell hyperplasia in the rare case of MEN 2 syndromes). As it is not cost effective to examine all the nonpalpable lesions with fine-needle aspiration (FNA) guided by ultrasounds, it is necessary to define to which extent ultrasound is useful in selecting those lesions to be examined cytologically by FNA. The use of ultrasound to select these lesions is very controversial. Ultrasound-guided cytologic diagnosis of nonpalpable nodules is not as accurate as in the case of palpable nodules. Sampling of material adequate for cytologic analysis depends on the lesion size; it is 64% for a 0.7-cm lesion and it increases to 86.7% for a mean size of 1.1 cm. For the diagnosis of occult thyroid carcinomas (< or =1 cm), sensitivity is 35.8% and false-negative results are 49.3%. Nonpalpable nodules with a size of 1.5 cm represent an absolute indication to perform an ultrasound-guided FNA because this is the size limit for dividing thyroid nodules in probably innocuous or potentially dangerous categories and because the cytologic diagnosis of nodules of this size is sufficiently reliable. For the smaller incidentally discovered thyroid nodules following ultrasound, physicians should discuss with the patient whether and when to

  15. Osteoporosis diagnosis in men: the T-score controversy revisited.

    PubMed

    Binkley, Neil; Adler, Robert; Bilezikian, John P

    2014-12-01

    Osteoporosis becomes common with aging in both sexes, but is often ignored in men. The 2013 International Society for Clinical Densitometry consensus conference endorsed a Caucasian female referent database for T-score calculation in men. This recommendation has generated controversy and concern. Accumulating data indicate that at the same DXA-measured body mineral density (BMD) (g/cm(2)), men and women are at approximately the same fracture risk. With this point in mind, using the same database to derive the T-score in men and women is reasonable. As a result, a greater proportion of men who sustain a fragility fracture will have T-scores that are higher than they would if a male database were used; in fact, many men will fracture at T-scores that are "normal." This highlights the importance of diagnosing osteoporosis not just by T-score, but also by the presence of fragility fracture and/or by estimations of fracture risk as generated by tools such as the FRAX calculator. The practical consequences of this change in densitometric definition of osteoporosis in men should be monitored, including the proportion of men at risk identified and treated as well as defining the response to treatment in those assessed by this more comprehensive approach. PMID:25255867

  16. Microorganisms in periradicular tissues: Do they exist? A perennial controversy

    PubMed Central

    Dudeja, Pooja Gupta; Dudeja, Krishan Kumar; Srivastava, Dhirendra; Grover, Shibani

    2015-01-01

    There is no greater association between the basic science and the practice of endodontics than that of microbiology. One of the strongest factors contributing to the controversies often encountered in the endodontic field is the lack of understanding that the disease processes of the pulp and periradicular tissues generally have a microbiological etiology. The vast majority of diseases of dental pulp and periradicular tissues are associated with microorganisms. After the microbial invasion of these tissues, the host responds with both nonspecific inflammatory responses and with specific immunologic responses to encounter such infections. The aim of this study is to fill the gaps in our knowledge regarding the role of microorganisms in endodontics and to discuss in depth whether their presence in periradicular lesions is a myth or a reality. An electronic search was carried out on PubMed database (custom range of almost 50 years) and Google using specific keywords and phrases. Inclusion and exclusion criteria were specified and around 50 articles were found suitable for inclusion. Full text of all the articles was retrieved and studied. Appropriate data were extracted and pooled and finally synthesized. It is important to understand the close relationship between the presence of microorganisms and endodontic disease process to develop an effective rationale for treatment. PMID:26980965

  17. Selected concepts and controversies in pediatric cardiopulmonary resuscitation.

    PubMed

    Zaritsky, A

    1988-10-01

    Although more than 80 years of research in cardiac resuscitation produced many important findings and greatly enhanced our understanding of the arrest state, outcome following pediatric cardiac arrest remains poor. Resuscitation guidelines have recently been published, but they may not reflect optimal therapy. Closed-chest compression-induced cardiac output may be higher in pediatric patients, particularly infants, than that previously reported in adults. To achieve higher cardiac outputs, direct cardiac compression is important; the recommended compression location has therefore been changed based on recent data. The optimal rate of compression, however, is uncertain, so further research is needed. Alternative vascular access sites, such as the endotracheal and intraosseous route for drug administration may permit more rapid drug delivery, but data suggest that a larger epinephrine dose than currently recommended should be used. It may also be helpful to dilute the drug in normal saline before endotracheal administration. Although experimental data suggest that a pure alpha-adrenergic agonist may be beneficial in a cardiac arrest, recent data show that epinephrine remains the drug of choice. Finally, the role of sodium bicarbonate in both the arrest and postarrest setting has become controversial. Recent data suggest that bicarbonate may be detrimental and that therapy of acidosis is best directed at improving perfusion, oxygenation, and ventilation. Alternative forms of therapy for acidosis, such as THAM and dichloroacetate may prove beneficial in the postarrest setting. PMID:3052707

  18. Microorganisms in periradicular tissues: Do they exist? A perennial controversy.

    PubMed

    Dudeja, Pooja Gupta; Dudeja, Krishan Kumar; Srivastava, Dhirendra; Grover, Shibani

    2015-01-01

    There is no greater association between the basic science and the practice of endodontics than that of microbiology. One of the strongest factors contributing to the controversies often encountered in the endodontic field is the lack of understanding that the disease processes of the pulp and periradicular tissues generally have a microbiological etiology. The vast majority of diseases of dental pulp and periradicular tissues are associated with microorganisms. After the microbial invasion of these tissues, the host responds with both nonspecific inflammatory responses and with specific immunologic responses to encounter such infections. The aim of this study is to fill the gaps in our knowledge regarding the role of microorganisms in endodontics and to discuss in depth whether their presence in periradicular lesions is a myth or a reality. An electronic search was carried out on PubMed database (custom range of almost 50 years) and Google using specific keywords and phrases. Inclusion and exclusion criteria were specified and around 50 articles were found suitable for inclusion. Full text of all the articles was retrieved and studied. Appropriate data were extracted and pooled and finally synthesized. It is important to understand the close relationship between the presence of microorganisms and endodontic disease process to develop an effective rationale for treatment. PMID:26980965

  19. Controversial Issues in Kyphoplasty and Vertebroplasty in Osteoporotic Vertebral Fractures

    PubMed Central

    Papanastassiou, Ioannis D.; Filis, Andreas; Gerochristou, Maria A.; Vrionis, Frank D.

    2014-01-01

    Kyphoplasty (KP) and vertebroplasty (VP) have been successfully employed for many years for the treatment of osteoporotic vertebral fractures. The purpose of this review is to resolve the controversial issues raised by the two randomized trials that claimed no difference between VP and SHAM procedure. In particular we compare nonsurgical management (NSM) and KP and VP, in terms of clinical parameters (pain, disability, quality of life, and new fractures), cost-effectiveness, radiological variables (kyphosis correction and vertebral height restoration), and VP versus KP for cement extravasation and complications profile. Cement types and optimal filling are analyzed and technological innovations are presented. Finally unipedicular/bipedicular techniques are compared. Conclusion. VP and KP are superior to NSM in clinical and radiological parameters and probably more cost-effective. KP is superior to VP in sagittal balance improvement and cement leaking. Complications are rare but serious adverse events have been described, so caution should be exerted. Unilateral procedures should be pursued whenever feasible. Upcoming randomized trials (CEEP, OSTEO-6, STIC-2, and VERTOS IV) will provide the missing link. PMID:24724106

  20. Controversies in the pathological assessment of colorectal cancer

    PubMed Central

    Maguire, Aoife; Sheahan, Kieran

    2014-01-01

    Pathologic assessment of colorectal cancer specimens plays an essential role in patient management, informing prognosis and contributing to therapeutic decision making. The tumor-node-metastasis (TNM) staging system is a key component of the colorectal cancer pathology report and provides important prognostic information. However there is significant variation in outcome of patients within the same tumor stage. Many other histological features such as tumor budding, vascular invasion, perineural invasion, tumor grade and rectal tumor regression grade that may be of prognostic value are not part of TNM staging. Assessment of extramural tumor deposits and peritoneal involvement contributes to TNM staging but there are some difficulties with the definition of both of these features. Controversies in colorectal cancer pathology reporting include the subjective nature of some of the elements assessed, poor reporting rates and reproducibility and the need for standardized examination protocols and reporting. Molecular pathology is becoming increasingly important in prognostication and prediction of response to targeted therapies but accurate morphology still has a key role to play in colorectal cancer pathology reporting. PMID:25110416

  1. Solid cancers after antiplatelet therapy: Confirmations, controversies, and challenges.

    PubMed

    Serebruany, Victor L; Cherepanov, Vasily; Cabrera-Fuentes, Hector A; Kim, Moo Hyun

    2015-11-25

    The role of anticoagulants and antiplatelet agents in tumour growth and prognosis is not new, and currently under intense investigation. Some randomised data strongly suggest that this association exists, but it is complex, and not necessarily pointed at the same direction. The potential mechanisms responsible for such harmful association include a direct hazard of novel antithrombotics on cancer, indirect promotion of tumour growth, easier metastatic dissemination due to instability of platelet-tumour cell aggregates, or/and inability to keep cancer cells locally in situ are considered. The latest randomised evidence ultimately rejected the drug-specific cancer risks, clearly indicating the class-effect. In lay terms "cancers follow bleeding", which seems to be true for antithrombotic agents in general. Significant excess of solid cancers which was similar after prasugrel in TRITON, and with vorapaxar in TRACER trials was confirmed by the FDA reviews. Later, extra cancer deaths reported following clopidogrel and prasugrel in DAPT, and after ticagrelor in PEGASUS are also of concern. However, there are remaining controversies with regard to published cancer risks after ticagrelor (PLATO), or another vorapaxar trial (TRA2P), while full disclosure of separate clopidogrel and prasugrel cancer data in DAPT is still lacking. In short, if we apply moderate antiplatelet strategies for over two years, or aggressive regimens including triple therapy for much less than one year, the solid cancer risks emerge. Currently, more delicate platelet inhibition, and shorter exposure to dual oral antiplatelet agents should prevail. PMID:26559427

  2. The controversy of sports technology: a systematic review.

    PubMed

    Dyer, Bryce

    2015-01-01

    Changes or introductions of technology or equipment can affect how a sport is played or influence its performances. This article conducted a systematic review of peer-reviewed literature to identify any case studies of controversial events surrounding the implementation or use of sports technology. 56 articles were identified that highlighted 31 different case studies found over a three decade time period. Thematic analysis revealed six distinctive themes when reviewing the articles. Whilst the sport of golf had the highest number of case studies, it was found that a significant level of attention had been recorded in the cases of Oscar Pistorius use of prosthetic legs in athletics and the use of full length swimsuits in swimming. The trend surrounding the number of articles was shown to be initially intermittent but saw a peak period from 2008 to 2010. However, the frequency of such articles since this peak has been more consistent. It is proposed that long periods of time without intervention or resolution by a governing body often increases the peer-reviewed attention paid to such cases in examples such as those identified in this systematic review. PMID:26405644

  3. LNT--an apparent rather than a real controversy?

    PubMed

    Charles, M W

    2006-09-01

    Can the carcinogenic risks of radiation that are observed at high doses be extrapolated to low doses? This question has been debated through the whole professional life of the author--now nearing four decades. In its extreme form the question relates to a particular hypothesis (LNT) used widely by the international community for radiological protection applications. The linear no-threshold (LNT) hypothesis propounds that the extrapolation is linear and that it extends down to zero dose. The debate on the validity of LNT has increased dramatically in recent years. This is in no small part due to concern that exaggerated risks at low doses leads to undue amounts of societal resources being used to reduce man-made human exposure and because of the related growing public aversion to diagnostic and therapeutic medical exposures. The debate appears to be entering a new phase. There is a growing realisation of the limitations of fundamental data and the scientific approach to address this question at low doses. There also appears to be an increasing awareness that the assumptions necessary for a workable and acceptable system of radiological protection at low doses must necessarily be based on considerable pragmatism. Recent developments are reviewed and a historical perspective is given on the general nature of controversies in radiation protection over the years. All the protagonists in the debate will at the end of the day probably be able to claim that they were right! PMID:16926475

  4. A family of doctors over 250 years: innovation and controversy.

    PubMed

    Watkins, Peter J

    2011-05-01

    A family of Watkins doctors originating in the Northamptonshire town of Towcester included 13 doctors in seven generations during 250 years. In each generation there were between one and four doctors. Three doctors involved themselves actively in innovative yet controversial practises, described in their own writings and publications. Timothy Watkins' (1755-1834) own handwritten lecture notes describe the problems affecting an 18th-century man-midwife, while his accounts book provides insights into his lifestyle. The concept of the waterborne spread of cholera during the 1854 epidemic in Towcester is described by Robert Webb Watkins (1822-1901) during the same year as the observations made by John Snow (1813-58). John Webb Watkins (1833-1903) in his MD thesis (1856) describes his use of chloroform in labour in Towcester during the early 1850s, followed by self-experimentation with chloroform administered to him between 40 and 50 times by Sir James Young Simpson (1811-70) in Edinburgh. Descriptions of the two 19th-century general practitioners offer insights into the exemplary extent of their civic involvement in all walks of local community life, and of their family ties. PMID:21558531

  5. Resolving Vega and the Inclination Controversy with CHARA/MIRC

    NASA Astrophysics Data System (ADS)

    Monnier, J. D.; Che, Xiao; Zhao, Ming; Ekström, S.; Maestro, V.; Aufdenberg, Jason; Baron, F.; Georgy, C.; Kraus, S.; McAlister, H.; Pedretti, E.; Ridgway, S.; Sturmann, J.; Sturmann, L.; ten Brummelaar, T.; Thureau, N.; Turner, N.; Tuthill, P. G.

