Adapting Knowledge Translation Strategies for Rare Rheumatic Diseases.

PubMed

Cellucci, Tania; Lee, Shirley; Webster, Fiona

2016-08-01

Rare rheumatic diseases present unique challenges to knowledge translation (KT) researchers. There is often an urgent need to transfer knowledge from research findings into clinical practice to facilitate earlier diagnosis and better outcomes. However, existing KT frameworks have not addressed the specific considerations surrounding rare diseases for which gold standard evidence is not available. Several widely adopted models provide guidance for processes and problems associated with KT. However, they do not address issues surrounding creation or synthesis of knowledge for rare diseases. Additional problems relate to lack of awareness or experience in intended knowledge users, low motivation, and potential barriers to changing practice or policy. Strategies to address the challenges of KT for rare rheumatic diseases include considering different levels of evidence available, linking knowledge creation and transfer directly, incorporating patient and physician advocacy efforts to generate awareness of conditions, and selecting strategies to address barriers to practice or policy change.

Commentary: Rural Histories, Rural Boundaries, Rural Change

ERIC Educational Resources Information Center

Tieken, Mara Casey

2017-01-01

Cross-sector collaborations can generate the resources and political will necessary to tackle urgent, complex issues. Because these partnerships involve local leaders, they are typically responsive to their surrounding communities, addressing local concerns, and capitalizing upon local assets. These strengths-oriented, locally driven…

History of Higher Education Annual, 1989.

ERIC Educational Resources Information Center

History of Higher Education Annual, 1989

1989-01-01

This annual compilation contains four articles addressing issues of growth and diversity in American higher education. Three articles examine student life in evolving institutions, especially the relationship between official missions and student cultures, followed by two essay reviews, one that examines the current debate surrounding the history…

Technological Frame Incongruence, Diffusion, and Noncompliance

NASA Astrophysics Data System (ADS)

Sobreperez, Polly

The technological frames of reference strand of social shaping of technology theory is used to overlay the issues arising from a case study looking at noncompliance with information systems. A recent review of the theory suggests that although frame content is often addressed, frame structure, the process of framing, and the characteristics and outcomes of frames are largely overlooked. This paper attempts to address this shortfall by applying the indicators identified by case study research to the frames of different groups and using them to highlight differing perceptions and attitudes. In this way, the author suggests that issues surrounding noncompliance should not be dismissed as resistance but instead should be further studied by managers and developers, leading to accommodation of differing views. Further examination of frame incongruence reveals dependence on inefficient or ineffective organizational situations and thus these indicators can be useful in future studies to identify and address procedural, acceptance and cultural issues leading to acts of noncompliance.

Informed consent from cognitively impaired persons participating in research trials: comparative law observations.

PubMed

Petrini, Carlo

2011-01-01

This article addresses the ethical requirements to be considered when conducting clinical trials involving human subjects whose mental condition limits their ability to understand the information and to express fully autonomous and informed consent. It does not address other categories of vulnerable persons, such as children, or advanced directives concerning end-of-life care. There are many ethical issues entailed in clinical trials involving subjects with mental disabilities: how to obtain informed consent, balancing risks and benefits, balancing individual benefits with collective scientific and social interests, legal representation and many more. This article focuses on the issues surrounding the concept of minimal risk and the relationship between informed consent and risk. These issues are addressed with particular emphasis on the regulations adopted by the European Union and the federal government of the United States of America. The conclusion proposes a list of working criteria.

Assessing Executive Functioning: A Pragmatic Review

ERIC Educational Resources Information Center

Hass, Michael R.; Patterson, Ashlea; Sukraw, Jocelyn; Sullivan, Brianna M.

2014-01-01

Despite the common usage of the term "executive functioning" in neuropsychology, several aspects of this concept remain unsettled. In this paper, we will address some of the issues surrounding the notion of executive functioning and how an understanding of executive functioning and its components might assist school-based practitioners…

Non-Standard Orthography and Non-Standard Speech.

ERIC Educational Resources Information Center

Jaffe, Alexandra

2000-01-01

Provides a framework of key issues surrounding the non-standard orthographic representation of non-standard language varieties. The following topics are addressed: the selective nature of orthographic choice; relational an contrastive meaning of orthographic conventions; interplay of sameness and difference in use of orthography to make claims on…

The Problem of Teenage Pregnancy: An Educational Imperative.

ERIC Educational Resources Information Center

Suri, Kul Bhushan

1994-01-01

Examines data surrounding issues related to educational attitudes and attainment and teenage pregnancy, nonmarital births, and child poverty. Addresses proximate and root causes of rising U.S. rates of teenage pregnancy, correlations between nonmarital births and educational and occupational expectations, and educational and economic consequences.…

Adolescents and Music Lyrics: Implications of a Cognitive Perspective.

ERIC Educational Resources Information Center

Desmond, Roger Jon

1987-01-01

Addresses the relevance of cognitive research in memory processes and auditory information processing for the resolution of policy issues concerning the regulation of popular music. Offers several assumptions regarding music listening, and suggests appropriate research methods for resolving questions surrounding music listening and regulation.…

Which bank? A guardian model for regulation of embryonic stem cell research in Australia.

PubMed

McLennan, A

2007-08-01

In late 2005 the Legislation Review: Prohibition of Human Cloning Act 2002 (Cth) and the Research Involving Human Embryos Act 2002 (Cth) recommended the establishment of an Australian stem cell bank. This article aims to address a lack of discussion of issues surrounding stem cell banking by suggesting possible answers to the questions of whether Australia should establish a stem cell bank and what its underlying philosophy and functions should be. Answers are developed through an analysis of regulatory, scientific and intellectual property issues relating to embryonic stem cell research in the United Kingdom, United States and Australia. This includes a detailed analysis of the United Kingdom Stem Cell Bank. It is argued that a "guardian" model stem cell bank should be established in Australia. This bank would aim to promote the maximum public benefit from human embryonic stem cell research by providing careful regulatory oversight and addressing ethical issues, while also facilitating research by addressing practical scientific concerns and intellectual property issues.

Higher Education and the New International Order. A Collection of Papers.

ERIC Educational Resources Information Center

Sanyal, Bikas C., Ed.

Addressing the issues surrounding the relationship between higher education and the development of a new international economic order, the 11 articles collected here provide an introductory analysis of the current relationship between higher education and the world economy, analyze the differing needs of developing and developed countries, and…

Music Education: Cultural Values, Social Change and Innovation

ERIC Educational Resources Information Center

Walker, Robert

2007-01-01

This is an important work that addresses the complex issues surrounding musical meaning and experience, and the Western traditional justification for including music in education. The chapters in this volume examine the important subjects of tradition, innovation, social change, the music curriculum, music in the twentieth century, social strata,…

76 FR 50145 - Energy Conservation Program: Test Procedures for Residential Clothes Dryers

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-12

... EERE-2011-BT-TP-0054] RIN 1904-AC63 Energy Conservation Program: Test Procedures for Residential...: Request for information. SUMMARY: The U.S. Department of Energy (DOE) has initiated a test procedure... clothes dryer test procedure. DOE will address the issues surrounding testing of automatic cycle...

Juvenile Justice in Milwaukee

ERIC Educational Resources Information Center

Williams, Gary L.; Greer, Lanetta

2010-01-01

Historically, there have been several attempts made to address issues surrounding juvenile delinquency. The Wisconsin Legislature outlines the objectives of the juvenile justice system in the Juvenile Justice Code in s. 939.01, ?to promote a juvenile justice system capable of dealing with the problem of juvenile delinquency, a system which will…

Eco-Heroes and Eco-Villains: An Archetypal Analysis of Environmental Film, 1950-2010

ERIC Educational Resources Information Center

Roberts, Candice D.; Stein, Susan

2015-01-01

Archetypes are characters recognizable by media consumers that operate at a subconscious level and often elicit strong emotional responses. Popular Hollywood films addressing issues of the environment offer hero and villain figures that demonstrate strong archetypal characteristics. Surrounding the intricate characters, many of these films also…

Using Physical Education to Improve Literacy Skills in Struggling Students

ERIC Educational Resources Information Center

Wachob, David A.

2014-01-01

Literacy skills are an essential part of academic performance. When physical educators collaborate with classroom teachers to address these skills, student engagement in the learning process can greatly improve. This article begins by reviewing the growing issues surrounding student literacy and its impact on academic performance. The discussion…

Career Counselling: A Mechanism to Address the Accumulation of Disadvantage

ERIC Educational Resources Information Center

Arulmani, Gideon

2010-01-01

Discussions pertaining to social inclusion quickly arrive at the issues that surround work, employment and career. This paper presents data from a large Indian survey to describe the differential impact of socioeconomic status on career preparation self-efficacy, the perception of career development barriers and career beliefs. The psychosocial…

Adoption: A Lifelong Journey for Children & Families.

ERIC Educational Resources Information Center

McManus, Marilyn, C., Ed.

1996-01-01

Several issues surrounding adoption are addressed in this journal. "Openness in Adoption," by Ruth G. McRoy and others, explores the movement away from confidentiality in adoption. "Mid-Life Reflections on Adoption" by Carol Yttri and "An Adoption Journey" by Shannon Latimer detail the experiences of adults who were…

Comparability of Conventional and Computerized Tests of Reading in a Second Language.

ERIC Educational Resources Information Center

Sawaki, Yasuyo

2001-01-01

Addresses issues surrounding the effect of mode of presentation on second language (L2) reading test performance, reviewing the literature in cognitive ability testing in educational and psychological measurement and the non-assessment literature in ergonomics, education, psychology, and first language reading research. Generalization of the…

Basic Components of a Public Library Collection Development Policy.

ERIC Educational Resources Information Center

Maryland Library Association, Baltimore.

This booklet outlines the components of public library collection development policies and presents a set of materials which address the civil issues surrounding the freedom of public libraries to maintain uncensored collections. An introduction which defines the function of collection development policies is followed by an outline of the basic…

A Dental School's Experience with the Death of an HIV Positive Faculty Member.

ERIC Educational Resources Information Center

Butters, Janice M.; And Others

1994-01-01

This article reviews issues and circumstances surrounding the death of a University of Louisville (Kentucky) dental school faculty member found to be positive for the human immunodeficiency virus. it addresses administrative aspects including public relations, patient relations, epidemiological review, and staff counseling. (MSE)

Cable Television: A Summary Overview for Local Decisionmaking.

ERIC Educational Resources Information Center

Baer, Walter S.

Addressed to citizen groups, local government officials, and others concerned with the development of cable television in their communities, this report summarizes briefly some of the major issues surrounding local decisionmaking for cable television. This summary presents some of the more detailed information found in the companion publication,…

REGULATING THE ULTIMATE SINK: MANAGING THE RISKS OF GEOLOGIC CO2 STORAGE

EPA Science Inventory

The paper addresses the issue of geologic storage (GS) of carbon dioxide (CO2) and discusses the risks and regulatory history of deep underground waste injection on the U.S. mainland and surrounding continental shelf. The treatment focuses on the technical and regulatory aspects ...

Culture, Language, Pedagogy: The Place of Culture in Language Teacher Education

ERIC Educational Resources Information Center

Badger, Richard; MacDonald, Malcolm N.

2007-01-01

The principles of many international language teacher education programmes are grounded in a relatively homogenous set of "Western" cultural values, even though their participants come from a wide range of different cultural backgrounds. This paper addresses some of the issues surrounding the role of culture in language teacher education and…

Athletic Liability: Managing Liability in Athletics and Physical Education.

ERIC Educational Resources Information Center

Association of School Business Officials International, Reston, VA.

The trend toward more litigation and higher monetary awards in cases of injury of student athletes is a threat to school athletic programs. This document is a workshop aid for addressing legal issues surrounding student athletic activities, in particular, those involving the safety and health of student athletes, injury prevention, and preparation…

Writing Double: Women's Literary Partnerships. Reading Women Writing.

ERIC Educational Resources Information Center

London, Bette

This book, the first full-length treatment of women's literary partnerships, goes to the heart of issues surrounding authorial identity. Questions the book addresses are: What is an author? Which forms of authorship are sanctioned and which forms marginalized? and Which of these forms have particularly attracted women? Such questions are central…

The 2009 Leona Tyler Award Address: Moderators I Have Known

ERIC Educational Resources Information Center

Tracey, Terence J. G.

2010-01-01

"Context matters" is an alternative title to this article. All moderation is about context; the surrounding matter that defines and affects most everything. Moderation refers to one entity associated with a change in the relation between two other entities or variables. Moderators are examples of the "third variable" issue that pertains to the…

Trust and Betrayal in the Treatment of Child Abuse.

ERIC Educational Resources Information Center

MacKinnon, Laurie K.

Therapists working with child abuse in public agencies are positioned between the family and the larger welfare systems and between parent and child. A practical examination of the personal and therapeutic problems and social issues that surround child abuse intervention is presented in this monograph. Therapy must address the values and premises…

Update on Research and Leadership, Fall 2001-Spring 2002.

ERIC Educational Resources Information Center

Barnett, Elisabeth, Ed.

2001-01-01

This issue of On Research and Leadership Update (v13 n1) focuses on the concerns surrounding dual enrollment and dual credit. "Dual Enrollment Programs: Assessing the American Dream," by Katherine Boswell, addresses the problems inherent in development of these programs when institutions fail to collaborate with one another in an effective way.…

Law and University Administration in Nigeria.

ERIC Educational Resources Information Center

Ojo, J. D.

This book examines the legal issues and problems surrounding the administration of higher education in Nigeria. It focuses on the need for each university to have a legal unit to handle the legal problems of staff, students, and those in the neighboring community. Further, it addresses the problems currently found within the academic community…

Emotion Instruction in Journalism Courses: An Analysis of Introductory News Writing Textbooks

ERIC Educational Resources Information Center

Hopper, K. Megan; Huxford, John

2017-01-01

This study explores how introductory news writing textbooks address issues surrounding emotional labor and its consequences, both for journalists and for those they interview. Eighteen of the highest-selling introductory news-writing textbooks were selected for qualitative analysis. Results showed the term and concept of emotional labor--the…

Commentary: AERA and the Study of Non-English Languages in American Education

ERIC Educational Resources Information Center

Valdés, Guadalupe

2017-01-01

Controversy surrounding the role of non-English languages in American education has a long history. In the 100 years in which the American Educational Research Association (AERA) has been in existence, two Supreme Court decisions have addressed this issue ("Meyer v. Nebraska," 1923, and "Lau v. Nichols," 1974); federal…

Aging Black Women and Public Policies.

ERIC Educational Resources Information Center

Jackson, Jacquelyne Johnson

1988-01-01

Addresses the following questions: (1) what is the effect of the stereotyped characterization of old black women on their well-being; (2) what are the major issues surrounding the social, economic, and health conditions of subgroups of aging black women; and (3) what should be the substantive content of advocatory efforts on their behalf? (BJV)

Proposed Guidelines for Operating Counselor Education and Supervision Training Clinics

ERIC Educational Resources Information Center

Lauka, Justin D.; McCarthy, Amanda K.

2013-01-01

The purpose of this article is to justify and present a set of guidelines for the effective and ethical administration of counselor education and supervision training clinics. Responding directly to a call for creating guidelines, the authors address core issues surrounding their development. Benefits for clear and accessible guidelines and risks…

The Search for the Great Community: The Multicultural Community and Its Problems. Draft.

ERIC Educational Resources Information Center

Aleman, Ana M. Martinez

This paper addresses issues surrounding the ideal of community in American undergraduate education and the challenge of multiculturalism in the context of a feminist interpretation of the pragmatism of John Dewey. A contradictory relationship is seen to exist between higher education's definition of community and multiculturalism; and this paper's…

A New Vision for Public Art and Functional Landscape Design

ERIC Educational Resources Information Center

Song, Young Imm Kang

2014-01-01

This article explores how Johanson's ecological public art and landscape design addresses current social issues and community necessities. It also examines how her designs may serve as a communication tool for the surrounding society, and how her public art may provide new perspectives for community members, scientists, artists, engineers,…

Exploring Preservice Teacher Perspectives on Video Games as Learning Tools

ERIC Educational Resources Information Center

Ray, Beverly B.; Powell, Angiline; Jacobsen, Brenda

2014-01-01

Despite their popularity with learners, many K-12 teachers are reluctant to use video games as learning tools. Addressing issues surrounding this reluctance is important since the educational use of video games is supported by learning theory and an emerging research base. Specifically, this study adopts exploratory research as a means to examine…

Theory and Practice in EFL Teacher Education: Bridging the Gap. New Perspectives on Language and Education

ERIC Educational Resources Information Center

Huttner, Julia; Mehlmauer-Larcher, Barbara; Reichl, Susanne; Schiftner, Barbara

2011-01-01

This volume addresses the complex issues surrounding language teacher education, especially in EFL, and the development of professionalism in this field. By applying such concepts as Shulman's "pedagogical content knowledge", the development of teachers' knowledge base is investigated in a variety of settings, thus underpinning the contextual…

What's in a name: what analyst and patient call each other.

PubMed

Barron, Grace Caroline

2006-01-01

Awkward moments often arise between patient and analyst involving the question, "What do we call each other?" The manner in which the dyad address each other contains material central to the patient's inner life. Names, like dreams, deserve a privileged status as providing a royal road into the paradoxical analytic relationship and the unconscious conflicts that feed it. Whether an analyst addresses the patient formally, informally, or not at all, awareness of the issues surrounding names is important.

Donation after cardiac death and the emergency department: ethical issues.

PubMed

Simon, Jeremy R; Schears, Raquel M; Padela, Aasim I

2014-01-01

Organ donation after cardiac death (DCD) is increasingly considered as an option to address the shortage of organs available for transplantation, both in the United States and worldwide. The procedures for DCD differ from procedures for donation after brain death and are likely less familiar to emergency physicians (EPs), even as this process is increasingly involving emergency departments (EDs). This article explores the ED operational and ethical issues surrounding this procedure. © 2013 by the Society for Academic Emergency Medicine.

Power and Method: Political Activism and Educational Research. Critical Social Thought Series.

ERIC Educational Resources Information Center

Gitlin, Andrew, Ed.

This book scrutinizes some basic assumptions about educational research with the aim that such research may act more powerfully on those persistent and important problems of our schools surrounding issues of race, class, and gender. In particular, the 13 essays in this book examine how power is infused in research by addressing such questions as…

Focus on Price: Trends in Public Higher Education Tuition and State Support.

ERIC Educational Resources Information Center

Wittstruck, John R.; Bragg, Stephen M.

A study examining recent trends in tuition and required fees at public colleges and universities in relation to state support and related economic indicators is summarized. The study addressed (1) the issues that historically have surrounded the price of public higher education; (2) the changes in tuition and required fees, state appropriations,…

Developing and Evaluating the GriefLink Web Site: Processes, Protocols, Dilemmas and Lessons Learned

ERIC Educational Resources Information Center

Clark, Sheila; Burgess, Teresa; Laven, Gillian; Bull, Michael; Marker, Julie; Browne, Eric

2004-01-01

Despite a profusion of recommendations regarding the quality of web sites and guidelines related to ethical issues surrounding health-related sites, there is little guidance for the design and evaluation of sites relating to loss and grief. This article, which addresses these deficiencies, results from a community consultation process of designing…

Representing the "Other": Basic Writers and the Teaching of Basic Writing. Refiguring English Studies.

ERIC Educational Resources Information Center

Horner, Bruce; Lu, Min-Zhan

Intended for teachers of basic writing, this book contains a collection of new and updated essays addressing issues surrounding underprepared writers. It maps errors and expectations for basic writing and develops teaching approaches that will be effective in a social and political world. The book considers concepts such as the possibility of…

Student Distribution of Religious Fliers in Public Schools: Ten Ways to Invite a Lawsuit

ERIC Educational Resources Information Center

Essex, Nathan L.

2006-01-01

This article address the legal and constitutional issues surrounding how far school leaders can go in restricting distribution of materials that are viewed as religious in nature. Does restricting the student's right to distribute the flyer amount to a suppression of free speech based on content? Does the principal's action constitute unlawful…

Enhancing Student Employability?: Current Practice and Student Experiences in HE Performing Arts

ERIC Educational Resources Information Center

Brown, Ralph

2007-01-01

PALATINE, the Higher Education Academy Subject Centre for Dance, Drama and Music, received dedicated HEFCE funding (2003-2004) to address issues surrounding graduate employability, particularly focusing on the distinctive features of the labour market in the performing arts and creative industries. In the world of the Arts, the job market is very…

IN Like Flint: How the Innovation Incubator at UM-Flint Fosters Social Entrepreneurship in a City Remaking Itself

ERIC Educational Resources Information Center

Custer, Nic

2015-01-01

This paper focuses on how the University of Michigan-Flint's Innovation Incubator supports emerging for-profit businesses and nonprofit organizations through programming, business plan development, and ongoing mentorship. The Incubator is especially interested in supporting start-ups that address key social issues in the surrounding community,…

Can Prior Knowledge Hurt Text Comprehension? An Answer Borrowed from Plato, Aristotle, and Descartes.

ERIC Educational Resources Information Center

Friedman, Lawrence B.

Taking a philosophical approach based on what Plato, Aristotle, and Descartes said about knowledge, this paper addresses some of the murkiness in the conceptual space surrounding the issue of whether prior knowledge does or does not facilitate text comprehension. Specifically, the paper first develops a non-exhaustive typology of cases in which…

School Days, Rule Days: The Legalization and Regulation of Education. The Stanford Series on Education and Public Policy.

ERIC Educational Resources Information Center

Kirp, David L., Ed.; Jensen, Donald N., Ed.

This volume addresses issues surrounding the regulation and legalization of public education. The introduction, "The Fourth R: Reading, Writing, 'Rithmetic--and Rules" (David L. Kirp), is followed by essays organized in two parts. Part 1, "Regulation and Education," contains the following: "Before Legalism: The New Deal…

Conscious Efforts to End Unconscious Bias: Why Women Leave Academic Research

ERIC Educational Resources Information Center

Easterly, Debra M.; Ricard, Cynthia S.

2011-01-01

Issues surrounding gender discrimination have been addressed over the past 40 years with various pieces of legislation and federal policies that have made such discrimination illegal. The number of women in higher education as students and faculty has steadily increased since the 1950s, though only in certain disciplines and in the lower faculty…

The Fear Factor: Exploring Predictors of Fear among Stalking Victims throughout the Stalking Encounter

ERIC Educational Resources Information Center

Reyns, Bradford W.; Englebrecht, Christine M.

2013-01-01

The crime of stalking has received much research attention, yet there are still important questions to be explored surrounding this behavior. One such question relates to definitions of stalking, including the requirement that victims must express fear to qualify as victims of stalking. The current study addresses this issue by exploring the…

Lusitanization and Bakhtinian Perspectives on the Role of Portuguese in Angola and East Timor

ERIC Educational Resources Information Center

Makoni, Sinfree Bullock; Severo, Cristine

2015-01-01

A vast amount of literature addresses issues surrounding English and French in colonial and post-colonial communities. However, relative to the spread of English and French language ideology, a limited amount of literature exists on Lusitanization (i.e. the spread of Portuguese colonial ideology by Portugal during colonialism and the role of…

Multi-Cultural Literacy. The Graywolf Annual Five. Opening the American Mind.

ERIC Educational Resources Information Center

Simonson, Rick, Ed.; Walker, Scott, Ed.

This volume addresses issues surrounding cultural literacy through 13 essays, which suggest the range of knowledge that truly literate individuals need to possess. The following essays (most were written prior to the publishing of "Cultural Literacy" and "The Closing of the American Mind" in 1987) are presented: (1) "A Talk to Teachers" (James…

Responsible Use of Live Animals and Dissection in the Science Classroom. NSTA Position Statement

ERIC Educational Resources Information Center

National Science Teachers Association (NJ1), 2008

2008-01-01

National Science Teachers Association (NSTA) has revised a position statement published in June 2005. This revised statement examines the issues surrounding the integration of animals into the K-12 science curriculum and highlights key considerations that should be addressed when deciding to introduce live animals in the classroom and involve…

Not enough time? Individual and environmental implications for workplace physical activity programming among women with and without young children.

PubMed

Tavares, Leonor S; Plotnikoff, Ronald C

2008-03-01

This study sets out to determine the main issues employed women with and without young children voice as influencing their physical activity behaviors, and to identify the environmental dimensions (e.g., physical, social, cultural, organizational, policy) within and outside of the workplace surrounding physical activity promotion that are most pertinent to employed women in Canada. Thirty employed women participated in focus groups, and four senior personnel were interviewed. Worksite observations were carried out and a Workplace Physical Activity Audit Tool was administered. Results indicate that time constraints and demands of personal and work life are barriers to achieving more activity. The issues surrounding family obligations and pressures for women with young children illustrate the main differences between groups. Key environmental factors are addressed and considered for future workplace physical activity programming goals.

Systems and methods for the magnetic insulation of accelerator electrodes in electrostatic accelerators

DOEpatents

Grisham, Larry R

2013-12-17

The present invention provides systems and methods for the magnetic insulation of accelerator electrodes in electrostatic accelerators. Advantageously, the systems and methods of the present invention improve the practically obtainable performance of these electrostatic accelerators by addressing, among other things, voltage holding problems and conditioning issues. The problems and issues are addressed by flowing electric currents along these accelerator electrodes to produce magnetic fields that envelope the accelerator electrodes and their support structures, so as to prevent very low energy electrons from leaving the surfaces of the accelerator electrodes and subsequently picking up energy from the surrounding electric field. In various applications, this magnetic insulation must only produce modest gains in voltage holding capability to represent a significant achievement.

Dealing sensitively with sexuality in a palliative care context.

PubMed

Woodhouse, Jan; Baldwin, Moyra A

2008-01-01

Sexuality is integral to a person's identity and is encompassed in holistic palliative care. Current directives emphasize psychosocial support that is sensitive to a variety of issues, including sexuality, and offer community nurses the mandate to facilitate expressing sexuality. Nurses fail to address sexuality for a variety of reasons. Appreciating patients' individuality and avoiding making assumptions are some of the requirements to enabling expression of sexuality. Nurses need wisdom and determination to discuss such issues, and it is important that they recognize opportunities and cues as they arise. This article provides an examination of the issues surrounding sexuality outlining an approach that captures' constant attention to details. This guides the 'what', 'how' and 'why' sexuality in palliative care can be addressed. Ethics and safety aspects are briefly discussed and implications for practice suggested. Educating staff and focused education for the patient can positively influence sexuality and individuals' quality of life.

Double Jeopardy in the Interrogation Room for Youths with Mental Illness

ERIC Educational Resources Information Center

Redlich, Allison D.

2007-01-01

Comments on the article by J. Owen-Kostelnik, N. D. Reppucci, and J. R. Meyer (see record 2006-05893-002) which reviewed the issues surrounding the police interrogation of minors. This commentary expands on the review by addressing the mental health status of youths who come into contact with police. It stems from two immutable facts: (a) The…

Report of the Task Force to Explore Feasibility of a Three-Year Baccalaureate Program. Established March 1, 1972.

ERIC Educational Resources Information Center

Florida State Dept. of Education, Tallahassee.

Presented in this document are the results of a Task Force study in Florida that explored the feasibility of a baccalaureate degree program that can be completed in 3 academic years. The Task Force addressed itself to the issues surrounding time-shortened degrees: acceleration; locksteps; relevancy of educational objectives to individual and…

Promoting Societal-Oriented Communication and Decision Making Skills by Learning about Advertising in Science Education

ERIC Educational Resources Information Center

Belova, Nadja; Eilks, Ingo

2014-01-01

In our everyday lives we are surrounded by advertising in its various forms. Thus in the school context it is not surprising that the issue of advertising is addressed by different subjects, with the main foci being advertising-specific language, images and illustrations, use of stereotypes, strategies of persuasion, etc. But advertising also…

Losing Ground? Part 1: The Dimensions of Urban Sprawl. Know Your Environment.

ERIC Educational Resources Information Center

Academy of Natural Sciences, Philadelphia, PA.

This bulletin provides information on the issues surrounding urban sprawl. It is designed to offer information on the dimensions of sprawl and related policy debates. Some of the major debates include whether or not sprawl is a problem that even needs to be addressed. A summary of the major points of debated topics is included. (Contains 20…

The Elementary Bubble Project: Exploring Critical Media Literacy in a Fourth-Grade Classroom

ERIC Educational Resources Information Center

Gainer, Jesse S.; Valdez-Gainer, Nancy; Kinard, Timothy

2009-01-01

This article addresses issues surrounding critical media literacy using popular culture texts. The authors focus on the example of their work with a fourth-grade class involved in a project to unpack the messages of popular media and advertising texts. This project, which they call the Elementary Bubble Project, was inspired by guerilla artist Ji…

Knowledge Sharing and Dialogue among Information Technology Workers: A Case Study Using a Public Works Department

ERIC Educational Resources Information Center

Harrison, Priscilla

2013-01-01

The problem addressed in this study is the willingness or reluctance of information technology (IT) knowledge workers and managers to share knowledge. The purpose of the study was to examine the willingness or unwillingness of technical personnel in IT to share technical knowledge and the issues surrounding their reluctance, if any. The study…

Guidelines for conducting bulletproof workplace investigations: Part II--searches, surveillance, and other legal issues.

PubMed

Koen, Clifford M; Mitchell, Michael S

2012-01-01

A proper and thorough investigation can help avoid or successfully defend lawsuits. When conducting workplace investigations, employers must take care to conduct reasonable searches and not violate employees' rights to privacy. This article addresses privacy and other legal issues surrounding the use of various types of electronic surveillance including wiretapping, video/photography, and monitoring of e-mail. While conducting such searches, employers must be vigilant in their efforts to avoid liability for defamation and to properly document the investigation. Guidance is provided on these issues along with advice on the recommendation and/or remedial action that may result from the investigation and a checklist of additional considerations when conducting investigations resulting from harassment.

Ethical considerations in genomic testing for hematologic disorders.

PubMed

Marron, Jonathan M; Joffe, Steven

2017-07-27

As our technological capacities improve, genomic testing is increasingly integrating into patient care. The field of clinical hematology is no exception. Genomic testing carries great promise, but several ethical issues must be considered whenever such testing is performed. This review addresses these ethical considerations, including issues surrounding informed consent and the uncertainty of the results of genomic testing; the challenge of incidental findings; and possible inequities in access to and benefit from such testing. Genomic testing is likely to transform the practice of both benign and malignant hematology, but clinicians must carefully consider these core ethical issues in order to make the most of this exciting and evolving technology. © 2017 by The American Society of Hematology.

Moral and Legal Issues Surrounding Terminal Sedation and Physician Assisted Suicide

DTIC Science & Technology

2002-09-23

1 MORAL AND LEGAL ISSUES SURROUNDING TERMINAL SEDATION AND PHYSICIAN ASSISTED SUICIDE by CONSTANCE ReJENNA BRADLEY B.S., United States Air Force...Title and Subtitle Moral and Legal Issues Surrounding Terminal Sedation and Physician-Assisted Suicide Contract Number Grant Number Program...Constance ReJenna (M.A., Philosophy) Moral and Legal Issues Surrounding Terminal Sedation and Physician Assisted Suicide Thesis directed by Instructor

Avoiding a fate worse than death: an argument for legalising voluntary physician-based euthanasia.

PubMed

Werren, Julia; Yuksel, Necef; Smith, Saxon

2012-09-01

The legalisation of voluntary physician-based euthanasia is currently the subject of much political, social and ethical debate and there is evidence in Australia of growing support for its implementation. In addressing many of the issues that surround legalisation, the article looks at some overseas jurisdictions that have legalised euthanasia to determine whether the social, political and ethical concerns prominent in the Australian debate have proved problematic in other jurisdictions. In addition, the article examines the report on the Dying with Dignity Bill 2009 (Tas) which commented extensively on the issues relating to voluntary physician-based euthanasia.

Sensium: an ultra-low-power wireless body sensor network platform: design & application challenges.

PubMed

Wong, A W; McDonagh, D; Omeni, O; Nunn, C; Hernandez-Silveira, M; Burdett, A J

2009-01-01

In this paper we present a system-on-chip for wireless body sensor networks, which integrates a transceiver, hardware MAC protocol, microprocessor, IO peripherals, memories, ADC and custom sensor interfaces. Addressing the challenges in the design, this paper will continue to discuss the issues in the applications of this technology to body worn monitoring for real-time measurement of ECG, heart rate, physical activity, respiration and/or skin temperature. Two application challenges are described; the real-time measurement of energy expenditure using the LifePebble, and; the development issues surrounding the 'Digital Patch'.

Ethical issues and accountability in pressure ulcer prevention.

PubMed

Welsh, Lynn

2014-10-28

Pressure ulcers represent a considerable cost, both in terms of healthcare spending and quality of life. They are increasingly viewed in terms of patient harm. For clinicians involved in pressure ulcer prevention, ethical issues surrounding accountability may arise from both policy and practice perspectives. It may be useful for clinicians to refer to ethical theories and principles to create frameworks when addressing ethical dilemmas. However, such theories and principles have been criticised for their simplicity and over-generalisation. Alternative theories, for example, virtue ethics and experiential learning, can provide more comprehensive guidance and promote a pluralistic approach to tackling ethical dilemmas.

US Department of Energy Plutonium Stabilization and Immobilization Workshop, December 12-14, 1995: Final proceedings

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

NONE

1996-05-01

The purpose of the workshop was to foster communication within the technical community on issues surrounding stabilization and immobilization of the Department`s surplus plutonium and plutonium- contaminated wastes. The workshop`s objectives were to: build a common understanding of the performance, economics and maturity of stabilization and immobilization technologies; provide a system perspective on stabilization and immobilization technology options; and address the technical issues associated with technologies for stabilization and immobilization of surplus plutonium and plutonium- contaminated waste. The papers presented during this workshop have been indexed separately.

U.S. Geological Survey Science Support Strategy for Biscayne National Park and Surrounding Areas in Southeastern Florida

USGS Publications Warehouse

Wolfert-Lohmann, Melinda A.; Langevin, Christian D.; Jones, Sonya A.; Reich, Chris D.; Wingard, Georgina L.; Kuffner, Ilsa B.; Cunningham, Kevin J.

2008-01-01

The U.S. Geological Survey conducts a wide range of research in and around the Biscayne National Park region of southern Florida. This research encompasses the biologic, ecologic, meteorologic, geologic, and hydrologic components of the system, including water-quality analyses, ground-water modeling, hydrogeologic-data collection, ecologic-habitat evaluations, wetlands characterizations, biogeochemistry of ecosystems, and paleo-ecologic analyses. Relevant information is provided herein for researchers and managers interested in the Biscayne Bay area and about current U.S. Geological Survey efforts that address important resource protection and management issues. Specifically, managers and scientists are provided with information on current and recently completed U.S. Geological Survey projects and a sample listing of potential U.S. Geological Survey research projects addressing relevant issues that face the study area.

Menstruation related myths in India: strategies for combating it

PubMed Central

Garg, Suneela; Anand, Tanu

2015-01-01

Menstruation is a phenomenon unique to girls. However, it has always been surrounded by taboos and myths that exclude women from many aspects of socio-cultural life. In India, the topic has been a taboo until date. Such taboos about menstruation present in many societies impact on girls’ and women's emotional state, mentality and lifestyle and most importantly, health. The challenge, of addressing the socio-cultural taboos and beliefs in menstruation, is further compounded by the low girls’ knowledge levels and understandings of puberty, menstruation, and reproductive health. Thus, there is the need to follow a strategic approach in combating these issues. The current paper aims to discuss menstruation related myths prevalent in India, their impact on women's life, relevance of addressing these issues in primary care and a brief description about various strategies to combat them. PMID:25949964

Caring for a major government official: challenges and lessons learned.

PubMed

Weiss, Yoram G; Mor-Yosef, Shlomo; Sprung, Charles L; Weissman, Charles; Weiss, Yuval

2007-07-01

Analysis of the medical, organizational, and administrative issues surrounding the care of a dignitary in an intensive care unit. On January 4, 2006, Ariel Sharon, the Israeli Prime Minister was emergently admitted to the Hadassah-Hebrew University Medical Center in Jerusalem owing to a severe intracranial hemorrhage. Immediately following his admission, he underwent an extensive neurosurgical procedure to control the bleeding. Thereafter, he required intensive care for 5 months and underwent additional procedures. This admission presented organizational and administrative challenges. The major challenge was to provide the Prime Minister with the best medical care while avoiding the "very important person syndrome" and simultaneously continuing routine hospital activities. To coordinate his complicated medical management, a consultation forum was established composed of all the physicians directly involved in Mr. Sharon's care. Additionally, a senior intensivist was chosen to coordinate the medical care and, along with a physician from the hospital administration, assist with administrative issues. Among the issues that the coordinating team addressed, with the help of many other hospital services, included patient confidentiality vs. public information, security of the patient's medical chart (including laboratory data and imaging), and coordination with security personnel. The acute care of a major governmental official requires the medical staff to address many administrative issues, while providing the "very important person" patient with appropriate intensive medical care. This article presents a strategy for addressing these issues.

Psychosocial Issues Related to Thyroid Examination After a Radiation Disaster.

PubMed

Midorikawa, Sanae; Tanigawa, Koichi; Suzuki, Satoru; Ohtsuru, Akira

2017-03-01

A thyroid ultrasound examination program has been conducted in the aftermath of the Fukushima Daiichi Nuclear Power Plant accident to address concerns about the increased risk of thyroid cancer similar to those experienced by local residents after the 1986 Chernobyl accident. This is the second-largest thyroid cancer screening in younger age ever, following only that conducted after Chernobyl. As the natural history of thyroid cancer in younger populations is not well characterized, large-scale screening using thyroid ultrasound could result in overdiagnosis, even with careful planning, as has been experienced in South Korea. Awareness regarding the thyroid gland is generally low among residents, who tend to directly associate examination results with radiation exposure and are likely to develop newfound anxiety and feelings of self-condemnation and guilt. We reviewed the dilemma surrounding cancer screening and particularly underscored the need to address psychosocial issues associated with possible overdiagnosis. We modified our approach to address individual and social anxiety induced by results of screening conducted after the Fukushima accident. These findings and our experiences regarding the psychosocial issues related to thyroid examination should assist residents in their lifelong decision making and help them prepare for future disasters.

Max '91: Flare research at the next solar maximum

NASA Technical Reports Server (NTRS)

Dennis, Brian; Canfield, Richard; Bruner, Marilyn; Emslie, Gordon; Hildner, Ernest; Hudson, Hugh; Hurford, Gordon; Lin, Robert; Novick, Robert; Tarbell, Ted

1988-01-01

To address the central scientific questions surrounding solar flares, coordinated observations of electromagnetic radiation and energetic particles must be made from spacecraft, balloons, rockets, and ground-based observatories. A program to enhance capabilities in these areas in preparation for the next solar maximum in 1991 is recommended. The major scientific issues are described, and required observations and coordination of observations and analyses are detailed. A program plan and conceptual budgets are provided.

Health research needed to resolve scientific issues surrounding drinking water disinfection

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

Kleffman, D.

Disinfection of drinking water will most likely continue in the United States in order to prevent exposure to microbial pathogens that can cause infectious disease. However, the emergence of concerns over possible toxicological effects, including cancer, mutagenicity, cardiovascular disease, and reproductive effects, may require that the disinfection techniques used in this country be altered or changed. First, the spectrum of possible health effects and the level of risk posed by exposure to chemicals in drinking water must be determined. This will require a continuing research program to develop the scientific data necessary to resolve these issues. In this paper, themore » authors discusses the microbiological, chemical, toxicological, and epidemiological research that is needed to address these issues.« less

A matched case-control study of convenience store robbery risk factors.

PubMed

Hendricks, S A; Landsittel, D P; Amandus, H E; Malcan, J; Bell, J

1999-11-01

Convenience store clerks have been shown to be at high risk for assault and homicide, mostly owing to robbery or robbery attempts. Although the literature consistently indicates that at least some environmental designs are effective deterrents of robbery, the significance of individual interventions and policies has differed across past studies. To address these issues, a matched case-control study of 400 convenience store robberies in three metropolitan areas of Virginia was conducted. Conditional logistic regression was implemented to evaluate the significance of various environmental designs and other factors possibly related to convenience store robbery. Findings indicate that numerous characteristics of the surrounding environment and population were significantly associated with convenience store robbery. Results also showed that, on a univariate level, most crime prevention factors were significantly associated with a lower risk for robbery. Using a forward selection process, a multivariate model, which included cash handling policy, bullet-resistant shielding, and numerous characteristics of the surrounding area and population, was identified. This study addressed numerous limitations of the previous literature by prospectively collecting extensive data on a large sample of diverse convenience stores and directly addressing the current theory on the robbers' selection of a target store through a matched case-control design.

Ethical and medical dilemmas of space tourism

NASA Astrophysics Data System (ADS)

Marsh, Melinda

Space tourism is an important new venture, however it raises several issues that must be addressed; namely, the medical implications associated with space flight and potential for ethical problems surrounding the safety of such travel. It seems highly likely that businesses involved in space tourism could find themselves liable for any passenger deaths or injuries, if they are found to have been negligent. This paper, therefore, discusses such issues as the medical facilities that need to be made available on board a space facility, and the companies' duty to disclose to potential passengers the risks associated with microgravity and the likelihood of space sickness, loss of bone density, disease, and pregnancy.

Understanding men's health and illness: a gender-relations approach to policy, research, and practice.

PubMed

Schofield, T; Connell, R W; Walker, L; Wood, J F; Butland, D L

2000-05-01

Men's health has emerged as an important public concern that may require new kinds of healthcare interventions and increased resources. Considerable uncertainty and confusion surround prevailing understandings of men's health, particularly those generated by media debate and public policy, and health research has often operated on oversimplified assumptions about men and masculinity. A more useful way of understanding men's health is to adopt a gender-relations approach. This means examining health concerns in the context of men's and women's interactions with each other, and their positions in the larger, multidimensional structure of gender relations. Such an approach raises the issue of differences among men, which is a key issue in recent research on masculinity and an important health issue. The gender-relations approach offers new ways of addressing practical issues of healthcare for men in college environments.

Ethical issues in livestock cloning.

PubMed

Thompson, P B

1999-01-01

Although cloning may eventually become an important technology for livestock production, four ethical issues must be addressed before the practice becomes widespread. First, researchers must establish that the procedure is not detrimental to the health or well-being of affected animals. Second, animal research institutions should evaluate the net social benefits to livestock producers by weighing the benefits to producers against the opportunity cost of research capacity lost to biomedical projects. Third, scientists should consider the indirect effects of cloning research on the larger ethical issues surrounding human cloning. Finally, the market structure for products of cloned animals should protect individual choice, and should recognize that many individuals find the prospect of cloning (or consuming cloned animals) repugnant. Analysis of these four issues is complicated by spurious arguments alleging that cloning will have a negative impact on environment and genetic diversity.

Augmenting team cognition in human-automation teams performing in complex operational environments.

PubMed

Cuevas, Haydee M; Fiore, Stephen M; Caldwell, Barrett S; Strater, Laura

2007-05-01

There is a growing reliance on automation (e.g., intelligent agents, semi-autonomous robotic systems) to effectively execute increasingly cognitively complex tasks. Successful team performance for such tasks has become even more dependent on team cognition, addressing both human-human and human-automation teams. Team cognition can be viewed as the binding mechanism that produces coordinated behavior within experienced teams, emerging from the interplay between each team member's individual cognition and team process behaviors (e.g., coordination, communication). In order to better understand team cognition in human-automation teams, team performance models need to address issues surrounding the effect of human-agent and human-robot interaction on critical team processes such as coordination and communication. Toward this end, we present a preliminary theoretical framework illustrating how the design and implementation of automation technology may influence team cognition and team coordination in complex operational environments. Integrating constructs from organizational and cognitive science, our proposed framework outlines how information exchange and updating between humans and automation technology may affect lower-level (e.g., working memory) and higher-level (e.g., sense making) cognitive processes as well as teams' higher-order "metacognitive" processes (e.g., performance monitoring). Issues surrounding human-automation interaction are discussed and implications are presented within the context of designing automation technology to improve task performance in human-automation teams.

Looking beyond "affordable" health care: cultural understanding and sensitivity-necessities in addressing the health care disparities of the U.S. Hispanic population.

PubMed

Askim-Lovseth, Mary K; Aldana, Adriana

2010-10-01

Health disparities are pervasive in the United States; but among Hispanics, access to health care is encumbered by poverty, lack of insurance, legal status, and racial or minority status. Research has identified certain aspects of Hispanic culture, values, and traditions contributing to the nature of the Hispanic patient-doctor relationship and the quality of the health care service. Current educational efforts by nonprofit organizations, government, health professionals, and pharmaceutical manufacturers fail to address the needs for accessible and appropriately culture-sensitive information when approaching the diverse Hispanic community. Understanding Hispanics' consumptive practices and expectations surrounding medications is critical to the success of many treatment regimens. Recommendations are presented to address this health care issue.

Traveler Trustworthy Autonomy

NASA Technical Reports Server (NTRS)

Skoog, Mark A.

2016-01-01

NASAs Armstrong Flight Research Center has been engaged in the development of highly automatic safety systems for aviation since the mid 80s. For the past three years under Seedling and Center Innovation funding this work has moved toward the development of a software architecture applicable to autonomous safety. This work is now broadening and accelerating to address the airworthiness issues surrounding making a case for trustworthy autonomy. This software architecture is called the expandable variable-autonomy architecture (EVAA) and utilizes a run-time assurance approach to safety assurance.

CD-ROM-aided Databases

NASA Astrophysics Data System (ADS)

Miyazaki, Kazuhide; Nishimura, Masayoshi

Nippon Telegraph & Telephone Corporation (NTT) was the first company in the world to record the entire business classified Tokyo telephone directory containing more than 1,100,000 entries on CD-ROM. NTT's telephone directory on CD-ROM contains the business classification, the names, addresses and telephon numbers of more than 1,100,000 companies located in Tokyo’s 23 wards and surrounding towns. This report about NTT’s telephone directory on CD-ROM was written about the reason of development, outline, and the point at issue.

Prescription Drug Monitoring Programs: Ethical Issues in the Emergency Department.

