Linking Literacy, Technology, and the Environment: An Interview with Joan Goble and Rene de Vries.

ERIC Educational Resources Information Center

Strangman, Nicole

2003-01-01

Interviews Joan Goble, a third-grade teacher in Indiana, and Rene de Vries, a sixth-grade teacher in The Netherlands. Explains that the two teachers created and managed three Internet projects discussing endangered species and the environment. Notes that through these projects, students can experience the double satisfaction of educating others…

Evaluation d'impact sur la santé et évaluation d'impact sur l'équité en santé : éventail de pratiques et questions de recherche.

PubMed

Villeval, Mélanie; Bidault, Elsa; Lang, Thierry

2016-09-01

L'Evaluation d'Impact sur la Santé (EIS) se développe au niveau international et est encore au stade émergent en France. Elle vise à évaluer les effets positifs et négatifs potentiels d'un projet, d'un programme ou d'une politique sur la santé. L'objectif est de produire des recommandations en direction des décideurs, afin d'en maximiser les effets positifs et d'en diminuer les effets négatifs. L'EIS est un moyen particulièrement intéressant d'action sur les déterminants de la santé au-delà des comportements individuels et du système de santé. Les politiques de logement, de transport, de solidarité, économiques, etc. ont, en effet, des impacts souvent non prévus sur la santé. Au-delà des effets sur la santé, l'EIS doit aussi permettre d'apprécier la distribution de ces effets dans la population.Si la préoccupation pour l'équité en santé est centrale dans l'EIS, elle reste cependant difficilement traduite en pratique. Face à cette difficulté, des démarches d'évaluation d'impact ont été développées pour renforcer la prise en compte de l'équité à chaque étape de l'EIS ou « Equity Focused Health Impact Assessment », ou prendre en compte les impacts sur les inégalités de santé de façon spécifique. Ainsi, l'Evaluation de l'Impact sur l'Equité en Santé (EIES) semble, par exemple, particulièrement intéressante pour évaluer l'impact sur les inégalités de projets dans le champ sanitaire.L'EIS et l'EIES posent de nombreuses questions de recherche, notamment autour de la réunion, dans une même démarche, du politique, du citoyen et de l'expert. La participation des populations vulnérables potentiellement affectées par la politique évaluée est une valeur centrale de l'EIS, mais pose des questions d'acceptabilité sociale. La collaboration avec les décideurs politiques est également un enjeu majeur. Les difficultés méthodologiques, notamment de quantification des impacts, peuvent constituer des freins à la promotion

The 'relics of Joan of Arc': a forensic multidisciplinary analysis.

PubMed

Charlier, P; Poupon, J; Eb, A; De Mazancourt, P; Gilbert, T; Huynh-Charlier, I; Loublier, Y; Verhille, A M; Moulheirat, C; Patou-Mathis, M; Robbiola, L; Montagut, R; Masson, F; Etcheberry, A; Brun, L; Willerslev, E; de la Grandmaison, G Lorin; Durigon, M

2010-01-30

Archaeological remains can provide concrete cases, making it possible to develop, refine or validate medico-legal techniques. In the case of the so-called 'Joan of Arc's relics' (a group of bone and archaeological remains known as the 'Bottle of Chinon'), 14 specialists analysed the samples such as a cadaver X of carbonised aspect: forensic anthropologist, medical examiners, pathologists, geneticists, radiologist, biochemists, palynologists, zoologist and archaeologist. Materials, methods and results of this study are presented here. This study aims to offer an exploitable methodology for the modern medico-legal cases of small quantities of human bones of carbonised aspect. 2009 Elsevier Ireland Ltd. All rights reserved.

History Run Wild: The Alternate World of Joan Aiken's "The Wolves of Willoughby Chase" Series

ERIC Educational Resources Information Center

Dams, Isobel

2005-01-01

This article examines the historical fantasy world created by Joan Aiken in the eleven volumes of her "Wolves of Willoughby Chase" series. In particular it looks at her subversion of historical reality by the creation of an alternative yet recognisable representation of our own world, using a wide range of events, and the remoulding of aspects of…

Effets de la pollution de l’air sur la santé

PubMed Central

Abelsohn, Alan; Stieb, Dave M.

2011-01-01

Résumé Objectif Faire connaître aux médecins de famille les effets de la pollution atmosphérique sur la santé et indiquer quels conseils donner aux patients vulnérables pour qu’ils soient moins exposés. Sources de l’information On a consulté MEDLINE à l’aide des termes relatifs à la pollution atmosphérique et à ses effets indésirables. On a révisé les articles en anglais publiés entre janvier 2008 et décembre 2009. La plupart des études contenaient des preuves de niveau II. Principal message Au Canada, la pollution de l’air extérieur cause une morbidité et une mortalité importantes. Elle peut affecter le système respiratoire (exacerbation de l’asthme et de la maladie pulmonaire obstructive chronique) et le système cardiovasculaire (déclencher l’arythmie, l’insuffisance cardiaque et les AVC). La cote air santé (CAS) est un nouvel outil de communication mis au point par Santé Canada et Environnement Canada qui indique sur une échelle de 1 à 10, le risque pour la santé causé par la pollution atmosphérique. La CAS est largement diffusée dans les médias et cet outil pourrait être utile au médecin de famille pour inciter les patients à haut risque (comme ceux qui souffrent d’asthme, de maladie pulmonaire obstructive chronique ou d’insuffisance cardiaque) à réduire leur exposition à la pollution atmosphérique. Conclusion Le médecin de famille peut se servir de la CAS et de ses messages sur la santé pour enseigner aux asthmatiques et aux autres patients à risque élevé la façon de réduire les risques pour la santé causés par la pollution atmosphérique.

Appel pour une allocation intelligente dans le financement du système de santé au Cameroun

PubMed Central

Sieleunou, Isidore

2011-01-01

Le Cameroun utilise un système de budgétisation historique et une approche «top-down» pour allouer ses ressources de santé publique. Cependant, le pays compte 175 districts de santé dont les fortes disparités de nature épidémiologique, économique, géographique et culturelle, devraient être prises en compte pour réduire les iniquités en matière de sante publique. Comment comprendre alors que dans ces conditions, le budget des administrations publiques alloué aux différents districts de santé au Cameroun soit quasi identique alors que les défis sont si différents? L'inefficience allocative (mauvaise attribution du budget) générée par un tel système conduit vraisemblablement à une inefficience technique (mauvaise utilisation du budget). Pour la marche vers l'atteinte des objectifs du millénaire en matière de sante, il est impératif et urgent que les décideurs du secteur de la santé allouent de manière intelligente les ressources dans le système de santé. PMID:22355420

[Whom does a woman serve? Joan Riviere as translator between Freud and Jones].

PubMed

Bakman, Nina

2006-01-01

The psychoanalyst Joan Riviere (1883-1962), who came from an established family, was one of the first to translate Freud in Britain. After a failed analysis with Ernest Jones, she became Freud's patient in 1922. Freud recognized her talent and entrusted her with translations of his works. Over her head, he negotiated her position as translating editor of the International Journal with Jones and secured her nomination against his resistance. Some examples are given to demonstrate the special quality of Riviere's translations of Freud's writings.

From LCME probation to compliance: the Marshall University Joan C Edwards School of Medicine experience

PubMed Central

Miller, Bobby; Dzwonek, Brian; McGuffin, Aaron; Shapiro, Joseph I

2014-01-01

The Joan C Edwards School of Medicine (Marshall University, Huntington, WV, USA) was placed on probation by the Liaison Committee on Medical Education (LCME) in June 2011. In the following 2 years, extensive changes were made to address the numerous citations that resulted in this probation. In October 2013, the LCME lifted probation. In this article, we detail the challenges and solutions identified relevant to our struggle with compliance. PMID:25337003

From LCME probation to compliance: the Marshall University Joan C Edwards School of Medicine experience.

PubMed

Miller, Bobby; Dzwonek, Brian; McGuffin, Aaron; Shapiro, Joseph I

2014-01-01

The Joan C Edwards School of Medicine (Marshall University, Huntington, WV, USA) was placed on probation by the Liaison Committee on Medical Education (LCME) in June 2011. In the following 2 years, extensive changes were made to address the numerous citations that resulted in this probation. In October 2013, the LCME lifted probation. In this article, we detail the challenges and solutions identified relevant to our struggle with compliance.

Biography of Joan Wint: A Principal Whose Leadership for Social Justice Transformed a Rural Jamaican High School

ERIC Educational Resources Information Center

Oram-Sterling, Jacqueline

2009-01-01

This biographical study features the leadership of Joan Miller Wint, now retired, who for 23 years was principal of Denbigh High School, located in a high-poverty rural area in Jamaica. In the article I examine biography as a qualitative research strategy used in "telling" the stories of women leaders; explore the influence of Wint's…

Le risque de détresse morale dans la pratique contemporaine des soins de santé.

PubMed

Austin, Wendy

2016-05-01

Les professionnels de la santé sont des agents moraux dont la relation fiduciaire avec le public est animée par la responsabilité et la promesse de puiser dans leurs connaissances et leurs habiletés pour aider les personnes sous leurs soins. Lorsque leur capacité à tenir cette promesse est freinée ou compromise, ils risquent de souffrir de détresse morale. Le concept de détresse morale est défini et mis en contexte dans le milieu de la santé. Les contraintes et les facteurs qui en sont à l'origine sont présentés, de même que les moyens utilisés par les professionnels de la santé et les organisations de santé pour la soulager. Un changement transformateur s'impose pour vaincre la culture du silence et maintenir un système de santé où il est possible de vivre avec sa conscience. © 2016 The Canadian College of Health Leaders.

The year of magical thinking: Joan Didion and the dialectic of grief.

PubMed

Brennan, F; Dash, M

2008-06-01

Joan Didion is a prominent American writer. In late 2003, while her only child lay critically ill, her husband, John, died suddenly. Theirs was a marriage of great intimacy and love. Grief enveloped her. Eventually she began to write an account of the first 12 months of her bereavement and the vigil for her child: The year of magical thinking. Raw, insightful and challenging, it is a rich, generous and graceful document. Didion draws on the literature of grief, personal and professional. Here, those readings are examined and reflections are made on the singular, unique grief of the author in the context of current theories on bereavement.

She can be put to work: Joan Riviere as translator between Freud and Jones.

PubMed

Bakman, Nina

2008-01-01

The psychoanalyst Joan Riviere (1883-1962), who came from an established family, was one of the first to translate Freud in Britain. After a failed analysis with Ernest Jones, she became Freud's patient in 1922. Freud recognized her talent and entrusted her with translations of his works. Over her head, he negotiated her position as Translation Editor of the International Journal with Jones and secured her nomination against his resistance. Some examples are given to demonstrate the special quality of Riviere's translations of Freud's writings.

Ann Hutchinson (as subject), Dr. Joan Vernikos (R), Dee O'Hara (L), J. Evans and E. Lowe pose for

NASA Technical Reports Server (NTRS)

1993-01-01

Ann Hutchinson (as subject), Dr. Joan Vernikos (R), Dee O'Hara (L), J. Evans and E. Lowe pose for pictures in the NASA Magazine aritcle 'How it Feels to be a Human Test Subject' as they prepare for a bed rest study to simulate the efects of microgravity on the human body.

The Joan Wint Story: Biography of a Principal Whose Leadership for Social Justice Transformed a Rural Jamaican High School

ERIC Educational Resources Information Center

Oram-Sterling, Jacqueline

2009-01-01

This dissertation is a biographical study of the life of a retired high school principal in Jamaica. Joan Miller Wint was born on May 10, 1946, in the small rural district of Success in Westmoreland, Jamaica. This study of Wint's life centers on school transformation and organizational change, exploring her leadership as a principal through the…

Dental treatment under general anesthesia in a group of patients with cerebral palsy and a group of healthy pediatric patients

PubMed Central

Escanilla-Casal, Alejandro; Aznar-Gómez, Mirella; Viaño, José M.; Rivera-Baró, Alejandro

2014-01-01

This is a comparative study between two groups, one of healthy children and the other of children with cerebral palsy, which underwent dental treatment under general anesthesia at Hospital Sant Joan de Déu Barcelona. The purpose of the study was to compare and determine oral pathology, frequency, severity and postoperative complications in pediatric patients with and without an underlying disease which undergo a dental treatment under general anesthesia. Key words:General anesthesia, cerebral palsy, pediatric patients. PMID:24608223

La santé des Premières nations, des Inuits et des Métis: les facteurs que doivent envisager les leaders en santé canadiens dans la foulée du rapport de la Commission de vérité et réconciliation du Canada.

PubMed

McNally, Mary; Martin, Debbie

2017-03-01

Les peuples des Premières nations, inuits et métis qui habitent au Canada sont aux prises avec de profondes disparités en matière de santé par rapport aux Canadiens non autochtones, et ce, dans presque toutes les mesures liées à la santé et au bien-être. Pour faire progresser les services de santé auprès des peuples autochtones, il faut passer à l'action dans tous les ordres de prestation des soins et des politiques en santé. Il est donc essentiel que les leaders et les prestataires des établissements, des systèmes et des installations de santé du Canada comprennent et prennent en main les déterminants de la santé propres aux peuples autochtones, y compris l'héritage du colonialisme et le racisme ancien et actuel. La Commission de vérité et réconciliation du Canada est le point de départ pour réagir de manière positive aux injustices.

Use of a health information telephone line, Info-santé CLSC, for the surveillance of waterborne gastroenteritis.

PubMed

Gilbert, Marie-Line; Levallois, Patrick; Rodriguez, Manuel J

2006-06-01

The increasing frequency of waterborne outbreaks demonstrates that classic indicators used for the surveillance of the microbiological quality of drinking water have several gaps and that routine public health surveillance seems insufficient to allow for the rapid detection of these outbreaks. The main objective of this study was to evaluate the possibility of using a regional health information telephone line, 'Info-Santé CLSC' (Info-Health Local Community Health Centre), for the surveillance of waterborne gastroenteritis. This study measured the incidence rate of calls for acute gastrointestinal illness (AGI) placed to the Info-Santé CLSC line, investigated the relationship between the frequency of calls for AGI placed to the Info-Santé CLSC line and the turbidity of the treated water in the Quebec City drinking water plant and evaluated the relevance and the conditions of use of the Info-Santé CLSC system for the surveillance of waterborne enteric illness. A relationship between the turbidity and the calls for AGI placed to Info-Santé CLSC line was observed. Significant time lags (11, 15 and 17 days prior to the outcome) were identified in the final model derived from a Poisson model using generalized additive models (GAM) as a time series analysis. Some recommendations to improve the system were formulated even though the system already seems to be useful for the surveillance of waterborne enteric diseases.

Can Joan of Arc Serve as an Enduring Model of Empowerment for Women With a Cancer Diagnosis?

PubMed

Roseman, Janet Lynn

2016-01-01

Many research studies have shown that arts-based medicine is a viable and effective medical strategy to help people with cancer improve the quality of their lives. The use of arts-based strategies that employ a figure from history as a source of support to help improve the quality of life has not been documented. The current limited study allowed the author the ability to use the materials in her book, If Joan of Arc Had Cancer: Finding Courage, Faith, and Healing From History's Most Inspirational Woman Warrior, to provide support to women who were cancer survivors and to see if the use of Joan of Arc as a healing guide would be relevant. The primary intention was to find out how the book would be received by women with cancer and also to have the opportunity to determine what was helpful and what was not useful for them. The study was a pilot study. The study took place at the Gilda's Club, a national support community for people with cancer and their families, in Fort Lauderdale, FL, USA, one of the satellite programs sponsored by the Wellness Community. Participants were 10 female survivors of cancer who were members of the Gilda's Club. Participants took part in a 6-wk workshop. The workshop included arts-based medicine and meditations, based on a book written by the current author. Participants completed surveys both pre- and postintervention. The program had 10 participants, but only 3 women finished the 6-wk program and completed the postintervention survey. After the workshop, the 3 participants indicated in a survey that they were feeling less anxiety and fear and noted that they felt that they had an improved quality of life and felt more empowered with respect to their psychological frames of mind. In addition, when asked on the survey about the effectiveness of their communications with their physicians (ie, their ability to express and discuss their psychosocial and physical needs combined), they also indicated that they felt that their communications

Stigma, community, ethnography: Joan Ablon's contribution to the anthropology of impairment-disability.

PubMed

Shuttleworth, Russell P; Kasnitz, Devva

2004-06-01

Joan Ablon has helped establish the anthropology of impairment-disability and significantly contributed to the role of anthropology in disability studies. In this article, we review the development of and situate Ablon's ethnographic research in the anthropology of impairment-disability. We then address various methodological issues in her work including her ethnographic approach, her grounding in action anthropology and her support for the development of the academic study of disability in anthropology and the careers of disabled anthropologists. The next section of the article examines Ablon's use of the notion of stigma, her understanding of community, and her engagement with disability rights. As examples of themes important to disability studies, we present her discussion of the implications of the ideal of the body beautiful, and gender differences in negotiating intimacy for people with physical differences. We close with a discussion of the future of an anthropology of impairment-disability.

Organizing for empowerment: an interview with AES's Roger Sant and Dennis Bakke. Interview by Suzy Wetlaufer.

PubMed

Sant, R; Bakke, D

1999-01-01

The topic of empowerment is receiving a lot of attention, but how many employees are truly empowered? At the global electricity giant AES Corporation, the answer is all 40,000 of them. In this interview, chairman Roger Sant and CEO Dennis Bakke reflect on their trials and triumphs in creating an exceptional company and explain how their employee-run company works. When they founded AES in 1981, Sant and Bakke set out to create a company where people could have engaging experiences on a daily basis--a company that embodied the principles of fairness, integrity, social responsibility, and fun. Putting those principles into action has created something unique--an ecosystem of real empowerment. What does that system look like? Rather than having a traditional hierarchical chain of command, AES is organized around small teams that are responsible for operations and maintenance. Moreover, AES has eliminated functional departments; there's no corporate marketing division or human resources department. For the system to work, every person must become a well-rounded generalist--a mini-CEO. That, in turn, redefines the jobs of the people at headquarters. Instead of setting strategy and making the "the big decisions," Sant and Bakke act as advisers, guardians of the principles, accountability officers, and chief encouragers. Can other companies successfully adopt the mechanics of such a system? Not unless they first adopt the shared principles that have guided AES since its inception. "Empowerment without values isn't empowerment," says Sant. "It's just technique," adds Bakke.

Quarantined Apollo 11 Astronaut Aldrin Speaks With Wife Joan

NASA Technical Reports Server (NTRS)

1969-01-01

The Apollo 11 mission, the first manned lunar mission, launched from the Kennedy Space Center, Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, piloted by Michael Collins remained in a parking orbit around the Moon while the LM, named 'Eagle'', carrying astronauts Neil Armstrong and Edwin Aldrin, landed on the Moon. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. The recovery operation took place in the Pacific Ocean where Navy para-rescue men recovered the capsule housing the 3-man Apollo 11 crew. The crew was airlifted to safety aboard the U.S.S. Hornet, where they were quartered in a Mobile Quarantine Facility (MQF) which served as their home until they reached the NASA Manned Spacecraft Center (MSC) Lunar Receiving Laboratory in Houston, Texas. On arrival at Ellington Air Force base near the MSC, the crew, still under a 21 day quarantine in the MQF, were greeted by their wives. Pictured here is Joan Aldrin, wife of Buzz Aldrin, speaking with her husband via telephone patch.

Les enjuex éthiques entourant la recherche en santé sur les enfants

PubMed Central

2008-01-01

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

Encounters with Insignificance in Teaching and Learning: Gus Van Sant's "Elephant"

ERIC Educational Resources Information Center

Sandlos, Karyn

2009-01-01

This article explores how a curriculum of film becomes organized by the teacher's worries about what film may open up in class. The author focuses on her own worries about showing Gus Van Sant's (2003) film, "Elephant," an elliptical and dreamlike study of the murders in 1999 of twelve students and a teacher at Columbine High School, to a class of…

18F-FDG avid Sclerosing Angiomatoid Nodular Transformation (SANT) of spleen on PET-CT - a rare mimicker of metastasis.

PubMed

Sharma, Punit

2018-01-01

Sclerosing Angiomatoid Nodular Transformation (SANT) is a rare benign vascular tumor of spleen. It consists of multiple angiomatoid nodules surrounded by dense fibrous tissue that often coalesces centrally to form a scar, which is considered to be a characteristic feature. These are usually asymptomatic and incidentally detected on imaging for other underlying pathology. SANTs can be 18F-Fluorodeoxyglucose (18F-FDG) avid on positron emission tomography-computed tomography (PET-CT) and thus can lead to false positive finding in oncological patients.

Investigation of the inner structure of La Crosa de Sant Dalmai maar (Catalan Volcanic Zone, Spain)

NASA Astrophysics Data System (ADS)

Bolós, Xavier; Barde-Cabusson, Stéphanie; Pedrazzi, Dario; Martí, Joan; Casas, Albert; Himi, Mahjoub; Lovera, Raúl

2012-12-01

La Crosa de Sant Dalmai volcano is the largest volcanic edifice of the Catalan Volcanic Zone (NE Spain). It is a very well preserved maar-type structure, 1.5 km in diameter, excavated at the contact between a hard substrate and a soft substrate formed by Palaeozoic granites and Pliocene and Quaternary gravels, respectively. In order to infer the uppermost inner structure of La Crosa de Sant Dalmai maar and to characterise its main geological and tectonic constraints, we have performed a multiparametric geophysical study including gravimetry, magnetometry, self-potential, and electrical resistivity tomography. The results obtained together with a field geology revision and additional geological data from two drill cores, provide a detailed picture of the post-eruptive maar infill sequence as well as of the uppermost part of the maar-diatreme structure. This information helps in understanding the origin and subsequent evolution of the volcano, which included an alternation of phreatomagmatic and Strombolian phases. Geophysical data show that the last Strombolian phase, which culminated with the formation of a scoria cone inside the maar, was associated with a NW-SE trending regional fault. The little erosion and degradation of the original tephra ring suggest a much younger age of La Crosa de Sant Dalmai maar than was previously stated.

The SANT2 domain of the murine tumor cell DnaJ-like protein 1 human homologue interacts with alpha1-antichymotrypsin and kinetically interferes with its serpin inhibitory activity.

PubMed

Kroczynska, Barbara; Evangelista, Christina M; Samant, Shalaka S; Elguindi, Ebrahim C; Blond, Sylvie Y

2004-03-19

The murine tumor cell DnaJ-like protein 1 or MTJ1/ERdj1 is a membrane J-domain protein enriched in microsomal and nuclear fractions. We previously showed that its lumenal J-domain stimulates the ATPase activity of the molecular chaperone BiP/GRP78 (Chevalier, M., Rhee, H., Elguindi, E. C., and Blond, S. Y. (2000) J. Biol. Chem. 275, 19620-19627). MTJ1/ERdj1 also contains a large carboxyl-terminal cytosolic extension composed of two tryptophan-mediated repeats or SANT domains for which the function(s) is unknown. Here we describe the cloning of the human homologue HTJ1 and its interaction with alpha(1)-antichymotrypsin (ACT), a member of the serine proteinase inhibitor (serpin) family. The interaction was initially identified in a two-hybrid screening and further confirmed in vitro by dot blots, native electrophoresis, and fluorescence studies. The second SANT domain of HTJ1 (SANT2) was found to be sufficient for binding to ACT, both in yeast and in vitro. Single tryptophan-alanine substitutions at two strictly conserved residues significantly (Trp-497) or totally (Trp-520) abolished the interaction with ACT. SANT2 binds to human ACT with an intrinsic affinity equal to 0.5 nm. Preincubation of ACT with nearly stoichiometric concentrations of SANT2 wild-type but not SANT2: W520A results in an apparent loss of ACT inhibitory activity toward chymotrypsin. Kinetic analysis indicates that the formation of the covalent inhibitory complex ACT-chymotrypsin is significantly delayed in the presence of SANT2 with no change on the catalytic efficiency of the enzyme. This work demonstrates for the first time that the SANT2 domain of MTJ1/HTJ1/ERdj1 mediates stable and high affinity protein-protein interactions.

Étude des déterminants individuels de l’adoption du dossier de santé électronique du Québec

PubMed Central

Mezni, H; M-P, Gagnon; Duplantie, J

2016-01-01

Résumé Objectif Selon des études précédentes, les dossiers de santé électroniques peuvent améliorer l’efficacité, la sécurité et la qualité de la prise en charge médicale. Cependant, les prestataires de soins restent réticents quant à son utilisation, ce qui limite son impact sur le système de santé. La présente étude avait pour objectif d’évaluer les perceptions des médecins face au dossier de santé du Québec. Méthodes À partir d’une revue de la littérature sur les facteurs influençant l’adoption des nouvelles technologies de l’information et des communications (NTIC) en général et de la cybersanté en particulier, nous avons élaboré un questionnaire semi-structuré. Au total, 12 médecins utilisateurs potentiels du dossier de santé du Québec (DSQ) ont complété et retourné le questionnaire. Par la suite, nous avons opéré une analyse thématique de contenu, suivie par une théorisation des concepts obtenus. Résultats L’intention d’adopter le DSQ est influencée positivement par l’utilité perçue, la facilité d’utilisation perçue, la démonstrabilité des résultats, la compatibilité du système avec la pratique et l’autoefficacité informatique perçue par les médecins. Inversement, la résistance au changement influence négativement l’adoption du DSQ par les médecins. Conclusion L’identification des déterminants de l’adoption du dossier de santé du Québec est cruciale pour les responsables du secteur de la santé au Québec. Il sera ainsi possible de saisir les attentes des utilisateurs potentiels et d’ajuster les stratégies d’implantation en vue de favoriser une meilleure intégration de cette technologie dans les pratiques médicales. PMID:27867453

La Verneda-Sant Martí Adult School: A Reference for Neighborhood Popular Education

ERIC Educational Resources Information Center

Aubert, Adrianna; Villarejo, Bea; Cabré, Joan; Santos, Tatiana

2016-01-01

Background/Context: The Adult School of La Verneda Sant Martí, located in Barcelona, Spain, is a reference at the international level because of its trajectory and its contributions to the transformative movement in democratic education. The school was created in 1978 to address the demands of the working-class residents of the La Verneda…

Invisibility, moral knowledge and nursing work in the writings of Joan Liaschenko and Patricia Rodney.

PubMed

Bjorklund, Pamela

2004-03-01

The ethical 'eye' of nursing, that is, the particular moral vision and values inherent in nursing work, is constrained by the preoccupations and practices of the superordinate biomedical structure in which nursing as a practice discipline is embedded. The intimate, situated knowledge of particular persons who construct and attach meaning to their health experience in the presence of and with the active participation of the nurse, is the knowledge that provides the evidence for nurses' ethical decision making. It is largely invisible to all but other nurses. Two nurse researchers, Joan Liaschenko of the University of Minnesota and Patricia Rodney of the University of Victoria, have investigated the ethical concerns of practising nurses and noted in their separate enquiries the invisible nature of critical aspects of nursing work. Noting the similarities in their respective observations, and with the feminist ethics of Margaret Urban Walker as a theoretical framework, this article examines the concept of 'invisibility' as it relates to nursing work and nursing ethics.

La singularité du patient tuberculeux dans le système de santé: l'expérience du Burkina Faso

PubMed Central

Zerbo, Roger

2013-01-01

La démarche pluridisciplinaire s'impose de plus en plus dans le secteur de la santé dans le contexte africain, où les parcours thérapeutiques sont pluriels et les rapports des usagers des centres de santé sont complexes et peu satisfaisants. La compréhension des représentations de la maladie est nécessaire pour offrir des soins appropriés certes, mais l'expérience individuelle des malades représente également une source de savoir. Les données ont été collectées à travers des entretiens semi-directifs, le recueil des récits de vie et des observations participantes. Cet article rend compte d'une expérience d'implication de socio-anthropologue dans la mise en œuvre d'un programme de santé publique au Burkina Faso en vue d'une amélioration de la prise en charge des malades tuberculeux. L'analyse des données à été conduite dans une visée réflexive. Les perspectives socio-anthropologiques ont révélé que l'expérience des anciens malades tuberculeux peut être mise à profit afin d'apporter des changements dans les relations thérapeutiques et l'intégration sociale des autres malades. Cette idée à été mise en application pour tenir lieu d'une traduction des analyses anthropologiques en actes pour un changement. L'article évoque la manière dont l'approche socio-anthropologique au sein d'un programme de santé, peut mettre en évidence le potentiel des malades à être des acteurs importants dans le fonctionnement des services de soins et leur propre bien-être. Dans cette situation, la démarche théorique implique la réflexivité de l'anthropologue, mais également un regard critique sur les modes d'intervention en santé publique. PMID:24009798

Utilisation de la mélatonine pour le sommeil chez les enfants en bonne santé

PubMed Central

Janjua, Irvin; Goldman, Ran D.

2016-01-01

Résumé Question Une maman a amené son garçon de 12 ans me consulter à mon bureau. Elle s’inquiète, car il a de la difficulté à s’endormir presque tous les soirs. Elle travaille par quarts et elle prend elle-même de la mélatonine pour l’aider à s’endormir. Elle m’a demandé si son garçon pouvait aussi prendre de la mélatonine. Quels sont les recommandations et les éléments à considérer avant d’utiliser la mélatonine chez les enfants et les adolescents en bonne santé? Réponse L’insomnie est rapportée chez jusqu’à un quart des enfants en bonne santé et chez les trois quarts des enfants atteints d’une affection psychiatrique ou neurodéveloppementale, ce qui entraîne des conséquences négatives. Pour les enfants atteints du syndrome de retard de phase du sommeil, la mélatonine pourrait s’avérer utile lorsque jumelée à une évaluation de l’insomnie et à un suivi régulier. La mélatonine pourrait être envisagée pour des enfants sans diagnostic d’insomnie qui ont une bonne hygiène du sommeil. Bien qu’elle semble sans danger, il n’existe pas de données probantes en faveur de l’emploi systématique de la mélatonine chez les enfants en bonne santé.

La haute fiabilité en soins de santé: la création d'une culture et d'une mentalité favorisant la sécurité des patients.

PubMed

Cochrane, Bonnie S; Hagins, Mitch; Picciano, Gino; King, John A; Marshall, David A; Nelson, Brian; Deao, Craig

2017-03-01

Les préjudices que subissent les patients recevant des soins de santé représentent un fardeau considérable et peuvent avoir de graves répercussions sur les patients et les familles ainsi que sur la capacité des systèmes de santé de gérer l'accès des patients, leurs déplacements dans le système et les temps d'attente. L'intérêt pour la science de la haute fiabilité, mise au point à l'origine dans des secteurs comme l'aviation commerciale, qui ont un bilan exceptionnel en matière de sécurité, est une nouvelle tendance en soins de santé qui pourrait aider les organisations et les systèmes à atteindre le but ultime : zéro préjudice subi par les patients. Cet article fait valoir que zéro préjudice au patient est un impératif fondamental et que la science de la haute fiabilité peut aider à accélérer et à soutenir les progrès vers ce but vital. Bien que les pratiques utilisées dans d'autres secteurs ne soient pas facilement transférables aux soins de santé et qu'il n'existe pas encore un seul modèle éprouvé pour les organisations à haute fiabilité en santé, des organisations de premier plan commencent à faire la démonstration de stratégies efficaces propres aux soins de santé. L'expérience du réseau international d'organisations partenaires du groupe Studer est utilisée pour illustrer et comprendre ces premiers efforts. Le cadre Evidence-Based Leadership SM (leadership fondé sur les données probantes) du groupe Studer est appliqué dans différents milieux de soins de santé pour transformer la culture et la gestion du changement visant à favoriser une haute fiabilité. Il propose une démarche et des ressources pour progresser vers le but zéro préjudice subi par les patients et tous les avantages liés à l'utilisation efficiente de nos précieuses ressources en soins de santé.

L'émergence de la thérapeutique de précision: de nouveaux défis et de nouvelles possibilités pour les leaders en santé du Canada.

PubMed

Slater, Jim; Shields, Laura; Racette, Ray J; Juzwishin, Donald; Coppes, Max

2015-11-01

À l'ère de la médecine personnalisée et de la médecine de précision, l'approche envers les soins est en rapide mutation. Les cliniciens exigent de plus en plus d'information génétique et moléculaire et les patients s'attendent à la fournir pour la prévention, le dépistage, le diagnostic, le pronostic, la promotion de la santé et le traitement d'un nombre croissant de maladies. Les leaders en santé canadiens doivent comprendre les changements nécessaires liés à ces technologies perturbantes et ouvrir la voie. Le présent article s'attarde sur la thérapeutique de précision, mais contient également de l'information générale sur les concepts et la terminologie liés à la médecine personnalisée et à la médecine de précision. Il explore également le leadership en santé canadien et les problèmes liés au système qui peuvent nuire à leur mise en œuvre. L'article vise à inspirer, informer et mobiliser les leaders en santé canadiens à amorcer un dialogue sur les transformations nécessaires pour préparer le système de santé à profiter des bienfaits de la thérapeutique de précision. © 2015 Collège canadien des leaders en santé

The IL-6 receptor super-antagonist Sant7 enhances antiproliferative and apoptotic effects induced by dexamethasone and zoledronic acid on multiple myeloma cells.

PubMed

Tassone, Pierfrancesco; Galea, Eulalia; Forciniti, Samantha; Tagliaferri, Pierosandro; Venuta, Salvatore

2002-10-01

Interleukin-6 (IL-6) is the major growth and survival factor for multiple myeloma (MM), and has been shown to protect MM cells from apoptosis induced by a variety of agents. IL-6 receptor antagonists, which prevent the assembly of functional IL-6 receptor complexes, inhibit cell proliferation and induce apoptosis in MM cells. We have investigated whether the IL-6 receptor super-antagonist Sant7 might enhance the antiproliferative and apoptotic effects induced by the combination of dexamethasone (Dex) and zoledronic acid (Zln) on human MM cell lines and primary cells from MM patients. Here we show that each of these compounds individually induced detectable antiproliferative effects on MM cells. Sant7 significantly enhanced growth inhibition and apoptosis induced by Dex and Zln on both MM cell lines and primary MM cells. These results indicate that overcoming IL-6 mediated cell resistance by Sant7 potentiates the effect of glucocorticoides and bisphosphonates on MM cell growth and survival, providing a rationale for therapies including IL-6 antagonists in MM.

Shouldering the load: A review of Joan Stevenson's work on occupational lifting and design evaluation of load carriage equipment.

PubMed

Costigan, Patrick A; Morin, Evelyn L; Reid, Susan A

2014-01-01

In this paper, Dr. Joan Stevenson's work on assessment of the effects of lifting, supporting and transporting loads is reviewed. A defining attribute of this work is the use of objective, biomechanical measures as the basis from which a fuller understanding of all factors affecting worker performance can be obtained, and how such performance should be measured and evaluated. The central objectives and conclusions of Dr. Stevenson's research programs spanning the years from 1985 through 2012 are summarized and discussed in terms of an overall research trajectory. The guiding principle of Dr. Stevenson's work is to reduce the potential harm to which workers are exposed through the development of bona fide occupational standards, a better understanding of risk factors leading to low back pain, and the establishment of an enhanced objective design process for functional load-bearing clothing and equipment.

Comprendre l'influence des facteurs contextuels sur la participation communautaire à la santé : une étude de cas dans le district sanitaire de Tenkodogo, au Burkina Faso.

PubMed

Sombié, Issa; Ilboudo, David O S; Soubeiga, André Kamba; Samuelsen, Helle

2017-09-01

Le Burkina Faso met en œuvre depuis plusieurs années la stratégie de la participation communautaire. Des comités de gestion (CoGes) ont été mis en place dans les centres de santé de la première ligne et doivent participer aux prises de décisions. L'objectif principal de cette stratégie est de favoriser l'utilisation des services de santé et une adhésion massive des communautés aux activités de promotion de la santé. Seulement, on constate que les résultats escomptés par les autorités sanitaires tardent à se réaliser. Le présent article convoque les facteurs liés au contexte socioculturel du district sanitaire, pour analyser le phénomène de la participation communautaire. L'étude s'est déroulée dans le district sanitaire de Tenkodogo, situé dans la région administrative du Centre-est, à environ 190 km de la capitale. Cette étude exclusivement qualitative, a utilisé deux méthodes de collecte : les entretiens individuels et les focus groups. Les participants à l'étude sont les chefs de ménage ( n = 48), les membres des CoGes ( n = 10), les agents de santé ( n = 8) et les agents de santé communautaire ( n = 24). La méthode de l'analyse de contenu a été utilisée pour l'analyse des données. Les résultats de l'étude montrent que plusieurs facteurs socioculturels influencent la dynamique de la participation communautaire dans le district. Ce sont les conditions économiques, la perception négative des services de santé, les inégalités sociales de sexe et d'âge, le faible ancrage social des organisations communautaires, les rivalités inter-villages et les conflits coutumiers. L'étude relève également que les communautés ne perçoivent pas leur implication dans le processus décisionnel des services de santé comme une priorité. Leurs principales attentes s'orientent vers la disponibilité de soins de qualité et à coût réduit.

Monitoring non-periodic comet C/2011 L4 PANSTARRS using Joan Oró 0.8 m robotic telescope at OAdM

NASA Astrophysics Data System (ADS)

Trigo-Rodríguez, J. M.; Rodríguez, D.; Lacruz, J.; Sánchez, A.

2013-09-01

Comet C/2011 L4 PANSTARRS was discovered in June 2011 by R. Wainscoat and D. Tholen using the Pan-STARRS telescope located near the summit of Haleakala, on the island of Maui in Hawaii (USA) [1]. Once its orbit was computed it was noticed its non-periodic nature and the favorable geometry during its approach to perihelion in March 2013. It first became visible to the naked eye from the Southern hemisphere, and later on it started to be seen during mid-March from the Northern one. Due to the limited observational period in right conditions we introduce here some observations obtained taken from robotic 0.8 m Telescope Joan Oró (JO) from the Observatori Astronòmic del Montsec (OAdM: www.oadm.cat) and other Spanish observatories.

T245. THE ROLE OF PROTECTIVE FACTORS IN THE FIRST-EPISODE PSYCHOSIS: PRELIMINARY RESULTS

PubMed Central

Vila-Badia, Regina; Butjosa, Anna; Del Cacho, Núria; de Aguileta, Itziar Riera-López; Alvárez, Mar; Pardo, Marta; Coromina, Marta; Grases, Núria; Ochoa, Susana; Usall, Judith

2018-01-01

Abstract Background Currently, there is a great interest in stress since many diseases can be affected by stress, including psychotic disorders. Interpretation and capacity of the person to tackle situations of psychosocial stress and their recovery capacities are relevant factors in the prevention of psychotic disorders (López-Soler, 2008; N Pereda, 2009, 2010; Noemí Pereda, Guilera, Forns, & Gómez-Benito, 2009). Some of protector factors that have been studied are the following: Resilience (R), Coping Strategies (CS) and Social Support (SS). Furthermore, few studies have been performed with FEP population. Methods This research was part of a longitudinal observational study called ‘PROFEP Group’ in Catalonia. The patients belong to Mental Health Parc Sanitari Sant Joan de Déu (for adults) and Hospital Sant Joan de Déu (for children and adolescents) health care sector. Participants were FEP patients (N=15); males= 9, females= 6) and HC (N=19; males=6, females=13) between 14 and 42 years. We used the PANSS scale (positive, negative and general) to evaluate psychotic symptoms and DUKE (social support), EMA (coping strategies) and CD-RISC-17 (resilience) scales to evaluate protective factors. Results FEP patients showed worse resilience (p<0.05), less social support (p<0.05) and more avoidance coping strategies (p<0.05) than HC. On the other hand, in FEP patients, some protective factors correlate with the symptomatology. The DUKE scale and the EMA cautious action subscale correlate with the total PANSS, while the EMA social joining subscale correlates with the positive symptoms (p<0.05). Discussion Resilience, Coping Strategies and Social Support seem to have an important role in the appearance and severity of an FEP. It is necessary to carry out more studies with more sample, even so, the results indicate that these factors may be important for the prevention of an FEP and could be worked on in future interventions in FEP patients as well as in HC.

'Not knowing something is normally a milestone on the way to knowledge'. An interview with Joan M. Braganza, DSc, FRCP, FRCPath, Reader Emeritus, University of Manchester, UK.

PubMed

Braganza, Joan M

2009-01-01

Dr. Joan Braganza, a world expert in the field of chronic pancreatitis, proposed a new template for its pathogenesis based on the role of free radical pathology, in particular the heightened but unmitigated oxidative detoxification reactions via cytochromes P450. Dr. Braganza has gone on to show how pancreatic damage in cystic fibrosis, acute pancreatitis and pancreatic cancer fit into the scheme, paving the way for new treatment modalities. In this interview, Dr. Braganza shares her life experience as an investigator and provides a perspective for young researchers entering the field of pancreatology. Copyright 2009 S. Karger AG, Basel.

Les biofilms bactériens : leur importance en santé animale et en santé publique

PubMed Central

Tremblay, Yannick D.N.; Hathroubi, Skander; Jacques, Mario

2014-01-01

Résumé Les biofilms bactériens sont des amas structurés de cellules bactériennes enrobés d’une matrice polymérique et attachés à une surface. Le biofilm protège les bactéries et leur permet de survivre dans des conditions environnementales hostiles. Les bactéries du biofilm peuvent résister à la réponse immunitaire de l’hôte et sont beaucoup plus résistantes aux antibiotiques et aux désinfectants que les cellules bactériennes planctoniques. La capacité de former un biofilm est maintenant reconnue comme une caractéristique propre à plusieurs microorganismes. La présence de biofilms lors d’infections demande donc de nouvelles méthodes de prévention, de diagnostic et de traitement. De même, la présence de biofilms sur des surfaces retrouvées à la ferme, à l’abattoir ou à l’usine de transformation affectera l’efficacité du protocole de désinfection. De façon surprenante, la formation de biofilms chez les bactéries pathogènes des animaux et les bactéries zoonotiques est un sujet relativement peu étudié. Ce bref compte rendu a pour objectif de sensibiliser les intervenants en santé animale à l’importance des biofilms. PMID:24688172

Application of the index WQI-CCME with data aggregation per monitoring campaign and per section of the river: case study-Joanes River, Brazil.

PubMed

de Almeida, Geane Silva; de Oliveira, Iara Brandão

2018-03-07

This work applied the Water Quality Index developed by the Canadian Council of Ministers of the Environment (WQI-CCME), to communicate the water quality per section of the Joanes River basin, State of Bahia, Brazil. WQI-CCME is a statistical procedure that originally requires the execution of at least four monitoring campaigns per monitoring location and the measurement of at least four parameters. This paper presents a new aggregation method to calculate the WQI-CCME because, to apply the original method in Joanes River, a huge loss of information would occur, by the fact that, the number of analyzed parameters varied between the monitoring campaigns developed by the Government Monitoring Program. This work modified the original aggregation method replacing it by a data aggregation for a single monitoring campaign, in a minimum of four monitoring locations per section of the river and a minimum of four parameters per monitoring location. Comparison between the calculation of WQI-CCME for river sections, with the index, WQI-CETESB, developed by the Brazilian Environmental Sanitation and Technology Company-CETESB, proved the applicability of the new aggregation method. The WQI-CETESB has it bases on the WQI from the National Sanitation Foundation and uses nine fixed parameters. As WQI-CCME uses the totality of the analyzed parameters without restrictions, it is more flexible, and the results seem more adequate to indicate the real river water quality. However, the WQI-CCME has a more stringent water quality scale in comparison with the WQI-CETESB, resulting in inferior water quality information. In conclusion, the WQI-CCME with a new aggregation method is adequate for communicating the water quality at a given time, per section of a river, respecting the minimum number of four analyses and four monitoring points. As a result, without a need to wait for other campaigns, it reduces the cost of a monitoring program and the period to communicate the water quality. The

The Van Sant AVHRR image projected onto a rhombicosidodecahedron

NASA Astrophysics Data System (ADS)

Baron, Michael; Morain, Stan

1996-03-01

IDEATION, a design and development corporation, Santa Fe, New Mexico, has modeled Tom Van Sant's ``The Earth From Space'' image to a rhombicosidodecahedron. ``The Earth from Space'' image, produced by the Geosphere® Project in Santa Monica, California, was developed from hundreds of AVHRR pictures and published as a Mercator projection. IDEATION, utilizing a digitized Robinson Projection, fitted the image to foldable, paper components which, when interconnected by means of a unique tabular system, results in a rhombicosidodecahedron representation of the Earth exposing 30 square, 20 triangular, and 12 pentagonal faces. Because the resulting model is not spherical, the borders of the represented features were rectified to match the intersecting planes of the model's faces. The resulting product will be licensed and commercially produced for use by elementary and secondary students. Market research indicates the model will be used in both the demonstration of geometric principles and the teaching of fundamental spatial relations of the Earth's lands and oceans.

Activités physiques libres ou encadrées et condition physique liée à la santé chez des adultes burundais: étude transversale

PubMed Central

Bizimana, Jean Berchmans; Lawani, Mansourou Mohamed; Akplogan, Barnabé; Gaturagi, Charles

2016-01-01

Introduction l’activité physique régulière a un impact positif sur la santé. Cette étude a pour objet de comparer la condition physique liée à la santé des adultes qui s’exercent librement avec celle des adultes bénéficiant d’un encadrement professionnel. Elle tente aussi d’établir une relation entre le niveau d’activité physique et les paramètres de la condition liée à la santé. Méthodes nous avons évalué le niveau d’activité physique et les paramètres de la condition physique liée à la santé. Par le test t pour échantillons indépendants, nous avons comparé les moyennes et avons par le calcul du coefficient de corrélation r de Pearson analysé la relation entre le niveau d’activité physique et les paramètres de la condition physique. Résultats des écarts significatifs (p < 0,05) de niveau d’activité physique, de souplesse, de V˙O2max et de la FC de repos ont été enregistrés en faveur du groupe encadré. Le niveau d’activité physique est positivement corrélé (p < 0,05) au V˙O2max et à la force de préhension mais négativement corrélé à la FC de repos et au cholestérol LDL. La prévalence des facteurs de risque cardiovasculaire n’est pas élevée excepté pour le cholestérol HDL. Conclusion les résultats de cette étude montrent que l’activité physique libre est aussi efficace que l’activité physique encadrée dans le maintien des profils lipidique et physiologique favorables à la santé chez l’adulte burundais. Cependant, l’activité physique encadrée apporte des bénéfices supplémentaires pour le V˙O2max, la fréquence cardiaque de repos, la souplesse antérieure et la détente verticale PMID:28203315

[Assessment of the acceptance of set meals served at the "Sant Joan de Reus" University Hospital].

PubMed

Guillén, N; Torrentó, M; Alvadalejo, R; Salas-Salvadó, J

2004-01-01

Despite the fact that, in most of the series published, cancer is the most frequent base pathology for the indication of home parenteral nutrition (HPN), the use of this technique in terminally-ill patients is still a controversial issue. Our goal has been to review the evolution of cancer patients with HPN treatment from "La Paz" Hospital with a view to studying the indication, evolution and complications. We review a total of 9 terminal oncological patients who had been treated with HPN between January 2000 and December 2002, with a mean age of 60.4 (44-81) years, the most common base cancer was gastric adenocarcinoma (44%). Intestinal obstruction in the context of peritoneal carcinomatosis was the reason for indicating HPN in 89% of cases and the median survival time was 71 (23-131) days. Catheter infection was the most frequent complication with 1.4 episodes/patient. The existence of a Home Support Team meant follow-up of patients was easier, with HPN being estimated as the treatment provided in 67% of cases. 56% of the patients were not sufficiently informed as to their underlying illness. Although HPN is one more therapeutic resource, which may or may not be used in some terminal oncological patients, we must refine the indication as much as possible to take into account a series of "systematic guarantees" including fulfilment of pertinent clinical criteria, informed consent and the adoption of a collective decision with the involvement of all the professionals monitoring the patient. We propose an action algorithm to help in improving the decision-taking process in these patients.

[A qualitative study to validate the Work and Career (Santé et Itinéraire Professionnel) statistical survey: principles and methods].

PubMed

Guiho-Bailly, Marie-Pierre; Roquelaure, Yves

2013-01-01

The population-based survey "Santé et itinéraire professionnel" (SIP) aims to investigate the relationship between health and career. A qualitative study was conducted to identify potential biases in the design of the questionnaire. The Laboratoire d'ergonomie et d'épidémiologie en santé au travail (research center on "Ergonomics and Epidemiology in Occupational Health" based at the University of Angers, France) recently conducted a study entitled "Rapport subjectif au travail, sens des trajets professionnels et construction de la santé" ("The subjective perception of work, career paths and the construction of health"). Individual interviews were conducted with thirty survey respondents (irrespective of whether they had reported any health problems or established a link between a health event and their career path) by two experts in the psychodynamics of work. The analysis of the clinical and statistical data involved four stages: a study of an initial test case, a comparison of monographs and reports drawn up by the DREES/DARES, an analysis of questionnaire responses, and an analysis of thirty monographs. MAIN RESULTS AND DISCUSSION: After an examination of the results in relation to sample composition and the method used, the study shows that the relationship between health and career is not overestimated, but also indicates that psychological and musculoskeletal disorders and "minor" work accidents tend to be underreported. The study also found a loss of information about professional mobility as a way of maintaining health. Based on a qualitative approach to validation, the proposed method provides a basis for assessing the design of the questionnaire and provides reference points for data interpretation and the direction of future research.

Measuring the pulse of urban green infrastructure: vegetation dynamics across residential landscapes

EPA Science Inventory

Vegetation can be an important component of urban green infrastructure. Its structure is a complex result of the socio-ecological milieu and management decisions, and it can influence numerous ecohydrological processes such as stormwater interception and evapotranspiration. Despi...

Profil épidémiologique et clinique de la tuberculose dans la zone de santé de Lubumbashi (RD Congo)

PubMed Central

Ngama, Christian Kakisingi; Muteya, Michel Manika; Lukusha, Yves Isango Idi; Kapend, Serge Matanda; Tshamba, Henri Mundongo; Makinko, Paul Ilunga; Mulumba, Claude Mwamba; Kalala, Liévin Kapend a

2014-01-01

Introduction L'objectif de notre travail était de déterminer la distribution sociodémographique des patients tuberculeux, les types de tuberculose en fonction de la localisation de la maladie et déterminer l'issue thérapeutique des patients en fonction de différentes localisations. Méthodes C'est une étude descriptive transversale des patients diagnostiqués et traités pour tuberculose du 1er Janvier 2010 au 30 Juin 2011 dans la zone de santé de Lubumbashi. Une de 11 zones de santé du District de Lubumbashi dans la province du Katanga(RD Congo). Ont été inclus tous les patients tuberculeux de nationalité congolaise consultés dans la zone de santé pendant la période d’étude. L’âge, le sexe, la commune de résidence, le tableau clinique à la première consultation et les résultats des examens de laboratoire des crachats par la coloration Ziehl-Neelsen ont été les paramètres d'analyse. Résultats Nous avons enregistré 708 patients tuberculeux soit une prévalence de 0.5%. Le sexe masculin représentait 58.78% contre 41.25% de sexe féminin avec un sexe ratio de 1.42 en faveur du sexe masculin. La moyenne d’âge était de 33±;15 ans. La majorité des patients soit 54.79 appartiennent à la tranche d’âge entre 21 et 40 ans. La tuberculose extra pulmonaire a représenté 51.8% contre 50.2% de tuberculose pulmonaire dont 31.9% à bacilloscopie positive. Le décès a intéressé les patients bacillifères puis qu'il y a 5 fois plus de décès liés à une tuberculose pulmonaire à microscopie positive qu'aux autres formes de tuberculose (OR (IC 95%): 5.27 (2.92-9.59, p = 0.00). La majorité des patients résidaient les communes Lubumbashi (41.7%) et Kampemba (23.2%). Conclusion La tuberculose extrapulmonaire (pleurale) a été plus rencontrée que la tuberculose pulmonaire et c'est cette dernière forme de tuberculose qui a entrainé beaucoup plus de décès. Ce qui nécessite une amélioration du système de santé de prise en charge des

Violences conjugales à Antananarivo (Madagascar): un enjeu de santé publique

PubMed Central

Gastineau, Bénédicte; Gathier, Lucy

2012-01-01

Introduction La violence conjugale a été étudiée dans beaucoup de pays développés mais peu en Afrique subsaharienne. Madagascar est un pays où ce phénomène est peu documenté. Méthodes En 2007, une enquête sur la violence conjugale à Antananarivo (ELVICA) a été menée sur la violence conjugale envers les femmes dans la capitale malgache. ELVICA a interrogé 400 femmes en union, de 15 à 59 ans. Des informations sur les caractéristiques démographiques, socioéconomiques des couples ont été collectées ainsi que sur les actes de violences physiques des hommes sur leurs épouses. L’objectif de cet article est d’identifier les facteurs de risques de la violence conjugale grave, celle qui a des conséquences sur la santé physique des femmes. Résultats Trente-cinq pour cent des femmes qui ont déclaré avoir subi au moins une forme de violence physique au cours des 12 mois précédent l’enquête. Presque la moitié (46%) des femmes violentées ont déclaré avoir déjà eu des hématomes, et environ un quart (23%) des plaies avec saignement. Vingt-deux pour cent ont déjà dû consulter un médecin. Parmi les nombreuses variables socioéconomiques et démographiques testées, quelques-unes sont associées positivement au risque de violence conjugale grave: le fait pour une femme d’être en union consensuelle et d’avoir une activité professionnelle. Il y aussi un lien entre la violence subie et l’autonomie des femmes (liberté accordée par le mari de travailler, de circuler, de voir sa famille). Conclusion A Madagascar, comme ailleurs, la lutte contre les violences conjugales est un élément majeur de l’amélioration du statut et de la santé des femmes. PMID:22514757

Cirque du Monde en tant qu’intervention en santé

PubMed Central

Fournier, Cynthia; Drouin, Mélodie-Anne; Marcoux, Jérémie; Garel, Patricia; Bochud, Emmanuel; Théberge, Julie; Aubertin, Patrice; Favreau, Gil; Fleet, Richard

2014-01-01

Résumé Objectif Présenter le programme Cirque du Monde du Cirque du Soleil et son potentiel en tant qu’intervention en soins de santé de première ligne pour les médecins de famille. Sources des données Une revue de la littérature menée dans les bases de données PubMed, Cochrane Library, PsycINFO, La Presse, Eureka, Google Scholar et Érudit à l’aide des mots-clés circus, social circus, Cirque du Monde et Cirque du Soleil. Une initiative à Montréal nommée Espace Transition qui s’inspire directement de Cirque du Monde. Communication personnelle avec le conseiller principal en formation en cirque social du Cirque du Soleil. Sélection d’études Les 50 premiers articles ou sites Internet répertoriés pour chaque mot-clé dans chacune des bases de données ciblées ont été révisés sur la base des titres et des résumés, s’il s’agissait d’un article, ou sur la base du titre et du contenu de la page, s’il s’agissait d’une page Internet. Ensuite, les articles et les sites Internet qui étudiaient un aspect du cirque social ou qui présentaient une intervention impliquant le cirque étaient retenus pour une révision. Aucune contrainte d’année de publication n’a été appliquée étant donné qu’on cherchait une littérature générale sur le cirque social. Synthèse Aucun article n’a été trouvé sur le cirque social en tant qu’intervention en santé. Nous avons trouvé une étude sur l’utilisation du cirque en tant qu’intervention en milieu scolaire. Cette étude a démontré une augmentation de l’estime personnelle des enfants grâce à l’intervention. Nous avons trouvé une étude sur l’utilisation du cirque en tant qu’intervention sur une réserve amérindienne. Cette étude présente des résultats qualitatifs non spécifiques au programme du cirque social. Les autres articles répertoriés n’étaient que des descriptions du cirque social. Un site web concernant l’utilisation du cirque social pour

Evaluation of a Web-based tailored intervention (TAVIE en santé) to support people living with HIV in the adoption of health promoting behaviours: an online randomized controlled trial protocol.

PubMed

Côté, José; Cossette, Sylvie; Ramirez-Garcia, Pilar; De Pokomandy, Alexandra; Worthington, Catherine; Gagnon, Marie-Pierre; Auger, Patricia; Boudreau, François; Miranda, Joyal; Guéhéneuc, Yann-Gaël; Tremblay, Cécile

2015-10-12

Long-term use of antiretroviral therapy, normal aging, and presence of certain risk factors are associated with metabolic disorders that predispose persons living with HIV to diabetes and cardiovascular diseases. The emergence and progression of these disorders can be prevented by adopting healthy behaviours. Based on the theory of planned behaviour, the Web-based tailored intervention TAVIE en santé was developed. The aim of this study is to evaluate the effectiveness of TAVIE en santé in order to support people living with HIV in the adoption of health promoting behaviours. An online randomized controlled trial with parallel-groups will be conducted across Canada. To participate in this study, people living with HIV must be: ≥ 18 years, able to read/understand French or English, have access to the Internet. A convenience sample of 750 participants will be randomly assigned either to an experimental group (TAVIE en santé, n = 375) or to a control group (websites, n = 375) (1:1 allocation ratio). The TAVIE en santé intervention is composed of seven interactive computer sessions, lasting between 5 and 10 min. The sessions, hosted by a virtual nurse, aim to develop and strengthen skills required for behaviour change. The control group will receive a validated list of five predetermined conventional health-related Websites. The adoption of health behaviour (smoking cessation or physical activity or healthy eating) is the principal outcome. Cognitions (intention, attitude, perceived behavioral control) are the secondary outcomes. Health indicators will also be assessed. All outcomes will be measured with a self-administered online questionnaire and collected three times: at baseline, 3 and 6 months after. The principal analyses will focus on differences between the two trial groups using Intention-to-Treat analysis. This study will yield new results about the efficacy of Web-based tailored health behaviours change interventions in the context of chronic

Parasites of Harmonia axyridis: current research and perspectives

USDA-ARS?s Scientific Manuscript database

The harlequin ladybird Harmonia axyridis (Coleoptera: Coccinellidae) has been introduced widely for biological control of agricultural pests. Populations of H. axyridis have established in four continents outside of its native range in Asia and it is considered an invasive alien species (IAS). Despi...

Les expériences de victimisation, la santé mentale et le bien-être de jeunes trans au Québec

PubMed Central

Raymond, Guillaume; Blais, Martin; Bergeron, Félix-Antoine; Hébert, Martine

2016-01-01

Résumé Les normes traditionnelles de genre prescrivent l’adéquation de l’expression de la masculinité et de la féminité au sexe anatomique de naissance. Les personnes qui présentent des variations dans l’expression de genre sont sujettes à diverses formes de réactions sociales suggérant la réprobation (des regards désapprobateurs aux violences physiques) susceptibles d’influencer négativement leur santé mentale. Trente-sept (37) jeunes se décrivant comme trans ou en questionnement sur leur identité de genre ont été recrutés dans le cadre de l’enquête sur les Parcours Amoureux des Jeunes de minorités sexuelles du Québec. Leurs expériences de victimisation parentale et de victimisation basée sur la non-conformité de genre ainsi que des indicateurs de santé mentale (détresse psychologique, estime de soi) ont été mesurés. Afin de comparer les expériences de victimisation et l’état de santé mentale des jeunes trans, ils ont été appariés à 37 garçons et 37 filles cisgenres sur la base de leurs caractéristiques sociodémographiques. Des analyses de prévalence et un modèle acheminatoire ont été réalisés. Les résultats mettent en évidence que les jeunes trans sont plus susceptibles de présenter des scores cliniques de détresse psychologique et de faible estime d’eux-mêmes que leurs pairs cisgenres. La violence verbale parentale et la victimisation basée sur la non-conformité de genre influencent négativement l’estime de soi, ce qui en retour augmente la probabilité de vivre de la détresse psychologique. Les résultats appuient l’importance des interventions de soutien à la diversité sexuelle et de genre. PMID:26966849

Identification of lead pigments in nanosamples from ancient paintings and polychromed sculptures using voltammetry of nanoparticles/atomic force microscopy.

PubMed

Doménech-Carbó, Antonio; Doménech-Carbó, María Teresa; Mas-Barberá, Xavier

2007-03-15

Voltammetry of nanoparticles coupled with atomic force microscopy was used to identify lead pigments in nanosamples proceeding from works of art. Upon mechanical attachment of few nanograms of sample to a graphite plate, well-defined voltammetric responses were obtained for lead orange, lead yellow, lead white, litharge, minium, Naples yellow, and tin-lead yellow, allowing for an unambiguous identification of such pigments. Atomic force images provide evidence for the occurrence of pigment-characteristic reduction processes accompanied by metal deposition on the graphite substrate. Electrochemical parameters are used for pigment identification. Application to the method for identifying lead pigments in different model binder+pigment specimens and pictorial samples from the canvas painting collection (anonymous, 17th century) of the Saint Joseph Church in Taormina (Italy), the frescoes painted by Antonio Acisclo Palomino y Velasco (1698) in the vault of the Sant Joan del Mercat church in València (Spain) and an anonymous polychromed sculpture (16th century) representing a Martyr Saint from Alacant (Spain) is described.

L’offre des services de vaccination en milieu urbain, au Cameroun: étude de cas du District de Santé de Djoungolo

PubMed Central

Ngomba, Armelle Viviane; Kollo, Basile; Bita, André Fouda; Djouma, Fabrice Nembot; Edengue, Jean Marie; Elongue, Marie Josée; Adiogo, Dieudonné

2016-01-01

Introduction Les métropoles camerounaises concentrent un nombre croissant d'enfants cibles, non atteints par les services de vaccination de routine. Méthodes Une étude transversale descriptive, basée sur échantillonnage exhaustif des formations sanitaires légales offrant en routine des services de vaccination a été réalisée dans le district de santé de Djoungolo, (ville de Yaoundé). L'évaluation de l'offre des services de vaccination a été calquée sur l'approche « Atteindre Chaque District ». Résultats Des 70 formations sanitaires ayant participé à l'étude, 3 (4,3%) disposaient d'un micro plan actualisé pour la vaccination de routine. Des 63 (89,4%) formations sanitaires possédant un réfrigérateur fonctionnel, 12 (19,0%) vaccinaient au quotidien en stratégie fixe. Cinquante-sept (81,0%) formations sanitaires ne conduisaient pas des sessions de vaccination en stratégies avancées. La participation des membres de la communauté aux activités de vaccination de routine étaient effective dans 1 aire de santé sur les 12 que compte le district. Une courbe de suivi des couvertures vaccinales correctement renseignée étaient disponible dans 6 (8,5%) formations sanitaires. Conclusion L'approche « Atteindre Chaque District » telle que mise en œuvre dans le district de santé de Djoungolo limite l'atteinte d'un maximum d'enfants cibles. L'effectivité d'une micro planification réaliste, la régularité des sessions de vaccination en stratégie fixes et avancées, le suivi des données orienté vers l'action, la redynamisation communautaire en faveur de la vaccination sont des voies d'amélioration des prestations des services de vaccination, dans ce district. PMID:28292168

Les perceptions des femmes tunisiennes selon le modèle des croyances liées à la santé et leurs pratiques relativement à l'ostéoporose

PubMed Central

Belgacem, Amina; Nouira, Amel; Soussi, Sonia

2016-01-01

Introduction L'étude a pour objectif de décrire les croyances des femmes et leurs pratiques liées à la santé et à l'ostéoporose, afin d'élaborer des interventions efficaces et ciblées pour la prévention de cette maladie dans le contexte tunisien. Méthodes Une étude descriptive transversale a été effectuée auprès de 100 femmes tunisiennes, âgées de 45 ans et plus, qui consultent au centre de santé de base d'une zone périurbaine de la région de Sousse (Tunisie). La collecte de l'information a été réalisée à l'aide de « l'échelle des croyances relatives à la santé sur l'ostéoporose» développée par Kim et ses collègues traduit en arabe et validé en Tunisie et le questionnaire de «Calcul des apports calciques quotidiens» développé par Fardellone Patrice. L'interprétation des résultants s'est basée sur le «Health Belief Model ». Résultats La perception des participantes pourrait être considérée comme au dessus de la moyenne pour la vulnérabilité de l'ostéoporose (58%), la gravité de la maladie, les avantages de la pratique de l'activité physique, les avantages de l'apport en calcium et la motivation à la santé; par contre, elle pourrait être considérée comme modérée concernant les obstacles à la prévention. Cependant, les pratiques exposant au risque de la maladie sont relativement fréquentes et ceci essentiellement en rapport avec des facteurs socio-économiques et culturels. Conclusion Les programmes de promotion doivent viser la création d'un environnement physique et social favorable à l'adoption des comportements à moindre risque et viser l'éducation ciblée de la population. PMID:27217868

Improving Health and Reducing Comorbidity Associated with HIV: The Development of TAVIE en santé, a Web-Based Tailored Intervention to Support the Adoption of Health Promoting Behaviors among People Living with HIV.