    2012-12-01

    Optical and infrared interferometers definitively established that the photometric standard Vega (=α Lyrae) is a rapidly rotating star viewed nearly pole-on. Recent independent spectroscopic analyses could not reconcile the inferred inclination angle with the observed line profiles, preferring a larger inclination. In order to resolve this controversy, we observed Vega using the six-beam Michigan Infrared Combiner on the Center for High Angular Resolution Astronomy Array. With our greater angular resolution and dense (u, v)-coverage, we find that Vega is rotating less rapidly and with a smaller gravity darkening coefficient than previous interferometric results. Our models are compatible with low photospheric macroturbulence and are also consistent with the possible rotational period of ~0.71 days recently reported based on magnetic field observations. Our updated evolutionary analysis explicitly incorporates rapid rotation, finding Vega to have a mass of 2.15+0.10 - 0.15 M ⊙ and an age 700-75 + 150 Myr, substantially older than previous estimates with errors dominated by lingering metallicity uncertainties (Z = 0.006+0.003 - 0.002).

  6. Chemoradiation for gastric cancer: controversies, updates and novel techniques

    PubMed Central

    Fan, M; Hu, W

    2015-01-01

    The INT0116 trial established the role of adjuvant chemoradiation (CRT) in the multidisciplinary approach to the management of locally advanced gastric cancer. However, whether adjuvant CRT is indispensable for patients undergoing D2 dissection remains undefined. The adjuvant chemoradiation therapy in stomach cancer (ARTIST) trial, which was designed to compare adjuvant chemotherapy to CRT, failed to demonstrate differences in disease-free and overall survival in the whole study group; however, subgroup analysis indicated that patients with lymph node metastasis may benefit from additional radiation. A follow-up ARTIST II trial is currently under way. The efficacy of adjuvant CRT remains controversial because of variation among studies in the inclusion criteria and treatment delivery methods; however, the identification of patients who would benefit from CRT is critical. Advanced radiotherapy techniques such as intensity-modulated radiotherapy protect normal tissues via motion management and decreased radiation-induced toxicity and contribute to plan optimization. Further studies integrating clinical and molecular factors as well as neoadjuvant CRT are warranted. PMID:25827208

  7. Controversial role of arthroscopic meniscectomy of the knee: A review.

    PubMed

    Ha, Austin Y; Shalvoy, Robert M; Voisinet, Anne; Racine, Jennifer; Aaron, Roy K

    2016-05-18

    The role of arthroscopic partial meniscectomy (APM) in reducing pain and improving function in patients with meniscal tears remains controversial. Five recent high-quality randomized controlled trials (RCTs) compared non-operative management of meniscal tears to APM, with four showing no difference and one demonstrating superiority of APM. In this review, we examined the strengths and weaknesses of each of these RCTs, with particular attention to the occurrence of inadvertent biases. We also completed a quantitative analysis that compares treatment successes in each treatment arm, considering crossovers as treatment failures. Our analysis revealed that each study was an excellent attempt to compare APM with non-surgical treatment but suffered from selection, performance, detection, and/or transfer biases that reduce confidence in its conclusions. While the RCT remains the methodological gold standard for establishing treatment efficacy, the use of an RCT design does not in itself ensure internal or external validity. Furthermore, under our alternative analysis of treatment successes, two studies had significantly more treatment successes in the APM arm than the non-operative arm although original intention-to-treat analyses showed no difference between these two groups. Crossovers remain an important problem in surgical trials with no perfect analytical solution. With the studies available at present, no conclusion can be drawn concerning the optimal treatment modality for meniscal tears. Further work that minimizes significant biases and crossovers and incorporates sub-group and cost-benefit analyses may clarify therapeutic indications. PMID:27190756

  8. Controversial role of arthroscopic meniscectomy of the knee: A review

    PubMed Central

    Ha, Austin Y; Shalvoy, Robert M; Voisinet, Anne; Racine, Jennifer; Aaron, Roy K

    2016-01-01

    The role of arthroscopic partial meniscectomy (APM) in reducing pain and improving function in patients with meniscal tears remains controversial. Five recent high-quality randomized controlled trials (RCTs) compared non-operative management of meniscal tears to APM, with four showing no difference and one demonstrating superiority of APM. In this review, we examined the strengths and weaknesses of each of these RCTs, with particular attention to the occurrence of inadvertent biases. We also completed a quantitative analysis that compares treatment successes in each treatment arm, considering crossovers as treatment failures. Our analysis revealed that each study was an excellent attempt to compare APM with non-surgical treatment but suffered from selection, performance, detection, and/or transfer biases that reduce confidence in its conclusions. While the RCT remains the methodological gold standard for establishing treatment efficacy, the use of an RCT design does not in itself ensure internal or external validity. Furthermore, under our alternative analysis of treatment successes, two studies had significantly more treatment successes in the APM arm than the non-operative arm although original intention-to-treat analyses showed no difference between these two groups. Crossovers remain an important problem in surgical trials with no perfect analytical solution. With the studies available at present, no conclusion can be drawn concerning the optimal treatment modality for meniscal tears. Further work that minimizes significant biases and crossovers and incorporates sub-group and cost-benefit analyses may clarify therapeutic indications. PMID:27190756

  9. Is alveolar cleft reconstruction still controversial? (Review of literature)

    PubMed Central

    Seifeldin, Sameh A.

    2015-01-01

    Cleft lip and palate (CL/P) is a frequent congenital malformation that manifests in several varieties including unilateral or bilateral and complete or incomplete. Alveolar cleft reconstruction remains controversial with regard to timing, graft materials, surgical techniques, and methods of evaluation. Many studies have been conducted addressing these points to develop an acceptable universal protocol for managing CL/P. The primary goal of alveolar cleft reconstruction in CL/P patients is to provide a bony bridge at the cleft site that allows maxillary arch continuity, oronasal fistula repair, eruption of the permanent dentition into the newly formed bone, enhances nasal symmetry through providing alar base support, orthodontic movement and placement of osseointegrated implants when indicated. Other goals include improving speech, improvement of periodontal conditions, establishing better oral hygiene, and limiting growth disturbances. In order to rehabilitate oral function in CL/P patients alveolar bone grafting is necessary. Secondary bone grafting is the most widely accepted method for treating alveolar clefts. Autogenous bone graft is the primary source for reconstructing alveolar cleft defects and is currently the preferred grafting material. PMID:26792963

  10. Ethical controversies in organ donation after circulatory death.

    PubMed

    2013-05-01

    The persistent mismatch between the supply of and need for transplantable organs has led to efforts to increase the supply, including controlled donation after circulatory death (DCD). Controlled DCD involves organ recovery after the planned withdrawal of life-sustaining treatment and the declaration of death according to the cardiorespiratory criteria. Two central ethical issues in DCD are when organ recovery can begin and how to manage conflicts of interests. The "dead donor rule" should be maintained, and donors in cases of DCD should only be declared dead after the permanent cessation of circulatory function. Permanence is generally established by a 2- to 5-minute waiting period. Given ongoing controversy over whether the cessation must also be irreversible, physicians should not be required to participate in DCD. Because the preparation for organ recovery in DCD begins before the declaration of death, there are potential conflicts between the donor's and recipient's interests. These conflicts can be managed in a variety of ways, including informed consent and separating the various participants' roles. For example, informed consent should be sought for premortem interventions to improve organ viability, and organ procurement organization personnel and members of the transplant team should not be involved in the discontinuation of life-sustaining treatment or the declaration of death. It is also important to emphasize that potential donors in cases of DCD should receive integrated interdisciplinary palliative care, including sedation and analgesia. PMID:23629612

  11. Spanking children: the controversies, findings, and new directions.

    PubMed

    Benjet, Corina; Kazdin, Alan E

    2003-03-01

    The use of spanking as a discipline technique is quite prevalent, even though whether or not to spank children is controversial among lay and professional audiences alike. Considerable research on the topic has been analyzed in several reviews of the literature that often reach different and sometimes opposite conclusions. Opposing conclusions are not inherently problematic as research develops in an area. However, we propose that both methodological limitations of the research to date as well as the limited focus of the research questions have prevented a better understanding of the impact of parental spanking on child development. The purpose of this article is to convey the basis for limited progress to date and, more importantly, to reformulate the research agenda. The goal is to move toward a resolution of the most relevant questions to parents, professionals, and policymakers. We propose an expanded research agenda that addresses the goals of parental discipline, the direct and concomitant effects of spanking, the influences that foster and maintain the use of spanking, and the processes through which spanking operates. PMID:12573670

  12. Groin hernia repair by laparoscopic techniques: current status and controversies.

    PubMed

    Arregui, Maurice E; Young, Susan B

    2005-08-01

    Laparoscopic hernia repair remains controversial, and its position in current hernia surgery remains in flux. In this article we attempt to put the laparoscopic approach in perspective by describing the rationale for its development. We summarize studies comparing it with open repairs, including recent publications, meta-analyses, and systematic reviews; and we then contrast the data with recent findings of the United States Veterans Affairs Cooperative study 456. We discuss the current and future status of the laparoscopic approach to inguinal hernia repair and present an update of our own laparoscopic totally extraperitoneal technique without mesh fixation. From 1994 to 2004 we performed 314 hernia repairs on 224 patients with no intraoperative complications, no conversions to an open procedure, and no mortality. Thirty (14%) minor postoperative complications occurred. There were three herniated lipomas (preperitoneal fat) but no true peritoneal reherniations. We evaluate critical points of laparoscopic hernia repair including extensive preperitoneal dissection, mesh configuration, size and fixation, cost reduction, and the learning curve. PMID:15983713

  13. The race prussienne controversy: scientific internationalism and the nation.

    PubMed

    Manias, Chris

    2009-12-01

    This essay examines a dispute between the French and German anthropological communities in the aftermath of the Franco-Prussian War. While the debate ostensibly revolved around the ethnological classification of the Prussian population presented in Jean Louis Armand de Quatrefages's La race prussienne, this overlays much deeper points of contention, presenting a case study of how commitments to nationalism and internationalism in late nineteenth-century science were not mutually exclusive but could operate in a highly synergistic manner, even during periods of intense international crisis. In the controversy, a group of scholars attempted to reconcile national rivalries with a commitment to scientific universalism and define how anthropological ideas of race and progress related to political developments. The French and German communities retained similar views that anthropology was an international science and that politically defined nationality was separate from scientifically discerned race. Yet they nevertheless regarded their work as strongly affected by processes of national consolidation and employed the language of scientific universalism to accuse their rivals of misusing science for political purposes. PMID:20380345

  14. Controversy over genetically modified organisms: the governing laws and regulations.

    PubMed

    Keatley, K L

    2000-01-01

    Genetically Modified Organisms (GMOs) are increasingly becoming a topic of controversy in the U.S. and abroad. The public is questioning their safety and wanting the products labeled as genetically modified. There are other concerns from some of the scientific world and some government officials and organizations such as the Food & Agricultural Organization (FAO) that question whether adequate research has been done to qualify GMOs as safe for long-term use. Of particular concern are the allergenic properties, a GMO may impart, possible transfer effects of antibiotic resistance (given that antibiotic resistant marker genes are used for many GMOs), the expression of previously unexpressed traits, and the drift of pollen from genetically modified crops. It has also been noted that the laws and regulations governing the biotechnology world are outdated, are not comprehensive, and span too many agencies. The primary agencies currently regulating biotechnology are the U.S. Department of Agriculture (USDA), the Food and Drug Administration (FDA), and the Environmental Protection Agency (EPA). PMID:11710306

  15. Deep sternal wound infection after cardiac surgery: Evidences and controversies

    PubMed Central

    Cotogni, Paolo; Barbero, Cristina; Rinaldi, Mauro

    2015-01-01

    Despite many advances in prevention and perioperative care, deep sternal wound infection (DSWI) remains a pressing concern in cardiac surgery, with a still relevant incidence and with a considerable impact on in-hospital mortality and also on mid- and long-term survival. The permanent high impact of this complication is partially related to the increasing proportion of patients at high-risk for infection, as well as to the many patient and surgical risk factors involved in the pathogenesis of DSWI. The prophylactic antibiotic therapy is one of the most important tools in the prevention of DSWI. However, the choice of antibiotic, the dose, the duration, the adequate levels in serum and tissue, and the timing of antimicrobial prophylaxis are still controversial. The treatment of DSWI ranges from surgical revision with primary closure to surgical revision with open dressings or closed irrigation, from reconstruction with soft tissue flaps to negative pressure wound therapy (NPWT). However, to date, there have been no accepted recommendations regarding the best management of DSWI. Emerging evidence in the literature has validated the efficacy and safety of NPWT either as a single-line therapy, or as a “bridge” prior to final surgical closure. In conclusion, the careful control of patient and surgical risk factors - when possible, the proper antimicrobial prophylaxis, and the choice of validated techniques of treatment could contribute to keep DSWIs at a minimal rate. PMID:26557476

  16. Deep sternal wound infection after cardiac surgery: Evidences and controversies.

    PubMed

    Cotogni, Paolo; Barbero, Cristina; Rinaldi, Mauro

    2015-11-01

    Despite many advances in prevention and perioperative care, deep sternal wound infection (DSWI) remains a pressing concern in cardiac surgery, with a still relevant incidence and with a considerable impact on in-hospital mortality and also on mid- and long-term survival. The permanent high impact of this complication is partially related to the increasing proportion of patients at high-risk for infection, as well as to the many patient and surgical risk factors involved in the pathogenesis of DSWI. The prophylactic antibiotic therapy is one of the most important tools in the prevention of DSWI. However, the choice of antibiotic, the dose, the duration, the adequate levels in serum and tissue, and the timing of antimicrobial prophylaxis are still controversial. The treatment of DSWI ranges from surgical revision with primary closure to surgical revision with open dressings or closed irrigation, from reconstruction with soft tissue flaps to negative pressure wound therapy (NPWT). However, to date, there have been no accepted recommendations regarding the best management of DSWI. Emerging evidence in the literature has validated the efficacy and safety of NPWT either as a single-line therapy, or as a "bridge" prior to final surgical closure. In conclusion, the careful control of patient and surgical risk factors - when possible, the proper antimicrobial prophylaxis, and the choice of validated techniques of treatment could contribute to keep DSWIs at a minimal rate. PMID:26557476

  17. Echo Park controversy and the American conservation movement

    SciTech Connect

    Harvey, M.W.T.

