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Sample records for advice discusses evaluation

  1. Patient perspectives on health advice posted on Internet discussion boards: a qualitative study

    PubMed Central

    Armstrong, Natalie; Powell, John

    2009-01-01

    Abstract Background  Use of the Internet for health information by patients is growing, and there have been diverse responses to this both within the research community and the medical and health‐related professions. The use of Internet discussion boards are one way that people living with long‐term conditions can interact with their peers and offer and seek advice, support and information. We report patient perspectives on using a discussion board within a wider pilot study of an Internet‐based self‐management system for diabetes. Design  Qualitative data was gathered during three stages of developing and piloting the wider self‐management system. These are: (1) patient focus groups as part of a stakeholder consultation; (2) a pre‐test session and focus group; and 3. a 6‐month pilot study including follow‐up individual interviews. Results  Three main themes were identified within participants’ perspectives on Internet discussion boards. First, a focus on the importance and value of peer support to these patients. Secondly, participants’ awareness of the need to evaluate the information posted by others in light of their own circumstances. Thirdly, the value placed upon the experiential knowledge of others living with the same condition. Conclusions  Many people living with long‐term conditions would like to be in contact with their peers, and Internet discussion boards represent a cost‐effective and interactive way of achieving this. Within the context of diabetes, the knowledge and expertise accumulated over many years of self‐management is central to participants’ self‐reported ability to evaluate information posted and make decisions on its possible use. PMID:19555377

  2. Evaluating the Impact of a Pattern Structure on Communicating Interaction Design Advice

    ERIC Educational Resources Information Center

    Abraham, Sunil George

    2011-01-01

    This study reports findings from a controlled experiment evaluating the benefits of structuring design advice as patterns. Over the years, the pattern concept from architecture has become a native within the HCI community and its related discussions on sharing design knowledge. It is argued that the context-rich, and tangible, nature of patterns…

  3. Social voting advice applications-definitions, challenges, datasets and evaluation.

    PubMed

    Katakis, Ioannis; Tsapatsoulis, Nicolas; Mendez, Fernando; Triga, Vasiliki; Djouvas, Constantinos

    2014-07-01

    Voting advice applications (VAAs) are online tools that have become increasingly popular and purportedly aid users in deciding which party/candidate to vote for during an election. In this paper we present an innovation to current VAA design which is based on the introduction of a social network element. We refer to this new type of online tool as a social voting advice application (SVAA). SVAAs extend VAAs by providing (a) community-based recommendations, (b) comparison of users' political opinions, and (c) a channel of user communication. In addition, SVAAs enriched with data mining modules, can operate as citizen sensors recording the sentiment of the electorate on issues and candidates. Drawing on VAA datasets generated by the Preference Matcher research consortium, we evaluate the results of the first VAA-Choose4Greece-which incorporated social voting features and was launched during the landmark Greek national elections of 2012. We demonstrate how an SVAA can provide community based features and, at the same time, serve as a citizen sensor. Evaluation of the proposed techniques is realized on a series of datasets collected from various VAAs, including Choose4Greece. The collection is made available online in order to promote research in the field.

  4. An Evaluation of an Occupational Health Advice Service

    ERIC Educational Resources Information Center

    Shearn, P.; Ford, Norma J.; Murphy, R. G.

    2010-01-01

    Objective: The objective of this article is to identify the profile of service users of an occupational health (OH) support service and establish areas of need, and to gather client feedback on the experience of participating in the support service and perceived outcomes and the impact of the advice received. Design and Setting: We carried out…

  5. Conversations with Arne Duncan: Offering Advice on Educator Evaluations

    ERIC Educational Resources Information Center

    Burris, Carol Corbett; Welner, Kevin G.

    2011-01-01

    The authors detail their summer long pointed discussion with the Obama Administration--via an exchange of letters and telephone conversations--over initiatives in New York and other states that tie the evaluations of teachers and principals to student performance on standardized tests. The authors assert such initiatives should await further…

  6. Advice networks in teams: the role of transformational leadership and members' core self-evaluations.

    PubMed

    Zhang, Zhen; Peterson, Suzanne J

    2011-09-01

    This article examines the team-level factors promoting advice exchange networks in teams. Drawing upon theory and research on transformational leadership, team diversity, and social networks, we hypothesized that transformational leadership positively influences advice network density in teams and that advice network density serves as a mediating mechanism linking transformational leadership to team performance. We further hypothesized a 3-way interaction in which members' mean core self-evaluation (CSE) and diversity in CSE jointly moderate the transformational leadership-advice network density relationship, such that the relationship is positive and stronger for teams with low diversity in CSE and high mean CSE. In addition, we expected that advice network centralization attenuates the positive influence of network density on team performance. Results based on multisource data from 79 business unit management teams showed support for these hypotheses. The results highlight the pivotal role played by transformational leadership and team members' CSEs in enhancing team social networks and, ultimately, team effectiveness.

  7. Exposing the impact of Citizens Advice Bureau services on health: a realist evaluation protocol

    PubMed Central

    Forster, N; Dalkin, S M; Lhussier, M; Hodgson, P; Carr, S M

    2016-01-01

    Introduction Welfare advice services can be used to address health inequalities, for example, through Citizens Advice Bureau (CAB). Recent reviews highlight evidence for the impact of advice services in improving people's financial position and improving mental health and well-being, daily living and social relationships. There is also some evidence for the impact of advice services in increasing accessibility of health services, and reducing general practitioner appointments and prescriptions. However, direct evidence for the impact of advice services on lifestyle behaviour and physical health is currently much less well established. There is a need for greater empirical testing of theories around the specific mechanisms through which advice services and associated financial or non-financial benefits may generate health improvements. Methods and analysis A realist evaluation will be conducted, operationalised in 5 phases: building the explanatory framework; refining the explanatory framework; testing the explanatory framework through empirical data (mixed methods); development of a bespoke data recording template to capture longer term impact; and verification of findings with a range of CAB services. This research will therefore aim to build, refine and test an explanatory framework about how CAB services can be optimally implemented to achieve health improvement. Ethics and dissemination The study was approved by the ethics committee at Northumbria University, UK. Project-related ethical issues are described and quality control aspects of the study are considered. A stakeholder mapping exercise will inform the dissemination of results in order to ensure all relevant institutions and organisations are targeted. PMID:26792219

  8. Human biomonitoring to optimize fish consumption advice: reducing uncertainty when evaluating benefits and risks.

    PubMed

    Arnold, Scott M; Lynn, Tracey V; Verbrugge, Lori A; Middaugh, John P

    2005-03-01

    National fish consumption advisories that are based solely on assessment of risk of exposure to contaminants without consideration of consumption benefits result in overly restrictive advice that discourages eating fish even in areas where such advice is unwarranted. In fact, generic fish advisories may have adverse public health consequences because of decreased fish consumption and substitution of foods that are less healthy. Public health is on the threshold of a new era for determining actual exposures to environmental contaminants, owing to technological advances in analytical chemistry. It is now possible to target fish consumption advice to specific at-risk populations by evaluating individual contaminant exposures and health risk factors. Because of the current epidemic of nutritionally linked disease, such as obesity, diabetes, and cardiovascular disease, general recommendations for limiting fish consumption are ill conceived and potentially dangerous.

  9. Lay Evaluation of Financial Experts: The Action Advice Effect and Confirmation Bias.

    PubMed

    Zaleskiewicz, Tomasz; Gasiorowska, Agata; Stasiuk, Katarzyna; Maksymiuk, Renata; Bar-Tal, Yoram

    2016-01-01

    The goal of this experimental project was to investigate lay peoples' perceptions of epistemic authority (EA) in the field of finance. EA is defined as the extent to which a source of information is treated as evidence for judgments independently of its objective expertise and based on subjective beliefs. Previous research suggested that EA evaluations are biased and that lay people tend to ascribe higher EA to experts who advise action (in the case of medical experts) or confirm clients' expectations (in the case of politicians). However, there has been no research into biases in lay evaluations of financial experts and this project is aimed to fill this gap. Experiment 1 showed that lay people tended to ascribe greater authority to financial consultants who gave more active advice to clients considering taking out a mortgage. Experiment 2 confirmed the action advice effect found in Experiment 1. However, the outcomes of Experiments 2 and - particularly - 3 suggested that this bias might also be due to clients' desire to confirm their own opinions. Experiment 2 showed that the action advice effect was moderated by clients' own opinions on taking loans. Lay people ascribed the greatest EA to the advisor in the scenario in which he advised taking action and where this coincided with the client's positive opinion on the advisability of taking out a loan. In Experiment 3 only participants with a positive opinion on the financial product ascribed greater authority to experts who recommended it; participants whose opinion was negative tended to rate consultants who advised rejecting the product more highly. To conclude, these three experiments revealed that lay people ascribe higher EA to financial consultants who advise action rather than maintenance of the status quo, but this effect is limited by confirmation bias: when the client's a priori opinion is salient, greater authority is ascribed to experts whose advice confirms it. In this sense, results presented in the

  10. Lay Evaluation of Financial Experts: The Action Advice Effect and Confirmation Bias

    PubMed Central

    Zaleskiewicz, Tomasz; Gasiorowska, Agata; Stasiuk, Katarzyna; Maksymiuk, Renata; Bar-Tal, Yoram

    2016-01-01

    The goal of this experimental project was to investigate lay peoples’ perceptions of epistemic authority (EA) in the field of finance. EA is defined as the extent to which a source of information is treated as evidence for judgments independently of its objective expertise and based on subjective beliefs. Previous research suggested that EA evaluations are biased and that lay people tend to ascribe higher EA to experts who advise action (in the case of medical experts) or confirm clients’ expectations (in the case of politicians). However, there has been no research into biases in lay evaluations of financial experts and this project is aimed to fill this gap. Experiment 1 showed that lay people tended to ascribe greater authority to financial consultants who gave more active advice to clients considering taking out a mortgage. Experiment 2 confirmed the action advice effect found in Experiment 1. However, the outcomes of Experiments 2 and – particularly – 3 suggested that this bias might also be due to clients’ desire to confirm their own opinions. Experiment 2 showed that the action advice effect was moderated by clients’ own opinions on taking loans. Lay people ascribed the greatest EA to the advisor in the scenario in which he advised taking action and where this coincided with the client’s positive opinion on the advisability of taking out a loan. In Experiment 3 only participants with a positive opinion on the financial product ascribed greater authority to experts who recommended it; participants whose opinion was negative tended to rate consultants who advised rejecting the product more highly. To conclude, these three experiments revealed that lay people ascribe higher EA to financial consultants who advise action rather than maintenance of the status quo, but this effect is limited by confirmation bias: when the client’s a priori opinion is salient, greater authority is ascribed to experts whose advice confirms it. In this sense, results

  11. Addressing the Financial Consequences of Cancer: Qualitative Evaluation of a Welfare Rights Advice Service

    PubMed Central

    Moffatt, Suzanne; Noble, Emma; White, Martin

    2012-01-01

    Background The onset, treatment and trajectory of cancer is associated with financial stress among patients across a range of health and welfare systems and has been identified as a significant unmet need. Welfare rights advice can be delivered effectively in healthcare settings, has the potential to alleviate financial stress, but has not yet been evaluated. We present an evaluation of a welfare rights advice intervention designed to address the financial consequences of cancer. Methods Descriptive study of welfare outcomes among 533 male and 641 female cancer patients and carers aged 4–95 (mean 62) years, who accessed the welfare rights advice service in North East England between April 2009 and March 2010; and qualitative interview study of a maximum variation sample of 35 patients and 9 carers. Results Over two thirds of cancer patients and carers came from areas of high socio-economic deprivation. Welfare benefit claims were successful for 96% of claims made and resulted in a median increase in weekly income of £70.30 ($109.74, €84.44). Thirty-four different types of benefits or grants were awarded. Additional resources were perceived to lessen the impact of lost earnings, help offset costs associated with cancer, reduce stress and anxiety and increase ability to maintain independence and capacity to engage in daily activities, all of which were perceived to impact positively on well-being and quality of life. Key barriers to accessing benefit entitlements were knowledge, system complexity, eligibility concerns and assumptions that health professionals would alert patients to entitlements. Conclusions The intervention proved feasible, effectively increased income for cancer patients and was highly valued. Addressing the financial sequelae of cancer can have positive social and psychological consequences that could significantly enhance effective clinical management and suitable services should be routinely available. Further research is needed to evaluate

  12. Evaluating Health Advice in a Web 2.0 Environment: The Impact of Multiple User-Generated Factors on HIV Advice Perceptions.

    PubMed

    Walther, Joseph B; Jang, Jeong-Woo; Hanna Edwards, Ashley A

    2016-12-02

    Unlike traditional media, social media systems often present information of different types from different kinds of contributors within a single message pane, a juxtaposition of potential influences that challenges traditional health communication processing. One type of social media system, question-and-answer advice systems, provides peers' answers to health-related questions, which yet other peers read and rate. Responses may appear good or bad, responders may claim expertise, and others' aggregated evaluations of an answer's usefulness may affect readers' judgments. An experiment explored how answer feasibility, expertise claims, and user-generated ratings affected readers' assessments of advice about anonymous HIV testing. Results extend the heuristic-systematic model of persuasion (Chaiken, 1980) and warranting theory (Walther & Parks, 2002). Information that is generally associated with both systematic and heuristic processes influenced readers' evaluations. Moreover, content-level cues affected judgments about message sources unexpectedly. When conflicting cues were present, cues with greater warranting value (consensus user-generated ratings) had greater influence on outcomes than less warranted cues (self-promoted expertise). Findings present a challenge to health professionals' concerns about the reliability of online health information systems.

  13. Evaluation of the impact of current antismoking advice in the UK on women with planned pregnancies.

    PubMed

    Acharya, G; Jauniaux, E; Sathia, Leena; Griffin, M; Morgan, H

    2002-09-01

    Smoking during pregnancy (active or passive) is associated with increased health risks to the unborn child. Current policy on antismoking advice for pregnant women in the United Kingdom is based essentially on written information by means of leaflets given to them at the first antenatal visit. We evaluated the impact of this policy on the smoking habits of pregnant women. A sample of 180 women with planned pregnancies attending antenatal clinics at two teaching hospitals in North London was recruited over a 6-month period. All women were provided with the current antismoking counselling at their first visit at the end of the first trimester and asked to fill in a questionnaire around mid-gestation. The study population included 117 (65%) women who did not currently smoke (non-smokers) and 63 (35%) who were active smokers at the beginning of their pregnancy. Thirty-nine non-smokers were found to be passive smokers. Three women took up smoking during pregnancy. Among the smokers, 53 (84.1%) women made no change in their smoking behaviour during pregnancy, seven (11.1%) reduced their cigarette consumption and only three (4.8%) gave up smoking during the first half of pregnancy. None of the partners changed their smoking habits. All women were aware that smoking in pregnancy could be deleterious to their health and that of their fetus. Despite awareness of dangers of smoking, the prevalence of smoking among pregnant women remains very high after the first antenatal visit and the current antismoking policy based essentially on leaflets is not effective. Health-care professionals should spend more time to inform women adequately about the dangers of smoking and help them to quit before pregnancy.

  14. Confronting Subjective Criteria in the Evaluation of Computer-Based Critiquing Advice

    PubMed Central

    Rothschild, Michael A.; Miller, Perry L.; Fisher, Paul R.; Weltin, Gregory G.; Swett, Henry A.

    1988-01-01

    There is a need for formal evaluation in the development of any computer-based expert systems. This may be quite difficult when judging a critiquing system, that is, a system which responds to a proposed management strategy with an explanatory prose discussion of the advisability of that approach. DxCON is an expert system which produces prose critiques discussing the radiologic workup of obstructive jaundice. This paper briefly describes DxCON, and then focuses on a study performed to validate its knowledge. The need to confront subjective as well as objective criteria in the evaluation of expert critiquing systems is explored.

  15. Evaluating Provider Advice and Women's Beliefs on Total Weight Gain During Pregnancy.

    PubMed

    Arinze, Nkiruka V; Karp, Sharon M; Gesell, Sabina B

    2016-02-01

    Excessive gestational weight gain (GWG) is associated with complications for both mother and child. Minority women are at increased risk for excessive GWG, yet are underrepresented in published weight control interventions. To inform future interventions, we examined the prevalence and accuracy of provider advice and its association with personal beliefs about necessary maternal weight gain among predominantly Latina pregnant women. Secondary analysis examining baseline data (N = 123) from a healthy lifestyle randomized controlled trial conducted in and urban area of the South East. Only 23.6 % of women reported being told how much weight to gain during pregnancy; although 58.6 % received advice that met Institute of Medicine recommendations. Concordance of mothers' personal weight gain target with clinical recommendations varied by mothers' pre-pregnancy weight status [χ (4) (2)  = 9.781, p = 0.044]. Findings suggest the need for prenatal providers of low-income, minority women to engage patients in shaping healthy weight gain targets as a precursor to preventing excessive GWG and its complications.

  16. Opportunities for Improvement: Advice from Consultant-Evaluators on Programs To Assess Student Learning.

    ERIC Educational Resources Information Center

    Lopez, Cecilia L.

    This report includes comments and recommendations from a group of consultant-evaluators at the North Central Accreditation Commission (NCA), assessing different student learning evaluation techniques utilized by 440 higher education institutions, including 162 two-year colleges. Recommendations include linking the assessment of student learning…

  17. Sound Advice.

    ERIC Educational Resources Information Center

    Popke, Michael

    2000-01-01

    Discusses the planning and decision-making process in acquiring sound equipment for sports stadiums that will help make the experience of fans more pleasurable. The bidding process and use of consultants is explored. (GR)

  18. 303 CD-ROMs To Use in Your Library: Descriptions, Evaluations, and Practical Advice.

    ERIC Educational Resources Information Center

    Dewey, Patrick R.

    This book provides descriptions of approximately 270 CD-ROM packages and series, and references to dozens of others, all which are especially suitable for libraries. Organized by subject, entries include the vendor price (when available), platform and hardware requirements, and availability of network versions. In addition, evaluative comments…

  19. Development and evaluation of an online, interactive information and advice tool for pre-registration nursing students.

    PubMed

    Ryan, Gemma Sinead; Davies, Fiona

    2016-03-01

    Attrition rates for student nurses on academic programmes is a challenge for UK Higher Education Institutions. Reasons for leaving a programme of study include personal, financial issues or practice placement experiences. Research has shown systematic and integrated support mechanisms may improve attrition rates and student experience. This project explored the sources of, and support needs of nursing and allied health students, develop and evaluate and interactive online tool: 'SignpOSt'. Enabling students to access 'the right support, at the right time, from the right place'. Focus groups were carried out with 14, 3rd year students and 8 academic staff including personal tutors, programme/module leaders. Thematic analysis of transcribed data under four key themes for support and advice: 1. Financial 2. Programme 3. Personal 4. Study/academic, found poor student knowledge and little clarity of responsibilities of academic staff and services leads to students sourcing support from the wrong place at the wrong time. Students valued the speed and accessibility of information from informal, programme specific Facebook groups. Conversely, there were also concerns about the accuracy of these. Further research into the use of informal Facebook groups may be useful along with additional evaluation of the SOS tool.

  20. [Patient advice].

    PubMed

    Lucio-Villegas Menéndez, M Eulalia; González, Laura López; Gutiérrez Pérez, M Isabel; Lluch, Natalia Aresté; Morató Agustí, M Luisa; Cachafeiro, Santiago Pérez

    2014-05-01

    In wound care, knowing what to do is as important as knowing what not to do. The first step is to evaluate the severity of the lesion and to know whether it is necessary to attend a health center or not. If the wound is simple, the recommended course of action is cleansing with serum or water after washing one's hands, followed by wound disinfection with the most appropriate antiseptic. Antiseptics not should be used for wound cleansing (physiological serum or tap water should be used) or for wound healing with granulation tissue. Equally, antiseptics should not be used in the ear or near the eyes; if there is accidental application, the eye should be washed in abundant water. Povidone iodine should not be used in pregnant women, nor should iodine preparations be used in neonates, in patients with thyroid alterations or in those allergic to iodine. Currently, merbromine/mercurochrome is not used because of its mercury content. Before an antiseptic is applied, all inorganic residues (foreign bodies) and dead tissue should be removed; detritus, slough, purulent exudate, scabs… This will aid healing and the action of antiseptics, since they become inactive in the presence of organic material.

  1. Nutrition Advice and Recipes

    MedlinePlus

    ... Sign-Up Home Patient Information Nutrition Advice & Recipes Nutrition Advice & Recipes This is a very important section ... information on all aspects of daily life, including nutrition, medical treatments, pain management, and practical tips. For ...

  2. Advice from the Founding Fathers

    ERIC Educational Resources Information Center

    Harper, William A.

    1975-01-01

    Having made physical and philosophical plans for Mission College, which will open in 1977, the West Valley Joint Community College District (California) sought advice from the founding presidents of seven innovative colleges throughout the nation. This article describes the two-day workshop and reviews the issues discussed. (DC)

  3. Kosmo's Farewell Advice

    NASA Technical Reports Server (NTRS)

    Kosmo, Joe; Ross, Amy

    2012-01-01

    Joe Kosmo shared some final words and advice for his teammates in the Spacesuit and Crew Survival Systems Branch (EC5) and the Crew and Thermal Systems Division (CTSD (EC)) upon his retirement. He knew nothing about spacesuits when he started working for NASA in 1961, but neither did anyone else. He summed up the best lessons learned during his 50 years of developing U.S. spacesuits and encouraged the next generation s space industry workers to challenge what they hear and decide what is right. Topics include and oral history of early NASA manned flights by Richard S. Johnston, U.S. human spaceflight chronology, a history of advanced EVA project funding, and a discussion of NASA's innovative spirit.

  4. The Role of Practical Advice in Bioterrorism News Coverage.

    PubMed

    Swain, Kristen Alley

    2015-01-01

    This study examined the role of crisis advice appearing in US news coverage of the 2001 anthrax attacks. Coverage of any crisis can spark public outrage, including fear, speculation, and contradictory or confusing evidence, especially when the stories do not contain practical advice. Five coders analyzed 833 news stories from 272 major US newspapers, the Associated Press, National Public Radio, and 4 major US television networks. Practical advice appeared in only a quarter of the stories, even though practical advice for self-protection was mentioned 3 times more often than the vague advice that simply advised people not to panic. Public health officials provided the most practical advice, while scientists provided the least practical advice. Stories containing practical advice also provided more elucidating information, explaining why the threat was low, reducible, treatable, and detectable. Over the 3 phases of the anthrax crisis, an inverse relationship appeared between the amount of news coverage containing practical advice compared to "outrage rhetoric." Stories mentioned practical advice more often during the post-impact phase than earlier in the crisis. Elucidating, explanatory advice emphasized actions, risk comparisons, and tradeoffs. The findings indicate that when journalists use credible sources to provide practical advice and avoid speculation, their coverage can prevent the spread of misinformation and confusion during a bioterror attack. Also, journalists should provide context and sourcing when discussing advice during the outbreak and impact phases of the crisis, because these explanations could counteract outrage and threat distortion.

  5. [Advice for allergic travellers].

    PubMed

    Sonneville, A

    1999-09-01

    Business and tourist journeys by air contribute to exposure of the body to multiple environments. The allergic patient, considered rightly to be a sentry of the environment, has many reasons to care about his journeys and to take precautions that are adapted to his case under the impetus of advice and information from his physician and his specialist. Some advice falls within a simple logic that is enough to remember when planning the journey while the others measures must follow a correct preventative strategy for allergy risks as much as those that concern the modalities before leaving as a drive taken on the ground. It is important therefore to know how to give advice and information on the different risks linked to the allergic condition and to the field of allergy and help the patient to orientate his choice of place of the journey, the methods of lodging, of transport and the programme of the journey. The advice should also include the preventative measures as a function of the known pathology under the form of medical equipment before, during the stay and on return. Finally some advice relative to medical equipment for prevention and cure would appear to be judicious.

  6. DISCUSSION

    EPA Science Inventory

    This is an invited discussion of three invited papers on statistical disclosure limitation from the Second International Conference on Establishment Surveys, Buffalo, NY, June 2000. The three papers in this session deal with computing, estimates, and computing estimates in the c...

  7. Evaluation of an online discussion forum for emergency practitioners.

    PubMed

    Curran, Janet A; Abidi, Syed Sibte Raza

    2007-12-01

    Knowledge is a critical element in the delivery of quality healthcare. In a busy emergency department (ED) clinicians attempting clinically relevant discussion with their peers face multiple interruptions and a lack of sustained meaningful interactions. Information and communication technologies such as online discussion forums enable practitioners to share practice knowledge at times that fit into their daily workflow. We conducted an experiment in which we provided emergency clinicians with access to an asynchronous discussion forum as a medium to support development of an online social network for information exchange. The outcomes were evaluated using a social network perspective to better understand the knowledge seeking and sharing behaviors among rural and urban emergency practitioners participating in the online discussion forum. The online discussion forum created an opportunity for emergency practitioners from multiple ED sites to engage in dialogue around topics that were relevant to their practice learning needs.

  8. Financial Advice: Who Pays

    ERIC Educational Resources Information Center

    Finke, Michael S.; Huston, Sandra J.; Winchester, Danielle D.

    2011-01-01

    Using a cost-benefit framework for financial planning services and proprietary data collected in the summer of 2008, the client characteristics that are associated with the likelihood of paying for professional financial advice, as well as the type of financial services purchased, are identified. Results indicate that respondents who pay for…

  9. The Neural Basis of Following Advice

    PubMed Central

    Biele, Guido; Rieskamp, Jörg; Krugel, Lea K.; Heekeren, Hauke R.

    2011-01-01

    Learning by following explicit advice is fundamental for human cultural evolution, yet the neurobiology of adaptive social learning is largely unknown. Here, we used simulations to analyze the adaptive value of social learning mechanisms, computational modeling of behavioral data to describe cognitive mechanisms involved in social learning, and model-based functional magnetic resonance imaging (fMRI) to identify the neurobiological basis of following advice. One-time advice received before learning had a sustained influence on people's learning processes. This was best explained by social learning mechanisms implementing a more positive evaluation of the outcomes from recommended options. Computer simulations showed that this “outcome-bonus” accumulates more rewards than an alternative mechanism implementing higher initial reward expectation for recommended options. fMRI results revealed a neural outcome-bonus signal in the septal area and the left caudate. This neural signal coded rewards in the absence of advice, and crucially, it signaled greater positive rewards for positive and negative feedback after recommended rather than after non-recommended choices. Hence, our results indicate that following advice is intrinsically rewarding. A positive correlation between the model's outcome-bonus parameter and amygdala activity after positive feedback directly relates the computational model to brain activity. These results advance the understanding of social learning by providing a neurobiological account for adaptive learning from advice. PMID:21713027

  10. Third party observation during neuropsychological evaluation: an update on the literature, practical advice for practitioners, and future directions.

    PubMed

    Howe, Laura L S; McCaffrey, Robert J

    2010-04-01

    A clash between neuropsychology and the law may exist when a demand is made for third party observation during forensic neuropsychological evaluation. Third party observation includes any person or observational process present during a neuropsychological evaluation aside from the psychologist and the examinee, including electronic devices (e.g., video and audio recordings). The goal of this paper includes succinctly providing to practitioners the scientific, ethical, and pragmatic (i.e., test security and coaching) reasons to not allow third party observation. Practitioners at the individual level need to be aware of the reasoning and be willing and able to advocate protecting the boundaries of neuropsychological practice and test security. We present practitioners with options when confronted with a request, provide a list of resources to educate the legal system and submit with motions, provide responses for some of the more common myths/reasoning used to support a request for a TPO, and encourage more global solutions such as state-by-state legislation.

  11. VegeSafe: A community science program measuring soil-metal contamination, evaluating risk and providing advice for safe gardening.

    PubMed

    Rouillon, Marek; Harvey, Paul J; Kristensen, Louise J; George, Steven G; Taylor, Mark P

    2017-03-01

    The extent of metal contamination in Sydney residential garden soils was evaluated using data collected during a three-year Macquarie University community science program called VegeSafe. Despite knowledge of industrial and urban contamination amongst scientists, the general public remains under-informed about the potential risks of exposure from legacy contaminants in their home garden environment. The community was offered free soil metal screening, allowing access to soil samples for research purposes. Participants followed specific soil sampling instructions and posted samples to the University for analysis with a field portable X-ray Fluorescence (pXRF) spectrometer. Over the three-year study period, >5200 soil samples, primarily from vegetable gardens, were collected from >1200 Australian homes. As anticipated, the primary soil metal of concern was lead; mean concentrations were 413 mg/kg (front yard), 707 mg/kg (drip line), 226 mg/kg (back yard) and 301 mg/kg (vegetable garden). The Australian soil lead guideline of 300 mg/kg for residential gardens was exceeded at 40% of Sydney homes, while concentrations >1000 mg/kg were identified at 15% of homes. The incidence of highest soil lead contamination was greatest in the inner city area with concentrations declining towards background values of 20-30 mg/kg at 30-40 km distance from the city. Community engagement with VegeSafe participants has resulted in useful outcomes: dissemination of knowledge related to contamination legacies and health risks; owners building raised beds containing uncontaminated soil and in numerous cases, owners replacing all of their contaminated soil.

  12. Instructional Advice, Time Advice and Learning Questions in Computer Simulations

    ERIC Educational Resources Information Center

    Rey, Gunter Daniel

    2010-01-01

    Undergraduate students (N = 97) used an introductory text and a computer simulation to learn fundamental concepts about statistical analyses (e.g., analysis of variance, regression analysis and General Linear Model). Each learner was randomly assigned to one cell of a 2 (with or without instructional advice) x 2 (with or without time advice) x 2…

  13. [Adaptation of peer evaluation to small group discussion (SGD) and its validity for summative evaluation].

    PubMed

    Yasuhara, Tomohisa; Yamaguchi, Takafumi; Sone, Tomomichi; Yanada, Kazuo; Nakamura, Mitsutaka; Kurio, Wasako; Nishikawa, Tomoe; Yamamoto, Yumi; Maeda, Sadaaki

    2012-01-01

    We adopted peer evaluation (mutual evaluation between students) for small group discussion (SGD) among first graders. The peer evaluation criteria were 5 grade scales for 5 fields: "preparation," "remark," "listening," "activeness," and "role." A comparison with tutor evaluation clarified the validity of peer evaluation for summative evaluation. Although the average of peer evaluation (4.2 (4.0-4.4)) was higher than that of tutor evaluation (3.8 (3.7-4.1)) (p=0.0601, Mann-Whitney U test), the value of the correlation coefficient between peer evaluation and summative evaluation of SGD (average 0.35 (0.12-0.54)) was almost the same as that of the coefficient between tutor evaluation and summative evaluation of SGD (average 0.36 (0.24-0.42)) (p=0.6761, Mann-Whitney U test). Principal component analysis showed that the tutor could not evaluate "remark" and "listening" independently, while students evaluate "listening" independently from other evaluation criteria. The combination of peer and tutor evaluation may be multilateral evaluation for SGD. The questionnaire about peer evaluation for students showed that they recognized the value of peer evaluation and favorably accepted its use.

  14. Teacher Evaluation and Music Education: Joining the National Discussion

    ERIC Educational Resources Information Center

    Overland, Corin T.

    2014-01-01

    Between 2009 and 2014, thirty-seven states in the United States have adopted or significantly amended their teacher evaluation laws, mostly shifting toward using measurements of student growth on achievement tests. Yet, the processes to evaluate core subjects have not always transitioned smoothly to nontested or artistic content, causing some…

  15. Evaluating Project Head Start. Discussion Papers No. 189-73.

    ERIC Educational Resources Information Center

    Barnow, Burt S.

    Head Start is a federally funded preschool program for disadvantaged children. In this paper the problems of evaluating Head Start from an economic viewpoint are considered and a reanalysis of the data collected for the 1969 Westinghouse Learning Corporation--Ohio University study is carried out. An evaluation of Head Start is difficult because of…

  16. Advice to young behavioral and cognitive scientists.

    PubMed

    Weisman, Ronald G

    2008-02-01

    Modeled on Medawar's Advice to a Young Scientist [Medawar, P.B., 1979. Advice to a Young Scientist. Basic Books, New York], this article provides advice to behavioral and cognitive scientists. An important guiding principle is that the study of comparative cognition and behavior are natural sciences tasked with explaining nature. The author advises young scientists to begin with a natural phenomenon and then bring it into the laboratory, rather than beginning in the laboratory and hoping for an application in nature. He suggests collaboration as a way to include research outside the scientist's normal competence. He then discusses several guides to good science. These guides include Tinbergen's [Tinbergen, N., 1963. On aims and methods of ethology. Zeitschrift für Tierpsychologie, 20, 410-433. This journal was renamed Ethology in 1986. Also reprinted in Anim. Biol. 55, 297-321, 2005] four "why" questions, Platt's [Platt, J.R., 1964. Strong inference. Science 146, 347-353, (http://weber.ucsd.edu/~jmoore/courses/Platt1964.pdf)] notion of strong inference using multiple alternative hypotheses, and the idea that positive controls help scientists to follow Popper's [Popper, K.R., 1959. The Logic of Scientific Discovery. Basic Books, New York, p. 41] advice about disproving hypotheses. The author also recommends Strunk and White's [Strunk, W., White, E.B., 1979. The Elements of Style, third ed. Macmillan, New York] rules for sound writing, and he provides his personal advice on how to use the anticipation of peer review to improve research and how to decode editors' and reviewers' comments about submitted articles.

  17. Evaluating the Impact of Guest Speaker Postings in Online Discussions

    ERIC Educational Resources Information Center

    Hemphill, Leaunda S.; Hemphill, Hoyet H.

    2007-01-01

    This study investigated the impact of virtual guest speakers facilitating asynchronous discussions. The setting was an online instructional technology course with 16 graduate students and two guest speakers. The research reports the quantity and level of critical thinking of the students and guests. Each posting was coded for frequency and…

  18. A perspective on physiological studies supporting the provision of scientific advice for the management of Fraser River sockeye salmon (Oncorhynchus nerka)

    PubMed Central

    Patterson, David A.; Cooke, Steven J.; Hinch, Scott G.; Robinson, Kendra A.; Young, Nathan; Farrell, Anthony P.; Miller, Kristina M.

    2016-01-01

    The inability of physiologists to effect change in fisheries management has been the source of frustration for many decades. Close collaboration between fisheries managers and researchers has afforded our interdisciplinary team an unusual opportunity to evaluate the emerging impact that physiology can have in providing relevant and credible scientific advice to assist in management decisions. We categorize the quality of scientific advice given to management into five levels based on the type of scientific activity and resulting advice (notions, observations, descriptions, predictions and prescriptions). We argue that, ideally, both managers and researchers have concomitant but separate responsibilities for increasing the level of scientific advice provided. The responsibility of managers involves clear communication of management objectives to researchers, including exact descriptions of knowledge needs and researchable problems. The role of the researcher is to provide scientific advice based on the current state of scientific information and the level of integration with management. The examples of scientific advice discussed herein relate to physiological research on the impact of high discharge and water temperature, pathogens, sex and fisheries interactions on in-river migration success of adult Fraser River sockeye salmon (Oncorhynchus nerka) and the increased understanding and quality of scientific advice that emerges. We submit that success in increasing the quality of scientific advice is a function of political motivation linked to funding, legal clarity in management objectives, collaborative structures in government and academia, personal relationships, access to interdisciplinary experts and scientific peer acceptance. The major challenges with advancing scientific advice include uncertainty in results, lack of integration with management needs and institutional caution in adopting new research. We hope that conservation physiologists can learn from

  19. Giving and receiving peer advice in an online breast cancer support group.

    PubMed

    Sillence, Elizabeth

    2013-06-01

    People have access to experiential information and advice about health online. The types of advice exchanged affect the nature of online communities and potentially patient decision making. The aim of this study was to examine the ways in which peers exchange advice within an online health forum in order to better understand online groups as a resource for decision making. Messages collected over a one-month period from an online breast cancer support forum were analyzed for examples of advice exchange. The majority of the messages solicited advice through problem disclosure or requests for information and opinion. A novel form of advice solicitation-"anyone in the same boat as me"-was noted as was the use of personal experience as a form of advice giving. Women construct their advice requests to target like-minded people. The implications in terms of decision making and support are discussed.

  20. Caregivers' Advice and Children's Bystander Behaviors During Bullying Incidents.

    PubMed

    Grassetti, Stevie N; Hubbard, Julie A; Smith, Marissa A; Bookhout, Megan K; Swift, Lauren E; Gawrysiak, Michael J

    2017-03-20

    Many bullying prevention programs take a bystander approach, which encourages children to intervene when they are bystanders to bullying incidents. Little is known about how caregivers' advice to children might promote or undermine the positive bystander behaviors targeted by these programs. Accordingly, the aim of the current study was to investigate relations between caregivers' advice and children's bystander behavior during bullying situations. Participants were 106 racially/ethnically diverse 4th- and 5th-grade students (M age = 10.5 years, SD = .71 years), their classmates, and their caregivers. During classroom visits, peers reported on children's bystander behaviors. During home visits, caregivers and children completed a coded interaction task in which caregivers advised children about how to respond to bullying situations at school. Results suggested that (a) bystander intervention was positively predicted by caregivers' advice to help/comfort the victim, (b) bystander passivity was positively predicted by caregivers' advice to not intervene and negatively predicted by caregivers' advice to help/comfort the victim, and (c) bystander reinforcement/assistance of the bully was positively predicted by caregivers' advice not to intervene and not to tell adults. Results support a link between caregivers' advice at home and children's corresponding behavior when they are bystanders to bullying situations at school. These results emphasize the importance of collaboration between families and schools to reduce school bullying. Implications and directions for future research are discussed.

  1. How Expert Advice Influences Decision Making

    PubMed Central

    Meshi, Dar; Biele, Guido; Korn, Christoph W.; Heekeren, Hauke R.

    2012-01-01

    People often use expert advice when making decisions in our society, but how we are influenced by this advice has yet to be understood. To address this, using functional magnetic resonance imaging, we provided expert and novice advice to participants during an estimation task. Participants reported that they valued expert advice more than novice advice, and activity in the ventral striatum correlated with this valuation, even before decisions with the advice were made. When using advice, participants compared their initial opinion to their advisor’s opinion. This comparison, termed the “opinion difference”, influenced advice utilization and was represented in reward-sensitive brain regions. Finally, the left lateral orbitofrontal cortex integrated both the size of the opinion difference and the advisor’s level of expertise, and average activity in this area correlated with mean advice utilization across participants. Taken together, these findings provide neural evidence for how advice engenders behavioral change during the decision-making process. PMID:23185425

  2. Ancient advice for modern mariners

    NASA Astrophysics Data System (ADS)

    Brooks, David A.

    Some unusual preparations may be advised for persons anticipating voyages in sailing research vessels. For example, cooking facilities on sailing ships tend to be of modest means, and a scientist embarking on such a vessel may wonder whether he should bring his own essential provisions. Casting about for ideas, I happened on some relevant advice from Benjamin Franklin, who was seldom reluctant to sermonize on matters at hand. In spite of his numerous Atlantic crossings, Franklin was humble about offering advice to mariners, who he realized were generally suspicious of landlubbers.

  3. Altitude-Related Illness: Advice to Travellers

    PubMed Central

    Crutcher, Rodney A.

    1990-01-01

    Altitude-related medical problems have received much attention in the recent medical literature. Family physicians must be knowledgeable about these problems so that they can give appropriate advice to travellers. The author, a practising family physician, discusses issues arising from both the modest cabin altitudes experienced in modern-day air travel and the greater altitudes experienced by skiers and trekkers, pilots and mountaineers, and lowland adventurers of all sorts. He reviews the process of acclimatization to altitude and the four principal forms of altitude illness. PMID:21233912

  4. Computerized systems to provide materials selection advice

    SciTech Connect

    Krisher, A.S.

    1996-07-01

    The rapid advance of computer science has increased the ability to store and retrieve information. These new capabilities are beginning to be applied to the problem of providing sound advice to non-specialist engineers who make materials selection decisions. This paper presents an overview of the large scale systems which exist in finished or near finished form and are (or may soon be) available for use by the public. The paper focuses on systems which transfer knowledge taking into account the many qualifications which enter into the reasoning processes of materials/corrosion specialists. The paper discusses both the strengths and limitations of each system.

  5. 16 CFR 1.3 - Advice.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... views. (b) Any advice given by the Commission is without prejudice to the right of the Commission to... revocation of the Commission's approval. (c) Advice rendered by the staff is without prejudice to the...

  6. 16 CFR 1.3 - Advice.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... views. (b) Any advice given by the Commission is without prejudice to the right of the Commission to... revocation of the Commission's approval. (c) Advice rendered by the staff is without prejudice to the...

  7. 16 CFR 1.3 - Advice.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... views. (b) Any advice given by the Commission is without prejudice to the right of the Commission to... revocation of the Commission's approval. (c) Advice rendered by the staff is without prejudice to the...

  8. The Advice-Taker/Inquirer.

    DTIC Science & Technology

    1981-12-01

    concepts and techniques to deal with the problem. 3.4.3 Methods of experientialization. If the AT/I’s strategy is composed of rules of the form "to...troubleshooting methods are: consulting the Advisor; simulation; credit assignment; aggression; diplo- macy. Reinforcement. When the strategy succeeds, the AT...AFOSR -TR 02-0 0 94 THE ADVICE-TAKER/INQUIRER*’** BY get GEORGE L. SICHERMAN GROUP FOR COMPUTER STUDIES OF STRATEGIES DECEMBER 1981 DEPARTMENTAL

  9. Sleep Deprivation and Advice Taking

    PubMed Central

    Häusser, Jan Alexander; Leder, Johannes; Ketturat, Charlene; Dresler, Martin; Faber, Nadira Sophie

    2016-01-01

    Judgements and decisions in many political, economic or medical contexts are often made while sleep deprived. Furthermore, in such contexts individuals are required to integrate information provided by – more or less qualified – advisors. We asked if sleep deprivation affects advice taking. We conducted a 2 (sleep deprivation: yes vs. no) ×2 (competency of advisor: medium vs. high) experimental study to examine the effects of sleep deprivation on advice taking in an estimation task. We compared participants with one night of total sleep deprivation to participants with a night of regular sleep. Competency of advisor was manipulated within subjects. We found that sleep deprived participants show increased advice taking. An interaction of condition and competency of advisor and further post-hoc analyses revealed that this effect was more pronounced for the medium competency advisor compared to the high competency advisor. Furthermore, sleep deprived participants benefited more from an advisor of high competency in terms of stronger improvement in judgmental accuracy than well-rested participants. PMID:27109507

  10. Great Beginnings: Reflections and Advice for New English Language Arts Teachers and the People Who Mentor Them. Conference on English Leadership Series.

    ERIC Educational Resources Information Center

    Hayes, Ira, Ed.

    Intended for teacher educators, beginning teachers, classroom leaders, and administrators, this essay collection offers practical advice on topics such as evaluating student writing and creating support systems for beginning teachers. The essays discuss how the "real world" of teaching matches--or fails to match--novice teachers'…

  11. Advice Taking from Humans and Machines: An fMRI and Effective Connectivity Study

    PubMed Central

    Goodyear, Kimberly; Parasuraman, Raja; Chernyak, Sergey; Madhavan, Poornima; Deshpande, Gopikrishna; Krueger, Frank

    2016-01-01

    With new technological advances, advice can come from different sources such as machines or humans, but how individuals respond to such advice and the neural correlates involved need to be better understood. We combined functional MRI and multivariate Granger causality analysis with an X-ray luggage-screening task to investigate the neural basis and corresponding effective connectivity involved with advice utilization from agents framed as experts. Participants were asked to accept or reject good or bad advice from a human or machine agent with low reliability (high false alarm rate). We showed that unreliable advice decreased performance overall and participants interacting with the human agent had a greater depreciation of advice utilization during bad advice compared to the machine agent. These differences in advice utilization can be perceivably due to reevaluation of expectations arising from association of dispositional credibility for each agent. We demonstrated that differences in advice utilization engaged brain regions that may be associated with evaluation of personal characteristics and traits (precuneus, posterior cingulate cortex, temporoparietal junction) and interoception (posterior insula). We found that the right posterior insula and left precuneus were the drivers of the advice utilization network that were reciprocally connected to each other and also projected to all other regions. Our behavioral and neuroimaging results have significant implications for society because of progressions in technology and increased interactions with machines. PMID:27867351

  12. The Advice Taker/Inquirer, a system for high-level acquisition of expert knowledge

    NASA Technical Reports Server (NTRS)

    Cromp, Robert F.

    1988-01-01

    The Advice Taker/Inquirer (AT/I) is a domain-independent program that is used to construct, monitor, and improve an expert system. In the learning phase, an expert teaches a strategy to the AT/I by providing it with declarative and procedural knowledge, expressed in the expert's domain-specific vocabulary. The expert can modify any advice given to the system earlier, and any advice dependent on the altered advice is reviewed automatically for syntactic and sematic soundness. Knowledge acquisition and methods for ensuring the integrity of the knowledge base in an expert system is discussed.

  13. The advice taker/inquirer: A system for high-level acquisition of expert knowledge

    NASA Technical Reports Server (NTRS)

    Cromp, Robert F.

    1988-01-01

    The Advice Taker/Inquirer (AT/I) is a domain-independent program that is used to construct, monitor, and improve an expert system. In the learning phase, an expert teaches a strategy to the AT/I by providing it with declarative and procedural knowledge, expressed in the expert's domain-specific vocabulary. The expert can modify any advice given to the system earlier, and any advice dependent on the altered advice is reviewed automatically for syntatic and sematic soundness. Knowledge acquisition and methods for ensuring the integrity of the knowledge base in an expert system is discussed.

  14. Encouraging healthier lifestyles--4. Dietary advice for diabetes in pregnancy.

    PubMed

    Hill, Alyson

    2007-01-01

    Diabetes mellitus is a major cause of perinatal morbidity and mortality, and of maternal morbidity. Following correct dietary advice during and after pregnancy will help to achieve good diabetic control and reduce the risk of complications. Standard advice for healthy eating should be followed and women with diabetes should eat meals at regular times and in regular amounts, and starchy snacks. The aim is to achieve good control of blood glucose and avoid both hypoglycaemia and peaks after food intake. Weight should be discussed and folic acid 5 mg daily advised before conception and in the first trimester to reduce the increased risk of neural tube defects in the baby.

  15. Ms. Mentor's Impeccable Advice for Women in Academia.

    ERIC Educational Resources Information Center

    Toth, Emily

    Using humor and examples from real-life experience, the book provides advice and information in question-and-answer form for women regarding all aspects of work life in higher education. Chapters cover: graduate school as a rite of passage, and discussions of the demands of graduate study and the commitments required; strategies for finding and…

  16. Advice from the Trenches: Experienced Educators Discuss Distance Learning

    ERIC Educational Resources Information Center

    Lawhon, Tommie; Ennis-Cole, Demetria

    2005-01-01

    Planning, managing, and maintaining distance learning courses present challenges and opportunities for faculty that require shifts in teaching techniques and management. Interviews with experienced professors, published reports, and primary data assist in identifying reasons for the successes and failures of previous e-learning efforts while…

  17. [Discussion on the electromagnetic compatibility testing and evaluation of radio frequency ablation catheter].

    PubMed

    Wang, Yuji; Yang, Jiangang

    2014-11-01

    With the enforcement of YY 0505-2012, the testing items and evaluation points of radio frequency ablation catheter in electromagnetic compatibility field should be studied and discussed. Based on the requirements of relevant standards, this paper discusses on the testing items that should be applied and the evaluation points that should be focused on by analyzing the intended use and the structure of radio frequency ablation catheter, when it intends to apply registration individually with the basic knowledge of electromagnetic compatibility field.