PubMed

Côté, José; Cossette, Sylvie; Ramirez-Garcia, Pilar; Rouleau, Geneviève; Auger, Patricia; Boudreau, François; Gagnon, Marie-Pierre

2017-01-01

Background . In the domain of health behavior change, the deployment and utilization of information and communications technologies as a way to deliver interventions appear to be promising. This article describes the development of a web-based tailored intervention, TAVIE en santé , to support people living with HIV in the adoption of healthy behaviors. Methods . This intervention was developed through an Intervention Mapping (IM) framework and is based on the theory of planned behavior. Results . Crucial steps of IM are the selection of key determinants of behavior and the selection of useful theory-based intervention methods to change the targeted determinants (active ingredients). The content and the sequence of the intervention are then created based on these parameters. TAVIE en santé is composed of 7 interactive web sessions hosted by a virtual nurse. It aims to develop and strengthen skills required for behavior change. Based on an algorithm using individual cognitive data (attitude, perceived behavioral control, and intention), the number of sessions, theory-based intervention methods, and messages contents are tailored to each user. Conclusion . TAVIE en santé is currently being evaluated. The use of IM allows developing intervention with a systematic approach based on theory, empirical evidence, and clinical and experiential knowledge.

Improving Health and Reducing Comorbidity Associated with HIV: The Development of TAVIE en santé, a Web-Based Tailored Intervention to Support the Adoption of Health Promoting Behaviors among People Living with HIV

PubMed Central

Cossette, Sylvie; Ramirez-Garcia, Pilar; Rouleau, Geneviève; Auger, Patricia; Boudreau, François; Gagnon, Marie-Pierre

2017-01-01

Background. In the domain of health behavior change, the deployment and utilization of information and communications technologies as a way to deliver interventions appear to be promising. This article describes the development of a web-based tailored intervention, TAVIE en santé, to support people living with HIV in the adoption of healthy behaviors. Methods. This intervention was developed through an Intervention Mapping (IM) framework and is based on the theory of planned behavior. Results. Crucial steps of IM are the selection of key determinants of behavior and the selection of useful theory-based intervention methods to change the targeted determinants (active ingredients). The content and the sequence of the intervention are then created based on these parameters. TAVIE en santé is composed of 7 interactive web sessions hosted by a virtual nurse. It aims to develop and strengthen skills required for behavior change. Based on an algorithm using individual cognitive data (attitude, perceived behavioral control, and intention), the number of sessions, theory-based intervention methods, and messages contents are tailored to each user. Conclusion. TAVIE en santé is currently being evaluated. The use of IM allows developing intervention with a systematic approach based on theory, empirical evidence, and clinical and experiential knowledge. PMID:28393077

Promoting physical activity, healthy eating and gross motor skills development among preschoolers attending childcare centers: Process evaluation of the Healthy Start-Départ Santé intervention using the RE-AIM framework.

PubMed

Ward, Stéphanie; Chow, Amanda Froehlich; Humbert, M Louise; Bélanger, Mathieu; Muhajarine, Nazeem; Vatanparast, Hassan; Leis, Anne

2018-06-01

The Healthy Start-Départ Santé intervention was developed to promote physical activity, gross motor skills and healthy eating among preschoolers attending childcare centers. This process evaluation aimed to report the reach, effectiveness, adoption, implementation and maintenance of the Healthy Start-Départ Santé intervention. The RE-AIM framework was used to guide this process evaluation. Data were collected across 140 childcare centers who received the Healthy Start-Départ Santé intervention in the provinces of Saskatchewan and New Brunswick, Canada. Quantitative data were collected through director questionnaires at 10 months and 2 years after the initial training and analyzed using descriptive statistics. Qualitative data were collected throughout the intervention. The intervention was successful in reaching a large number of childcare centres and engaging both rural and urban communities across Saskatchewan and New Brunswick. Centres reported increasing opportunities for physical activity and healthy eating, which were generally low-cost, easy and quick to implement. However, these changes were rarely transformed into formal written policies. A total of 87% of centers reported using the physical activity resource and 68% using the nutrition resource on a weekly basis. Implementation fidelity of the initial training was high. Of those centers who received the initial training, 75% participated in the mid-point booster session training. Two year post-implementation questionnaires indicated that 47% of centers were still using the Active Play Equipment kit, while 42% were still using the physical activity resource and 37% were still using the nutrition resource. Key challenges to implementation and sustainability identified during the evaluation were consistent among all of the REAIM elements. These challenges included lack of time, lack of support from childcare staff and low parental engagement. Findings from this study suggest the implementation of

Le leadership en santé et la philosophie appliquée : une ressource essentielle.

PubMed

Fistein, Elizabeth; Malloy, David Cruise

2017-07-01

En qualité de professionnels de la santé, nous sommes déterminés à assurer l'exploitation efficiente et efficace de nos établissements. Les outils dont nous disposons sont les structures bureaucratiques, les règles, les règlements, les politiques et, bien sûr, les mesures. Il n'y a rien de foncièrement pernicieux à avoir des établissements efficients, efficaces et mesurés, mais nous soutenons que l'humanité et l'authenticité manquent cruellement dans cet environnement, au prix d'un travail significatif. Les solutions que nous proposons appartiennent au milieu de la philosophie, et particulièrement au secteur qui repose sur des principes fondamentaux : qu'est-ce qu'une infirmière, qu'est-ce qu'un patient, qu'est-ce qu'un hôpital?

Successful establishment of epiphytotics of Puccinia punctiformis for biological control of Cirsium arvense

USDA-ARS?s Scientific Manuscript database

Canada thistle (Cirsium arvense, CT) is one of the worst weeds in temperate areas of the world. The rust fungus Puccinia punctiformis was first proposed as a biological control agent for CT in 1893. The rust causes systemic disease, is specific to CT, and is in all countries where CT is found. Despi...

Dietary intakes and diet quality according to levels of organic food consumption by French adults: cross-sectional findings from the NutriNet-Santé Cohort Study.

PubMed

Baudry, Julia; Allès, Benjamin; Péneau, Sandrine; Touvier, Mathilde; Méjean, Caroline; Hercberg, Serge; Galan, Pilar; Lairon, Denis; Kesse-Guyot, Emmanuelle

2017-03-01

We aimed to assess dietary profiles of adults from the NutriNet-Santé cohort according to different levels of organic food consumption using detailed self-reported data on organic food intakes. Food intakes were obtained using an organic food frequency questionnaire (Org-FFQ). The participants were ranked into five groups (quintiles, Q) according to the proportion of organic foods in their diet. To determine diet quality, two scores were computed reflecting adherence to food-based recommendations (mPNNS-GS) and the probability of adequate nutrient intake (PANDiet). Relationships between levels of organic food consumption and dietary characteristics were assessed using multivariable-adjusted ANCOVA models. The NutriNet-Santé Study. French adults from the NutriNet-Santé Study (n 28 245). Intakes of foods of plant origin increased along with the contribution of organic foods to the diet while a reverse trend was identified for dairy products, cookies and soda (P-trend<0·0001). The diet quality scores increased from Q1 (mPNNS-GS, 7·89 (se 0·02); PANDiet: 63·04 (se 0·11)) to Q5 (mPNNS-GS, 8·78 (se 0·02); PANDiet, 69·37 (se 0·10)). Overall, high organic food consumers exhibited better diet quality, although intermediate organic food consumers showed better adherence to specific nutritional recommendations related to animal products. The study provides new insights into the understanding of organic food consumption as a part of a healthy diet and sheds some light on the dietary profiles of different categories of organic food consumers. These results underline strong dietary behaviour correlates associated with organic food consumption that should be controlled for in future aetiological studies on organic foods and health.

NATO Force Health Protection Requirements from Pre- to Post-Deployment: Population Health for the Military (Les besoins des forces de l’OTAN en matiere de soins de sante du pre-deploiement jusqu’au post-deploiement: la sante des populations militaires)

DTIC Science & Technology

2003-12-01

la dangerosité résultant d’un certain niveau d’exposition à un agent, ainsi que l’estimation des effets sur les populations après une exposition...grand que ce que peut accepter la société. 5) La phase de contrôle du risque se focalise sur les différentes mesures à prendre afin soit « de... les sections précédentes. Sur base de ce schéma, on peut envisager une stratégie globale de gestion des risques de santé au sein des Forces Armées

Intravenous Remifentanil Analgaesia for an Obstetric Patient with Type I Neurofibromatosis and a Factor V Leiden Mutation

PubMed Central

Gálvez, José L.; Errando, Carlos L.; Serrano, Silvia; Martín-Ayuso, Marga; Valverde-Mantecón, José M.

2017-01-01

Type I neurofibromatosis is characterised by altered skin pigmentation and the growth of benign tumours, particularly along the peripheral nerves and central nervous system. We report a 36-year-old primigravida woman in labour who was admitted to the obstetric suite of the Hospital Sant Joan de Déu, Barcelona, Spain, in 2007 with hypothyroidism, type I neurofibromatosis and a factor V Leiden mutation. Due to a lack of cranial and spinal imaging data, an epidural was not indicated; instead, continuous intravenous remifentanil analgaesia was administered. The remifentanil infusion was self-titrated by the patient using a visual analogue scale, with the dosage ranging from 0.01 to 0.25 μg/kg/minute. Due to rotational dystocia, Kjelland-type forceps were used during the delivery. After birth, the infant was found to have Apgar scores of 9 and 10, with no maternal or neonatal adverse effects observed. Although still controversial, remifentanil may be a successful alternative for analgaesia in similar cases; however, the specific risks and benefits for each patient should be considered prior to administration. PMID:29372092

[Prevalence of fungal infections detected from biopsies and autopsies in the past 11 years at the University Hospital Joan XXIII in Tarragona, Spain].

PubMed

García-Fontgivell, Joan Francesc; Mayayo Artal, Emilio

2006-12-01

Infectious diseases caused by fungal pathogens have increased in the past 10 years. More than 300 pathogenic fungal species have been incriminated as the etiologic agents. We carried out a retrospective study (1994-2004) to evaluate the prevalence of mycoses at the University Hospital Joan XXIII (330 beds). This report found 0.24% of the studied cases (78,310 biopsies and 753 autopsies) were diagnosed as fungal infections (0.21% of the total studied biopsy and 4.25% of the whole autopsies). Skin and mucose were involved in 66% of cases, followed by other less affected anatomical areas. 61% of studied cases were caused by Candida spp (the most frequent in our environment), followed by Aspergillus spp (10%) and the Zygomycetes (5%). The most important underlying illness was obstructive chronic pulmonary disease followed by diabetes and AIDS. The incidence of mycoses increased with the patient's age, especially those patients in their 80s. Antifungal management improved the clinical outcome of the patient but predisposing factors are crucial for diagnosis. Systemic mycoses have poor prognosis with 91% of fatal outcome. Thus, it is important to perform a rapid diagnosis of the fungal infections a diagnostic area in which pathology could play a major role.

The copy of the Essays of Jean Rey, used by Bayen and Gobet, at the BIU Sante, pole Pharmacie.

PubMed

Lafont, Olivier

2016-06-01

The copy of the innovative book written by Jean Rey in 1630, entitied : The Essays on the reasons why the weight of stain and lead increased when they were burnt, which is nowadays kept in the BIU Sante, pole Pharmacie, proved to be the authentic copy which had been used by Pierre Bayer when he rediscovered Jean Rey's Works. It was also the same copy that Gobey used when he real- ized his new edition of the Essays in 1777. This copy first belonged to M. de Villars from La Rochelle, and then was acquired by M. de Villiers, who accepted to lend it to Bayen. The probes for this identification were detailed in the article.

Déterminants de l'utilisation des méthodes contraceptives dans la zone de santé Mumbunda à Lubumbashi, République Démocratique du Congo

PubMed Central

Matungulu, Charles Matungulu; Kandolo, Simon Ilunga; Mukengeshayi, Abel Ntambue; Nkola, Angèle Musau; Mpoyi, Dorcas Ilunga; Mumba, Sylvie Katanga; Kabamba, Julie Ndayi; Cowgill, Karen; Kaj, Françoise Malonga

2015-01-01

Introduction Augmenter la prévalence contraceptive s'incarne dans les objectifs des tous les acteurs des programmes qui visent de réduire la mortalité maternelle et infantile, d'améliorer la santé reproductive des adolescents, de lutter contre le VIH/SIDA et les infections sexuellement transmissible (IST), de promouvoir le bien-être familial et de ralentir la croissance démographique. L'objectif de cette étude était de déterminer la prévalence contraceptive moderne et identifier les facteurs qui sont liés à l'utilisation des méthodes contraceptives dans la zone de santé de Mumbunda. Méthodes Une étude transversale à visé analytique a été effectuée auprès des femmes âgées de 15 à 49 ans en union maritale, de Mai à Juin 2014. Grâce à un questionnaire pré testé et validé, nous avons récolté les données par interview sur les caractéristiques sociodémographiques, obstétricales ainsi que sur la pratique contraceptive. Le logiciel SPSS version 21 nous a permis d'analyser les données. Résultats Au total 500 femmes ont été incluses dans cette étude dont l’âge moyen était de 27,9±6,1 ans. La prévalence contraceptive moderne était de 27,6%. L'attitude (ORa= 4,79; IC95%: 1,59-14,43; p<0,001), le niveau de connaissance des méthodes contraceptives (ORa=1,87; IC95%: 1,22-2,87; p<0,001), le soutien du conjoint (ORa=1,87; IC95%: 1,22-2,87; p<0,001) étaient significativement associés à l'utilisation des méthodes contraceptives modernes. Conclusion Tout effort d'augmentation de la prévalence contraceptive devrait cibler l'attitude, le niveau de connaissance de méthodes et le soutien du conjoint afin d'optimiser l'utilisation de la contraception moderne dans la zone de santé (ZS) Mumbunda. PMID:26977237

76 FR 43332 - Advisory Committee on Interdisciplinary, Community-Based Linkages; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-20

... the ACICBL should be sent to Dr. Joan Weiss, Designated Federal Official at the contact information... requesting information regarding the ACICBL should contact Dr. Joan Weiss, Designated Federal Official within...: (1) Send a request to the following address: Dr. Joan Weiss, Designated Federal Official, Bureau of...

77 FR 70169 - Advisory Committee on Interdisciplinary, Community-Based Linkages; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-23

... the ACICBL should be sent to Dr. Joan Weiss, Designated Federal Official, at least 3 days prior to the... should contact Dr. Joan Weiss, Designated Federal Official within the Bureau of Health Professions... address: Dr. Joan Weiss, Designated Federal Official, Bureau of Health Professions, Health Resources and...

77 FR 19021 - Advisory Committee on Interdisciplinary, Community-Based Linkages; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-29

... comments to the ACICBL should be sent to Dr. Joan Weiss, Designated Federal Official, at the contact... information regarding the ACICBL should contact Dr. Joan Weiss, Designated Federal Official within the Bureau... request to the following address: Dr. Joan Weiss, Designated Federal Official, Bureau of Health...

European Science Notes. Volume 39, Number 10.

DTIC Science & Technology

1985-10-01

A.T. Hubbard (Santa Barbara, US), Electro- MODULEF--A MODULAR FINITE ELEMENT PRO- sorption at Well-Defined Surfaces; D.H. GRAM PACKAGE Kolb (Berlin...was described as having one sorption . of the highest theoretical energy densi- Finally, Despi6 described engineer- ties, about 2600 Wh/kg--a value 150...organic compounds , can be varied by compound these transport agents into changing the high temperature treatment organic solutions exhibiting high

A multilevel intervention to increase physical activity and improve healthy eating and physical literacy among young children (ages 3-5) attending early childcare centres: the Healthy Start-Départ Santé cluster randomised controlled trial study protocol.

PubMed

Bélanger, Mathieu; Humbert, Louise; Vatanparast, Hassan; Ward, Stéphanie; Muhajarine, Nazeem; Chow, Amanda Froehlich; Engler-Stringer, Rachel; Donovan, Denise; Carrier, Natalie; Leis, Anne

2016-04-12

Childhood obesity is a growing concern for public health. Given a majority of children in many countries spend approximately 30 h per week in early childcare centers, this environment represents a promising setting for implementing strategies to foster healthy behaviours for preventing and controlling childhood obesity. Healthy Start-Départ Santé was designed to promote physical activity, physical literacy, and healthy eating among preschoolers. The objectives of this study are to assess the effectiveness of the Healthy Start-Départ Santé intervention in improving physical activity levels, physical literacy, and healthy eating among preschoolers attending early childcare centers. This study follows a cluster randomized controlled trial design in which the childcare centers are randomly assigned to receive the intervention or serve as usual care controls. The Healthy Start-Départ Santé intervention is comprised of interlinked components aiming to enable families and educators to integrate physical activity and healthy eating in the daily lives of young children by influencing factors at the intrapersonal, interpersonal, organizational, community, physical environment and policy levels. The intervention period, spanning 6-8 months, is preceded and followed by data collections. Participants are recruited from 61 childcare centers in two Canadian provinces, New Brunswick and Saskatchewan. Centers eligible for this study have to prepare and provide meals for lunch and have at least 20 children between the ages of 3 and 5. Centers are excluded if they have previously received a physical activity or nutrition promoting intervention. Eligible centers are stratified by province, geographical location (urban or rural) and language (English or French), then recruited and randomized using a one to one protocol for each stratum. Data collection is ongoing. The primary study outcomes are assessed using accelerometers (physical activity levels), the Test of Gross Motor

Facteurs de risque de l'infection par le VIH dans le district de santé de Meyomessala au Cameroun

PubMed Central

Mbopi-Keou, Francois-Xavier; Nguefack-Tsague, Georges; Kalla, Ginette Claude Mireille; Abessolo, Stéphanie Abo'o; Angwafo, Fru; Muna, Walinjom

2014-01-01

Introduction L'objectif de ce travail était de déterminer les facteurs de risque de l'infection par le VIH dans le district de santé de Meyomessala (Région du Sud) au Cameroun. Méthodes Il s'agissait d'une étude transversale, descriptive et analytique qui s'est déroulée de Février à Mai 2011. Pour cette étude, nous avons obtenu une clairance éthique. Résultats L’échantillon était constitué de 315 participants dont 181 (57,46%) hommes et 134 (42,54%) femmes. L’âge moyen était de 24,5±8ans (extrême: 15-45ans). Quarante personnes (40) étaient séropositifs, soit une prévalence de l'infection par le VIH de 12,7%. Cette prévalence augmentait significativement (p = 0) avec le nombre de partenaires occasionnels au cours des douze derniers mois, allant de 2,7% chez ceux n'ayant eu aucun partenaire occasionnel à 21,25% chez ceux ayant plus de trois partenaires occasionnels (RC = 9,72; IC = 1,27-74,14; P = 0,03). le fait d’être âgé entre 20 et 24 ans (RC = 4,88; IC = 1,74-13,67; p = 0), avoir plus de trois partenaires sexuels au cours des douze derniers mois (RC = 9,72; IC = 1,27-74,14; p = 0,03), avoir les rapports sexuels avec les prostitués (RC = 2,86; IC = 1,42-5,76; p = 0), avoir eu le chlamydia (RC = 3,00; IC = 1,07-8,39; p = 0,04), avoir eu la syphilis (RC = 3,35; IC = 1,57-7,14; p = 0), avoir des avantages sociaux lors du premier rapport sexuel (RC = 2,57; IC = 1,03-6,43; p = 0,04) constituaient des potentiels facteurs de risque du VIH. Conclusion Il apparait urgent d'intensifier les campagnes de sensibilisation au risque d'infection par le VIH et les maladies sexuellement transmissibles dans le district de santé de Meyomessala PMID:25419299

Sante De Sanctis (1862-1935), a forerunner of the 20th century research on sleep and dreaming.

PubMed

Foschi, Renato; Lombardo, Giovanni Pietro; Morgese, Giorgia

2015-01-01

This article aims to reconstruct the elements of continuity and/or discontinuity in Sante De Sanctis' (1862-1935) contributions in the scientific understanding of sleep and dreaming as compared to the scientific research of his time. An Italian psychologist and psychiatrist, De Sanctis, in his work conducted between the 19th and 20th centuries, has framed the study of dreams using multi-methodology. In addition, De Sanctis experimentally established the correspondence between the deep and desynchronization phases of sleep with respect to dreaming. In this context, De Sanctis' subjects described the periodicity of sleep and consciousness, influencing the explanations of the themes that modern sleep research has, after decades, systematically studied. We demonstrate that De Sanctis' work has been underestimated, and in our opinion, deserves to be reconsidered as a source of the psychophysiological explanation of dreams and sleep. Finally, we present a graphical representation of De Sanctis' psycho- and neurophysiological model of dreaming. Copyright © 2014 Elsevier B.V. All rights reserved.

Utilisation des méthodes contraceptives modernes en République Démocratique du Congo: prévalence et barrières dans la zone de santé de Dibindi à Mbuji-Mayi

PubMed Central

Ntambue, Abel Mukengeshayi; Tshiala, Rachel Ngalula; Malonga, Françoise Kaj; Ilunga, Tabitha Mpoyi; Kamonayi, Josaphat Mulumba; Kazadi, Simon Tshimankinda; Matungulu, Charles Matungu; Musau, Angel Nkola; Mulamba, Diese; Dramaix-Wilmet, Michèle; Donnen, Philippe

2017-01-01

Introduction l’objectif de cette étude était de déterminer la prévalence contraceptive moderne et les barrières à l’utilisation des méthodes contraceptives modernes chez les couples de la Zone de Santé Dibindi, à Mbuji-Mayi en République Démocratique du Congo. Méthodes de Mai à Juin 2015, nous avons réalisé une étude descriptive transversale. Nous avons inclus les femmes âgées de 15 à 49 ans, en union maritale, non enceinte au moment de l’enquête, qui habitaient la Zone de santé Dibindi depuis deux ans et ayant consenti librement de participer à l’étude. La collecte des données a été réalisée par interview libre des femmes. La prévalence contraceptive moderne se référait aux femmes en cours d’utilisation, au moment de l’enquête, des contraceptifs modernes. La comparaison des proportions a été réalisée au seuil de signification de 5%. Le test de Bonferroni a été utilisé pour comparer, deux à deux, les proportions des barrières à l’utilisation des contraceptifs modernes. Résultats la prévalence contraceptive moderne à Dibindi, en 2015, était de 18,4%. Elle était faible eu égard aux services de planification familiale disponibles dans cette Zone de santé. Plusieurs femmes refusaient d’utiliser les méthodes contraceptives modernes malgré l’information dont elles disposaient à cause de leur désir de maternité, l’interdiction religieuse, l’opposition du conjoint et la crainte des effets secondaires. Conclusion l’information suffisante et centrée sur chaque cliente ou son couple, sur la planification familiale, devrait être renforcée de façon à éliminer les fausses croyances, ce qui accroitrait l’utilisation des méthodes contraceptives modernes. PMID:28674592

Healthy Start - Départ Santé: A pilot study of a multilevel intervention to increase physical activity, fundamental movement skills and healthy eating in rural childcare centres.

PubMed

Froehlich Chow, Amanda; Leis, Anne; Humbert, Louise; Muhajarine, Nazeem; Engler-Stringer, Rachel

2016-10-20

In order to improve healthy behaviours among rural children in their early years, a physical activity and healthy eating intervention (Healthy Start - Départ Santé) was implemented in rural childcare centres throughout Saskatchewan. The objective of the current study was to evaluate the impact of a multimodal physical activity and healthy eating intervention on educators' provision of opportunities for children to improve their physical activity levels, fundamental movement skills and healthy eating behaviours. Six childcare centres (three Francophone and three Anglophone) located in five different rural and semi-rural communities in Saskatchewan participated in this intervention. A total of 69 children with a mean age of 4 years 9 months, and 19 female early childhood educators. Guided by an ecological framework, we implemented a population health controlled intervention, using a wait list control design (48 weeks delayed intervention), and evaluated its impact in rural childcare centres. Mixed methods were employed to determine the effectiveness of the intervention. Overall, educators felt that the intervention supported the provision of physical activity and healthy eating opportunities for children. Increases in children's physical activity levels were reported following the intervention. The lessons learned in this study can be used to improve the Healthy Start - Départ Santé intervention so that its implementation can be effectively expanded to childcare centres within and outside Saskatchewan, in turn, supporting the healthy development of early years (0-5) children in the province and beyond.

First 2 years of Atmospheric CO2 measurements in the Estany Llong plain (2100 masl, Parc Nacional d'Aigüestortes i Estany de Sant Maurici, Pyrenees, Catalonia, Spain).

NASA Astrophysics Data System (ADS)

Curcoll, Roger; Recolons, Montserrat; Font, Anna; Agraz, Laura; Parga, Elena; Bacardit, Montse; Camarero, Lluís.; Pueyo, Salva; Rodó, Xavier; Morguí, Josep Anton

2010-05-01

Since April 2009, air samples are being taken bi-weekly at 10 GMT in the plain of the Estany Llong at 2100 masl. Estany Llong air sampling site (ELL, 42°34'29''N 0°57'17''E) is a remote site situated in the SW principal valley of the Parc Nacional d'Aigüestortes i Estany de Sant Maurici. New Flask-sampling equipment for Remote Mountain Sites was developed by the Institut Català de Ciències del Clima (IC3) to allow flask sampling in extreme weather conditions and carrying the sampling equipment for more than 10 km without damaging flasks. Dry Air analysis for CO2 are done at the Laboratory of IC3 using two coupled modified IRGA Licor-7000, where both pressure and flow are externally controlled. Far away from populated areas, ELL site acts as a remote site, but it is also responding to discrete events as snow melting, summer cattle breeding on pastures and trekking frequentation. Series of CO2 obtained are included as part of Long Term Ecological Research (LTER) at the Parc Nacional d'Aigüestortes i Estany de Sant Maurici. In the long term, these measurements show the mountain ecosystems contribution and geomorphologic influence on the CO2 budget of the air masses crossing a mountain range.

JPRS Report, Soviet Union, International Affairs.

DTIC Science & Technology

1988-05-02

34 62 LITERARY JOURNALISM Joan Didion (United States), "El Salvador" (continua- tion) 75 JPRS-UIA-88-008 2 May 1988 28 LATIN AMERICA PAGES OF...34The Thousand Pictures of an Ecua- doran Artist" No 3 ARTISTIC JOURNALISM Joan Didion (United States), "Salvador." Foreword by A. Zverev, translation...Salvador (continuation) ( Joan Didion , USA) 110 FROM A JOURNALIST’S NOTEBOOK At the IV Festival of Friendship (A. V. Grishin, V. N. Rastorguev) 121

Associations between motives for dish choice during home-meal preparation and diet quality in French adults: findings from the NutriNet-Santé study.

PubMed

Ducrot, Pauline; Méjean, Caroline; Fassier, Philippine; Allès, Benjamin; Hercberg, Serge; Péneau, Sandrine

2017-03-01

A number of motives such as constraints or pleasure have been suggested to influence dish choices during home-meal preparation. However, no study has evaluated how the importance conferred to these motives potentially influence diet quality. The present study aims at investigating the difference in diet quality according to the importance attached by individuals to various dish choice motives. The importance of twenty-seven criteria related to dish choices on weekdays was evaluated among 48 010 French adults from the NutriNet-Santé study. ANCOVA and logistic regression models, adjusted for sociodemographic and lifestyle factors, were used to evaluate the association between the importance attached to dish choice motives (yes v. no) and energy and food group intakes, as well as adherence to French nutritional guidelines (modified Programme National Nutrition Santé-Guideline Score (mPNNS-GS)). A higher adherence to nutritional guidelines was observed in individuals attaching importance to a healthy diet (mPNNS-GS score 7·87 (sd 0·09) v. 7·39 (sd 0·09)) and specific diets (mPNNS-GS score 7·73 (sd 0·09) v. 7·53 (sd 0·09)), compared with those who attached little/no importance (all P<0·0001). These individuals also exhibited higher intakes of fruits and vegetables, but a lower consumption of meat, milk and cheese, sugary products and convenience foods compared with their respective counterparts (all P<0·0001). For other motives, that is, constraints, pleasure and organisation, only small differences were observed. The main difference in diet quality was related to the importance placed on a healthy diet. Although a causal link should be demonstrated, our findings suggested that strategies aiming at enabling people to take into account diet quality during home-meal preparation might be effective levers to promote healthy eating.

75 FR 56110 - Change in Bank Control Notices; Acquisition of Shares of Bank or Bank Holding Companies

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-15

..., Kansas; James J. and Joan M. Lueger, both of Seneca, Kansas, individually and as trustees of the James J. and Joan M. Lueger Revocable Living Trust; Robert and Susan Lueger, both of Shorewood, Wisconsin...

The clinical differential approach of Sante De Sanctis in Italian "scientific" psychology.

PubMed

Lombardo, Giovanni Pietro; Cicciola, Elisabetta

2006-01-01

Sante De Sanctis, a psychiatrist and psychologist, is one of the most representative figures of Italian "scientific" psychology. He is considered one of the founders of the discipline as well as one of its main protagonists in the years between the two World Wars. Both with his extensive scientific productions (which include more than three hundred works) and with his uninterrupted institutional activity, he has left his significant mark on the history of Italian psychology. He was the first professor of Experimental Psychology and was internationally known: some of his works have been published in French, Swiss, American, German, Scandinavian, and English journals, and some of his volumes have been translated into English and German. Together with the other psychologists of the second generation (Binet, Külpe, Münsterberg, Stern, Claparède, Ebbinghaus), he was the Italian psychologist who decided to enrich the classical paradigm of Wundt's physiological psychology, by developing during the twentieth century the program of methodological and epistemological enlargement of the discipline. In his fundamental treatise Psicologia Sperimentale, written in 1929-30, a clear modern conception of psychology emerged: it jointly included both the generalist aspect (with some studies on psychophysical proportionality, thought mimicry, dreams, attention, emotions, etc.) and the applicative one, which included psychopathology, labor psychology, educational psychology, and criminal psychology, all seen in a general experimental framework. The present paper aims precisely to highlight the originality of De Sanctis' experimentalism that applied the differential clinical approach to the discipline of psychology, causing it for the first time in Italy to be seen in a unitary way as both general and applied psychology.

Success factors for implementing and sustaining a mature electronic medical record in a low-resource setting: a case study of iSanté in Haiti.

PubMed

deRiel, E; Puttkammer, N; Hyppolite, N; Diallo, J; Wagner, S; Honoré, J G; Balan, J G; Celestin, N; Vallès, J S; Duval, N; Thimothé, G; Boncy, J; Coq, N R L; Barnhart, S

2018-03-01

Electronic health information systems, including electronic medical records (EMRs), have the potential to improve access to information and quality of care, among other things. Success factors and challenges for novel EMR implementations in low-resource settings have increasingly been studied, although less is known about maturing systems and sustainability. One systematic review identified seven categories of implementation success factors: ethical, financial, functionality, organizational, political, technical and training. This case study applies this framework to iSanté, Haiti's national EMR in use in more than 100 sites and housing records for more than 750 000 patients. The author group, consisting of representatives of different agencies within the Haitian Ministry of Health (MSPP), funding partner the Centers for Disease Control and Prevention (CDC) Haiti, and implementing partner the International Training and Education Center for Health (I-TECH), identify successes and lessons learned according to the seven identified categories, and propose an additional cross-cutting category, sustainability. Factors important for long-term implementation success of complex information systems are balancing investments in hardware and software infrastructure upkeep, user capacity and data quality control; designing and building a system within the context of the greater eHealth ecosystem with a plan for interoperability and data exchange; establishing system governance and strong leadership to support local system ownership and planning for system financing to ensure sustainability. Lessons learned from 10 years of implementation of the iSanté EMR system are relevant to sustainability of a full range of increasingly interrelated information systems (e.g. for laboratory, supply chain, pharmacy and human resources) in the health sector in low-resource settings. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene

Surveillance urinaire des professionnels de la santé exposés aux antinéoplasiques dans le cadre de leur travail: revue de la littérature de 2010 à 2015

PubMed Central

Poupeau, Céline; Roland, Christel; Bussières, Jean-François

2016-01-01

RÉSUMÉ Contexte Il existe de plus en plus de données sur la présence de traces de médicaments dangereux dans l’urine des professionnels de la santé exposés à ces médicaments. Objectif Présenter une revue de la littérature scientifique concernant la surveillance urinaire de professionnels de la santé exposés aux anti-néoplasiques dans le cadre de leur travail. Sources de données Recherche sur PubMed avec les Medical Subject Headings (MeSH) « occupational exposure » et « antineoplastic agents » ainsi que sur Google Scholar avec les termes « antineoplastic », « urine » et « occupational exposure ». Sélection des études et extraction des données L’examen a porté sur tous les articles en anglais et en français ayant trait aux professionnels de la santé exposés à des médicaments dangereux dans le cadre de leur travail, publiés entre le 1er janvier 2010 et le 31 décembre 2015. Les articles ne comportant pas de résultats urinaires et ceux concernant les vétérinaires ainsi que les revues de littérature, les éditoriaux, les lettres à la rédaction et les résumés de congrès ont été exclus. Synthèse des données Vingt-quatre articles ont été retenus. Les études ont été menées dans 52 établissements de santé provenant de sept pays. Elles regroupaient 826 travailleurs exposés à des médicaments dangereux et 175 témoins, notamment des infirmiers (n = 16 études), des pharmaciens (n = 10), des assistants techniques en pharmacie (n = 8), des médecins (n = 7), des aides-soignants (n = 2) et autres (n = 8). Différentes méthodes analytiques ont été utilisées pour quantifier la présence de 13 médicaments dangereux, principalement le cyclophosphamide (n = 16 études), les platines (n = 7) et l’alpha-fluoro-béta-alanine, un métabolite urinaire du 5-fluorouracile (n = 3). La proportion de travailleurs qui ont étés déclarés positifs s’étendait de 0 % (n = 10 études) à 100 % (n = 4). Si l’on ne retient que

EFFECT OF METHYLENE BLUE ON DEVELOPING ZEBRAFISH EMBRYOS Danio rerio

EPA Science Inventory

EFFECT OF METHYLENE BLUE ON DEVELOPING ZEBRAFISH EMBRYOS Danio rerioJoan M. Hedge*, Erik Sanders, Kimberly A. Jarema, Deborah Hunter, and Stephanie PadillaIntegrated Systems Toxicology Division, NHEERL, US EPA, Research Triangle Park, NC 27709hedge.joan@epa.govOur laboratory rout...

JPRS Report, Soviet Union: International Affairs.

DTIC Science & Technology

1988-07-25

Journalism Joan Didion (United States). Salvador (Conclusion). 85 From Our Foreign Correspondents VI. Reznichenko, P.P. Yakovlev. The Workdays and...American intelligentsia are now experiencing such insight; an example of this was the book by American author and journalist Joan Didion which was

La prise en charge des troubles de santé mentale par les omnipraticiens du Québec

PubMed Central

Fleury, Marie-Josée; Farand, Lambert; Aubé, Denise; Imboua, Armelle

2012-01-01

Résumé Objectif Cette recherche vise à documenter la prise en charge des troubles mentaux (TM) par les omnipraticiens. Type d’étude Il s’agit d’une étude mixte intégrant un questionnaire auto-administré et des entrevues qualitatives. La banque de données administratives des actes médicaux de la Régie de l’assurance maladie du Québec a aussi été analysée. Contexte La province de Québec. Participants Un total de 1415 omnipraticiens de différents lieux de pratiques ont été sollicités pour le questionnaire; 970 ont été rejoints. Un sous-groupe de 60 omnipraticiens a été rejoint pour les entrevues. Principaux paramètres à l'étude La prévalence annuelle des consultations reliées à des TM courants (TMC) ou graves (TMG), les pratiques cliniques, les pratiques de collaboration, les facteurs facilitant ou entravant la prise en charge des TM, ainsi que les recommandations pour l’amélioration du système de soins. Résultats Le taux de réponse a été de 41% (n = 398 omnipraticiens) pour le questionnaire et de 63% (n = 60) pour les entrevues. Environ 25 % des visites chez les omnipraticiens sont associées à des TM. Presque tous les omnipraticiens prennent en charge des TMC et se sentent compétents pour le faire, à l’inverse de la situation retrouvée pour les TMG. Près de 20 % des TMC sont référés (principalement à des intervenants psychosociaux), alors que près de 75 % des TMG sont référés (surtout en psychiatrie et à l’urgence). Plus de 50 % des omnipraticiens affirment n’entretenir aucun contact avec l’une ou l’autre des ressources de santé mentale. Plusieurs facteurs influencent la prise en charge des TM: les profils des patients (complexité des TM, troubles concomitants); les caractéristiques des omnipraticiens (réseau informel, formation); la culture professionnelle (travail en silo, mécanismes cliniques formalisés); le milieu institutionnel (multidisciplinarité, salariat); l’organisation des

[A "people dump": marks of suffering and transformations at the former Hospital Colônia Sant'Ana and in psychiatric care in Santa Catarina, 1970-1996].

PubMed

Borges, Viviane Trindade

2013-10-01

The article explores transformations to psychiatric care in Santa Catarina starting in the 1970s, when the state's longtime asylum, Hospital Colônia Sant'Ana, reached the height of overcrowding. To this end, along with other sources, it analyzes interviews that had been conducted with professionals who worked at the hospital in that era, sourced from the facility's Center for Documentation and Research. The goal was to problematize these testimonies, examining the texture of the accounts and approaching them as memories that weave a history of the hospital through recollections marked by suffering. Within this proposed framework, suffering is understood as a historical event that can give rise to new social arrangements.

Assessment of response consistency and respective participant profiles in the Internet-based NutriNet-Santé Cohort.

PubMed

Andreeva, Valentina A; Galan, Pilar; Julia, Chantal; Castetbon, Katia; Kesse-Guyot, Emmanuelle; Hercberg, Serge

2014-04-01

Whereas the feasibility and effectiveness of Internet-based epidemiologic research have been established, methodological support for the quality of such data is still accumulating. We aimed to identify sociodemographic differences among members of a French cohort according to willingness to provide part of one's 15-digit national identification number (personal Social Security number (PSSN)) and to assess response consistency based on information reported on the sociodemographic questionnaire and that reflected in the PSSN. We studied 100,118 persons enrolled in an Internet-based prospective cohort study, the NutriNet-Santé Study, between 2009 and 2013. Persons aged 18 years or more who resided in France and had Internet access were eligible for enrollment. The sociodemographic profiles of participants with discordant data were compared against those of participants with concordant data via 2-sided polytomous logistic regression. In total, 84,442 participants (84.3%) provided the first 7 digits of their PSSN, and among them 5,141 (6.1%) had discordant data. Our multivariate analysis revealed differences by sex, age, education, and employment as regards response consistency patterns. The results support the quality of sociodemographic data obtained online from a large and diverse volunteer sample. The quantitative description of participant profiles according to response consistency patterns could inform future methodological work in e-epidemiology.

Event Participant Representations and the Instrumental Role: A Cross-Linguistic Study

ERIC Educational Resources Information Center

Rissman, Lilia

2013-01-01

We represent events as composed of participants. In "Joan was eating lasagna in the lecture hall," for example, this eating event is "partitioned" into participants, including at least Joan, the lasagna, and the lecture hall. In this dissertation, I address two questions about events and the participants that populate them:…

An "Energetic and Controversial" Historian of Education Yesterday and Today: A. F. Leach (1851-1915)

ERIC Educational Resources Information Center

Simon, Joan

2007-01-01

This article is posthumously published as the late Joan Simon's most recent contribution to ongoing debates in historiography of education. Joan remained an active writer and a contributor to this journal and submitted the present article only months before her death, with characteristic determination to engage in historiographical debate, and to…

Terminal Blackout: Critical Electric Infrastructure Vulnerabilities and Civil-Military Resiliency

DTIC Science & Technology

2013-10-01

William R. Graham, Robert J. Hermann, Henry M. Kluepfel, Richard L. Lawson, Gordon K. Soper , Lowell L. Wood, Jr., and Joan B. Woodard, Report of the...R. Graham, Robert J. Hermann, Henry M. Kluepfel, Richard L. Lawson, Gordon K. Soper , Lowell L. Wood, Jr., and Joan B. Woodard, Report of the

Establishment of a Comprehensive Military Medical System during Wartime in El Salvador: A Retrospective View

DTIC Science & Technology

1988-09-01

U.S. Agency for International Development (ADSS AID/DSPE-C-0053), (April- May 1983). Books Didion , Joan . Salvador. New York: Simon and Schuster, 1983...54 Ibid, p.81. 55Joan Didion , Salvador (New York, Simon and Schuster, 1983), p.82. 56 NBC, "Whatever Happened to El Salvador?" (Circa August 1982

Remotely Piloted Aerial Systems Survivability: A Defense-in-Depth Approach

DTIC Science & Technology

2012-09-01

Robert J. Herman, Henry J. Kluepfel, Gen Richard L. Lawson, Dr. Graham K. Soper , Dr. Lowell L. Wood, Jr., Dr. Joan B. Woodard, Report of the...Kluepfel, Gen Richard L. Lawson, Dr. Graham K. Soper , Dr. Lowell L. Wood, Jr., Dr. Joan B. Woodard. Report of the Commission to Assess the Threat to

Dietary supplement use among cancer survivors of the NutriNet-Santé cohort study.

PubMed

Pouchieu, Camille; Fassier, Philippine; Druesne-Pecollo, Nathalie; Zelek, Laurent; Bachmann, Patrick; Touillaud, Marina; Bairati, Isabelle; Hercberg, Serge; Galan, Pilar; Cohen, Patrice; Latino-Martel, Paule; Touvier, Mathilde

2015-04-28

Dietary supplements (DS) may influence cancer prognosis. Their use in cancer patients has been described in the United States, but data are largely lacking in Europe and notably in France. The present study's objectives were (1) to assess DS use and its sociodemographic, lifestyle, and dietary correlates in a large sample of French cancer survivors; (2) to evaluate the involvement of physicians in such DS use; and (3) to assess the extent of potentially harmful practices. Data were collected by self-administered web-based questionnaires among participants of the NutriNet-Santé cohort. Data on DS use was available for 1081 cancer survivors. DS users were compared to non-users with unconditional logistic regressions. DS use was reported by 62% of women and 29% of men. Vitamins D, B6, C and Mg were the most frequently consumed nutrients. 14% of cancer survivors initiated DS use after diagnosis. For 35% of the DS consumed, subjects did not inform their attending physician. DS use was associated with a healthier lifestyle (normal weight, never smoking and better diet) and substantially contributed to nutrient intake. 18% of DS users had potentially harmful DS use practices, such as the simultaneous use of vitamin E and anticoagulant/antiplatelet agents, the use of β-carotene and smoking or the use of phyto-oestrogens in hormone-dependent cancer patients. The present study suggests that DS use is widespread among cancer survivors, a large amount of that use is performed without any medical supervision and a substantial proportion of that use involves potentially harmful practices. Physicians should be encouraged to more routinely discuss DS use with their cancer patients.

Allergy medical care network: a new model of care for specialties.

PubMed

Ferré-Ybarz, L; Salinas Argente, R; Nevot Falcó, S; Gómez Galán, C; Franquesa Rabat, J; Trapé Pujol, J; Oliveras Alsina, P; Pons Serra, M; Corbella Virós, X

2015-01-01

In 2005 the Althaia Foundation Allergy Department performed its daily activity in the Hospital Sant Joan de Deu of Manresa. Given the increasing demand for allergy care, the department's performance was analysed and a strategic plan (SP) for 2005-2010 was designed. The main objective of the study was to assess the impact of the application of the SP on the department's operations and organisational level in terms of profitability, productivity and quality of care. Descriptive, retrospective study which evaluated the operation of the allergy department. The baseline situation was analysed and the SP was designed. Indicators were set to perform a comparative analysis after application of the SP. The indicators showed an increase in medical care activity (first visits, 34%; successive visits, 29%; day hospital treatments, 51%), high rates of resolution, reduced waiting lists. Economic analysis indicated an increase in direct costs justified by increased activity and territory attended. Cost optimisation was explained by improved patient accessibility, minimised absenteeism in the workplace and improved cost per visit. After application of the SP a networking system was established for the allergy speciality that has expanded the territory for which it provides care, increased total activity and the ability to resolve patients, optimised human resources, improved quality of care and streamlined medical costs. Copyright © 2013 SEICAP. Published by Elsevier Espana. All rights reserved.

Seizures versus dystonia in encephalopathic crisis of glutaric aciduria type I.

PubMed

Cerisola, Alfredo; Campistol, Jaume; Pérez-Dueñas, Belén; Poo, Pilar; Pineda, Mercé; García-Cazorla, Angels; Sanmartí, Francesc X; Ribes, Antonia; Vilaseca, María Antonia

2009-06-01

In more than two thirds of cases, glutaric aciduria type I begins in the first 3 years of life with an acute encephalopathic crisis with hypotonia or generalized rigidity, neurologic depression, irritability, seizures, and dystonia. The clinical histories were reviewed for 13 glutaric aciduria type I patients (9 male, 4 female; mean age, 8.7 months; range, 3-15 months) with encephalopathic crisis seen at Sant Joan de Déu Hospital, to describe the clinical features and the initial electroencephalographic (EEG) findings. Twelve of the patients (92%) had paroxysmal episodes at onset. Other clinical features included irritability (12/13), neurologic depression (11/13), and hypotonia (7/13). All patients evolved to dystonic tetraparesis. Thirty-five EEGs were recorded in the acute stage and during the first year of follow-up. Spike discharges on EEG were observed in only 2 of the 13 patients, and 8 had slow background activity. No patient developed seizures during follow-up. Seizures may be part of the symptomatology at the onset of glutaric aciduria type I, but most paroxysmal movements appear to be dystonic episodes. This hypothesis is supported by four facts: seizures do not occur after dystonic tetraparesis is noticed, EEG paroxysms are infrequent in the acute stage, antiepileptic drugs are not needed in the long term, and epilepsy is rare in the follow-up.

Troubled adolescents: substance abuse and mental disorder in young offenders.

PubMed

Ribas-Siñol, Maria; Del Prado-Sanchez, Noemi; Claramunt-Mendoza, Jaume; Civit-Ramirez, Monica; Canalias-Perez, Oriol; Ochoa, Susana

2015-01-01

Many studies indicate the high prevalence of juvenile substance abuse. There is increasingly more dual diagnosis and mental illnesses in adolescents and many juvenile offenses are related to drug abuse. This is a descriptive study about the relationship between drug abuse and clinical, demographic and criminal characteristics in a sample of 144 youths seen in the Therapeutic Juvenile Justice Unit (UTJJ) of the Parc Sanitari Sant Joan de Deu. A total of 65.3% of the sample had a disorder on Axis I, 22.2% of which were related with the psychotic spectrum and 18.1% ADHD. Personality disorder occurred in 42.4%, the most frequent ones being antisocial disorder (16%), and borderline personality disorder (6.9%). Of the sample, 78.5% were drug consumers and 51.4% of the total only consumed 1 substance. There is a tendency among psychotic teenagers to consume cannabis and ADHD patients to consume cannabis and cocaine. A significant relationship is found between nationality and inhalants drugs, social and economic level and sedative drugs and alcohol, and parental death and alcohol (p<0.05-0.005). The level of drug use/abuse in juvenile justice is very high. Although there is no evidence about the relationship between the substance they consume and the profile of the young offender, some tendencies are observed.

Gender Differences in Service Use in a Sample of People with Schizophrenia and Other Psychoses

PubMed Central

Iniesta, Raquel; Ochoa, Susana; Usall, Judith

2012-01-01

Objective. The main objective is to analyze the use of mental health services in a sample of people with schizophrenia and other psychoses according to gender. Method. The sample of this observational and retrospective study (n = 7483) consisted of all the persons who visited any mental health service of the Parc Sanitari Sant Joan de Déu from 2001 to 2007 with a diagnosis of schizophrenia and other psychoses. The main measures analyzed regarding gender were the frequency of patients for each diagnosis, their risk of being admitted into hospital, and the number and length of hospitalizations for the subsample of inpatient people during the study period. Results. Men are more frequent in the total sample (58.1%). For diagnosis of schizoaffective or delusional disorder, women have a higher frequency than men. Women with diagnosis of schizophrenia have a lower risk of being admitted to the hospital (RR = 0.84, 95% CI (0.72, 0.97)). We found a higher risk of longer stays for men with schizophrenia of the disorganized type (RR = 0.49, 95% CI (0.30, 0.81)), undifferentiated (RR = 0.41, 95% CI (0.27, 0.61)), or delusional disorder (RR = 0.65, 95% CI (0.49, 0.87)). Conclusion. Gender of patients is a relevant variable in mental health service use by patients with schizophrenia and other psychoses. PMID:22966434

Tuberculose chez le personnel de santé du secteur public au Burundi: fréquence et facteurs de risque

PubMed Central

Mukuku, Olivier; Ruhindiza, Bienvenu Mukuku; Mupepe, Alexis Kumba; Sawadogo, Michel

2013-01-01

Introduction Le but de cette étude était de déterminer la fréquence de la tuberculose (TB) chez le personnel de santé du secteur public en charge des patients tuberculeux et d’évaluer les facteurs de risque de contracter la tuberculose chez ce personnel au Burundi. Méthodes Il s’agit d’une étude transversale à visée analytique réalisée auprès de 300 travailleurs prestant dans 30 centres de dépistage et de traitement de la TB (CDT) au Burundi du 16 octobre au 15 novembre 2012. Les paramètres sociodémographiques et professionnels ainsi que l’antécédent de vaccination BCG de travailleurs ayant été touché par la TB ont été analysé et comparé à ceux de travailleurs qui ne l’ont pas été. Le seuil de signification a été fixé à p < 0,05. Résultats La fréquence de la TB chez le personnel de santé est de 15%. Le risque de souffrir de la TB est de près de 4 fois chez les travailleurs âgés d’au moins 50 ans (OR=3,73; 1,53-9,08), chez ceux qui n’ont jamais reçu de vaccin de BCG (OR=3,73; 1,24-11,03), chez ceux qui n’ont pas de cicatrice vaccinale de BCG (OR=3,80; 1,67-8,62) et chez ceux qui travaillent depuis au moins 6 ans dans un CDT (OR=3,79; 1,44-9,96); ce risque est de 9 fois chez ceux qui sont mariés (OR=9,42; 1,26-70,23), de 8 fois chez ceux qui n’aèrent pas leurs salles de travail (OR=8,20; 1,48-48,23) et de 6 fois chez ceux qui ont comme profession nettoyeur ou aide-soignant (OR=6,12; 2,92-12,82). Par contre, aucune corrélation statistiquement significative n’a été observée entre le fait de souffrir de la TB et le sexe mais aussi le nombre d’heures de contact d’un travailleur avec un patient tuberculeux (p>0,05). Conclusion L’âge, l’antécédent de vaccination de BCG ainsi que la majorité de paramètres professionnels sont en association avec la maladie TB des travailleurs de CDT. D’où, la maîtrise de certains facteurs de risque s’avère important pour faire face au fardeau de la TB parmi

Family Violence Among Older Adult Patients Consulting in Primary Care Clinics: Results From the ESA (Enquête sur la santé des aînés) Services Study on Mental Health and Aging

PubMed Central

Préville, Michel; Mechakra-Tahiri, Samia Djemaa; Vasiliadis, Helen-Maria; Mathieu, Véronique; Quesnel, Louise; Gontijo-Guerra, Samantha; Lamoureux-Lamarche, Catherine; Berbiche, Djamal

2014-01-01

Objective To document the reliability and construct validity of the Family Violence Scale (FVS) in the older adult population aged 65 years and older. Method: Data came from a cross-sectional survey, the Enquête sur la santé des aînés et l’utilisation des services de santé (ESA Services Study), conducted in 2011–2013 using a probabilistic sample of older adults waiting for medical services in primary care clinics (n = 1765). Family violence was defined as a latent variable, coming from a spouse and from children. Results: A model with 2 indicators of violence; that is, psychological and financial violence, and physical violence, adequately fitted the observed data. The reliability of the FVS was 0.95. According to our results, 16% of older adults reported experiencing some form of family violence in the past 12 months of their interview, and 3% reported a high level of family violence (FVS > 0.36). Our results showed that the victim’s sex was not associated with the degree of violence (β = 0.02). However, the victim’s age was associated with family violence (β = −0.12). Older adults, aged 75 years and older, reported less violence than those aged between 65 and 74 years. Conclusion: Our results lead us to conclude that family violence against older adults is common and warrants greater public health and political attention. General practitioners could play an active role in the detection of violence among older adults. PMID:25161067

The SANT domain of human MI-ER1 interacts with Sp1 to interfere with GC box recognition and repress transcription from its own promoter.

PubMed

Ding, Zhihu; Gillespie, Laura L; Mercer, F Corinne; Paterno, Gary D

2004-07-02

To gain insight into the regulation of hmi-er1 expression, we cloned a human genomic DNA fragment containing one of the two hmi-er1 promoters and consisting of 1460 bp upstream of the translation initiation codon of hMI-ER1. Computer-assisted sequence analysis revealed that the hmi-er1 promoter region contains a CpG island but lacks an identifiable TATA element, initiator sequence and downstream promoter element. This genomic DNA was able to direct transcription of a luciferase reporter gene in a variety of human cell lines, and the minimal promoter was shown to be located within-68/+144 bp. Several putative Sp1 binding sites were identified, and we show that Sp1 can bind to the hmi-er1 minimal promoter and increase transcription, suggesting that the level of hmi-er1 expression may depend on the availability of Sp1 protein. Functional analysis revealed that hMI-ER1 represses Sp1-activated transcription from the minimal promoter by a histone deacetylase-independent mechanism. Chromatin immunoprecipitation analysis demonstrated that both Sp1 and hMI-ER1 are associated with the chromatin of the hmi-er1 promoter and that overexpression of hMI-ER1 in cell lines that allow Tet-On-inducible expression resulted in loss of detectable Sp1 from the endogenous hmi-er1 promoter. The mechanism by which this occurs does not involve binding of hMI-ER1 to cis-acting elements. Instead, we show that hMI-ER1 physically associates with Sp1 and that endogenous complexes containing the two proteins could be detected in vivo. Furthermore, hMI-ER1 specifically interferes with binding of Sp1 to the hmi-er1 minimal promoter as well as to an Sp1 consensus oligonucleotide. Deletion analysis revealed that this interaction occurs through a region containing the SANT domain of hMI-ER1. Together, these data reveal a functional role for the SANT domain in the action of co-repressor regulatory factors and suggest that the association of hMI-ER1 with Sp1 represents a novel mechanism for the negative

Gestion des déchets ménagers dans l’aire de santé Bulaska à Mbuji-Mayi en République Démocratique du Congo

PubMed Central

Kangoy, Kasangye; Ngoyi, John; Mudimbiyi, Olive

2016-01-01

Introduction La présence des déchets ménagers dans les voies publiques a une influence sur l’hygiène de l’environnement, ils entrainent l’insalubrité et peuvent être facteurs des certaines maladies dont quelques-unes peuvent être épidémiques. Au cours des deux dernières décennies, la question de la gestion des déchets est devenue de plus en plus complexe autant pour les pays développés que ceux sous-développés. L’objectif de cette étude était de déterminer les types de déchets et le mode de gestion des déchets génère par les ménages. Méthodes Cette étude est descriptive transversale, réalisée dans l’aire de sante Bulaska, Kasaï oriental, c’est une approche prospective appuyée par l’interview et l’observation active. Le questionnaire a été adressé au responsable du ménage ou au délègue, du 21 au 25 juin 2010, sur 170 ménages ce qui constituent un échantillon de convenance. Résultats Cette étude a révélé ce qui suit: 94,7% des enquêtes qui avaient répondu a notre questionnaire étaient de sexe féminin; 47% des enquêtes avaient un niveau d’étude primaire; 41,1% des enquêtes étaient des ménagères; la taille médiane de ménage était de 7 personnes par ménage; dans 83,5% des cas les déchets génères étaient solides; 50% des ménages de l’aire de sante utilisent la voie publique comme poubelle. Conclusion Eu égard au résultat de cette étude, développer plus les programmes de sensibilisation sur l’assainissement de l’environnement s’avère nécessaire. PMID:27800105

Effets potentiels d’un modèle rationnel de prescription sur les dépenses nationales en santé

PubMed Central

Littman, Jordan; Halil, Roland

2016-01-01

Résumé Objectif Estimer les économies que pourrait engendrer la mise en œuvre d’un modèle rationnel de prescription pour des classes de médicaments équivalents sur les plans de l’efficacité, de la toxicité et de la commodité. Conception L’Institut canadien d’information sur la santé a fourni des renseignements sur les 10 principales classes de médicaments en fonction des dépenses annuelles qui leur sont attribuables. Ces classes ont été examinées en vue de leur inclusion potentielle dans l’étude selon qu’il était possible de comparer les médicaments à l’intérieur d’une même classe. Lorsqu’à la suite d’une recherche documentaire, une équivalence a été établie en fonction de l’efficacité, de la toxicité et de la commodité des médicaments, les données annuelles sur les prescriptions ont été recueillies à partir de la base de données du Système national d’information sur l’utilisation des médicaments prescrits. Les économies potentielles de coûts ont ensuite été calculées en comparant les parts de marché actuelles avec les parts potentielles futures de ce marché. Contexte Le Canada. Principaux paramètres à l’étude Les différences estimées dans les dépenses que produirait un modèle rationnel de prescription. Résultats Une équivalence a été établie sur les plans de l’efficacité, de la toxicité et de la commodité dans les classes de statines, d’inhibiteurs de la pompe à protons, d’inhibiteurs de l’enzyme de conversion de l’angiotensine et d’inhibiteurs sélectifs du recaptage de l’angiotensine. Les dépenses annuelles totales dans ces classes se situent à 856 millions $ dans les programmes publics de médicaments et à 1,97 milliard $ environ à l’échelle nationale. Grâce à des prescriptions rationnelles, on estime que les économies annuelles pourraient atteindre 222 millions $ pour les programmes publics et 521 millions $ à l’échelle nationale. Conclusion La

Meet Joan Marcano | NREL

Science.gov Websites

solving a puzzle every time you go to the river. There are so many different variables that can be different products like hydrogen. "I have to put all these pieces together as well-what sort of genetic elements and what sort of genes am I going to put in combination. I might try different variations and

Nursing Management Visionary Leader 2006: North Carolina chief nurse officer earns journal's annual leadership award.

PubMed

Wessman, Joan

2007-01-01

The following manuscript is the winning Visionary Leader 2006 entry submitted to Nursing Management by the staff of Moses Cone Health System, Greensboro, N.C., in recognition of Joan Wessman, chief nurse officer at the organization. Joan was formally recognized for her achievements during the opening ceremony of Congress 2006, October 15, in Philadelphia, Pa., during which she received the award, sponsored this year by B.E. Smith.

Sant Joan d’Alacant declaration in defense of Open Access to scientific publications, by the group of editors of Spanish journals on health sciences (GERECS)

PubMed

Grupo de Editores de Revistas Españolas Sobre Ciencias de la Salud, Gerecs

2018-01-10

3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) lyase deficiency is an autosomal recessive disorder that usually presents in the neonatal period with vomiting, metabolic acidosis, hypoglycemia and absent ketonuria. Few cases are reported in the literature, and optimal dietary management and long term outcome are not fully understood. We report a 2 year old girl with HMG-CoA-lyase deficiency who had limited fasting tolerance on a low protein diet, with several recurrent hospital admissions with severe hypoketotic hypoglycaemia and metabolic acidosis. We also review the dietary management and outcome of other reported cases in the literature. In order to define optimal dietary treatment, it is important to collect higher numbers of case studies with detailed dietary management, fasting times and outcome.

Potential uses of pumped urban groundwater: a case study in Sant Adrià del Besòs (Spain)

NASA Astrophysics Data System (ADS)

Jurado, Anna; Vázquez-Suñé, Enric; Pujades, Estanislao

2017-09-01

Urban groundwater has often been over-exploited for industrial uses. Now, this usage tends to be reduced or the resource abandoned due to pollution and/or changes in land use. The use and the subsequent disuse of groundwater has resulted in rising water tables that damage underground structures (e.g., building basements and underground car parks and tunnels), leading to the need for additional pumping in urban areas. In the case of the underground parking lot of Sant Adrià del Besòs (Barcelona, NE Spain), large amounts of urban groundwater are pumped to avoid seepage problems. Can this pumped groundwater be used for other purposes (e.g., drinking water and urban irrigation) instead of wasting this valuable resource? To answer this question, it was necessary to quantify the groundwater recharge and to assess the evolution of groundwater quality. The limiting factor at this study site is the groundwater quality because ammonium and some metals (iron and manganese) are present at high concentrations. Hence, further treatment would be needed to meet drinking water requirements. The pumped groundwater could also be used for supplementing river flow for ecological benefit and/or for mitigating seawater intrusion problems. Currently, only a small amount of this urban groundwater is used for cleaning public areas and watering public gardens. This situation highlighted the urgent need to manage this resource in a responsible and more efficient manner, especially in moments of high water demand such as drought periods.

Assessing the effects of tertiary treated wastewater reuse on a Mediterranean river (Llobregat, NE Spain): pathogens and indicators [corrected].