    1986-01-01

    During the twentieth century, a few conservation battles have pitted in as classic a fashion the foes of preservation and development as that waged during the 1950s over Dinosaur National Monument. The issue was whether to build the proposed Echo Park Dam within Dinosaur National Monument. The Monument spans the Utah-Colorado border, and comprises the confluence of the Green and Yampa Rivers. Echo Park, a lovely, peaceful meadow flanked by massive sandstone walls at the rivers' confluence, became the storm-center of controversy when the Bureau of Reclamation made plans to dam the Green River just two miles to the south. The dam would have flooded a hundred miles of this canyon country, and the proposal startled the nation's major conservation organizations and occupied their attention for several years. Their effort to prevent the dam ultimately succeeded, and their story is critical in tracing the roots of contemporary conservation. In the end, pressure from conservation groups helped to delete the dam from the legislation, and Dinosaur's river canyons were preserved.

  18. Controversies in testosterone replacement therapy: testosterone and cardiovascular disease

    PubMed Central

    Hwang, Kathleen; Miner, Martin

    2015-01-01

    The role of testosterone in the cardiovascular (CV) health of men is controversial. Data suggest that both the condition and treatment of clinical hypogonadism is associated with decreased CV mortality; however, two recent studies suggest that hypogonadal subjects treated with testosterone replacement therapy have a higher incidence of new CV events. There has been increased media attention concerning the risk of CV disease in men treated with testosterone. Until date, there are no long-term prospective studies to determine safety. Literature spanning over the past 30 years has suggested that not only is there a possible increased CV risk in men with low levels of testosterone, but the benefits from testosterone therapy may even lower this risk. We review here the recent studies that have garnered such intense scrutiny. This article is intended as a thorough review of testosterone levels and CV risk, providing the clinician with the facts needed to make informed clinical decisions in managing patients with clinical hypogonadism. PMID:25652628

  19. Adiponectin as a Biomarker of Osteoporosis in Postmenopausal Women: Controversies

    PubMed Central

    Dobek, Aleksandra; Garczynski, Wojciech; Chlubek, Dariusz

    2014-01-01

    The literature reports indicating a link between plasma levels of adiponectin and body fat, bone mineral density, sex hormones, and peri- and postmenopausal changes, draw attention to the possible use of adiponectin as an indicator of osteoporotic changes, suggesting that adiponectin may also modulate bone metabolism. In this study, we attempted to analyze the available in vitro and in vivo results which could verify this hypothesis. Although several studies have shown that adiponectin has an adverse effect on bone mass, mainly by intensifying resorption, this peptide has also been demonstrated to increase the proliferation and differentiation of osteoblasts, inhibit the activity of osteoclasts, and reduce bone resorption. There are still many ambiguities; for example, it can be assumed that concentrations of adiponectin in plasma do not satisfactorily reflect its production by adipose tissue, as well as conflicting in vitro and in vivo results. It seems that the potential benefit in the treatment of patients with osteoporosis associated with the pharmacological regulation of adiponectin is controversial. PMID:24591772

  20. Ileal pouch-anal anastomosis: Points of controversy.

    PubMed

    Trigui, A; Frikha, F; Rejab, H; Ben Ameur, H; Triki, H; Ben Amar, M; Mzali, R

    2014-09-01

    Restorative proctocolectomy with ileal pouch-anal anastomosis has become the most commonly used procedure for elective treatment of patients with ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in order to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. In this review of the literature of restorative proctocolectomy with ileal pouch-anal anastomosis, we discuss these technical modifications, limiting our discussion to the current points of controversy. The current "hot topics" for debate are: indications for ileal pouch-anal or ileo-rectal anastomosis, indications for pouch surgery in the elderly, indeterminate colitis and Crohn's disease, the place of the laparoscopic approach, transanal mucosectomy with hand-sewn anastomosis vs. the double-stapled technique, the use of diverting ileostomy and the issue of the best route for delivery of pregnant women. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with ongoing prospective evaluation of the procedure are required to settle these issues. PMID:24999229

  1. Controversies in the Management of Isolated Congenital Atrioventricular Block.

    PubMed

    DeNoble, Anna E; Kuller, Jeffrey A; Rhee, Eleanor J

    2015-08-01

    Congenital atrioventricular block (CAVB) affects approximately 2% of fetuses of mothers with anti-Ro or anti-La antibodies, regardless of maternal rheumatologic symptoms. Anti-Ro and anti-La antibodies are antinuclear antibodies commonly found in autoimmune diseases. Congenital atrioventricular block is associated with a relatively high fetal morbidity and mortality, particularly more advanced degrees of block. There is significant controversy surrounding surveillance of anti-Ro/La-positive pregnancies and treatment of fetuses diagnosed with CAVB. Studies of dexamethasone in the treatment of CAVB have yielded conflicting results, with most suggesting only a limited potential benefit in first- and seconddegree CAVB and in cases complicated by fetal hydrops. Larger prospective studies are needed to further evaluate the efficacy of intravenous immunoglobulin in the treatment of CAVB and of intravenous immunoglobulin and hydroxychloroquine in the prevention of CAVB in fetuses of at-risk mothers. Surveillance and treatment regimens should be determined on a case-by-case basis, taking into consideration the degree of CAVB, costs, and potential adverse effects of treatment. PMID:26314237

  2. Baltimore and the Beginnings of the Fluoride Controversy.

    PubMed

    Daws, Steven

    2015-01-01

    The fluoridation of municipal water as a preventive dental health measure has proven to be a contentious issue from its very outset. In 1952, Baltimore became the first major city in the United States to artificially add fluoride to its water supply. This study draws largely on print media sources as a means of discerning public sentiment, in order to evaluate the nature of Baltimore's fluoride controversy in its infancy. Initial response was influenced by prior exposure to the substance within the context of dentistry, as well as a continued trend of conservatism within the community. Logistical issues during implementation due to the necessary upscale of established practices to accommodate Baltimore's population served to further exacerbate concerns. Much of the opposition was predicated on the breadth of the measure, as evidenced by the myriad of personal concerns put forth in objection. Personal concerns developed into demands for personal autonomy, providing a philosophical foundation for the anti-fluoridation movement that persists today. PMID:26930845

  3. Suspected non-Alzheimer disease pathophysiology--concept and controversy.

    PubMed

    Jack, Clifford R; Knopman, David S; Chételat, Gaël; Dickson, Dennis; Fagan, Anne M; Frisoni, Giovanni B; Jagust, William; Mormino, Elizabeth C; Petersen, Ronald C; Sperling, Reisa A; van der Flier, Wiesje M; Villemagne, Victor L; Visser, Pieter J; Vos, Stephanie J B

    2016-02-01

    Suspected non-Alzheimer disease pathophysiology (SNAP) is a biomarker-based concept that applies to individuals with normal levels of amyloid-β biomarkers in the brain, but in whom biomarkers of neurodegeneration are abnormal. The term SNAP has been applied to clinically normal individuals (who do not meet criteria for either mild cognitive impairment or dementia) and to individuals with mild cognitive impairment, but is applicable to any amyloid-negative, neurodegeneration-positive individual regardless of clinical status, except when the pathology underlying neurodegeneration can be reliably inferred from the clinical presentation. SNAP is present in ∼23% of clinically normal individuals aged >65 years and in ∼25% of mildly cognitively impaired individuals. APOE*ε4 is underrepresented in individuals with SNAP compared with amyloid-positive individuals. Clinically normal and mildly impaired individuals with SNAP have worse clinical and/or cognitive outcomes than individuals with normal levels of neurodegeneration and amyloid-β biomarkers. In this Perspectives article, we describe the available data on SNAP and address topical controversies in the field. PMID:26782335

  4. Suspected non-Alzheimer disease pathophysiology—concept and controversy

    PubMed Central

    Jack, Clifford R.; Knopman, David S.; Chételat, Gaël; Dickson, Dennis; Fagan, Anne M.; Frisoni, Giovanni B.; Jagust, William; Mormino, Elizabeth C.; Petersen, Ronald C.; Sperling, Reisa A.; van der Flier, Wiesje M.; Villemagne, Victor L.; Visser, Pieter J.; Vos, Stephanie J. B.

    2016-01-01

    Suspected non-Alzheimer disease pathophysiology (SNAP) is a biomarker-based concept that applies to individuals with normal levels of amyloid-β biomarkers in the brain, but in whom biomarkers of neurodegeneration are abnormal. The term SNAP has been applied to individuals who are clinically normal for their age and to individuals with mild cognitive impairment, but is applicable to any amyloid-negative, neurodegeneration-positive individual regardless of clinical status, except when the pathology underlying neurodegeneration can be confidently inferred from the clinical presentation. SNAP is present in ~23% of clinically normal individuals aged >65 years and in ~25% of mildly cognitively impaired individuals. APOE4 is underrepresented in individuals with SNAP compared with amyloid-positive individuals. Clinically normal and mildly impaired individuals with SNAP have worse clinical and/or cognitive outcomes than individuals with normal levels of neurodegeneration and amyloid-β biomarkers. In this Perspectives article we describe the available data on SNAP and address topical controversies in the field. PMID:26782335

  5. Three controversies over item disclosure in medical licensure examinations

    PubMed Central

    Park, Yoon Soo; Yang, Eunbae B.

    2015-01-01

    In response to views on public's right to know, there is growing attention to item disclosure – release of items, answer keys, and performance data to the public – in medical licensure examinations and their potential impact on the test's ability to measure competence and select qualified candidates. Recent debates on this issue have sparked legislative action internationally, including South Korea, with prior discussions among North American countries dating over three decades. The purpose of this study is to identify and analyze three issues associated with item disclosure in medical licensure examinations – 1) fairness and validity, 2) impact on passing levels, and 3) utility of item disclosure – by synthesizing existing literature in relation to standards in testing. Historically, the controversy over item disclosure has centered on fairness and validity. Proponents of item disclosure stress test takers’ right to know, while opponents argue from a validity perspective. Item disclosure may bias item characteristics, such as difficulty and discrimination, and has consequences on setting passing levels. To date, there has been limited research on the utility of item disclosure for large scale testing. These issues requires ongoing and careful consideration. PMID:26374693

  6. Three controversies over item disclosure in medical licensure examinations.

    PubMed

    Park, Yoon Soo; Yang, Eunbae B

    2015-01-01

    In response to views on public's right to know, there is growing attention to item disclosure - release of items, answer keys, and performance data to the public - in medical licensure examinations and their potential impact on the test's ability to measure competence and select qualified candidates. Recent debates on this issue have sparked legislative action internationally, including South Korea, with prior discussions among North American countries dating over three decades. The purpose of this study is to identify and analyze three issues associated with item disclosure in medical licensure examinations - 1) fairness and validity, 2) impact on passing levels, and 3) utility of item disclosure - by synthesizing existing literature in relation to standards in testing. Historically, the controversy over item disclosure has centered on fairness and validity. Proponents of item disclosure stress test takers' right to know, while opponents argue from a validity perspective. Item disclosure may bias item characteristics, such as difficulty and discrimination, and has consequences on setting passing levels. To date, there has been limited research on the utility of item disclosure for large scale testing. These issues requires ongoing and careful consideration. PMID:26374693

  7. Diet, H pylori infection and gastric cancer: Evidence and controversies

    PubMed Central

    Rocco, Alba; Nardone, Gerardo

    2007-01-01

    Despite decreasing incidence and mortality rates, gastric cancer (GC) still remains the fourth most common cancer and the second most common cause of cancer-related deaths worldwide. Due to the limited treatment options, at present, prevention is likely to be the only effective means of controlling this disease. The success of a prevention strategy depends upon the understanding of etiological and pathogenic mechanisms underlying gastric carcinogenesis. The etiology of GC is multi-factorial, however, in the recent years, mounting evidence suggests that environmental factors play a key role. The most important environmental factors implicated in the pathogenesis of GC are diet and H pylori infection. Thus, modifications in lifestyle and dietary habit associated with eradication of H pylori infection could hypothetically represent the most promising potential targets for GC prevention. In this review we will address the evidence and the controversies on the role of these agents in non-cardia GC by focusing on retrospective and prospective observational studies and interventional trials. PMID:17589938