PubMed

Marco, Catherine A; Venkat, Arvind; Baker, Eileen F; Jesus, John E; Geiderman, Joel M

2016-11-01

Prescription drug monitoring programs are statewide databases available to clinicians to track prescriptions of controlled medications. These programs may provide valuable information to assess the history and use of controlled substances and contribute to clinical decisionmaking in the emergency department (ED). The widespread availability of the programs raises important ethical issues about beneficence, nonmaleficence, respect for persons, justice, confidentiality, veracity, and physician autonomy. In this article, we review the ethical issues surrounding prescription drug monitoring programs and how those issues might be addressed to ensure the proper application of this tool in the ED. Clinical decisionmaking in regard to the appropriate use of opioids and other controlled substances is complex and should take into account all relevant clinical factors, including age, sex, clinical condition, medical history, medication history and potential drug-drug interactions, history of addiction or diversion, and disease state. Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

Addressing Authorship Issues Prospectively: A Heuristic Approach.

PubMed

Roberts, Laura Weiss

2017-02-01

Collaborative writing in academic medicine gives rise to more richly informed scholarship, and yet challenging ethical issues surrounding authorship are commonly encountered. International guidelines on authorship help clarify whether individuals who have contributed to a completed scholarly work have been correctly included as authors, but these guidelines do not facilitate intentional and proactive authorship planning or decisions regarding authorship order.In this Commentary, the author presents a heuristic approach to help collaborators clarify, anticipate, and resolve practical and ethically important authorship issues as they engage in the process of developing manuscripts. As this approach illustrates, assignment of authorship should balance work effort and professional responsibility, reflecting the effort and intellectual contribution and the public accountability of the individuals who participate in the work. Using a heuristic approach for managing authorship issues prospectively can foster an ethical, collaborative writing process in which individuals are properly recognized for their contributions.

If you drink alcoholic beverages do so in moderation: what does this mean?

PubMed

Dufour, M C

2001-02-01

The changes in content of the alcohol guideline of the various editions of the Dietary Guidelines for Americans from 1980 to 2000 are discussed. This is followed by a capsule summary of the history and evolution of the discipline of alcohol epidemiology compared with that of nutrition epidemiology. Methods of assessment are discussed, and issues surrounding the validity and reliability of self-report of alcohol consumption are then outlined. Relevant objectives from Healthy People 2010 are discussed. Surveillance of the alcohol guideline discloses that, at present, very few American drinkers follow the recommendations of the alcohol guideline. Indications for future research needs to address this issue conclude the discussion.

Chemical Functionalization of Plasmonic Surface Biosensors: A Tutorial Review on Issues, Strategies, and Costs

PubMed Central

2017-01-01

In an ideal plasmonic surface sensor, the bioactive area, where analytes are recognized by specific biomolecules, is surrounded by an area that is generally composed of a different material. The latter, often the surface of the supporting chip, is generally hard to be selectively functionalized, with respect to the active area. As a result, cross talks between the active area and the surrounding one may occur. In designing a plasmonic sensor, various issues must be addressed: the specificity of analyte recognition, the orientation of the immobilized biomolecule that acts as the analyte receptor, and the selectivity of surface coverage. The objective of this tutorial review is to introduce the main rational tools required for a correct and complete approach to chemically functionalize plasmonic surface biosensors. After a short introduction, the review discusses, in detail, the most common strategies for achieving effective surface functionalization. The most important issues, such as the orientation of active molecules and spatial and chemical selectivity, are considered. A list of well-defined protocols is suggested for the most common practical situations. Importantly, for the reported protocols, we also present direct comparisons in term of costs, labor demand, and risk vs benefit balance. In addition, a survey of the most used characterization techniques necessary to validate the chemical protocols is reported. PMID:28796479

Empirical research on the insanity defense and attempted reforms: evidence toward informed policy.

PubMed

Borum, R; Fulero, S M

1999-06-01

The paper addresses some common questions about the insanity defense and issues raised by commonly proposed "reforms." The first section begins with a brief description of the insanity defense and the reasons for its existence in the law. It then examines some of the popular myths and public misperceptions surrounding the insanity defense. The next three sections discuss proposed "reforms" and the empirical research that addresses their effect. These reforms, including various procedural changes in definitions, burden of proof, and expert testimony, the institution of a guilty but mentally ill verdict, and the abolition of the insanity defense itself, are reviewed, along with relevant research findings and policy issues. Finally, the development of sound conditional release programs for criminal defendants found not guilty by reason of insanity is proposed as a reform option which could serve the objectives of enhancing public safety and access to appropriate treatment while continuing to meet the objectives of the insanity defense within criminal jurisprudence.

Empirical research on the insanity defense and attempted reforms: evidence toward informed policy.

PubMed

Borum, R; Fulero, S M

1999-02-01

This paper addresses some common questions about the insanity defense and issues raised by commonly proposed "reforms." The first section begins with a brief description of the insanity defense and the reasons for its existence in the law. It then examines some of the popular myths and public misperceptions surrounding the insanity defense. The next three sections discuss proposed "reforms" and the empirical research that addresses their effect. These reforms, including various procedural changes in definitions, burden of proof, and expert testimony, the institution of a guilty but mentally ill verdict, and the abolition of the insanity defense itself, are reviewed, along with relevant research findings and policy issues. Finally, the development of sound conditional release programs for criminal defendants found not guilty by reason of insanity is proposed as a reform option which could serve the objectives of enhancing public safety and access to appropriate treatment while continuing to meet the objectives of the insanity defense within criminal jurisprudence.

The politics of knowledge: implications for understanding and addressing mental health and illness.

PubMed

Jenkins, Emily K

2014-03-01

While knowledge represents a valuable commodity, not all forms of knowledge are afforded equal status. The politics of knowledge, which entails the privileging of particular ways of knowing through linkages between the producers of knowledge and other bearers of authority or influence, represents a powerful force driving knowledge development. Within the health research and practice community, biomedical knowledge (i.e. knowledge pertaining to the biological factors influencing health) has been afforded a privileged position, shaping the health research and practice community's view of health, illness and appropriate intervention. The aim of this study is to spark critical reflection and dialogue surrounding the ways in which the politics of knowledge have constrained progress in addressing mental health and illness, one of today's leading public health issues. I argue that the hegemony of biological knowledge represents an ethical issue as it limits the breadth of knowledge available to support practitioners to 'do good' in terms of addressing mental illness. Given the power and influence inherent within the nursing community, I propose that nurses ought to engage in critical reflection and action in an effort to better situate the health research and practice community to effectively address the mental health of populations. © 2013 John Wiley & Sons Ltd.

Issues in cervical cancer incidence and treatment in HIV.

PubMed

Einstein, Mark H; Phaëton, Rébécca

2010-09-01

Cervical disease burden continues to be especially high in HIV-infected women, even in the era of effective antiretroviral medications. This review discusses the multiple issues surrounding HIV-associated cervical cancer. Also, the unique treatment-related issues in HIV-associated cervical cancer are addressed. The incidence of invasive cervical cancer has remained stable in industrialized nations; however, it is only estimated in developing countries secondary to a relative lack of data collection and registries. Trends in HIV-associated cervical cancer have changed in the highly active antiretroviral therapy (HAART) era. Recent molecular pathways suggest that the natural progression of human papillomavirus infection, the causal agent in all cervical cancers, may be related to immune system dysfunction as well as HIV/human papillomavirus synergistic mechanisms. When highly active retroviral therapies are used, invasive cervical cancer treatments are impacted by concomitant drug toxicities that could potentially limit therapeutic benefit of either HAART or the standard of care treatment for locally advanced cervical cancer, concomitant chemoradiotherapy. The significance and care of the patient with invasive cervical cancer is becoming a geographically relevant phenomenon such that it may be time to re-address the global definition. Further studies in treatment issues and drug-drug interactions with cervical cancer treatments in the setting of HIV are paramount.

Understanding Price Elasticities to Inform Public Health Research and Intervention Studies: Key Issues

PubMed Central

Nghiem, Nhung; Genç, Murat; Blakely, Tony

2013-01-01

Pricing policies such as taxes and subsidies are important tools in preventing and controlling a range of threats to public health. This is particularly so in tobacco and alcohol control efforts and efforts to change dietary patterns and physical activity levels as a means of addressing increases in noncommunicable diseases. To understand the potential impact of pricing policies, it is critical to understand the nature of price elasticities for consumer products. For example, price elasticities are key parameters in models of any food tax or subsidy that aims to quantify health impacts and cost-effectiveness. We detail relevant terms and discuss key issues surrounding price elasticities to inform public health research and intervention studies. PMID:24028228

75 FR 82407 - Submission for OMB Review; Comment Request; Testing Successful Health Communications Surrounding...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-30

... surrounding aging-related issues from the National Institute on Aging (NIA). Type of Information Collection... information technology. Direct Comments to OMB: Written comments and/or suggestions regarding the item(s...; Comment Request; Testing Successful Health Communications Surrounding Aging-Related Issues From the...

A multi-tiered approach to addressing the mental health issues surrounding obesity in children and youth.

PubMed

Bazyk, Susan; Winne, Rebecca

2013-04-01

Obesity in children and youth is a major public health concern known to have a significant impact on physical and mental health. Although traditional approaches to obesity have emphasized diet and exercise at the individual level, broader attention to the mental health consequences of obesity is crucial. Individuals who are obese live in a world where they are often less accepted resulting in social exclusion and discrimination. A public health multi-tiered approach to obesity focusing on mental health promotion, prevention, and individualized intervention is presented.

The American Jobs Creation Act and its impact on deferred compensation: reassessment from a business perspective.

PubMed

Johnson, David G

2005-01-01

The American Jobs Creation Act (AJCA), which was signed into law in October 2004, will have an impact on almost every deferred compensation program in the United States. This article argues that as companies continue to evaluate the transition alternatives under AJCA and contemplate the necessary changes to the plan program, companies also should consider simultaneously addressing broader issues surrounding nonqualified deferred compensation arrangements. These include ongoing business purpose, financial planning considerations, education of participants, corporate governance considerations and the potential implications to international assignees.

A Review Study on Cloud Computing Issues

NASA Astrophysics Data System (ADS)

Kanaan Kadhim, Qusay; Yusof, Robiah; Sadeq Mahdi, Hamid; Al-shami, Sayed Samer Ali; Rahayu Selamat, Siti

2018-05-01

Cloud computing is the most promising current implementation of utility computing in the business world, because it provides some key features over classic utility computing, such as elasticity to allow clients dynamically scale-up and scale-down the resources in execution time. Nevertheless, cloud computing is still in its premature stage and experiences lack of standardization. The security issues are the main challenges to cloud computing adoption. Thus, critical industries such as government organizations (ministries) are reluctant to trust cloud computing due to the fear of losing their sensitive data, as it resides on the cloud with no knowledge of data location and lack of transparency of Cloud Service Providers (CSPs) mechanisms used to secure their data and applications which have created a barrier against adopting this agile computing paradigm. This study aims to review and classify the issues that surround the implementation of cloud computing which a hot area that needs to be addressed by future research.

Fitness for duty in the nuclear industry: Update of the technical issues 1996

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

Durbin, N.; Grant, T.

The purpose of this report is to provide an update of information on the technical issues surrounding the creation, implementation, and maintenance of fitness-for-duty (FFD) policies and programs. It has been prepared as a resource for Nuclear Regulatory Commission (NRC) and nuclear power plant personnel who deal with FFD programs. It contains a general overview and update on the technical issues that the NRC considered prior to the publication of its original FFD rule and the revisions to that rule (presented in earlier NUREG/CRs). It also includes chapters that address issues about which there is growing concern and/or about whichmore » there have been substantial changes since NUREG/CR-5784 was published. Although this report is intended to support the NRC`s rule making on fitness for duty, the conclusions of the authors of this report are their own and do not necessarily represent the opinions of the NRC.« less

77 FR 38631 - Request for Comments on Ethical Issues Associated with the Development of Medical Countermeasures...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-28

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Request for Comments on Ethical Issues Associated with the... ethical issues associated with the development of medical countermeasures for children, including ethical considerations surrounding clinical research with children, ethical considerations surrounding pediatric medical...

Motivators and Barriers to Incorporating Climate Change-Related Health Risks in Environmental Health Impact Assessment

PubMed Central

Turner, Lyle R.; Alderman, Katarzyna; Connell, Des; Tong, Shilu

2013-01-01

Climate change presents risks to health that must be addressed by both decision-makers and public health researchers. Within the application of Environmental Health Impact Assessment (EHIA), there have been few attempts to incorporate climate change-related health risks as an input to the framework. This study used a focus group design to examine the perceptions of government, industry and academic specialists about the suitability of assessing the health consequences of climate change within an EHIA framework. Practitioners expressed concern over a number of factors relating to the current EHIA methodology and the inclusion of climate change-related health risks. These concerns related to the broad scope of issues that would need to be considered, problems with identifying appropriate health indicators, the lack of relevant qualitative information that is currently incorporated in assessment and persistent issues surrounding stakeholder participation. It was suggested that improvements are needed in data collection processes, particularly in terms of adequate communication between environmental and health practitioners. Concerns were raised surrounding data privacy and usage, and how these could impact on the assessment process. These findings may provide guidance for government and industry bodies to improve the assessment of climate change-related health risks. PMID:23525029

Motivators and barriers to incorporating climate change-related health risks in environmental health impact assessment.

PubMed

Turner, Lyle R; Alderman, Katarzyna; Connell, Des; Tong, Shilu

2013-03-22

Climate change presents risks to health that must be addressed by both decision-makers and public health researchers. Within the application of Environmental Health Impact Assessment (EHIA), there have been few attempts to incorporate climate change-related health risks as an input to the framework. This study used a focus group design to examine the perceptions of government, industry and academic specialists about the suitability of assessing the health consequences of climate change within an EHIA framework. Practitioners expressed concern over a number of factors relating to the current EHIA methodology and the inclusion of climate change-related health risks. These concerns related to the broad scope of issues that would need to be considered, problems with identifying appropriate health indicators, the lack of relevant qualitative information that is currently incorporated in assessment and persistent issues surrounding stakeholder participation. It was suggested that improvements are needed in data collection processes, particularly in terms of adequate communication between environmental and health practitioners. Concerns were raised surrounding data privacy and usage, and how these could impact on the assessment process. These findings may provide guidance for government and industry bodies to improve the assessment of climate change-related health risks.

Hydrogeology and management of freshwater lenses on atoll islands: Review of current knowledge and research needs

NASA Astrophysics Data System (ADS)

Werner, Adrian D.; Sharp, Hannah K.; Galvis, Sandra C.; Post, Vincent E. A.; Sinclair, Peter

2017-08-01

On atoll islands, fresh groundwater occurs as a buoyant lens-shaped body surrounded by saltwater derived from the sea, forming the main freshwater source for many island communities. A review of the state of knowledge of atoll island groundwater is overdue given their susceptibility to adverse impacts, and the task to address water access and sanitation issues within the United Nations' Sustainable Development Goals framework before the year 2030. In this article, we review available literature to summarise the key processes, investigation techniques and management approaches of atoll island groundwater systems. Over fifty years of investigation has led to important advancements in the understanding of atoll hydrogeology, but a paucity of hydrogeological data persists on all but a small number of atoll islands. We find that the combined effects of buoyancy forces, complex geology, tides, episodic ocean events, strong climatic variability and human impacts create highly dynamic fresh groundwater lenses. Methods used to quantify freshwater availability range from simple empirical relationships to three-dimensional density-dependent models. Generic atoll island numerical models have proven popular in trying to unravel the individual factors controlling fresh groundwater lens behaviour. Major challenges face the inhabitants and custodians of atoll island aquifers, with rising anthropogenic stresses compounded by the threats of climate variability and change, sea-level rise, and some atolls already extracting freshwater at or above sustainability limits. We find that the study of atoll groundwater systems remains a critical area for further research effort to address persistent knowledge gaps, which lead to high uncertainties in water security issues for both island residents and surrounding environs.

Using NIAM to capture time dependencies in a domain of discourse

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

Becker, S.D.

1994-07-01

This paper addresses the issues surrounding the use of NIAM to capture time dependencies in a domain of discourse. The NIAM concepts that support capturing time dependencies are in the event and process portions of the NIAM metamodel, which are the portions most poorly supported by a well-established methodology. This lack of methodological support is a potentially serious handicap in any attempt to apply NIAM to a domain of discourse in which time dependencies are a central issue. However, the capability that NIAM provides for validating and verifying the elementary facts in the domain may reduce the magnitude of themore » event/process-specification task to a level at which it could be effectively handled even without strong methodological support.« less

Regulatory accountability: Telecommunications and electricity agencies in the United Kingdom, France and Sweden

NASA Astrophysics Data System (ADS)

Rubinstein, Dorit

2007-12-01

This dissertation examines how administrative agencies deal with multiple and conflicting accountability pressures. Drawing on an empirical study of six agencies, the telecommunications and electricity regulators of the UK, France and Sweden, it describes how the agencies legitimized their behavior in relation to three major issues, network pricing, universal service and retail competition. I find that agencies use different forms of accountability in different circumstances, and suggest a classification of accountability strategies along two dimensions: internalizing v. externalizing authority, and the breadth of the target audience. What explains variations along these dimensions is the task characteristics of the issue an agency is dealing with, and specifically, its informational aspects and the degree of political controversy associated with it. The more an issue requires expertise, the more an agency will seek to rely on its professional judgment. The more an issue can be addressed only in terms of the values surrounding it, the more an agency will seek to externalize authority and defer to other actors. Also, the more politically controversial an issue, the broader the target audience before whom an agency will try to justify itself.

Waiting for harm: deliberate self-harm and suicide in young people--a review of the literature.

PubMed

Anderson, M

1999-04-01

Mental health professionals, particularly nurses, practicing in child and adolescent psychiatry are key players in the continued development of expertise, awareness and understanding of deliberate self-harm (DSH) and suicide in young people. Enhancing this knowledge and the associated skills will contribute to effective, therapeutic relationships with individuals and their families. The purpose of this paper is to review the current literature surrounding the issue of deliberate self-harm and suicide in young people. The paper will address national and international studies selected from a variety of child and adolescent and general psychiatric literature. The research presented highlights important issues to be addressed in practice. In particular, the evidence supports the influence of mental illness in DSH and suicide, particularly depression and substance abuse. However, a clearly important factor is an individual's experience of family and social life. The literature is considered in the light of relevant governmental policy documents relating to DSH and suicide. The future role of the mental health nurse in child and adolescent psychiatry in the United Kingdom (UK) is discussed in the contexts of family work and assessment.

78 FR 60998 - Proposed Collection: Information Collection Surrounding the Sale and Issue of Marketable Book...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-02

... Collection Surrounding the Sale and Issue of Marketable Book-Entry Securities ACTION: Notice and request for... Department of the Treasury is soliciting comments concerning the Sale and Issue of Marketable Book-Entry... Marketable Book-Entry Securities. OMB Number: 1535-0112. Abstract: The information is requested to ensure...

Exploring experiences of Personal Support Worker education in Ontario, Canada.

PubMed

Kelly, Christine

2017-07-01

There is growing attention to the training and education of Personal Support Workers, or PSWs, who work in community, home and long-term care settings supporting older people and people with disabilities. In Ontario, Canada, amid a volatile policy landscape, the provincial government launched an effort to standardise PSW education. Using qualitative methods, this study considered the question: What are the central educational issues reflected by students, working PSWs and key informants, and are they addressed by the PSW programme and training standards? Phase one was a public domain analysis completed between January and March 2014 and updated for major developments after that period. Phase two, completed between August 2014 and March 2015, included 15 key informant interviews and focus group discussions and mini-phone interviews with 35 working PSWs and current PSW students. According to the participants, the central educational issues are: casualisation of labour that is not conveyed in educational recruitment efforts, disconnect between theory and working conditions, overemphasis on long-term care as a career path, and variability of PSW education options. While the standards should help to address the final issue, they do not address the other key issues raised, which have to do with the structural organisation of work. There is thus a disconnect between the experiences of students, PSWs and key informants and the policy decisions surrounding this sector. This is particularly significant as education is often touted as a panacea for issues in long-term and community care. In fact, the curriculum of some of the PSW programmes, especially those in public college settings, is robust. Yet, the underlying issues will remain barring a structural overhaul of the organisation of long-term and community care sectors founded on a social revaluing of older people and the gendered work of care. © 2017 John Wiley & Sons Ltd.

The orthopaedic research scene and strategies to improve it.

PubMed

Rankin, K S; Sprowson, A P; McNamara, I; Akiyama, T; Buchbinder, R; Costa, M L; Rasmussen, S; Nathan, S S; Kumta, S; Rangan, A

2014-12-01

Trauma and orthopaedics is the largest of the surgical specialties and yet attracts a disproportionately small fraction of available national and international funding for health research. With the burden of musculoskeletal disease increasing, high-quality research is required to improve the evidence base for orthopaedic practice. Using the current research landscape in the United Kingdom as an example, but also addressing the international perspective, we highlight the issues surrounding poor levels of research funding in trauma and orthopaedics and indicate avenues for improving the impact and success of surgical musculoskeletal research. ©2014 The British Editorial Society of Bone & Joint Surgery.

Detecting and Managing Adverse Effects of Antipsychotic Medications: Current State of Play.

PubMed

Ames, Donna; Carr-Lopez, Sian M; Gutierrez, Mary A; Pierre, Joseph M; Rosen, Jennifer A; Shakib, Susan; Yudofsky, Lynn M

2016-06-01

Antipsychotics are some of the most frequently prescribed medications not only for psychotic disorders and symptoms but also for a wide range of on-label and off-label indications. Because second-generation antipsychotics have largely replaced first-generation antipsychotics as first-line options due to their substantially decreased risk of extrapyramidal side effects, attention has shifted to other clinically concerning adverse events associated with antipsychotic therapy. The focus of this article is to update the nonextrapyramidal side effects associated with second-generation antipsychotics. Issues surrounding diagnosis and monitoring as well as clinical management are addressed. Published by Elsevier Inc.

Commentary on "Studying eyewitness investigations in the field": a look forward.

PubMed

Steblay, Nancy Kay

2008-02-01

Schacter et al. (2007, this issue) address the controversy surrounding an Illinois pilot project that attempted to compare sequential versus simultaneous police lineup formats. The statement by these experts will guide the design and execution of future field lineup experiments. This commentary discusses three aspects of field studies that pose challenges as lineup experiments are interpreted: the imprecise meaning of the dependent measure (eyewitness decisions), the limitations of single studies, and the necessity to devise public policy from incomplete knowledge. A combination of laboratory and field information provides the means to determine best practices in eyewitness identification procedures.

Regulatory considerations for global transfer of cryopreserved fish gametes

USGS Publications Warehouse

Jenkins, Jill A.; Tiersch, Terrence R.; Green, Christopher C.

2011-01-01

Federal and state resource managers, scientists, lawmakers, business and development investors, and the general public all struggle with issues surrounding the conservation of our biological heritage, especially in the face of increased population growth and consequent anthropogenic disturbances. Conservation interests include recovering exploited aquatic populations, decreasing the loss of genetic diversity, and reintroducing locally depleted species. However, research on husbandry and other techniques critical to implementing conservation strategies is often not started until few individuals remain. A program in the cryopreservation of gametes and embryos from aquatic species would address several of these conservation concerns by allowing the establishment of gene banks

Factors affecting parent-adolescent discussion on reproductive health issues in Harar, eastern Ethiopia: a cross-sectional study.

PubMed

Yadeta, Tesfaye Assebe; Bedane, Haji Kedir; Tura, Abera Kenay

2014-01-01

Open family discussion on reproductive health (RH) issues often leads to increased awareness on RH matters and reduces risky behaviors among adolescents. This study was conducted to assess factors affecting parent-adolescent discussion on RH issues in Harar, Ethiopia. A cross-sectional survey using face to face interview supplemented with focus group discussion (FGD) was conducted on 751 randomly selected parents of 10-19-year-old adolescents. Data was analyzed using SPSS version 15. More than one-fourth (28.76%) of parents reported discussing RH issues with their adolescents during the last six months. In the logistic regression, parents who have demonstrated good RH knowledge and positive attitude towards RH were almost six times and seventy percent (AOR 5.69, 95% CI: 3.67-8.82; AOR 1.70, 95% CI: 1.08-2.68) higher in discussing RH with their adolescents than their counterparts, respectively. Parent-adolescent discussion about RH issues rarely occurs and is bounded by lack of knowledge, sociocultural norms, and parental concern that discussion would encourage premarital sex. Reproductive health programs should target on improving awareness of parents and addressing sociocultural norms surrounding reproductive health issues.

[Equity in health? Health inequalities, ethics, and theories of distributive justice].

PubMed

Buyx, A M

2010-01-01

It is well-documented that the socio-economic status has an important influence on health. In all developed countries, health is closely correlated with income, education, and type of employment, as well as with several other social determinants. While data on this socio-economic health gradient have been available for decades, the moral questions surrounding social health inequalities have only recently been addressed within the field of public health ethics. The present article offers a brief overview of relevant data on social health inequalities and on some explanatory models from epidemiology, social medicine and related disciplines. The main part explores three influential normative accounts addressing the issue of health inequalities. Finally, an agenda for future work in the field of public health ethics and health inequalities is sketched, with particular attention to the German context.

The future of high-level nuclear waste disposal, state sovereignty and the tenth amendment: Nevada v. Watkins

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

Swazo, S.

The federal government`s monopoly over America`s nuclear energy production began during World War II with the birth of the Atomic Age. During the next thirty years, nuclear waste inventories increased with minor congressional concern. In the early 1970s, the need for federal legislation to address problems surrounding nuclear waste regulation, along with federal efforts to address these problems, became critical. Previous federal efforts had completely failed to address nuclear waste disposal. In 1982, Congress enacted the Nuclear Waste Policy Act (NWPA) to deal with issues of nuclear waste management and disposal, and to set an agenda for the development ofmore » two national high-level nuclear waste repositories. This article discusses the legal challenge to the NWPA in the Nevada v. Watkins case. This case illustrates the federalism problems faced by the federal government in trying to site the nation`s only high-level nuclear waste repository within a single state.« less

Issues in designing transport layer multicast facilities

NASA Technical Reports Server (NTRS)

Dempsey, Bert J.; Weaver, Alfred C.

1990-01-01

Multicasting denotes a facility in a communications system for providing efficient delivery from a message's source to some well-defined set of locations using a single logical address. While modem network hardware supports multidestination delivery, first generation Transport Layer protocols (e.g., the DoD Transmission Control Protocol (TCP) (15) and ISO TP-4 (41)) did not anticipate the changes over the past decade in underlying network hardware, transmission speeds, and communication patterns that have enabled and driven the interest in reliable multicast. Much recent research has focused on integrating the underlying hardware multicast capability with the reliable services of Transport Layer protocols. Here, we explore the communication issues surrounding the design of such a reliable multicast mechanism. Approaches and solutions from the literature are discussed, and four experimental Transport Layer protocols that incorporate reliable multicast are examined.

Warm dark matter

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

Horiuchi, Shunsaku, E-mail: horiuchi@vt.edu

2016-06-21

The cold dark matter paradigm has been extremely successful in explaining the large-scale structure of the Universe. However, it continues to face issues when confronted by observations on sub-Galactic scales. A major caveat, now being addressed, has been the incomplete treatment of baryon physics. We first summarize the small-scale issues surrounding cold dark matter and discuss the solutions explored by modern state-of-the-art numerical simulations including treatment of baryonic physics. We identify the too big to fail in field galaxies as among the best targets to study modifications to dark matter, and discuss the particular connection with sterile neutrino warm darkmore » matter. We also discuss how the recently detected anomalous 3.55 keV X-ray lines, when interpreted as sterile neutrino dark matter decay, provide a very good description of small-scale observations of the Local Group.« less

Design of an air traffic computer simulation system to support investigation of civil tiltrotor aircraft operations

NASA Technical Reports Server (NTRS)

Rogers, Ralph V.

1992-01-01

This research project addresses the need to provide an efficient and safe mechanism to investigate the effects and requirements of the tiltrotor aircraft's commercial operations on air transportation infrastructures, particularly air traffic control. The mechanism of choice is computer simulation. Unfortunately, the fundamental paradigms of the current air traffic control simulation models do not directly support the broad range of operational options and environments necessary to study tiltrotor operations. Modification of current air traffic simulation models to meet these requirements does not appear viable given the range and complexity of issues needing resolution. As a result, the investigation of systemic, infrastructure issues surrounding the effects of tiltrotor commercial operations requires new approaches to simulation modeling. These models should be based on perspectives and ideas closer to those associated with tiltrotor air traffic operations.

Progress in the Development of a Cervical Cancer Vaccine

PubMed Central

Winters, Ursula; Roden, Richard; Kitchener, Henry; Stern, Peter

2006-01-01

Persistent infection by ‘high risk’ genotypes of human papilloma virus (HPV) is necessary but not sufficient for the development of over 98% of cervical cancers. Thus the development of vaccines that prevent HPV transmission represent an important opportunity to prevent cervical cancer. There are several prophylactic HPV vaccine formulations based upon L1 virus-like particles (VLPs) currently in phase III trials and recently released data are extremely promising. However, many practical issues surrounding implementation of these vaccines need to be addressed including, who and when to vaccinate, duration of protection, and integration with current screening programs. The vaccines currently being evaluated target the two most prevalent high risk HPV types which are responsible for approximately 70% of cervical cancers. To increase the breadth of protection, it is likely that L1 VLPs of other viral subtypes must be included, although vaccines targeting the conserved regions of the L2 minor capsid protein warrant further exploration in this regard. In addition the vaccines nearing licensing will not combat established HPV-related disease and a therapeutic vaccine, of which there are several candidates in early stages of development, would be desirable. This review discusses the background to and progress in vaccine development and the issues surrounding the introduction of HPV vaccines. PMID:18360601

Canadian Paediatric Neurology Workforce Survey and Consensus Statement.

PubMed

Doja, Asif; Orr, Serena L; McMillan, Hugh J; Kirton, Adam; Brna, Paula; Esser, Michael; Tang-Wai, Richard; Major, Philippe; Poulin, Chantal; Prasad, Narayan; Selby, Kathryn; Weiss, Shelly K; Yeh, E Ann; Callen, David Ja

2016-05-01

Little knowledge exists on the availability of academic and community paediatric neurology positions. This knowledge is crucial for making workforce decisions. Our study aimed to: 1) obtain information regarding the availability of positions for paediatric neurologists in academic centres; 2) survey paediatric neurology trainees regarding their perceptions of employment issues and career plans; 3) survey practicing community paediatric neurologists 4) convene a group of paediatric neurologists to develop consensus regarding how to address these workforce issues. Surveys addressing workforce issues regarding paediatric neurology in Canada were sent to: 1) all paediatric neurology program directors in Canada (n=9) who then solicited information from division heads and from paediatric neurologists in surrounding areas; 2) paediatric neurology trainees in Canada (n=57) and; 3) community paediatric neurologists (n=27). A meeting was held with relevant stakeholders to develop a consensus on how to approach employment issues. The response rate was 100% from program directors, 57.9% from residents and 44% from community paediatric neurologists. We found that the number of projected positions in academic paediatric neurology is fewer than the number of paediatric neurologists that are being trained over the next five to ten years, despite a clinical need for paediatric neurologists. Paediatric neurology residents are concerned about job availability and desire more career counselling. There is a current and projected clinical demand for paediatric neurologists despite a lack of academic positions. Training programs should focus on community neurology as a viable career option.

UNESCO Guidelines on Intercultural Education

ERIC Educational Resources Information Center

United Nations Educational, Scientific and Cultural Organization (UNESCO), 2007

2007-01-01

This paper aims to synthesize the central issues surrounding Intercultural Education, and presents the fundamental guiding principles for an intercultural approach to education as viewed by UNESCO. It is divided into three parts. Part I outlines the key issues surrounding Intercultural Education, as well as its objectives and basic operating…

Insights into software development in Japan

NASA Technical Reports Server (NTRS)

Duvall, Lorraine M.

1992-01-01

The interdependence of the U.S.-Japanese economies makes it imperative that we in the United States understand how business and technology developments take place in Japan. We can gain insight into these developments in software engineering by studying the context in which Japanese software is developed, the practices that are used, the problems encountered, the setting surrounding these problems, and the resolution of these problems. Context includes the technological and sociological characteristics of the software development environment, the software processes applied, personnel involved in the development process, and the corporate and social culture surrounding the development. Presented in this paper is a summary of results of a study that addresses these issues. Data for this study was collected during a three month visit to Japan where the author interviewed 20 software managers representing nine companies involved in developing software in Japan. These data are compared to similar data from the United States in which 12 managers from five companies were interviewed.

An urgent need to understand and address the safety and well-being of hospital "sitters".

PubMed

Schoenfisch, Ashley L; Pompeii, Lisa A; Lipscomb, Hester J; Smith, Claudia D; Upadhyaya, Mudita; Dement, John M

2015-12-01

Hospital sitters provide continuous observation of patients at risk of harming themselves or others. Little is known about sitters' occupational safety and well-being, including experiences with patient/visitor-perpetrated violence (type II). Data from surveys, focus groups, individual interviews at six U.S. hospitals were used to characterize the prevalence of and circumstance surrounding type II violence against sitters, as well as broader issues related to sitter use. Sitter respondents had a high 12-month prevalence of physical assault, physical threat, and verbal abuse compared to other workers in the hospital setting. Sitters and other staff indicated the need for clarification of sitters' roles regarding patient care and sitter well-being (e.g., calling for assistance, taking lunch/restroom breaks), training of sitters in personal safety and de-escalation, methods to communicate patient/visitor behaviors, and unit-level support. The burden of type II violence against hospital sitters is concerning. Policies surrounding sitters' roles and violence prevention training are urgently needed. © 2015 Wiley Periodicals, Inc.

Governing stem cell banks and registries: emerging issues.

PubMed

Isasi, Rosario M; Knoppers, Bartha M

2009-01-01

The expansion of national and international research efforts in stem cell research is increasingly paired with the trend of establishing stem cell banks and registries. In jurisdictions crossing the spectrum of restrictive to liberal stem cell policies, banks and registries are emerging as an essential resource for transnational access to quality-controlled and ethically sourced stem cell lines. In this study, we report the preliminary findings of a survey of stem cell banks participating in the International Stem Cell Forum's International Stem Cell Banking Initiative (ISCBI). The questionnaire circulated to all ISCBI members addressed both general issues surrounding research policies (e.g., national policies regulating the permissibility of conducting embryonic stem cell research (hESCR)) and, more specifically, issues relating to the governance of stem cell banking projects. The results of the questionnaire were complemented by scholarly research conducted by the authors. This article provides an overview of the current international hESC banking landscape (I). For this purpose, the policy and governance approaches adopted in the surveyed stem cell banks at the national level will be analyzed and areas of convergence and variance will be identified (II). It is beyond the scope of this paper to provide a comprehensive analysis of the wide range of possible governance approaches, policy responses, and their implications. However, we want to provide a starting point for discussion surrounding key questions and challenges as concerns provenance, access, and deposit of hESC lines (III). Finally, while our analysis is focused on research grade hESCs, the lessons to be gleaned from this examination will encourage further thought, analysis, and research into the issues raised in the banking and governance of other sources of stem cell lines (e.g., SCNT, parthenogenesis, iPs) (IV).

[Medical Problems in Air Travel from a General Practitioner’s Perspective].

PubMed

Stutz, Andreas; Ensslin, Angela

2016-07-06

As travel by air increases, so does the number of passengers with chronic or acute medical issues. To evaluate fitness for air travel, it is necessary to consider the impact of the altered atmospheric surroundings in an airplane on the current illness to avoid a worsening of health conditions or even an emergency. As first medical contact person, the general practitioner will define supportive measures together with the patient and discuss these with the Medical Service of the airline for implementation. After a thorough evaluation, most patients will be classified fit to fly. Furthermore, a pre-travel consultation should address necessary vaccinations and information on infectious diseases.

Applying the Listening to Mothers II Results in Lamaze Classes

PubMed Central

Day, Elizabeth H.

2007-01-01

Childbirth educators can use Childbirth Connection's Listening to Mothers II survey as a resource for updating their curriculum and teaching methods. The survey reveals that issues surrounding a woman's choice of care providers, her nutrition and fitness habits, and her possible experiences with depression and abuse may not be addressed sufficiently in a traditional, third-trimester, Lamaze class and may need greater emphasis in early pregnancy. The survey's results also show that women turn primarily to books, friends and family, health-care providers, and the Internet for information on pregnancy and birth. Suggestions for incorporating new sources of information and Internet technologies into Lamaze classes are discussed. PMID:18769523

Muzzle flash issues related to the Waco FLIR analysis

NASA Astrophysics Data System (ADS)

Grant, Barbara G.; Hardy, David T.

2001-09-01

The controversy surrounding the origin of flashes on the Mt. Carmel FLIR videotape acquired on April 19, 1993, is introduced. The characteristics of muzzle flash are reviewed. A comparative weapons description is offered. The temporal, spatial, and radiance characteristics of thermal infrared muzzle flash are addressed. Data acquired from a field experiment are presented. The authors conclude that the spatial characteristics of muzzle flash enable its detection by equipment such as the FLIR in use at Mt. Carmel on April 19, 1993; that while flashes obtained in the field appear highly radiant, measurements are necessary to quantify their values; and that the temporal behavior of muzzle flash deserves further study.

Revisiting physicians' financial incentives in Quebec: a panel system approach.

PubMed

Nassiri, Abdelhak; Rochaix, Lise

2006-01-01

Do Primary Care Physicians (PCPs) react strategically to financial incentives and if so how? To address this question, we follow a quasi-natural experiment in Quebec, using a panel system technique. In so doing, we both correct for underestimation biases in earlier time series findings and generate new results on the issue of complementarity/substitution between consultations with varying levels of technicality. Under both techniques, we show that PCPs are sensitive to the enforcement and subsequent temporary removals of expenditure caps and more generally, to changes in consultations' relative prices over time. These results support the existence of a discretionary power over the choice of consultation, PCPs increasing strategically the number of the more technical (and therefore more lucrative) consultations when pressed to defend their income. This finding for primary care parallels the now well-established DRG creep in hospitals. The panel system approach offers a better account of the complexity surrounding PCPs' decision-making process. In particular, it successfully addresses issues of physician heterogeneity, jointness between consultations and temporal breaks and generates robust estimates of PCPs volume and quality reactions to regulatory changes. Copyright (c) 2005 John Wiley & Sons, Ltd.

Understanding Amphibian Declines Through Geographic Approaches

USGS Publications Warehouse

Gallant, Alisa

2006-01-01

Growing concern over worldwide amphibian declines warrants serious examination. Amphibians are important to the proper functioning of ecosystems and provide many direct benefits to humans in the form of pest and disease control, pharmaceutical compounds, and even food. Amphibians have permeable skin and rely on both aquatic and terrestrial ecosystems during different seasons and stages of their lives. Their association with these ecosystems renders them likely to serve as sensitive indicators of environmental change. While much research on amphibian declines has centered on mysterious causes, or on causes that directly affect humans (global warming, chemical pollution, ultraviolet-B radiation), most declines are the result of habitat loss and habitat alteration. Improving our ability to characterize, model, and monitor the interactions between environmental variables and amphibian habitats is key to addressing amphibian conservation. In 2000, the U.S. Geological Survey (USGS) initiated the Amphibian Research and Monitoring Initiative (ARMI) to address issues surrounding amphibian declines.

Captive audience? Strategies for acquiring food in two Detroit neighborhoods.

PubMed

Rose, Daniel J

2011-05-01

Research has shown elevated rates of diet-related health problems in Detroit, Michigan compared to state and national averages. Using 47 in-depth interviews of African American residents in two Detroit neighborhoods, I examine the interplay between agency and social structure in food acquisition. Participants discussed numerous difficulties obtaining food, including availability, cost, quality, and accessibility. Residents employed many strategies to address these issues, including carefully examining food before purchase, sharing transportation to leave the neighborhood, and using multiple sources. However, the potential to pursue food acquisition strategies varied, in part, according to community contextual factors, including resident concerns about safety, the availability of food banks, and resources in surrounding areas. Nutritional knowledge among participants was sophisticated, suggesting that health education efforts, as opposed to addressing lack of access to high-quality food, might be misguided. I found that accounting for both agency and structural context aids in understanding diet-related behaviors.

This "Ethical Trap" Is for Roboticists, Not Robots: On the Issue of Artificial Agent Ethical Decision-Making.

PubMed

Miller, Keith W; Wolf, Marty J; Grodzinsky, Frances

2017-04-01

In this paper we address the question of when a researcher is justified in describing his or her artificial agent as demonstrating ethical decision-making. The paper is motivated by the amount of research being done that attempts to imbue artificial agents with expertise in ethical decision-making. It seems clear that computing systems make decisions, in that they make choices between different options; and there is scholarship in philosophy that addresses the distinction between ethical decision-making and general decision-making. Essentially, the qualitative difference between ethical decisions and general decisions is that ethical decisions must be part of the process of developing ethical expertise within an agent. We use this distinction in examining publicity surrounding a particular experiment in which a simulated robot attempted to safeguard simulated humans from falling into a hole. We conclude that any suggestions that this simulated robot was making ethical decisions were misleading.

Stuck in the middle: the impact of collaborative interprofessional communication on patient expectations.

PubMed

Stewart, Michael Adrian

2018-01-01

A central aim of modern day healthcare is to deliver a high quality, patient-centred service that addresses the expectations of its service users. However, mounting research evidence highlights a lack of patient satisfaction across a range of healthcare settings, with an overwhelming proportion of complaints relating to interprofessional communication. The link between interprofessional miscommunication and poor patient outcomes has been well documented. All too often, patients are left feeling stuck in the middle between opposing opinions, differing diagnoses and conflicting clinical outlooks. This article aims to highlight the issues surrounding interprofessional communication in healthcare, at the same time as addressing the potential facilitators and barriers for developing improved collaborative links between healthcare providers. Several key questions will be considered: (i) what are the underlying causes of interprofessional miscommunication; (ii) what do patients expect from healthcare professionals; and (iii) how might we reduce the risk of miscommunication and develop interprofessional collaboration?

Rising Cost of Cancer Pharmaceuticals: Cost Issues and Interventions to Control Costs.

PubMed

Glode, Ashley E; May, Megan Brafford

2017-01-01

The rising cost of pharmaceuticals and, in particular, cancer drugs has made headline news in recent years. Several factors contribute to increasing costs and the burden this places on the health care system and patients. Some of these factors include costly cancer pharmaceutical research and development, longer clinical trials required to achieve drug approval, manufacturing costs for complex compounds, and the economic principles surrounding oncology drug pricing. Strategies to control costs have been proposed, and some have already been implemented to mitigate cancer drug costs such as the use of clinical treatment pathways and tools to facilitate cost discussions with patients. In this article, we briefly review some of the potential factors contributing to increasing cancer pharmaceutical costs and interventions to mitigate costs, and touch on the role of health care providers in addressing this important issue. © 2016 Pharmacotherapy Publications, Inc.

77 FR 38024 - Oil and Gas; Well Stimulation, Including Hydraulic Fracturing, on Federal and Indian Lands

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-26

...On May 11, 2012, the Bureau of Land Management (BLM) published in the Federal Register a proposed rule to regulate hydraulic fracturing on public land and Indian land. The rule would require disclosure to the public of chemicals used in hydraulic fracturing on public land and Indian land, strengthen regulations related to well- bore integrity, and address issues related to flowback water. This rule is necessary to provide useful information to the public and to help ensure that hydraulic fracturing is conducted in a way that adequately protects the environment. Due to the complexity of the rule and the issues surrounding it, the BLM is extending the comment period for 60 days beyond the end of the initial comment period. As a result of this extension, the comment period will now close on September 10, 2012.

Design and analysis issues in quantitative proteomics studies.

PubMed

Karp, Natasha A; Lilley, Kathryn S

2007-09-01

Quantitative proteomics is the comparison of distinct proteomes which enables the identification of protein species which exhibit changes in expression or post-translational state in response to a given stimulus. Many different quantitative techniques are being utilized and generate large datasets. Independent of the technique used, these large datasets need robust data analysis to ensure valid conclusions are drawn from such studies. Approaches to address the problems that arise with large datasets are discussed to give insight into the types of statistical analyses of data appropriate for the various experimental strategies that can be employed by quantitative proteomic studies. This review also highlights the importance of employing a robust experimental design and highlights various issues surrounding the design of experiments. The concepts and examples discussed within will show how robust design and analysis will lead to confident results that will ensure quantitative proteomics delivers.

Confronting uncomfortable truths: receptivity and resistance to Aboriginal content in midwifery education.

PubMed

Thackrah, Rosalie D; Thompson, Sandra C

2013-12-01

The emotional responses of students undertaking a new, compulsory unit on Indigenous cultures and health were investigated as part of a broader study looking at culturally secure practice in midwifery education and service provision for Aboriginal women. Classroom observations were conducted on a first year midwifery cohort from July to October 2012 and students completed 'before and after' questionnaires. A spectrum of emotional responses was identified and found to be consistent with studies of medical student exposure to Aboriginal content. While stereotypes were challenged and perceptions altered as a result of the content, issues surrounding racism remained unresolved, with some students expressing dismay at the attitudes of their peers. This study confirmed the need for content on Aboriginal health and cultures to extend beyond one unit in a course. Learning and knowledge must be carefully integrated and developed to maximise understanding and ensure that unresolved issues are addressed.

Properties of a center/surround retinex. Part 2: Surround design

NASA Technical Reports Server (NTRS)

Jobson, Daniel J.; Woodell, Glenn A.

1995-01-01

The last version of Edwin Land's retinex model for human vision's lightness and color constancy has been implemented. Previous research has established the mathematical foundations of Land's retinex but has not examined specific design issues and their effects on the properties of the retinex operation. We have sought to define a practical implementation of the retinex without particular concern for its validity as a model for human lightness and color perception. Here we describe issues involved in designing the surround function. We find that there is a trade-off between rendition and dynamic range compression that is governed by the surround space constant. Various functional forms for the retinex surround are evaluated and a Gaussian form is found to perform better than the inverse square suggested by Land. Preliminary testing led to the design of a Gaussian surround with a space constant of 80 pixels as a reasonable compromise between dynamic range compression and rendition.

Pubescent male students' attitudes towards menstruation in Taiwan: implications for reproductive health education and school nursing practice.