  18. A Sketch Learning Support Environment that Gives Area-dependent Advice during Drawing the Sketch

    NASA Astrophysics Data System (ADS)

    Soga, Masato; Matsuda, Noriyuki; Taki, Hirokazu

    Skill, such as arts, sports and crafts, is regarded as a cycle that consists of the following three steps: recognition of objects, selection of appropriate action series and execution of the action. In arts and crafts, people produce works as a result of this cycle. Skill-learning environment should involve diagnosis-function providing appropriate advice for each step. This paper describes technique that is providing advice in real time when a learner learns recognition of drawing. To assist learners' recognition, we developed the sketch-area-dependent advising system that presents advice with voice for learners' drawing. The effectiveness of advice was confirmed through an experiment evaluating proposed technique.

  19. Flipping Advice for Beginners: What I Learned Flipping Undergraduate Mathematics and Statistics Classes

    ERIC Educational Resources Information Center

    McBride, Craig

    2015-01-01

    This paper contains a description of my experiences flipping undergraduate mathematics and statistics courses for the first time with some advice for any fellow novice flippers. This paper discusses ways to start small and build up to a completely flipped class over the span of a few terms with advice on what technology to use including software…

  20. Further Classification and Methodological Considerations of Evaluations for Online Discussion in Instructional Settings

    ERIC Educational Resources Information Center

    Spatariu, Alexandru; Winsor, Denise L.; Simpson, Cynthia; Hosman, Eric

    2016-01-01

    With the rapid advancements of technology, online communication in both K-12 and post-secondary instruction has been widely implemented. Instructors as well as researchers have used various frameworks to evaluate different aspects of online discussions' quality. The online discussions take place synchronously or asynchronously in chat rooms,…

  1. An Analysis of Evaluative Comments in Teachers' Online Discussions of Representations of Practice

    ERIC Educational Resources Information Center

    Chieu, Vu Minh; Kosko, Karl W.; Herbst, Patricio G.

    2015-01-01

    It has been common to use video records of instruction in teacher professional development, but participants have rarely been encouraged to evaluate teachers and students' actions in those records, allegedly because evaluation deters from the development of a professional discourse. In this study, we inspected teachers' online discussions of…

  2. Impact of Discussion on Peer Evaluations: Perceptions of Low Achievement and Effort

    ERIC Educational Resources Information Center

    Huenecke, Todd M.; Waas, Gregory A.

    2011-01-01

    The authors placed 5th-grade students into small groups of 3 in order to examine the impact of group discussion and displayed effort on children's evaluations of a low-achieving peer. Low effort by a target peer resulted in negative evaluations across attributional, affective, help-giving, and social response dimensions. Children who participated…

  3. The Straightforwardness of Advice: Advice-Giving in Interactions Between Swedish District Nurses and Patients.

    ERIC Educational Resources Information Center

    Leppanen, Vesa

    1998-01-01

    A study examined advice-giving interactions between Swedish district nurses and patients, comparing these sequences with parallel interactions between British health visitors and first-time mothers in previous research. Analysis focused on how advice-giving is organized in the settings, including how advice is initiated and designed, its…

  4. 5 CFR 2635.107 - Ethics advice.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Ethics advice. 2635.107 Section 2635.107 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS STANDARDS OF ETHICAL CONDUCT FOR EMPLOYEES OF THE EXECUTIVE BRANCH General Provisions § 2635.107 Ethics advice. (a) As required by §§...

  5. 5 CFR 2635.107 - Ethics advice.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Ethics advice. 2635.107 Section 2635.107 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS STANDARDS OF ETHICAL CONDUCT FOR EMPLOYEES OF THE EXECUTIVE BRANCH General Provisions § 2635.107 Ethics advice. (a) As required by §§...

  6. 5 CFR 2635.107 - Ethics advice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Ethics advice. 2635.107 Section 2635.107 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS STANDARDS OF ETHICAL CONDUCT FOR EMPLOYEES OF THE EXECUTIVE BRANCH General Provisions § 2635.107 Ethics advice. (a) As required by §§...

  7. Young Children's Trust in Overtly Misleading Advice

    ERIC Educational Resources Information Center

    Heyman, Gail D.; Sritanyaratana, Lalida; Vanderbilt, Kimberly E.

    2013-01-01

    The ability of 3- and 4-year-old children to disregard advice from an overtly misleading informant was investigated across five studies (total "n" =212). Previous studies have documented limitations in young children's ability to reject misleading advice. This study was designed to test the hypothesis that these limitations are primarily…

  8. 5 CFR 2635.107 - Ethics advice.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Ethics advice. 2635.107 Section 2635.107 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS STANDARDS OF ETHICAL CONDUCT FOR EMPLOYEES OF THE EXECUTIVE BRANCH General Provisions § 2635.107 Ethics advice. (a) As required by §§...

  9. All-Male Discussion Forums for Expectant Fathers: Evaluation of a Model

    PubMed Central

    Friedewald, Mark; Fletcher, Richard; Fairbairn, Hedy

    2005-01-01

    This paper describes an all-male discussion forum for expectant fathers led by a male facilitator. The 617 participants completed an evaluation form and were unanimous in their agreement about the benefits of the forum, in particular the opportunity to discuss issues of importance to them with others in a similar situation. The results should encourage those developing antenatal education programs to be more inclusive of expectant fathers and to acknowledge their feelings, unique role, and contribution. PMID:17273428

  10. Pre-service middle school mathematics teachers' evaluations of discussions: the case of proof by contradiction

    NASA Astrophysics Data System (ADS)

    Demiray, Esra; Işıksal Bostan, Mine

    2017-03-01

    The purposes of this study are to investigate whether pre-service middle school mathematics teachers evaluate discussions in the cases regarding proof by contradiction correctly, to what extent they explain their correct evaluations by referring to proof by contradiction, and the reasons of their misinterpretations of discussions in the cases regarding proof by contradiction. Data were collected from pre-service middle school mathematics teachers enrolled in a state university in Ankara, Turkey, by asking them to evaluate discussions in two cases related to proof by contradiction. In data analysis, descriptive statistics and item-based analysis were employed. The results of the study indicated that pre-service middle school mathematics teachers are successful in evaluating discussions in the cases regarding proof by contradiction. In terms of year level, it was found that the percentage of the second year students' correct answers was the lowest in both cases. Moreover, the first year students were the most successful group in the first case, and the third year students were the most successful group in the second case. Nearly half of the students explained their correct answers by referring to proof by contradiction in the first case while the percentage of students who explained their correct answers by mentioning proof by contradiction in the second case was considerably low. When incorrect answers of pre-service middle school mathematics teachers were analyzed, two reasons of their misinterpretations of discussions were emerged as "misunderstanding of the assumption" and "perceiving proof as unnecessary".

  11. Pre-service middle school mathematics teachers' evaluations of discussions: the case of proof by contradiction

    NASA Astrophysics Data System (ADS)

    Demiray, Esra; Işıksal Bostan, Mine

    2016-12-01

    The purposes of this study are to investigate whether pre-service middle school mathematics teachers evaluate discussions in the cases regarding proof by contradiction correctly, to what extent they explain their correct evaluations by referring to proof by contradiction, and the reasons of their misinterpretations of discussions in the cases regarding proof by contradiction. Data were collected from pre-service middle school mathematics teachers enrolled in a state university in Ankara, Turkey, by asking them to evaluate discussions in two cases related to proof by contradiction. In data analysis, descriptive statistics and item-based analysis were employed. The results of the study indicated that pre-service middle school mathematics teachers are successful in evaluating discussions in the cases regarding proof by contradiction. In terms of year level, it was found that the percentage of the second year students' correct answers was the lowest in both cases. Moreover, the first year students were the most successful group in the first case, and the third year students were the most successful group in the second case. Nearly half of the students explained their correct answers by referring to proof by contradiction in the first case while the percentage of students who explained their correct answers by mentioning proof by contradiction in the second case was considerably low. When incorrect answers of pre-service middle school mathematics teachers were analyzed, two reasons of their misinterpretations of discussions were emerged as "misunderstanding of the assumption" and "perceiving proof as unnecessary".

  12. Problems of Evaluation of Education in a Pluralistic Society: A Discussion Paper. Report Studies S.142.

    ERIC Educational Resources Information Center

    Churchill, Stacy

    The theme of this paper is how the objective of maintaining ethnocultural pluralism and diversity transforms the criteria for evaluating educational policies and reforms. The discussion is based on analysis of recent Canadian educational experience with respect to linguistic and cultural minorities. During the past 25 years, Canadian education has…

  13. [Democracy and science advice: the case of environmental health risks].

    PubMed

    Zmirou-Navier, D

    2006-09-01

    Science advice, in the context of environmental health, is an activity consisting in bringing together and evaluating available scientific data at a given moment on a particular question or concern regarding the hazardous nature of an agent or substance--whether it be of a physical, chemical or microbiological nature. Science advice also relates to assessing health risks linked to the quality of the environment, in vue of rendering this information useful to those in charge of decision making and risk management. Naturally, many groups are interested by a potential hazard or risk, and they all would like to effectively intervene over the course of the process in order to influence the decision or measure taken. In this article, the author recalls that risk is an entity which is both scientific and political by nature. Hence, this demand is well founded. Nevertheless, he proposes and explicates a series of different steps, whether concurrent or successive, throughout the entire process of science advice in support of decision-making on matters related to environmental risk. He justifies why hazard and risk assessment, followed by risk analysis, requisites a clear delineation of the roles of the various actors so that their own responsibilities could be clearly attributed. The "procedural" approach of science advice, which is more and more frequently implemented within international expert groups in the international arena, satisfactorily achieves the target of objectivity, transparency and accountability.

  14. Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults

    PubMed Central

    Desroches, Sophie; Lapointe, Annie; Ratté, Stéphane; Gravel, Karine; Légaré, France; Turcotte, Stéphane

    2016-01-01

    Background It has been recognized that poor adherence can be a serious risk to the health and wellbeing of patients, and greater adherence to dietary advice is a critical component in preventing and managing chronic diseases. Objectives To assess the effects of interventions for enhancing adherence to dietary advice for preventing and managing chronic diseases in adults. Search methods We searched the following electronic databases up to 29 September 2010: The Cochrane Library (issue 9 2010), PubMed, EMBASE (Embase.com), CINAHL (Ebsco) and PsycINFO (PsycNET) with no language restrictions. We also reviewed: a) recent years of relevant conferences, symposium and colloquium proceedings and abstracts; b) web-based registries of clinical trials; and c) the bibliographies of included studies. Selection criteria We included randomized controlled trials that evaluated interventions enhancing adherence to dietary advice for preventing and managing chronic diseases in adults. Studies were eligible if the primary outcome was the client’s adherence to dietary advice. We defined ‘client’ as an adult participating in a chronic disease prevention or chronic disease management study involving dietary advice. Data collection and analysis Two review authors independently assessed the eligibility of the studies. They also assessed the risk of bias and extracted data using a modified version of the Cochrane Consumers and Communication Review Group data extraction template. Any discrepancies in judgement were resolved by discussion and consensus, or with a third review author. Because the studies differed widely with respect to interventions, measures of diet adherence, dietary advice, nature of the chronic diseases and duration of interventions and follow-up, we conducted a qualitative analysis. We classified included studies according to the function of the intervention and present results in a narrative table using vote counting for each category of intervention. Main results

  15. Exploring subjective vs. objective issues in the validation of computer-based critiquing advice.

    PubMed

    Rothschild, M A; Swett, H A; Fisher, P R; Weltin, G G; Miller, P L

    1990-01-01

    Evaluation is an important part of the development of computer-based medical expert systems. Such evaluation may be particularly difficult when judging a critiquing system which responds to a proposed management strategy with a discussion of the advisability of that approach. DxCON is an expert system which produces a prose critique discussing the radiologic workup of obstructive jaundice. This paper describes DxCON, and its experimental validation by three independent judges. A central component of the validation involved allowing the judges to react to the system's advice in a quite flexible, unstructured fashion. This project provides a case study of how subjective issues impact both the design and implementation of a validation of a medical expert system whose output is explanatory prose.

  16. General Advice on Safe Medication Use

    MedlinePlus

    ... About Us Contact Us General Advice on Safe Medication Use Visit our new website for consumers The ... answers--it's your life and your health! Unfortunately, medication errors happen. They happen in hospitals, in pharmacies, ...

  17. Pragmatic dietary advice for diabetes during Navratris

    PubMed Central

    Gupta, Lovely; Khandelwal, Deepak; Singla, Rajiv; Gupta, Piyush; Kalra, Sanjay

    2017-01-01

    Navratri is one of the most common religious fasts observed among Hindus. A large number of people with diabetes follow Navratris fast irrespective of its health implications, often without proper education and medical advice. The quest for the scientific research on dietary advices for Hindu fasts including Navratris shows paucity of literature comparative to the dietary advices advocated during Ramadan. The eating and physical activity patterns during different fasts vary a lot depending up on social and cultural factors. Even eating pattern is not uniform among all persons following Navratris and is modified as per their region, local culture, and religious beliefs. Dietary advice during Navratris depends upon pattern of fasting, religious beliefs, and local sociocultural factors. In this review, efforts are made to provide pragmatic dietary advice for people with diabetes, modifications in the menus and cooking practices, and timings of the meals for successful blood glucose management during Navratris. This review will also help plan diet and physical activity advice for persons observing other fasts as well. PMID:28217524

  18. Zika Virus Advice for Mountaineers: A UIAA Medcom Consensus Advice Sheet.

    PubMed

    Hillebrandt, David; Richards, Paul; Clark, Andy; Jean, Dominique

    2016-06-01

    Hillebrandt, David, Paul Richards, Andy Clark, and Dominique Jean. Zika virus advice for mountaineers: A UIAA Medcom consensus advice sheet. High Alt Med Biol. 17:70-71, 2016.-With the current media coverage of the spread of Zika virus from Africa and Asia to Central and South America and its possible relationship with fetal abnormalities, UIAA Medcom has produced an advice sheet for mountaineers visiting risk areas.

  19. A Community Discussion about Sharing and Publishing Space Science Education Research and Evaluation

    NASA Astrophysics Data System (ADS)

    Buxner, S.; Bartolone, L.; Fraknoi, A.; Plummer, J.; Brinkworth, C.; Schultz, G.

    2015-11-01

    There is ongoing concern in the community about the small number of space science education research articles being published. Additionally, there is a need to share evaluation results of our projects. This special interest group discussion brought together those interested in sharing results of their space science education and public outreach projects with those who actively publish in a variety of settings. The session introduced a set of concerns, generated during the previous ASP meeting including the lack of a central place to publish astronomy education research articles and the lack of resources that are readily available to the community of education and outreach professionals, for discussion. This session focused on sharing solutions to concerns and providing resources and opportunities to community members.

  20. Advice offered by practitioners of complementary/ alternative medicine: an important ethical issue.

    PubMed

    Ernst, E

    2009-12-01

    The current popularity of complementary/alternative medicine (CAM) generates many challenges to medical ethics. The one discussed here is the advice offered by CAM practitioners. Using selected examples, the author tries to demonstrate that some of the advice issued through the popular media or provided by acupuncturists, chiropractors, herbalists, homeopaths, pharmacists, and doctors is misleading or dangerous. This, the author argues, can impinge on the main principle of medical ethics: beneficence, nonmaleficence, and autonomy. We should work toward correcting this deplorable situation.

  1. 21 CFR 14.174 - Advice and recommendations in writing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Advice and recommendations in writing. 14.174... § 14.174 Advice and recommendations in writing. Advice and recommendations given by a committee on a... of the advice and recommendations of the committee....

  2. 21 CFR 14.174 - Advice and recommendations in writing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Advice and recommendations in writing. 14.174... § 14.174 Advice and recommendations in writing. Advice and recommendations given by a committee on a... of the advice and recommendations of the committee....

  3. 21 CFR 14.174 - Advice and recommendations in writing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Advice and recommendations in writing. 14.174... § 14.174 Advice and recommendations in writing. Advice and recommendations given by a committee on a... of the advice and recommendations of the committee....

  4. 21 CFR 14.174 - Advice and recommendations in writing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Advice and recommendations in writing. 14.174... § 14.174 Advice and recommendations in writing. Advice and recommendations given by a committee on a... of the advice and recommendations of the committee....

  5. 21 CFR 14.174 - Advice and recommendations in writing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Advice and recommendations in writing. 14.174... § 14.174 Advice and recommendations in writing. Advice and recommendations given by a committee on a... of the advice and recommendations of the committee....

  6. Sound Advice on Classroom Acoustics.

    ERIC Educational Resources Information Center

    Sturgeon, Julie

    2003-01-01

    Discusses the importance of acoustic standards in classroom design, presenting an interview with the Acoustical Society of America's (ASA's) standards manager which focuses on reasons for the new ASA standards, the standards document (which was written for K-12 classroom but applies to college classrooms), the need to avoid echo and be able to…

  7. Evaluation of Small Student-Led Discussion Groups as an Adjunct to a Course in Abnormal Psychology

    ERIC Educational Resources Information Center

    White, Geoffry D.

    1978-01-01

    Presents data related to student involvement in biweekly student-led discussion groups in an undergraduate abnormal psychology course. Evaluates the degree to which students felt they benefited from discussion groups composed of similar and dissimilar students. (Author/AV)

  8. Reinforcement learning agents providing advice in complex video games

    NASA Astrophysics Data System (ADS)

    Taylor, Matthew E.; Carboni, Nicholas; Fachantidis, Anestis; Vlahavas, Ioannis; Torrey, Lisa

    2014-01-01

    This article introduces a teacher-student framework for reinforcement learning, synthesising and extending material that appeared in conference proceedings [Torrey, L., & Taylor, M. E. (2013)]. Teaching on a budget: Agents advising agents in reinforcement learning. {Proceedings of the international conference on autonomous agents and multiagent systems}] and in a non-archival workshop paper [Carboni, N., &Taylor, M. E. (2013, May)]. Preliminary results for 1 vs. 1 tactics in StarCraft. {Proceedings of the adaptive and learning agents workshop (at AAMAS-13)}]. In this framework, a teacher agent instructs a student agent by suggesting actions the student should take as it learns. However, the teacher may only give such advice a limited number of times. We present several novel algorithms that teachers can use to budget their advice effectively, and we evaluate them in two complex video games: StarCraft and Pac-Man. Our results show that the same amount of advice, given at different moments, can have different effects on student learning, and that teachers can significantly affect student learning even when students use different learning methods and state representations.

  9. Good Intentions, Bad Advice for Bilingual Families

    ERIC Educational Resources Information Center

    Harlin, Rebecca; Paneque, Oneyda M.

    2006-01-01

    Quite often, educators tell families of children who are learning English as a second language to speak only English, and not their native language, at home. Although these educators may have good intentions, the authors argue that the educators' advice to families is misguided and stems from misunderstandings about the nature of bilingualism and…

  10. Decision Making and Confidence Given Uncertain Advice

    ERIC Educational Resources Information Center

    Lee, Michael D.; Dry, Matthew J.

    2006-01-01

    We study human decision making in a simple forced-choice task that manipulates the frequency and accuracy of available information. Empirically, we find that people make decisions consistent with the advice provided, but that their subjective confidence in their decisions shows 2 interesting properties. First, people's confidence does not depend…

  11. [Pharmaceutical advice concerning different pharmaceutical dosage forms].

    PubMed

    Szakonyi, Gergely; Zelkó, Romána

    2010-01-01

    The present paper summarizes the commonly applied types of drug uptake and the pharmacists' advice concerning a certain dosage form. The manuscript also deals with the modified release dosage forms and their abbreviations in the name of the marketing authorized products.

  12. [Writing a scientific review, advice and recommendations].

    PubMed

    Turale, Sue

    2013-12-01

    Writing a scientific article in the aim of being published in a renowned journal is an activity which requires specific abilities and skills. Bringing nursing training up to university level has led more and more nurses to publish papers. This article offers some advice to facilitate this demanding process.

  13. Communication of Science Advice to Government.

    PubMed

    Hutchings, Jeffrey A; Stenseth, Nils Chr

    2016-01-01

    There are various ways to construct good processes for soliciting and understanding science. Our critique of advisory models finds that a well-supported chief science advisor (CSA) best ensures the provision of deliberative, informal, and emergency advice to government. Alternatively, bias, increasingly manifest as science-based advocacy, can hinder communication, diminish credibility, and distort scientific evidence.

  14. [Information and pediatric advice by telephone].

    PubMed

    Assouly, Bruno

    2012-01-01

    Pédiatrie Info is a call center which enables parents to speak to doctors trained in paediatric issues 24 hours a day, 7 days a week. Marketed initially to companies and organisations, this service meets a real need in terms of paediatric advice and enables the influx of patients to emergency departments to be controlled upstream.

  15. Discussion of Available Methods to Support Reviews of Spent Fuel Storage Installation Cask Drop Evaluations

    SciTech Connect

    Witte, M.

    2000-03-28

    Applicants seeking a Certificate of Compliance for an Independent Spent Fuel Storage Installation (ISFSI) cask must evaluate the consequences of a handling accident resulting in a drop or tip-over of the cask onto a concrete storage pad. As a result, analytical modeling approaches that might be used to evaluate the impact of cylindrical containers onto concrete pads are needed. One such approach, described and benchmarked in NUREG/CR-6608,{sup 1} consists of a dynamic finite element analysis using a concrete material model available in DYNA3D{sup 2} and in LS-DYNA,{sup 3} together with a method for post-processing the analysis results to calculate the deceleration of a solid steel billet when subjected to a drop or tip-over onto a concrete storage pad. The analysis approach described in NUREG/CR-6608 gives a good correlation of analysis and test results. The material model used for the concrete in the analyses in NUREG/CR-6608 is, however, somewhat troublesome to use, requiring a number of material constants which are difficult to obtain. Because of this a simpler approach, which adequately evaluates the impact of cylindrical containers onto concrete pads, is sought. Since finite element modeling of metals, and in particular carbon and stainless steel, is routinely and accurately accomplished with a number of finite element codes, the current task involves a literature search for and a discussion of available concrete models used in finite element codes. The goal is to find a balance between a concrete material model with a limited number of required material parameters which are readily obtainable, and a more complex model which is capable of accurately representing the complex behavior of the concrete storage pad under impact conditions. The purpose of this effort is to find the simplest possible way to analytically represent the storage cask deceleration during a cask tip-over or a cask drop onto a concrete storage pad. This report is divided into three sections

  16. Occupational Exposure to HIV: Advice for Health Care Workers

    MedlinePlus

    ... Occupational Health Occupational Exposure to HIV: Advice for Health Care Workers Occupational Exposure to HIV: Advice for Health Care Workers Occupational HealthPrevention and WellnessStaying Healthy Share Occupational ...

  17. Presidential address, 2001. Advice to young surgeons.

    PubMed

    MacFarlane, John K

    2002-04-01

    In his 2001 presidential address to the Canadian Association of General Surgeons, the author offers advice to young surgeons, based on his lifetime experience as a surgical educator, researcher and practitioner. He offers the following samples of wisdom for young surgeons: they should be prepared for a lifetime of learning and be willing and able to adapt to new advances; they should listen to their patients as they describe their presenting complaints and not be tempted to interrupt; they should take time in an emergency situation and remember that split-second decisions can affect the patient for a lifetime; they should be willing to take advice from fellow professionals; they should take time to maintain a quality family life and take adequate time away from the workplace; they should be active be a role model in their community; and, finally, they should get involved and adopt an advocacy role in their profession.

  18. Presidential address, 2001. Advice to young surgeons

    PubMed Central

    MacFarlane, John K.

    2002-01-01

    In his 2001 presidential address to the Canadian Association of General Surgeons, the author offers advice to young surgeons, based on his lifetime experience as a surgical educator, researcher and practitioner. He offers the following samples of wisdom for young surgeons: they should be prepared for a lifetime of learning and be willing and able to adapt to new advances; they should listen to their patients as they describe their presenting complaints and not be tempted to interrupt; they should take time in an emergency situation and remember that split-second decisions can affect the patient for a lifetime; they should be willing to take advice from fellow professionals; they should take time to maintain a quality family life and take adequate time away from the workplace; they should be active be a role model in their community; and, finally, they should get involved and adopt an advocacy role in their profession. PMID:11939654

  19. Multimodal Evaluation in Academic Discussion Sessions: How Do Presenters Act and React?

    ERIC Educational Resources Information Center

    Querol-Julian, Mercedes; Fortanet-Gomez, Inmaculada

    2012-01-01

    Evaluation in academic discourse has received considerable attention from researchers. Much of the work on evaluation has focused, however, on written genres, and less attention has been paid to how evaluation unfolds in spoken academic genres. In our present research, we are interested in disclosing how the interpersonal meaning of evaluation is…

  20. Agent Argumentation with Opinions and Advice

    NASA Astrophysics Data System (ADS)

    Debenham, John; Sierra, Carles

    In argumentation-based negotiation the rhetorical illocutionary particles Appeals, Rewards and Threats have implications for the players that extend beyond a single negotiation and are concerned with building (business) relationships. This paper extends an agent's relationship-building argumentative repertoire with Opinions and Advice. A framework is described that enables agents to model their relationships and to use argumentative dialogue strategically both to achieve good negotiation outcomes and to build and sustain valuable relationships.

  1. Informing the Discussion on Evaluator Training: A Look at Evaluators' Course Taking and Professional Practice

    ERIC Educational Resources Information Center

    Christie, Christina A.; Quiñones, Patricia; Fierro, Leslie

    2014-01-01

    This classification study examines evaluators' coursework training as a way of understanding evaluation practice. Data regarding courses that span methods and evaluation topics were collected from evaluation practitioners. Using latent class analysis, we establish four distinct classes of evaluator course-taking patterns: quantitative,…

  2. 32 CFR 776.10 - Informal ethics advice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 5 2014-07-01 2014-07-01 false Informal ethics advice. 776.10 Section 776.10... § 776.10 Informal ethics advice. (a) Advisors. Covered attorneys may seek informal ethics advice either... of Director, JA Division, HQMC; and (5) Head, Standards of Conduct/Government Ethics...

  3. 32 CFR 776.10 - Informal ethics advice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 5 2013-07-01 2013-07-01 false Informal ethics advice. 776.10 Section 776.10... § 776.10 Informal ethics advice. (a) Advisors. Covered attorneys may seek informal ethics advice either... of Director, JA Division, HQMC; and (5) Head, Standards of Conduct/Government Ethics...

  4. 32 CFR 776.10 - Informal ethics advice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Informal ethics advice. 776.10 Section 776.10... § 776.10 Informal ethics advice. (a) Advisors. Covered attorneys may seek informal ethics advice either... of Director, JA Division, HQMC; and (5) Head, Standards of Conduct/Government Ethics...

  5. Stepwise Advice Negotiation in Writing Center Peer Tutoring

    ERIC Educational Resources Information Center

    Park, Innhwa

    2014-01-01

    While the delivery and reception of advice is a practice integral to a wide range of settings, little attention has been given to the detailed practices of advice resistance and how it leads to advice negotiation. Based on 7 hours of videotaped tutoring interactions among 6 tutors and 11 tutees, this conversation analytic study examines the…

  6. 5 CFR 2638.502 - Recommendations and advice.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Recommendations and advice. 2638.502... Cases Involving Individual Executive Agency Employees § 2638.502 Recommendations and advice. The Director may make recommendations and provide advice to agencies, designated agency ethics officials...

  7. 5 CFR 2638.502 - Recommendations and advice.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Recommendations and advice. 2638.502... Cases Involving Individual Executive Agency Employees § 2638.502 Recommendations and advice. The Director may make recommendations and provide advice to agencies, designated agency ethics officials...

  8. 5 CFR 2638.502 - Recommendations and advice.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Recommendations and advice. 2638.502... Cases Involving Individual Executive Agency Employees § 2638.502 Recommendations and advice. The Director may make recommendations and provide advice to agencies, designated agency ethics officials...

  9. 5 CFR 2638.502 - Recommendations and advice.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Recommendations and advice. 2638.502... Cases Involving Individual Executive Agency Employees § 2638.502 Recommendations and advice. The Director may make recommendations and provide advice to agencies, designated agency ethics officials...

  10. 31 CFR 10.37 - Requirements for written advice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance: Treasury 1 2014-07-01 2014-07-01 false Requirements for written advice. 10... Service § 10.37 Requirements for written advice. (a) Requirements. (1) A practitioner may give written... general policy are not considered written advice on a Federal tax matter for purposes of this...

  11. 32 CFR 776.10 - Informal ethics advice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 5 2011-07-01 2011-07-01 false Informal ethics advice. 776.10 Section 776.10... § 776.10 Informal ethics advice. (a) Advisors. Covered attorneys may seek informal ethics advice either... of Director, JA Division, HQMC; and (5) Head, Standards of Conduct/Government Ethics...

  12. 5 CFR 2638.502 - Recommendations and advice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Recommendations and advice. 2638.502... Cases Involving Individual Executive Agency Employees § 2638.502 Recommendations and advice. The Director may make recommendations and provide advice to agencies, designated agency ethics officials...

  13. Content and Style of Advice in Iran and Canada

    ERIC Educational Resources Information Center

    Tavakoli, Mahin

    2013-01-01

    The content and nature of nonprofessional advice in Iran, a hierarchical and collectivist culture, was compared to the same type of advice in Canada, an egalitarian and individualist culture. A researcher developed a questionnaire that consisted of 10 letters, each describing a writer's problem and asking for advice. The responses of participants…

  14. Following celebrities’ medical advice: meta-narrative analysis

    PubMed Central

    Tan, Charlie

    2013-01-01

    Objective To synthesise what is known about how celebrities influence people’s decisions on health. Design Meta-narrative analysis of economics, marketing, psychology, and sociology literatures. Data sources Systematic searches of electronic databases: BusinessSource Complete (1886-), Communication & Mass Media Complete (1915-), Humanities Abstracts (1984-), ProQuest Political Science (1985-), PsycINFO (1806-), PubMed (1966-), and Sociology Abstracts (1952-). Inclusion criteria Studies discussing mechanisms of celebrities’ influence on people in any context. Results Economics literature shows that celebrity endorsements act as signals of credibility that differentiate products or ideas from competitors and can catalyse herd behaviour. Marketing studies show that celebrities transfer their desirable attributes to products and use their success to boost their perceived credibility. Psychology shows that people are classically conditioned to react positively to the advice of celebrities, experience cognitive dissonance if they do not, and are influenced by congruencies with their self conceptions. Sociology helps explain the spread of celebrity medical advice as a contagion that diffuses through social networks and people’s desire to acquire celebrities’ social capital. Conclusions The influence of celebrity status is a deeply rooted process that can be harnessed for good or abused for harm. A better understanding of celebrity can empower health professionals to take this phenomenon seriously and use patient encounters to educate the public about sources of health information and their trustworthiness. Public health authorities can use these insights to implement regulations and restrictions on celebrity endorsements and design counter marketing initiatives—perhaps even partnering with celebrities—to discredit bogus medical advice while promoting evidence based practices.

  15. Assessment of producers' response to Salmonella biosecurity issues and uptake of advice on laying hen farms in England and Wales.

    PubMed

    Gosling, R J; Martelli, F; Wintrip, A; Sayers, A R; Wheeler, K; Davies, R H

    2014-01-01

    High standards of biosecurity are known to reduce the risk of disease outbreaks; however, uptake of advice and implementation of biosecurity measures are dependent on many factors. This study assessed the uptake of targeted biosecurity advice by 60 laying hen farms provided during biosecurity audit visits. Advice was provided as bullet point cards focusing on specific areas identified as benefitting from improvement. These covered site entrance, site tidiness, vaccination, boot hygiene, hand hygiene, house tidiness, rodent control, fly control, red mite control and cleaning and disinfection between flocks. Background knowledge of Salmonella and biosecurity and farmers' willingness and intent to implement additional measures were assessed. About 50% of the principal decision-makers had basic background knowledge of Salmonella, with 22% considered well informed; almost all agreed that biosecurity could impact on Salmonella control and many appeared willing to implement additional biosecurity measures. Sixty-three per cent of study farms were categorised using the Defra Farmer Segmentation Model as Modern Family Businesses (MFBs), with 7-11% of farms being categorised as Custodian, Lifestyle Choice, Pragmatist or Challenged Enterprise; however, categorisation, did not determine uptake of advice. The most frequently used advice cards were boot hygiene, red mite control, hand hygiene, site entrance and cleaning and disinfection; uptake of advice ranged from 54 to 80% depending on the advice card. Uptake of advice by the farmers was encouraging, especially considering it was being provided by people other than their usual source of biosecurity information. Those who did not implement the recommended measures cited cost, difficulty of enforcement and practicality as the main reasons. However, the positive uptake of advice and implementation of recommended measures by many farmers demonstrates that targeted advice, discussed face to face with farmers, on a small number of

  16. The effects of civility on advice, leadership, and performance.

    PubMed

    Porath, Christine L; Gerbasi, Alexandra; Schorch, Sebastian L

    2015-09-01

    Workplace incivility is rampant and on the rise-with costs to individuals and organizations. Despite the increased need for civility, little is known about potential individual benefits of civility, defined as behavior involving politeness and regard for others in the workplace, within workplace norms for respect (Andersson & Pearson, 1999). Recent research has suggested that being civil may be hazardous to influence, power, and income (see Forni, 2002; Judge et al., 2012).Yet, throughout history, civil behavior has been extolled because it paid dividends to the person who behaved well. The focus of this research is whether that holds true in organizations. Using social exchange theory, we developed hypotheses about how civility benefits people, and investigated this in 2 studies. First, in a 2-wave social network study of a research and development department (n = 31) of a biotechnology firm, we found that people who perceived a colleague as civil would be more likely to seek that person out for work advice and to see that person as a leader. The more the individual was perceived as civil by others in his or her network, the better his or her performance. Being sought out for work advice and being viewed as a leader mediated this effect. In the second experiment (n = 162), we extended our understanding of what drove these benefits. We found that people who are civil were perceived as warm and competent, and these positive perceptions, in turn, helped to explain the benefits garnered. We discuss theoretical and practical implications.

  17. Analyzing Content on Student Teacher Evaluation Forms: A Format for Collaborative Discussion.

    ERIC Educational Resources Information Center

    Pickle, Judy Gebhardt; Perl, Michael F.

    1991-01-01

    Categories of evaluative criteria were examined on a random national sample of elementary student teacher evaluation forms. Five criteria categories were generated from 49 forms: generic knowledge skills, personal attributes, content knowledge, pupil assessment, and human relations. The forms did not include many items from research on teacher…

  18. Considering the Evidence-and-Credibility Discussion in Evaluation through the Lens of Dialectical Pluralism

    ERIC Educational Resources Information Center

    Johnson, R. Burke; Stefurak, Tres

    2013-01-01

    Credibility of evidence in evaluation is examined through the lens of dialectical pluralism (DP). Principles of procedural justice are a core element of DP and help justify outcomes of its application. A key message is that DP and the associated circle of scientific evidence and knowledge model can aid the evaluation community in producing an…

  19. Quality of Education and Its Evaluation: An Analysis of the Russian Academic Discussion

    ERIC Educational Resources Information Center

    Gurova, Galina; Piattoeva, Nelli; Takala, Tuomas

    2015-01-01

    The article describes and critically analyzes how Russian education researchers approached the topic of quality evaluation in education between 1990 and 2014. Evaluation and quality have grown into major policy issues in education across the world, simultaneously acting as powerful steering mechanisms on national and transnational levels. Russia…

  20. Evaluation of the Inhalation Carcinogenicity of Ethylene Oxide (2016 Interagency Science Discussion Draft)

    EPA Science Inventory

    In December 2016, EPA finalized its Evaluation of the Inhalation Carcinogenicity of Ethylene Oxide. EPA’s evaluation was reviewed internally by EPA and by other federal agencies and White House Offices in October 2016, before public release. Consistent with the May 2009 IRIS asse...

  1. A Narrative of Fear: Advice to Mothers.

    PubMed

    Åström, Berit

    2015-01-01

    Taking present-day research into so-called new momism and intense mothering as a starting point, this article argues that the current mothering discourse, rather than articulating a new phenomenon, perpetuates a regulative discourse developed in the nineteenth century, in advice books written by medical doctors for pregnant women and new mothers. Both the Victorian and the present-day texts play on feelings of guilt and inadequacy in order to control the actions and emotions of mothers, although the threatened outcome differs: present-day mothers are warned that their children may become obese or develop neuropsychological disorders, whereas Victorian mothers are warned that their children might die.

  2. The remittance advice, auditing for compliance.

    PubMed

    Mesaros, F

    2000-01-01

    Resubmitting claims can be costly in terms of both time and lost revenue. The remittance advice and return to provider reports received by laboratories from carriers/intermediaries are an excellent source for investigating compliance matters. The Department of Health and Human Services, Office of Inspector General, has estimated that laboratories account for 4.38% of the total improper payments paid by the Medicare program for fiscal year 1998 (1). This article will illustrate how the information in these reports can be used to assist your laboratory in capturing the reimbursement it is entitled to.

  3. Advice on Writing a Scientific Paper

    NASA Astrophysics Data System (ADS)

    Sterken, C.

    2006-04-01

    What makes one author a good communicator and another a poor one? What turns out one manuscript a swift editorial task, and another an editorial nightmare? Based on direct experience from the manuscripts of the lectures and papers presented during this school, advice is given on what to do and on what to avoid when writing a scientific paper. Some feedback recommendation is also provided on how to prepare manuscripts, handle copyright and permissions to reproduce, how to anticipate plagiarism, how to deal with editors and referees, and how to avoid common errors. A few illustrations of English grammar and style for the foreign author are given.

  4. A Discussion on Evaluation Method for Students Learned by New Course of Study

    NASA Astrophysics Data System (ADS)

    Kondo, Yasuo; Miyachika, Kouitsu

    The freshmen of 2006 had been taken the new course of studies in the junior and senior high schools. The followings became clear after comparing the score distribution of linear algebra between the freshmen of 2005 and 2006. The freshmen of 2006 are slower and often make errors in calculation. They are also rather poor in solving the problems described in such a simple text without use of any mathematical symbols. In order to evaluate the scholastic ability of freshmen of 2006, it may need the evaluation by qualitative information instead of the quantitative evaluation with the test score and intelligence standard score.

  5. [The role of science in policy making--EuSANH-ISA project, framework for science advice for health].

    PubMed

    Cianciara, Dorota; Piotrowicz, Maria; Bielska-Lasota, Magdalena; Wysocki, Mirosław J

    2012-01-01

    Governments and other authorities (including MPs) should be well informed on issues of science and technology. This is particularly important in the era of evidence-based practice. This implies the need to get expert advice. The process by which scientific knowledge is transmitted, along with proposals how to solve the problem, is called science advice. The main aim of the article is to discuss the issue of science advice--definitions, interaction between science and policymaking, and its position in contemporary policies. The second aim is to present European Science Advisory Network for Health (EuSANH), EuSANH-ISA project, and framework for science advice for health which was developed by participants. Furthermore, the role of civil society in decision-making process and science advice is also discussed. Interaction between scientists and policy-makers are described in terms of science-push approach (technocratic model), policy-pull (decisionistic) and simultaneous push-pull approach (pragmatic). The position of science advice is described in historical perspective from the 50s, especially in the last two decades. Description relies to USA, Canada and UK. Principles of scientific advice to government (Government Office for Science, UK) are quoted. Some important documents related to science advice in EU and UN are mentioned. EuSANH network is described as well as EuSANH-ISA project, with its objectives and outcomes. According to findings of this project, the process of science advice for health should follow some steps: framing the issue to be covered; planning entire process leading to the conclusion; drafting the report; reviewing the report and revision; publishing report and assessing the impact on policy.

  6. Relationship Advice Columns from Two Popular Magazines: Implications for Therapy with Women, Men and Heterosexual Couples

    ERIC Educational Resources Information Center

    Kogan, Lori R.; Kellaway, Julie A.

    2004-01-01

    The relationship advice columns for two popular magazines (one targeted to female and the other to male readers) were discussed within the conceptual frameworks of centerfold syndrome and appearance obsession. Centerfold syndrome is a theory that describes the way men view women and sexuality. The female counterpart is appearance obsession which…

  7. Excluding Mothers-in-Law: A Research Note on the Preference for Matrilineal Advice

    ERIC Educational Resources Information Center

    Marx, Jonathan; Miller, Lee Q.; Huffmon, Scott

    2011-01-01

    With whom do parents discuss medical and behavioral child-rearing questions? In a telephone survey of 167 parents (49 fathers and 118 mothers) in the southern United States, the authors found that mothers express a clear preference for their own mother's advice as opposed to that of their mother-in-law. Fathers are less likely to consult any…

  8. Evaluating Impact of Small-Group Discussion on Learning Utilizing a Classroom Response System

    ERIC Educational Resources Information Center

    Flosason, Thorhallur O.; McGee, Heather M.; Diener-Ludwig, Lori

    2015-01-01

    Classroom response systems (also referred to as clickers) can enhance learning outcomes and are generally viewed favorably by students and instructors alike. The current study used an alternating treatments design to examine whether discussing questions in small groups before responding to clicker questions during lecture improved accurate…

  9. A Controlled Evaluation of Reminiscence and Current Topics Discussion Groups in a Nursing Home Context.

    ERIC Educational Resources Information Center

    Rattenbury, Christine; Stones, M. J.

    1989-01-01

    Compared psychological well-being of elderly nursing home residents who participated in reminiscence and current topics group discussions with control group of residents. Rated participants' happiness/depression, activity, mood, and functional levels before and after intervention. Intervention had significant effect only on happiness/depression…

  10. Small-Scale Bullying Prevention Discussion Video for Classrooms: A Preliminary Evaluation

    ERIC Educational Resources Information Center

    Migliaccio, Todd; Raskauskas, Juliana

    2013-01-01

    Bullying has been shown to be negatively related to both academic performance and attendance among students. The present study examined a small-scale bullying intervention using a video-discussion model. Eighty-one students in grades 4 through 6 completed pre- and posttests examining gains in knowledge of bullying and responses to it. Results…

  11. An evaluation of physicians’ engagement of children with asthma in treatment-related discussions

    PubMed Central

    Carpenter, Delesha M; Stover, Angela; Slota, Catherine; Ayala, Guadalupe X; Yeatts, Karen; Tudor, Gail; Davis, Stephanie; Williams, Dennis; Sleath, Betsy

    2017-01-01

    Our objectives were to examine whether providers engage children with asthma in treatment-related discussions at the level children prefer (engagement concordance) and to determine whether engagement concordance is related to child, caregiver, and provider characteristics. Children with asthma (n = 296) aged 8–16 years were recruited at five pediatric practices in North Carolina. Using audiotaped medical visit transcripts, we documented the number of treatment-related questions the providers asked the children. Children reported their preferred level of provider engagement. A logistic generalized estimating equation was used to determine which variables predicted engagement concordance. Most children (96.6%) wanted to be involved in treatment-related discussions. One-third of the providers did not ask children any treatment-related questions. Only 36.1% of provider–child dyads were concordant. Most discordant dyads were under-engaged (83.1%). Better engagement concordance was observed among older children (odds ratio (OR) = 1.19, 95% confidence interval (CI) (1.07, 1.33)), male children (OR = 1.67, 95% CI (1.03, 2.70)), and among providers with fewer years in practice (OR = .97, 95% CI (.94, .99)). Providers engaged in treatment-related discussions with younger children and females less frequently than these children preferred. Providers should ask children how much they want to be involved in treatment-related discussions and then attempt to engage children at the level they prefer. PMID:23818146

  12. Students' Evaluation of Google Hangouts through a Cross-Cultural Group Discussion Activity

    ERIC Educational Resources Information Center

    Kobayashi, Michiko

    2015-01-01

    The study investigated perceived ease of use and usefulness of Google Hangouts as an instructional/learning tool. Forty-two teacher education students at U.S and Japanese universities participated in an online cross-cultural activity using Google Hangouts and discussed cultural differences between the two countries and their teaching philosophies.…

  13. "Safe Harbor": Evaluation of a Professionalism Case Discussion Intervention for the Gross Anatomy Course

    ERIC Educational Resources Information Center

    Spampinato, Christine M.; Wittich, Christopher M.; Beckman, Thomas J.; Cha, Stephen S.; Pawlina, Wojciech

    2014-01-01

    Medical professionalism is a multifaceted paradigm and is an essential component of medical education. Gross anatomy is a laboratory to teach professionalism, and promoting critical reflection in medical students is a prerequisite to furthering professionalism. The aim of this study was to determine if professionalism case discussions during a…

  14. Tooth wear: diet analysis and advice.

    PubMed

    Young, William George

    2005-04-01

    Diet analysis and advice for patients with tooth wear is potentially the most logical intervention to arrest attrition, erosion and abrasion. It is saliva that protects the teeth against corrosion by the acids which soften enamel and make it susceptible to wear. Thus the lifestyles and diet of patients at risk need to be analysed for sources of acid and reasons for lost salivary protection. Medical conditions which put patients at risk of tooth wear are principally: asthma, bulimia nervosa, caffeine addiction, diabetes mellitus, exercise dehydration, functional depression, gastroesophageal reflux in alcoholism, hypertension and syndromes with salivary hypofunction. The sources of acid are various, but loss of salivary protection is the common theme. In healthy young Australians, soft drinks are the main source of acid, and exercise dehydration the main reason for loss of salivary protection. In the medically compromised, diet acids and gastroesophageal reflux are the sources, but medications are the main reasons for lost salivary protection. Diet advice for patients with tooth wear must: promote a healthy lifestyle and diet strategy that conserves the teeth by natural means of salivary stimulation; and address the specific needs of the patients' oral and medical conditions. Individualised, patient-empowering erosion WATCH strategies; on Water, Acid, Taste, Calcium and Health, are urgently required to combat the emerging epidemic of tooth wear currently being experienced in westernised societies.

  15. [Discussion on development of four diagnostic information scale for clinical re-evaluation of postmarketing herbs].

    PubMed

    He, Wei; Xie, Yanming; Wang, Yongyan

    2011-12-01

    Post-marketing re-evaluation of Chinese herbs can well reflect Chinese medicine characteristics, which is the most easily overlooked the clinical re-evaluation content. Since little attention has been paid to this, study on the clinical trial design method was lost. It is difficult to improving the effectiveness and safety of traditional Chinese medicine. Therefore, more attention should be paid on re-evaluation of the clinical trial design method point about tcm syndrome such as the type of research program design, the study of Chinese medical information collection scale and statistical analysis methods, so as to improve the clinical trial design method study about tcm syndrome of Chinese herbs postmarketing re-evalutation status.

  16. Evaluating Public Spending: A Framework of Public Expenditure Reviews. World Bank Discussion Papers No. 323.

    ERIC Educational Resources Information Center

    Pradhan, Sanjay

    This paper presents a framework for evaluating the level and composition of public expenditures, illustrated by sectoral and country examples. The paper illustrates how this framework can be applied to analyzing broad allocations of spending within and across sectors, drawing upon some key findings and country examples from major sectors (health,…

  17. Recurrent pregnancy loss: evaluation and discussion of the causes and their management.

    PubMed

    Kiwi, Robert

    2006-10-01

    Women who miscarry two or more consecutive pregnancies deserve an evaluation to look for the cause, which sometimes can be treated. They can also be reassured that approximately 70% of women in this situation ultimately succeed in having a baby, even though the cause of recurrent miscarriage can be determined in only about half of cases.