  8. Current controversies in determining the main mechanisms of atrial fibrillation.

    PubMed

    Schotten, U; Dobrev, D; Platonov, P G; Kottkamp, H; Hindricks, G

    2016-05-01

    Despite considerable basic research into the mechanisms of atrial fibrillation (AF), not much progress has been made in the prognosis of patients with AF. With the exception of anticoagulant therapy, current treatments for AF still do not improve major cardiovascular outcomes. This may be due partly to the diverse aetiology of AF with increasingly more factors found to contribute to the arrhythmia. In addition, a strong increase has been seen in the technological complexity of the methods used to quantify the main pathophysiological alterations underlying the initiation and progression of AF. Because of the lack of standardization of the technological approaches currently used, the perception of basic mechanisms of AF varies widely in the scientific community. Areas of debate include the role of Ca(2+) -handling alterations associated with AF, the contribution and noninvasive assessment of the degree of atrial fibrosis, and the best techniques to identify electrophysiological drivers of AF. In this review, we will summarize the state of the art of these controversial topics and describe the diverse approaches to investigating and the scientific opinions on leading AF mechanisms. Finally, we will highlight the need for transparency in scientific reporting and standardization of terminology, assumptions, algorithms and experimental conditions used for the development of better AF therapies. PMID:26991914

  9. Our Way to Understand the World: Darwin's Controversial Inheritance

    NASA Astrophysics Data System (ADS)

    Schmidt-Salomon, Michael

    Shortly after he had completed the first draft of his theory of evolution in 1844, Charles Darwin wrote to his friend Joseph Hooker, the botanist, that publishing the theory seemed to him "like confessing a murder" (Glaubrecht 2009, p. 161). Right from the beginning, Darwin was aware of the far-reaching impact his theory would have. And this was probably one of the main reasons for his postponing the publication of his ideas for such a long time. After the completion of the 230 page text in 1844, it was another 15 years (!) before his famous book On the Origin of Species was published. Since that time 150 years have passed, but the theory of evolution is as controversial as ever. Darwin's dangerous idea is still putting many traditional world views through some very hard tests. This is the central theme to which I have devoted the following thoughts. I have divided my study into three parts: I shall start by shedding some light on the conflict between Darwin's challenging idea and traditional (Christian) beliefs, a conflict that has lasted till this very day. In the second part, I want to focus on the ideological abuse of the theory of evolution. The third and final part introduces Julian Huxley's concept of 'evolutionary humanism', which links Darwin's scientific inheritance with a distinctly humanist ethic.

  10. Big U. S. gas producing states fan prorationing controversy

    SciTech Connect

    Not Available

    1992-05-04

    This paper reports that the biggest gas producing states in the U.S. are embracing wholesale changes in prorationing rules. And their actions have stirred controversy and warnings among key energy lawmakers in Washington. The Texas Railroad Commission last week unanimously approved new rules for setting production volumes for gas wells. Texas is the country's No. 1 gas producer. TRC commissioners eliminated a system that prorated production based on monthly nominations by gas purchasers. The Office of Conservation in Louisiana, No. 2 ranked producer, recently conducted a hearing on a prorationing proposal supported by Gov. Edwin Edwards. Conservation Commissioner Herbert W. Thompson is expected to disclose the state's plans by the end of this month. No. 3 Oklahoma enacted a law last March restricting production from unallocated wells in the 4 winter months to the greater of 1 MMcfd or 40% of the calculated absolute open flow and the rest of the year to the greater of 750 Mcfd or 25% of the calculated absolute open flow.

  11. Controversies and challenges in the management of chronic urticaria.

    PubMed

    Staubach, P; Zuberbier, T; Vestergaard, C; Siebenhaar, F; Toubi, E; Sussman, G

    2016-07-01

    This supplement reports proceedings of the second international Global Urticaria Forum, which was held in Berlin, Germany in November 2015. Despite the clear international guideline, there remain a number of controversies and challenges in the management of patients with chronic urticaria (CU). As a result of major advancements in urticaria over the past 4 years, the current EAACI/GA(2) LEN/EDF/WAO urticaria guideline treatment algorithm requires updating. Case studies from patients with chronic spontaneous urticaria (CSU) [also called chronic idiopathic urticaria (CIU)], chronic inducible urticaria (CIndU) or diseases and syndromes related to CU are useful in describing and exploring challenges in disease management. Case studies of specific CSU patient populations such as children with CU or patients with angio-edema but no hives also require consideration as potentially challenging groups with unmet needs. The current EAACI/GA(2) LEN/EDF/WAO urticaria guideline provides a general framework for the management of patients with CU but, as these cases highlight, a personalized approach based on the expert knowledge of the physician may be required. PMID:27286499

  12. The arms race and nuclear war

    SciTech Connect

    Barash, D.P.

    1987-01-01

    Addressing the history, physics, biology, economics, politics, psychology, and ethics of nuclear armaments, the author provides a survey of diverse facets of the nuclear controversy. The study encompasses such key areas as nuclear hardware and technology; the short- and long-term effects of nuclear weapons; strategic doctrine, deterrence and defense policy; the arms race, arms control, and nuclear proliferation; and the economic impact, psychology, and ethics of nuclear armaments. A ''Policy Issues'' section, presenting both the advocate and opponent sides of the debate, is included with each chapter.

  13. Nuclear past, nuclear present: Hiroshima, Nagasaki, and contemporary strategy

    SciTech Connect

    Clark, I.

    1985-01-01

    The controversial atomic bombings of Hiroshima and Nagasaki in 1945 represent the only occasions when atomic weapons have been employed in war, yet surprisingly little attention has been paid to the relationship between the bombings and the course of subsequent nuclear strategy. Dr. Clark contends that the August 1945 experience was crucially formative and gave rise to a set of influential assumptions about the moral acceptability of using nuclear weapons, the rationality of nuclear decision-making, and the controllability of nuclear operations. The author's detailed reconstruction of the events of 1945 sheds new light upon these assumptions and contributes to the present debate about nuclear strategy, tracing present nuclear strategy, tracing present nuclear concerns and problems back to some of the misleading conclusions drawn from the bombings.

  14. Esophageal cancer management controversies: Radiation oncology point of view.

    PubMed

    Tai, Patricia; Yu, Edward

    2014-08-15

    Esophageal cancer treatment has evolved from single modality to trimodality therapy. There are some controversies of the role, target volumes and dose of radiotherapy (RT) in the literature over decades. The present review focuses primarily on RT as part of the treatment modalities, and highlight on the RT volume and its dose in the management of esophageal cancer. The randomized adjuvant chemoradiation (CRT) trial, intergroup trial (INT 0116) enrolled 559 patients with resected adenocarcinoma of the stomach or gastroesophageal junction. They were randomly assigned to surgery plus postoperative CRT or surgery alone. Analyses show robust treatment benefit of adjuvant CRT in most subsets for postoperative CRT. The Chemoradiotherapy for Oesophageal Cancer Followed by Surgery Study (CROSS) used a lower RT dose of 41.4 Gray in 23 fractions with newer chemotherapeutic agents carboplatin and paclitaxel to achieve an excellent result. Target volume of external beam radiation therapy and its coverage have been in debate for years among radiation oncologists. Pre-operative and post-operative target volumes are designed to optimize for disease control. Esophageal brachytherapy is effective in the palliation of dysphagia, but should not be given concomitantly with chemotherapy or external beam RT. The role of brachytherapy in multimodality management requires further investigation. On-going studies of multidisciplinary treatment in locally advanced cancer include: ZTOG1201 trial (a phase II trial of neoadjuvant and adjuvant CRT) and QUINTETT (a phase III trial of neoadjuvant vs adjuvant therapy with quality of life analysis). These trials hopefully will shed more light on the future management of esophageal cancer. PMID:25132924

  15. 25 Years of Self-organized Criticality: Concepts and Controversies

    NASA Astrophysics Data System (ADS)

    Watkins, Nicholas W.; Pruessner, Gunnar; Chapman, Sandra C.; Crosby, Norma B.; Jensen, Henrik J.

    2016-01-01

    Introduced by the late Per Bak and his colleagues, self-organized criticality (SOC) has been one of the most stimulating concepts to come out of statistical mechanics and condensed matter theory in the last few decades, and has played a significant role in the development of complexity science. SOC, and more generally fractals and power laws, have attracted much comment, ranging from the very positive to the polemical. The other papers (Aschwanden et al. in Space Sci. Rev., 2014, this issue; McAteer et al. in Space Sci. Rev., 2015, this issue; Sharma et al. in Space Sci. Rev. 2015, in preparation) in this special issue showcase the considerable body of observations in solar, magnetospheric and fusion plasma inspired by the SOC idea, and expose the fertile role the new paradigm has played in approaches to modeling and understanding multiscale plasma instabilities. This very broad impact, and the necessary process of adapting a scientific hypothesis to the conditions of a given physical system, has meant that SOC as studied in these fields has sometimes differed significantly from the definition originally given by its creators. In Bak's own field of theoretical physics there are significant observational and theoretical open questions, even 25 years on (Pruessner 2012). One aim of the present review is to address the dichotomy between the great reception SOC has received in some areas, and its shortcomings, as they became manifest in the controversies it triggered. Our article tries to clear up what we think are misunderstandings of SOC in fields more remote from its origins in statistical mechanics, condensed matter and dynamical systems by revisiting Bak, Tang and Wiesenfeld's original papers.

  16. Beyond the guidelines: challenges, controversies, and unanswered questions.

    PubMed

    Radix, Anita; Silva, Manel

    2014-06-01

    Transgender and gender-nonconforming youth have unique medical and psychosocial needs that frequently go unmet. For youth who wish to have their physical appearance congruent with their gender identity, treatment guidelines are available that advocate the use of gonadotropin-releasing hormone (GnRH) analogues (puberty blockers) and cross-sex hormone regimens. Although medical transition was once considered highly controversial, there is a mounting body of evidence that providing a supportive and affirming environment, as well as appropriate medical intervention, results in improved health outcomes. Primary care pediatricians may be unaware of current guidelines and consequently the need for treatment and/or timely referrals. Transgender youth often face other hurdles to initiation of therapy, including refusal of care and harassment in medical settings, denial of coverage by insurance plans, and the high cost of puberty blockers. Because transgender youth younger than 18 years depend on their families for medical decision making, they may be unable to access necessary medical treatment when parents do not support their transition plan. Medical transition impacts many aspects of the medical system, such as insurance coverage, billing, electronic health records, and preventive health care maintenance. These issues may become more apparent with the implementation of the Affordable Care Act (ACA) and increased use of electronic records and clinical decision support. The implementation of the ACA may also present new opportunities and protections for transgender individuals. Primary pediatricians are often the first providers families and youth reach out to for advice, and they can assist families with negotiating these complex medical, legal, social, and economic challenges and optimizing access to safe and appropriate health care services. PMID:24972423

  17. H. influenzae type b (Hib) vaccine--controversies.

    PubMed

    Shah, Nitin K

    2003-06-01

    Hib vaccine is the 8th vaccine knocking at the door to be included in the EPI the world over. However there are some controversies that need to be addressed, especially when it comes to use of this vaccine in India. It is difficult to culture Hib unless one uses sheep blood enriched media for culture. There is a lack of good community based data on Hib burden in India. This makes many feel that Hib is rare in India. However this is not true. There are many studies that have looked at this closely. Hib is a common cause of meningitis and pneumonitis in children less than 5 years old in India. There is wide spread problem of multi-drug resistance by Hib in India. Mortality of meningitis is as high as 100% if third generation cephalosporins are not used in time. Of the survivors of meningitis, 60% develop long-term sequelae. Hib vaccine is very effective and can lead to 99% reduction with mass vaccination in just 2-3 years. It is also a very safe vaccine. Of the conjugated vaccines available in India all are equally effective and safe and there is nothing to choose one over the other. There is a need to give a booster dose at 15-18 months of age. Even UK, which never gave the booster dose, is seriously thinking of changing their practice and give a booster dose. Lastly the combination vaccines of Hib with IPV, DPwT/DPaT, and Hepatitis B are safe and effective and should be encouraged to improve the compliance. The use of Hib vaccine is recommended in India, for those who can afford the vaccine. PMID:12921318

  18. Esophageal cancer management controversies: Radiation oncology point of view

    PubMed Central

    Tai, Patricia; Yu, Edward

    2014-01-01

    Esophageal cancer treatment has evolved from single modality to trimodality therapy. There are some controversies of the role, target volumes and dose of radiotherapy (RT) in the literature over decades. The present review focuses primarily on RT as part of the treatment modalities, and highlight on the RT volume and its dose in the management of esophageal cancer. The randomized adjuvant chemoradiation (CRT) trial, intergroup trial (INT 0116) enrolled 559 patients with resected adenocarcinoma of the stomach or gastroesophageal junction. They were randomly assigned to surgery plus postoperative CRT or surgery alone. Analyses show robust treatment benefit of adjuvant CRT in most subsets for postoperative CRT. The Chemoradiotherapy for Oesophageal Cancer Followed by Surgery Study (CROSS) used a lower RT dose of 41.4 Gray in 23 fractions with newer chemotherapeutic agents carboplatin and paclitaxel to achieve an excellent result. Target volume of external beam radiation therapy and its coverage have been in debate for years among radiation oncologists. Pre-operative and post-operative target volumes are designed to optimize for disease control. Esophageal brachytherapy is effective in the palliation of dysphagia, but should not be given concomitantly with chemotherapy or external beam RT. The role of brachytherapy in multimodality management requires further investigation. On-going studies of multidisciplinary treatment in locally advanced cancer include: ZTOG1201 trial (a phase II trial of neoadjuvant and adjuvant CRT) and QUINTETT (a phase III trial of neoadjuvant vs adjuvant therapy with quality of life analysis). These trials hopefully will shed more light on the future management of esophageal cancer. PMID:25132924

  19. The controversy over H5N1 transmissibility research

    PubMed Central

    Fedson, David S.; Opal, Steven M.