PubMed

Chang, Yu-Ting; Hayter, Mark; Lin, Mei-Ling

2012-02-01

To explore male students' attitudes towards menstruation. Menstruation is a biological event that is often surrounded by secrecy and social stigma that causes anxiety amongst many young girls. A key element of this is the attitudes of young males towards this reproductive health issue. However, the literature around what young males think and feel about menstruation is limited. Qualitative. A sample of 27 male students aged between 10-12 years participated in five focus groups. Data were then subject to a thematic analysis. Five themes emerged from the data analysis that reflected the boys' feelings, experiences and attitudes towards menstruation: 'A silent topic', 'An unimportant issue', 'Errant information about menstruation'. In addition, according to their experience, participants gradually came to see menstruation from the 'menstrual stereotype' viewpoint. In their social life, they made choices that resulted in gradually regulating their behaviour that affected their 'relationships with girls'. Young boys have misguided knowledge about menstruation and this helps to perpetuate the stigma surrounding this element of reproductive health. Boys also express a desire to learn more but are often restricted in this by home and school. School nurses are the best placed professionals to address this issue. Menstrual education with boys should take a greater prominence than it often does in sexual health education in schools. Such inclusion will provide boys with a balanced and accurate knowledge base and therefore help towards reducing the social stigma around menstruation that is often experienced by young girls. © 2011 Blackwell Publishing Ltd.

Global report on preterm birth and stillbirth (6 of 7): ethical considerations

PubMed Central

2010-01-01

Introduction Despite the substantial global burden of preterm and stillbirth, little attention has been given to the ethical considerations related to research and interventions in the global context. Ethical dilemmas surrounding reproductive decisions and the care of preterm newborns impact the delivery of interventions, and are not well understood in low-resource settings. Issues such as how to address the moral and cultural attitudes surrounding stillbirths, have cross-cutting implications for global visibility of the disease burden. This analysis identifies ethical issues impacting definitions, discovery, development, and delivery of effective interventions to decrease the global burden of preterm birth and stillbirth. Methods This review is based on a comprehensive literature review; an ethical analysis of other articles within this global report; and discussions with GAPPS's Scientific Advisory Council, team of international investigators, and a community of international experts on maternal, newborn, and child health and bioethics from the 2009 International Conference on Prematurity and Stillbirth. The literature review includes articles in PubMed, Academic Search Complete (EBSCO), and Philosopher's Index with a range of 1995-2008. Results Advancements in discovery science relating to preterm birth and stillbirth require careful consideration in the design and use of repositories containing maternal specimens and data. Equally important is the need to improve clinical translation from basic science research to delivery of interventions, and to ensure global needs inform discovery science agenda-setting. Ethical issues in the development of interventions include a need to balance immediate versus long-term impacts—such as caring for preterm newborns rather than preventing preterm births. The delivery of interventions must address: women's health disparities as determinants of preterm birth and stillbirth; improving measurements of impact on equity in coverage; balancing maternal and newborn outcomes in choosing interventions; and understanding the personal and cross-cultural experiences of preterm birth and stillbirth among women, families and communities. Conclusion Efforts to improve visibility, funding, research and the successful delivery of interventions for preterm birth and stillbirth face a number of ethical concerns. Thoughtful input from those in health policy, bioethics and international research ethics helped shape an interdisciplinary global action agenda to prevent preterm birth and stillbirth. PMID:20233387

International perspectives on the ethics and regulation of human cell and tissue transplantation.

PubMed

Schulz-Baldes, Annette; Biller-Andorno, Nikola; Capron, Alexander Morgan

2007-12-01

The transplantation of human cells and tissues has become a global enterprise for both life-saving and life-enhancing purposes. Yet current practices raise numerous ethical and policy issues relating to informed consent for donation, profit-making, and quality and safety in the procurement, processing, distribution, and international circulation of human cells and tissues. This paper reports on recent developments in the international debate surrounding these issues, and in particular on the attention cell and tissue transplantation has received in WHO's ongoing process of updating its 1991 Guiding principles on human organ transplantation. Several of the organizers of an international working group of stakeholders from a wide range of backgrounds that convened in Zurich in July 2006 summarize the areas of normative agreement and disagreement, and identify open questions regarding facts and fundamental concepts of potential normative significance. These issues must be addressed through development of common medical, scientific, legal and ethical requirements for human cell and tissue transplantation on a global basis. While guidance must accommodate the distinct ethical issues raised by activities involving human cells and tissues, consistency with normative frameworks for organ transplantation remains a prime objective.

A clinical education and practice placements in the allied health professions: an international perspective.

PubMed

Rodger, Sylvia; Webb, Gillian; Devitt, Lorraine; Gilbert, John; Wrightson, Pat; McMeeken, Joan

2008-01-01

This report describes the outcomes of extensive discussions surrounding clinical education and practice placement issues undertaken by an international group of allied health educators (in audiology, occupational therapy, physiotherapy, and speech pathology) who have met since 2001 as part of Universitas 21 Health Sciences annual meetings. The report outlines key issues associated with clinical education and practice placements from an international perspective and across these four allied health professions. The allied health practice context is described in terms of the range of allied health educational programs in Universitas 21 and recent changes in health and tertiary education sectors in represented countries. Some issues and benefits related to supervision during allied health students' practice placements are addressed. A new approach is proposed through partnership such that frameworks for the provision of practice placements can be created to facilitate student learning and educate and support clinical educators. A set of guidelines that can enhance partnerships and collaborative practice for the benefit of clinical education within complex and changing health/human service and educational environments is proposed.

Body Image and Sexuality in Women Survivors of Breast Cancer in India: Qualitative Findings.

PubMed

Barthakur, Michelle S; Sharma, Mahendra P; Chaturvedi, Santosh K; Manjunath, Suraj K

2017-01-01

With increasing rates of breast cancer survivors, psychosocial issues surrounding cancer survivorship have been gaining prominence. The following article reports on body image and sexuality-related issues in aftermath of the diagnosis and its treatment in the Indian context. Research design was mixed method, cross-sectional, and exploratory in nature. Quantitative sample consisted of fifty survivors while the qualitative sample size included 15 out of the 50 total breast cancer survivors who were recruited from hospitals, nongovernmental organization, and through word-of-mouth. Data was collected using quantitative measures, and in-depth interviews were done using semi-structured interview schedule that was developed for the study. Qualitative data were analyzed using descriptive phenomenological approach. In body image, emerging themes were about identity (womanhood, motherhood, and attractiveness), impact of surgery, hair loss, clothes, and uncomfortable situations. In sexuality, barriers were faced due to difficulty in disclosure and themes were about adjustments made by spouses, role of age, and sexual difficulties due to treatment. Findings imply need to address the issues of body image and sexuality as it impacts quality of life of survivors.

Exploring recruitment issues in stroke research: a qualitative study of nurse researchers' experiences.

PubMed

Boxall, Leigh; Hemsley, Anthony; White, Nicola

2016-05-01

To explore the practice of experienced stroke nurse researchers to understand the issues they face in recruiting participants. Participant recruitment is one of the greatest challenges in conducting clinical research, with many trials failing due to recruitment problems. Stroke research is a particularly difficult area in which to recruit; however various strategies can improve participation. Analysis revealed three main types of problems for recruiting participants to stroke research: those related to patients, those related to the nurse researcher, and those related to the study itself. Impairments affecting capacity to consent, the acute recruitment time frame of most stroke trials, paternalism by nurse researchers, and low public awareness were especially pertinent. The disabling nature of a stroke, which often includes functional and cognitive impairments, and the acute stage of illness at which patients are appropriate for many trials, make recruiting patients particularly complex and challenging. An awareness of the issues surrounding the recruitment of stroke patients may help researchers in designing and conducting trials. Future work is needed to address the complexities of obtaining informed consent when patient capacity is compromised.

Bringing politics back into water planning scenarios in Europe

NASA Astrophysics Data System (ADS)

Fernandez, Sara; Bouleau, Gabrielle; Treyer, Sébastien

2014-10-01

The shift from government to governance in European water policies conveys a pluralist conception of stakeholder participation in planning. This article argues that the current Driving forces-Pressures-State-Impact-Response (DPSIR) approach to the planning of natural resource use, developed by the Organisation for Economic Cooperation and Development (OECD) and the European Environmental Agency (EEA) is at odds with a pluralistic conception. The DPSIR approach consists in constructing a single socio-environmental model to address a specific problem in water management, while paying no attention to the existence of conflicts surrounding the definition of the issue at hand, the social, political and spatial delimitation of that issue, and the translation of stakes in terms of quantitative variables. Scenarios produced in this process therefore explore a limited range of policies, i.e. those defining the problem in the same way, as illustrated here with the case of the Garonne River in France. This article presents an alternative method, combining knowledge in social science and natural determinisms to build contrasting socio-hydrological scenarios that do not share the same hypotheses regarding their respective key issues.

Custody and access issues with children whose parents are separated or divorced.

PubMed

Palmer, Sally E

2002-01-01

This article discusses the effects of family breakdown--and the resulting issues of custody and access--on children. It explores trends in child custody and access and issues surrounding those trends, particularly in terms of the benefits and limitations of joint custody. It then identifies the contextual problems of family breakups (including the relative poverty experienced by mother-led families, the unreliability of financial support from fathers, the complications for children which result from step-parent figures, including serial partners of their parents, the implications of interparental conflict, the need to fully address suspicions and/or allegations of abuse by one parent against another, and the problem of Parental Alienation Syndrome). Typical responses of children to family breakup are then considered, including feelings of loss, guilt, and responsibility, and a sense of divided loyalties--particularly in light of intense or violent parental conflict. And finally, recommendations are made to minimize the detrimental effects of family breakup on children: (a) allowing children choice and flexibility, (b) exploring the benefits of mediation for families, (c) promoting parental co-operation, and (d) encouraging an ongoing relationship with the nonresidential parent.

Climate Change and the Los Alamos National Laboratory. The Adaptation Challenge

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

Fowler, Kimberly M.; Hjeresen, Dennis; Silverman, Josh

2015-02-01

The Los Alamos National Laboratory (LANL) has been adapting to climate change related impacts that have been occurring on decadal time scales. The region where LANL is located has been subject to a cascade of climate related impacts: drought, devastating wildfires, and historic flooding events. Instead of buckling under the pressure, LANL and the surrounding communities have integrated climate change mitigation strategies into their daily operations and long-term plans by increasing coordination and communication between the Federal, State, and local agencies in the region, identifying and aggressively managing forested areas in need of near-term attention, addressing flood control and retentionmore » issues, and more.« less

Management of hypertension in the elderly: Looking for a trade-off between cardiovascular prevention and serious adverse events.

PubMed

Buonacera, Agata; Stancanelli, Benedetta; Malatino, Lorenzo

2018-06-07

Despite the effectiveness of anti-hypertensive therapy is well recognized, the most adequate target to achieve in the management of hypertension in the elderly is still under debate. Indeed, looking at the balance between benefits and risks, accumulating evidence has recently specifically addressed this issue, focusing on controversies. Evidence surrounding a more aggressive treatment may lead to a turnaround in the clinical care of older adult hypertensives, but a balanced trade-off between benefits and risks needs to be programmed and achieved, particularly in this clinical setting. We argue whether and how the results from recent trials could influence the management of hypertension in older people.

Privacy and Security Issues Surrounding the Protection of Data Generated by Continuous Glucose Monitors.

PubMed

Britton, Katherine E; Britton-Colonnese, Jennifer D

2017-03-01

Being able to track, analyze, and use data from continuous glucose monitors (CGMs) and through platforms and apps that communicate with CGMs helps achieve better outcomes and can advance the understanding of diabetes. The risks to patients' expectation of privacy are great, and their ability to control how their information is collected, stored, and used is virtually nonexistent. Patients' physical security is also at risk if adequate cybersecurity measures are not taken. Currently, data privacy and security protections are not robust enough to address the privacy and security risks and stymies the current and future benefits of CGM and the platforms and apps that communicate with them.

Privacy and Security Issues Surrounding the Protection of Data Generated by Continuous Glucose Monitors

PubMed Central

Britton, Katherine E.; Britton-Colonnese, Jennifer D.

2017-01-01

Being able to track, analyze, and use data from continuous glucose monitors (CGMs) and through platforms and apps that communicate with CGMs helps achieve better outcomes and can advance the understanding of diabetes. The risks to patients’ expectation of privacy are great, and their ability to control how their information is collected, stored, and used is virtually nonexistent. Patients’ physical security is also at risk if adequate cybersecurity measures are not taken. Currently, data privacy and security protections are not robust enough to address the privacy and security risks and stymies the current and future benefits of CGM and the platforms and apps that communicate with them. PMID:28264188

Using blogs and wikis in a graduate public health course.

PubMed

Cobus, Laura

2009-01-01

Blogs and wikis are examples of Web 2.0 technology that facilitate collaboration in the online world. In the health sciences, the emergence of these social tools potentially increases the risk of generating harmful or biased information. Therefore, it is the health professional's responsibility to have the skills to critically appraise Web content that has not undergone traditional peer review. This was the focus in a three-credit graduate Urban Public Health course taught by a librarian and was addressed with assignments using blog and wiki technology within the course management tool Blackboard. The assignments fostered comprehension of the issues surrounding blogs and wikis as they relate to public health.

Breastfeeding: The Illusion of Choice.

PubMed

Dinour, Lauren M; Bai, Yeon K

2016-01-01

Breastfeeding is frequently described as a woman's decision, yet this choice is often illusionary owing to suboptimal social and structural supports. Despite passage of the Patient Protection and Affordable Care Act (2010) that requires all qualifying employers to provide mothers "reasonable" break time and a private, non-bathroom space to express breast milk, the majority of women in the United States still do not have access to both accommodations. At least three issues may be influencing this suboptimal implementation at workplaces: 1) federal law does not address lactation space functionality and accessibility, 2) federal law only protects a subset of employees, and 3) enforcement of the federal law requires women to file a complaint with the United States Department of Labor. To address each of these issues, we recommend the following modifications to current law: 1) additional requirements surrounding lactation space and functionality, 2) mandated coverage of exempt employees, and 3) requirement that employers develop company-specific lactation policies. If the goal is to give women a real choice of whether to continue breastfeeding after returning to work, we must provide the proper social and structural supports that will allow for a truly personal decision. No mother should have to choose between breastfeeding her child and earning a paycheck. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

The business of human embryonic stem cell research and an international analysis of relevant laws.

PubMed

De Trizio, Ella; Brennan, Christopher S

2004-01-01

Few sciences have held out such therapeutic promise and correspondingly stirred so much controversy in countries throughout the world as the developing science surrounding human embryonic stem cells. Since the first reported development of several lines of human embryonic stem cells in 1988, many governments around the world have attempted to address the thorny ethical issues raised by human embryonic stem cell research by the passage of laws. In some cases these laws have directly regulated governmental funding of the science; in other cases they have created a legal environment that has either encouraged or discouraged both governmental and private funding of the science. This article first differentiates human embryonic stem cells from other types of stem cells and frames the ethical controversy surrounding human embryonic stem cell research, then surveys laws governing human embryonic stem cell research in various scientifically advanced countries located throughout the Pacific Rim, Europe and North America and explains the impact these laws have had on governmental and private funding of human embryonic stem cell research.

Interference from the Deep Space Network's 70-m High Power Transmitter in Goldstone, CA to 3G Mobile Users Operating in the Surrounding Area

NASA Technical Reports Server (NTRS)

Ho, Christian

2004-01-01

The International Telecommunications Union (ITU) has allocated 2110-2200 MHz for the third generation (3G) mobile services. Part of the spectrum (2110-2120 MHz) is allocated for space research service and has been used by the DSN for years for sending command uplinks to deep space missions. Due to the extremely high power transmitted, potential interference to 3G users in areas surrounding DSN Goldstone exists. To address this issue, a preliminary analytical study has been performed and computer models have been developed. The goal is to provide theoretical foundation and tools to estimate the strength of interference as a function of distance from the transmitter for various interference mechanisms, (or propagation modes), and then determine the size of the area in which 3G users are susceptible to interference from the 400-kW transmitter in Goldstone. The focus is non-line-of-sight interference, taking into account of terrain shielding, anomalous propagation mechanisms, and technical and operational characteristics of the DSN and the 3G services.

Addressing Parental Vaccine Concerns: Engagement, Balance, and Timing

PubMed Central

Glanz, Jason M.; Kraus, Courtney R.; Daley, Matthew F.

2015-01-01

The recent United States measles epidemic has sparked another contentious national discussion about childhood vaccination. A growing number of parents are expressing concerns about the safety of vaccines, often fueled by misinformation from the internet, books, and other nonmedical sources. Many of these concerned parents are choosing to refuse or delay childhood vaccines, placing their children and surrounding communities at risk for serious diseases that are nearly 100% preventable with vaccination. Between 10% and 15% of parents are asking physicians to space out the timing of vaccines, which often poses an ethical dilemma for physicians. This trend reflects a tension between personal liberty and public health, as parents fight to control the decisions that affect the health of their children and public health officials strive to maintain high immunization rates to prevent outbreaks of vaccine-preventable diseases. Interventions to address this emerging public health issue are needed. We describe a framework by which web-based interventions can be used to help parents make evidence-based decisions about childhood vaccinations. PMID:26252770

Addressing the determinants of child mental health: intersectionality as a guide to primary health care renewal.

PubMed

McPherson, Charmaine M; McGibbon, Elizabeth A

2010-09-01

Primary health care (PHC) renewal was designed explicitly to attend to the multidimensional factors impacting on health, including the social determinants of health. These determinants are central considerations in the development of integrated, cross-sectoral, and multi-jurisdictional policies such as those that inform models of shared mental health care for children. However, there are complex theoretical challenges in translating these multidimensional issues into policy. One of these is the rarely discussed interrelationships among the social determinants of health and identities such as race, gender, age, sexuality, and social class within the added confluence of geographic contexts. An intersectionality lens is used to examine the complex interrelationships among the factors affecting child mental health and the associated policy challenges surrounding PHC renewal. The authors argue that an understanding of the intersections of social determinants of health, identity, and geography is pivotal in guiding policy-makers as they address child mental health inequities using a PHC renewal agenda.

Investigation of Consensually Nonmonogamous Relationships.

PubMed

Conley, Terri; Matsick, Jessica; Moors, Amy Catherine; Ziegler, Ali

2017-03-01

We proposed that the premise that monogamy is the exemplary form of romantic partnership underlies much theory and research on relationship quality, and we addressed how this bias has prompted methodological issues that make it difficult to effectively address the quality of nonmonogamous relationships. Because the idea that consensually nonmonogamous (CNM) relationships are functional (i.e., satisfying and of high quality) is controversial, we included a basic study to assess, in a variety of ways, the quality of these relationships. In that study, we found few differences in relationship functioning between individuals engaged in monogamy and those in CNM relationships. We then considered how existing theories could help researchers to understand CNM relationships and how CNM relationships could shed light on relationship processes, and we proposed a model of how CNM and monogamous relationships differ. Finally, in a second study, we determined that even researchers who present data about CNM are affected by the stigma surrounding such relationships. That is, researchers presenting findings favoring polyamory were perceived as more biased than researchers presenting findings favoring monogamy.

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

Not Available

The 26-acre Shaw Avenue Dump site is a chemical waste site in Charles City, Floyd County, Iowa. Land use in the area is predominantly residential. From 1899 to 1964, Charles City used the site as a municipal landfill for waste incineration, and disposal of liming sludge from the city's publicly owned treatment works (POTW) and asphaltic materials continue to be disposed of in the landfill. Between 1977 and 1981, the State issued reports based on studies of the site and surface water that documented elevated levels of metals in an abandoned gravel pit near the site. The Record of Decisionmore » (ROD) addresses the chemical fill and surrounding contaminated soil, and the underground gasoline tank as Operable Unit 1 (OU1). A future ROD will address contaminated ground water as OU2. The primary contaminants of concern affecting the soil and debris are VOCs including benzene, toluene, and xylenes; other organics including PAHs; metals including arsenic and lead; and other inorganics. The selected remedial action for the site is included.« less

Reappraising 'the good death' for populations in the age of ageing.

PubMed

Pollock, Kristian; Seymour, Jane

2018-05-01

This is the second in an occasional series of paired commentaries in Age and Ageing, the Journal of the British Geriatrics Society and the Journal of the American Geriatrics Society (JAGS). The aim is to address issues of current significance and to foster dialogue and increased understanding between academics and clinicians working in comparative international settings. Both commentaries address the urgent need to improve palliative care for older people, with a critique of some stereotypes surrounding palliative care and the 'good death'. The companion commentary, published in JAGS, was written by Alexander Smith and Vyjeyanthi Periyakoil, and is grounded in their experience as academic clinicians (Smith AK, Periyakoil V. Should we bury 'The Good Death'? Journal of the American Geriatrics Society 2018; in press). In the present paper, we offer a perspective on the outcome and wider consequences of misalignment between current UK policy and aspirations for end of life care in relation to epidemiological trends and patient experience of death and dying.

A category adjustment approach to memory for spatial location in natural scenes.

PubMed

Holden, Mark P; Curby, Kim M; Newcombe, Nora S; Shipley, Thomas F

2010-05-01

Memories for spatial locations often show systematic errors toward the central value of the surrounding region. This bias has been explained using a Bayesian model in which fine-grained and categorical information are combined (Huttenlocher, Hedges, & Duncan, 1991). However, experiments testing this model have largely used locations contained in simple geometric shapes. Use of this paradigm raises 2 issues. First, do results generalize to the complex natural world? Second, what types of information might be used to segment complex spaces into constituent categories? Experiment 1 addressed the 1st question by showing a bias toward prototypical values in memory for spatial locations in complex natural scenes. Experiment 2 addressed the 2nd question by manipulating the availability of basic visual cues (using color negatives) or of semantic information about the scene (using inverted images). Error patterns suggest that both perceptual and conceptual information are involved in segmentation. The possible neurological foundations of location memory of this kind are discussed. PsycINFO Database Record (c) 2010 APA, all rights reserved.

Supplying emergency contraception to adolescents: the nurse's role.

PubMed

Hopkins, Craig

2014-12-02

This article explores issues surrounding the supply of emergency contraception to adolescents to reduce the risk of unintended pregnancy. It explains the female reproductive cycle, and describes the types of emergency contraception that may be supplied following unprotected sexual intercourse or contraception failure. The aftercare that should be offered to adolescents following the supply of emergency contraception is discussed, alongside issues surrounding the safeguarding of children and vulnerable adults.

Private business perceptions of transportation issues and the island explorer bus system at Acadia National Park, Maine

Treesearch

Rea Brennan; Marc Edwards; John J. Daigle

2002-01-01

National Parks and communities that surround them often must work together to create the best possible experience for the visitors to the area. In the case of Acadia National Park in Maine, the surrounding communities and the park have worked together to face the issue of congestion in the area caused by too many automobiles. The Island Explorer Bus alternative...

Exploring resources for intrafamilial communication of cancer genetic risk: we still need to talk

PubMed Central

McClellan, Kelly A; Kleiderman, Erika; Black, Lee; Bouchard, Karine; Dorval, Michel; Simard, Jacques; Knoppers, Bartha M; Avard, Denise

2013-01-01

While the importance of intrafamilial communication of hereditary cancer risk has been acknowledged, the factors that promote and act as barriers to patients disclosing their information to their families are complex and emerging. This raises the question: How are patients guided in practice to contemplate intrafamilial communication? Focusing on breast cancer, we conducted an exploratory study examining current resources supporting patients and health-care professionals, and isolated the messages surrounding intrafamilial communication of cancer risk. We find the duty for health-care professionals to counsel patients regarding intrafamilial communication is acknowledged to varying degrees by multiple actors in the cancer care delivery landscape, including health-care professional associations, health service organizations, and patient groups. A range of medical, psychosocial, and other factors underlying intrafamilial communication are acknowledged in messages to patients. Patients, however, are often referred to a single group of health-care professionals to discuss their diverse and complex needs. At the same time, messages aimed at patients appear to place the emphasis on barriers that could exist for patients contemplating intrafamilial communication, while highlighting the benefits families derive from such communication. Taken together, this points to a lack of coherence within materials directed to patients and suggests the need to do coordinated research among stakeholders to address two related issues: (1) determining who are the actors best positioned to send messages surrounding intrafamilial communication to patients and (2) addressing the content of messages conveyed in patient materials. PMID:23340514

Publishing SNP genotypes of human embryonic stem cell lines: policy statement of the International Stem Cell Forum Ethics Working Party.

PubMed

Knoppers, Bartha M; Isasi, Rosario; Benvenisty, Nissim; Kim, Ock-Joo; Lomax, Geoffrey; Morris, Clive; Murray, Thomas H; Lee, Eng Hin; Perry, Margery; Richardson, Genevra; Sipp, Douglas; Tanner, Klaus; Wahlström, Jan; de Wert, Guido; Zeng, Fanyi

2011-09-01

Novel methods and associated tools permitting individual identification in publicly accessible SNP databases have become a debatable issue. There is growing concern that current technical and ethical safeguards to protect the identities of donors could be insufficient. In the context of human embryonic stem cell research, there are no studies focusing on the probability that an hESC line donor could be identified by analyzing published SNP profiles and associated genotypic and phenotypic information. We present the International Stem Cell Forum (ISCF) Ethics Working Party's Policy Statement on "Publishing SNP Genotypes of Human Embryonic Stem Cell Lines (hESC)". The Statement prospectively addresses issues surrounding the publication of genotypic data and associated annotations of hESC lines in open access databases. It proposes a balanced approach between the goals of open science and data sharing with the respect for fundamental bioethical principles (autonomy, privacy, beneficence, justice and research merit and integrity).

Bareback sex and gay men: an HIV prevention failure.

PubMed

Goodroad, B K; Kirksey, K M; Butensky, E

2000-01-01

Bareback sex, or actively seeking unprotected anal intercourse is occurring in the gay male community. This represents a new phenomenon, different from previously identified "relapse" unsafe sexual behavior and poses an important HIV prevention problem. This article reviews the extant literature regarding bareback sex. The lay press and scientific literature are reviewed. Although discussion of issues surrounding bareback sex is abundant in the gay press, scientific literature regarding this phenomenon is nonexistent. The evidence-based literature addresses relapse to unsafe sexual behavior. Although this literature provides further understanding of safer sexual behaviors in gay men, barebacking is a unique issue that requires additional exploration. In this article, factors underlying bareback sexual behavior are explored, including previous HIV prevention efforts and their relationship to this phenomenon. Finally, bareback sex in the gay male community and its implications for nursing practice, research, and education are explored. The harm reduction model is offered as a useful guide for nursing assessment and intervention.

Is hydroxyapatite a reliable fixation option in unicompartmental knee arthroplasty? A 5- to 13-year experience with the hydroxyapatite-coated unix prosthesis.

PubMed

Epinette, Jean-Alain; Manley, Michael T

2008-10-01

Hydroxyapatite-coated unicompartmental knee arthroplasty (UKA) is a debatable approach to unicompartmental knee arthritis because UKA isoften viewed as a short-term solution, at best, fora condition that will eventually require a total knee arthroplasty (TKA). Unicompartmental knee arthroplasty is a more technically demanding procedure than TKA, and appropriate patient selection, careful surgical technique, and correct choice of implant geometry are all critical components to its success. A fundamental issue surrounding UKA is whether hydroxyapatite-coated unicompartmental components can provide a long-term solution to unicondylar arthritis. We address this issue in the current study, which is based on a prospective series of 125 hydroxyapatite-coated Unix knee prostheses implanted consecutively between 1994 and 2002, with a 5-year minimum follow-up and a 13-year maximum follow-up. The results of our study indicate that uncemented hydroxyapatite-coated UKA can be successful in the long term.

A Case Study Approach to Nursing Home Placement: Smooth and Difficult Cases and Implications for Nursing.

PubMed

Koplow, Sarah M; Gallo, Agatha M; Knafl, Kathleen A; Vincent, Catherine; Paun, Olimpia; Gruss, Valerie

2015-07-01

Nursing home placement is one of the most challenging aspects of the caregiving journey. A case study approach was used to understand the experiences of caregivers during the first few months following nursing home placement. Two caregivers were selected from a larger qualitative descriptive study because their experiences exemplified smooth and difficult transitions for both themselves and their older family member. The caregivers were interviewed shortly after placement and 3 months post-placement. Four major contextual issues were identified that indicated the similarities and differences between the two cases, including (a) the caregiver's relationship with the older adult during the home caregiving time and post nursing home placement, (b) the circumstances surrounding placement, (c) support systems, and (d) continued involvement in care post-placement. Nursing home staff who understand these issues and address concerns through family-centered care can ease the transition and promote successful collaborations between staff and families. Copyright 2015, SLACK Incorporated.

Attitudes of First-year Medical Students Toward the Confidentiality of Computerized Patient Records

PubMed Central

Davis, Luke; Domm, Jennifer A.; Konikoff, Michael R.; Miller, Randolph A.

1999-01-01

Objectives: To investigate the attitudes of students entering medical school toward the confidentiality of computerized medical records. Design: First-year medical students at the Vanderbilt University School of Medicine responded to a series of questions about a hypothetic breach of patient's privacy through a computerized patient record system. Measurements: The individual authors independently grouped the blinded responses according to whether they were consistent with then-current institutional policy. These preliminary groupings were discussed, and final categorizations were made by consensus. Results: While most students had a sense of what was right and wrong in absolute terms, half the class suggested at least one course of action that was deemed to be inconsistent with institutional policies. Conclusions: The authors believe that medical schools should directly address ethical and legal issues related to the use of computers in clinical practice as an integral part of medical school curricula. Several teaching approaches can facilitate a greater awareness of the issues surrounding technology and medicine. PMID:9925228

Current Policies and New Directions for Speech-Language Pathology Assistants.

PubMed

Paul-Brown, Diane; Goldberg, Lynette R

2001-01-01

This article provides an overview of current American Speech-Language-Hearing Association (ASHA) policies for the appropriate use and supervision of speech-language pathology assistants with an emphasis on the need to preserve the role of fully qualified speech-language pathologists in the service delivery system. Seven challenging issues surrounding the appropriate use of speech-language pathology assistants are considered. These include registering assistants and approving training programs; membership in ASHA; discrepancies between state requirements and ASHA policies; preparation for serving diverse multicultural, bilingual, and international populations; supervision considerations; funding and reimbursement for assistants; and perspectives on career-ladder/bachelor-level personnel. The formation of a National Leadership Council is proposed to develop a coordinated strategic plan for addressing these controversial and potentially divisive issues related to speech-language pathology assistants. This council would implement strategies for future development in the areas of professional education pertaining to assistant-level supervision, instruction of assistants, communication networks, policy development, research, and the dissemination/promotion of information regarding assistants.

Ethical, social, and legal issues surrounding studies of susceptible populations and individuals.

PubMed Central

Soskolne, C L

1997-01-01

Calls for professional accountability have resulted in the development of ethics guidelines by numerous specialty and subspecialty groups of scientists. Indeed, guidelines among some health professions now address vulnerable and dependent groups: but these are silent on issues related to biomarkers. In parallel, attention has been drawn to human rights concerns associated with attempts to detect hypersusceptible workers, especially in democratic countries. Despite this, concern for vulnerable populations grows as advances in biomarker technology make the identification of genetic predisposition and susceptibility markers of both exposure and outcome more attainable. In this article, the principles derived from the ethical theory of utilitarianism provide the basis for principle-based ethical analysis. In addition, the four principles of biomedical ethics--respect for autonomy, beneficence, nonmaleficence, and social justice--are considered for biomarker studies. The need for a context in which ethical analysis is conducted and from which prevailing social values are shown to drive decisions of an ethical nature is emphasized; these include statutory regulation and law. Because biomarker studies can result in more harm than good, special precautions to inform research participants prior to any involvement in the use of biomarkers are needed. In addition, safeguards to maintain the privacy of data derived from biomarker studies must be developed and implemented prior to the application of these new technologies. Guidelines must be expanded to incorporate ethical, social, and legal considerations surrounding the introduction of new technologies for studying susceptible populations and individuals who may be vulnerable to environmental exposures. PMID:9255569

Clinical Studies of Biofield Therapies: Summary, Methodological Challenges, and Recommendations

PubMed Central

Hammerschlag, Richard; Mills, Paul; Cohen, Lorenzo; Krieger, Richard; Vieten, Cassandra; Lutgendorf, Susan

2015-01-01

Biofield therapies are noninvasive therapies in which the practitioner explicitly works with a client's biofield (interacting fields of energy and information that surround living systems) to stimulate healing responses in patients. While the practice of biofield therapies has existed in Eastern and Western cultures for thousands of years, empirical research on the effectiveness of biofield therapies is still relatively nascent. In this article, we provide a summary of the state of the evidence for biofield therapies for a number of different clinical conditions. We note specific methodological issues for research in biofield therapies that need to be addressed (including practitioner-based, outcomes-based, and research design considerations), as well as provide a list of suggested next steps for biofield researchers to consider. PMID:26665043

Demographics, the Third Age and partial retirement: Policy proposals to accommodate the changing picture of female retirement in Canada.

PubMed

Venne, Rosemary A; Hannay, Maureen

2017-01-01

Much concern has been raised around the potential impact of the retirement of the large baby boom generation. This article specifically addresses the unique issues surrounding the retirement of female baby boomers. Demographic changes, including increased labor force participation, coupled with declining fertility rates, have resulted in a social transformation of the roles women play in society. Despite these changes, women still bear much of the caregiving responsibilities in the household, which can complicate retirement choices. This article examines female retirement in the Canadian context and presents three policy proposals to expand women's retirement choices, encourage longer-term labor force participation, and thereby extend their working lives into the Third Age.

Blending quantitative and qualitative methods in language research and intervention.

PubMed

Brinton, Bonnie; Fujiki, Martin

2003-05-01

Best practice in speech-language pathology should be informed by current research findings. Traditional research methods are not always geared to address some of the complex, individual questions that arise in clinical intervention, however. Qualitative research methods may provide useful tools for bridging the gap from research to practice. Combinations of qualitative and quantitative procedures may be particularly helpful in sorting out some of the important issues surrounding language intervention in both clinical and research contexts. Examples of research blending qualitative and quantitative methods, as well as the case study of Sid, an 11-year-old boy with specific language impairment, are presented to illustrate how a combination of procedures can be used to enhance language research and intervention.

Clinical Studies of Biofield Therapies: Summary, Methodological Challenges, and Recommendations.

PubMed

Jain, Shamini; Hammerschlag, Richard; Mills, Paul; Cohen, Lorenzo; Krieger, Richard; Vieten, Cassandra; Lutgendorf, Susan

2015-11-01

Biofield therapies are noninvasive therapies in which the practitioner explicitly works with a client's biofield (interacting fields of energy and information that surround living systems) to stimulate healing responses in patients. While the practice of biofield therapies has existed in Eastern and Western cultures for thousands of years, empirical research on the effectiveness of biofield therapies is still relatively nascent. In this article, we provide a summary of the state of the evidence for biofield therapies for a number of different clinical conditions. We note specific methodological issues for research in biofield therapies that need to be addressed (including practitioner-based, outcomes-based, and research design considerations), as well as provide a list of suggested next steps for biofield researchers to consider.

Beyond Baby Steps: Today's Use of Social Networking Sites and the Nursing Profession.

PubMed

Sandlin, Jean Kelso; Hinmon, Dan

2016-01-01

Nurses' use of online social networking sites, such as Facebook and Twitter, are increasing and with it the controversy surrounding the compatibility of social networking sites within a profession that values privacy and confidentiality. This article draws on case studies, experiments, surveys, and policies from professional organizations, academic research, and nursing education programs spanning the last 5 years to highlight best practices that address 2 critical areas where the values of the nursing profession and those of social media most directly collide: regulatory issues and the blurring of professional and personal online identities. It also suggests ways of using social media to complement patient outcomes and the professional development of nurses while remaining consistent with professional ethics and values.

Physical and mechanical metallurgy of NiAl

NASA Technical Reports Server (NTRS)

Noebe, Ronald D.; Bowman, Randy R.; Nathal, Michael V.

1994-01-01

Considerable research has been performed on NiAl over the last decade, with an exponential increase in effort occurring over the last few years. This is due to interest in this material for electronic, catalytic, coating and especially high-temperature structural applications. This report uses this wealth of new information to develop a complete description of the properties and processing of NiAl and NiAl-based materials. Emphasis is placed on the controlling fracture and deformation mechanisms of single and polycrystalline NiAl and its alloys over the entire range of temperatures for which data are available. Creep, fatigue, and environmental resistance of this material are discussed. In addition, issues surrounding alloy design, development of NiAl-based composites, and materials processing are addressed.

Visualizing the Heterogeneity of Effects in the Analysis of Associations of Multiple Myeloma with Glyphosate Use. Comments on Sorahan, T. Multiple Myeloma and Glyphosate Use: A Re-Analysis of US Agricultural Health Study (AHS) Data. Int. J. Environ. Res. Public Health 2015, 12, 1548-1559.

PubMed

Burstyn, Igor; De Roos, Anneclaire J

2016-12-22

We address a methodological issue of the evaluation of the difference in effects in epidemiological studies that may arise, for example, from stratum-specific analyses or differences in analytical decisions during data analysis. We propose a new simulation-based method to quantify the plausible extent of such heterogeneity, rather than testing a hypothesis about its existence. We examine the contribution of the method to the debate surrounding risk of multiple myeloma and glyphosate use and propose that its application contributes to a more balanced weighting of evidence.

Visualizing the Heterogeneity of Effects in the Analysis of Associations of Multiple Myeloma with Glyphosate Use. Comments on Sorahan, T. Multiple Myeloma and Glyphosate Use: A Re-Analysis of US Agricultural Health Study (AHS) Data. Int. J. Environ. Res. Public Health 2015, 12, 1548–1559

PubMed Central

Burstyn, Igor; De Roos, Anneclaire J.

2016-01-01

We address a methodological issue of the evaluation of the difference in effects in epidemiological studies that may arise, for example, from stratum-specific analyses or differences in analytical decisions during data analysis. We propose a new simulation-based method to quantify the plausible extent of such heterogeneity, rather than testing a hypothesis about its existence. We examine the contribution of the method to the debate surrounding risk of multiple myeloma and glyphosate use and propose that its application contributes to a more balanced weighting of evidence. PMID:28025514

Physical activity in infancy: developmental aspects, measurement, and importance1234

PubMed Central

Worobey, John

2014-01-01

Relative to work on nutrient intake and growth in infancy and toddlerhood, research on physical activity (PA) from birth to age 24 mo is limited. In this review, the developmental course of PA in infancy and toddlerhood is described, and the issues that surround its measurement are addressed. Of the variety of techniques that allow for gauging PA in infancy and toddlerhood, caregiver questionnaires, direct observations, and motion sensors have been used most frequently. Although each method has shown utility, the limitations of each are also acknowledged. In addition, the relation of early PA to nutrition and overweight in infants is considered. Despite the challenges to accurately monitoring early PA, its possible contribution to early excess weight gain should be recognized. PMID:24477037

The quest for engaging AmI: Patient engagement and experience design tools to promote effective assisted living.

PubMed

Triberti, Stefano; Barello, Serena

2016-10-01

Recent research highlights that patient engagement, conceived as a patient's behavioral, cognitive and emotional commitment to his own care management, is a key issue while implementing new technologies in the healthcare process. Indeed, eHealth interventions may systematically fail when the patient's subjective experience has not been taken into consideration since the first steps of the technology design. In the present contribution, we argue that such an issue is more and more crucial as regarded to the field of Ambient Intelligence (AmI). Specifically, the exact concept of technologies embedded in the patients' surrounding environment implies a strong impact on their everyday life, which can be perceived as a limitation to autonomy and privacy, and therefore refused or even openly opposed by the final users. The present contribution tackles this issue directly, highlighting: (1) a theoretical framework to include patient engagement in the design of AmI technologies; (2) assessment measures for patient engagement while developing and testing the effectiveness of AmI prototypes for healthcare. Finally (3) this contribution provides an overview of the main issues emerging while implementing AmI technologies and suggests specific design solutions to address them. Copyright © 2016 Elsevier Inc. All rights reserved.

The issues surrounding social network sites and healthcare professionals.

PubMed

Azizi, Taraneh

2013-10-01

This article discusses issues surrounding online social networking, and the implications of the use of these sites by healthcare professionals. The article provides guidance to healthcare professionals, as the increased use of sites like Facebook and Twitter have the potential to bring risks to healthcare. Use of these websites can be a very grey area, and boundaries need to be clearly set to ensure protection of service users and healthcare staff alike.

Consulting the oracle: ten lessons from using the Delphi technique in nursing research.

PubMed

Keeney, Sinead; Hasson, Felicity; McKenna, Hugh

2006-01-01

The aim of this paper was to provide insight into the Delphi technique by outlining our personal experiences during its use over a 10-year period in a variety of applications. As a means of achieving consensus on an issue, the Delphi research method has become widely used in healthcare research generally and nursing research in particular. The literature on this technique is expanding, mainly addressing what it is and how it should be used. However, there is still much confusion and uncertainty surrounding it, particularly about issues such as modifications, consensus, anonymity, definition of experts, how 'experts' are selected and how non-respondents are pursued. This issues that arise when planning and carrying out a Delphi study include the definition of consensus; the issue of anonymity vs. quasi-anonymity for participants; how to estimate the time needed to collect the data, analyse each 'round', feed back results to participants, and gain their responses to this feedback; how to define and select the 'experts' who will be asked to participate; how to enhance response rates; and how many 'rounds' to conduct. Many challenges and questions are raised when using the Delphi technique, but there is no doubt that it is an important method for achieving consensus on issues where none previously existed. Researchers need to adapt the method to suit their particular study.

Critical Issues in the Lives of Children and Youth Who Are Deafblind

ERIC Educational Resources Information Center

Nelson, Catherine; Bruce, Susan M.

2016-01-01

The coeditors of an "American Annals of the Deaf" special issue on deafblindness introduce readers to critical issues surrounding children and youth who are deafblind. These issues--early identification, communication, social-emotional needs, family and multicultural issues, universal design and assistive technology, transition planning,…

Identification of Quarries Rehabilitation Scenarios: A Case Study Within the Metropolitan Area of Bari (Italy)

NASA Astrophysics Data System (ADS)

Dal Sasso, Pasquale; Ottolino, Maria Antonella; Caliandro, Lucia Patrizia

2012-06-01

This paper addresses quarries rehabilitation issue within a Metropolitan Area. Areas where mining activity is carried out have been subjected to physical and environmental degradation linked both to pursue the building materials extraction and to the city expansion continuously asking for new areas to be developed with residential and service functions. These changes also occurred where environmental and landscape values are present. It has been therefore pointed out the issue of such areas redevelopment that, to be functionally reintegrated, must be consistently linked to the activities and the territorial local contexts characteristics. In this paper the quarries reuse issue is carried out through parameters identification able to define the quarries relationship with the neighboring towns and with their surroundings besides to identify their physical, environmental and landscaping characteristics. Quarry reuse alternatives have been identified among those consistent with the rehabilitation goals, as defined by the planning sector and internationally approved, while their selection is derived from the application of a two-step methodology: a multi-criteria analysis related to punctual parameters at a "site-specific" level, followed by a further territorial indicators checking over the wide area. This application has led to socially accepted results identifying the examined quarries for reuses ranging from agricultural-forestry and urban to functional or naturalistic. The proposed method has also proved to be suitable to address the abandoned quarries reuse problem with a systemic and consultative approach, as it is able to correlate the many variables present in the social and spatial complexity of the Metropolitan Areas.

Donating in good faith or getting into trouble Religion and organ donation revisited.

PubMed

Oliver, Mike; Ahmed, Aimun; Woywodt, Alexander

2012-10-24

There is worldwide shortage of organs for solid-organ transplantation. Many obstacles to deceased and live donation have been described and addressed, such as lack of understanding of the medical process, the issue of the definition of brain death, public awareness of the need for transplants, and many others. However, it is clear that the striking differences in deceased and live donation rates between different countries are only partly explained by these factors and many cultural and social reasons have been invoked to explain these observations. We believe that one obstacle to both deceased and live donation that is less well appreciated is that of religious concerns. Looking at the major faiths and religions worldwide, it is reassuring to see that most of them encourage donation. However, there is also scepticism amongst some of them, often relating to the concept of brain death and/or the processes surrounding death itself. It is worthwhile for transplant teams to be broadly aware of the issues and also to be mindful of resources for counselling. We believe that increased awareness of these issues within the transplant community will enable us to discuss these openly with patients, if they so wish.

Donating in good faith or getting into trouble Religion and organ donation revisited

PubMed Central

Oliver, Mike; Ahmed, Aimun; Woywodt, Alexander

2012-01-01

There is worldwide shortage of organs for solid-organ transplantation. Many obstacles to deceased and live donation have been described and addressed, such as lack of understanding of the medical process, the issue of the definition of brain death, public awareness of the need for transplants, and many others. However, it is clear that the striking differences in deceased and live donation rates between different countries are only partly explained by these factors and many cultural and social reasons have been invoked to explain these observations. We believe that one obstacle to both deceased and live donation that is less well appreciated is that of religious concerns. Looking at the major faiths and religions worldwide, it is reassuring to see that most of them encourage donation. However, there is also scepticism amongst some of them, often relating to the concept of brain death and/or the processes surrounding death itself. It is worthwhile for transplant teams to be broadly aware of the issues and also to be mindful of resources for counselling. We believe that increased awareness of these issues within the transplant community will enable us to discuss these openly with patients, if they so wish. PMID:24175198

Body Image and Sexuality in Women Survivors of Breast Cancer in India: Qualitative Findings

PubMed Central

Barthakur, Michelle S; Sharma, Mahendra P; Chaturvedi, Santosh K; Manjunath, Suraj K

2017-01-01

Objectives: With increasing rates of breast cancer survivors, psychosocial issues surrounding cancer survivorship have been gaining prominence. The following article reports on body image and sexuality-related issues in aftermath of the diagnosis and its treatment in the Indian context. Materials and Methods: Research design was mixed method, cross–sectional, and exploratory in nature. Quantitative sample consisted of fifty survivors while the qualitative sample size included 15 out of the 50 total breast cancer survivors who were recruited from hospitals, nongovernmental organization, and through word-of-mouth. Data was collected using quantitative measures, and in-depth interviews were done using semi-structured interview schedule that was developed for the study. Qualitative data were analyzed using descriptive phenomenological approach. Results: In body image, emerging themes were about identity (womanhood, motherhood, and attractiveness), impact of surgery, hair loss, clothes, and uncomfortable situations. In sexuality, barriers were faced due to difficulty in disclosure and themes were about adjustments made by spouses, role of age, and sexual difficulties due to treatment. Conclusions: Findings imply need to address the issues of body image and sexuality as it impacts quality of life of survivors. PMID:28216857

The Problem of Defining Intelligence.

ERIC Educational Resources Information Center

Lubar, David

1981-01-01

The major philosophical issues surrounding the concept of intelligence are reviewed with respect to the problems surrounding the process of defining and developing artificial intelligence (AI) in computers. Various current definitions and problems with these definitions are presented. (MP)

Polluting Canada's Public Square: The Harper Government's War on Science and the Environment?