PubMed

Rubiano, María-Eugenia; Agulló-Barceló, Míriam; Casas-Mangas, Raquel; Jofre, Juan; Lucena, Francisco

2012-05-01

Need, coupled with advances in water treatment technology, is motivating a growing interest in augmenting drinking water supplies with reclaimed water. Using reclaimed water to increase the flow of the Llobregat River upstream the water catchment site of the complex multi-step drinking water treatment plant of Sant Joan Despí has been considered. The impact of reclaimed water discharges on the load of E. coli, spores of sulphite-reducing clostridia, somatic coliphages, cytopathogenic enteroviruses, and total and infectious Cryptosporidium oocysts in the Llobregat River water was assessed to gain information for funded decisions in potential future emergencies. Enterovirus and Cryptosporidium oocysts were concentrated from great water volumes prior to enumeration, whereas indicators were enumerated directly from the samples. Both indicators and pathogens were enumerated by cultural techniques that determine infectious microbes. Densities of both indicators and pathogens in reclaimed water, despite that it was disinfected by UV irradiation alone or by UV irradiation plus chlorination, were significantly lower than their densities in the river water, both upstream and downstream the reclaimed water release site in the river. Results gathered indicate that discharging reclaimed water into the river does not increment the load of indicators and pathogens of the river water. Then, in emergency situations due to severe water shortages after prolonged droughts, at least from the infectious diseases point of view, the risks of augmenting drinking water supplies with reclaimed water can be satisfactorily and safely managed.

Decentralisation of radiation therapy. Is it possible and beneficial to patients? Experience of the first 5 years of a satellite radiotherapy unit in the province of Tarragona, Spain

PubMed Central

Arenas, Meritxell; Gomez, David; Sabater, Sebastià; Rovirosa, Angeles; Biete, Albert; Colomer, Jordi

2014-01-01

Background The concept of satellite radiotherapy originates in countries whose populations are largely dispersed in order to treat homogenously the population by a unique fixed team. Aim This report describes the creation and management of a satellite radiotherapy unit in Spain (RUTE-Radiotherapy Unit, Terres de l’Ebre). It is managed by the Radiation Oncology Department at Hospital Universitari Sant Joan de Reus. We report the benefit gained in the comfort of patients and the economic benefit gained by reducing the expense of transport for the health care system. Materials and methods RUTE is equipped with a linear accelerator. A team of 10 physicians, specialised in different oncology pathologies, travel to RUTE on a rotational basis from the main Radiation Oncology Department. Simulation and planning of treatment is managed at the Radiation Oncology Department in Reus. Patients from RUTE only have to visit the centre in Reus once throughout the treatment process. Results Since August 2008, 1500 patients have completed treatment in the satellite unit. The implementation of RUTE has greatly improved the comfort of patients and along with that, there have been important savings in transport costs to the regional health care system. Conclusions Despite the high technological requirements of our speciality, decentralising radiotherapy is feasible. We can guarantee the highest standards of treatment with no differences from attending the main centre. It implies a clear benefit for the comfort of the patients and an economic benefit by decreasing transport costs. PMID:25859402

Contribution of Organic Food to the Diet in a Large Sample of French Adults (the NutriNet-Santé Cohort Study).

PubMed

Baudry, Julia; Méjean, Caroline; Allès, Benjamin; Péneau, Sandrine; Touvier, Mathilde; Hercberg, Serge; Lairon, Denis; Galan, Pilar; Kesse-Guyot, Emmanuelle

2015-10-21

In developed countries, the demand for organic products continues to substantially increase each year. However, little information is available regarding the level of consumption of organic food and its relative share of the whole diet. Our aim was to provide, using individual consumption data, a detailed description of organic food consumption among French adults. Conventional and organic intakes were assessed using an organic food frequency questionnaire administered to 28,245 French adults participating in the NutriNet-Santé study. P values of Student t-test or Chi-square for the difference between genders were reported. Less than 12% of the respondents reported never consuming organic food in the past year. Women consumed on average 20% organic food in their whole diet per day while men consumed an average of 18%. The proportion of vegetables consumed that came from organic sources was 31% among women and 28% among men. Overall, the estimate of the contribution of organic food from products of plant origin was higher than that from products of animal origin. Our study provides a framework for the exploration of organic consumption and its correlates and can serve as a basis for future studies investigating relationships between the level of organic food consumption and health outcomes.

Contribution of Organic Food to the Diet in a Large Sample of French Adults (the NutriNet-Santé Cohort Study)

PubMed Central

Baudry, Julia; Méjean, Caroline; Allès, Benjamin; Péneau, Sandrine; Touvier, Mathilde; Hercberg, Serge; Lairon, Denis; Galan, Pilar; Kesse-Guyot, Emmanuelle

2015-01-01

In developed countries, the demand for organic products continues to substantially increase each year. However, little information is available regarding the level of consumption of organic food and its relative share of the whole diet. Our aim was to provide, using individual consumption data, a detailed description of organic food consumption among French adults. Conventional and organic intakes were assessed using an organic food frequency questionnaire administered to 28,245 French adults participating in the NutriNet-Santé study. P values of Student t-test or Chi-square for the difference between genders were reported. Less than 12% of the respondents reported never consuming organic food in the past year. Women consumed on average 20% organic food in their whole diet per day while men consumed an average of 18%. The proportion of vegetables consumed that came from organic sources was 31% among women and 28% among men. Overall, the estimate of the contribution of organic food from products of plant origin was higher than that from products of animal origin. Our study provides a framework for the exploration of organic consumption and its correlates and can serve as a basis for future studies investigating relationships between the level of organic food consumption and health outcomes. PMID:26506372

Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort

PubMed Central

Fiolet, Thibault; Sellem, Laury; Kesse-Guyot, Emmanuelle; Allès, Benjamin; Méjean, Caroline; Deschasaux, Mélanie; Fassier, Philippine; Latino-Martel, Paule; Beslay, Marie; Hercberg, Serge; Lavalette, Céline; Monteiro, Carlos A; Julia, Chantal; Touvier, Mathilde

2018-01-01

Abstract Objective To assess the prospective associations between consumption of ultra-processed food and risk of cancer. Design Population based cohort study. Setting and participants 104 980 participants aged at least 18 years (median age 42.8 years) from the French NutriNet-Santé cohort (2009-17). Dietary intakes were collected using repeated 24 hour dietary records, designed to register participants’ usual consumption for 3300 different food items. These were categorised according to their degree of processing by the NOVA classification. Main outcome measures Associations between ultra-processed food intake and risk of overall, breast, prostate, and colorectal cancer assessed by multivariable Cox proportional hazard models adjusted for known risk factors. Results Ultra-processed food intake was associated with higher overall cancer risk (n=2228 cases; hazard ratio for a 10% increment in the proportion of ultra-processed food in the diet 1.12 (95% confidence interval 1.06 to 1.18); P for trend<0.001) and breast cancer risk (n=739 cases; hazard ratio 1.11 (1.02 to 1.22); P for trend=0.02). These results remained statistically significant after adjustment for several markers of the nutritional quality of the diet (lipid, sodium, and carbohydrate intakes and/or a Western pattern derived by principal component analysis). Conclusions In this large prospective study, a 10% increase in the proportion of ultra-processed foods in the diet was associated with a significant increase of greater than 10% in risks of overall and breast cancer. Further studies are needed to better understand the relative effect of the various dimensions of processing (nutritional composition, food additives, contact materials, and neoformed contaminants) in these associations. Study registration Clinicaltrials.gov NCT03335644. PMID:29444771

Health and dietary traits of organic food consumers: results from the NutriNet-Santé study.

PubMed

Baudry, Julia; Méjean, Caroline; Péneau, Sandrine; Galan, Pilar; Hercberg, Serge; Lairon, Denis; Kesse-Guyot, Emmanuelle

2015-12-28

The dietary and health traits of organic food (OF) consumers have not been comprehensively described. The aim of this study was to identify factors associated with OF consumption. Data were collected from 54 283 participants from the NutriNet-Santé cohort using self-administered web-based questionnaires. Occasional organic food consumers and regular organic food consumers (ROFC) were compared with non-organic food consumers (NOFC) using logistical regression providing an OR and 95 % CI. Adherence to the French food-based guidelines and interactions between nutritional knowledge and OF consumption in adherence to dietary guidelines were investigated. Medical history was also assessed in relation to OF consumption. Compared with NOFC, ROFC were more likely to be vegetarian (OR 9·93; 95 % CI 7·42, 13·29 in women; OR 13·07; CI 7·00, 24·41 in men) and were less likely to be aware of nutritional guidelines regarding meat consumption (OR 0·37; CI 0·34, 0·40 in women; OR 0·41; CI 0·36, 0·47 in men). Compared with NOFC, ROFC had a lower risk of type II diabetes, hypertension and CVD; however, this effect was only significant for men. In contrast, organic consumers were more likely to report food allergies. Consuming OF appeared to affect the relationship between nutritional knowledge and adequate intake of meat/poultry/seafood/eggs and starchy food among both sexes. Our study provides new insights into the diet- and health-related behaviours of OF consumers in a large sample of participants residing in France. This should be taken into account in future studies investigating relationships between health and OF consumption.

Association between Motives for Dish Choices during Home Meal Preparation and Weight Status in the NutriNet-Santé Study.

PubMed

Ducrot, Pauline; Fassier, Philippine; Méjean, Caroline; Allès, Benjamin; Hercberg, Serge; Péneau, Sandrine

2016-07-05

Although home cooking has been associated with a lower body mass index in a few studies, no data exists on the motives behind food dish choices during home meal preparation and on their association with overweight. This study aimed to evaluate this association in 50,003 participants from the NutriNet-Santé cohort. Dimensions underlying the importance of 27 criteria possibly influencing dish choices were determined using an exploratory factor analysis. The association between dish choice motives and overweight (including obesity) was estimated using logistic regression models adjusted for sociodemographic and lifestyle characteristics. Five dimensions of dishes choice motives emerged: healthy diet (e.g., "nutritional balance of the dish"), constraints (e.g., "my cooking skills"), pleasure (e.g., "originality of the dish"), specific diets (e.g., "my health status"), and organization (e.g., "what I planned to eat"). A negative association was observed between the healthy diet factor and being overweight (OR = 0.65 (95% CI (confidence interval): 0.62-0.67)), whereas a positive association appeared for factors regarding pleasure (OR = 1.14 (95% CI: 1.10-1.19)) and specific diets (OR = 1.19 (95% CI: 1.17-1.22)). No significant associations were observed for constraints and organization. The significant associations between dish choice motives and overweight suggested the interest of focusing on these motives in order to promote healthier food choices during home cooking.

Design of the monitoring system at the Sant'Alessio induced riverbank filtration plant (Lucca, Italy)

NASA Astrophysics Data System (ADS)

Rossetto, Rudy; Barbagli, Alessio; Borsi, Iacopo; Mazzanti, Giorgio; Picciaia, Daniele; Vienken, Thomas; Bonari, Enrico

2015-04-01

In Managed Aquifer Recharge (MAR) schemes the monitoring system, for both water quality and quantity issues, plays a key role in assuring that a groundwater recharge plant is really managed. Considering induced Riverbank Filtration (RBF) schemes, while the effect of the augmented filtration consists in an improvement of the quality and quantity of the water infiltrating the aquifer, there is in turn the risk for groundwater contamination, as surface water bodies are highly susceptible to contamination. Within the framework of the MARSOL (2014) EU FPVII-ENV-2013 project, an experimental monitoring system has been designed and will be set in place at the Sant'Alessio RBF well field (Lucca, Italy) to demonstrate the sustainability and the benefits of managing induced RBF versus the unmanaged option. The RBF scheme in Sant'Alessio (Borsi et al. 2014) allows abstraction of an overall amount of about 0,5 m3/s groundwater providing drinking water for about 300000 people of the coastal Tuscany. Water is derived by ten vertical wells set along the Serchio River embankments inducing river water filtration into a high yield (10-2m2/s transmissivity) sand and gravel aquifer. Prior to the monitoring system design, a detailed site characterization has been completed taking advantage of previous and new investigations, the latter performed by means of MOSAIC on-site investigation platform (UFZ). A monitoring network has been set in place in the well field area using existing wells. There groundwater head and the main physico-chemical parameters (temperature, pH, dissolved oxygen, electrical conductivity and redox potential) are routinely monitored. Major geochemical compounds along with a large set of emerging pollutants are analysed (in cooperation with IWW Zentrum Wasser, Germany) both in surface-water and ground-water. The experimental monitoring system (including sensors in surface- and ground-water) has been designed focusing on managing abstraction efficiency and safety at

Middle-Late Pleistocene marine terraces and fault activity in the Sant'Agata di Militello coastal area (north-eastern Sicily)

NASA Astrophysics Data System (ADS)

Giunta, Giuseppe; Gueli, Anna M.; Monaco, Carmelo; Orioli, Silvia; Ristuccia, Gloria M.; Stella, Giuseppe; Troja, Sebastiano O.

2012-04-01

The coastal sector of Sant'Agata di Militello (north-eastern Sicily) is characterized by a flight of raised Middle-Upper Pleistocene marine terraces occurring at different heights with respect to present sea level. In particular, the geomorphological survey and the analysis of stereo-pairs of aerial photographs allowed to recognize at least five main orders of well preserved Quaternary surfaces and relative deposits mostly located at the hanging wall and at the footwall of the Pleistocene northwest-dipping Capo d'Orlando normal fault, which controlled the geomorphological evolution of the coastal area. The marine terraces show an overall good morphological continuity and are formed by marine platforms overlain by littoral deposits made up of yellow littoral sand and gravels in a sandy matrix. The continental sedimentary cover of the 3rd order terrace contains mammal-bearing deposits that were previously dated 200 ± 40 ka BP by isoleucine epimerization method, allowing to relate them to MIS 7.1 high-stand. In order to better define the whole terrace chronology, deposit samples were analyzed by Optically Stimulated Luminescence (OSL) methodology, a conventional SAR protocol used with sand-sized quartz. New datings, together with the detailed morphostructural analysis, allow to relate the 2nd and 4th order terraces to MIS 5.5 and 8.5, respectively, and to reconstruct the tectonic evolution of this coastal area, constraining the activity of the Capo d'Orlando fault.

Association between Mindfulness and Weight Status in a General Population from the NutriNet-Santé Study

PubMed Central

Camilleri, Géraldine M.; Méjean, Caroline; Bellisle, France; Hercberg, Serge; Péneau, Sandrine

2015-01-01

Background Mindfulness is defined as non-judgmental awareness of the present moment. There is some evidence of the efficacy of mindfulness-based interventions in weight loss. However, this psychological concept has only been rarely explored in observational studies, and no study to date has examined the association between dispositional mindfulness and weight status in a large population-based sample. Objective We aimed to examine the relationship between mindfulness scores and weight status in a large sample of the adult general population in France. Design and Methods A total of 14,400 men and 49,228 women aged ≥18 y participating in the NutriNet-Santé study were included in this cross-sectional analysis. We collected mindfulness data using the Five Facet Mindfulness Questionnaire as well as self-reported weight and height. The association between weight status and dispositional mindfulness, as well as its subscales (observing, describing, acting with awareness, non-judging and non-reactivity), was assessed using multinomial logistic regression models adjusted for socio-demographic and lifestyle factors. Results Women with higher dispositional mindfulness scores were less likely to be overweight (excluding obesity) (OR quartile 4 vs. 1 = 0.84, 95% CI: 0.79-0.90) and obese (OR quartile 4 vs. 1 = 0.71, 95% CI: 0.65-0.78). In addition, overall, in this group, all subscales were inversely associated with weight status, with the strongest association found for the “observing” subscale. In men, higher mindfulness was associated only with lower odds of obesity (OR quartile 4 vs. 1 = 0.81 (0.69, 0.96)), and only the “observing” and “non-reactivity” subscales were significantly inversely associated with weight status. Conclusion Results support the interest of a shift in perspective that takes into account positive psychological and cognitive factors such as dispositional mindfulness in the investigation of obesity and its associated factors. PMID:26038824

Circadian nutritional behaviours and cancer risk: New insights from the NutriNet-Santé prospective cohort study.

PubMed

Srour, Bernard; Plancoulaine, Sabine; Andreeva, Valentina A; Fassier, Philippine; Julia, Chantal; Galan, Pilar; Hercberg, Serge; Deschasaux, Mélanie; Latino-Martel, Paule; Touvier, Mathilde

2018-05-09

Circadian disruption has been classified as probably carcinogenic to humans by the World Health Organization's International Agency for Research on Cancer. The circadian clock is subject to environmental factors, particularly light exposure and food intake rhythms. However, the association between nutritional circadian behaviours and cancer is not well understood. We investigated the longitudinal associations between number of eating episodes, night-time fasting duration, time of first and last eating episodes, as well as nutritional quality of last eating episode, respectively, with breast and prostate cancer risks, the two main cancer locations in women and men respectively. This prospective study included 41389 day-working adults in the French NutriNet-Santé cohort (2009-2016) who completed at least three 24h dietary records during the first two years of follow-up. Multivariable Cox models were computed. 1732 first primary incident cancer cases were diagnosed during the follow-up, among which 428 breast and 179 prostate cancers. After adjustment for covariates including sleep duration, late eaters (last eating episode after 9:30 pm) had an increased risk of breast (HR=1.48 (1.02-2.17), p=0.03) and prostate (HR=2.20 (1.28-3.78), p=0.004) cancers. However, no association was observed between cancer risk and number of eating episodes, night-time fasting duration, time of first eating episode or macronutrient composition of the last eating episode. This large cohort study suggests that circadian perturbations resulting from late time of last food intake may be involved in carcinogenesis at different locations. Beyond nutritional quality of food intake, nutritional circadian regulation should be further investigated in the context of cancer prevention. This article is protected by copyright. All rights reserved. © 2018 UICC.

Association between Motives for Dish Choices during Home Meal Preparation and Weight Status in the NutriNet-Santé Study

PubMed Central

Ducrot, Pauline; Fassier, Philippine; Méjean, Caroline; Allès, Benjamin; Hercberg, Serge; Péneau, Sandrine

2016-01-01

Although home cooking has been associated with a lower body mass index in a few studies, no data exists on the motives behind food dish choices during home meal preparation and on their association with overweight. This study aimed to evaluate this association in 50,003 participants from the NutriNet-Santé cohort. Dimensions underlying the importance of 27 criteria possibly influencing dish choices were determined using an exploratory factor analysis. The association between dish choice motives and overweight (including obesity) was estimated using logistic regression models adjusted for sociodemographic and lifestyle characteristics. Five dimensions of dishes choice motives emerged: healthy diet (e.g., “nutritional balance of the dish”), constraints (e.g., “my cooking skills”), pleasure (e.g., “originality of the dish”), specific diets (e.g., “my health status”), and organization (e.g., “what I planned to eat”). A negative association was observed between the healthy diet factor and being overweight (OR = 0.65 (95% CI (confidence interval): 0.62–0.67)), whereas a positive association appeared for factors regarding pleasure (OR = 1.14 (95% CI: 1.10–1.19)) and specific diets (OR = 1.19 (95% CI: 1.17–1.22)). No significant associations were observed for constraints and organization. The significant associations between dish choice motives and overweight suggested the interest of focusing on these motives in order to promote healthier food choices during home cooking. PMID:27399764

Evaluation of the methodological quality of two contradictory guidelines recently published by the Haute autorité de santé.

PubMed

Watine, Joseph; Wils, Julien; Augereau, Christine

2017-02-01

Two clinical practice guidelines published in 2012 and in 2013 by the Haute autorité de santé (HAS) respectively entitled "Adult chronic kidney disease" (clinical pathway guidelines) and "Clinical utility of vitamin D measurements" (Health technology assessment) contradict each other on a notable point: in 2012 the HAS recommend to measure blood concentrations of vitamin D once a year in all patients with chronic kidney disease whereas in 2013 the HAS recommend to use this test only for the ambulatory follow-up of patients three months after kidney transplantation. This contradiction encouraged us to evaluate the methodological quality of these two guidelines with the help of the AGREE (Appraisal of Guidelines for Research and Evaluation) instrument which is consensual at an international level, in particular at the WHO (World Health Organization) and at the European Union. At the end of this comparative evaluation this preliminary hypothesis might be proposed: a more rigorous development (AGREE domain n̊3) as well as a higher editorial independence (AGREE domain n̊6) in 2013 than in 2012 (scores respectively are 57% and 56% in 2013 versus 24% and 25% in 2012) ensure a higher validity to the 2013 recommendations than to the 2012 recommendations. However this hypothesis is weakened by the subjective intrinsic value of the AGREE tool, and by various methodological shortcomings in these two guidelines. Therefore we conclude, using the AGREE terminology, that the methods for developing those guidelines are too uncertain, above all in 2012, for recommending their use without modifications.

Typology of eaters based on conventional and organic food consumption: results from the NutriNet-Santé cohort study.

PubMed

Baudry, Julia; Touvier, Mathilde; Allès, Benjamin; Péneau, Sandrine; Méjean, Caroline; Galan, Pilar; Hercberg, Serge; Lairon, Denis; Kesse-Guyot, Emmanuelle

2016-08-01

Limited information is available on large-scale populations regarding the socio-demographic and nutrient profiles and eating behaviour of consumers, taking into account both organic and conventional foods. The aims of this study were to draw up a typology of consumers according to their eating habits, based both on their dietary patterns and the mode of food production, and to outline their socio-demographic, behavioural and nutritional characteristics. Data were collected from 28 245 participants of the NutriNet-Santé study. Dietary information was obtained using a 264-item, semi-quantitative, organic FFQ. To identify clusters of consumers, principal component analysis was applied on sixteen conventional and sixteen organic food groups followed by a clustering procedure. The following five clusters of consumers were identified: (1) a cluster characterised by low energy intake, low consumption of organic food and high prevalence of inadequate nutrient intakes; (2) a cluster of big eaters of conventional foods with high intakes of SFA and cholesterol; (3) a cluster with high consumption of organic food and relatively adequate nutritional diet quality; (4) a group with a high percentage of organic food consumers, 14 % of which were either vegetarians or vegans, who exhibited a high nutritional diet quality and a low prevalence of inadequate intakes of most vitamins except B12; and (5) a group of moderate organic food consumers with a particularly high intake of proteins and alcohol and a poor nutritional diet quality. These findings may have implications for future aetiological studies investigating the potential impact of organic food consumption.

Mental Health and Service Issues Faced by Older Immigrants in Canada: A Scoping Review.

PubMed

Guruge, Sepali; Thomson, Mary Susan; Seifi, Sadaf Grace

2015-12-01

RÉSUMÉ Une population vieillissante et la croissance de la population sur la base de l'immigration nécessitent que la recherche, la pratique et la politique doivent se concentrer sur la santé mentale des immigrants âgés, surtout parce que leur santé mentale semble se détériorer au fil du temps. Cette revue se concentre sur: Qu'est-ce que l'on sait sur les déterminants sociaux de la santé mentale chez les immigrants âgés, et quels sont les obstacles à l'accès aux services de santé mentale confrontés par les immigrants âgés? Les résultats révèlent que (1) les déterminants sociaux décisifs de la santé mentale sont la culture, le sexe et les services de santé; (2) que les immigrants plus âgés utilisent les services de santé mentale de moins que leurs homologues nés au Canada à cause des obstacles tels que, par exemple, les croyances et les valeurs culturelles, un manque de services culturellement et linguistiquement appropriées, des difficultés financières, et l'âgisme; et (3) quelles que soient les sous-catégories dans cette population, les immigrants âgés éprouvent des inégalités en matière de la santé mentale. La preuve des recherches disponibles indique que de combler les lacunes des service de santé mentale devrait devenir une priorité pour la politique et la pratique du système de soins de santé au Canada.

Food Choice Motives When Purchasing in Organic and Conventional Consumer Clusters: Focus on Sustainable Concerns (The NutriNet-Santé Cohort Study).

PubMed

Baudry, Julia; Péneau, Sandrine; Allès, Benjamin; Touvier, Mathilde; Hercberg, Serge; Galan, Pilar; Amiot, Marie-Josèphe; Lairon, Denis; Méjean, Caroline; Kesse-Guyot, Emmanuelle

2017-01-24

The purpose of this study was to examine food choice motives associated with various organic and conventional dietary patterns among 22,366 participants of the NutriNet-Santé study. Dietary intakes were estimated using a food frequency questionnaire. Food choice motives were assessed using a validated 63-item-questionnaire gathered into nine food choice motive dimension scores: "absence of contaminants", "avoidance for environmental reasons", "ethics and environment", "taste", "innovation", "local and traditional production", "price", "health" and "convenience". Five consumers' clusters were identified: "standard conventional food small eaters", "unhealthy conventional food big eaters", "standard organic food small eaters", "green organic food eaters" and "hedonist moderate organic food eaters". Relationships between food choice motive dimension scores and consumers' clusters were assessed using analysis of covariance (ANCOVA) models adjusted for sociodemographic factors. "Green organic food eaters" had the highest mean score for the "health" dimension, while "unhealthy conventional food big eaters" obtained the lowest mean score for the "absence of contaminants" dimension. "Standard organic food small eaters", "green organic food eaters" and "hedonist moderate organic food eaters" had comparable scores for the "taste" dimension. "Unhealthy conventional food big eaters" had the highest mean score for the "price" dimension while "green organic food eaters" had the lowest mean scores for the "innovation" and "convenience" dimensions. These results provide new insights into the food choice motives of diverse consumers' profiles including "green" and "hedonist" eaters.

Development and validation of the Questionnaire of Stressful Life Events (QSLE).

PubMed

Butjosa, Anna; Gómez-Benito, Juana; Myin-Germeys, Inez; Barajas, Ana; Baños, Iris; Usall, Judith; Grau, Norma; Granell, Luis; Sola, Andrea; Carlson, Janina; Dolz, Montserrat; Sánchez, Bernardo; Haro, Josep Maria; Ochoa, Susana

2017-12-01

Stressful life events (SLEs) are important indicators prior to the onset of first-episode psychosis (FEP). Although there are well-validated interviews and self-reports for assessing SLE on proximate events, unfortunately there are no instruments to assess SLE covering an entire lifetime. This study includes detailed specific items of childhood, adolescence, and adulthood focused on the presence of SLE, emotional impact (stressfulness), and the age at which the event occurred. Our research describes 2 studies designed to develop and validate a new scale to assess SLE: the Questionnaire of Stressful Life Events (QSLE). In Study 1, an over-inclusive item pool was generated based on review of group of experts at Parc Sanitari Sant Joan de Déu and content validity was examined by an Expert Survey. The whole scale represents the content domain. In Study 2, item-level analyses revealed good distributional properties, intra-rater reliability, and convergent and discriminant validity. In the sensitivity and specificity analysis, 18 items had high relevance in the discriminability between patients with FEP and healthy controls. We note that there was an AUC of 0.676, indicating a good predictor. Using 7 as a cutoff to predict an individual as a patient would yield a sensitivity of 64.8% and a specificity of 65%. Overall, the QSLE displayed satisfactory psychometric characteristics in a Spanish population. These results suggest that QSLE gives us the opportunity to investigate childhood, adolescent, and adult life events by measuring the stress and age at the moment on a continuous scale. Copyright © 2017 Elsevier Ltd. All rights reserved.

Characterising biofilm development on granular activated carbon used for drinking water production.

PubMed

Gibert, Oriol; Lefèvre, Benoît; Fernández, Marc; Bernat, Xavier; Paraira, Miquel; Calderer, Montse; Martínez-Lladó, Xavier

2013-03-01

Under normal operation conditions, granular activated carbon (GAC) employed in drinking water treatment plants (DWTPs) for natural organic matter (NOM) removal can be colonised by microorganisms which can eventually establish active biofilms. The formation of such biofilms can contribute to NOM removal by biodegradation, but also in clogging phenomena that can make necessary more frequent backwashes. Biofilm occurrence and evolution under full-scale-like conditions (i.e. including periodic backwashing) are still uncertain, and GAC filtration is usually operated with a strong empirical component. The aim of the present study was to assess the formation and growth, if any, of biofilm in a periodically backwashed GAC filter. For this purpose, an on-site pilot plant was assembled and operated to closely mimic the GAC filters installed in the DWTP in Sant Joan Despí (Barcelona, Spain). The study comprised a monitoring of both water and GAC cores withdrawn at various depths and times throughout 1 year operation. The biomass parameters assessed were total cell count by confocal laser scanning microscopy (CLSM), DNA and adenosine triphosphate (ATP). Visual examination of GAC particles was also conducted by high-resolution field emission scanning electron microscopy (FESEM). Additionally, water quality and GAC surface properties were monitored. Results provided insight into the extent and spatial distribution of biofilm within the GAC bed. To sum up, it was found that backwashing could physically detach bacteria from the biofilm, which could however build back up to its pre-backwashing concentration before next backwashing cycle. Copyright © 2012 Elsevier Ltd. All rights reserved.

Contribution of ultra-processed foods in the diet of adults from the French NutriNet-Santé study.

PubMed

Julia, Chantal; Martinez, Lucien; Allès, Benjamin; Touvier, Mathilde; Hercberg, Serge; Méjean, Caroline; Kesse-Guyot, Emmanuelle

2018-01-01

Concerns have been raised about the potential health impact of ultra-processed foods (UPF) in the diet. Our objective was to investigate the contribution of UPF in the diet in a large French population and its association with sociodemographic factors and dietary patterns. Cross-sectional analysis of dietary data from 74 470 participants in the web-based NutriNet-Santé cohort. UPF were identified in repeated 24 h records and the proportion (in weight) of UPF in the total diet (UPFp) was computed for each participant. Associations of sociodemographic characteristics and UPFp in quartiles were assessed using multivariate multinomial logistic regression. Food group consumption and nutrient intakes across quartiles of UPFp were estimated using linear regression adjusted for sociodemographic factors and energy intake. France. UPF contributed 18·4 % of the foods consumed in weight and 35·9 % of total energy intake. Higher UPFp consumption was independently associated with male gender, younger age, lower education, smoking, and overweight and obesity (all P<0·0001). Participants in the highest UPFp quartile consumed lower amounts of fruit and vegetables (difference between quartile 4 and quartile 1 of UPFp, Δ=-180·3 g/d) and higher amounts of sweet products (Δ=68·5 g/d) and soft drinks (Δ=98·6 g/d; all P<0·0001). They had higher intakes of energy (Δ=610 kJ/d (145·7 kcal/d)) and added sugar (Δ=17·1 g/d), and lower intakes of fibre (Δ=-4·04 g/d), β-carotene (Δ=-1019·6 μg/d) and Ca (Δ=-87·8 mg/d; all P<0·0001). UPF represent an important part of the diet in adults from the French general population and are associated with unbalanced nutritional intakes.

Association between organic food consumption and metabolic syndrome: cross-sectional results from the NutriNet-Santé study.

PubMed

Baudry, Julia; Lelong, Hélène; Adriouch, Solia; Julia, Chantal; Allès, Benjamin; Hercberg, Serge; Touvier, Mathilde; Lairon, Denis; Galan, Pilar; Kesse-Guyot, Emmanuelle

2017-08-02

Metabolic syndrome (MetS), a multicomponent condition, is a cardiovascular disease predictor. Although exposure to agricultural pesticides has been suggested as a potential contributor to the rising rates of obesity, type 2 diabetes, and other features of metabolic disorders, no studies have focused on the association between consumption of organic food (produced without synthetic pesticides) and MetS. We aimed to investigate the cross-sectional association between organic food consumption and MetS in French adults to determine whether it would be worth conducting further studies, particularly large prospective and randomised trials. A total of 8174 participants from the NutriNet-Santé study who attended a clinical visit and completed an organic food frequency questionnaire were included in this cross-sectional analysis. We evaluated the association between the proportion of organic food in the diet (overall and by food group) and MetS using Poisson regression models while adjusting for potential confounders. Higher organic food consumption was negatively associated with the prevalence of MetS: adjusted prevalence ratio was 0.69 (95% CI 0.61, 0.78) when comparing the third tertile of proportion of organic food in the diet with the first one (p value <0.0001). Higher consumption of organic plant-based foods was also related to a lower probability of having MetS. In addition, when stratifying by lifestyle factors (nutritional quality of the diet, smoking status, and physical activity), a significant negative association was detected in each subgroup (p values <0.05), except among smokers. Our results showed that a higher organic food consumption was associated with a lower probability of having MetS. Additional prospective studies and randomised trials are required to ascertain the relationship between organic food consumption and metabolic disorders.

Motives for dish choices during home meal preparation: results from a large sample of the NutriNet-Santé study.

PubMed

Ducrot, Pauline; Méjean, Caroline; Allès, Benjamin; Fassier, Philippine; Hercberg, Serge; Péneau, Sandrine

2015-09-30

Although culinary practices have strongly evolved over time, few data are available on contemporary dish choices during meal preparation. We therefore sought to determine individual motives when choosing dishes to be prepared during weekdays and on weekends. The importance of 27 criteria related to dish choices was assessed in 53,025 participants in the NutriNet-Santé study. Dimensions of dish choice motives were investigated using exploratory factor analysis. Mean ratings of motives during weekdays and on weekends were compared using Student's t-test. Association between socio-demographic and cooking practice characteristics, and dish choice motives were evaluated using logistic regression models. Five dimensions of dish choice motives emerged: healthy diet (explained variance: 48.3%), constraints (19.0%), pleasure (12.1%), specific diets (11.0%) and organization (9.6%). The healthy diet factor was the most important on weekdays (mean rating 3.93) and weekends (3.90). Pleasure (3.61) had a higher score than constraints (3.54) on weekends (p < 0.0001) while the opposite was observed on weekdays (3.42 vs 3.77, respectively) (p < 0.0001). Organization was more important on weekdays (2.89) than on weekends (2.75) (p < 0.0001). Dish choice motives appeared to be significantly associated with socio-demographic and cooking practice characteristics. This study highlighted factors involved in dish choices in meal preparation on weekdays and weekends, as well as individual characteristics which determine motives for dish choices. From a public health perspective, these findings might help to develop appropriate strategies for promoting home meal preparation.

Profiles of organic food consumers in a large sample of French adults: results from the Nutrinet-Santé cohort study.

PubMed

Kesse-Guyot, Emmanuelle; Péneau, Sandrine; Méjean, Caroline; Szabo de Edelenyi, Fabien; Galan, Pilar; Hercberg, Serge; Lairon, Denis

2013-01-01

Lifestyle, dietary patterns and nutritional status of organic food consumers have rarely been described, while interest for a sustainable diet is markedly increasing. Consumer attitude and frequency of use of 18 organic products were assessed in 54,311 adult participants in the Nutrinet-Santé cohort. Cluster analysis was performed to identify behaviors associated with organic product consumption. Socio-demographic characteristics, food consumption and nutrient intake across clusters are provided. Cross-sectional association with overweight/obesity was estimated using polytomous logistic regression. Five clusters were identified: 3 clusters of non-consumers whose reasons differed, occasional (OCOP, 51%) and regular (RCOP, 14%) organic product consumers. RCOP were more highly educated and physically active than other clusters. They also exhibited dietary patterns that included more plant foods and less sweet and alcoholic beverages, processed meat or milk. Their nutrient intake profiles (fatty acids, most minerals and vitamins, fibers) were healthier and they more closely adhered to dietary guidelines. In multivariate models (after accounting for confounders, including level of adherence to nutritional guidelines), compared to those not interested in organic products, RCOP participants showed a markedly lower probability of overweight (excluding obesity) (25 ≤ body mass index<30) and obesity (body mass index ≥ 30): -36% and -62% in men and -42% and -48% in women, respectively (P<0.0001). OCOP participants (%) generally showed intermediate figures. Regular consumers of organic products, a sizeable group in our sample, exhibit specific socio-demographic characteristics, and an overall healthy profile which should be accounted for in further studies analyzing organic food intake and health markers.

Associations between transition to retirement and changes in dietary intakes in French adults (NutriNet-Santé cohort study).

PubMed

Si Hassen, Wendy; Castetbon, Katia; Lelièvre, Eva; Lampuré, Aurélie; Hercberg, Serge; Méjean, Caroline

2017-05-30

Few studies have focused on the influence of retirement on dietary behaviors. Our study aimed at assessing the associations between transition to retirement and changes in dietary intake in French adults, particularly according to spousal retirement and baseline income. This prospective study included 577 French participants from the NutriNet-Santé cohort who retired over a 5-year follow-up (2009-2014 or 2010-2015). At baseline and every year, dietary intakes were assessed using 24 h records. Repeated measures of dietary intake were analysed using mixed models adjusted for energy with random effects of time and period (before and after retirement) to assess changes following retirement for each gender. After retirement, intakes of saturated fatty acids and sodium increased in both genders. Women showed specific changes after retirement: decrease in the score of adherence to recommendations and in intakes of fruits, proteins, vitamins; increase in intakes of fatty sweet products. In men with the lowest income at baseline, specific changes in intake were associated with retirement such as decrease in intake of dairy products and increase in intake of lipids. Transition to retirement was associated with unhealthier dietary intakes. These results may help defining interventions during this vulnerable life-period. This study was conducted according to guidelines laid down in the Declaration of Helsinki and all procedures were approved by the Institutional Review Board of the French Institute for Health and Medical Research (IRB Inserm No. 0000388FWA00005831) and the French Data Protection Authority (Commission Nationale Informatique et Libertés No. 908450 and No. 909216). Electronic informed consents were obtained from all participants.

Association Between Ultra-Processed Food Consumption and Functional Gastrointestinal Disorders: Results From the French NutriNet-Santé Cohort.

PubMed

Schnabel, Laure; Buscail, Camille; Sabate, Jean-Marc; Bouchoucha, Michel; Kesse-Guyot, Emmanuelle; Allès, Benjamin; Touvier, Mathilde; Monteiro, Carlos A; Hercberg, Serge; Benamouzig, Robert; Julia, Chantal

2018-06-15

Ultra-processed foods (UPF) consumption has increased over the last decades and is raising concerns about potential adverse health effects. Our objective was to assess the association between UPF consumption and four functional gastrointestinal disorders (FGIDs): irritable bowel syndrome (IBS), functional constipation (FC), functional diarrhea (FDh), and functional dyspepsia (FDy), in a large sample of French adults. We analyzed dietary data of 33,343 participants from the web-based NutriNet-Santé cohort, who completed at least three 24 h food records, prior to a Rome III self-administered questionnaire. Proportion (in weight) of UPF in the diet (UPFp) was computed for each subject. The association between UPFp quartiles and FGIDs was estimated by multivariable logistic regression. Participants included in the analysis were mainly women (76.4%), and the mean age was 50.4 (SD = 14.0) years. UPF accounted for 16.0% of food consumed in weight, corresponding to 33.0% of total energy intake. UPF consumption was associated with younger age, living alone, lower incomes, higher BMI, and lower physical activity level (all p < 0.0001). A total of 3516 participants reported IBS (10.5%), 1785 FC (5.4%), 1303 FDy (3.9%), and 396 FDh (1.1%). After adjusting for confounding factors, an increase in UPFp was associated with a higher risk of IBS ( a OR Q4 vs. Q1 [95% CI]: 1.25 [1.12-1.39], p-trend < 0.0001). This study suggests an association between UPF and IBS. Further longitudinal studies are needed to confirm those results and understand the relative impact of the nutritional composition and specific characteristics of UPF in this relationship.

PubMed

Belaid, Loubna; Cloos, Patrick; Ridde, Valéry

2017-04-20

Cette étude vise à décrire la mobilisation des représentations ethnoculturelles par des agents et des gestionnaires de santé pour expliquer l'échec partiel d'une politique de santé maternelle et discuter des conséquences potentielles de ces représentations sur l'accès aux soins de santé des populations.MÉTHODES : Il s'agit d'une recherche qualitative de type socio-anthropologique mobilisant des entretiens approfondis, des discussions informelles, des observations non participantes menées dans les centres de santé et une analyse documentaire. Les entretiens ont été menés auprès de 16 agents de santé et de 10 gestionnaires. Les entretiens ont été enregistrés sous support numérique et transcrits. L'étude s'est déroulée dans le district sanitaire de Djibo au Burkina Faso.RÉSULTATS : L'identification ethnique, les coutumes relatives à l'accouchement (pudeur, discrétion, présence féminine), le statut social des femmes (le faible pouvoir décisionnel), le nomadisme et l'organisation sociale des populations et leurs résistances au changement sont érigés comme des obstacles « culturels » à la politique de santé. L'usage largement répandu de ces représentations par les agents et les gestionnaires de santé contribue à réprimander les populations et à masquer les facteurs structurels qui ont pourtant une influence plus importante sur l'utilisation des services de santé maternelle. Cette recherche met en lumière le danger de l'usage excessif des représentations ethnoculturelles teintées de culturalisme dans les pratiques et les politiques de santé publique en véhiculant des stéréotypes à l'égard de certains groupes de population. Pour comprendre le succès ou l'échec des politiques sanitaires, il demeure important de considérer la qualité du contact avec le système de santé, les facteurs structurels notamment les capacités des ménages à faire face aux dépenses des soins de santé et des distances entre les villages

Tensions entre rationalité technique et intérêts politiques : l’exemple de la mise en œuvre de la Loi sur les agences de développement de réseaux locaux de services de santé et de services sociaux au Québec

PubMed Central

Contandriopoulos, D.; Hudon, Raymond; Martin, Elisabeth; Thompson, Daniel

2013-01-01

Sommaire L’objet de cet article est constitué par les processus décisionnels entourant la mise en œuvre de la Loi sur les agences de développement de réseaux locaux de services de santé et de services sociaux (Loi 25). Nous entendons mettre en lumière les stratégies des groupes ou institutions de diverses natures qui ont fait valoir leurs préférences et ont tenté, avec un succès inégal, d’influencer les décisions relatives à cette réforme majeure de la structure du système de santé québécois. Au plan théorique, nous nous appuyons principalement sur les modèles d’analyse du lobbying qui, depuis les travaux fondateurs de Milbrath (1960, 1963), présentent cette pratique comme un processus fondamental d’échange d’information. Selon les données colligées dans les retranscriptions d’entrevues, les stratégies observées correspondent effectivement aux caractéristiques constitutives du lobbying et, dans quelques situations, à celles du patronage. La combinaison de ces divers éléments révèle que la mise en œuvre de la Loi 25 s’avère être avant tout un processus proprement politique. Ainsi, furent relégués au second plan les arguments techniques qui composaient initialement les objectifs de la Loi. PMID:23509412

The role of socio-economic status and neighborhood social capital on loneliness among older adults: evidence from the Sant Boi Aging Study.

PubMed

Domènech-Abella, Joan; Mundó, Jordi; Lara, Elvira; Moneta, Maria Victoria; Haro, Josep Maria; Olaya, Beatriz

2017-10-01

The aim of the present study is to analyze the role of age in the association between socio-economic status (SES) and loneliness as well as the role of neighborhood social capital (NSC) in the association between individual social capital and loneliness. Data include a representative population-based sample from Sant Boi de Llobregat (a suburb of Barcelona) of 1124 adults aged 50 and over. Logistic regression models were used to analyze the survey data. Interactions between SES and age, and NSC and individual social capital were explored. Among the poorest older adults, older individuals showed a lower likelihood of loneliness (OR 0.09, 95% CI 0.02, 0.30, p < 0.05) compared with the youngest cohort after adjusting for covariates, while among the richest individuals there were no significant differences among age cohorts. Individuals living in an area with high NSC and high individual social capital showed a lower likelihood of loneliness (OR 0.36, 95% CI 0.17, 0.73, p < 0.05) compared with those with low individual social capital after adjusting for covariates. The effect of individual social capital was not significant among individuals living in an area with low NSC. Interventions focusing on low SES middle-aged (50-59 years old) individuals and those aiming to increase NSC could be effective strategies to reduce the prevalence of loneliness in older people.

How Computer Literacy and Socioeconomic Status Affect Attitudes Toward a Web-Based Cohort: Results From the NutriNet-Santé Study

PubMed Central

Méjean, Caroline; Andreeva, Valentina A; Kesse-Guyot, Emmanuelle; Fassier, Philippine; Galan, Pilar; Hercberg, Serge; Touvier, Mathilde

2015-01-01

Background In spite of the growing literature in the field of e-epidemiology, clear evidence about computer literacy or attitudes toward respondent burden among e-cohort participants is largely lacking. Objective We assessed the computer and Internet skills of participants in the NutriNet-Santé Web-based cohort. We then explored attitudes toward the study demands/respondent burden according to levels of computer literacy and sociodemographic status. Methods Self-reported data from 43,028 e-cohort participants were collected in 2013 via a Web-based questionnaire. We employed unconditional logistic and linear regression analyses. Results Approximately one-quarter of participants (23.79%, 10,235/43,028) reported being inexperienced in terms of computer use. Regarding attitudes toward participant burden, women tended to be more favorable (eg, “The overall website use is easy”) than were men (OR 0.65, 95% CI 0.59-0.71, P<.001), whereas better educated participants (>12 years of schooling) were less likely to accept the demands associated with participation (eg, “I receive questionnaires too often”) compared to their less educated counterparts (OR 1.62, 95% CI 1.48-1.76, P<.001). Conclusions A substantial proportion of participants had low computer/Internet skills, suggesting that this does not represent a barrier to participation in Web-based cohorts. Our study also suggests that several subgroups of participants with lower computer skills (eg, women or those with lower educational level) might more readily accept the demands associated with participation in the Web cohort. These findings can help guide future Web-based research strategies. PMID:25648178

Effectiveness of Front-Of-Pack Nutrition Labels in French Adults: Results from the NutriNet-Santé Cohort Study

PubMed Central

Ducrot, Pauline; Méjean, Caroline; Julia, Chantal; Kesse-Guyot, Emmanuelle; Touvier, Mathilde; Fezeu, Léopold; Hercberg, Serge; Péneau, Sandrine

2015-01-01

Background To date, no consensus has emerged on the most appropriate front-of-pack (FOP) nutrition label to help consumers in making informed choices. We aimed to compare the effectiveness of the label formats currently in use: nutrient-specific, graded and simple summary systems, in a large sample of adults. Methods The FOP label effectiveness was assessed by measuring the label acceptability and understanding among 13,578 participants of the NutriNet-Santé cohort study, representative of the French adult population. Participants were exposed to five conditions, including four FOP labels: Guideline Daily Amounts (GDA), Multiple Traffic Lights (MTL), 5-Color Nutrition Label (5-CNL), Green Tick (Tick), and a “no label” condition. Acceptability was evaluated by several indicators: attractiveness, liking and perceived cognitive workload. Objective understanding was assessed by the percentage of correct answers when ranking three products according to their nutritional quality. Five different product categories were tested: prepared fish dishes, pizzas, dairy products, breakfast cereals, and appetizers. Differences among the label effectiveness were compared with chi-square tests. Results The 5-CNL was viewed as the easiest label to identify and as the one requiring the lowest amount of effort and time to understand. GDA was considered as the least easy to identify and to understand, despite being the most attractive and liked label. All FOP labels were found to be effective in ranking products according to their nutritional quality compared with the “no label” situation, although they showed differing levels of effectiveness (p<0.0001). Globally, the 5-CNL performed best, followed by MTL, GDA and Tick labels. Conclusions The graded 5-CNL label was considered as easy to identify, simple and rapid to understand; it performed well when comparing the products’ nutritional quality. Therefore, it is likely to present advantages in real shopping situations where

Effectiveness of Front-Of-Pack Nutrition Labels in French Adults: Results from the NutriNet-Santé Cohort Study.

PubMed

Ducrot, Pauline; Méjean, Caroline; Julia, Chantal; Kesse-Guyot, Emmanuelle; Touvier, Mathilde; Fezeu, Léopold; Hercberg, Serge; Péneau, Sandrine

2015-01-01

To date, no consensus has emerged on the most appropriate front-of-pack (FOP) nutrition label to help consumers in making informed choices. We aimed to compare the effectiveness of the label formats currently in use: nutrient-specific, graded and simple summary systems, in a large sample of adults. The FOP label effectiveness was assessed by measuring the label acceptability and understanding among 13,578 participants of the NutriNet-Santé cohort study, representative of the French adult population. Participants were exposed to five conditions, including four FOP labels: Guideline Daily Amounts (GDA), Multiple Traffic Lights (MTL), 5-Color Nutrition Label (5-CNL), Green Tick (Tick), and a "no label" condition. Acceptability was evaluated by several indicators: attractiveness, liking and perceived cognitive workload. Objective understanding was assessed by the percentage of correct answers when ranking three products according to their nutritional quality. Five different product categories were tested: prepared fish dishes, pizzas, dairy products, breakfast cereals, and appetizers. Differences among the label effectiveness were compared with chi-square tests. The 5-CNL was viewed as the easiest label to identify and as the one requiring the lowest amount of effort and time to understand. GDA was considered as the least easy to identify and to understand, despite being the most attractive and liked label. All FOP labels were found to be effective in ranking products according to their nutritional quality compared with the "no label" situation, although they showed differing levels of effectiveness (p<0.0001). Globally, the 5-CNL performed best, followed by MTL, GDA and Tick labels. The graded 5-CNL label was considered as easy to identify, simple and rapid to understand; it performed well when comparing the products' nutritional quality. Therefore, it is likely to present advantages in real shopping situations where choices are usually made quickly.

Profiles of Organic Food Consumers in a Large Sample of French Adults: Results from the Nutrinet-Santé Cohort Study

PubMed Central

Kesse-Guyot, Emmanuelle; Péneau, Sandrine; Méjean, Caroline; Szabo de Edelenyi, Fabien; Galan, Pilar; Hercberg, Serge; Lairon, Denis

2013-01-01

Background Lifestyle, dietary patterns and nutritional status of organic food consumers have rarely been described, while interest for a sustainable diet is markedly increasing. Methods Consumer attitude and frequency of use of 18 organic products were assessed in 54,311 adult participants in the Nutrinet-Santé cohort. Cluster analysis was performed to identify behaviors associated with organic product consumption. Socio-demographic characteristics, food consumption and nutrient intake across clusters are provided. Cross-sectional association with overweight/obesity was estimated using polytomous logistic regression. Results Five clusters were identified: 3 clusters of non-consumers whose reasons differed, occasional (OCOP, 51%) and regular (RCOP, 14%) organic product consumers. RCOP were more highly educated and physically active than other clusters. They also exhibited dietary patterns that included more plant foods and less sweet and alcoholic beverages, processed meat or milk. Their nutrient intake profiles (fatty acids, most minerals and vitamins, fibers) were healthier and they more closely adhered to dietary guidelines. In multivariate models (after accounting for confounders, including level of adherence to nutritional guidelines), compared to those not interested in organic products, RCOP participants showed a markedly lower probability of overweight (excluding obesity) (25≤body mass index<30) and obesity (body mass index ≥30): −36% and −62% in men and −42% and −48% in women, respectively (P<0.0001). OCOP participants (%) generally showed intermediate figures. Conclusions Regular consumers of organic products, a sizeable group in our sample, exhibit specific socio-demographic characteristics, and an overall healthy profile which should be accounted for in further studies analyzing organic food intake and health markers. PMID:24204721

A Feminist Intervention That Hurt Women: Biological Differences, Ergonomics, and Occupational Health: Une intervention féministe qui a nui aux femmes: différences biologiques, égalité, ergonomie et santé au travail.

PubMed

Messing, Karen

2017-11-01

The University of Québec in Montréal has agreements with trade unions providing access to university resources. Researchers involved in this program worked in partnership with union women's and health and safety committees for more than twenty years. Not all studies succeeded in improving women's working conditions. One joint project involved observational studies of tasks done by health-care workers, complemented by interviews and questionnaires. We found that task assignments, movements, postures, and work-related musculoskeletal disorders varied by gender/sex and made recommendations for change. However, issues of pay equity, spending on health care, and contracting-out of "ancillary work" were salient. Researchers learned that in the absence of changes in power relationships in the workplace, women may be disadvantaged by denial as well as by exaggeration of female-male differences. Men may also be at risk when their gender is invisible. We suggest some feminist approaches to workplace solutions and some pathways for research. Résumé L'Université du Québec à Montréal a signé avec des centrales syndicales des ententes leur donnant un accès à des ressources universitaires. Des chercheures ont travaillé en partenariat avec des comités syndicaux de condition des femmes et de santé-sécurité au travail pendant plus de 25 ans, mais ce ne sont pas toutes les études qui ont abouti à des améliorations. Un projet concernait des observations du travail d'employé.e.s du secteur de la santé, dont les tâches, mouvements, et postures variaient selon le genre/sexe. Nous avons recommandé des transformations, mais des enjeux d'équité salariale, de coûts et de sous-traitance y ont fait obstacle. Les chercheures ont appris qu'en l'absence de transformation des rapports de pouvoir au travail, le déni des différences hommes-femmes, autant que leur exagération, peut désavantager les travailleuses (et les travailleurs). Nous suggérons des approches f

Red and processed meat intake and cancer risk: Results from the prospective NutriNet-Santé cohort study.

PubMed

Diallo, Abou; Deschasaux, Mélanie; Latino-Martel, Paule; Hercberg, Serge; Galan, Pilar; Fassier, Philippine; Allès, Benjamin; Guéraud, Françoise; Pierre, Fabrice H; Touvier, Mathilde

2018-01-15

The International Agency for Research on Cancer (WHO-IARC) classified red meat and processed meat as probably carcinogenic and carcinogenic for humans, respectively. These conclusions were mainly based on studies concerning colorectal cancer, but scientific evidence is still limited for other cancer locations. In this study, we investigated the prospective associations between red and processed meat intakes and overall, breast, and prostate cancer risk. This prospective study included 61,476 men and women of the French NutriNet-Santé cohort (2009-2015) aged ≥35 y and who completed at least three 24 hrs dietary records during the first year of follow-up. The risk of developing cancer was compared across sex-specific quintiles of red and processed meat intakes by multivariable Cox models. 1,609 first primary incident cancer cases were diagnosed during follow-up, among which 544 breast cancers and 222 prostate cancers. Red meat intake was associated with increased risk of overall cancers [HR Q5 vs. Q1 =1.31 (1.10-1.55), p trend  = 0.01) and breast cancer (HR Q5 vs. Q1  = 1.83 (1.33-2.51), p trend  = 0.002]. The latter association was observed in both premenopausal [HR Q5 vs. Q1 =2.04 (1.03-4.06)] and postmenopausal women [HR Q5 vs. Q1 =1.79 (1.26-2.55)]. No association was observed between red meat intake and prostate cancer risk. Processed meat intake was relatively low in this study (cut-offs for the 5th quintile = 46 g/d in men and 29 g/d in women) and was not associated with overall, breast or prostate cancer risk. This large cohort study suggested that red meat may be involved carcinogenesis at several cancer locations (other than colon-rectum), in particular breast cancer. These results are consistent with mechanistic evidence from experimental studies. © 2017 UICC.

Food Choice Motives When Purchasing in Organic and Conventional Consumer Clusters: Focus on Sustainable Concerns (The NutriNet-Santé Cohort Study)

PubMed Central

Baudry, Julia; Péneau, Sandrine; Allès, Benjamin; Touvier, Mathilde; Hercberg, Serge; Galan, Pilar; Amiot, Marie-Josèphe; Lairon, Denis; Méjean, Caroline; Kesse-Guyot, Emmanuelle

2017-01-01

The purpose of this study was to examine food choice motives associated with various organic and conventional dietary patterns among 22,366 participants of the NutriNet-Santé study. Dietary intakes were estimated using a food frequency questionnaire. Food choice motives were assessed using a validated 63-item-questionnaire gathered into nine food choice motive dimension scores: “absence of contaminants”, “avoidance for environmental reasons”, “ethics and environment”, “taste”, “innovation”, “local and traditional production”, “price”, “health” and “convenience”. Five consumers’ clusters were identified: “standard conventional food small eaters”, “unhealthy conventional food big eaters”, “standard organic food small eaters”, “green organic food eaters” and “hedonist moderate organic food eaters”. Relationships between food choice motive dimension scores and consumers’ clusters were assessed using analysis of covariance (ANCOVA) models adjusted for sociodemographic factors. “Green organic food eaters” had the highest mean score for the “health” dimension, while “unhealthy conventional food big eaters” obtained the lowest mean score for the “absence of contaminants” dimension. “Standard organic food small eaters”, “green organic food eaters” and “hedonist moderate organic food eaters” had comparable scores for the “taste” dimension. “Unhealthy conventional food big eaters” had the highest mean score for the “price” dimension while “green organic food eaters” had the lowest mean scores for the “innovation” and “convenience” dimensions. These results provide new insights into the food choice motives of diverse consumers’ profiles including “green” and “hedonist” eaters. PMID:28125035

Maternal hair and neonatal meconium to assess gestational consumption and prenatal exposure to drugs of abuse and psychoactive drugs.

PubMed

Cortes, Laura; Almeida, Laura; Sabra, Sally; Muniesa, Marta; Busardo, Francesco Paolo; Garcia-Algar, Oscar; Gomez-Roig, Maria Dolores

2018-04-05

In the last two decades, the consumption of drugs of abuse among women of childbearing age has experienced a significant increase and results from analyses of surveys concerning maternal intake of psychoactive prescription drugs during pregnancy indicate that the rates of intake are increasing each year. Analyses of biological matrices such as maternal hair and neonatal meconium have recently been used for assessment of gestational consumption and consequent prenatal exposure to drugs of abuse in high-risk groups of women METHODS: Maternal hair and neonatal meconium were analyzed by validated chromatographic mass spectrometric methodologies to disclose gestational use of drugs of abuse and psychoactive prescription drugs and consequent prenatal exposure in a cohort of 513 mother-newborn dyads at the Sant Joan de Déu Barcelona Hospital, Spain, during 2012- 2013. A total of 3.9% the women reported drugs of abuse or prescription psychoactive drug consumption at any time during pregnancy. The prevalence of gestational consumption and consequent prenatal exposure to drugs of abuse (e.g. cannabis, cocaine and MDMA) was 1.2% in maternal hair and 0.4% in meconium; that of psychoactive prescription drugs (e.g. venlafaxine, citalopram, fluoxetine, clomipramine) was 1.7% in maternal hair and 1.2% in meconium. The prevalence of drugs of abuse and prescription psychoactive drug consumption was lower in our specific cohort of Spanish pregnant women than in other cohorts such as those from U.S. or Denmark. Analysis of materno-fetal matrices provides a viable alternative to study prenatal exposure to these substances and develop specific social and health intervention recommendations. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

The Montsec Observatory and the Gaia science alerts

NASA Astrophysics Data System (ADS)

Carrasco, J. M.; Burgaz, U.; Vilardell, F.; Jordi, C.

2017-03-01

The continuous and reiterative scan of the whole sky performed by Gaia ESA's mission during its (at least) 5 years of mission allows to detect transient events (e.g., supernovae, microlensing events, cataclysmic variables, etc) almost in real time among the daily millions of observations. The pipeline in charge to discover these alerts does a quick look analysis of the daily data stream, identify those sources increasing their brightness with respect to previous Gaia observations and also analyse their spectrophotometry to decide if those sources are good candidates to be published as a Gaia Photometric Science Alerts. These events are publicly announced for follow-up observations (both photometric and spectroscopic are needed). Observatories around the world confirm, classify and study them in detail. Observations are put in common and analysed together in a common interface in order to get a single analysis as detailed and precise as possible. Our team in Barcelona contributes to this Gaia science alerts follow-up programme with the 0.8 m robotic telescope Joan Oró (TJO), at the Montsec Observatory (OAdM), located at Sant Esteve de la Sarga (Lleida, Spain) performing photometric observations to derive the lightcurves of the most interesting alerts accessible from the observatory. Until now we have contributed with about 4500 images in multicolour Johnson-Cousins passbands obtained with TJO for a total of 38 Gaia science alerts, becoming the third most contributing observatory in the programme. Here we summarise the procedure to select new targets to be observed by TJO, submit follow-up observations and we explain the analysis we did for some interesting obtained lightcurves.

The neurological work of Artur Galcerán i Granés (1850-1919).

PubMed

Arboix, A; Fabregas, M G

2011-05-01

To analyze the neurological work of Artur Galcerán i Granés (Girona 1850-Barcelona 1919) founder of the Society of Psychiatry and Neurology of Barcelona in 1911. We performed a literature search using MEDLINE from the keywords"Galceran Granés" and "Society of Psychiatry and Neurology of Barcelona", using the doctoral thesis of M. G. Fabregas Camps: "History of Neurology in Catalonia. From 1882 to 1949 ", and original historical bibliographical sources of the Library of the Academy of Sciences Mèdiques de Catalunya i Balears. Artur Galcerán i Granés was a disciple of the school of psychiatry of Dr. Joan Giné i Partagàs. His highlighting neurological work was: 1) "Some static and dynamic inferences about the brain, which may serve to clarify the concept of localization", 2) "Treatment of epilepsy" and 3) "Neuropathology and General Psychiatry". He was editor of "Archivos de Terapeútica de las enfermedades nerviosas y mentales" and "Anales de la Sociedad de Psiquiatría y Neurología". He was director of the mental asylum in Sant Boi of Llobregat and Pere Mata of Reus. In 1911 he founded the first Catalan and Spanish neurological society in Barcelona. The neurological work of Artur Galcerán i Granes is remarkable and significant. He was the founder of the first Catalan and Spanish neurological society: The Society of Psychiatry and Neurology of Barcelona in 1911, the forerunner of the Catalan Society of Neurology. Copyright © 2010 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

Coenzyme Q10 and Pyridoxal Phosphate Deficiency Is a Common Feature in Mucopolysaccharidosis Type III.

PubMed

Yubero, Dèlia; Montero, Raquel; O'Callaghan, Mar; Pineda, Mercè; Meavilla, Silvia; Delgadillo, Veronica; Sierra, Cristina; Altimira, Laura; Navas, Plácido; Pope, Simon; Oppenheim, Marcus; Neergheen, Viruna; Ghosh, Arunabha; Mills, Phillipa; Clayton, Peter; Footitt, Emma; Cleary, Maureen; Hargreaves, Iain; Jones, Simon A; Heales, Simon; Artuch, Rafael

2016-01-01

Mucopolysaccharidoses (MPS) are a group of lysosomal storage disorders caused by deficiencies of lysosomal enzymes catalyzing degradation of glycosaminoglycans (GAGs). Previously, we reported a secondary plasma coenzyme Q 10 (CoQ) deficiency in MPS patients. For this study, nine MPS patients were recruited in the Hospital Sant Joan de Déu (HSJD, Barcelona) and two patients in the Neurometabolic Unit, National Hospital (NMU, London), to explore the nutritional status of MPS type III patients by analyzing several vitamins and micronutrients in blood and in cerebrospinal fluid. Plasma CoQ and plasma and cerebrospinal fluid pyridoxal phosphate (PLP) content were analyzed by high-pressure liquid chromatography (HPLC) with electrochemical and fluorescence detection, respectively. We found that most MPS-III patients disclosed low plasma pyridoxal phosphate (PLP) values (seven out of nine) and also low plasma CoQ concentrations (eight out of nine). We observed significantly lower median values of PLP, tocopherol, and CoQ (Mann-Whitney U test, p = 0.006, p = 0.004, and p = 0.001, respectively) in MPS patients when compared with age-matched controls. Chi-square test showed a significant association between the fact of having low plasma PLP and CoQ values in the whole cohort of patients. Cerebrospinal fluid PLP values were clearly deficient in the two patients studied. In conclusion, we report a combined CoQ and PLP deficiency in MPS-III patients. These observations could be related to the complexity of the physiopathology of the disease. If our results are confirmed in larger series of patients, CoQ and PLP therapy could be trialed as coadjuvant therapy with the current MPS treatments.