    2013-01-01

    Since December 2011, influenza virologists and biosecurity experts have been engaged in a controversial debate over research on the transmissibility of H5N1 influenza viruses. Influenza virologists disagreed with the NSABB’s recommendation not to publish experimental details of their findings, whereas biosecurity experts wanted the details to be withheld and future research restricted. The virologists initially declared a voluntary moratorium on their work, but later the NSABB allowed their articles to be published, and soon transmissibility research will resume. Throughout the debate, both sides have had understandable views, but both have overlooked the more important question of whether anything could be done if one of these experimentally derived viruses or a naturally occurring and highly virulent influenza virus should emerge and cause a global pandemic. This is a crucial question, because during the 2009 H1N1 influenza pandemic, more than 90% of the world’s people had no access to timely supplies of affordable vaccines and antiviral agents. Observational studies suggest that inpatient statin treatment reduces mortality in patients with laboratory-confirmed seasonal influenza. Other immunomodulatory agents (glitazones, fibrates and AMPK agonists) improve survival in mice infected with influenza viruses. These agents are produced as inexpensive generics in developing countries. If they were shown to be effective, they could be used immediately to treat patients in any country with a basic health care system. For this reason alone, influenza virologists and biosecurity experts need to join with public health officials to develop an agenda for laboratory and clinical research on these agents. This is the only approach that could yield practical measures for a global response to the next influenza pandemic. PMID:23391967

  20. Compounded Testosterone Troches TO OPTIMIZE HEALTH AND THE TESTOSTERONE CONTROVERSY.

    PubMed

    Guth, Michael A S

    2015-01-01

    been swayed against prescribing testosterone replacement therapy to their aging male patients. The testosterone controversy stems largely from poorly designed clinical studies in which patients were subjected to testosterone replacement therapy without having their estradiol and dihydrotestosterone levels properly controlled. PMID:26714360

  1. Teachers' Perceptions of the Role of Evidence in Teaching Controversial Socio-Scientific Issues

    ERIC Educational Resources Information Center

    Levinson, Ralph

    2006-01-01

    Eighty-three teachers across the curriculum were interviewed to explain their views on and approaches to, the teaching of socio-scientific controversial issues to 14-19 year olds, particularly with regard to developments in biomedicine and biotechnology. This study focused on teachers' views on the nature of evidence in controversial issues and…

  2. The Importance of Context for Teaching Controversial Issues in International Settings

    ERIC Educational Resources Information Center

    Misco, Thomas

    2012-01-01

    This article explores the underlying and epiphenomenal manifestations of milieus and contexts that serve to control and undermine, or provide pathways to, the discussion of controversial issues in classrooms. Given the importance of teaching and discussing controversial issues, as an essential lever for democratic citizenship education, I draw on…

  3. Accreditation in Kinesiology: The Process, Criticism and Controversy, and the Future

    ERIC Educational Resources Information Center

    Templin, Thomas J.; Blankenship, Bonnie Tjeerdsma

    2007-01-01

    The question of accreditation has been quite controversial in higher education. Some consider accreditation as a necessary "evil" while others reject it outright. It is a process designed to promote quality assurance and improvement in institutions and programs, yet one mired in various issues. While accreditation is controversial in a number of…

  4. Addressing Controversies in Science Education: A Pragmatic Approach to Evolution Education

    ERIC Educational Resources Information Center

    Hildebrand, David; Bilica, Kimberly; Capps, John

    2008-01-01

    Science education controversies typically prove more intractable than those in scientific research because they involve a wider range of considerations (e.g., epistemic, social, ethical, political, and religious). How can educators acknowledge central issues in a controversy (such as evolution)? How can such problems be addressed in a way that is…

  5. Controversial Issues and the Teaching of A-Level Biology: Possibilities and Problems.

    ERIC Educational Resources Information Center

    Van Rooy, Wilhelmina

    This thesis focuses on the espoused beliefs, values, and attitudes of experienced A-Level Biology teachers in relation to the teaching of controversial biological issues. Of major interest is the thinking behind what the teachers in this study regard as the possibilities and problems for the teaching of controversial issues given the teaching…

  6. The Effects of Controversy, Concurrence Seeking, and Individualistic Learning on Achievement and Attitude Change.

    ERIC Educational Resources Information Center

    Johnson, Roger; And Others

    1985-01-01

    Compared effects of cooperative learning activities (with and without structured controversy) and individualistic learning activities on the achievement and attitudes of fifth graders (N=84) toward wolves. Results show that cooperative-controversy resulted in the highest achievement, greatest motivation to learn about wolves, and more positive…

  7. A Survey of Appalachian Middle & High School Teacher Perceptions of Controversial Current Events Instruction

    ERIC Educational Resources Information Center

    Sharp, Kimberlee A.

    2009-01-01

    This study examined the perspectives of a sample of Appalachian middle and high school social studies teachers regarding the teaching of controversial current events. Specifically, the survey ascertained the teachers' familiarity with school district administrative policies regarding the teaching of controversial current events, their perceptions…

  8. Controversy over Student's Art Exhibit at Yale Raises Issues of Academic Freedom

    ERIC Educational Resources Information Center

    Wilson, Robin

    2008-01-01

    This article describes the controversy surrounding a Yale University art student, Aliza Shvarts, who told the campus newspaper that she had repeatedly inseminated herself artificially and then induced abortions as part of her senior thesis. The controversy has created massive reverberations throughout academe, especially in the already hotly…

  9. The Role of Historical-Philosophical Controversies in Teaching Sciences: The Debate between Biot and Ampere

    ERIC Educational Resources Information Center

    Braga, Marco; Guerra, Andreia; Reis, Jose Claudio

    2012-01-01

    This paper evaluates the viability of using controversies in teaching. An educational project has been elaborated in which some historical-philosophical clashes were introduced into the classical syllabus of physics. The historical-philosophical controversy dealt with here, took place between the French physicists Biot and Ampere in the 19th…

  10. The Emergence of the Controversy around the Theory of Evolution and Creationism in UK Newspaper Reports

    ERIC Educational Resources Information Center

    Allgaier, Joachim; Holliman, Richard

    2006-01-01

    The question of whether religious explanations about the origin of life should be taught alongside scientific accounts in compulsory science education has sparked controversy in several countries for decades. An important site for these controversies is media reporting. This article presents the results of a quantitative and qualitative analysis…

  11. 18 CFR 385.218 - Simplified procedure for complaints involving small controversies (Rule 218).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... for complaints involving small controversies (Rule 218). 385.218 Section 385.218 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY PROCEDURAL RULES RULES... involving small controversies (Rule 218). (a) Eligibility. The procedures under this section are...

  12. 18 CFR 385.218 - Simplified procedure for complaints involving small controversies (Rule 218).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... for complaints involving small controversies (Rule 218). 385.218 Section 385.218 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY PROCEDURAL RULES RULES... involving small controversies (Rule 218). (a) Eligibility. The procedures under this section are...

  13. Dealing with the Controversial Elements in "The Catcher in the Rye."

    ERIC Educational Resources Information Center

    Frangedis, Helen

    1988-01-01

    Explains that J. D. Salinger's "The Catcher in the Rye" contains an underlying moral code which predominates the controversial elements of the novel. States that a close textual analysis and candid discussion are necessary to appreciate the novel's literary merits and to understand its controversial elements. (MM)

  14. Annotated Bibliography of Materials Relating to the Evolution-Creationism Controversy.

    ERIC Educational Resources Information Center

    Haughton, Buzz

    In examining the literature on materials relating to the evolution-creationism controversy, it was found that there have been no comprehensive bibliographies compiled since the early 1980s. This paper presents an annotated bibliography on the creationism-evolution controversy including materials published or made available since 1980. (ASK)

  15. Scientific Experts and the Controversy about Teaching Creation/Evolution in the UK Press

    ERIC Educational Resources Information Center

    Allgaier, Joachim

    2010-01-01

    The issue whether creationist accounts of the origins of life should be taught in science education alongside or even instead Darwin's theory of evolution is controversial in many countries. In 2002 there was a controversy around teaching creationism in science classes at a secondary school in England. The research presented in this paper uses…

  16. The Status of Learning Disabilities in the States: Consensus or Controversy?

    ERIC Educational Resources Information Center

    McNutt, Gaye

    1986-01-01

    To determine the degree of controversy or consensus regarding definitions at the state level, questionnaires focusing on six learning disability topics were sent to each state education agency (SEA) and the District of Columbia. In general, more consensus than controversy exists when broad areas are considered. Changes in some SEA definitions…

  17. Major Trends and Issues in Early Childhood Education: Challenges, Controversies, and Insights. (Second Edition).

    ERIC Educational Resources Information Center

    Isenberg, Joan Packer, Ed.; Jalongo, Mary Renck, Ed.

    Noting that understanding the contexts, continuities, and controversies of early childhood education is especially challenging because of the diversity in the field, this book provides a critical examination of the issues and controversies surrounding early childhood practices, policies, and professional development. Following an introduction…

  18. Progressive Transitions in Chemistry Teachers' Understanding of Nature of Science Based on Historical Controversies

    ERIC Educational Resources Information Center

    Niaz, Mansoor

    2009-01-01

    The objective of this study is to facilitate progressive transitions in chemistry teachers understanding of nature of science in the context of historical controversies. Selected controversies referred to episodes that form part of the chemistry curriculum both at secondary and university freshman level. The study is based on 17 in-service…

  19. Controversial Issues--Teachers' Attitudes and Practices in the Context of Citizenship Education

    ERIC Educational Resources Information Center

    Oulton, Christopher; Day, Vanessa; Dillon, Justin; Grace, Marcus

    2004-01-01

    Current conceptions of citizenship favour public involvement in dialogue on controversial issues such as GM food. 'Students with higher levels of civic knowledge are more likely to expect to participate in political and civic activities as adults' (Kerr et al., 2003, p. 4). Young people need to be aware of the nature of controversy and be able to…

  20. The Controversy Goes On--"Can Computers Think?" Part I: Background.

    ERIC Educational Resources Information Center

    Kugel, Peter

    1985-01-01

    The controversy over whether or not machines can think has attracted the attention of philosophers, psychologists, neurologists, computer scientists, and writers of science fiction. Various topics and issues related to this controversy are discussed, including turing machines and the relationship between computer history and mathematical…

  1. Controversial Biological Issues: An Exploratory Tool for Accessing Teacher Thinking in Relation to Classroom Practice.

    ERIC Educational Resources Information Center

    Van Rooy, Wilhelmina S.

    The research reported here focuses on the beliefs, values and attitudes of one experienced biology teacher (Teacher A) in relation to the teaching of controversial biological issues. Of specific interest is the thinking behind what this teacher conceptualizes are the possibilities and problems for the teaching of controversial issues as part of…

  2. Monumental Controversies: Exploring the Contested History of the United States Landscape

    ERIC Educational Resources Information Center

    Waters, Stewart; Russell, William B., III

    2013-01-01

    The authors of this article examine several controversial U.S. monuments and offer teachers a rationale, resources, and suggested activities for incorporating these historical monuments into classroom instruction. The authors discuss why controversial issues should be discussed in the social studies classroom through the critical examination of…

  3. The Problem of Catholic School Teachers Deferring to the Home on Controversial Religious Issues

    ERIC Educational Resources Information Center

    McDonough, Graham P.

    2010-01-01

    This paper observes that an ironic tension occurs in the discussion of controversial issues in some Catholic schools. One technique that teachers use in response to student disagreement with the official Church view on a controversial issue like contraception, homosexuality, or female ordination is to present Church teaching but then suggest that…

  4. Florida Pre-Service Teachers' and Their Attitudes Towards the Use of Controversial Issues

    ERIC Educational Resources Information Center

    Rambosk, Peggy

    2011-01-01

    The purpose of this attitudinal study is to investigate the role that social studies methods courses in Florida play in examining controversial issues with their pre-service teachers. Five research questions established the parameters for the investigation of pre-service teachers' attitudes toward the use of controversial issues through the…

  5. 42 CFR 405.817 - Principles for determining amount in controversy.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... controversy needed for a carrier hearing ($100) or ALJ hearing ($500), the following rules apply: (1) The... in question, less any amount for which payment has been made by the carrier and less any deductible... claims may be aggregated by an individual appellant to meet the amount in controversy for a...

  6. 42 CFR 405.817 - Principles for determining amount in controversy.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... controversy needed for a carrier hearing ($100) or ALJ hearing ($500), the following rules apply: (1) The... in question, less any amount for which payment has been made by the carrier and less any deductible... claims may be aggregated by an individual appellant to meet the amount in controversy for a...

  7. Characteristics of "Controversial" Children: An Exploration of Teacher and Parent Social Behavior Rating Scale Datasets

    ERIC Educational Resources Information Center

    Hill, Diane K.; Merrell, Kenneth W.