NASA Astrophysics Data System (ADS)

Linnitt, C.; Hoggan, J. C.

2013-12-01

Conversations about key environmental issues like climate change are increasingly viewed as matters of politics rather than matters of science. As a result, competing -and often polarized - interests have made public debate on these issues vulnerable to aggressive politicization. This politicization, particularly when it comes to important policy decisions regarding industrial (and especially fossil fuel) development, obscures the facts on these issues, leaving democratic public debate prey to aggressive public relations tactics, misinformation campaigns, pseudo-science, modern-day propaganda and/or the deliberate ';pollution' of the public square. In Canada a coordinated effort is underway to mischaracterize environmental groups as radical ideologues, associating environmental views and pursuits with extremism. A Tea Party-style echo chamber has also emerged in Canada, coordinating anti-science messaging in an attempt to bolster industrial development while misaligning environmental non-profits with domestic terror threats. This attempt to undermine ecological agendas and to push environmental concerns to the margins is paired with government-sponsored censorship of federally-funded scientists and the elimination of vital public science programs in Canada. The result is a dearth of scientific information surrounding significant environmental concerns - such as the Alberta oil sands and industry contamination of waterways - and a dangerous and false association of these issues with an extremist agenda. Ultimately scientists and science communicators face a unique set of challenges in Canada when it comes to addressing environmental issues. Although the 'science' of science communication has evolved to address relevant cultural and socio-political barriers associated with change resistance (for example, adapting one's behavior to minimize greenhouse gas emissions), much work remains in both acknowledging and ameliorating the politicization of science and the intentional pollution of public conversations. Democracy depends on the public's access to information; however, in a climate in which that access is under threat, scientists and science communicators may need to address those fundamental concerns deliberately in order to participate effectively in the public policy and decision-making process. This paper provides a brief overview of environmental communications theory and practice, current misinformation techniques, and key instances in which either government policy and/or media and industry behavior have actively sought to contaminate or impede more constructive discourse on issues of science and environmental regulation. We conclude by offering a set of recommendations for improving the ability of scientists and experts to communicate effectively in an increasingly complex political and media environment, and for safeguarding the quality of democratic discourse on these and other issues.

Complex Epidemiology of a Zoonotic Disease in a Culturally Diverse Region: Phylogeography of Rabies Virus in the Middle East

PubMed Central

Horton, Daniel L.; McElhinney, Lorraine M.; Freuling, Conrad M.; Marston, Denise A.; Banyard, Ashley C.; Goharrriz, Hooman; Wise, Emma; Breed, Andrew C.; Saturday, Greg; Kolodziejek, Jolanta; Zilahi, Erika; Al-Kobaisi, Muhannad F.; Nowotny, Norbert; Mueller, Thomas; Fooks, Anthony R.

2015-01-01

The Middle East is a culturally and politically diverse region at the gateway between Europe, Africa and Asia. Spatial dynamics of the fatal zoonotic disease rabies among countries of the Middle East and surrounding regions is poorly understood. An improved understanding of virus distribution is necessary to direct control methods. Previous studies have suggested regular trans-boundary movement, but have been unable to infer direction. Here we address these issues, by investigating the evolution of 183 rabies virus isolates collected from over 20 countries between 1972 and 2014. We have undertaken a discrete phylogeographic analysis on a subset of 139 samples to infer where and when movements of rabies have occurred. We provide evidence for four genetically distinct clades with separate origins currently circulating in the Middle East and surrounding countries. Introductions of these viruses have been followed by regular and multidirectional trans-boundary movements in some parts of the region, but relative isolation in others. There is evidence for minimal regular incursion of rabies from Central and Eastern Asia. These data support current initiatives for regional collaboration that are essential for rabies elimination. PMID:25811659

Is there a doctor in the house? : The presence of physicians in the direct-to-consumer genetic testing context.

PubMed

Howard, Heidi Carmen; Borry, Pascal

2012-04-01

Over the last couple of years, many commercial companies, the majority of which are based in the USA, have been advertising and offering direct-to-consumer (DTC) genetic testing services outside of the established health care system, and often without any involvement from a health care professional. In the last year, however, a number of DTC genetic testing companies have changed their provision model such that consumers must now contact a health care professional before being able to order the genetic testing service. In discussing the advent of this new model of service provision, this article also reviews the ethical and social issues surrounding DTC genetic testing and addresses the potential motivations for change, some barriers to achieving truly appropriate medical supervision and the present reality of DTC genetic testing for some psychiatric and neurological disorders. Since the advent of these commercial activities, critics have pointed a finger at the lack of medical supervision surrounding these services. The discussion herein, however, reveals how difficult it may be, despite the addition of a physician, to actually achieve adequate medical supervision within the present context of DTC genetic testing.

Star formation around active galactic nuclei

NASA Technical Reports Server (NTRS)

Keel, William C.

1987-01-01

Active galactic nuclei (Seyfert nuclei and their relatives) and intense star formation can both deliver substantial amounts of energy to the vicinity of a galactic nucleus. Many luminous nuclei have energetics dominated by one of these mechanisms, but detailed observations show that some have a mixture. Seeing both phenomena at once raises several interesting questions: (1) Is this a general property of some kinds of nuclei? How many AGNs have surround starbursts, and vice versa? (2) As in 1, how many undiscovered AGNs or starbursts are hidden by a more luminous instance of the other? (3) Does one cause the other, and by what means, or do both reflect common influences such as potential well shape or level of gas flow? (4) Can surrounding star formation tell us anything about the central active nuclei, such as lifetimes, kinetic energy output, or mechanical disturbance of the ISM? These are important points in the understanding of activity and star formation in galactic nuclei. Unfortunately, the observational ways of addressing them are as yet not well formulated. Some preliminary studies are reported, aimed at clarifying the issues involved in study of the relationships between stellar and nonstellar excitement in galactic nuclei.

Affect of the unconscious: visually suppressed angry faces modulate our decisions.

PubMed

Almeida, Jorge; Pajtas, Petra E; Mahon, Bradford Z; Nakayama, Ken; Caramazza, Alfonso

2013-03-01

Emotional and affective processing imposes itself over cognitive processes and modulates our perception of the surrounding environment. In two experiments, we addressed the issue of whether nonconscious processing of affect can take place even under deep states of unawareness, such as those induced by interocular suppression techniques, and can elicit an affective response that can influence our understanding of the surrounding environment. In Experiment 1, participants judged the likeability of an unfamiliar item--a Chinese character--that was preceded by a face expressing a particular emotion (either happy or angry). The face was rendered invisible through an interocular suppression technique (continuous flash suppression; CFS). In Experiment 2, backward masking (BM), a less robust masking technique, was used to render the facial expressions invisible. We found that despite equivalent phenomenological suppression of the visual primes under CFS and BM, different patterns of affective processing were obtained with the two masking techniques. Under BM, nonconscious affective priming was obtained for both happy and angry invisible facial expressions. However, under CFS, nonconscious affective priming was obtained only for angry facial expressions. We discuss an interpretation of this dissociation between affective processing and visual masking techniques in terms of distinct routes from the retina to the amygdala.

Allergic Aspergillus Rhinosinusitis.

PubMed

Chakrabarti, Arunaloke; Kaur, Harsimran

2016-12-08

Allergic fungal rhinosinusitis (AFRS) is a unique variety of chronic polypoid rhinosinusitis usually in atopic individuals, characterized by presence of eosinophilic mucin and fungal hyphae in paranasal sinuses without invasion into surrounding mucosa. It has emerged as an important disease involving a large population across the world with geographic variation in incidence and epidemiology. The disease is surrounded by controversies regarding its definition and etiopathogenesis. A working group on "Fungal Sinusitis" under the International Society for Human and Animal Mycology (ISHAM) addressed some of those issues, but many questions remain unanswered. The descriptions of "eosinophilic fungal rhinosinusitis" (EFRS), "eosinophilic mucin rhinosinusitis" (EMRS) and mucosal invasion by hyphae in few patients have increased the problem to delineate the disease. Various hypotheses exist for etiopathogenesis of AFRS with considerable overlap, though recent extensive studies have made certain in depth understanding. The diagnosis of AFRS is a multi-disciplinary approach including the imaging, histopathology, mycology and immunological investigations. Though there is no uniform management protocol for AFRS, surgical clearing of the sinuses with steroid therapy are commonly practiced. The role of antifungal agents, leukotriene antagonists and immunomodulators is still questionable. The present review covers the controversies, recent advances in pathogenesis, diagnosis, and management of AFRS.

Post discharge issues identified by a call-back program: identifying improvement opportunities.

PubMed

Ojeda, Patricia I; Kara, Areeba

2017-12-01

The period following discharge from the hospital is one of heightened vulnerability. Discharge instructions serve as a guide during this transition. Yet, clinicians receive little feedback on the quality of this document that ties into the patients' experience. We reviewed the issues voiced by discharged patients via a call-back program and compared them to the discharge instructions they had received. At our institution, patients receive an automated call forty-eight hours following discharge inquiring about progress. If indicated by the response to the call, they are directed to a nurse who assists with problem solving. We reviewed the nursing documentation of these encounters for a period of nine months. The issues voiced were grouped into five categories: communication, medications, durable medical equipment/therapies, follow up and new or ongoing symptoms. The discharge instructions given to each patient were reviewed. We retrieved data on the number of discharges from each specialty from the hospital over the same period. A total of 592 patients voiced 685 issues. The numbers of patients discharged from medical or surgical services identified as having issues via the call-back line paralleled the proportions discharged from medical and surgical services from the hospital during the same period. Nearly a quarter of the issues discussed had been addressed in the discharge instructions. The most common category of issues was related to communication deficits including missing or incomplete information which made it difficult for the patient to enact or understand the plan of care. Medication prescription related issues were the next most common. Resource barriers and questions surrounding medications were often unaddressed. Post discharge issues affect patients discharged from all services equally. Data from call back programs may provide actionable targets for improvement, identify the inpatient team's 'blind spots' and be used to provide feedback to clinicians.

Literature review: issues surrounding education of English-as-a-Second Language (ESL) nursing students.

PubMed

Choi, Liza Lai Shan

2005-07-01

Examined in this article are the challenges faced by English-as-a-Second Language (ESL) nursing students. Nursing faculties need to address these challenges to meet the increasing diversity of the health care system. A key concern is the ability of ESL nursing students to communicate effectively in English. The Cummins model for English language acquisition provides a template for ESL nursing students to bridge this communication barrier. The literature suggests some particular needs of ESL nursing students can be met through modification of nursing programs. Further research into factors affecting the quality of nursing education for ESL students is warranted. A quantitative analysis is required to see if there exists a positive correlation between improved English language acquisition and academic success by ESL nursing students.

Nursing students' early exposure to clinical practice: an innovation in curriculum development.

PubMed

Hoyles, A; Pollard, C; Lees, S; Glossop, D

2000-08-01

This paper describes a pilot study addressing issues surrounding the balance and status given to both theory and practice in the foundation part of a pre-registration programme. Contemporary thinking seems to suggest that there is a need to reverse recent trends which have placed an emphasis on theory. To facilitate this a framework for clinical learning was adapted to guide students' early exposure to clinical practice. The focus was to develop the students' observational and reflective skills whilst also providing the students with a frame of reference within which they could explore their theoretical studies. The information and experiences gained as a result of this study have led to the integration of an Orientation Framework to support students' early clinical experiences in a pre-registration programme.

Eventful horizons: String theory in de Sitter and anti-de Sitter

NASA Astrophysics Data System (ADS)

Kleban, Matthew Benjamin

String theory purports to be a theory of quantum gravity. As such, it should have much to say about the deep mysteries surrounding the very early stages of our universe. For this reason, although the theory is notoriously difficult to directly test, data from experimental cosmology may provide a way to probe the high energy physics of string theory. In the first part of this thesis, I will address the important issue of the testability of string theory using observations of the cosmic microwave background radiation. In the second part, I will study some formal difficulties that arise in attempting to understand string theory in de Sitter spacetime. In the third part, I will study the singularity of an eternal anti de Sitter Schwarzschild black hole, using the AdS/CFT correspondence.

Arousal mechanisms related to posture and locomotion: 1. Descending modulation.

PubMed

Garcia-Rill, Edgar; Homma, Yutaka; Skinner, Robert D

2004-01-01

Much of the controversy surrounding the induction of locomotion following stimulation of mesopontine sites, including the pedunculopontine nucleus (PPN), appears based on procedural differences, including stimulus onset, delay preceding stepping, and frequency of stimuli. The results reviewed in this chapter address these issues and provide novel information suggesting that descending projections from the PPN may exert a frequency-dependent effect. Stimulation at approximately 60 Hz (which induces prolonged tonic firing) may exercise a "push" towards locomotion (activation of pontine interneurons) as well as a "pull" away from decreased muscle tone (inhibiting giant pontine reticulospinal cells). Higher frequencies of stimulation (> 100 Hz, which induces phasic burst-like activity) may "push" towards decreases in muscle tone, including the atonia of rapid eye movement sleep (activating giant pontine reticulospinal cells).

Integrating remote sensing, field observations, and ground temperature modeling to help address permafrost-related societal challenges around native village of Telida, Interior Alaska

NASA Astrophysics Data System (ADS)

Panda, S. K.; Kholodov, A. L.; Romanovsky, V. E.; Hanson, T.

2017-12-01

The dramatic landscape changes caused by thawing permafrost are wreaking havoc in remote Arctic villages. These changes are directly affecting land use, subsistence access, and adding to the high cost of infrastructure maintenance in remote villages; in some instances, threatening the safety of people who practice subsistence in remote sites. The goal of this project is to study the status and distribution of near-surface permafrost surrounding the Telida village in the Upper Kuskokwim region, and ultimately forecast how permafrost distribution and temperature may evolve in the near-future to help the Telida community better prepare in addressing the engineering, environmental, and subsistence access issues that are emerging with warmer climate and degrading permafrost. We collected baseline data on permafrost distribution, ground temperature, and thaw depth around Telida village during two visits to the study site (August 2016 and 2017) and conducted snow survey in February 2017 in all major landcover types. We mapped landcover, soil, and near-surface permafrost distribution for a 30 square mile area surrounding the Telida village using SPOT pan-sharpened image products (pixel size: 2.5 m) and ground observations. We identified seven major landcover types surrounding the Telida village: Open spruce, Mixed forest, Closed spruce, Wetland, Tall shrub, Deciduous forest, and Low shrub. Open spruce is the most dominant landcover type occupying 33% of the study area. Near-surface permafrost underlies less than 53% of the study area; it is present under Open spruce (active layer thickness: 59±7 cm; permafrost surface temperature: -0.6 °C) and Low shrub landcover types (active layer thickness: 60 cm; permafrost surface temperature: -0.07 °C), sporadic under Closed spruce landcover type, and absent under other landcover types. The mean annual permafrost surface temperature ranges from 0 to -1 °C and coldest permafrost is found under Open spruce landcover type. Permafrost around Telida village is warm and at the verge of thawing. Our ground temperature modeling effort will provide critical knowledge on how permafrost status and distribution around Telida village may evolve in the near future which we hope will help the Telida community in addressing the emerging engineering, environmental, and land use challenges.

Availability, Strengths and Limitations of US State Driver’s License Data for Obesity Research

PubMed Central

Lubetkin, Derek

2016-01-01

Objectives: Driver’s license records in the United States typically contain age, sex, height, weight, and home address. By combining the body mass index (calculated from the reported height and weight) and address information, researchers can explore and quantify the relationships between obesity and specific environmental features surrounding the place of residence. We report here our experience obtaining those data and the current state of driver’s license data as an epidemiological resource. Methods: The specific state agency responsible for maintaining driver’s license databases was contacted by email, phone, or both methods for each of the 50 states and the District of Columbia. Results: Fourteen states with a combined population of 89.8 million people indicated they could provide a total of 73.3 million unique driver’s license (and non-driver identification) data records with address, height, weight, gender, and age, representing 82% of the population in these states. Four additional states will provide data with a zip code but not the street address. A total of 52.6 million unique analyzable records from seven states has been acquired and analyzed. Obesity is more prevalent among males and those living in less urbanized areas. Conclusion: Driver’s licenses represent an underused resource for studying the geographic correlates of obesity and other public health issues. PMID:27054053

Experiencing cancer treatment decision-making in managed care.

PubMed

Wenzel, Jennifer; Shaha, Maya

2008-09-01

This paper is a report of a study to explore women's perceptions of and experiences with breast cancer treatment decision-making in managed care organizations (MCOs). Managed care organizations are the predominant form of employer-sponsored healthcare insurance in the United States of America. These healthcare financing entities minimize cost by streamlining healthcare delivery and may impose choice restrictions. The extent of these restrictions has not previously been studied from an in-depth patient perspective. A qualitative descriptive approach was adopted using interviews with a purposive sample of 14 managed care enrollees diagnosed with breast cancer at all stages. The data were collected between 2003 and 2005. Data analysis involved a reflexive process of transcript reading, categorization, data reduction and interpretation. The findings are presented as a single theme: 'decisional conflict in managed care', with two distinct categories: decisions regarding (1) the MCOs and (2) treatment. MCO selection was perceived to be limited by employer constraints, cost issues or healthcare plan providers. For study participants, selecting a MCO was less difficult than issues surrounding treatment decision-making. Women reported that their most important treatment-related decisions surrounded diagnosis and involved selecting a treatment facility and provider. Once a satisfactory facility and provider were selected, these women preferred to defer treatment decisions to their healthcare providers. Decision interventions should be focused on assisting women with provider and treatment facility selection early in diagnosis. Our findings might also serve as a basis for policy/practice changes to address healthcare financing limitations and to expand cancer treatment-related choices while providing desired treatment decision-making support.

Sexual education, gender ideology, and youth sexual empowerment.

PubMed

Grose, Rose Grace; Grabe, Shelly; Kohfeldt, Danielle

2014-01-01

Sexual education plays an essential role in preventing unplanned pregnancy and the transmission of sexually transmitted infections (STIs). School-based sexual education programs, in particular, may be well positioned to address social factors that are empirically linked to negative sexual health outcomes, such as traditional social norms surrounding gender and sexuality. However, youth are seldom granted access to sexual education programs that explicitly address these issues. This study presents findings from a pretest-posttest survey of a sexual education program that did. It was designed for eighth graders (N=95) in the context of a school-community collaboration. The study assessed the links between several components of sexual empowerment, including gender ideology, sexual knowledge, and contraceptive beliefs. Findings link participation in the sexual education program to more progressive attitudes toward girls and women, less agreement with hegemonic masculinity ideology, and increases in sexual health and resource knowledge. Structural equation models suggest that traditional attitudes toward women were significantly related to hegemonic masculinity ideology among both boys and girls, which was in turn negatively related to safer contraceptive beliefs.

Issues concerning recruitment, retention and attrition of student nurses in the 1950/60s: a comparative study.

PubMed

Jinks, Annette M; Richardson, Kathleen; Jones, Chris; Kirton, Jennifer A

2014-11-01

To investigate student nurse recruitment and attrition in the 1950' and 1960s and undertake comparisons to modern day concerns. The study was set in one hospital in the U.K. In the period studied nursing was unpopular as a profession and there were difficulties surrounding recruitment. Attrition rates were high. Documentary analysis of 641 training records dating 1955 to 1968 was undertaken. Attrition rates, reasons for non-completion and employment following successful completion were determined. Most recruits were young, unmarried, females and had overseas addresses. The majority (n = 88) had prior nursing experience. Over 69% (n = 443) successfully completed their training. Attrition rates were over 30% (n = 198), the main reason being academic failure. Following completion over 40% (n = 183) undertook midwifery training (n = 183) or secured a staff nurse post (n = 153). Issues relating to recruitment, retention and attrition in the 1950s and 1960s put into context present day issues. Recent attrition rates from pre-registration nurse education have fallen, nevertheless some of the issues of yesteryear remain problematic. In the present study significant numbers of entrants left due to domestic and ill-health problems resonates with many modern day studies. Also failure to complete due to academic shortcomings continues to be a concern. Copyright © 2014 Elsevier Ltd. All rights reserved.

Challenges of Managing Animals in Disasters in the U.S.

PubMed Central

Heath, Sebastian E.; Linnabary, Robert D.

2015-01-01

Simple Summary This article describes common challenges to managing animals in disasters in the US, summarizes how some of these challenges are being met and makes recommendations on how to overcome others. Many predictable adverse situations affecting animals and their owners can be prevented when communities develop a comprehensive emergency management strategy that integrates animal care into planning, preparedness, mitigation, and recovery activities, as well as response. Abstract Common to many of the repeated issues surrounding animals in disasters in the U.S. is a pre-existing weak animal health infrastructure that is under constant pressure resulting from pet overpopulation. Unless this root cause is addressed, communities remain vulnerable to similar issues with animals they and others have faced in past disasters. In the US the plight of animals in disasters is frequently viewed primarily as a response issue and frequently handled by groups that are not integrated with the affected community’s emergency management. In contrast, animals, their owners, and communities would greatly benefit from integrating animal issues into an overall emergency management strategy for the community. There is no other factor contributing as much to human evacuation failure in disasters that is under the control of emergency management when a threat is imminent as pet ownership. Emergency managers can take advantage of the bond people have with their animals to instill appropriate behavior amongst pet owners in disasters. PMID:26479228

Ethical Issues in Volunteer Management and Accountability.

ERIC Educational Resources Information Center

Netting, F. Ellen

1987-01-01

Examines the ethical issues surrounding President Reagan's directive to "Go back to the voluntary sector." Discusses trends which currently affect ethical issues of managing volunteer agencies/programs. Recommends proactive steps to be taken in developing the potential of voluntary organizations, identifying organizations' bases of support,…

The aerodynamic effects of passing trains to surrounding objects and people

DOT National Transportation Integrated Search

2009-04-01

Two safety issues are raised on the aerodynamic effects of a passing train on its surroundings. First, a high-speed train passing other trains on an adjacent track exerts aerodynamic pressure that can affect the structural integrity of window mount a...

Issues and challenges in resource management and its interaction with levels 2/3 fusion with applications to real-world problems: an annotated perspective

NASA Astrophysics Data System (ADS)

Blasch, Erik; Kadar, Ivan; Hintz, Kenneth; Biermann, Joachim; Chong, Chee-Yee; Salerno, John; Das, Subrata

2007-04-01

Resource management (or process refinement) is critical for information fusion operations in that users, sensors, and platforms need to be informed, based on mission needs, on how to collect, process, and exploit data. To meet these growing concerns, a panel session was conducted at the International Society of Information Fusion Conference in 2006 to discuss the various issues surrounding the interaction of Resource Management with Level 2/3 Situation and Threat Assessment. This paper briefly consolidates the discussion of the invited panel panelists. The common themes include: (1) Addressing the user in system management, sensor control, and knowledge based information collection (2) Determining a standard set of fusion metrics for optimization and evaluation based on the application (3) Allowing dynamic and adaptive updating to deliver timely information needs and information rates (4) Optimizing the joint objective functions at all information fusion levels based on decision-theoretic analysis (5) Providing constraints from distributed resource mission planning and scheduling; and (6) Defining L2/3 situation entity definitions for knowledge discovery, modeling, and information projection

Examining Pharmacy Workforce Issues in the United States and the United Kingdom

PubMed Central

Covvey, Jordan R.; Cohron, Peter P.

2015-01-01

Objective. To examine available data and actions surrounding current pharmacy workforce issues in the United States and United Kingdom. Methods. Published pharmacy workforce data from the United States and United Kingdom were gathered from various sources, including PUBMED, Internet search engines, and pharmacy organization websites. Data was collated from additional sources including scientific literature, internal documents, news releases, and policy positions. Results. The number of colleges and schools of pharmacy has expanded by approximately 50% in both the United States and United Kingdom over the previous decade. In the United States, continued demand for the pharmacy workforce has been forecasted, but this need is based on outdated supply figures and assumptions for economic recovery. In the United Kingdom, workforce modeling has predicted a significant future oversupply of pharmacists, and action within the profession has attempted to address the situation through educational planning and regulation. Conclusion. Workforce planning is an essential task for sustaining a healthy profession. Recent workforce planning mechanisms in the United Kingdom may provide guidance for renewed efforts within the profession in the United States. PMID:25861098

Determinants of hospital tax-exempt debt yields: corrections for selection and simultaneous equation bias.

PubMed Central

Carpenter, C E

1992-01-01

The cost of capital for hospitals is a topic of continuing interest as Medicare's new capital payment policy is implemented. This study examines the determinants of tax-exempt revenue bond yields, the primary source of long-term capital for hospitals. Two important methodological issues are addressed. A probit analysis estimates the probability that a hospital or system will be observed in the tax-exempt market. A selection-corrected two-stage least squares analysis allows for the simultaneous determination of bond yield and bond size. The study is based on a sample of hospitals that issued tax-exempt revenue bonds in 1982-1984, the years immediately surrounding implementation of Medicare's new payment system based on diagnosis-related groups, and an equal number of hospitals not in the market during the study period. Results suggest that hospital systems and hospitals with high occupancy rates are most likely to enter the tax-exempt revenue bond market. The yield equation suggests that hospital-specific variables may not be good predictors of the cost of capital once estimates are corrected for selection. PMID:1464540

Determinants of hospital tax-exempt debt yields: corrections for selection and simultaneous equation bias.

PubMed

Carpenter, C E

1992-12-01

The cost of capital for hospitals is a topic of continuing interest as Medicare's new capital payment policy is implemented. This study examines the determinants of tax-exempt revenue bond yields, the primary source of long-term capital for hospitals. Two important methodological issues are addressed. A probit analysis estimates the probability that a hospital or system will be observed in the tax-exempt market. A selection-corrected two-stage least squares analysis allows for the simultaneous determination of bond yield and bond size. The study is based on a sample of hospitals that issued tax-exempt revenue bonds in 1982-1984, the years immediately surrounding implementation of Medicare's new payment system based on diagnosis-related groups, and an equal number of hospitals not in the market during the study period. Results suggest that hospital systems and hospitals with high occupancy rates are most likely to enter the tax-exempt revenue bond market. The yield equation suggests that hospital-specific variables may not be good predictors of the cost of capital once estimates are corrected for selection.

Evolutionary accounts of human behavioural diversity

PubMed Central

Brown, Gillian R.; Dickins, Thomas E.; Sear, Rebecca; Laland, Kevin N.

2011-01-01

Human beings persist in an extraordinary range of ecological settings, in the process exhibiting enormous behavioural diversity, both within and between populations. People vary in their social, mating and parental behaviour and have diverse and elaborate beliefs, traditions, norms and institutions. The aim of this theme issue is to ask whether, and how, evolutionary theory can help us to understand this diversity. In this introductory article, we provide a background to the debate surrounding how best to understand behavioural diversity using evolutionary models of human behaviour. In particular, we examine how diversity has been viewed by the main subdisciplines within the human evolutionary behavioural sciences, focusing in particular on the human behavioural ecology, evolutionary psychology and cultural evolution approaches. In addition to differences in focus and methodology, these subdisciplines have traditionally varied in the emphasis placed on human universals, ecological factors and socially learned behaviour, and on how they have addressed the issue of genetic variation. We reaffirm that evolutionary theory provides an essential framework for understanding behavioural diversity within and between human populations, but argue that greater integration between the subfields is critical to developing a satisfactory understanding of diversity. PMID:21199836

Economic evaluation of drug abuse treatment and HIV prevention programs in pregnant women: a systematic review.

PubMed

Ruger, Jennifer Prah; Lazar, Christina M

2012-01-01

Drug abuse and transmission of HIV during pregnancy are public health problems that adversely affect pregnant women, their children and surrounding communities. Programs that address this vulnerable population have the ability to be cost-effective due to resulting cost savings for mother, child and society. Economic evaluations of programs that address these issues are an important tool to better understand the costs of services and create sustainable healthcare systems. This study critically examined economic evaluations of drug abuse treatment and HIV prevention programs in pregnant women. A systematic review was conducted using the criteria recommended by the Panel on Cost-Effectiveness in Health and Medicine and the British Medical Journal (BMJ) checklist for economic evaluations. The search identified 6 economic studies assessing drug abuse treatment for pregnant women, and 12 economic studies assessing programs that focus on prevention of mother-to-child transmission (PMTCT) of HIV. Results show that many programs for drug abuse treatment and PMTCT among pregnant women are cost-effective or even cost-saving. This study identified several shortcomings in methodology and lack of standardization of current economic evaluations. Efforts to address methodological challenges will help make future studies more comparable and have more influence on policy makers, clinicians and the public. Copyright © 2011 Elsevier Ltd. All rights reserved.

Encyclopedia of Gun Control and Gun Rights.

ERIC Educational Resources Information Center

Utter, Glenn H.

This reference volume provides information on gun control and gun rights, including resources on the debate surrounding the Second Amendment and individuals and organizations focused on gun issues, along with statutes, court cases, events, and publications surrounding this current topic. Highlighted are the important organizations and their…

Testing and the Public Interest.

ERIC Educational Resources Information Center

Educational Testing Service, Princeton, NJ.

The 1976 Educational Testing Service (ETS) Invitational Conference served as a platform for individuals who have been prominent in educational measurement and research to present their views on issues surrounding the testing controversy. The 1976 ETS "The Testing Scene: Chaos and Controversy," presents a historical review of events surrounding the…

Barriers to telemedicine: survey of current users in acute care units.

PubMed

Rogove, Herbert J; McArthur, David; Demaerschalk, Bart M; Vespa, Paul M

2012-01-01

The present study of current telemedicine users is a unique attempt to understand the barriers and motivational factors related to the utilization of telemedicine. A survey of emergency and critical care remote presence telemedicine users was conducted to determine the factors that motivate and the barriers that impede the acceptance and maintenance of a robotic telemedicine (RTM) program. The majority of the survey users were in the Emergency Department or in the Intensive Care Unit. E-mail invitations were sent to 483 individuals representing 63 healthcare institutions and groups in North America and Europe. Respondents were directed to a Web-based survey. The survey consisted of 96 separate questions, addressing user familiarity and 5-point Likert scales, addressing issues spanning the conceptual and practical issues surrounding adoption of telemedicine. A total of 106 surveys were completed, representing an individual response rate of 21.9% but an institutional response rate of 60.3%. More than two-thirds of the respondents were physicians who participated in active RTM programs. Across seven different topics related to barriers to implementing RTM, the majority of all respondents indicated that cultural issues did not constitute meaningful hurdles, technological matters were generally favorable, and that most personnel were agreeable to both achieving the buy-in to start an RTM program and to maintaining RTM once started. However, respondents proclaimed that RTM's success was still hampered by licensing, credentialing, and malpractice protection, as well as costs, billing, and reimbursement issues. Achieving immediate patient access, overcoming service gaps, improving quality, providing clinical support, maintaining patient satisfaction, and adhering to practice guidelines were viewed as significant motives for RTM implementation. The leading applications of RTM included emergency response and consultation. The patients, physicians, nurses, nor hospital executives served as barriers to implementation. However, licensing, costs for technology, and reimbursement for RTM continue to impede progress.

Class-first analysis in a continuum: an approach to the complexities of schools, society, and insurgent science

NASA Astrophysics Data System (ADS)

Valdiviezo, Laura Alicia

2010-06-01

This essay addresses Katherine Richardson Bruna's paper: Mexican Immigrant Transnational Social Capital and Class Transformation: Examining the Role of Peer Mediation in Insurgent Science, through five main points . First, I offer a comparison between the traditional analysis of classism in Latin America and Richardson Bruna's call for a class-first analysis in the North American social sciences where there has been a tendency to obviate the specific examination of class relations and class issues. Secondly, I discuss that a class-first analysis solely cannot suffice to depict the complex dimensions in the relations of schools and society. Thus, I suggest a continuum in the class-first analysis. Third, I argue that social constructions surrounding issues of language, ethnicity, and gender necessarily intersect with issues of class and that, in fact, those other constructions offer compatible epistemologies that aid in representing the complexity of social and institutional practices in the capitalist society. Richardson Bruna's analysis of Augusto's interactions with his teacher and peers in the science class provides a fourth point of discussion in this essay. As a final point in my response I discuss Richardson Bruna's idea of making accessible class-first analysis knowledge to educators and especially to science teachers.

Interest in international surgical volunteerism: results of a survey of members of the American Pediatric Surgical Association.

PubMed

Butler, Marilyn W; Krishnaswami, Sanjay; Rothstein, David H; Cusick, Robert A

2011-12-01

This study assesses interest in international volunteer work by members of the American Pediatric Surgical Association (APSA) and attempts to identify demographics, motivations, obstacles, and institutional issues of the respondents. An online survey service was used to send a 25-question survey to all APSA members with email addresses in November 2009. An answer to all questions was not required. Written comments were encouraged. The survey was sent to 807 members of whom 316 responded, for a response rate of 39%. International work had been done previously by 48% of respondents, whereas 95% stated that they were interested or perhaps interested in doing so. Most (83%) were interested in operating with local surgeons to teach them how to perform procedures. Altruism was the chief motivation in 75% of respondents. Primary obstacles to doing international work were family obligations and lack of time, although 37% stated that a lack of information about volunteer opportunities was an issue. A significant number of respondents (48%) stated that their institution had no established international collaborations. This study suggests that there is interest in international volunteerism among many members of APSA. Understanding the issues surrounding surgical volunteerism may facilitate humanitarian involvement among pediatric surgeons. Copyright © 2011 Elsevier Inc. All rights reserved.

Crew Health and Performance on Mars

NASA Technical Reports Server (NTRS)

Stegemoeller, Charlie

1998-01-01

The issues surrounding the health and performance on Mars of a human crew are discussed in this presentation. The work of Human Space Life Sciences Program Office (HSLSPO) in the preparation of a crew for a Martian mission is reviewed. This includes a review of issues relating to human health and performance (HHP) in space and microgravity. The Mars design reference mission requires the most rigorous life sciences critical path of any manned mission in the forseeable future. This mission will require a 30 months round trip, with 4 different transistions to different gravities, and two episodes of high gravity load, during the Mars and Earth Aerobraking exercises. A graph is presented which shows the number of subjects with human space flight experience greater than 30 days. A chart presents the physical challenges to HHP in terms of gravity and acceleration and the length of times the crew will be exposed to the various gravity loads. Another chart presents the radiation challenges to the HHP for the duration of the trip. The human element is the most complex element of the mission design. Some challenges (i.e., human engineering and life support) must be overcome, and some issues such as bone loss, and radiation exposure must be addressed prior to making a decision for a manned Martian mission.

Uncontrolled Donation After Circulatory Determination of Death Donors (uDCDDs) as a Source of Lungs for Transplant

PubMed Central

Egan, T. M.; Requard, J. J.

2017-01-01

In April 2014, the American Journal of Transplantation published a report on the first lung transplant in the United States recovered from an uncontrolled donation after circulatory determination of death donor (uDCDD), assessed by ex vivo lung perfusion (EVLP). The article identified logistical and ethical issues related to introduction of lung transplant from uDCDDs. In an open clinical trial, we have Food and Drug Administration and Institutional Review Board approval to transplant lungs recovered from uDCDDs judged suitable after EVLP. Through this project and other experiences with lung recovery from uDCDDs, we have identified solutions to many logistical challenges and have addressed ethical issues surrounding lung transplant from uDCDDs that were mentioned in this case report. Here, we discuss those challenges, including issues related to recovery of other solid organs from uDCDDs. Despite logistical challenges, uDCDDs could solve the critical shortage of lungs for transplant. Furthermore, by avoiding the deleterious impact of brain death and days of positive pressure ventilation, and by using opportunities to treat lungs in the decedent or during EVLP, lungs recovered from uDCDDs may ultimately prove to be better than lungs currently being transplanted from conventional brain-dead organ donors. PMID:25873272

The Economics of Child Care.

ERIC Educational Resources Information Center

Blau, David M., Ed.

Economic issues are an important part of the debate over child care policy. This volume presents findings from economic analyses of research on child care issues surrounding recent policy decisions and scholarly debates. The book's introduction discusses four main issues; government involvement in child care policies, its effect on quality of…

Political Justice, Schooling and Issues of Group Identity

ERIC Educational Resources Information Center

Keddie, Amanda

2014-01-01

This article explores issues associated with schooling and political justice. Such issues are understood in light of the contention surrounding how Western schooling contexts might best represent marginalised groups--in ways that accord them a political voice. The significance of group identity politics is explored drawing on international debates…

Environmental Issues are Controversial Issues.

ERIC Educational Resources Information Center

Hepburn, Mary Allaire

The extensive social-scientific interest and continuing relevance of environmental study assure its immediate and long-range importance in the social studies. But the crisis atmosphere surrounding this issue threatens a thoughtful, systematic approach to the subject, and poses the danger of a careless rush to activity. As social studies educators,…

Treatment of the Biracial Child: Theoretical and Clinical Issues.

ERIC Educational Resources Information Center

Brandell, Jerrold R.

1988-01-01

Discusses theoretical and clinical issues that surround the psychotherapeutic treatment of biracial children. Summarizes Heinz Kohut's theory on the development of the self in the biracial child. A case study is included. (BH)

Former WWII Fighter Pilot Finds New Home Near Family

MedlinePlus

... Navigation Bar Home Current Issue Past Issues Feature: Senior Living Former WWII Fighter Pilot Finds New Home ... in Kalispell, Mont. Advice On a Move to Senior Living: Investigate your new surroundings. Talk to those ...

The Chronically Poor: Breaking the Cycle.

ERIC Educational Resources Information Center

Morris-Bilotti, Sharon

This question-and-answer format paper looks at some of the basic issues surrounding the chronically poor and initiatives and services designed to break the poverty cycle. A first section explores some of the myths and realities surrounding the characteristics of the chronically poor population and notes that this population is comprised of…

Comparative analysis of the labelling of nanotechnologies across four stakeholder groups

NASA Astrophysics Data System (ADS)

Capon, Adam; Gillespie, James; Rolfe, Margaret; Smith, Wayne

2015-08-01

Societies are constantly challenged to develop policies around the introduction of new technologies, which by their very nature contain great uncertainty. This uncertainty gives prominence to varying viewpoints which are value laden and have the ability to drastically shift policy. The issue of nanotechnologies is a prime example. The labelling of products that contain new technologies has been one policy tool governments have used to address concerns around uncertainty. Our study develops evidence regarding opinions on the labelling of products made by nanotechnologies. We undertook a computer-assisted telephone (CATI) survey of the Australian public and those involved in nanotechnologies from the academic, business and government sectors using a standardised questionnaire. Analysis was undertaken using descriptive and logistic regression techniques. We explored reluctance to purchase as a result of labelling products which contained manufactured nanomaterials both generally and across five broad products (food, cosmetics/sunscreens, medicines, pesticides, tennis racquets/computers) which represent the broad categories of products regulated by differing government agencies in Australia. We examined the relationship between reluctance to purchase and risk perception, trust, and familiarity. We found irrespective of stakeholder, most supported the labelling of products which contained manufactured nanomaterials. Perception of risk was the main driver of reluctance to purchase, while trust and familiarity were likely to have an indirect effect through risk perception. Food is likely to be the greatest product impacted by labelling. Risk perception surrounding nanotechnologies and label `framing' on the product are key issues to be addressed in the implementation of a labelling scheme.

Medical management of hyperglycaemia in type 2 diabetes mellitus: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement from the American Diabetes Association and the European Association for the Study of Diabetes.

PubMed

Nathan, D M; Buse, J B; Davidson, M B; Ferrannini, E; Holman, R R; Sherwin, R; Zinman, B

2009-01-01

The consensus algorithm for the medical management of type 2 diabetes was published in August 2006 with the expectation that it would be updated, based on the availability of new interventions and new evidence to establish their clinical role. The authors continue to endorse the principles used to develop the algorithm and its major features. We are sensitive to the risks of changing the algorithm cavalierly or too frequently, without compelling new information. An update to the consensus algorithm published in January 2008 specifically addressed safety issues surrounding the thiazolidinediones. In this revision, we focus on the new classes of medications that now have more clinical data and experience.

Modern laboratory diagnosis of tuberculosis.

PubMed

Drobniewski, F A; Caws, M; Gibson, A; Young, D

2003-03-01

One-third of the global population is believed to be infected with bacteria of the Mycobacterium tuberculosis complex, the causative agent of tuberculosis. More than 8 million new cases of tuberculosis occur annually leading to 2 million deaths. Mortality is particularly high in those coinfected with HIV and where the bacteria are multiple-drug-resistant strains--ie, strains resistant to at least isoniazid and rifampicin. Early diagnosis of tuberculosis and drug resistance improves survival and by identifying infectious cases promotes contact tracing, implementation of institutional cross-infection procedures, and other public-health actions. This review addresses significant advances made in the diagnosis of infection, clinical disease, and drug resistance over the past decade. It proposes operational criteria for a modern diagnostic service in the UK (as a model of a low-incidence country) and explores some of the economic issues surrounding the use of these techniques.

Safe and ethical living kidney donation in Qatar: A national health system's approach.

PubMed

Asim, Muhammad; Al-Maslamani, Yousuf; Al-Malki, Hassan

2017-01-01

The increasing incidence of end-stage kidney disease in Qatar has led to growing demand for donor kidneys. The deceased donor kidney program has yet to achieve its full potential; hence, living kidney donation has been widely adopted as an appropriate alternative. The reliance on living kidney donors however, raises a number of social, ethical, and legal concerns surrounding informed consent, voluntarism, psychosocial evaluation, perioperative care, and long-term follow-up of living kidney donors. Many of these concerns become heightened in a multicultural, multilingual society within a Gulf country such as Qatar. This article provides an insight into the challenges that living kidney donation poses in a multiethnic society with significant socioeconomic divides. It also discusses the remedial measures that the Qatari government, healthcare authorities, and transplant community have adopted to address these issues.

Safe and ethical living kidney donation in Qatar: A national health system's approach

PubMed Central

Asim, Muhammad; Al-Maslamani, Yousuf; Al-Malki, Hassan

2017-01-01

The increasing incidence of end-stage kidney disease in Qatar has led to growing demand for donor kidneys. The deceased donor kidney program has yet to achieve its full potential; hence, living kidney donation has been widely adopted as an appropriate alternative. The reliance on living kidney donors however, raises a number of social, ethical, and legal concerns surrounding informed consent, voluntarism, psychosocial evaluation, perioperative care, and long-term follow-up of living kidney donors. Many of these concerns become heightened in a multicultural, multilingual society within a Gulf country such as Qatar. This article provides an insight into the challenges that living kidney donation poses in a multiethnic society with significant socioeconomic divides. It also discusses the remedial measures that the Qatari government, healthcare authorities, and transplant community have adopted to address these issues. PMID:28795019

Religious Perspectives on Human Suffering: Implications for Medicine and Bioethics.

PubMed

Fitzpatrick, Scott J; Kerridge, Ian H; Jordens, Christopher F C; Zoloth, Laurie; Tollefsen, Christopher; Tsomo, Karma Lekshe; Jensen, Michael P; Sachedina, Abdulaziz; Sarma, Deepak

2016-02-01

The prevention and relief of suffering has long been a core medical concern. But while this is a laudable goal, some question whether medicine can, or should, aim for a world without pain, sadness, anxiety, despair or uncertainty. To explore these issues, we invited experts from six of the world's major faith traditions to address the following question. Is there value in suffering? And is something lost in the prevention and/or relief of suffering? While each of the perspectives provided maintains that suffering should be alleviated and that medicine's proper role is to prevent and relieve suffering by ethical means, it is also apparent that questions regarding the meaning and value of suffering are beyond the realm of medicine. These perspectives suggest that medicine and bioethics have much to gain from respectful consideration of religious discourse surrounding suffering.

Viewpoint: methanol poisoning outbreak in Libya: a need for policy reforms.

PubMed

Taleb, Ziyad Ben; Bahelah, Raed

2014-11-01

We address the controversies surrounding a 2013 outbreak of methanol poisoning in Tripoli, Libya. We critically examine and systematically analyze the outbreak to highlight the lessons learned from this disaster and how to act properly to prevent similar outbreaks in future. Many health problems have been directly attributed to drinking alcohol; the type and quality of alcohol determines the detrimental effects. An unregulated and flourishing black market in alcohol is among the factors behind the Libyan tragedy, where approximately 90 deaths and about 1000 hospital admissions were reported. We reviewed gaps in local and regional alcohol policy, and highlighted the issue of illegally produced and home-made alcohol. Collaboration between countries in the region plus critical health and policy reforms in Libya, with emphasis on public health preparedness, can dramatically decrease morbidity and mortality associated with such outbreaks.

Real-time driver fatigue detection based on face alignment

NASA Astrophysics Data System (ADS)

Tao, Huanhuan; Zhang, Guiying; Zhao, Yong; Zhou, Yi

2017-07-01

The performance and robustness of fatigue detection largely decrease if the driver with glasses. To address this issue, this paper proposes a practical driver fatigue detection method based on face alignment at 3000 FPS algorithm. Firstly, the eye regions of the driver are localized by exploiting 6 landmarks surrounding each eye. Secondly, the HOG features of the extracted eye regions are calculated and put into SVM classifier to recognize the eye state. Finally, the value of PERCLOS is calculated to determine whether the driver is drowsy or not. An alarm will be generated if the eye is closed for a specified period of time. The accuracy and real-time on testing videos with different drivers demonstrate that the proposed algorithm is robust and obtain better accuracy for driver fatigue detection compared with some previous method.

Affect of the unconscious: Visually suppressed angry faces modulate our decisions

PubMed Central

Pajtas, Petra E.; Mahon, Bradford Z.; Nakayama, Ken; Caramazza, Alfonso

2016-01-01

Emotional and affective processing imposes itself over cognitive processes and modulates our perception of the surrounding environment. In two experiments, we addressed the issue of whether nonconscious processing of affect can take place even under deep states of unawareness, such as those induced by interocular suppression techniques, and can elicit an affective response that can influence our understanding of the surrounding environment. In Experiment 1, participants judged the likeability of an unfamiliar item—a Chinese character—that was preceded by a face expressing a particular emotion (either happy or angry). The face was rendered invisible through an interocular suppression technique (continuous flash suppression; CFS). In Experiment 2, backward masking (BM), a less robust masking technique, was used to render the facial expressions invisible. We found that despite equivalent phenomenological suppression of the visual primes under CFS and BM, different patterns of affective processing were obtained with the two masking techniques. Under BM, nonconscious affective priming was obtained for both happy and angry invisible facial expressions. However, under CFS, nonconscious affective priming was obtained only for angry facial expressions. We discuss an interpretation of this dissociation between affective processing and visual masking techniques in terms of distinct routes from the retina to the amygdala. PMID:23224765

Learning Geomatics for Restoration: Icomos Summer School in Ossola Valley

NASA Astrophysics Data System (ADS)

Achille, C.; Fassi, F.; Marquardt, K.; Cesprini, M.