  18. Two Approaches for Analyzing Students' Competence of "Evaluation" in Group Discussions about Climate Change

    ERIC Educational Resources Information Center

    Feierabend, Timo; Stuckey, Marc; Nienaber, Sarah; Eilks, Ingo

    2012-01-01

    Up until now, very few models conceptualizing students' competence in evaluation, argumentation and discourse in the context of science education have been proposed. Most suggestions for analyzing this particular competence in students are normative and the empirical support for them remains weak. The problem becomes even more severe when such…

  19. Evaluation of the Inhalation Carcinogenicity of Ethylene Oxide (2011 Interagency Science Discussion Draft)

    EPA Science Inventory

    On September 22, 2006, the draft Evaluation of the Carinogenicity of Ethylene Oxide (EPA/635/R-06/003) and the draft charge to external peer reviewers were released for external peer review and public comment. This draft was reviewed by EPA’s Science Advisory Board (SAB)...

  20. Teaching Students to Engage with Evidence: An Evaluation of Structured Writing and Classroom Discussion Strategies

    ERIC Educational Resources Information Center

    Blings, Steffen; Maxey, Sarah

    2017-01-01

    In their transition to college, students often struggle to identify and make connections between the main arguments, evidence, and empirical findings of articles from academic journals commonly assigned on political science syllabi. Which active learning techniques are most effective for teaching students to recognize and evaluate social science…

  1. Mapping the spatial dimensions of participatory practice: A discussion of context in evaluation.

    PubMed

    Chouinard, Jill Anne; Milley, Peter

    2016-02-01

    In participatory or collaborative evaluation practice, context is considered a complex, relational and social phenomenon that frames the parameters of the inquiry process in profound ways. To help us expand upon our understanding of context, we borrow the concept of "space" from the critical geographers, as it provides a bridge between the social and geographic complexities of context, enabling us to more fully capture the social and relational dynamic that fundamentally defines participatory evaluation. Our focus is on understanding context and relationships as two interconnected, dynamic and constituent parts of evaluation practices that feature participatory spaces. We then turn to a comparative analysis of participatory practice across two published reviews of distinct sets of empirical studies as a way to extend our understanding of participatory evaluation in relation to its practical, and frequently complex, contextual expressions in the field. This comparative analysis enables us to develop a set of five dimensions (epistemic, temporal/historical, cultural, economic/organizational, political) that we believe captures the spatial and contextual characteristics and contours of participatory practice.

  2. Advice and dissent: rating the corporate governance compact.

    PubMed

    Wharton, C R; Lorsch, J W; Hanson, L

    1991-01-01

    The July-August 1991 HBR presented "A New Compact for Owners and Directors," a set of principles for reconciling differences between owners and managers. In "Advice and Dissent: Rating the Corporate Governance Compact," a panel of three experts evaluates the Compact--and takes issue with its fundamental recommendation. Clifton R. Wharton, Jr., chairman and CEO of TIAA-CREF, describes how his organization brings delinquent managers and directors to task. Harvard Business School professor Jay W. Lorsch explains why strengthening the role of outside directors will develop more effective corporate control. And Lord Hanson, chairman of Hanson PLC, reaffirms the importance of maintaining a unitary board of directors and maximizing shareholder value.

  3. Advice from working women with retired partners.

    PubMed

    Cooley, Eileen L; Adorno, Gail

    2016-01-01

    in the 21st century, as more women are employed full-time and couples increasingly share egalitarian values, more women continue employment after their partners have voluntarily retired. However, we know very little about the experiences of this growing population of women. We asked working women with retired partners to share their advice for other women who may face this developmental transition. Open-ended responses from 97 women were analyzed to identify pertinent issues and themes. Four primary content areas were identified: time management, division of household labor, financial planning, and communication. Communication between partners was both a topic of concern as well as the solution suggested to resolve conflicts or differences that may arise when women live with a retired partner. It is expected that future changes in the workforce and improvements in the gender balance within relationships will continue to impact experiences for working women with retired partners.

  4. The evaluation of research papers in the XXI century. The Open Peer Discussion system of the World Economics Association

    PubMed Central

    Ietto-Gillies, Grazia

    2012-01-01

    The paper starts with a brief discussion of the traditional peer review (TPR) system of research evaluation, its role, and the criticisms levelled at it. An analysis of specific problems in economics leads to a full discussion of the Open Peer Review (OPR) system developed by the World Economics Association (WEA) and the principles behind it. The system is open in the following two respects: (a) disclosure of names of authors and reviewers; and (b) inclusivity of potential reviewers in terms of paradigmatic approaches, country, and community. The paper then discusses the applicability of the same system to other disciplines. In doing so, it stressed the aims of various evaluation systems and the possible pitfalls of rating systems. It also speculates on the future of journal publication. PMID:22891057

  5. The evaluation of research papers in the XXI century. The Open Peer Discussion system of the World Economics Association.

    PubMed

    Ietto-Gillies, Grazia

    2012-01-01

    The paper starts with a brief discussion of the traditional peer review (TPR) system of research evaluation, its role, and the criticisms levelled at it. An analysis of specific problems in economics leads to a full discussion of the Open Peer Review (OPR) system developed by the World Economics Association (WEA) and the principles behind it. The system is open in the following two respects: (a) disclosure of names of authors and reviewers; and (b) inclusivity of potential reviewers in terms of paradigmatic approaches, country, and community. The paper then discusses the applicability of the same system to other disciplines. In doing so, it stressed the aims of various evaluation systems and the possible pitfalls of rating systems. It also speculates on the future of journal publication.

  6. Effect of general practitioners' advice against smoking

    PubMed Central

    Russell, M A H; Wilson, C; Taylor, C; Baker, C D

    1979-01-01

    During four weeks all 2138 cigarette smokers attending the surgeries of 28 general practitioners (GPs) in five group practices in London were allocated to one of four groups: group 1 comprised non-intervention controls; group 2 comprised questionnaire-only controls; group 3 were advised by their GP to stop smoking; and group 4 were advised to stop smoking, given a leaflet to help them, and warned that they would be followed-up. Adequate data for follow-up were obtained from 1884 patients (88%) at one month and 1567 (73%) at one year. Changes in motivation and intention to stop smoking were evident immediately after advice was given. Of the people who stopped smoking, most did so because of the advice. This was achieved by motivating more people to try to stop smoking rather than increasing the success rate among those who did try. The effect was strongest during the first month but still evident over the next three months and was enhanced by the leaflet and warning about follow-up. An additional effect over the longer term was a lower relapse rate among those who stopped, but this was not enhanced by the leaflet and warning about follow-up. The proportions who stopped smoking during the first month and were still not smoking one year later were 0·3%, 1·6%, 3·3%, and 5·1% in the four groups respectively (P <0·001). The results suggest that any GP who adopts this simple routine could expect about 25 long-term successes yearly. If all GPs in the UK participated the yield would exceed half a million ex-smokers a year. This target could not be matched by increasing the present 50 or so special withdrawal clinics to 10 000. PMID:476401

  7. Allocating Scarce Resources Strategically - An Evaluation and Discussion of the Global Fund's Pattern of Disbursements

    PubMed Central

    McCoy, David; Kinyua, Kelvin

    2012-01-01

    Background The Global Fund is under pressure to improve its rationing of financial support. This study describes the GF's pattern of disbursements in relation to total health expenditure (THE), government health expenditure (GHE), income status and the burden of HIV/AIDS, TB and malaria. It also examines the potential for recipient countries to increase domestic public financing for health. Methods This is a cross-sectional study of 104 countries that received Global Fund disbursements in 2009. It analyses data on Global Fund disbursements; health financing indicators; government revenue and expenditure; and burden of disease. Findings Global Fund disbursements made up 0.37% of THE across all 104 countries; but with considerable country variation ranging from 0.002% to 53.4%. Global Fund disbursements to government amounted to 0.47% of GHE across the 104 countries, but again with considerable variation (in three countries more than half of GHE was based on Global Fund support). Although the Global Fund provides progressively more funding for lower income countries on average, there is much variation at the country such that here was no correlation between per capita GF disbursements and per capita THE, nor between per capita GF disbursement to government and per capita GHE. There was only a slight positive correlation between per capita GF disbursement and burden of disease. Several countries with a high degree of 'financial dependency' upon the Fund have the potential to increase levels of domestic financing for health. Discussion The Global Fund can improve its targeting of resources so that it better matches the pattern of global need. To do this it needs to: a) reduce the extent to which funds are allocated on a demand-driven basis; and b) align its funding model to broader health systems financing and patterns of health expenditure beyond the three diseases. PMID:22590496

  8. 5 CFR 1304.4607 - Advice to former Government employees.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Advice to former Government employees. 1304.4607 Section 1304.4607 Administrative Personnel OFFICE OF MANAGEMENT AND BUDGET ADMINISTRATIVE PROCEDURES POST EMPLOYMENT CONFLICT OF INTEREST § 1304.4607 Advice to former Government employees. The...

  9. 5 CFR 1304.4607 - Advice to former Government employees.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Advice to former Government employees. 1304.4607 Section 1304.4607 Administrative Personnel OFFICE OF MANAGEMENT AND BUDGET ADMINISTRATIVE PROCEDURES POST EMPLOYMENT CONFLICT OF INTEREST § 1304.4607 Advice to former Government employees. The...

  10. 5 CFR 1304.4607 - Advice to former Government employees.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Advice to former Government employees. 1304.4607 Section 1304.4607 Administrative Personnel OFFICE OF MANAGEMENT AND BUDGET ADMINISTRATIVE PROCEDURES POST EMPLOYMENT CONFLICT OF INTEREST § 1304.4607 Advice to former Government employees. The...

  11. 5 CFR 1304.4607 - Advice to former Government employees.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Advice to former Government employees. 1304.4607 Section 1304.4607 Administrative Personnel OFFICE OF MANAGEMENT AND BUDGET ADMINISTRATIVE PROCEDURES POST EMPLOYMENT CONFLICT OF INTEREST § 1304.4607 Advice to former Government employees. The...

  12. 5 CFR 1304.4607 - Advice to former Government employees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Advice to former Government employees. 1304.4607 Section 1304.4607 Administrative Personnel OFFICE OF MANAGEMENT AND BUDGET ADMINISTRATIVE PROCEDURES POST EMPLOYMENT CONFLICT OF INTEREST § 1304.4607 Advice to former Government employees. The...

  13. ADVICE--Educational System for Teaching Database Courses

    ERIC Educational Resources Information Center

    Cvetanovic, M.; Radivojevic, Z.; Blagojevic, V.; Bojovic, M.

    2011-01-01

    This paper presents a Web-based educational system, ADVICE, that helps students to bridge the gap between database management system (DBMS) theory and practice. The usage of ADVICE is presented through a set of laboratory exercises developed to teach students conceptual and logical modeling, SQL, formal query languages, and normalization. While…

  14. What Makes Proteges Take Mentors' Advice in Formal Mentoring Relationships?

    ERIC Educational Resources Information Center

    Son, SuJin; Kim, Do-Yeong

    2013-01-01

    This study examines the factors affecting a protege's willingness to take a mentor's advice. The sample for this study consisted of 183 proteges from two different South Korean organizations who were part of formal mentoring programs. We found protege commitment to be the principal factor that predisposes a protege to take advice from mentors and…

  15. Designing the Recipient: Managing Advice Resistance in Institutional Settings

    ERIC Educational Resources Information Center

    Hepburn, Alexa; Potter, Jonathan

    2011-01-01

    In this paper we consider a collection of conversational practices that arise when a professional is faced with extended resistance to their offered advice. Our data is comprised of telephone calls to a UK child protection helpline. The practices we identify occur repeatedly across our corpus of advice resistance sequences and involve (1) the…

  16. 29 CFR 1400.735-3 - Advice and counseling service.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Advice and counseling service. 1400.735-3 Section 1400.735-3 Labor Regulations Relating to Labor (Continued) FEDERAL MEDIATION AND CONCILIATION SERVICE STANDARDS OF CONDUCT, RESPONSIBILITIES, AND DISCIPLINE General § 1400.735-3 Advice and counseling...

  17. "What Advice Would You Give to Students Starting Your Course?"

    ERIC Educational Resources Information Center

    Meedin, Aneeqa

    2007-01-01

    In this essay, the author, a Biomedical Sciences student at the University of Sheffield, presents an atypical way of addressing the question "What advice would you give to students starting your course?" by transcribing the much-evoked and revered Ten Commandments, the original guide to life, into advice for new and bewildered Biomedical…

  18. 29 CFR 1912a.5 - Advice and recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 7 2013-07-01 2013-07-01 false Advice and recommendations. 1912a.5 Section 1912a.5 Labor... recommendations. Any advice or recommendations of the Committee shall be given or made with approval of a majority... recommendations any concurring or dissenting views as well as abstentions and absences. Any member may submit...

  19. 29 CFR 1912a.5 - Advice and recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 7 2014-07-01 2014-07-01 false Advice and recommendations. 1912a.5 Section 1912a.5 Labor... recommendations. Any advice or recommendations of the Committee shall be given or made with approval of a majority... recommendations any concurring or dissenting views as well as abstentions and absences. Any member may submit...

  20. 29 CFR 1912a.5 - Advice and recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 7 2012-07-01 2012-07-01 false Advice and recommendations. 1912a.5 Section 1912a.5 Labor... recommendations. Any advice or recommendations of the Committee shall be given or made with approval of a majority... recommendations any concurring or dissenting views as well as abstentions and absences. Any member may submit...

  1. 29 CFR 1912a.5 - Advice and recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 7 2011-07-01 2011-07-01 false Advice and recommendations. 1912a.5 Section 1912a.5 Labor... recommendations. Any advice or recommendations of the Committee shall be given or made with approval of a majority... recommendations any concurring or dissenting views as well as abstentions and absences. Any member may submit...

  2. Low Income Women and Physician Breastfeeding Advice: A Regional Assessment

    ERIC Educational Resources Information Center

    Stolzer, J; Zeece, Pauline

    2006-01-01

    Objectives: The aims of the pilot study presented here were to determine whether low income women were receiving compendious breastfeeding advice from their attending physicians. Design: This study assessed low income women's reports of physician breastfeeding advice using a newly designed Likert scaled survey based on the American Surgeon…

  3. 29 CFR 1912a.5 - Advice and recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false Advice and recommendations. 1912a.5 Section 1912a.5 Labor... recommendations. Any advice or recommendations of the Committee shall be given or made with approval of a majority... recommendations any concurring or dissenting views as well as abstentions and absences. Any member may submit...

  4. Advice and Student Agency in the Transition to Middle School

    ERIC Educational Resources Information Center

    Akos, Patrick

    2004-01-01

    In response to the 2000 Virginia state writing prompt, eighth grade students wrote a letter of advice to a sixth grader coming to middle school for the first time. A purposeful sample of more than 10,000 writing responses was collected. Content analysis of a random sample of 350 responses revealed themes of advice for students negotiating the…

  5. Listen to Your Heart? Calling and Receptivity to Career Advice

    ERIC Educational Resources Information Center

    Dobrow, Shoshana R.; Tosti-Kharas, Jennifer

    2012-01-01

    This study explores calling in the context of career decision making. Specifically, the authors examine receptivity to advice that discourages individuals from pursuing a professional path in their calling's domain. The authors hypothesize that people with a strong calling will be more likely to ignore negative career advice. In Study 1, a…

  6. 45 CFR 73a.735-104 - Advice and guidance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Advice and guidance. 73a.735-104 Section 73a.735-104 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION STANDARDS OF CONDUCT: FOOD AND DRUG ADMINISTRATION SUPPLEMENT General Provisions § 73a.735-104 Advice and guidance. (a)...

  7. [Discussion on Quality Evaluation Method of Medical Device During Life-Cycle in Operation Based on the Analytic Hierarchy Process].

    PubMed

    Zheng, Caixian; Zheng, Kun; Shen, Yunming; Wu, Yunyun

    2016-01-01

    The content related to the quality during life-cycle in operation of medical device includes daily use, repair volume, preventive maintenance, quality control and adverse event monitoring. In view of this, the article aims at discussion on the quality evaluation method of medical devices during their life cycle in operation based on the Analytic Hierarchy Process (AHP). The presented method is proved to be effective by evaluating patient monitors as example. The method presented in can promote and guide the device quality control work, and it can provide valuable inputs to decisions about purchase of new device.

  8. Design of freeze-drying processes for pharmaceuticals: practical advice.

    PubMed

    Tang, Xiaolin; Pikal, Michael J

    2004-02-01

    Design of freeze-drying processes is often approached with a "trial and error" experimental plan or, worse yet, the protocol used in the first laboratory run is adopted without further attempts at optimization. Consequently, commercial freeze-drying processes are often neither robust nor efficient. It is our thesis that design of an "optimized" freeze-drying process is not particularly difficult for most products, as long as some simple rules based on well-accepted scientific principles are followed. It is the purpose of this review to discuss the scientific foundations of the freeze-drying process design and then to consolidate these principles into a set of guidelines for rational process design and optimization. General advice is given concerning common stability issues with proteins, but unusual and difficult stability issues are beyond the scope of this review. Control of ice nucleation and crystallization during the freezing step is discussed, and the impact of freezing on the rest of the process and final product quality is reviewed. Representative freezing protocols are presented. The significance of the collapse temperature and the thermal transition, denoted Tg', are discussed, and procedures for the selection of the "target product temperature" for primary drying are presented. Furthermore, guidelines are given for selection of the optimal shelf temperature and chamber pressure settings required to achieve the target product temperature without thermal and/or mass transfer overload of the freeze dryer. Finally, guidelines and "rules" for optimization of secondary drying and representative secondary drying protocols are presented.

  9. Advice about Work-Related Issues to Peers and Employers from Head and Neck Cancer Survivors

    PubMed Central

    Dewa, Carolyn S.; Trojanowski, Lucy; Tamminga, Sietske J.; Ringash, Jolie; McQuestion, Maurene; Hoch, Jeffrey S.

    2016-01-01

    Purpose The purpose of this exploratory and descriptive study is to contribute to the sparse return-to-work literature on head and neck cancer (HNC) survivors. Interview participants were asked to reflect upon their work-related experience with cancer by answering two specific questions: (1) What advice would you give someone who has been newly diagnosed with head and neck cancer? (2) What advice would you give to employers of these people? Methods Data were gathered through 10 individual semi-structured in-depth interviews with HNC clinic patients at a regional cancer center’s head and neck clinic in Ontario, Canada. A constant comparative method of theme development was used. Codes identified in and derived from the data were discussed by research team members until consensus was reached. Codes with similar characteristics were grouped together and used to develop overarching themes. Results Work-related advice for peers focused on personal self-care and interactions within workplaces. Work-related advice to employers focused on demonstrating basic human values as well as the importance of communication. Discussion The study results suggest HNC clinic patients should be proactive with employers and help to set reasonable expectations and provide a realistic plan for work to be successfully completed. HNC clinic patients should develop communication skills to effectively disclose their cancer and treatment to employers. Conclusions In this exploratory study, HNC clinic patients’ advice was solution-focused underscoring the importance of self-care and pro-active communication and planning with employers. Employers were advised to demonstrate core human values throughout all phases of the work disability episode beginning at diagnosis. PMID:27070654

  10. Survey of general practitioners' advice for travellers to Turkey.

    PubMed Central

    Usherwood, V; Usherwood, T P

    1989-01-01

    Fifty general practitioners replied to a survey of the advice that they would offer to a tourist planning a package holiday in western Turkey. The range of prophylactic immunizations and other medication recommended by the respondents was wide, suggesting that some tourists travel without adequate protection, while some receive unnecessary injections. Most of the doctors would offer little other health advice to the traveller. General practitioners receive conflicting guidance on prophylactics for travellers, and it is suggested that the disagreements should be resolved. Wider availability of written advice for the traveller would also be valuable. PMID:2559989

  11. National and Governmental Advisory Committee Advice Letters for 2015

    EPA Pesticide Factsheets

    Advice Letters produced for and/or by the National Advisory Committee and Governmental Advisory Committee to the United States Representative to the North American Commission for Environmental Cooperation

  12. National and Governmental Advisory Committee Advice Letters for 2016

    EPA Pesticide Factsheets

    Advice Letters and produced by the National Advisory Committee and Governmental Advisory Committee to the United States Representative to the North American Commission for Environmental Cooperation, and EPA responses

  13. National and Governmental Advisory Committee Advice Letters for 2014

    EPA Pesticide Factsheets

    Advice Letters produced for and/or by the National Advisory Committee and Governmental Advisory Committee to the United States Representative to the North American Commission for Environmental Cooperation

  14. The burden of disclosure: increased compliance with distrusted advice.

    PubMed

    Sah, Sunita; Loewenstein, George; Cain, Daylian M

    2013-02-01

    Professionals often face conflicts of interest that give them an incentive to provide biased advice, and disclosure (informing advisees about the conflict) is frequently proposed as a solution to the problem. We present 6 experiments that reveal a previously unrecognized perverse effect of disclosure: Although disclosure can decrease advisees' trust in the advice, it can also increase pressure to comply with that advice if advisees feel obliged to satisfy their advisors' personal interests. Hence, disclosure can burden those it is ostensibly intended to protect. Beyond demonstrating the effect, we show that this increased pressure to comply with advice is reduced if (a) the disclosure is provided by an external source rather than from the advisor, (b) the disclosure is not common knowledge between the advisor and advisee, (c) the advisee has an opportunity to change his/her mind later, or (d) the advisee is able to make the decision in private.

  15. Did public health travel advice reach EURO 2012 football fans? A social network survey.

    PubMed

    Janiec, J; Zielicka-Hardy, A; Polkowska, A; Rogalska, J; Sadkowska-Todys, M

    2012-08-02

    We posted a survey on the Union of European Football Associations (UEFA)’s EURO 2012 Facebook profile to evaluate whether public health travel advice, specifically on the importance of measles vaccination,reached fans attending EURO 2012. Responses suggested that these messages were missed by 77% of fans. Social networks could serve as innovative platforms to conduct surveys, enabling rapid access to target populations at low cost and could be of use during upcoming mass gatherings such as the Olympics.

  16. Evaluation of Forensic DNA Traces When Propositions of Interest Relate to Activities: Analysis and Discussion of Recurrent Concerns.

    PubMed

    Biedermann, Alex; Champod, Christophe; Jackson, Graham; Gill, Peter; Taylor, Duncan; Butler, John; Morling, Niels; Hicks, Tacha; Vuille, Joelle; Taroni, Franco

    2016-01-01

    When forensic scientists evaluate and report on the probative strength of single DNA traces, they commonly rely on only one number, expressing the rarity of the DNA profile in the population of interest. This is so because the focus is on propositions regarding the source of the recovered trace material, such as "the person of interest is the source of the crime stain." In particular, when the alternative proposition is "an unknown person is the source of the crime stain," one is directed to think about the rarity of the profile. However, in the era of DNA profiling technology capable of producing results from small quantities of trace material (i.e., non-visible staining) that is subject to easy and ubiquitous modes of transfer, the issue of source is becoming less central, to the point that it is often not contested. There is now a shift from the question "whose DNA is this?" to the question "how did it get there?" As a consequence, recipients of expert information are now very much in need of assistance with the evaluation of the meaning and probative strength of DNA profiling results when the competing propositions of interest refer to different activities. This need is widely demonstrated in day-to-day forensic practice and is also voiced in specialized literature. Yet many forensic scientists remain reluctant to assess their results given propositions that relate to different activities. Some scientists consider evaluations beyond the issue of source as being overly speculative, because of the lack of relevant data and knowledge regarding phenomena and mechanisms of transfer, persistence and background of DNA. Similarly, encouragements to deal with these activity issues, expressed in a recently released European guideline on evaluative reporting (Willis et al., 2015), which highlights the need for rethinking current practice, are sometimes viewed skeptically or are not considered feasible. In this discussion paper, we select and discuss recurrent skeptical

  17. Evaluation of Forensic DNA Traces When Propositions of Interest Relate to Activities: Analysis and Discussion of Recurrent Concerns

    PubMed Central

    Biedermann, Alex; Champod, Christophe; Jackson, Graham; Gill, Peter; Taylor, Duncan; Butler, John; Morling, Niels; Hicks, Tacha; Vuille, Joelle; Taroni, Franco

    2016-01-01

    When forensic scientists evaluate and report on the probative strength of single DNA traces, they commonly rely on only one number, expressing the rarity of the DNA profile in the population of interest. This is so because the focus is on propositions regarding the source of the recovered trace material, such as “the person of interest is the source of the crime stain.” In particular, when the alternative proposition is “an unknown person is the source of the crime stain,” one is directed to think about the rarity of the profile. However, in the era of DNA profiling technology capable of producing results from small quantities of trace material (i.e., non-visible staining) that is subject to easy and ubiquitous modes of transfer, the issue of source is becoming less central, to the point that it is often not contested. There is now a shift from the question “whose DNA is this?” to the question “how did it get there?” As a consequence, recipients of expert information are now very much in need of assistance with the evaluation of the meaning and probative strength of DNA profiling results when the competing propositions of interest refer to different activities. This need is widely demonstrated in day-to-day forensic practice and is also voiced in specialized literature. Yet many forensic scientists remain reluctant to assess their results given propositions that relate to different activities. Some scientists consider evaluations beyond the issue of source as being overly speculative, because of the lack of relevant data and knowledge regarding phenomena and mechanisms of transfer, persistence and background of DNA. Similarly, encouragements to deal with these activity issues, expressed in a recently released European guideline on evaluative reporting (Willis et al., 2015), which highlights the need for rethinking current practice, are sometimes viewed skeptically or are not considered feasible. In this discussion paper, we select and discuss

  18. Anti-dieting advice from teammates: a pilot study of the experience of female collegiate cross country runners.

    PubMed

    Kroshus, Emily; Kubzansky, Laura; Goldman, Roberta; Austin, S Bryn

    2015-01-01

    Disordered eating behaviors and restrictive dieting can have negative health consequences for female athletes. Teammates can play an important role in primary and secondary prevention of these unhealthy eating practices through verbal and non-verbal communication about what behaviors are normative and desirable. The present study tested two tested hypotheses related to the way anti-dieting advice from teammates is distributed: (a) that there are significant between-team differences in the level of anti-dieting advice received, and (b) that the frequency of anti-dieting advice from teammates is positively associated with the severity of an individual's eating disorder symptomatology and negatively associated with their body mass index (BMI). Participants were female members (n = 89) of six U.S. National Collegiate Athletic Association Division I women's cross country teams. Findings revealed significant between-team differences in the frequency of anti-dieting advice, controlling for team levels of disordered eating. Eating pathology and BMI were positively associated with anti-dieting advice received. Implications for the design of interventions to encourage effective within-team communication for promoting teammate health are discussed.

  19. Advice-Implicative Interrogatives: Building "Client-Centered" Support in a Children's Helpline

    ERIC Educational Resources Information Center

    Butler, Carly W.; Potter, Jonathan; Danby, Susan; Emmison, Michael; Hepburn, Alexa

    2010-01-01

    Interactional research on advice giving has described advice as normative and asymmetric. In this paper we examine how these dimensions of advice are softened by counselors on a helpline for children and young people through the use of questions. Through what we term "advice-implicative interrogatives," counselors ask clients about the…

  20. Defending Academic Freedom: Advice for Teachers

    ERIC Educational Resources Information Center

    Simpson, Michael D.

    2010-01-01

    Social studies and history teachers should be free to expose students to controversial ideas and to teach critical thinking skills. But are they free? Do they have the constitutional right--call it academic freedom--to teach what they want and to discuss controversial issues in the classroom? The short answer is "no." In this article,…

  1. Judging Big Deals: Challenges, Outcomes, and Advice

    ERIC Educational Resources Information Center

    Glasser, Sarah

    2013-01-01

    This article reports the results of an analysis of five Big Deal electronic journal packages to which Hofstra University's Axinn Library subscribes. COUNTER usage reports were used to judge the value of each Big Deal. Limitations of usage statistics are also discussed. In the end, the author concludes that four of the five Big Deals are good deals…

  2. Asperger Syndrome: Advice for School Personnel.

    ERIC Educational Resources Information Center

    Lamarine, Roland J.

    2001-01-01

    This guide to Asperger syndrome first reviews clinical features (such as social isolation and a lack of empathy) and diagnosis. It then considers epidemiology and prevalence data and offers a case study. Principles of management and education are discussed, including use of structured, routine regimens, focus on the child's strengths, guided…

  3. Research and Discussion Note; What's in a Name? Consistency! Or, Advice to Authors from a Bibliographer.

    ERIC Educational Resources Information Center

    Jordan, R. R.

    1997-01-01

    Summarizes problems encountered by bibliography compilers. These include authors not using their forenames or initials with consistency and dropping one initial as they advance in their writing careers. (One reference) (CK)

  4. Red meats: time for a paradigm shift in dietary advice.

    PubMed

    Binnie, Mary Ann; Barlow, Karine; Johnson, Valerie; Harrison, Carol

    2014-11-01

    Recent evidence suggests dietary advice to limit red meat is unnecessarily restrictive and may have unintended health consequences. As nutrient-rich high quality protein foods, red meats can play an important role in helping people meet their essential nutrient needs. Yet dietary advice to limit red meat remains standard in many developed countries, even though red meat intakes appear to be within current guidelines. Meanwhile, energy intakes from processed foods have increased dramatically at the expense of nutrient-rich foods, such as red meat. Research suggests these food trends are associated with the growing burden of obesity and associated diseases in recent decades. It is time for dietary advice that emphasizes the value of unprocessed red meat as part of a healthy balanced diet.

  5. Avoiding Bad Advice from Your Colleagues

    ERIC Educational Resources Information Center

    Perlmutter, David D.

    2013-01-01

    An assistant professor in the social sciences at a regional state university considers herself open to criticism. She listens to suggestions from student evaluations and from senior faculty members. But she was puzzled about how to react to two contradictory critiques of her publication plans. One quality educators must cultivate is to know when…

  6. Unexpected Advice for Beginning Graduate Students in Astrophysics

    NASA Astrophysics Data System (ADS)

    Linsky, Jeffrey L.

    2012-08-01

    My experience is that beginning graduate students in astrophysics have unrealistic views of how to negotiate the complexities of graduate school and to prepare themselves for a professional career in astrophysics or some other field. This chapter describes my unexpected advice to students beginning with why they should not plan to write a thesis. Other advice concerns how to find and work with a research supervisor, writing and other skills needed for their research, and the need to be creative and when necessary controversial.

  7. Effectiveness of regular reporting of spirometric results combined with a smoking cessation advice by a primary care physician on smoking quit rate in adult smokers: a randomized controlled trial. ESPIROTAB study

    PubMed Central

    2011-01-01

    Background Undiagnosed airflow limitation is common in the general population and is associated with impaired health and functional status. Smoking is the most important risk factor for this condition. Although primary care practitioners see most adult smokers, few currently have spirometers or regularly order spirometry tests in these patients. Brief medical advice has shown to be effective in modifying smoking habits in a large number of smokers but only a small proportion remain abstinent after one year. The aim of this study is to evaluate the effectiveness of regular reporting of spirometric results combined with a smoking cessation advice by a primary care physician on smoking quit rate in adult smokers. Methods/design Intervention study with a randomized two arms in 5 primary care centres. A total of 485 smokers over the age of 18 years consulting their primary care physician will be recruited. On the selection visit all participants will undergo a spirometry, peak expiratory flow rate, test of smoking dependence, test of motivation for giving up smoking and a questionnaire on socio-demographic data. Thereafter an appointment will be made to give the participants brief structured advice to give up smoking combined with a detailed discussion on the results of the spirometry. After this, the patients will be randomised and given appointment for follow up visits at 3, 6, 12 and 24 months. Both arms will receive brief structured advice and a detailed discussion of the spirometry results at visit 0. The control group will only be given brief structured advice about giving up smoking on the follow up. Cessation of smoking will be tested with the carbon monoxide test. Discussion Early identification of functional pulmonary abnormalities in asymptomatic patients or in those with little respiratory symptomatology may provide "ideal educational opportunities". These opportunities may increase the success of efforts to give up smoking and may improve the opportunities

  8. Low-income parents' perceptions of pediatrician advice on early childhood education.

    PubMed

    Brown, Courtney M; Girio-Herrera, Erin L; Sherman, Susan N; Kahn, Robert S; Copeland, Kristen A

    2013-02-01

    The American Academy of Pediatrics recommends that pediatricians promote early childhood education (ECE). However, pediatricians have met resistance from low-income parents when providing anticipatory guidance on some topics outside the realm of physical health. Parents' views on discussing ECE with the pediatrician have not been studied. We sought to understand low-income parents' experiences and attitudes with regard to discussing ECE with the pediatrician and to identify opportunities for pediatrician input. We conducted 27 in-depth, semi-structured, qualitative interviews with parents of 3- and 4-year-old patients (100% Medicaid, 78% African American) at an urban primary care center. Interviews were audio-recorded, transcribed verbatim, and reviewed for themes by a multidisciplinary team. Most low-income parents in our study reported they primarily sought ECE advice from family and friends but were open to talking about ECE with the pediatrician. They considered their children's individual behavior and development to be important factors in ECE decisions and appreciated pediatricians' advice about developmental readiness for ECE. Participants' decisions about ECE were often driven by fears that their children would be abused or neglected. Many viewed 3 years as the age at which children had sufficient language skills to report mistreatment and could be safely enrolled in ECE. Participants were generally accepting of discussions about ECE during well child visits. There may be opportunity for the pediatrician to frame ECE discussions in the context of development, behavior, and safety and to promote high-quality ECE at an earlier age.

  9. The percentage of DHA in erythrocytes can detect non-adherence to advice to increase EPA and DHA intakes.

    PubMed

    Patterson, Ashley C; Metherel, Adam H; Hanning, Rhona M; Stark, Ken D

    2014-01-28

    Characterisation of long-term adherence to EPA and DHA intakes through biomarkers and dietary assessments has implications for interpreting the findings of long-term intervention studies. Adherence to dietary advice targeting an EPA+DHA intake of 1 g/d was examined over 1 year. Men and women (n 45) received dietary advice to increase EPA and DHA intakes from seafood, nutraceutical (fish oil) or functional food sources, while a fourth group received combined advice. Blood biomarkers and dietary intakes of EPA and DHA were evaluated at baseline and post-intervention at weeks 4, 8, 12, 24 and 52. Assessment by 3 d diet records indicated that EPA+DHA intakes increased relative to baseline in weeks 4-52 following the seafood, nutraceutical and combined advice (advice group × time effect, P= 0·03). The percentage of DHA in plasma and whole blood and the percentage of EPA in erythrocytes, plasma and whole blood were higher in weeks 4-52 when compared with the corresponding baseline measurement. In contrast, the percentage of DHA in erythrocytes increased to a maximum at week 12 and returned to baseline levels in weeks 24 and 52 (time effect, P< 0·01). Measurement of the percentage of DHA in erythrocytes indicates that adherence was sustained during the first 12 weeks following the dietary advice, while other blood measurements of the percentage of EPA and DHA and dietary assessment suggest short-term increases in EPA+DHA intakes immediately before weeks 24 and 52. The percentage of DHA in erythrocytes characterises adherence to EPA and DHA intakes in long-term interventions.

  10. 4 CFR 28.8 - Informal procedural advice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Informal procedural advice. 28.8 Section 28.8 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY...

  11. 75 FR 9360 - Investment Advice-Participants and Beneficiaries

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ... provides that ``the fees or other compensation (including salary, bonuses, awards, promotions or any other... in ways that the Department believes may beneficially influence the market for investment advice..., the environment, public health or safety, or State, local or tribal governments or communities...

  12. Time Advice and Learning Questions in Computer Simulations

    ERIC Educational Resources Information Center

    Rey, Gunter Daniel

    2011-01-01

    Students (N = 101) used an introductory text and a computer simulation to learn fundamental concepts about statistical analyses (e.g., analysis of variance, regression analysis and General Linear Model). Each learner was randomly assigned to one cell of a 2 (with or without time advice) x 3 (with learning questions and corrective feedback, with…

  13. 76 FR 66135 - Investment Advice-Participants and Beneficiaries

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-25

    ...This document contains a final rule under the Employee Retirement Income Security Act, and parallel provisions of the Internal Revenue Code of 1986, relating to the provision of investment advice to participants and beneficiaries in individual account plans, such as 401(k) plans, and beneficiaries of individual retirement accounts (and certain similar plans). The final rule affects sponsors,......

  14. A Ministry Quilt: Advice for New Church Educators

    ERIC Educational Resources Information Center

    Olson, Diane C.

    2007-01-01

    In this article, the author, a Minister of Education and Discipleship at Fridley United Methodist Church in Minnesota, describes a quilt hanging on the wall of her home and draws on it as an analogy to her ministry. Her reflection takes the form of advice for new directors of education in local churches, and she concludes by urging readers to…

  15. From Reading to Writing: American Domestic Advice Scrapbooks.

    ERIC Educational Resources Information Center

    Capezzi, Rita A.

    In the United States of the 19th century, domesticity was the dominant mode by means of which women were urged to think of their experience. Accordingly, domestic advice scrapbooks were favored by many women of the period--scrapbooks which were composed from handwritten fragments and scraps of newspapers and magazines clipped for personal but…

  16. Marriage Advice for Parents of Children With Special Needs

    MedlinePlus

    ... Lessons? Visit KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development (Birth to 3 Years) Feeding Your 1- to 3-Month-Old Feeding Your 4- to 7-Month-Old Feeding Your 8- to 12-Month-Old Feeding Your 1- to 2-Year-Old ... KidsHealth > For Parents > Marriage Advice ...

  17. Lo Que Aprendimos: Advice for the Next Generation of Parents

    ERIC Educational Resources Information Center

    Jimenez-Silva, Margarita

    2009-01-01

    This essay identifies several themes presented by my parents, Abel and Juanita Jimenez. They are parents of five children who successfully navigated through the K-12 system and earned university degrees. They were interviewed over several evenings and asked what advice they would provide to the next generation of Latino parents. My parents…

  18. The Public Services Job Hunt: Observations and Advice

    ERIC Educational Resources Information Center

    Saunders, Laura

    2014-01-01

    The library science job market is competitive, and library and information science (LIS) students and new graduates often have questions and concerns about how to engage in a successful job hunt. Based on research with employers and interactions with students and alumni, the author offers advice for job-seekers looking for public services…

  19. Library Students Are "Breaking Good" with Saul Goodman's Advice

    ERIC Educational Resources Information Center

    Turkewitz, Deborah

    2014-01-01

    Graduate students are taking big steps and stretching themselves, whether returning to school midpoint in their lives, taking classes on unfamiliar topics, or starting internships and trying to put theory into practice. Who better to offer advice to these graduate students than America's favorite hilarious, morally ambiguous, ambulance-chasing,…

  20. The Influence of Parental Advice Giving on Children's Friendship.

    ERIC Educational Resources Information Center

    Flyr, Mary L.; And Others

    This study examined how parental advice-giving directly and indirectly influences children's quality of friendship with peers. Participating were 66 third graders, their classroom teachers, 66 mothers and 57 fathers, and 66 friends. All but one dyad of the target children and friend were the same gender. Teachers rated target children on peer…

  1. Emerging Discourses within the English "Choice Advice" Policy Network

    ERIC Educational Resources Information Center

    Exley, Sonia

    2009-01-01

    This paper examines regulating discourses "spoken" within the complex multi-sector network of educational policy and provision that has grown from a recent introduction of choice advisers in England. Choice advice documentation from across the network is examined and four discursive themes are identified: equity; parental responsibility;…

  2. Sense about Sex: Media, Sex Advice, Education and Learning

    ERIC Educational Resources Information Center

    Attwood, Feona; Barker, Meg John; Boynton, Petra; Hancock, Justin

    2015-01-01

    The media are widely acknowledged as important in sex and relationship education, but they are usually associated with "bad" effects on young people in contrast to the "good" knowledge represented by more informational and educational formats. In this paper we look at sex advice giving in newspapers, magazines and television in…

  3. 18 CFR 388.104 - Informal advice from Commission staff.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Commission staff. 388.104 Section 388.104 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY PROCEDURAL RULES INFORMATION AND REQUESTS § 388.104 Informal advice from... public and facilitate the accomplishment of the Commission's functions. Inquiries may be directed to...

  4. 18 CFR 388.104 - Informal advice from Commission staff.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Commission staff. 388.104 Section 388.104 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY PROCEDURAL RULES INFORMATION AND REQUESTS § 388.104 Informal advice from... public and facilitate the accomplishment of the Commission's functions. Inquiries may be directed to...

  5. Do Students Listen to Advice from Their Experienced Peers?

    ERIC Educational Resources Information Center

    Finck, Joseph E.; DeLine, Amy D.

    2008-01-01

    Smith and Peterson (2007) recognize the impact between students seeking out advice and that student's academic performance. And Sallee and Tierney (2007) considered the ways in which students' peer networks facilitate or inhibit access to academic resources. In this paper the authors look at the students who receive suggestions from the previous…

  6. Advice and Feedback: Elements of Practice for Problem Solving.

    ERIC Educational Resources Information Center

    Phye, Gary D.; Sanders, Cheryl E.

    1994-01-01

    The roles of advice and feedback in the facilitation of online processing during acquisition and subsequent impact on memory-based processing during a delayed problem-solving task were studied in 2 experiments with 123 college students. Results indicate that corrective feedback improves online processing during training. (SLD)

  7. Professional Development Advice from Past Presidents of ACPA and NASPA.

    ERIC Educational Resources Information Center

    Cooper, Diane L.; Miller, Theodore K.; Saunders, Sue A.; Chernow, Erin; Kulic, Kevin

    1999-01-01

    Surveys past presidents of ACPA and NASPA (N=25) regarding their advice for individuals beginning their first entry-level position and for seasoned professionals planning to move into Chief Student Affairs Officers (CSAO) positions. Several of the themes that emerged included: pursue opportunities for professional development, develop strong…

  8. 77 FR 46766 - Public Meeting To Discuss Revision of “Criteria for Preparation and Evaluation of Radiological...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-06

    ... Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear... members of the public on the scope of a proposed revision of ``Criteria for Preparation and Evaluation of... Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of...

  9. Developing and Implementing Culturally Competent Evaluation: A Discussion of Multicultural Validity in Two HIV Prevention Programs for Latinos

    ERIC Educational Resources Information Center

    Conner, Ross F.

    2004-01-01

    The evaluation field in the United States has seen an increase in evaluations with and of diverse cultural populations, including racial or ethnic populations as well as those cultures and subcultures with special interests, concerns, or needs, such as the youth and gay and lesbian communities. These evaluations have occurred as the populations…

  10. Infant botulism: advice on avoiding feeding honey to babies and other possible risk factors.

    PubMed

    Grant, Kathie A; McLauchlin, Jim; Amar, Corinne

    2013-07-01

    Botulism is a rare, but extremely serious, disease and Public Health England is responsible for its diagnosis and surveillance in the UK. Over the past five years (2008-2013), the most common form of the disease recognised in the UK has been infant botulism. The aim of this article is to raise awareness of infant botulism and highlight advice for parents and carers of infants that honey should not be fed to infants under 12 months old. Other possible risk factors for infant botulism are also discussed in this article, including household pet reptiles and herbal teas.

  11. A Discussion.

    ERIC Educational Resources Information Center

    Interchange on Education, 1984

    1984-01-01

    A panel discusses the importance of mission-oriented research in a university relative to that of curiosity-based research. Discussants include Wes Cragg, John Leyerle, Gordon Slemon, David Olson, Jack Stevenson, and Bob Czerny. (CJB)

  12. A phenomenologic investigation of pediatric residents' experiences being parented and giving parenting advice.

    PubMed

    Bax, A C; Shawler, P M; Blackmon, D L; DeGrace, E W; Wolraich, M L

    2016-09-01

    Factors surrounding pediatricians' parenting advice and training on parenting during residency have not been well studied. The primary purpose of this study was to examine pediatric residents' self-reported experiences giving parenting advice and explore the relationship between parenting advice given and types of parenting residents received as children. Thirteen OUHSC pediatric residents were individually interviewed to examine experiences being parented and giving parenting advice. Phenomenological methods were used to explicate themes and secondary analyses explored relationships of findings based upon Baumrind's parenting styles (authoritative, authoritarian, permissive). While childhood experiences were not specifically correlated to the parenting advice style of pediatric residents interviewed, virtually all reported relying upon childhood experiences to generate their advice. Those describing authoritative parents reported giving more authoritative advice while others reported more variable advice. Core interview themes related to residents' parenting advice included anxiety about not being a parent, varying advice based on families' needs, and emphasis of positive interactions and consistency. Themes related to how residents were parented included discipline being a learning process for their parents and recalling that their parents always had expectations, yet always loved them. Pediatric residents interviewed reported giving family centered parenting advice with elements of positive interactions and consistency, but interviews highlighted many areas of apprehension residents have around giving parenting advice. Our study suggests that pediatric residents may benefit from more general educational opportunities to develop the content of their parenting advice, including reflecting on any impact from their own upbringing.

  13. Compliance With Referral Advice After Treatment With Prereferral Rectal Artesunate: A Study in 3 Sub-Saharan African Countries

    PubMed Central

    Siribié, Mohamadou; Ajayi, IkeOluwapo O.; Nsungwa-Sabiiti, Jesca; Sanou, Armande K.; Jegede, Ayodele S.; Afonne, Chinenye; Falade, Catherine O.; Gomes, Melba

    2016-01-01

    Background. Children aged <5 years were enrolled in a large study in 3 countries of sub-Saharan Africa because they had danger signs preventing them from being able to take oral medications. We examined compliance and factors associated with compliance with referral advice for those who were treated with rectal artesunate. Methods. Patient demographic data, speed of accessing treatment after danger signs were recognized, clinical symptoms, malaria microscopy, treatment-seeking behavior, and compliance with referral advice were obtained from case record forms of 179 children treated with prereferral rectal artesunate in a multicountry study. We held focus group discussions and key informant interviews with parents, community health workers (CHWs), and facility staff to understand the factors that deterred or facilitated compliance with referral advice. Results. There was a very high level of compliance (90%) among patients treated with prereferral rectal artesunate. Age, symptoms at baseline (prostration, impaired consciousness, convulsions, coma), and malaria status were not related to referral compliance in the analysis. Conclusions. Teaching CHWs to diagnose and treat young children with prereferral rectal artesunate is feasible in remote communities of Africa, and high compliance with referral advice can be achieved. PMID:27941106

  14. One algorithm to rule them all? An evaluation and discussion of ten eye movement event-detection algorithms.

    PubMed

    Andersson, Richard; Larsson, Linnea; Holmqvist, Kenneth; Stridh, Martin; Nyström, Marcus

    2016-05-18

    Almost all eye-movement researchers use algorithms to parse raw data and detect distinct types of eye movement events, such as fixations, saccades, and pursuit, and then base their results on these. Surprisingly, these algorithms are rarely evaluated. We evaluated the classifications of ten eye-movement event detection algorithms, on data from an SMI HiSpeed 1250 system, and compared them to manual ratings of two human experts. The evaluation focused on fixations, saccades, and post-saccadic oscillations. The evaluation used both event duration parameters, and sample-by-sample comparisons to rank the algorithms. The resulting event durations varied substantially as a function of what algorithm was used. This evaluation differed from previous evaluations by considering a relatively large set of algorithms, multiple events, and data from both static and dynamic stimuli. The main conclusion is that current detectors of only fixations and saccades work reasonably well for static stimuli, but barely better than chance for dynamic stimuli. Differing results across evaluation methods make it difficult to select one winner for fixation detection. For saccade detection, however, the algorithm by Larsson, Nyström and Stridh (IEEE Transaction on Biomedical Engineering, 60(9):2484-2493,2013) outperforms all algorithms in data from both static and dynamic stimuli. The data also show how improperly selected algorithms applied to dynamic data misestimate fixation and saccade properties.