Serotypes and Clonal Diversity of Streptococcus pneumoniae Causing Invasive Disease in the Era of PCV13 in Catalonia, Spain

PubMed Central

del Amo, Eva; Esteva, Cristina; Hernandez-Bou, Susanna; Galles, Carmen; Navarro, Marian; Sauca, Goretti; Diaz, Alvaro; Gassiot, Paula; Marti, Carmina; Larrosa, Nieves; Ciruela, Pilar; Jane, Mireia; Sá-Leão, Raquel; Muñoz-Almagro, Carmen

2016-01-01

The aim of this study was to study the serotypes and clonal diversity of pneumococci causing invasive pneumococcal disease in Catalonia, Spain, in the era of 13-valent pneumococcal conjugate vaccine (PCV13). In our region, this vaccine is only available in the private market and it is estimated a PCV13 vaccine coverage around 55% in children. A total of 1551 pneumococcal invasive isolates received between 2010 and 2013 in the Molecular Microbiology Department at Hospital Sant Joan de Déu, Barcelona, were included. Fifty-two serotypes and 249 clonal types—defined by MLST—were identified. The most common serotypes were serotype 1 (n = 182; 11.7%), 3 (n = 145; 9.3%), 19A (n = 137; 8.8%) and 7F (n = 122; 7.9%). Serotype 14 was the third most frequent serotype in children < 2 years (15 of 159 isolates). PCV7 serotypes maintained their proportion along the period of study, 16.6% in 2010 to 13.4% in 2013, whereas there was a significant proportional decrease in PCV13 serotypes, 65.3% in 2010 to 48.9% in 2013 (p<0.01). This decrease was mainly attributable to serotypes 19A and 7F. Serotype 12F achieved the third position in 2013 (n = 22, 6.4%). The most frequent clonal types found were ST306 (n = 154, 9.9%), ST191 (n = 111, 7.2%), ST989 (n = 85, 5.5%) and ST180 (n = 80, 5.2%). Despite their decrease, PCV13 serotypes continue to be a major cause of disease in Spain. These results emphasize the need for complete PCV13 vaccination. PMID:26953887

Raloxifene as an Adjunctive Treatment for Postmenopausal Women With Schizophrenia: A 24-Week Double-Blind, Randomized, Parallel, Placebo-Controlled Trial

PubMed Central

Usall, Judith; Huerta-Ramos, Elena; Labad, Javier; Cobo, Jesús; Núñez, Christian; Creus, Marta; Parés, Gemma García; Cuadras, Daniel; Franco, José; Miquel, Eva; Reyes, Julio César; Roca, Mercedes

2016-01-01

The potential therapeutic utility of estrogens in schizophrenia is increasingly being recognized. Raloxifene, a selective estrogen receptor modulator, appears to act similarly to estrogens on dopamine and serotonin brain systems. One previous trial by our team found that raloxifene was useful to improve negative, positive, and general psychopathological symptoms, without having the negative side effects of estrogens. In this study, we assess the utility of raloxifene in treating negative and other psychotic symptoms in postmenopausal women with schizophrenia exhibiting prominent negative symptoms. This was a 24-week, randomized, parallel, double-blind, placebo-controlled study. Patients were recruited from the inpatient and outpatient departments of Parc Sanitari Sant Joan de Déu, Hospital Universitari Institut Pere Mata, and Corporació Sanitària Parc Taulí. Seventy postmenopausal women with schizophrenia (DSM-IV) were randomized to either adjunctive raloxifene (38 women) or adjunctive placebo (32 women). Psychopathological symptoms were assessed at baseline and at weeks 4, 12, and 24 with the Positive and Negative Syndrome Scale (PANSS) and the Scale for the Assessment of Negative Symptoms (SANS). The addition of raloxifene (60mg/d) to regular antipsychotic treatment significantly reduced negative (P = .027), general (P = .003), and total symptomatology (P = .005) measured with the PANSS during the 24-week trial, as compared to women receiving placebo. Also Alogia SANSS subscale improved more in the raloxifene (P = .048) than the placebo group. In conclusion, raloxifene improved negative and general psychopathological symptoms, compared with antipsychotic medication alone, in postmenopausal women with schizophrenia. These data replicate our previous results with a larger sample and a longer follow-up. Trial registration: NCT01573637. PMID:26591005

Comparison of NxTAG Respiratory Pathogen Panel and Anyplex II RV16 Tests for Multiplex Detection of Respiratory Pathogens in Hospitalized Children

PubMed Central

Brotons, Pedro; Henares, Desiree; Latorre, Irene; Cepillo, Antonio; Launes, Cristian

2016-01-01

Multiplex molecular techniques can detect a diversity of respiratory viruses and bacteria that cause childhood acute respiratory infection rapidly and conveniently. However, currently available techniques show high variation in performance. We sought to compare the diagnostic accuracy of the novel multiplex NxTAG respiratory pathogen panel (RPP) RUO test versus a routine multiplex Anyplex II RV16 assay in respiratory specimens collected from children <18 years of age hospitalized with nonspecific symptoms of acute lower respiratory infection. Parallel testing was performed on nasopharyngeal aspirates prospectively collected at referral Children's Hospital Sant Joan de Déu (Barcelona, Spain) between June and November 2015. Agreement values between the two tests and kappa coefficients were assessed. Bidirectional sequencing was performed for the resolution of discordant results. A total of 319 samples were analyzed by both techniques. A total of 268 (84.0%) of them yielded concordant results. Positive percent agreement values ranged from 83.3 to 100%, while the negative percent agreement was more than 99% for all targets except for enterovirus/rhinovirus (EV/RV; 94.4%). Kappa coefficients ranged from 0.83 to 1.00. Discrepancy analysis confirmed 66.0% of NxTAG RPP RUO results. A total of 260 viruses were detected, with EV/RV (n = 105, 40.4%) being the most prevalent target. Viral coinfections were found in 44 (14.2%) samples. In addition, NxTAG RPP RUO detected single bacterial and mixed viral-bacterial infections in seven samples. NxTAG RPP RUO showed high positive and negative agreement with Anyplex II RV16 for main viruses that cause acute respiratory infections in children, coupled with an additional capability to detect some respiratory bacteria. PMID:27629904

[Headache and immigration. A study in the outpatient department of the Hospital de la Santa Creu i Sant Pau in Barcelona].

PubMed

Vidal-Jordana, A; Barroeta-Espar, I; Sainz-Pelayo, M P; Sala, I; Roig, C

2011-09-01

The immigrant population (IP) is visiting neurology departments on an increasingly more frequent basis. Research has still not made it clear whether there are geographical differences in the prevalence of primary headaches and the possible influence of emigration. We conducted a retrospective (12 months) and prospective study (18 months) of the first visits to the Headache Unit at the Hospital de la Santa Creu i Sant Pau. Data collected included the country of birth, time parameters of the headache and of the immigration, diagnoses according to the criteria of the IHS and treatments that had been used. Related headaches were considered to be those that began within one year of having immigrated. The IP represents 13.6% (n = 142) of the total number of first visits because of headaches (n = 1044). Immigrants came mostly from Latin America (83.9%). Headaches began after immigration in 40.1% of cases without the existence of any temporal relation with immigration. The distribution of the diagnoses of headache is similar to those of the local population, the most frequent being migraine (57.7%) and tension-type headache (15.5%). On comparing treatments prior to and following immigration, we find differences in the use of triptans (2.1% versus 46.2%), ergotamine (9.8% versus 2.1%) and in the use of preventive treatments (2% versus 45%). The IP accounts for 13% of all first visits due to headaches and their diagnoses are similar to those of the local population. Emigration is neither a precipitating nor an aggravating factor for headaches in our series. There is a significant difference in symptomatic and preventive treatment between the period prior to immigration and afterwards.

Soins primaires aux adultes ayant une déficience développementale

PubMed Central

Sullivan, William F.; Berg, Joseph M.; Bradley, Elspeth; Cheetham, Tom; Denton, Richard; Heng, John; Hennen, Brian; Joyce, David; Kelly, Maureen; Korossy, Marika; Lunsky, Yona; McMillan, Shirley

2011-01-01

Résumé Objectif Mettre à jour les lignes directrices canadiennes de 2006 sur les soins primaires aux adultes ayant une déficience développementale (DD) et présenter des recommandations pratiques fondées sur les connaissances actuelles pour traiter des problèmes de santé particuliers chez des adultes ayant une DD. Qualité des preuves Des professionnels de la santé expérimentés participant à un colloque et un groupe de travail subséquent ont discuté et convenu des révisions aux lignes directrices de 2006 en se fondant sur une recherche documentaire exhaustive, la rétroaction obtenue des utilisateurs du guide de pratique et les expériences cliniques personnelles. La plupart des preuves disponibles dans ce domaine viennent de l’opinion d’experts ou de déclarations consensuelles publiées (niveau III). Message principal Les adultes ayant une DD ont des problèmes de santé complexes, dont plusieurs diffèrent de ceux de la population en général. De bons soins primaires permettent d’identifier les problèmes de santé particuliers dont souffrent les adultes ayant une DD pour améliorer leur qualité de vie et leur accès aux soins de santé et prévenir la morbidité et le décès prématuré. Ces lignes directrices résument les problèmes de santé générale, physique, comportementale et mentale des adultes ayant une DD que devraient connaître les professionnels des soins primaires et présentent des recommandations pour le dépistage et la prise en charge en se basant sur les connaissances actuelles que les cliniciens peuvent mettre en pratique. En raison de l’interaction des facteurs biologiques, psychoaffectifs et sociaux qui contribuent à la santé et au bien-être des adultes ayant une DD, ces lignes directrices insistent sur la participation des aidants, l’adaptation des interventions, au besoin, et la consultation auprès de divers professionnels de la santé quand ils sont accessibles. Elles mettent aussi en évidence la

Taking Account of Gender Differences When Designing Interventions in Occupational Health? Lessons from a Study of the "Healthy Enterprise" Standard in Québec: Les différences de genre sont-elles prises en compte lors de la conception des interventions de prévention en santé au travail? Résultats d une étude sur la norme "Entreprises en Santé" dans les entreprises au Québec.

PubMed

Sultan-Taïeb, Hélène; St-Hilaire, France; Lefebvre, Rébecca; Biron, Caroline; Vézina, Michel; Brisson, Chantal

2017-11-01

The literature shows substantial differences in occupational exposures between men and women, both between and within occupations, but remains very sparse on whether interventions are tailored to gender differences in the workplace. Our objective was to determine whether gender differences are taken into account when designing prevention interventions. This study is part of a project on the evaluation of interventions implemented in the framework of the "Healthy Enterprise" standard in Quebec organizations. Three sets of quantitative and qualitative data were collected in seven organizations and triangulated. Our results show that in the process of elaborating and implementing activities, the main objectives were to reach a maximum number of workers and meet the needs identified in a health and risk diagnosis. Activities were not tailored to the needs of specific subgroups of employees, such as gender or age. Not distinguishing men's and women's situations in this diagnosis may play a role in intervention design. Résumé La littérature montre des différences d'exposition au travail importantes entre les hommes et les femmes, y compris à catégories d'emploi identiques. Les études sur l'adaptation des interventions de prévention aux différences de genre dans les milieux de travail sont quasiment inexistantes dans la littérature. Notre objectif était de déterminer dans quelle mesure les différences de genre sont prises en compte lors de la conception des interventions de prévention. Cette étude fait partie d'un projet d'évaluation des interventions mises en œuvre dans le cadre de la norme «Entreprises en santéé au Québec. Trois séries de données quantitatives et qualitatives ont été collectées auprès de sept organisations et analysées par triangulation. Nos résultats montrent que lors du processus d'élaboration des activités, les principaux objectifs étaient d'atteindre un nombre maximal de travailleurs et de remplir les besoins identifi

ERRATUM: "SDSS J1254+0846: A Binary Quasar Caught in the Act of Merging" (2010, ApJ, 710, 1578)

NASA Astrophysics Data System (ADS)

Green, Paul J.; Myers, Adam D.; Barkhouse, Wayne A.; Mulchaey, John S.; Bennert, Vardha N.; Cox, Thomas J.; Aldcroft, Thomas L.; Wrobel, Joan M.

2010-03-01

Author Joan M. Wrobel, who contributed substantially to the paper (primarily the section on radio observations and their implications) was inadvertently left off the author list in the original version.

Connaissances et comportements au regard de la santé reproductive: enquête chez les marocains en zone rurale

PubMed Central

Sebbani, Majda; Adarmouch, Latifa; Azzahiri, Isam; Quiddi, Wafa; Cherkaoui, Mohamed; Amine, Mohamed

2016-01-01

Introduction Décrire les connaissances, attitudes et pratiques (CAP) des hommes d'une population enclavée à l'égard de la santé reproductive. Méthodes Il s'agissait d'une étude mixte (focus group et étude CAP) menée dans une région montagneuse prés de Marrakech. L'enquête descriptive a recruté 74 hommes par deux méthodes d'échantillonnage (visiteurs du souk hebdomadaire et accompagnateurs à une compagne sanitaire). La collecte des données (Mars - Avril 2014) était par questionnaire traduit en dialectale et administré par des enquêteurs formés parlant Amazigh. L'analyse des données quantitatives était descriptive et bivariée (seuil de signification statistique à 5%). Le focus group était analysé après enregistrement et retranscription. Résultats La médiane de l'âge était de 38 ans [19 à 80 ans]. Parmi 64 hommes vivant en couple (86,5%), la moitié (55,4%) optait pour la pilule. Les 2 tiers ont reconnu l'intérêt de surveiller la grossesse, tandis que 37% des maris ignoraient la fréquence du suivi. Le non recours à la consultation prénatale était de 56,9% (N=58), dont 42,4% sans raison. Le niveau d'instruction était associé au suivi de la grossesse par la conjointe (p=0,015) et à l'attitude positive à l'égard de son intérêt (p=0,011). La méconnaissance de la possibilité de complications (35,1% des répondants) était un facteur de non recours à la consultation post-natale par la conjointe (p=0,021). Les barrières relevées de l'analyse du focus group étaient d'ordre culturel, géographique et socioéconomique. Conclusion Des actions d'information, d'éducation et de communication devraient viser d'avantage l'implication du sexe masculin dans des contextes similaires. PMID:28292148

Phillipson's Children.

ERIC Educational Resources Information Center

Language and Intercultural Communication, 2003

2003-01-01

Discusses two books, "Globalization and Language Teaching," by David Block and Deborah Cameron and "The Sociopolitics of English Language Teaching," edited by Joan Kelly Hall and William G. Eggington. (Author/VWL)

Stratigraphic and structural controls on groundwater flow in an outcropping fossil fan delta: the case of Sant Llorenç del Munt range (NE Spain)

NASA Astrophysics Data System (ADS)

Anglés, Marc; Folch, Albert; Oms, Oriol; Maestro, Eudald; Mas-Pla, Josep

2017-12-01

Hydrogeological models of mountain regions present the opportunity to understand the role of geological factors on groundwater resources. The effects of sedimentary facies and fracture distribution on groundwater flow and resource exploitation are studied in the ancient fan delta of Sant Llorenç de Munt (central Catalonia, Spain) by integrating geological field observations (using sequence stratigraphy methods) and hydrogeological data (pumping tests, hydrochemistry and environmental isotopes). A comprehensive analysis of data portrays the massif as a single unit, constituted by different compartments determined by specific layers and sets of fractures. Two distinct flow systems—local and regional—are identified based on pumping test analysis as well as hydrochemical and isotopic data. Drawdown curves derived from pumping tests indicate that the behavior of the saturated layers, whose main porosity is given by the fracture network, corresponds to a confined aquifer. Pumping tests also reflect a double porosity within the system and the occurrence of impervious boundaries that support a compartmentalized model for the whole aquifer system. Hydrochemical data and associated spatial evolution show the result of water-rock interaction along the flow lines. Concentration of magnesium, derived from dolomite dissolution, is a tracer of the flow-path along distinct stratigraphic units. Water stable isotopes indicate that evaporation (near a 5% loss) occurs in a thick unsaturated zone within the massif before infiltration reaches the water table. The hydrogeological analysis of this outcropping system provides a methodology for the conceptualization of groundwater flow in similar buried systems where logging and hydrogeological information are scarce.

Weathering of gilding decorations investigated by SR: development and distribution of calcium oxalates in the case of Sant Benet de Bages (Barcelona, Spain)

NASA Astrophysics Data System (ADS)

Lluveras, A.; Boularand, S.; Roqué, J.; Cotte, M.; Giráldez, P.; Vendrell-Saz, M.

2008-01-01

In this paper seventeenth century gilded paintings from the crypt of Sant Benet de Bages, a medieval monastery in the Catalonia region of Spain, near Barcelona, have been studied. Cross sections from two different gilded decorations were studied by means of optical microscopy and electron microscopy and EDS to determine the statigraphy and elemental composition, and by means of FTIR coupled to a microscope to determine the binding media associated to each layer. These preliminary results demonstrated that gilded decorations were made by the application of a gold foil on a mordant substrate on a gypsum base, while the mouldings of the vaults seem to be gilded on a bol with a glaze on top of the gold leaf. It is interesting to notice that the first remained unaltered, while the gilded vault mouldings look almost black, due to the darkening of the organic material. To elucidate the causes involved in the darkening of the sample from the vaults a set of synchrotron μXRD and μFTIR experiments have been carried out on these samples at the ESRF (ID18F and ID21, respectively). High brightness and small spot working conditions revealed the development and distribution of calcium oxalates in the binding media, which seem to be responsible for the darkening. Results point out the fact that weddellite (CaC2O4·2H2O) is the phase formed in those layers where organic material has also been identified or at least it would be supposed to be by bibliographic sources and not necessarily those superficial as it would have been suggested due to the similarities with patinas formation.

Participant profiles according to recruitment source in a large Web-based prospective study: experience from the Nutrinet-Santé study.

PubMed

Kesse-Guyot, Emmanuelle; Andreeva, Valentina; Castetbon, Katia; Vernay, Michel; Touvier, Mathilde; Méjean, Caroline; Julia, Chantal; Galan, Pilar; Hercberg, Serge

2013-09-13

Interest in Internet-based epidemiologic research is growing given the logistic and cost advantages. Cohort recruitment to maximally diversify the sociodemographic profiles of participants, however, remains a contentious issue. The aim of the study was to characterize the sociodemographic profiles according to the recruitment mode of adult volunteers enrolled in a Web-based cohort. The French NutriNet-Santé Web-based cohort was launched in 2009. Recruitment is ongoing and largely relies on recurrent multimedia campaigns. One month after enrollment, participants are asked how they learned about the study (eg, general newscast or a health program on television, radio newscast, newspaper articles, Internet, personal advice, leaflet/flyers) The sociodemographic profiles of participants recruited through operative communication channels (radio, print media, Internet, advice) were compared with the profiles of those informed through television by using polytomous logistic regression. Among the 88,238 participants enrolled through the end of 2011, 30,401 (34.45%), 16,751 (18.98%), and 14,309 (16.22%) learned about the study from television, Internet, and radio newscasts, respectively. Sociodemographic profiles were various, with 14,541 (16.5%) aged ≥60 years, 20,166 (22.9%) aged <30 years, 27,766 (32.1%) without postsecondary education, 15,397 (19.7%) with household income <€1200/month, and 8258 (10.6%) with household income €3700/month. Compared to employed individuals, unemployed and retired participants were less likely to be informed about the study through other sources than through television (adjusted ORs 0.56-0.83, P<.001). Participants reporting up to secondary education were also less likely to have learned about the study through radio newscasts, newspaper articles, Internet, and advice than through television (adjusted ORs 0.60-0.77, P<.001). Television broadcasts appear to permit the recruitment of e-cohort participants with diverse sociodemographic

Multi Vitamin E: E-lusive E-ffects

PubMed Central

2015-01-01

Investigations into vitamin E’s anti-inflammatory effects must be more comprehensive: Dr Joan Cook-Mills explains how their research could redefine medical perceptions and shed new light on previous studies PMID:27175228

Severe Weather Guide - Mediterranean Ports. 5. Cagliari

DTIC Science & Technology

1988-03-01

Point 1) is located on radial 170" about 2 to 3 n mi from Scoglio Sant’ Elia (Figure 3-3) in a depth of 82 to 98 ft (25 to 30 m). Holding is...affects the Port. The swell is highest near Sarroch, but also affects the anchorage south of Scoglio Sant’ Eli a. Southeasterly swell tends to reflect...problems in the harbor, but anchor dragging is possible for vessels anchored in the harbor or south of Scoglio Sant’ Elia. Because the wind is offshore

Assessment of the water chemical quality improvement based on human health risk indexes: Application to a drinking water treatment plant incorporating membrane technologies.

PubMed

López-Roldán, Ramón; Rubalcaba, Alicia; Martin-Alonso, Jordi; González, Susana; Martí, Vicenç; Cortina, Jose Luis

2016-01-01

A methodology has been developed in order to evaluate the potential risk of drinking water for the health of the consumers. The methodology used for the assessment considered systemic and carcinogenic effects caused by oral ingestion of water based on the reference data developed by the World Health Organisation (WHO) and the Risk Assessment Information System (RAIS) for chemical contaminants. The exposure includes a hypothetical dose received by drinking this water according to the analysed contaminants. An assessment of the chemical quality improvement of produced water in the Drinking Water Treatment Plant (DWTP) after integration of membrane technologies was performed. Series of concentration values covering up to 261 chemical parameters over 5 years (2008-2012) of raw and treated water in the Sant Joan Despí DWTP, at the lower part of the Llobregat River basin (NE Spain), were used. After the application of the methodology, the resulting global indexes were located below the thresholds except for carcinogenic risk in the output of DWTP, where the index was slightly above the threshold during 2008 and 2009 before the upgrade of the treatment works including membrane technologies was executed. The annual evolution of global indexes showed a reduction in the global values for all situations: HQ systemic index based on RAIS dropped from 0.64 to 0.42 for surface water and from 0.61 to 0.31 for drinking water; the R carcinogenic index based on RAIS was negligible for input water and varied between 4.2×10(-05) and 7.4×10(-06) for drinking water; the W systemic index based on the WHO data varied between 0.41 and 0.16 for surface water and between 0.61 and 0.31 for drinking water. A specific analysis for the indexes associated with trihalomethanes (THMs) showed the same pattern. Copyright © 2015 Elsevier B.V. All rights reserved.

Ontogeny of the female femur: geometric morphometric analysis applied on current living individuals of a Spanish population

PubMed Central

Pujol, Aniol; Rissech, Carme; Ventura, Jacint; Badosa, Joaquim; Turbón, Daniel

2014-01-01

In this study we describe the development of the female femur based on the analysis of high-resolution radiographic images by means of geometric morphometrics, while assessing the usefulness of this method in these kinds of studies. The material analysed consisted of digital images in DICOM format (telemetries), corresponding to 184 left femora in anterior view, obtained from the database of the Hospital Sant Joan de Déu of Barcelona (Spain). Bones analysed corresponded to individuals from 9 to 14 years old. Size and shape variation of the entire femur was quantified by 22 two-dimensional landmarks. Landmark digitisation errors were assessed using Procrustes anova test. Centroid size (CS) variation with age was evaluated by an anova test. Shape variation was assessed by principal component analysis. A mancova test between the first five principal components and age, using the CS as covariable, was applied. Results indicated that both size and shape vary significantly with age. Several age-related shape changes remained significant after removing the allometric effect. In general, an increase in the robustness of the bone and noticeable phenotypic changes in certain areas of the femur were observed. During growth in the proximal region of the femur, the collo-diaphyseal angle decreases, the neck of the femur widens and the fovea moves to a lower position, standing more in line with the plane of the neck. Likewise, the size of the greater and lesser trochanters increase. In the distal region, a significant increase of epiphyseal dimensions was recorded, mainly in the medial condyle. The angular remodelling of the neck and the bicondylar region of the femur in females continues until 13 years old. The information provided in the present study increases our knowledge on the timing and morphology of the femur during development, and in particular the morphology of the different femoral ossification centres during development. PMID:24975495

Raloxifene as an Adjunctive Treatment for Postmenopausal Women With Schizophrenia: A 24-Week Double-Blind, Randomized, Parallel, Placebo-Controlled Trial.

PubMed

Usall, Judith; Huerta-Ramos, Elena; Labad, Javier; Cobo, Jesús; Núñez, Christian; Creus, Marta; Parés, Gemma García; Cuadras, Daniel; Franco, José; Miquel, Eva; Reyes, Julio César; Roca, Mercedes

2016-03-01

The potential therapeutic utility of estrogens in schizophrenia is increasingly being recognized. Raloxifene, a selective estrogen receptor modulator, appears to act similarly to estrogens on dopamine and serotonin brain systems. One previous trial by our team found that raloxifene was useful to improve negative, positive, and general psychopathological symptoms, without having the negative side effects of estrogens. In this study, we assess the utility of raloxifene in treating negative and other psychotic symptoms in postmenopausal women with schizophrenia exhibiting prominent negative symptoms. This was a 24-week, randomized, parallel, double-blind, placebo-controlled study. Patients were recruited from the inpatient and outpatient departments of Parc Sanitari Sant Joan de Déu, Hospital Universitari Institut Pere Mata, and Corporació Sanitària Parc Taulí. Seventy postmenopausal women with schizophrenia (DSM-IV) were randomized to either adjunctive raloxifene (38 women) or adjunctive placebo (32 women). Psychopathological symptoms were assessed at baseline and at weeks 4, 12, and 24 with the Positive and Negative Syndrome Scale (PANSS) and the Scale for the Assessment of Negative Symptoms (SANS). The addition of raloxifene (60 mg/d) to regular antipsychotic treatment significantly reduced negative (P = .027), general (P = .003), and total symptomatology (P = .005) measured with the PANSS during the 24-week trial, as compared to women receiving placebo. Also Alogia SANSS subscale improved more in the raloxifene (P = .048) than the placebo group. In conclusion, raloxifene improved negative and general psychopathological symptoms, compared with antipsychotic medication alone, in postmenopausal women with schizophrenia. These data replicate our previous results with a larger sample and a longer follow-up. NCT01573637. © The Author 2015. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For

Staying on the Safe Side.

ERIC Educational Resources Information Center

Diether, John W.

1999-01-01

Describes the National Institute for Occupational Safety and Health's curriculum to prevent student injuries on the job and in the lab. Includes a sidebar, "Environmentally Correct" by Joan Jouzaits and Lee MacMichael. (SK)

Toward a post-colonial feminist methodology in nursing research: exploring the convergence of post-colonial and black feminist scholarship.

PubMed

Anderson, Joan M; McCann, Elizabeth Kenny

2002-01-01

In this paper, Joan M Anderson explores post-colonial feminist scholarship, generated through the convergence of black feminist and post-colonial scholarship, and examines its use as a theory and methodology for nursing scholarship.

The steam laboratory of the Institut de Médecine Navale du Service de Santé des Armées: a set of tools in the service of the French Navy.

PubMed

Desruelle, Anne-Virginie; Schmid, Bruno

2004-09-01

Accidental exposure to hot water steam is a potential risk in the French Navy, and particularly on nuclear submarines or ships. Direct human exposure to this extreme environment during an accident leads to death in a short time. In order to protect the crew members of the French Navy, a laboratory was created at the Institut de Médecine Navale du Service de Santé des Armées (IMNSSA). A set of tools was developed to study the effects of exposure to hot water steam atmospheres on human physiology and on the protective capacities of textile fabrics and equipment. A testing device allows the quantification of the protective capacities of fabrics under steam stresses. A thermal manikin and a steam climatic chamber allow the evaluation of the protective capacities of equipment. The tests on fabrics and on garments were in good agreement. Water vapour impermeable fabrics and garments provide greater protection in steamy conditions. Moreover, the thicker the sample or garment, the higher the protection it gives. Care should be taken to verify that fabrics keep their thermal characteristics under steam stress. These characteristics, measured under standard comfortable conditions, are not always indicative of the protective abilities of the fabrics under steamy conditions.

Comparison of Sociodemographic and Nutritional Characteristics between Self-Reported Vegetarians, Vegans, and Meat-Eaters from the NutriNet-Santé Study

PubMed Central

Baudry, Julia; Méjean, Caroline; Péneau, Sandrine; Hercberg, Serge

2017-01-01

Background: There is a growing trend for vegetarian and vegan diets in many Western countries. Epidemiological evidence suggesting that such diets may help in maintaining good health is rising. However, dietary and sociodemographic characteristics of vegetarians and vegans are not well known. The aim of this cross-sectional study was to describe sociodemographic and nutritional characteristics of self-reported, adult vegetarians and vegans, compared to meat-eaters, from the French NutriNet-Santé study. Methods: Participants were asked if they were following a specific diet. They were then classified into three self-reported diet groups: 90,664 meat-eaters, 2370 vegetarians, and 789 vegans. Dietary data were collected using three repeated 24-h dietary records. Multivariable polytomic logistic regression models were perfomed to assess the association between the sociodemographic characteristics and type of diet. The prevalence of nutrient intake inadequacy was estimated, by sex and age for micronutrients, as well as by type of self-reported diet. Results: Compared with meat-eaters, vegetarians were more likely to have a higher educational level, whereas vegans had a lower education level. Compared with meat-eaters, vegetarians were more likely to be women, younger individuals, and to be self-employed or never employed rather than managerial staff. Vegetarians and vegans substituted animal protein-dense products with a higher consumption of plant protein-dense products (e.g., soy-based products or legumes). Vegetarians had the most balanced diets in terms of macronutrients, but also had a better adherence to French dietary guidelines. Vegetarians exhibited a lower estimated prevalence of inadequacies for micronutrients such as antioxidant vitamins (e.g., for vitamin E, 28.9% for vegetarian women <55 years of age vs. 41.6% in meat-eaters) while vegans exhibited a higher estimated prevalence of inadequacies for some nutrients, in particular vitamin B12 (69.9% in men

Comparison of Sociodemographic and Nutritional Characteristics between Self-Reported Vegetarians, Vegans, and Meat-Eaters from the NutriNet-Santé Study.

PubMed

Allès, Benjamin; Baudry, Julia; Méjean, Caroline; Touvier, Mathilde; Péneau, Sandrine; Hercberg, Serge; Kesse-Guyot, Emmanuelle

2017-09-15

There is a growing trend for vegetarian and vegan diets in many Western countries. Epidemiological evidence suggesting that such diets may help in maintaining good health is rising. However, dietary and sociodemographic characteristics of vegetarians and vegans are not well known. The aim of this cross-sectional study was to describe sociodemographic and nutritional characteristics of self-reported, adult vegetarians and vegans, compared to meat-eaters, from the French NutriNet-Santé study. Participants were asked if they were following a specific diet. They were then classified into three self-reported diet groups: 90,664 meat-eaters, 2370 vegetarians, and 789 vegans. Dietary data were collected using three repeated 24-h dietary records. Multivariable polytomic logistic regression models were perfomed to assess the association between the sociodemographic characteristics and type of diet. The prevalence of nutrient intake inadequacy was estimated, by sex and age for micronutrients, as well as by type of self-reported diet. Compared with meat-eaters, vegetarians were more likely to have a higher educational level, whereas vegans had a lower education level. Compared with meat-eaters, vegetarians were more likely to be women, younger individuals, and to be self-employed or never employed rather than managerial staff. Vegetarians and vegans substituted animal protein-dense products with a higher consumption of plant protein-dense products (e.g., soy-based products or legumes). Vegetarians had the most balanced diets in terms of macronutrients, but also had a better adherence to French dietary guidelines. Vegetarians exhibited a lower estimated prevalence of inadequacies for micronutrients such as antioxidant vitamins (e.g., for vitamin E, 28.9% for vegetarian women <55 years of age vs. 41.6% in meat-eaters) while vegans exhibited a higher estimated prevalence of inadequacies for some nutrients, in particular vitamin B12 (69.9% in men and 83.4% in women <55 years of

Individual and Combined Effects of Dietary Factors on Risk of Incident Hypertension: Prospective Analysis From the NutriNet-Santé Cohort.

PubMed

Lelong, Helene; Blacher, Jacques; Baudry, Julia; Adriouch, Solia; Galan, Pilar; Fezeu, Leopold; Hercberg, Serge; Kesse-Guyot, Emmanuelle

2017-10-01

Dietary intake is pointed as one of the major determinants in hypertension development. Data in the area are mostly obtained from cross-sectional studies. We aimed to investigate the prospective association between (1) individual nutritional factors and (2) adherence to the Dietary Approach to Stop Hypertension and the risk of incident hypertension in a large cohort study. We prospectively examined the incidence of hypertension among 80 426 French adults participating in the NutriNet-Santé cohort study. Self-reported sociodemographic, lifestyle health questionnaires and dietary consumption assessed by three 24-hour records were completed at baseline and yearly thereafter. Associations between quartiles (Q) of nutrients and food groups and adherence to Dietary Approach to Stop Hypertension diet and hypertension risk were assessed by multivariable Cox proportional hazards models. During a mean follow-up of 3.4±2.1 years, 2413 cases of incident hypertension were documented. Dietary intakes of sodium (Q4 versus Q1): hazard ratio (HR)=1.17 (95% confidence interval [CI], 1.02-1.35), potassium: HR=0.82 (95% CI, 0.72-0.94), animal protein: HR=1.26 (95% CI, 1.11-1.43), vegetable protein: HR=0.85 (95% CI, 0.75-0.95), fiber: HR =0.81 (95% CI, 0.71-0.93), magnesium: HR=0.77 (95% CI, 0.67-0.89), fruit and vegetables: HR=0.85 (95% CI, 0.74-0.97), whole grain: HR=0.84(95% CI, 0.76-0.93), nuts: HR=0.72 (95% CI, 0.63-0.83), and red and processed meat: HR=1.25 (95% CI, 1.11-0.42) were associated with risk of hypertension. Besides, adherence to the Dietary Approach to Stop Hypertension was strongly inversely associated with incident hypertension: (Q4 versus Q1) HR=0.66 (95% CI, 0.58-0.75). Our results confirmed the association of several nutritional factors intake and incident hypertension and highlighted that adopting a global healthy diet could strongly contribute to the prevention of hypertension. © 2017 American Heart Association, Inc.

Early Rockets

NASA Image and Video Library

2004-04-15

All through the 13th to the 15th Centuries there were reports of many rocket experiments. For example, Joanes de Fontana of Italy designed a surface-rurning, rocket-powered torpedo for setting enemy ships on fire

The Road to BCS

NASA Astrophysics Data System (ADS)

Schrieffer, J. Robert

This article is based on an interview with Bob Schrieffer. The questions are by Joan N. Warnow. The audio version is available on the AIP website at: http://www.aip.org/history/mod/superconductivity/02.html.

Psychosocial and organizational work factors and incidence of arterial hypertension among female healthcare workers: results of the Organisation des Soins et Santé des Soignants cohort.

PubMed

Lamy, Sébastien; De Gaudemaris, Régis; Lepage, Benoit; Sobaszek, Annie; Caroly, Sandrine; Kelly-Irving, Michelle; Lang, Thierry

2014-06-01

Many studies have supported the role of organizational work factors (OWFs) on the risk of cardiovascular diseases (CVDs) and CVD risk factors, including arterial hypertension. However, a little information is available concerning the role of collective stressors deriving from work organization on nurse's risk of hypertension. This study aimed to test the independent longitudinal relationships linking the 2-year incidence of arterial hypertension to collective stressors at the work unit level, among baseline normotensive female hospital registered nurses and nursing assistants, after adjusting for known individual predictors of CVDs and for occupational stress. Arterial hypertension was defined as the intake of antihypertensive drug or as blood pressure (BP) measures higher than 140  mmHg (SBP) or 90  mmHg (DBP) at both the clinical visit and 1 month later. We analyzed the effect of OWFs at the work unit level, constraints related to the physical work environment and the individual perception of the work environment in 2006 on the risk of arterial hypertension in 2008 among 1882 initially normotensive female healthcare workers followed in the French Organisation des soins et santé des soignants (ORSOSA) cohort. We showed that OWFs at the work unit level may influence the 2-year risk of arterial hypertension independently of work factors at the worker level, baseline BP, age and BMI. In this study, OWFs affected 2-year risk of arterial hypertension only through direct effects. Our results pointed out the possibility of a primary prevention of arterial hypertension through interventions based at the work unit level among healthcare workers.

Workplace/Women's Place: An Anthology.

ERIC Educational Resources Information Center

Dunn, Dana

The following papers are included: "Foreword" (Paula England); "Introduction to the Study of Women and Work" (Dana Dunn); "Gender Culture and Socialization" (Rita Mae Kelly); "Parental Influence and Women's Careers" (Sue Joan Mendelson Freeman); "Shortchanging Girls: Gender Socialization in…

La prise en charge à long terme de l’asthme chez les enfants inuits et des Premières nations : un outil de transfert du savoir fondé sur les lignes directrices canadiennes pour l’asthme pédiatrique, conçu pour être utilisé par les professionnels de la santé de première ligne qui travaillent dans des communautés isolées

PubMed Central

Kovesi, Tom; Giles, Brenda Louise; Pasterkamp, Hans

L’asthme est un grave problème de santé pour les enfants inuits et des Premières nations. Chez les enfants de moins d’un an, il faut distinguer l’asthme de la bronchiolite virale, anormalement fréquente chez les enfants autochtones du Canada. Chez les enfants de moins de six ans, le diagnostic dépend de la présence de symptômes classiques, de l’absence de caractéristiques atypiques et de la consignation de la réponse au traitement, notamment la réponse rapide et transitoire aux bronchodilatateurs. Chez les enfants plus âgés, il faut, dans la mesure du possible, déterminer la présence d’une obstruction réversible des voies aériennes par spirométrie afin de confirmer le diagnostic, ainsi qu’évaluer et corriger les déclencheurs environnementaux. L’utilisation régulière de corticoïdes en aérosol est la principale mesure à prendre pour maintenir un bon contrôle de l’asthme chez les enfants asthmatiques. Les clients et leur famille devraient recevoir une formation sur l’asthme. Il faut réévaluer régulièrement le contrôle aux visites de suivi dans des centres de santé et rajuster le traitement à la dose la plus basse possible pour le maintien de ce contrôle.

Assessment Update: Progress, Trends, and Practices in Higher Education. Volume 24, Issue 4, July-August 2012

ERIC Educational Resources Information Center

Banta, Trudy W., Ed.

2012-01-01

Closing the Loop: How an Assessment Project Paved the Way for GE Reform (Joan Hawthorne and Anne Kelsch); (2) Value-Added? Committing to Quality: Guidelines for Assessment and Accountability in Higher Education (David C. Paris); (3) Creating a Cadre of Assessment…

MCC Coverage during STS-105

NASA Image and Video Library

2005-02-28

JSC2001-E-25411 (17 August 2001) --- Astronaut Joan E. Higginbotham, ISS spacecraft communicator (CAPCOM), inputs data into her computer at her console in the station flight control room (BFCR) in Houston's Mission Control Center (MCC) during the STS-105 mission.

Stockpile Stewardship's 20th Anniversary

ScienceCinema

Hecker, Siegfried; Gottemoeller, Rose; Reis, Victor H.; McMillan, Charles; Rohlfing, Joan; Hurricane, Omar; Hagengruber, Roger; Taylor, John

2018-06-22

A short oral history of the NNSA's Stockpile Stewardship Program, produced in association with the 20th anniversary of the program. It features Siegfried Hecker, Rose Gottemoeller, Victor Reis, Charles McMillan, Joan Rohlfing, Omar Hurricane, Roger Hagengruber, and John Taylor.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hecker, Siegfried; Gottemoeller, Rose; Reis, Victor H.

A short oral history of the NNSA's Stockpile Stewardship Program, produced in association with the 20th anniversary of the program. It features Siegfried Hecker, Rose Gottemoeller, Victor Reis, Charles McMillan, Joan Rohlfing, Omar Hurricane, Roger Hagengruber, and John Taylor.

Geophysicists

NASA Astrophysics Data System (ADS)

2004-02-01

In Memoriam: Francis R. ``Joe'' Boyd, John B. Ivey, William Warren Kellogg, Norma N. McMillin, Henry T. R. Radoski, William (Bill) Sackett, John W. Sherman, III, Kjell Petter Skjerlie, Peter Bernard Smoor; Recent Ph.D.s: Joan Bech, Mark Pickett

75 FR 69508 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Notice of Filings...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-12

... letter from Brendan Daly, Legal and Compliance Counsel, Commonwealth Financial Network, to Elizabeth M. Murphy, Secretary, Commission, dated August 27, 2010 (``Commonwealth Letter''); letter from Kristin Bulls..., Secretary, Commission, dated August 30, 2010 (``State Farm Letter''); letter from Joan Hinchman, Executive...

Comparison Between a Self-Administered and Supervised Version of a Web-Based Cognitive Test Battery: Results From the NutriNet-Santé Cohort Study.

PubMed

Assmann, Karen E; Bailet, Marion; Lecoffre, Amandine C; Galan, Pilar; Hercberg, Serge; Amieva, Hélène; Kesse-Guyot, Emmanuelle

2016-04-05

Dementia is a major public health problem, and repeated cognitive data from large epidemiological studies could help to develop efficient measures of early prevention. Data collection by self-administered online tools could drastically reduce the logistical and financial burden of such large-scale investigations. In this context, it is important to obtain data concerning the comparability of such new online tools with traditional, supervised modes of cognitive assessment. Our objective was to compare self-administration of the Web-based NutriNet-Santé cognitive test battery (NutriCog) with administration by a neuropsychologist. The test battery included four tests, measuring, among others aspects, psychomotor speed, attention, executive function, episodic memory, working memory, and associative memory. Both versions of the cognitive battery were completed by 189 volunteers (either self-administered version first, n=99, or supervised version first, n=90). Subjects also completed a satisfaction questionnaire. Concordance was assessed by Spearman correlation. Agreement between both versions varied according to the investigated cognitive task and outcome variable. Spearman correlations ranged between .42 and .73. Moreover, a majority of participants responded that they "absolutely" or "rather" agreed that the duration of the self-administered battery was acceptable (184/185, 99.5%), that the tasks were amusing (162/185, 87.6%), that the instructions were sufficiently detailed (168/185; 90.8%) and understandable (164/185, 88.7%), and that they had overall enjoyed the test battery (182/185, 98.4%). The self-administered version of the Web-based NutriCog cognitive test battery provided similar information as the supervised version. Thus, integrating repeated cognitive evaluations into large cohorts via the implementation of self-administered online versions of traditional test batteries appears to be feasible.

Comparison Between a Self-Administered and Supervised Version of a Web-Based Cognitive Test Battery: Results From the NutriNet-Santé Cohort Study

PubMed Central

Bailet, Marion; Lecoffre, Amandine C; Galan, Pilar; Hercberg, Serge; Amieva, Hélène; Kesse-Guyot, Emmanuelle

2016-01-01

Background Dementia is a major public health problem, and repeated cognitive data from large epidemiological studies could help to develop efficient measures of early prevention. Data collection by self-administered online tools could drastically reduce the logistical and financial burden of such large-scale investigations. In this context, it is important to obtain data concerning the comparability of such new online tools with traditional, supervised modes of cognitive assessment. Objective Our objective was to compare self-administration of the Web-based NutriNet-Santé cognitive test battery (NutriCog) with administration by a neuropsychologist. Methods The test battery included four tests, measuring, among others aspects, psychomotor speed, attention, executive function, episodic memory, working memory, and associative memory. Both versions of the cognitive battery were completed by 189 volunteers (either self-administered version first, n=99, or supervised version first, n=90). Subjects also completed a satisfaction questionnaire. Concordance was assessed by Spearman correlation. Results Agreement between both versions varied according to the investigated cognitive task and outcome variable. Spearman correlations ranged between .42 and .73. Moreover, a majority of participants responded that they “absolutely” or “rather” agreed that the duration of the self-administered battery was acceptable (184/185, 99.5%), that the tasks were amusing (162/185, 87.6%), that the instructions were sufficiently detailed (168/185; 90.8%) and understandable (164/185, 88.7%), and that they had overall enjoyed the test battery (182/185, 98.4%). Conclusions The self-administered version of the Web-based NutriCog cognitive test battery provided similar information as the supervised version. Thus, integrating repeated cognitive evaluations into large cohorts via the implementation of self-administered online versions of traditional test batteries appears to be feasible. PMID

Evaluation of mist-net sampling as an index to productivity in Kirtland's Warblers

USGS Publications Warehouse

Bart, J.; Kepler, C.; Sykes, P.; Bocetti, Carol I.

1999-01-01

Many applied and theoretical investigations require information on how productivity varies in time and space (Temple and Wiens 1989. DeSante 1995). Examples include studies of habitat quality, population trends, life-history tactics, and metapopulation dynamics. From a demographic perspective, productivity is the number of young counted at a given time of year, produced per adult (e.g. Caswell 1989). Various measures have been used to estimate productivity. One of the most attractive is mist netting during the summer after young have left the nest, but ideally before they have left the study area. Several programs use this approach, including the Constant Effort Sites Scheme of the British Trust for Ornithology (Baillie et al. 1986, Bibby et al. 1992) and the Monitoring Avian Productivity and Survivorship (MAPS) program (DeSante et al. 1993) in North America.Hatching-year (HY) and after-hatching-year (AHY) birds are widely believed to have different susceptibilities to netting (DeSante et al. 1995, Peach et al. 1996), so the ratio of HY's to AHY's obtained from netting is not used as an estimate of productivity. Instead, investigators hope that the relative susceptibility to capture is about the same among the samples being compared so that the age ratios in mistnet samples provide a reliable index to productivity (DeSante 1995, DeSante et al. 1995).

Three-Dimensional Structural and Hydrologic Evolution of Sant Corneli Anticline, a Fault-Cored Fold in the Central Spanish Pyrenees

NASA Astrophysics Data System (ADS)

Shackleton, J. R.; Cooke, M. L.

2005-12-01

The Sant Corneli Anticline is a well-exposed example of a fault-cored fold whose hydrologic evolution and structural development are directly linked. The E-W striking anticline is ~ 5 km wide with abrupt westerly plunge, and formed in response to thrusting associated with the upper Cretaceous to Miocene collision of Iberia with Europe. The fold's core of fractured carbonates contains a variety of west dipping normal faults with meter to decameter scale displacement and abundant calcite fill. This carbonate unit is capped by a marl unit with low angle, calcite filled normal faults. The marl unit is overlain by clastic syn-tectonic strata whose sedimentary architecture records limb rotation during the evolution of the fold. The syn-tectonic strata contain a variety of joint sets that record the stresses before, during, and possibly after fold growth. Faulting in the marl and calcite-filled joints in the syn-tectonic strata suggest that normal faults within the carbonate core of the fold eventually breached the overlying marl unit. This breach may have connected the joints of the syn-tectonic strata to the underlying carbonate reservoir and eliminated previous compartmentalization of fluids. Furthermore, breaching of the marl units probably enhanced joint formation in the overlying syn-tectonic strata. Future geochemical studies of calcite compositions in the three units will address this hypothesis. Preliminary mapping of joint sets in the syn-tectonic strata reveal a multistage history of jointing. Early bed-perpendicular joints healed by calcite strike NE-SW, parallel to normal faults in the underlying carbonates, and may be related to an early regional extensional event. Younger healed bed-perpendicular joints cross cut the NE-SW striking set, and are closer to N-S in strike: these joints are interpreted to represent the initial stages of folding. Decameter scale, bed perpendicular, unfilled fractures that are sub-parallel to strike probably represent small joints

"The Best Parent Is Both Parents." Presentations at the Annual Conference of the National Council for Children's Rights (6th, Arlington, Virginia, March 19-22, 1992).

ERIC Educational Resources Information Center

National Council for Children's Rights, Washington, DC.

This document contains 17 conference presentations: (1) "Results of an Evaluation of Five Access Enforcement Programs" (Jessica Pearson); (2) "Conflict and Children's Post-Divorce Adjustment: A Closer Look" (Joan B. Kelly); (3) "What's Normal' for Stepfamilies?" (Claire Berman); (4) "How Psychiatry Promotes Child…

Effect of Promotional Initiatives on Visits to a Dedicated Website for Physical Activity and Non-Communicable Disease in Luxembourg: An Event Study

PubMed Central

Lion, Alexis; Thornton, Jane S.; Vaillant, Michel; Pertuy, Juliette; Besenius, Eric; Hardy, Cyrille; Delagardelle, Charles; Seil, Romain; Urhausen, Axel; Theisen, Daniel

2017-01-01

The Sport-Santé project and its website (www.sport-sante.lu) promote physical activity for individuals with non-communicable diseases (NCDs) in Luxembourg. Our purpose was to perform an event study analysis to evaluate the effects of communication and promotional initiatives on the number of visits to the Sport-Santé website. Between September 2015 and May 2016, the Sport-Santé website was promoted during different initiatives, including participation in health-related events or publication of articles in local journals. The daily number of visits to www.sport-sante.lu website (i.e., our outcome) was recorded using Google Analytics and compared to a counterfactual collected with its benchmarking tool. The counterfactual was defined as the daily number of visits to websites in the same field. A model was created to evaluate the relationship between the number of visits to www.sport-sante.lu website and the number of visits to similar websites during a control period with no promotional initiatives (from July 2015 to September 2015). The effect of promotional initiatives was subsequently tested, by comparing the actual number of visits to our website (up to 2 days after each event) with the theoretical number of visits predicted by the model. Twenty-two initiatives were identified, of which 11 were participations at major health-related events and 11 publications of popular science articles. Of these 22 initiatives, the event study identified 2 popular science articles and 1 interactive workshop that significantly increased the daily number of visits to the www.sport-sante.lu website. One of the two articles was published on the day before the workshop was held, which did not allow us to distinguish its specific impact. The second article was published in the main national newspaper. This is the first time to our knowledge that an event study analysis has been used to evaluate the impact of promotional initiatives on the number of visits to a dedicated website

Prospective association between consumption frequency of organic food and body weight change, risk of overweight or obesity: results from the NutriNet-Santé Study.

PubMed

Kesse-Guyot, Emmanuelle; Baudry, Julia; Assmann, Karen E; Galan, Pilar; Hercberg, Serge; Lairon, Denis

2017-01-01

A lower BMI has been reported among consumers of organic foods, but this relationship has never been examined in a prospective design study. Our aim was to prospectively investigate the association between frequency of organic food consumption and weight change. We analysed data from 62 224 participants of the NutriNet-Santé cohort (78 % women, mean age=45 years) with information on consumption frequency of organic foods, dietary intake and repeated anthropometric data. For sixteen products, participants reported their consumption frequency of labelled organic foods (never, occasionally, most of the time). An organic score (OS) with a maximum of thirty-two points was computed. The associations of the OS (modeled as quartiles (Q)) with change in BMI during follow-up (on average 3·1 years) and with the risk of overweight and obesity were estimated by ANCOVA and multivariable logistic regression. A lower BMI increase was observed across quartiles of the OS (mean difference Q4 v. Q1=-0·16 (95 % CI -0·32, -0·01). An increase in the OS was associated with a lower risk of overweight and obesity (among non-overweight and non-obese participants at inclusion): OR for Q4 v. Q1 were 0·77 (95 % CI 0·68, 0·86) and 0·69 (95 % CI 0·58, 0·82), respectively. Concerning obesity risk, the association was stronger among participants with higher adherence to nutritional guidelines. This study supports a strong protective role of consumption frequency of organic foods with regard to the risk of overweight and obesity that depends on overall dietary quality. Upon confirmation, these results may contribute to fine-tune nutritional guidelines by accounting for farming practices in food production.

76 FR 3599 - Agency Information Collection Activities: Proposed Collection; Comment Request Form FNS-798 and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-20

...: Proposed Collection; Comment Request Form FNS-798 and FNS-798A, WIC Financial Management and Participation...: Joan Carroll, (703) 305-2729. SUPPLEMENTARY INFORMATION: Title: WIC Financial Management and...)). The WIC Financial Management and Participation Report with Addendum (FNS-798 and FNS-798A) are the...

Military Airpower: A Revised Digest of Airpower Opinions and Thoughts

DTIC Science & Technology

2007-03-01

Opinions and Thoughts Air University Press Team Chief Editor Jeanne Shamburger Copy Editor Sherry Terrell Cover Art and Book...Design Steven C. Garst Illustrations Daniel Armstrong Composition and Prepress Production Ann Bailey Quality Review Mary J. Moore Print Preparation Joan Hickey Distribution Diane Clark

Four Perspectives on Service Learning and Citizenship Education.

ERIC Educational Resources Information Center

Barber, Benjamin R.; And Others

1997-01-01

Presents four brief essays expressing the importance of combining service learning and citizenship education. Authors Benjamin Barber, Joan Schine, Harry C. Boyte, and James C. Kielsmeier stress the advantages of learning democratic concepts and principles, as well as understanding civic government, through student participation. (MJP)

SIMULATING FISH ASSEMBLAGE DYNAMICS IN RIVER NETWORKS

EPA Science Inventory

My recently retired colleague, Joan Baker, and I have developed a prototype computer simulation model for studying the effects of human and non-human alterations of habitats and species availability on fish assemblage populations. The fish assemblage model, written in R, is a sp...

Proceedings: Conference on Compensatory/Remedial Education.

ERIC Educational Resources Information Center

Fea, Henry R., Ed.; And Others

This document presents the papers and discussions from the Conference on Compensatory/Remedial Education. The contents include: "Institutional Programs for the Low Achievers" by Joan G. Roloff; "Communication in Compensatory Education" by Henry R. Fea; "Seminar: Special Programs for Minorities" by Constance Acholonu; "Seminar: Special Programs for…

Getting a Read on the App Stores: A Market Scan and Analysis of Children's Literacy Apps. Executive Summary

ERIC Educational Resources Information Center

Vaala, Sarah; Ly, Anna; Levine, Michael H.

2015-01-01

In previous research the "Joan Ganz Cooney Center" and "New America" have characterized the children's educational app market as a "Digital Wild West" (Guernsey, Levine, Chiong & Severns, 2012; Shuler, 2011). The marketplace is chock full of choices but lacks essential information to aid parents' and educators'…

Getting a Read on the App Stores: A Market Scan and Analysis of Children's Literacy Apps. Full Report

ERIC Educational Resources Information Center

Vaala, Sarah; Ly, Anna; Levine, Michael H.

2015-01-01

In previous research the "Joan Ganz Cooney Center" and "New America" have characterized the children's educational app market as a "Digital Wild West" (Guernsey, Levine, Chiong & Severns, 2012; Shuler, 2011). The marketplace is chock full of choices but lacks essential information to aid parents' and educators'…

78 FR 60875 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Initial Review

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-02

... Campus, Building 19-GCC, 1600 Clifton Road, Atlanta, Georgia 30333, Telephone: (404) 639-6000. [[Page...: Joan F. Karr, Ph.D., Scientific Review Officer, CDC/NIOSH 1600 Clifton Road, Mailstop E-74, Atlanta... delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other...

Interim Report of the Defense Science Board (DSB) Task Force on the Survivability of Systems and Assets to Electromagnetic Pulse (EMP) and other Nuclear Weapon Effects (NWE)

DTIC Science & Technology

2011-08-01

Bob Hermann Dr. Maneck Master Dr. Gordon Soper Dr. Jim Tegnelia Dr. Joan Woodard Executive Secretaries (DFOs) John Franco, DTRA COL Jeffrey...Helen Mearns, Ms Kari O’Dell, Joint CBRO Appendix C: Presentations to the Task Force Name Topic July 15 - 16, 2010 Dr. Gordon Soper

Women's Experiences and New Ways of Knowing: Implications for an Inclusive and Equitable World

ERIC Educational Resources Information Center

Gallos, Joan V.

2017-01-01

Having received the 2017 "Lasting Impact Award" for "Women's Experiences and Ways of Knowing: Implications for Teaching and Learning in the Organizational Behavior Classroom," author Joan V. Gallos describes the experience as "delightfully sweet and timely." The article was written early in her academic career at…

Prescription d’examens de santé préventifs par des résidents en médecine familiale

PubMed Central

Fung, Daisy; Schabort, Inge; MacLean, Catherine A.; Asrar, Farhan M.; Khory, Ayesha; Vandermeer, Ben; Michael Allan, G.

2015-01-01

Résumé Objectif Déterminer quels sont les examens de dépistage prescrits par les résidents en médecine familiale dans le cadre des soins de santé préventifs. Conception Une enquête transversale. Contexte Alberta et Ontario. Participants Résidents en médecine familiale de première et de deuxième année à l’Université de l’Alberta à Edmonton, à l’Université de Calgary en Alberta et à l’Université McMaster à Hamilton en Ontario, durant l’année universitaire 2011–2012. Principaux paramètres d’évaluation Données démographiques, scores à l’échelle de Likert évaluant les habitudes de prescription et sélections parmi une liste de 38 examens pouvant être prescrits en soins préventifs à un échantillon de patients de sexe féminin et masculin de 38 et de 55 ans. Les statistiques descriptives et comparatives ont été calculées. Résultats Au total, 318 résidents sur 482 (66 %) ont répondu au sondage. Les examens recommandés ou appropriés ont été prescrits par 82 % (pour la cytologie cervicale) à 95 % (pour la glycémie à jeun) des résidents. Parmi les différents patients de l’échantillon, les résidents ont prescrit en moyenne 3,3 à 5,7 examens inappropriés par patient, et 58 à 92 % ont prescrit au moins 1 examen inapproprié par patient. Les coûts excédentaires moyens ont été estimés à 38,39 $ pour un homme de 38 ans et à 106,46 $ pour une femme de 55 ans. Le recours plus fréquent à une grille de référence des examens médicaux périodiques n’a pas amélioré la situation (p = 0,88). Conclusion En général, les résidents ont raisonnablement bien prescrit les examens médicaux préventifs appropriés, mais ils ont aussi prescrit en moyenne 3,3 à 5,7 examens inappropriés à chaque patient. Les programmes de formation doivent mieux préparer les étudiants à reconnaître le dépistage approprié et doivent s’efforcer d’inculquer des comportements de prescription exemplaires avant que les r

Pollution Atmosphérique et Santé: Corrélation ou Causalité? Le Cas de la Relation entre l'Exposition aux Particules et la Mortalité Cardio-pulmonaire.

PubMed

Dab, William; Ségala, Claire; Dor, Frédéric; Festy, Bernard; Lameloise, Philippe; Moullec, Yvon Le; Tertre, Alain Le; Médina, Sylvia; Quénel, Philippe; Wallaert, Benoît; Zmirou, Et Denis

2001-02-01

De nombreuses études épidémiologiques ont observé dans des contextes différents une faible relation à court terme entre les particules et la mortalité cardio-pulmonaire, même quand les normes de qualité de l'air n'étaient pas dépassées. La causalité de cette relation est un enjeu de santé publique en raison de l'importance de la population exposée. Notre objectif est de faire l'inventaire critique des arguments utilisés dans 15 revues de la littérature publiées. Nous expliquons l'importance de distinguer la validité de la causalité et analysons de façon systématique les différents critères de jugement dans le contexte des études écologiques temporelles. Notre conclusion est que la relation observée est valide et que la plupart des critères de causalité sont respectés. Diminuer le niveau d'exposition des populations aux particules est souhaitable. En Europe, en agissant à la source, notamment sur les émissions Diesel, on diminuera aussi d'autres polluants qui peuvent jouer un rôle sanitaire. Aux États-Unis, la situation est plus complexe car les particules sont surtout secondaires. Il est également indispensable de poursuivre les recherches pour mieux connaître les déterminants des expositions globales des individus et mieux comprendre le rôle toxique des différents facteurs physico-chimiques des particules.

Life History and Risk of Death after 50: A Survival Analysis for Europe.

PubMed

Nicińska, Anna; Kalbarczyk-Stęclik, Małgorzata

2015-12-01

RÉSUMÉ Dans notre étude nous avons examiné l'influence des événements du passé des individus sur le risque de décès des Européens âgés de plus de 50 ans, en contrôlant autres variables pertinentes. Notre analyse était basée sur les données d'entretiens biographiques rétrospectifs, les données d'entretiens réguliers au suivi longitudinal et celles d'entretiens de fin de vie de l'Enquête européenne SHARE sur la santé, le vieillissement et la retraite en Europe. En particulier, nous relevons l'état de santé auto-déclaré pendant l'enfance; les périodes de pauvreté, de faim et de mauvaise santé éprouvées dans le passé; et aussi l'histoire des soins de santé, y compris les soins dentaires, les analyses de sang et les mesures de pression artérielle. Ces informations, avec l'age, le sexe, l'état de santé subjectif et objectif, et d'autres facteurs socio-démographiques, permettent d'expliquer le risque de décès. L'analyse de survie, en contrôlant des variables pertinentes, montre que les événements du passé ont un impact significatif sur le risque de décès des Européens âgés de plus de 50 ans.

Lifelong Learning Research Conference Proceedings (9th, College Park, Maryland, February 25-26, 1988).

ERIC Educational Resources Information Center

Rivera, William M., Comp.; Davis, Cynthia, Comp.

The following 26 papers, with abstracts and references, are included in these proceedings: "Panel: Continuing Professional Education in Cooperative Extension" (Robert L. Bruce, G. L. Carter, Jr., Ronald Jimmerson, Joan S. Thomson); "New Farm Families: Implications for Extension Educators" (Jane W. McGonigal, Robert L. Bruce); "The Experience of…

University of New Mexico Working Papers in Linguistics, Volume 1.

ERIC Educational Resources Information Center

Meehan, Teresa M., Ed.; Schwenter, Scott A., Ed.

This volume contains working papers on a variety of topics in linguistics. They include: "A View of Phonology from a Cognitive and Functional Perspective" (Joan Bybee); "The Geography of Language Shift: Distance from the Mexican Border and Spanish Language Claiming in the Southwestern United States" (Garland D. Bills, Eduardo…

Employment and the Older Worker. A Summary of the Presentations. Statewide Conference (Columbus, Ohio, June 6-7, 1985).

ERIC Educational Resources Information Center

Ohio State Dept. of Aging, Columbus.

This publication contains summaries of the presentations from a conference on employment services for disadvantaged older workers. The opening remarks made by Joan A. Hammond and Kenneth M. Mahan are outlined. Summaries of the following papers are provided: "National Perspective on Older Worker Programs," by Ann Lordeman; "Older…

75 FR 5341 - Classification and Conveyance for Recreation and Public Purposes Act of Public Lands in Harney...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-02

... lands by close of business on March 4, 2010. ADDRESSES: Mail written comments to Joan M. Suther, Andrews... property. The conveyance of this parcel is consistent with the BLM Andrews Management Unit Resource... or other delivery services, or hand-delivered to the Andrews/Steens Field Manager, BLM Burns District...

Sinking Maps: A Conceptual Tool for Visual Metaphor

ERIC Educational Resources Information Center

Giampa, Joan Marie

2012-01-01

Sinking maps, created by Northern Virginia Community College professor Joan Marie Giampa, are tools that teach fine art students how to construct visual metaphor by conceptually mapping sensory perceptions. Her dissertation answers the question, "Can visual metaphor be conceptually mapped in the art classroom?" In the Prologue, Giampa…

Gifted Education Press Quarterly. Volume 10, 1996.