2017-05-01

Documentation and preservation of widespread rural heritage are today possible only if you can activate processes of conservation headed by local communities, thereby recognizing the link between the communities and their culture. The cultural heritage places (villages, sites and landscapes) can take different values; action is needed respecting the right of communities to identify the values contained in them. `Collaborative networks should be set up at different levels among multiple stakeholders in order to address issues related to heritage and create new value chains through innovative synergies. Dynamic, flexible, inclusive and integrated processes of engagement need to be employed for assessing long-term social impacts of heritage conservation programmes' (Icomos, 2014). In 2011 the 3DSurvey Group of the Politecnico di Milano in collaboration with the Canova Association initiated an annual summer school program entitled `Laboratory of Places 2017, Ghesc and surroundings, History, survey, evolution Laboratory of Places'. The definition of "Laboratory of Places 2017, Ghesc and surroundings" links the idea of an inhabited space to an open space suitable for study, research, and an interactive absorption and confrontation of differing ideas. Founding elements of the project involve educational collaborations with university, but equally important will be the development of programs with local schools, associations, and public administration (Quaderni di Ghesc, 2010).

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

Ghosh, A.; Hsiung, S.M.; Chowdhury, A.H.

Long-term stability of emplacement drifts and potential near-field fluid flow resulting from coupled effects are among the concerns for safe disposal of high-level nuclear waste (HLW). A number of factors can induce drift instability or change the near-field flow patterns. Repetitive seismic loads from earthquakes and thermal loads generated by the decay of emplaced waste are two significant factors. One of two key technical uncertainties (KTU) that can potentially pose a high risk of noncompliance with the performance objectives of 10 CFR Part 60 is the prediction of thermal-mechanical (including repetitive seismic load) effects on stability of emplacement drifts andmore » the engineered barrier system. The second KTU of concern is the prediction of thermal-mechanical-hydrological (including repetitive seismic load) effects on the host rock surrounding the engineered barrier system. The Rock Mechanics research project being conducted at the Center for Nuclear Waste Regulatory Analyses (CNWRA) is intended to address certain specific technical issues associated with these two KTUs. This research project has two major components: (i) seismic response of rock joints and a jointed rock mass and (ii) coupled thermal-mechanical-hydrological (TMH) response of a jointed rock mass surrounding the engineered barrier system (EBS). This final report summarizes the research activities concerned with the repetitive seismic load aspect of both these KTUs.« less

Design Issues and Inference in Experimental L2 Research

ERIC Educational Resources Information Center

Hudson, Thom; Llosa, Lorena

2015-01-01

Explicit attention to research design issues is essential in experimental second language (L2) research. Too often, however, such careful attention is not paid. This article examines some of the issues surrounding experimental L2 research and its relationships to causal inferences. It discusses the place of research questions and hypotheses,…

Challenges surrounding return-to-play (RTP) for the sports clinician: a case highlighting the need for a thorough three-step RTP model.

PubMed

Menta, Roger; D'Angelo, Kevin

2016-12-01

Return-to-play (RTP) is a multifactorial process of retuning an injured athlete back to competition when risk for re-injury is minimized. Traditionally, these decisions are made by medical practitioners based on experience or anecdotal evidence. RTP decisions continue to be a challenging task for the medical practitioner. In the interest of advancing sports medicine for the betterment of athletes, improving the RTP decision-making process with a new paradigm has been suggested.1 It stands to clarify the intricacies used by clinicians when making RTP decisions by providing insight into the multiple factors that must be considered; not only by the athlete and medical practitioner, but all relevant parties (i.e., coaches, trainers, and organizations). This case describes a 19-year-old Ontario Junior Hockey League (OJHL) player who fractured his left clavicle during game play and consequently, suffered a more severe injury to the same clavicle 5½ weeks later by returning to competition against medical advice. This case highlights the potential issues that present when a RTP protocol is poorly executed and addresses the need to adopt a thorough decision-based RTP model proposed by Creighton et al.1 Further, the discussion will draw on current literature and issues surrounding RTP, and the potential legal implications associated with premature return to competition. Given the lack of consensus among sport medicine experts in regards to RTP criteria, the presented model stands to provide a pivotal framework upon which future research can be conducted, while improving the current criteria in place when returning an athlete to competition to aid medical practitioners.

Utah Heavy Oil Program

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

J. Bauman; S. Burian; M. Deo

The Utah Heavy Oil Program (UHOP) was established in June 2006 to provide multidisciplinary research support to federal and state constituents for addressing the wide-ranging issues surrounding the creation of an industry for unconventional oil production in the United States. Additionally, UHOP was to serve as an on-going source of unbiased information to the nation surrounding technical, economic, legal and environmental aspects of developing heavy oil, oil sands, and oil shale resources. UHOP fulGilled its role by completing three tasks. First, in response to the Energy Policy Act of 2005 Section 369(p), UHOP published an update report to the 1987more » technical and economic assessment of domestic heavy oil resources that was prepared by the Interstate Oil and Gas Compact Commission. The UHOP report, entitled 'A Technical, Economic, and Legal Assessment of North American Heavy Oil, Oil Sands, and Oil Shale Resources' was published in electronic and hard copy form in October 2007. Second, UHOP developed of a comprehensive, publicly accessible online repository of unconventional oil resources in North America based on the DSpace software platform. An interactive map was also developed as a source of geospatial information and as a means to interact with the repository from a geospatial setting. All documents uploaded to the repository are fully searchable by author, title, and keywords. Third, UHOP sponsored Give research projects related to unconventional fuels development. Two projects looked at issues associated with oil shale production, including oil shale pyrolysis kinetics, resource heterogeneity, and reservoir simulation. One project evaluated in situ production from Utah oil sands. Another project focused on water availability and produced water treatments. The last project considered commercial oil shale leasing from a policy, environmental, and economic perspective.« less

A Status Report: A Look ahead at Various Issues from the Standpoint of College and University Attorneys.

ERIC Educational Resources Information Center

Bernard, Pamela; Alger, Jonathan R.; Shur, George; Olswang, Steven; Langhauser, Derek P.; Rothstein, Laura; Irwin, Kathleen S.; Blumer, Dennis H.

2003-01-01

A series of reports assess the current and potential legal issues surrounding college athletics, affirmative action, student affairs, tenure, freedom and regulation of speech, disabilities, academic research, and trustees. (EV)

Ethical Considerations in Tissue Engineering Research: Case Studies in Translation

PubMed Central

Baker, Hannah B.; McQuilling, John P.

2016-01-01

Tissue engineering research is a complex process that requires investigators to focus on the relationship between their research and anticipated gains in both knowledge and treatment improvements. The ethical considerations arising from tissue engineering research are similarly complex when addressing the translational progression from bench to bedside, and investigators in the field of tissue engineering act as moral agents at each step of their research along the translational pathway, from early benchwork and preclinical studies to clinical research. This review highlights the ethical considerations and challenges at each stage of research, by comparing issues surrounding two translational tissue engineering technologies: the bioartificial pancreas and a tissue engineered skeletal muscle construct. We present relevant ethical issues and questions to consider at each step along the translational pathway, from the basic science bench to preclinical research to first-in-human clinical trials. Topics at the bench level include maintaining data integrity, appropriate reporting and dissemination of results, and ensuring that studies are designed to yield results suitable for advancing research. Topics in preclinical research include the principle of “modest translational distance” and appropriate animal models. Topics in clinical research include key issues that arise in early-stage clinical trials, including selection of patient-subjects, disclosure of uncertainty, and defining success. The comparison of these two technologies and their ethical issues brings to light many challenges for translational tissue engineering research and provides guidance for investigators engaged in development of any tissue engineering technology. PMID:26282436

Integrating anticipated nutrigenomics bioscience applications with ethical aspects.

PubMed

Lévesque, Lise; Ozdemir, Vural; Gremmen, Bart; Godard, Béatrice

2008-03-01

Nutrigenomics is a subspecialty of nutrition science which aims to understand how gene-diet interactions influence individuals' response to food, disease susceptibility, and population health. Yet ethical enquiry into this field is being outpaced by nutrigenomics bioscience. The ethical issues surrounding nutrigenomics face the challenges of a rapidly evolving field which bring forward the additional dimension of crossdisciplinary integrative research between social and biomedical sciences. This article outlines the emerging nutrigenomics definitions and concepts and analyzes the existing ethics literature concerning personalized nutrition and presents "points to consider" over ethical issues regarding future nutrigenomics applications. The interest in nutrigenomics coincides with a shift in emphasis in medicine and biosciences toward prevention of future disease susceptibilities rather than treatment of already established disease. Hence, unique ethical issues emerge concerning the extent to which nutrigenomics can alter our relation to food, boundaries between health and disease, and the folklore of medical practice. Nutrigenomics can result in new social values, norms, and responsibilities for both individuals and societies. Nutrigenomics is not only another new application of "-omics" technologies in the context of gene-diet interactions. Nutrigenomics may fundamentally change the way we perceive human illness while shifting the focus and broadening the scope of health interventions from patients to healthy individuals. In resource- and time-limited healthcare settings, this creates unique ethical dilemmas and distributive justice issues. Ethical aspects of nutrigenomics applications should be addressed proactively, as this new science develops and increasingly coalesces with other applications of genomics in medicine and public health.

Ethical considerations in tissue engineering research: Case studies in translation.

PubMed

Baker, Hannah B; McQuilling, John P; King, Nancy M P

2016-04-15

Tissue engineering research is a complex process that requires investigators to focus on the relationship between their research and anticipated gains in both knowledge and treatment improvements. The ethical considerations arising from tissue engineering research are similarly complex when addressing the translational progression from bench to bedside, and investigators in the field of tissue engineering act as moral agents at each step of their research along the translational pathway, from early benchwork and preclinical studies to clinical research. This review highlights the ethical considerations and challenges at each stage of research, by comparing issues surrounding two translational tissue engineering technologies: the bioartificial pancreas and a tissue engineered skeletal muscle construct. We present relevant ethical issues and questions to consider at each step along the translational pathway, from the basic science bench to preclinical research to first-in-human clinical trials. Topics at the bench level include maintaining data integrity, appropriate reporting and dissemination of results, and ensuring that studies are designed to yield results suitable for advancing research. Topics in preclinical research include the principle of "modest translational distance" and appropriate animal models. Topics in clinical research include key issues that arise in early-stage clinical trials, including selection of patient-subjects, disclosure of uncertainty, and defining success. The comparison of these two technologies and their ethical issues brings to light many challenges for translational tissue engineering research and provides guidance for investigators engaged in development of any tissue engineering technology. Copyright © 2015 Elsevier Inc. All rights reserved.

An introduction to dento-legal issues and risks in orthodontics.

PubMed

Ireland, A J; Willmot, D; Hunt, N P

2015-02-16

Orthodontic treatment is not without risk. This article aims to look at some of the dento-legal issues surrounding orthodontic treatment, the risks to both the clinician and the patient, and how some of these risks can be mitigated.

The Older Employee as a Resource: Issues for Personnel.

ERIC Educational Resources Information Center

Lyons, Morgan

1981-01-01

This article looks at some of the issues surrounding a potentially older workforce and reports on some of the creative solutions currently being advanced by employers, including (1) redesigning work schedules, (2) redesigning jobs, and (3) alternative assignments. (LRA)

Legal Aspects of Internet Filtering in Public Libraries.

ERIC Educational Resources Information Center

Elsner, Edward J.

2001-01-01

Examines the legal issues surrounding Internet filtering in public libraries. Discusses First Amendment rights and responsibilities; recent court cases; legal problems with limiting Internet access; librarian intervention; less restrictive means to protect minors from harmful materials; and possible liability issues. (LRW)

Patient and healthcare perspectives on the importance and efficacy of addressing spiritual issues within an interdisciplinary bone marrow transplant clinic: a qualitative study

PubMed Central

Sinclair, Shane; McConnell, Shelagh; Raffin Bouchal, Shelley; Ager, Naree; Booker, Reanne; Enns, Bert; Fung, Tak

2015-01-01

Objectives The purpose of this study was to use a qualitative approach to better understand the importance and efficacy of addressing spiritual issues within an interdisciplinary bone marrow transplant clinic from the perspectives of patients and healthcare providers. Setting Participants were recruited from the bone marrow transplant clinic of a large urban outpatient cancer care centre in western Canada. Participants: Focus groups were conducted with patients (n=7) and healthcare providers (n=9) to explore the importance of addressing spiritual issues across the treatment trajectory and to identify factors associated with effectively addressing these needs. Results Data were analysed using the qualitative approach of latent content analysis. Addressing spiritual issues was understood by patients and healthcare providers, as a core, yet under addressed, component of comprehensive care. Both sets of participants felt that addressing basic spiritual issues was the responsibility of all members of the interdisciplinary team, while recognising the need for specialised and embedded support from a spiritual care professional. While healthcare providers felt that the impact of the illness and treatment had a negative effect on patients’ spiritual well-being, patients felt the opposite. Skills, challenges, key time points and clinical indicators associated with addressing spiritual issues were identified. Conclusions Despite a number of conceptual and clinical challenges associated with addressing spiritual issues patients and their healthcare providers emphasised the importance of an integrated approach whereby basic spiritual issues are addressed by members of the interdisciplinary team and by an embedded spiritual care professional, who in addition also provides specialised support. The identification of clinical issues associated with addressing spiritual needs provides healthcare providers with clinical guidance on how to better integrate this aspect of care into their clinical practice, while also identifying acute incidences when a more targeted and specialised approach may be of benefit. PMID:26614623

Minimizing Disparities and Developing Support by Identifying Differences in Confidence and Knowledge Related to Water Issues

ERIC Educational Resources Information Center

Taylor, Melissa; Lamm, Alexa J.

2016-01-01

Extension educators face challenges as they strive to keep up with critical issues in their communities, such as those surrounding water. A growing population and a diminishing water supply necessitate that Florida residents become more knowledgeable about water issues. We conducted research to determine how confident both the general public and…

Equity in Education: A Balancing Act.

ERIC Educational Resources Information Center

Richardson, Lynnette, Ed.; Hines, Mack T., III, Ed.

The issues surrounding equity in education are complex and varied. Recently the focus has shifted to students at risk. This paper discusses four specific issues that have affected school learning for at-risk students over the last 50 years. Issue 1, equity and youth at risk, discusses the home and family life of at-risk students and its…

Barriers beyond words: cancer, culture, and translation in a community of Russian speakers.

PubMed

Dohan, Daniel; Levintova, Marya

2007-11-01

Language and culture relate in complex ways. Addressing this complexity in the context of language translation is a challenge when caring for patients with limited English proficiency (LEP). To examine processes of care related to language, culture and translation in an LEP population is the objective of this study. We used community based participatory research to examine the experiences of Russian-speaking cancer patients in San Francisco, California. A Russian Cancer Information Taskforce (RCIT), including community-based organizations, local government, and clinics, participated in all phases of the study. A purposeful sample of 74 individuals were the participants of the study. The RCIT shaped research themes and facilitated access to participants. Methods were focus groups, individual interviews, and participant observation. RCIT reviewed data and provided guidance in interpreting results. Four themes emerged. (1) Local Russian-language resources were seen as inadequate and relatively unavailable compared to other non-English languages; (2) a taboo about the word "cancer" led to language "games" surrounding disclosure; (3) this taboo, and other dynamics of care, reflected expectations that Russian speakers derived from experiences in their countries of origin; (4) using interpreters as cultural brokers or establishing support groups for Russian speakers could help address barriers. The language barriers experienced by this LEP population reflect cultural and linguistic issues. Providers should consider partnering with trained interpreters to address the intertwining of language and culture.

Community health workers, recipients' experiences and constraints to care in South Africa - a pathway to trust.

PubMed

Nxumalo, Nonhlanhla; Goudge, Jane; Manderson, Lenore

2016-01-01

Community health workers (CHWs) affiliated with community-based organisations are central to the implementation of primary health care in district health services in South Africa. Here, we explore factors that affect the provision of and access to care in two provinces - Gauteng and Eastern Cape. Drawing on narratives of care recipients and the CHWs who support them, we illustrate the complex issues surrounding health maintenance and primary care outreach in poor communities, and describe how the intimate interactions between providers and recipients work to build trust. In the study we report here, householders in Gauteng Province had poor access to health care and other services, complicating the impoverished circumstances of their everyday lives. The limited resources available to CHWs hindered their ability to meet householders' needs and for householders to benefit from existing services. CHWs in the Eastern Cape were better able to address the needs of poor householders because of the organisational support available to them. Based on an ethos of integrated and holistic care, this enabled the CHWs to address the recipients' context-related needs, and health and medical needs, while building greater levels of trust with their clients.

Differentiating littering, urban runoff and marine transport as sources of marine debris in coastal and estuarine environments

PubMed Central

Willis, Kathryn; Denise Hardesty, Britta; Kriwoken, Lorne; Wilcox, Chris

2017-01-01

Marine debris is a burgeoning global issue with economic, ecological and aesthetic impacts. While there are many studies now addressing this topic, the influence of urbanisation factors such as local population density, stormwater drains and roads on the distribution of coastal litter remains poorly understood. To address this knowledge gap, we carried out standardized surveys at 224 transect surveys at 67 sites in two estuaries and along the open coast in Tasmania, Australia. We explored the relative support for three hypotheses regarding the sources of the debris; direct deposition by beachgoers, transport from surrounding areas via storm water drains and coastal runoff, and onshore transport from the marine system. We found strong support for all three mechanisms, however, onshore transport from the marine reservoir was the most important mechanism. Overall, the three models together explained 45.8 percent of the variation in our observations. Our results also suggest that most debris released into the marine environment is deposited locally, which may be the answer to where all the missing plastic is in the ocean. Furthermore, local interventions are likely to be most effective in reducing land-based inputs into the ocean. PMID:28281667

Differentiating littering, urban runoff and marine transport as sources of marine debris in coastal and estuarine environments

NASA Astrophysics Data System (ADS)

Willis, Kathryn; Denise Hardesty, Britta; Kriwoken, Lorne; Wilcox, Chris

2017-03-01

Marine debris is a burgeoning global issue with economic, ecological and aesthetic impacts. While there are many studies now addressing this topic, the influence of urbanisation factors such as local population density, stormwater drains and roads on the distribution of coastal litter remains poorly understood. To address this knowledge gap, we carried out standardized surveys at 224 transect surveys at 67 sites in two estuaries and along the open coast in Tasmania, Australia. We explored the relative support for three hypotheses regarding the sources of the debris; direct deposition by beachgoers, transport from surrounding areas via storm water drains and coastal runoff, and onshore transport from the marine system. We found strong support for all three mechanisms, however, onshore transport from the marine reservoir was the most important mechanism. Overall, the three models together explained 45.8 percent of the variation in our observations. Our results also suggest that most debris released into the marine environment is deposited locally, which may be the answer to where all the missing plastic is in the ocean. Furthermore, local interventions are likely to be most effective in reducing land-based inputs into the ocean.

The three-dimensional structures of bacterial reaction centers.

PubMed

Olson, T L; Williams, J C; Allen, J P

2014-05-01

This review presents a broad overview of the research that enabled the structure determination of the bacterial reaction centers from Blastochloris viridis and Rhodobacter sphaeroides, with a focus on the contributions from Duysens, Clayton, and Feher. Early experiments performed in the laboratory of Duysens and others demonstrated the utility of spectroscopic techniques and the presence of photosynthetic complexes in both oxygenic and anoxygenic photosynthesis. The laboratories of Clayton and Feher led efforts to isolate and characterize the bacterial reaction centers. The availability of well-characterized preparations of pure and stable reaction centers allowed the crystallization and subsequent determination of the structures using X-ray diffraction. The three-dimensional structures of reaction centers revealed an overall arrangement of two symmetrical branches of cofactors surrounded by transmembrane helices from the L and M subunits, which also are related by the same twofold symmetry axis. The structure has served as a framework to address several issues concerning bacterial photosynthesis, including the directionality of electron transfer, the properties of the reaction center-cytochrome c 2 complex, and the coupling of proton and electron transfer. Together, these research efforts laid the foundation for ongoing efforts to address an outstanding question in oxygenic photosynthesis, namely the molecular mechanism of water oxidation.

a History of Funding for WOMEN’S Programs at the National Science Foundation: from Individual Powre Approaches to the Advance of Institutional Approaches

NASA Astrophysics Data System (ADS)

Rosser, Sue V.; Lane, Eliesh O'neil

The biennial reports on women, minorities, and persons with disabilities produced by the National Science Foundation (NSF) because of congressional mandate laid the statistical foundation for NSF initiatives to redress the underrepresentation of these groups. Programs established in the 1980s such as Research Opportunities for Women, Visiting Professorships for Women, Graduate Fellowships for Women, and Career Advancement Awards provided support to individual women for their research. In the 1990s, the NSF also began to focus on systemic initiatives, creating the Program for Women and Girls, although it continued to address the problem through support of individual researchers in the newly created Professional Opportunities for Women in Research and Education (POWRE) initiative. The responses from more than 400 awardees during the 4 years of POWRE provide insights into the current issues these women perceive surrounding their grants, funding, and interactions with NSF bureaucracy and staff members. The results of the POWRE survey support the institutional, systemic thrust of the NSF’s new ADVANCE initiative to attempt to solve problems such as balancing career and family that cannot be addressed solely by supporting research projects of individual female scientists and engineers.

Addressing Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Issues in Teacher Education: Teacher Candidates' Perceptions

ERIC Educational Resources Information Center

Kitchen, Julian; Bellini, Christine

2012-01-01

Homophobic harassment and bullying are persistent issues in Canadian schools despite recent initiatives to improve school climate. Among the reasons is that educators feel reluctant or ill-prepared to address these issues. The purpose of this paper is to examine how teacher education can help make schools safer by addressing LGBTQ issues and…

Emotional Disturbance/Social Maladjustment: Why Is the Incidence Increasing?

ERIC Educational Resources Information Center

Kehle, Thomas J.; Bray, Melissa A.; Theodore, Lea A.; Zhou, Zheng; McCoach, D. Betsy

2004-01-01

Numerous arguments have addressed the controversies surrounding the category of emotional disturbance (ED) and the exclusion, or proposed inclusion, of students with social maladjustment (SM). In this article we address the consensually agreed upon characteristics of ED that are in common with SM, in addition to examining characteristics that…

Genetic Issues in Mental Retardation, 1996-1997.

ERIC Educational Resources Information Center

Genetic Issues in Mental Retardation, 1996

1996-01-01

This document consists of the first six issues of a newsletter, which discusses current knowledge about and concerns related to genetics and mental retardation. The second issue addresses the problem of genetic discrimination. The third issue considers genetic testing, screening, and counseling. The fourth issue addresses genetic privacy issues.…

Understanding wireless communications in public safety : a guidebook to technology, issues, planning, and management. 2nd ed.

DOT National Transportation Integrated Search

2003-01-01

This guidebook was created to help unravel the confusing issues, terms, and options surrounding wireless communications, particularly as it involves commercially available communications services. The target audience consists of those middle and uppe...

A Special Issue on Black Women.

ERIC Educational Resources Information Center

Murray, Saundra Rice, Ed.; Scott, Patricia Bell, Ed.

1982-01-01

In six articles presents research reflective of the diversity and commonalities of the Black female experience. Deals with educational, career, and psychological issues surrounding Black adolescents, working and professional women, college students, and employed mothers. Discusses militancy, fear of success, coping, nontraditional careers, and…

Gifted and Talented Students. IDRA Focus.

ERIC Educational Resources Information Center

IDRA Newsletter, 1998

1998-01-01

This theme issue includes five articles that focus on issues surrounding gifted and talented students, especially as they relate to poor, minority, or limited-English-proficient children. "Traditional Methods of Identifying Gifted Students Overlooks Many" (Linda Cantu) presents findings from the National Educational Longitudinal Study…

Parental Perceptions, Experiences, and Desires of Music Therapy

PubMed Central

Kong, Ha-Kyung; Karahalios, Karrie

2016-01-01

Music therapy (MT) is a therapeutic practice where a therapist uses music to enhance the life quality for their patients. Children have an innate enjoyment of music, making music an effective medium for exploring their potential. In this study, we explore the parental perception of MT through an online survey. Contrary to the public perception that MT only addresses emotional needs, 47 out of 59 parents reported seeing improvements in other areas including behavioral, cognitive, linguistic, and social changes. All but one parent indicated that they would recommend MT to others. The survey results further revealed that even parents of children participating in MT had misconceptions regarding MT, which we describe in the paper. Parents reported inaccessibility and cost as other major limitations surrounding MT adoption. We conclude by discussing how technology solutions could mitigate issues with definition, distance, and cost, while maintaining the benefits of MT. PMID:28269946

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

PubMed

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

2011-01-01

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

The introduction of breast milk donation in a Muslim country.

PubMed

al-Naqeeb, N A; Azab, A; Eliwa, M S; Mohammed, B Y

2000-11-01

Breast milk donation (wet-nursing) for full-term babies is a well-known practice in Kuwait, but it has never been organized formally in a neonatal intensive care unit (NICU) for preterm babies. Donor milk banking as conducted in Western society is not considered to be ethical in Muslim society, where the milk donor and the recipient are required to know each other. Human milk is known to decrease the incidence of necrotizing enterocolitis; improve host defenses, digestion, absorption of nutrients, gastrointestinal function, and neurodevelopment of the child; and contribute to maternal physical and psychological well-being. A culturally accepted approach to donor milk banking is proposed as a means of overcoming the ethical issues surrounding milk donation in Muslim society. This report addresses the first step in raising awareness of the valuable contribution of donor milk to preterm babies and the organization of human milk donation for use in an NICU.

Case and commentary: using simulation to address hierarchy issues during medical crises.

PubMed

Calhoun, Aaron W; Boone, Megan C; Miller, Karen H; Pian-Smith, May C M

2013-02-01

Medicine is hierarchical, and both positive and negative effects of this can be exposed and magnified during a crisis. Ideally, hierarchies function in an orderly manner, but when an inappropriate directive is given, the results can be disastrous unless team members are empowered to challenge the order. This article describes a case that uses misdirection and the possibility of simulated "death" to facilitate learning among experienced clinicians about the potentially deadly effects of an unchallenged, inappropriate order. The design of this case, however, raises additional questions regarding both ethics and psychological safety. The ethical concerns that surround the use of misdirection in simulation and the psychological ramifications of incorporating patient death in this context are explored in the commentary. We conclude with a discussion of debriefing strategies that can be used to promote psychological safety during potentially emotionally charged simulations and possible directions for future research.

Mixing medication into foodstuffs: identifying the issues for paediatric nurses.

PubMed

Akram, Gazala; Mullen, Alex B

2015-04-01

Medication is often mixed into soft foods to aid swallowing in children. However, this can alter the physical/chemical properties of the active drug. This study reports on the prevalence of the modification procedure, the nature of foodstuffs routinely used and factors which influence how the procedure is performed by nurses working in the National Health Service in Scotland. Mixed methods were employed encompassing an online self-administered questionnaire and semi-structured interviews. One hundred and eleven nurses participated, of whom 87% had modified medication prior to administration. Fruit juice (diluted and concentrated) and yoghurts were most commonly used. The interviews (i) identified the limitations of the procedure; (ii) explored the decision-making process; and (iii) confirmed the procedure was a last resort. This study intends to address some of the uncertainty surrounding the medicine modification procedure within the paediatric population. © 2013 Wiley Publishing Asia Pty Ltd.

The photobiological production of hydrogen: potential efficiency and effectiveness as a renewable fuel.

PubMed

Prince, Roger C; Kheshgi, Haroon S

2005-01-01

Photosynthetic microorganisms can produce hydrogen when illuminated, and there has been considerable interest in developing this to a commercially viable process. Its appealing aspects include the fact that the hydrogen would come from water, and that the process might be more energetically efficient than growing, harvesting, and processing crops. We review current knowledge about photobiological hydrogen production, and identify and discuss some of the areas where scientific and technical breakthroughs are essential for commercialization. First we describe the underlying biochemistry of the process, and identify some opportunities for improving photobiological hydrogen production at the molecular level. Then we address the fundamental quantum efficiency of the various processes that have been suggested, technological issues surrounding large-scale growth of hydrogen-producing microorganisms, and the scale and efficiency on which this would have to be practiced to make a significant contribution to current energy use.

Amnesia and crime: a neuropsychiatric response.

PubMed

Wortzel, Hal S; Arciniegas, David B

2008-01-01

Bourget and Whitehurst's "Amnesia and Crime," published in a prior issue of the Journal, addresses a conceptually complex and clinically challenging subject. Their treatment emphasizes psychiatric conditions in which memory disturbances may arise that are relevant to criminal proceedings. However, their consideration of the neurobiology of memory, memory disturbances, and the neurobiological bases of interactions between psychiatric symptoms and memory merit further elaboration. The relevance of memory impairment to criminal matters requires forensic psychiatric experts to possess a basic understanding of the phenomenology and neurobiology of memory. The present authors describe briefly the phenomenology and neuroanatomy of memory, emphasizing first that memory is not a unitary cognitive domain, clinically or neurobiologically. The assertion that psychotic delusions produce memory impairment is challenged, and the description of "organic" amnesia, both semantically and in terms of its clinical features, is reframed. Resources on which to build a neuropsychiatric foundation for forensic psychiatric opinions on memory impairment surrounding criminal behavior are offered.

An ethical framework for the management of pain in the emergency department.

PubMed

Venkat, Arvind; Fromm, Christian; Isaacs, Eric; Ibarra, Jordan

2013-07-01

Pain is a ubiquitous problem, affecting more than 100 million individuals in the United States chronically and many more in the acute setting. Up to three-quarters of patients presenting to the emergency department (ED) report pain as a key component of their reasons for requiring acute care. While pain management is a fundamental component of emergency medicine (EM), there are numerous attitudinal and structural barriers that have been identified to effectively providing pain control in the ED. Coupled with public demands and administrative mandates, concerns surrounding ED pain management have reached a crisis level that should be considered an ethical issue in the profession of EM. In this article, the authors propose an ethical framework based on a combination of virtue, narrative, and relationship theories that can be used to address the clinical dilemmas that arise in managing pain in ED patients. © 2013 by the Society for Academic Emergency Medicine.

Self-regulation and the problem of human autonomy: does psychology need choice, self-determination, and will?

PubMed

Ryan, Richard M; Deci, Edward L

2006-12-01

The term autonomy literally refers to regulation by the self. Its opposite, heteronomy, refers to controlled regulation, or regulation that occurs without self-endorsement. At a time when philosophers and economists are increasingly detailing the nature of autonomy and recognizing its social and practical significance, many psychologists are questioning the reality and import of autonomy and closely related phenomena such as will, choice, and freedom. Using the framework of self-determination theory (Ryan & Deci, 2000), we review research concerning the benefits of autonomous versus controlled regulation for goal performance, persistence, affective experience, quality of relationships, and well-being across domains and cultures. We also address some of the controversies and terminological issues surrounding the construct of autonomy, including critiques of autonomy by biological reductionists, cultural relativists, and behaviorists. We conclude that there is a universal and cross-developmental value to autonomous regulation when the construct is understood in an exacting way.

Preface: Proceedings of the seventh international symposium on the biology and management of corigonid fishes

USGS Publications Warehouse

Todd, Thomas; Fleischer, Guy

2002-01-01

This volume is the proceedings of the Seventh International Symposium on the Biology and Management of Coregonid Fishes (ISBMCF). As in all six preceding symposia, the seventh meeting of the ISBMCF provided an international forum for the scientific review and discussion of the various taxonomic, biological, ecological, and management issues that surround this important group of Holarctic fishes. The collection of presentations for this conference was addressed in the following convened sessions: Genetics, Stocking, Fisheries, and Biology, as well as special sessions on Lake Baikal, Russia and Lake Femund, Norway. The conference comprised 53 oral and 58 poster presentations by scientists from Canada, the United Kingdom, France, Switzerland, Germany, Finland, Norway, Poland, Russia, and the United States. In total, there were 162 participants, including an unprecedented 18 scientists from Russia as the result of additional, concerted support.

Stress analysis of three-dimensional roadway layout of stagger arrangement with field observation

NASA Astrophysics Data System (ADS)

Cui, Zimo; Chanda, Emmanuel; Zhao, Jingli; Wang, Zhihe

2018-01-01

Longwall top-coal caving (LTCC) has been a popular, more productive and cost-effective method for extracting thick (> 5 m) to ultra-thick coal seams in recent years. However, low-level recovery ratio of coal resources and top-coal loss above the supports at both ends of working face are long-term problems. Geological factors, such as large dip angle, soft rock, mining depth further complicate the problems. This paper proposes addressing this issue by adopting three-dimensional roadway layout of stagger arrangement (3-D RLSA). In this study, the first step was to analyse the stress environment surrounding head entry in the replacing working face based on the stress distribution characteristics at the triangular coal-pillar side in gob and the stress slip line field theory. In the second step, filed observation was conducted. Finally, an economic evaluation of the 3-D RLSA for extracting thick to ultra-thick seams was conducted.

Summary of OEM Idling Recommendations from Vehicle Owner's Manuals

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

Keel-Blackmon, Kristy; Curran, Scott; Lapsa, Melissa Voss

The project upon which this report is based was conceived in 2012 during discussions between the East Tennessee Clean Fuels Coalition (ETCleanFuels) and Oak Ridge National Laboratory (ORNL) who both noted that a detailed summary of idling recommendations for a wide variety of engines and vehicles were not available in the literature. The two organizations agreed that ETCleanFuels would develop a first-of-its-kind collection of idling recommendations from the owner’s manuals of modern production vehicles. Vehicle engine idling, a subject that has long been debated, is largely shrouded in misinformation. The justifications for idling seem to be many: driver comfort, waitingmore » in lines, and talking on cell phones to name a few. Assuredly, a great number of people idle because of the myths and misinformation surrounding this issue. This report addresses these myths by turning to statements taken directly from the automobile and engine manufacturers themselves.« less

Bioethical considerations in translational research: primate stroke.

PubMed

Sughrue, Michael E; Mocco, J; Mack, Willam J; Ducruet, Andrew F; Komotar, Ricardo J; Fischbach, Ruth L; Martin, Thomas E; Connolly, E Sander

2009-05-01

Controversy and activism have long been linked to the subject of primate research. Even in the midst of raging ethical debates surrounding fertility treatments, genetically modified foods and stem-cell research, there has been no reduction in the campaigns of activists worldwide. Playing their trade of intimidation aimed at ending biomedical experimentation in all animals, they have succeeded in creating an environment where research institutions, often painted as guilty until proven innocent, have avoided addressing the issue for fear of becoming targets. One area of intense debate is the use of primates in stroke research. Despite the fact that stroke kills more people each year than AIDS and malaria, and less than 5% of patients are candidates for current therapies, there is significant opposition to primate stroke research. A balanced examination of the ethics of primate stroke research is thus of broad interest to all areas of biomedical research.

Knowledge and beliefs about breastfeeding are not determinants for successful breastfeeding.

PubMed

Ishak, Shareena; Adzan, Nur Azeanny M; Quan, Lee K; Shafie, M Hasli; Rani, Nor Azila; Ramli, Kazzoma G

2014-01-01

A cross-sectional prospective study was performed to assess knowledge and attitude toward breastfeeding among mothers in a tertiary hospital in Malaysia and its influence on their breastfeeding practices. Two hundred thirteen women who had delivered healthy babies at term were enrolled. A structured questionnaire containing demographic data and the Iowa Infant Feeding Attitude Score were used, followed by a telephone interview after 8 weeks to determine the feeding outcome. Women of Malay ethnicity with higher education level who had received breastfeeding counseling had a significantly more favorable attitude toward breastfeeding. Ethnicity was found to be a significant determinant in the success of breastfeeding, whereas returning to work was a major reason for discontinuing breastfeeding. In ensuring a successful breastfeeding practice, apart from knowledge and attitude, issues surrounding culture and traditions as well as improving deliverance of readily available support should be addressed.

Parental Perceptions, Experiences, and Desires of Music Therapy.

PubMed

Kong, Ha-Kyung; Karahalios, Karrie

2016-01-01

Music therapy (MT) is a therapeutic practice where a therapist uses music to enhance the life quality for their patients. Children have an innate enjoyment of music, making music an effective medium for exploring their potential. In this study, we explore the parental perception of MT through an online survey. Contrary to the public perception that MT only addresses emotional needs, 47 out of 59 parents reported seeing improvements in other areas including behavioral, cognitive, linguistic, and social changes. All but one parent indicated that they would recommend MT to others. The survey results further revealed that even parents of children participating in MT had misconceptions regarding MT, which we describe in the paper. Parents reported inaccessibility and cost as other major limitations surrounding MT adoption. We conclude by discussing how technology solutions could mitigate issues with definition, distance, and cost, while maintaining the benefits of MT.

“Don’t Think Paralysis Takes Away Your Womanhood”: Sexual Intimacy After Spinal Cord Injury

PubMed Central

Dillaway, Heather; Lysack, Cathy L.

2015-01-01

Sexuality and intimacy are important components of health and well-being. Issues surrounding sexuality and intimacy are equally important for men and women living with physical disabilities, including spinal cord injury (SCI). Yet, women’s sexuality after SCI remains largely unexamined. This article presents the findings from an in-depth qualitative investigation of the sexual and reproductive health experiences of 20 women with SCI in or around Detroit, MI. Findings echo existing literature documenting the sexual consequences of life after SCI and suggest new areas of inquiry important for better addressing sexual concerns across the lifespan. Specifically, findings suggest a need to consider the variable effects of SCI on sexual intimacy in relation to a person’s developmental trajectory, the appropriate timing of sexual education, the need to expand conceptualizations of sexual intimacy, and the ways SCI may affect sexuality in later life. PMID:26122683

Immigration detention and faith-based organizations.

PubMed

Snyder, Susanna; Bell, Holly; Busch-Armendariz, Noël

2015-04-01

Immigration detention is a hot contemporary issue in the United States, with over 33,000 individuals held in detention facilities daily and reports of poor conditions and human rights abuses. Building on a growing body of theory exploring the role of faith-based organizations (FBOs) in social services provision, and seeking to address a gap in the literature concerning services provided to immigrants in detention, this qualitative study explored the responses of FBOs to immigration detainees. Twenty in-depth interviews with volunteers and staff members of FBOs as well as field notes from participant observation were analyzed using thematic coding techniques. Findings suggest that FBOs are active leaders in this area of social work practice and provide significant resources to isolated and vulnerable detained immigrants in a variety of ways. Simultaneously, they face challenges surrounding access and constricted activity. The study indicates that considerable scope exists for expanding and enhancing faith-based and other social work engagement in this crucial field.

An overview of environmental surveillance of waste management activities at the Idaho National Engineering Laboratory

USGS Publications Warehouse

Smith, T.H.; Chew, E.W.; Hedahl, T.G.; Mann, L.J.; Pointer, T.F.; Wiersma, G.B.

1986-01-01

The Idaho National Engineering Laboratory (INEL), in southeastern Idaho, is a principal center for nuclear energy development for the Department of Energy (DOE) and the U.S. Nuclear Navy. Fifty-two reactors have been built at the INEL, with 15 still operable. Extensive environmental surveillance is conducted at the INEL by DOE's Radiological Environmental Sciences Laboratory (RESL), and the U.S. Geological Survey (USGS), the National Oceanic and Atmospheric Administration (NOAA), EG&G Idaho, Inc., and Westinghouse Idaho Nuclear Company (WINCO). Surveillance of waste management facilities radiation is integrated with the overall INEL Site surveillance program. Air, warer, soil, biota, and environmental radiation are monitored or sampled routinely at INEL. Results to date indicate very small or no impacts from INEL on the surrounding environment. Environmental surveillance activities are currently underway to address key environmental issues at the INEL.

Active vibration suppression of helicopter horizontal stabilizers

NASA Astrophysics Data System (ADS)

Cinquemani, Simone; Cazzulani, Gabriele; Resta, Ferruccio

2017-04-01

Helicopters are among the most complex machines ever made. While ensuring high performance from the aeronautical point of view, they are not very comfortable due to vibration mainly created by the main rotor and by the interaction with the surrounding air. One of the most solicited structural elements of the vehicle are the horizontal stabilizers. These elements are particularly stressed because of their composite structure which, while guaranteeing lightness and strength, is characterized by a low damping. This work makes a preliminary analysis on the dynamics of the structure and proposes different solutions to actively suppress vibrations. Among them, the best in terms of the relationship between performance and weight / complexity of the system is that based on inertial actuators mounted on the inside of the horizontal stabilizers. The work addresses the issue of the design of the device and its use in the stabilizer from both the numerical and the experimental points of view.

Knowledge and Beliefs About Breastfeeding Are Not Determinants for Successful Breastfeeding

PubMed Central

Adzan, Nur Azeanny M.; Quan, Lee K.; Shafie, M. Hasli; Rani, Nor Azila; Ramli, Kazzoma G.

2014-01-01

Abstract A cross-sectional prospective study was performed to assess knowledge and attitude toward breastfeeding among mothers in a tertiary hospital in Malaysia and its influence on their breastfeeding practices. Two hundred thirteen women who had delivered healthy babies at term were enrolled. A structured questionnaire containing demographic data and the Iowa Infant Feeding Attitude Score were used, followed by a telephone interview after 8 weeks to determine the feeding outcome. Women of Malay ethnicity with higher education level who had received breastfeeding counseling had a significantly more favorable attitude toward breastfeeding. Ethnicity was found to be a significant determinant in the success of breastfeeding, whereas returning to work was a major reason for discontinuing breastfeeding. In ensuring a successful breastfeeding practice, apart from knowledge and attitude, issues surrounding culture and traditions as well as improving deliverance of readily available support should be addressed. PMID:24893127

A Paradox of Power: Voices of Warning and Reason in the Geosciences

NASA Astrophysics Data System (ADS)

Thompson, Douglas

As a culture, we are faced with a series of increasingly complex environmental problems. As geoscientists, we are often asked to assume the role of technical experts to provide guidance or solutions to these difficult dilemmas. Unfortunately, the political, social, economic, and judicial aspects of environmental management often require geoscientists to advocate choices or provide definitive answers that are in conflict with our training as never-ending hypothesis testers and unbiased observers of nature.A Paradox of Power: Voices of Warning and Reason in the Geosciences addresses this topic by providing a collection of works that highlights various discrepancies between standard scientific procedures and the public decision-making process. The book presents a range of views and examples that provides geoscientists with a background on the issues surrounding the use of their expertise and analyses in typical law and policy decisions.

Establishing HIV treatment as prevention in the HIV Prevention Trials Network 052 randomized trial: an ethical odyssey.

PubMed

Cohen, Myron S; McCauley, Marybeth; Sugarman, Jeremy

2012-06-01

Obtaining the definitive data necessary to determine the safety and efficacy of using antiretroviral treatment (ART) to reduce the sexual transmission of HIV in heterosexual couples encountered an array of ethical challenges that threatened to compromise HIV Prevention Trials Network (HPTN) 052, the multinational clinical trial addressing this issue that has profound public health implications. To describe and analyze the major ethical challenges faced in HPTN 052. The ethical issues and modifications of HPTN 052 in response to these issues were cataloged by the principal investigator, the lead coordinator, and the ethicist working on the trial. The major ethical issues that were unique to the trial were then described and analyzed in light of the published literature as well as guidances and policies. The ethical challenges that must be addressed in many clinical trials, such as those related to obtaining informed consent and making provisions for ancillary care, are not described. When HPTN 052 was being designed, ethical questions emerged related to the relevance of the research question itself given data from observational research and a range of beliefs about the appropriate means of preventing and treating HIV infection and AIDS. Furthermore, ethical challenges were faced regarding site selection since there was a scientific need to conduct the research in settings where HIV incidence was high, but alternatives to study participation should be available. As in most HIV-prevention research, ethical questions surrounded the determination of the appropriate prevention package for all of those enrolled. During the course of the trial, guidance documents and policies emerged that were of direct relevance to the research questions, calling for a balancing of concerns for the research subjects and trial integrity. When the study results were made public, there was a need to ensure access to the treatment shown to be effective that in some cases differed from the guidelines used at the sites where the research was being conducted. In addition, questions were raised about whether there was an obligation to notify subjects about 'unlinked' transmissions of HIV, that is, infections acquired from someone other than the designated sexual partner enrolled in the study. The ethical issues described are limited to those discerned by the authors and not those of other stakeholders who may have identified additional issues or had a different perspective in analyzing them. Understanding the ethical challenges faced in HPTN 052 promises to inform the design and conduct of future complex, long-term clinical trials aimed at addressing critical scientific and public health questions, where data and practice patterns emerge over the course of the trial.

Astronomy Village Reaches for New Heights

NASA Astrophysics Data System (ADS)

Croft, S. K.; Pompea, S. M.

2007-12-01

We are developing a set of complex, multimedia-based instructional modules emphasizing technical and scientific issues related to Giant Segmented Mirror Telescope project. The modules" pedagogy will be open-ended and problem-based to promote development of problem-solving skills. Problem- based-learning modules that emphasize work on open-ended complex real world problems are particularly valuable in illustrating and promoting a perspective on the process of science and engineering. Research in this area shows that these kinds of learning experiences are superior to more conventional student training in terms of gains in student learning. The format for the modules will be based on the award-winning multi-media educational Astronomy Village products that present students with a simulated environment: a mountaintop community surrounded by a cluster of telescopes, satellite receivers, and telecommunication towers. A number of "buildings" are found in the Village, such as a library, a laboratory, and an auditorium. Each building contains an array of information sources and computer simulations. Students navigate through their research with a mentor via imbedded video. The first module will be "Observatory Site Selection." Students will use astronomical data, basic weather information, and sky brightness data to select the best site for an observatory. Students will investigate the six GSMT sites considered by the professional site selection teams. Students will explore weather and basic site issues (e.g., roads and topography) using remote sensing images, computational fluid dynamics results, turbulence profiles, and scintillation of the different sites. Comparison of student problem solving with expert problem solving will also be done as part of the module. As part of a site selection team they will have to construct a case and present it on why they chose a particular site. The second module will address aspects of system engineering and optimization for a GSMT-like telescope. Basic system issues will be addressed and studied. These might include various controls issues and optimization issues such as mirror figure, mirror support stability, and wind loading trade-offs. Using system modeling and system optimization results from existing and early GSMT trade studies, we will create a simulation where students are part of an engineering design and optimization team. They will explore the cost/performance/schedule issues associate with the GSMT design.