    2004-01-01

    The term "controversial" has been used in the professional literature to describe children and adolescents who have the seemingly paradoxical quality of being both socially skilled and antisocial. Although there have been some widely influential studies regarding controversial children and youth, there has been relatively little research in this…

  8. Teaching Controversial Issues and Teacher Education in England and South Africa

    ERIC Educational Resources Information Center

    Chikoko, Vitallis; Gilmour, James David; Harber, Clive; Serf, Jeff

    2011-01-01

    This paper argues the importance in and for a democratic state and society of discussing controversial issues in education. In particular it analyses two national educational contexts, that of England and South Africa. It considers both whether they provide a suitable framework for teaching controversial issues in school classrooms and if they…

  9. Key non-controversial concepts of population education.

    PubMed

    Sikes, O J; Palacio, J; Kerr, B

    1993-03-01

    The important components of population education should focus on sexuality rather than sex education; content for inclusion depends upon whether the goal is population awareness or critical awareness. Population awareness is the better understanding of the nature, causes, and consequences of population changes experienced by a community, country, region. Critical awareness is the intent and ability to change the sociocultural or educational characteristics that influence fertility, mortality, and migration. 6 basic concepts with universal applicability are discussed, because if not handled properly, the topic become controversial. The concepts are linked to developing thinking or reasoning ability. The concepts are as follows: 1) respect for others, particularly those of the opposite sex; 2) development of self-esteem for both boys and girls; 3) the knowledge that planning is possible and desirable; 4) postponement of first pregnancy; 5) acceptance of responsibility for the consequences of behavior; and 6) the ability to recognize and withstand social pressure. When children learn respect for others, there is little likelihood that others will be harmed. Respect for girls and women is particularly important, and harmful stereotyping and their effects should be pointed out. The key is to develop healthy attitudes and values toward people, not just an intellectualization of gender issues. Self-esteem is used here to mean self-worth in the present and the future. Children can be helped to develop confidence, perseverance, and optimism. Children need to understand that carefully thought out decisions should precede a birth; fatalism and destiny is a choice. Postponing the first pregnancy can lead to economic, emotional, and physical benefits. Risk to the health of the mother and baby occurs during the teen years. The best time for pregnancy is between the ages of 20 and 30 years. A pregnancy in the teen years may have longterm consequences such as more pregnancy and

  10. Current challenges and controversies in drug-induced liver injury.

    PubMed

    Corsini, Alberto; Ganey, Patricia; Ju, Cynthia; Kaplowitz, Neil; Pessayre, Dominique; Roth, Robert; Watkins, Paul B; Albassam, Mudher; Liu, Baolian; Stancic, Saray; Suter, Laura; Bortolini, Michele

    2012-12-01

    Current key challenges and controversies encountered in the identification of potentially hepatotoxic drugs and the assessment of drug-induced liver injury (DILI) are covered in this article. There is substantial debate over the classification of DILI itself, including the definition and validity of terms such as 'intrinsic' and 'idiosyncratic'. So-called idiosyncratic DILI is typically rare and requires one or more susceptibility factors in individuals. Consequently, it has been difficult to reproduce in animal models, which has limited the understanding of its underlying mechanisms despite numerous hypotheses. Advances in predictive models would also help to enable preclinical elimination of drug candidates and development of novel biomarkers. A small number of liver laboratory tests have been routinely used to help identify DILI, but their interpretation can be limited and confounded by multiple factors. Improved preclinical and clinical biomarkers are therefore needed to accurately detect early signals of liver injury, distinguish drug hepatotoxicity from other forms of liver injury, and differentiate mild from clinically important liver injury. A range of potentially useful biomarkers are emerging, although so far most have only been used preclinically, with only a few validated and used in the clinic for specific circumstances. Advances in the development of genomic biomarkers will improve the prediction and detection of hepatic injury in future. Establishing a definitive clinical diagnosis of DILI can be difficult, since it is based on circumstantial evidence by excluding other aetiologies and, when possible, identifying a drug-specific signature. DILI signals based on standard liver test abnormalities may be affected by underlying diseases such as hepatitis B and C, HIV and cancer, as well as the concomitant use of hepatotoxic drugs to treat some of these conditions. Therefore, a modified approach to DILI assessment is justified in these special populations

  11. Postoperative Controversies in the Management of Free Flap Surgery in the Head and Neck.

    PubMed

    Cannady, Steven B; Hatten, Kyle; Wax, Mark K

    2016-08-01

    Free tissue transfer is the gold standard for reconstructing head and neck defects. Free flap success approaches 95% in centers with experience, affording unparalleled ability to restore form and function in cancer, trauma, or other major composite tissue loss. It is critical to manage the perioperative variables that predict success; several areas of controversy have not yet reached consensus. This review focuses on postoperative anticoagulation, fluid management, and flap monitoring methods. These areas of controversy potentially influence flap survival. We review published practices considered within the standard of care, why controversy remains, and future directions to reach standardization. PMID:27400844

  12. The effects of controversy, concurrence seeking, and individualistic learning on achievement and attitude change

    NASA Astrophysics Data System (ADS)

    Johnson, Roger; Brooker, Charlotte; Stutzman, James; Hultman, Donald; Johnson, David W.

    The effects of cooperative-controversy, cooperative-concurrence seeking, and individualistic learning were compared on motivation, achievement, and attitudes toward the science subject being studied. Eighty-four fifth-grade students were assigned to conditions on a stratified random basis controlling for sex and reading ability. In all three conditions students studied whether wolves should or should not be a protected species. The results indicate that cooperative-controversy resulted in the highest achievement, greatest motivation to learn more about wolves, more positive attitudes toward the wolf, and more positive attitudes toward controversy.

  13. Dialogs on the Yucca Mountain controversy. Special report No. 5

    SciTech Connect

    Archambeau, C.B.; Szymanski, J.S.

    1993-03-01

    The recent, 1992, report prepared by the Panel on Coupled Hydrologic/Tectonic/Hydrothermal Systems at Yucca Mountain for the National Research Council of the National Academy of Sciences, entitled Ground Water at Yucca Mountain: How High Can It Rise? has generated critical reviews by Somerville et al. (1992) and by Archambeau (1992). These reviews were submitted as reports to the Nuclear Waste Project Office, State of Nevada by Technology and Resource Assessment Corporation under Contract No. 92/94.0004. A copy of the review report by C. B. Archambeau was also sent to Dr. Frank Press, President of the National Academy of Sciences, along with a cover letter from Dr. Archambeau expressing his concerns with the NRC report and his suggestion that the Academy President consider a re-evaluation of the issues covered by the NRC report. Dr. Press responded in a letter to Dr. Archambeau in February of this year which stated that, based on his staff recommendations and a review report by Dr. J. F. Evernden of the United States Geological Survey, he declined to initiate any further investigations and that, in his view, the NRC report was a valid scientific evaluation which was corroborated by Evernden`s report. He also enclosed, with his letter, a copy of the report he received from his staff. In March of this year Dr. Archambeau replied to the letter and NRC staff report sent by Dr. Press with a detailed point-by-point rebuttal of the NRC staff report to Press. Also, in March, a critical review of Dr. Evernden`s report by M. Somerville was submitted to the Nuclear Waste Project Office of the State of Nevada and this report, along with the earlier review of the NRC report by Somerville et al., was included as attachments to the letter sent to Dr. Press.

  14. Metaphysics for an enlightened public: The controversy over monads in Germany, 1746-1748.

    PubMed

    Broman, Thomas

    2012-03-01

    This essay analyzes the controversy that attended the prize essay question on monads proposed by the Berlin Academy of Sciences in 1746. The controversy was first touched off by an anonymous pamphlet published by the mathematician Leonhard Euler, the academy's most well known member, that attacked the doctrine of monads. It peaked with the awarding of the prize to Johann Heinrich Gottlob Justi, whose winning essay closely followed Euler's arguments. This essay discusses the controversy as one instance in a broader quarrel in the German academic community over the suitability of Christian Wolff's philosophy as the foundation for a broad range of academic disciplines, including natural philosophy. It also analyzes the controversy as displaying the central role of the periodical press in the emergent German public sphere. PMID:22655336

  15. Eat more fat? The controversial new dietary advice for the UK population.

    PubMed

    Glasper, Alan

    2016-07-28

    Emeritus Professor Alan Glasper, from the University of Southampton, discusses the looming crisis caused by rising levels of obesity among the population-and the controversy surrounding the advice to tackle it. PMID:27467647

  16. [Addressing the controversy regarding the association between thimerosal-containing vaccines and autism].

    PubMed

    García-Fernández, Lisset; Hernández, Adrián V; Suárez Moreno, Víctor; Fiestas, Fabián

    2013-04-01

    Vaccination is one of the most important public health interventions in the reduction childhood morbidity and mortality. Thimerosal is an organic mercury compound used as preservante in multi-dose vials. Often in Peru, there are waves of controversy about the safety of this type of vaccines, mainly arguing that there is an association between them and autism. As a result of these controversies, there have been some voices asking for laws banning thimerosal-containing vaccines, which would have a large impact in costs and the logistic aspects of the public vaccination programs. The aim of this article is to review the literature for the main controversies about thimerosal in vaccines and its supposed association to autism. We made an historical review about these controversies given the available scientific evidence and the statements from important international organizations. We concluded that the current available evidence do not support an association between thimerosal and childhood neurodevelopmental disorders, such as autism. PMID:23949514

  17. Radiofrequency (mobile telephones) Exposures and Health Risks: Findings and Controversies - Linet

    Cancer.gov

    Radiofrequency (mobile telephones) Exposures and Health Risks: Findings and Controversies by Dr. Martha Linet - part of the Radiation Epidemiology and Dosimetry Course on the health effects of radiation exposure

  18. Research in the Wake of the No Child Left Behind Act: Why the Controversies Will Continue and Some Suggestions for Controversial Research

    ERIC Educational Resources Information Center

    Brigham, Frederick J.; Gustashaw, William E., III; Wiley, Andrew L.; Brigham, Michele St. Peter

    2004-01-01

    The authors provide an analysis of why the controversies surrounding educational treatment are likely to continue even with scientific validation of practices as called for in the No Child Left Behind (NCLB) act. They describe how bias in human judgment makes it difficult to trust others and also difficult to doubt oneself relative to important…

  19. Review of current authorship guidelines and the controversy regarding publication of clinical trial data.

    PubMed

    Foote, MaryAnn

    2003-01-01

    Publication of clinical trial data is the final step in the scientific method and an important method by which pharmaceutical and biotechnology companies, i.e., drug sponsors, disseminate information about their products. Because of the nature of large, multicenter trials, multiple investigators from many institutions may be considered as authors of these papers. Controversy concerning the rights of academic institutions and the rights of drug sponsors has been widely debated. This chapter summarizes the controversy and the current policies. PMID:14650934

  20. Population biology in the courtroom: the Hudson River controversy

    SciTech Connect

    Barnthouse, L.W.; Boreman, J.; Christensen, S.W.; Goodyear, C.P.; Van Winkle, W.; Vaughan, D.S.

    1984-01-01

    In support of more than a decade of litigation, scientists devoted unprecedented effort to modeling the impact of electric power generation on the Hudson River striped bass population. When the Cornwall pumped storage facility was first proposed, opponents of the project argued that enormous numbers of striped bass eggs and larvae would be entrained with the pumped water and killed. Several years later, when the US Atomic Energy Commission held hearings to investigate the potential environmental impacts of Indian Point Unit 2, a nuclear power plant nearing completion 25 km downriver from Cornwall, it was argued that young striped bass would be entrained through the condensers with the cooling water and killed by thermal and mechanical stress. In addition, fish would be killed by impingement on the trash screens. The AEC staff recommended that a cooling tower be built at Indian Point to reduce cooling-water requirements and, therefore, entrainment and impingement mortality. The most sophisticated models failed to provide useful long-term impact predictions. However, simpler models, used to evaluate alternatives for mitigation, were instrumental in arranging a negotiated settlement.

  1. Early Controversies over Athetosis: I. Clinical Features, Differentiation from other Movement Disorders, Associated Conditions, and Pathology

    PubMed Central

    Lanska, Douglas J.

    2013-01-01

    Background Since the description of athetosis in 1871 by American neurologist William Alexander Hammond (1828–1900) the disorder has been a source of controversy, as were many aspects of Hammond’s career. Methods Primary sources have been used to review controversies in the 50-year period since the initial description of athetosis, in particular those concerning clinical features, differentiation from other movement disorders, associated conditions, and pathology. Controversies concerning treatment will be addressed in a subsequent article. Results Hammond struggled to establish athetosis as a distinct clinical–pathological entity, and had successfully predicted the striatal pathology in his initial case (albeit somewhat serendipitously). Athetosis was, nevertheless, considered by many neurologists to be a form of post-hemiplegic chorea or part of a continuum between chorea and dystonia. European neurologists, and particularly the French, initially ignored or discounted the concept. Additional controversies arose over whether the movements persisted during sleep, whether athetosis was, or could be, associated with imbecility or insanity, and how it should be treated. Discussion Some controversies concerning athetosis served to identify areas where knowledge was insufficient to make accurate statements, despite prior self-assured or even dogmatic statements to the contrary. Other controversies illustrated established prejudices, even if these biases were often only apparent with the greater detachment of hindsight. PMID:23450262

  2. Polemics in Public: Poncelet, Gergonne, Plücker, and the Duality Controversy.

    PubMed

    Lorenat, Jemma

    2015-12-01

    A plagiarism charge in 1827 sparked a public controversy centered between Jean-Victor Poncelet (1788-1867) and Joseph-Diez Gergonne (1771-1859) over the origin and applications of the principle of duality in geometry. Over the next three years and through the pages of various journals, monographs, letters, reviews, reports, and footnotes, vitriol between the antagonists increased as their potential publicity grew. While the historical literature offers valuable resources toward understanding the development, content, and applications of geometric duality, the hostile nature of the exchange seems to have deterred an in-depth textual study of the explicitly polemical writings. We argue that the necessary collective endeavor of beginning and ending this controversy constitutes a case study in the circulation of geometry. In particular, we consider how the duality controversy functioned as a medium of communicating new fundamental principles to a wider audience of practitioners. PMID:26554642

  3. Controversies regarding mammography, breast self-examination, and clinical breast examination.

    PubMed

    Nelson, Anita L

    2013-09-01

    The number of women diagnosed with breast cancer continues to increase, but mortality rates have substantially declined. Much of the credit for this decline has been attributed to early detection from mammographic screening. However, there are significant controversies about the effectiveness of all screening tools for breast cancer, concerns about the potential harm that can result from screening, and questions about the appropriateness of screening recommendations. One of the greatest barriers to achieving consensus is the lack of agreement about the purpose of screening efforts. This article reviews many of the current controversies and attempts to clarify the arguments. PMID:24021250

  4. Nuclear Medicine

    MedlinePlus

    ... Parents/Teachers Resource Links for Students Glossary Nuclear Medicine What is nuclear medicine? What are radioactive tracers? ... funded researchers advancing nuclear medicine? What is nuclear medicine? Nuclear medicine is a medical specialty that uses ...