  15. Nutrition and the brain: what advice should we give?

    PubMed

    Cooper, James K

    2014-09-01

    The knowledge base of nutrition and the brain is steadily expanding. Much of the research is aimed at ways to protect the brain from damage. In adults, the major causes of brain damage are aging and dementia. The most prominent dementia, and the condition that grabs the most public attention, is Alzheimer's disease. The assumption in the field is that possibly some change in nutrition could protect the brain and prevent, delay, or minimize Alzheimer's disease damage. Presented here is a framework for understanding the implications of this research. There is a gap between publishing research results and change in public nutrition behavior. Several influencing elements intervene. These include regulatory agencies and all the organizations and people who advise the public, all with their own perspectives. In considering what advice to give, advisors may consider effectiveness, research model, persuasiveness, and risks, among other factors. Advice about nutrition and Alzheimer's disease today requires several caveats.

  16. Do British travel agents provide adequate health advice for travellers?

    PubMed Central

    Lawlor, D A; Burke, J; Bouskill, E; Conn, G; Edwards, P; Gillespie, D

    2000-01-01

    Travel-related illness is a burden for primary care, with more than two million travellers consulting a general practitioner each year. The annual cost of travel-related illness in the United Kingdom is 11 million Pounds. Travel agents are in a unique position to influence this burden as the most common and most serious problems are preventable with simple advice and/or immunisation. This study, using covert researchers, suggests this potential is not being fully utilised. PMID:10954940

  17. Teaching Integrative Physiology Using the Quantitative Circulatory Physiology Model and Case Discussion Method: Evaluation of the Learning Experience

    ERIC Educational Resources Information Center

    Rodriguez-Barbero, A.; Lopez-Novoa, J. M.

    2008-01-01

    One of the problems that we have found when teaching human physiology in a Spanish medical school is that the degree of understanding by the students of the integration between organs and systems is rather poor. We attempted to remedy this problem by using a case discussion method together with the Quantitative Circulatory Physiology (QCP)…

  18. 29 CFR 2550.408g-2 - Investment advice-fiduciary election.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... shall be the sole fiduciary adviser treated as a fiduciary by reason of developing or marketing the computer model, or marketing the investment advice program, used in an eligible investment advice... (E), (B) Develops the computer model, or markets the computer model or investment advice...

  19. 19 CFR 177.11 - Requests for advice by field offices.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Requests for advice by field offices. 177.11... advice by field offices. (a) Generally. Advice or guidance as to the interpretation or proper application... Customs Service field offices from the Headquarters Office at any time, whether the transaction...

  20. 19 CFR 177.11 - Requests for advice by field offices.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 2 2013-04-01 2013-04-01 false Requests for advice by field offices. 177.11... advice by field offices. (a) Generally. Advice or guidance as to the interpretation or proper application... Customs Service field offices from the Headquarters Office at any time, whether the transaction...

  1. 19 CFR 177.11 - Requests for advice by field offices.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Requests for advice by field offices. 177.11... advice by field offices. (a) Generally. Advice or guidance as to the interpretation or proper application... Customs Service field offices from the Headquarters Office at any time, whether the transaction...

  2. 19 CFR 177.11 - Requests for advice by field offices.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 2 2012-04-01 2012-04-01 false Requests for advice by field offices. 177.11... advice by field offices. (a) Generally. Advice or guidance as to the interpretation or proper application... Customs Service field offices from the Headquarters Office at any time, whether the transaction...

  3. 19 CFR 177.11 - Requests for advice by field offices.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 2 2014-04-01 2014-04-01 false Requests for advice by field offices. 177.11... advice by field offices. (a) Generally. Advice or guidance as to the interpretation or proper application... Customs Service field offices from the Headquarters Office at any time, whether the transaction...

  4. Behavior Modification of Studying Through Study Skills Advice and Self-Control Procedures

    ERIC Educational Resources Information Center

    Richards, C. Steven

    1975-01-01

    Investigates the efficacy of two behavioral self-control procedures as additions to the typical treatment for college students' study behavior--study skills advice. Predicted self-monitoring would be an effective treatment addition to study skills advice and study skills advice would be superior to the control groups. Results supported…

  5. Strengthening Discussions

    ERIC Educational Resources Information Center

    Hintz, Allison B.

    2013-01-01

    "Strategy sharing" is a certain type of discussion that centers on students' ideas and occurs when children present different approaches to problems and provide information about how they solved the problem (Wood, Williams, and McNeal 2004). A teacher may orchestrate a strategy-sharing discussion to achieve one or more of the…

  6. Reframing Discussions

    ERIC Educational Resources Information Center

    Sherry, Michael B.

    2010-01-01

    Recitations and discussions are two types of interactions which have long been of interest to researchers who study classroom discourse in secondary English and Social Studies. According to research, teachers control the discourse during recitations through "inauthentic" questions requiring pre-specified answers. In contrast, discussions involve…

  7. Strengthening Pennsylvania's Charter School Reform: Findings From the Statewide Evaluation and Discussion of Relevant Policy Issues. Year Five Report.

    ERIC Educational Resources Information Center

    Miron, Gary; Nelson, Christopher; Risley, John

    In 2001, the Pennsylvania Department of Education contracted with Western Michigan University to evaluate Pennsylvania's charter schools and charter school initiative over two years. The study used site visits, work sample review, document review, focus groups, portfolios and surveys to gather data regarding the movement's effectiveness, progress,…

  8. Performance evaluation of the technical capabilities of DOE sites for disposal of mixed low-level waste. Volume 2: Technical basis and discussion of results

    SciTech Connect

    Waters, R.D.; Gruebel, M.M.; Hospelhorn, M.B.

    1996-03-01

    A team of analysts designed and conducted a performance evaluation to estimate the technical capabilities of fifteen Department of Energy sites for disposal of mixed low-level waste (i.e., waste that contains both low-level radioactive materials and hazardous constituents). Volume 1 summarizes the process for selecting the fifteen sites, the methodology used in the evaluation, and the conclusions derived from the evaluation. Volume 2 first describes the screening process used to determine the sites to be considered in the PEs. This volume then provides the technical details of the methodology for conducting the performance evaluations. It also provides a comparison and analysis of the overall results for all sites that were evaluated. Volume 3 contains detailed evaluations of the fifteen sites and discussions of the results for each site.

  9. Influence of Antiflatulent Dietary Advice on Intrafraction Motion for Prostate Cancer Radiotherapy

    SciTech Connect

    Lips, Irene M.; Kotte, Alexis N.T.J.; Gils, Carla H. van; Leerdam, Monique E. van; Heide, Uulke A. van der; Vulpen, Marco van

    2011-11-15

    Purpose: To evaluate the effect of an antiflatulent dietary advice on the intrafraction prostate motion in patients treated with intensity-modulated radiotherapy (IMRT) for prostate cancer. Methods and Materials: Between February 2002 and December 2009, 977 patients received five-beam IMRT for prostate cancer to a dose of 76 Gy in 35 fractions combined with fiducial markers for position verification. In July 2008, the diet, consisting of dietary guidelines to obtain regular bowel movements and to reduce intestinal gas by avoiding certain foods and air swallowing, was introduced to reduce the prostate motion. The intrafraction prostate movement was determined from the portal images of the first segment of all five beams. Clinically relevant intrafraction motion was defined as {>=}50% of the fractions with an intrafraction motion outside a range of 3 mm. Results: A total of 739 patients were treated without the diet and 105 patients were treated with radiotherapy after introduction of the diet. The median and interquartile range of the average intrafraction motion per patient was 2.53 mm (interquartile range, 2.2-3.0) without the diet and 3.00 mm (interquartile range, 2.4-3.5) with the diet (p < .0001). The percentage of patients with clinically relevant intrafraction motion increased statistically significant from 19.1% without diet to 42.9% with a diet (odds ratio, 3.18; 95% confidence interval, 2.07-4.88; p < .0001). Conclusions: The results of the present study suggest that antiflatulent dietary advice for patients undergoing IMRT for prostate cancer does not reduce the intrafraction movement of the prostate. Therefore, antiflatulent dietary advice is not recommended in clinical practice for this purpose.

  10. Sexuality advice on the radio: an overview in the United States and around the world.

    PubMed

    Kuriansky, J

    1996-01-01

    It is posited that the radio is a useful vehicle for communicating information and responsible advice on sexuality issues. Radio call-in shows can be highly effective, particularly in situations of stress, dysfunction, and dissatisfaction for all age groups. More evaluation research is needed on techniques and long-term results and on measurement of impact and efficacy. The goal of radio call-in shows offering advice on sexuality issues is to answer callers' questions about love, sexuality, and relationships. The information and advice help callers clarify their values, attitudes, and behavior and to develop self-esteem and skills in decision making, interpersonal relationships, and communication. The radio call-in format offers anonymity for communicating fearful, embarrassing, or shameful emotional experiences. The author of this article, who hosts a nationally syndicated show in the US, encourages respect, responsibility, and the right to say yes or no. A sample of callers revealed that popular topics were sexual behavior, dating problems, and rejection. A questionnaire survey revealed that 25% of callers' concerns were about sexual and emotional conflicts. Almost 20% were psychological questions. Almost 10% were about masturbation. Older people were concerned about sex drive, while younger people were more concerned about saying no to sexual relations. Sometimes an initial question will uncover a deeper problem such as depression or abuse. It is important that radio advisers have professional credentials, including degrees, licenses, and experience in the mental and sexual health fields. The author recommends that the adviser have an in-depth understanding of psychological dynamics in order to deal with the complicated issues behind even straightforward or simple questions. Follow-up services after the show should be available through the development of an extensive network of organizations and professionals.

  11. Smartphone Mobile Application Delivering Personalized, Real-Time Sun Protection Advice: A Randomized Clinical Trial

    PubMed Central

    Buller, David B.; Berwick, Marianne; Lantz, Kathy; Buller, Mary Klein; Shane, James; Kane, Ilima; Liu, Xia

    2014-01-01

    Importance Mobile smart phones are rapidly emerging as an effective means of communicating with many Americans. Using mobile applications, they can access remote databases, track time and location, and integrate user input to provide tailored health information. Objective A smart phone mobile application providing personalized, real-time sun protection advice was evaluated in a randomized trial. Design The trial was conducted in 2012 and had a randomized pretest-posttest controlled design with a 10-week follow-up. Setting Data was collected from a nationwide population-based survey panel. Participants The trial enrolled a sample of n=604 non-Hispanic and Hispanic adults from the Knowledge Panel® aged 18 or older who owned an Android smart phone. Intervention The mobile application provided advice on sun protection (i.e., protection practices and risk of sunburn) and alerts (to apply/reapply sunscreen and get out of the sun), hourly UV Index, and vitamin D production based on the forecast UV Index, phone's time and location, and user input. Main Outcomes and Measures Percent of days using sun protection and time spent outdoors (days and minutes) in the midday sun and number of sunburns in the past 3 months were collected. Results Individuals in the treatment group reported more shade use but less sunscreen use than controls. Those who used the mobile app reported spending less time in the sun and using all protection behaviors combined more. Conclusions and Relevance The mobile application improved some sun protection. Use of the mobile application was lower than expected but associated with increased sun protection. Providing personalized advice when and where people are in the sun may help reduce sun exposure. PMID:25629710

  12. [ICF and social medicine evaluation of capability of gainful activity: is everything clear?--a discussion article].

    PubMed

    Körner, M

    2005-08-01

    The ICF (International Classification of Functioning, Disability and Health) calls attention to the complexities associated with disturbances of health. The question raised is how the various constituents and the resulting network as defined by this Classification can gain importance for medical expertise under the statutory pension insurance scheme concerning work-related capacity. Possible variations of strategy are discussed: clinical intuition, algorithmic pathways, proved medical diagnostics, particular diagnostics of activity according to ICF. A genuine "silver bullet" is not in evidence thus far. It cannot be expected that diagnostics relating to a certain sector of the ICF will basically eclipse the rest. Future standards of medical expertise should specify as clearly as possible the impact of the diverse diagnostic findings on the assessment of work-related capacity. Framing emphasis in this way cannot be performed by the ICF on its own.

  13. Two thousand years of medical advice on breastfeeding: comparison of Chinese and western texts.

    PubMed

    Gartner, L M; Stone, C

    1994-12-01

    This discussion introduces only a few aspects of the historical writings on breastfeeding in the two cultures. Chinese writings seem to be closer in orientation to modern worldwide medical advice, approaching breastfeeding from a more natural and supportive perspective. Ancient and not-so-ancient western medical advice on breastfeeding often implies the inadequacy of the mother to breastfeed her own infant, especially in the early weeks of life. One can only speculate as to what the historical basis for this may be. European medicine emphasizes the testing of milk for its adequacy. Again, the scientific basis for this is not evident. Modern clinical science finds that the milk of virtually all mothers, even those suffering from significant malnutrition, is adequate for the growth and development of the infant. This focus on the "testing" of milk may represent an early example of the reliance on laboratory diagnosis that has so heavily dominated western medicine in recent years. Finally, western medicine seems more managerial with regard to breastfeeding than Chinese medicine, and has perhaps "medicalized" breastfeeding, a compliant often voiced even now in late 20th century America. Nonetheless, both literatures demonstrate that throughout the history of recorded medicine, physicians have been concerned with promoting optimal breastfeeding and have understood the importance of human milk for the survival, growth, and development of the infant.

  14. Low-income parents’ perceptions of pediatrician advice on early childhood education

    PubMed Central

    Brown, Courtney M.; Girio-Herrera, Erin L.; Sherman, Susan N.; Kahn, Robert S.; Copeland, Kristen A.

    2013-01-01

    BACKGROUND The American Academy of Pediatrics recommends that pediatricians promote early childhood education (ECE). However, pediatricians have met resistance from low-income parents when providing anticipatory guidance on some topics outside the realm of physical health. Parents’ views on discussing ECE with the pediatrician have not been studied. OBJECTIVES We sought to understand low-income parents’ experiences and attitudes with regard to discussing early childhood education (ECE) with the pediatrician and to identify opportunities for pediatrician input. METHODS We conducted 27 in-depth, semi-structured, qualitative interviews with parents of 3- and 4-year-old patients (100% Medicaid, 78% African American) at an urban primary care center. Interviews were audio-recorded, transcribed verbatim, and reviewed for themes by a multidisciplinary team. RESULTS Most low-income parents in our study reported they primarily sought ECE advice from family and friends but were open to talking about ECE with the pediatrician. They considered their children’s individual behavior and development to be important factors in ECE decisions and appreciated pediatricians’ advice about developmental readiness for ECE. Participants’ decisions about ECE were often driven by fears that their children would be abused or neglected. Many viewed 3 years as the age at which children had sufficient language skills to report mistreatment and could be safely enrolled in ECE. CONCLUSIONS Participants were generally accepting of discussions about ECE during well child visits. There may be opportunity for the pediatrician to frame ECE discussions in the context of development, behavior, and safety and to promote high-quality ECE at an earlier age. PMID:23324946

  15. Risky Discussions

    ERIC Educational Resources Information Center

    Cook, Julian; Jacobs, Neil

    2006-01-01

    This article considers a hypothetical decision by a hypothetical learner about whether or not to participate in an online "discussion", viewed through the lens of risk analysis. It begins with the premise that participation online is desirable but that it involves the participant in risk, a fact that needs to be acknowledged and taken into account…

  16. Thriving in multidisciplinary research: advice for new bioinformatics students.

    PubMed

    Auerbach, Raymond K

    2012-09-01

    The sciences have seen a large increase in demand for students in bioinformatics and multidisciplinary fields in general. Many new educational programs have been created to satisfy this demand, but navigating these programs requires a non-traditional outlook and emphasizes working in teams of individuals with distinct yet complementary skill sets. Written from the perspective of a current bioinformatics student, this article seeks to offer advice to prospective and current students in bioinformatics regarding what to expect in their educational program, how multidisciplinary fields differ from more traditional paths, and decisions that they will face on the road to becoming successful, productive bioinformaticists.

  17. Development and initial validation of a questionnaire to measure hearing parents' perceptions of health care professionals' advice.

    PubMed

    Day, Lori A; Brice, Patrick

    2013-01-01

    This study reports the development of The Hearing Parents' Perceptions of Health Professionals' Advice Questionnaire (HPP/HPQ). This questionnaire was designed to investigate the impact of the advice and information that parents receive from health professionals during the time when their child's hearing loss is identified and how parents, in turn, make initial decisions about services and interventions for their deaf child. Once developed, the HPP/HPQ was partially validated on 2 separate samples. Analysis of data from both samples supported a 14-item questionnaire, with all items loading onto a single composite factor. The implications of how this tool can be used to both help improve health professionals' services and gain an understanding of how the relationship between hearing parents and health professionals might influence developmental outcomes in deaf children are discussed.

  18. Does a research group increase impact on the scientific community or general public discussion? Alternative metric-based evaluation

    PubMed Central

    De Gregori, Manuela; Scotti, Valeria; De Silvestri, Annalisa; Curti, Moreno; Fanelli, Guido; Allegri, Massimo; Schatman, Michael E

    2016-01-01

    In this study, we investigated the impact of scientific publications of the Italian SIMPAR (Study In Multidisciplinary PAin Research) group by using altmetrics, defined as nontraditional metrics constituting an alternative to more traditional citation-impact metrics, such as impact factor and H-index. By correlating traditional and alternative metrics, we attempted to verify whether publications by the SIMPAR group collectively had more impact than those performed by its individual members, either in solo publications or in publications coauthored by non-SIMPAR group investigators (which for the purpose of this study we will refer to as “individual publications”). For all the 12 members of the group analyzed (pain therapists, biologists, and pharmacologists), we created Open Researcher and Contributor ID and Impact Story accounts, and synchronized these data. Manually, we calculated the level metrics for each article by dividing the data obtained from the research community by those obtained from the public community. We analyzed 759 articles, 18 of which were published by the SIMPAR group. Altmetrics demonstrated that SIMPAR group publications were more likely to be saved (77.8% vs 45.9%), discussed (61.1% vs 1.1%, P<0.0001), and publicly viewed (11.1% vs 1.3%, P=0.05) than individual publications. These results support the importance of multidisciplinary research groups in the impact of scientific literature; the interaction and synergy among the research participants allowed the obtainment of high impact-literature in the field of personalized pain medicine. Finally, our findings demonstrate the potential of altmetrics in estimating the value of the research products of a group. PMID:27358575

  19. Does a research group increase impact on the scientific community or general public discussion? Alternative metric-based evaluation.

    PubMed

    De Gregori, Manuela; Scotti, Valeria; De Silvestri, Annalisa; Curti, Moreno; Fanelli, Guido; Allegri, Massimo; Schatman, Michael E

    2016-01-01

    In this study, we investigated the impact of scientific publications of the Italian SIMPAR (Study In Multidisciplinary PAin Research) group by using altmetrics, defined as nontraditional metrics constituting an alternative to more traditional citation-impact metrics, such as impact factor and H-index. By correlating traditional and alternative metrics, we attempted to verify whether publications by the SIMPAR group collectively had more impact than those performed by its individual members, either in solo publications or in publications coauthored by non-SIMPAR group investigators (which for the purpose of this study we will refer to as "individual publications"). For all the 12 members of the group analyzed (pain therapists, biologists, and pharmacologists), we created Open Researcher and Contributor ID and Impact Story accounts, and synchronized these data. Manually, we calculated the level metrics for each article by dividing the data obtained from the research community by those obtained from the public community. We analyzed 759 articles, 18 of which were published by the SIMPAR group. Altmetrics demonstrated that SIMPAR group publications were more likely to be saved (77.8% vs 45.9%), discussed (61.1% vs 1.1%, P<0.0001), and publicly viewed (11.1% vs 1.3%, P=0.05) than individual publications. These results support the importance of multidisciplinary research groups in the impact of scientific literature; the interaction and synergy among the research participants allowed the obtainment of high impact-literature in the field of personalized pain medicine. Finally, our findings demonstrate the potential of altmetrics in estimating the value of the research products of a group.

  20. A model for the multiplex dynamics of two-mode and one-mode networks, with an application to employment preference, friendship, and advice.

    PubMed

    Snijders, Tom A B; Lomi, Alessandro; Torló, Vanina Jasmine

    2013-05-01

    We propose a new stochastic actor-oriented model for the co-evolution of two-mode and one-mode networks. The model posits that activities of a set of actors, represented in the two-mode network, co-evolve with exchanges and interactions between the actors, as represented in the one-mode network. The model assumes that the actors, not the activities, have agency. The empirical value of the model is demonstrated by examining how employment preferences co-evolve with friendship and advice relations in a group of seventy-five MBA students. The analysis shows that activity in the two-mode network, as expressed by number of employment preferences, is related to activity in the friendship network, as expressed by outdegrees. Further, advice ties between students lead to agreement with respect to employment preferences. In addition, considering the multiplexity of advice and friendship ties yields a better understanding of the dynamics of the advice relation: tendencies to reciprocation and homophily in advice relations are mediated to an important extent by friendship relations. The discussion pays attention to the implications of this study in the broader context of current efforts to model the co-evolutionary dynamics of social networks and individual behavior.

  1. Adult Learning Strategies and Approaches (ALSA). Resources for Teachers of Adults. A Handbook of Practical Advice on Audio-Visual Aids and Educational Technology for Tutors and Organisers.

    ERIC Educational Resources Information Center

    Cummins, John; And Others

    This handbook is part of a British series of publications written for part-time tutors, volunteers, organizers, and trainers in the adult continuing education and training sectors. It offers practical advice on audiovisual aids and educational technology for tutors and organizers. The first chapter discusses how one learns. Chapter 2 addresses how…

  2. Consumers’ intention to use health recommendation systems to receive personalized nutrition advice

    PubMed Central

    2013-01-01

    Background Sophisticated recommendation systems are used more and more in the health sector to assist consumers in healthy decision making. In this study we investigate consumers' evaluation of hypothetical health recommendation systems that provide personalized nutrition advice. We examine consumers' intention to use such a health recommendation system as a function of options related to the underlying system (e.g. the type of company that generates the advice) as well as intermediaries (e.g. general practitioner) that might assist in using the system. We further explore if the effect of both the system and intermediaries on intention to use a health recommendation system are mediated by consumers' perceived effort, privacy risk, usefulness and enjoyment. Methods 204 respondents from a consumer panel in the Netherlands participated. The data were collected by means of a questionnaire. Each respondent evaluated three hypothetical health recommendation systems on validated multi-scale measures of effort, privacy risk, usefulness, enjoyment and intention to use the system. To test the hypothesized relationships we used regression analyses. Results We find evidence that the options related to the underlying system as well as the intermediaries involved influence consumers' intention to use such a health recommendation system and that these effects are mediated by perceptions of effort, privacy risk, usefulness and enjoyment. Also, we find that consumers value usefulness of a system more and enjoyment less when a general practitioner advices them to use a health recommendation system than if they use it out of their own curiosity. Conclusions We developed and tested a model of consumers' intention to use a health recommendation system. We found that intermediaries play an important role in how consumers evaluate such a system over and above options of the underlying system that is used to generate the recommendation. Also, health-related information services seem to

  3. The role of helplines in cancer care: intertwining emotional support with information or advice-seeking needs.

    PubMed

    Ekberg, Katie; McDermott, Joanne; Moynihan, Clare; Brindle, Lucy; Little, Paul; Leydon, Geraldine M

    2014-01-01

    Helplines are core feature of the contemporary U.K. health care system, however little is known about callers' experiences of seeking cancer-related telephone help. Qualitative interviews were conducted with 32 cancer helpline callers. The findings suggest cancer helplines offer callers (1) time to discuss their issues, (2) anonymity, (3) convenience, and (4) an open outlet for anyone affected by cancer including family/friends. Further, the findings highlighted that callers' help-seeking behavior was multifaceted, with their psychosocial needs being intrinsically intertwined with their information or advice-seeking needs. The implications are discussed in relation to the role of cancer helplines in the healthcare system.

  4. Rationale, design and methods of the Study of Work and Pain (SWAP): a cluster randomised controlled trial testing the addition of a vocational advice service to best current primary care for patients with musculoskeletal pain (ISRCTN 52269669)

    PubMed Central

    2014-01-01

    Background Musculoskeletal pain is a major contributor to short and long term work absence. Patients seek care from their general practitioner (GP) and yet GPs often feel ill-equipped to deal with work issues. Providing a vocational case management service in primary care, to support patients with musculoskeletal problems to remain at or return to work, is one potential solution but requires robust evaluation to test clinical and cost-effectiveness. Methods/Design This protocol describes a cluster randomised controlled trial, with linked qualitative interviews, to investigate the effect of introducing a vocational advice service into general practice, to provide a structured approach to managing work related issues in primary care patients with musculoskeletal pain who are absent from work or struggling to remain in work. General practices (n = 6) will be randomised to offer best current care or best current care plus a vocational advice service. Adults of working age who are absent from or struggling to remain in work due to a musculoskeletal pain problem will be invited to participate and 330 participants will be recruited. Data collection will be through patient completed questionnaires at baseline, 4 and 12 months. The primary outcome is self-reported work absence at 4 months. Incremental cost-utility analysis will be undertaken to calculate the cost per additional QALY gained and incremental net benefits. A linked interview study will explore the experiences of the vocational advice service from the perspectives of GPs, nurse practitioners (NPs), patients and vocational advisors. Discussion This paper presents the rationale, design, and methods of the Study of Work And Pain (SWAP) trial. The results of this trial will provide evidence to inform primary care practice and guide the development of services to provide support for musculoskeletal pain patients with work-related issues. Trial registration Current Controlled Trials ISRCTN52269669. PMID:25012813

  5. Experiences of 24-hour advice line services: a framework for good practice and meeting NICE guidelines.

    PubMed

    Yardley, Sarah J; Codling, Jan; Roberts, Dai; O Donnell, Valerie; Taylor, Sue

    2009-06-01

    This article presents a framework for the practical implementation of a 24-hour specialist palliative care advice line, illustrated by two case examples from the authors' experience. In the UK, National Institute for Health and Clinical Excellence guidance requires provision of 24-hour access to specialist palliative care advice for healthcare professionals and carers regardless of a patient's location. Effective implementation of a telephone advice line for specialist advice is one approach to addressing the current variability in palliative care service provision, both in the UK and elsewhere. The authors were unable to identify a model with documentation for ensuring adequate clinical governance of an advice line in the literature and so present their own. The accompanying case examples demonstrate the difference between 'evolution of services by demand' and taking a systemic approach to service design. Key recommendations for practice are outlined for an effective advice line service which incorporates training and education into the clinical governance structures of the host organization.

  6. Parents' professional sources of advice regarding child discipline and their use of corporal punishment.

    PubMed

    Taylor, Catherine A; Moeller, William; Hamvas, Lauren; Rice, Janet C

    2013-02-01

    Parents (n = 500) were surveyed about which professional groups they were most likely to seek and follow advice from regarding child discipline as well as their use of corporal punishment (CP). Nearly half of the parents reported that they were most likely to seek child discipline advice from pediatricians (48%), followed by religious leaders (21%) and mental health professionals (18%). Parents who sought advice from religious leaders (vs pediatricians) had nearly 4 times the odds of reporting use of CP. Parents reported that they were more likely to follow the advice of pediatricians than any other professional; however, black parents were as likely to follow the advice of religious leaders as that of pediatricians. Pediatricians play a central role in advising parents about child discipline. Efforts to engage pediatricians in providing violence prevention counseling should continue. Increased efforts are needed to engage other professionals, especially religious leaders, in providing such advice to parents.

  7. Community forum. 1. Family planning. Palaces of advice.

    PubMed

    Bunting, J

    1983-01-19

    Completed questionnaires were collected from 130 respondents attending child health clinics (CHCs) in Corringham, Stanford, East Tilbury, and Billericay to investigate the source chosen by patients using CHCs for family planning information and materials, and why they made this choice. Criteria for inclusion were that all subjects were attending a CHC and by definition had at least 1 child; all subjects were female and of reproductive age; and all were at that time using some family planning method. 23 respondents indicated that they went to more than 1 source for advice. No respondents went to their midwife and only 4% sought the advice of their health visitor. Approximately equal proportions of respondents indicated that they went to their general practitioner and to family planning clinics, these 2 groups together forming 4/5 of all answers. 8% of respondents indicated they were dissatisfied with the advice given or obtained. 24 respondents (partners) used the condom, 56 oral contraceptives, 5 the IUD, 9 the diaphragm, 2 the condom and rhythm, 1 the condom and withdrawal, 1 withdrawal, and 2 partners had had a vasectomy. In the Essex statistics, in addition 5% were not using any method of contraception and 1% were using chemicals only. The most interesting variation between this study and the Essex Family Planning Center statistics are: almost twice as many study respondents use the condom and 3 times as many Essex clients as survey patients use the IUD. 1/5 expressed dissatisfaction with their method of contraception. Respondents obtained their supplies free in equal numbers from the Family Planning Center and family doctor, but 19% chose or were forced by circumstances to pay for their supplies. 73% reported no problems in getting supplies; 7% indicated problems and 20% did not respond to this question. Criticism can be divided into 3 categories: variation in cost of supplies between sources of service; clinic too far away; and occasionally an overnight wait

  8. Discussing mentorship

    PubMed Central

    Thomas-MacLean, Roanne; Hamoline, Rita; Quinlan, Elizabeth; Ramsden, Vivian R.; Kuzmicz, Jennifer

    2010-01-01

    ABSTRACT OBJECTIVE To identify the essential components of a mentorship program as the first step in the ongoing development of a mentorship program for primary care physicians. DESIGN Mixed-methods study. SETTING Saskatchewan. PARTICIPANTS Forty-nine of 170 physicians responded positively to a letter of invitation. Of these, 25 physicians were purposively sampled based on location, sex, and experience. Fourteen participants practised in urban areas and 11 in rural settings; 11 were men and 14 were women; and 10 were junior physicians and 15 were senior. Junior physicians were defined as those who had graduated from medical school after 1995, and senior physicians were those who had graduated before 1980. METHODS This study employed qualitative, in-depth, semistructured interviews. Interview questions, based on an environmental scan, were developed then pilot-tested with a family physician. Interviews lasted approximately 60 minutes and were audiotaped. Digital audio files were transcribed verbatim and analyzed thematically. MAIN FINDINGS Family physicians described positive and negative aspects of mentoring, or having a lack of experience with mentoring. They also outlined key components of a potential mentorship program: matching mentees with mentors; integrating formal and informal mentorship; and the evaluation process of the mentorship relationship and program. CONCLUSION Based on the feedback from family physicians, mentorship is viewed as an important and meaningful program of action that regional health stakeholders and medical educators in Saskatchewan could implement. A pilot test of a mentorship program model will be the culmination of this study. Further research will be undertaken to evaluate the model once it is implemented. This will have important implications for establishing a national mentorship program for family physicians across the country. PMID:20631262

  9. Breastfeeding advice given to African American and white women by physicians and WIC counselors.

    PubMed Central

    Beal, Anne C.; Kuhlthau, Karen; Perrin, James M.

    2003-01-01

    OBJECTIVE: This study determined rates of breastfeeding advice given to African American and white women by medical providers and WIC nutrition counselors, and sought to determine whether racial differences in advice contributed to racial differences in rates of breastfeeding. METHODS: The study used data from the 1988 National Maternal and Infant Health Survey, a cross-sectional survey of a nationally representative sample of mothers with a live birth, infant death, or fetal death in 1988. The authors compared white women (n=3,966) and African American women (n=4,791) with a live birth in 1988 on self-reported rates of medical provider and WIC advice to breastfeed, WIC advice to bottlefeed, and breastfeeding. RESULTS: Self-reported racial identification did not predict medical provider advice. However, being African American was associated with less likelihood of breastfeeding advice and greater likelihood of bottlefeeding advice from WIC nutrition counselors. In multivariate analyses controlling for differences in advice, being African American was independently associated with lower breastfeeding rates (odds ratio [OR] = 0.41, 95% CI 0.32, 0.52). CONCLUSIONS: African American women were less likely than white women to report having received breastfeeding advice from WIC counselors and more likely to report having received bottlefeeding advice from WIC counselors. However, African American and white women were equally likely to report having received breastfeeding advice from medical providers. Lower rates of breastfeeding advice from medical or nutritional professionals do not account for lower rates of breastfeeding among African American women. PMID:12815087

  10. Management of Type 2 diabetes in Ramadan: Low-ratio premix insulin working group practical advice

    PubMed Central

    Hassanein, Mohamed; Belhadj, Mohamed; Abdallah, Khalifa; Bhattacharya, Arpan D.; Singh, Awadhesh K.; Tayeb, Khaled; Al-Arouj, Monira; Elghweiry, Awad; Iraqi, Hinde; Nazeer, Mohamed; Jamoussi, Henda; Mnif, Mouna; Al-Madani, Abdulrazzaq; Al-Ali, Hossam; Ligthelm, Robert

    2014-01-01

    The challenge of insulin use during Ramadan could be minimized, if people with diabetes are metabolically stable and are provided with structured education for at least 2–3 months pre-Ramadan. Although, American diabetes association (ADA) recommendations 2010 and South Asian Consensus Guideline 2012 deal with management of diabetes in Ramadan and changes in insulin dosage, no specific guidance on widely prescribed low-ratio premix insulin is currently available. Hence, the working group for insulin therapy in Ramadan, after collective analysis, evaluation, and opinion from clinical practice, have formulated a practical advice to empower physicians with pre-Ramadan preparation, dose adjustment, and treatment algorithm for self-titration of low-ratio premix insulin. PMID:25364673

  11. A pilot study of advice on physical activity in senior disabled individuals in rural Japan.

    PubMed

    Kimura, Akira; Miyagi, Shigeji

    2008-10-01

    This study evaluates the effect of active implementation of the amount of physical activity on the double product (DP) in senior disabled individuals. Our study included 20 hemiplegic patients comprising an intervention group (IG; n = 10) who performed prescribed exercises daily for 12 weeks and a control group (CG; n = 10) for whom physical activity (PA) was measured without intervention. In the IG, the energy consumption during PA with multiple positions and intensity increased significantly as compared to that of the CG. In the IG0 to the CG, the DP decreased significantly. We concluded that advice regarding active implementation increases the amount of PA and improves the DP after a 12-week period.

  12. Lay abstracts and summaries: writing advice for scientists.

    PubMed

    Dubé, Catherine E; Lapane, Kate L

    2014-09-01

    Scientific journals, institutional review boards, and funding sources often require abstracts or research summaries written specifically for the lay public. Making research findings understandable to the public helps raise awareness and speed adoption of practices that may lead to improved health. We provide advice on writing lay abstracts and summaries which includes the following: (1) make reasonable assumptions about grade-level, vocabulary, prior experience, and interests of the audience; (2) practice a verbal explanation with someone from your audience; (3) start writing by using a simple headline followed by a brief and relevant synopsis in common language then expand; (4) read your draft aloud and revise; (5) check readability statistics and simplify as needed; and (6) have both lay audience and peer scientists read your summary to assure that it is accessible to the public while remaining true to the science.

  13. The FDA's new advice on fish: it's complicated.

    PubMed

    Wenstrom, Katharine D

    2014-11-01

    The Food and Drug Administration and Environmental Protection Agency recently issued an updated draft of advice on fish consumption for pregnant and breastfeeding women, after survey data indicated that the majority of pregnant women do not eat much fish and thus may have inadequate intake of the omega 3 fatty acids eicosapentaenoic acid [EPA] and ducosahexaenoic acid [DHA]. Omega 3 fatty acids are essential components of membranes in all cells of the body and are vitally important for normal development of the brain and retinal tissues (especially myelin and retinal photoreceptors) and for maintenance of normal neurotransmission and connectivity. They also serve as substrates for the synthesis of a variety of antiinflammatory and inflammation-resolving mediators, favorably alter the production of thromboxane and prostaglandin E2, and improve cardiovascular health by preventing fatal arrhythmias and reducing triglyceride and C-reactive protein levels. Maternal ingestion of adequate quantities of fish (defined in many studies as at least 340 g of oily fish each week) has been associated with better childhood IQ scores, fine motor coordination, and communication and social skills, along with other benefits. Although the FDA did not clarify which fish to eat, it specifically advised against eating fish with the highest mercury levels and implied that fish with high levels of EPA and DHA and low levels of mercury are ideal. The FDA draft did not recommend taking omega 3 fatty acid or fish oil supplements instead of eating fish, which is advice that may reflect the fact that randomized controlled trials of DHA and EPA or fish oil supplementation generally have been disappointing and that the ideal daily dose of DHA and EPA is unknown. It seems safe to conclude that pregnant and nursing women should be advised to eat fish to benefit from naturally occurring omega 3 fatty acids, to avoid fish with high levels of mercury and other contaminants, and, if possible, to choose

  14. How aligned are the perspectives of EU regulators and HTA bodies? A comparative analysis of regulatory‐HTA parallel scientific advice

    PubMed Central

    Pagnini, Margherita; Moseley, Jane; Massari, Marco; Petavy, Frank; Behring, Antje; Catalan, Arantxa; Gajraj, Elangovan; Hedberg, Niklas; Obach, Mercè; Osipenko, Leeza; Russo, Pierluigi; Van De Casteele, Marc; Zebedin, Eva‐Maria; Rasi, Guido; Vamvakas, Spiros

    2016-01-01

    Background In 2010, the European Medicines Agency (EMA) initiated a pilot project on parallel scientific advice with Health Technology Assessment bodies (HTABs) that allows manufacturers to receive simultaneous feedback from both the European Union (EU) regulators and HTABs on their development plans for medicines. Aims The present retrospective qualitative analysis aimed to explore how the parallel scientific advice system is working and levels of commonality between the EU regulators and HTABs, and among HTABs, when applicants obtain parallel scientific advice from both a regulatory and an HTA perspective. Methods We analysed the minutes of discussion meetings held at the EMA between 2010, when parallel advice was launched, and 1 May 2015, when the cutoff date for data extraction was set. The analysis was based on predefined criteria and conducted at two different levels of comparison: the answers of the HTABs vs. those of the regulators, and between the answers of the participating HTA agencies. Results The analysis was based on 31 procedures of parallel scientific advice. The level of full agreements was highest for questions on patient population (77%), while disagreements reached a peak for questions on the study comparator (30%). With regard to comparisons among HTABs, there was a high level of agreement for all domains. Conclusions There is evident commonality, in terms of evidence requirements between the EU regulators and participating HTABs, as well as among HTABs, on most aspects of clinical development. Indeed, regardless of the question content, the analysis showed that a high level of overall agreement was reached through the process of parallel scientific advice. PMID:27245362

  15. "El Sexo no es Malo": Maternal Values Accompanying Contraceptive Use Advice to Young Latina Adolescent Daughters.

    PubMed

    Romo, Laura F; Bravo, Magali; Cruz, Maria Elena; Rios, Rebeca M; Kouyoumdjian, Claudia

    2010-06-01

    In this study, we utilized observational methods to identify maternal values and concerns accompanying contraceptive use advice in Latina mother-daughter sexuality conversations. The sample included non-sexually active early adolescents around 12 years of age and their mostly Spanish-speaking Latina mothers. Videotaped conversations were coded for the prevalence of messages related to four sexual values (abstinence, delay sex until older, sex is "normal", sex is "improper") and concerns about pregnancy and STD transmission. We examined whether the duration of time spent conversing about these messages was associated with participant characteristics, general communication openness, and the amount of time the dyads spent discussing contraceptive use. Results indicated that Latina mothers who had fewer years of education and lower family income talked longer to their daughters about the need to delay sex, avoid risky situations that would increase their chances of getting pregnant or acquiring an STD, and engage in self-protective practices. Less perceived openness in general communication as reported by both the mothers and the daughters was associated with increased time discussing that sex is improper. Although the duration of contraceptive use messages was brief, mothers and daughters who discussed the fact that sex is normal, and who communicated more about the importance of delaying sex, talked longer about contraceptive use practices compared to mothers and daughters who engaged in minimal discussion of these sexual values.

  16. Patients' expectations of the health advice conversation with the diabetes nurse practitioner.

    PubMed

    Grund, Jeanette; Stomberg, Margareta Warrén

    2012-10-01

    Type 2-diabetes usually makes its first appearance in adult age. In order for patients to feel in control of the disease, they need support and information that can easily be understood and which is relevant for the individual. By educating and supporting them, patients can conduct self-care and take control. The aim of this study was to highlight the expectations that patients with type 2-diabetes have of the health advice conversation with the nurse practitioner. A qualitative method using interviews was conducted and the data material was analysed according to manifest and latent content analysis. Three categories emerged in the results. Firstly, providing good accessibility to the diabetes nurse practitioner is of importance. Secondly, there is a demand for group activities in which patients have the opportunity to talk with other individuals who have diabetes. Finally, knowledge about self-care means that the patients themselves are able to change the intake of medication, their eating habits, and exercise according to need, as this leads to increased independence and self-management. The latent content demonstrates that the patient is striving towards competence and self-confidence in order to achieve a balance between lifestyle and the normalisation of blood sugar levels, which means empowerment. In addition, the informants expressed a demand for group activities where they can discuss the disease with others in the same situation. A combination of knowledge about the disease, receiving individual advice, and participation in groups can be beneficial in order to motivate the informants about lifestyle changes and to gain the ability to manage the disease.

  17. Improving patient adherence to lifestyle advice (IMPALA): a cluster-randomised controlled trial on the implementation of a nurse-led intervention for cardiovascular risk management in primary care (protocol)

    PubMed Central

    Koelewijn-van Loon, Marije S; van Steenkiste, Ben; Ronda, Gaby; Wensing, Michel; Stoffers, Henri E; Elwyn, Glyn; Grol, Richard; van der Weijden, Trudy

    2008-01-01

    Background Many patients at high risk of cardiovascular diseases are managed and monitored in general practice. Recommendations for cardiovascular risk management, including lifestyle change, are clearly described in the Dutch national guideline. Although lifestyle interventions, such as advice on diet, physical exercise, smoking and alcohol, have moderate, but potentially relevant effects in these patients, adherence to lifestyle advice in general practice is not optimal. The IMPALA study intends to improve adherence to lifestyle advice by involving patients in decision making on cardiovascular prevention by nurse-led clinics. The aim of this paper is to describe the design and methods of a study to evaluate an intervention aimed at involving patients in cardiovascular risk management. Methods A cluster-randomised controlled trial in 20 general practices, 10 practices in the intervention arm and 10 in the control arm, starting on October 2005. A total of 720 patients without existing cardiovascular diseases but eligible for cardiovascular risk assessment will be recruited. In both arms, the general practitioners and nurses will be trained to apply the national guideline for cardiovascular risk management. Nurses in the intervention arm will receive an extended training in risk assessment, risk communication, the use of a decision aid and adapted motivational interviewing. This communication technique will be used to support the shared decision-making process about risk reduction. The intervention comprises 2 consultations and 1 follow-up telephone call. The nurses in the control arm will give usual care after the risk estimation, according to the national guideline. Primary outcome measures are self-reported adherence to lifestyle advice and drug treatment. Secondary outcome measures are the patients' perception of risk and their motivation to change their behaviour. The measurements will take place at baseline and after 12 and 52 weeks. Clinical endpoints will

  18. Selecting Expertise in Context: Middle School Mathematics Teachers' Selection of New Sources of Instructional Advice

    ERIC Educational Resources Information Center

    Wilhelm, Anne Garrison; Chen, I-Chien; Smith, Thomas M.; Frank, Kenneth A.

    2016-01-01

    Given prior research indicating that teachers can learn through their social network interactions with colleagues, it is important to understand more about the choices teachers make about whom to go to for advice. In this study, we investigated the degree to which middle school mathematics teachers change from whom they seek advice when…

  19. Quality of Extension Advice: A Gendered Case Study from Ghana and Sri Lanka

    ERIC Educational Resources Information Center

    Lamontagne-Godwin, Julien; Williams, Frances; Bandara, Willoru Mudiyansele Palitha Thilakasiri; Appiah-Kubi, Ziporah

    2017-01-01

    Purpose: Women farmers have less access to extension services than male farmers, even though they make up almost half of the global agricultural workforce. Gender-focused international development programmes have focused on how ensuring women receive better access to advice. However, the quality of the technical advice and the service women…

  20. Beginning a School Literacy Improvement Project: Some Words of Advice. Literacy Improvement Series for Elementary Educators.

    ERIC Educational Resources Information Center

    Yatvin, Joanne

    In response to the need for attention and support perceived by participants in a summer institute for building equity in early literacy, this booklet offers 12 pieces of advice for teachers and administrators trying to implement school literacy improvement plans. The advice presented in the booklet is: (1) do not be intimidated by other people's…

  1. 7 CFR 279.6 - Legal advice and extensions of time.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Legal advice and extensions of time. 279.6 Section 279.6 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE..., the Benefit Redemption Division shall obtain the advice of the Department's Office of the...

  2. 39 CFR 762.41 - Advice of non-receipt or loss, destruction, or mutilation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Advice of non-receipt or loss, destruction, or...; DISBURSEMENT POSTAL MONEY ORDERS DISBURSEMENT POSTAL MONEY ORDERS Issuance of Substitutes for Lost, Destroyed, Mutilated, and Defaced Disbursement Postal Money Orders § 762.41 Advice of non-receipt or loss,...

  3. 39 CFR 762.41 - Advice of non-receipt or loss, destruction, or mutilation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Advice of non-receipt or loss, destruction, or...; DISBURSEMENT POSTAL MONEY ORDERS DISBURSEMENT POSTAL MONEY ORDERS Issuance of Substitutes for Lost, Destroyed, Mutilated, and Defaced Disbursement Postal Money Orders § 762.41 Advice of non-receipt or loss,...

  4. 7 CFR 12.11 - Action based upon advice or action of USDA.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 1 2014-01-01 2014-01-01 false Action based upon advice or action of USDA. 12.11 Section 12.11 Agriculture Office of the Secretary of Agriculture HIGHLY ERODIBLE LAND AND WETLAND CONSERVATION General Provisions § 12.11 Action based upon advice or action of USDA. The provisions of part...

  5. 7 CFR 12.11 - Action based upon advice or action of USDA.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false Action based upon advice or action of USDA. 12.11 Section 12.11 Agriculture Office of the Secretary of Agriculture HIGHLY ERODIBLE LAND AND WETLAND CONSERVATION General Provisions § 12.11 Action based upon advice or action of USDA. The provisions of part...

  6. 7 CFR 12.11 - Action based upon advice or action of USDA.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 1 2012-01-01 2012-01-01 false Action based upon advice or action of USDA. 12.11 Section 12.11 Agriculture Office of the Secretary of Agriculture HIGHLY ERODIBLE LAND AND WETLAND CONSERVATION General Provisions § 12.11 Action based upon advice or action of USDA. The provisions of part...

  7. 7 CFR 12.11 - Action based upon advice or action of USDA.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Action based upon advice or action of USDA. 12.11 Section 12.11 Agriculture Office of the Secretary of Agriculture HIGHLY ERODIBLE LAND AND WETLAND CONSERVATION General Provisions § 12.11 Action based upon advice or action of USDA. The provisions of part...

  8. 7 CFR 12.11 - Action based upon advice or action of USDA.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 1 2011-01-01 2011-01-01 false Action based upon advice or action of USDA. 12.11 Section 12.11 Agriculture Office of the Secretary of Agriculture HIGHLY ERODIBLE LAND AND WETLAND CONSERVATION General Provisions § 12.11 Action based upon advice or action of USDA. The provisions of part...

  9. 19 CFR 181.99 - Issuance of NAFTA advance rulings or other advice.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 2 2012-04-01 2012-04-01 false Issuance of NAFTA advance rulings or other advice... Procedures § 181.99 Issuance of NAFTA advance rulings or other advice. (a) NAFTA advance ruling letters—(1... administration of the NAFTA provisions to do so. Otherwise, a request for an advance ruling will be answered...