Necrotizing fasciitis: case series and review of the literature on clinical and medico-legal diagnostic challenges.

PubMed

Fais, Paolo; Viero, Alessia; Viel, Guido; Giordano, Renzo; Raniero, Dario; Kusstatscher, Stefano; Giraudo, Chiara; Cecchetto, Giovanni; Montisci, Massimo

2018-04-07

Necrotizing fasciitis (NF) is a life-threatening infection of soft tissues spreading along the fasciae to the surrounding musculature, subcutaneous fat and overlying skin areas that can rapidly lead to septic shock and death. Due to the pandemic increase of medical malpractice lawsuits, above all in Western countries, the forensic pathologist is frequently asked to investigate post-mortem cases of NF in order to determine the cause of death and to identify any related negligence and/or medical error. Herein, we review the medical literature dealing with cases of NF in a post-mortem setting, present a case series of seven NF fatalities and discuss the main ante-mortem and post-mortem diagnostic challenges of both clinical and forensic interests. In particular, we address the following issues: (1) origin of soft tissue infections, (2) micro-organisms involved, (3) time of progression of the infection to NF, (4) clinical and histological staging of NF and (5) pros and cons of clinical and laboratory scores, specific forensic issues related to the reconstruction of the ideal medical conduct and the evaluation of the causal value/link of any eventual medical error.

Working with cognitively impaired drivers: legal issues for mental health professionals to consider.

PubMed

Love, Christopher M; Welsh, Robert K; Knabb, Joshua J; Scott, Sheryn T; Brokaw, David W

2008-01-01

Mental health professionals are gatekeepers of patient confidentiality. Yet, confidentiality held too strictly, by allowing a potentially dangerous driver to assume control of a car, endangers society. Recent court cases have mandated that mental health professionals must warn those who may be potentially harmed by patients. In spite of this, disagreements linger as to whether it is the responsibility of governmental agencies or mental health professionals to decide who is unfit to operate a vehicle because of cognitive impairment. This article addresses the legally relevant considerations when working with cognitively compromised individuals who operate a motor vehicle. Legal issues surrounding confidentiality, patient rights, foreseeable risk, and the duty to warn and protect are presented in order to understand their relationship to recent court rulings. The impact on the mental health care industry includes not only concerns about increased insurance premiums or costs due to alleged negligence or litigation expenses secondary to failure to ensure the safety of an impaired client under their care. Mental health care providers are aware that the welfare of clients with impairment to cognitive decision making ability may require unique considerations for safety such as ensuring safe and appropriate transportation.

Characterization studies of prototype ISOL targets for the RIA

NASA Astrophysics Data System (ADS)

Greene, John P.; Burtseva, Tatiana; Neubauer, Janelle; Nolen, Jerry A.; Villari, Antonio C. C.; Gomes, Itacil C.

2005-12-01

Targets employing refractory compounds are being developed for the rare isotope accelerator (RIA) facility to produce ion species far from stability. With the 100 kW beams proposed for the production targets, dissipation of heat becomes a challenging issue. In our two-step target design, neutrons are generated in a refractory primary target, inducing fission in the surrounding uranium carbide. The interplay of density, grain size, thermal conductivity and diffusion properties of the UC2 needs to be well understood before fabrication. Thin samples of uranium carbide were prepared for thermal conductivity measurements using an electron beam to heat the sample and an optical pyrometer to observe the thermal radiation. Release efficiencies and independent thermal analysis on these samples are being undertaken at Oak Ridge National Laboratory (ORNL). An alternate target concept for RIA, the tilted slab approach promises to be simple with fast ion release and capable of withstanding high beam intensities while providing considerable yields via spallation. A proposed small business innovative research (SBIR) project will design a prototype tilted target, exploring the materials needed for fabrication and testing at an irradiation facility to address issues of heat transfer and stresses within the target.

An ethnographic study for understanding children's oral health in a multicultural community.

PubMed

Riedy, C A; Weinstein, P; Milgrom, P; Bruss, M

2001-08-01

To provide guidance for a public health intervention in a high caries rate multicultural population by understanding cultural issues surrounding children's oral health. Seven community focus groups were conducted with five ethnic populations (Chamorro, Filipino, Carolinian, Pohnpean, and Chuukese) living on the island of Saipan, Commonwealth of the Northern Mariana Islands, USA. Participants were asked questions about their beliefs, attitudes, knowledge, and care practices regarding issues around children's oral health. Analysis consisted of a content review of participants' responses within two targeted areas: past and current attitudes and health beliefs, and behaviours impacting risk of developing disease. Both the lack of value of baby teeth and negative parental experiences are factors underlying health beliefs and behaviours. Although some differences in beliefs and practices existed across cultural groups, most women were interested in learning about new preventive strategies to reduce dental disease. Several new mothers reported that they actively sought out parenting information during their initial pregnancy. Aversive parental experience and disregard for primary dentition were identified as serious obstacles to be addressed in order for any new programme to be effective. Despite these obstacles, new mothers were open to information and strategies to reduce the prevalence of early childhood caries.

Male suicide among construction workers in Australia: a qualitative analysis of the major stressors precipitating death.

PubMed

Milner, Allison; Maheen, Humaira; Currier, Dianne; LaMontagne, Anthony D

2017-06-19

Suicide rates among those employed in male-dominated professions such as construction are elevated compared to other occupational groups. Thus far, past research has been mainly quantitative and has been unable to identify the complex range of risk and protective factors that surround these suicides. We used a national coronial database to qualitatively study work and non-work related influences on male suicide occurring in construction workers in Australia. We randomly selected 34 cases according to specific sampling framework. Thematic analysis was used to develop a coding structure on the basis of pre-existing theories in job stress research. The following themes were established on the basis of mutual consensus: mental health issues prior to death, transient working experiences (i.e., the inability to obtain steady employment), workplace injury and chronic illness, work colleagues as a source of social support, financial and legal problems, relationship breakdown and child custody issues, and substance abuse. Work and non-work factors were often interrelated pressures prior to death. Suicide prevention for construction workers needs to take a systematic approach, addressing work-level factors as well as helping those at-risk of suicide.

Geologic Map of the Wilderness and Handy Quadrangles, Oregon, Carter, and Ripley Counties, Missouri

USGS Publications Warehouse

Harrison, Richard W.; McDowell, Robert C.

2003-01-01

The bedrock exposed in the Wilderness and Handy Quadrangles, Missouri, comprises Early Ordovician aged dolomite, sandstone, and chert. The sedimentary rocks are nearly flat-lying except where they are adjacent to faults. The carbonate rocks are karstified and the area contains numerous sinkholes, springs, caves, and losing-streams. This map is one of several being produced under the U.S. Geological Survey National Cooperative Geologic Mapping Program to provide geologic data applicable to land-use problems in the Ozarks of south-central Missouri. Ongoing and potential industrial and agricultural development in the Ozarks region has presented issues of ground-water quality in karst areas. These quadrangles contain significant areas of the Mark Twain National Forest, including part of the Eleven Point National Scenic Riverway and the Irish Wilderness Roadless Area. A National Park in this region (Ozark National Scenic Riverways, Missouri ) is concerned about the effects of activities in areas outside of their stewardship on the water resources that define the heart of this Park. This task applies geologic mapping and karst investigations to address issues surrounding competing land use in south-central Missouri. For more information see: http://geology.er.usgs.gov/eespteam/Karst/index.html

Geologic map of the Fremont quadrangle, Shannon, Carter, and Oregon Counties, Missouri

USGS Publications Warehouse

Orndorff, Randall C.

2003-01-01

The bedrock exposed in the Fremont Quadrangle, Missouri, comprises Early Ordovician aged dolomite, sandstone, and chert. The sedimentary rocks are nearly flat-lying except where they are adjacent to faults. The carbonate rocks are karstified and the area contains numerous sinkholes, springs, caves, and losing-streams. This map is one of several being produced under the U.S. Geological Survey National Cooperative Geologic Mapping Program to provide geologic data applicable to land-use problems in the Ozarks of south-central Missouri. Ongoing and potential industrial and agricultural development in the Ozarks region has presented issues of ground-water quality in karst areas. National Park in this region (Ozark National Scenic Riverways, Missouri) is concerned about the effects of activities in areas outside of their stewardship on the water resources that define the heart of this Park. This task applies geologic mapping and karst investigations to address issues surrounding competing land use in south-central Missouri. This task keeps geologists from the USGS associated with the park and allows the Parks to utilize USGS expertise and aid the NPS on how to effectively use geologic maps for Park management. For more information see: http://geology.er.usgs.gov/eespteam/Karst/index.html

Knowledge, transparency, and refutability in groundwater models, an example from the Death Valley regional groundwater flow system

USGS Publications Warehouse

Hill, Mary C.; Faunt, Claudia C.; Belcher, Wayne; Sweetkind, Donald; Tiedeman, Claire; Kavetski, Dmitri

2013-01-01

This work demonstrates how available knowledge can be used to build more transparent and refutable computer models of groundwater systems. The Death Valley regional groundwater flow system, which surrounds a proposed site for a high level nuclear waste repository of the United States of America, and the Nevada National Security Site (NNSS), where nuclear weapons were tested, is used to explore model adequacy, identify parameters important to (and informed by) observations, and identify existing old and potential new observations important to predictions. Model development is pursued using a set of fundamental questions addressed with carefully designed metrics. Critical methods include using a hydrogeologic model, managing model nonlinearity by designing models that are robust while maintaining realism, using error-based weighting to combine disparate types of data, and identifying important and unimportant parameters and observations and optimizing parameter values with computationally frugal schemes. The frugal schemes employed in this study require relatively few (10–1000 s), parallelizable model runs. This is beneficial because models able to approximate the complex site geology defensibly tend to have high computational cost. The issue of model defensibility is particularly important given the contentious political issues involved.

Research Needs for Fusion-Fission Hybrid Systems. Report of the Research Needs Workshop (ReNeW) Gaithersburg, Maryland, September 30 - October 2, 2009

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

None

Largely in anticipation of a possible nuclear renaissance, there has been an enthusiastic renewal of interest in the fusion-fission hybrid concept, driven primarily by some members of the fusion community. A fusion-fission hybrid consists of a neutron-producing fusion core surrounded by a fission blanket. Hybrids are of interest because of their potential to address the main long-term sustainability issues related to nuclear power: fuel supply, energy production, and waste management. As a result of this renewed interest, the U.S. Department of Energy (DOE), with the participation of the Office of Fusion Energy Sciences (OFES), Office of Nuclear Energy (NE), andmore » National Nuclear Security Administration (NNSA), organized a three-day workshop in Gaithersburg, Maryland, from September 30 through October 2, 2009. Participants identified several goals. At the highest level, it was recognized that DOE does not currently support any R&D in the area of fusion-fission hybrids. The question to be addressed was whether or not hybrids offer sufficient promise to motivate DOE to initiate an R&D program in this area. At the next level, the workshop participants were asked to define the research needs and resources required to move the fusion-fission concept forward. The answer to the high-level question was given in two ways. On the one hand, when viewed as a standalone concept, the fusion-fission hybrid does indeed offer the promise of being able to address the sustainability issues associated with conventional nuclear power. On the other hand, when participants were asked whether these hybrid solutions are potentially more attractive than contemplated pure fission solutions (that is, fast burners and fast breeders), there was general consensus that this question could not be quantitatively answered based on the known technical information. Pure fission solutions are based largely on existing both fusion and nuclear technology, thereby prohibiting a fair side-by-side comparison. Another important issue addressed at the conference was the time scale on which long-term sustainability issues must be solved. There was a wide diversity of opinion and no consensus was possible. One group, primarily composed of members of the fission community, argued that the present strategies with respect to waste management (on-site storage) and fuel supply (from natural uranium) would suffice for at least 50 years, with the main short-term problem being the economics of light water reactors (LWRs). Many from the fusion community believed that the problems, particularly waste management, were of a more urgent nature and that we needed to address them sooner rather than later. There was rigorous debate on all the issues before, during, and after the workshop. Based on this debate, the workshop participants developed a set of high-level Findings and Research Needs and a companion set of Technical Findings and Research Needs. In the context of the Executive Summary it is sufficient to focus on the high-level findings which are summarized.« less

The Fastest Humans on Earth: Environmental Surroundings and Family Influences That Spark Talent Development in Olympic Speed Skaters

ERIC Educational Resources Information Center

Ott Schacht, Carol L.; Kiewra, Kenneth A.

2018-01-01

This qualitative research study addressed this question: What influence did early environmental surroundings and family have on the talent development of a cohort of American speed skaters who each competed in four Olympic Games during the 1980s and 1990s? The skaters were Bonnie Blair, Dave Cruikshank, and Dan Jansen. Independent interviews with…

Altered standards of care during an influenza pandemic: identifying ethical, legal, and practical principles to guide decision making.

PubMed

Levin, Donna; Cadigan, Rebecca Orfaly; Biddinger, Paul D; Condon, Suzanne; Koh, Howard K

2009-12-01

Although widespread support favors prospective planning for altered standards of care during mass casualty events, the literature includes few, if any, accounts of groups that have formally addressed the overarching policy considerations at the state level. We describe the planning process undertaken by public health officials in the Commonwealth of Massachusetts, along with community and academic partners, to explore the issues surrounding altered standards of care in the event of pandemic influenza. Throughout 2006, the Massachusetts Department of Public Health and the Harvard School of Public Health Center for Public Health Preparedness jointly convened a working group comprising ethicists, lawyers, clinicians, and local and state public health officials to consider issues such as allocation of antiviral medications, prioritization of critical care, and state seizure of private assets. Community stakeholders were also engaged in the process through facilitated discussion of case scenarios focused on these and other issues. The objective of this initiative was to establish a framework and some fundamental principles that would subsequently guide the process of establishing specific altered standards of care protocols. The group collectively identified 4 goals and 7 principles to guide the equitable allocation of limited resources and establishment of altered standards of care protocols. Reviewing and analyzing this process to date may serve as a resource for other states.

Uncontrolled Donation After Circulatory Determination of Death Donors (uDCDDs) as a Source of Lungs for Transplant.

PubMed

Egan, T M; Requard, J J

2015-08-01

In April 2014, the American Journal of Transplantation published a report on the first lung transplant in the United States recovered from an uncontrolled donation after circulatory determination of death donor (uDCDD), assessed by ex vivo lung perfusion (EVLP). The article identified logistical and ethical issues related to introduction of lung transplant from uDCDDs. In an open clinical trial, we have Food and Drug Administration and Institutional Review Board approval to transplant lungs recovered from uDCDDs judged suitable after EVLP. Through this project and other experiences with lung recovery from uDCDDs, we have identified solutions to many logistical challenges and have addressed ethical issues surrounding lung transplant from uDCDDs that were mentioned in this case report. Here, we discuss those challenges, including issues related to recovery of other solid organs from uDCDDs. Despite logistical challenges, uDCDDs could solve the critical shortage of lungs for transplant. Furthermore, by avoiding the deleterious impact of brain death and days of positive pressure ventilation, and by using opportunities to treat lungs in the decedent or during EVLP, lungs recovered from uDCDDs may ultimately prove to be better than lungs currently being transplanted from conventional brain-dead organ donors. © Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.

Nitrogen management in landfill leachate: Application of SHARON, ANAMMOX and combined SHARON-ANAMMOX process

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

Sri Shalini, S., E-mail: srishalini10@gmail.com; Joseph, Kurian, E-mail: kuttiani@gmail.com

2012-12-15

Highlights: Black-Right-Pointing-Pointer Significant research on ammonia removal from leachate by SHARON and ANAMMOX process. Black-Right-Pointing-Pointer Operational parameters, microbiology, biochemistry and application of the process. Black-Right-Pointing-Pointer SHARON-ANAMMOX process for leachate a new research and this paper gives wide facts. Black-Right-Pointing-Pointer Cost-effective process, alternative to existing technologies for leachate treatment. Black-Right-Pointing-Pointer Address the issues and operational conditions for application in leachate treatment. - Abstract: In today's context of waste management, landfilling of Municipal Solid Waste (MSW) is considered to be one of the standard practices worldwide. Leachate generated from municipal landfills has become a great threat to the surroundings as it containsmore » high concentration of organics, ammonia and other toxic pollutants. Emphasis has to be placed on the removal of ammonia nitrogen in particular, derived from the nitrogen content of the MSW and it is a long term pollution problem in landfills which determines when the landfill can be considered stable. Several biological processes are available for the removal of ammonia but novel processes such as the Single Reactor System for High Activity Ammonia Removal over Nitrite (SHARON) and Anaerobic Ammonium Oxidation (ANAMMOX) process have great potential and several advantages over conventional processes. The combined SHARON-ANAMMOX process for municipal landfill leachate treatment is a new, innovative and significant approach that requires more research to identify and solve critical issues. This review addresses the operational parameters, microbiology, biochemistry and application of both the processes to remove ammonia from leachate.« less

Society for Immunotherapy of Cancer consensus statement on immunotherapy for the treatment of bladder carcinoma.

PubMed

Kamat, Ashish M; Bellmunt, Joaquim; Galsky, Matthew D; Konety, Badrinath R; Lamm, Donald L; Langham, David; Lee, Cheryl T; Milowsky, Matthew I; O'Donnell, Michael A; O'Donnell, Peter H; Petrylak, Daniel P; Sharma, Padmanee; Skinner, Eila C; Sonpavde, Guru; Taylor, John A; Abraham, Prasanth; Rosenberg, Jonathan E

2017-08-15

The standard of care for most patients with non-muscle-invasive bladder cancer (NMIBC) is immunotherapy with intravesical Bacillus Calmette-Guérin (BCG), which activates the immune system to recognize and destroy malignant cells and has demonstrated durable clinical benefit. Urologic best-practice guidelines and consensus reports have been developed and strengthened based on data on the timing, dose, and duration of therapy from randomized clinical trials, as well as by critical evaluation of criteria for progression. However, these reports have not penetrated the community, and many patients do not receive appropriate therapy. Additionally, several immune checkpoint inhibitors have recently been approved for treatment of metastatic disease. The approval of immune checkpoint blockade for patients with platinum-resistant or -ineligible metastatic bladder cancer has led to considerations of expanded use for both advanced and, potentially, localized disease. To address these issues and others surrounding the appropriate use of immunotherapy for the treatment of bladder cancer, the Society for Immunotherapy of Cancer (SITC) convened a Task Force of experts, including physicians, patient advocates, and nurses, to address issues related to patient selection, toxicity management, clinical endpoints, as well as the combination and sequencing of therapies. Following the standard approach established by the Society for other cancers, a systematic literature review and analysis of data, combined with consensus voting was used to generate guidelines. Here, we provide a consensus statement for the use of immunotherapy in patients with bladder cancer, with plans to update these recommendations as the field progresses.

α-Amylase as a reliable and convenient measure of sympathetic activity: don't start salivating just yet!

PubMed

Bosch, Jos A; Veerman, Enno C I; de Geus, Eco J; Proctor, Gordon B

2011-05-01

Recent years have seen a growing interest in salivary α-amylase (sAA) as a non-invasive marker for sympathetic nervous system (SNS) activity. Saliva offers many advantages as a biomarker fluid and sAA is one of its most plentiful components. sAA is a digestive enzyme that breaks down starch, which provides a simple means of quantification by measuring its enzymatic activity. This commentary will address a number of common misconceptions and methodological issues that surround the use of sAA as a marker of SNS activity and limit its utility in biobehavioral research. The usefulness of sAA as an SNS marker is undermined by the fact that the parasympathetic nerves also play a significant role in sAA release. Local parasympathetic nerves regulate sAA activity via: (1) α-amylase release from glands that are solely or mainly parasympathetically innervated; (2) via synergistic sympathetic-parasympathetic effects on protein secretion (known as 'augmented secretion'); and (3) via effects on salivary flow rate. Regarding methodology, we discuss why it is problematic: (1) to ignore the contribution of salivary flow rate; (2) to use absorbent materials for saliva collection, and; (3) to stimulate saliva secretion by chewing. While these methodological problems can be addressed by using standardized and timed collection of unstimulated saliva, the physiological regulation of sAA secretion presents less resolvable issues. We conclude that at present there is insufficient support for the use and interpretation of sAA activity as a valid and reliable measure of SNS activity. Copyright © 2011 Elsevier Ltd. All rights reserved.

Menopause: Salient Issues for Counselors.

ERIC Educational Resources Information Center

Patterson, Marilyn M.; Lynch, Ann Q.

1988-01-01

Discusses issues surrounding menopause, with the idea that counselors are in an ideal position to help change attitudes toward viewing menopause as a time of positive change rather than a time of psychological distress. Reviews historical, sociological, psychological, and attitudinal factors that account for negative responses associated with…

Directions in Rehabilitation Counseling. Volume 9.

ERIC Educational Resources Information Center

Directions in Rehabilitation Counseling, 1998

1998-01-01

Rehabilitation counselors must stay apprised of numerous issues in their field. To help them remain current, this volume features 12 lessons which can count as continuing education credits. Lesson 1 explores issues surrounding Latino clients, focusing on cultural considerations, ethnic identity, and the counselor-client relationship. Sexuality…

Agricultural Land Conversion: Background and Issues.

ERIC Educational Resources Information Center

Furuseth, Owen J.

1982-01-01

Analyzes forces contributing to the conversion of agricultural land for other uses, causes for the depletion of the land, major issues surrounding the loss of farmland, and current policies designed to control haphazard land conversion. Concludes that the United States lacks a national farmland protection policy. (KC)

Reflections from the Conversion Therapy Battlefield

ERIC Educational Resources Information Center

Gonsiorek, John C.

2004-01-01

In their introductory article, Morrow and Beckstead (2004 [this issue]) discuss the decades-long controversy surrounding therapeutic attempts to change homosexual to heterosexual orientation ("conversion" or "reparative" therapy). Despite the efforts to resolve this controversy, it shows no signs of abating. The articles in this issue, especially…

MTBE: THE CURRENT STATUS OF HEALTH AND ENVIRONMENTAL ISSUES

EPA Science Inventory

This presentation will provide an update on recent evaluations of the environmental and health issues surrounding the use of MTBE in gasoline in the United States and elsewhere. Several public health bodies around the world have recently evaluated aspects of the health risks of ...

Should Hate Be a Crime?

ERIC Educational Resources Information Center

Jacobs, James B.

1993-01-01

Explores issues surrounding hate crime legislation and prosecution, with emphasis on motivation and first amendment issues. Hate crime legislation attempts to import the civil rights model into criminal law, but the very existence of the hate crime label raises social and political stakes in intergroup crimes. (SLD)

The Clinton Legacy in Higher Education.

ERIC Educational Resources Information Center

Brainard, Jeffrey; Burd, Stephen; Gose, Ben

2000-01-01

Analyzes President Clinton's actions on higher education during his eight years in office. Notes progress on issues such as funding for middle-class students, biomedical research, and technology. Points out possible missed opportunities, including issues surrounding affirmative action. Concludes that Clinton helped make higher education a…

A Response to Critics.

ERIC Educational Resources Information Center

Hawley, Willis D.

1987-01-01

Provides a rejoinder to comments published in the February issue rebutting author's article on the risks and promises of extended teacher-preparation programs. Covers issues surrounding costs and benefits, the need for evaluative research before investment in programs, the differences between types of programs, and their objectives and possible…

Critical Issues in Teacher and Student Evaluation

ERIC Educational Resources Information Center

Purohit, Anal A.; And Others

1977-01-01

Background information is provided to clarify some of the issues surrounding teacher and student evaluation in pharmacy education. Major questions explored dealt with what should be evaluated, how the data should be collected and used, and the adaptability of the experiential domain for students. (Author/LBH)

Stem Cells: Taking a Closer Look at the Advancements and Hurdles of Stem Cell Research in Australia

ERIC Educational Resources Information Center

Sanderson, Aimee

2008-01-01

The technology surrounding stem cells generates great excitement amongst scientists, media and the community. For science teachers, this means not only embracing and keeping track of the rapid growth and ongoing development in this field but also tackling the ethical and legislative issues surrounding the topic. So what are stem cells, what is all…

Summary of panel session 3 -- Environmental issues affecting CCT deployment

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

Hausker, K.

1997-12-31

The panelists discussed a variety of environmental issues that affect CCT deployment, and more broadly speaking, power development in general. The issues were both international and domestic in nature. The author summarizes the issues discussed. A summary is also presented which highlights ideas from the panelists that could be characterized as solutions to the demand for improved environmental performance and the surrounding uncertainties. The author offers some personal comments and observations.

Democratization of Higher Education: Issues and Trends.

ERIC Educational Resources Information Center

Spaulding, Seth; Kargodorian, Arka

The economic, social, political, and pedagogical issues that surround the notion of democratization of higher education are considered, based on various approaches being undertaken around the world to open up higher education to new population groups. Conservative, liberal, and radical interpretations of democratization and the role of education…

Physical Education--Dead, Quiescent, or Undergoing Modification?

ERIC Educational Resources Information Center

Zeigler, Earle F.

1982-01-01

The issues surrounding the status of physical education are explored. Those working in the field of physical education are said to have inferiority complexes and feelings of embarrassment about their chosen profession. A list of 10 recent developments focuses on issues which confront the physical education profession. (JN)

Political Issues in Gifted Education

ERIC Educational Resources Information Center

Gallagher, James J.

2015-01-01

In this article, James J. Gallagher proposes that understanding the political issues and the debate surrounding the education of gifted students is based on the recognition that education policy (including rules, regulations, financial allocations, etc.) reflects social policy. Hence, society prioritizes needs so that the most important of these…

Psychosocial Issues in Pediatric Oncology

PubMed Central

Marcus, Joel

2012-01-01

Psychosocial oncology, a relatively new discipline, is a multidisciplinary application of the behavioral and social sciences, and pediatric psychosocial oncology is an emerging subspecialty within the domain of psychosocial oncology. This review presents a brief overview of some of the major clinical issues surrounding pediatric psychosocial oncology. PMID:23049457

From Seurat to Snapshots: What the Visual Arts Could Contribute to Education.

ERIC Educational Resources Information Center

Duncum, Paul

1996-01-01

Advocates reconceptualizing visual arts as a core subject embodying key elements of experiential learning and critical thinking through an interdisciplinary approach. Illustrates this approach with a discussion of the interconnected issues surrounding family snapshots (social history, aesthetics, technological advancement). Discusses issues of…

Degrassi Health Education Curriculum.

ERIC Educational Resources Information Center

Kirsch, Robin J.

This health curriculum is intended to help teachers deal with some of today's adolescent health issues: (1) alcoholism (issues surrounding family alcoholism); (2) relationships (stereotyping and teen friendships); (3) Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) (insight into what it is like to live with HIV);…

Personality Assessment in the Schools: Issues and Procedures for School Psychologists.

ERIC Educational Resources Information Center

Knoff, Howard M.

1983-01-01

A conceptual model for school-based personality assessment, methods to integrate behavioral and projective assessment procedures, and issues surrounding the use of projective tests are presented. Ways to maximize the personality assessment process for use in placement and programing decisions are suggested. (Author/DWH)

Cyberspace in the Curricula: New Legal and Ethical Issues.

ERIC Educational Resources Information Center

Smethers, J. Steven

1998-01-01

Finds that most journalism and mass communication programs integrate legal and ethical issues surrounding cyberspace and interactive media into existing courses, especially into ethics and communication law courses, but also into introductory survey courses, communication technology, and reporting classes. Details reasons why some programs do not…

Inclusion of Minority Patients in Breast Cancer Clinical Trials: The Role of the Clinical Trial Environment

DTIC Science & Technology

2008-05-01

trials, site cultural competence, and outreach efforts. We will also examine the social and physical characteristics of the community surrounding the...clinical trial sites and those that address specific barriers associated with the social or physical environment. 2 Body This annual report...indicators. Data will be collected to characterize both the physical environment and the social environment surrounding clinical trials. The

Protecting the Ozone Shield: A New Public Policy

DTIC Science & Technology

1991-04-01

Public Policy Issue; Alterna- 11 tives; Risk Management; Clean Air Act; Global Warming 16. PRICE CODE 17. SECURITY CLASSIFICATION 𔄂. SECURITY...pattern of global warming , commonly known as "the greenhouse effect. 1 OVERVIEW OF THE OZONE DEPLETION PUBLIC POLICY ISSUE In 1974, two atmospheric...inhabitants from the harmful effects of increased UVb radiation and global warming . Another dilemma surrounds this public policy issue since the first

Collaborative Leadership and Motivation as Examples of Education for All Goals 1, 3, 4, and 6 at Work in Seven Schools in Trinidad

ERIC Educational Resources Information Center

Bissessar, Charmaine

2014-01-01

The underlying theoretical framework of this qualitative case study was leadership and motivation. The research questions were: What issues and challenges to effective teaching and learning do you have? What mechanisms do you use to resolve these teaching and learning issues? The issues surrounding teaching and learning were leadership and…

Obtaining subjects' consent to publish identifying personal information: current practices and identifying potential issues.

PubMed

Yoshida, Akiko; Dowa, Yuri; Murakami, Hiromi; Kosugi, Shinji

2013-11-25

In studies publishing identifying personal information, obtaining consent is regarded as necessary, as it is impossible to ensure complete anonymity. However, current journal practices around specific points to consider when obtaining consent, the contents of consent forms and how consent forms are managed have not yet been fully examined. This study was conducted to identify potential issues surrounding consent to publish identifying personal information. Content analysis was carried out on instructions for authors and consent forms developed by academic journals in four fields (as classified by Journal Citation Reports): medicine general and internal, genetics and heredity, pediatrics, and psychiatry. An online questionnaire survey of editors working for journals that require the submission of consent forms was also conducted. Instructions for authors were reviewed for 491 academic journals (132 for medicine general and internal, 147 for genetics and heredity, 100 for pediatrics, and 112 for psychiatry). Approximately 40% (203: 74 for medicine general and internal, 31 for genetics and heredity, 58 for pediatrics, and 40 for psychiatry) stated that subject consent was necessary. The submission of consent forms was required by 30% (154) of the journals studied, and 10% (50) provided their own consent forms for authors to use. Two journals mentioned that the possible effects of publication on subjects should be considered. Many journal consent forms mentioned the difficulties in ensuring complete anonymity of subjects, but few addressed the study objective, the subjects' right to refuse consent and the withdrawal of consent. The main reason for requiring the submission of consent forms was to confirm that consent had been obtained. Approximately 40% of journals required subject consent to be obtained. However, differences were observed depending on the fields. Specific considerations were not always documented. There is a need to address issues around the study objective, subjects' right to refuse consent and the withdrawal of consent. Whether responsibility for ensuring that the consent form has been signed lies with publishers also needs to be discussed.

Politicising the "Personal": The Resistant Potential of Creative Pedagogies in Teaching and Learning "Sensitive" Issues

ERIC Educational Resources Information Center

Pilcher, Katy

2017-01-01

Drawing upon student narratives gleaned through qualitative interviews, this paper argues that teaching and learning "sensitive" issues surrounding gender and sexualities through "creative" pedagogies can be a mode of resistance against the reproduction of problematic social discourses, and to the negative impacts of…

Grade Inflation: Academic Standards in Higher Education

ERIC Educational Resources Information Center

Hunt, Lester H., Ed.

2008-01-01

This book provides a provocative look at the issues and controversies surrounding grade inflation, and, more generally, grading practices in American higher education. The contributors confront the issues from a number of different disciplines and varying points of view. Topics explored include empirical evidence for and against the claim that…

Conservation of diversity in forest ecosystems

Treesearch

C. I. Millar; F. T. Ledig; L. A. Riggs

1990-01-01

The symposium from which the papers in this issue derive was organized to foster an awareness among forest managers of the issues surrounding biological diversity. Forest geneticists have been calling for conservation of diversity for many years (Anonymous, 1975). Since they were geneticists, they naturally called this gene conservation. Forest geneticists often sold...

Declining Enrollment--Closing Schools: Problems & Solutions. AASA Critical Issues Report.

ERIC Educational Resources Information Center

Brodinsky, Ben

Nine chapters and an introduction discuss the issues surrounding school closures and declining enrollment and suggest practical solutions. Each chapter examines a particular facet of the problem, presents brief case studies of successful experiences, and mentions sources for further information. The topics covered include: (1) demographic changes…

Teaching Mathematical Connections to Financial Literacy in Grades K-8: Clarifying the Issues

ERIC Educational Resources Information Center

Lucey, Thomas A.; Maxwell, Sheryl A.

2011-01-01

Most teacher education programs do not incorporate financial education preparations into courses required for early childhood, elementary education, and middle level candidates. The authors of this manuscript explore the reasons for this omission, particularly the mathematics education component, and clarify the issues surrounding this decision.…

Compulsory Attendance: An Analysis of Litigation

ERIC Educational Resources Information Center

Leddon, Leo Levy, Jr.

2010-01-01

The purpose of this research was to examine court cases dealing with compulsory attendance laws, also known as compulsory education laws, for the purpose of establishing the issues, outcomes, and trends in compulsory attendance litigation. In this manner, school officials could be provided guidance on dealing with issues surrounding the attendance…

School Counselors: A Review of Contemporary Issues

ERIC Educational Resources Information Center

Bain, Steve F.

2012-01-01

This article seeks to review the topic of school counselors and the contemporary issues surrounding this profession. An introduction to the profession and overview of its history provides a comprehensive basis on which to understand today's school counseling profession. An examination of contemporary themes of school counseling will include job…

Public Policy Issues Surrounding Online University Courses

ERIC Educational Resources Information Center

Holmes, Georgia L.

2008-01-01

With the maturation of the internet more and more colleges and universities are offering online courses. As these courses enter the mainstream, public policy issues are beginning to emerge. Many of these involve the tension between the "work for hire" doctrine and academic freedom that occurs when educational institutions offer these…

Assessing the Growth of Gifted Students

ERIC Educational Resources Information Center

McCoach, D. Betsy; Rambo, Karen E.; Welsh, Megan

2013-01-01

This Methodological Brief gives an overview of statistical methods used to gauge academic growth and discusses issues surrounding the measurement of growth in gifted populations. To illustrate some of these issues, we describe a growth model that examines differences in summer lag between gifted and nongifted students. We also provide…

Ethical Issues Relative to Autonomy and Personal Control in Independent and Cognitively Impaired Elders.

ERIC Educational Resources Information Center

Rice, Virginia Hill; And Others

1997-01-01

Discusses ethical issues surrounding health care for independent elders, those in long-term care, and those with cognitive impairments, as well as death, dying, euthanasia, and assisted suicide. Suggests that nurses should focus on older adults' choice, autonomy, and personal control. (SK)

Employed Caregivers: A Multidisciplinary Issue for Gerontological Education.

ERIC Educational Resources Information Center

Folts, W. Edward; And Others

1992-01-01

Imminent demographic changes require understanding of issues surrounding caring for family members while employed. Gerontology course offerings should focus on the caregiver role, and future corporate executives should be provided with basic gerontological education so that they will be able to understand and support their employees who are…

Pesticides: A Community Action Guide.

ERIC Educational Resources Information Center

Bumstead, Cynthia, Ed.; And Others

Developed to provide an introduction to the issues surrounding the use of chemical pesticides, this booklet encourages individuals and communities to become active in determining the safe use and regulation of pesticides. The major components of the guide include: (1) an explanation of the issue; (2) pesticides and their effect on human health;…

Scale issues in tourism development

Treesearch

Sinji Yang; Lori Pennington-Gray; Donald F. Holecek

1998-01-01

Proponents of Alternative Tourism overwhelmingly believe that alternative forms of tourism development need to be small in scale. Inasmuch as tourists' demand has great power to shape the market, the issues surrounding the tourism development scale deserve further consideration. This paper discusses the implications and effects of the tourism development scale on...

Organizational Considerations for Advanced Manufacturing Technology

ERIC Educational Resources Information Center

DeRuntz, Bruce D.; Turner, Roger M.

2003-01-01

In the last several decades, the United States has experienced a decline in productivity, while the world has seen a maturation of the global marketplace. Nations have moved manufacturing strategy and process technology issues to the top of management priority lists. The issues surrounding manufacturing technologies and their implementations have…

Failing Boys? Issues in Gender and Achievement.

ERIC Educational Resources Information Center

Epstein, Debbie, Ed.; Elwood, Jannette, Ed.; Hey, Valerie, Ed.; Maw, Janet, Ed.

Issues surrounding boys'"underachievement" have been at the center of public debate about education and the raising of standards in recent years. Media and political responses to the "problem of boys" have tended to be simplistic, partial, and owe more to quick fixes than investigation and research. This book provides a…

Legal Issues Surrounding Safe Schools.

ERIC Educational Resources Information Center

Day, Reed B.

This handbook provides an overview of legal issues pertaining to the safety of public schools. Following the introduction, chapter 2 describes the governance model and philosophy on which American education is based. Court decisions and federal and state legislation that mandate the right to a safe school are discussed in chapter 3. The fourth…

32 CFR 724.806 - Decisional issues.

Code of Federal Regulations, 2010 CFR

2010-07-01

... the exercise of discretion on the issue of equity in the applicant's case. (ii) If a reason is based... should exercise its equitable powers to change the discharge on the basis of the alleged error. If it..., specific circumstances surrounding the offense, number of offenses, lack of mitigating circumstances, or...

Endangered Languages: Language Loss and Community Response.

ERIC Educational Resources Information Center

Grenoble, Lenore A., Ed.; Whaley, Lindsay J., Ed.

This edited volume provides an overview of issues surrounding language loss from sociological, economic, and linguistic perspectives. Four parts cover general issues in language loss; language-community responses, including native language instruction in school, community, and home; the value of language diversity and what is lost when a language…

School Expulsions, Suspensions, and Dropouts: Understanding the Issues. Hot Topics Series.

ERIC Educational Resources Information Center

Gallegos, Arnold, Ed.

This collection of papers examines the causal and contextual issues surrounding the emerging rash of student expulsions, suspensions, and dropouts; discusses legal restrictions that school personnel must consider when establishing and implementing student codes of conduct; and presents promising programs and practices to reduce the number of…

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

ERIC Educational Resources Information Center

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

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

View from the center: Supercities conference

NASA Astrophysics Data System (ADS)

Knox, J. B.

The Supercities Conference (26-30 October 1992) was the initial activity planned and executed by the Pacific Basin Study Center (PBSC), a research center founded by San Francisco State University and the University of California, Davis. The Conference focused on issues of environmental quality and the quest for sustainable development in the great urban centers—Supercities—of the Pacific. The Conference, with its working group process, highlighted the long-term commitment of the PBSC to education, training, and research in regard to environmental, energy, and resource utilization issues that challenge society now and the coming century. We define a "Supercity" as a large metropolitan area of about eight million population currently undergoing rapid growth in population and urbanization. Some of the cities considered at the conference are emerging "Supercities"—large urban complexes destined to soon be "Supercities". Supercities in both the developing and developed nations are at critical stages of development, with the size and number of Supercities appearing to be unstoppable. These urban centers and their surrounding areas are large users of resources and energy. In many cases, the national demand for energy and materials will be largely patterned by the strategies, management, and actions taken within the Supercities. It is for this reason that our focus is on these dynamic, urban entities of the Pacific. Appropriate technology transfer, sharing of common concerns and knowledge, and the seeking of workable conservation and remediation efforts within Supercities could improve living conditions within these centers, and address regional and global environmental issues in parallel. The Conference focused on urban air quality conditions in 14 metropolitan areas, common health impacts, and projected emissions; a working group process defined needed areas for research and development of key information. Through the medium of panels, the progress of several major cities in addressing urban air quality issues was reported, as well as the rationale for the documented successes of environmental improvement. The Conference played a key role in the definition of the early research directions of the PBSC, and in the establishment of a Pacific Basin network of researchers and planners committed to the pursuit of sustainable development.

A Case Study on Science Teacher Leadership to Address Diversity and Equity through Professional Development

ERIC Educational Resources Information Center

Doraiswamy, Nithya

2015-01-01

This qualitative case study focused on the multifaceted issue of exploring science teacher leaders understanding and addressing of issues of diversity and equity with peers through professional development. The purpose of the study was to highlight the opportunities and barriers to the addressing of issues of diversity and equity through the work…

Issues surrounding the administration of a credit course for medical students: survey of US academic health sciences librarians*

PubMed Central

Miller, Jolene Michelle

2004-01-01

Objectives: For librarians developing a credit course for medical students, the process often involves trial and error. This project identified issues surrounding the administration of a credit course, so that librarians nationally can rely more upon shared knowledge of common practices and less upon trial and error. Methods: A questionnaire was sent to the education services librarian at each medical school listed in the 2000 AAMC Data Book. A second questionnaire was sent to those librarians who did not return the first one. Results: Of the 125 librarians surveyed, 82 returned the questionnaire. Of those 82, only 11 offered a credit course for medical students, though 19 more were in the process of developing one. Data were gathered on the following aspects of course administration: credit course offerings, course listing, information learned to administer the course, costs associated with the course, relationships with other departments on campus, preparation for teaching and grading, and evaluation of the course. Conclusions: Because of small number of respondents offering a credit course and institutional variations, making generalizations about issues surrounding the administration of a credit course is difficult. The article closes with a list of recommendations for librarians planning to develop a course. PMID:15243642

Addressing Social Injustices, Displacement, and Minority Rights through Cases of Culturally Responsive Evaluation

ERIC Educational Resources Information Center

Stokes, Helga; Chaplin, Shane S.; Dessouky, Shimaa; Aklilu, Liya; Hopson, Rodney K.

2011-01-01

Evaluation of programs that address the lingering effects of human rights abuses during times of conflict is necessary to improve program sustainability and create a knowledge bank about the effectiveness of strategies. Outcomes, however, are hard to measure. Evaluators have to gain understanding of the roots of a conflict, surrounding events,…

Addressing Personal Issues in Supervision: Impact of Counselors' Experience Level on Various Aspects of the Supervisory Relationship.

ERIC Educational Resources Information Center

Sumerel, Marie B.; Borders, L. Dianne

1996-01-01

In this study, entry-level and advanced counselors (N=40) rated videotaped supervision sessions in which either the counselor's personal issues or skills deficits were addressed. The study's goal was to determine the impact that addressing counselors' personal issues in supervision has on relationship, quality of the session, postsession mood, and…

Guidance for Catastrophic Emergency Situations Involving Asbestos

EPA Pesticide Factsheets

This document addresses the types of asbestos issues that may arise during catastrophic events and how EPA has addressed such issues. It replaces the Guidelines for Catastrophic Emergency Situations Involving Asbestos which was issued in 1992.

Industry and water security: overarching conclusions.

PubMed

Stigson, B

2001-01-01

Fresh water is key to sustainable development. World Business Council for Sustainable Development members are addressing fresh water use "within the corporate fenceline". However, to address water issues "outside the corporate fenceline" will require creative new public-private partnerships. Government's role is to provide sound framework conditions that will encourage businesses to invest time, staff and resources to address vital fresh water issues. Industry is committed to best practice within its internal operations and is ready to enter into partnerships to address broader fresh water issues.

Handbook on Teaching Social Issues. NCSS Bulletin 93.

ERIC Educational Resources Information Center

Evans, Ronald W., Ed.; Saxe, David Warren, Ed.

This handbook explores the issues-centered curriculum for social studies teaching and how student performance reflects an intellectual capacity to address public issues. The book is divided into 11 parts with essays to address specific aspects of the approach. The foreword, written by Shirley Engle, establishes a context for issues-based…

Introduction to the Special Issue: Drugs, Wars, Military Personnel, and Veterans

PubMed Central

Golub, Andrew; Bennett, Alexander S.

2013-01-01

This special issue examines major structural, sociocultural, and behavioral issues surrounding substance use and misuse among US military personnel and veterans who served in recent military conflicts in Iraq and Afghanistan. This introduction provides a brief historical review of the US’s experiences of the linkages between war and substance use, misuse, and abuse. It then describes how the various topics covered in this issue span the military-veteran life course and explains the significance of each contribution. PMID:23869453

Community Involvement as an Effective Institutional Control at the Weldon Spring Site, a U.S. Department of Energy Office of Legacy Management Site

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

Deyo, Y.E.; Pauling, T.

2006-07-01

The U.S. Department of Energy (DOE) Weldon Spring Site Remedial Action Project (WSSRAP) was conducted for the purpose of remediating a portion of a former trinitrotoluene and dinitrotoluene production plant that was operational from 1941 to 1945 and a former uranium refinery that was operational from 1957 to 1966. Surface remediation activities concluded in 2001 with the completion of a 45-acre (.18 square kilometer) on-site engineered disposal facility. Long-term surveillance and maintenance activities at the site were officially transferred to the DOE Office of Legacy Management in 2003. The Weldon Spring Site is located within the St. Louis, Missouri, metropolitanmore » area (population 3 million). DOE's close relationship with surrounding land owners created a need for innovative solutions to long-term surveillance and maintenance issues at the site. Through a Secretarial proclamation, a plan was established for development of a comprehensive public involvement and education program. This program would act as an institutional control to communicate the historical legacy of the site and would make information available about contamination present at the site to guide people in making decisions about appropriate site activities. In August 2002, the Weldon Spring Site Interpretive Center opened to the public with exhibits about the history of the area, the remediation work that was completed, and a site information repository that is available to visitors. In addition, the Hamburg Trail for hiking and biking was constructed as a joint DOE/MDC effort. The 8-mile trail travels through both DOE and MDC property; a series of historical markers posted along its length to communicate the history of the area and the remediation work that was done as part of WSSRAP activities. A ramp and viewing platform with informational plaques were constructed on the disposal cell to provide an additional mechanism for public education. With a basic marketing program, site visitor-ship has been steadily increasing. In 2005, approximately 15,400 visitors were associated with Interpretive Center operations and outreach activities. Science-oriented educational programs that directly relate to past remediation activities and present long-term surveillance and maintenance issues have been developed and are presented to St. Louis area school groups and other community-based organizations. Other innovative programs have been developed to address daily maintenance issues at the site and to promote beneficial community re-use of the property. Approximately 30,000 square feet of the former Administration Building has been transferred through a use-permit to Lindenwood University, a local institution with a total enrollment of about 12,000 students. Lindenwood is establishing a satellite college campus in the building in exchange for providing basic maintenance and payment of utilities for both the Administration Building and Interpretive Center. A volunteer program developed to address maintenance of the native plant gardens that surround the Interpretive Center has a current enrollment of approximately 25 volunteers. Another volunteer group of prairie ecosystem experts has been meeting regularly for the last 3 years to assist the site in long-term management of the established prairie surrounding the disposal cell. Public support of these community involvement activities at the site is strong. DOE has worked closely with the Weldon Spring Citizens Commission in developing the concepts for this approach and the Commission has helped promote these activities within the community. It is expected that continued public education in this manner will only serve to strengthen the institutional control commitments at the Weldon Spring Site. (authors)« less

Identifying and Addressing Student Difficulties with the Millikan Oil Drop Experiment

NASA Astrophysics Data System (ADS)

Klassen, Stephen

2009-05-01

The Millikan oil drop experiment has been characterized as one of the ‘most beautiful’ physics experiments of all time and, certainly, as one of the most frustrating of all the exercises in the undergraduate physics laboratory. A literature review reveals that work done on addressing student difficulties in performing the oil drop experiment has, to date, not achieved a significant measure of success. The historical background of the oil drop experiment is well established in the literature from the perspective of historians of science, but not so from the perspective of teachers and students of science. A summary of historical details surrounding the original experiment suitable for use in revising the instructional approach is presented. Both Millikan and his graduate student, Fletcher, are featured with the view to emphasizing details that humanize the protagonists and that are likely to raise student interest. The issue of the necessary reliance on presuppositions in doing speculative research is raised, both from the historical account and from the insights of university physics students who heard the historical account and performed the experiment. Difficulties current students have in performing the experiment are discussed from the perspective of Hodson (Stud Sci Educ 22:85-142, 1993) framework and the students’ own observations. Last, further historical materials are outlined that may be used to encourage student insight into the fundamental nature of electricity. It is proposed that these aspects are essential as a basis for identifying and addressing student difficulties with the Millikan oil drop experiment.