  5. Nuclear technology transfer to China

    SciTech Connect

    Crane, A.T.

    1987-01-01

    China has severe power shortages and considerable nuclear expertise available from its military programs. These factors led to great expectations of how fast its nuclear power program might expand. The U.S. recently implemented a controversial nuclear cooperation agreement with China, permitting U.S. companies to compete if this market reopens. The major concern over the agreement was that in the past China apparently showed an alarming disregard for the dangers of nuclear proliferation. It is unlikely that China would use nuclear power equipment to further its nuclear weapons program, but the effectiveness of the U.S. nonproliferation stance has been in part dependent on other countries viewing our position as uncompromising. The vagueness of certain provisions in the agreement with China may have weakened this stance. Another concern is that access to U.S. pressurized water reactor technology could improve their submarine reactors, which could be detrimental to U.S. security interests if relations with China deteriorate. However, it appears that the only significant advantage that would accrue would be a general upgrading of management practices and quality control, which would be available from any other nuclear supplier. If the opportunity for the sale of nuclear equipment to China emerges, the nuclear technology transfer that would be involved, if carefully managed, should contribute to the national interest.

  6. The Role of Historical-Philosophical Controversies in Teaching Sciences: The Debate Between Biot and Ampère

    NASA Astrophysics Data System (ADS)

    Braga, Marco; Guerra, Andreia; Reis, José Claudio

    2012-06-01

    This paper evaluates the viability of using controversies in teaching. An educational project has been elaborated in which some historical-philosophical clashes were introduced into the classical syllabus of physics. The historical-philosophical controversy dealt with here, took place between the French physicists Biot and Ampère in the 19th century and referred to distinct interpretations of the Oersted experiment. This controversy was inserted into the syllabus of the 12th grade of a Brazilian secondary school.

  7. Controversial Issues in the Recruitment and Retention of Latino/a Faculty

    ERIC Educational Resources Information Center

    Delgado-Romero, Edward A.; Manlove, Angela Nichols; Manlove, Joshua D.; Hernandez, Carlos A.

    2007-01-01

    This article deals with controversial issues in recruitment of Latino/a faculty in higher education in the United States. The authors present a hypothetical faculty hiring case scenario that they follow throughout the manuscript. Through this case scenario, they examine aspects of Latino/a identity, Latino/a demographics in higher education, and…

  8. An Evolving Controversy: The Struggle to Teach Science in Science Classes

    ERIC Educational Resources Information Center

    Berkman, Michael; Plutzer, Eric

    2012-01-01

    Although the level of controversy varies from one community to the next, biology teachers across the United States struggle to teach evolution. Some face pressure to teach both religious and scientific theories of human origins; others did not have adequate coursework on evolution during teacher preparation. As a result, many biology teachers are…

  9. Multiculturalism and the Paradigm Shift in Counselling: Controversies and Alternative Futures.

    ERIC Educational Resources Information Center

    Pedersen, Paul B.

    2001-01-01

    Discusses the profound changes taking place in the field of psychology and suggests that multicultural perspectives and controversies are mediating these changes. Also suggests that a culture-centered perspective for the future will emerge as a "fourth force" to complement and strengthen the three conventional theories of psychodynamism, humanism,…

  10. Science and Social Studies Teachers' Beliefs and Practices about Teaching Controversial Issues: Certain Comparisons

    ERIC Educational Resources Information Center

    Kus, Zafer

    2015-01-01

    The current study aims to investigate social studies and science teachers' attitudes and classroom practices associated with controversial issues. The study is a qualitative research based on data collected through interviews and observation. Social studies and Science teachers participated in the current study which was conducted in Kirsehir, a…

  11. The Role of Extension in Controversial Studies: The Case of Interstate Dairy Compacts.

    ERIC Educational Resources Information Center

    Bailey, Kenneth W.

    2002-01-01

    The case of the University of Missouri Extension's role in a very controversial study on dairy compacts illustrates that care must be taken to conduct such studies in an objective and scholarly manner without unnecessarily alienating stakeholders. Academic freedom and integrity must be maintained. At the same time, Extension cannot operate…

  12. Estimating Mortality in War-Time Iraq: A Controversial Survey with Important Lessons for Students

    ERIC Educational Resources Information Center

    De Maio, Fernando

    2007-01-01

    In teaching introductory quantitative methods in sociology, I have used a controversial survey of mortality in Iraq before and after the 2003 invasion to highlight to students the power of simple questionnaires, the role of ambiguity in statistics and the place of politics in the framing of statistical results. This brief report summarizes Roberts…

  13. Entanglements of Consumption, Cruelty, Privacy, and Fashion: The Social Controversy over Fur.

    ERIC Educational Resources Information Center

    Olson, Kathryn M.; Goodnight, G. Thomas

    1994-01-01

    Posits a critical approach to the study of contemporary social controversy. Examines objectives to the use of fur as oppositional argument, rhetoric that veers from the goal of persuasion to block conventional associations and refashion communication norms. Shows how pro-fur responses illustrate strategies available to bolster, alter, or abandon…

  14. The Controversy Goes On--"Can Computers Think?" Part II: What Is Thinking?

    ERIC Educational Resources Information Center

    Kugel, Peter

    1985-01-01

    The nature of thinking is the subject of this second part in a series which is examining various topics and issues related to the controversy of whether or not computers can think. Suggests that intelligence is the ability to develop general ideas and not the ability to apply those ideas. (JN)

  15. Inquiry Cycles Can Make Social Studies Meaningful--Learning about the Controversy in Kosovo.

    ERIC Educational Resources Information Center

    Meyerson, Peter; Secules, Teresa

    2001-01-01

    Discusses the use of the inquiry cycle during a professional development program for social studies teachers. Focuses on controversial issues, specifically the problems in Kosovo. Describes the inquiry cycle in detail and the three-phase cycle that helped teachers understand the importance of social studies. (CMK)

  16. Contrasting Viewpoints about Controversial Issues: Presenting Different Views on Highly Charged Issues.

    ERIC Educational Resources Information Center

    Goodwin, Jeff

    1993-01-01

    County agricultural agents (n=258) viewed the "What's the Beef/Here's the Beef" videos, which present contrasting viewpoints on animal rights. Results suggest that well-educated people who have emotional underpinnings on a controversial issue can have their attitudes moderated by exposure to an educational program. (JOW)

  17. The Impact of Socio-Scientific Controversies in Portuguese Natural Science Teachers' Conceptions and Practices

    ERIC Educational Resources Information Center

    Reis, Pedro; Galvao, Cecilia

    2004-01-01

    This article discusses the results of a qualitative study, based on case studies, aimed at: (a) assessing a group of Portuguese secondary school natural science teachers regarding their conceptions of the nature, teaching and learning of science; (b) studying possible impacts of recent controversies surrounding scientific and technological issues…

  18. The Oil Drop Experiment: Do Physical Chemistry Textbooks Refer to Its Controversial Nature?

    ERIC Educational Resources Information Center

    Niaz, Mansoor; Rodriguez, Maria A.

    2005-01-01

    Most general chemistry textbooks consider the oil drop experiment as a classic experiment, characterized by its simplicity and precise results. A review of the history and philosophy of science literature shows that the experiment is difficult to perform (even today!) and generated a considerable amount of controversy. Acceptance of the…

  19. The Pedagogy of Controversy in the Field of China Studies: Teaching the Cultural Revolution

    ERIC Educational Resources Information Center

    Carrico, Kevin

    2014-01-01

    How can we as educators address complex and controversial topics in the social sciences without encouraging simplistic responses and self-reproducing binary oppositions? Drawing upon an ethnographic analysis of a first-year writing seminar on the history of the Chinese Cultural Revolution, this article proposes novel approaches to overcome…

  20. Evaluating the Public Information: Shaping News Coverage of the Silicone Implant Controversy.

    ERIC Educational Resources Information Center

    Andsager, Julie; Smiley, Leiott

    1998-01-01

    Examines effectiveness of public information officers transmitting policy actors' frames through the media (six major newspapers) to the public during the 1991-92 silicone breast implant controversy that involved a major corporation, the medical community, and citizens' activist groups. Finds that the medical community's frame occurred most…

  1. Clinical Correlates of Alleged Satanic Abuse and Less Controversial Sexual Molestation.

    ERIC Educational Resources Information Center

    Leavitt, Frank

    1994-01-01

    This study found that 39 women alleging satanic ritual abuse and 47 women reporting less controversial forms of sexual trauma as children were characterized by high but nondiscriminating levels of psychiatric pathology. Patients alleging satanic ritual abuse reported higher levels of dissociation, in the range often exhibited by patients with…

  2. Rationality or Legitimacy: Analysis of the Controversy over Reasonable Returns for China's Privately Run Schools

    ERIC Educational Resources Information Center

    Bing, Shui

    2009-01-01

    Logical analyses of legislative texts show that the root cause for the huge controversy elicited by the issue of reasonable returns for China's privately run schools lies in the fact that legislators have confused public benefit versus non-public benefit and profit making versus non-profit making, concepts that pertain, respectively, to two…

  3. Old and New Controversies in the Alternative Treatment of Attention-Deficit Hyperactivity Disorder

    ERIC Educational Resources Information Center

    Rojas, Neal L.; Chan, Eugenia

    2005-01-01

    Use of complementary and alternative medicine (CAM) for treatment of attention-deficit hyperactivity disorder (ADHD) has become widespread in both referral and primary care populations. We review the purported mechanism of action and available evidence for selected CAM therapies for ADHD. Enduring controversies, such as elimination of artificial…

  4. An Analysis of Selected Biology Textbooks for the Treatment of Controversial Issues and Biosocial Problems.

    ERIC Educational Resources Information Center

    Levin, Florence S.; Lindbeck, Joy S.

    1979-01-01

    Analyzes five biology textbooks in 11 categories identified as current controversial issues and biosocial problems. Quantitative ratings for each category, based on total number of textbook pages, are presented for Darwinian evolution, disease states, drugs, environment, human genetics, human reproduction, man in nature, origin of life, population…

  5. Boundary Work and Power in the Controversy over Therapeutic Touch in Finnish Nursing Science

    ERIC Educational Resources Information Center

    Vuolanto, Pia

    2015-01-01

    The boundary work approach has been established as one of the main ways to study controversies in science. However, it has been proposed that it does not meet the power dynamics of the scientific field sufficiently. This article concentrates on the intertwining of boundary work and power. It combines the boundary work approach developed by Thomas…

  6. The "Magic Cure" A Review of the Current Controversial Approaches for Treating Learning Disabilities.

    ERIC Educational Resources Information Center

    Silver, Larry B.

    1987-01-01

    In view of popular press coverage of controversial approaches to treating learning disabilities, the article briefly reviews evidence concerning the following: neurophysiological retraining (patterning, optometric visual training, cerebellar-vestibular remediation, and applied kinesiology); and orthomolecular medicine (concerning megavitamins,…

  7. For a Psycholinguistic Model of Handwriting Production: Testing the Syllable-Bigram Controversy

    ERIC Educational Resources Information Center

    Kandel, Sonia; Peereman, Ronald; Grosjacques, Geraldine; Fayol, Michel

    2011-01-01

    This study examined the theoretical controversy on the impact of syllables and bigrams in handwriting production. French children and adults wrote words on a digitizer so that we could collect data on the local, online processing of handwriting production. The words differed in the position of the lowest frequency bigram. In one condition, it…

  8. Government Regulation of the Pursuit of Knowledge: The Recombinant DNA Controversy.

    ERIC Educational Resources Information Center

    Berger, Richard G.

    1978-01-01

    Government regulation of recombinant DNA research is addressed. Issues discussed include the potential of such research; National Institutes of Health guidelines; federal, state, and local regulation; the controversy over self-regulation; first amendment protection for scientific research; and problems in drafting legislation. (JMD)

  9. Improving Vocational Students' Consideration of Source Information When Deciding about Science Controversies

    ERIC Educational Resources Information Center

    Stadtler, Marc; Scharrer, Lisa; Macedo-Rouet, Monica; Rouet, Jean-François; Bromme, Rainer

    2016-01-01

    We present an empirical investigation of a classroom training fostering vocational students' consideration of source information when deciding about science-based controversies. The training was specifically aimed at raising students' awareness of the division of cognitive labor and the resulting need to take a source's competence into account…

  10. Students' Socio-Scientific Reasoning on Controversies from the Viewpoint of Education for Sustainable Development

    ERIC Educational Resources Information Center

    Simonneaux, Laurence; Simonneaux, Jean

    2009-01-01

    In this article, we study third-year university students' reasoning about three controversial socio-scientific issues from the viewpoint of education for sustainable development: local issues (the reintroduction of bears in the Pyrenees in France, wolves in the Mercantour) and a global one (global warming). We used the theoretical frameworks of…

  11. Daring to Debate: Strategies for Teaching Controversial Issues in the Classroom

    ERIC Educational Resources Information Center

    Fournier-Sylvester, Nicole

    2013-01-01

    Have you ever avoided discussing controversial issues in the classroom? Teachers report often avoiding these types of discussions due to concerns about the unpredictability of student reactions, accusations of trying to push a political agenda, and insufficient knowledge or skills to work through complex issues. Debates, however, have been shown…

  12. Person-Environment Congruence in the Light of the Person-Situation Controversy.

    ERIC Educational Resources Information Center

    Pervin, Lawrence A.