ERIC Educational Resources Information Center

Gifted Education Press Quarterly, 1996

1996-01-01

This set of four newsletters discusses current issues in gifted education. The first issue includes: "The Underserved Young Gifted Child: Status of Programs and Research" (Joan Smutny); "The Home Education Model: An Alternative Program for the Gifted" (Karen Kendig) and "Jonathan Swift (1667-1745): A Need for Gifted…

Catching a Glimpse of the Future: One Year on in a Youth String Project

ERIC Educational Resources Information Center

Power, Anne M.; Powell, Sarah J.

2016-01-01

The provision of musical experiences for youth, especially in low socio-economic areas (SES), requires funded support and imaginative resourcing. This paper presents data from the Penrith (NSW Australia) Youth String Program offered in partnership by the Australian Chamber Orchestra (ACO), Penrith Symphony Orchestra (PSO) and The Joan Sutherland…

BAAL/CUP Seminars 2009

ERIC Educational Resources Information Center

Cutting, Joan; Murphy, Brona

2010-01-01

The seminar, organised by Joan Cutting and Brona Murphy, aimed: (1) to bring together researchers involved in both emergent and established academic corpora (written and spoken) as well as linguists, lecturers and teachers researching in education, be it language teaching, language-teacher training or continuing professional development in…

Edinburgh Working Papers in Applied Linguistics, Number 4.

ERIC Educational Resources Information Center

Davies, Alan

1993-01-01

"Edinburgh Working Papers" is intended to show a yearly cross-section of current work in Edinburgh's Department of Applied Linguistics and to elicit reactions and criticism. Articles in this volume include the following: "MSC Common Room Conversations: Topics and Terms" (Joan Cutting); "Speculation and Empiricism in Applied Linguistics" (Alan…

Former Presidents Reflect on 20 Years of NCSSSMST

ERIC Educational Resources Information Center

Templin, Elizabeth, Comp.

2008-01-01

The Consortium celebrated its 20th anniversary at the 2008 Professional Conference in Dallas, Texas in February 2008. Founding president Stephanie Pace Marshall and former presidents Joan Barber, Janet Hugo, Ron Laugen, Cheryl Lindeman, Dennis Lundgren, and Betty Stapp responded to questions about the organization and their involvement with…

Responding to the Novel: Reading, Writing, and Research.

ERIC Educational Resources Information Center

Polette, Nancy

1991-01-01

Discusses approaches to novel studies for children and youth and provides a fully developed novel study based on "The Wolves of Willoughby Chase" by Joan Aiken. Prereading activities are described, a booktalk is provided, prereading journal suggestions are given, postreading activities are described, and related reading titles are…

Anthropology. CUNY Panel: Rethinking the Disciplines. Women in the Curriculum Series.

ERIC Educational Resources Information Center

Mencher, Joan P.; Nash, June; Francis-Okongwu, Anne; Susser, Ida.

This collection of four essays examines the ways in which anthropology, as a discipline, reflects ongoing scholarship on gender, race, ethnicity, social class, and sexual orientation. In "The Impact of Gender Studies on Anthropology," Joan P. Mencher reviews the effects of gender studies on physical anthropology, archeology, and…

78 FR 60879 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Initial Review

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-02

... Diagonal Road, Alexandria, Virginia 22314, Telephone: (703) 842-7030. Status: The meeting will be closed to...., Scientific Review Officer, CDC/NIOSH, 626 Cochrans Mill Road, Mailstop P-05, Pittsburgh, Pennsylvania 15236, Telephone: (412) 386-6465 and Joan Karr, Ph.D., Scientific Review Officer, CDC/NIOSH, 1600 Clifton Road...

Literature. CUNY Panel: Rethinking the Disciplines. Women in the Curriculum Series.

ERIC Educational Resources Information Center

Hartman, Joan E.; de Filippis, Daisy Cocco; Kruger, Steven F.; O'Driscoll, Sally; Ling, Amy; Webb, Barbara J.

This collection of six essays examines the ways in which literature, as a discipline, reflects ongoing scholarship on gender, race, ethnicity, social class, and sexual orientation. In "Rethinking the Discipline of Literature: Gender," Joan E. Hartman presents the results of a Modern Language Association survey that highlights the…

Annual Report. Technical Reports. Evaluation Productivity Project.

ERIC Educational Resources Information Center

Alkin, Marvin; And Others

After outlining the 1984 activities and results of the Center for the Study of Evaluation's (CSE's) Evaluation Productivity Project, this monograph presents three reports. The first, "The Administrator's Role in Evaluation Use," by James Burry, Marvin C. Alkin, and Joan A. Ruskus, describes the factors influencing an evaluation's use…

Rethinking the Concept of Brilliance

ERIC Educational Resources Information Center

Polyzoi, Eleoussa; Haydey, Donna Copsey

2012-01-01

Despite the richness of Joan Freeman's ethnographic approach to help us define the elusive qualities of giftedness from a personal, lived-experience perspective in "A Quality of Giftedness," she does not offer guidance on strategies for supporting individuals' talents over the lifespan. This commentary states that while Freeman's writing…

Response to "A Quality of Giftedness"

ERIC Educational Resources Information Center

Spielhagen, Frances R.

2012-01-01

"A Quality of Giftedness" by Professor Dr. Joan Freeman aptly captures the questions, dilemmas, and frustrations of those who have chosen to advocate for individuals with exceptional intellectual ability. Although Professor Freeman focuses on the quality of giftedness in individuals, not of their teachers, reflection on her essay leads…

Using adverse outcome pathway analysis to guide development of high-throughput screening assays for thyroid-disruptors

EPA Science Inventory

Using Adverse Outcome Pathway Analysis to Guide Development of High-Throughput Screening Assays for Thyroid-Disruptors Katie B. Paul1,2, Joan M. Hedge2, Daniel M. Rotroff4, Kevin M. Crofton4, Michael W. Hornung3, Steven O. Simmons2 1Oak Ridge Institute for Science Education Post...

Seeking health- and nutrition-related information on the Internet in a large population of French adults: results of the NutriNet-Santé study.

PubMed

Fassier, Philippine; Chhim, Anne-Sophie; Andreeva, Valentina A; Hercberg, Serge; Latino-Martel, Paule; Pouchieu, Camille; Touvier, Mathilde

2016-06-01

The Internet has become a major source of health and nutrition information. Little is known about the type of consulted websites (institutional v. non-institutional) and the tendency to discuss with a healthcare professional (HCP) the information found on the Internet. The aim of this cross-sectional study was to investigate health- and nutrition-related Internet use in a large French population-based study. Data were collected in 2013 using self-administered, web-based questionnaires from 42 113 participants of the NutriNet-Santé study (mean age=51·2 years, 76 % women). Unconditional multivariate logistic regression analyses and χ 2 tests were used for comparisons. In total, 85·1 % of the subjects used the Internet to search for health and/or nutrition information, and 23·6 % used the Internet to read or post messages on health/nutrition forums. Only 16·0 % discussed with a HCP the information found online. This proportion was lower in subjects with lower educational level (OR 0·77; 95 % CI 0·72, 0·82) and lower computer skills (OR 0·70; 95 % CI 0·65, 0·76). In total, 8038 health/nutrition websites were cited, with institutional websites representing only 12·9 % of that number. Only one institutional website was present in the top 10. Older subjects (OR 1·49; 95 % CI 1·28-1·74), those with lower educational level (OR 2·08; 95 % CI 1·75, 2·50) and lower nutritional knowledge (OR 1·33; 1·12, 1·59) were more likely to cite non-institutional websites. This large population-based study showed that institutional websites were infrequently accessed and that a few participants discussed the information found online with their HCP. This particular trend was especially visible among individuals who were more vulnerable regarding misleading information. This supports the need to increase awareness of high-quality websites providing reliable health/nutrition information.

PubMed

Vila Masse, Samantha

2018-01-22

Examiner le lien entre les conditions de travail et la santé mentale des travailleurs-euses de la restauration.MÉTHODE : L'échantillon se compose de 652 travailleurs-euses de la restauration issus de l'ESCC-SM de 2012. Des analyses de régression linéaire hiérarchique sont effectuées et ajustées en fonction de divers facteurs sélectionnés (sociodémographiques, habitudes de vie). Les conditions de travail sont mesurées en partie selon le Job Content Questionnaire (JCQ) de Karasek et Theorell. La détresse psychologique est mesurée à partir de l'échelle K6 de Kessler. La santé mentale positive est mesurée à partir du Continuum de santé mentale-version abrégée (MHC-SF) de Keyes.RÉSULTATS : Les fortes exigences psychologiques, le travail à temps partiel et les fortes exigences physiques sont associés de façon positive à la détresse psychologique des travailleurs-euses de la restauration, alors que le soutien social des collègues y est associé de façon inverse. Pour la santé mentale positive des travailleurs-euses de la restauration, l'insécurité d'emploi, les fortes exigences psychologiques et la faible latitude décisionnelle sont associées de façon négative tandis que le soutien social des collègues y est associé inversement. Cette étude souligne l'importance de considérer à la fois les aspects positifs et négatifs de la santé mentale. En effet, les facteurs associés à la santé mentale positive et à la détresse psychologique des travailleurs-euses de la restauration sont différents, voire associés en direction inverse.

Sclerosing Angiomatoid Nodular Transformation: Laparoscopic Splenectomy as Therapeutic and Diagnostic Approach at the Same Time.

PubMed

Cipolla, Calogero; Florena, Ada Maria; Ferrara, Gabriella; Di Gregorio, Riccardo; Unti, Elettra; Giannone, Antonino G; Lazzaro, Luigi A; Graceffa, Giuseppa; Pantuso, Gianni

2018-01-01

Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a rare benign vascular lesion with unknown etiopathogenesis and with definite features of imaging, histopathology, and immunohistochemistry. It was first described by Martel et al. in 2004, and to date, only 151 cases have been reported. We report a case of SANT of the spleen detected in a 66-year-old Caucasian, without comorbidities, presented to our department with epigastric pain. We, also, presented a review of the literature. SANT is a benign incidentally vascular condition in the majority of cases. The wide age and gender distribution in our review is in accordance with that in previous studies in English literature. In our opinion, splenectomy is the choice treatment because it is at the same time diagnostic and therapeutic in a definitive way.

Academic Libraries: Reaching Up and Stretching Out. Proceedings of the Spring Meeting of the Nebraska Library Association, College and University Section (Crete, Nebraska, May 25, 1990).

ERIC Educational Resources Information Center

Giesecke, Joan, Ed.

This proceedings report provides the papers presented at the 1990 spring meeting. Titles and authors of the seven papers are as follows: (1) "Marketing without a Plan: Seizing Outreach Opportunities as They Occur" (Joan Giesecke, Gail Egbers, Kay Logan-Peters, and Debra Pearson); (2) "Historians and the Academic Library: Traditional…

Passing Tradition: ACES Presidents, 1940-97.

ERIC Educational Resources Information Center

Sheeley, Vernon Lee

This booklet provides educational, professional, and biographical information on 52 presidents of the Association for Counselor Education and Supervision. A photo of each president is included. All presidents from 1940-1997 are covered. The presidents are: Samuel T. Gladding, Loretta J. Bradley, James V. Wigtil, Barbara Griffin, Joan T. England,…

Campus Communications in the Age of Crises

ERIC Educational Resources Information Center

McGuire, Patricia

2007-01-01

Recent catastrophes have brought about numerous critiques and changes to campus communications. In this article, the author shares the lessons she has learned from the crises she experienced during her 18 years of being the president of Trinity (Washington) University. Furthermore, Joan Hinde Stewart, president of Hamilton College, adds her…

AP Powerhouse Creates High Expectations for Dallas Students: Spreading the AP Challenge to Students and Teachers.

ERIC Educational Resources Information Center

Nelson, Colleen McCain

2001-01-01

Describes how veteran teacher Joan Vinson has made Advanced Placement (AP) a "cool thing to do" for minority students. With the help of private funding and a Texas-size enthusiasm, she is also convincing more teachers to take on the AP challenge, with a focus on quality over quantity. (EV)

Physical Disabilities: Education and Related Services, Fall 2001-Spring 2002.

ERIC Educational Resources Information Center

Kulik, Barbara J., Ed.

2001-01-01

These journal articles, which address the education of students with physical disabilities, include the following: (1) an interview with Jim Silcock, a Joan Wald Bacon Award Recipient for 2000; (2) Students with Orthopedic Impairments in the General Education Classroom: A Survey of Teacher Roles and Responsibilities (Alison M. Stafford and…

"Playgrounds Which Would Never Happen Now, because They'd Be Far Too Dangerous": Risk, Childhood Development and Radical Sites of Theatre Practice

ERIC Educational Resources Information Center

Peterson, Grant Tyler

2011-01-01

This article revisits radical playgrounds of the past to offer a productive dialogue with recent debates on how child environments can foster citizenship and community. Joan Littlewood's playground projects are familiar examples of theatre techniques being applied to develop children's sense of belonging in a city. This essay considers the less…

Edinburgh Working Papers in Applied Linguistics. Number 5.

ERIC Educational Resources Information Center

Davies, Alan, Ed.; Parkinson, Brian, Ed.

1994-01-01

The eight papers in this volume, prepared by staff and students of the Institute for Applied Language Studies of Edinburgh University, address a variety of issues in applied linguistics. The papers include: (1) "A Coding System for Analyzing a Spoken Database" (Joan Cutting); (2) "L2 Perceptual Acquisition: The Effect of…

Elaboration: The Power Punch of "Body Language" Detail

ERIC Educational Resources Information Center

Berger, Joan

2003-01-01

"Zooming in" with a camera lens led students in Joan Berger's class to enrich their writing exponentially. Through class discussion of body language, along with the use of worksheets (provided), role-playing, modeling, and conferencing, one aspect of lively writing became a part of their writing repertoire. (Contains 5 figures.)

The Electric Company.

ERIC Educational Resources Information Center

Children's Television Workshop, New York, NY.

This book is intended as an introduction to the television program, "The Electric Company," designed to help teach reading to children in grades 2-4 who are experiencing difficulty. Contents include: Sidney P. Marland, Jr.'s preface, "A Significant New Teaching Tool"; Joan Ganz Cooney's "Television and the Teaching of…

By Your Own Design: A Teacher's Professional Learning Guide.

ERIC Educational Resources Information Center

Thorson, Annette, Ed.

2002-01-01

This magazine is published for classroom innovators. The content of this issue includes: (1) "Who's the Learner in Learner-Centered?" (Gay Gordon); (2) "The Product of a Perfect Partnership" (Tracy Crow); (3) "E-Learning Potential" (Joan Richardson); (4) "A Review of 'Evaluating Professional Development'" (Gay Gordon); (5) "Dreaming All That We…

77 FR 10783 - Meeting of National Council on the Humanities

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-23

... Meetings (Open to the Public) Policy Discussion 9-10:30 a.m. Digital Humanities Room 402 Education Programs... Research Programs Room 315 (Closed to the Public) Discussion of Specific Grant Applications and Programs.... Presentation by Joan Houston Hall, editor of the Dictionary of American Regional English (DARE) 3. Staff Report...

Building Literacy. Beginnings Workshop.

ERIC Educational Resources Information Center

Lombardi, Joan; Curry-Rood, Leah; Racin, Jean Berry; Schickedanz, Judith A.; Allison, Jeanette

1999-01-01

Presents five articles discussing aspects of literacy promotion in the day care center setting: "Promoting Language, Literacy, and a Love of Learning Makes a Difference (Joan Lombardi); "Creating Readers" (Leah Curry-Rood); "Family Literacy" (Jean Berry Racin); "Setting the Stage for Literacy Events in the Classroom" (Judith A. Schickedanz); and…

Poland and Czecho-Slovakia in the 1990's: Social, Political and Economic Transformations. Fulbright-Hays Summer Seminars Abroad Program. Summer 1992.

ERIC Educational Resources Information Center

Institute of International Education, New York, NY.

This document features writings and curriculum projects developed by teachers who traveled to Poland and Czechoslovakia in the summer of 1992 as members of a Fulbright-Hays Summer Seminar. The following items are among those included: "Curriculum Project: Women and Work: A Global Perspective" (Joan K. Burton); "The Community College…

Moving to the Next Generation of Standards for Science: Building on Recent Practices. CRESST Report 762

ERIC Educational Resources Information Center

Herman, Joan L.

2009-01-01

In this report, Joan Herman, director for the National Center for Research, on Evaluation, Standards, & Student Testing (CRESST) recommends that the new generation of science standards be based on lessons learned from current practice and on recent examples of standards-development methodology. In support of this, recent, promising efforts to…

Elusive Quality of Giftedness: Creative Life Spark

ERIC Educational Resources Information Center

Sisk, Dorothy A.

2012-01-01

Some children and adults have a creative life spark, and in a spontaneous environment, they are able to demonstrate a spirit of "free play" in generating ideas, planning, and implementing projects, or just thoroughly entertaining others with their wry humor and curiosity. In Joan Freeman's thought-provoking article, "A Quality of…

School Provisions for Gifted, Talented and Able Students: A Response to Freeman

ERIC Educational Resources Information Center

Vidergor, Hava

2012-01-01

In this response to Joan Freeman's "A Quality of Giftedness," Have Vidergor states that provisions for gifted, talented, and excellent students should be offered by regular schools, taking into consideration levels of giftedness, offering a variety of interdisciplinary elective courses and subjects to about 20% of the school population,…

A Quality of Giftedness: Responses to the Responses

ERIC Educational Resources Information Center

Freeman, Joan

2012-01-01

In this article, Joan Freeman responds to this issue's responses to her article, "A Quality of Giftedness." Freeman found much welcome support in the 13 international responses for her proposal suggesting a special quality in some gifted individuals which other gifted individuals do not have. There is considerable agreement that this…

Thinking about Women's History, Part Two.

ERIC Educational Resources Information Center

Pope, Barbara Corrado

1993-01-01

Reviews eight European histories by Dorothy O. Helly, Ed., and Susan M. Reverby, Ed. (1992); Joy Wiltenburg (1992); Margaret L. King (1991); Joan DeJean (1991); Jacques Gelis (1991); Barbara Duden (1991); Jane Lewis (1991); and Sheila Rowbotham (1989). This sampling shows women's historians use an interdisciplinary approach and consistently deal…

Alveolar graft in the cleft lip and palate patient: Review of 104 cases

PubMed Central

Tobella-Camps, María L.; Rivera-Baró, Alejandro

2014-01-01

Introduction: Alveolar bone grafting is a vital part of the rehabilitation of cleft patients. The factors that have been most frequently associated with the success of the graft are the age at grafting and the pre-grafting orthodontic treatment. Objectives: 1) Describe the cases of alveolar bone grafts performed at the Maxilofacial Unit of Hospital Sant Joan de Déu, Barcelona (HSJD); and 2) Analyze the success/failure of alveolar grafts and related variables. Material and Methods: Descriptive retrospective study using a sample of 104 patients who underwent a secondary alveolar graft at the Craniofacial Unit of HSJD between 1998 and 2012. The graft was done by the same surgeon in all patients using bone from the iliac crest. Results: 70% of the patients underwent the procedure before the age of 15 (median 14.45 years); 70% of the graft patients underwent pre-graft maxillary expansion. A total of 100 cases were recorded as successful (median age of 14.58 years, 68 underwent pre-graft expansion) and only 4 were recorded as failures (median age of 17.62 years, 3 underwent pre-graft expansion). We did not find statistically significant differences in age at the time of grafting or pre-surgical expansion when comparing the success and failure groups. We found the success rate of the graft to be 96.2%. Conclusions: The number of failures was too small to establish a statistically significant conclusion in our sample regarding the age at grafting and pre-grafting expansion. The use of alveolar bone grafting from the iliac crest has a very high success rate with a very low incidence of complications. Existing controversies regarding secondary bone grafting and the wide range of success rates found in the literature suggest that it is necessary to establish a specific treatment protocol that ensures the success of this procedure. Key words:Alveolar graft, cleft lip and palate, alveolar cleft, alveolar defect. PMID:24880440

Population Structure, Antimicrobial Resistance, and Mutation Frequencies of Streptococcus pneumoniae Isolates from Cystic Fibrosis Patients

PubMed Central

del Campo, Rosa; Morosini, María-Isabel; de la Pedrosa, Elia Gómez-G.; Fenoll, Asunción; Muñoz-Almagro, Carmen; Máiz, Luis; Baquero, Fernando; Cantón, Rafael

2005-01-01

Forty-eight Streptococcus pneumoniae isolates recovered from sputum samples from 26 cystic fibrosis (CF) patients attending our CF unit (1995 to 2003) were studied. Mean yearly incidence of isolation was 5.5%, and all were strains recovered from young patients (≤12 years). The isolation was linked to clinical exacerbation in 35% of the cases, but only 27% of these were not accompanied by other CF pathogens. Fifty percent of the patients presented with two to four isolates over the studied period. Pulsed-field gel electrophoresis-SmaI digestion revealed a high heterogeneity (32 pulsotypes among 48 isolates) and the persistence over a 6-month period of a single clone (clone A) in two patients. This clone, presenting a varied multiresistance phenotype, was identified as the Spain23F-1 clone and was also recognized in six other patients, including two out of nine patients from the CF unit of Sant Joan de Dèu Hospital, Barcelona, Spain. In our isolates, 16 different serotypes were recognized, the most frequent being 23F (33.3%), 19F (18.8%), 6A (6.2%), and 6B (6.2%). High overall resistance rates were observed: to penicillin, 73%; to cefotaxime, 33%; to erythromycin, 42%; to tetracycline, 58%; to chloramphenicol, 48%; and to trimethoprim-sulfamethoxazole, 67%. Resistance to fluoroquinolones was not detected. Multiresistance was a common feature (60%). The percentage of S. pneumoniae strains with increased frequencies of mutation to rifampin resistance (≥7.5 × 10−8) was significantly higher (P = 0.02) in CF (60%) than among non-CF (37%) isolates in the same institution (M. I. Morosini et al., Antimicrob. Agents Chemother. 47:1464-1467, 2003). Even though a clear association with acute exacerbations could not be observed, long-term clonal persistence and variability, high frequency of antibiotic resistance, and hypermutability indicate the plasticity for adaptation of S. pneumoniae to the CF lung environment. PMID:15872243

Rapid and Easy Identification of Capsular Serotypes of Streptococcus pneumoniae by Use of Fragment Analysis by Automated Fluorescence-Based Capillary Electrophoresis

PubMed Central

Selva, Laura; del Amo, Eva; Brotons, Pedro

2012-01-01

The purpose of this study was to develop a high-throughput method for the identification of pneumococcal capsular types. Multiplex PCR combined with fragment analysis and automated fluorescent capillary electrophoresis (FAF-mPCR) was utilized. FAF-mPCR was composed of only 3 PCRs for the specific detection of serotypes 1, 2, 3, 4, 5, 6A/6B, 6C, 7F/7A, 7C/(7B/40), 8, 9V/9A, 9N/9L, 10A, 10F/(10C/33C), 11A/11D/11F, 12F/(12A/44/46), 13, 14, 15A/15F, 15B/15C, 16F, 17F, 18/(18A/18B/18C/18F), 19A, 19F, 20, 21, 22F/22A, 23A, 23B, 23F, 24/(24A/24B/24F), 31, 33F/(33A/37), 34, 35A/(35C/42), 35B, 35F/47F, 38/25F, and 39. In order to evaluate the assay, all invasive pneumococcal isolates (n = 394) characterized at Hospital Sant Joan de Déu, Barcelona, Spain, from July 2010 to July 2011 were included in this study. The Wallace coefficient was used to evaluate the overall agreement between two typing methods (Quellung reaction versus FAF-mPCR). A high concordance with Quellung was found: 97.2% (383/394) of samples. The Wallace coefficient was 0.981 (range, 0.965 to 0.997). Only 11 results were discordant with the Quellung reaction. However, latex reaction and Quellung results of the second reference laboratory agreed with FAF-mPCR for 9 of these 11 strains (82%). Therefore, we considered that only 2 of 394 strains (0.5%) were not properly characterized by the new assay. The automation of the process allowed the typing of 30 isolates in a few hours with a lower cost than that of the Quellung reaction. These results indicate that FAF-mPCR is a good method to determine the capsular serotype of Streptococcus pneumoniae. PMID:22875895

A case of cord capillary hemangioma of the spleen: a recently proven true neoplasm.

PubMed

Tajima, Shogo; Koda, Kenji

2015-05-01

Cord capillary hemangioma (CCH) of the spleen is an extremely rare lesion. Once classified under splenic hamartoma, CCH is now differentiated from hamartoma, as its clonality has recently been proven. Herein, we present the case of an incidentally found CCH, measuring 6 × 5.5 × 5 cm, in a 45-year-old man. He underwent splenectomy and has been recurrence-free for 8 years. Macroscopically, the cut surface of the mass showed a central stellate scar with peripheral interspersed reddish areas of variable sizes and intervening fibrous bands. Microscopically, the mass was well demarcated from the splenic tissue. The macroscopic reddish areas were found to correspond to nodules of various sizes, which were predominantly composed of CD34-expressing capillaries without the presence of CD8-expressing sinuses. The relative proportion of these two types of vessels distinguishes CCH from sclerosing angiomatoid nodular transformation (SANT), as SANT shows the apparent presence of CD8-expressing sinuses. In longstanding cases of SANT, sinuses might become ambiguous and the differences between CCH and SANT might become subtle. Nonetheless, immunohistochemistry should be performed when these conditions are suspected, since accurate distinction is usually achieved as a result. © 2015 Japanese Society of Pathology and Wiley Publishing Asia Pty Ltd.

The Nutrinet-Santé Study: a web-based prospective study on the relationship between nutrition and health and determinants of dietary patterns and nutritional status.

PubMed

Hercberg, Serge; Castetbon, Katia; Czernichow, Sébastien; Malon, Aurélie; Mejean, Caroline; Kesse, Emmanuelle; Touvier, Mathilde; Galan, Pilar

2010-05-11

Nutrition-related chronic diseases such as cardiovascular diseases and cancer are of multiple origin, and may be due to genetic, biologic, behavioural and environmental factors. In order to detangle the specific role of nutritional factors, very large population sample cohort studies comprising precisely measured dietary intake and all necessary information for accurately assessing potential confounding factors are needed. Widespread use of internet is an opportunity to gradually collect huge amounts of data from a large sample of volunteers that can be automatically verified and processed. The objectives of the NutriNet-Santé study are: 1) to investigate the relationship between nutrition (nutrients, foods, dietary patterns, physical activity), mortality and health outcomes; and 2) to examine the determinants of dietary patterns and nutritional status (sociological, economic, cultural, biological, cognitive, perceptions, preferences, etc.), using a web-based approach. Our web-based prospective cohort study is being conducted for a scheduled follow-up of 10 years. Using a dedicated web site, recruitment will be carried out for 5 years so as to register 500 000 volunteers aged >/= 18 years among whom 60% are expected to be included (having complete baseline data) and followed-up for at least 5 years for 240 000 participants. Questionnaires administered via internet at baseline and each year thereafter will assess socio-demographic and lifestyle characteristics, anthropometry, health status, physical activity and diet. Surveillance of health events will be implemented via questionnaires on hospitalisation and use of medication, and linkage with a national database on vital statistics. Biochemical samples and clinical examination will be collected in a subsample of volunteers. Self-administered data collection using internet as a complement to collection of biological data will enable identifying nutrition-related risks and protective factors, thereby more clearly

Sparks of Life and Effervescence in Gifted Education: Quality of Qualities--A Response to "A Quality of Giftedness"

ERIC Educational Resources Information Center

Garces-Bacsal, Rhoda Myra

2012-01-01

In this commentary on Professor Joan Freeman's "A Quality of Giftedness," (Gifted and Talented International" v27 n2 p 13-71 2012), Rhoda Myra Garces-Bacsal applauds Professor Freeman's capacity to translate what is commonly a pedantic and boring academic treatise to a vibrant and timely article that demonstrates how "ivory…

Your Children's Values. What Do Parents Need to Know?

ERIC Educational Resources Information Center

Our Children, 1996

1996-01-01

This article discusses the family as source of values, parents as role models, character education, and where to find help. A sidebar describes a leadership training program for students at West High School in Anchorage (Alaska) contributed by Joan Kuersten. An annotated list of resources with publication information and addresses of organizations…

Colleague: An Annual Collection of Articles on Academic and Administrative Issues Facing Community Colleges of the State University of New York.

ERIC Educational Resources Information Center

Burns, Charles A., Ed.; And Others

This journal presents a cross-section of current ideas on how to teach and advise community college students and promote positive social interactions with the local community. The issue contains: (1) "Characteristics of an Excellent Teacher," by Cherie Corr, Joan Shack, and Anthony Walsh; (2) "Information Literacy: Progress and Prospects in the…

Preliminary Assessment Report for U.S. Army Reserve Center, Manitowoc, Wisconsin

DTIC Science & Technology

1993-12-01

cold, with mean maximum daily temperatures I around 30°F and daily temperatures typically in lower teens . Mean annual precipitation is around 30 inches...of them. The drums are accessible to anyone. We worry about the potential of vandalism . The AMSA does not have any other space to store them. Joan

78 FR 24231 - Notice of Realty Action: Proposed Direct Sale of Public Land in Josephine County, Oregon

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-24

...-67105;HAG13-0126] Notice of Realty Action: Proposed Direct Sale of Public Land in Josephine County..., Oregon, by direct sale procedures to Joan Conklin for the approved appraised fair market value of $300. DATES: Comments regarding the proposed sale must be received by the BLM on or before June 10, 2013...

Leveling up from Player to Designer: Engaging and Empowering Youth through Making Video Games

ERIC Educational Resources Information Center

Gershenfeld, Alan

2011-01-01

Over the past few years a growing body of research has highlighted the potential for educational video games to foster highly engaged, effective learning in the classroom. These research reports from organizations such as the Federation of American Scientists, the National Science Foundation, and the Joan Ganz Cooney Center at Sesame Workshop…

ARC-1993-AC93-0230-25

NASA Image and Video Library

1993-05-05

Ann Hutchinson (as subject), Dr. Joan Vernikos (R), Dee O'Hara (L), J. Evans and E. Lowe pose for pictures in the NASA Magazine aritcle 'How it Feels to be a Human Test Subject' as they prepare for a bed rest study to simulate the efects of microgravity on the human body.

Poets Teaching Poets: Self and the World.

ERIC Educational Resources Information Center

Orr, Gregory, Ed.; Voigt, Ellen Bryant, Ed.

This anthology collects essays by current and former lecturers at the Warren Wilson College (North Carolina) MFA Program for Writers. Some of the poets whose essays are included are: Joan Aleshire, Marianne Boruch, Carl Dennis, Stephen Dobyns, Reginald Gibbons, Louise Gluck, Allen Grossman, Robert Hass, Tony Hoagland, Heather McHugh, Gregory Orr,…

'Right-to-Work' Laws and Economic Development in Oklahoma. Briefing Paper.

ERIC Educational Resources Information Center

Mishel, Lawrence, Ed.

The bulk of this position paper consists of statements in opposition to a September 2001 referendum on adopting 'right-to-work' (RTW) legislation in Oklahoma. The statements are by Joan Fitzgerald, William Sschweke, Raymond Hogler, Steven Shulman, Stephan Weiler, Ann Markusen, Robert G. Lynch, David R. Howell, James Galbraith, Colin Gordon, Wim…

Commentary on "A Quality of Giftedness"

ERIC Educational Resources Information Center

Shaughnessy, Michael F.; Valdez, Gilbert

2012-01-01

In this commentary on "A Quality of Giftedness," ("Gifted and Talented International," v27 n2 p13-71 2012), by Dr. Joan Freeman, Michael F. Shaughnessy and Gilbert Valdez recognize that those working with gifted populations have all encountered an intangible, ephemeral aspect that is often quite difficult to describe, harder…

Science Education: An Emerging Crisis. Instructional Development Report.

ERIC Educational Resources Information Center

Shubert, L. Elliot

This report is a compilation of presentations made at a symposium which focused on various topics and issues related to the current status of science and mathematics education at the national, state, and local levels. These presentations are: (1) "Growing Recognition of a Serious National Problem in Science Education" by M. Joan Parent…

Daniel Webster Middle School: More than Cosmetic Improvements

ERIC Educational Resources Information Center

Rourke, James; Boone, Elizabeth

2009-01-01

"Webster needs an extreme makeover," students told Principal Joan Brixey upon her arrival at Daniel Webster Middle School in Waukegan, Illinois, three short years ago. The message came in a student-produced video that highlighted things that needed repair at Webster. Brixey was already a firm believer in the proposition that students…

The Work of a Lifetime

ERIC Educational Resources Information Center

Olson, Cathy Applefeld

2012-01-01

If there's one message that Joan Hillsman wants to get across to music directors, it's this: Teaching is a lifetime commitment. Hillsman is a longtime music educator, African-American music historian, author, consultant, music producer, clinician, radio show host, and current member of the Academic Board of the James Cleveland Gospel Music…

Online Student Evaluations and Response Rates Reconsidered

ERIC Educational Resources Information Center

Anderson, Joan; Brown, Gary; Spaeth, Stephen

2006-01-01

Many administrators are moving toward using online student evaluations to assess courses and instructors, but critics of the practice fear that the online format will only result in lower levels of student participation. Joan Anderson, Gary Brown, and Stephen Spaeth claim that such a concern often fails to acknowledge how the evaluation process…

On the Madness of Lecturing on Gender: A Psychoanalytic Discussion

ERIC Educational Resources Information Center

Britzman, Deborah P.

2010-01-01

This essay comments on the emotional difficulties psychoanalytic discussion introduces to conceptualising the poesis of gender through its reconsideration of the valence of aggression and its development in psychical reality. It returns to the 1936 lectures on the emotional life of gender given by Melanie Klein and Joan Riviere to a public about…

PHILADANCO.

ERIC Educational Resources Information Center

Brown, Joan Myers

1989-01-01

Describes the history of the Philadelphia (Pennsylvania) Dance Company, known as PHILADANCO, founded in the early 1970s by Joan Myers Brown at her Philadelphia School of Dance. PHILADANCO has sought to discover and train a corps of local Black dancers to build a strong dance company and important cultural institution. (AF)

"Play" across the Life Cycle: From Initiative to Integrity to Transcendence

ERIC Educational Resources Information Center

Jones, Elizabeth

2011-01-01

In this autobiographical journey through life-span developmental theory, the author reflects on her life as a player, embedding it in the context of Erik Erikson and Joan Erikson's stages of human development. The author builds on these basic ideas--theory, storytelling, play, and development--and defines them as simply as possible.

Integrating Materials about Women into the Curriculum. Currents: Issues in Education and Human Development, Volume Five, Number Two.

ERIC Educational Resources Information Center

Grellner, Alice, Ed.

1987-01-01

Ten papers on women's studies are provided, based on three workshops at Rhode Island College on May 20, 1986, September 27, 1986, and May 19, 1987. They include: "Reconceiving the Curriculum To Integrate Women" (Joan Rollins); "Models for Institutional Change" (Marilyn R. Schuster and Susan R. Van Dyne); "Western Women's Studies: Feminist but…

Sclerosing Angiomatoid Nodular Transformation: Laparoscopic Splenectomy as Therapeutic and Diagnostic Approach at the Same Time

PubMed Central

Florena, Ada Maria; Ferrara, Gabriella; Di Gregorio, Riccardo; Unti, Elettra; Giannone, Antonino G.; Lazzaro, Luigi A.; Graceffa, Giuseppa; Pantuso, Gianni

2018-01-01

Introduction Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a rare benign vascular lesion with unknown etiopathogenesis and with definite features of imaging, histopathology, and immunohistochemistry. It was first described by Martel et al. in 2004, and to date, only 151 cases have been reported. Case Description We report a case of SANT of the spleen detected in a 66-year-old Caucasian, without comorbidities, presented to our department with epigastric pain. We, also, presented a review of the literature. Conclusions SANT is a benign incidentally vascular condition in the majority of cases. The wide age and gender distribution in our review is in accordance with that in previous studies in English literature. In our opinion, splenectomy is the choice treatment because it is at the same time diagnostic and therapeutic in a definitive way. PMID:29854543

Sociolinguistics and Language Acquisition.

ERIC Educational Resources Information Center

Wolfson, Nessa, Ed.; Judd, Elliot, Ed.

The following are included in this collection of essays on patterns of rules of speaking, and sociolinguistics and second language learning and teaching: "How to Tell When Someone Is Saying 'No' Revisited" (Joan Rubin); "Apology: A Speech-Act Set" (Elite Olshtain and Andrew Cohen); "Interpreting and Performing Speech Acts in a Second Language: A…

Imagine This

ERIC Educational Resources Information Center

Kenney, Brian

2005-01-01

This article features ImaginOn: The Joe and Joan Martin Center," a learning facility wherein students are provided with an original approach to education, learning, and the arts. ImaginOn is a joint venture of the Public Library of Charlotte & Mecklenburg County (PLMC) and the Children's Theater of Charlotte. ImaginOn's mission is to "bring…

A Sense of Story: Essays on Contemporary Writers for Children.

ERIC Educational Resources Information Center

Townsend, John Rowe

This is an introduction to the work of 19 contemporary English-language writers for children. It consists of critical essays on the works of Joan Aiken, L. M. Boston, H. F. Brinsmead, John Christopher, Helen Cresswell, Meindert DeJong, Eleanor Estes, Paula Fox, Leon Garfield, Alan Garner, Madeleine L'Engle, William Mayne, Andre Norton, Scott…

Intertextual Trips: Teaching the Essay in the Composition Class.

ERIC Educational Resources Information Center

Kline, Nancy

1989-01-01

Cites essays by Joan Didion, John Berryman, and Martin Luther King in arguing that the essay, no matter how serious, can be considered as a fiction and a playful, exploratory and deeply interesting rhetorical game. Describes how these works were used to teach students that the essay is a living document calling for interaction. (SG)

"At Least One" Way to Add Value to Conferences

ERIC Educational Resources Information Center

Wilson, Warren J.

2005-01-01

In "EDUCAUSE Quarterly," Volume 25, Number 3, 2002, Joan Getman and Nikki Reynolds published an excellent article about getting the most from a conference. They listed 10 strategies that a conference attendee could use to maximize the conference's yield in information and motivation: (1) Plan ahead; (2) Set realistic expectations; (3) Use e-mail…

Communicating Effectively with Your Gifted Child's School

ERIC Educational Resources Information Center

Smutny, Joan Franklin

2015-01-01

One of the most common questions the National Association for Gifted Children (NAGC) receives from parents is, "How should I advocate for my child in the classroom?" Dr. Joan Smutny first tackled this topic for "Parenting for High Potential" in 2002, but her practical, step-by-step approach is still very applicable today. Some…

Research Directory for Manpower, Personnel, Training, and Human Factors, 1992

DTIC Science & Technology

1992-11-01

Malone 703-698-6225 Smart Contract Preparation Expediter (R) Ms Joan E Forester 410-278-2946 DSN:298-2946 (P) Mr R Cofod 703-359-0996 Soldier...Mike Hanuschik 513-255-3871 DSN:785-3871 Small Unit Maintenance Manpower Analyses (SUMMA) (R) Mr Edward Boyle 513-255-3871 DSN:785-3871 Smart Contract Preparation

STEM Starts Early: Grounding Science, Technology, Engineering, and Math Education in Early Childhood

ERIC Educational Resources Information Center

McClure, Elisabeth R.; Guernsey, Lisa; Clements, Douglas H.; Bales, Susan Nall; Nichols, Jennifer; Kendall-Taylor, Nat; Levine, Michael H.

2017-01-01

Tomorrow's inventors and scientists are today's curious young children--as long as those children are given ample chances to explore and are guided by adults equipped to support them. "STEM Starts Early" is the culmination of a deep inquiry by the Joan Ganz Cooney Center at Sesame Workshop and New America embarked on an exploratory…

The Grief Account: Dimensions of a Contemporary Bereavement Genre

ERIC Educational Resources Information Center

Dennis, Michael Robert

2008-01-01

The genre of the grief account is identified to include published narratives of surviving grief. Thematic analysis of Andrew Holleran's (2006) "Grief: A Novel," Lolly Winston's (2004) "Good Grief: A Novel," Joan Didion's (2005) "The Year of Magical Thinking," and J. Canfield and M. V. Hansen's (2003) "Chicken Soup for the Grieving Soul: Stories…

STEM Starts Early: Grounding Science, Technology, Engineering, and Math Education in Early Childhood. Executive Summary

ERIC Educational Resources Information Center

McClure, Elisabeth R.; Guernsey, Lisa; Clements, Douglas H.; Bales, Susan Nall; Nichols, Jennifer; Kendall-Taylor, Nat; Levine, Michael H.

2017-01-01

Tomorrow's inventors and scientists are today's curious young children--as long as those children are given ample chances to explore and are guided by adults equipped to support them. "STEM Starts Early" is the culmination of a deep inquiry by the Joan Ganz Cooney Center at Sesame Workshop and New America embarked on an exploratory…

Can We Talk about Race? An Interview with Beverly Daniel Tatum

ERIC Educational Resources Information Center

Richardson, Joan

2017-01-01

Beverly Daniel Tatum, author of "Why Are All the Black Kids Sitting Together in the Cafeteria?", talks about race with "Kappan" editor-in-chief Joan Richardson. Tatum advises more conversations about race and racial identities as a way to bridge the divide between the races. Silence, she says, is not an effective strategy for…

The Transformative Power of Piano Improvisation

ERIC Educational Resources Information Center

Roemischer, Jessica

2010-01-01

Established a half-century ago, Riverbrook Residence, home to 23 women with developmental disabilities, is the oldest facility of its kind in New England, and perhaps in the country. Indeed, Riverbrook's executive director Joan Burkhard's vision, together with the care and dedication of the staff and the women's families, have created a rare and…

Tronto's Notion of "Privileged Irresponsibility" and the Reconceptualisation of Care: Implications for Critical Pedagogies of Emotion in Higher Education

ERIC Educational Resources Information Center

Zembylas, Michalinos; Bozalek, Vivienne; Shefer, Tammy

2014-01-01

This article takes on some of care theorist Joan Tronto's ideas on care and responsibility and asks what implications they have for critical pedagogies in higher education. The authors argue that Tronto's political ethics of care framework enriches the transformative potential of critical pedagogies, because it helps expose how power and…

The Master's Degree in Education as Teacher Professional Development: Re-Envisioning the Role of the Academy in the Development of Practicing Teachers

ERIC Educational Resources Information Center

Galluzzo, Gary; Isenberg, Joan P.; White, Stephen C.; Fox, Rebecca K.

2012-01-01

Teacher education is under more scrutiny than ever as standards-based education is becoming more and more the norm. Although much literature is available that addresses developing teacher education, no one addresses how to create and develop a master's level program. Gary R. Galluzzo, Joan Packer Isenberg, C. Stephen White, and Rebecca K. Fox,…

Response to "A Quality of Giftedness"

ERIC Educational Resources Information Center

Miller, Rachelle; Gentry, Marcia

2012-01-01

Do some individuals with gifts and talents hold special qualities that make them different from other people? Like Joan Freeman mentioned in "A Quality of Giftedness," individuals who display high quality gifts tend to be more recognizable, but they may not necessarily become productive adults. How do we find those students who may not…

New Assessments, New Rigor

ERIC Educational Resources Information Center

Joan Herman; Robert Linn

2014-01-01

Researching. Synthesizing. Reasoning with evidence. The PARCC and Smarter Balanced assessments are clearly setting their sights on complex thinking skills. Researchers Joan Herman and Robert Linn look at the new assessments to see how they stack up against Norman Webb's depth of knowledge framework as well as against current state tests. The…

Cooperative Learning Revisited: From an Instructional Method to a Way of Life

ERIC Educational Resources Information Center

Garfield, Joan

2013-01-01

Joan Garfield reflects on cooperative learning, 20 years after publishing an article on this topic in the inaugural issue of "Journal of Statistics Education" ("JSE") (Garfield 1993). Here, she writes that as she re-read the article, she realized that she still agrees with most of what she originally wrote regarding the use of…

The Search For Equity. Women at Brown University, 1891-1991.

ERIC Educational Resources Information Center

Kaufman, Polly Welts, Ed.

This collection of essays describes women's ongoing search for equity at Brown University, Rhode Island, since their first entrance there in 1891. After a preface by Joan W. Scott and an introduction by Polly Welts Kaufman, the volume contains the following 10 essays: "The Woman's Club Movement Creates and Defines the Women's College" by…

Contributed Papers Workshop. Proceedings of a Western New York/Ontario Chapter of the Association of College and Research Libraries (ACRL) Workshop (Buffalo, New York, September 26, 1988).

ERIC Educational Resources Information Center

Association of Coll. and Research Libraries. Western New York/Ontario Chapter.

The eight papers in this collection were presented at an Association of College and Research Libraries workshop held in September 1988 in Buffalo, New York. The papers are as follows: (1) "Making Real Changes: Course Integrated Instruction and Its Impact, a Case Study" (Joan Ormondroyd); (2) "Dual Function Positions: A View from the Trenches" (Amy…

Play, Language, and Stories: The Development of Children's Literate Behavior.

ERIC Educational Resources Information Center

Galda, Lee, Ed.; Pellegrini, Anthony D., Ed.

The question of the relationship between children's play and more formal, literate uses of language is explored in the 9 studies described in this volume. Chapter titles and authors are as follows: (1) "The Influence of Discourse Content and Context on Preschoolers' Use of Language" (Lucia A. French, Joan Lucariello, Susan Seidman, and Katherine…

Recognizing the 35th anniversary of the proposal that snRNPs are involved in splicing.

PubMed

Mount, Stephen M; Wolin, Sandra L

2015-10-15

Thirty-five years ago, as young graduate students, we had the pleasure and privilege of being in Joan Steitz's laboratory at a pivotal point in the history of RNA molecular biology. Introns had recently been discovered in the laboratories of Philip Sharp and Richard Roberts, but the machinery for removing them from mRNA precursors was entirely unknown. This Retrospective describes our hypothesis that recently discovered snRNPs functioned in pre-mRNA splicing. The proposal was proven correct, as has Joan's intuition that small RNAs provide specificity to RNA processing reactions through base pairing in diverse settings. However, research over the intervening years has revealed that both splice site selection and splicing itself are much more complex and dynamic than we imagined. © 2015 Mount and Wolin. This article is distributed by The American Society for Cell Biology under license from the author(s). Two months after publication it is available to the public under an Attribution–Noncommercial–Share Alike 3.0 Unported Creative Commons License (http://creativecommons.org/licenses/by-nc-sa/3.0).

Assessment study of the nutritional status, eating habits and physical activity of the schooled population of Centelles, Hostalets de Balenyà and Sant Martí de Centelles (ALIN 2014 Study).

PubMed

Aguilà, Queralt; Ramón, Maria Àngels; Matesanz, Susana; Vilatimó, Ramon; Del Moral, Irene; Brotons, Carles; Ulied, Àngels

2017-03-01

Malnourishment can be caused by either a lack of food or an excess of low-nutrient foods. Due to several factors, this predisposes children to academic failure. The objective of this study is to estimate the prevalence of school children with eating problems, study their nutrition level, food quality in the diet, and level of physical activity. The study involved the school children between 3 months and 16.5 years of age in the municipalities of Centelles, Hostalets de Balenyà and Sant Martí de Centelles. Personal, age, nutrition and physical activity data were collected for the descriptive and bivariate analyses. A total of 1,374 children were included, of which 122 were under 3 years of age (8.9%). Obesity was recorded in 2.5%, while 17.2, 15.6 and 64.8% were overweight, underweight and of normal weight, respectively. The remaining 1,252 children were over 3 years of age (91.1%), and obesity was recorded in 8.1%, while 26.1, 11.0 and 62.9% were overweight, underweight and of normal weight, respectively. Adherence to the Mediterranean diet decreased significantly with increasing age. The maintenance of body weight was significantly correlated to the consumption of carbohydrates for breakfast before going to school, daily fruit consumption, and not having a need for care from the social services. The differences in physical activity and a sedentary lifestyle proved significant between males and females. Being underweight and overweight are factors related to eating habits and dependency upon the social services. Copyright © 2017 SEEN. Publicado por Elsevier España, S.L.U. All rights reserved.

Artemisia scoparia extract attenuates non-alcoholic fatty liver disease in diet-induced obesity mice by enhancing hepatic insulin and AMPK signaling independently of FGF21 pathway

PubMed Central

Wang, Zhong Q.; Zhang, Xian H.; Yu, Yongmei; Tipton, Russell C.; Raskin, Ilya; Ribnicky, David; Johnson, William; Cefalu, William T.

2013-01-01

Objective Nonalcoholic fatty liver disease (NAFLD) is a common liver disease which has no standard treatment. In this regard, we sought to evaluate the effects of extracts of Artemisia santolinaefolia (SANT) and Artemisia scoparia (SCO) on hepatic lipid deposition and cellular signaling in a diet-induced obesity (DIO) animal model. Materials/Methods DIO C57/B6J mice were randomly divided into three groups, i.e. HFD, SANT and SCO. Both extracts were incorporated into HFD at a concentration of 0.5% (w/w). Fasting plasma glucose, insulin, adiponectin, and FGF21 concentrations were measured. Results At the end of the 4-week intervention, liver tissues were collected for analysis of insulin, AMPK, and FGF21 signaling. SANT and SCO supplementation significantly increased plasma adiponectin levels when compared with the HFD mice (P < 0.001). Fasting insulin levels were significantly lower in the SCO than HFD mice, but not in SANT group. Hepatic H&E staining showed fewer lipid droplets in the SCO group than in the other two groups. Cellular signaling data demonstrated that SCO significantly increased liver IRS-2 content, phosphorylation of IRS-1, IR β, Akt1 and Akt2, AMPK α1 and AMPK activity and significantly reduced PTP 1B abundance when compared with the HFD group. SCO also significantly decreased fatty acid synthase (FAS), HMG-CoA Reductase (HMGR), and Sterol regulatory element-binding protein 1c (SREBP1c), but not Carnitine palmitoyltransferase I (CPT-1) when compared with HFD group. Neither SANT nor SCO significantly altered plasma FGF21 concentrations and liver FGF21 signaling. Conclusion This study suggests that SCO may attenuate liver lipid accumulation in DIO mice. Contributing mechanisms were postulated to include promotion of adiponectin expression, inhibition of hepatic lipogenesis, and/or enhanced insulin and AMPK signaling independent of FGF21 pathway. PMID:23702383

Slash and burn versus "agronegócio". Tales of forest degradation in the maroon area of Vila Bela da SantíssimaTrindade, Mato Grosso, Brazil

NASA Astrophysics Data System (ADS)

Leite, José C.; Ferreira, António A. J.

2014-05-01

Over the last four decades, deforestation in Brazil occurred systematically in the area known as the "arcof deforestation", an extensive geographical area located in the interface of the Cerrado and the Amazon biomes. The deforestation process replaces the forest and the slash and burn agriculture systems by modern intensive agriculture systems targeted at the production of cash crops like cotton, maize or soybeans, and to graze cattle.The so called "agronegócio" system. The reduction of pristine forest areas where traditional (indigenous, maroons and riverside) population conduct slash and burn agriculture, reduces the recovery time of the abandoned fields after exhaustion by agriculture crops, reason why the return to the same spots for another cycle of slash and burn occurs before the forest recovers completely from the previous cycle. In fact, the frequency of the cycles is increasing with the expansion of farm land and the reduction of available forest. This work encompasses the reasons, causes and/or motivations of the deforestation trends in the Vila Bela da SantíssimaTrindade, near the Bolivian border of Mato Grosso in Brazil, over a time span of four decades. The arc of deforestation has passed the region in the 1980's, leaving yet a large area of pristine forest where the traditional communities kept practicing a slash and burn agriculture system. Nevertheless, due to the reduction of available area, and specially due to the exposure of traditional communities to the "western civilization culture", there is an increasing abandonment of the traditional systems and associated culture and knowledge. In this context, the traditional communities may become a deforestation/degradation factor. To prevent this situation, the GUYAGROFOR project was implemented, to value traditional knowledge, identify bottlenecks in the increase of added value to the local traditional products, and to test methodologies to maintain and if possible improve soil fertility near the

Proceedings: Conference on Compensatory/Remedial Education, April 3 and 4, 1975. Occasional Paper No. 24.

ERIC Educational Resources Information Center

Larson, Howard B., Ed.; Olswang, Steven G., Ed.

The intent of this annual conference is to provide a medium of exchange for practitioners in the field, with each person acting as a resource person for the others. To provide topical focuses, two presentations were made: Dr. Joan Roloff discussed "The Place of the Learning Center in Remedial/Compensatory Education in Community Colleges," and Dr.…

Competence and Sex Prejudice--Is the Latter Disappearing?

ERIC Educational Resources Information Center

McCutcheon, Lynn E.; Fichter, Eugene H.

Male (N=80) and female (N=80) subjects who were matched for age and GPA were presented with either a competently or incompetently worded version of a 750-word excerpt from a journal article. The article was attributed to either Joan or John Maxwell. Subjects rated each article on scales for: professional competence of the author; writing style;…

3-D Teaching Models for All

ERIC Educational Resources Information Center

Bradley, Joan; Farland-Smith, Donna

2010-01-01

Allowing a student to "see" through touch what other students see through a microscope can be a challenging task. Therefore, author Joan Bradley created three-dimensional (3-D) models with one student's visual impairment in mind. They are meant to benefit all students and can be used to teach common high school biology topics, including the…

A Quality of Giftedness

ERIC Educational Resources Information Center

Freeman, Joan

2012-01-01

In this issue's lead article, Joan Freeman presents ideas which have emerged from her experiences in her long career of studying gifts and talents. She has been heavily involved in research and teaching, and has visited gifted educational provision all over the world. She has also spent a great deal of intimate time with gifted and talented people…

Response To: A Quality of Giftedness

ERIC Educational Resources Information Center

Anchan, John P.

2012-01-01

In this response to "A Quality of Giftedness," ("Gifted and Talented International" v27 n2 p13-71 2012) by Prof. Dr. Joan Freeman, John Anchan comments that Freeman's article raises a number of issues that challenge conventional train of thoughts. It is all about why one person can train endlessly and yet, never keep a tune,…

How We Got to Sesame Street; Art on Screen

ERIC Educational Resources Information Center

Goldstein, Evan R.

2009-01-01

In 1966 a group of friends gathered for a dinner party in Manhattan. As the evening was winding down, one of the guests, Lloyd N. Morrisett, a vice president at the Carnegie Corporation, turned to his host, a television executive named Joan Ganz Cooney, and asked a seemingly innocuous question: Can television educate young children? Unknown to…

Enigmatic Qualities of the Gifted That Transcend Identification

ERIC Educational Resources Information Center

Phelps, Connie

2012-01-01

In "A Quality of Giftedness," Professor Joan Freeman reflects upon her long career working as a psychologist in England with gifted children. She gives particular attention to observations gained during the most recent analysis of her longitudinal study that was published in 2010 as Gifted Lives. This work provides an in-depth look at 20…

Missouri Journal of Research in Music Education, Volume II, Number 5.

ERIC Educational Resources Information Center

Hilton, Lewis B., Ed.

1971-01-01

The six articles presented in this journal are: I. Research in Action: The Transfer of Research in Music and Music Education into the Classroom by Jack R. Stephenson; II. Programmed Instruction and Music Education by Douglas L. Turpin; III. Music Education and the Blind by Joan Thief Gagnepain; IV. Improved Teaching Through the Use of the…

Learning at Home: Families' Educational Media Use in America

ERIC Educational Resources Information Center

Rideout, Victoria

2014-01-01

The Joan Ganz Cooney Center has conducted a national survey of more than 1500 parents of children ages 2-10 to find out how much of children's media time is devoted to educational content, platform by platform, age by age. "Learning at Home: Families' Educational Media Use in America" is the first comprehensive analysis of parents'…

Reading and the Exceptional Child; Highlights of the Annual Reading Conference (23rd, Lehigh University).

ERIC Educational Resources Information Center

Kender, Joseph P., Ed.

This book presents eleven papers on reading and the exceptional child. Part 1, "Development of Positive Self-Concept in Readers," contains: "In Search of Self" by Marvin D. Glock, "A Mental Hygiene Approach to Reading" By Ruth Jackson, and "The Videotape Playback as an Adjunct to Developing Positive Self-Regard" by Joan C. Barth. Part 2, "Teaching…

Engaging nurses in patient care: clinical reflection by a student nurse.

PubMed

Bail, Kasia Siobhan

2007-01-01

I stood by, the endless student nurse observer, as a woman (let's call her Joan) was transferred by trolley from the helicopter into emergency following an acute period of respiratory distress. Two nurses from the department were present for hand-over, and three ambulance persons brought her in. Joan's condition appeared stable, as far as I could tell; her bed was at a ninety-degree angle and her oxygen-assisted breathing was very laboured, but she seemed aware of her immediate surroundings. Joan traveled on the helicopter trolley into the emergency ward, was transferred to an emergency bed, the necessary tubes and wires were re-organised, her hand-over was verbalised and the personal weekends of the treating team were discussed amongst themselves. To my increasing frustration, not one staff member looked Joan in the eye, said hello, or did anything to acknowledge her presence as anything other than another technical detail. This paper was inspired by this incident viewed as a nursing student in the emergency department. The clinical reflection that developed around this particular incident was how easily care by nurses could be limited to the physical needs of the patient. This paper is premised on the clinical reflection that engagement by nurses with patients is necessary for optimal patient care. The literature was reviewed, and the concept of 'engagement' was used to refer to the actual connection of one person to another via honest care and dedicated communication. I suggest, with literary support, that this lack of engagement extends from the inability of the nurse to provide sufficient care to fulfill the needs of the patient. The current mismatch between duty and ability for nurses is cited as being due to an increasing number of stressors. Major stressors include a lack of support from senior staff; insufficient staff; having too much work and too little time, and the inability to meet patients' needs (McNeely 1996). Accumulated stress has detrimental

Implantation des sites de soins communautaires en République Démocratique du Congo: consécration d'un double standard dans l'accès aux soins

PubMed Central

Dunia, Gisèle Mawazo Binti

2013-01-01

Depuis 2005, la République Démocratique du Congo a amorcé l'implantation des sites de soins communautaires. Cette stratégie a pour objectif de rapprocher les services de santé des populations éloignées. Bien que cela parte d'une bonne intention, elle résulte, à notre sens, en une consécration d'un système de santé à deux vitesses. En effet, les populations vivant en ville ont accès à des soins prestés par des agents de santé formés alors que celles vivant en milieu rural reculé ont pour prestataires de soins des relais communautaires. Cette situation marginalise encore plus des populations dont la situation géographique est déjà préoccupante. Pourtant, la population est prête à parcourir des kilomètres en échange d'un service qu'elle estime de qualité. PMID:23785563

A Capstone on Her Career

ERIC Educational Resources Information Center

Goldman, Jay P.

2005-01-01

Joan Raymond was just six months into a well-earned retirement following 20 demanding years in the superintendency of some of the hottest kitchens in the nation. But when some longtime friends told her about an opening in South Bend, Indiana, Raymond could not ignore the itch to give it one more whirl. Raymond found the school system in far more…

Environmental Containment Property Estimation Using QSARs in an Expert System

DTIC Science & Technology

1991-10-15

economical method to estimate aqueous solubility, octanol/ water partition coefficients, vapor pressures, organic carbon, normalized soil sorption...PROPERTY ESTIMATION USING QSARs IN AN EXPERT SYSTEM William J. Doucette Mark S. Holt Doug J. Denne Joan E. McLean Utah State University Utah Water ...persistence of a chemical are aqueous solubility, octanol/ water partition coefficient, soil/ water sorption coefficient, Henry’s Law constant

On Paying Attention: Flagpoles, Mindfulness, and Teaching Writing

ERIC Educational Resources Information Center

Kroll, Keith

2008-01-01

To pay attention--to observe, to see the richness and detail that is right before everyone--is the essence of mindfulness. It is also, the author argues, the essence of good writing--the kind of writing for which there is a long American tradition of writers such as Emerson, Thoreau, E. B. White, Barry Lopez, Annie Dillard, Joan Didion, John…

How Reader Girl Got Her Groove Back: One Woman's Heroic Quest to Overcome the Classics

ERIC Educational Resources Information Center

Hale, Shannon

2008-01-01

This author has been a "reader girl" since the third grade, when she first read "Trumpet of the Swan" on her own. Fourth grade brought C. S. Lewis, Lloyd Alexander, and Joan Aiken. Fifth grade was Cynthia Voigt, Anne McCaffrey, and Robin McKinley. And so it continued with Ellen Raskin, Patricia McKillip, and L. M. Montgomery, a veritable battalion…

The Interdisciplinary Mini-Course: Instructional Development for Language Classes.

ERIC Educational Resources Information Center

Wilkins, Wynona H.; Boswau, Herbert H.

Curricula for interdisciplinary courses that enable second language classes to employ the arts are proposed. At the University of North Dakota, mini-courses provide one-semester credit and are given for 2 hours 1 day a week over a period of 8 weeks. Some of the courses are cross-listed with other departments. Two of these courses, Joan of Arc and…

Preparing Minority Populations for Emergencies: Connecting to Build a More Resilient Community

DTIC Science & Technology

2012-12-01

the 172 Philip Berke et al., “Building Capacity for Disaster Resiliency in Six Disadvantaged...the Poor and Underserved 18 (2007): 277–282. Berke, Philip , John Cooper, David Salvesen, Danielle Spurlock, and Christina Rausch. “Building...Takeuchi, and Jennifer Kotler . Always Connected: The New Digital Media Habits of Young Children. New York: The Joan Ganz Cooney Center at Sesame

Signs of Change: New Directions in Theatre Education

ERIC Educational Resources Information Center

Lazarus, Joan

2012-01-01

There is no one-size-fits-all way to keep pace with the changes affecting students and those who educate them. That's why Joan Lazarus has gathered here the insights of hundreds of theater teachers and teaching artists on how they have responded to the shifting demands of theater education in today's schools. She paints a portrait of active,…

Prise de suppléments multivitaminiques pour la prévention primaire des anomalies congénitalies

PubMed Central

Morin, Pascale; Demers, Karine; Giguère, Christine; Tribble, Denise St-Cyr; Lane, Julie

2007-01-01

RÉSUMÉ OBJECTIF Déterminer si les recommandations véhiculées par les professionnels de la santé sur l’importance de l’acide folique encouragent les femmes susceptibles de procréer de prendre les suppléments d’acide folique. CONCEPTION Enquête. CONTEXTE Centre de santé et de services sociaux, Institut universitaire de gériatrie de Sherbrooke, à Sherbrooke, Qué. PARTICIPANTS 323 femmes francophones âgées entre 18 et 45 ans. PRINCIPALES MESURES DES RÉSULTATS La consommation de suppléments de vitamines et de minéraux au cours de la dernière année. Des analyses statistiques descriptives et bivariées et une modélisation par régression logistique ont été effectuées pour déterminer si l’association observée entre la recommandation d’un professionnel de la santé et la consommation de vitamines et de minéraux persistait après avoir tenu compte de l’effet des variables de contrôle (consultation de documentation, connaissances, sources d’information, perception, âge, scolarité, revenu, état matrimonial, intention de devenir enceinte). RÉSULTATS Environ 41% des femmes rapportent que leur médecin leur avait recommandé de consommer un supplément de vitamines et de minéraux. Après avoir ajusté toutes les variables dans le modèle, il est apparu que le fait de se faire recommander par un professionnel de la santé de prendre un supplément de vitamines et de minéraux était significativement associé à la consommation de vitamines et de minéraux par les femmes susceptibles de devenir enceintes. CONCLUSION Les professionnels peuvent améliorer la santé de la population par une pratique clinique préventive. Nous soulignons l’importance de soutenir ces derniers dans leurs efforts d’intégrer puis d’appliquer des connaissances scientifiques dans leur pratique. PMID:18077754

Retour vers le futur: l'expérience des patients et le lien avec la qualité, la sécurité et le rendement financier.