Primary care physicians’ perspectives on the prescription opioid epidemic*

PubMed Central

Kennedy-Hendricks, Alene; Busch, Susan H.; McGinty, Emma E.; Bachhuber, Marcus A.; Niederdeppe, Jeff; Gollust, Sarah E.; Webster, Daniel W.; Fiellin, David A.; Barry, Colleen L.

2016-01-01

Background Prescription opioid use disorder and overdose have risen substantially in the U.S. Primary care physicians are critical to many ongoing and proposed efforts to address the prescription opioid epidemic. Yet, little is known about their attitudes and beliefs surrounding this issue. This study aimed to determine primary care physicians’ perceptions of the seriousness of the problem, its causes, groups responsible for addressing it, attitudes toward individuals with prescription opioid use disorder, beliefs about the effectiveness of addiction treatments, and support for various policies. Methods We conducted a national web-based survey in 2014 among 1,010 primary care physicians. We gauged responses to attitude and belief items on 7-point Likert scales. We examined the proportion agreeing with each statement, and whether responses differed among physicians prescribing higher and lower volumes of opioids. Results Respondents largely attributed the causes of prescription opioid use disorder to individual-oriented factors and certain physician-oriented factors, and believed that individuals with prescription opioid use disorder and physicians were primarily responsible for addressing the problem. Negative attitudes toward people with prescription opioid use disorder were prevalent, but a majority believed that treatment could be effective. There was majority support for all measured policies, with the highest levels of support for policies to monitor prescribing among patients potentially at risk for an opioid use disorder and to improve physician education and training. Conclusions Given strong endorsement of recommended policies, physician support could be leveraged to advance efforts to curb prescription opioid use disorder and overdose. PMID:27261154

Feline Obesity in Veterinary Medicine: Insights from a Thematic Analysis of Communication in Practice.

PubMed

Phillips, Alexandra M; Coe, Jason B; Rock, Melanie J; Adams, Cindy L

2017-01-01

Feline obesity has become a common disease and important animal welfare issue. Little is known about how, or how often, veterinarians and feline-owning clients are addressing obesity during clinical appointments. The purpose of this qualitative study was to characterize verbal and non-verbal communication between veterinarians and clients regarding feline obesity. The sample consisted of video-recordings of 17 veterinarians during 284 actual appointments in companion animal patients in Eastern Ontario. This audio-visual dataset served to identify 123 feline appointments. Of these, only 25 appointments were identified in which 12 veterinarians and their clients spoke about feline obesity. Thematic analysis of the videos and transcripts revealed inconsistencies in the depth of address of feline obesity and its prevention by participating veterinarians. In particular, in-depth nutritional history taking and clear recommendations of management rarely took place. Veterinarians appeared to attempt to strengthen the veterinary-client relationship and cope with ambiguity in their role managing obesity with humor and by speaking directly to their animal patients. Clients also appeared to use humor to deal with discomfort surrounding the topic. Our findings have implications for communication skills training within veterinary curricula and professional development among practicing veterinarians. As obesity is complex and potentially sensitive subject matter, we suggest a need for veterinarians to have further intentionality and training toward in-depth nutritional history gathering and information sharing while navigating obesity management discussions to more completely address client perspective and patient needs.

Barriers Beyond Words: Cancer, Culture, and Translation in a Community of Russian Speakers

PubMed Central

Levintova, Marya

2007-01-01

BACKGROUND Language and culture relate in complex ways. Addressing this complexity in the context of language translation is a challenge when caring for patients with limited English proficiency (LEP). OBJECTIVE To examine processes of care related to language, culture and translation in an LEP population is the objective of this study. DESIGN We used community based participatory research to examine the experiences of Russian-speaking cancer patients in San Francisco, California. A Russian Cancer Information Taskforce (RCIT), including community-based organizations, local government, and clinics, participated in all phases of the study. PARTICIPANTS A purposeful sample of 74 individuals were the participants of the study. APPROACH The RCIT shaped research themes and facilitated access to participants. Methods were focus groups, individual interviews, and participant observation. RCIT reviewed data and provided guidance in interpreting results. RESULTS Four themes emerged. (1) Local Russian-language resources were seen as inadequate and relatively unavailable compared to other non-English languages; (2) a taboo about the word “cancer” led to language “games” surrounding disclosure; (3) this taboo, and other dynamics of care, reflected expectations that Russian speakers derived from experiences in their countries of origin; (4) using interpreters as cultural brokers or establishing support groups for Russian speakers could help address barriers. CONCLUSIONS The language barriers experienced by this LEP population reflect cultural and linguistic issues. Providers should consider partnering with trained interpreters to address the intertwining of language and culture. PMID:17957415

Inclusion of ethical issues in dementia guidelines: a thematic text analysis.

PubMed

Knüppel, Hannes; Mertz, Marcel; Schmidhuber, Martina; Neitzke, Gerald; Strech, Daniel

2013-08-01

Clinical practice guidelines (CPGs) aim to improve professionalism in health care. However, current CPG development manuals fail to address how to include ethical issues in a systematic and transparent manner. The objective of this study was to assess the representation of ethical issues in general CPGs on dementia care. To identify national CPGs on dementia care, five databases of guidelines were searched and national psychiatric associations were contacted in August 2011 and in June 2013. A framework for the assessment of the identified CPGs' ethical content was developed on the basis of a prior systematic review of ethical issues in dementia care. Thematic text analysis and a 4-point rating score were employed to assess how ethical issues were addressed in the identified CPGs. Twelve national CPGs were included. Thirty-one ethical issues in dementia care were identified by the prior systematic review. The proportion of these 31 ethical issues that were explicitly addressed by each CPG ranged from 22% to 77%, with a median of 49.5%. National guidelines differed substantially with respect to (a) which ethical issues were represented, (b) whether ethical recommendations were included, (c) whether justifications or citations were provided to support recommendations, and (d) to what extent the ethical issues were explained. Ethical issues were inconsistently addressed in national dementia guidelines, with some guidelines including most and some including few ethical issues. Guidelines should address ethical issues and how to deal with them to help the medical profession understand how to approach care of patients with dementia, and for patients, their relatives, and the general public, all of whom might seek information and advice in national guidelines. There is a need for further research to specify how detailed ethical issues and their respective recommendations can and should be addressed in dementia guidelines. Please see later in the article for the Editors' Summary.

Inclusion of Ethical Issues in Dementia Guidelines: A Thematic Text Analysis

PubMed Central

Knüppel, Hannes; Schmidhuber, Martina; Neitzke, Gerald

2013-01-01

Background Clinical practice guidelines (CPGs) aim to improve professionalism in health care. However, current CPG development manuals fail to address how to include ethical issues in a systematic and transparent manner. The objective of this study was to assess the representation of ethical issues in general CPGs on dementia care. Methods and Findings To identify national CPGs on dementia care, five databases of guidelines were searched and national psychiatric associations were contacted in August 2011 and in June 2013. A framework for the assessment of the identified CPGs' ethical content was developed on the basis of a prior systematic review of ethical issues in dementia care. Thematic text analysis and a 4-point rating score were employed to assess how ethical issues were addressed in the identified CPGs. Twelve national CPGs were included. Thirty-one ethical issues in dementia care were identified by the prior systematic review. The proportion of these 31 ethical issues that were explicitly addressed by each CPG ranged from 22% to 77%, with a median of 49.5%. National guidelines differed substantially with respect to (a) which ethical issues were represented, (b) whether ethical recommendations were included, (c) whether justifications or citations were provided to support recommendations, and (d) to what extent the ethical issues were explained. Conclusions Ethical issues were inconsistently addressed in national dementia guidelines, with some guidelines including most and some including few ethical issues. Guidelines should address ethical issues and how to deal with them to help the medical profession understand how to approach care of patients with dementia, and for patients, their relatives, and the general public, all of whom might seek information and advice in national guidelines. There is a need for further research to specify how detailed ethical issues and their respective recommendations can and should be addressed in dementia guidelines. Please see later in the article for the Editors' Summary PMID:23966839

Partly Cloudy with a Chance of Rain: Academic Training Programs in Counseling Psychology

ERIC Educational Resources Information Center

Neimeyer, Greg J.; Goodyear, Rodney K.

2005-01-01

The three reactions in the September 2005 issue of "The Counseling Psychologist" provide a context for extending and deepening our understanding of key issues surrounding counseling psychology training programs. This rejoinder (a) comments on their reflections and suggestions, (b) offers a tabular summary of the suggestions made by the various…

Issues Facing Academic Library Consortia and Perceptions of Members of the Illinois Digital Academic Library.

ERIC Educational Resources Information Center

Brooks, Sam; Dorst, Thomas J.

2002-01-01

Discusses the role of consortia in academic libraries, specifically the Illinois Digital Academic Library (IDAL), and describes a study conducted by the IDAL that investigated issues surrounding full text database research including stability of content, vendor communication, embargo periods, publisher concerns, quality of content, linking and…

Understanding "Great Expectations": A Student Casebook to Issues, Sources, and Historical Documents.

ERIC Educational Resources Information Center

Newlin, George

More than 100 years after being written, "Great Expectations" is still one of the most widely studied works of fiction. This casebook of historical documents, collateral readings and essays brings to life both Charles Dickens' masterpiece and the social issues surrounding his work. The interdisciplinary approach in the casebook offers…

Issues Surrounding Mobility with Particular Reference to Japan.

ERIC Educational Resources Information Center

Kameoka, Yu

1996-01-01

Several issues in college student mobility between Japan and other member countries of the Organisation for Economic Cooperation and Development (OECD) are examined, including the role of organized regional mobility in various areas of the world, curriculum development to meet the needs of international students, and the need for more analysis of…

Adult Ed: 150 Years of Creative Solutions

ERIC Educational Resources Information Center

Sparks, Glen

2006-01-01

For every school district with a formal adult education program, creative solutions to many K-12 issues may very well be right in their own backyard, and virtually free of cost. For district leaders, understanding the mission and the funding issues surrounding adult education are the first steps in understanding how their program can better serve…

Doing God in a Liberal Democracy

ERIC Educational Resources Information Center

Moulin, Daniel; Robson, James

2012-01-01

While we agree with Cooling's argument from fairness, we argue that Cooling fails to give an adequate account of how fairness can be conceived, particularly because he does not decisively tackle the issues surrounding doing God in a plural context, or the contentious issues of compulsory collective worship and faith schools. In order to explore an…

Calculus-Based Mathematics: An Australian Endangered Species?

ERIC Educational Resources Information Center

Maltas, Dimitrios; Prescott, Anne

2014-01-01

Many people are discussing the issues surrounding mathematics at all levels of education. Politicians, parents, students, universities, education departments all have a view about what the problem is and all have ideas about what should happen. This article represents a synthesis of the issues and implications of one of the problems evident in…

Reduction in Force: The Legal Aspects.

ERIC Educational Resources Information Center

Ware, Martha L.

Six legal issues surrounding a school district's reduction in force are described in this twelfth chapter in a book on school law. First, the courts generally hold that the school board must prove that a reduction in force (RIF) is inescapable. The second issue revolves around which positions and employees are being eliminated. In deciding such…

Ethical Issues of Reproductive Technologies: Legal and Ethical.

ERIC Educational Resources Information Center

Kammler, Kim

Ethical issues which surround the reproductive technologies being used to assist infertile couples include social impact, surrogacy, access to service and confidentiality. The use of reproductive technologies does not appear to cause harm, and often does a lot of good for the family and society. Surrogacy could be a valuable tool for the infertile…

Perspectives on High School Reform. NCREL Viewpoints, Volume 13

ERIC Educational Resources Information Center

Learning Point Associates / North Central Regional Educational Laboratory (NCREL), 2005

2005-01-01

Viewpoints is a multimedia package containing two audio CDs and a brief, informative booklet. This volume of Viewpoints focuses on issues related to high school reform. This booklet offers background information explaining the issues surrounding high school reform with perspectives from research, policy, and practice. It also provides a list of…

Value-Added Model (VAM) Research for Educational Policy: Framing the Issue

ERIC Educational Resources Information Center

Amrein-Beardsley, Audrey; Collins, Clarin; Polasky, Sarah A.; Sloat, Edward F.

2013-01-01

In this manuscript, the guest editors of the EPAA Special Issue on "Value-Added Model (VAM) Research for Educational Policy" (1) introduce the background and policy context surrounding the increased use of VAMs for teacher evaluation and accountability purposes across the United States; (2) summarize the five research papers and one…

Current Economic Issues in Employee Benefits. Background Paper No. 39.

ERIC Educational Resources Information Center

Woodbury, Stephen A.

A multitude of public policy issues currently surround the tax treatment of employee benefits, particularly since the tax-favored status of employer contributions to pensions and health insurance has been blamed for a shrinking tax base that has exacerbated the federal budget deficit, an inefficient and bloated health-care sector, overinsurance by…

Moving People and Minds: Dance as a Vehicle of Democratic Education

ERIC Educational Resources Information Center

Catalano, Theresa; Leonard, Alison E.

2016-01-01

Engaging today's youth in civil discussions of contentious issues remains both a crucial element in democratically oriented education and extremely challenging to facilitate. The purpose of this article, which documents and presents pilot study findings from a dance workshop that engaged practicing teachers surrounding the issue of immigration, is…

Understanding the Undertow: Innovative Responses to Labour Market Disadvantage and VET

ERIC Educational Resources Information Center

Bretherton, Tanya

2011-01-01

An Australian Government priority is to increase productivity by moving people from welfare into employment. Policy on this issue is difficult to develop because of the complexities surrounding both under- and unemployment. This report considers underutilisation from two different perspectives. Not only does it contemplate the issue from the…

Market-Based Reforms in Urban Education.

ERIC Educational Resources Information Center

Ladd, Helen F.

This paper is for policymakers, advocates, and analysts who understand that the issues surrounding the introduction of more market-based mechanisms into education are complex and who accept the view that evidence is useful in sorting out the issues. It uses the market framework of demand, supply, and market pricing to organize the extensive but…

Identifying veterinary students' capacity for moral behavior concerning animal ethics issues.

PubMed

Verrinder, Joy M; Phillips, Clive J C

2014-01-01

Veterinarians face unique animal ethics challenges as practitioners and policy advisors to government and industry. Changing societal attitudes, cultural diversity, and the often conflicting needs and interests of patients and clients contribute to moral distress. Yet little has been done to identify veterinarians' capacity to address these animal ethics issues. In this study, first-year and final-year veterinary students in an Australian university were surveyed to explore moral sensitivity, moral motivation, and moral character and their relationship with moral reasoning. The majority of students were concerned about animal ethics issues and had experienced moral distress in relation to the treatment of animals. Most believed that veterinarians should address the wider social issues of animal protection and that veterinary medicine should require a commitment to animals' interests over owners'/caregivers' interests. There was less agreement that the veterinary profession was sufficiently involved in addressing animal ethics issues. The principal motivators for studying veterinary medicine were, in declining importance, enjoyment in working with animals, helping sick and injured animals, and improving the way animals are treated. However, most students had taken little or no action to address animal ethics issues. These results suggest that both first- and fifth-year veterinary students are sensitive to animal ethics issues and are motivated to prioritize the interests of animals but have little experience in taking action to address these issues. Further research is needed to determine ways to identify and assess these moral behavior components in veterinary education to develop veterinarians' capacity to address animal ethics issues.

Ethics in international health research: a perspective from the developing world.

PubMed Central

Bhutta, Zulfiqar Ahmed

2002-01-01

Health research plays a pivotal role in addressing inequities in health and human development, but to achieve these objectives the research must be based on sound scientific and ethical principles. Although it is accepted that ethics play a central role in health research in developing countries, much of the recent debate has focused on controversies surrounding internationally sponsored research and has taken place largely without adequate participation of the developing countries. The relationship between ethical guidelines and regulations, and indigenously sponsored and public health research has not been adequately explored. For example, while the fundamental principles of ethical health research, such as community participation, informed consent, and shared benefits and burdens, remain sacrosanct other issues, such as standards of care and prior agreements, merit greater public debate within developing countries. In particular, the relationship of existing ethical guidelines to epidemiological and public health research merits further exploration. In order to support health research in developing countries that is both relevant and meaningful, the focus must be on developing health research that promotes equity and on developing local capacity in bioethics. Only through such proactive measures can we address the emerging ethical dilemmas and challenges that globalization and the genomics revolution will bring in their wake. PMID:11953789

Hepatitis B-related knowledge and vaccination in association with discrimination against Hepatitis B in rural China

PubMed Central

Yu, Lijie; Wang, Jian; Zhu, Dawei; Leng, Anli; Wangen, Knut R

2016-01-01

Hepatitis B virus (HBV) remains a challenging public-health issue in China. Hepatitis B carriers and patients suffer not only physically but also experience strong discrimination and stigma. China's rural population is 629 million. Thus, there is a great need to understand the situation surrounding HBV-related discrimination in everyday life in rural China. We studied 6,538 participants (≥18 y old) from 42 villages across 7 provinces (districts). Many studies have addressed discrimination against those with human immunodeficiency virus (HIV) and hepatitis C virus (HCV). However, few studies have addressed HBV-related discrimination. We found that the fear of HBV infection, not lack of knowledge about it, predominantly leads to HBV-related discrimination (although limited knowledge is also a cause). Notably, receiving the HBV vaccination contributes to reduced discrimination. In addition, the existence of fewer misunderstandings about false HBV transmission routes plays a more important role in discrimination than does understanding of true HBV transmission routes. Therefore, to reduce HBV-related discrimination, policy makers should consider eliminating HBV-related fear, strengthening adult HBV immunization programs, developing large-scale education dissemination about HBV transmission routes and non-transmission routes, and paying greater attention to target populations. PMID:26211570

External beam radiotherapy for palliation of painful bone metastases: pooled data bioeffect dose response analysis of dose fractionation

NASA Astrophysics Data System (ADS)

Naveen, T.; Supe, Sanjay S.; Ganesh, K. M.; Samuel, Jacob

2009-01-01

Bone metastases develop in up to 70% of newly diagnosed cancer patients and result in immobility, anxiety, and depression, severely diminishing the patients quality of life. Radiotherapy is a frequently used modality for bone metastasis and has been shown to be effective in reducing metastatic bone pain and in some instances, causing tumor shrinkage or growth inhibition. There is controversy surrounding the optimal fractionation schedule and total dose of external beam radiotherapy, despite many randomized trials and overviews addressing the issue. This study was undertaken to apply BED to clinical fractionation data of radiotherapeutic management of bone metastases in order to arrive at optimum BED values for acceptable level of response rate. A computerised literature search was conducted to identify all prospective clinical studies that addressed the issue of fractionation for the treatment of bone metastasis. The results of these studies were pooled together to form the database for the analysis. A total of 4111 number of patients received radiation dose ranging from 4 to 40.5 Gy in 1 to 15 fractions with dose per fraction ranging from 2 to 10 Gy. Single fraction treatments were delivered in 2013 patients and the dose varied from 4 to 10 Gy. Multifraction treatments were delivered in 2098 patients and the dose varied from 15 to 40.5 Gy. The biological effective dose (BED) was evaluated for each fractionation schedule using the linear quadratic model and an α/β value of 10 Gy. Response rate increased significantly beyond a BED value of 14.4 Gy (p < 0.01). Based on our analysis and indications from the literature about higher retreatment and fracture rate of single fraction treatments, minimum BED value of 14.4 Gy is recommended.

Ugandan opinion-leaders' knowledge and perceptions of unsafe abortion.

PubMed

Moore, Ann M; Kibombo, Richard; Cats-Baril, Deva

2014-10-01

While laws in Uganda surrounding abortion remain contradictory, a frequent interpretation of the law is that abortion is only allowed to save the woman's life. Nevertheless abortion occurs frequently under unsafe conditions at a rate of 54 abortions per 1000 women of reproductive age annually, taking a large toll on women's health. There are an estimated 148,500 women in Uganda who experience abortion complications annually. Understanding opinion leaders' knowledge and perceptions about unsafe abortion is critical to identifying ways to address this public health issue. We conducted in-depth, semi-structured interviews with 41 policy-makers, cultural leaders, local politicians and leaders within the health care sector in 2009-10 at the national as well as district (Bushenyi, Kamuli and Lira) level to explore their knowledge and perceptions of unsafe abortion and the potential for policy to address this issue. Only half of the sample knew the current law regulating abortion in Uganda. Respondents understood that the result of the current abortion restrictions included long-term health complications, unwanted children and maternal death. Perceived consequences of increasing access to safe abortion included improved health as well as overuse of abortion, marital conflict and less reliance on preventive behaviour. Opinion leaders expressed the most support for legalization of abortion in cases of rape when the perpetrator was unknown. Understanding opinion leaders' perspectives on this politically sensitive topic provides insight into the policy context of abortion laws, drivers behind maintaining the status quo, and ways to improve provision under the law: increase education among providers and opinion leaders. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved.

Report on Sexual Harassment and Violence at the Military Service Academies: Academic Program Year 2011-2012

DTIC Science & Technology

2012-12-01

issue shall not constitute consent. There is no consent where the person is sleeping or incapacitated, such as due to age, alcohol or drugs, or...educational live performance program on issues surrounding dating, sex, and consent. The USNA continued to increase prevention efforts related to sexual...personnel; and (iv) any other issues relating to sexual harassment and sexual violence involving Academy personnel. (d) Annual Report.--(1) The

The author who wasn't there? Fairness and attribution in publications following access to population biobanks.

PubMed

Kleiderman, Erika; Pack, Amy; Borry, Pascal; Zawati, Ma'n

2018-01-01

We conducted a document analysis that explored publication ethics and authorship in the context of population biobanks from both a theoretical (e.g. normative documents) and practical (e.g. biobank-specific documentation) perspective. The aim was to provide an overview of the state of authorship attribution in population biobanks and attempt to fill the gap in discussions around the issue. Our findings demonstrate that the most common approach adopted in both the normative and biobank-specific documentation is acknowledgment. A co-authorship approach was second and highlighted concerns surrounding the fairness of imposing authorship of the scientific leadership as a condition to access data and biosamples, as well as the alignment with the International Committee of Medical Journal Editors' criteria such as what is deemed a significant contribution and how to ensure accountability. Based on these findings, we propose a three-prong approach, that may be cumulative, to address the issue of authorship attribution in the context of population biobanks, namely 1) the biobank should be appropriately acknowledged; 2) an invitation for co-authorship should be made based on the spirit of collaboration and provided a substantial contribution has been made; and 3) a citation/referencing option should be available.

Machine Learning and Decision Support in Critical Care

PubMed Central

Johnson, Alistair E. W.; Ghassemi, Mohammad M.; Nemati, Shamim; Niehaus, Katherine E.; Clifton, David A.; Clifford, Gari D.

2016-01-01

Clinical data management systems typically provide caregiver teams with useful information, derived from large, sometimes highly heterogeneous, data sources that are often changing dynamically. Over the last decade there has been a significant surge in interest in using these data sources, from simply re-using the standard clinical databases for event prediction or decision support, to including dynamic and patient-specific information into clinical monitoring and prediction problems. However, in most cases, commercial clinical databases have been designed to document clinical activity for reporting, liability and billing reasons, rather than for developing new algorithms. With increasing excitement surrounding “secondary use of medical records” and “Big Data” analytics, it is important to understand the limitations of current databases and what needs to change in order to enter an era of “precision medicine.” This review article covers many of the issues involved in the collection and preprocessing of critical care data. The three challenges in critical care are considered: compartmentalization, corruption, and complexity. A range of applications addressing these issues are covered, including the modernization of static acuity scoring; on-line patient tracking; personalized prediction and risk assessment; artifact detection; state estimation; and incorporation of multimodal data sources such as genomic and free text data. PMID:27765959

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

Pasquale, David A.; Hansen, Richard G.

This paper discusses command and control issues relating to the operation of Incident Command Posts (ICPs) and Emergency Operations Centers (EOCs) in the surrounding area jurisdictions following the detonation of an Improvised Nuclear Device (IND). Although many aspects of command and control will be similar to what is considered to be normal operations using the Incident Command System (ICS) and the National Incident Management System (NIMS), the IND response will require many new procedures and associations in order to design and implement a successful response. The scope of this white paper is to address the following questions: • Would themore » current command and control framework change in the face of an IND incident? • What would the management of operations look like as the event unfolded? • How do neighboring and/or affected jurisdictions coordinate with the state? • If the target area’s command and control infrastructure is destroyed or disabled, how could neighboring jurisdictions assist with command and control of the targeted jurisdiction? • How would public health and medical services fit into the command and control structure? • How can pre-planning and common policies improve coordination and response effectiveness? • Where can public health officials get federal guidance on radiation, contamination and other health and safety issues for IND response planning and operations?« less

Human rights, cultural pluralism, and international health research.

PubMed

Marshall, Patricia A

2005-01-01

In the field of bioethics, scholars have begun to consider carefully the impact of structural issues on global population health, including socioeconomic and political factors influencing the disproportionate burden of disease throughout the world. Human rights and social justice are key considerations for both population health and biomedical research. In this paper, I will briefly explore approaches to human rights in bioethics and review guidelines for ethical conduct in international health research, focusing specifically on health research conducted in resource-poor settings. I will demonstrate the potential for addressing human rights considerations in international health research with special attention to the importance of collaborative partnerships, capacity building, and respect for cultural traditions. Strengthening professional knowledge about international research ethics increases awareness of ethical concerns associated with study design and informed consent among researchers working in resource-poor settings. But this is not enough. Technological and financial resources are also necessary to build capacity for local communities to ensure that research results are integrated into existing health systems. Problematic issues surrounding the application of ethical guidelines in resource-poor settings are embedded in social history, cultural context, and the global political economy. Resolving the moral complexities requires a commitment to engaged dialogue and action among investigators, funding agencies, policy makers, governmental institutions, and private industry.

Do cultural diversity and human rights make a good match?

PubMed

Donders, Yvonne

2010-01-01

The link between cultural diversity and human rights was clearly established by the Universal Declaration on Cultural Diversity, adopted by the member states of UNESCO in 2001, which holds that "the defence of cultural diversity is … inseparable from respect for human dignity" and that it "implies a commitment to human rights and fundamental freedoms." The UNESCO Convention on the Protection and Promotion of the Diversity of Cultural Expressions, adopted in 2005, states that "cultural diversity can be protected and promoted only if human rights and fundamental freedoms … are guaranteed" (Article 2[1]). The precise relationship between cultural diversity and human rights, however, is not clarified and thus leaves room for further exploration. This contribution analyses the issues surrounding the relationship between cultural diversity and human rights, in particular cultural rights. Firstly, it addresses general human rights issues such as universality and cultural relativism and the principles of equality and non-discrimination. Secondly, it explores the scope of cultural rights, as well as the cultural dimension of human rights. Thirdly, several cases are discussed in which human rights were invoked to protect cultural interests, confirming the value of cultural diversity. Finally, some concluding remarks are presented, indicating which areas require attention in order to further improve the promotion and protection of human rights in relation to cultural diversity.

Dispersal and fallout simulations for urban consequences management (u)

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

Grinstein, Fernando F; Wachtor, Adam J; Nelson, Matt

2010-01-01

Hazardous chemical, biological, or radioactive releases from leaks, spills, fires, or blasts, may occur (intentionally or accidentally) in urban environments during warfare or as part of terrorist attacks on military bases or other facilities. The associated contaminant dispersion is complex and semi-chaotic. Urban predictive simulation capabilities can have direct impact in many threat-reduction areas of interest, including, urban sensor placement and threat analysis, contaminant transport (CT) effects on surrounding civilian population (dosages, evacuation, shelter-in-place), education and training of rescue teams and services. Detailed simulations for the various processes involved are in principle possible, but generally not fast. Predicting urban airflowmore » accompanied by CT presents extremely challenging requirements. Crucial technical issues include, simulating turbulent fluid and particulate transport, initial and boundary condition modeling incorporating a consistent stratified urban boundary layer with realistic wind fluctuations, and post-processing of the simulation results for practical consequences management. Relevant fluid dynamic processes to be simulated include, detailed energetic and contaminant sources, complex building vortex shedding and flows in recirculation zones, and modeling of particle distributions, including particulate fallout, as well as deposition, re-suspension and evaporation. Other issues include, modeling building damage effects due to eventual blasts, addressing appropriate regional and atmospheric data reduction.« less

Impact of atrazine prohibition on the sustainability of weed management in Wisconsin maize production.

PubMed

Dong, Fengxia; Mitchell, Paul D; Davis, Vince M; Recker, Ross

2017-02-01

Controversy has surrounded atrazine owing to its susceptibility to leaching and run-off, with regular calls for a ban or restrictions on its use. In the context of a decreasing trend in the percentage of US maize using no-till since 2008, coinciding with the trend of glyphosate-resistant weeds becoming problematic in the Midwestern United States, we empirically examine how atrazine use restrictions have impacted the diversity of weed management practices used by Wisconsin maize farmers. Using survey data from farms inside and outside atrazine prohibition areas, we found that prohibiting atrazine did not directly impact tillage practices, but rather it increased the adoption of herbicide-resistant seed, which then increased adoption of conservation tillage systems. We also found that prohibiting atrazine and using herbicide-resistant seed reduced the number of herbicide sites of action used. The results indicate that prohibiting atrazine reduced the diversity of weed management practices, which increased the risk of herbicide resistance. Our concern is that a regulatory policy to address one issue (atrazine in groundwater) has induced farmer responses that increase problems with another issue (herbicide-resistant weeds) that longer term will contribute to water quality problems from increased soil erosion and offset the initial benefits. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

Geologic Map of the Big Spring Quadrangle, Carter County, Missouri

USGS Publications Warehouse

Weary, David J.; McDowell, Robert C.

2006-01-01

The bedrock exposed in the Big Spring quadrangle of Missouri comprises Late Cambrian and Early Ordovician aged dolomite, sandstone, and chert. The sedimentary rocks are nearly flat lying except where they are adjacent to faults. The carbonate rocks are karstified, and the area contains numerous sinkholes, springs, caves, and losing streams. This map is one of several being produced under the U.S. Geological Survey (USGS) National Cooperative Geologic Mapping Program to provide geologic data applicable to land-use problems in the Ozarks of south-central Missouri. Ongoing and potential industrial and agricultural development in the Ozarks region has presented issues of ground-water quality in karst areas. A national park in this region (Ozark National Scenic Riverways, Missouri) is concerned about the effects of activities in areas outside of their stewardship on the water resources that define the heart of this park. This task applies geologic mapping and karst investigations to address issues surrounding competing land use in south-central Missouri. This task keeps geologists from the USGS associated with the park and allows the park to utilize USGS expertise and aid the NPS on how to effectively use geologic maps for park management. For more information, see: http://geology.er.usgs.gov/eespteam/Karst/index.html

Geologic map of the Van Buren South quadrangle, Carter County, Missouri

USGS Publications Warehouse

Weary, D.J.; Schindler, J.S.

2004-01-01

The bedrock exposed in the Van Buren South quadrangle, Missouri, comprises Late Cambrian and Early Ordovician aged dolomite, sandstone, and chert. The sedimentary rocks are nearly flat-lying except where they are adjacent to faults. The carbonate rocks are karstified and the area contains numerous sinkholes, springs, caves, and losing-streams. This map is one of several being produced under the U.S. Geological Survey National Cooperative Geologic Mapping Program to provide geologic data applicable to land-use problems in the Ozarks of south-central Missouri. Ongoing and potential industrial and agricultural development in the Ozarks region has presented issues of ground-water quality in karst areas. A National Park in this region (Ozark National Scenic Riverways, Missouri ) is concerned about the effects of activities in areas outside of their stewardship on the water resources that define the heart of this Park. This task applies geologic mapping and karst investigations to address issues surrounding competing land use in south-central Missouri. This task keeps geologists from the USGS associated with the park and allows the Parks to utilize USGS expertise and aid the NPS on how to effectively use geologic maps for Park management. For more information see: http://geology.er.usgs.gov/eespteam/Karst/index.html

Geologic map of the Low Wassie Quadrangle, Oregon and Shannon counties, Missouri

USGS Publications Warehouse

Weems, Robert E.

2002-01-01

The bedrock exposed in the Low Wassie Quadrangle, Missouri, comprises Late Cambrian and Early Ordovician aged dolomite, sandstone, and chert. The sedimentary rocks are nearly flat-lying except where they are adjacent to faults. The carbonates are karstified and the area contains numerous sinkholes, springs, caves, and losing-streams. This map is one of several being produced under the U.S. Geological Survey National Cooperative Geologic Mapping Program to provide geologic data applicable to land-use problems in the Ozarks of south-central Missouri. Ongoing and potential industrial and agricultural development in the Ozarks region has presented issues of ground-water quality in karst areas. A National Park in this region (Ozark National Scenic Riverways, Missouri ) is concerned about the effects of activities in areas outside of their stewardship on the water resources that define the heart of this Park. This task applies geologic mapping and karst investigations to address issues surrounding competing land use in south-central Missouri. This task keeps geologists from the USGS associated with the park and allows the Parks to utilize USGS expertise and aid the NPS on how to effectively use geologic maps for Park management. For more information see: http://geology.er.usgs.gov/eespteam/Karst/index.html.

Geologic map of the Winona Quadrangle, Shannon County, Missouri

USGS Publications Warehouse

Orndorff, R.C.; Harrison, R.W.

2001-01-01

The bedrock exposed in the Winona Quadrangle, Missouri, comprises Mesoproterozoic aged volcanic rocks overlain by Late Cambrian and Early Ordovician aged dolomite, sandstone, and chert. The sedimentary rocks are nearly flat-lying except where they drape around knobs of the volcanic rocks or where they are adjacent to faults. The carbonates are karstified and the area contains numerous sinkholes, springs, caves, and losing-streams. This map is one of several being produced under the U.S. Geological Survey National Cooperative Geologic Mapping Program to provide geologic data applicable to land-use problems in the Ozarks of south-central Missouri. Ongoing and potential industrial and agricultural development in the Ozarks region has presented issues of ground-water quality in karst areas. A National Park in this region (Ozark National Scenic Riverways, Missouri ) is concerned about the effects of activities in areas outside of their stewardship on the water resources that define the heart of this Park. This task applies geologic mapping and karst investigations to address issues surrounding competing land use in south-central Missouri. This task keeps geologists from the USGS associated with the park and allows the Parks to utilize USGS expertise and aid the NPS on how to effectively use geologic maps for Park management. For more information see: http://geology.er.usgs.gov/eespteam/Karst/index.html

Disclosing incidental findings in brain research: the rights of minors in decision-making.

PubMed

Di Pietro, Nina C; Illes, Judy

2013-11-01

MRI is used routinely in research with children to generate new knowledge about brain development. The detection of unexpected brain abnormalities (incidental findings; IFs) in these studies presents unique challenges. While key issues surrounding incidence and significance, duty of care, and burden of disclosure have been addressed substantially for adults, less empirical data and normative analyses exist for minors who participate in minimal risk research. To identify ethical concerns and fill existing gaps, we conducted a comprehensive review of papers that focused explicitly on the discovery of IFs in minors. The discourse in the 21 papers retrieved for this analysis amply covered practical issues such as informed consent and screening, difficulties in ascertaining clinical significance, the economic costs and burden of responsibility on researchers, and risks (physical or psychological). However, we found little discussion about the involvement of minors in decisions about disclosure of IFs in the brain, especially for IFs of low clinical significance. In response, we propose a framework for managing IFs that integrates practical considerations with explicit appreciation of rights along the continuum of maturity. This capacity-adjusted framework emphasizes the importance of involving competent minors and respecting their right to make decisions about disclosure. Copyright © 2013 Wiley Periodicals, Inc.

An Examination of Ohio Principals' Attitudes toward Technology and First Amendment Law: Implications for Leadership

ERIC Educational Resources Information Center

Gooden, Mark A.

2012-01-01

Principals have acknowledged the challenges with remaining current on issues in the law. A unique challenge for principals is the intersection of students' First Amendment rights in the school context and the legal issues surrounding student-created webpages. Using a randomly selected sample of Ohio high school secondary principals, I investigated…

Legal Issues Relating to School Paraprofessionals. A Legal Memorandum: Quarterly Law Topics for School Leaders, Spring 2004

ERIC Educational Resources Information Center

Ashbaker, Betty Y.; Morgan, Jill

2004-01-01

Complaints, hearings, legal opinions, and lawsuits on issues surrounding the training and supervision of paraprofessionals are increasing. Concern over the lack of preparation of paraprofessionals and the sporadic nature of the training that is available to them (Morgan, Hofmeister, & Ashbaker, 1995; Pickett, 1996) have led to the development…

Women and Careers: Issues and Challenges.

ERIC Educational Resources Information Center

Konek, Carol Wolfe, Ed.; Kitch, Sally L., Ed.

This book presents, in 11 chapters, results of a major survey to discover how women feel about the key issues surrounding their experiences in the workplace. The survey, conducted by the Research Group on Women and Work, was sent to 770 women in Wichita, Kansas; it received 494 responses, augmented by 238 responses to a follow-up survey 5 years…

Teaching E=mc2: An Exploration of Some Issues.

ERIC Educational Resources Information Center

Baierlein, Ralph

1991-01-01

A discussion of what E=mc2 means and other issues associated with the equation are presented. The differences between matter, mass, and energy, a derivation of the equation, the history of the word mass and examples of how it is used, misconceptions surrounding the equation, and a discussion of uranium fission are included. (KR)

Mapping the Context: Insights and Issues from Local Government Development of Music Communities

ERIC Educational Resources Information Center

Kenny, Ailbhe

2011-01-01

Recent years have revealed local government to be a fundamental stakeholder in the development of arts and music communities. This article provides a context for an exploration and study of the issues, themes and dilemmas that surround local government and music communities. In particular the article provides this examination from an Irish…

Crossroads: Quality of Life in a Nuclear World. A High School English Curriculum.

ERIC Educational Resources Information Center

French, Dan; And Others

One of a set of high school curricula on nuclear issues, this 10-day unit for English classes informs students of the issues surrounding the nuclear arms race and military spending. Each lesson includes readings, worksheets, and a daily homework assignment and focuses on one of the following activities: discussion, brainstorming, role playing, or…

The Interaction of Cognition and Affect: The Issue of Free Trade.

ERIC Educational Resources Information Center

Thompson, Fred A.

In determining whether an increase in student cognitions in the content area of international trade is correlated with an attitudinal change toward policy issues surrounding that subject, a microeconomics principles class at Riverside City College was used to test the hypothesis that a change in the cognitive component will cause a change in the…

Here Comes the Bogeyman: Exploring Contemporary Issues in Writing for Children

ERIC Educational Resources Information Center

Melrose, Andrew

2011-01-01

"Here Comes the Bogeyman" is an essential text focussing on critical and contemporary issues surrounding writing for children. Containing a critically creative and a creatively critical investigation of the cult and culture of the child and childhood in fiction and non-fictional writing, it also contains a wealth of ideas and critical advice to be…

Issues and Prospects of Effetive Implementation of New Secondary School Curriculum in Nigeria

ERIC Educational Resources Information Center

Ahmadi, Ali A.; Lukman, Ajibola A.

2015-01-01

This paper digs into the issues surrounding effective implementation of new secondary school curriculum in Nigeria. This is based on the feeling that 21st century education is characterized with a dramatic technological revolution. The paper therefore portrays education in the 21st century as a total departure from the factory-model education of…

The Supply of Information Technology Workers in the United States.

ERIC Educational Resources Information Center

Freeman, Peter; Aspray, William

This study is designed to improve understanding of the supply of and demand for information technology (IT) workers in America and contextual issues surrounding that topic. Chapter 1 examines aspects of the political context concerning IT workforce issues. Chapter 2 outlines a way to distinguish IT workers from a much larger class of workers whose…

Straight Talk about America's Public Schools: Dispelling the Myths. Hot Topics Series.

ERIC Educational Resources Information Center

Barber, Larry W., Ed.

The major issues surrounding the problems in American education are intertwined and obliquely connected in ways that are not clear to the casual reader or to single-issue authors. This handbook was designed to provide educators with information to refute claims that the American public education system is in a state of disarray and imminent…

More Professors Could Share Lectures Online: But Should They?

ERIC Educational Resources Information Center

Young, Jeffrey R.

2010-01-01

In this article, the author discusses the issues surrounding the production of lecture videos by professors and administrators which are free to the world. Professors across the country are now wrestling with this issue. More and more colleges have installed microphones or cameras in lecture halls and bought easy-to-use software to get lecture…

Literacy and Deaf Students in Taiwan: Issues, Practices and Directions for Future Research--Part I

ERIC Educational Resources Information Center

Liu, Hsiu Tan; Liu, Chun Jung; Andrews, Jean F.

2014-01-01

We describe the literacy issues facing young deaf and hard of hearing (DHH) learners in Taiwan who are learning both a logographic and an alphabetic script. We describe the contextual factors that surround their reading and writing processes such as island demographics, reading achievement levels, and background language learning variables…

Gender-Based Pay Disparities in Intercollegiate Coaching: The Legal Issues.

ERIC Educational Resources Information Center

Gaal, John; Glazier, Michael S.; Evans, Thomas S.

2002-01-01

Explores the legal issues surrounding pay disparities between men and women in intercollegiate coaching, including how courts have treated disparate wage claims under the Equal Pay Act, Title VII of the Civil Rights Act of 1964, and Title IX, and the defenses used by institutions. Offers suggestions for defending claims and a detailed review of…

Issues Surrounding English, the Internationalisation of Higher Education and National Cultural Identity in Asia: A Focus on Japan

ERIC Educational Resources Information Center

Le Phan, Ha

2013-01-01

The English language is significant to the internationalisation of higher education worldwide. Countries in Asia are proactive in appropriating English for their national interests, while paying attention to associated national cultural identity issues. This article examines the ways in which the role of English is interpreted and justified in…

43 CFR 6305.30 - What are the steps BLM must take in issuing an access authorization to valid occupancies?

Code of Federal Regulations, 2014 CFR

2014-10-01

... issuing an access authorization to mining claims or other valid occupancies wholly surrounded by... permit the reasonable use of the non-Federal land, valid mining claim, or other valid occupancy; and (3) The location, construction, maintenance, and use of the access route that BLM approves will be as...

43 CFR 6305.30 - What are the steps BLM must take in issuing an access authorization to valid occupancies?

Code of Federal Regulations, 2011 CFR

2011-10-01

... issuing an access authorization to mining claims or other valid occupancies wholly surrounded by... permit the reasonable use of the non-Federal land, valid mining claim, or other valid occupancy; and (3) The location, construction, maintenance, and use of the access route that BLM approves will be as...

43 CFR 6305.30 - What are the steps BLM must take in issuing an access authorization to valid occupancies?

Code of Federal Regulations, 2013 CFR

2013-10-01

... issuing an access authorization to mining claims or other valid occupancies wholly surrounded by... permit the reasonable use of the non-Federal land, valid mining claim, or other valid occupancy; and (3) The location, construction, maintenance, and use of the access route that BLM approves will be as...

43 CFR 6305.30 - What are the steps BLM must take in issuing an access authorization to valid occupancies?

Code of Federal Regulations, 2012 CFR

2012-10-01

... issuing an access authorization to mining claims or other valid occupancies wholly surrounded by... permit the reasonable use of the non-Federal land, valid mining claim, or other valid occupancy; and (3) The location, construction, maintenance, and use of the access route that BLM approves will be as...

Connecting to Nature at the Zoo: Implications for Responding to Climate Change

ERIC Educational Resources Information Center

Clayton, Susan; Luebke, Jerry; Saunders, Carol; Matiasek, Jennifer; Grajal, Alejandro

2014-01-01

Societal response to climate change has been inadequate. A perception that the issue is both physically and temporally remote may reduce concern; concern may also be affected by the political polarization surrounding the issue in the USA. A feeling of connection to nature or to animals may increase personal relevance, and a supportive social…

Active parental consent in school-based research. An examination of ethical and methodological issues.

PubMed

Esbensen, F A; Deschenes, E P; Vogel, R E; West, J; Arboit, K; Harris, L

1996-12-01

To date, most school-based research has used passive parental consent. However, the Family Privacy Protection Act of 1995 aims to change these requirements. The proposed legislation requires written parental consent if minors are to be asked "sensitive" questions as part of any program or activity funded in whole or in part by the federal government. This act is representative of a growing trend toward restricting research involving minors. Whether or not this act is passed by Congress, two lines of concern are highlighted by this legislation. The first deals with ethical issues surrounding consent procedures. For instance, are parental rights compromised when active consent is not mandated? A second line of inquiry pertains to the effect of active consent procedures on response rates and sample bias. In this article, the authors discuss ethical issues surrounding passive and active consent procedures and then report response rates from two projects in which active consent procedures were implemented.

Uses and issues of biomonitoring.