    1987-01-01

    Finds evidence for both the consistency and the variability of behavior precludes resolution of the person-environment controversy. Prefers dynamic, interpretive, process-oriented models of person-environment interaction emphasizing stasis and flow of behavior, to static descriptive models. Describes a theory of goal-directed behavior focusing on…

  13. Girls' Doll Play in Educational, Virtual, Ideological and Market Contexts: A Case Analysis of Controversy

    ERIC Educational Resources Information Center

    Reifel, Stuart

    2009-01-01

    The purpose of this study was to explore an example of girls' doll play in contemporary US culture, including its virtual, political, marketing, and other contextual meanings. The narrative that provoked the analysis was a brief news report about a controversial school function--a school fund-raiser fashion show featuring American Girl doll…

  14. The Discussion of Biotechnology Controversial Issues--An Exploratory Study about Its Potentialities.

    ERIC Educational Resources Information Center

    Rocha dos Reis, Pedro

    This paper describes a qualitative research that used small group discussion activities centered in biotechnology and genetics controversies as a contribution to the promotion of students' thinking tools. Students' written conclusions and reflections about the activities, teachers' interviews, participant observation of the classes, and their…

  15. Scientific Literacy for Citizenship: Tools for Dealing with the Science Dimension of Controversial Socioscientific Issues.

    ERIC Educational Resources Information Center

    Kolsto, Stein D.

    2001-01-01

    Offers a general framework for examining the science dimension of controversial socioscientific issues. Proposes eight specific content-transcending topics to be emphasized in science education. Topics are grouped under the headings Science as a Social Process, Limitations in Science, Values in Science, and Critical Attitude. (Author/SAH)

  16. Media Misrepresentations of a Mascot Controversy: Contested Constructions of Race and Gender

    ERIC Educational Resources Information Center

    Gerstl-Pepin, Cynthia; Liang, Guodong

    2010-01-01

    This article examines media coverage of a high school Native American mascot controversy. Discourse analysis of media documents and artifacts was utilized to explore how the issue was socially constructed for public consumption. Critical race feminism was used as a framework to examine how media discourses can oversimplify the complex interaction…

  17. Students' Inventory of Social Actors Concerned by the Controversy Surrounding Cellular Telephones: A Case Study

    ERIC Educational Resources Information Center

    Pouliot, Chantal

    2008-01-01

    The present article scrutinizes the manner with which a group of three postsecondary students (in Quebec, Canada) describe the social actors concerned by the controversy surrounding cellular telephones. The study was conducted on the basis of an ethnographic approach. Participant observation was performed by the researcher for 3 hours during each…

  18. Philosophical Approaches of Religious Jewish Science Teachers toward the Teaching of "Controversial" Topics in Science

    ERIC Educational Resources Information Center

    Dodick, Jeff; Dayan, Aliza; Orion, Nir

    2010-01-01

    This research examines the problems that religious Jewish science teachers in Israeli high schools have in coping with science subjects (such as geological time) which conflict with their religious beliefs. We do this by characterizing the philosophical approaches within Judaism that such teachers have adopted for dealing with such controversy.…

  19. Community Leadership During School Desegregation Controversies: The Role of the Clergy in Boston.

    ERIC Educational Resources Information Center

    Thomas, Charles B.

    A study was conducted of clergy involvement in the Boston school desegregation controversy of the mid-1970's. Data were collected from interviews with a random sample of 75 black and white Protestant and Catholic ministers in Metropolitan Boston. The research, as described in this paper, tests and lends support to the validity of a role reference…

  20. A Review of Literature Regarding Scientific Controversies Surrounding the Psychometric Properties of the Rorschach Inkblot Test

    ERIC Educational Resources Information Center

    Park, Kevin Neil

    2009-01-01

    The Rorschach Inkblot Test has been the focus of intense controversy, significantly impacting clinicians who currently rely on Exner's Comprehensive System (CS; Exner, 2003) in clinical and forensic settings. This paper evaluates recent empirical CS research to determine whether or not it reveals lack of scientific merit as some skeptics have…

  1. Beleaguered "Pygmalion": A History of the Controversy over Claims That Teacher Expectancy Raises Intelligence.

    ERIC Educational Resources Information Center

    Spitz, Herman H.

    1999-01-01

    Reviews the claim, endorsed by many psychologists and educators, that raising teachers' expectations of their students' potential will raise student intelligence. Reviews the original study by R. Rosenthal and L. Jacobsen (1968) and the controversy that followed and discusses the consequences for educational policy and practice. (SLD)

  2. Race and Intelligence: The Fallacies Behind the Race-IQ Controversy.

    ERIC Educational Resources Information Center

    Richardson, Ken, Ed.; Spears, David, Ed.

    This collection of essays about intelligence stems from the revived nature-nurture controversy about the origins of mental abilities, led notably by Arthur Jensen, whose article in 1969 created a furore in the U.S.A., and more lately by H. J. Eysenck in Britain. In planning this book, an attempt has been made to step back from the debate itself…

  3. Ensuing Dog Fight: The AHA Commission on the Social Studies' Testing Controversy

    ERIC Educational Resources Information Center

    Schul, James E.

    2013-01-01

    The American Historical Association's (AHA's) Commission on the Social Studies was a compilation of prominent scholars who, from 1929 to 1934, investigated social studies education in American public schools in order to provide some cohesive recommendations for teachers. The AHA Commission had a controversial ending, with one of its members,…

  4. Prediction of Students' Argumentation Skills about Controversial Topics by Epistemological Understanding

    ERIC Educational Resources Information Center

    Mason, Lucia; Scirica, Fabio

    2006-01-01

    This study focuses on the contribution of overall epistemological understanding to argumentation skills, after controlling for topic knowledge and interest, in eighth graders. Students were introduced to two controversial topics, global warming and genetically modified food, through the reading of a two-sided text on each topic. After reading,…

  5. Sensitive and Controversial Issues in the Classroom: Teaching History in a Divided Society

    ERIC Educational Resources Information Center

    Kello, Katrin

    2016-01-01

    Teaching sensitive and controversial issues (SCIs) is of growing interest in contemporary, increasingly heterogeneous societies. In democracies, different groups and institutions expect their values and worldviews to be conveyed at school. On one hand, there is the expectation that SCIs should be treated neutrally. On the other hand, there are…

  6. Classroom in Conflict: Teaching Controversial Subjects in a Diverse Society. SUNY Series, The Philosophy of Education.

    ERIC Educational Resources Information Center

    Williams, John A.

    This book address the underlying problems of teaching controversial subjects in the college and university history classroom. The volume criticizes both sides of the debate, rejects calls for a uniform, chronological history curriculum, and rejects the claims that only ethnic or racial 'insiders' are qualified to teach about their communities. The…

  7. Making Economics Exciting by Constructing a Quasi-Debate: The Samuelsen-Minasian Controversy.

    ERIC Educational Resources Information Center

    Frank, Bjorn

    1998-01-01

    Recommends reviewing the 1958 debate between P. A. Samuelson and J. R. Minasian over the controversy involving tax-financed television versus pay-TV. This exercise is a lively way to introduce students to the issue of exclusionary devices for public goods. Includes graphical analysis and excerpts from the original debates. (MJP)

  8. Academic Controversy in Macroeconomics: An Active and Collaborative Method to Increase Student Learning

    ERIC Educational Resources Information Center

    Santicola, Craig F.

    2015-01-01

    The literature indicates that there is a lack of learning outcomes in economics that can be attributed to the reliance on traditional lecture and the failure to adopt innovative instructional techniques. This study sought to investigate the student learning effects of academic controversy, a cooperative learning technique that shows promise in the…

  9. Weathering a Political Storm: A Contextual Perspective on a Psychological Research Controversy.

    ERIC Educational Resources Information Center

    Garrison, Ellen Greenberg; Kobor, Patricia Clem

    2002-01-01

    A 1998 article on the effects of child sexual abuse created a storm of controversy and was vehemently denounced by members of the general public, media outlets, conservative grassroots organizations, state legislatures, and Congress. This article chronicles these events, noting challenges faced by the American Psychological Association to resolve…

  10. Representing New Math: Genre Chains and Controversy in the Saskatchewan Media

    ERIC Educational Resources Information Center

    LeBlanc, Robert J.

    2012-01-01

    The media's response to the release of "Math Instruction that Makes Sense" (2011), a research report by the Frontier Centre for Public Policy (FCPP), helped spark a public controversy and spur the Saskatchewan government to reexamine the Ministry of Education's math curriculum. The purpose of this article is to examine the CBC's depiction of the…

  11. 37 CFR 251.72 - Declaration of controversy: Initiation of arbitration proceeding.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2011-07-01 2011-07-01 false Declaration of controversy: Initiation of arbitration proceeding. 251.72 Section 251.72 Patents, Trademarks, and Copyrights COPYRIGHT OFFICE, LIBRARY OF CONGRESS COPYRIGHT ARBITRATION ROYALTY PANEL RULES AND PROCEDURES COPYRIGHT ARBITRATION ROYALTY PANEL RULES OF...

  12. At U. of Utah, Cold-Fusion Controversy Offers Lessons for Scientists, Managers.

    ERIC Educational Resources Information Center

    McDonald, Kim A.

    1990-01-01

    Summerizes the controversy surrounding the claim by two University of Utah professors to have achieved cold fusion. Noted are the failure of university administrators to involve other campus scientists in review of the claim and premature establishment of an institute dedicated to the cold-fusion technology. (DB)

  13. Transmuting Common Substances: The Cold Fusion Controversy and the Rhetoric of Science.

    ERIC Educational Resources Information Center

    Thacker, Brad; Stratman, James F.

    1995-01-01

    Explores the relationship among forensic, deliberative, and epideictic modes of rhetoric in the cold fusion controversy. Shows the interactions between three modes of rhetoric. Examines the ways in which the modes have shaped the emerging scientific consensus. Supports Robert Sanders' contention that rhetorical practices interact with scientific…

  14. Teaching the War on Terror: Tackling Controversial Issues in a New York City Public High School

    ERIC Educational Resources Information Center

    Kuthe, Adam

    2011-01-01

    In this article, a New York City public school teacher discusses the creation and implementation of a course that explores controversial topics surrounding terrorism and modern reactions to terrorism. The author describes the challenges of creating such a course and questions why such courses are seemingly rare in social studies education.…

  15. A Professor's Controversial Analysis of Why Black Students Are "Losing the Race."

    ERIC Educational Resources Information Center

    Reisberg, Leo

    2000-01-01

    Reports on the controversial stands taken by John H. McWhorter, a black University of Berkeley associate professor, in his book "Losing the Race: Self-Sabotage in Black America." The book opposes affirmative action and suggests that black academic achievement lags because of a mindset endemic to black culture that discourages learning, while…

  16. Teaching the Philosophical Interpretations of Quantum Mechanics and Quantum Chemistry through Controversies

    ERIC Educational Resources Information Center

    Garritz, Andoni

    2013-01-01

    This study has the key premise of teaching history and philosophy of physical sciences to illustrate how controversies and rivalries among scientists play a key role in the progress of science and why scientific development is not only founded on the accumulation of experimental data. The author is a defender of teachers who consider…

  17. Effects of Synchronicity and Belongingness on Face-to-Face and Computer-Mediated Constructive Controversy

    ERIC Educational Resources Information Center

    Saltarelli, Andy J.; Roseth, Cary J.

    2014-01-01

    Adapting face-to-face (FTF) pedagogies to online settings raises boundary questions about the contextual conditions in which the same instructional method stimulates different outcomes. We address this issue by examining FTF and computer-mediated communication (CMC) versions of constructive controversy, a cooperative learning procedure involving…

  18. Determining Extension's Role in Controversial Issues: Content, Process, Neither, or Both?

    ERIC Educational Resources Information Center

    Goerlich, Dan; Walker, Martha A.

    2015-01-01

    Controversial issues offer Extension faculty opportunities to facilitate community dialogue and apply conflict resolution strategies to help communities achieve higher ground. Handled appropriately, the long-term benefits to the community, the Extension organization, and the faculty member of facilitating public issues outweigh the costs. This…

  19. Controversy in the Psychology Classroom: Using Hot Topics to Foster Critical Thinking

    ERIC Educational Resources Information Center

    Dunn, Dana S., Ed.; Gurung, Regan A. R., Ed.; Naufel, Karen Z., Ed.; Wilson, Janie H., Ed.

    2012-01-01

    One of the hallmarks of a quality liberal arts education is providing undergraduates the opportunity to wrestle with controversial issues. Yet many teachers feel ill-equipped when it comes to broaching disagreeable topics, managing the resulting heated debates, or helping students to separate their personal feelings from scientific evidence. This…

  20. General Education Today. A Critical Analysis of Controversies, Practices, and Reforms.

    ERIC Educational Resources Information Center

    Gaff, Jerry G.

    The range of controversies and changes emerging from the current revival of general education are examined, and many ideas, examples, and recommendations for achieving realistic and successful curricular reform are offered. Instead of either offering an apology for general education or advocating any particular approach, the book draws on solid…