  10. 19 CFR 181.99 - Issuance of NAFTA advance rulings or other advice.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Issuance of NAFTA advance rulings or other advice... Procedures § 181.99 Issuance of NAFTA advance rulings or other advice. (a) NAFTA advance ruling letters—(1... administration of the NAFTA provisions to do so. Otherwise, a request for an advance ruling will be answered...

  11. 19 CFR 181.99 - Issuance of NAFTA advance rulings or other advice.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 2 2013-04-01 2013-04-01 false Issuance of NAFTA advance rulings or other advice... Procedures § 181.99 Issuance of NAFTA advance rulings or other advice. (a) NAFTA advance ruling letters—(1... administration of the NAFTA provisions to do so. Otherwise, a request for an advance ruling will be answered...

  12. 19 CFR 181.99 - Issuance of NAFTA advance rulings or other advice.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Issuance of NAFTA advance rulings or other advice... Procedures § 181.99 Issuance of NAFTA advance rulings or other advice. (a) NAFTA advance ruling letters—(1... administration of the NAFTA provisions to do so. Otherwise, a request for an advance ruling will be answered...

  13. 19 CFR 181.99 - Issuance of NAFTA advance rulings or other advice.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 2 2014-04-01 2014-04-01 false Issuance of NAFTA advance rulings or other advice... Procedures § 181.99 Issuance of NAFTA advance rulings or other advice. (a) NAFTA advance ruling letters—(1... administration of the NAFTA provisions to do so. Otherwise, a request for an advance ruling will be answered...

  14. Education for Motherhood: Advice for Mothers in Twentieth-Century Canada.

    ERIC Educational Resources Information Center

    Arnup, Katherine

    This book is an attempt to situate Canadian child-rearing advice in its historical and social context in 21st century and the origins and changes in this advice. The volume addresses the untold story of the experience of mothering that largely has been omitted from traditional accounts of history. This account of education for motherhood begins in…

  15. Young People's Use of Friends and Family for Sex and Relationships Information and Advice

    ERIC Educational Resources Information Center

    Powell, Eryl

    2008-01-01

    With the recognition that improving access to advice and support on sex and relationships is vital in helping young people make positive healthy choices, the present paper explores how young people gain such information and advice. Drawing on the analysis of questionnaire and interview data collected for a local study of 401 young people from…

  16. Pragmatic Variations in Giving Advice in L2 by Malaysian Postgraduate Students: The Situational Effects

    ERIC Educational Resources Information Center

    Farashaiyan, Atieh; Muthusamy, Paramasivam

    2016-01-01

    The present study attempted to describe the giving advice strategies utilized by Malaysian postgraduate students in confronting different situations. In addition, it examined the effects of the situational factors of social distance, power, and imposition on the students' choice of giving advice strategies. Another objective was to categorize the…

  17. Pass It On: Alternatively Certified Teachers' Advice to Prospective Alternate Route Educators

    ERIC Educational Resources Information Center

    Brown, Casey

    2009-01-01

    Ten alternatively certified teachers provide advice to other non-traditionally certified teachers via in-depth interviews. The alternatively certified teachers interviewed had retained their teaching positions and achieved longevity in the teaching profession. Data collection and analysis resulted in alternatively certified teachers' advice to…

  18. 45 CFR 162.1601 - Health care electronic funds transfers (EFT) and remittance advice transaction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Health care electronic funds transfers (EFT) and... Electronic Funds Transfers (EFT) and Remittance Advice § 162.1601 Health care electronic funds transfers (EFT) and remittance advice transaction. The health care electronic funds transfers (EFT) and...

  19. 45 CFR 162.1601 - Health care electronic funds transfers (EFT) and remittance advice transaction.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Health care electronic funds transfers (EFT) and... Electronic Funds Transfers (EFT) and Remittance Advice § 162.1601 Health care electronic funds transfers (EFT) and remittance advice transaction. The health care electronic funds transfers (EFT) and...

  20. 45 CFR 162.1601 - Health care electronic funds transfers (EFT) and remittance advice transaction.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Health care electronic funds transfers (EFT) and... Electronic Funds Transfers (EFT) and Remittance Advice § 162.1601 Health care electronic funds transfers (EFT) and remittance advice transaction. The health care electronic funds transfers (EFT) and...

  1. 41 CFR 105-50.202-7 - Technical information and advice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Technical information and advice. 105-50.202-7 Section 105-50.202-7 Public Contracts and Property Management Federal... information, personnel management systems services, and technical advice on improving logistical...

  2. Association of gestational weight gain expectations with advice on actual weight gain

    Technology Transfer Automated Retrieval System (TEKTRAN)

    To examine pregnant women's gestational weight gain expectations/advice from various sources (i.e., self, family/friends, physician) and the impact of these sources of expectations/advice on actual measured gestational weight gain. Pregnant women (n=230, 87.4% Caucasian, second pregnancy) in a cohor...

  3. Who Is and Who Is Not Willing to Use Online Employer-Provided Retirement Investment Advice

    ERIC Educational Resources Information Center

    Joo, So-Hyun; Grable, John E.; Choe, Hyuncha

    2007-01-01

    This study used classification tree analysis to examine who is and who is not willing to use online employer-provided retirement investment advice. Using data from the Retirement Confidence Survey (Employee Benefit Research Institute, 2004), the study focused on who was more likely to use online retirement investment advice when it was available…

  4. Talking with the experts: evaluation of an online discussion forum involving mental health service users in the education of mental health nursing students.

    PubMed

    Simpson, Alan; Reynolds, Lisa; Light, Ian; Attenborough, Julie

    2008-07-01

    The Chief Nursing Officer's recent review of mental health nursing called for the widespread involvement of mental health service users in the education of mental health nurses. This paper describes an innovative project that involved mental health service users in the education of pre-registration mental health nursing students through an online discussion forum that blended e-learning with enquiry-based learning (EBL). The findings of an evaluation are presented, drawing on quantitative and qualitative methods. Overall, the project was a success with students and service users engaging in online discussions on a range of issues. EBL presentations demonstrated understanding of the service user experience and students reflected on implications for clinical practice. All participants would take part again and recommend the online forum to others. Analysis of activity data revealed different levels and styles of student involvement. Limitations in communication skills appeared to limit student participation, alongside logistical difficulties, whereas the service users eagerly utilised the forum. Potential implications for healthcare education are discussed and recommendations made for developments in user-led e-learning and further research.

  5. For the sake of whom: conversation analysis of advice giving in offender counseling.

    PubMed

    Jing-ying, Guo

    2013-08-01

    Regarded as beneficial and preferable to the clients, advice delivery has been an integral part of counseling; however, there are controversies over the suitability of giving advice in counseling services, including counseling conducted in the context of prisons. Based on conversation analysis, this article tries to explore when and how police counselors in two Chinese prisons give advice and how inmate clients respond to and seek advice in offender counseling. It is found that advice delivery, supposed to be for the inmate clients' sake, only serves a phatic function in the context of prisons in which security is a priority, and transforming inmates into law-abiding citizen is the overall goal of prison rehabilitation and correction. Hence, offender counselors, intending to alleviate depression and anxiety in inmate clients, are caught in a dilemma.

  6. Expert Financial Advice Neurobiologically “Offloads” Financial Decision-Making under Risk

    PubMed Central

    Engelmann, Jan B.; Capra, C. Monica; Noussair, Charles; Berns, Gregory S.

    2009-01-01

    Background Financial advice from experts is commonly sought during times of uncertainty. While the field of neuroeconomics has made considerable progress in understanding the neurobiological basis of risky decision-making, the neural mechanisms through which external information, such as advice, is integrated during decision-making are poorly understood. In the current experiment, we investigated the neurobiological basis of the influence of expert advice on financial decisions under risk. Methodology/Principal Findings While undergoing fMRI scanning, participants made a series of financial choices between a certain payment and a lottery. Choices were made in two conditions: 1) advice from a financial expert about which choice to make was displayed (MES condition); and 2) no advice was displayed (NOM condition). Behavioral results showed a significant effect of expert advice. Specifically, probability weighting functions changed in the direction of the expert's advice. This was paralleled by neural activation patterns. Brain activations showing significant correlations with valuation (parametric modulation by value of lottery/sure win) were obtained in the absence of the expert's advice (NOM) in intraparietal sulcus, posterior cingulate cortex, cuneus, precuneus, inferior frontal gyrus and middle temporal gyrus. Notably, no significant correlations with value were obtained in the presence of advice (MES). These findings were corroborated by region of interest analyses. Neural equivalents of probability weighting functions showed significant flattening in the MES compared to the NOM condition in regions associated with probability weighting, including anterior cingulate cortex, dorsolateral PFC, thalamus, medial occipital gyrus and anterior insula. Finally, during the MES condition, significant activations in temporoparietal junction and medial PFC were obtained. Conclusions/Significance These results support the hypothesis that one effect of expert advice is to

  7. Characteristics of opiate users leaving detoxification treatment against medical advice.

    PubMed

    Kenne, Deric R; Boros, Alec P; Fischbein, Rebecca L

    2010-07-01

    Substance-dependent patients leaving against medical advice (AMA) pose a unique challenge to detoxification programs. Most notably, AMA patients fail to access residential or outpatient treatment needed after detoxification and often return to detoxification treatment multiple times which has deleterious results for the patient and is taxing to the healthcare system. Using retrospective data from 89 daily opiate-using detoxification patients completing detoxification and 95 patients leaving AMA, we sought to identify patient characteristics useful in predicting AMA discharges from detoxification. Bivariate analyses indicated that AMA patients reported drug use did not impair their health, were injection drug users, younger and had fewer previous treatment admissions. Binomial logistic regression indicated that AMA patients were more likely to be unemployed and report that drug use did not impair their health. Patients completing detoxification were less likely to be injection drug users and less likely to be self-referred to treatment. Identifying patients at risk of leaving AMA provides an opportunity for clinicians to intervene in an effort to increase treatment engagement for these patients.

  8. The impact of mass media health communication on health decision-making and medical advice-seeking behavior of u.s. Hispanic population.

    PubMed

    De Jesus, Maria

    2013-01-01

    Mass media health communication has enormous potential to drastically alter how health-related information is disseminated and obtained by different populations. However, there is little evidence regarding the influence of media channels on health decision-making and medical advice-seeking behaviors among the Hispanic population. The Pew 2007 Hispanic Healthcare Survey was used to test the hypothesis that the amount of mass media health communication (i.e., quantity of media-based health information received) is more likely to influence Hispanic adults' health decision-making and medical advice-seeking behavior compared to health literacy and language proficiency variables. Results indicated that quantity of media-based health information is positively associated with health decision-making and medical advice-seeking behavior above and beyond the influence of health literacy and English and Spanish language proficiency. In a context where physician-patient dynamics are increasingly shifting from a passive patient role model to a more active patient role model, media-based health information can serve as an influential cue to action, prompting Hispanic individuals to make certain health-related decisions and to seek more health advice and information from a health provider. Study implications are discussed.

  9. Integration of complementary and alternative medicine information and advice in chronic disease management guidelines.

    PubMed

    Team, Victoria; Canaway, Rachel; Manderson, Lenore

    2011-01-01

    The growing evidence on the benefits and risks of complementary and alternative medicine (CAM) and its high rate of use (69% of Australians) - particularly for chronic or recurrent conditions - means increasing attention on CAM. However, few people disclose CAM use to their GP, and health professionals tend to inadequately discuss CAM-related issues with their patients, partly due to insufficient knowledge. As clinical and non-clinical chronic condition management guidelines are a means to educate primary health care practitioners, we undertook a content analysis of guidelines relevant to two common chronic conditions - cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM) - to assess their provision of CAM-related information. Ten current Australian guidelines were reviewed, revealing scant CAM content. When available, the CAM-relevant information was brief, in some cases unclear, inconclusive and lacking in direction to the GP or health care provider. Although we focus on CVD and T2DM, we argue the value of all chronic condition management guidelines integrating relevant evidence-informed information and advice on CAM risks, benefits and referrals, to increase GP awareness and knowledge of appropriate CAM therapies, and potentially to facilitate doctor-client discussion about CAM.

  10. Weight Management Advice for Clients with Overweight or Obesity: Allied Health Professional Survey

    PubMed Central

    Snodgrass, Suzanne J.; Guest, Maya; Kable, Ashley K.; James, Carole; Ashby, Samantha E.; Plotnikoff, Ronald C.; Collins, Clare E.

    2016-01-01

    The prevalence of obesity is increasing. The potential for allied health professionals to intervene through the provision of lifestyle advice is unknown. This study aimed to determine the knowledge, attitudes and practices of health professionals in the provision of dietary and physical activity advice for clients with overweight or obesity. Dietitians, exercise physiologists, nurses, occupational therapists, physiotherapists and psychologists (n = 296) working in New South Wales were surveyed using paper-based and online methods. The majority of health professionals (71%) believed that providing weight management advice was within their scope of practice; 81% provided physical activity advice but only 57% provided dietary advice. Other than dietitians, few had received training in client weight management during their professional qualification (14%) or continuing education (16%). Providing dietary advice was associated with: believing it was within their scope of practice (OR 3.9, 95% CI 1.9–7.9, p < 0.01), training during their entry-level qualification (OR 7.2, 3.2–16.4, p < 0.01) and having departmental guidelines (OR 4.7, 2.1–10.9, p < 0.01). Most health professionals are willing to provide lifestyle advice to clients with overweight or obesity but few have received required training. Developing guidelines and training for in client weight management may potentially impact on rising obesity levels. PMID:27854252

  11. Ecological evaluation of proposed discharge of dredged material from Oakland Harbor into ocean waters (Phase 3 B of -42-foot project). Volume 1, Analyses and discussion

    SciTech Connect

    Kohn, N.P.; Ward, J.A.; Mayhew, H.L.; Word, J.Q.; Barrows, E.S.; Goodwin, S.M.; Lefkovitz, L.F.

    1992-06-01

    The Water Resources Development Act of 1986 (Public Law 99-662) authorized the US Army Corps of Engineers (USACE) San Francisco District, to deepen and widen the navigational channels of the Oakland Inner and Outer Harbors to accomodate deeper-draft vessels. The USACE is considering several disposal options for the dredged material removed during these channel improvements including open-water disposal. Dredged material proposed for open-water disposal must be evaluated to determine the potential impacts of the disposal activity on the water column and disposal site enviromments. The USACE requested that Battelle/Marine Sciences Laboratory (MSL) conduct studies to evaluate open-water disposal options for Oakland Harbor sediments. This request developed into the Oakland Harbor Phase III Program. This is Volume 1 of a two-volume report that presents information gathered to determine the suitability of ocean disposal of sediments dredged from Oakland Harbor. This volume contains project background, materials and methods, results, discussion, and conclusions.

  12. Review, evaluation, and discussion of the challenges of missing value imputation for mass spectrometry-based label-free global proteomics

    DOE PAGES

    Webb-Robertson, Bobbie-Jo M.; Wiberg, Holli K.; Matzke, Melissa M.; ...

    2015-04-09

    In this review, we apply selected imputation strategies to label-free liquid chromatography–mass spectrometry (LC–MS) proteomics datasets to evaluate the accuracy with respect to metrics of variance and classification. We evaluate several commonly used imputation approaches for individual merits and discuss the caveats of each approach with respect to the example LC–MS proteomics data. In general, local similarity-based approaches, such as the regularized expectation maximization and least-squares adaptive algorithms, yield the best overall performances with respect to metrics of accuracy and robustness. However, no single algorithm consistently outperforms the remaining approaches, and in some cases, performing classification without imputation sometimes yieldedmore » the most accurate classification. Thus, because of the complex mechanisms of missing data in proteomics, which also vary from peptide to protein, no individual method is a single solution for imputation. In summary, on the basis of the observations in this review, the goal for imputation in the field of computational proteomics should be to develop new approaches that work generically for this data type and new strategies to guide users in the selection of the best imputation for their dataset and analysis objectives.« less

  13. Review, evaluation, and discussion of the challenges of missing value imputation for mass spectrometry-based label-free global proteomics

    SciTech Connect

    Webb-Robertson, Bobbie-Jo M.; Wiberg, Holli K.; Matzke, Melissa M.; Brown, Joseph N.; Wang, Jing; McDermott, Jason E.; Smith, Richard D.; Rodland, Karin D.; Metz, Thomas O.; Pounds, Joel G.; Waters, Katrina M.

    2015-04-09

    In this review, we apply selected imputation strategies to label-free liquid chromatography–mass spectrometry (LC–MS) proteomics datasets to evaluate the accuracy with respect to metrics of variance and classification. We evaluate several commonly used imputation approaches for individual merits and discuss the caveats of each approach with respect to the example LC–MS proteomics data. In general, local similarity-based approaches, such as the regularized expectation maximization and least-squares adaptive algorithms, yield the best overall performances with respect to metrics of accuracy and robustness. However, no single algorithm consistently outperforms the remaining approaches, and in some cases, performing classification without imputation sometimes yielded the most accurate classification. Thus, because of the complex mechanisms of missing data in proteomics, which also vary from peptide to protein, no individual method is a single solution for imputation. In summary, on the basis of the observations in this review, the goal for imputation in the field of computational proteomics should be to develop new approaches that work generically for this data type and new strategies to guide users in the selection of the best imputation for their dataset and analysis objectives.

  14. Advice as a smoking cessation strategy: a systematic review and implications for physical therapists.

    PubMed

    Bodner, Michael E; Dean, Elizabeth

    2009-07-01

    Although identified as a clinical priority, smoking cessation has been addressed minimally in the literature in the context of physical therapy practice. Smoking cessation advice delivered by a health professional can help smokers quit. The salient components of such advice however warranted elucidation to enable physical therapists to integrate this clinical competence into their practices. Therefore, we conducted a systematic review to elucidate the effectiveness of advice by a health professional and its components to optimize smoking cessation instituted in the context of physical therapy practice. Thirty source articles were identified. A random-effects model meta-analysis was used to assess the effectiveness of the advice parameters. Risk ratios (RRs) were used to estimate pooled treatment effects. RRs for brief, intermediate, and intensive advice were 1.74 (95% CI=1.37, 2.22), 1.71 (95% CI=1.39, 2.09), and 1.60 (95% CI=1.13, 2.27), respectively. Self-help materials, follow-up, and interventions based on psychological or motivational frameworks were particularly effective components of intermediate and intensive advice interventions. Advice can be readily integrated into physical therapy practice and used to initiate or support ongoing smoking cessation in clients irrespective of reason for referral. Incorporating smoking cessation as a physical therapy goal is consistent with the contemporary definition of the profession and the mandates of physical therapy professional associations to promote health and wellness, including smoking cessation for both primary health benefit and to minimize secondary effects (e.g., delayed healing and recovery, and medical and surgical complications). Thus, advice is an evidence-based strategy to effect smoking cessation that can be exploited in physical therapy practice. Further research to refine how best to assess smokers and, in turn, individualize brief smoking cessation advice could augment positive smoking cessation

  15. Designing occupancy studies: general advice and allocating survey effort

    USGS Publications Warehouse

    MacKenzie, D.I.; Royle, J. Andrew

    2005-01-01

    1. The fraction of sampling units in a landscape where a target species is present (occupancy) is an extensively used concept in ecology. Yet in many applications the species will not always be detected in a sampling unit even when present, resulting in biased estimates of occupancy. Given that sampling units are surveyed repeatedly within a relatively short timeframe, a number of similar methods have now been developed to provide unbiased occupancy estimates. However, practical guidance on the efficient design of occupancy studies has been lacking. 2. In this paper we comment on a number of general issues related to designing occupancy studies, including the need for clear objectives that are explicitly linked to science or management, selection of sampling units, timing of repeat surveys and allocation of survey effort. Advice on the number of repeat surveys per sampling unit is considered in terms of the variance of the occupancy estimator, for three possible study designs. 3. We recommend that sampling units should be surveyed a minimum of three times when detection probability is high (> 0.5 survey-1), unless a removal design is used. 4. We found that an optimal removal design will generally be the most efficient, but we suggest it may be less robust to assumption violations than a standard design. 5. Our results suggest that for a rare species it is more efficient to survey more sampling units less intensively, while for a common species fewer sampling units should be surveyed more intensively. 6. Synthesis and applications. Reliable inferences can only result from quality data. To make the best use of logistical resources, study objectives must be clearly defined; sampling units must be selected, and repeated surveys timed appropriately; and a sufficient number of repeated surveys must be conducted. Failure to do so may compromise the integrity of the study. The guidance given here on study design issues is particularly applicable to studies of species

  16. Singling out the double effect - sexual health advice and contraception are ethically distinct.

    PubMed

    Bow, Steven

    2015-09-03

    This article is a response to an article previously published in LJPC, which employed the doctrine of double effect to explain the Gillick judgement and exculpate health care workers who provide contraceptives and sexual health advice to under-16s. In this analysis, the two acts: provision of contraceptives and provision of sexual health advice are examined separately against the four criteria of the doctrine of double effect. In conclusion, whilst sexual health advice provision fits into the doctrine reasonably well, in the case of contraceptive provision, the validity of the doctrine of double effect is more doubtful.

  17. Singling out the double effect - sexual health advice and contraception are ethically distinct

    PubMed Central

    Bow, Steven

    2015-01-01

    Abstract This article is a response to an article previously published in LJPC, which employed the doctrine of double effect to explain the Gillick judgement and exculpate health care workers who provide contraceptives and sexual health advice to under-16s. In this analysis, the two acts: provision of contraceptives and provision of sexual health advice are examined separately against the four criteria of the doctrine of double effect. In conclusion, whilst sexual health advice provision fits into the doctrine reasonably well, in the case of contraceptive provision, the validity of the doctrine of double effect is more doubtful. PMID:26550037

  18. Approaches and Obstacles to the Evaluation of Investment in Continuing Vocational Training: Discussion and Case Studies from Six Member States of the European Union. CEDEFOP Panorama. Discussion Paper/Case Studies.

    ERIC Educational Resources Information Center

    Grunewald, Uwe; Moraal, Dick; Sorensen, John Houman; Luttringer, Jean-Marie; Pasco, Nicolas; Kohler, Alexander; Barrett, Alan; O'Connell, Philip; Garibaldo, Francesco; Lorenzoni, Stefan; Mandl, Dieter

    This report summarizes six case studies on different aspects of the issue of evaluating investing in continuing vocational training (CVT). Part 1 (chapters 1-2) contains "Conceptual Introduction" (Jean-Marie Luttringer), which explores practical problems in considering training expenses as an investment, and "Methodological…

  19. 78 FR 28623 - U.S.-Trans-Pacific Partnership Free Trade Agreement Including Japan: Advice on the Probable...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-15

    ... Commission provide a report containing its advice as to the probable economic effect of providing duty-free... Agreement Including Malaysia: Advice on Probable Economic Effect of Providing Duty-Free Treatment for... Including Japan: Advice on the Probable Economic Effect of Providing Duty-Free Treatment for Imports...

  20. 75 FR 65031 - U.S.-Trans-Pacific Partnership Free Trade Agreement Including Malaysia: Advice on the Probable...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-21

    ... Including Malaysia: Advice on the Probable Economic Effect of Providing Duty-Free Treatment for Imports... those sections of the Commission's report that relate to the advice and assessment of probable economic... COMMISSION U.S.-Trans-Pacific Partnership Free Trade Agreement Including Malaysia: Advice on the...

  1. 45 CFR 162.1603 - Operating rules for health care electronic funds transfers (EFT) and remittance advice transaction.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... transfers (EFT) and remittance advice transaction. 162.1603 Section 162.1603 Public Welfare Department of... REQUIREMENTS Health Care Electronic Funds Transfers (EFT) and Remittance Advice § 162.1603 Operating rules for health care electronic funds transfers (EFT) and remittance advice transaction. On and after January...

  2. Advising Beef-Cattle Farmers: Problem-Finding Rather than Problem-Solving. Characterization of Advice Practices in Creuse

    ERIC Educational Resources Information Center

    Magne, Marie-Angelina; Ingrand, Stephane

    2004-01-01

    French farms have to adapt quickly in an economic and social context that is in profound change. For this, advice procedures must themselves be reconsidered. The aim of this work was to characterize the advice practices in beef-cattle systems in Creuse and define farmers' and advisers' requirements according to future methods of providing advice.…

  3. The Impact of Gender on the Quality and Content of E-Mail Advice Professors Give to Students Applying to Graduate School

    NASA Astrophysics Data System (ADS)

    Steinpreis, Rhea E.; Anders, Katie A.; Riley, Monica G.; Ritzke, Dawn M.; McDonald, Theodore W.

    The purpose of this study was to determine if gender plays a role in the quality and quantity of the advice given to undergraduates about applying to graduate school. Four hundred male and female psychologists who listed a university address and e-mail address in the 1997 Directory of the American Psychological Association were sent an e-mail inquiry from a pseudostudent (either Theresa or Brian Miller). In the first e-mail, the pseudostudent asked if the subjects would be willing to look at his or her GRE scores and grade point average (GPA) for the purpose of providing advice about his or her chances of getting into the graduate program at the subject's school. Two hundred forty subjects consented to examine the figures, nearly equally split between males and females. Subjects were then sent the GPA and scores of an outstanding, average, or poor applicant. The results indicated that female faculty were significantly more likely to consent to examine the data of a female pseudostudent and male faculty were significantly more likely to consent to examine the data of a male pseudostudent. However, once the faculty member agreed to offer advice, gender had no impact on the length or quality of advice given to the pseudostudent, and advice became a function of the pseudostudent's academic credentials. Furthermore, while male and female subjects were equally likely to encourage, discourage, or recant on their offer to give feedback, male subjects were more likely to refuse to review the data and female subjects were more likely to offer a neutral response to the data. The results are discussed in terms of the difficulty students face in finding adequate information about pursuing a graduate education. These problems may be magnified for female students because there are fewer female faculty available to serve as mentors.

  4. 42 CFR 422.206 - Interference with health care professionals' advice to enrollees prohibited.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Relationships With Providers § 422.206 Interference with health care professionals' advice to enrollees... (concerning approval of marketing materials and election forms) and with § 422.111. (ii) To...

  5. Lots of Loving Advice to the Superintendent's (and Board Member's) Husband

    ERIC Educational Resources Information Center

    American School Board Journal, 1974

    1974-01-01

    Tongue-in-cheek advice directed to the problems of excessive perspiration and underarm stains. (For the article to which this one responds, see the American School Board Journal, February 1974 pp. 29-31.) (WM)

  6. 12 CFR 9.101 - Providing investment advice for a fee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... structure and specific facts. Full-service brokerage involves investment advice for a fee if a non-bank... recommendations concerning the sale of property; (vi) Advisory activities concerning bridge loans; (vii)...

  7. 75 FR 33824 - Pharmaceutical Products and Chemical Intermediates, Fourth Review: Advice Concerning the Addition...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ... COMMISSION Pharmaceutical Products and Chemical Intermediates, Fourth Review: Advice Concerning the Addition of Certain Products to the Pharmaceutical Appendix to the HTS AGENCY: United States International... (Commission) instituted investigation No. 332-520, Pharmaceutical Products and Chemical Intermediates,...

  8. The role of cystovaginoscopy and hygienic advice in girls referred for symptoms of vulvovaginitis.

    PubMed

    Ram, Ashok Daya; Hurst, Katherine Victoria; Steinbrecher, Henrik

    2012-05-01

    Vulvovaginitis is a common presenting symptom referred to a paediatric urology clinic. Some of these patients undergo diagnostic cystovaginoscopy to determine whether there is any underlying anatomical cause for the persistent infection. However, in the majority of the patients, no underlying abnormality is found and they are given hygienic advice and prescribed bio yoghurt postoperatively. This study examines the outcome in these patients after hygienic advice is given: determining whether cystovaginoscopy was really necessary and whether it changed the management of vulvovaginitis.

  9. Advice When Children Come Out: The Cultural “Tool Kits” of Parents

    PubMed Central

    Martin, Karin A.; Hutson, David J.; Kazyak, Emily; Scherrer, Kristin S.

    2010-01-01

    The family is one of the main areas of social life where the normalization of gay/lesbian identity is incomplete. Most research analyzes the individual and psychological aspects of how families respond to children’s disclosure of a gay/lesbian identity, and ignores the social, cultural, and historical contexts. An examination of the cultural discourses, tools, and strategies that are available to parents is necessary for a full understanding of how families respond to gay/lesbian children. We conduct an interpretive content analysis of 29 advice books in order to assess this cultural field and its institutional resources. We find three broad strategies offered to parents: relying on professionals for overcoming the grief of having a gay/lesbian child, normalizing gay/lesbian identity, and utilizing “good” parenting skills. We discuss how these strategies demonstrate the unsettled and often contradictory cultural field of gay/lesbian identity in the family and its implications for sexual identities beyond the closet. PMID:20606708

  10. Nutrigenomics-based personalised nutritional advice: in search of a business model?

    PubMed

    Ronteltap, Amber; van Trijp, Hans; Berezowska, Aleksandra; Goossens, Jo

    2013-03-01

    Nutritional advice has mainly focused on population-level recommendations. Recent developments in nutrition, communication, and marketing sciences have enabled potential deviations from this dominant business model in the direction of personalisation of nutrition advice. Such personalisation efforts can take on many forms, but these have in common that they can only be effective if they are supported by a viable business model. The present paper takes an inventory of approaches to personalised nutrition currently available in the market place as its starting point to arrive at an identification of their underlying business models. This analysis is presented as a unifying framework against which the potential of nutrigenomics-based personalised advice can be assessed. It has uncovered nine archetypical approaches to personalised nutrition advice in terms of their dominant underlying business models. Differentiating features among such business models are the type of information that is used as a basis for personalisation, the definition of the target group, the communication channels that are being adopted, and the partnerships that are built as a part of the business model. Future research should explore the consumer responses to the diversity of "archetypical" business models for personalised nutrition advice as a source of market information on which the delivery of nutrigenomics-based personalised nutrition advice may further build.

  11. Systematic reviews of bed rest and advice to stay active for acute low back pain.

    PubMed Central

    Waddell, G; Feder, G; Lewis, M

    1997-01-01

    BACKGROUND: In the United Kingdom (UK), 9% of adults consult their doctor annually with back pain. The treatment recommendations are based on orthopaedic teaching, but the current management is causing increasing dissatisfaction. Many general practitioners (GPs) are confused about what constitutes effective advice. AIM: To review all randomized controlled trials of bed rest and of medical advice to stay active for acute back pain. METHOD: A systematic review based on a search of MEDLINE and EMBASE from 1966 to April 1996 with complete citation tracking for randomized controlled trials of bed rest or medical advice to stay active and continue ordinary daily activities. The inclusion criteria were: primary care setting, patients with low back pain of up to 3 months duration, and patient-centred outcomes (rate of recovery from the acute attack, relief of pain, restoration of function, satisfaction with treatment, days off work and return to work, development of chronic pain and disability, recurrent attacks, and further health care use). RESULTS: Ten trials of bed rest and eight trials of advice to stay active were identified. Consistent findings showed that bed rest is not an effective treatment for acute low back pain but may delay recovery. Advice to stay active and to continue ordinary activities results in a faster return to work, less chronic disability, and fewer recurrent problems. CONCLUSION: A simple but fundamental change from the traditional prescription of bed rest to positive advice about staying active could improve clinical outcomes and reduce the personal and social impact of back pain. PMID:9474831

  12. The implementation of ergonomics advice and the stage of change approach.

    PubMed

    Rothmore, Paul; Aylward, Paul; Karnon, Jonathan

    2015-11-01

    This paper investigates the implementation of injury prevention advice tailored according to the Stage of Change (SOC) approach. The managers of 25 workgroups, drawn from medium to large companies across a wide range of occupational sectors were allocated to receive either standard ergonomics advice or ergonomics advice tailored according to the workgroup SOC. Twelve months after the advice was provided, semi-structured interviews were conducted with each manager. In a multivariate model, managers who had received tailored advice were found to have implemented significantly more of the recommended changes (IRR = 1.68, 95% CI 1.07-2.63) and more "additional" changes (IRR = 1.90, 95% CI 1.12-3.20). Qualitative analysis identified that the key barriers and facilitators to the implementation of changes were largely related to worker resistance to change and the attitudes of senior managers towards health and safety. The findings from this study suggest that the implementation of ergonomics recommendations may be improved by the tailoring of advice according to SOC principles.

  13. Fish for Dinner? Balancing Risks, Benefits, and Values in Formulating Food Consumption Advice.

    PubMed

    Rideout, Karen; Kosatsky, Tom

    2017-03-17

    Many and complex factors underlie seemingly simple decisions about what to eat. This is particularly so for foods such as fish, which present consumers with both risks and benefits. Advice about what type of and how much fish to consume is abundant, but that advice is often confusing or contradictory, reflecting the differing mandates and orientations of those advising. We survey a range of issues that can and should be incorporated into dietary advice, and offer tools for health agencies tasked with providing it. We argue that risks and benefits should not be limited to direct physical health. Rather, socioeconomic and community factors, unintended or indirect effects, and nonhuman-health outcomes such as animal welfare and planetary health should also be considered and weighed. We provide examples of existing fish consumption guidance to highlight the conflicting messages that emerge when different sources of advice with singular aims of avoiding risk, gaining nutritional benefit, or sustaining fish populations are juxtaposed. We then offer tools borrowed from health and other fields to guide health agencies toward developing more comprehensive advice and targeting that advice for specific populations.

  14. Improving the provision of driving advice on discharge after abdominal surgery.

    PubMed

    Buss, Imogen; Gould, Laura

    2015-01-01

    Ensuring the safety of patients is a vital duty of a doctor. It is their responsibility to advise patients about activity limitations on discharge from hospital. This study aims to assess the current provision of driving advice for patients after abdominal surgery and institute improvements to this provision of information in North Bristol NHS Trust. A preliminary questionnaire ascertained current doctor's knowledge regarding limitations of driving postoperatively and whether information was communicated to patients. Baseline retrospective data were collected from electronic discharge summaries to determine documentation of advice provision. Educational interventions were introduced, followed by data collection after each intervention. Initial questionnaires demonstrated poor knowledge amongst doctors and a lack of provision of driving advice postoperatively. After multiple educational interventions, the provision of driving advice on electronic discharge summaries increased from 0% (0) at baseline to 75% (9). Initially, the provision of driving advice postoperatively was poorly documented for inpatients undergoing abdominal surgery; following multiple educational interventions, the provision of written advice improved. Future plans include the introduction of prewritten sentences onto the electronic discharge summaries to facilitate ease of information provision and a reaudit in 12 months.

  15. Lifestyle advice and lifestyle change: to what degree does lifestyle advice of healthcare professionals reach the population, focusing on gender, age and education?

    PubMed

    Brobeck, Elisabeth; Bergh, Håkan; Odencrants, Sigrid; Hildingh, Cathrine

    2015-03-01

    Health promotion practice in health care has a high priority in the endeavour to achieve equal opportunities for health and diversity in health among the population. The purpose of the study was to investigate whether there is any connection between the lifestyle advice given by healthcare professionals and the lifestyle change of the population, focusing on age, gender and education level. The study is based on the data from a national population survey in Sweden in which 52 595 patients who had attended health care were interviewed by phone. The participants were asked whether healthcare professionals had raised the subject of lifestyle during the visit and whether the advice they gave had contributed to a lifestyle change. The results indicated that lifestyle issues were raised with 32.2% of those who attended health care, particularly among men, younger patients and those with a high education level. When lifestyle issues were raised, the advice contributed to 39.2% of patients making a lifestyle change, to a higher extent among men, older patients and those with a low education level. The study shows that lifestyle advice given by healthcare professionals, during both emergency and outpatient healthcare visits, is an important contributor to patients' lifestyle change.

  16. The Informed Guide to Climate Data Sets, a web-based community resource to facilitate the discussion and selection of appropriate datasets for Earth System Model Evaluation

    NASA Astrophysics Data System (ADS)

    Schneider, D. P.; Deser, C.; Shea, D.

    2011-12-01

    When comparing CMIP5 model output to observations, researchers will be faced with a bewildering array of choices. Considering just a few of the different products available for commonly analyzed climate variables, for reanalysis there are at least half a dozen different products, for sea ice concentrations there are NASA Team or Bootstrap versions, for sea surface temperatures there are HadISST or NOAA ERSST data, and for precipitation there are CMAP and GPCP data sets. While many data centers exist to host data, there is little centralized guidance on discovering and choosing appropriate climate data sets for the task at hand. Common strategies like googling "sea ice data" yield results that at best are substantially incomplete. Anecdotal evidence suggests that individual researchers often base their selections on non-scientific criteria-either the data are in a convenient format that the user is comfortable with, a co-worker has the data handy on her local server, or a mentor discourages or recommends the use of particular products for legacy or other non-objective reasons. Sometimes these casual recommendations are sound, but they are not accessible to the broader community or adequately captured in the peer-reviewed literature. These issues are addressed by the establishment of a web-based Informed Guide with the specific goals to (1) Evaluate and assess selected climate datasets and (2) Provide expert user guidance on the strengths and limitations of selected climate datasets. The Informed Guide is based at NCAR's Climate and Global Dynamics Division, Climate Analysis Section and is funded by NSF. The Informed Guide is an interactive website that welcomes participation from the broad scientific community and is scalable to grow as participation increases. In this presentation, we will present the website, discuss how you can participate, and address the broader issues about its role in the evaluation of CMIP5 and other climate model simulations. A link to the

  17. Smoking cessation advice: the self-reported attitudes and practice of primary health care physicians in a military community, central Saudi Arabia

    PubMed Central

    AlAteeq, Mohammed; Alrashoud, Abdulaziz M; Khair, Mohammed; Salam, Mahmoud

    2016-01-01

    Background Brief advice on smoking cessation from primary health care (PHC) physicians reduces smoking prevalence. However, few studies have investigated the provision of such advice by PHC physicians providing services to military communities. The aim of this study was to evaluate PHC physicians’ attitudes toward and practice of delivering smoking cessation advice to smokers in a military community in central Saudi Arabia. Methods A self-reported survey of PHC physicians was conducted in 2015 using a previously validated tool. The age, sex, educational level, job title, experience and previous smoking cessation training of each physician was recorded. Attitude (ten statements) and practice (six statements) were evaluated on a five-point Likert scale. Scoring system was applied and percentage mean scores (PMS) were calculated. Descriptive/statistical analyses were applied to identify factors that were significantly associated with a positive attitude and favorable practice (PMS >65 each). P-values <0.05 were considered to be significant. Results Response rate was 73/150 (48.6%), of which equal sex distribution (52%:48%) was observed, with a mean age of 35.3±9.6 years. General practitioners constituted 71.4%, followed by consultants (17.9%) and specialists (10.7%). Those with a postgraduate education formed 49.3%, while experience averaged 9.5±9.2 years. Approximately 56% had not attended a smoking cessation educational program in the previous year. Approximately 75% of physicians had a positive attitude (PMS =72.4±11.2), while 64.4% reported favorable practice (PMS =65.3±27.7). Higher education levels were significantly more associated with positive attitude than lower education levels (adj. odds ratio [OR] 95% confidence interval [CI] =17.9 [1.3–242.3]; adj. P=0.03). More experienced physicians (adj. OR [95% CI] =9.5 [1.6–54.6]) and those with positive attitude (adj. OR [95% CI] =6.1 [1.6–23.3]) were more likely to report a favorable practice, compared

  18. The pre-travel medical evaluation: the traveler with chronic illness and the geriatric traveler.

    PubMed Central

    Patterson, J. E.

    1992-01-01

    The pre-travel medical evaluation of elderly patients and patients with chronic illness requires special assessment and advice. Screening and special precautions are reviewed for traveling patients with respiratory disease, cardiac disease, sinusitis, diabetes mellitus, HIV infection, and other chronic medical conditions. Current guidelines for empiric therapy and prophylaxis of travelers' diarrhea are reviewed, with emphasis on concerns in geriatric or chronically ill travelers. Special considerations such as potential drug-drug interactions and insurance coverage are also discussed. PMID:1290273

  19. Building Your Campus Portal: Advice from the Field.

    ERIC Educational Resources Information Center

    Krebs, Arlene

    2001-01-01

    Discusses portal technology in higher education, including planning, design, technical, and financial issues. Highlights include determining the customers; marketing possibilities for the university; ownership issues; data design; effective cost structuring; security issues; adaptability; content; and customer input and feedback. (LRW)

  20. Influence of physician and patient gender on provision of smoking cessation advice in general practice

    PubMed Central

    Young, J.; Ward, J.

    1998-01-01

    OBJECTIVE—To examine the association between physician and patient gender and physicians' self-reported likelihood of providing smoking cessation advice to smokers using hypothetical case scenarios in primary care.
DESIGN—Cross-sectional analysis of a self-administered questionnaire.
SUBJECTS—National random sample of Australian general practitioners (GPs).
MAIN OUTCOME MEASURES—Self-reported likelihood of advising hypothetical male and female smokers to stop smoking during a consultation for ear-syringing ("opportunistic" approach) or a dedicated preventive health "check up".
RESULTS—855 GPs returned questionnaires (67% response rate). Significantly more respondents indicated they would be "highly likely" to initiate an opportunistic discussion about smoking with a male smoker (47.8% (95% confidence intervals (CI) = 44.5 to 51.2)) than a female smoker (36.3% (95% CI = 33.1 to 39.5]). Older, male GPs were less likely to adopt an opportunistic approach to smoking cessation for patients of either sex. Respondents were more likely to recommend that a male patient return for a specific preventive health check up. Furthermore, in the context of a health check up, a greater proportion in total of respondents indicated they would be "highly likely" to discuss smoking with a man (86.9%, 95% CI = 84.5 to 89.0) than a female smoker (82.5%, 95% CI = 79.8 to 84.9).
CONCLUSIONS—As measured by physician self-report, the likelihood of advising smokers to quit during primary care consultations in Australia appears to be influenced by gender bias. Gender-sensitive strategies to support cessation activities are recommended.


Keywords: smoking cessation; gender; general practitioners PMID:10093168

  1. Let's Discuss: Teaching Students about Discussions

    ERIC Educational Resources Information Center

    Brank, Eve; Wylie, Lindsey

    2013-01-01

    Research consistently demonstrates the benefits of employing classroom discussions; however, there has been less attention given to teaching students about discussions. The current research compared 2 advanced social psychology courses: 1 without (control) and 1 with (experimental) a week devoted to learning about and discussing discussions.…

  2. Assessing the feasibility of screening and providing brief advice for alcohol misuse in general dental practice: a clustered randomised control trial protocol for the DART study

    PubMed Central

    Ntouva, Antiopi; Porter, Jessie; Crawford, Mike J; Britton, Annie; Gratus, Christine; Newton, Tim; Tsakos, Georgios; Heilmann, Anja; Pikhart, Hynek; Watt, Richard G

    2015-01-01

    Introduction Alcohol misuse is a significant public health problem with major health, social and economic consequences. Systematic reviews have reported that brief advice interventions delivered in various health service settings can reduce harmful drinking. Although the links between alcohol and oral health are well established and dentists come into contact with large numbers of otherwise healthy patients regularly, no studies have been conducted in the UK to test the feasibility of delivering brief advice about alcohol in general dental settings. Methods and analysis The Dental Alcohol Reduction Trial (DART) aims to assess the feasibility and acceptability of screening for alcohol misuse and delivering brief advice in patients attending National Health Service (NHS) general dental practices in North London. DART is a cluster randomised control feasibility trial and uses a mixed methods approach throughout the development, design, delivery and evaluation of the intervention. It will be conducted in 12 NHS general dental practices across North London and will include dental patients who drink above the recommended guidance, as measured by the Alcohol Use Disorders Identification Test (AUDIT-C) screening tool. The intervention involves 5 min of tailored brief advice delivered by dental practitioners during the patient's appointment. Feasibility and acceptability measures as well as suitability of proposed primary outcomes of alcohol consumption will be assessed. Initial economic evaluation will be undertaken. Recruitment and retention rates as well as acceptability of the study procedures from screening to follow-up will be measured. Ethics and dissemination Ethical approval was obtained from the Camden and Islington Research Ethics Committee. Study outputs will be disseminated via scientific publications, newsletters, reports and conference presentations to a range of professional and patient groups and stakeholders. Based on the results of the trial

  3. Parent-Daugher Discussions To Discourage Tobacco Use: Feasibility and Content.

    ERIC Educational Resources Information Center

    Ary, Dennis V.; James, Lisa; Biglan, Anthony

    1999-01-01

    Guided by a pamphlet designed to encourage family conversations about tobacco, parents of 6th- and 8th-grade daughters successfully carried out discussions about tobacco use in a nonaversive manner. Daughters reported parental advice was helpful. Topics discussed include consequences of smoking and difficulty of quitting. Suggestions for topics…

  4. Which metabolic imaging, besides bone scan with 99mTc-phosphonates, for detecting and evaluating bone metastases in prostatic cancer patients? An open discussion.

    PubMed

    Bombardieri, E; Setti, L; Kirienko, M; Antunovic, L; Guglielmo, P; Ciocia, G

    2015-12-01

    Prostate cancer bone metastases occur frequently in advanced cancer and this is matter of particular attention, due to the great impact on patient's management and considering that a lot of new emerging therapeutic options have been recently introduced. Imaging bone metastases is essential to localize lesions, to establish their size and number, to study characteristics and changes during therapy. Besides radiological imaging, nuclear medicine modalities can image their features and offer additional information about their metabolic behaviour. They can be classified according to physical characteristics, type of detection, mechanism of uptake, availability for daily use. The physiopathology of metastases formation and the mechanisms of tracer uptake are essential to understand the interpretation of nuclear medicine images. Therefore, radiopharmaceuticals for bone metastases can be classified in agents targeting bone (99mTc-phosphonates, 18F-fluoride) and those targeting prostatic cancer cells (18F-fluoromethylcholine, 11C-choline, 18F-fluorodeoxyglucose). The modalities using the first group of tracers are planar bone scan, SPECT or SPECT/CT with 99mTc-diphosphonates, and 18F-fluoride PET/CT, while the modalities using the second group include 18F/11C-choline derivatives PET/CT, 18F-FDG PET/CT and PET/CT scans with several other radiopharmaceuticals described in the literature, such as 18F/11C-acetate derivatives, 18F-fluoro-5α-dihydrotestosterone (FDHT), 18F-anti-1-amino-3-fluorocyclobutane-1-carboxylic acid (FACBC), 18F-2'-fluoro-5-methyl-1-β-D-arabinofuranosyluracil (FMAU) and 68Ga-labeled-prostate specific membrane antigen (PMSA) PET/TC. However, since data on clinical validation for these last novel modalities are not conclusive and/or are not still sufficient in number, at present they can be still considered as promising tools under evaluation. The present paper considers the nuclear modalities today available for the clinical routine. This overview wants

  5. Maryborough skin health survey: prevalence and sources of advice for skin conditions.

    PubMed

    Kilkenny, M; Stathakis, V; Jolley, D; Marks, R

    1998-11-01

    A computer-assisted telephone interview survey was carried out in the City of Maryborough to determine the prevalence and sources of advice for self-reported skin conditions. Of the 443 adults contacted, 416 (94%) agreed to participate in the study. One hundred and fourteen people (27%) reported having one or more skin conditions over the past 2 weeks, which included eczema/dermatitis 25.5% (range, 18.1-32.8%; 95% CI), warts 16.1% (9.8-22.4%), acne 16.2% (9.6-22.7%), cold sores 13.1% (7.3-18.9%) and tinea 11.2% (5.9-16.5%). Medical practitioners were the most common source of advice for 49% of skin conditions, followed by family and friends or self-prescribed (25%). Advice from a pharmacist was sought for 19% of skin conditions. Logistic regression analysis showed that those people who reported a moderate to severe inflammatory skin condition, such as dermatitis, urticaria or psoriasis, were most likely to seek advice from their medical practitioner. The type and severity of skin condition were factors which determined where a person sought advice on diagnosis and management.