PubMed

Cochrane, Bonnie S; Hagins, Mitch; King, John A; Picciano, Gino; McCafferty, Maureen M; Nelson, Brian

2015-11-01

Au Canada, l'amélioration de l'expérience des patients est devenue une priorité des politiques de santé. Le perfectionnement et la normalisation des outils et systèmes pour surveiller les mesures de l'expérience des patients augmentent, tandis que la tendance vers une plus grande reddition de compte sur des améliorations durables et abordables se confirme. Pour de nombreux professionnels de la santé, ce phénomène fait foi d'un intérêt renouvelé pour les besoins et priorités fondamentaux des patients, après des décennies où les changements structurels et technologiques ont dominé les programmes de santé. Pour les leaders en santé canadiens, l'amélioration de l'expérience des patients comporte actuellement de grands défis et de belles possibilités. À cet égard, l'expérience des organisations partenaires du groupe Studer au Canada est à la fois pertinente et instructive. Ces organisations ont adopté un modèle, du nom de Evidence-Based Leadership (EBL, ou leadership fondé sur des données probantes), qui favorise et soutient l'harmonisation de l'ensemble des activités et des comportements, conformément à des objectifs organisationnels précis, y compris des améliorations mesurables de l'expérience des patients. Le présent article expose des études de cas d'organisations qui ont adopté l'EBL. Ces organisations ont réalisé des progrès rapides en matière d'indicateurs de l'expérience des patients, ainsi que dans des secteurs essentiels comme les résultats cliniques, la sécurité et le rendement financier. Les données émergentes sur les facteurs et processus qui sous-tendent ces améliorations sont également abordées. © 2015 Collège canadien des leaders en santé

Strengthening Hospital Surge Capacity in the Event of Explosive or Chemical Terrorist Attacks

DTIC Science & Technology

2009-03-01

the hospital and have 202 S . Einav, Z. Feigenberg, C. Weissman, D. Zolchik, G. Caspi, D. Kotler... S . Fertel, B. Lackey, M. Marr, and B. P. Dreyer. “Overcoming Legal Obstacles involving the Voluntary Care of Children Who are Separated from their... HOSPITAL SURGE CAPACITY IN THE EVENT OF EXPLOSIVE OR CHEMICAL TERRORIST ATTACKS by Joan McInerney March 2009 Thesis Advisor: Anke Richter

Reducing Long-Term Costs While Preserving a Robust Strategic Airlift Fleet: Options for the Current Fleet and Next-Generation Aircraft

DTIC Science & Technology

2013-01-01

Ghashghai, Jeff Hagen, Thomas Hamilton, Gregory G. Hildebrandt , Yool Kim, Robert S. Leonard, Rosalind Lewis, Elvira N. Loredo, Daniel M. Norton, David T...Joan Cornuet, Mel Eisman, Chris Fitzmartin, Jean R. Gebman, Elham Ghashghai, Jeff Hagen, Thomas Hamilton, Gregory G. Hildebrandt , Yool Kim, Robert...Hagen, Thomas Hamilton, Gregory G. Hildebrandt , Yool Kim, Robert S. Leonard, Rosa- lind Lewis, Elvira N. Loredo, Daniel M. Norton, David T. Orletsky

Device costs go under the knife. With four hospitals having won HHS' approval for gain-sharing to shave supply costs, some observers say it's just the beginning.

PubMed

Becker, Cinda

2005-02-21

HHS' inspector general's office recently had some good news for four hospitals--they can use gain-sharing programs to help cut spending on devices. Joane Goodroe, left, is the consultant who helped the facilities devise proposals with safeguards that could satisfy the feds' worries about violating antikickback laws. "This is about paying physicians to take on the extra job of of reducing costs," Goodroe says.

Influence of postharvest treatments on qualitative and chemical parameters of Tarocco blood orange fruits to be used for fresh chilled juice.

PubMed

Pannitteri, C; Continella, A; Lo Cicero, L; Gentile, A; La Malfa, S; Sperlinga, E; Napoli, E M; Strano, T; Ruberto, G; Siracusa, L

2017-09-01

Tarocco "Sant'Alfio" is a late ripening blood orange cultivar. Blood oranges are more and more appreciated from consumers for their high nutraceutical value due to the presence of bioactive compounds including vitamin C, polyphenols, flavonoids and hydroxycinnamic acids. The aim of this work is to set up a reliable protocol for postharvest storage of the very-late Tarocco "Sant'Alfio" orange to prolong the availability of this product in the market to be used for fresh chilled orange juice production. Fruits were subjected to three storage treatments (20days at 1°C plus 50days at 4°C; 70days at 4°C; 70days at 20°C). The results indicate that cold treatments, in particular at 4°C constantly, can extend Tarocco "Sant'Alfio" shelf life enhancing total anthocyanin content. The defined protocols allow prolonging market availability of a high value product and could induce relevant benefits for the citrus industry and consumers. Copyright © 2017 Elsevier Ltd. All rights reserved.

Entrevue avec le Dr Charley Zeanah

PubMed Central

2013-01-01

Le Dr Charles Zeanah est titulaire de la chaire de psychiatrie Mary K. Sellars-Polchow, professeur de pédiatrie clinique et vice-président de la pédopsychiatrie au département de psychiatrie et des sciences du comportement de la faculté de médecine de l’Université Tulane, à la Nouvelle-Orléans. Il est également directeur général de l’institut de la santé mentale des nourrissons et des jeunes enfants de Tulane. Il est récipiendaire de nombreux prix, notamment le prix de prévention Irving Phillips (AACAP), la mention élogieuse présidentielle pour sa recherche et son leadership exceptionnels en santé mentale des nourrissons (American Orthopsychiatric Association), le prix d’excellence clinique Sarah Haley Memorial (International Society for Traumatic Stress Studies), le prix de recherche en pédopsychiatrie Blanche F. Ittelson (APA), et le prix Serge Lebovici Award soulignant les contributions internationales à la santé mentale des nourrissons (World Association for Infant Mental Health). Le Dr Zeanah est fellow distingué de l’AACAP, fellow distingué de l’APA et membre du conseil d’administration de Zero to Three. Il est l’éditeur scientifique de Handbook of Infant Mental Health (3e édition) qui est considéré comme étant le manuel de pointe et la référence de base du domaine de la santé mentale des nourrissons.

Biomechanical Assessment of the Canadian Integrated Load Carriage System using Objective Assessment Measures

DTIC Science & Technology

2001-05-01

UNCLASSIFIED Defense Technical Information Center Compilation Part Notice ADPO 11004 TITLE: Biomechanical Assessment of the Canadian Integrated Load...ADP010987 thru ADPO11009 UNCLASSIFIED 21-1 Biomechanical Assessment of the Canadian Integrated Load Carriage System using Objective Assessment Measures Joan...CANADA, B3J 2X4 Summary The purpose of this study was to provide an overview of contributions by biomechanical testing to the design of the final

Gordon Research Conference on Chronobiology

DTIC Science & Technology

1993-11-01

AMHERST MA 01002 DR ANTONI DIEZ-NOGUERA OFF UNIVERSITY OF BARCELONA 3434907869 LABORATORY DE FISIOLOGIA ATTENDEE FACULTAT 03 FARMACIA, AV JOAN XXIII SIN...WALTHAM MA 02254 DR BEATRIZ FUENTES-PARDO P 303 UNIV. NACIONAL AUTONOMA DE MEXICO 525-623-2362 DEPARTAMENTO DE FISIOLOGIA , FAC. DE KED. ATTENDEE APDO...Vilaplana, T.Cambras (Laboratori de Fisiologia , Facultat de Farmacia, Universitat de Barcelona): Effects of period length of light/dark cycles in the

Governing Geoengineering Research: A Political and Technical Vulnerability Analysis of Potential Near-Term Options

DTIC Science & Technology

2011-01-01

weather events, or the spread of tropical diseases into North America. The net A Vulnerability-and-Response-Option Analysis Framework for a Risk...Avoidable Surprises, Cambridge: Cambridge University Press, 2002. Doney, Scott C., Victoria J. Fabry , Richard A. Feely, and Joan A. Kleypas, “Ocean...Falkenmark, Louise Karlberg, Robert W. Corell, Victoria J. Fabry , James Hansen, Brian Walker, Diana Liverman, Katherine Richardson, Paul Crutzen, and

Perspective sur les ruptures d’approvisionnement de médicaments en établissement de santé de 2006 à 2010

PubMed Central

Bussières, Jean-François; Chiveri, Andrei; Lebel, Denis

2011-01-01

marché. Toutefois, 50 % des ruptures de stocks provenaient de trois classes thérapeutiques (médicaments du système nerveux central, agents anti-infectieux et médicaments cardiovasculaires). Conclusion: Il s’agit des premières données canadiennes publiées sur l’étendue des ruptures d’approvisionnement sur le marché hospitalier. L’étude a démontré que les ruptures de stocks touchent la plupart des fabricants et la majorité des classes thérapeutiques. D’autres études sont nécessaires afin d’explorer les causes et les conséquences des ruptures d’approvisionnement en établissements de santé. PMID:22479098

Cost-utility and biological underpinnings of Mindfulness-Based Stress Reduction (MBSR) versus a psychoeducational programme (FibroQoL) for fibromyalgia: a 12-month randomised controlled trial (EUDAIMON study).

PubMed

Feliu-Soler, Albert; Borràs, Xavier; Peñarrubia-María, María T; Rozadilla-Sacanell, Antoni; D'Amico, Francesco; Moss-Morris, Rona; Howard, Matthew A; Fayed, Nicolás; Soriano-Mas, Carles; Puebla-Guedea, Marta; Serrano-Blanco, Antoni; Pérez-Aranda, Adrián; Tuccillo, Raffaele; Luciano, Juan V

2016-02-27

The EUDAIMON study focuses on fibromyalgia syndrome (FMS), a prevalent chronic condition characterized by pain, fatigue, cognitive problems and distress. According to recent reviews and meta-analyses, Mindfulness-Based Stress Reduction (MBSR) is a promising therapeutic approach for patients with FMS. The measurement of biomarkers as part of the analysis of MBSR effects would help to identify the neurobiological underpinnings of MBSR and increase our knowledge of FMS pathophysiology. The main objectives of this 12-month RCT are: firstly, to examine the effectiveness and cost-utility for FMS patients of MBSR as an add-on to treatment as usual (TAU) versus TAU + the psychoeducational programme FibroQoL, and versus TAU only; secondly, to examine pre-post differences in brain structure and function, as well as levels of specific inflammatory markers in the three study arms and; thirdly, to analyse the role of some psychological variables as mediators of 12-month clinical outcomes. Effectiveness, cost-utility, and neurobiological analyses performed alongside a 12-month RCT. The participants will be 180 adult patients with FMS recruited at the Sant Joan de Déu hospital (St. Boi de Llobregat, Spain), randomly allocated to one of the three study arms: TAU + MBSR vs. TAU + FibroQol vs. TAU. A comprehensive assessment to collect functional, quality of life, distress, costs, and psychological variables will be conducted pre-, post-intervention, and at 12-month post-intervention. Fifty per cent of study participants will be evaluated at pre- and post-treatment using Voxel-Based Morphometry, Diffusion Tensor Imaging, pseudo-continuous Arterial Spin Labeling, and resting state fMRI. A cytokine multiplex kit of high-sensitivity will be applied (cytokines IL-6, IL-8, IL-10 + high-sensitivity CRP test). The findings obtained from this RCT will indicate whether MBSR is potentially cost-effective for FMS and contribute to knowledge of any brain and inflammatory

Effects of Poly-Bioactive Compounds on Lipid Profile and Body Weight in a Moderately Hypercholesterolemic Population with Low Cardiovascular Disease Risk: A Multicenter Randomized Trial

PubMed Central

Solà, Rosa; Valls, Rosa-M; Puzo, José; Calabuig, José-Ramón; Brea, Angel; Pedret, Anna; Moriña, David; Villar, José; Millán, Jesús; Anguera, Anna

2014-01-01

A dietary supplement (AP, Armolipid Plus) that combines red yeast rice extract, policosanol, berberine, folic acid, coenzyme Q10 and asthaxantine can have beneficial effects on cardiovascular disease (CVD) biomarkers. The aim of this study was to assess whether the intake of AP, in combination with dietary recommendations, reduces serum low density lipoprotein cholesterol (LDL-c) concentrations and other CVD biomarkers in patients with hypercholesterolemia. Eligible patients were recruited from the outpatient clinics of six Spanish hospitals Hospital Virgen del Rocío (Sevilla); Hospital San Jorge (Huesca); Hospital San Pedro (Logroño); Hospital Gregorio Marañón (Madrid), Hospital la Fe (Valencia) and Hospital Universitari Sant Joan (Reus) as recruiting and coordinating center. 102 participants (mean age ± SD; 50.91±11.61; 32 men) with low CVD, with mild-to-moderately elevated LDL-c (between 3.35 mmol/L and 4.88 mmol/L) without hypolipemic therapy were randomized in a double-blind, parallel, controlled, multicenter trial commencing January 2012 and ending December 2012. Among the exclusion criteria were any concomitant chronic disease, triglycerides (TG) >3.97 mmol/L, pregnant or lactating, and history of CVD. At 12 weeks, compared to placebo, AP reduced LDL-c by −6.9%, apolipoprotein (Apo) B-100 by −6.6% and total cholesterol/HDL-c ratio by −5.5%, the ApoB/ApoA1 ratio by −8.6%, while increasing ApoA1 by +2.5% (p<0.05). AP consumption was associated with modest mean weight loss of −0.93 kg (95%CI: -1.74 to -0.12; P = 0.02) compared with control group while dietary composition remained unchanged in the AP group. The AP product was well tolerated. In conclusion, AP, combined with dietary recommendations, reduced LDL-c levels as well as total cholesterol/HDL-c and ApoB/ApoA1 ratios, while increasing Apo A1, all of which are improvements in CVD risk indicators. AP is a product which could benefit patients having moderate hyperlipidemia and excess

Les bons conseils de la naissance à la maternelle

PubMed Central

Rourke, Leslie; Leduc, Denis; Constantin, Evelyn; Carsley, Sarah; Rourke, James; Li, Patricia

2013-01-01

Résumé Objectif Donner un aperçu de la version 2011 du Relevé postnatal Rourke (RPR), qui comporte aussi des nouveautés dans son site web et de nouvelles initiatives connexes et qui intègre les données des ouvrages scientifiques récents sur les soins de santé préventifs à l’intention des enfants de 0 à 5 ans. Qualité des données À l’instar des versions antérieures du RPR, la nouvelle édition présente des recommandations identifiées comme se fondant sur des preuves suffisantes, acceptables ou consensuelles, selon les classifications adoptées par le Groupe d’étude canadien sur les soins de santé préventifs en 2011. Message principal De nouveaux renseignements et des recommandations sont présentés concernant la surveillance de la croissance, la nutrition et la vaccination contre la varicelle, les pneumocoques, les méningocoques et le rotavirus. Il y a maintenant de bonnes données probantes en faveur de l’adaptation canadienne des courbes de croissance de l’Organisation mondiale de la Santé, du dépistage universel des problèmes d’audition chez le nouveau-né et du recours à des stratégies de réduction de la douleur liée à la vaccination. On a mis à jour les conseils anticipatoires concernant la sécurité durant le sommeil, la supervision de la santé des enfants en foyer d’accueil, le trouble du spectre de l’alcoolisation fœtale, les facteurs de risque nécessitant le dépistage du plomb et de l’anémie, les soins dentaires et la santé buccale. Parmi les nouvelles rubriques dans le site web du RPR, on peut mentionner une section présentant des ressources pour les parents, des modifications à l’intention de populations particulières, comme les personnes vivant au Nunavut, une version du RPR qui met en évidence en un coup d’œil les modifications à la version de 2009 et une expansion de la fonction d’exploration du RPR accompagnée des hyperliens connexes menant aux renseignements pertinents. On peut

Acute high dose of chlorpyrifos alters performance of rats in the elevated plus-maze and the elevated T-maze.

PubMed

López-Crespo, G A; Flores, P; Sánchez-Santed, F; Sánchez-Amate, M C

2009-11-01

Chlorpyrifos (CPF) is a broad spectrum organophosphate (OP) pesticide widely used in agriculture, industry and household. Several animal studies indicate emotional disturbances after CPF exposure, although the results are sometimes puzzling. Thus, both anxiolytic and anxiogenic effects of CPF have been reported in different animal models of anxiety [Sánchez-Amate MC, Flores P, Sánchez-Santed F. Effects of chlorpyrifos in the plus-maze model of anxiety. Behav Pharmacol 2001;12:285-92; Sánchez-Amate MC, Dávila E, Cañadas F, Flores P, Sánchez-Santed F. Chlorpyrifos shares stimulus properties with pentilenetetrazol as evaluated by and operant drug discrimination task. Neurotoxicology 2002;23:795-803; López-Crespo G, Carvajal F, Flores P, Sánchez-Santed F, Sánchez-Amate MC. Time-course of biochemical and behavioural effects of a single high dose of chlorpyrifos. Neurotoxicology 2007;28:541-7]. On the other hand, other behavioural effects of CPF are time-dependent [López-Crespo G, Carvajal F, Flores P, Sánchez-Santed F, Sánchez-Amate MC. Time-course of biochemical and behavioural effects of a single high dose of chlorpyrifos. Neurotoxicology 2007;28:541-7], raising the question that the effects of CPF could be task and post-administration time dependent. To test this hypothesis, three groups of rats were treated with a single high dose of CPF (250 mg/kg); one of the groups was tested on day 5 on the elevated plus-maze, to complete our previous study on day 2 [Sánchez-Amate MC, Flores P, Sánchez-Santed F. Effects of chlorpyrifos in the plus-maze model of anxiety. Behav Pharmacol 2001;12:285-92]. The remaining groups were tested on the elevated T-maze on days 2 and 5. CPF produced an increased open arm activity on the elevated plus-maze on day 5, an increased escape latency on the elevated T-maze on day 2 and an impaired inhibitory avoidance on day 5. Data are discussed taking together all studies carried out in our laboratory, confirming that CPF effects on

Therapeutic efficacy of narrow band imaging-assisted transurethral electrocoagulation for ulcer-type interstitial cystitis/painful bladder syndrome.

PubMed

Kajiwara, Mitsuru; Inoue, Shougo; Kobayashi, Kanao; Ohara, Shinya; Teishima, Jun; Matsubara, Akio

2014-04-01

Narrow band imaging cystoscopy can increase the visualization and detection of Hunner's lesions. A single-center, prospective clinical trial was carried out aiming to show the effectiveness of narrow band imaging-assisted transurethral electrocoagulation for ulcer-type interstitial cystitis/painful bladder syndrome. A total of 23 patients (19 women and 4 men) diagnosed as having ulcer-type interstitial cystitis/painful bladder syndrome were included. All typical Hunner's lesions and suspected areas identified by narrow band imaging were electrocoagulated endoscopically after the biopsy of those lesions. Therapeutic efficacy was assessed prospectively by using visual analog scale score of pain, O'Leary-Sant's symptom index, O'Leary-Sant's problem index and overactive bladder symptom score. The mean follow-up period was 22 months. All patients (100%) experienced a substantial improvement in pain. The average visual analog scale pain scores significantly decreased from 7.3 preoperatively to 1.2 1 month postoperatively. A total of 21 patients (91.3%) who reported improvement had at least a 50% reduction in bladder pain, and five reported complete resolution. Daytime frequency was significantly decreased postoperatively. O'Leary-Sant's symptom index, O'Leary-Sant's problem index and overactive bladder symptom score were significantly decreased postoperatively. However, during the follow-up period, a total of six patients had recurrence, and repeat narrow band imaging-assisted transurethral electrocoagulation of the recurrent lesions was carried out for five of the six patients, with good response in relieving bladder pain. Our results showed that narrow band imaging-assisted transurethral electrocoagulation could be a valuable therapeutic alternative in patients with ulcer-type interstitial cystitis/painful bladder syndrome, with good efficacy and reduction of recurrence rate. © 2014 The Japanese Urological Association.

Utilisation de lignes directrices dans le cadre de l’implantation de cabinets automatisés décentralisés en établissement de santé

PubMed Central

Brisseau, Lionel; Bussières, Jean-François; Lebel, Denis; Atkinson, Suzanne; Robinette, Louise; Fortin, Sylvie; Lemay, Michel

2011-01-01

RÉSUMÉ Contexte : Il existe peu de données sur les conséquences de l’utilisation des cabinets automatisés décentralisés (CAD) en établissements de santé. Méthode : Il s’agit d’une étude descriptive de la conformité des pratiques par rapport à des lignes directrices publiées dans le cadre de l’implantation de CAD. L’objectif principal de l’étude est d’évaluer la conformité globale et celle de chaque processus du circuit du médicament. L’étude se déroule au sein du Centre hospitalier universitaire (CHU) Sainte-Justine, un établissement mère–enfant de 500 lits. À partir des lignes directrices portant sur l’utilisation sécuritaire des CAD de l’Institute for Safe Medication Practice (aux États-Unis) (2008) et de son outil d’autoévaluation (2009), nous avons évalué la conformité de la pratique à 30 jours et à 120 jours après l’implantation. Résultats : Nous avons procédé de novembre 2009 à avril 2010 à l’implantation de sept stations de CAD au sein du CHU Sainte-Justine. Le profil de conformité est passé de 66 % à 74 % de janvier à avril 2010. Pour chaque processus relatif à l’utilisation sécuritaire des CAD, nous présentons une brève description des critères ainsi que les éléments de non-conformité liés à la technologie ou aux aspects organisationnels. Pour chaque élément de non-conformité, nous avons déterminé les actions requises auprès du fabricant afin de modifier l’équipement (c. à .d. aspects technologiques) et auprès de l’établissement afin de modifier les modalités d’utilisation (aspects organisationnels) en précisant le ou les processus impliqués. Conclusion : Cette étude décrit la conformité des pratiques au CHU Sainte-Justine par rapport à des lignes directrices publiées par l’Institute for Safe Medication Practices. L’utilisation de lignes directrices dans le cadre de l’implantation de cabinets automatisés décentralisés en établissement peut

The Saskatchewan/New Brunswick Healthy Start-Départ Santé intervention: implementation cost estimates of a physical activity and healthy eating intervention in early learning centers.

PubMed

Sari, Nazmi; Muhajarine, Nazeem; Froehlich Chow, Amanda

2017-01-19

Participation in daily physical activity and consuming a balanced diet high in fruits and vegetables and low in processed foods are behaviours associated with positive health outcomes during all stages of life. Previous literature suggests that the earlier these behaviours are established the greater the health benefits. As such, early learning settings have been shown to provide an effective avenue for exploring and influencing the physical activity and healthy eating behaviours of children before school entry. However, in addition to improving individual level health of children, such interventions may also result in a number of social benefits for the society. In fact, research among adult populations has shown that sufficient participation in physical activity can significantly lower hospital stays and physician visits, in turn leading to positive economic outcomes. To our knowledge there is very limited literature about economic evaluations of interventions implemented in early learning centers to increase physical activity and healthy eating behaviours among children. The primary purpose of this paper is to identify inputs and costs needed to implement a physical activity and healthy eating intervention (Healthy Start-Départ Santé (HS-DS)) in early learning centres throughout Saskatchewan and New Brunswick over the course of three years. In doing so, implementation cost is estimated to complete the first phase of a social return on investment analysis of this intervention. In order to carry out this evaluation the first step was to identify the inputs and costs needed to implement the intervention, along with the corresponding outputs. With stakeholder interviews and using existing database, we estimated the implementation cost by measuring, valuing and monetizing each individual input. Our results show that the total annual cost of implementing HS-DS was $378,753 in the first year, this total cost decreased slightly in the second year ($356,861) and again

Candid No. 1 Argentine Hemorrhagic Fever Vaccine Protects against Lethal Junin Virus Challenge in Rhesus Macaques

DTIC Science & Technology

1992-01-01

HeLra Fever Vaccine Anna L. Kuhne Hemorrhagic Joan A. Spisso Protects against Lethal Junin Virus B.G. Mahlandt United States Army Medical Challenge in...live-attenuated vac- cine against Argentine hemorrhagic fever (AH F), was evaluated om in non-human primates. Twenty rhesus macaques immunized 3 months...nees that had received 3 logl,• PFU Candid No. I or fewer: all Argentine hemorrhagic fever others, including those receiving 127,200 PFU, maintained

Intelligence and Law Enforcement: Countering Transnational Threats to the U.S.

DTIC Science & Technology

2001-12-03

K. Johnson, America’s Secret Power: the CIA in a Democratic Society (New York: Oxford University Press , 1989), pp. 133-203. 26 The history of the...gathering on civilians by the military is found in Joan M. Jensen, Army Surveillance in America, 1775-1980 (New Haven: Yale University Press , 1991). 27...103rd Congress, 1st session, Select Committee on Intelligence, The Intelligence Community’s Involvement in the Banca Nazionale del Lavoro (BNL

The Vietnam Cauldron: Defense Intelligence in the War for Southeast Asia

DTIC Science & Technology

2012-01-01

For the Patriots. Major Robert P. Perry, USA Celeste M. Brown Vivienne A. Clark Dorothy M. Curtiss Joan K. Pray Doris J. Watkins Colonel Charles R. Ray...USA Chief Warrant Officer Robert W. Prescott, USA Chief Warrant Officer Kenneth D. Welch, USA Petty Officer First Class Michael R. Wagner, USN...Marshall Karl W. Teepe Patricia E. Mickley Robert J. Hymel Rosa M. Chapa Sandra N. Foster Charles E. Sabin i Defense Intelligence Historical Perspectives

Supplemental Environmental Assessment of the Ambulatory Care Center at Joint Base Andrews-Naval Air Facility Washington, Maryland

DTIC Science & Technology

2011-06-01

DOLAN, GS-14, USAF Chief, Asset Management Flight MARYLAND DEPARTMENT OF THE ENVIRONMENT MDE Martin O’Malley Governor 1800 Washington Boulevard...t.e.(~;vJ ~-so- ll ( HtfM.;r-\\<.U ) -l. ~- II J~~ Ms. Anne Hodges March 29, 2011 Page Two Again, thank you for giving MDE the opportunity to...Joane D. Mueller MDE Clearinghouse Coordinator Office of Communications Enclosure cc: Bob Rosenbush, State Clearinghouse • Andrews Airforce Base

45th Annual Targets, UAVs and Range Operations Symposium and Exhibition - Tools and Technologies for the Warfighter. Volume 2. Wednesday

DTIC Science & Technology

2007-10-31

ENGINEER Ms. Jo-An Williams FINANCE Ms. Leanne Green CONTRACTING Mr. Ken Hislop QF-16 Ms. Lee Neugin QF-4 Mr. Jim Cornwell AFSAT Ms. Audrea Feist DEPUTY...Target Program Manager: Mr. Ken Hislop Description Fullscale Target for Threat-Representative Weapon System Evaluation Meets USAF, Army, Navy, Allied Test...1940 1950 1960 1970 1980 1990 2000 2010 Approved for Public Release: Control No. UMS-2007-927, October 2007 6 A Solid Future for Unmanned Missions

Acupuncture in Military Medicine

DTIC Science & Technology

2013-01-01

Chapter 16 Acupuncture in Military Medicine Alexandra M. York, Kevin G. Berry, Rick C. Welton, Joan A. G. Walter, Richard C. Niemtzow and Wayne B...DATES COVERED 00-00-2013 to 00-00-2013 4. TITLE AND SUBTITLE Acupuncture in Military Medicine 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...States Air Force Acupuncture Center,Joint Base Andrews, , , 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND

Acupuncture in Military Medicine

DTIC Science & Technology

2013-01-01

Chapter 16 Acupuncture in Military Medicine Alexandra M. York, Kevin G. Berry, Rick C. Welton, Joan A. G. Walter, Richard C. Niemtzow and Wayne B...DATES COVERED 00-00-2013 to 00-00-2013 4. TITLE AND SUBTITLE Acupuncture in Military Medicine 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...States Air Force Acupuncture Center,Joint Base Andrews,MD,20762 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND

A Service in Transition: Forging an Integrated Institutional Identity for the United States Air Force

DTIC Science & Technology

2010-06-01

Jr (Bomber) o Seventh Air Force, LTG Jeffrey A. Remington (Fighter) o Eleventh Air Force, LTG Dana T. Atkins (Fighter) o Thirteenth Air Force, LTG...Acculturation.‖ In Handbook of Socialization: Theory and Research, edited by Joan E. Grusec, and Paul D. Hastings, 543-560. New York, NY: Guilford...Philip. ―Determinism and Indeterminacy in the History of Technology.‖ In Does Technology Drive History?, edited by Merritt Roe Smith, and Leo Marx

Terrorism: A Selected Bibliography.

DTIC Science & Technology

1984-07-30

York, Wiley , 1975. Carr, Gordon. The Angry Brigade: A History of Britains First Urban Guerrilla Group. London, Gollance, 1975. Carroll, R. and A...45, April 23, 1979. "Carrotts and Stick." Newsweek, August 23, 1971, p. 34. Carter, April, David Hoggett and Adam Roberts. Non-Violent Action: A...Washington, D. C. Buildings, March 1977)." por. Newsweek, 95:17, May 19, 1980. Cole, R. B. Executive Security. Wiley , 1980. Colebrook, Joan. "Israel Wtih

Candide: An Interactive System for the Acquisition of Domain Specific Knowledge

DTIC Science & Technology

1988-05-01

wats coiirlltely’ overhlauiled duin g lie termi of thnis project. As a result it can directly use miorphlological rille., iii stead iif, precorri oiled...November). [Bresnan, 83] Bresnan, Joan, 1983: The mental representation of g . mmatical relations (ed.), Cambridge: MIT Press. [Gazdar and Pullum, 82] Gazdar... G . and G.K. Pullum, 1982: "GPSG: A l’heoretical Syn- opsis," Indiana University Linguistics Club, Bloomington, Indiana. * [Grosz, el al., 82] Grosz

ISS 7A.1 Flight Control Team Photo in BFCR

NASA Image and Video Library

2001-08-17

JSC2001-02225 (17 August 2001) --- The members of the STS-105/ISS 7A.1 Orbit 2 team pose for a group portrait in the International Space Station (ISS) flight control room (BFCR) in Houston’s Mission Control Center (MCC). Orbit 2 flight director Rick LaBrode (front right) holds the STS-105 mission logo, and Astronaut Joan E. Higginbotham, ISS spacecraft communicator (CAPCOM), holds the ISS 7A.1 mission logo.

Relevé postnatal Rourke 2014

PubMed Central

Riverin, Bruno; Li, Patricia; Rourke, Leslie; Leduc, Denis; Rourke, James

2015-01-01

Résumé Objectif Mettre à jour la version de 2011 du Relevé postnatal Rourke (RPR) à la suite d’une révision des meilleures données probantes récentes sur le suivi de la santé des nourrissons et des enfants de la naissance jusqu’à l’âge de 5 ans. Qualité des données La qualité des données a été cotée en fonction de l’ancien système de classification du Groupe d’étude canadien sur les soins de santé préventifs (jusqu’à 2006) et l’approche de détermination, d’élaboration et d’évaluation des recommandations (GRADE). Message principal De nouveaux faits scientifiques ont été pris en compte dans les recommandations du RPR 2014 en ce qui a trait au suivi de la croissance, à la nutrition, à l’éducation et aux conseils, au développement, à l’examen physique et à l’immunisation. La croissance est surveillée à l’aide des courbes de l’Organisation mondiale de la Santé qui ont été révisées en 2014. On devrait introduire les aliments solides en fonction de l’état de préparation du nourrisson et ces produits devraient contenir du fer. Il n’est actuellement plus recommandé de retarder l’introduction des allergènes alimentaires courants pour prévenir les allergies. Il faut promouvoir l’utilisation d’une tasse sans couvercle au lieu d’une tasse à bec dès l’âge de 12 mois. La section sur l’éducation et les conseils porte sur les blessures causées par du mobilier instable, ainsi que l’utilisation d’un siège d’auto orienté vers l’arrière jusqu’à 2 ans. Elle comporte aussi de l’information sur les saines habitudes de sommeil, la prévention de la maltraitance des enfants, la vie saine et active et la sédentarité de la famille, de même que l’hygiène buccale. On a aussi ajouté à cette section une nouvelle catégorie consacrée à la santé environnementale pour tenir compte des effets des dangers environnementaux sur la santé des enfants. Le RPR a recours à une

PubMed

Black, Amanda; Guilbert, Edith; Costescu, Dustin; Dunn, Sheila; Fisher, William; Kives, Sari; Mirosh, Melissa; Norman, Wendy V; Pymar, Helen; Reid, Robert; Roy, Geneviève; Varto, Hannah; Waddington, Ashley; Wagner, Marie-Soleil; Whelan, Anne Marie

2017-04-01

Mettre à la disposition des fournisseurs de soins des lignes directrices concernant le recours à des méthodes contraceptives pour prévenir la grossesse et la promotion d'une sexualité saine. Efficacité globale des méthodes contraceptives citées : évaluation de l'innocuité, des effets indésirables et de la baisse du taux de grossesse; effet des méthodes contraceptives citées sur la santé sexuelle et le bien-être général; disponibilité des méthodes contraceptives citées au Canada. RéSULTATS: Des recherches ont été effectuées dans MEDLINE et la base de données Cochrane afin d'en tirer les articles en anglais publiés entre janvier 1994 et décembre 2015 traitant de sujets liés à la contraception, à la sexualité et à la santé sexuelle, dans le but de mettre à jour le consensus canadien sur la contraception paru de février à avril 2004. Nous avons également passé en revue les publications pertinentes du gouvernement canadien, ainsi que les déclarations de principes issues d'organisations compétentes vouées à la santé et à la planification familiale. La qualité des résultats a été évaluée au moyen des critères décrits par le Groupe d'étude canadien sur les soins de santé préventifs. Les recommandations quant à la pratique sont classées en fonction de la méthode décrite dans le rapport du Groupe. DéCLARATIONS SOMMAIRES: RECOMMANDATIONS. Copyright © 2017. Published by Elsevier Inc.

Population Analysis: A Methodology for Understanding Populations in COIN Environments

DTIC Science & Technology

2008-12-01

Psychology is also known for its controversy. Theories such as those of Sigmund Freud and Abraham Maslow remain controversial, and have clouded the...from the Freud’s concept of the id and ego to Marx concept of class struggles ( Freud , 1923) (Marx, 1847). For the purpose of this thesis, we have...8217The bases of social power,’ in D. Cartwright (ed.) Studies in Social Power. Ann Arbor. Freud , S. (1923). The Ego and the Id, Joan Riviere (trans

Organtropic Metastatic Secretomes and Exosomes in Breast Cancer

DTIC Science & Technology

2016-10-01

MD, PhD CONTRACTING ORGANIZATION: Joan & Sanford I Weill Medical College of Cornell University New York, NY 10065 REPORT DATE: October 2016 TYPE...STATEMENT: Approved for Public Release; Distribution Unlimited The views, opinions and/or findings contained in this report are those of the author( s ) and...Cancer 5b. GRANT NUMBER N/A 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER David Lyden, MD, PhD, Ayuko Hoshino, PhD, Irina Matei, PhD

Deciding What Has to Be Done: General William E. DePuy and the 1976 Edition of FM 100-5, Operations (Leavenworth Paper, Number 16)

DTIC Science & Technology

1988-07-01

Teaching Committee LTC Charles D . McKenna, Chief LTC John R . Finch MAJ Stephen D . Coats LTC Andrew N. Morris MAJ Robert E. Gillespie LTC Edward P...Cheryl J. Davis, Editorial Assistant Staff MSG Russell E. Miller Jr. Joan R . Bazajou SSG Patricia E. Clowers Carolyn D . Conway Sharon E. Torres...from Professor Allan R . Millett, The Ohio State University; Colonel Robert A. Doughty (U.S. Army), U.S. Military Academy; and Dr. Roger D . Spiller

The Coast Artillery Journal. Volume 59, Number 2, August 1923

DTIC Science & Technology

1923-08-01

writers and artists have used it as a device for Joan of Arc. Heraldically the phoenix is always represented as an eagle rising from flames, and in...181) THE BULLETI~ BOARD 185 graphs of two artistic pieces in sterling silver which have just been completed by the Bailey Banks and Biddle Company...the supper hour the gatheriIU! again assembled on the parade ground to "itness a demonstration of cornbin~ gymnastics and calisthenics by the entire

Reflections on Serving Remote Mountain Communities: Mobile Hospitals and Women's and Children's Health Care in Northern Haiti.

PubMed

Chierici, Rose-Marie; Voltaire, Thony Michelet

2016-12-01

In 2003 Alyans Sante Borgne's (ASB) conducted the first week-long mobile hospital in Molas, a poor mountain community a 10-h walk from the main hospital in the town of Borgne in North Haiti. ASB is a partnership between Haiti Outreach-Pwoje Espwa (H.O.P.E.), a US-based NGO, and Haiti's Ministry of Health. The paper reflects on this first experience and the evolution of an indigenous model of health care delivery, Sante Nan Lakou (SNL)/Health at the Extended Family Level, a model that prioritizes the needs of patients over those of the institution. It highlights the challenges of providing quality care to a much neglected segment of our population and documents the impact of this event for the community and for ASB. Lessons learned during that week shaped ASB's response to the root causes of women and children's poor health in the commune of Borgne. The response is articulated in a holistic grassroots program called Sante/Health, Edikasyon/Education, Ekonomi/Economy for Fanm/Women (SEE Fanm). SEE Fanm is a constellation of programs and initiatives that together brings quality care to women and seeks to empower them to take charge of their health and wellbeing and, by extension, that of their families and communities.

Making Learning Drive Assessment: Joan of Arc--Saint, Witch or Warrior?

ERIC Educational Resources Information Center

Wrenn, Andrew

2004-01-01

Andrew Wrenn describes his work with Barry Williams and the teachers of the history department at Ailwyn School (11-14 comprehensive), Ramsey in Cambridgeshire. Devoting equal attention to the "what" and the "how" of history assessment, he shows how this group of teachers developed a fresh approach to assessment out of the…

[Detection and classification of medication errors at Joan XXIII University Hospital].

PubMed

Jornet Montaña, S; Canadell Vilarrasa, L; Calabuig Mũoz, M; Riera Sendra, G; Vuelta Arce, M; Bardají Ruiz, A; Gallart Mora, M J

2004-01-01

Medication errors are multifactorial and multidisciplinary, and may originate in processes such as drug prescription, transcription, dispensation, preparation and administration. The goal of this work was to measure the incidence of detectable medication errors that arise within a unit dose drug distribution and control system, from drug prescription to drug administration, by means of an observational method confined to the Pharmacy Department, as well as a voluntary, anonymous report system. The acceptance of this voluntary report system's implementation was also assessed. A prospective descriptive study was conducted. Data collection was performed at the Pharmacy Department from a review of prescribed medical orders, a review of pharmaceutical transcriptions, a review of dispensed medication and a review of medication returned in unit dose medication carts. A voluntary, anonymous report system centralized in the Pharmacy Department was also set up to detect medication errors. Prescription errors were the most frequent (1.12%), closely followed by dispensation errors (1.04%). Transcription errors (0.42%) and administration errors (0.69%) had the lowest overall incidence. Voluntary report involved only 4.25% of all detected errors, whereas unit dose medication cart review contributed the most to error detection. Recognizing the incidence and types of medication errors that occur in a health-care setting allows us to analyze their causes and effect changes in different stages of the process in order to ensure maximal patient safety.

[Prevalence of trauma-related disorders in the French WHO study: Santé mentale en population générale (SMPG)].

PubMed

Vaiva, G; Jehel, L; Cottencin, O; Ducrocq, F; Duchet, C; Omnes, C; Genest, P; Rouillon, F; Roelandt, J-L

2008-12-01

Trauma-related disorders are disabling affections of which epidemiological data change according to the country, population and measuring instruments. The prevalence of posttraumatic stress disorder (PTSD) appears to have increased over the past 15 years, but one cannot tell whether it has indeed increased or whether the standardized procedure has improved. Moreover, very few epidemiologic studies among the general population have been conducted in Europe, notably in France. The "Santé mentale en population générale" (SMPG) survey, that took place in France between 1999 and 2003 among more than 36 000 individuals, gives an estimation of the prevalence of psychotraumatic disorders in the general population. Multi-varied analyses were performed on PTSD-related variables and comorbid disorders. The instantaneous prevalence (past month) of PTSD was of 0.7% among the whole SMPG sample, with almost the same proportion of men (45%) and women (55%). There was a high rate of comorbidity among PTSD individuals, notably with mood disorders, anxiety disorders and addictive behaviour. There was an obvious relationship with suicidal behaviour, with 15-fold more suicide attempts during the past month among the PTSD population. This survey analysed the consequences of a psychic traumatism over and above complete PTSD according to DSM-IV criteria, observing for instance the consequences for people exposed both to a trauma and suffering from at least one psychopathological symptom since the trauma. Those who suffered from a psychotraumatic syndrome, according to our enlarged definition, represented 5.3% of the population, half suffered from daily discomfort and a third of them used medication. Then, we compared those psychotraumatic syndromes to complete PTSD from a sociodemographic, functional and type of care point of view. There was little difference in prevalence of PTSD between men and women in the SMPG survey (45% vs 55%), which is clearly distinct from the other

Press Coverage of the Vietnam War: The Third View

DTIC Science & Technology

1979-05-25

Arents Research Library for Special Collections, Syracuse University, and Ms. Joan M. Hench of the US Army War College Library lightened this task by...two men with a keen and increasing awareness of the need for competent military coverage. Julius Ochs Adler, the No. 2 man, had a distinguished record...consisted of no more than two men each, both in the Pentagon. In each case only one was a specialist of long service on the military "beat" and all were

Innovations en vaccinologie: enjeux et perspectives pour l’Afrique

PubMed Central

Diop, Doudou; Sanicas, Melvin

2017-01-01

La vaccination est incontestablement l’une des interventions de santé publique les plus efficaces et les plus rentables qui soient. Les vaccins continuent de révolutionner notre capacité à prévenir les maladies et à améliorer la santé. Avec toutes les avancées technologiques, nous sommes en mesure d’étendre les avantages des vaccins à plus de gens et de fournir une meilleure protection contre les maladies infectieuses mortelles. Toutefois, avec le développement incessant de nouvelles souches microbiennes à travers le monde, la recherche en vaccinologie se doit d’innover continuellement. D’énormes progrès ont été réalisés pour améliorer la couverture vaccinale et introduire de nouveaux vaccins en Afrique. De nouveaux types de vaccins associés à des outils de vectorisation, d’administration et de délivrance spécifiques mais aussi des adjuvants susceptibles de moduler finement la réponse immunitaire sont attendus dans le futur. En Afrique, il est nécessaire de développer une approche régionale afin de répondre efficacement aux nombreux défis. Une meilleure information, la formation des personnels de santé en vaccinologie et des recherches bien ciblées sont les clés des futurs accomplissements dans le domaine. PMID:28690749

Le cannabis et les enfants et adolescents canadiens

PubMed Central

Grant, Christina N; Bélanger, Richard E

2017-01-01

Résumé L’usage du cannabis, la drogue illicite la plus consommée dans le monde, est fréquent chez les adolescents canadiens. La consommation de cannabis à l’adolescence peut provoquer des modifications fonctionnelles et structurelles du cerveau en développement et induire une atteinte cérébrale. Dans ce groupe d’âge, la consommation de marijuana s’associe fortement à la dépendance au cannabis et à d’autres troubles de l’usage d’une substance, à l’adoption et au maintien du tabagisme, à l’augmentation des troubles de santé mentale, y compris la dépression, l’anxiété et la psychose, à une perturbation du développement neurologique et à un déclin cognitif ainsi qu’à une diminution de la performance scolaire et des réalisations au cours de la vie. Le taux de soins médicaux aigus et d’hospitalisations chez les jeunes enfants qui ont consommé involontairement du cannabis est en hausse. Compte tenu du débat en cours sur la réglementation du cannabis au Canada, l’examen attentif des preuves de ses effets sur la santé et la mise en place de mécanismes de protection deviennent des priorités absolues en santé publique.

New nova candidate in M81

NASA Astrophysics Data System (ADS)

Henze, M.; Sala, G.; Jose, J.; Figueira, J.; Hernanz, M.

2016-06-01

We report the discovery of a new nova candidate in the M81 galaxy on 16x200s stacked R filter CCD images, obtained with the 80 cm Ritchey-Chretien F/9.6 Joan Oro telescope at Observatori Astronomic del Montsec, owned by the Catalan Government and operated by the Institut d'Estudis Espacials de Catalunya, Spain, using a Finger Lakes PL4240-1-BI CCD Camera (with a Class 1 Basic Broadband coated 2k x 2k chip with 13.5 microns sq. pixels).

ALLPATHS: Assembling Large Genomes with Short Illumina Reads

ScienceCinema

Gnerre, Sante

2018-02-06

Sante Gnerre from the Broad Institute speaks on the challenge of developing high quality assemblies of large genomes using short reads at the "Sequencing, Finishing, Analysis in the Future" meeting in Santa Fe, NM.

Le changement comme tradition dans la recherche et la formation a la recherche en biotechnologie et en peripherie Etude de cas en sciences de la sante, sciences naturelles et genie

NASA Astrophysics Data System (ADS)

Bourque, Claude Julie

Le champ de la recherche scientifique et de la formation a la recherche est traverse depuis quelques dizaines d'annees par plusieurs courants et discours associes au changement, mais peu de travaux empiriques permettent de comprendre ce qui change concretement. C'est la contribution originale de cette these au champ de l'education, plus specifiquement a l'etude sociologique de l'enseignement superieur ou sont concentrees les activites liees a la triade thematique du programme doctoral dans lequel elle a ete produite : recherche, formation et pratique. L'enquete-terrain a ete realisee en 2009 et 2010 aupres de 808 repondants affilies a 60 etablissements au Quebec et a produit un vaste materiau de nature mixte (donnees quantitatives et qualitatives). Un portrait de la nebuleuse biotechnologique qui touche les secteurs des sciences de la sante, des sciences naturelles et du genie a ete realise. Ce domaine concerne des dizaines de disciplines et se revele de nature transdisciplinaire, mais les pratiques n'y sont pas davantage marquees par le changement que celles d'autres domaines connexes. Les dynamiques sociales ont fait l'objet d'analyses comparatives dans quatre contextes: le choix des programmes, des objets et des methodes, le financement, la diffusion et la planification de la carriere. Les resultats indiquent que les echanges entre les agents traditionnellement situes au coeur des activites de recherche dominent ces dynamiques dans tous les contextes etudies. L'etude des representations au fondement des pratiques a revele l'existence de trois ecoles de pensee qui coexistent dans le champ scientifique: academique, pragmatique et economiste. Ces ecoles permettent de categoriser les agents en fonction des zones de fractures qui marquent leurs oppositions tout en identifiant ce qu'ils ont en commun. Les representations et les pratiques liees a la formation temoignent d'un habitus plutot homogene, alors que les contradictions semblent plus souvent ancrees dans des

STS-116 and Expedition 12 Preflight Training, VR Lab Bldg. 9.

NASA Image and Video Library

2005-05-06

JSC2005-E-18147 (6 May 2005) --- Astronauts Sunita L. Williams (left), Expedition 14 flight engineer, and Joan E. Higginbotham, STS-116 mission specialist, use the virtual reality lab at the Johnson Space Center to train for their duties aboard the space shuttle. This type of computer interface, paired with virtual reality training hardware and software, helps to prepare the entire team for dealing with space station elements. Williams will join Expedition 14 in progress and serve as a flight engineer after traveling to the station on space shuttle mission STS-116.

A television triumph about death and dying.

PubMed

Towers, Bernard

1980-06-01

Towers reviews Joan Robinson: One Woman's Story, an American documentary film about a terminal cancer patient that was first broadcast by the Public Broadcasting Service on 21 January 1980. The film was made at the instigation of Robinson, a writer and editor, and covers the last twenty-two months of her life from the diagnosis of incurable ovarian cancer to her graveside funeral service. Towers praises the film-makers for their empathetic and sensitive handling of a difficult subject, and recommends that the film be made available for teaching purposes.

Attitude Determination of a Spinning and Tumbling Rocket Using Data from Two Orthogonal Magnetometers

DTIC Science & Technology

1981-04-08

andOwshite the moonshine projection is in west-east direction 7. Chamberlain. M. T. (1979) Data Analysis of Film From AFGL Rocket A31. 603. AFGL-TR-79...Chamberlain. M.T. (1979) Data Analysis of Film From AFGL Rocket A31. 603. AFGL-TR-79-0It5. AD A0792T0. 8. Sluder. R. B.. and Kofsky. I. L. (1978...discussed and an error analysis is provided. .,;/ PORM~~ Aj~. .. ,* Do JOAN𔃻,1 *7d Unclasaified SECURITY CLASSIFICAT ION OF THIS PAGE (Wheon Date

Preface

NASA Astrophysics Data System (ADS)

Qiu, Roger; Paskova, Tania

2016-10-01

This special issue of Journal of Crystal Growth contains papers presented at the 20th American Conference on Crystal Growth and Epitaxy (ACCGE-20), the 17th Biennial Workshop on Organometallic Vapor Phase Epitaxy (OMVPE-17) and the Second 2D Electronic Materials Symposium, which were jointly held in Big Sky, Montana from August 2-7, 2015. The conference was co-chaired by Joan Redwing (Penn State, ACCGE chair), Luke Mawst (University of Wisconsin, Madison, OMVPE chair), and D. Kurt Gaskill (U.S. Naval Research Laboratory, 2D chair).

New optical nova candidate in the M 31 disk

NASA Astrophysics Data System (ADS)

Henze, M.; Sala, G.; Jose, J.; Figueira, J.; Hernanz, M.; Pietsch, W.,

2014-07-01

We report the discovery of a possible nova in the disk of M 31 on two 4x200s stacked R filter CCD images, obtained with the the 80 cm Ritchey-Chretien F/9.6 Joan Oro telescope at Observatori Astronomic del Montsec, owned by the Catalan Government and operated by the Institut d'Estudis Espacials de Catalunya, Spain, using a Finger Lakes PL4240-1-BI CCD Camera (with a Class 1 Basic Broadband coated 2k x 2k chip with 13.5 microns sq.

The case of the team-spirit tailspin.

PubMed

Foster, R D

1991-01-01

Richard Johnson, newly appointed president of Century Airlines, knew the company's survival depended on customer service, which in turn depended on motivated employees. So he created the Century Spirit program to build team spirit by encouraging employee participation, individual initiative, and open communication. Among the program's early successes was a newspaper started by a group of flight attendants. The Plane Truth published information about benefits and work conditions as well as feature stories and humorous articles. It quickly became popular not only with flight attendants but also with pilots, machinists, and baggage handlers. As time went on, though, the Plane Truth began to run articles critical of the company. When management cut back workers' hours, the newspaper questioned what sacrifices the executives were making. When technical services released figures showing long turnaround times, the paper questioned the machinists' work ethic. Worried that customers might see the newspaper, Richard Johnson wanted to cancel it. The president of the flight attendants union also wanted to see it go because it was stirring up trouble with the machinists. Joan Raffin, Century's human resources director, was asked to stop the publication. But she hesitated. She knew that employee morale was on the brink, but she didn't know whether the newspaper was venting workers' frustrations and reinforcing team spirit or stirring up old animosities and bringing the whole company down. Was it creating more tension than unity or vice versa? Experts on organizational change, motivation, and management analyze the situation and make recommendations for what Joan Raffin should do.

[Raspail, propagandist himself from the "warnings" of the manual of health, between 1845 and 1878].

PubMed

Albou, Philippe

2015-01-01

During the last thirty years of his life, between 1845 and 1878, François-Vincent Raspail (1794-1878) published each year a new edition of his Manuel de santé (Manual of Health), which was intended as a practical guide to prevent and treat, using in particular camphor, major human diseases. Each edition was accompanied by a preamble, as an annual forum where the "revered teacher" applied to give information on his family, his trial, his stays in prison, his resentment, his exile, his publications, schedules consultations, etc. As a libertarian protester against the powers wether medical, political or judicial, Raspail was a tireless defender of the poor and weak, and this attitude earned him his reputation and his popularity. This positive image of "secular saint" was built from an effective propaganda, where the Manuel de santé and its preambles played a central rol.

Unity nameplate examined after being attached to module for ISS and Mission STS-88

NASA Technical Reports Server (NTRS)

1998-01-01

In the Space Station Processing Facility, Joan Higgenbotham, with KSC's Astronaut Office Computer Support, checks placement of the nameplate for the Unity connecting module, part of the International Space Station. Unity was expected to be transported to Launch Pad 39A on Oct. 26 for launch aboard Space Shuttle Endeavour on Mission STS-88 in December. The Unity is a connecting passageway to the living and working areas of ISS. While on orbit, the flight crew will deploy Unity from the payload bay and attach Unity to the Russian-built Zarya control module which will be in orbit at that time.

A Fixed-Precision Sequential Sampling Plan for the Potato Tuberworm Moth, Phthorimaea operculella Zeller (Lepidoptera: Gelechidae), on Potato Cultivars.

PubMed

Shahbi, M; Rajabpour, A

2017-08-01

Phthorimaea operculella Zeller is an important pest of potato in Iran. Spatial distribution and fixed-precision sequential sampling for population estimation of the pest on two potato cultivars, Arinda ® and Sante ® , were studied in two separate potato fields during two growing seasons (2013-2014 and 2014-2015). Spatial distribution was investigated by Taylor's power law and Iwao's patchiness. Results showed that the spatial distribution of eggs and larvae was random. In contrast to Iwao's patchiness, Taylor's power law provided a highly significant relationship between variance and mean density. Therefore, fixed-precision sequential sampling plan was developed by Green's model at two precision levels of 0.25 and 0.1. The optimum sample size on Arinda ® and Sante ® cultivars at precision level of 0.25 ranged from 151 to 813 and 149 to 802 leaves, respectively. At 0.1 precision level, the sample sizes varied from 5083 to 1054 and 5100 to 1050 leaves for Arinda ® and Sante ® cultivars, respectively. Therefore, the optimum sample sizes for the cultivars, with different resistance levels, were not significantly different. According to the calculated stop lines, the sampling must be continued until cumulative number of eggs + larvae reached to 15-16 or 96-101 individuals at precision levels of 0.25 or 0.1, respectively. The performance of the sampling plan was validated by resampling analysis using resampling for validation of sampling plans software. The sampling plant provided in this study can be used to obtain a rapid estimate of the pest density with minimal effort.

Genetics Home Reference: hereditary hemorrhagic telangiectasia

MedlinePlus

... Central OMIM: JUVENILE POLYPOSIS/HEREDITARY HEMORRHAGIC TELANGIECTASIA SYNDROME McDonald J, Bayrak-Toydemir P, Pyeritz RE. Hereditary hemorrhagic ... 10.1097/GIM.0b013e3182136d32. Review. Citation on PubMed McDonald J, Wooderchak-Donahue W, VanSant Webb C, Whitehead ...

Field Testing of High Degree Revenue Service Track for Buckling Safety Assessment

DOT National Transportation Integrated Search

1995-01-01

This report presents the results of a field study of high degree curves in continuous welded rail (CWR) territory. This program was conducted at two test sites: a 10 degree curve on the Atchison, Topeka, and Santa Fe (ATSF) Railroad near Sante Fe, NM...

INTERACTIONS BETWEEN NUTRIENTS,PHYTOPLANKTON GROWTH AND MICROZOOPLANKTON GRAZING RATES IN A GULF OF MEXICO ESTUARY

EPA Science Inventory

Juhl, Andrew R. and Michael C. Murrell. Submitted. Phytoplankton Growth and Microzooplankton Grazing in a Gulf of Mexico Estuary. Aquat. Microb. Ecol. 38(1): 147-156, 2005.(ERL,GB 1214).

Dilution grazing experiments were conducted on 9 dates over a 16-month period in Sant...

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

PubMed Central

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

2016-01-01

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

Eccentric preformative molt in the spotted Towhee

DOE PAGES

Fettig, Stephen M.; Hathcock, Charles Dean

2016-11-04

Examination of wing-feather molt often provides information essential for aging birds in the hand (Mulvihill 1993, pyle 1997b, 2008). Correctly aging birds is important for understanding the causal relationships between age-class survival rates and population changes (DeSante et al. 2005). For example, correctly aging birds facilitates understanding of climate effects on reproduction better than merely moni- toring population numbers because reproduction varies widely with annual weather patterns (DeSante and O’grady 2000). Age-class information can also provide a clear measure of habitat quality without confounding effects such as population sources and sinks (Van horne 1983) or misleading habitat-quality information based onmore » relative abundance or population size (pulliam 1988). Changes in bird populations often lag changes in the survival rate of an age class, while environmental changes often affect one age class immediately or after a short lag (Temple and Wiens 1989)« less

Structural basis for Smoothened receptor modulation and chemoresistance to anti-cancer drugs

PubMed Central

Wang, Chong; Wu, Huixian; Evron, Tama; Vardy, Eyal; Han, Gye Won; Huang, Xi-Ping; Hufeisen, Sandy J.; Mangano, Thomas J.; Urban, Dan J.; Katritch, Vsevolod; Cherezov, Vadim; Caron, Marc G.; Roth, Bryan L.; Stevens, Raymond C.

2014-01-01

The Smoothened receptor (SMO) mediates signal transduction in the hedgehog pathway, which is implicated in normal development and carcinogenesis. SMO antagonists can suppress the growth of some tumors; however, mutations at SMO have been found to abolish their anti-tumor effects, a phenomenon known as chemoresistance. Here we report three crystal structures of human SMO bound to the antagonists SANT1 and Anta XV, and the agonist, SAG1.5, at 2.6–2.8Å resolution. The long and narrow cavity in the transmembrane domain of SMO harbors multiple ligand binding sites, where SANT1 binds at a deeper site as compared with other ligands. Distinct interactions at D4736.55 elucidated the structural basis for the differential effects of chemoresistance mutations on SMO antagonists. The agonist SAG1.5 induces a conformational rearrangement of the binding pocket residues, which could contribute to SMO activation. Collectively, these studies reveal the structural basis for the modulation of SMO by small molecules. PMID:25008467

Current process and future path for health economic assessment of pharmaceuticals in France

PubMed Central

Toumi, Mondher; Rémuzat, Cécile; El Hammi, Emna; Millier, Aurélie; Aballéa, Samuel; Chouaid, Christos; Falissard, Bruno

2015-01-01

The Social Security Funding Law for 2012 introduced the Economic and Public Health Assessment Committee (Commission Evaluation Economique et de Santé Publique, or CEESP) in the Social Security Code as a specialised committee affiliated with the Haute Autorité de Santé in charge of providing recommendations and health economic opinions. This article provides an in-depth description of the CEESP's structure and working methods, and analyses the impact of health economic assessment on market access of drugs in France. It also points out the areas of uncertainty and the conflicting rules following the introduction of the health economic assessment in France. The authors also provide their personal opinion on the likely future of health economic assessment of drugs in France, including the possible merge of the CEESP and the Transparency Committee, the implementation of a French threshold, and the extension of health economic assessment to a larger number of products. PMID:27123173

Suivi après le traitement du cancer du sein

PubMed Central

Sisler, Jeffrey; Chaput, Geneviève; Sussman, Jonathan; Ozokwelu, Emmanuel

2016-01-01

Résumé Objectif Offrir aux médecins de famille un résumé des recommandations fondées sur les données probantes pour guider les soins aux survivantes traitées pour le cancer du sein. Qualité des données Une recherche documentaire a été effectuée dans MEDLINE entre 2000 et 2016 à l’aide des mots-clés anglais suivants : breast cancer, survivorship, follow-up care, aftercare, guidelines et survivorship care plans, en se concentrant sur la revue des lignes directrices publiées récemment par les organismes nationaux de cancérologie. Les données étaient de niveaux I à III. Message principal Les soins aux survivantes comportent 4 facettes : surveillance et dépistage, prise en charge des effets à long terme, promotion de la santé et coordination des soins. La surveillance des récidives ne se traduit que par une mammographie annuelle, et le dépistage d’autres cancers doit suivre les lignes directrices basées sur la population. La prise en charge des effets à long terme du cancer et de son traitement aborde des problèmes courants tels la douleur, la fatigue, le lymphœdème, la détresse et les effets indésirables des médicaments, de même que les préoccupations à long terme comme la santé du cœur et des os. La promotion de la santé met en relief les bienfaits de l’activité chez les survivantes du cancer, avec l’accent mis sur l’activité physique. Les soins aux survivantes sont de meilleure qualité lorsque divers services et professionnels de la santé participent aux soins, et le médecin de famille joue un rôle important dans la coordination des soins. Conclusion Les médecins de famille sont de plus en plus souvent les principaux fournisseurs de soins de suivi après le traitement du cancer du sein. Le cancer du sein doit être considéré comme une affection médicale chronique, même chez les femmes en rémission, et les patientes profitent de la même approche que celle utilisée pour les autres affections chroniques en

Hurricane disturbance and tropical tree species diversity.

PubMed

Vandermeer, J; Granzow de la Cerda, I; Boucher, D; Perfecto, I; Ruiz, J

2000-10-27

The debate over the maintenance of high diversity of tree species in tropical forests centers on the role of tree-fall gaps as a primary source of disturbance. Using a 10-year data series accumulated since Hurricane Joan struck the Caribbean coast of Nicaragua in 1988, we examined the pattern of species accumulation over time and with increased sampling of individuals. Our analysis shows that the pattern after a hurricane differs from the pattern after a simple tree-fall disturbance, and we conclude that pioneers are limited in large disturbances and thus do not suppress other species the way they do in smaller disturbances.

Unity nameplate examined before being attached to module for ISS and Mission STS-88

NASA Technical Reports Server (NTRS)

1998-01-01

In the Space Station Processing Facility, holding the nameplate for the Unity connecting module are (left) Joan Higginbotham, with the Astronaut Office Computer Support Branch, and (right) Nancy Tolliver, with Boeing-Huntsville. Part of the International Space Station, Unity was expected to be transported to Launch Pad 39A on Oct. 26 for launch aboard Space Shuttle Endeavour on Mission STS-88 in December. The Unity is a connecting passageway to the living and working areas of ISS. While on orbit, the flight crew will deploy Unity from the payload bay and attach Unity to the Russian-built Zarya control module which will be in orbit at that time.