PubMed

Needham, Larry L; Calafat, Antonia M; Barr, Dana B

2007-05-01

In the last two decades, an explosion in information and literature on human biomonitoring data has occurred. Symposia, workshops, and workgroups have been formed to discuss all issues surrounding biomonitoring. One such workgroup, formed by the International Life Sciences Institute's Health and Environmental Sciences Institute (HESI), developed a wheel which has biomonitoring at its hub; its spokes depict the uses of biomonitoring. As it rolls and picks up speed, the biomonitoring wheel will no doubt gain additional spokes. In this manuscript, we describe and give examples of these biomonitoring uses and some of their further applications as well as some of the issues surrounding biomonitoring. Special emphasis is placed on the uses and limitations of large-scale representative cross sectional studies such as the National Health and Nutrition Examination Surveys in the United States. Priority setting, improved modeling methods for interpreting the biomonitoring data, and an increase in studies designed to associate health indicators and health risks to selected environmental chemicals are needed to increase the power of biomonitoring.

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

Kesgin, Ibrahim; Hasse, Quentin; Ivanyushenkov, Yury

The use of second-generation high-temperature superconducting-coated conductors enables an enhancement of the performance of undulator magnets. However, preventing the motion of the wire and providing sufficient conduction cooling to the winding stacks have remained challenges. In this study, we have evaluated epoxy impregnation techniques to address these issues. Epoxy resin was prepared with different nanopowders and the effect on the performance of the undulator coil pack was investigated. All epoxy impregnated coils showed smaller n values and some degree of deterioration of the critical current I c. The I c degradation was most pronounced for epoxy mixed with high aspectmore » ratio multiwalled carbon nanotubes (MWCNTs). It has been found that the crack formation in the epoxy results in plastic deformation of the copper stabilizer layer, which causes the underlying ceramic REBCO superconducting layer to crack resulting in degradation of the superconducting tape performance. As a result, careful adjustment of epoxy thickness surrounding the superconductor and the powder ratio in the epoxy eliminate the performance degradation.« less

Flood Insurance in Canada: Implications for Flood Management and Residential Vulnerability to Flood Hazards

NASA Astrophysics Data System (ADS)

Oulahen, Greg

2015-03-01

Insurance coverage of damage caused by overland flooding is currently not available to Canadian homeowners. As flood disaster losses and water damage claims both trend upward, insurers in Canada are considering offering residential flood coverage in order to properly underwrite the risk and extend their business. If private flood insurance is introduced in Canada, it will have implications for the current regime of public flood management and for residential vulnerability to flood hazards. This paper engages many of the competing issues surrounding the privatization of flood risk by addressing questions about whether flood insurance can be an effective tool in limiting exposure to the hazard and how it would exacerbate already unequal vulnerability. A case study investigates willingness to pay for flood insurance among residents in Metro Vancouver and how attitudes about insurance relate to other factors that determine residential vulnerability to flood hazards. Findings indicate that demand for flood insurance is part of a complex, dialectical set of determinants of vulnerability.

IN SEARCH OF A FATHER: LEGAL CHALLENGES SURROUNDING POSTHUMOUS PATERNITY TESTING.

PubMed

Stirton, Ruth H; Wilkinson, Mark J

2015-01-01

This article interrogates the workings of the Human Tissue Act 2004, as it applies to paternity testing by DNA analysis after the death of the putative father. We use a case series methodology more usually seen in medical research, through which we present three real case studies involving posthumous paternity testing of retained tissue. We argue that the criminal offence in section 45 of the Human Tissue Act 2004, which is being used to regulate this activity, is inappropriate and inadequate to do so. The threat of the shadow of the criminal law is too blunt an instrument to address the subtleties of the issues that arise in the context of posthumous paternity testing. We call for reform of the Human Tissue Act 2004 and the creation of a specific exception to properly deal with requests of this nature. © The Author 2015. Published by Oxford University Press; all rights reserved. For Permissions, please email: journals.permissions@oup.com.

Materials and processes for the effective capture and immobilization of radioiodine: A review

DOE PAGES

Riley, Brian J.; Vienna, John D.; Strachan, Denis M.; ...

2015-12-02

In this study, the immobilization of radioiodine produced from reprocessing used nuclear fuel is a growing priority for research and development of nuclear waste forms. This review provides a comprehensive summary of the current issues surrounding processing and containment of 129I, the isotope of greatest concern due to its long half-life of 1.6 × 10 7 y and potential incorporation into the human body. Strategies for disposal of radioiodine, captured by both wet scrubbing and solid sorbents, are discussed, as well as potential iodine waste streams for insertion into an immobilization process. Next, consideration of direct disposal of salts, incorporationmore » into glasses, ceramics, cements, and other phases is discussed. The bulk of the review is devoted to an assessment of various sorbents for iodine and of waste forms described in the literature, particularly inorganic minerals, ceramics, and glasses. This review also contains recommendations for future research needed to address radioiodine immobilization materials and processes.« less

Developing the doctor manager: reflecting on the personal costs.

PubMed

Mark, A

1995-11-01

These reflections focus on the development of doctors as managers in the National Health Service and the way that their participation is directly influenced by the personal costs perceived to their professional roles as doctors. Research has indicated some of the problems surrounding the development of doctors as managers. Although training has led to a reduction in stress, women doctors are having to contend with a glass ceiling which is double and even sometimes triple glazed, team development is not being addressed adequately, and succession planning is occurring by default rather than design. The application of domain theory to the issue can provide some guidance for the organisation, but as individual organisations like hospitals interpret these changes in a unique way, it is suggested that the key training for the future will need to focus on transition skills between organisations, and will require interpretive and adaptive responses from both doctors and managers if they are to continue to collaborate successfully in the managerial domain.

Graphene-assisted ultra-compact polarization splitter and rotator with an extended bandwidth.

PubMed

Zhang, Tian; Ke, Xianmin; Yin, Xiang; Chen, Lin; Li, Xun

2017-09-22

The high refraction-index contrast between silicon and the surrounding cladding makes silicon-on-insulator devices highly polarization-dependent. However, it is greatly desirable for many applications to address the issue of polarization dependence in silicon photonics. Here, a novel ultra-compact polarization splitter and rotator (PSR), constructed with an asymmetrical directional coupler consisting of a rib silicon waveguide and a graphene-embedded rib silicon waveguide (GERSW), on a silicon-on-insulator platform is proposed and investigated. By taking advantage of the large modulation of the effective refractive index of the TE mode for the GERSW by tuning the chemical potential of graphene, the phase matching condition can be well satisfied over a wide spectral band. The presented result demonstrates that for a 7-layer-graphene-embedded PSR with a coupling length of 11.1 μm, a high TM-to-TE conversion efficiency (>-0.5 dB) can be achieved over a broad bandwidth from 1516 to 1602 nm.

Evolving MCDM Applications Using Hybrid Expert-Based ISM and DEMATEL Models: An Example of Sustainable Ecotourism

PubMed Central

Chuang, Huan-Ming

2013-01-01

Ecological degradation is an escalating global threat. Increasingly, people are expressing awareness and priority for concerns about environmental problems surrounding them. Environmental protection issues are highlighted. An appropriate information technology tool, the growing popular social network system (virtual community, VC), facilitates public education and engagement with applications for existent problems effectively. Particularly, the exploration of related involvement behavior of VC member engagement is an interesting topic. Nevertheless, member engagement processes comprise interrelated sub-processes that reflect an interactive experience within VCs as well as the value co-creation model. To address the top-focused ecotourism VCs, this study presents an application of a hybrid expert-based ISM model and DEMATEL model based on multi-criteria decision making tools to investigate the complex multidimensional and dynamic nature of member engagement. Our research findings provide insightful managerial implications and suggest that the viral marketing of ecotourism protection is concerned with practitioners and academicians alike. PMID:24453902

Aerosol climatology over Mexico City basin: Characterization of their optical properties

NASA Astrophysics Data System (ADS)

Carabali-Sandoval, Giovanni; Valdéz-Barrón, Mauro; Bonifaz-Alfonso, Roberto; Riveros-Rosas, David; Estévez, Héctor

2015-04-01

Climatology of aerosol optical depth (AOD), single scattering albedo (SSA) and size parameters were analyzed using a 15-year (1999-2014) data set from AErosol RObotic NETwork (AERONET) observations over Mexico City basin. Since urban air pollution is one of the biggest problems that face this megacity, many studies addressing these issues have been published. However few studies have examined the climatology of aerosol taking into account their optical properties over long-time period. Pollution problems in Mexico City have been generated by the daily activities of some 21 million people coupled with the vast amount of industry located within the city's metropolitan area. Another contributing factor is the unique geographical setting of the basin encompassing Mexico City. The basin covers approximately 5000 km2 of the Mexican Plateau at an average elevation of 2250 m above sea level (ASL) and is surrounded on three sides by mountains averaging over 3000 m ASL. In this work we present preliminary results of aerosol climatology in Mexico City.

Direct numerical simulation of incompressible multiphase flow with phase change

NASA Astrophysics Data System (ADS)

Lee, Moon Soo; Riaz, Amir; Aute, Vikrant

2017-09-01

Simulation of multiphase flow with phase change is challenging because of the potential for unphysical pressure oscillations, spurious velocity fields and mass flux errors across the interface. The resulting numerical errors may become critical when large density contrasts are present. To address these issues, we present a new approach for multiphase flow with phase change that features, (i) a smooth distribution of sharp velocity jumps and mass flux within a narrow region surrounding the interface, (ii) improved mass flux projection from the implicit interface onto the uniform Cartesian grid and (iii) post-advection velocity correction step to ensure accurate velocity divergence in interfacial cells. These new features are implemented in combination with a sharp treatment of the jumps in pressure and temperature gradient. A series of 1-D, 2-D, axisymmetric and 3-D problems are solved to verify the improvements afforded by the new approach. Axisymmetric film boiling results are also presented, which show good qualitative agreement with heat transfer correlations as well as experimental observations of bubble shapes.

"Suffering twice": the gender politics of cesarean sections in Taiwan.

PubMed

Kuan, Chen-I

2014-09-01

Women's pursuit of medical interventions in childbirth has been a challenging issue in feminist and medical anthropological research on the medicalization of reproduction. This article addresses the gender politics surrounding maternal requests for cesarean sections in Taiwan. Since the 1990s, Taiwanese cesarean rates have been reported as among the highest in the world. That is not the case now, yet they are still perceived as such, and the current rate of 37% is indeed high by any standards. The government and public discourses attribute the high cesarean rate to women's demand for this intervention. However, my ethnographic research indicates that the Taiwanese hospital birthing system leads to the prevalence of cesareans, and that women's requests for them constitute strategic responses to the system and its existing high cesarean rates. Using women's attempt to avoid "suffering twice" as an example, I argue that maternal requests for cesareans often lie at the intersection between their restricted control over childbirth and their agency within the medical system. © 2014 by the American Anthropological Association.

Evolving MCDM applications using hybrid expert-based ISM and DEMATEL models: an example of sustainable ecotourism.

PubMed

Chuang, Huan-Ming; Lin, Chien-Ku; Chen, Da-Ren; Chen, You-Shyang

2013-01-01

Ecological degradation is an escalating global threat. Increasingly, people are expressing awareness and priority for concerns about environmental problems surrounding them. Environmental protection issues are highlighted. An appropriate information technology tool, the growing popular social network system (virtual community, VC), facilitates public education and engagement with applications for existent problems effectively. Particularly, the exploration of related involvement behavior of VC member engagement is an interesting topic. Nevertheless, member engagement processes comprise interrelated sub-processes that reflect an interactive experience within VCs as well as the value co-creation model. To address the top-focused ecotourism VCs, this study presents an application of a hybrid expert-based ISM model and DEMATEL model based on multi-criteria decision making tools to investigate the complex multidimensional and dynamic nature of member engagement. Our research findings provide insightful managerial implications and suggest that the viral marketing of ecotourism protection is concerned with practitioners and academicians alike.

An update on insertable cardiac monitors: examining the latest clinical evidence and technology for arrhythmia management.

PubMed

Olsen, Flemming J; Biering-Sørensen, Tor; Krieger, Derk W

2015-05-01

Continuous cardiac rhythm monitoring has undergone compelling progress over the past decades. Cardiac monitoring has emerged from 12-lead electrocardiograms being performed at the discretion of the treating physician to in-hospital telemetry, Holter monitoring, prolonged external event monitoring and most recently toward insertable device monitoring for several years. Significant advantages and disadvantages pertaining to these monitoring options will be addressed in this review. Insertable cardiac monitors have several advantages over external monitoring techniques and may signify a clinical turning point in the field of arrhythmia management. However, their role in the detection of paroxysmal atrial fibrillation after cryptogenic strokes has yet to evolve. This will be the main focus of this review. Issues surrounding patient selection, clinical relevance and determination of cost-effectiveness for prolonged cardiac monitoring require further studies. Furthermore, insertable cardiac monitoring has not only the potential to augment diagnostic capabilities but also to improve the management of paroxysmal atrial fibrillation.

The role of Philosophical Hermeneutics in contributing to an understanding of physiotherapy practice: a reflexive illustration.

PubMed

Stenner, Rob; Mitchell, Theresa; Palmer, Shea

2017-09-01

This paper provides an overview of Philosophical Hermeneutics based on the work of German philosopher Hans Georg Gadamer. The concepts of the 'hermeneutic circle' as a vehicle for interpretation, management of the researcher's pre-understandings (prejudices), and the 'fusion of horizons' are introduced and illustrated by examples from the first author's research, before considering how rigour can be achieved in this type of research. The actual research study which aimed to explore how shared decision making and patient partnership are addressed by physiotherapists in the process of exercise prescription for patients with low back pain (LBP) is not the focus of this paper. However short descriptions of the study are used to explore issues surrounding a hermeneutic inquiry. For physiotherapists interested in research or considering undertaking an interpretive phenomenological inquiry, this theoretical discussion paper explores how Gadamer's philosophy offers a credible framework for undertaking such research. Copyright © 2016 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

Update on epinephrine (adrenaline) for pediatric emergencies.

PubMed

Walker, David M

2009-06-01

Epinephrine (adrenaline) is a medication widely used in the pediatric emergency department. This article reviews the most recent evidence and recommendations behind the many applications of epinephrine as they apply to the care of children in emergency departments. Recent publications address epinephrine's role in the treatment of anaphylaxis, croup, asthma, bronchiolitis and as an adjunct to local anesthesia. Additionally, authors discuss epinephrine autoinjectors and the various routes of epinephrine administration. Epinephrine is the recommended first-line treatment for anaphylaxis and moderate-to-severe croup. Its role in asthma and bronchiolitis is less clear. Traditional beta2-agonists are seen as first-line therapies for moderate bronchiolitis and asthma exacerbations. Epinephrine may have a role for subsets of patients with both of these illnesses. The preferred route for parenteral treatment is intramuscular. Epinephrine is well tolerated as an adjunct to local anesthesia when used in digital blocks in digits with normal perfusion. Although autoinjectors allow faster access to epinephrine for anaphylaxis, there are many issues surrounding their use and indications.

Medical Surveillance Monthly Report. Volume 20, Number 11

DTIC Science & Technology

2013-11-01

5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Medical Surveillance Monthly Report (MSMR),Armed Forces...Health Surveillance Center,11800 Tech Road, Suite 220 (MCAF-CS),Silver Spring,MD,20904 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING... performed to determine the circumstances surrounding the event, the week of train- ing (WOT) in which it occurred, comor- bid conditions diagnosed

Dehydration and Rehydration

DTIC Science & Technology

2012-01-01

ELEMENT NUMBER 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ...ability to perform .84 This chapter presents an overview of topics surrounding hydration, dehydration, and rehydration. The terms euhydration, hypohydration...environments, or illness, inability to maintain fluid balance can seriously jeopardize health and the ability to perform .84 This chapter presents an overview

Defensive Driving.

ERIC Educational Resources Information Center

Sutton, Judy

1997-01-01

Discusses management issues surrounding school busing operations within the context of tightening budgets while simultaneously serving the growing number of students with special needs. The debate on bus use for advertising is highlighted. (GR)

The Energy Crisis: Is It Fabrication or Miscalculation?

ERIC Educational Resources Information Center

Shaheen, Esber I.

1974-01-01

Issues surrounding the recent oil shortages are discussed and alternate sources reviewed are nuclear power, fusion, solar energy, geothermal energy, magnetohydrodynamics coal gasification, windmills and tidal power. (JP)

What Is the Purpose of the Theses Addressing the Issue of Program Evaluation in Turkey? (The Case of Curriculum and Instruction: 1997-2015)

ERIC Educational Resources Information Center

Alkin-Sahin, Senar; Tunca, Nihal

2016-01-01

In the current study, the aim is to investigate the theses addressing the issue of program evaluation in the field of Curriculum and Instruction (C&I) in 1997-2015. The study employed the survey model. The universe of the study consists of totally 87 theses addressing the issue of program evaluation in the field of C&I in 1997-2015. As the…

Importance of Addressing Sexuality in Certified Rehabilitation Counselor Practice

ERIC Educational Resources Information Center

Kazukauskas, Kelly A.; Lam, Chow S.

2009-01-01

This study investigated Certified Rehabilitation Counselors' (CRCs) beliefs about the importance of addressing sexuality issues during rehabilitation. A modified version of the Family Life Sex Education Goals Questionnaire (FLSEGQ) was completed by 199 CRCs to determine which issues CRCs believe are most important to address. Six sexuality-related…

Opportunity Foregone: Education in Brazil.

ERIC Educational Resources Information Center

Birdsall, Nancy, Ed.; Sabot, Richard H., Ed.

The studies presented in this volume help readers to understand the constraints faced in addressing the key problems within the Brazilian education system. Steps to address the issues and benefits to be gained by addressing those issues are discussed. Forty-two authors reiterate that the success of Brazil's education reform will have an important…

The Distance Education Evolution: Issues and Case Studies

ERIC Educational Resources Information Center

Monolescu, Dominique; Schifter, Catherine; Greenwood, Linda

2004-01-01

"The Distance Education Evolution: Case Studies" addresses issues regarding the development and design of online courses, and the implementation and evaluation of an online learning program. Several chapters include design strategies for online courses that range from the specific to the universal. Many authors address pedagogical issues from both…

Academic Librarianship: Professional Strivings and Political Realities.

ERIC Educational Resources Information Center

Sparks, David G. E.

1980-01-01

Discusses the issues surrounding faculty status for academic librarians. These include professionalization aspects of librarianship, the power relationships of academic faculties, and the phenomenon of academic collective bargaining. (Author/RAA)

Future issues in transplantation ethics: ethical and legal controversies in xenotransplantation, stem cell, and cloning research.

PubMed

Shapiro, Robyn S

2008-07-01

With little prospect of developing a sufficient supply of human transplantable organs to meet the large and growing demand, attention has turned to xenotransplantation, as well as stem cell and cloning research, as possible approaches for alleviating this allograft shortage. This article explores ethical and legal issues that surround developments in these fields.

Study of Issues Related to the Implementation of Computer Technology in Schools. Final Report, July, 1981. Technical Report No. 2.

ERIC Educational Resources Information Center

Sheingold, Karen; And Others

This study examined ways in which microcomputers are used in schools and the complex issues that surround their implementation. Three fictional geographically distinct school districts with a diversity of microcomputer applications at both the elementary and secondary levels were studied: Salerno, a large southern city; Granite, a midwestern city;…

Gender Justice and the English Citizenship Curriculum: A Consideration of Post-September 11 National Imperatives and Issues of "Britishness"

ERIC Educational Resources Information Center

Keddie, Amanda

2008-01-01

Although much contention has surrounded the introduction of the English citizenship curriculum, its political agenda clearly reflects a transformative approach to issues of justice and equity. In light of this agenda, this article supports feminist work in further problematizing the curriculum's silence around relations of gender and citizenship.…

Social Issues Surrounding the Adolescent with Asperger Syndrome: Perceptions of Parents and Teachers

ERIC Educational Resources Information Center

Hurlbutt, Karen; LaPlante, Elaine

2010-01-01

The purpose of this qualitative study, a focused case study of a community, was to investigate the perceptions and experiences of three parents and three teachers regarding social issues of adolescents with Asperger Syndrome (AS). The study revealed that, in this small, rural community, students with AS are supported by their peers, appear to be…

Want to Teach about SuperPACs? What We Can Learn from Stephen Colbert

ERIC Educational Resources Information Center

Stoddard, Jeremy

2012-01-01

The emergence of the SuperPACs in American politics is a major issue in the current election. SuperPACs, and the media campaigns they fund, also present a major challenge for media and democratic education. This article explores the issues surrounding SuperPACs and the rise of media in elections and politics in general, and presents some starting…

Development and Implementation of a Learning Object Repository for French Teaching and Learning: Issues and Promises

ERIC Educational Resources Information Center

Caws, Catherine

2008-01-01

This paper discusses issues surrounding the development of a learning object repository (FLORE) for teaching and learning French at the postsecondary level. An evaluation based on qualitative and quantitative data was set up in order to better assess how second-language (L2) students in French perceived the integration of this new repository into…

The 1990s Father: Balancing Work & Family Concerns. BNA Special Report Series on Work & Family. Special Report #18.

ERIC Educational Resources Information Center

Bureau of National Affairs, Inc., Washington, DC.

This report examines the issues surrounding working fathers and the changing expectations of fatherhood that are creating the necessity for changes in the workplace. Issues examined include the following: (1) fathers are torn between employers expecting super employees and mothers expecting super fathers; (2) a few companies are taking note of the…

Societal Issues and School Practices: An Ethnographic Investigation of the Social Context of School Computer Use.

ERIC Educational Resources Information Center

Friedman, Batya

This study examines the relationship between societal forces and school computer use in the context of two issues surrounding computer technology: computer property and computer privacy. Four types of data were collected from district administrators, principals, computer teachers, and students over a 9-month period in a high school with a broad,…

The South Carolina Title V Program in Perspective: Three Models of Purposive Change.

ERIC Educational Resources Information Center

Jacob, Nelson L.; And Others

The utility of Rothman's three ideal types of social action as applied to community issues and Extension agents were explored via analysis of condensed case study materials describing decisions and activities surrounding a specific issue in the target county of a Title V (Rural Development Act of 1972) Project in South Carolina. The three Rothman…

Afterschool: A Strategy for Addressing and Preventing Middle School Bullying. MetLife Foundation Afterschool Alert. Issue Brief No. 51

ERIC Educational Resources Information Center

Afterschool Alliance, 2011

2011-01-01

The Afterschool Alliance, in partnership with MetLife Foundation, is proud to present the second in a series of four issue briefs examining critical issues facing middle school youth and the vital role afterschool programs play in addressing these issues. This brief focuses on bullying awareness and prevention. Bullying is a dangerous behavior…

Security and health research databases: the stakeholders and questions to be addressed.

PubMed

Stewart, Sara

2006-01-01

Health research database security issues abound. Issues include subject confidentiality, data ownership, data integrity and data accessibility. There are also various stakeholders in database security. Each of these stakeholders has a different set of concerns and responsibilities when dealing with security issues. There is an obvious need for training in security issues, so that these issues may be addressed and health research will move on without added obstacles based on misunderstanding security methods and technologies.

Rape and Sexual Assault

MedlinePlus

... on National Statistics (CNSTAT) to examine conceptual and methodological issues surrounding survey statistics on rape and sexual assault and to recommend to BJS the best methods for obtaining such statistics on an ongoing basis. ...

Sleep Issues and Sundowning

MedlinePlus

... Medicaid Tax Deductions & Credits Planning Ahead for Legal Matters Legal Documents Health Care Reform Resources Ethical & Care ... reduce the agitation that occurs when surroundings are dark or unfamiliar. Make a comfortable and safe sleep ...

Organizational issues in the implementation and adoption of health information technology innovations: an interpretative review.

PubMed

Cresswell, Kathrin; Sheikh, Aziz

2013-05-01

Implementations of health information technologies are notoriously difficult, which is due to a range of inter-related technical, social and organizational factors that need to be considered. In the light of an apparent lack of empirically based integrated accounts surrounding these issues, this interpretative review aims to provide an overview and extract potentially generalizable findings across settings. We conducted a systematic search and critique of the empirical literature published between 1997 and 2010. In doing so, we searched a range of medical databases to identify review papers that related to the implementation and adoption of eHealth applications in organizational settings. We qualitatively synthesized this literature extracting data relating to technologies, contexts, stakeholders, and their inter-relationships. From a total body of 121 systematic reviews, we identified 13 systematic reviews encompassing organizational issues surrounding health information technology implementations. By and large, the evidence indicates that there are a range of technical, social and organizational considerations that need to be deliberated when attempting to ensure that technological innovations are useful for both individuals and organizational processes. However, these dimensions are inter-related, requiring a careful balancing act of strategic implementation decisions in order to ensure that unintended consequences resulting from technology introduction do not pose a threat to patients. Organizational issues surrounding technology implementations in healthcare settings are crucially important, but have as yet not received adequate research attention. This may in part be due to the subjective nature of factors, but also due to a lack of coordinated efforts toward more theoretically-informed work. Our findings may be used as the basis for the development of best practice guidelines in this area. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

ICON: The Ionospheric Connection Explorer - NASA's Next Space Physics and Aeronomy Mission

NASA Astrophysics Data System (ADS)

Immel, T. J.; Mende, S. B.; Heelis, R. A.; Englert, C. R.; Edelstein, J.; Forbes, J. M.; England, S.; Maute, A. I.; Makela, J. J.; Kamalabadi, F.; Crowley, G.; Stephan, A. W.; Huba, J. D.; Harlander, J.; Swenson, G. R.; Frey, H. U.; Bust, G. S.; Gerard, J. M.; Hubert, B. A.; Rowland, D. E.; Hysell, D. L.; Saito, A.; Frey, S.; Bester, M.; Valladares, C. E.

2013-12-01

Earth's ionosphere is a highly variable layer of plasma surrounding earth that is influenced from below by internal atmospheric waves of various scales and from above by solar and geomagnetic activity. Recent observational findings and modeling studies have raised many questions about the effects and interaction of these drivers in our geospace environment, and how these vary between extremes in solar activity. ICON will address the most compelling science issues that deal with the coupling of the ionosphere to the neutral atmosphere below and space above: 1) The highly variable nature of the electric field in the ionosphere and its potential link to thermospheric wind, 2) the effect of forcing from below: how large-scale atmospheric waves penetrate into the thermosphere and ionosphere, and 3) the effect of forcing from above: how ion-neutral coupling changes during solar and geomagnetically active periods. To address these, ICON will measure all key parameters of the atmosphere and ionosphere simultaneously and continuously with a combination of remote sensing and in-situ measurements. The scientific return from ICON is enhanced by dynamic operational modes of the observatory that provide capabilities well beyond that afforded by a static space platform. Selected for development by NASA, ICON will launch in early 2017 into a low-inclination orbit that is particularly well suited to address the above-noted scientific problems and to make a number of coordinated measurements with other ground- and space-based facilities at low and middle latitudes. The ICON Observatory carries a compliment of 4 instruments on the nadir facing payload integration plate.

National evaluation of policies on individual financial conflicts of interest in Canadian academic health science centers.

PubMed

Lexchin, Joel; Sekeres, Melanie; Gold, Jennifer; Ferris, Lorraine E; Kalkar, Sunila R; Wu, Wei; Van Laethem, Marleen; Chan, An-Wen; Moher, David; Maskalyk, M James; Taback, Nathan; Rochon, Paula A

2008-11-01

Conflicts of interest (COI) in research are an important emerging topic of investigation and are frequently cited as a serious threat to the integrity of human participant research. To study financial conflicts of interest (FCOI) policies for individual investigators working in Canadian academic health centers. Survey instrument containing 61 items related to FCOI. All Canadian academic health science centers (universities with faculties of medicine, faculties of medicine and teaching hospitals) were requested to provide their three primary FCOI policies. Number of all centers and teaching hospitals with policies addressing each of the 61 items related to FCOI. Only one item was addressed by all 74 centers. Thirteen items were present in fewer than 25% of centers. Fewer than one-quarter of hospitals required researchers to disclose FCOI to research participants. The role of research ethics boards (REBs) in hospitals was marginal. Asking centers to identify only three policies may not have inclusively identified all FCOI policies in use. Additionally, policies at other levels might apply. For instance, all institutions receiving federal grant money must comply with the Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans. Canadian centers within the same level (for instance, teaching hospitals) differ significantly in the areas that their policies address and these policies differ widely in their coverage. Presently, no single policy in any Canadian center informs researchers about the broad range of individual FCOI issues. Canadian investigators need to understand the environment surrounding FCOI, be able to access and follow the relevant policies and be confident that they can avoid entering into a FCOI.

Ethics: The Role of Adult and Vocational Education. Trends and Issues Alert No. 24.

ERIC Educational Resources Information Center

Wonacott, Michael E.

Ethics and social responsibility are the subject of both curriculum materials and research in adult and vocational education. State academic standards and curriculum frameworks address citizenship and personal and social responsibility. Ethical and legal issues for specific occupations are addressed in curricula issued by states, professional…

Addressing Career Issues Online: Perceptions of Counselor Education Professionals

ERIC Educational Resources Information Center

Lewis, Jacqueline; Coursol, Diane

2007-01-01

The Internet is the latest arena in which counseling services are available for a variety of issues. This study surveyed counselor education professionals about their perceptions regarding the use of online counseling to address various mental health issues including career counseling. It also examined their perceptions about 3 formats of online…

Measuring Up: Assessment Issues for Teachers, Counselors, and Administrators.

ERIC Educational Resources Information Center

Wall, Janet E., Ed.; Walz, Garry R., Ed.

This book attempts to promote improved understanding of assessment concepts by addressing the broad expanse of issues facing educators as they go about their duties and fulfill their responsibilities in schools and classrooms. The chapters in the book address some of the "hot button" issues related to testing and assessment in our nation's…

Teaching About Separation of Powers.

ERIC Educational Resources Information Center

Harris, David E.; Lockwood, Alan L.

1986-01-01

This activity involves students in exploring the values and issues surrounding a case study of the 1937 sit-down strike of the United Automobile Workers against General Motors at the Flint, Michigan plant. (JDH)

IVF-In Vitro Fertilization.

ERIC Educational Resources Information Center

Kieffer, George H.

1980-01-01

Issues surrounding the controversial topic of in vitro fertilization and artificial manipulation of reproduction are discussed. The author examines the moral and ethical implications and presents results of a survey of various religious groups. (SA)

Risk communication and decision-making in the prevention of invasive breast cancer.

PubMed

Partridge, Ann H

2017-08-01

Risk communication surrounding the prevention of invasive breast cancer entails not only understanding of the disease, risks and opportunities for intervention. But it also requires understanding and implementation of optimal strategies for communication with patients who are making these decisions. In this article, available evidence for the issues surrounding risk communication and decision making in the prevention of invasive breast cancer are reviewed and strategies for improvement are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

Filling the Gap Between NIMS/ICS and the Law Enforcement Initial Response in the Age of the Urban Jihad

DTIC Science & Technology

2010-09-01

Borelli (2005) noted, “‘Surround and contain’ became the patrol doctrine norm” in American policing, observing that for Columbine style active...such as Frank Borelli (2005), noted that “‘Surround and contain’ became the patrol doctrine norm” in American policing, observing that for Columbine...discussion of this critical issue; see also Borelli , 2005, for background discussion of the evolution of “active-shooter” training in the U.S. 25

Desertification or Resilience and Sustainability Research for the Vesuvius area?

NASA Astrophysics Data System (ADS)

Dobran, F.

2015-12-01

Vesuvius is one the best studied and monitored volcanoes on Earth, but the populations which surround it have not benefited from the research that would produce their habitats resilient and sustainable to future eruptions. There is no official risk management strategy that would accomplish such goals and the best that the government and mass media have been able to do is to promote for the past 20 years an emergency evacuation plan of geologists. Such a plan is practically unreliable and culturally unacceptable. It requires the issuance of an evacuation order three weeks before an eruption and the relocation all over Italy of about one million people surrounding the volcano, without addressing the issues of mass exodus, resettlement of population, protection of the evacuated territory, and reentry. This strategy gives a license to territorial managers to postpone indefinitely any territorial intervention leading to resilience and sustainability and promotes desertification of the Vesuvius area. In 1995 an interdisciplinary research project called VESUVIUS 2000 (www.gvess.org) was submitted to the European Union for a support, but it was rejected on the grounds that it interferes with the evacuation plan. This project aimed at producing by 2000 a feasibility plan of territorial interventions leading to the resilience and sustainability by requiring the accomplishment of five interdisciplinary goals (VESUVIUS PENTALOGUE) that would delineate the exclusion, resilience, and sustainability areas around the volcano. According to this risk reducing strategy, there is no need to produce the destruction of Vesuvius area culture and deal with the unreliability of long-term eruption prediction. It allows the population to prepare for an eruption and aims at producing a resilient and prosperous territory. It is unfortunate for the populations surrounding Vesuvius, and for the natural hazards research in particular, that the path towards resilience and sustainability is being obstructed by the narrow-mindedness and special interests which nurture themselves on this misfortune.

Relationships between airborne pollen grains, wind direction and land cover using GIS and circular statistics.

PubMed

Maya-Manzano, J M; Sadyś, M; Tormo-Molina, R; Fernández-Rodríguez, S; Oteros, J; Silva-Palacios, I; Gonzalo-Garijo, A

2017-04-15

Airborne bio-aerosol content (mainly pollen and spores) depends on the surrounding vegetation and weather conditions, particularly wind direction. In order to understand this issue, maps of the main land cover in influence areas of 10km in radius surrounding pollen traps were created. Atmospheric content of the most abundant 14 pollen types was analysed in relation to the predominant wind directions measured in three localities of SW of Iberian Peninsula, from March 2011 to March 2014. Three Hirst type traps were used for aerobiological monitoring. The surface area for each land cover category was calculated and wind direction analysis was approached by using circular statistics. This method could be helpful for estimating the potential risk of exposure to various pollen types. Thus, the main land cover was different for each monitoring location, being irrigated crops, pastures and hardwood forests the main categories among 11 types described. Comparison of the pollen content with the predominant winds and land cover shows that the atmospheric pollen concentration is related to some source areas identified in the inventory. The study found that some pollen types (e.g. Plantago, Fraxinus-Phillyrea, Alnus) come from local sources but other pollen types (e.g. Quercus) are mostly coming from longer distances. As main conclusions, airborne particle concentrations can be effectively split by addressing wind with circular statistics. By combining circular statistics and GIS method with aerobiological data, we have created a useful tool for understanding pollen origin. Some pollen loads can be explained by immediate surrounding landscape and observed wind patterns for most of the time. However, other factors like medium or long-distance transport or even pollen trap location within a city, may occasionally affect the pollen load recorded using an air sampler. Copyright © 2017 Elsevier B.V. All rights reserved.

Why not ask the patient? An evaluation of the aesthetic surroundings in hospitals by patients.

PubMed

Caspari, Synnøve; Nåden, Dagfinn; Eriksson, Katie

2007-01-01

The first part of this comprehensive study examined and analyzed strategic plans for the general hospitals in Norway. The concern was to discover the way in which the aesthetic dimension is taken into consideration and what guidelines the strategic plans provide. The result showed a general lack of guidelines, and it was therefore decided to ask patients how they would characterize and evaluate the aesthetics in their environments. The aim of the second part of the study was to find out how the patients evaluate the aesthetics in the general hospitals, and to ascertain their opinion as to how aesthetics influences health and wellness. The theoretical background for the investigation was based on literature studies from the caring sciences, philosophical theories, and results of international research. The purpose of this article is to present the results from the second part of the study addressing the human need for aesthetics in the surroundings and in life in general. The investigation was carried out at 6 general hospitals in Norway. A questionnaire was constructed in which the patients were asked to give their opinion on the aesthetics in the hospital environment and the influence aesthetics might have on health and wellness. The questionnaire contained 22 main questions, each with detailed and specific subquestions. For instance, concerning the question about "art," patients were asked to evaluate paintings, pictures, tapestries, sculptures, decorations, mosaic works and water decorations, fountains, etc. The results in general showed that aesthetic surroundings are important for health and wellness, according to the patients' opinion. The aesthetics in the hospital environment was evaluated and generally considered to be less than satisfactory by the patients. They felt that the aesthetic issues are not attended to as well as they would have liked. In summary it can be concluded that according to the patient experiences, the aesthetic area is a neglected field, and it is important to focus more on this field to understand what high-quality patient care should embrace.

Effects of short-term inpatient treatment on sensitivity to a size contrast illusion in first-episode psychosis and multiple-episode schizophrenia.

PubMed

Silverstein, Steven M; Keane, Brian P; Wang, Yushi; Mikkilineni, Deepthi; Paterno, Danielle; Papathomas, Thomas V; Feigenson, Keith

2013-01-01

In the Ebbinghaus illusion, a shape appears larger than its actual size when surrounded by small shapes and smaller than its actual size when surrounded by large shapes. Resistance to this visual illusion has been previously reported in schizophrenia, and linked to disorganized symptoms and poorer prognosis in cross-sectional studies. It is unclear, however, when in the course of illness this resistance first emerges or how it varies longitudinally with illness phase. We addressed these issues by having first-episode psychosis patients, multiple-episode schizophrenia patients and healthy controls complete a psychophysical task at two different time points, corresponding to hospital admission and discharge for patients. The task required judging the relative size of two circular targets centered on either side of the screen. Targets were presented without context (baseline), or were surrounded by shapes that made the size judgment harder or easier (misleading and helpful contexts, respectively). Context sensitivity was operationalized as the amount of improvement relative to baseline in the helpful condition minus the amount of decrement relative to baseline in the misleading condition. At hospital admission, context sensitivity was lower in the multiple-episode group than in the other groups, and was marginally less in the first episode than in the control group. In addition, schizophrenia patients were significantly more and less accurate than the other groups in the misleading and helpful conditions, respectively. At discharge, all groups exhibited similar context sensitivity. In general, poorer context sensitivity was related to higher levels of disorganized symptoms, and lower level of depression, excitement, and positive symptoms. Resistance to the Ebbinghaus illusion, as a characteristic of the acute phase of illness in schizophrenia, increases in magnitude after the first episode of psychosis. This suggests that visual context processing is a state-marker in schizophrenia and a biomarker of relapse and recovery.

Airport disaster preparedness in a community context : final report, February 26, 2009.

DOT National Transportation Integrated Search

2009-02-26

In our current economic, climatic, and political environment, airports and their surrounding communities are seeking effective ways to address disaster planning with foresight, common sense, and economy. Airports are traditionally reliable, essential...

USDOT vehicle-to-pedestrian research : white paper.

DOT National Transportation Integrated Search

2017-02-06

Connecting vehicles with the surrounding infrastructure through Vehicle-to-Pedestrian (V2P) technology offers promise for addressing this challenge. For the past decade, the USDOT has been researching and testing a connected vehicle (CV) system where...

Transport, energy and environment

DOT National Transportation Integrated Search

1996-12-01

The conference addressed economic and broader policy issues as well as technological perspectives. Further, focus was primarily on medium to long term aspects. The conference was primarily devoted to Euorpean issues, but papers were also addressing g...

Measuring students' attitudes toward college education's role in addressing social issues.

PubMed

Weber, James E; Weber, Paula S; Craven, Barney L

2008-06-01

As service-learning projects have spread throughout academia, efforts to assess the service-learning experience have assumed a greater importance. The BERSI scale (Business Education's Role in addressing Social Issues) was developed as a measure of business students' attitudes toward social issues being addressed as part of a business education. As such, it was intended to be useful in assessing attitudinal outcomes of service learning. In order for the BERSI to be useful for nonbusiness students, the scale would need to be reconceptualized and revalidated. This study modified the BERSI items with a focus on college students in general rather than business students, making the resulting scale, College Education's Role in addressing Social Issues (CERSI), potentially helpful to service-learning researchers in a broader setting. The CERSI scale was then validated using standard techniques and normative data were reported.

Policy issues in space analogues

NASA Astrophysics Data System (ADS)

Auger, Robin N.; Facktor, Debra D.

Space mission planning is increasingly focusing on destinations beyond Earth orbit. Advancements in technology will inevitably be required to enable long-duration human spaceflight missions, and breakthroughs in the policy arena will also be needed to achieve success in such missions. By exploring how policy issues have been addressed in analogous extreme environments, policymakers can develop a framework for addressing these issues as they apply to long-term human spaceflight. Policy issues that need to be addressed include: crew selection, training, organization, and activities, medical testing, illness, injury, and death; communication; legal accountability and liability; mission safety and risk management; and environmental contamination. This paper outlines the approach of a study underway by The George Washington University and ANSER to examine how these policy issues have been addressed in several analogues and how the experiences of these analogues can help formulate policies for long-duration human spaceflight missions. Analogues being studied include Antarctic bases, submarine voyages, undersea stations, Biosphere 2, and the U.S. Skylab and Russian Mir space stations.

Collaborative Learning in Biology: Debating the Ethics of Recombinant DNA Technology.

ERIC Educational Resources Information Center

Anderson, Rodney P.

1998-01-01

Discusses applications of recombinant DNA technology and the controversies surrounding that technique. Provides a cooperative learning project idea that involves teams of students investigating and debating these issues. (DDR)

Talking about Kidney Transplants.

ERIC Educational Resources Information Center

Solomon, Joan; Swift, Julia

1990-01-01

Described is a project in which information about the moral issues surrounding tissue transplants was obtained and videotaped for classroom use. Moral positions and possible educational strategies are discussed. Examples of student statements are presented. (CW)

Activating the Consumer about Pregnancy and Childbirth.

ERIC Educational Resources Information Center

James, Gordon B.

1980-01-01

A variety of consumer issues involved in education about pregnancy and childbirth are outlined for inclusion in health education programs. They include consumer concern prior to and during pregnancy, and surrounding childbirth. (JMF)

Should Seat Belts Be Required on All School Buses?

ERIC Educational Resources Information Center

Mawdsley, Ralph D.

1996-01-01

Examines the limited case law involving seat belts for school buses and explores emerging legal issues surrounding use of common law causes of action to challenge school bus safety. (51 footnotes) (MLF)

Financial Impacts of Nonutility Power Purchases on Investor-Owned Electric Utilities

EIA Publications

1994-01-01

Provides an overview of the issues surrounding the financial impacts of nonutility generation contracts (since the passage of the Public Utility Regulatory Policies Act of 1978) on investor owned utilities.

What predicts the strength of simultaneous color contrast?

PubMed Central

Ratnasingam, Sivalogeswaran; Anderson, Barton L.

2017-01-01

The perceived color of a uniform image patch depends not only on the spectral content of the light that reaches the eye but also on its context. One of the most extensively studied forms of context dependence is a simultaneous contrast display: a center-surround display containing a homogeneous target embedded in a homogenous surround. A number of models have been proposed to account for the chromatic transformations of targets induced by such surrounds, but they were typically derived in the restricted context of experiments using achromatic targets with surrounds that varied along the cardinal axes of color space. There is currently no theoretical consensus that predicts the target color that produces the largest perceived color difference for two arbitrarily chosen surround colors, or what surround would give the largest color induction for an arbitrarily chosen target. Here, we present a method for assessing simultaneous contrast that avoids some of the methodological issues that arise with nulling and matching experiments and diminishes the contribution of temporal adaption. Observers were presented with pairs of center-surround patterns and ordered them from largest to smallest in perceived dissimilarity. We find that the perceived difference for two arbitrarily chosen surrounds is largest when the target falls on the line connecting the two surrounds in color space. We also find that the magnitude of induction is larger for larger differences between chromatic targets and surrounds of the same hue. Our results are consistent with the direction law (Ekroll & Faul, 2012b), and with a generalization of Kirschmann's fourth law, even for viewing conditions that do not favor temporal adaptation. PMID:28245494

U.S.-China Military Contacts: Issues for Congress

DTIC Science & Technology

2008-02-01

Military Contacts: Issues for Congress 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER 5e. TASK...NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME( S ) AND ADDRESS(ES) Congressional Research Service,The Library of Congress,101...Independence Ave, SE,Washington,DC,20540-7500 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME( S ) AND ADDRESS(ES) 10. SPONSOR

U.S.-China Military Contacts: Issues for Congress

DTIC Science & Technology

2007-12-12

Military Contacts: Issues for Congress 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER 5e. TASK...NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME( S ) AND ADDRESS(ES) Congressional Research Center,The Library of Congress,101...Independence Ave, SE,Washington,DC,20540-7500 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME( S ) AND ADDRESS(ES) 10. SPONSOR

Multi-User Performance Issues in Wireless Impulse Radio Networks

DTIC Science & Technology

2004-01-01

Performance Issues in Wireless Impulse Radio Networks 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT...NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME( S ) AND ADDRESS(ES) North Carolina State University,Department of...Electrical and Computer Engineering,Raleigh,NC,27695 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME( S ) AND ADDRESS(ES) 10

2014 Australian Association for Research in Education Presidential Address: Educational Research and the Tree of Knowledge in a Post Human Digital Age

ERIC Educational Resources Information Center

Moss, Julianne

2016-01-01

The 2014, 41st Australian Association for Research in Education (AARE) presidential address is both inspired and guided by the discursive genres of presidential addresses and the role of the president in a member association such as AARE. In the address, typically the president speaks to the members on an issue or issues that are to shape or…

They Give Us Homework! Transition to Higher Education: The Case of Initial Teacher Training

ERIC Educational Resources Information Center

Murtagh, Lisa

2010-01-01

This article examines some issues surrounding transition to higher education. It is based on the case study of a cohort of Year 1 students in a modern university in England. The purpose of the study was to ascertain any potential transitional issues and therefore any areas for development in our Year 1 programmes to aid student progress. Data were…

Literacy and Deaf Students in Taiwan: Issues, Practices and Directions for Future Research--Part II

ERIC Educational Resources Information Center

Liu, Hsiu Tan; Andrews, Jean F.; Liu, Chun Jung

2014-01-01

In Part I, we underscore the issues surrounding young deaf and hard of hearing (DHH) learners of literacy in Taiwan who use sign to support their learning of Chinese literacy. We also described the linguistic features of Chinese writing and the visual codes used by DHH children. In Part II, we describe the reading and writing practices used with…

The Analytic Onion: Examining Training Issues from Different Levels of Analysis. Interim Technical Paper for Period July 1989-June 1991.

ERIC Educational Resources Information Center

Lamb, Theodore A.; Chin, Keric B. O.

This paper proposes a conceptual framework based on different levels of analysis using the metaphor of the layers of an onion to help organize and structure thinking on research issues concerning training. It discusses the core of the "analytic onion," the biological level, and seven levels of analysis that surround that core: the individual, the…