  6. [Scientific advice by the national and European approval authorities concerning advanced therapy medicinal products].

    PubMed

    Jost, Nils; Schüssler-Lenz, Martina; Ziegele, Bettina; Reinhardt, Jens

    2015-11-01

    The aim of scientific advice is to support pharmaceutical developers in regulatory and scientific questions, thus facilitating the development of safe and efficacious new medicinal products. Recent years have shown that the development of advanced therapy medicinal products (ATMPs) in particular needs a high degree of regulatory support. On one hand, this is related to the complexity and heterogeneity of this group of medicinal products and on the other hand due to the fact that mainly academic research institutions and small- and medium-sized enterprises (SMEs) are developing ATMPs. These often have limited regulatory experience and resources. In 2009 the Paul-Ehrlich-Institut (PEI) initiated the Innovation Office as a contact point for applicants developing ATMPs. The mandate of the Innovation Office is to provide support on regulatory questions and to coordinate national scientific advice meetings concerning ATMPs for every phase in drug development and especially with view to the preparation of clinical trial applications. On the European level, the Scientific Advice Working Party (SAWP) of the Committee for Medicinal Products for Human Use (CHMP) of the European Medicinal Agency (EMA) offers scientific advice. This article describes the concepts of national and EMA scientific advice concerning ATMPs and summarizes the experience of the last six years.

  7. Advice to eat fish and mood: a randomised controlled trial in men with angina.

    PubMed

    Ness, Andrew R; Gallacher, John E J; Bennett, Paul D; Gunnell, David J; Rogers, Peter J; Kessler, David; Burr, Michael L

    2003-02-01

    People with high intake of fish have lower reported rates of depression and a small trial in psychiatric patients suggested that fish oil supplements reduced episodes of depression and mania. As part of a factorial trial of interventions to reduce mortality in angina 452 men were randomised to advice to eat more fatty fish or no fish advice. Maxepa fish oil capsules were supplied to men who found the fish unpalatable. Fish intake and mood were assessed at baseline and six months. Most men (83%) had mood assessed using the Derogatis Stress Profile at baseline and follow-up. Self reported intake of fish was higher in the fish advice group at six months. There was, however, no difference in depression or anxiety in those allocated to receive fish advice. After controlling for baseline mood, the difference in depression score between those randomised to fish advice and those not was 1.29 (95% CI -0.29 to 2.88) and the difference in anxiety was 0.82 (95% CI -0.57 to 2.22) with positive differences indicating more depression or anxiety in those allocated to the fish arm. This trial provides no evidence that increased fatty fish intake in people without depressive symptoms has any substantial effect on mood.

  8. Sound Advice: How To Live in Harmony with Our Coast.

    ERIC Educational Resources Information Center

    North Carolina Coastal Federation, Inc. Newport.

    Most people tend to take coastal areas for granted, but, if steps are not taken now to improve the quality of the water from the mountains to the coast, it may someday be unfit for human use. Following a statement of the reasons for such concern are 13 chapters discussing various aspects of water conservation. Chapter titles include: (1) "Erosion…

  9. Dr. Spock on Parenting: Sensible, Reassuring Advice for Contemporary Parents.

    ERIC Educational Resources Information Center

    Spock, Benjamin

    Compiling essays authored by Benjamin Spock and published in magazines, this book addresses the changing traditional family structure and the challenges faced by contemporary parents. The chapters are: (1) "Anxieties in Our Lives," discussing stressors, decisions regarding work, and late parenting; (2) "Being a Father Today,"…

  10. Nurse provision of healthy lifestyle advice to people who are overweight or obese.

    PubMed

    Kable, Ashley; James, Carole; Snodgrass, Suzanne; Plotnikoff, Ronald; Guest, Maya; Ashby, Samantha; Oldmeadow, Christopher; Collins, Clare

    2015-12-01

    A cross-sectional survey was conducted in a regional area in Australia to measure nurses' perceptions, practices, and knowledge in regard to providing healthy lifestyle advice to people who are overweight or obese. Responses were compared between geographic regions. Participation was voluntary and anonymous. Of the 79 nurse participants, 68% considered that provision of healthy lifestyle advice was within their scope of practice. Only 28% reported frequently estimating body mass index in the practice setting. Nurses often recommended increasing activity levels (44%), but recommended reducing daily caloric intake less often (25%). Nurses' knowledge about weight management was variable and the proportion of correct answers to knowledge items ranged from 33-99%. Nurses have many opportunities to deliver healthy lifestyle advice in a range of practice settings. The variation in practices and knowledge of nurses indicates a need for improved healthy lifestyle education for undergraduate and practicing nurses.

  11. Differences between Japanese and American college students in giving advice about help seeking to rape victims.

    PubMed

    Yamawaki, Niwako

    2007-10-01

    In this study, the author investigated differences in Japanese and American college students' tendencies to advise a hypothetical rape victim (their sister) to seek help from police, family members, or mental health professionals. Japanese students tended to encourage the victim to seek help from her family members, whereas American students tended to encourage her to seek help from police and mental health counselors. Cross-cultural discrepancies were marked by the following factors: (a) feelings of shame moderated advice to seek help from police; (b) minimization of rape mediated the likelihood to advise the involvement of police and mental health counselors; (c) attitudes toward mental health counselors mediated advice to seek help from them; and (d) the type of rape (stranger vs. date rape) moderated advice to report the crime to police.

  12. 47 CFR 0.558 - Advice and assistance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... for gaining access to a particular system of records or for contesting the contents of a record... questions concerning the characterization of specific systems of records as set forth therein, should write..., Performance Evaluation and Records Management, Office of the Managing Director, 445 12th Street,...

  13. Advice to a young scientist (by someone who doesn’t know how to give it)

    PubMed Central

    Denic, Vladimir

    2015-01-01

    While trying to extract original and general advice from the details of my career, I realized this might not be possible. My path, like those of so many others, had too many idiosyncratic twists and turns that had to work out just the way they did to be mined for generally useful strategies. So I abandon the conceit of advice and simply give you my story. There are many like it, but this one is mine. Take what you wish from it. PMID:26515969

  14. The effects of advice and "try more" instructions on improving realism of confidence.

    PubMed

    Buratti, Sandra; Allwood, Carl Martin

    2013-09-01

    This study investigated whether participants can improve the accuracy of their confidence judgments by making second-order judgments, and whether advice (attend both to correct and incorrect items and consider the remember/know quality of the item), and "try more" instructions can help increase participants' accuracy. The participants (n=220) made confidence judgments of their answers to 50 recall questions on a video clip. Next, all the participants were asked to try to increase the accuracy of their confidence judgments by modifying those they believed showed poor realism. Although the participants did increase the accuracy of their confidence judgments, neither the advice nor the "try more" instructions improved their accuracy.

  15. Diagnosis of urogenital Chlamydia trachomatis infections by home-obtained, mailed samples: do we need a telephone hotline for information and advice?

    PubMed

    Andersen, Berit; Ostergaard, Lars; Sørensen, Hanne; Møller, Jens Kjølseth; Olesen, Frede; Laursen, Henrik Duch; Worm, Anne-Marie

    2002-01-01

    This study evaluates the use of dedicated telephone hotlines to provide advice to young individuals who were offered the chance to be tested for Chlamydia trachomatis by means of home-obtained samples that were mailed directly to a testing laboratory. In a school-based screening study, a population-based screening study and a partner-tracing study we established hotlines and registered the calls. The target groups for the 3 studies comprised 8,909, 9,000 and 4,622 individuals and 0.1% (8/8,909), 0.7% (66/9,000) and 2.7% (124/4,622) of the populations, respectively took the opportunity to call anonymously to receive advice. The number of calls per opening hour of the hotlines varied between 0.2 (8 calls/40 opening hours) and 0.4 (124 calls/300 opening hours). Major reasons for calling the hotlines included requests for more information about chlamydial infections, questions relating to the study and emotional concerns (e.g. problems relating to partner tracing, adultery or anxiety concerning infertility). Although only a small fraction of the target populations used the hotlines we conclude that there is a need for advice and counseling in connection with strategies involving home-obtained samples for C. trachomatis testing. The optimal setting for this, however, remains to be determined.

  16. Healthcare provider smoking cessation advice among US worker groups

    PubMed Central

    Lee, David J; Fleming, Lora E; McCollister, Kathryn E; Caban, Alberto J; Arheart, Kristopher L; LeBlanc, William G; Chung‐Bridges, Katherine; Christ, Sharon L; Dietz, Noella; Clark, John D

    2007-01-01

    Objective Among workers in dusty occupations, tobacco use is particularly detrimental to health because of the potential synergistic effects of occupational exposures (for example, asbestos) in causing disease. This study explored the prevalence of smoking and the reported smoking cessation discussion with a primary healthcare provider (HCP) among a representative sample of currently employed US worker groups. Methods Pooled data from the 1997–2003 National Health Interview Survey (NHIS) were used to estimate occupation specific smoking rates (n = 135 412). The 2000 NHIS Cancer Control Module was used to determine (among employed smokers with HCP visits) the prevalence of being advised to quit smoking by occupation (n = 3454). Results The average annual prevalence of current smoking was 25% in all workers. In 2000, 84% of smokers reported visiting an HCP during the past 12 months; 53% reported being advised by their physician to quit smoking (range 42%–66% among 30 occupations). However, an estimated 10.5 million smokers were not advised to quit smoking by their HCP. Workers with potentially increased occupational exposure to dusty work environments (including asbestos, silica, particulates, etc), at high risk for occupational lung disease and with high smoking prevalence, had relatively low reported discussions with an HCP about smoking cessation, including farm workers (30% overall smoking prevalence; 42% told to quit), construction and extractive trades (39%; 46%), and machine operators/tenderers (34%; 44%). Conclusion The relatively low reported prevalence of HCP initiated smoking cessation discussion, particularly among currently employed workers with potentially synergistic occupational exposures and high current smoking prevalence, needs to be addressed through educational campaigns targeting physicians and other HCPs. PMID:17897991

  17. A scripted activity study of the impact of protective advice on personal exposure to ultra-fine and fine particulate matter and volatile organic compounds.

    PubMed

    Stieb, David M; Evans, Gregory J; Sabaliauskas, Kelly; Chen, L I; Campbell, Monica E; Wheeler, Amanda J; Brook, Jeffrey R; Guay, Mireille

    2008-09-01

    We evaluated the impact on personal exposure to air pollutants of following advice which typically accompanies air quality advisories and indices. Scripts prescribed the time, location, duration and nature of activities intended to simulate daily activity patterns for adults and children. Scripts were paired such that one individual would proceed with usual activities (base scenario), whereas the other (intervention scenario) would alter activities as if following advice. Other than commuting, where the intervention group walked or used public transportation rather than riding in personal vehicles, this group generally spent less time outdoors. Ultra-fine particles (UFPs), particulate matter of median aerodynamic diameter less than 2.5 mum (PM(2.5)) and total volatile organic compounds (VOCs) were measured using samplers carried by individuals during the course of daily activities. During daytime activities (e.g., work, daycare) constituting the largest share of sampling time (approximately 6 h per day), the intervention group experienced a 14% reduction in exposure to UFPs (P=0.01), a 21% reduction in exposure to PM(2.5) (P=0.08), and an 86% increase in exposure to VOCs (P=0.02). Other findings included an 89% increase in exposure to UFPs (P=0.02) and a threefold increase in exposure to VOCs (P=0.08) in the intervention group during evening cooking. Following smog advisory advice results in reduced exposures to some pollutants, while at the same time increasing exposure to others. Advice needs to be refined giving consideration to overall personal exposure.

  18. Is brief advice in primary care a cost-effective way to promote physical activity?

    PubMed Central

    Anokye, Nana K; Lord, Joanne; Fox-Rushby, Julia

    2014-01-01

    Aim This study models the cost-effectiveness of brief advice (BA) in primary care for physical activity (PA) addressing the limitations in the current limited economic literature through the use of a time-based modelling approach. Methods A Markov model was used to compare the lifetime costs and outcomes of a cohort of 100 000 people exposed to BA versus usual care. Health outcomes were expressed in terms of quality-adjusted life years (QALYs). Costs were assessed from a health provider perspective (£2010/11 prices). Data to populate the model were derived from systematic literature reviews and the literature searches of economic evaluations that were conducted for national guidelines. Deterministic and probability sensitivity analyses explored the uncertainty in parameter estimates including short-term mental health gains associated with PA. Results Compared with usual care, BA is more expensive, incurring additional costs of £806 809 but it is more effective leading to 466 QALYs gained in the total cohort, a QALY gain of 0.0047/person. The incremental cost per QALY of BA is £1730 (including mental health gains) and thus can be considered cost-effective at a threshold of £20 000/QALY. Most changes in assumptions resulted in the incremental cost-effectiveness ratio (ICER) falling at or below £12 000/QALY gained. However, when short-term mental health gains were excluded the ICER was £27 000/QALY gained. The probabilistic sensitivity analysis showed that, at a threshold of £20 000/QALY, there was a 99.9% chance that BA would be cost-effective. Conclusions BA is a cost-effective way to improve PA among adults, provided short-term mental health gains are considered. Further research is required to provide more accurate evidence on factors contributing to the cost-effectiveness of BA. PMID:24352807

  19. Pretravel Health Advice Among Australians Returning From Bali, Indonesia: A Randomized Controlled Trial Protocol

    PubMed Central

    Gibbs, Robyn A; Heyworth, Jane S; Giele, Carolien; Firth, Martin J; Effler, Paul V

    2016-01-01

    Background The effect of pretravel health advice (PTHA) on travel-related illness rates is poorly understood, and to date there are no published randomized controlled trials evaluating the impact of PTHA outcomes. Objective This study aims to determine the effect of an online PTHA intervention on travel-related illness rates in Western Australians visiting Bali, Indonesia. Methods Western Australian travelers to Bali will be recruited online before departure and will be randomly allocated to an intervention or control group by computer algorithm. The intervention in this study is a short animated video, with accompanying text, containing PTHA relevant to Bali. An online posttravel survey will be administered to all participants within two weeks of their return from Bali. The primary outcome is the difference in self-reported travel-related illness rates between control and intervention groups. Secondary outcomes include the difference in risk prevention behaviors and health risk knowledge between the control and intervention groups. Further secondary outcomes include whether individuals in the control group who sought external PTHA differ from those who did not with respect to risk prevention behaviors, health risk knowledge, and health risk perception, as well as the rate of self-reported travel-related illness. Results The study began recruitment in September 2016 and will conclude in September 2017. Data analysis will take place in late 2017, with results disseminated via peer-reviewed journals in early 2018. Conclusions This will be the first randomized controlled trial to examine the effect of a novel PTHA intervention upon travel-related illness. In addition, this study builds upon the limited existing data on the effectiveness of PTHA on travel-related illness. ClinicalTrial Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12615001230549; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369567 (Archived by WebCite at http

  20. “El Sexo no es Malo”: Maternal Values Accompanying Contraceptive Use Advice to Young Latina Adolescent Daughters

    PubMed Central

    Bravo, Magali; Cruz, Maria Elena; Rios, Rebeca M.; Kouyoumdjian, Claudia

    2010-01-01

    In this study, we utilized observational methods to identify maternal values and concerns accompanying contraceptive use advice in Latina mother–daughter sexuality conversations. The sample included non-sexually active early adolescents around 12 years of age and their mostly Spanish-speaking Latina mothers. Videotaped conversations were coded for the prevalence of messages related to four sexual values (abstinence, delay sex until older, sex is “normal”, sex is “improper”) and concerns about pregnancy and STD transmission. We examined whether the duration of time spent conversing about these messages was associated with participant characteristics, general communication openness, and the amount of time the dyads spent discussing contraceptive use. Results indicated that Latina mothers who had fewer years of education and lower family income talked longer to their daughters about the need to delay sex, avoid risky situations that would increase their chances of getting pregnant or acquiring an STD, and engage in self-protective practices. Less perceived openness in general communication as reported by both the mothers and the daughters was associated with increased time discussing that sex is improper. Although the duration of contraceptive use messages was brief, mothers and daughters who discussed the fact that sex is normal, and who communicated more about the importance of delaying sex, talked longer about contraceptive use practices compared to mothers and daughters who engaged in minimal discussion of these sexual values. PMID:20543876

  1. Women Reading for Education, Affinity & Development (WREAD): An Evaluation of a Semistructured Reading Discussion Group for African American Female Adult-Literacy Students with Histories of Trauma

    ERIC Educational Resources Information Center

    Jones, Jayatta D.

    2012-01-01

    Women Reading for Education, Affinity & Development (WREAD), a reading discussion group geared toward African American female adult-literacy students with self-defined histories of trauma, was an outgrowth of research identifying links between trauma, women's struggles with literacy, and the need to be conscious of emotional health…

  2. Exercise and the Asymptomatic Individual: Assessment and Advice

    PubMed Central

    Skrastins, Roland; McCans, John L.

    1982-01-01

    With the current popularity of physical fitness, the family physician is often asked to advise asymptomatic individuals who wish to undertake an exercise program. In the majority of cases, adequate assessment consists of a thorough history and physical examination, along with a few simple investigations, including a resting electrocardiogram. Exercise stress testing of asymptomatic individuals produces an unacceptably high frequency of false-positive results, and its use should be restricted to those patients with cardiac symptoms or major cardiac risk factors. The potential benefits of a longterm commitment to regular exercise should be discussed with the patient and guidance provided on the optimal form of exercise program for that individual. Exercise must not be considered in isolation. Other major cardiovascular risk factors should be sought and dealt with appropriately. PMID:21286106

  3. Disparities in Who Receives Weight-Loss Advice From a Health Care Provider: Does Income Make a Difference?

    PubMed Central

    Lorts, Cori

    2016-01-01

    Introduction The US Preventive Services Task Force recommends that all patients be screened for obesity and, if needed, be provided weight-loss advice. However, the prevalence of such advice is low and varies by patient demographics. This study aimed to describe the determinants of receiving weight-loss advice among a sample with a high proportion of low-income, racial/ethnic minority individuals. Methods Data were collected from a telephone survey of 1,708 households in 2009 and 2010 in 5 cities in New Jersey. Analyses were limited to 1,109 overweight or obese adults. Multivariate logistic regression determined the association of participants’ characteristics with receiving weight-loss advice from their health care provider. Two models were used to determine differences by income and insurance status. Results Of all overweight or obese respondents, 35% reported receiving advice to lose weight. Receiving advice was significantly associated with income in multivariate analysis. Compared with those with an income at or below 100% of the federal poverty level (FPL), those within 200% to 399% of the FPL had 1.60 higher odds of receiving advice (P = .02), and those with an income of 400% or more of the FPL had 1.73 higher odds of receiving advice (P = .03). The strength of the association did not change after adjusting for health insurance. Conclusion Income is a significant predictor of whether or not overweight or obese adults receive weight-loss advice after adjustment for demographic variables, health status, and insurance status. Further work is needed to examine why disparities exist in who receives weight-loss advice. Health care providers should provide weight-loss advice to all patients, regardless of income. PMID:27710763

  4. Impact of an SMS advice programme on maternal and newborn health in rural China: study protocol for a quasi-randomised controlled trial

    PubMed Central

    Su, Yanfang; Yuan, Changzheng; Zhou, Zhongliang; Heitner, Jesse; Campbell, Benjamin

    2016-01-01

    Introduction Expectant mothers in low-income and middle-income countries often lack access to vital information about pregnancy, preparation for birth and best practices when caring for their newborn. Innovative solutions are needed to bridge this knowledge gap and dramatically improve maternal and neonatal health in these settings. This study aims to evaluate the impact of an innovative text messaging intervention on maternal and neonatal health outcomes. Methods and analysis This study offers expectant mothers in rural China a package of free short messages via cell phone regarding pregnancy and childbirth. These messages are tailored to each mother's gestational week. It is hypothesised that delivering these short advice messages to pregnant women can improve maternal and newborn health. The study uses factorial quasi-randomisation to compare psychological, behavioural and health outcomes between 4 groups: 2 groups receiving different sets of short message interventions (ie, good household prenatal practices and healthcare seeking), a group receiving both interventions and a control group. Treatment assignment occurs at the individual level. The primary outcome is newborn health, measured by appropriateness of weight for gestational age. Secondary outcomes include severe neonatal and maternal morbidity as well as psychological and behavioural measures. This study has enrolled pregnant women who attend county maternal and child health centres for their prenatal visits. Discussion This pilot is the first large-scale effort to build a comprehensive evidence base on the impact of prenatal text messages via cell phone on maternal and newborn health outcomes in China. The study has broad implications for public health policy in China and the implementation of mobile health interventions in low-resource settings around the world. Ethics This study was approved by the Ethics Committee of the School of Medicine at Xi'an Jiaotong University on 18 January 2013. Trial

  5. Winnipeg software designed to give FPs easy access to specialists' advice

    PubMed Central

    Stewart, J

    1998-01-01

    Specialists in Winnipeg have developed a method of consultation that they think may reduce their waiting lists by providing primary care physicians with computer-based advice on different conditions. This would help them assume some of the care currently provided by specialists. PMID:9835888

  6. Parenting an Overweight or Obese Teen: Issues and Advice from Parents

    ERIC Educational Resources Information Center

    Boutelle, Kerri N.; Feldman, Shira; Neumark-Sztainer, Dianne

    2012-01-01

    Objective: This qualitative study addresses: (1) what challenges parents of overweight adolescents face and (2) what advice parents of overweight adolescents have for other parents. Design: One-on-one interviews were conducted with parents of overweight or previously overweight adolescents. Setting: Medical clinic at the University of Minnesota.…

  7. 32 CFR 719.151 - Furnishing of advice and counsel to accused placed in pretrial confinement.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... with advice as to the confinee's right to consult with lawyer counsel and his right to prepare for trial. Lawyer counsel may be either a civilian lawyer provided by the confinee at his own expense or a military lawyer provided by the Government. If a confinee requests to confer with a military lawyer,...

  8. 32 CFR 719.151 - Furnishing of advice and counsel to accused placed in pretrial confinement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... with advice as to the confinee's right to consult with lawyer counsel and his right to prepare for trial. Lawyer counsel may be either a civilian lawyer provided by the confinee at his own expense or a military lawyer provided by the Government. If a confinee requests to confer with a military lawyer,...

  9. 21 CFR 12.50 - Advice on public participation in hearings.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Administration, 5600 Fishers Lane, Rockville, MD 20857, or telephone 301-443-3480. The staff of the Associate... changes. Requests by hearing participants for changes in the schedule of a hearing or for filing documents...), Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857. (c) Legal advice to...

  10. 21 CFR 12.50 - Advice on public participation in hearings.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Administration, 5600 Fishers Lane, Rockville, MD 20857, or telephone 301-443-3480. The staff of the Associate... changes. Requests by hearing participants for changes in the schedule of a hearing or for filing documents...), Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857. (c) Legal advice to...

  11. 21 CFR 12.50 - Advice on public participation in hearings.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Administration, 5600 Fishers Lane, Rockville, MD 20857, or telephone 301-443-3480. The staff of the Associate... changes. Requests by hearing participants for changes in the schedule of a hearing or for filing documents...), Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857. (c) Legal advice to...

  12. 21 CFR 12.50 - Advice on public participation in hearings.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Administration, 5600 Fishers Lane, Rockville, MD 20857, or telephone 301-443-3480. The staff of the Associate... changes. Requests by hearing participants for changes in the schedule of a hearing or for filing documents...), Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857. (c) Legal advice to...

  13. 21 CFR 12.50 - Advice on public participation in hearings.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Administration, 5600 Fishers Lane, Rockville, MD 20857, or telephone 301-443-3480. The staff of the Associate... changes. Requests by hearing participants for changes in the schedule of a hearing or for filing documents...), Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857. (c) Legal advice to...

  14. 7 CFR 1450.5 - Performance based on advice or action of USDA.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Performance based on advice or action of USDA. 1450.5 Section 1450.5 Agriculture Regulations of the Department of Agriculture (Continued) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS BIOMASS CROP ASSISTANCE...

  15. 7 CFR 1450.5 - Performance based on advice or action of USDA.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Performance based on advice or action of USDA. 1450.5 Section 1450.5 Agriculture Regulations of the Department of Agriculture (Continued) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS BIOMASS CROP ASSISTANCE...

  16. 7 CFR 1450.5 - Performance based on advice or action of USDA.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Performance based on advice or action of USDA. 1450.5 Section 1450.5 Agriculture Regulations of the Department of Agriculture (Continued) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS BIOMASS CROP ASSISTANCE...

  17. 7 CFR 1450.5 - Performance based on advice or action of USDA.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Performance based on advice or action of USDA. 1450.5 Section 1450.5 Agriculture Regulations of the Department of Agriculture (Continued) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS BIOMASS CROP ASSISTANCE...

  18. Some Advice on Writer's Workshop: Don't Quit Your Day Job.

    ERIC Educational Resources Information Center

    Johnson, Jane Morelli

    1997-01-01

    Offers advice on surviving while trying to make a career as a writer after having been a writing teacher. Outlines the typical writing process students are expected to follow. Questions whether writer's workshop demands the impossible of students. Finds that the best writing process is to write every day at a time that works for the particular…

  19. The Added Value of Advice when Learners Can Control Their Tool Use

    ERIC Educational Resources Information Center

    Vandewaetere, Mieke

    2012-01-01

    Providing learners with control over their learning does not always result in improved learning. For instance, research on tool-use in computer-based learning environments has demonstrated that tool-use behavior of learners is often suboptimal and does not fully support learning. Advice, or guided instruction, has been recognized as an…

  20. The Impact of Screening and Advice on Inattentive, Hyperactive and Impulsive Children

    ERIC Educational Resources Information Center

    Tymms, Peter; Merrell, Christine

    2006-01-01

    Severely inattentive, hyperactive and impulsive children fall behind their peers and can be difficult for teachers. What impact do screening and/or advice have? Interventions were randomly assigned to 2040 schools and 24 local education authorities in England. School-level interventions involved naming pupils with ADHD-like behaviour, or providing…

  1. Here's Advice on Cutting Staff (From Those Who've Done It).

    ERIC Educational Resources Information Center

    Hill, T. Susan

    1982-01-01

    Using the experiences of individual school districts, such as the Yonkers (New York) Public Schools, the author provides advice on how a board should carry out a reduction in force (RIF). She stresses the need to develop a written RIF policy and recommends involving staff and the community in the policy development process. Issues the policy…

  2. Reviving the Dead Butler? Towards a Review of Aspects of National Literacy Strategy Grammar Advice

    ERIC Educational Resources Information Center

    Wales, Lynn

    2009-01-01

    In his 2004 article "How was a dead butler killed: The way English national strategies maim grammatical parts" published in "Language and Education" 18, no. 1, Wasyl Cajkler calls for a review of grammar advice to teachers in the UK National Literacy Strategy (NLS) materials. His evidence demonstrates clearly that NLS grammar…

  3. 3 CFR - Delegation of Responsibility Under the Senate Resolution of Advice and Consent to Ratification of...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Resolution of Advice and Consent to Ratification of the Treaty Between the Government of the United States of... United States of America and the Government of the United Kingdom of Great Britain and Northern Ireland... Memorandum for the Secretary of State By the authority vested in me as President by the Constitution and...

  4. Thesis and Dissertation Writing: An Examination of Published Advice and Actual Practice.

    ERIC Educational Resources Information Center

    Paltridge, Brian

    2002-01-01

    Explores the extent to which published advice on the organization and structure of theses and dissertations concurs with what happens in actual practice. Examines guides and handbooks that focus on thesis and dissertation writing and postgraduate research. Found that only a few books devoted a substantial amount of space to this topic. Discusses…

  5. The View from Schools on Provision of Careers Information, Advice and Guidance in STEM Subjects

    ERIC Educational Resources Information Center

    Collinson, Gill

    2014-01-01

    This article explores the recent history of careers information, advice and guidance (IAG) and how it has been shaped by successive government policies and initiatives. It looks at the impact of these initiatives, particularly how they have influenced students' attitudes to STEM related careers. It also looks at recommendations for implementing…

  6. An Examination of College Students' Receptiveness to Alcohol-Related Information and Advice

    ERIC Educational Resources Information Center

    Leahy, Matthew M.; Jouriles, Ernest N.; Walters, Scott T.

    2013-01-01

    This project examined the reliability and validity of a newly developed measure of college students' receptiveness to alcohol related information and advice. Participants were 116 college students who reported having consumed alcohol at some point in their lifetime. Participants completed a measure of receptiveness to alcohol-related…

  7. 32 CFR 719.151 - Furnishing of advice and counsel to accused placed in pretrial confinement.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 5 2012-07-01 2012-07-01 false Furnishing of advice and counsel to accused placed in pretrial confinement. 719.151 Section 719.151 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL REGULATIONS SUPPLEMENTING THE MANUAL FOR COURTS-MARTIAL...

  8. 32 CFR 719.151 - Furnishing of advice and counsel to accused placed in pretrial confinement.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 5 2014-07-01 2014-07-01 false Furnishing of advice and counsel to accused placed in pretrial confinement. 719.151 Section 719.151 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL REGULATIONS SUPPLEMENTING THE MANUAL FOR COURTS-MARTIAL...

  9. 32 CFR 719.151 - Furnishing of advice and counsel to accused placed in pretrial confinement.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 5 2013-07-01 2013-07-01 false Furnishing of advice and counsel to accused placed in pretrial confinement. 719.151 Section 719.151 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL REGULATIONS SUPPLEMENTING THE MANUAL FOR COURTS-MARTIAL...

  10. 42 CFR 422.206 - Interference with health care professionals' advice to enrollees prohibited.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Interference with health care professionals' advice to enrollees prohibited. 422.206 Section 422.206 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE...

  11. Nutrition for people with stomas. 2: An overview of dietary advice.

    PubMed

    Burch, Jennie

    This two-part unit examines nutrition for people with stomas. Part 1 outlined the three types of stomas--colostomy, ileostomy and urostomy--and diet in general. This part focuses on postoperative and long-term dietary needs. It includes advice on diet related to enhanced recovery and specific to types of stoma.

  12. The Failure of Dissertation Advice Books: Toward Alternative Pedagogies for Doctoral Writing

    ERIC Educational Resources Information Center

    Kamler, Barbara; Thomson, Pat

    2008-01-01

    Anxious doctoral researchers can now call on a proliferation of advice books telling them how to produce their dissertations. This article analyzes some characteristics of this self-help genre, including the ways it produces an expert-novice relationship with readers, reduces dissertation writing to a series of linear steps, reveals hidden rules,…

  13. An unusual presentation of colloid cyst--implications for lifestyle advice.

    PubMed

    Sharp, M C; MacArthur, D C

    2011-04-01

    Colloid cysts are rare intracranial neoplasms which typically present with headaches. There is risk of neurological deterioration or death due to acute hydrocephalus. We report a case of colloid cyst presenting after a sudden acceleration/deceleration force from a theme park ride, highlighting the importance of lifestyle advice in these patients.

  14. Advice for (and from) the Young at Heart: Understanding the Millennial Generation

    ERIC Educational Resources Information Center

    Atkinson, Michael L.

    2004-01-01

    This article offers input and advice to students, parents, and professionals--faculty and counselors--in connection with the so-called millennials, young students entering university since year 2000. Students must recognize the change in the academy. They must be prepared for large first-year classes in which everyone enters as an A student.…

  15. A Little Help from My Friends: Who Do Elementary School Principals Turn to for Advice?

    ERIC Educational Resources Information Center

    Mason, Richard W.

    2010-01-01

    Elementary school principals are a unique group of administrators. They often operate in complete isolation. They usually have no assistant to talk to and they cannot talk about confidential matters with their staff. Whom, then, do principals talk to? This study sought to determine those to whom principals talk when they need help, advice, or just…

  16. Older People's Views of Advice about Falls Prevention: A Qualitative Study

    ERIC Educational Resources Information Center

    Yardley, L.; Donovan-Hall, M.; Francis, K.; Todd, C.

    2006-01-01

    The aim of this study was to gain an understanding of older people's perceptions of falls prevention advice, and how best to design communications that will encourage older people to take action to prevent falls. Focus groups and interviews were carried out with 66 people aged 61-94 years recruited from a variety of settings, using falls…

  17. Evaluation of the MOST (Making the Most of Out-of-School Time) Initiative: Final Report. Summary of Findings. Discussion Paper.

    ERIC Educational Resources Information Center

    Halpern, Robert; Spielberger, Julie; Robb, Sylvan

    The University of Chicago's Chapin Hall Center for Children conducted an evaluation of the first phase (1995-1998) of the MOST (Making the Most of Out-of-School Time) Initiative of the Wallace-Reader's Digest Funds. The objectives of this initiative were to contribute to the supply, accessibility, affordability, and quality of after-school…

  18. [Food advertising: advice or merely stimulation of consumption?].

    PubMed

    Marins, Bianca Ramos; de Araújo, Inesita Soares; Jacob, Silvana do Couto

    2011-09-01

    Current advertising messages for food products deserve special attention, since they indicate that the media has played a central role in shaping new eating habits. The food industry, seeking to serve a new customer segment (increasingly preoccupied with health and physical well-being), and with a specific interest in this promising market, has intensified its marketing strategies for stimulating consumption of diet and light food products. This study analyzed 20 food advertisements published from June to October 2006 in Brazilian magazines and newspapers with nationwide circulation. The following elements were analyzed in the advertisements: the advertiser; the audience; the language; and the message. It was seen that the advertising message mainly targeted women, proposing guilt-free consumption, promising a combination of esthetics and health. In order to enhance their product, several advertisements omitted relevant nutritional information while others promoted hazardous combinations with pharmaceutical products, and still others induced the target public to replace regular meals with their product. The results signal the need to broaden the discussion on the strategies for food advertising, as the citizen's right to information and health cannot be subjugated to market values.

  19. Evaluating the safety and dosing of drugs in patients with liver cirrhosis by literature review and expert opinion

    PubMed Central

    Weersink, Rianne A; Bouma, Margriet; Burger, David M; Drenth, Joost P H; Hunfeld, Nicole G M; Kranenborg, Minke; Monster-Simons, Margje H; van Putten, Sandra A W; Metselaar, Herold J; Taxis, Katja; Borgsteede, Sander D

    2016-01-01

    Introduction Liver cirrhosis can have a major impact on drug pharmacokinetics and pharmacodynamics. Patients with cirrhosis often suffer from potentially preventable adverse drug reactions. Guidelines on safe prescribing for these patients are lacking. The aim of this study is to develop a systematic method for evaluating the safety and optimal dosage of drugs in patients with liver cirrhosis. Methods and analysis For each drug, a six-step evaluation process will be followed. (1) Available evidence on the pharmacokinetics and safety of a drug in patients with liver cirrhosis will be collected from the Summary of Product Characteristics (SmPC) and a systematic literature review will be performed. (2) Data regarding two outcomes, namely pharmacokinetics and safety, will be extracted and presented in a standardised assessment report. (3) A safety classification and dosage suggestion will be proposed for each drug. (4) An expert panel will discuss the validity and clinical relevance of this suggested advice. (5) Advices will be implemented in all relevant Clinical Decision Support Systems in the Netherlands and published on a website for patients and healthcare professionals. (6) The continuity of the advices will be guaranteed by a yearly check of new literature and comments on the advices. This protocol will be applied in the evaluation of a selection of drugs: (A) drugs used to treat (complications of) liver cirrhosis, and (B) drugs frequently prescribed to the general population. Ethics and dissemination Since this study does not directly involve human participants, it does not require ethical clearance. Besides implementation on a website and in clinical decision support systems, we aim to publish the generated advices of one or two drug classes in a peer-reviewed journal and at conference meetings. PMID:27733414

  20. Using Plant Clinic Registers to Assess the Quality of Diagnoses and Advice Given to Farmers: A Case Study from Uganda

    ERIC Educational Resources Information Center

    Danielsen, Solveig; Boa, Eric; Mafabi, Moses; Mutebi, Emmanuel; Reeder, Robert; Kabeere, Flavia; Karyeija, Robert

    2013-01-01

    Purpose: This study developed a framework for quality assessment of diagnoses and advice given at plant clinics. Design/methodology/approach: Clinic registers from five plant clinics in Uganda (2006-2010) were used to develop quality assessment protocols for diagnoses and advice given by plant doctors. Assessment of quality of diagnoses was based…

  1. 77 FR 47880 - U.S.-Trans-Pacific Partnership Free Trade Agreement Including Canada and Mexico: Advice on the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-10

    ... 1974, requested that the Commission provide a report containing its advice as to the probable economic... after Malaysia joined the negotiations, the Commission delivered a report to the USTR on January 7, 2011... Partnership Free Trade Agreement Including Malaysia: Advice on Probable Economic Effect of Providing...

  2. Development and Initial Validation of a Questionnaire to Measure Hearing Parents' Perceptions of Health Care Professionals' Advice

    ERIC Educational Resources Information Center

    Day, Lori A.; Brice, Patrick

    2013-01-01

    This study reports the development of The Hearing Parents' Perceptions of Health Professionals' Advice Questionnaire (HPP/HPQ). This questionnaire was designed to investigate the impact of the advice and information that parents receive from health professionals during the time when their child's hearing loss is identified and how parents, in…

  3. Advice about Life Plans from Mothers, Fathers, and Siblings in Always-Married and Divorced Families during Late Adolescence.

    ERIC Educational Resources Information Center

    Tucker, Corinna Jenkins; Barber, Bonnie L.; Eccles, Jacquelynne S.

    2001-01-01

    Investigated the frequency of advice about life plans that older adolescents in always-married (n=544) and divorced (n=95) families received from mothers, fathers, and siblings. Findings suggest that adolescents from both types of families rely on mothers for advice, but adolescents from divorced families depended less often on fathers and…

  4. Relation between information and advice provision to male GUM clinic attendees and sexual orientation and ethnic group

    PubMed Central

    Hope, V.; MacArthur, C.; Mullis, D.; Radcliffe, K.

    2000-01-01

    Objectives: To examine whether the provision of advice and information to male genitourinary medicine (GUM) clinic attendees was related to their reasons for attendance, ethnicity, or sexual orientation. Method: Cross sectional survey of men attending a large city centre GUM clinic. Data were collected using an anonymous subject completed questionnaire. Results: Of the 302 men recruited, 72% described themselves as white and 85% reported only female sexual partners. Information and advice provision were generally found to reflect reason for attendance—for example, those attending with a concern about "an STD or urinary problem" were more likely to report advice and information on NSU/chlamydia, herpes, gonorrhoea, or syphilis than those attending without such concerns. For those attending with a concern about HIV less than half (42%) reported receiving advice and information about HIV. The reasons for attendance were found to vary with ethnicity (black men were more likely to attend for a "check up," and less likely to attend about HIV or with genital warts than white men) and sexual orientation (those with male partners were more likely to attend about HIV or hepatitis B than those with only female partners); there were corresponding variations in the provision of advice and information. Conclusions: The clinic was generally providing advice and information appropriate to the reasons for attendance and this reflected variations in such needs with ethnicity and sexual orientation. The provision of advice and information about HIV could be more comprehensive. Key Words: advice; male GUM clinic attendees; sexual orientation; ethnic group PMID:10961198

  5. Economic Education via Consumer Advice Programmes? Informal Learning Based on the Example of the Television Help Format "Out of Debt"

    ERIC Educational Resources Information Center

    Schuhen, Michael; Neubauer, Maria

    2015-01-01

    Unlike historical and biological topics, economic topics are seldom dealt with in documentations on television. They are to be found in consumer advice programmes or recently in so-called help formats. Advice programmes of this kind which are based on the life story of a family or an individual person have meanwhile become an integral part of all…

  6. Bull in a China Shop? General Curtis E. Lemay’s Military Advice to the President During the Cuban Missile Crisis

    DTIC Science & Technology

    2009-06-01

    He expected the chiefs to be “more than military men.”3F4 President Kennedy opened the discussion with the chiefs by underlining the gravity of the...factors most pertinent to General LeMay’s advice during the Cuban Missile Crisis. Overview The first two chapters of this thesis focus on the period...Curtis E. LeMay General LeMay’s rebuttal of the president during the 19 October meeting reveals a high level of confidence in his assessment of

  7. Education and advice contribute to increased density of broadleaved conservation trees, but not saplings, in young forest in Sweden.

    PubMed

    Götmark, Frank; Fridman, Jonas; Kempe, Göran

    2009-02-01

    The effectiveness of different conservation policies is debated, but the policies are rarely evaluated quantitatively. A voluntary or 'soft' policy based mainly on education provides information about ecosystems and effects of land use, to encourage conservation action. Swedish forestry relies mainly on soft policy, with substantial resources for education and advice to more than 200,000 forest owners, while legal regulation is weak. Increased retention of broadleaved trees at clear-cutting, with environmental benefits in the conifer-dominated forestry, is important in the policy. We used the Swedish National Forest Inventory to analyse this policy for young forests in southern Sweden. Between 1983-1987 and 1998-2002 the policy had no positive effect on saplings (1.3m tall to 4.9 cm dbh) of birch, oak, beech and other species that mostly decreased in density, due to planting of conifers and browsing by ungulates. However, broadleaved conservation trees (>or=15 cm dbh) increased in density, e.g. to about one oak and six birches per ha in young coniferous forest in 1998-2002. The relative increase in density was higher for large (>or=20 cm dbh) than for small trees (15-20 cm dbh). The density of conservation trees was higher on forestland of high than of low productivity. Thus, the soft conservation policy did not influence regeneration of saplings in this type of forestry system, but large broadleaved trees were increasingly saved at 'clear-cuttings'. Advice and educational programmes probably contributed to this result. A continued increase in conservation trees at harvest may require economical support to forest owners.

  8. Perceived Fall Risk and Functional Decline: Gender Differences in Patient's Willingness to Discuss Fall Risk, Fall History, or to Have a Home Safety Evaluation

    PubMed Central

    Greenberg, Marna Rayl; Moore, Elizabeth C.; Nguyen, Michael C.; Stello, Brian; Goldberg, Arnold; Barraco, Robert D.; Porter, Bernadette G.; Kurt, Anita; Dusza, Stephen W.; Kane, Bryan G.

    2016-01-01

    The CDC reports that among older adults, falls are the leading cause of injury-related death and rates of fall-related fractures among older women are twice those of men. We set out to 1) determine patient perceptions (analyzed by gender) about their perceived fall risk compared to their actual risk for functional decline and death and 2) to report their comfort level in discussing their fall history or a home safety plan with their provider. Elders who presented to the Emergency Department (ED†) were surveyed. The survey included demographics, the Falls Efficacy Scale (FES) and the Vulnerable Elders Survey (VES); both validated surveys measuring fall concern and functional decline. Females had higher FES scores (mean 12.3, SD 5.9) than males (mean 9.7, SD 5.9 p = .007) in the 146 surveys analyzed. Females were more likely to report an increased fear of falling, and almost three times more likely to have a VES score of 3 or greater than males (OR = 2.86, 95% CI: 1.17-7.00, p = .02). A strong correlation was observed between FES and VES scores (r = 0.80, p < .001). No difference in correlation was observed between males and females, p = .26. Participants (77 percent) reported they would be comfortable discussing their fall risk with a provider; there was no difference between genders (p = .57). In this study, irrespective of gender, there appears to be a high association between subjects’ perceived fall risk and risk for functional decline and death. The majority of patients are likely willing to discuss their fall risk with their provider. These findings may suggest a meaningful opportunity for fall risk mitigation in this setting. PMID:27354852

  9. Child Health Advice and Parental Obligation: The Case of Safe Sleep Recommendations and Sudden Unexpected Death in Infancy.

    PubMed

    Jonas, Monique

    2016-02-01

    This article considers whether there is a parental obligation to comply with child health advice which is aimed at the general population and grounded in population-based research. Drawing upon the concept of role obligations, I argue that there is a temptation to use child health advice as a set of rules to which parents are morally obligated to comply, but that this temptation should be resisted. Using the case of Safe Sleep recommendations, designed to reduce the risk of sleep-related infant deaths, I present three reasons for doubting that parents are obligated, as a matter of course, to comply with child health advice. I suggest that, rather than compliance, deliberation about child health advice is obligatory, and that parents should have reasons for not following credible child health advice.

  10. Continuing Education of Health Personnel and Its Evaluation. Report on the Technical Discussions at the Session of the Regional Committee for Europe (29th, Helsinki, Finland, September 14, 1979).

    ERIC Educational Resources Information Center

    World Health Organization, Copenhagen (Denmark). Regional Office for Europe.

    A report on the technical discussions on continuing education of health personnel and its evaluation, held at the 1979 session of the World Health Organization (WHO) Regional Committee for Europe is presented. For medical practitioners, a wide range of programs and systems is offered, depending on the social and political organization of the…

  11. Ecological evaluation of proposed discharge of dredged material from Oakland Harbor into ocean waters (Phase 3 A of -42-foot project). Volume 1, Analyses and discussion

    SciTech Connect

    Ward, J.A.; Word, J.Q.; Pinza, M.R.; Mayhew, H.L.; Barrows, E.S.; Lefkovitz, L.F.

    1992-09-01

    The Battelle/Marine Sciences Laboratory (MSL) conducted a study to detemine whether dredged sediments from Oakland Inner and Outer Harbors were, suitable for ocean disposal. Nineteen test treatments, six reference treatments, and control treatments were tested for physical/chemical parameters, water column effects, dredged sediment-toxicity, and bioaccumulation potential. Physical/chemical parameters were analyzed at each site and each composite sediment to a depth of -44 ft MLLW. These parameters included analysis for geological characteristics, conventional sediment measurements (grain size, total volatile solids, total organic carbon, oil and grease, and total petroleum hydrocarbons), metals, polynuclear aromatic hydrocarbons (PAHs), pesticides, butyltins, and polychlorinated biphenyls (PCBs). Physical/chemical data were used in support of the toxicological and bioaccumulation testing, but were not used in the decision-making criteria described iti the Draft Implementation Manual under Tier III testing. To evaluate water column effects, MSL conducted suspended-particulate-phase (SPP) tests using the mysid shrimp Holmesimysis sculpta, speckled sanddab Citharichtys stigmaeus, and larvae of the pacific oyster Crassostrea gigas- Both a 48-h and a 96-h test were performed. The MSL evaluated dredgedsediment toxicity by conducting a total of eight solid-phase toxicity tests using the following organisms: the bivalve clam Macoma nasuta, the polychaste worm Nepthys caecoides, the speckled sanddab C. stigmaeus, and the arnphipod Rhepoxynius abronius. Test duration ranged From 10 to 28 days. Bioaccumulation potential was evaluated in the 28-day M. nasuta and N. caecoides solid-phase exposures by measuring the Contaminants of concern present in their tissues after exposure to test, reference, and control sediments.

  12. The other side of the story – maternal perceptions of safety advice and information: a qualitative approach

    PubMed Central

    Kendrick, D.; Watson, M.; Shaw, I.