Evaluation of Mist-net Sampling as an Index to Productivity in Kirtland's Warblers

Treesearch

Johnathan Bart; Cameron Kepler; Paul Sykes; Carol Bocetti

1999-01-01

Many applied and theoretical investigations require information on how productivity varies in time and space (Temple and Wiens 1989, DeSante 1995). Examples include studies of habitat quality, population trends, life-history tactics, and metapopulation dynamics. From a demographic perspective, reproductivity is the number of young, counted at a given time of year,...

Teacher to Teacher: What Texts Effectively Raise Issues Related to 9/11 for Secondary Students?

ERIC Educational Resources Information Center

English Journal, 2006

2006-01-01

This article deals with texts that effectively raise issues related to 9/11 for secondary students, as discussed by several teachers. Kevin J. Collins from St. Thomas Aquinas High School says, "Elephant," Gus Van Sant's exploration of a Columbine-like tragedy, underscores the current generation's attempt to define the meaning of events in…

Factors affecting the movement and persistence of nitrate and pesticides in the surficial and upper Floridan aquifers in two agricultural areas in the southeastern United States

USGS Publications Warehouse

Katz, B.G.; Berndt, M.P.; Crandall, C.A.

2014-01-01

Differences in the degree of confinement, redox conditions, and dissolved organic carbon (DOC) are the main factors that control the persistence of nitrate and pesticides in the Upper Floridan aquifer (UFA) and overlying surficial aquifer beneath two agricultural areas in the southeastern US. Groundwater samples were collected multiple times from 66 wells during 1993–2007 in a study area in southwestern Georgia (ACFB) and from 48 wells in 1997–98 and 2007–08 in a study area in South Carolina (SANT) as part of the US Geological Survey National Water-Quality Assessment Program. In the ACFB study area, where karst features are prevalent, elevated nitrate-N concentrations in the oxic unconfined UFA (median 2.5 mg/L) were significantly (p = 0.03) higher than those in the overlying oxic surficial aquifer (median 1.5 mg/L). Concentrations of atrazine and deethylatrazine (DEA; the most frequently detected pesticide and degradate) were higher in more recent groundwater samples from the ACFB study area than in samples collected prior to 2000. Conversely, in the SANT study area, nitrate-N concentrations in the UFA were mostly <0.06 mg/L, resulting from anoxic conditions and elevated DOC concentrations that favored denitrification. Although most parts of the partially confined UFA in the SANT study area were anoxic or had mixed redox conditions, water from 28 % of the sampled wells was oxic and had low DOC concentrations. Based on the groundwater age information, nitrate concentrations reflect historic fertilizer N usage in both the study areas, but with a lag time of about 15–20 years. Simulated responses to future management scenarios of fertilizer N inputs indicated that elevated nitrate-N concentrations would likely persist in oxic parts of the surficial aquifer and UFA for decades even with substantial decreases in fertilizer N inputs over the next 40 years.

[Health education in the French Regional Health Agencies in 2012: observations and analysis].

PubMed

Baudier, François; Destaing, Lara; Michaud, Claude

2013-01-01

This paper examines the role of health education in the French Agences régionales de santé (ARS, Regional Health Agencies) in 2012. A survey was conducted among public health managers working in the ARS. Most of the participants reported that health education plays an important role in their agency, notably through their regional health plan and the activities of the organizations responsible for promoting democracy in health care. This is also true of the links with the Institut national de prévention et d'education pour la santé (INPES, the National Institute for Health Prevention and Education) and the network of Instances régionales d'éducation et de promotion de la santé (IREPS, the Regional Authorities for Health Education and Promotion). However, the answers to the open-ended questions and the results of the interviews suggest that these results must be interpreted with caution. The study focuses on a number of factors that must be taken into account when considering the results of the quantitative analysis. These factors include: the subjective (or interpretive) dimension of the term "health education" emphasized by many of the participants (a term involving an emphasis on either health promotion or preventive medicine); the limited emphasis on health education in the ARS (beyond therapeutic patient education) compared to other issues such as health monitoring and security, health care and medico-social problems; the limited resources allocated to health education and the bleak budget outlook; the relationships with the main operators; and the need to develop, promote and apply knowledge of good practice. Finally, the study shows that the role of health education is dependent on individuals' willingness to promote it and, in particular, on the commitment of ARS managers.

Application of the British Food Standards Agency nutrient profiling system in a French food composition database.

PubMed

Julia, Chantal; Kesse-Guyot, Emmanuelle; Touvier, Mathilde; Méjean, Caroline; Fezeu, Léopold; Hercberg, Serge

2014-11-28

Nutrient profiling systems are powerful tools for public health initiatives, as they aim at categorising foods according to their nutritional quality. The British Food Standards Agency (FSA) nutrient profiling system (FSA score) has been validated in a British food database, but the application of the model in other contexts has not yet been evaluated. The objective of the present study was to assess the application of the British FSA score in a French food composition database. Foods from the French NutriNet-Santé study food composition table were categorised according to their FSA score using the Office of Communication (OfCom) cut-off value ('healthier' ≤ 4 for foods and ≤ 1 for beverages; 'less healthy' >4 for foods and >1 for beverages) and distribution cut-offs (quintiles for foods, quartiles for beverages). Foods were also categorised according to the food groups used for the French Programme National Nutrition Santé (PNNS) recommendations. Foods were weighted according to their relative consumption in a sample drawn from the NutriNet-Santé study (n 4225), representative of the French population. Classification of foods according to the OfCom cut-offs was consistent with food groups described in the PNNS: 97·8 % of fruit and vegetables, 90·4 % of cereals and potatoes and only 3·8 % of sugary snacks were considered as 'healthier'. Moreover, variability in the FSA score allowed for a discrimination between subcategories in the same food group, confirming the possibility of using the FSA score as a multiple category system, for example as a basis for front-of-pack nutrition labelling. Application of the FSA score in the French context would adequately complement current public health recommendations.

A Flexible Sensor Technology for the Distributed Measurement of Interaction Pressure

PubMed Central

Donati, Marco; Vitiello, Nicola; De Rossi, Stefano Marco Maria; Lenzi, Tommaso; Crea, Simona; Persichetti, Alessandro; Giovacchini, Francesco; Koopman, Bram; Podobnik, Janez; Munih, Marko; Carrozza, Maria Chiara

2013-01-01

We present a sensor technology for the measure of the physical human-robot interaction pressure developed in the last years at Scuola Superiore Sant'Anna. The system is composed of flexible matrices of opto-electronic sensors covered by a soft silicone cover. This sensory system is completely modular and scalable, allowing one to cover areas of any sizes and shapes, and to measure different pressure ranges. In this work we present the main application areas for this technology. A first generation of the system was used to monitor human-robot interaction in upper- (NEUROExos; Scuola Superiore Sant'Anna) and lower-limb (LOPES; University of Twente) exoskeletons for rehabilitation. A second generation, with increased resolution and wireless connection, was used to develop a pressure-sensitive foot insole and an improved human-robot interaction measurement systems. The experimental characterization of the latter system along with its validation on three healthy subjects is presented here for the first time. A perspective on future uses and development of the technology is finally drafted. PMID:23322104

[A Swiss medical-social institution and the Snoezelen concept].

PubMed

Dubois-Terrail, Caroline; Kemken, Lucie Marigo; Makamwe, Nicole

2016-01-01

In collaboration with six student nurses from the Geneva Haute École de Santé, the Les Franchises medical-social institution in Geneva has launched an innovative project: the integration of the Snoezelen concept into its care programme, which will benefit residents with moderate or advanced dementia. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Dissimilar Deficiency of Glucose-6-Phosphate Dehydrogenase (G-6-PD) among the AFARS and the Somalis of Djibouti

DTIC Science & Technology

1991-01-01

DEFICIENCY OF GLUCOSE - 6 - PHOSPHATE DEHYDROGENASE (G- 6 ...the prevalence of deficient activity of the enzyme glucose - 6 - phosphate dehydrogenase (G- 6 -PD) among - Ces difficiences enzymatiques sant plus particu...Screening for glucose - 6 - 3 - CaosBy W.H. - Hematologic diseases. In : I lunter’s Tropical phosphate dehydrogenase (G- 6 -PD) deficiency by a simple

KSC-06pd2217

NASA Image and Video Library

2006-07-21

KENNEDY SPACE CENTER, FLA. - STS116-S-002 (21 July 2006) --- These seven astronauts take a break from training to pose for the STS-116 crew portrait. Scheduled to launch aboard the Space Shuttle Discovery are, front row (from the left), astronauts William A. Oefelein, pilot; Joan E. Higginbotham, mission specialist; and Mark L. Polansky, commander. On the back row (from the left) are astronauts Robert L. Curbeam, Nicholas J.M. Patrick, Sunita L. Williams and the European Space Agency's Christer Fuglesang, all mission specialists. Williams will join Expedition 14 in progress to serve as a flight engineer aboard the International Space Station. The crewmembers are attired in training versions of their shuttle launch and entry suits.

STS-116 crew portrait

NASA Image and Video Library

2006-07-21

STS116-S-002 (21 July 2006) --- These seven astronauts take a break from training to pose for the STS-116 crew portrait. Scheduled to launch aboard the Space Shuttle Discovery are, front row (from the left), astronauts William A. Oefelein, pilot; Joan E. Higginbotham, mission specialist; and Mark L. Polansky, commander. On the back row (from the left) are astronauts Robert L. Curbeam, Nicholas J.M. Patrick, Sunita L. Williams and the European Space Agency's Christer Fuglesang, all mission specialists. Williams will join Expedition 14 in progress to serve as a flight engineer aboard the International Space Station. The crewmembers are attired in training versions of their shuttle launch and entry suits.

Telemedicine: what framework, what levels of proof, implementation rules.

PubMed

Zannad, Faiez; Maugendre, Philippe; Audry, Antoine; Avril, Carole; Blaise, Lucile; Blin, Olivier; Burnel, Philippe; Falise-Mirat, Béatrice; Girault, Danièle; Giri, Isabelle; Goehrs, Jean-Marie; Lassale, Catherine; Le Meur, Roland; Leurent, Pierre; Ratignier-Carbonneil, Christelle; Rossignol, Patrick; Satonnet, Evelyne; Simon, Pierre; Treluyer, Laurent

2014-01-01

The concept of telemedicine was formalised in France in the 2009 "Hospital, patients, health territories" (loi hôpital, patients, santé, territoire) law and the 2010 decree through which it was applied. Many experiments have been carried out and the regulatory institutions (Ministry, Regional Health Agency [Agence régionale de santé, ARS], French National Health Authority [Haute autorité de santé, HAS], etc.) have issued various guidance statements and recommendations on its organisation and on the expectations of its evaluation. With this background, the round table wanted to produce recommendations on different areas of medical telemonitoring (the role of telemonitoring, the regulatory system, the principles for assessment, methods of use and conditions for sustained and seamless deployment). Whilst many studies carried out on new medical telemonitoring approaches have led to the postulate that it offers benefit, both clinically and in terms of patient quality of life, more information is needed to demonstrate its impact on the organisation of healthcare and the associated medico-economic benefit (criteria, methods, resources). Similarly, contractual frameworks for deployment of telemonitoring do exist, although they are complicated and involve many different stakeholders (Director General fo the Care Offering [Direction générale de l'offre de soins, DGOS], ARS, HAS, Agency for Shared Health Information Systems [Agence des systèmes d'information partagés de santé, ASIP], French National Data Protection Commission [Commission nationale informatique et libertés, CNIL], French National Medical Council [Conseil national de l'Ordre des médecins, CNOM], etc.) that would benefit from a shared approach and seamless exchange between the partners involved. The current challenge is also to define the conditions required to validate a stable economic model in order to promote organisational change. One topical issue is placing the emphasis on its evaluation and

Value of a national administrative database to guide public decisions: From the système national d'information interrégimes de l'Assurance Maladie (SNIIRAM) to the système national des données de santé (SNDS) in France.

PubMed

Tuppin, P; Rudant, J; Constantinou, P; Gastaldi-Ménager, C; Rachas, A; de Roquefeuil, L; Maura, G; Caillol, H; Tajahmady, A; Coste, J; Gissot, C; Weill, A; Fagot-Campagna, A

2017-10-01

In 1999, French legislators asked health insurance funds to develop a système national d'information interrégimes de l'Assurance Maladie (SNIIRAM) [national health insurance information system] in order to more precisely determine and evaluate health care utilization and health care expenditure of beneficiaries. These data, based on almost 66 million inhabitants in 2015, have already been the subject of numerous international publications on various topics: prevalence and incidence of diseases, patient care pathways, health status and health care utilization of specific populations, real-life use of drugs, assessment of adverse effects of drugs or other health care procedures, monitoring of national health insurance expenditure, etc. SNIIRAM comprises individual information on the sociodemographic and medical characteristics of beneficiaries and all hospital care and office medicine reimbursements, coded according to various systems. Access to data is controlled by permissions dependent on the type of data requested or used, their temporality and the researcher's status. In general, data can be analyzed by accredited agencies over a period covering the last three years plus the current year, and specific requests can be submitted to extract data over longer periods. A 1/97th random sample of SNIIRAM, the échantillon généraliste des bénéficiaires (EGB), representative of the national population of health insurance beneficiaries, was composed in 2005 to allow 20-year follow-up with facilitated access for medical research. The EGB is an open cohort, which includes new beneficiaries and newborn infants. SNIIRAM has continued to grow and extend to become, in 2016, the cornerstone of the future système national des données de santé (SNDS) [national health data system], which will gradually integrate new information (causes of death, social and medical data and complementary health insurance). In parallel, the modalities of data access and protection systems

History of Indian Arts Education in Santa Fe: The Institute of American Indian Arts with Historical Background 1890 to 1962.

ERIC Educational Resources Information Center

Garmhausen, Winona

This book traces the history of the Institute of American Indian Arts in Santa Fe, New Mexico. Sections cover four time periods in the evolution of the Institute: the United States Indian Industrial School at Sante Fe, 1890-1932; the Santa Fe Indian School, 1930-62; and the Institute of American Indian Arts, 1962-70 and 1970-78. The United States…

Malformations congénitales à Lubumbashi (République Démocratique du Congo): à propos de 72 cas observés et plaidoyer en faveur du développement d'un Registre National des Malformations Congénitales et d'un Centre National de Référence de Génétique Humaine

PubMed Central

Lubala, Toni Kasole; Shongo, Mick Yapongombo; Munkana, Arthur Ndundula; Mutombo, Augustin Mulangu; Mbuyi, Sébastien Musanzayi; wa Momat, Félix Kitenge

2012-01-01

En République Démocratique du Congo, les malformations congénitales constituent un véritable problème de santé publique. En effet, elles relancent le débat sur les effets de l'intensification de l'activité minière sur la santé de la reproduction. De 2009 à 2010, nous avons calculé une prévalence de 5.84 pour 1000 naissances. Les malformations du système nerveux central étaient les plus fréquentes (2.029 pour 1000) suivies des malformations des membres (1.055 pour 1000), et des fentes oro-faciales (0.811 pour 1000). Ces données sont certainement largement sous-estimées et les causes y relatives en République Démocratique du Congo ne sont ni surveillées, ni prévenues dans le cadre d'une politique gouvernementale. La mise en place d'un registre national et d'un centre national de génétique humaine de référence pourrait constituer un cadre rigoureux, organisé et structuré de surveillance et de prévention des malformations congénitales. PMID:23396951

Fermentation, phlogiston and matter theory: chemistry and natural philosophy in Georg Ernst Stahl's Zymotechnia Fundamentalis.

PubMed

Chang, Ku-Ming Kevin

2002-01-01

This paper examines Georg Ernst Stahl's first book, the Zymotechnia Fundamentalis, in the context of contemporary natural philosophy and the author's career. I argue that the Zymotechnia was a mechanical theory of fermentation written consciously against the influential "fermentational program" of Joan Baptista van Helmont and especially Thomas Willis, Stahl's theory of fermentation introduced his first conception of phlogiston, which was in part a corpuscular transformation of the Paracelsian sulphur principle. Meanwhile some assumptions underlying this theory, such as the composition of matter, the absolute passivity of matter and the "passions" of sulphur, reveal the combined scholastic and mechanistic character of Stahl's natural philosophy. In the conclusion I show that Stahl's theory of fermentation undermined the old fermentational program and paved the way for his dualist vitalism.

Social orientations and adolescent health behaviours in Hungary.

PubMed

Piko, Bettina F; Skultéti, Dóra; Luszczynska, Aleksandra; Gibbons, Frederick X

2010-02-01

Adolescent health behaviours are influenced by a variety of social factors, including social orientations, such as social comparison or competitiveness. The main goal of the present study was to investigate the role that these social orientations might play in health behaviours (both health-impairing and health-promoting). Data were collected from high school students (N = 548; ages 14-20 years; 39.9% males) in two counties of the Southern Plain Region of Hungary. The self-administered questionnaires contained items on sociodemographics, such as age, sex, parental schooling, and socioeconomic status (SES) self-assessment; school achievement, health behaviours, competitiveness and social comparison. Multiple regression analyses suggest that those who scored higher on competitiveness engaged in more substance use, a pattern that was not present for health-promoting behaviours. Social comparison, however, was associated with lower levels of substance use. In addition, in relation to health-impairing behaviours, both competitiveness and social comparison interacted with sex; both social orientation variables proved to be more important for boys. Social comparison also contributed to health-promoting behaviours among boys. Findings support the idea that the role of social orientations, such as competitiveness and social comparison, can be quite different depending on sex and the nature of the health behaviour. While competitiveness may act as a risk factor for substance use among boys, social comparison may act as a protection. It appears that social orientations play less of a role in girls' health-related behaviours. More focus is needed on gender differences in influences on adolescents' health-related behaviours. Les comportements de santé des adolescents sont influencés par une variété de facteurs sociaux, incluant les orientations sociales telles que la comparaison sociale ou la compétitivité. Le but principal de la présente étude était d'examiner le r

In-Flight Investigation of Large Airplane Flying Qualities for Approach and Landing

DTIC Science & Technology

1981-09-01

required to Major dficiareratII control Is V40~aemaabr aordtcene Contrl *.it be lost during sante poortion ot 1 Mao denreficeirencies ntnseo.eu,~io...hydraulic pump on each approach. 185 TAIL I AUG. Xpc.R. =l q I n/a I Tq I TR I-ZSP I - ^P PILOT A Long a Med 92.5 B 4.2 -- .87 18 A RATING 7 Land 4 Up

Autoradiographic Distribution and Applied Pharmacological Characteristics of Dextromethorphan and Related Antitissue/Anticonvulsant Drugs and Novel Analogs.

DTIC Science & Technology

1992-08-01

OF DEXTROMETHORPHAN AND RELATED ANTITISSUE/ANTICONVULSANT DRUGS AND NOVEL ANALOGS PRINCIPAL INVESTIGATOR: Norman G. Bowery, Ph.D., DSc CONTRACTING...Characteristics of Dextromethorphan and DAMD17-90-C-0124 Related Anti ti ssue/ Anticonvul sant Drugs and Novel 6. AUTHOR(S) Analogs 61102A...13. ABSTRACT (Maximum 200 words) Binding of dextromethorphan and its analogues to the dextromethorphan binding site and to the PCP and glycine binding

The Organization of Working Time: Developing an Understanding and Action Plan to Promote Workers' Health in a Seasonal Work Context: L'organisation temporelle du travail: la comprendre pour développer des actions favorisant la santé des travailleuses en contexte de travail saisonnier.

PubMed

Major, Marie-Eve; Vézina, Nicole

2017-11-01

Despite the health problems associated with irregular schedules and long working hours, few studies have focused on the temporal dimension of work in seasonal working contexts. Through the monitoring of sixteen seasonal workers in the crab-processing industry over a two-year period, this study aimed to better understand their working reality and to provide a detailed picture of the temporal dimension of seasonal work as experienced by these workers. Observations of the work activity, interviews, and analysis of official documents were carried out. The findings reveal that the organization of working time and working conditions are very restrictive. These constraints are linked not only to the work environment and management but also to various public policies and ministerial directives. Methodological elements essential for the study of the organization of working time have been identified and could contribute to a better understanding of temporal constraints experienced by seasonal workers. Résumé Malgré les problèmes de santé associés aux horaires non standards et aux longues heures de travail, peu d'études se sont attardées à dégager un portrait de la dimension temporelle du travail en contexte de travail saisonnier. Par le suivi de 16 travailleuses saisonnières de l'industrie de la transformation du crabe pendant deux années, cette étude visait à mieux comprendre leur réalité de travail et à dresser un portrait détaillé de la dimension temporelle du travail saisonnier tel que vécu par ces travailleuses. Des observations du travail, des entretiens et l'analyse de documents ont été réalisés. Les résultats révèlent une organisation temporelle et des conditions de travail fort contraignantes pour ces travailleuses liées, entre autres, à l'environnement et à la gestion du travail, mais également à diverses politiques publiques et consignes ministérielles. Des éléments méthodologiques essentiels pour l'étude des temps de travail

Lessons Learned From Methodological Validation Research in E-Epidemiology.

PubMed

Kesse-Guyot, Emmanuelle; Assmann, Karen; Andreeva, Valentina; Castetbon, Katia; Méjean, Caroline; Touvier, Mathilde; Salanave, Benoît; Deschamps, Valérie; Péneau, Sandrine; Fezeu, Léopold; Julia, Chantal; Allès, Benjamin; Galan, Pilar; Hercberg, Serge

2016-10-18

Traditional epidemiological research methods exhibit limitations leading to high logistics, human, and financial burden. The continued development of innovative digital tools has the potential to overcome many of the existing methodological issues. Nonetheless, Web-based studies remain relatively uncommon, partly due to persistent concerns about validity and generalizability. The objective of this viewpoint is to summarize findings from methodological studies carried out in the NutriNet-Santé study, a French Web-based cohort study. On the basis of the previous findings from the NutriNet-Santé e-cohort (>150,000 participants are currently included), we synthesized e-epidemiological knowledge on sample representativeness, advantageous recruitment strategies, and data quality. Overall, the reported findings support the usefulness of Web-based studies in overcoming common methodological deficiencies in epidemiological research, in particular with regard to data quality (eg, the concordance for body mass index [BMI] classification was 93%), reduced social desirability bias, and access to a wide range of participant profiles, including the hard-to-reach subgroups such as young (12.30% [15,118/122,912], <25 years) and old people (6.60% [8112/122,912], ≥65 years), unemployed or homemaker (12.60% [15,487/122,912]), and low educated (38.50% [47,312/122,912]) people. However, some selection bias remained (78.00% (95,871/122,912) of the participants were women, and 61.50% (75,590/122,912) had postsecondary education), which is an inherent aspect of cohort study inclusion; other specific types of bias may also have occurred. Given the rapidly growing access to the Internet across social strata, the recruitment of participants with diverse socioeconomic profiles and health risk exposures was highly feasible. Continued efforts concerning the identification of specific biases in e-cohorts and the collection of comprehensive and valid data are still needed. This summary of

Soins primaires aux adultes ayant des déficiences intellectuelles et développementales

PubMed Central

Sullivan, William F.; Diepstra, Heidi; Heng, John; Ally, Shara; Bradley, Elspeth; Casson, Ian; Hennen, Brian; Kelly, Maureen; Korossy, Marika; McNeil, Karen; Abells, Dara; Amaria, Khush; Boyd, Kerry; Gemmill, Meg; Grier, Elizabeth; Kennie-Kaulbach, Natalie; Ketchell, Mackenzie; Ladouceur, Jessica; Lepp, Amanda; Lunsky, Yona; McMillan, Shirley; Niel, Ullanda; Sacks, Samantha; Shea, Sarah; Stringer, Katherine; Sue, Kyle; Witherbee, Sandra

2018-01-01

Résumé Objectif Mettre à jour les Lignes directrices consensuelles canadiennes 2011 en matière de soins primaires aux adultes ayant une déficience développementale. Méthodes Des médecins de famille et d’autres professionnels de la santé expérimentés dans les soins aux personnes ayant des DID ont examiné et synthétisé les récentes connaissances empiriques, d’écosystèmes, expertes et expérientielles. Un système a été conçu pour catégoriser la qualité des recommandations. Recommandations Les adultes ayant des DID sont un groupe hétérogène de patients qui présentent des affections médicales et des facteurs qui influent sur leur santé, qui diffèrent de ceux qui touchent les autres membres de la communauté de par leur nature, leurs manifestations, leur gravité ou leur complexité. Ces personnes nécessitent une approche de soins et des interventions adaptées à leurs besoins. Les présentes lignes directrices offrent des conseils en matière de normes de soins. Nous avons incorporé des références à des outils cliniques et à d’autres ressources pratiques. Les approches de soins décrites ici s’appliquent aussi à d’autres groupes de patients ayant un déficit cognitif ou de la communication, ou d’autres déficits des fonctions adaptatives. Conclusion À titre de fournisseurs de soins de première ligne, les médecins de famille jouent un rôle vital de promotion de la santé et de bien-être auprès des adultes ayant des DID. Ces lignes directrices peuvent les aider à prendre des décisions avec les patients et les aidants naturels. PMID:29650617

Lessons Learned From Methodological Validation Research in E-Epidemiology

PubMed Central

Assmann, Karen; Andreeva, Valentina; Castetbon, Katia; Méjean, Caroline; Touvier, Mathilde; Salanave, Benoît; Deschamps, Valérie; Péneau, Sandrine; Fezeu, Léopold; Julia, Chantal; Allès, Benjamin; Galan, Pilar; Hercberg, Serge

2016-01-01

Background Traditional epidemiological research methods exhibit limitations leading to high logistics, human, and financial burden. The continued development of innovative digital tools has the potential to overcome many of the existing methodological issues. Nonetheless, Web-based studies remain relatively uncommon, partly due to persistent concerns about validity and generalizability. Objective The objective of this viewpoint is to summarize findings from methodological studies carried out in the NutriNet-Santé study, a French Web-based cohort study. Methods On the basis of the previous findings from the NutriNet-Santé e-cohort (>150,000 participants are currently included), we synthesized e-epidemiological knowledge on sample representativeness, advantageous recruitment strategies, and data quality. Results Overall, the reported findings support the usefulness of Web-based studies in overcoming common methodological deficiencies in epidemiological research, in particular with regard to data quality (eg, the concordance for body mass index [BMI] classification was 93%), reduced social desirability bias, and access to a wide range of participant profiles, including the hard-to-reach subgroups such as young (12.30% [15,118/122,912], <25 years) and old people (6.60% [8112/122,912], ≥65 years), unemployed or homemaker (12.60% [15,487/122,912]), and low educated (38.50% [47,312/122,912]) people. However, some selection bias remained (78.00% (95,871/122,912) of the participants were women, and 61.50% (75,590/122,912) had postsecondary education), which is an inherent aspect of cohort study inclusion; other specific types of bias may also have occurred. Conclusions Given the rapidly growing access to the Internet across social strata, the recruitment of participants with diverse socioeconomic profiles and health risk exposures was highly feasible. Continued efforts concerning the identification of specific biases in e-cohorts and the collection of comprehensive and

Protecting Pregnant Workers while Fighting Sexism: Work-Pregnancy Balance and Pregnant Nurses' Resistance in Québec Hospitals: Protéger les travailleuses enceintes en luttant contre le sexisme: équilibre travail-grossesse et résistance d'infirmières enceintes dans des hôpitaux québécois.

PubMed

Gravel, Anne Renée; Riel, Jessica; Messing, Karen

2017-11-01

Women's workplaces should guarantee healthy pregnancies while supporting pregnant women as workers. In Québec (Canada), a pregnant worker exposed to a "danger" for herself or her fetus may ask her employer to be reassigned to other work appropriate to her skills. This approach differs from other regulatory contexts in North America in that protection of fetal and maternal health is embedded in the health and safety legislation. The advantage is that the pregnant worker is guaranteed access to her full salary, but some may question whether specific provisions for pregnant women single out such women and produce risks for their careers or, conversely, pregnancy should receive even more special consideration. These questions are discussed using the results of a qualitative analysis of interviews with pregnant nurses, their supervisors, and their union representatives in ten hospitals in Québec. We think that the management of pregnancy under this legislation generally protects health, but that, in the absence of true employer commitment to the health of all workers, undue burdens may be placed upon other members of the work team. Résumé Les lieux de travail des femmes devraient garantir des grossesses saines tout en soutenant les femmes enceintes en tant que travailleurs. Au Québec (Canada), une travailleuse enceinte exposée à un danger pour elle-même ou son fœtus peut demander à son employeur d'être réaffectée à d'autres tãches sans danger et adaptéches à ses compétences. Cette approche diffère des autres contextes réglementaires en Amérique du Nord en ce sens que la protection de la santé foetale et maternelle est intégrée dans la législation sur la santé et la sécurité. Certains peuvent se demander si des dispositions spécifiques pour les femmes enceintes singularisent ces travailleuses et contribuent à la précarisation de leur emploi. Ou, à l'inverse, si la grossesse devrait recevoir une considération encore plus spéciale. Ces

Hydatidose péricardique

PubMed Central

Fenane, Hicham; Maidi, El mehdi; Bouchikh, Mohamed; Lamboni, Damsane; Achir, Abdellah; Ouchen, Fahd; Oyali, Mbola; Caidi, Mohamed; Aziz, Said Al; Benosman, Abdellatif

2015-01-01

L'hydatidose est un problème de santé publique dans les pays d'endémie dont le Maghreb. L'atteinte péricardique reste rare, le diagnostic est parfois tardif à cause de la non spécificité des symptômes, et repose essentiellement sur les données de l'imagerie. Nous rapportons deux observations d'hydatidose péricardique sans atteinte cardiaque. PMID:26185566

A Microcontroller-Based Device for Monitoring Blood Pressure in the Field

DTIC Science & Technology

1993-12-01

Service de sant6 des Forces armies canadiennes. On a mis au point un appareil de mesure des signes vitaux, qui peut mesurer la fr~quence cardiaque et...methods for taking systolic and diastolic pressure readings include the auscultation method, the oscillometric method, and the ultrasonic method...pressures are determined from its output, are the best ways of distinguishing between the three main methods previously listed. The auscultation method

Google Trends as a Resource for Informing Plastic Surgery Marketing Decisions.

PubMed

Ward, Brittany; Ward, Max; Paskhover, Boris

2018-04-01

Celebrities have long influenced the medical decisions of the general population. By analyzing Google search data using Google Trends, we measured the impact of highly publicized plastic surgery-related events on the interest level of the general population in specific search terms. Additionally, we investigated seasonal and geographic trends around interest in rhinoplasties, which is information that physicians and small surgical centers can use to optimize marketing decisions. Google Trends was used to access search data histories for three separate areas of interest: Kylie Jenner and lip fillers, Joan Rivers and plastic surgery, and rhinoplasty, which were then analyzed using two-tailed, two-sample equal variance t-tests. The average interest level in fillers increased by 30.31 points after Kylie Jenner announced that she received Juvéderm lip injections. The interest level in plastic surgery was decreased by 21.3% the month after Joan Rivers' death. Between January 2004 and May 2017, the average interest level for rhinoplasty was significantly different in January/December (67.91 ± 20.68) and June/July (70.12 ± 18.89) from the remaining calendar months (63.58 ± 19.67). Los Angeles, New York City, and Miami showed consistently high interest levels throughout the time period, while Tulsa, OK, showed a major interest increase between 2015 to 2016 of 65 points. A noticeable impact was observed in both celebrity cases on search term volume, and a seasonal effect is apparent for rhinoplasty searches. As many surgeons already employ aggressive Internet marketing strategies, understanding and utilizing these trends could help optimize their investments, increase social engagement, and increase practice awareness by potential patients. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www

Mobile Quarantine Facility (MQF) - Ellington AFB (EAFB), TX

NASA Image and Video Library

1969-07-27

S69-40147 (27 July 1969) --- The Apollo 11 crewmen, still under a 21-day quarantine, are greeted by their wives. They arrived at Ellington Air Force Base very early Sunday after a flight aboard a U.S. Air Force C-141 transport from Hawaii. Looking through the window of a Mobile Quarantine Facility (MQF) are (left to right) astronauts Neil A. Armstrong, Edwin E. Aldrin Jr., and Michael Collins. The wives are (left to right) Mrs. Pat Collins, Mrs. Jan Armstrong, and Mrs. Joan Aldrin. The crew of the historic Apollo 11 lunar landing mission remained in the MQF until they arrived to the Crew Reception Area of the Lunar Receiving Laboratory at the Manned Spacecraft Center (MSC). The astronauts will be released from quarantine on Aug. 11, 1969.

Embracing the essence of inquiry: New roles for science teachers

NASA Astrophysics Data System (ADS)

Crawford, Barbara A.

2000-11-01

This is the thing I really get excited about. There are some great ideas here, some really neat projects. Wanda and Joan are working on amphibian decline. Ann is interested in territorial behavior or some sort of feeding behavior in crawdads. That is a good one to study because crawdads are an important decomposer in the stream. We're looking at what kinds of criteria in a stream make it habitable for different kinds of organisms. And when you see those different combinations of organisms, what do they mean? How do you interpret them? I mean we're really getting into higher levels of thinking, because we're looking at different kinds of organisms and interpreting them in terms of stream health. Jake, biology teacher, Northwestern High School.

[A Triage Scale for Mental Health, an Emerging Practice, a Value-Add for Measuring Demand for Mental Health Services].

PubMed

Boucher, Lucie

Objectives The article aims to present two studies supporting the development of l'Échelle brève de triage RIFCAS en santé mentale 0-99 ans, a measuring instrument used to determine - based on the level of customer demand, seriousness, and urgent need for intervention - the priority of a mental health service across all age groups.Methods Both versions have been subject to a measurement interjudge agreement that is compared against the judgment of professionals and other comparison tools.Results The results produced by the interjudge agreement reflect significant correlations with the priorities established by l'Échelle brève de triage RIFCAS en santé mentale 0-99 ans, the judgment of professional experts and the usual instruments used.Conclusion The final version of the triage scale provides an objective measure for the priority that should be given to all mental health service requests - these encompass all recognized and essential clinical information. Clinicians can rely on a reliable and proven instrument to prioritize service requests before placing them on the waiting list. The use of this instrument facilitates the development of a common procedure between professionals and ensures a fair and safe treatment of users.

Role of natural gas in electric generation

DOE Office of Scientific and Technical Information (OSTI.GOV)

VanScant, J.W.; Mespelli, K.L.

1995-08-01

The natural-gas industry must overcome significant operating, market, regulatory, and institutional barriers to meet projected demand growth between 1994 and 2005, according to Jeffrey W> VanSant, vice president the New England Power Company, and Kristine L. Mespelli, a fuel analyst with New England Power. An 85-percent increase in gas use for electric generation is expected to account for most of the overall growth in gas demand during the decade, as environmental policies increasingly favor the use of gas instead of other fossil fuels. Recent changes in the natural gas industry have posed challenges to power producers, however. For instance, restructuringmore » of pipeline services in 1992 caused more tightly controlled flow rates which are incompatible with the variable flow needs of electric generators. Another barrier to increased natural-gas use is its relatively undeveloped market, compared to coal and oil markets. In fact, say VanSant and Mespelli, the gas market in many consuming regions is characterized both by a lack of price transparency and limited access to buyers and sellers. Electric utilities can help make gas a viable fuel by maximizing dual-fuel capability, pooling gas purchases, building new business relationships, and improving electronic information networks to make transactions easier and faster.« less

[Role of research institutions in management of scientific fraud: The example of Inserm Scientific Integrity delegation].

PubMed

Bungener, Martine; Hadchouel, Michelle

2012-09-01

Fraud is only a part of misconduct in research. Very few French research Institutions have a scientific integrity office, and their prevention. The Institut national de la santé et de la recherche médicale (Inserm) has created a "Scientific Integrity delegation". Scientific Integrity is an international concern. Scientific Integrity is closely linked to organisation, management and evaluation of all research activities. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

Bibliography of Battle Fatigue Literature

DTIC Science & Technology

1986-01-16

Psychopathologic and therapeutic aspects of nervous trauma in war). Revue Internationale des Services de Sante, 55, 295-307. Bartemeier, L. H., Kubie , L. S...Army Institute of Research. Kubie , L. S. (1943, December). Manual of emergency treatment for acute war neuroses. War Medicine, 4, 582-598. Kupper, H...stress reaction: A concept in evolution. Military Medicine, 150, 186-190. Margolin, S. G., Kubie , L. S., Kanzer, M., & Stone, L. (1943, April). Acute

Light Scattering from Rough Surfaces. Appendix. Angular Correlation of Speckle Patterns. Draft

DTIC Science & Technology

1994-06-01

For his demonstrations of the various experimental techniques, I owe thanks to Andrew Sant. Also, on behalf of all students writing (and written) up ...less controllable, radar set up . 1.1.1 Theoretical Models This section will present some of the theoretical models which exist for determining the...centre of a turntable set up to spin at :300 revolutions per minute. While the turntable is stationary, photoresist is applied to the centre of the

The power of virtual integration: an interview with Dell Computer's Michael Dell. Interview by Joan Magretta.

PubMed

Dell, M

1998-01-01

Michael Dell started his computer company in 1984 with a simple business insight. He could bypass the dealer channel through which personal computers were then being sold and sell directly to customers, building products to order. Dell's direct model eliminated the dealer's markup and the risks associated with carrying large inventories of finished goods. In this interview, Michael Dell provides a detailed description of how his company is pushing that business model one step further, toward what he calls virtual integration. Dell is using technology and information to blur the traditional boundaries in the value chain between suppliers, manufacturers, and customers. The individual pieces of Dell's strategy--customer focus, supplier partnerships, mass customization, just-in-time manufacturing--may be all be familiar. But Michael Dell's business insight into how to combine them is highly innovative. Direct relationships with customers create valuable information, which in turn allows the company to coordinate its entire value chain back through manufacturing to product design. Dell describes how his company has come to achieve this tight coordination without the "drag effect" of ownership. Dell reaps the advantages of being vertically integrated without incurring the costs, all the while achieving the focus, agility, and speed of a virtual organization. As envisioned by Michael Dell, virtual integration may well become a new organizational model for the information age.

Intrahepatic cholestasis of pregnancy with concomitant hepatitis C virus infection, Joan C. Edwards SOM, Marshall University.

PubMed

Belay, Tilahun; Woldegiorgis, Hailegiorgis; Gress, Todd; Rayyan, Yaser

2015-04-01

Intrahepatic cholestasis of pregnancy (ICP) is characterized by pruritus, otherwise unexplained deranged liver enzyme levels, and elevated levels of serum bile acid. ICP has been observed more commonly in hepatitis C virus (HCV) infected women than in women with no HCV infection, and some experts advocate testing for HCV infection in all patients with ICP. The aim of our study was to examine the clinical characteristics of pregnant women with ICP and HCV infection. We reviewed the records of pregnant women between 18 and 45 years of age over a period of 6 years with an International Classification of Diseases, Ninth Revision (ICD-9) diagnosis of HCV infection, ICP, or both. We collected demographic, clinical, and financial data on all the patients and compared them with and without a diagnosis of ICP. There were 91 pregnant women with a diagnosis of HCV, and 41 (45%) of these women were diagnosed with ICP. HCV-infected patients with ICP had a significantly higher median viral load compared with those without ICP (495,000 vs. 8000 copies/ml, P<0.001). The median total financial charges spent for the care of ICP patients with HCV infection was significantly higher than that spent on ICP patients without HCV infection ($12,753.00 vs. $8970.00, P=0.01). We found a high prevalence of ICP among pregnant women infected with HCV, and those with ICP had a higher HCV viral load. Women with suspected ICP should be tested for the presence of HCV.

Occupational Health and Safety in a Vocational Training Program: How Gender Impacts Teachers' Strategies and Power Relationships: Santé et sécurité des stagiaires dans un programme de formation professionnelle: Impact du genre sur les stratégies et rapports de pouvoir.

PubMed

Laberge, Marie; Tondoux, Aurélie; Camiré Tremblay, Fanny; MacEachen, Ellen

2017-11-01

In Quebec (Canada), the Work-Oriented Training Path, a work-study program, prepares students who are having difficulty at school for the job market. Occupational health and safety is an important part of their training. This article aims to analyze the impact of gender on the interpersonal dynamics among teachers, trainees, and key actors from the businesses involved. This article also looks at the influence of gender on teachers' strategies and capacity to act regarding occupational health and safety. Using a work activity analysis lens, a multiple case-study analysis of teachers' work activity was carried out. The findings show that gendered social relationships create a specific supervisory context that influences occupational health and safety training. Solutions aimed at reducing the negative impact of gender-associated prejudice on work injury prevention include training for teachers, attention to work organization at the schools, and the creation of cohesive teachers' work teams. Résumé Au Québec, le Parcours de formation axée sur l'emploi (WOTP), un programme en alternance, offre une préparation au marché du travail aux élèves en difficultés scolaires. La santé et la sécurité du travail (SST) est un enjeu important de la formation. L'article vise à analyser l'impact du genre dans la dynamique relationnelle entre les enseignant.es, leurs élèves et les interlocuteurs clés des entreprises impliquées, et son influence sur les stratégies et la capacité d'agir des enseignant.es en matière de SST. Une analyse de cas multiples basée sur l'analyse ergonomique de l'activité des enseignants a été menée. Les résultats montrent que les relations sociales de genre déterminent un contexte spécifique de supervision qui influence la formation à la SST. La formation des enseignant.es, l'organisation scolaire et la création de collectifs enseignants cohésifs sont des pistes de solution pour réduire l'effet négatif des préjugés liés au genre

Modelling tools for managing Induced RiverBank Filtration MAR schemes

NASA Astrophysics Data System (ADS)

De Filippis, Giovanna; Barbagli, Alessio; Marchina, Chiara; Borsi, Iacopo; Mazzanti, Giorgio; Nardi, Marco; Vienken, Thomas; Bonari, Enrico; Rossetto, Rudy

2017-04-01

Induced RiverBank Filtration (IRBF) is a widely used technique in Managed Aquifer Recharge (MAR) schemes, when aquifers are hydraulically connected with surface water bodies, with proven positive effects on quality and quantity of groundwater. IRBF allows abstraction of a large volume of water, avoiding large decrease in groundwater heads. Moreover, thanks to the filtration process through the soil, the concentration of chemical species in surface water can be reduced, thus becoming an excellent resource for the production of drinking water. Within the FP7 MARSOL project (demonstrating Managed Aquifer Recharge as a SOLution to water scarcity and drought; http://www.marsol.eu/), the Sant'Alessio IRBF (Lucca, Italy) was used to demonstrate the feasibility and technical and economic benefits of managing IRBF schemes (Rossetto et al., 2015a). The Sant'Alessio IRBF along the Serchio river allows to abstract an overall amount of about 0.5 m3/s providing drinking water for 300000 people of the coastal Tuscany (mainly to the town of Lucca, Pisa and Livorno). The supplied water is made available by enhancing river bank infiltration into a high yield (10-2 m2/s transmissivity) sandy-gravelly aquifer by rising the river head and using ten vertical wells along the river embankment. A Decision Support System, consisting in connected measurements from an advanced monitoring network and modelling tools was set up to manage the IRBF. The modelling system is based on spatially distributed and physically based coupled ground-/surface-water flow and solute transport models integrated in the FREEWAT platform (developed within the H2020 FREEWAT project - FREE and Open Source Software Tools for WATer Resource Management; Rossetto et al., 2015b), an open source and public domain GIS-integrated modelling environment for the simulation of the hydrological cycle. The platform aims at improving water resource management by simplifying the application of EU water-related Directives and at

Les barrières à une bonne prise en charge des diabétiques dans les structures de première ligne de la province de Khouribga (MAROC)

PubMed Central

Hassoune, Samira; Badri, Soufiane; Nani, Samira; Belhadi, Leila; Maaroufi, Abderrahmane

2012-01-01

Introduction Le diabète constitue un important enjeu de santé publique au Maroc et représente un défi auquel les médecins généralistes sont confrontés dans leur pratique quotidienne. Le but de ce travail était de décrire les barrières entravant une bonne prise en charge des patients diabétiques dans les structures de 1ère ligne de la province de khouribga. Méthodes Il s'agit d'une étude transversale menée de décembre 2010 à mars 2011, chez les 54 médecins généralistes (MG) exerçants dans les centres de santé de la province. La collecte des données a été réalisée à l'aide d'un questionnaire prétesté et auto administré et la saisie et l'analyse effectuées sur le logiciel SPSS 16. Résultats Huit pourcent des MG disposaient de registre informatisé pour le suivi des diabétiques. Les principales barrières à une prise en charge correcte des patients étaient le statut socio-économique faible des patients (94%), leur niveau scolaire bas (86%), le manque de moyens de traitement et de suivi (80%), le nombre insuffisant de diabétologues (80%), le manque de coordination avec les structures de 2ème ligne (74%) et l'insuffisance des séminaires de formation continue (58%). Conclusion Les médecins généralistes sont confrontés à de nombreux obstacles concernant la prise en charge des patients diabétiques. L’équipement des centres de santé en moyens diagnostiques et thérapeutiques suffisants, l'amélioration de l'accessibilité des diabétiques aux soins et la formation continue des médecins pourraient être des solutions pour améliorer cette prise en charge surtout devant la pénurie de spécialistes dans notre pays. PMID:23330033

Les inconvénients de perdre du poids

PubMed Central

Bosomworth, N. John

2012-01-01

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

Problématique de l'utilisation des Moustiquaires Imprégnées d'insecticide à Longue Durée (MILD) chez les enfants de moins de 5 ans en République Démocratique du Congo

PubMed Central

Philippe, Cilundika Mulenga; Odile, Nyota Nsenga; Numbi, Oscar Luboya

2016-01-01

Introduction Le paludisme est une maladie parasitaire à transmission vectorielle qui constitue un problème majeur de santé publique dans les pays tropicaux, particulièrement les pays de l'Afrique Subsaharienne. La présente étude avait pour objectif d'identifier le niveau d'utilisation de la MILD chez les enfants de moins de 5 ans dans la zone de santé de Mumbunda. Méthodes L’étude, de type transversal, a été mené du 25 au 27 octobre 2013 et a porté sur un échantillon de 410 ménages tirés au hasard et ayant au moins un enfant de moins de 5 ans. Résultats Parmi les ménages qui avaient déclaré possédaient la MILD 13,1% (n=54) des répondant avaient déclaré les utilisé chez les enfants de moins de 5ans et 80,2% pour tout le monde. Dans 22,0% des cas, les répondants ont évoqué le manque d'argent comme motif de la non possession de la MILD. Les répondants savaient déclarer à 79,8% avoir utilisé la MILD pour se protéger contre la malaria et à 66,3% pour se protéger contre les piqures des moustiques. La MILD a été étalée à l'ombre pendant 24h avant d’être utilisée pour la première fois par 77,9% des ménages. Les répondants avaient déclaré à 15,3% (n=63) avoir reçu les conseils par les médias pour l'usage de la moustiquaire. Et le personnel médical était la source la plus importante pour expliquer le mode d'emploi de la MILD pour 51,2% des ménages. Conclusion La réussite pour faire reculer le paludisme doit nécessairement passer par la prévention, le suivi et l’évaluation de l'utilisation des moustiquaires imprégnées au niveau de la zone de santé de Mumbunda. PMID:27222690

Facteurs prédictifs de l’échec de traitement antituberculeux en Guinée Conakry

PubMed Central

Nimagan, Souleymane; Bopaka, Regis Gothard; Diallo, Mamadou Mouctar; Diallo, Boubacar Djelo; Diallo, Mamadou Bailo; Sow, Oumou Younoussa

2015-01-01

La tuberculose est un véritable problème de santé publique. C'est une maladie guérissable et cette guérison passe par une bonne prise en charge thérapeutique. Il arrive parfois on assiste à l’échec thérapeutique, d'où l'intérêt de notre étude portant sur les facteurs prédictifs de ses échecs. Dans l'espace d'une année sur 1300 cas de tuberculose toute forme confondue, 700 cas de tuberculose pulmonaire à microscopie positive ont été répertorié dont 100 cas transférés. La tranche d’âge de 15-25 ans a été la plus touchée avec un sexe-ratio de 2 en faveur des hommes et 41,66% de nos malades ont été les ouvriers suivis de 20,83% des commerçants. La majorité de nos patients provenait de Conakry soit 99, 5%. Sur 600 patients suivis les nouveaux cas représentaient 83,33% et l’échec thérapeutique représentait 12 cas soit 2%. L'interruption du traitement représente le principal facteur de l’échec. Les facteurs qui ont influencé la régularité des malades au traitement ont été multiples. Des facteurs liés à l'organisation du système de santé, la rupture des médicaments antituberculeux, l’éducation sanitaire insuffisante, les contraintes de la supervision du traitement, l'implication insuffisante et la vente des médicaments par le personnel de santé. Des facteurs liés aux patients eux-mêmes, la crainte de perte d'emploi, les contraintes financières. Les renforcements de l'organisation du système sanitaire et l’éducation thérapeutiques pourront réduire le taux d’échec du traitement antituberculeux. L'amélioration de la qualité de la prise en charge des malades en situation d’échec devrait passer par une culture systématique des expectorations avec antibiogramme. PMID:26889327

Development and validation of an individual dietary index based on the British Food Standard Agency nutrient profiling system in a French context.

PubMed

Julia, Chantal; Touvier, Mathilde; Méjean, Caroline; Ducrot, Pauline; Péneau, Sandrine; Hercberg, Serge; Kesse-Guyot, Emmanuelle

2014-12-01

Nutrient profiling systems could be useful public health tools as a basis for front-of-package nutrition labeling, advertising regulations, or food taxes. However, their ability beyond characterization of foods to adequately characterize individual diets necessitates further investigation. The objectives of this study were 1) to calculate a score at the individual level based on the British Food Standard Agency (FSA) food-level nutrient profiling system of each food consumed, and 2) to evaluate the validity of the resulting diet-quality score against food group consumption, nutrient intake, and sociodemographic and lifestyle variables. A representative sample of the French population was selected from the NutriNet-Santé Study (n = 4225). Dietary data were collected through repeated 24-h dietary records. Sociodemographic and lifestyle data were self-reported. All foods consumed were characterized by their FSA nutrient profile, and the energy intake from each food consumed was used to compute FSA-derived aggregated scores at the individual level. A score of adherence to French nutritional recommendations [Programme National Nutrition Santé guideline score (PNNS-GS)] was computed as a comparison diet-quality score. Associations between food consumption, nutritional indicators, lifestyle and sociodemographic variables, and quartiles of aggregated scores were investigated using ANOVAs and linear regression models. Participants with more favorable scores consumed higher amounts of fruits [difference Δ = 156 g/d between quartile 1 (less favorable) and quartile 4 (most favorable), P < 0.001], vegetables (Δ = 85 g/d, P < 0.001), and fish, and lower amounts of snack foods (Δ = -72 g/d, P < 0.001 for sugary snacks); they also had higher vitamin and mineral intakes and lower intakes of saturated fat. Participants with more favorable scores also had a higher adherence to nutritional recommendations measured with the PNNS-GS (Δ = 2.13 points, P < 0.001). Women, older

Etude des connaissances, attitudes et pratiques en matière de réintégration sociale des femmes victimes de fistule obstétricale: région de l'Extrême-nord, Cameroun

PubMed Central

Martin, Sanou Sobze; Adogaye, Sali Ben Béchir; Rodrigue, Mabvouna Biguioh; Maurice, Douryang; Vivaldi, Teikeu Tessa Vladimir; Amede, Saah Fopa Michael; Marie, Ovaga Eyenga Landry; Meriam, Ausseil Sandra; Colizzi, Vittorio; Gianluca, Russo

2015-01-01

Introduction La fistule obstétricale est un orifice entre le vagin et la vessie ou le rectum, voire les deux. Ses impacts sont des conséquences anatomo-fonctionnelles et sociales. On estime à plus de 19 000 le nombre de femmes qui souffrent de fistule obstétricale au Cameroun. Méthodes Il s'agissait d'une étude transversale descriptive conduite dans trois districts de santé de la région de l'Extrême-nord. Vingt-huit femmes victimes de fistules obstétricales, quarante-deux membres de leur entourage et vingt-quatre agents de santé ont été interviewés entre Novembre et Décembre 2013. Trois types de questionnaires ont été utilisés. Les données ont été analysées dans Epi Info version 7.1.4.0. Les moyennes et les fréquences ont été calculées avec un intervalle de confiance à 95%. Résultats 46,4% des femmes victimes de fistule obstétricales interviewées avaient subi une intervention chirurgicale réparatrice parmi lesquelles, 61,5% bénéficiaient de la réintégration. Le fonds de commerce (62,5%) était l'aide la plus reçue. Vingt-deux membres de l'entourage savaient pourquoi on fait la réintégration. Selon eux, les considérations socioculturelles (68,2%), sont la principale barrière de la réintégration. D'après les agents de santé, le suivi psychosocial (58,3%) est la principale activité de la réintégration dans les centres de prise en charge de la fistule. Conclusion La prise en charge des fistules obstétricales au Cameroun souffre de manque de réintégration sociale. Ceci expliquerait en partie la persistance de cette pathologie. Un accent devrait être mis sur l'appui matériel, financier et sur le suivi psychosocial des femmes victimes de fistule obstétricale. PMID:26113915

Aircraft Disinsection: A Guide for Military and Civilian Air Carriers (Desinsectisation des aeronefs: Un guide a l’intention des responsables des transports aeriens civils et militaires)

DTIC Science & Technology

1996-04-01

regulations. - Ceratitis capitata (Mediterranean fruit fly). Quarantine regulations generally reduce - Rhagoletis pomonella (Apple maggot). the chances of a...d’insectes nuisibles dans un pays, en 6vitant des risques pour la sant6 des 6quipages, pour la s~curit6 de 1’a~ronef et pour l’industrie. Ce rapport examine 1...diffrrents officiels responsables de la r~glementation des insectes nuisibles introduits, de l’inscription des pesticides et de leur utilisation en

MX Missile MOA Between Four Corners Regional Commission and the United States Air Force.

DTIC Science & Technology

1981-08-20

Mountains east of Beaver. The impact of hunting pres- sure and potential poaching has also ncz been addressed. 0 Despite the fact that phea- sant... impacted by both increased hunting pressure and poach - ing. Pheasant populations in the Delta area will be impacted by the loss of habitat due to...go. Water 0’ is very limiting. 4-780 1 Upland game birds will be impacted by both increased hunting pressure and poach - ing. Pheasant populations in

L'optique pour la sécurité sanitaire des aliments

NASA Astrophysics Data System (ADS)

Piat, Félix

2017-12-01

Il semble aujourd'hui évident que chaque produit alimentaire commercialisé ne représente aucun danger pour la santé. Cet acquis repose pourtant sur un système complexe de règles et de contrôles appliqués quotidiennement dans les coulisses de l'industrie agro-alimentaire. Les technologies optiques y jouent un rôle prépondérant, permettant de séparer le bon grain de l'ivraie.

Intraosseous Erythropoietin for Acute Tissue Protection in Battlefield Casualties Suffering Hypovolemic Shock

DTIC Science & Technology

2013-11-01

Resuscitation. Universidad Católica de la Santísima Concepción, Facultad de Ciencias de la Salud . May 7-8. Concepción, Chile. 1997 Advances in CPR...Med 2003;31:2811-2812. 20. Gazmuri RJ. Editorial: Optimizando la calidad en medicina intensiva [Optimizing the quality of intensive care medicine...increase in left ventricular stroke work index and cardiac index – likely an effect on preload – that helped increase the aor- tic pressure and reduce the

Low Prevalence of HIV Infection in Djibouti - Has the AIDS Epidemic Come to a Stop at the Horn of Africa?

DTIC Science & Technology

1989-01-01

Abbatte’ Ministre de la Sante ernmost part of the Horn of Africa. Its inhabitants publique : Dr Albert; WHO, Djibouti: Dr Wassef; H6pital belong to...Research Unit No. 3, FPO, New York, NY entreprise : Dr Said; Cabinet Medical: Dr Rodier" and Mr 09527-1600, USA. Adel; Dispensaire de Randa: Dr Qufz&k...41 at the Service Medical Inter- entreprise , at the Nation- hospital patients with a disease compatible with al Army Health Centre, at the Service

Seismic behavior of an Italian Renaissance Sanctuary: Damage assessment by numerical modelling

NASA Astrophysics Data System (ADS)

Clementi, Francesco; Nespeca, Andrea; Lenci, Stefano

2016-12-01

The paper deals with modelling and analysis of architectural heritage through the discussion of an illustrative case study: the Medieval Sanctuary of Sant'Agostino (Offida, Italy). Using the finite element technique, a 3D numerical model of the sanctuary is built, and then used to identify the main sources of the damages. The work shows that advanced numerical analyses could offer significant information for the understanding of the causes of existing damage and, more generally, on the seismic vulnerability.

Self-reported Health and Well-being Outcomes of ASERE Students

DTIC Science & Technology

2005-07-01

mesure normalisée) des scores légèrement plus faibles dans l’évaluation de la santé physique à la fin du cours comparativement à ceux indiqués avant...faibles après le cours comparativement à ceux obtenus lors de l’évaluation antérieure au cours...Zachariassen, 2000, p. 334). Indeed, the need for control is so great in humans that stress can trigger a variety of behaviors specifically designed to

Cross-cultural adaptation and psychometric properties of the Brazilian-Portuguese version of the VSP-A (Vécu et Santé Perçue de l'Adolescent), a health-related quality of life (HRQoL) instrument for adolescents, in a healthy Brazilian population

PubMed Central

2011-01-01

Background Health-related quality of life (HRQoL) assessment, encompassing the adolescents' perceptions of their mental, physical, and social health and well-being is increasingly considered an important outcome to be used to identify population health needs and to provide targeted medical care. Although validated instruments are essential for accurately assessing HRQoL outcomes, there are few cross-culturally adapted tools for use in Brazil, and none designed exclusively for use among adolescents. The Vécu et Santé Perçue de l'Adolescent (VSP-A) is a generic, multidimensional self-reported instrument originally developed and validated in France that evaluates HRQoL of ill and healthy adolescents. Purpose To cross-culturally adapt and validate the Brazilian-Portuguese version of the VSP-A, a generic HRQoL measure for adolescents originally developed in France. Methods The VSP-A was translated following a well-validated forward-backward process leading to the Brazilian version. The psychometric evaluation was conducted in a sample of 446 adolescents (14-18 years) attending 2 public high schools of São Gonçalo City. The adolescents self-reported the Brazilian VSP-A, the validated Psychosomatic Symptom Checklist and socio-demographic information. A retest evaluation was carried out on a sub-sample (n = 195) at a two-week interval. The internal construct validity was assessed through confirmatory factor analysis (CFA), multi-trait scaling analyses, Rasch analysis evaluating unidimensionality of each scale and Cronbach's alpha coefficients. The reproducibility was evaluated by intra-class correlation coefficients (ICC). Zumbo's ordinal logistic regression analysis was used to detect differential item functioning (DIF) between the Brazilian and the French items. External construct validity was investigated testing expected differences between groups using one-way analysis of variance (ANOVA), Mann-Whitney tests and the univariate general regression linear model

Hearing loss: terminology and classification. Joint Committee of the American Speech-Language-Hearing Association and the Council on Education of the Deaf.

PubMed

1998-01-01

The following position statement and technical report were developed by the Joint Committee of the American Speech-Language-Hearing Association (ASHA) and the Council on Education of the Deaf (CED) and approved as Association policy by the ASHA Legislative Council in November 1997 (LC 6-97). CED member organizations are reviewing the document for approval in 1998. Joint Committee members responsible for the development of this document include (from ASHA) Joan Marttila, chair 1996-97; Linda Seestedt-Stanford, chair 1994-95; Evelyn Cherow, ex official; Donald Goldberg; Dawna Lewis; Leslie Ann McMillian; Jane Seaton; Alicia Stewart; and Larry Higdon, vice president for professional practices in audiology and monitoring vice president; and (from CED) Kathee Christensen; Steve Nover; Marilyn Sass-Lehrer; and Patrick Stone. This document supersedes ASHA policy: Definitions of Communication Disorders and Variations: Hearing Disorders section.

A Solar Cycle Prediction Puzzle's PossibleExplanation?

NASA Astrophysics Data System (ADS)

Luhmann, Janet

2007-05-01

A long-standing and intriguing puzzle of the last few decades has been Joan Feynman's (1982) discovery that the solar cycle (sunspot number) maximum trends follow the level of geomagnetic activity during the prior minimum phase. Recently Hathaway (GRL 33, 2006) used this relationship to make a prediction of the size of the next solar maximum. But the physical reason why this should work at all remains a matter of speculation. Although it has been suggested that geomagnetic activity around solar minimum is determined by the terrestrial magnetosphere's response to high speed solar wind streams which seem to often characterize the declining phase of the cycle, why should the occurrence of these streams portend the new solar maximum? Our improving understanding of solar wind sources may hold the key, and also tell us something useful about the solar dynamo.

STS-116 Crewmembers and Expedition 14 Crewmember posing in the U.S. Laboratory

NASA Image and Video Library

2006-12-15

S116-E-06429 (15 Dec. 2006) --- The STS-116 crewmembers gather for a group portrait during a joint crew press conference in the Destiny laboratory of the International Space Station while Space Shuttle Discovery was docked with the station. From the left (front row) are astronauts William A. (Bill) Oefelein, pilot; Joan E. Higginbotham, Nicholas J. M. Patrick and European Space Agency (ESA) astronaut Thomas Reiter, mission specialists. From the left (back row) are astronauts Mark L. Polansky, commander; Sunita L. Williams, Expedition 14 flight engineer; European Space Agency (ESA) astronaut Christer Fuglesang and Robert L. Curbeam, Jr., mission specialists. Shortly after the two spacecraft docked on Dec. 11, Williams became a member of the station crew. At the same time, Reiter became a Discovery crewmember for his ride home, completing about six months in space.

The Directorate-General for Health and Consumers 1999-2014: An assessment of its functional capacities.

PubMed

Clemens, Timo; Sørensen, Kristine; Rosenkötter, Nicole; Michelsen, Kai; Brand, Helmut

2017-06-01

Capacity assessment has become a popular measure in the health sector to assess the ability of various stakeholders to pursue agreed activities. The European Commission (EC) is increasingly dealing with a variety of health issues to coordinate and complement national health policies. This study analyses the functional capacity of the Directorate-General for Health and Consumers (DG SANCO) between 1999 and 2004. It applies the UNDP Capacity Assessment Framework and uses a literature review, a document review of EU policy documents and expert interviews to assess the capacity of DG SANCO to fulfill its mandate for public health and health systems. Our results suggest that DG SANCO has established capacities to engage with stakeholders; to assess various health issues, to define issue-specific health policies and to collect information for evaluative purposes. In contrast, capacities tend to be less established for defining a clear strategy for the overall sector, for setting priorities and for budgeting, managing and implementing policies. We conclude that improvements to the effectiveness of DG SANTE's (the successor of DG SANCO) policies can be made within the existing mandate. A priority setting exercise may be conducted to limit the number of pursued actions to those with the greatest European added value within DG SANTE's responsibilities. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Limited Energy Study, EEAP - DACA01-94-D-0037, for Fort Monmouth. Book 1.

DTIC Science & Technology

1997-03-01

Engineers, and Mr. Kevin Dooney and Mr. William Van Sant, Ft. Monmouth represented the government. Entech Engineering, Inc. 2-1 The purpose of the meeting...eas Plant Chilled Waer § Ssdegrees F 05 04 148 AHU- -5 AHU-MC4ilrane 0.0 (MR-35_South 3 0/400 Area) .30/0400 ottices/corodors Plant Chilled Water...441-7403 REPRESENTING: Norfolk District PHONE CODE: 036 SUBJECT: Scope of Study NOTES: Discussed Kevin Dooney’s request that Entech not focus totally

People’s Republic of China Scientific Abstracts No. 179

DTIC Science & Technology

1977-11-08

No 2, April 1977 7 CHIH-WU HSUEH-PAO [ACTA BOTANICA SINICA] No 2, June 1977 22 I-CH’UAN HSUEH-PAO [ACTA GENETICA SINICA] No 1...photorespirators. 8650 C50J 4009 29 ACTA GENETICA SINICA AUTHOR: WU An-chiu [0702 1344 0036] ORG: Technique Staff of San-t’ai Commune Fu County...Liaoning Province TITLE: ’TProceed in Struggle, Bring up Superior Seeds for the Revolution" SOURCE: Peking I-CH’UAN HSUEH-PAO [ACTA GENETICA

Science literacy programs for K-12 teachers, public officials, news media and the public. Final report, 1994--1997

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1997-03-01

On 12 July 94, The Institute for Science and Society received the above titled grant for $300,000 with an additional $323,000 awarded 14 August 95. The Institute completed the programs provided by the Department of Energy grant on 28 February 97. These programs for teachers, public officials, news media and the public will continue through 31 December 97 with funding from other sources. The Institute is a non-profit 501-c-3 corporation. It was organized {open_quotes}... to help increase science literacy in all segments of the population and contribute to a more rational atmosphere than now exists for the public consideration ofmore » societal issues involving science and technology, both regional and national.{close_quotes} Institute personnel include the Honorable Mike McCormack, Director; Joan Harris, Associate Director; Kim Freier, Ed.D, Program Manager; and Sharon Hunt, Executive Secretary.« less

The professionalization of Brazilian nursing in the written media of the end of the nineteenth century: a gender analysis.

PubMed

Santo, Tiago Braga do Espírito; Oguisso, Taka; da Fonseca, Rosa Maria Godoy Serpa

2011-01-01

The object is the relationship between the professionalization of Brazilian nursing and women, in the broadcasting of news about the creation of the Professional School of Nurses, in the light of gender. to discuss the linkage of women to the beginning of the professionalization of Brazilian nursing following the circumstances and evidence of the creation of the Professional School of Nurses analyzed from the perspective of gender. The news articles were analyzed from the viewpoint of Cultural History, founded in the gender concept of Joan Scott and in the History of Women. The creation of the School and the priority given in the media to women consolidate the vocational ideal of the woman for nursing in a profession subjugated to the physician but also representing the conquest of a space in the world of education and work, reconfiguring the social position of nursing and of woman in Brazil.

Pleistocene leopards in the Iberian Peninsula: New evidence from palaeontological and archaeological contexts in the Mediterranean region

NASA Astrophysics Data System (ADS)

Sanchis, Alfred; Tormo, Carmen; Sauqué, Víctor; Sanchis, Vicent; Díaz, Rebeca; Ribera, Agustí; Villaverde, Valentín

2015-09-01

This study analyses the fossil record of leopards in the Iberian Peninsula. According to the systematic and morphometric features of new remains, identified mainly in Late Pleistocene palaeontological and archaeological sites of the Mediterranean region, they can be attributed to Panthera pardus Linnaeus 1758. The findings include the most complete leopard skeleton from the Iberian Peninsula and one of the most complete in Europe, found in a chasm (Avenc de Joan Guitón) south of Valencia. The new citations and published data are used to establish the leopard's distribution in the Iberian Peninsula, showing its maximum development during the Late Pleistocene. Some references suggest that the species survived for longer here (Lateglacial-Early Holocene) than in other parts of Europe. Finally, the contexts of appearance and origin of leopard remains are described and the processes of interaction with prehistoric human groups are assessed.

A Catalyst for Ocean Acidification Research and Collaboration

NASA Astrophysics Data System (ADS)

Benway, Heather M.; Cooley, Sarah R.; Doney, Scott C.

2010-03-01

Ocean Carbon and Biogeochemistry Short Course on Ocean Acidification; Woods Hole, Massachusetts, 2-13 November 2009; The Ocean Carbon and Biogeochemistry (OCB) program is a coordinating body for the U.S. research community that focuses on the ocean's role in the global Earth system, bringing together research in geochemistry, ocean physics, and ecology. With support from its federal sponsors (U.S. National Science Foundation, NASA, and National Oceanic and Atmospheric Administration (NOAA)) and the European Project on Ocean Acidification (EPOCA), the OCB Project Office coordinated and hosted a hands-on ocean acidification short course at the Marine Biological Laboratory (MBL) and the Woods Hole Oceanographic Institution (WHOI). The OCB Ocean Acidification Subcommittee (http://www.us-ocb.org/about.html), chaired by Joan Kleypas (National Center for Atmospheric Research) and Richard Feely (Pacific Marine Environmental Laboratory, NOAA), provided critical guidance on the course scope, curriculum, and instructors.

User-friendly chemistry takes center stage at ACS meeting

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pool, R.

1992-09-11

These days it seems that what chemistry needs more than anything else is a good p.r. agent. If you ask John or Joan Q. Public about the accomplishments of the chemical industry, chances are they'll mention Love Canal, CFCs destroying the ozone layer, or carcinogens in food. However, if the national meeting of the American Chemical Society in Washington, D.C., 2 weeks ago is any indication, chemists are working hard to fix the image problem. Nearly all of the two dozen press conferences held during the meeting focused on food, health topics, environment-friendly technology, or some other subject close tomore » consumers' hearts. And the scientific talks themselves reflected the same interests, with sessions such as Environmental Successes in the Chemical Industry', Food Phytochemicals for Cancer Prevention', Chemistry of Electrophilic Metal Complexes', New Advances in Polyolefin Polymers', Zapping acid rain with microwaves.'« less

Interactive Visualization of Network Dynamics (Visualisation interactive de la dynamique des reseaux)

DTIC Science & Technology

2014-06-01

la prise de décision du commandement militaire, aux opérations de santé et de sûreté publique...comporter la dénomination « STO », « RTO » ou « AGARD » selon le cas, suivi du numéro de série. Des informations analogues, telles que le titre est la date...Bibliothécaire des ressources du savoir Secretariat General of Defence 061353 Bucharest R et D pour la défense Canada National Armaments

Conference Proceedings of The Application of New Technologies to Improve the Delivery of Aerospace and Defence Information Held at Ottawa, Canada on 14-15 September 1983.

DTIC Science & Technology

1984-01-01

S : L : K -W+ ~ ~ : PP: R: ~FAC NAT:BL LANG:Bs IC: 1: T A 4 CQMIT< E INTERNATIONAL DE M<EDECINE ET DE PHARMACIE...PSYCHOLOGIQUES DE STRESS DANS LE VOL SPATIAL CONCEPTS ACTUELS S ,X ADAPTATON UMAINE AU VOL SPATIAL 5 1 8 EVUE INTERNATIONALE DES SERVICES DE _SANT< E ...Teea . l ,ale ol-ti 1te o sta ) aid pagty letIn* Ito lv te ttit 1.- e b26 l s oul, - t I o ottetlil tttd ye -eile .o o -

Oil Shale in the Piceance Basin: An Analysis of Land Use Issues,

DTIC Science & Technology

1983-07-01

basins -the Piceance, Uinta , Green River, and Washakie. The locations of these basins are shown on the map of the Green River Formation in Fig. 3...commercial interest. Deposits of low grade shale in the other basins are thin and scattered. Only the rich (30 gpt) deposits in the Uinta Basin are of...r n~p I S 806 OIL SHALE, IN lilE PICCANCE BASIN : AN ANALYSIS of LAND USE ISSUESIUI RAND CORP SANtA MONICA CA lJN IASIFID 0 RUBENSON El AL. JUL 83

International Congress on Transposable Elements (ICTE) 2012 in Saint Malo and the sea of TE stories.

PubMed

Ainouche, Abdelkader; Bétermier, Mireille; Chandler, Mick; Cordaux, Richard; Cristofari, Gaël; Deragon, Jean-Marc; Lesage, Pascale; Panaud, Olivier; Quesneville, Hadi; Vaury, Chantal; Vieira, Cristina; Vitte, Clémentine

2012-10-30

An international conference on Transposable Elements (TEs) was held 21-24 April 2012 in Saint Malo, France. Organized by the French Transposition Community (GDR Elements Génétiques Mobiles et Génomes, CNRS) and the French Society of Genetics (SFG), the conference's goal was to bring together researchers from around the world who study transposition in diverse organisms using multiple experimental approaches. The meeting drew more than 217 attendees and most contributed through poster presentations (117), invited talks and short talks selected from poster abstracts (48 in total). The talks were organized into four scientific sessions, focused on: impact of TEs on genomes, control of transposition, evolution of TEs and mechanisms of transposition. Here, we present highlights from the talks given during the platform sessions. The conference was sponsored by Alliance pour les sciences de la vie et de la santé (Aviesan), Centre national de la recherche scientifique (CNRS), Institut national de la santé et de la recherche médicale (INSERM), Institut de recherche pour le développement (IRD), Institut national de la recherche agronomique (INRA), Université de Perpignan, Université de Rennes 1, Région Bretagne and Mobile DNA. CHAIR OF THE ORGANIZATION COMMITTEE: Jean-Marc Deragon ORGANIZERS: Abdelkader Ainouche, Mireille Bétermier, Mick Chandler, Richard Cordaux, Gaël Cristofari, Jean-Marc Deragon, Pascale Lesage, Didier Mazel, Olivier Panaud, Hadi Quesneville, Chantal Vaury, Cristina Vieira and Clémentine Vitte.

Interdire aux enfants et aux adolescents de moins de 18 ans l’accès aux établissements commerciaux de bronzage

PubMed Central

Taddeo, Danielle; Stanwick, Richard

2012-01-01

RÉSUMÉ Le nombre de mélanomes cutanés malins a plus que triplé depuis 35 ans. Puisque les dommages sont cumulatifs, l’exposition aux rayonnements ultraviolets tôt dans la vie accroît le risque, qui augmente davantage avec l’utilisation de sources artificielles de rayonnements ultraviolets. Il peut falloir des années pour évaluer les répercussions et l’étendue complètes des dommages causés par le bronzage artificiel à longueur d’année, compte tenu de la longue période de latence de la plupart des cancers de la peau. Les adolescents fréquentent souvent les salons de bronzage, les filles s’y rendant davantage et de manière soutenue. L’industrie du bronzage conteste la classification de cancérigène physique de groupe 1 qu’attribuent au bronzage artificiel l’Organisation mondiale de la santé et le Centre international de recherche sur le cancer. Les salons de bronzage cherchent à établir et à maintenir une clientèle chez les adolescents. Par conséquent, la Société canadienne de pédiatrie s’ajoute à d’autres organismes de santé réputés pour appuyer l’interdiction des établissements commerciaux de bronzage aux enfants et adolescents de moins de 18 ans.

Predictors of symptom severity in patients with chronic prostatitis and interstitial cystitis.

PubMed

Clemens, J Quentin; Brown, Sheila O; Kozloff, Lara; Calhoun, Elizabeth A

2006-03-01

Numerous studies have been performed to identify potential risk factors for CP/CPPS and IC. However, few studies have been done to identify predictors of disease severity. A total of 174 men with CP/CPPS and 111 women with IC completed questionnaires to quantify symptom severity and identify demographic, medical and psychosocial characteristics. Symptom severity was assessed with the National Institutes of Health CPSI in men, and the O'Leary-Sant ICSI and problem index in women. Univariate and multivariate analyses were performed to identify characteristics predictive of worse symptoms. The mean National Institutes of Health CPSI score in men was 15.32, and the mean O'Leary-Sant ICSI and problem index in women was 19.17. The most commonly reported comorbidities were allergies, sinusitis, erectile dysfunction and irritable bowel syndrome in men, and allergies, urinary incontinence, sinusitis and irritable bowel syndrome in women. In the 2 sexes self-reported urinary frequency and urgency, worse depression scores and lower education level were independent predictors of worse symptom severity. In men additional independent predictors were self-reported pelvic pain, fibromyalgia and previous heart attack, and in women an additional independent predictor was postmenopausal status. There are several common medical conditions associated with urological pelvic pain syndromes in men and women. Few of them were predictive of symptoms severity in this analysis. Self-reported pelvic pain symptoms, education and depression severity were the factors most strongly predictive of symptom severity in patients with CP/CPPS and IC.

Crystal Structure of the Chromodomain Helicase DNA-binding Protein 1 (Chd1) DNA-binding Domain in Complex with DNA*

PubMed Central

Sharma, Amit; Jenkins, Katherine R.; Héroux, Annie; Bowman, Gregory D.

2011-01-01

Chromatin remodelers are ATP-dependent machines that dynamically alter the chromatin packaging of eukaryotic genomes by assembling, sliding, and displacing nucleosomes. The Chd1 chromatin remodeler possesses a C-terminal DNA-binding domain that is required for efficient nucleosome sliding and believed to be essential for sensing the length of DNA flanking the nucleosome core. The structure of the Chd1 DNA-binding domain was recently shown to consist of a SANT and SLIDE domain, analogous to the DNA-binding domain of the ISWI family, yet the details of how Chd1 recognized DNA were not known. Here we present the crystal structure of the Saccharomyces cerevisiae Chd1 DNA-binding domain in complex with a DNA duplex. The bound DNA duplex is straight, consistent with the preference exhibited by the Chd1 DNA-binding domain for extranucleosomal DNA. Comparison of this structure with the recently solved ISW1a DNA-binding domain bound to DNA reveals that DNA lays across each protein at a distinct angle, yet contacts similar surfaces on the SANT and SLIDE domains. In contrast to the minor groove binding seen for Isw1 and predicted for Chd1, the SLIDE domain of the Chd1 DNA-binding domain contacts the DNA major groove. The majority of direct contacts with the phosphate backbone occur only on one DNA strand, suggesting that Chd1 may not strongly discriminate between major and minor grooves. PMID:22033927

Accelerated solvent extraction by using an 'in-line' clean-up approach for multiresidue analysis of pesticides in organic honey.

PubMed

Chiesa, Luca Maria; Labella, Giuseppe Federico; Panseri, Sara; Britti, Domenico; Galbiati, Fabrizio; Villa, Roberto; Arioli, Francesco

2017-05-01

The worldwide loss of honeybee colonies may be due to their exposure to several contaminants (i.e., pesticides); such contamination may also have impacts on consumers' health. Therefore, it is essential to develop quick and new methods to detect several pesticide residues in honey samples. In this study, the effectiveness of accelerated solvent extraction (ASE) was compared with QuEChERS methods for the analysis of 53 pesticides in organic honey by gas chromatography-triple quadrupole mass spectrometry. Two simple and rapid ASE methods with 'in-line' clean-up were optimised and then compared with QuEChERS. Hexane-ethyl acetate (Hex:EtAc) and Florisil were chosen as extraction solvent and retainer for the first ASE method respectively; acetonitrile and a primary-secondary amine phase (ACN-PSA) were selected for the second ASE method. The methods were validated according to the European Union SANTE/11945/2015 guidelines. The validation parameters showed that QuEChERS and ASE with PSA as retainer had better repeatability than ASE with Hex:EtAc and Florisil. In particular, QuEChERS and ASE (ACN-PSA) showed good recovery, according to the SANTE criteria, for the majority of investigated pesticides. Conversely, when ASE with Hex:EtAc and Florisil was used as the retainer, several compounds showed recoveries lower than the acceptable value of 70%. The ASE in-line method was finally applied to evaluate pesticide concentration in organic honey samples.

International overview of hospital procurement.

PubMed

Ferrier, Maud; Lariviere, David; Laurent, Claire; Roque, Eric

2011-01-01

This article was written by four French hospital director students at the Ecole des Hautes Etudes en Santé Publique (EHESP-School of Public Health) from a study conducted jointly with students at the Grenoble School of Management to present an international overview of hospital procurement methods in ten countries. An analysis of these methods showed that there was a general trend towards group purchasing, with some common aims in terms of costs and performance and some differences in legislation (competition), size of the public sector and centralization or decentralization.

Development of a Dynamic Biomechanical Model for Load Carriage: Phase 4, Parts A and B: Development of a Dynamic Biomechanical Model Version 2 of Human Load Carriage

DTIC Science & Technology

2005-08-01

de charge et de comprendre les effets des caractéristiques de conception de systèmes de transport de charge sur la santé et la mobilité humaines...supérieur et le torse inférieur et la force totale de contact. Les travaux sont en cours en vue de l’intégration d’une couche de peau , ce qui...permettrait d’examiner en détail l’interaction au niveau de l’interface équipement- peau . Le but consiste à évaluer les risques de

Supplémentation préconceptionnelle en acide folique / multivitamines pour la prévention primaire et secondaire des anomalies du tube neural et d'autres anomalies congénitales sensibles à l'acide folique.

PubMed

Wilson, R Douglas

2016-12-01

Offrir des renseignements à jour sur l'utilisation pré et postconceptionnelle d'acide folique par voie orale, avec ou sans supplément de multivitamines / micronutriments, aux fins de la prévention des anomalies du tube neural et d'autres anomalies congénitales. Ces renseignements aideront les médecins, les sages-femmes, les infirmières et les autres professionnels de la santé à contribuer aux efforts de sensibilisation des femmes quant à l'utilisation et aux posologies adéquates de la supplémentation en acide folique / multivitamines, avant et pendant la grossesse. RéSULTATS: La littérature publiée a été récupérée par l'intermédiaire de recherches menées dans PubMed, Medline, CINAHL et la Cochrane Library en janvier 2011 au moyen d'un vocabulaire contrôlé et de mots clés appropriés (p. ex. « folic acid », « prenatal multivitamins », « folate sensitive birth defects », « congenital anomaly risk reduction », « pre-conception counselling »). Les résultats ont été restreints aux analyses systématiques, aux études observationnelles et aux essais comparatifs randomisés / essais cliniques comparatifs publiés en anglais entre 1985 et juin 2014. Les recherches ont été mises à jour de façon régulière et intégrées à la directive clinique jusqu'en juin 2014. La littérature grise (non publiée) a été identifiée par l'intermédiaire de recherches menées dans les sites Web d'organismes s'intéressant à l'évaluation des technologies dans le domaine de la santé et d'organismes connexes, dans des collections de directives cliniques, dans des registres d'essais cliniques, et auprès de sociétés de spécialité médicale nationales et internationales. COûTS, RISQUES ET AVANTAGES: Les coûts financiers sont ceux de la supplémentation quotidienne en vitamines et de la consommation d'un régime alimentaire santé enrichi en folate. Les risques sont ceux qui sont liés à une association signalée entre la suppl

"The Heart of Parenting: Raising an Emotionally Intelligent Child," by John Gottman with Joan DeClaire. Book Review.

ERIC Educational Resources Information Center

Gable, Sara

1999-01-01

Maintains that Gottman and DeClaire's work offers valuable guidance and research-based information to adults who parent, care for, or educate children, focusing on the Emotion Coaching technique. Summarizes important components of each chapter. Notes that individual chapters are well organized and that the author's style reaches a broad audience.…

Contemporary comparative placenta research--an interview with Allen Enders. Interview by Kent L Thornburg and Joan S Hunt.

PubMed

Enders, Allen

2010-01-01

This Special Issue of The International Journal of Developmental Biology is dedicated to Allen C. Enders. His accomplishments are being honored because of his outstanding scientific contributions to our understanding of the development and mature structure of the mammalian placenta. He has consistently focused his research efforts on cutting edge questions related to the interaction of maternal and fetal tissues. While he has officially retired, he continues to study implantation and comparative placentology at the ultrastructural level. Enders has served as a link between the early placentologists who struggled to resolve the thinnest of layers in the placenta using light microscopy and modern day placentologists who now take advantage of confocal microscopy and electron microscopy to elucidate pathways for nutritive molecules as they pass from maternal to fetal compartments. Enders ground breaking electron micrographs will stand the test of time in revealing the relationships between embryonic tissue and maternal structures as they are variously modified in different species. The symbiotic interactions of genetically distinct tissues that form the placenta are required to nourish the fetus and perpetuate the species. This mysterious process makes mammalian reproduction the most exciting field of research in all of biology. The story of Allen Enders success will be an inspiration to all up and coming placentologists who are destined to discover the exciting world of placental biology.

Interview with Julie Viveros, RN, Director of Nursing, Charlotte Rescue Mission, Rebound men's program. Interview by Joan Kub.

PubMed

Viveros, Julie; Kub, Joan

2014-01-01

The Charlotte Rescue Mission is a 90-day residential program that serves approximately 530 men and 365 women experiencing the disease of addiction annually. It has a long rich history and has been serving the Charlotte community for over 75 years for men and almost 25 years for women. "The men's program provides a five-fold, client-centered treatment approach addressing spiritual, mental, physical, social, and vocational needs to battle addiction. The objective is to help individuals fighting addiction and homelessness to accomplish spiritual, mental, physical, social, and vocational goals and be free of addiction." "Dove's Nest, Charlotte Rescue Mission's women's recovery program, opened its doors in 1992. The program provides a structured, yet loving and stable living environment, with a dedicated staff aimed at helping women understand and deal with the core issues of addiction as a disease". (Web site: http:// charlotterescuemission.org/). I had the privilege of interviewing Julie Viveros, RN, the Director of Nursing for the Rebound men's program, about her unique role at the Rescue Mission.

Laser R and D in the armed services

NASA Astrophysics Data System (ADS)

Seidel, R. W.; Bromberg, J. L.

1984-09-01

During the year, September 15, 1983 - September 15, 1984, Dr. Joan Lisa Bromberg has investigated the history of the laser through the interviewing of laser industry pioneers and leaders in California's Bay area and the Murray Hill branch of AT & T's Bell Labs. The status of processing of the interviewee's tapes is listed. During the course of the first year of our project, Dr. Robert W. Seidel has investigated the history of military laser research and development through the exploitation of the Department of Defense's Research and Development data bases, including the Research and Development Plans, Work Unit Information Summaries, and the Technical Report Abstracts of the Defense Technical Information Center; published and unpublished technical reports of military laser research and development available through DTIC and at military installations; visits to military installations and research facilities holding manuscript materials relating to history of laser research and development; and formal and informal interviews with participants in military laser R&D projects.

How We Become Who We Are: Ashley, Carla, and the Rest of Us.

PubMed

Nelson, Jamie Lindemann

2017-01-01

Lisa Freitag and Joan Liaschenko's thoughtful and important article goes directly to the under-examined heart of Ashley's case, namely to what sustains her in a habitable and intelligible identity. Though quite sympathetic with their conclusion and line of argument, I try to trouble their proceedings a bit, largely by wondering how having a specific such identity, out of several that may be in-principle available, matters to someone with Ashley's cognitive scope. I do this not simply to be contrary, but because their article also seems to me to raise issues in the ethics of bioethics-in particular, what I call the dilemma of ethical endeavor: How ought one publicly pursue deeply important and complex issues, the very raising of which may offend interlocutors who indeed have grounds for resentment. Making a habit of second guessing oneself may be part of the answer. Copyright 2017 The Journal of Clinical Ethics. All rights reserved.

KSC-06pd0377

NASA Image and Video Library

2006-02-18

KENNEDY SPACE CENTER, FLA. - Apollo 14 astronaut Stuart Roosa's family recently was presented with the NASA Ambassador of Exploration Award, recognizing the sacrifices and dedication of the Apollo, Gemini and Mercury astronauts. Attending the ceremony, seen here (from left), are James Kennedy, director, NASA Kennedy Space Center; Jeffrey Jezierski (J. T.), White House liaison, NASA; Daniel Gruenbaum, general manager of the U.S. Astronaut Hall of Fame; and Roosa's family, his son Col. Christopher Roosa, USMC; his widow Joan Roosa, (in wheelchair); his daughter Rosemary Roosa; and daughter-in-law Whitney and his son Allen Roosa. Each of the honored astronauts or their surviving families was presented with a lunar sample, part of the 842 pounds of moon rocks and soil returned during the six lunar expeditions from 1969 to 1972. Roosa's family chose to display the award that featured a small piece of the moon at the U.S. Astronaut Hall of Fame in Titusville, Fla.

Astronauts speak at a women's forum at the Apollo/Saturn V Center

NASA Technical Reports Server (NTRS)

1999-01-01

Participating in a forum about women in space, Astronauts Ellen Ochoa, Joan Higginbotham and Yvonne Cagle share the podium. They were included in a panel discussing 'Past, Present and Future of Space.' Former astronaut Sally Ride is at right. The forum about women in space included a welcome by Center Director Roy Bridges and remarks by Donna Shalala, secretary of Department of Health and Human Services. The panel is moderated by Lynn Sherr, ABC News correspondent. The attendees are planning to view the launch of STS-93 at the Banana Creek viewing sight. Much attention has been generated over the launch due to Commander Eileen M. Collins, the first woman to serve as commander of a Shuttle mission. The primary payload of the five-day mission is the Chandra X-ray Observatory, which will allow scientists from around the world to study some of the most distant, powerful and dynamic objects in the universe. Liftoff is scheduled for July 20 at 12:36 a.m. EDT.

The Pendulum Weaves All Knots and Links

NASA Astrophysics Data System (ADS)

Starrett, John

2003-08-01

From a topological point of view, periodic orbits of three dimensional dynamical systems are knots, that is, circles (S∧1) embedded in the three sphere (S∧3) or in R∧3. The ensemble of periodic orbits comprising the skeleton of a 3-D strange attractor form a link: a collection of (not necessarily linked) knots. Joan Birman and Robert Williams used a topological device known as the template, a branched two-manifold that results when the stable direction is collapsed out of an attractor, to analyze the knot and link types appearing in the geometric Lorenz attractor. More recently, Robert Ghrist has shown the existence of universal templates: templates that support all knot and link types. I show that the template constructed from the geometric attractor of a forced physical pendulum contains a universal template as a subtemplate, and therefore the orbit set of the pendulum contains every knot and link type.

[Promotion of community-based care in Africa: example of community general practice in Benin].

PubMed

Caplain, Roland; Yacoubou, Ismaïl; Adedemy, Didier; Sani, Alidou; Takam, Sandrine; Desplats, Dominique

2014-01-01

Considerable effort has been made to provide rural African populations with basic health care, but the quality of this care remains unsatisfactory due to the absence of first-line GPs. This is a paradoxical situation in view of the large number of physicians trained in medical schools in French-speaking Africa and Madagascar. of the lack of GPs working in rural areas is a real concern, as many young doctors remain unemployed in cities. For more than 20 years, the NGO Santé Sud has proposed a Community General Medicine concept, which, combined with a support system, has allowed the installation of more than 200 community GPs in Mali and Madagascar. The advantage of this concept is that it provides family medicine and primary health care in the same practice. Since 2009, Santé Sud supports an installation project in rural areas of northern Benin, where community GPs work independently, as a complementary partner of the public sector. Since 2013, the installation process comprises a university degree created with the University of Parakou Faculty of Medicine. Based on this experience in Benin, the authors show that the presence of a first-line general practitioner is an original strategy that provides a major contribution to health promotion : reducing health inequalities between rural and urban populations, allowing women to receive medically assisted childbirth close to home, developing family planning activities, education and health care for chronic diseases, strengthening health coverage by participating in vaccination campaigns, etc. Due to their functions and proximity, community GPs represent an added value for health promotion.

[The main health problems according to patients' opinion].

PubMed

Icart Isern, M T; Icart Isern, M C; Pulpón Segura, A M; Mena Sánchez, J; García De Las Mestas Castilla, A M; Carrés Esteve, L

2001-09-15

To know the health problems or diseases that patients of 2 basic health areas (BHA) assess as the most important for Spanish population and for themselves; to know if any relation exists between these problems and their existence in the family or social patients' environment. An observational cross-sectional and descriptive study. Four clinics of the BHA Sant Josep (L'Hospitalet de Llobregat) and 2 clinics of the BHA Sant Martí (Barcelonés).Patients. The sample consists of 360 patients aged above 26 years who attended clinics for some health problem. Participants were chosen by a randomised systematic sampling, from May to October 2000. Data were gathered from a questionnaire of ten items. According with the participants, the main problems for Spanish population and for themselves were: cancer, cardiovascular diseases and AIDS. Cancer (58,61%; 95% CI, 53,53-63,69) and AIDS (15,27%; 95% CI, 11,56-18,98) are the problems pointed out as research priorities. The aparato locomotor (22,10%; 95% CI, 17,82-26,38), hypertension (14,74%; 95% CI, 11,08-18,40) and diabetes (13,14%, 95% CI, 9,66-16,62) are the main problems suffered by the surveyed. Cancer is the disease that more participants' relatives suffered. Cancer and cardiovascular diseases are the pathologies that cause more concern among the surveyed and these are the diseases which mostly affect their relatives and relationships. Nevertheless their worry for the AIDS don't show their immediate reality. Frequently, patients don't recognize the health problem that motivated their visit as a real disease.

Short and long-term quality of life after reconstruction of bladder exstrophy in infancy: preliminary results of the QUALEX (QUAlity of Life of bladder EXstrophy) study.

PubMed

Jochault-Ritz, Sandy; Mercier, Mariette; Aubert, Didier

2010-08-01

The aim of the study was to assess quality of life (QOL) of patients born with bladder exstrophy (BE) and reconstructed during early childhood in 7 French university hospitals (QUALEX study: QUAlity of Life of bladder EXstrophy). Patients from 6 to 42 years old answered self-administered Short-Form 36 (SF-36), VSP-A (Vécu et Santé Perçue de l'Adolescent), VSP-AE (Vécu et Santé Perçue de l'Enfant), AUQUIE (AUto-QUestionnaire Imagé de l'Enfant), and general questionnaires about functional and socioeconomic data. Dimension scores were compared between adults and adolescents using SF-36 and adolescents and children using VSP-AE. Scores were also compared to the general French population. Among the 134 eligible patients, 36 adults, 18 adolescents, and 17 children answered the questionnaire. There was no difference between responders and nonresponders in reconstruction criteria. Continence was achieved in 77% of adults, 65% of adolescents, and 12% of children. Adolescent QOL was globally superior to adults and children. Adult QOL was globally lower than the general population except on the physical dimension. Children's QOL was also globally lower than the general population except for relations with family and school work. Adolescents' scores on SF-36 were superior to the general population but lower on half of the dimensions with VSP-AE. Patients presenting with reconstructed BE have impaired QOL, and functional results seem to be the most likely predictive factor of health-related QOL score. Copyright 2010 Elsevier Inc. All rights reserved.

Traumatic Brain Injury in a Military Operational Setting (Le traumatisme cranien dans un cadre militaire operationnel)

DTIC Science & Technology

2015-01-01

la gestion du TCCL lié à un déploiement. Les objectifs de ce rapport étaient de : 1) Décrire la pratique clinique... de la projection de débris et à l’accélération/décélération ou rotation. L’impact sur la santé publique du TCCL lié à un déploiement sur tout...montré que le cours clinique du TCCL provoqué par une déflagration présente de forts parallèles avec ce qu’on constate dans la littérature sur le

The Life Cycle Completed. Extended Version with New Chapters on the Ninth Stage of Development by Joan M. Erikson.

ERIC Educational Resources Information Center

Erikson, Erik H.

This expanded edition of a 1982 book by Erik Erikson summarizes his work on the stages of the human life cycle, including chapters on psychosexuality and the cycle of generations, major stages in psychosocial development, and ego and ethos. An additional chapter on the ninth stage sets forth his philosophy on old age--i.e. the 80s and 90s--and how…

Fast, global, and entrepreneurial: supply chain management, Hong Kong style. An interview with Victor Fung. Interview by Joan Magretta.

PubMed

Fung, V

1998-01-01

Li & Fung, Hong Kong's largest export trading company, has been an innovator in supply chain management--a topic of increasing importance to many senior executives. In this interview, chairman Victor Fung explains both the philosophy behind supply chain management and the specific practices that Li & Fung has developed to reduce costs and lead times, allowing its customers to buy "closer to the market." Li & Fung has been a pioneer in "dispersed manufacturing." It performs the higher-value-added tasks such as design and quality control in Hong Kong, and outsources the lower-value-added tasks to the best possible locations around the world. The result is something new: a truly global product. To produce a garment, for example, the company might purchase yarn from Korea that will be woven and dyed in Taiwan, then shipped to Thailand for final assembly, where it will be matched with zippers from a Japanese company. For every order, the goal is to customize the value chain to meet the customer's specific needs. To be run effectively, Victor Fung maintains, trading companies have to be small and entrepreneurial. He describes the organizational approaches that keep the company that way despite its growing size and geographic scope: its organization around small, customer-focused units; its incentives and compensation structure; and its use of venture capital as a vehicle for business development. As Asia's economic crisis continues, chairman Fung sees a new model of companies emerging--companies that are, like Li & Fung, narrowly focused and professionally managed.

Association among individual deprivation, glycemic control, and diabetes complications: the EPICES score.

PubMed

Bihan, Hélène; Laurent, Silvana; Sass, Catherine; Nguyen, Gérard; Huot, Caroline; Moulin, Jean Jacques; Guegen, René; Le Toumelin, Philippe; Le Clésiau, Hervé; La Rosa, Emilio; Reach, Gérard; Cohen, Régis

2005-11-01

Previous studies have related poor glycemic control and/or some diabetes complications to low socioeconomic status. Some aspects of socioeconomic status have not been assessed in these studies. In the present study, we used an individual index of deprivation, the Evaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé (Evaluation of Precarity and Inequalities in Health Examination Centers [EPICES]) score, to determine the relationship among glycemic control, diabetes complications, and individual conditions of deprivation. We conducted a cross-sectional prevalence study in 135 consecutive diabetic patients (age 59.41 +/- 13.2 years [mean +/- SD]) admitted in the hospitalization unit of a French endocrine department. Individual deprivation was assessed by the EPICES score, calculated from 11 socioeconomic questions. Glycemic control, lipid levels, blood pressure, retinopathy, neuropathy, and nephropathy were assessed. HbA(1c) level was significantly correlated with the EPICES score (r = 0.366, P < 0.001). The more deprived patients were more likely than the less deprived patients to have poor glycemic control (beta = 1.984 [SE 0.477], P < 0.001), neuropathy (odds ratio 2.39 [95% CI 1.05-5.43], P = 0.037), retinopathy (3.66 [1.39-9.64], P = 0.009), and being less often admitted for 1-day hospitalization (0.32 [0.14-0.74], P = 0.008). No significant relationship was observed with either nephropathy or cardiovascular risk factors. Deprivation status is associated with poor metabolic control and more frequent microvascular complications, i.e., retinopathy and neuropathy. The medical and economic burden of deprived patients is high.

Dietary intake, physical activity and nutritional status in adults: the French nutrition and health survey (ENNS, 2006-2007).

PubMed

Castetbon, Katia; Vernay, Michel; Malon, Aurélie; Salanave, Benoit; Deschamps, Valérie; Roudier, Candice; Oleko, Amivi; Szego, Emmanuelle; Hercberg, Serge

2009-09-01

The French National Programme on Nutrition and Health (Programme national nutrition santé (PNNS)), the aim of which is to reduce nutrition-related chronic diseases, necessitates monitoring of nutritional characteristics. Our objective was to describe dietary intake, physical activity and nutritional status in a national sample of adults, especially according to current French recommendations. The study is based on a cross-sectional population-based survey using a multistage sampling design (Etude nationale nutrition santé (ENNS)). Between February 2006 and March 2007, 3115 18-74-year-old adults were included (participation rate 59.7 %). Energy, macronutrient and food consumption were estimated through three randomly distributed 24 h recalls, and compared to PNNS recommendations; physical activity was described using International Physical Activity Questionnaire guidelines; anthropometry, blood pressure and biochemical measurements were assessed according to national and international references. When compared to current recommendations, intake of carbohydrates (>50 % energy intake without alcohol: 26.4 %), SFA ( < 35 % total lipids: 18.5 %) and total fibre (>25 g/d: 13.7 %) was frequently unsatisfactory. While overall consumption of 'meat, seafood and eggs' was satisfactory, that of fruits and vegetables ( > or = 400 g/d: 43.8 %) and seafood (two or more servings per week: 29.9 %) was frequently too low. The physical activity level was satisfactory at 63.2 %. Overweight was observed in 49.3 % of adults, while 30.9 % were hypertensive and 44.1 % had dyslipidaemia. Vitamin and iron-poor status was found to affect less than 10 % of the population. Based on the ENNS survey, overall nutrition remains a problem in France. Comparison of these data with those of other countries could contribute to a better understanding of variations in nutrition-related diseases.

Association Between Blood Pressure and Adherence to French Dietary Guidelines.

PubMed

Lelong, Helene; Blacher, Jacques; Menai, Mehdi; Galan, Pilar; Fezeu, Leopold; Hercberg, Serge; Kesse-Guyot, Emmanuelle

2016-08-01

Adopting a healthy diet like the Dietary Approach to Stop Hypertension (DASH) or Mediterranean diet (MD) represents a major lifestyle for blood pressure (BP) control in general population. Nutritional policies, such as the French Nutrition and Health Program (Programme National Nutrition Santé or PNNS), have been implemented in several countries with the aims of preventing chronic diseases. The objective of our study was to investigate association between BP and adherence to PNNS guidelines compared with adherence to DASH or MD. We conducted a cross-sectional study in 11,302 untreated participants from the NutriNet-Santé study, a French web-based cohort study. Three validated scores reflecting adherence to PNNS guidelines, DASH diet, and MD were calculated from repeated 24-hour records. Three BP measurements using a standardized protocol were collected. Multivariate linear models were used to assess the associations between the dietary scores and BP. In women, independent of age, socioeconomic status, body mass index, tobacco use, alcohol consumption, and physical activity, adherence to PNNS guidelines was inversely significantly associated with systolic BP (β = -0.63, P < 0.0001). This association was of similar amplitude that between BP and adherence to DASH-style diet (β = -0.66, P < 0.0001) or MD (β = -0.63, P = 0.0002). No significant association was found in men. Adherence to French nutritional recommendations was found negatively associated with BP at the same magnitude as adherence to well-known dietary pattern in the prevention and treatment of hypertension. © American Journal of Hypertension, Ltd 2016. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Association between self-reported vegetarian diet and the irritable bowel syndrome in the French NutriNet cohort.

PubMed

Buscail, Camille; Sabate, Jean-Marc; Bouchoucha, Michel; Torres, Marion J; Allès, Benjamin; Hercberg, Serge; Benamouzig, Robert; Julia, Chantal

2017-01-01

There is growing interest in using diet counselling in the management of patients with irritable bowel syndrome (IBS). Among new emerging diets, vegetarian diets (VD) seem to be experiencing an important popularity, partly because of their alleged health benefits. A recent study performed among a rural Indian population showed that predominant VD could be associated with IBS. This cross-sectional study aimed at assessing the association between the VD and IBS, among a large French cohort, the NutriNet-santé study. Subjects participating in the NutriNet-Santé cohort study completed a questionnaire based on Rome III criteria (N = 41,682). Anthropometrics, socio-demographical and lifestyle data, including VD, were collected prior to the completion of Rome III questionnaire via self-administered questionnaires. Association between VD and IBS and its subtypes was investigated through multivariate logistic regression. The included subjects were mainly women (78.0%) and the mean age was 49.8±14.3 years. Among these individuals, 2,264 (5.4%) presented an IBS, and 805 (1.9%) reported a VD. Overall, VD was not associated with IBS or subtypes. A stable VD (i.e. self-declared at least three times) was associated with IBS (aOR 2.60 95%CI [1.37-4.91]), IBS mixed (aOR 2.97 95%CI [1.20-7.36]) and IBS diarrhoea (aOR 2.77 95%CI [1.01-7.59]). This study suggests that a long term VD could be associated with IBS. Nevertheless, further studies are needed to confirm these results, and investigate the multiple aspects of the vegetarian diet, possibly related to the IBS.

Ontology- and graph-based similarity assessment in biological networks.

PubMed

Wang, Haiying; Zheng, Huiru; Azuaje, Francisco

2010-10-15

A standard systems-based approach to biomarker and drug target discovery consists of placing putative biomarkers in the context of a network of biological interactions, followed by different 'guilt-by-association' analyses. The latter is typically done based on network structural features. Here, an alternative analysis approach in which the networks are analyzed on a 'semantic similarity' space is reported. Such information is extracted from ontology-based functional annotations. We present SimTrek, a Cytoscape plugin for ontology-based similarity assessment in biological networks. http://rosalind.infj.ulst.ac.uk/SimTrek.html francisco.azuaje@crp-sante.lu Supplementary data are available at Bioinformatics online.

Psychological predictors of retention in a low-threshold methadone maintenance treatment for opioid addicts: a 1-year follow-up study.

PubMed

Perreault, Michel; Julien, Dominic; White, Noe Djawn; Rabouin, Daniel; Lauzon, Pierre; Milton, Diana

2015-01-01

This study investigated the role of psychological variables and judicial problems in treatment retention for a low-threshold methadone program in Montreal, Canada. Logistic regression analyses were computed to examine associations between psychological variables (psychological distress, self-esteem, stages of change), criminal justice involvement, and treatment retention for 106 highly-disorganized opioid users. Higher methadone dosage was associated with increased odds of treatment retention, whereas criminal charges and lower self-esteem decreased these odds. Psychological variables could be identified early in treatment and targeted to increase potential treatment retention. Financial support for this study was provided by the Fonds de Recherche en Santé du Québec.

Nitramine Propellant Erosivity - III.

DTIC Science & Technology

1980-12-01

Commanld c r AFTN. I. Busut t i I US A rmy M i ,, i I (ommiiad W ., Awst in ATTN: R ( IUN1I -YI. R . Mont 1,ol11v rv Red st ollAc enaIAl~~ .iIington .1 .Sant...A-D-A96 878 ARMY ARMAMENT RESEARCHRAN4D EVELOPMENTUCOMMAND ABERO--ETC F/G 19/1 NITRAM INE PROPELLANT EROSII TY_ II.( ) DEC 80 R GEENE, B GROLLMAN, A...NIILER A RYE UNCLASSIFIED ARBRL - R -02278 SBIE D-E430 574 N11hEEE~EEn~hh~~E EohEEEohhEE... LEVEL TECHNICAL REPORT ARBRL-TR-02278 NITRAMINE PROPELLANT

Lymphogranuloma venereum in an Italian MSM: concurrent pharyngeal and rectal infection.

PubMed

Foschi, Claudio; Filippini, Andrea; D'Antuono, Antonietta; Compri, Monica; Macca, Francesca; Banzola, Nicoletta; Marangoni, Antonella

2014-07-01

An Italian HIV-positive man having sex with men (MSM) attended the STIs Outpatients Clinic of Sant'Orsola Hospital in Bologna complaining of anal pain and constipation. According to patient's sexual history and repertoires, NAAT testing for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) was performed. Pharyngeal and anal swabs resulted positive for CT DNA detection and the following molecular genotyping identified a L2 serovar, coming to the final diagnosis of pharyngeal and rectal lymphogranuloma venereum (LGV) infection. After an antibiotic therapy with doxycycline 100 mg twice a day for 3 weeks, the patient completely recovered and the test of cure was negative for LGV infection.

Recovering Plastics in a Hospital Can Have Environmental, Social and Economic Benefits.

PubMed

Ribesse, Jérôme; Robitaille, Nathalie

2016-01-01

Plastics are omnipresent in today's healthcare facilities. In Quebec, recyclable plastics (the ones with a 1 to 7 number on it, excluding number 6 or styrofoam) represent 7% of all the waste generated by healthcare institutions - 2,907 tonnes each year (Proulx et al. 2009). The vast majority of these plastics are sent to landfill instead of being recycled due to the lack of suitable recycling systems. In collaboration with three Montreal-based hospitals, Synergie Santé Environnement (SSE) conducted an 18-month pilot project to implement a sustainable plastic recycling system with threefold objectives: reduce landfill costs, obtain royalties for the plastics and assure traceability.

Evaluation of reforestation using remote sensing techniques

NASA Technical Reports Server (NTRS)

Parada, N. D. J. (Principal Investigator); Filho, P. H.; Shimabukuro, Y. E.; Dossantos, J. R.

1982-01-01

The utilization of remotely sensed orbital data for forestry inventory. The study area (approximately 491,100 ha) encompasses the municipalities of Ribeirao Preto, Altinopolis, Cravinhos, Serra Azul, Luis Antonio, Sao Simao, Sant Rita do Passa Quatro and Santa Rosa do Viterbo (Sao Paulo State). Materials used were LANDSAT data from channels 5 and 7 (scale 1:250,000) and CCT's. Visual interpretation of the imagery showed that for 1977 a total of 37,766.00 ha and for 1979 38,003.75 ha were reforested with Pinus and Eucalyptus within the area under study. The results obtained show that LANDSAT data can be used efficiently in forestry inventory studies.

KSC-99pp0898

NASA Image and Video Library

1999-07-19

KENNEDY SPACE CENTER, FLA. -- Participating in a forum about women in space, Astronauts Ellen Ochoa, Joan Higginbotham and Yvonne Cagle share the podium. They were included in a panel discussing "Past, Present and Future of Space." Former astronaut Sally Ride is at right. The forum about women in space included a welcome by Center Director Roy Bridges and remarks by Donna Shalala, secretary of Department of Health and Human Services. The panel is moderated by Lynn Sherr, ABC News correspondent. The attendees are planning to view the launch of STS-93 at the Banana Creek viewing sight. Much attention has been generated over the launch due to Commander Eileen M. Collins, the first woman to serve as commander of a Shuttle mission. The primary payload of the five-day mission is the Chandra X-ray Observatory, which will allow scientists from around the world to study some of the most distant, powerful and dynamic objects in the universe. Liftoff is scheduled for July 20 at 12:36 a.m. EDT

Editorial: Focus on Extra Space Dimensions

NASA Astrophysics Data System (ADS)

Agashe, Kaustubh; Pomarol, Alex

2010-07-01

Experiments at the Large Hadron Collider (LHC) have just started. In addition to verifying the Standard Model (SM) of particle physics, these experiments will probe a new energy frontier and test extensions of the SM. The existence of extra dimensions is one of the most attractive possibilities for physics beyond the SM. This focus issue contains a collection of articles addressing both theoretical and phenomenological aspects of extra-dimensional models. Focus on Extra Space Dimensions Contents Minimal universal extra dimensions in CalcHEP/CompHEP AseshKrishna Datta, Kyoungchul Kong and Konstantin T Matchev Disordered extra dimensions Karim Benakli Codimension-2 brane-bulk matching: examples from six and ten dimensions Allan Bayntun, C P Burgess and Leo van Nierop Gauge threshold corrections in warped geometry Kiwoon Choi, Ian-Woo Kim and Chang Sub Shin Holographic methods and gauge-Higgs unification in flat extra dimensions Marco Serone Soft-wall stabilization Joan A Cabrer, Gero von Gersdorff and Mariano Quirós Warped five-dimensional models: phenomenological status and experimental prospects Hooman Davoudiasl, Shrihari Gopalakrishna, Eduardo Pontón and José Santiago

Observations of ionospheric electric fields above atmospheric weather systems

NASA Technical Reports Server (NTRS)

Farrell, W. M.; Aggson, T. L.; Rodgers, E. B.; Hanson, W. B.

1994-01-01

We report on the observations of a number of quasi-dc electric field events associated with large-scale atmospheric weather formations. The observations were made by the electric field experiment onboard the San Marco D satellite, operational in an equatorial orbit from May to December 1988. Several theoretical studies suggest that electric fields generated by thunderstorms are present at high altitudes in the ionosphere. In spite of such favorable predictions, weather-related events are not often observed since they are relatively weak. We shall report here on a set of likely E field candidates for atmospheric-ionospheric causality, these being observed over the Indonesian Basin, northern South America, and the west coast of Africa; all known sites of atmospheric activity. As we shall demonstrate, individual events often be traced to specific active weather features. For example, a number of events were associated with spacecraft passages near Hurricane Joan in mid-October 1988. As a statistical set, the events appear to coincide with the most active regions of atmospheric weather.

STS-116 and Expedition 14 crew portrait

NASA Image and Video Library

2006-12-19

ISS014-E-10265 (19 Dec. 2006) --- The Expedition 14 and STS-116 crewmembers gather for a group portrait in the Destiny laboratory of the International Space Station while Space Shuttle Discovery was docked with the station. From the left (front row) are astronauts William A. (Bill) Oefelein, STS-116 pilot; Joan E. Higginbotham and the European Space Agency's (ESA) Thomas Reiter, both STS-116 mission specialists. From the left (center row) are astronauts Mark L. Polansky, STS-116 commander; Robert L. Curbeam Jr., Nicholas J. M. Patrick and European Space Agency's (ESA) Christer Fuglesang, all STS-116 mission specialists. From the left (back row) are cosmonaut Mikhail Tyurin, Expedition 14 flight engineer representing Russia's Federal Space Agency; astronauts Michael E. Lopez-Alegria, Expedition 14 commander and NASA space station science officer; and Sunita L. Williams, Expedition flight engineer. Shortly after the two spacecraft docked on Dec. 11, Williams became a member of the station crew. At the same time, Reiter became a Discovery crewmember for his ride home, completing about six months in space.

STS-116 and Expedition 14 crewmembers in the U.S. Laboratory

NASA Image and Video Library

2006-12-15

S116-E-06472 (15 Dec. 2006) --- The STS-116 and Expedition 14 crewmembers gather for a group portrait during a joint crew press conference in the Destiny laboratory of the International Space Station while Space Shuttle Discovery was docked with the station. From the left (front row) are European Space Agency (ESA) astronaut Thomas Reiter, Nicholas J. M. Patrick, Joan E. Higginbotham, all STS-116 mission specialists; and William A. (Bill) Oefelein, STS-116 pilot. From the left (center row) are astronaut Robert L. Curbeam, Jr., European Space Agency (ESA) astronaut Christer Fuglesang, STS-116 mission specialists; and astronaut Mark L. Polansky, STS-116 commander. From the left (back row) are astronaut Michael E. Lopez-Alegria, Expedition 14 commander and NASA space station science officer; cosmonaut Mikhail Tyurin, Expedition 14 flight engineer representing Russia's Federal Space Agency; and astronaut Sunita L. Williams, Expedition 14 flight engineer. Shortly after the two spacecraft docked on Dec. 11, Williams became a member of the station crew. At the same time, Reiter became a Discovery crewmember for his ride home, completing about six months in space.

Bringing a novel to practice: An interpretive study of reading a novel in an undergraduate nursing practicum course.

PubMed

McCaffrey, Graham; Venturato, Lorraine; Patterson, J David; Langille, Jennifer; Jackson, Roberta; Rosenal, Tom

2017-05-01

Novels are one humanities resource available to educators in health disciplines to support student reflection on their own professional practice and therapeutic relationships with patients. An interdisciplinary team, including nurses, a physician, and an English instructor, carried out an interpretive study of the use of a novel by clinical nursing instructors in an undergraduate practicum course. Students placed in assisted living or long term care facilities for the elderly were expected to read a contemporary work, Exit Lines, by Joan Barfoot, which is set in a comparable facility. The objective was to increase understanding of the meanings that participants ascribed to the novel reading exercise in relation to their development as student nurses. By using a hermeneutic approach, we used dialogue throughout the study to elicit perspectives among participants and the interdisciplinary research team. Major themes that emerged included the students' tacit awareness of epistemological plurality in nursing, and the consequent importance of cultivating a capacity to move thoughtfully between different points of view and ways of knowing. Copyright © 2017 Elsevier Ltd. All rights reserved.

Etude de la flore bactérienne contaminant les téléphones mobiles avant et après la désinfection: comparaison entre les professionnels soignants de l'hôpital militaire d'instruction Mohammed V de Rabat et les témoins

PubMed Central

Uwingabiye, Jean; Moustanfii, Wafaa; Chadli, Meryem; Sekhsokh, Yassine

2015-01-01

Introduction L'objectif de notre travail était évaluer la contamination microbienne des téléphones mobiles utilisés par les personnels soignants des différents services de l'hôpital militaire d'instructions Mohammed V de Rabat et la comparer à celui d'une population témoin et aussi démontrer l'efficacité des solutions hydroalcoolique dans la désinfection de ces téléphones mobiles. Méthodes Il s'agit d'une étude descriptive transversale réalisée sur une période de 9 mois entre septembre 2010 et juin 2011, dans le service de bactériologie de l'hôpital militaire d'Instruction Mohammed V. Résultats L’étude bactériologique a été faite sur 240 téléphones mobiles dont 50% provenaient de personnels de sante. Le taux de contamination bactérienne de tous les téléphones mobiles était de 100%. Les cultures des bactéries isolées au niveau des téléphones mobiles du personnel médical étaient plus polymorphes que celles de la population témoin (p=0,028). Parmi 437 bactéries isolées: 223(51%) provenaient de téléphones de personnels de santé et 214(49%) de téléphones de la population témoin avec une différence qui n’était pas statistiquement significative(p>0,05) sauf pour les isolats de Staphylocoque à coagulase négative et Staphylococcus aureus. Les bactéries isolées étaient représentées par: Staphylocoque à coagulase (57,7%), Staphylococcus aureus (18,1%), Corynebacterium sp (18,8%), Bacillus sp (2,3%) et autres (2,2%). La différence entre la prévalence des bactéries isolées selon les services et les fonctions des personnels de santé n’était pas statistiquement significative (p>0,05). La désinfection des téléphones portables par la solution hydroalcoolique a réduit à 99,5% le nombre des colonies. Conclusion Ce travail montre que les téléphones portables pourraient jouer un rôle dans la transmission des infections nosocomiales et communautaires. Dans le cadre de prévention de ces risques, il faut

["Les Impatients": expression through art].

PubMed

Lamontagne, Céline; Palardy, Lorraine

2015-01-01

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

Consensus canadien sur la contraception (3(e) partie de 4) : chapitre 8 - contraception à progestatif seul.

PubMed

Black, Amanda; Guilbert, Edith; Costescu, Dustin; Dunn, Sheila; Fisher, William; Kives, Sari; Mirosh, Melissa; Norman, Wendy V; Pymar, Helen; Reid, Robert; Roy, Geneviève; Varto, Hannah; Waddington, Ashley; Wagner, Marie-Soleil; Whelan, Anne Marie

2016-03-01

Fournir des lignes directrices aux fournisseurs de soins quant à l'utilisation de modes de contraception pour la prévention de la grossesse et quant à la promotion d'une sexualité saine. Orientation des praticiens canadiens en ce qui concerne l'efficacité globale, le mécanisme d'action, les indications, les contre-indications, les avantages n'étant pas liés à la contraception, les effets indésirables, les risques et le protocole de mise en œuvre des modes de contraception abordés; planification familiale dans le contexte de la santé sexuelle et du bien-être général; méthodes de counseling en matière de contraception; et accessibilité et disponibilité des modes de contraception abordés au Canada. RéSULTATS: La littérature publiée a été récupérée par l'intermédiaire de recherches menées dans MEDLINE et The Cochrane Library entre janvier 1994 et janvier 2015 au moyen d'un vocabulaire contrôlé (p. ex. contraception, sexuality, sexual health) et de mots clés (p. ex. contraception, family planning, hormonal contraception, emergency contraception) appropriés. Les résultats ont été restreints aux analyses systématiques, aux études observationnelles et aux essais comparatifs randomisés / essais cliniques comparatifs publiés en anglais entre janvier 1994 et janvier 2015. Les recherches ont été mises à jour de façon régulière et intégrées à la directive clinique jusqu'en juin 2015. La littérature grise (non publiée) a été identifiée par l'intermédiaire de recherches menées dans les sites Web d'organismes s'intéressant à l'évaluation des technologies dans le domaine de la santé et d'organismes connexes, dans des collections de directives cliniques, dans des registres d'essais cliniques et auprès de sociétés de spécialité médicale nationales et internationales. La qualité des résultats a été évaluée au moyen des critères décrits dans le rapport du Groupe d'étude canadien sur les soins de santé pr

Esthesioneuroblastoma (Olfactory Neuroblastoma) with Ectopic ACTH Syndrome: A Multidisciplinary Case Presentation from the Joan Karnell Cancer Center of Pennsylvania Hospital

PubMed Central

Zheng, Sarah; Nagamine, Michiko; Newman, Jason; Benito, Maria

2010-01-01

The case of a patient with recurrent esthesioneuroblastoma complicated by ectopic adrenocorticotropic hormone production is presented, including the workup and management of this uncommon complication of an uncommon disease. PMID:20053760

Esthesioneuroblastoma (Olfactory Neuroblastoma) with Ectopic ACTH Syndrome: a multidisciplinary case presentation from the Joan Karnell cancer center of Pennsylvania Hospital.

PubMed

Mintzer, David M; Zheng, Sarah; Nagamine, Michiko; Newman, Jason; Benito, Maria

2010-01-01

The case of a patient with recurrent esthesioneuroblastoma complicated by ectopic adrenocorticotropic hormone production is presented, including the workup and management of this uncommon complication of an uncommon disease.

PubMed Central

Farneti, P.; Cantore, S.; Macrì, G.; Chuchueva, N.; Cuffaro, L.; Pasquini, L.; Puxeddu, R.

2017-01-01

SUMMARY Obstructive sialadenitis is the most common non-neoplastic disease of the salivary glands, and sialendoscopy is increasingly used in both diagnosis and treatment, associated in selected cases with endoscopic laser lithotripsy. Sialendoscopy is also used for combined minimally invasive external and endoscopic approaches in patients with larger and proximal stones that would require excessively long laser procedures. The present paper reports on the technical experience from the Ear, Nose and Throat Unit of the Sant'Orsola-Malpighi Hospital of Bologna, and from the Department of Otorhinolaryngology of the University Hospital of Cagliari, Italy, including the retrospective analysis of the endoscopic and endoscopic assisted procedures performed on 48 patients (26 females and 22 males; median age 45.3; range 8-83 years) treated for chronic obstructive sialadenitis at the University Hospital of Cagliari from November 2010 to April 2016. The results from the Sant'Orsola-Malpighi Hospital of Bologna have been previously published. The technical aspects of sialendoscopy are carefully described. The retrospective analysis of the University Hospital of Cagliari shows that the disease was unilateral in 40 patients and bilateral in 8; a total of 56 major salivary glands were treated (22 submandibular glands and 34 parotids). Five patients underwent bilateral sialendoscopy for juvenile recurrent parotitis. 10 patients were treated for non-lithiasic obstructive disease. In 33 patients (68.75%) the obstruction was caused by salivary stones (bilateral parotid lithiasis in 1 case). Only 8 patients needed a sialectomy (5 submandibular glands and 3 parotids). The conservative approach to obstructive sialadenitis is feasible and can be performed either purely endoscopically or in a combined modality, with a high percentage of success. The procedure must be performed with dedicated instrumentation by a skilled surgeon after proper training since minor to major complications can

The Ne3LS Network, Québec's initiative to evaluate the impact and promote a responsible and sustainable development of nanotechnology

NASA Astrophysics Data System (ADS)

Endo, Charles-Anica; Emond, Claude; Battista, Renaldo; Parizeau, Marie-Hélène; Beaudry, Catherine

2011-07-01

The spectacular progress made by nanosciences and nanotechnologies elicits as much hope and fear. Consequently, a great number of research and training initiatives on the ethical, environmental, economic, legal and social issues regarding nanotechnology development (Ne3LS) are emerging worldwide. In Québec, Canada, a Task Force was mandated by NanoQuébec to conceive a Ne3LS research and training strategy to assess those issues. This Task Force brought together experts from universities, governments or industry working in nanosciences and nanotechnologies or in Ne3LS. Their resulting action plan, made public in November 2006, contained several recommendations, including the creation of a knowledge network (Ne3LS Network). In the following years, after consulting with numerous key players concerned with the possible impacts of nanosciences and nanotechnologies in Québec, the Ne3LS Network was launched in January 2010 in partnership with the Fonds québécois de la recherche sur la nature et les technologies, the Fonds québécois de la recherche sur la société et la culture and the Fonds de la recherche en santé du Québec, NanoQuébec, the Institut de recherche Robert-Sauvé en santé et en sécurité du travail as well as the University of Montreal. Its objectives are to 1) Foster the development of Ne3LS research activities (grants and fellowships); 2) Spearhead the Canadian and international Ne3LS network; 3) Take part in the training of researchers and experts; 4) Encourage the creation of interactive tools for the general public; 5) Facilitate collaboration between decision-makers and experts; 6) Involve the scientific community through a host of activities (symposium, conferences, thematic events); 7) Build multidisciplinary research teams to evaluate the impact of nanotechnology.

Long-term outcomes of intravesical dimethyl sulfoxide/heparin/hydrocortisone therapy for interstitial cystitis/bladder pain syndrome.

PubMed

Lim, Yik N; Dwyer, Peter; Murray, Christine; Karmakar, Debjyoti; Rosamilia, Anna; Thomas, Elizabeth

2017-07-01

For decades, intravesical dimethyl sulfoxide (DMSO) cocktail therapy has been used for the treatment of interstitial cystitis/bladder pain syndrome (IC/BPS), but little is known about its long-term efficacy. We aimed to assess the long-term efficacy of intravesical DMSO/heparin/hydrocortisone/bupivacaine therapy in patients with IC/BPS. Patients with IC/BPS from our institutions who underwent this therapy with >2 years follow-up were surveyed with O'Leary-Sant interstitial cystitis symptom and problem index questionnaires before and after therapy. Chart reviews and telephone surveys were then conducted to determine their posttherapy course. Of 68 eligible women, 55 (80.0%) with a median follow-up of 60 months (range 24-142) were surveyed. Their mean age at therapy onset was 44.8 years and their mean body mass index was 26.2 kg/m 2 . There were statistically significant improvements in O'Leary-Sant and pain scores of 23-47% at both 6 weeks and the end of the follow-up period. At the end of the follow-up period, 19 of the 55 women (34.5%) were cured (requiring no further treatment) and 12 (21.8%) were significantly improved (requiring only ongoing oral medication). Univariate and multivariate analyses showed that DMSO treatment failure was more likely in patients with pretreatment day-time urinary frequency more than 15 episodes per day (OR 1.41), nocturia more than two episodes per night (OR 2.47), maximum bladder diary voided volume <200 ml (OR 1.39) and bladder capacity under anaesthesia <500 ml (OR 1.6). At a median follow-up of 60 months, intravesical DMSO cocktail therapy appeared moderately effective for the treatment of IC/BPS. Treatment failure was more frequent in patients with pretreatment symptoms of reduced bladder capacity.