    2015-01-01

    Abstract Background A qualitative study of maternal perceptions of home safety advice. The aim was to gain an understanding of maternal perceptions of and possible barriers to the implementation of home safety advice. Methods Semi‐structured interviews with 37 mothers with a child aged less than 5 years of age; 16 were mothers living in an area of socio‐economic disadvantage (with a high rate of childhood unintentional injury), 21 were mothers living in an area of relative affluence (with a low rate of childhood unintentional injury). Thematic analysis was used to analyse the data. Results Although some mothers living in both areas found talking to a health professional about child home safety was helpful, mothers in both areas tended to find talking to other mothers as being more helpful and they preferred this to talking to a professional. Barriers to obtaining safety advice from professionals exist for mothers living in both areas. Mothers living in the advantaged area describe ‘feeling silly’ and that they should ‘know it already’ when talking to professionals. Mothers living in the disadvantaged area are less likely to access home safety advice due to fear of being perceived as an incompetent mother and the fear of social service involvement. Conclusions Mothers find home safety advice from other parents more useful and prefer this to advice from professionals. This suggests greater use could be made of appropriately trained parents to deliver safety advice and education. Fear and mistrust can limit access to child safety advice in parents living in disadvantaged areas and this may be a potential explanation for differential unintentional injury rates as those who need the advice and support most may be least likely to access it. Further research should explore how professionals can build trust, gain parents' confidence and provide child safety advice and education that is targeted appropriately to parents living circumstances and their child

  13. Reflected glory and failure: the role of the medial prefrontal cortex and ventral striatum in self vs other relevance during advice-giving outcomes

    PubMed Central

    Mobbs, Dean; Hagan, Cindy C.; Yu, Rongjun; Takahashi, Hidehiko; FeldmanHall, Oriel; Calder, Andrew J.; Dalgleish, Tim

    2015-01-01

    Despite the risks, people enjoy giving advice. One explanation is that giving beneficial advice can result in reflected glory, ego boosts or reputation enhancement. However, giving poor advice can be socially harmful (being perceived as incompetent or untrustworthy). In both circumstances, we have a vested interest in the advice follower’s success or failure, especially when it reflects specifically on us compared with when it is diffused between multiple advisors. We examined these dynamics using an Advisor-Advisee Game, where subjects acted as an Advisor to a confederate Advisee who selected one of the three options when trying to win money: accept the subject’s advice, accept the advice of a second confederate Advisor or accept both Advisors’ advice. Results showed that having one’s advice accepted, compared with being rejected, resulted in activity in the ventral striatum—a core reward area. Furthermore, the ventral striatum was only active when the subject’s advice led to the advisee winning, and not when the advisee won based on the confederate’s advice. Finally, the medial prefrontal cortex (MPFC) was more active when the Advisee won or lost money based solely on the subject’s advice compared with when the second Advisor’s advice was accepted. One explanation for these findings is that the MPFC monitors self-relevant social information, while the ventral striatum is active when others accept advice and when their success leads to reflected glory. PMID:25698700

  14. Can general cardiovascular risk evaluation facilitate the assessment of fitness for work and contribute to the reduction of cardiovascular incidents among seamen and fishermen? Article for discussion.

    PubMed

    Rosik, Elzbieta; Jaremin, Bogdan; Szymańska, Kinga

    2006-01-01

    Apart from accidents and work related injuries caused by external factors, being the primary cause of death at sea and repatriation of seamen and fishermen from ship to hospital on shore, acute cardiovascular incidents are the main internal causes of their death, both at sea and on land, as well as of long lasting sick leave and disability. In the regulations on health requirements for persons working on sea-going ships and in inland navigation (orders of the Ministry of Health 1993, 1996, 2003, guidelines (39), EU directives and other national regulations) and in the register of diseases and conditions disqualifying from such an employment (EU directive, annex to the order of the Ministry of Health 1993, European Commission (32,33), ILO/WHO guidelines, cardiovascular diseases are only generally mentioned. The minimal scope of examinations is recommended for seafarers in age up to 50 years, and for older seafarers, but without the assessment of their occupational risk. This gives rise to ambiguities in interpretation at the time of issuing their health certificates, and also in judicature when analyzing cause-and-effect relationship between the occurrence of an acute cardiovascular incident during the ship's voyage and conditions of the work at sea. Principles, possibilities and benefits are discussed in this paper, which may be expected from the general assessment of cardiovascular diseases risk at the time of the health assessment for the work at sea. The risk forecasting, health certification and the question of choosing primary preventive methods are included in this presentation.

  15. A Guide to Better Teaching: Skills, Advice, and Evaluation for College and University Professors

    ERIC Educational Resources Information Center

    Jahangiri, Leila; Mucciolo, Tom

    2011-01-01

    "A Guide to Better Teaching" is a self-help book that provides anyone teaching a college course with a thorough understanding of what it takes to be an effective teacher. Derived from the authors' extensive research, several interactive assessment tools are included that measure levels of effectiveness according to learner preferences. Each…

  16. Evaluating Tasks for Performance-Based Assessments: Advice for Music Teachers

    ERIC Educational Resources Information Center

    Scott, Sheila

    2004-01-01

    Performance-based assessments allow teachers to systematically observe skills used or demonstrated by students when they create a product, construct a response, or make a presentation (McMillan 2001). These assessments are grounded in performance-based tasks that elicit students' responses in relation to the outcomes of instruction. The criteria…

  17. [Discussion of a biometrical model for the evaluation of feeding, age, and animal effects on transport properties of small intestinal mucosa].

    PubMed

    Lodemann, U; Dahms, S; Martens, H; Arndt, G

    2004-05-01

    This paper is concerned with the question in which ways study results can depend on the choice of the statistical model and factors included in this model. This is shown using example data of a study dealing with the effects of an Enterococcus faecium as probiotic in the diet of pigs. We focused on the effects on transport properties of pig jejunum. The experimental design was the following: the sows and piglets were randomly assigned to two different feeding groups. The control group was fed a conventional diet and the experimental group was additionally supplemented with a probiotic preparation of Enterococcus faecium NCIMB 10415. The animals were divided into four age groups. Two samples of five animals of each feeding and age group were taken and mounted into conventional Ussing chambers. Glucose transport rates were measured by changes in short-circuit current (Isc) of the pig jejunum epithelium. The appropriate reference base for evaluation of effects of feeding or age on Isc is the variation between animals which are submitted to identical conditions relating to these factors. To refer explicitly to this variation a random animal effect has to be included in the statistical model of variance analysis. Otherwise the variation between animals could be underestimated. With the example data set conclusions for the factor "feeding" would be different depending on whether a random animal effect is included in the model or not.

  18. Factors involved in evaluating ground water impacts of deep coal mine drainage. [Pumping tests of wells drilled into the coal seam and development of mathematical models; detailed discussion

    SciTech Connect

    Davis, P.R.; Walton, W.C.

    1982-10-01

    The determination of probable ground water impacts of proposed deep coal mining is required as part of permit applications. Impact prediction generally involves well production test analysis and modeling of ground water systems associated with coal seams. Well production tests are often complicated due to the relatively low permeabilities of sandstones and shales of ground water systems. The effects of the release of water stored within finite diameter production wells must be considered. Well storage capacity appreciably affects early well production test time drawdown or time recovery data. Low pumping rates, limited cones of depression, and length of required pumping periods are important well production test design factors. Coal seam ground water system models are usually multilayered and leaky artesian. Mine shafts partially penetrate the ground water system. Simulation of coal mine drainage often involves the horizontal permeability and storage coefficient of the coal seam zone, vertical permeablities of sandstones and shales (aquifer) above and below the coal seam zone, and the hydrologic properties of the source bed above the aquifer overlying the coal seam zone. Ground water level declines in both the coal seam zone and source bed near land surface are necessary factors in impact analysis. An example of evaluation studies in southwest Indiana will illustrate factors involved in deep coal mine drainage modeling efforts.

  19. Internet Discussion Groups.

    ERIC Educational Resources Information Center

    Bull, Glen; Bull, Gina; Sigmon, Tim

    1997-01-01

    Discusses newsgroups, listservs, and Web-based discussion groups. Highlights include major categories of international USENET discussion groups; newsgroups versus mailing lists; newsreaders; news servers; newsgroup subscriptions; newsgroups versus Web discussion groups; linking newsgroups, mailing lists, and the Web; and setting up a news host. A…

  20. [Quality of scientific advice to politics. Lecture at the Berlin-Brandenburg Academy of Science and Humanities].

    PubMed

    Kurth, R; Glasmacher, S

    2008-04-01

    Scientific advice to politics is a primary function of governmental research. The advisory process is, in the ideal situation, a collective duty of science and politics. The final decision rests ultimately with politicians. An understanding of the differences between science and politics is necessary for successfully providing advice to politicians. The requirements necessary to allow politics to substantially follow the advice of scientists are multifarious. The first of these is trust from the side of politics and the public and from the side of science competitive research, respect and communication skills, neutrality and integrity. From these requirements it is possible to derive criteria for quality assurance in advice to politics. The maintenance of scientific expertise at the competitive international level demands independent, qualified and adequately financed research. Governmental institutes have an antenna function: they have to recognize in good time whether risks are increasing, whether the government has to be informed and whether there is a need for action. The continuing maintenance of excellence requires measures of quality assurance at all levels. Evidence for the quality of advice to politics can, for example, be found in the good reputation of an institution and its prominent representatives. Success in research is an indirect quality criterion that can be and should be measured to a certain extent. The influence of advisory activities on political decisions is direct evidence for the quality of the advice. A classic example of highly successful policy advice is the development of the German AIDS policy.

  1. The monitoring, evaluation, reporting, and verification of climate change mitigation projects: Discussion of issues and methodologies and review of existing protocols and guidelines

    SciTech Connect

    Vine, E.; Sathaye, J.

    1997-12-01

    Because of concerns with the growing threat of global climate change from increasing emissions of greenhouse gases, the US and other countries are implementing, by themselves or in cooperation with one or more other nations (i.e., joint implementation), climate change mitigation projects. These projects will reduce greenhouse gas (GHG) emissions or sequester carbon, and will also result in non-GHG impacts (i.e., environmental, economic, and social impacts). Monitoring, evaluating, reporting, and verifying (MERV) guidelines are needed for these projects in order to accurately determine their net GHG, and other, benefits. Implementation of MERV guidelines is also intended to: (1) increase the reliability of data for estimating GHG benefits; (2) provide real-time data so that mid-course corrections can be made; (3) introduce consistency and transparency across project types and reporters; and (4) enhance the credibility of the projects with stakeholders. In this paper, the authors review the issues and methodologies involved in MERV activities. In addition, they review protocols and guidelines that have been developed for MERV of GHG emissions in the energy and non-energy sectors by governments, nongovernmental organizations, and international agencies. They comment on their relevance and completeness, and identify several topics that future protocols and guidelines need to address, such as (1) establishing a credible baseline; (2) accounting for impacts outside project boundaries through leakage; (3) net GHG reductions and other impacts; (4) precision of measurement; (5) MERV frequency; (6) persistence (sustainability) of savings, emissions reduction, and carbon sequestration; (7) reporting by multiple project participants; (8) verification of GHG reduction credits; (9) uncertainty and risk; (10) institutional capacity in conducting MERV; and (11) the cost of MERV.

  2. Evaluation of two least toxic integrated pest management programs for managing bed bugs (Heteroptera: Cimicidae) with discussion of a bed bug intercepting device.

    PubMed

    Wang, Changlu; Gibb, Timothy; Bennett, Gary W

    2009-05-01

    The cost and effectiveness of two bed bug (Cimex lectularius L.) integrated pest management (IPM) programs were evaluated for 10 wk. Sixteen bed bug-infested apartments were chosen from a high-rise low-income apartment building. The apartments were randomly divided into two treatment groups: diatomaceous earth dust-based IPM (D-IPM) and chlorfenapyr spray-based IPM (S-IPM). The initial median (minimum, maximum) bed bug counts (by visual inspection) of the two treatment groups were 73.5 (10, 352) and 77 (18, 3025), respectively. A seminar and an educational brochure were delivered to residents and staff. It was followed by installing encasements on mattresses and box springs and applying hot steam to bed bug-infested areas in all 16 apartments. Diatomaceous earth dust (Mother Earth-D) was applied in the D-IPM group 2 d after steaming. In addition, bed bug-intercepting devices were installed under legs of infested beds or sofas or chairs to intercept bed bugs. The S-IPM group only received 0.5% chlorfenapyr spray (Phantom) after the nonchemical treatments. All apartments were monitored bi-weekly and retreated when necessary. After 10 wk, bed bugs were eradicated from 50% of the apartments in each group. Bed bug count reduction (mean +/- SEM) was 97.6 +/- 1.6 and 89.7 +/- 7.3% in the D-IPM and S-IPM groups, respectively. Mean treatment costs in the 10-wk period were $463 and $482 per apartment in the D-IPM and S-IPM groups, respectively. Bed bug interceptors trapped an average of 219 +/- 135 bed bugs per apartment in 10 wk. The interceptors contributed to the IPM program efficacy and were much more effective than visual inspections in estimating bed bug numbers and determining the existence of bed bug infestations.

  3. The health of host communities: missing from printed travel health advice.

    PubMed

    Bauer, Irmgard L

    2003-01-01

    Travelers are becoming increasingly used to the need to seek appropriate health advice before embarking on trips, particularly to developing countries. Travel health advice is given in various ways and through various media.1 Printed material often accompanies a travel health professional's oral explanations. Leaflets, booklets, brochures and other printed material have been used for a long time. Some are customized by the travel health provider, some are produced by commercial bodies such as the pharmaceutical industry or travel goods producers, and some are given out by health authorities. All are either distributed by the health professional or are accessible to travelers for collection in clinics, in surgeries, in pharmacies or on the web.

  4. Predicting disease progression from short biomarker series using expert advice algorithm.

    PubMed

    Morino, Kai; Hirata, Yoshito; Tomioka, Ryota; Kashima, Hisashi; Yamanishi, Kenji; Hayashi, Norihiro; Egawa, Shin; Aihara, Kazuyuki

    2015-05-20

    Well-trained clinicians may be able to provide diagnosis and prognosis from very short biomarker series using information and experience gained from previous patients. Although mathematical methods can potentially help clinicians to predict the progression of diseases, there is no method so far that estimates the patient state from very short time-series of a biomarker for making diagnosis and/or prognosis by employing the information of previous patients. Here, we propose a mathematical framework for integrating other patients' datasets to infer and predict the state of the disease in the current patient based on their short history. We extend a machine-learning framework of "prediction with expert advice" to deal with unstable dynamics. We construct this mathematical framework by combining expert advice with a mathematical model of prostate cancer. Our model predicted well the individual biomarker series of patients with prostate cancer that are used as clinical samples.

  5. Regulatory advice and drug development--a case study in negotiating with regulators.

    PubMed

    Seldrup, Jørgen

    2011-06-15

    Regulatory guidance on the development of drugs has existed for well over half a century in some territories. As drug development grew to become global so was born the need for harmonization. Beginning in the 1990 s, the International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH) developed guidelines which were adopted by the Food and Drug Administration (FDA) in the U.S.A., the European Medicines Agency (EMA) in the European Union and the Pharmaceuticals and Medical Devices Agency (PMDA) in Japan. These guidelines are generally not disease specific. A visit to the web sites of any of the aforementioned Agencies or, for that matter other regulatory agencies outside of these, will witness a plethora of additional/separate guidances, some of which are disease specific. In addition to such written guidances, more specific advice (for example, on a drug development program at the end of Phase II) may be requested from the Regulator. Despite the harmonization efforts expressed through ICH, the actual advice given by different regulatory authorities in practical situations, however, may be inconsistent. This paper will describe a case of seeking advice on a Phase III programme from the FDA and the EMA, obtaining different opinions and developing an innovative solution to satisfy both Authorities without necessarily extending development time significantly. The case is chronic kidney disease; the issues concern study design (non-inferiority, margin, etc.); the solution required a non-traditional design and associated sample size considerations. We conclude with some general advice on 'talking to the regulator'. This work was originally presented as a Poster at the Statistical Methods in Biopharmacy, 6th International Meeting, Paris, 21-22 September 2009.

  6. Advice for Advisors: Suggestions and Observations from Lawrence to the Present

    DTIC Science & Technology

    2006-01-01

    Advice for Advisors: Suggestions and Observations from Lawrence to the Present Robert D. Ramsey III Global War on Terrorism Occasional Paper 19...edited] by Robert D. Ramsey III. p. cm. -- ( Global war on terrorism occasional paper 19) “CSI Occasional Paper, GWOT OP #19.” 1. Military...202) 512-1800 Fax: (202) 512-2250 Mail: Stop IDCC, Washington, DC 20402-0001 ISBN 0-16-076875-6 iii Foreword CSI Global War on Terrorism (GWOT

  7. Using MBSE to Understand the Link between Capability Acquisition Projects and DSTO Technology Advice

    DTIC Science & Technology

    2012-11-01

    UNCLASSIFIED DSTO-GD-0734 6. Using MBSE to Understand the Link between Capability Acquisition Projects and DSTO Technology Advice – Simon...display a currently valid OMB control number. 1. REPORT DATE FEB 2013 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE Using MBSE ...and how the DSTO Naval Architecture and Platform System Analysis Group and the Weapons Capability Analysis Group were able to embed MBSE into the

  8. Education and advice under ERISA for employee-directed 401(k) plans.

    PubMed

    Kimpel, J M

    2000-01-01

    Section 404(c) regulation sets forth the conditions that plan fiduciaries must meet to be relieved of liability for the consequences of employees' control over their accounts. After reviewing applicable laws and regulations, the author concludes that employers desiring to provide employees with education and/or advice services through a third party should be able to do so while still obtaining reliance on the protections of Section 404(c) and without taking on significant additional fiduciary responsibilities.

  9. Mark's Advice.

    ERIC Educational Resources Information Center

    Strauss, Liz

    2000-01-01

    Presents suggestions to help struggling readers in upper elementary grades. The suggestions focus on: how to select the right books, how to introduce the books, and how to read the books. A sidebar presents a below-level readers' gripe list (e.g., people think they are dumb, treat them like they cannot think, and make them invisible). (SM)

  10. Age Differences among Female Sex Workers in the Philippines: Sexual Risk Negotiations and Perceived Manager Advice

    PubMed Central

    Urada, Lianne A.; Malow, Robert M.; Santos, Nina C.; Morisky, Donald E.

    2012-01-01

    Consistent condom use among high risk groups such as female sex workers (FSWs) remains low. Adolescent female sex workers are especially at higher risk for HIV/STI infections. However, few published studies have compared the sexual risk negotiations among adolescent, emerging adult, and older age groups or the extent a manager's advice about condom use is associated with an FSW's age. Of 1,388 female bar/spa workers surveyed in the southern Philippines, 791 FSW who traded sex in the past 6 months were included in multivariable logistic regression models. The oldest FSWs (aged 36–48) compared to adolescent FSWs (aged 14–17) were 3.3 times more likely to negotiate condoms when clients refused condom use. However, adolescent FSWs received more advice from their managers to convince clients to use condoms or else to refuse sex, compared to older FSWs. Both adolescent and the oldest FSWs had elevated sexually transmitted infections (STIs) and inconsistent condom use compared to other groups. Having a condom rule at the establishment was positively associated with condom negotiation. Factors such as age, the advice managers give to their workers, and the influence of a condom use rule at the establishment need to be considered when delivering HIV/STI prevention interventions. PMID:22848800

  11. Bounds on the power of proofs and advice in general physical theories

    PubMed Central

    Lee, Ciarán M.

    2016-01-01

    Quantum theory presents us with the tools for computational and communication advantages over classical theory. One approach to uncovering the source of these advantages is to determine how computation and communication power vary as quantum theory is replaced by other operationally defined theories from a broad framework of such theories. Such investigations may reveal some of the key physical features required for powerful computation and communication. In this paper, we investigate how simple physical principles bound the power of two different computational paradigms which combine computation and communication in a non-trivial fashion: computation with advice and interactive proof systems. We show that the existence of non-trivial dynamics in a theory implies a bound on the power of computation with advice. Moreover, we provide an explicit example of a theory with no non-trivial dynamics in which the power of computation with advice is unbounded. Finally, we show that the power of simple interactive proof systems in theories where local measurements suffice for tomography is non-trivially bounded. This result provides a proof that QMA is contained in PP, which does not make use of any uniquely quantum structure—such as the fact that observables correspond to self-adjoint operators—and thus may be of independent interest. PMID:27436976

  12. Women's interest in a personal breast cancer risk assessment and lifestyle advice at NHS mammography screening

    PubMed Central

    Wilkinson, L.; Valencia, A.

    2017-01-01

    Abstract Background Although mortality from breast cancer is declining, incidence continues to increase and is often detected at routine NHS screening. Most middle aged and older women in England attend for screening every 3 years. Assessing their personal breast cancer risk and providing preventative lifestyle advice could help to further reduce breast cancer incidence. Methods A cross-sectional, self-complete postal survey measured attendees' interest in having a personal risk assessment, expected impact on screening attendance, knowledge of associations between lifestyle and breast cancer and preferred ways of accessing preventative lifestyle advice. Results A total of 1803/4948 (36.4%) completed questionnaires were returned. Most participants (93.7%) expressed interest in a personal risk assessment and 95% (1713/1803) believed it would make no difference or encourage re-attendance. Two-thirds (1208/1803) associated lifestyle with breast cancer, but many were unaware of specific risks such as weight gain, obesity, alcohol consumption and physical inactivity. NHS sourced advice was expected to be more credible than other sources, and booklets, brief counselling or an interactive website were most preferred for accessing this. Conclusions Attendees appear to welcome an intervention that would facilitate more proactive clinical and lifestyle prevention and address critical research gaps in breast cancer prevention and early detection. PMID:26834190

  13. A self-help book is better than sleep hygiene advice for insomnia: a randomized controlled comparative study.

    PubMed

    Bjorvatn, Bjørn; Fiske, Eldbjørg; Pallesen, Ståle

    2011-12-01

    The objective was to compare the effects of two types of written material for insomnia in a randomized trial with follow-up after three months. Insomniacs were recruited through newspaper advertisements to a web-based survey with validated questionnaires about sleep, anxiety, depression, and use of sleep medications. A self-help book focusing on cognitive behavioral therapy for insomnia was compared to standard sleep hygiene advice; 77 and 78 participants were randomized to self-help book or sleep hygiene advice, respectively. The response rate was 81.9%. The self-help book gave significantly better scores on the sleep questionnaires compared to sleep hygiene advice. The proportion using sleep medications was reduced in the self-help book group, whereas it was increased in the sleep hygiene group. Compared to pre-treatment, the self-help book improved scores on the sleep (effect sizes 0.61-0.62) and depression (effect size 0.18) scales, whereas the sleep hygiene advice improved scores on some sleep scales (effect sizes 0.24-0.28), but worsened another (effect size -0.36). In addition, sleep hygiene advice increased the number of days per week where they took sleep medications (effect size -0.50). To conclude, in this randomized controlled trial, the self-help book improved sleep and reduced the proportion using sleep medications compared to sleep hygiene advice. The self-help book is an efficient low-threshold intervention, which is cheap and easily available for patients suffering from insomnia. Sleep hygiene advice also improved sleep at follow-up, but increased sleep medication use. Thus, caution is warranted when sleep hygiene advice are given as a single treatment.

  14. School-based youth health nurses and adolescent decision-making concerning reproductive and sexual health advice: How can the law guide healthcare practitioners in this context?

    PubMed

    Smith, Malcolm K; Stepanov, Nikola

    2014-01-01

    Abstract School-Based Youth Health Nurses (SBYHNs) work in Queensland high schools, providing sexual and reproductive health care/advice (amongst other things) to adolescents. SBYHNs are often responsible for referring high school students to other health care practitioners or external health services/community agencies. One of the difficulties faced in this context is how to assess the issue of capacity in terms of the adolescent's ability to provide consent to his or her own health care without parental involvement. This is important because it enables SBYHNs to maintain confidentiality with adolescents, which encourages adolescents to obtain sexual health advice. In this paper we outline the key legal principles relevant to nurses working in this field. We provide some practical examples of issues faced by SBYHNs and consider how the issue of Gillick competency is relevant to these examples. We demonstrate that the law seeks to prioritise the concept of confidentiality and aims to avoid exposing adolescents to harm that may result from unsafe sexual practices. Importantly, the issues discussed in this paper are relevant to nurses working within this field in all Australian jurisdictions.

  15. School-Based Youth Health Nurses and Adolescent Decision-Making Concerning Reproductive and Sexual Health Advice: How Can the Law Guide Healthcare Practitioners in this Context?

    PubMed

    Smith, Malcolm K; Stepanov, Nikola

    2014-03-11

    Abstract School-Based Youth Health Nurses (SBYHNs) work in Queensland high schools, providing sexual and reproductive health care/advice (amongst other things) to adolescents. SBYHNs are often responsible for referring high school students to other health care practitioners or external health services/community agencies. One of the difficulties faced in this context is how to assess the issue of capacity in terms of the adolescent's ability to provide consent to his or her own health care without parental involvement. This is important because it enables SBYHNs to maintain confidentiality with adolescents, which encourages adolescents to obtain sexual health advice. In this paper we outline the key legal principles relevant to nurses working in this field. We provide some practical examples of issues faced by SBYHNs and consider how the issue of Gillick competency is relevant to these examples. We demonstrate that the law seeks to prioritise the concept of confidentiality and aims to avoid exposing adolescents to harm that may result from unsafe sexual practices. Importantly, the issues discussed in this paper are relevant to nurses working within this field in all Australian jurisdictions.

  16. 'Intimate mothering publics': comparing face-to-face support groups and Internet use for women seeking information and advice in the transition to first-time motherhood.

    PubMed

    Johnson, Sophia Alice

    2015-01-01

    This paper seeks to contribute to an understanding of the changing nature of support and information-seeking practices for women in the transition to first-time motherhood. In the context of increasing digitalisation, the significance of new virtual spaces for parenting is discussed. The paper demonstrates how women seek out alternative forms of expertise (specifically, non-medical expertise) and social support. The author argues for the importance of 'intimate mothering publics' through which women gather experiential information and practical support. These publics can act as a space for women to 'test' or legitimise their new identity as a mother. Intimate mothering publics are particularly useful for thinking about the meaning-making practices and learning experiences that occur during intimate online and face-to-face interactions. A variety of types of online support may be used during pregnancy. Surreptitious support in particular involves users invisibly receiving advice, information and reassurance that might otherwise be lacking. Access to intimate mothering publics is motivated by a number of factors, including feelings of community or acceptance, the desire to be a good mother or parent, emotional support and the need for practical and experiential advice.

  17. The Effects of General Practitioners' Use of Argumentation to Support Their Treatment Advice: Results of an Experimental Study Using Video-Vignettes.

    PubMed

    Labrie, Nanon H M; Schulz, Peter J

    2015-01-01

    In recent years, general practice consultation has often been characterized as an argumentative activity. It has been argued that, guided by the ethical and legal principle of informed consent and the ideal standards of participatory and evidence-based medicine, doctors should provide argumentative support for their recommendations in order to encourage patients to actively take part in the treatment decision-making discussion. Thus far, however, it has remained unclear what causal effect general practitioners' provision of argumentation may have on consultation outcomes, such as patients' perceptions of their doctors' decision-making style and credibility, their acceptance and recall of the medical advice, and subsequently their intention to adhere to the advice. In this study, therefore, the effect of general practitioners' argumentative support for their treatment recommendations is studied experimentally using scripted video-vignettes. Moreover, rather than focusing merely on the presence of argumentation, the role of the pragma-dialectical reasonableness of general practitioners' argumentation is also taken into account.

  18. Video 7 of 14: Classroom Discussion

    NASA Video Gallery

    This video segment documents the follow-up discussion, in which students discuss the results of their test flights. The session demonstrates how the teacher uses the inquiry method to evaluate stud...

  19. A Systematic Review of Social Media Use to Discuss and View Deliberate Self-Harm Acts

    PubMed Central

    Dyson, Michele P.; Hartling, Lisa; Shulhan, Jocelyn; Chisholm, Annabritt; Milne, Andrea; Sundar, Purnima; Scott, Shannon D.; Newton, Amanda S.

    2016-01-01

    Objective To conduct a systematic review of studies of social media platforms used by young people to discuss and view deliberate self-harm. Study Design 11 electronic databases were searched from January 2000 to January 2012 for primary research; in June 2014 an updated search of Medline was conducted. Grey literature sources were also searched. Search results were screened by two reviewers. Data were extracted by one reviewer and verified by another. Methodological quality was assessed using the Mixed Methods Appraisal Tool. Results Due to heterogeneity in study objectives and outcomes, results were not pooled; a narrative analysis is presented. 26 studies were included. Most were conducted in Canada or the UK (30.8% each), used qualitative designs (42.3%), and evaluated discussion forums (73.1%). Participants were most often aged 19–21 years (69.2%), female (mean 68.6%), and 19.2% had a documented history of depression. The social media platforms evaluated were commonly supportive and provided a sense of community among users. Support included suggestions for formal treatment, advice on stopping self-harming behavior, and encouragement. Harms included normalizing and accepting self-harming behavior; discussion of motivation or triggers, concealment, suicidal ideation or plans; and live depictions of self-harm acts. Conclusions Although this evidence is limited by its descriptive nature, studies identify beneficial and detrimental effects for young people using social media to discuss and view deliberate self-harm. The connections users make online may be valuable to explore for therapeutic benefit. Prospective, longitudinal investigations are needed to identify short- and long-term potential harms associated with use. PMID:27191728

  20. Sudden Infant Death Syndrome (SIDS) risk reduction and infant sleep location - moving the discussion forward.

    PubMed

    Ball, Helen L; Volpe, Lane E

    2013-02-01

    The notion that infant sleep environments are 'good' or 'bad' and that parents who receive appropriate instruction will modify their infant-care habits has been fundamental to SIDS reduction campaigns. However infant sleep location recommendations have failed to emulate the previously successful infant sleep position campaigns that dramatically reduced infant deaths. In this paper we discuss the conflict between 'safeguarding' and 'well-being', contradictory messages, and rejected advice regarding infant sleep location. Following a summary of the relevant background literature we argue that bed-sharing is not a modifiable infant-care practice that can be influenced by risk-education and simple recommendations. We propose that differentiation between infant-care practices, parental behaviors, and cultural beliefs would assist in the development of risk-reduction interventions. Failure to recognize the importance of infant sleep location to ethnic and sub-cultural identity, has led to inappropriate and ineffective risk-reduction messages that are rejected by their target populations. Furthermore transfer of recommendations from one geographic or cultural setting to another without evaluation of variation within and between the origin and destination populations has led to inappropriate targeting of groups or behaviors. We present examples of how more detailed research and culturally-embedded interventions could reorient discussion around infant sleep location.

  1. The Use of Discussion.

    ERIC Educational Resources Information Center

    Brunner, Edmund deS.; And Others

    Research on the use of discussion in adult education has been largely concerned with comparing it with the use of other instructional techniques and with measuring opinion change. Many studies, such as Kurt Lewin's study of food habits, have compared the effectiveness of group discussion as contrasted with lecture in changing opinions and…

  2. Leading Classroom Discussions

    ERIC Educational Resources Information Center

    Gonzalez, Gloriana; DeJarnette, Anna F.

    2013-01-01

    Classroom discourse is a valuable teaching and learning tool. Discussions allow students to improve their communication and reasoning skills in mathematics and help teachers assess students' understanding of mathematical ideas. To get the greatest benefit from discussion, teachers must elicit student thinking, listen carefully to their ideas,…

  3. Framing Evolution Discussion Intellectually

    ERIC Educational Resources Information Center

    Oliveira, Alandeom W.; Cook, Kristin; Buck, Gayle A.

    2011-01-01

    This study examines how a first-year biology teacher facilitates a series of whole-class discussions about evolution during the implementation of a problem-based unit. A communicative theoretical perspective is adopted wherein evolution discussions are viewed as social events that the teacher can frame intellectually (i.e., present or organize as…

  4. "The Luxurious Daughters of Artificial Life": Female "Delicacy" and Pain in Late-Victorian Advice Literature.

    PubMed

    Wood, Whitney

    2014-01-01

    The second half of the 19th century marked the rise of obstetrics as a legitimate physician-dominated medical specialty. In this period of transition, distanced from traditional cultures of social childbirth but not yet embracing hospital deliveries, many middle-class North American women turned to prescriptive literature to fill a crucial gap. In the medical advice they directed at young wives and expectant mothers, physicians consistently emphasized the middle-class woman's heightened sensitivity to the pain of giving birth, relying on arguments that resonated with the class, gender, and racial tensions of the late-Victorian period while consistently reaffirming physicians' expanding authority.

  5. From data mining rules to medical logical modules and medical advices.

    PubMed

    Gomoi, Valentin; Vida, Mihaela; Robu, Raul; Stoicu-Tivadar, Vasile; Bernad, Elena; Lupşe, Oana

    2013-01-01

    Using data mining in collaboration with Clinical Decision Support Systems adds new knowledge as support for medical diagnosis. The current work presents a tool which translates data mining rules supporting generation of medical advices to Arden Syntax formalism. The developed system was tested with data related to 2326 births that took place in 2010 at the Bega Obstetrics - Gynaecology Hospital, Timişoara. Based on processing these data, 14 medical rules regarding the Apgar score were generated and then translated in Arden Syntax language.

  6. Detection, advice, and referral to services (DARTS) procedures among clients with public defenders.

    PubMed

    Mericle, Amy A; Belenko, Steven; Festinger, David S

    2011-01-01

    Although screening and brief intervention techniques have been found to be efficacious in a variety of medical settings, their use in the criminal justice system has been limited. We present data from Chief Public Defenders (PDs) in 24 Pennsylvania counties who were surveyed about their approach to substance-using clients and their attitudes toward treatment and talking to clients about substance use. A random subsample (n = 8) participated in an additional semistructured interview. Results provide preliminary support for the use of Detection, Advice, and Referral to Services (DARTS) procedures by PDs and identify potential barriers to its implementation.

  7. Missed Opportunities: Evolution of Patients Leaving without Being Seen or against Medical Advice during a Six-Year Period in a Swiss Tertiary Hospital Emergency Department

    PubMed Central

    Carron, Pierre-Nicolas; Yersin, Bertrand; Trueb, Lionel; Gonin, Philippe; Hugli, Olivier

    2014-01-01

    Aim. The study aimed at describing the evolution over a 6-year period of patients leaving the emergency department (ED) before being seen (“left without being seen” or LWBS) or against medical advice (“left against medical advice” or LAMA) and at describing their characteristics. Methods. A retrospective database analysis of all adult patients who are admitted to the ED, between 2005 and 2010, and who left before being evaluated or against medical advice, in a tertiary university hospital. Results. During the study period, among the 307,716 patients who were registered in the ED, 1,157 LWBS (0.4%) and 1,853 LAMA (0.9%) patients were identified. These proportions remained stable over the period. The patients had an average age of 38.5 ± 15.9 years for LWBS and 41.9 ± 17.4 years for LAMA. The median time spent in the ED before leaving was 102.4 minutes for the LWBS patients and 226 minutes for LAMA patients. The most frequent reason for LAMA was related to the excessive length of stay. Conclusion. The rates of LWBS and LAMA patients were low and remained stable. The patients shared similar characteristics and reasons for leaving were largely related to the length of stay or waiting time. PMID:25013794

  8. Probabilistic inversion: a preliminary discussion

    NASA Astrophysics Data System (ADS)

    Battista Rossi, Giovanni; Crenna, Francesco

    2015-02-01

    We continue the discussion on the possibility of interpreting probability as a logic, that we have started in the previous IMEKO TC1-TC7-TC13 Symposium. We show here how a probabilistic logic can be extended up to including direct and inverse functions. We also discuss the relationship between this framework and the Bayes-Laplace rule, showing how the latter can be formally interpreted as a probabilistic inversion device. We suggest that these findings open a new perspective in the evaluation of measurement uncertainty.

  9. Discharge Against Medical Advice in the Pediatric Wards in Boo-ali Sina Hospital, Sari, Iran 2010

    PubMed Central

    Mohseni Saravi, Benyamin; Reza Zadeh, Esmaeil; Siamian, Hasan; Yahghoobian, Mahboobeh

    2013-01-01

    Introduction: Since children neither comprehended nor contribute to the decision, discharge against medical advice is a challenge of health care systems in the world. Therefore, the current study was designed to determine the rate and causes of discharge against medical advice. Methods: This descriptive cross-sectional study was done by reviewing the medical records by census method. Data was analyzed using SPSS software and x2 statistics was used to determine the relationship between variables. The value of P<0.05 was considered significant. Results: Rate of discharged against medical advice was 108 (2.2%). Mean of age and length of stay were 2.8±4 (SD).3 years old and 3.7±5.4 (SD) days, respectively. Totally, 95 patients (88.7%) had health insurance and 65 (60.2%) patients lived in urban areas. History of psychiatric disease and addiction in 22 (20.6%) of the parents were negative. In addition, 100 (92.3%) patients admitted for medical treatment and the others for surgery. The relationship of the signatory with patients (72.3%) was father. Of 108 patients discharged against medical advice, 20 (12%) were readmitted. The relationship between the day of discharge and discharge against medical advice was significant (ρ =0/03). Conclusion: Rate of discharge against medical advice in Boo-ali hospital is the same as the other studies in the same range. The form which is used for this purpose did not have suitable data elements about description of consequence of such discharge, and it has not shown the real causes of discharge against medical advice. PMID:24554800

  10. The Readability of Electronic Cigarette Health Information and Advice: A Quantitative Analysis of Web-Based Information

    PubMed Central

    Zhu, Shu-Hong; Conway, Mike

    2017-01-01

    Background The popularity and use of electronic cigarettes (e-cigarettes) has increased across all demographic groups in recent years. However, little is currently known about the readability of health information and advice aimed at the general public regarding the use of e-cigarettes. Objective The objective of our study was to examine the readability of publicly available health information as well as advice on e-cigarettes. We compared information and advice available from US government agencies, nongovernment organizations, English speaking government agencies outside the United States, and for-profit entities. Methods A systematic search for health information and advice on e-cigarettes was conducted using search engines. We manually verified search results and converted to plain text for analysis. We then assessed readability of the collected documents using 4 readability metrics followed by pairwise comparisons of groups with adjustment for multiple comparisons. Results A total of 54 documents were collected for this study. All 4 readability metrics indicate that all information and advice on e-cigarette use is written at a level higher than that recommended for the general public by National Institutes of Health (NIH) communication guidelines. However, health information and advice written by for-profit entities, many of which were promoting e-cigarettes, were significantly easier to read. Conclusions A substantial proportion of potential and current e-cigarette users are likely to have difficulty in fully comprehending Web-based health information regarding e-cigarettes, potentially hindering effective health-seeking behaviors. To comply with NIH communication guidelines, government entities and nongovernment organizations would benefit from improving the readability of e-cigarettes information and advice. PMID:28062390

  11. [Scientific policy advice on food safety provided by the Senate Commission on Food Safety].

    PubMed

    Guth, S; Habermeyer, M; Kochte-Clemens, B; Eisenbrand, G

    2010-06-01

    The Senate Commission on Food Safety (SKLM, Senatskommission zur gesundheitlichen Bewertung von Lebensmitteln) of the German Research Foundation (DFG, Deutschen Forschungsgemeinschaft) is a transdisciplinary expert committee, providing advice on food safety to the government, parliament, and authorities. Consultation is based on a scientific assessment with the aim to give expert advice to authorities, so that they can make appropriate decisions. The SKLM is independent in its scientific deliberations and under no directive in the selection of issues to work on. Topics considered may result from requests of the Federal Ministry of Food, Agriculture, and Consumer Protection (BMELV, Bundesministeriums für Ernährung, Landwirtschaft und Verbraucherschutz). Other issues may be raised by the SKLM, if they are regarded to be of particular importance for consumer health protection. Issues encompass the scientific assessment of safety and nutritional benefit of food ingredients and additives, of novel and functional food, as well as of novel food technologies. The SKLM identifies gaps in knowledge, research needs, and need for action.

  12. An Environment for Building and Testing Advice-Giving Systems in Medicine

    PubMed Central

    Clyman, Jeffrey I.; Miller, Perry L.

    1990-01-01

    A three-phase environment has been developed to facilitate the construction, maintenance, and testing of practical expert advice systems. 1) A standard word processor is used by the knowledge engineer and domain expert to create and refine the system's knowledge base (KB). 2) A set of software tools written in LISP incorporate knowledge about the domain to assist in refining and maintaining the knowledge base. 3) A C language shell assembles the KB, and is linked to a domain-specific user interface also written in C. This design allows the system developers to refine and massage the knowledge base conveniently, e. g., on a desktop PC. It allows knowledge verfication tools to be written and refined in LISP which is well-suited for knowledge manipulation logic. At the same time, the resulting executable program runs in C and is therefore computationally efficient and well suited for use as an operational system. The paper uses LIPID-ADVISOR, which gives advice concerning lipid and cholesterol management, as an example to illustrate these various points.

  13. The stage of change approach for implementing ergonomics advice - Translating research into practice.

    PubMed

    Rothmore, Paul; Aylward, Paul; Oakman, Jodi; Tappin, David; Gray, Jodi; Karnon, Jonathan

    2017-03-01

    The Stage of Change (SOC) approach has been proposed as a method to improve the implementation of ergonomics advice. However, despite evidence for its efficacy there is little evidence to suggest it has been adopted by ergonomics consultants. This paper investigates barriers and facilitators to the implementation, monitoring and effectiveness of ergonomics advice and the adoption of the SOC approach in a series of focus groups and a subsequent survey of members of the Human Factors Societies of Australia and New Zealand. A proposed SOC assessment tool developed for use by ergonomics practitioners is presented. Findings from this study suggest the limited application of a SOC based approach to work-related musculoskeletal injury prevention by ergonomics practitioners is due to the absence of a suitable tool in the ergonomists' repertoire, the need for training in this approach, and their limited access to relevant research findings. The final translation of the SOC assessment tool into professional ergonomics practice will require accessible demonstration of its real-world usability to practitioners and the training of ergonomics practitioners in its application.

  14. Prevalence of and Reasons for Patients Leaving Against Medical Advice from Paediatric Wards in Oman

    PubMed Central

    Al-Ghafri, Mohamed; Al-Bulushi, Abdullah; Al-Qasmi, Ahmed

    2016-01-01

    The objective of this study was to determine the prevalence of and reasons for patients leaving against medical advice (LAMA) in a paediatric setting in Oman. This retrospective study was carried out between January 2007 and December 2009 and assessed patients who left the paediatric wards at the Royal Hospital, Muscat, Oman, against medical advice. Of 11,482 regular discharges, there were 183 cases of LAMA (prevalence: 1.6%). Dissatisfaction with treatment and a desire to seek a second opinion were collectively the most cited reasons for LAMA according to data from the hospital’s electronic system (27.9%) and telephone conversations with patients’ parents (55.0%). No reasons for LAMA were documented in the hospital’s electronic system for 109 patients (59.6%). The low observed prevalence of LAMA suggests good medical practice at the Royal Hospital. This study indicates the need for thorough documentation of all LAMA cases to ensure the availability of high-quality data for healthcare workers involved in preventing LAMA. PMID:26909217

  15. Expert advice provided through telemedicine improves healing of chronic wounds: prospective cluster controlled study.

    PubMed

    Zarchi, Kian; Haugaard, Vibeke B; Dufour, Deirdre N; Jemec, Gregor B E

    2015-03-01

    Telemedicine is widely considered as an efficient approach to manage the growing problem of chronic wounds. However, to date, there is no convincing evidence to support the clinical efficacy of telemedicine in wound management. In this prospective cluster controlled study, we tested the hypothesis that advice on wound management provided by a team of wound-care specialists through telemedicine would significantly improve the likelihood of wound healing compared with the best available conventional practice. A total of 90 chronic wound patients in home care met all study criteria and were included: 50 in the telemedicine group and 40 in the conventional group. Patients with pressure ulcers, surgical wounds, and cancer wounds were excluded. During the 1-year follow-up, complete wound healing was achieved in 35 patients (70%) in the telemedicine group compared with 18 patients (45%) in the conventional group. After adjusting for important covariates, offering advice on wound management through telemedicine was associated with significantly increased healing compared with the best available conventional practice (telemedicine vs. conventional practice: adjusted hazard ratio 2.19; 95% confidence interval: 1.15-4.17; P=0.017). This study strongly supports the use of telemedicine to connect home-care nurses to a team of wound experts in order to improve the management of chronic wounds.

  16. Advice for Gaining Upper Administration Support for Research at an Undergraduate Institution

    NASA Astrophysics Data System (ADS)

    Isenhower, Donald

    2015-10-01

    This talk has its beginnings in questions asked after my invited talk for the 2015 APS Prize for Outstanding Research at an Undergraduate Institution at the April APS Meeting. A common question was how to gain support from one's university's administration to start an undergraduate research program. As my talk was addressing work done during 28 years at a university that had a long history of undergraduate research, I was not prepared to answer the question. It is easy to point out what one must do to obtain funding, even if actually obtaining the funding is difficult. Many other aspects of choosing appropriate research projects, collaborations, and such can also be relatively easy to do. Answers and advice in how to get upper level university administrators to notice and help you start a research program is not as easy or obvious, but is what this talk will address. It will be based on the premiss that one is at a university that is centered on providing high quality undergraduate education. Thus you have the job of showing your administration that having students working on a research program under you will help provide the highest level of education possible. Experience over many years of interactions at ACU will be drawn on for the advice provided. Research supported in part by Grants from the U.S. DOE Office of Science.

  17. Model-based aviation advice on distal volcanic ash clouds by assimilating aircraft in situ measurements

    NASA Astrophysics Data System (ADS)

    Fu, Guangliang; Heemink, Arnold; Lu, Sha; Segers, Arjo; Weber, Konradin; Lin, Hai-Xiang

    2016-07-01

    The forecast accuracy of distal volcanic ash clouds is important for providing valid aviation advice during volcanic ash eruption. However, because the distal part of volcanic ash plume is far from the volcano, the influence of eruption information on this part becomes rather indirect and uncertain, resulting in inaccurate volcanic ash forecasts in these distal areas. In our approach, we use real-life aircraft in situ observations, measured in the northwestern part of Germany during the 2010 Eyjafjallajökull eruption, in an ensemble-based data assimilation system combined with a volcanic ash transport model to investigate the potential improvement on the forecast accuracy with regard to the distal volcanic ash plume. We show that the error of the analyzed volcanic ash state can be significantly reduced through assimilating real-life in situ measurements. After a continuous assimilation, it is shown that the aviation advice for Germany, the Netherlands and Luxembourg can be significantly improved. We suggest that with suitable aircrafts measuring once per day across the distal volcanic ash plume, the description and prediction of volcanic ash clouds in these areas can be greatly improved.

  18. Use and Preference of Advice on Small Children's Food: Differences Between Parents From Ethnic Minority, Ethnic Majority, and Mixed Households.

    PubMed

    Nielsen, Annemette; Krasnik, Allan; Vassard, Ditte; Holm, Lotte

    2015-01-01

    The authors analyzed the influence of acculturation on parental attitudes to, and use of, different sources of health advice about young children's food in Denmark. Using combined ethnic position of the children's parents as a proxy for household acculturation, the authors conducted a postal survey of 2,511 households with young children (6 months to 3.5 years) occupying ethnic minority, ethnic majority, or ethnic mixed position. The analysis showed that the use of advice differed in the 3 groups. Households with ethnic minority status were more likely to use the child's grandparents, general practitioners, and hospital staff as information sources, while households with ethnic majority status were more likely to use mothers' peer groups and written material. In all types of household municipal public health nurses were relied on as a source of advice on young children's food, but households with ethnic minority status were more likely to find the advice obtained in this way incompatible with their family eating habits. Although existing dietary health communication strategies delivered by public health nurses appear to work well in all household types, parents from minority households seem to experience dilemmas. These may be related to their cultural and generational status at the time of receiving the advice. Adjustments to current communication strategies on young children's food are suggested.

  19. Lifestyle modifications to lower or control high blood pressure: is advice associated with action? The behavioral risk factor surveillance survey.

    PubMed

    Viera, Anthony J; Kshirsagar, Abhijit V; Hinderliter, Alan L

    2008-02-01

    Routine lifestyle modification advice for managing high blood pressure (BP) is of questionable effectiveness. Using data from the 2005 Behavior Risk Factor Surveillance System, we examined whether receipt of advice is associated with reported adoption of lifestyle modifications. We determined proportions of hypertensive adults taking action to change eating habits, reduce salt intake, exercise, or decrease alcohol consumption to control high BP. We then determined associations between reports of advice given and corresponding actions being taken: 70.1% of respondents reported changing eating habits, 78.7% reported reducing salt intake, 67.1% reported exercising, and 57.9% of those who drank alcohol reported decreasing their consumption. Compared with those who did not recall being given advice, hypertensive adults who recalled being given advice were more likely to change their eating habits (prevalence ratio [PR], 1.62; 95% confidence interval [CI], 1.56-1.67), reduce salt (PR, 1.53; 95% CI, 1.48-1.58), exercise (PR, 1.41; 95% CI, 1.36-1.47), and reduce alcohol consumption (PR, 1.78; 95% CI, 1.70-1.87).

  20. John Cage Discusses Fluxus.

    ERIC Educational Resources Information Center

    Snyder, Ellsworth

    1992-01-01

    Presents an informal discussion with composer John Cage which includes his response to George Maciunas' work, his recollections of Marcel Duchamp, the complex relationship between inelegant material and revealing works of art, neo-Dada and neo-Fluxus, Wittgenstein and the artist's ultimate responsibility to initiate a change in the viewer or…

  1. Facilitating Productive Discussions

    ERIC Educational Resources Information Center

    Cengiz, Nesrin

    2013-01-01

    Whole-group classroom discussions about solutions allow teachers to promote reasoning that moves students beyond merely noticing mathematical ideas toward developing a well-connected knowledge of concepts. Creating classroom environments where teachers promote reasoning and engage students in investigating important mathematical phenomena is…

  2. Framing Discussions about Teaching

    ERIC Educational Resources Information Center

    Danielson, Charlotte

    2015-01-01

    Danielson's Framework for Teaching has provided a common language for discussions of teaching practice for almost 20 years. Many educators love the Framework's comprehensiveness; they find the specific language to be useful as they strive to improve their practice. For other educators, however, the Framework's 22 components and 76 smaller elements…

  3. Promoting Lively Literature Discussion

    ERIC Educational Resources Information Center

    Gritter, Kristine

    2011-01-01

    When students create personal connections with literature during whole-class discussion, they make sense both of text and of their life experiences. In this article, the author shares tips that help students make text-to-self, text-to-world, and text-to-text connections. She offers classroom examples to illustrate how conversations that encourage…

  4. Stakeholder decision-making for radioactive waste management advice given in the US and UK

    SciTech Connect

    Lawless, W.F.; Whitton, J.; Poppeliers, Ch.; Abubucker, C.P.

    2008-07-01

    We continue our past research with a study of participation by citizens providing advice on nuclear waste management decisions in the UK and US. This study is unique in that citizen participation programs in both countries are at very different stages: not yet fully operational in the UK, but mature in the US. Our hope is that a review of the programs in both of these countries can lead to findings that may benefit these and other countries as well. In summary: 1. Decision structure has a significant impact on the advice given by the public Citizen Advisory Boards to DOE. The control scheme used by an organization can lead to more rational decisions or more practical ones. Rational decisions are more likely to occur under consensus-seeking while practical decisions are more likely under majority rule ('truth seeking'). 2. CR, designed to reduce conflict, appears to promote it. The source of this conflict appears to be the inability of agents under CR to manage risk perceptions and other illusions, to produce advice that is sufficiently practical to accelerate or even to advance cleanup, and the production of a single world view incongruous with that of its sponsor, DOE. 3. Counter-intuitively, building a consistent world view sufficient to accommodate all of the parties to a decision de-emphasizes uncertainty and disagreement. For example, 'Setting aside or minimizing the importance of key structural uncertainties in underlying processes is a frequent outcome of the drive for consensus'. 4. CR produces pernicious side effects often sought by authoritarian rulers. After the new EU constitution was rejected by the voters of Europe in France and Denmark, it left the EU leadership in gridlock; they had previously rejected CR because it holds its member states hostage to the dictates of a few. The new treat signed by EU leaders on December 13, 2007 'alters the EU's decision-making architecture. More decisions are to be taken by majority vote, removing the need for

  5. Imported malaria in the UK: advice given by general practitioners to British residents travelling to malaria endemic areas

    PubMed Central

    Campbell, Harry

    1987-01-01

    General practitioners are in a key position to provide advice to those travelling to malaria endemic areas. A study of at-risk travellers revealed that 54% visited their general practitioner before their intended trip overseas and of these 79% were given advice about antimalarial precautions. Of those advised 98% carried antimalarial tablets with them on their trip but only 46% had any knowledge of other methods of personal protection against malaria. Fewer non-white than white British residents received information from their general practitioners. It is suggested that general practitioners should be better informed about current malaria transmission and currently recommended chemoprophylactic drugs and dosages. It is also suggested that the major public health priority should be to stimulate a greater involvement of non-health service agencies in order to make the public aware of the risk of malaria and seek medical advice before travel. PMID:3668936

  6. 7 CFR 3400.5 - Evaluation and disposition of applications.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... FOOD AND AGRICULTURE SPECIAL RESEARCH GRANTS PROGRAM General § 3400.5 Evaluation and disposition of... Administrator shall solicit the advice of peer scientists, ad hoc reviewers, or others who are...

  7. 7 CFR 3401.7 - Evaluation and disposition of applications.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... FOOD AND AGRICULTURE RANGELAND RESEARCH GRANTS PROGRAM General § 3401.7 Evaluation and disposition of... viewpoints, the Administrator may solicit the advice of peer scientists, ad hoc reviewers, or others who...

  8. Thunderstorm asthma: an overview of the evidence base and implications for public health advice.

    PubMed

    Dabrera, G; Murray, V; Emberlin, J; Ayres, J G; Collier, C; Clewlow, Y; Sachon, P

    2013-03-01

    Thunderstorm asthma is a term used to describe an observed increase in acute bronchospasm cases following the occurrence of thunderstorms in the local vicinity. The roles of accompanying meteorological features and aeroallergens, such as pollen grains and fungal spores, have been studied in an effort to explain why thunderstorm asthma does not accompany all thunderstorms. Despite published evidence being limited and highly variable in quality due to thunderstorm asthma being a rare event, this article reviews this evidence in relation to the role of aeroallergens, meteorological features and the impact of thunderstorm asthma on health services. This review has found that several thunderstorm asthma events have had significant impacts on individuals' health and health services with a range of different aeroallergens identified. This review also makes recommendations for future public health advice relating to thunderstorm asthma on the basis of this identified evidence.

  9. Scientific advice and public policy: expert advisers' and policymakers' discourses on boundary work.

    PubMed

    Hoppe, Robert

    2009-08-01

    This article reports on considerable variety and diversity among discourses on their own jobs of boundary workers of several major Dutch institutes for science-based policy advice. Except for enlightenment, all types of boundary arrangements/work in the Wittrock-typology (Social knowledge and public policy: eight models of interaction. In: Wagner P (ed) Social sciences and modern states: national experiences and theoretical crossroads. Cambridge University Press, Cambridge, 1991) do occur. 'Divergers' experience a gap between science and politics/policymaking; and it is their self-evident task to act as a bridge. They spread over four discourses: 'rational facilitators', 'knowledge brokers', 'megapolicy strategists', and 'policy analysts'. Others aspire to 'convergence'; they believe science and politics ought to be natural allies in preparing collective decisions. But 'policy advisors' excepted, 'postnormalists' and 'deliberative proceduralists' find this very hard to achieve.

  10. Brotherly Advice: Letters from Hugo to Paul Ehrenfest in his Final Years

    NASA Astrophysics Data System (ADS)

    Halpern, Paul

    2006-03-01

    At the start of the 1930s, theoretician Paul Ehrenfest spent much of his time traveling through America and Europe while engaged in a steady stream of lectures. This traveling phase coincided with a frantic and intense period of negative self-examination, financial difficulty, and various other personal concerns that would ultimately lead to his 1933 suicide. Throughout these final years, he kept up a steady correspondence with his brother Hugo, a physician based in Saint Louis. Ten years older than Paul, Hugo freely doled out frank psychological advice about subjects ranging from the proper treatment of children to the dangers of self-pity. Through a look at some of the letters exchanged between the two brothers, this talk will examine the role Hugo played during the dark final years of Paul Ehrenfest's life.

  11. Compliance with advice to boil drinking water during an outbreak of cryptosporidiosis. Outbreak Investigation Team.

    PubMed

    Willocks, L J; Sufi, F; Wall, R; Seng, C; Swan, A V

    2000-06-01

    All 2000 employees of a hospital in an area of the North Thames region where 300,000 households were advised to boil tap water before consumption during a large outbreak of cryptosporidiosis were surveyed about compliance with and adverse events linked to the boil water notice. Eighty-five per cent (408/479) of respondents who lived in the boil water area said that they used boiled water while the notice was in place, 72% (347) used bottled water, and 12% (59) did not continue to boil water for the whole 16 days. Although 88% believed that they were following the advice, 20% washed food that would be eaten raw in unboiled tap water and 57% used it to clean their teeth. If a boil water notice is applied for more than a few days it may be helpful to issue a detailed follow up letter.

  12. The personal shopper--a pilot randomized trial of grocery store-based dietary advice.

    PubMed

    Lewis, K H; Roblin, D W; Leo, M; Block, J P

    2015-06-01

    The objective of this study was to test the feasibility and preliminary efficacy of a store-based dietary education intervention against traditional clinic-based advice. Patients with obesity (n = 55, mean [standard deviation, SD] age 44.3[9.2] years, 64% women, 87% non-Hispanic Black) were randomized to receive dietary counselling either in a grocery store or a clinic. Change between groups (analysis of covariance) was assessed for outcomes including: dietary quality (Healthy Eating Index--2005 [0-100 points]), and nutritional knowledge (0-65-point knowledge scale). Both groups reported improved diet quality at the end of the study. Grocery participants had greater increases in knowledge (mean [SD] change = 5.7 [6.1] points) than clinic participants (mean [SD] change = 3.2 [4.0] points) (P = 0.04). Participants enjoyed the store-based sessions. Grocery store-based visits offer a promising approach for dietary counselling.

  13. DISCUSSION ON MENINGITIS

    PubMed Central

    1929-01-01

    (1) Meningitis: two groups of cases. (2) A method of washing out the subarachnoid space in cases of septic meningitis secondary to infection of the ear. (3) Discussion on the value of maintaining a positive pressure of the cerebrospinal fluid when operating on a septic region communicating with the subarachnoid space. (4) Leaking cerebrospinal fluid from the region of the ear: operative treatment. PMID:19986899

  14. PA Discussion Topics

    DTIC Science & Technology

    2011-02-04

    Vehicle Power & Mobility PA Discussion Topics UNCLASSIFIED: Dist A. Approved for public releas Report Documentation Page Form ApprovedOMB No. 0704...0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302

  15. Clinicians Discuss Diaper Dermatitis.

    PubMed

    Brucker, Mary; McGuire, Stephanie; Merrill, Lisa; Rossing, Francine; Sayaseng, Kammi

    2015-01-01

    Diaper dermatitis in infants is commonly seen by clinicians in both primary care and acute care settings. The condition can cause significant discomfort for infants and distress for their parents and caregivers. Nursing for Women's Health convened a group of nursing clinicians who work in a variety of settings to discuss the issues and challenges related to preventing and treating diaper dermatitis in both healthy term newborns and premature newborns.

  16. Proceedings of a workshop on the development and evaluation of habitat suitability criteria: A compilation of papers and discussions presented at Colorado State University, Fort Collins, Colorado, December 8-12, 1986

    USGS Publications Warehouse

    Bovee, Ken; Zuboy, J.R.

    1988-01-01

    The development of reliable habitat suitability criteria is critical to the successful implementation of the Instream Flow Incremental Methodology (IFIM), or any other habitat based evaluation technology. It is also a fascinating topic of research, for several reasons. First, the “science” of habitat quantification is relatively young. Descriptions of habitat use and partitioning can be traced back to Darwin, if not further. Attempts to actually quantify habitat use can be found predominantly during the last two decades, with most of the activity occurring in about the last five years. Second, this work is challenging because we are usually working with fish or some other organism that lives out of sight in an environment that is foreign to humans. Most of the data collection techniques that have been developed for standard fisheries work are unsuited, without modification, for criteria development. These factors make anyone involved in this type of research a pioneer, of sorts. Pioneers often make new and wonderful discoveries, but they also sometimes get lost. In our opinion, however, there is an even more rewarding aspect to criteria development research. It seems that the field of biology has tended to become increasingly clinical over the years. Criteria development demands the unobtrusive observation of organisms in their natural environment, a fact that allows the biological to be a naturalist and still get paid for it. The relative youth and importance of habitat quantification have resulted in rapid advancements in the state of the art. The expansion of methods is vividly demonstrated simply by comparing the two Instream Flow Information Papers written on the subject in 1978 and in 1986. One of the missions of the Aquatic Systems Branch (formerly the Instream Flow Group) is to serve as a clearinghouse for new techniques and methods. In keeping with this role, a workshop was conducted during December 1986 to discuss current and newly evolving methods

  17. [Demand for environmental medical advice at public health offices: experiences in the district aachen public health office].

    PubMed

    Wiesmüller, G A; Etschenberg, W; Koch, T; Konteye, C; Zahmel, J

    2002-03-01

    Since November, 1999 environmental medical advice is offered to interested citizens in the Aachen district at the District Aachen Public Health Office in cooperation with the outpatient unit of environmental medicine (UEM) of the Institute of Hygiene and Environmental Medicine of the University Hospital at Aachen, Germany. Advisory cases are documented in a data bank of Microsoft(R) Access 97. Until now, all advisory cases between November, 1999 and March, 2001 have been descriptively analysed. In this period, 34 personal and two telephonic advices were performed. The frequency of advisory activities is in the lower rang of published experiences in environmental medicine. Age distribution, more frequent advice utilization by women than by men and predominance of unspecific health disorders are comparable with published environmental medical experiences. However, in respect of suspected exposures, unspecific indoor-related environmental factors are predominant. In the past this was true for wood preservatives. Judgement about possible relationships between suspected environmental factors and health disorders or diseases was positive among 11.8 % of the persons seeking advice. This percentage is higher than published experiences which mostly show values below 10 %. It must be considered that this judgement depends primarily on the physician. Other reasons may be the too small number of advice seeking persons and selective influences. Furthermore, a definite judgement can be made only after environmental medical diagnostics (biological monitoring, local inspection, ambient monitoring) and differential diagnostics. Conspicuously, 76.5 % of the advisory cases had no contact to environmental medicine prior to the environmental medical advice at the Aachen District Public Health Office. This points to an information deficit about possibilities to clarify questions concerning environmental medicine in the population. In this context a regional guide on environmental

  18. Working with interpreters: practical advice for use of an interpreter in healthcare.

    PubMed

    Hadziabdic, Emina; Hjelm, Katarina

    2013-03-01

    The aim of this descriptive commentary is to improve communication in healthcare when an interpreter is used by providing practical advice to healthcare staff when they consider using interpreters. This descriptive commentary considered the issues of preparation and implementation of interpretation sessions to reveal the complexities and dilemmas of an effective healthcare encounter with interpreters. Using the design of a discursive paper, this article seeks to explore and position of what is published in the literature on the topic studied and on the basis of previous studies to provide practical advice on the use of interpreters. The descriptive commentary showed that the interpreter should be used not only as a communication aid but also as a practical and informative guide in the healthcare system. In preparing the interpretation session, it is important to consider the type (trained professional interpreter, family member or bilingual healthcare staff as interpreters) and mode (face to face and telephone) of interpreting. Furthermore, it is important to consider the interpreter's ethnic origin, religious background, gender, language or dialect, social group, clothes, appearance and attitude. During the healthcare encounter, the interpreter should follow the recommendations given in guidelines for interpreters. Healthcare staff should choose an appropriate room and be aware of their own behaviour, appearance and attitude during the healthcare encounter. Good planning is needed, with carefully considered choices concerning the right kind of interpreter, mode of interpretation and individual preferences for the interpretation in order to deliver high-quality and cost-effective healthcare. Depending on the nature of the healthcare encounter, healthcare staff need to plan interpreting carefully and in accordance with the individuals' desires and choose the type of interpreter and mode of interpreting that best suits the need in the actual healthcare situation in

  19. [Possible exposure to rabies in anamnesis: rabies advice in the Netherlands].

    PubMed

    Beaujean, D J M A; van Ouwerkerk, I M S; Timen, A; Burgmeijer, R J F; Vermeer de Bondt, P E; van Steenbergen, J E

    2008-03-01

    Anamnestic incidences of four patients have highlighted the potential risk ofexposure to rabies. The first patient was a 30-year-old woman who rescued a bat from the mouth of her dog; it bit her on the right wrist. In the Netherlands, bats may be infected with the Lyssa virus. The Preparedness and Response Unit (PRU) of the Centre for Infectious Disease Control (CIDC) advised human rabies immunoglobulin (HRIG) and a full vaccination programme. The second patient was a 37-year-old woman, who caught a 'sick' squirrel and was subsequently bitten on her left hand. The advice was not to use post exposure prophylaxis since rabies is not prevalent amongst squirrels in the Netherlands. The third patient, a 55-year-old man, was bitten on his right calf by a dog in Sri Lanka. He was treated with HRIG and given the full vaccination course. The fourth patient was a 14-month-old boy who was scratched on the face by a cat in Turkey. He immediately received the first vaccination and upon return to the Netherlands was treated with HRIG and the other vaccinations. All patients remained without symptoms. A structured approach for risk assessment of each potential rabies incident is possible. It requires balancing a number of criteria: the species of animal, the endemicity of rabies in a country, the observed health or vaccination status of an animal, whether the animal can be tested for rabies, if the exposure was provoked or unprovoked, the type of injury and its location on the body of the injured, and the time interval between administration of HRIG and vaccine. In the Netherlands all health care providers are expected to perform a proper risk assessment. They may seek advice from regional health departments (Municipal Health Services), who, in turn, can be assisted by the PRU. HRIG and vaccine are only provided by the National Vaccine Institute in Bilthoven.

  20. Positive vs. Negative: The Impact of Question Polarity in Voting Advice Applications

    PubMed Central

    Krouwel, André; van de Pol, Jasper; de Vreese, Claes

    2016-01-01

    Online Voting Advice Applications (VAAs) are survey-like instruments that help citizens to shape their political preferences and compare them with those of political parties. Especially in multi-party democracies, their increasing popularity indicates that VAAs play an important role in opinion formation for citizens, as well as in the public debate prior to elections. Hence, the objectivity and transparency of VAAs are crucial. In the design of VAAs, many choices have to be made. Extant research in survey methodology shows that the seemingly arbitrary choice to word questions positively (e.g., ‘The city council should allow cars into the city centre’) or negatively (‘The city council should ban cars from the city centre’) systematically affects the answers. This asymmetry in answers is in line with work on negativity bias in other areas of linguistics and psychology. Building on these findings, this study investigated whether question polarity also affects the answers to VAA statements. In a field experiment (N = 31,112) during the Dutch municipal elections we analysed the effects of polarity for 16 out of 30 VAA statements with a large variety of linguistic contrasts. Analyses show a significant effect of question wording for questions containing a wide range of implicit negations (such as ‘forbid’ vs. ‘allow’), as well as for questions with explicit negations (e.g., ‘not’). These effects of question polarity are found especially for VAA users with lower levels of political sophistication. As these citizens are an important target group for Voting Advice Applications, this stresses the need for VAA builders to be sensitive to wording choices when designing VAAs. This study is the first to show such consistent wording effects not only for political attitude questions with implicit negations in VAAs, but also for political questions containing explicit negations. PMID:27723776

  1. Reasons for Discharge against Medical Advice: A Case Study of Emergency Departments in Iran

    PubMed Central

    Noohi, Kaveh; Komsari, Samaneh; Nakhaee, Nouzar; Yazdi Feyzabadi, Vahid

    2013-01-01

    Background: Incomplete hospitalization is the cause of disease relapse, readmission, and increase in medical costs. Discharge Against Medical Advice (DAMA) in emergency department (ED) is critical for hospitals. This paper aims to explore the underlying reasons behind DAMA in ED of four teaching hospitals in Kerman, Iran. Methods: This was a cross-sectional study in which the samples were drawn from the patients who chose to leave against medical advice from the ED of teaching hospitals in Kerman from February to March 2011. The sampling was based on census. Data were gathered by a self-constructed questionnaire. The reasons for DAMA were divided into three parts: reasons related to patient, medical staff, and hospital environment. The questionnaire was filled out by a face-to-face interview with patient or a reliable companion. Results: There were 121 cases (5.6%) of DAMA out of the total admissions. The main reason of AMA discharges was related to patient factors in 43.9% of cases, while two other factors (i.e., hospital environment and medical staff) constituded 41.2% and 35.2% of cases, respectively. The majority of patients 65.9% (80 cases) were either uninformed or less informed of the entailing side effects and outcomes of their decision to DAMA. Conclusion: In comparison to studies conducted in other countries, the rate of DAMA is markedly higher in Iran. The results revealed that patients awareness of the consequences of their decisions is evidently inadequate. The study suggests a number of recommendations. These include, increasing patient awareness of the potential side effects of DAMA and creating the necessary culture for this, improving hospital facilities, and a more careful supervision of medical staff performance. PMID:24596853

  2. Science advice to the President: During and immediately after World War II

    SciTech Connect

    Seaborg, G.T.

    1989-01-01

    At the time of the outbreak of World War II the United States had little capacity for science advice to the President or the Organization of American Science for War. The National Academy of Sciences, created by an Act of Congress in 1863, and the National Research Council, created by an Executive Order in 1918, were in the position to be helpful, but they were not government agencies supported by the Congress and reporting directly to the President and were, therefore, not designed to focus attention on such relatively narrow portions of the field of science as those concerned with the instrumentalities of war. A more effective organization was the National Advisory Committee for Aeronautics (NACA), established by Congress in 1915 ''to supervise and direct the scientific study of the problems of flight.'' President Roosevelt, in June 1939, directed the NACA to become a consulting and research agency for the Joint Army and Navy Aeronautical Board at the outbreak of a national emergency. For some years prior to the outbreak of the war, the members of the NACA had become acutely conscious that they were living in a pre-war period. Vannevar Bush became chairman of the NACA in 1939. After the outbreak of war in Europe, Bush's thoughts turned more and more to the need for an overall organization of science for war. It was at his initiative more than anyone else's that an apparatus for science advice to the President and the gearing of science for aid to the war effort took place. 15 figs.

  3. Advice given to women in Argentina about breast-feeding and the use of alcohol

    PubMed Central

    Pepino, M. Yanina; Mennella, Julie A.

    2006-01-01

    Objective To explore the types of advice that women in Argentina received from health professionals, family members, and friends about drinking alcoholic beverages and about alcohol usage during pregnancy and lactation. Methods In December 2001 and December 2002, structured interviews were conducted with a total of 167 women who were then breast-feeding or who had recently breast-fed their infant. Mothers were asked about the type of advice, if any, that they had received about the use of alcohol from health professionals and from family members and friends. Also included were questions related to the usage of the traditional Argentine beverage “mate” (an infusion widely consumed in South America that is prepared from the leaves of the Ilex paraguayensis plant) and the types of advice the women had received about breast-feeding and neonatal care in general. Results Of the 167 women studied, 96.4% of them reported that their physician had advised them to breast-feed their infant. In addition, 93.4% of the women said they had treated their infant’s umbilical cord stump with alcohol. Fewer than half of the women (46.7%) reported that their physician had advised them about drinking alcoholic beverages during pregnancy, and even fewer (25.7%) received such advice during lactation. Family and friends were about equally likely to give advice about the consumption of alcoholic beverages during pregnancy (42.6%) and during lactation (47.9%). However, the type of advice changed, with the family and friends being significantly more likely to encourage drinking when the women were lactating than when they were pregnant (P < 0.001). Family members and friends also encouraged the drinking of mate to increase milk production. Conclusions As in other cultures, in Argentina the belief exists that alcohol enhances lactation. However, the majority of women whom we interviewed had not been counseled by their health professional about the consumption of alcoholic beverages during

  4. China's satellite communications discussed

    NASA Astrophysics Data System (ADS)

    Ruhou, Z.

    1986-04-01

    In 1972, China began to enter the age of satellite comunications, and it was realized that satellites could play a large role in television transmission in China. The experimental broadcasting of satellite television programs was begun in 1978, and satisfactory results were obtained. The success of the television transmission demonstration has led to important decisions regarding development of a domestic satellite communications system. Before specialized communications satellites are launched, the decision was made to lease an international communications satellite transmitter. The responsibility of the ground stations were discussed.

  5. Discussion of optoelectronic HMDASS

    NASA Astrophysics Data System (ADS)

    Liu, Yu; Liu, Xu; Yang, Yi; Sun, Longhe; Liu, Hua

    2000-10-01

    The use of opto-electronic Helmet Mounted Display And Sight System (HMDASS) will decrease responding time for fighter in near distance tussle. See-through type Helmet Mounted Display (HMD), instead of the simple graduation board display, will provide more information and so much as integrate the FLTR image. We research some questions of TFTLCD device in optic- electric HMDASS application, such as luminance, information content & format etc. This paper discuss the luminance question in perspective type LCD-HMD and put forward a display method to increase the reaction velocity for a pilot using opto-electronic Helmet Mounted Sight (HMS).

  6. Empowerment: a conceptual discussion.

    PubMed

    Tengland, Per-Anders

    2008-06-01

    The concept of 'empowerment' is used frequently in a number of professional areas, from psychotherapy to social work. But even if the same term is used, it is not always clear if the concept denotes the same goals or the same practice in these various fields. The purpose of this paper is to clarify the discussion and to find a plausible and useful definition of the concept that is suitable for work in various professions. Several suggestions are discussed in the paper, for example control over life or health, autonomy, ability, self-efficacy, self-esteem, and freedom, and it is concluded that there are two plausible complementary uses, one as a goal and one as a process or approach. Empowerment as a goal is to have control over the determinants of one's quality of life, and empowerment as a process is to create a professional relation where the client or community takes control over the change process, determining both the goals of this process and the means to use.

  7. [How to handle the dilemma of driving for patients with Alzheimer's disease? A survey of advices provided by French caregivers guides].

    PubMed

    Mietkiewicz, Marie-Claude; Ostrowski, Madeleine

    2015-09-01

    For many old people, driving takes an important place in the daily living activities and contributes to carry on their autonomy and self-esteem. However, many studies showed a link between car accidents and Alzheimer's disease, even in the early stages of dementia, and people caring for these patients inevitably ask the question: "Is my patient with Alzheimer's disease still able to drive his car?" Guides devoted to caregivers can play an important role to improve the knowledge of Alzheimer's disease and to afford advices for patients managing. To assess how these guides handle the question of patients driving, we made a survey of the 46 French caregiver guides (re)published between 1988 and 2013. The question of driving is raised with more or less details in 31 guides. All state that driving should be discontinued but that the consequences of this decision on the patient autonomy should be taken into account. A few guides provide clues to assess driving competence for the patients, and many propose advices to support the implementation of the driving discontinuity decision, such as to discuss with the patient to persuade him to stop driving, to ask for assistance by the family physician, to hide the car's keys or to disconnect its battery... In France, physicians are not allowed to prohibit driving or to report dangerous driving to authorities. Ultimately, the caregivers remain faced with the ethical dilemma to choose between safety and the patient's autonomy preservation. Therefore the responsibility for the patient to persist or give up driving only falls to them.

  8. Evaluation.

    ERIC Educational Resources Information Center

    McAnany, Emile G.; And Others

    1980-01-01

    Two lead articles set the theme for this issue devoted to evaluation as Emile G. McAnany examines the usefulness of evaluation and Robert C. Hornik addresses four widely accepted myths about evaluation. Additional articles include a report of a field evaluation done by the Accion Cultural Popular (ACPO); a study of the impact of that evaluation by…

  9. Developing a Four-Year Integrated Core Curriculum: Advice for Avoiding the Pitfalls and Building Consensus for Change

    ERIC Educational Resources Information Center

    Mirabella, Roseanne M.; Balkun, Mary M.

    2011-01-01

    Seton Hall University's new core curriculum includes a pair of Signature Courses and a third-year Signature Course developed within departments, two composition classes, a university life course, and five proficiencies. This article describes the process leading to the development of this new curriculum and provides advice on general education…

  10. 78 FR 23954 - U.S.-EU Transatlantic Trade and Investment Partnership Agreement: Advice on the Probable Economic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-23

    ... Effect of Providing Duty- Free Treatment for Imports AGENCY: United States International Trade Commission...: Advice on the Probable Economic Effect of Providing Duty-Free Treatment for Imports. DATES: May 16, 2013... Commission may also be obtained by accessing its Internet server ( http://www.usitc.gov ). Persons...

  11. We're Going to Need a Bigger Room: Advice Workshops Are the Hit of Career Center

    NASA Astrophysics Data System (ADS)

    Cooper, Paul

    2014-02-01

    Advice workshops proved to be the most well-attended Career Center events at this year's Fall Meeting, with a total of roughly 700 people participating. Topics included how to avoid mistakes when applying for and working on a post doctoral position, finding hidden job opportunities by networking, negotiation strategies, and tips for taking control of your career.

  12. 45 CFR 162.1603 - Operating rules for health care electronic funds transfers (EFT) and remittance advice transaction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Operating rules for health care electronic funds transfers (EFT) and remittance advice transaction. 162.1603 Section 162.1603 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS...

  13. 45 CFR 162.1603 - Operating rules for health care electronic funds transfers (EFT) and remittance advice transaction.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Operating rules for health care electronic funds transfers (EFT) and remittance advice transaction. 162.1603 Section 162.1603 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS...

  14. Educational Decision Maker: Antecedents and Consequences of Career Advice from the Guidance Counselor in the Process of Social Mobility.

    ERIC Educational Resources Information Center

    Rehberg, Richard A.; Hotchkiss, Lawrence

    Three questions regarding the secondary school guidance counselor are addressed: (1) do counselors devote more time to students predisposed toward higher education; (2) to what extent is the counselor's advice dependent on such predisposing variables as status, intelligence, parental encouragement, etc.; and (3) does the counselor have an…

  15. 45 CFR 162.1602 - Standards for health care electronic funds transfers (EFT) and remittance advice transaction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... identified in paragraph (a) of this section. (2) The ASC X12 Standards for Electronic Data Interchange... for Electronic Data Interchange Technical Report Type 3, “Health Care Claim Payment/Advice (835... same transmission, the ASC X12 Standards for Electronic Data Interchange Technical Report Type...

  16. 45 CFR 162.1602 - Standards for health care electronic funds transfers (EFT) and remittance advice transaction.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... identified in paragraph (a) of this section. (2) The ASC X12 Standards for Electronic Data Interchange... for Electronic Data Interchange Technical Report Type 3, “Health Care Claim Payment/Advice (835... same transmission, the ASC X12 Standards for Electronic Data Interchange Technical Report Type...

  17. 45 CFR 162.1602 - Standards for health care electronic funds transfers (EFT) and remittance advice transaction.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... identified in paragraph (a) of this section. (2) The ASC X12 Standards for Electronic Data Interchange... for Electronic Data Interchange Technical Report Type 3, “Health Care Claim Payment/Advice (835... same transmission, the ASC X12 Standards for Electronic Data Interchange Technical Report Type...

  18. The Effects of Portfolio-Based Advice on the Development of Self-Directed Learning Skills in Secondary Vocational Education

    ERIC Educational Resources Information Center

    Kicken, Wendy; Brand-Gruwel, Saskia; van Merrienboer, Jeroen J. G.; Slot, Wim

    2009-01-01

    This experimental study was designed to investigate whether supervision meetings, in which students receive specific advice on how to use a development portfolio to monitor their progress and plan their future learning, helps them to develop self-directed learning skills and improve their learning in the domain. In the first year of a hairdressing…

  19. A Decade of Advice for Women and Men in the Best-Selling Self-Help Literature.

    ERIC Educational Resources Information Center

    Zimmerman, Toni Schindler; Holm, Kristen E.; Haddock, Shelley A.

    2001-01-01

    Presents a content analysis of the top ten self-help books on the New York Times best-seller list over a ten year period to determine the degree to which the books empower individuals to resist gender-based socialization messages. The four best sellers contained advice for both genders to behave consistently with traditional gender socialization,…

  20. Bridging the Translation Gap: From Dementia Risk Assessment to Advice on Risk Reduction

    PubMed Central

    Anstey, Kaarin J.; Eramudugolla, Ranmalee; Hosking, Diane E.; Lautenschlager, Nicola T.; Dixon, Roger A.

    2015-01-01

    Dementia risk reduction is a global health and fiscal priority given the current lack of effective treatments and the projected increased number of dementia cases due to population ageing. There are often gaps among academic research, clinical practice, and public policy. We present information on the evidence for dementia risk reduction and evaluate the progress required to formulate this evidence into clinical practice guidelines. This narrative review provides capsule summaries of current evidence for 25 risk and protective factors associated with AD and dementia according to domains including biomarkers, demographic, lifestyle, medical, and environment. We identify the factors for which evidence is strong and thereby especially useful for risk assessment with the goal of personalising recommendations for risk reduction. We also note gaps in knowledge, and discuss how the field may progress towards clinical practice guidelines for dementia risk reduction. PMID:26380232

  1. A Cross-Cultural Study of Offering Advice Speech Acts by Iranian EFL Learners and English Native Speakers: Pragmatic Transfer in Focus

    ERIC Educational Resources Information Center

    Babaie, Sherveh; Shahrokhi, Mohsen

    2015-01-01

    The purpose of the present study was to compare the speech act of offering advice as realized by Iranian EFL learners and English native speakers. The study, more specifically, attempted to find out whether there was any pragmatic transfer from Persian (L1) among Iranian EFL learners while offering advice in English. It also examined whether…

  2. Advice for Sex Advisors: A Guide for "Agony Aunts", Relationship Therapists and Sex Educators Who Want to Work with the Media

    ERIC Educational Resources Information Center

    Boynton, Petra M.

    2007-01-01

    Education programmes for sex and relationships are greatly needed globally. One way such information can be delivered is via the media. Sex and relationship advice has long been a popular media component, but the quality, accuracy and effectiveness of such advice--particularly from the sex "expert" or "agony aunt"--has not been adequately…

  3. MedMinify: An Advice-giving System for Simplifying the Schedules of Daily Home Medication Regimens Used to Treat Chronic Conditions.

    PubMed

    Flynn, Allen J; Klasnja, Predrag; Friedman, Charles P

    2014-01-01

    For those with high blood pressure, diabetes, or high cholesterol, adherence to a home medication regimen is important for health. Reductions in the number of daily medication-taking events or daily pill burden improve adherence. A novel advice-giving computer application was developed using the SMART platform to generate advice on how to potentially simplify home medication regimens. MedMinify generated advice for 41.3% of 1,500 home medication regimens for adults age 60 years and older with chronic medical conditions. If the advice given by MedMinify were implemented, 320 regimen changes would have reduced daily medication-taking events while an additional 295 changes would have decreased the daily pill burden. The application identified four serious drug-drug interactions and so advised against taking two pairs of medications simultaneously. MedMinify can give advice to change home medication regimens that could result in simpler home medication-taking schedules.

  4. MedMinify: An Advice-giving System for Simplifying the Schedules of Daily Home Medication Regimens Used to Treat Chronic Conditions

    PubMed Central

    Flynn, Allen J.; Klasnja, Predrag; Friedman, Charles P.

    2014-01-01

    For those with high blood pressure, diabetes, or high cholesterol, adherence to a home medication regimen is important for health. Reductions in the number of daily medication-taking events or daily pill burden improve adherence. A novel advice-giving computer application was developed using the SMART platform to generate advice on how to potentially simplify home medication regimens. MedMinify generated advice for 41.3% of 1,500 home medication regimens for adults age 60 years and older with chronic medical conditions. If the advice given by MedMinify were implemented, 320 regimen changes would have reduced daily medication-taking events while an additional 295 changes would have decreased the daily pill burden. The application identified four serious drug-drug interactions and so advised against taking two pairs of medications simultaneously. MedMinify can give advice to change home medication regimens that could result in simpler home medication-taking schedules. PMID:25954445

  5. A Workbook for Training Discussion Leaders.

    ERIC Educational Resources Information Center

    Menkin, Paula

    This guide on group discussion leader training provides for a four session course structured to enable each trainee to practice and be evaluated. Session 1 stresses the nature and uses of discussion, and introduces trainees to role playing. Other sessions concentrate on summarizing and decision making; on group satisfaction or problem solving and…

  6. Discharge against Medical Advice at Neonatal Intensive Care Unit in Gujarat, India

    PubMed Central

    Devpura, Bhanu; Bhadesia, Pranav; Desai, Sandeep; Phatak, Ajay

    2016-01-01

    Objective. We explored reasons for discharged against medical advice (DAMA) of neonates from a neonatal intensive care unit (NICU) through in-depth interviews of the parents/guardians. Methods. Of 456 babies admitted to NICU during April 2014 to March 2015, 116 babies were DAMA. Parents of randomly selected 50 babies of these 116, residing within 50 kilometers, were approached for in-depth interviews at their homes. Audio recordings were done and manually transcribed, analyzed in detail to explore common threads leading to DAMA. Basic demographic information of the newborns was retrieved from hospital records. Results. The prevalence of DAMA was 25.4%. Of 50 parents approached, 41 in-depth interviews were completed. Nonaffordability (38.6%), no improvement (14.6%), poor prognosis (12%), and inappropriate behavior of the patient relation office personnel (10.6%) were major factors contributing to DAMA. Parents of 6.6% neonates wanted guarantee of survival and 5.3% parents reported poor behavior of nurses. No gender bias was observed related to DAMA. One-third of neonates (34.1%) were DAMA on first day of admission. Conclusions. The issue of DAMA needs attention. Besides nonaffordability and clinical characteristics of the baby, communication (breaking bad news, counseling, etc.) and lack of adequate infrastructure for relatives emerged as modifiable factors leading to DAMA. PMID:28003834

  7. Whiplash associated disorders: a review of the literature to guide patient information and advice

    PubMed Central

    McClune, T; Burton, A; Waddell, G

    2002-01-01

    Methods: A systematic literature search was conducted, which included both clinical and non-clinical articles to encompass the wide range of patients' informational needs. From the studies and previous reviews retrieved, 163 were selected for detailed review. The review process considered the quantity, consistency, and relevance of all selected articles. These were categorised under a grading system to reflect the quality of the evidence, and then linked to derived evidence statements. Results: The main messages that emerged were: physical serious injury is rare; reassurance about good prognosis is important; over-medicalisation is detrimental; recovery is improved by early return to normal pre-accident activities, self exercise, and manual therapy; positive attitudes and beliefs are helpful in regaining activity levels; collars, rest, and negative attitudes and beliefs delay recovery and contribute to chronicity. These findings were synthesised into patient centred messages with the potential to reduce the risk of chronicity. Conclusions: The scientific evidence on whiplash associated disorders is of variable quality, but sufficiently robust and consistent for the purpose of guiding patient information and advice. While the delivery of appropriate messages can be both oral and written, consistency is imperative, so an innovative patient educational booklet, The Whiplash Book, has been developed and published. PMID:12421771

  8. Individual Risk and Prevention of Complications: Doctors' Advice to Persons Wishing a New Tattoo.

    PubMed

    Serup, Jørgen

    2017-01-01

    Doctors who are consulted about health and tattoo risks have an important role in the prevention of an individual's tattoo complications. Tattooing is a tremendous exposure of the human body to needle operation, particles, and chemicals. The risk is related to a person's health condition, level of insight, decision-making, and to the operation of tattooing, tattoo inks and utensils, tattoo parlour, and the aftercare. Tattooing is painful minor surgery performed without anesthesia. It can be associated with syncope. It is major needle trauma with histamine release and wheal and flare in the operation field. The skin barrier is broken. Bacterial infections come early. Chronically intermittent and mild complaints affect 4/10 of all the tattooed, and 2/10 have sensitivity to sun. Chronic complications with allergy in red tattoos and nodules due to pigment agglomeration and foreign body formation in black tattoos are less common but certainly at the level of cumbersome skin disease. Reactions to black tattoos are strongly associated with sarcoidosis. There are many other distinct entities of tattoo complications. A campaign called 'Tattoo - know your risk' is presented with detailed fact sheets about tattoos, tattoo problems, how to reduce risk, and a checklist for the tattoo customer before decision-making. The sheets with keynote information are useful aids for doctors giving advice to persons curious about acquiring a tattoo.

  9. Values at stake: autonomy, responsibility, and trustworthiness in relation to genetic testing and personalized nutrition advice.

    PubMed

    Nordström, Karin; Juth, Niklas; Kjellström, Sofia; Meijboom, Franck L B; Görman, Ulf

    2013-07-01

    Personalized nutrition has the potential to enhance individual health control. It could be seen as a means to strengthen people's autonomy as they learn more about their personal health risks, and receive dietary advice accordingly. We examine in what sense personalized nutrition strengthens or weakens individual autonomy. The impact of personalized nutrition on autonomy is analyzed in relation to responsibility and trustworthiness. On a societal level, individualization of health promotion may be accompanied by the attribution of extended individual responsibility for one's health. This constitutes a dilemma of individualization, caused by a conflict between the right to individual freedom and societal interests. The extent to which personalized nutrition strengthens autonomy is consequently influenced by how responsibility for health is allocated to individuals. Ethically adequate allocation of responsibility should focus on prospective responsibility and be differentiated with regard to individual differences concerning the capacity of adults to take responsibility. The impact of personalized nutrition on autonomy also depends on its methodological design. Owing to the complexity of information received, personalized nutrition through genetic testing (PNTGT) is open to misinterpretation and may not facilitate informed choices and autonomy. As new technologies, personalized nutrition and PNTGT are subject to issues of trust. To strengthen autonomy, trust should be approached in terms of trustworthiness. Trustworthiness implies that an organization that develops or introduces personalized nutrition can show that it is competent to deal with both the technical and moral dimensions at stake and that its decisions are motivated by the interests and expectations of the truster.

  10. A Word to the Wise: Advice for Scientists Engaged in Collaborative Adaptive Management.

    PubMed

    Hopkinson, Peter; Huber, Ann; Saah, David S; Battles, John J

    2017-01-25

    Collaborative adaptive management is a process for making decisions about the environment in the face of uncertainty and conflict. Scientists have a central role to play in these decisions. However, while scientists are well trained to reduce uncertainty by discovering new knowledge, most lack experience with the means to mitigate conflict in contested situations. To address this gap, we drew from our efforts coordinating a large collaborative adaptive management effort, the Sierra Nevada Adaptive Management Project, to offer advice to our fellow environmental scientists. Key challenges posed by collaborative adaptive management include the confusion caused by multiple institutional cultures, the need to provide information at management-relevant scales, frequent turnover in participants, fluctuations in enthusiasm among key constituencies, and diverse definitions of success among partners. Effective strategies included a dedication to consistency, a commitment to transparency, the willingness to communicate frequently via multiple forums, and the capacity for flexibility. Collaborative adaptive management represents a promising, new model for scientific engagement with the public. Learning the lessons of effective collaboration in environmental management is an essential task to achieve the shared goal of a sustainable future.

  11. The personal shopper – a pilot randomized trial of grocery store-based dietary advice

    PubMed Central

    Lewis, K H; Roblin, D W; Leo, M; Block, J P

    2015-01-01

    The objective of this study was to test the feasibility and preliminary efficacy of a store-based dietary education intervention against traditional clinic-based advice. Patients with obesity (n = 55, mean [standard deviation, SD] age 44.3[9.2] years, 64% women, 87% non-Hispanic Black) were randomized to receive dietary counselling either in a grocery store or a clinic. Change between groups (analysis of covariance) was assessed for outcomes including: dietary quality (Healthy Eating Index – 2005 [0–100 points] ), and nutritional knowledge (0–65-point knowledge scale). Both groups reported improved diet quality at the end of the study. Grocery participants had greater increases in knowledge (mean [SD] change = 5.7 [6.1] points) than clinic participants (mean [SD] change = 3.2 [4.0] points) (P = 0.04). Participants enjoyed the store-based sessions. Grocery store-based visits offer a promising approach for dietary counselling. PMID:25873139

  12. The use of a Swedish telephone medical advice service by the elderly – a population-based study

    PubMed Central

    Dahlgren, K.; Holzmann, M. J.; Carlsson, A. C.; Wändell, P.; Hasselström, J.; Ruge, T.

    2017-01-01

    Objective The present study aimed to describe contact made by the elderly to Sweden’s nationwide medical helpline, Healthcare Guide 1177 by Phone (HGP). Other objectives were to study potential gender differences and the association between different HGP referral levels and acute visits to hospital-based emergency departments and acute visits to primary care centres. Design De-identified data from recorded calls to HGP was extracted for analysis (n = 7477 for the oldest age group). Information about acute visits to emergency departments and to primary care reception was extracted from the patient administration system. Setting Västerbotten County, Sweden. Subjects Patients over 80 years. Main outcome measures Calling and visiting frequencies for different age groups as well as reasons for contact and individual recommendations. Results The utilisation rate of the telephone advice service for the oldest age group was high, with an incidence rate of 533 per 1000 person-years. Women had a 1.17 times higher incidence rate compared with men. The most common reason for contact was drug-related questions (17% of all contacts). Calls that were recommended to care by a medical specialist correlated with total emergency department visits (r = 0.30, p < 0.05) and calls that were given advice correlated with acute primary healthcare visits (r = 0.38, p = 0.005). Conclusion The high utilisation of the telephone advice service by the elderly gives the telephone advice service a unique ability to function as a gatekeeper to further healthcare. Our data suggest that with the telephone advice service’s present guidelines, a significant proportion of all calls are being directed to further medical help. The high frequency of drug-related questions raises concerns about the elderly’s medication regimens. Key points Patients over 80 years of age had a high utilisation of the telephone medical advice service compared with other age groups. Drug

  13. Dietary advice, dietary adherence and the acquisition of tolerance in egg-allergic children: a 5-yr follow-up.

    PubMed

    Allen, Clare Wendy; Kemp, Andrew Stewart; Campbell, Dianne Elizabeth

    2009-05-01

    IgE-mediated egg allergy is a common childhood food allergy affecting about 1-2% of 2-yr-old children. Egg avoidance is the mainstay of treatment for egg allergy; however, it is unclear what type of dietary advice parents of children with egg allergy receive and to what extent this dietary advice is adhered to. This study aimed to assess: (i) the type and source of dietary advice parents receive in a tertiary hospital setting, (ii) how closely parents adhere to advice given, (iii) what patient characteristics influenced adherence to diet and (iv) whether strict adherence to dietary advice was an identifiable factor in whether children outgrew their egg allergy. In 2006, a questionnaire was sent to 261 parents of children seen in a tertiary paediatric allergy clinic in 2003 and diagnosed with egg allergy which included 84 children who had undergone an in-hospital open oral egg challenge during this time period (2003-2006). Questions included demographic data, details of egg allergy, dietary avoidance and attainment of unrestricted egg ingestion. Of 199 questionnaires confirmed received, 167 were returned (84%). The mean age of the cohort was 6.6 yr with an average of 5.5 yr of follow-up since the first reaction. Sixty-eight percent of subjects reported avoidance of all food containing egg all the time. Forty-seven percent of the children had been accidentally exposed to egg. The severity of the initial reaction did not appear to influence adherence to an advised diet. Of the 84 children who underwent in-hospital open egg challenges, 57 children were able to ingest egg without clinical reaction and were classified as having outgrown their egg allergy. These children did not differ from those who were challenge positive to egg in terms of either the dietary advice they received or the degree to which they had undertaken strict avoidance of egg. In addition, children who had outgrown their egg allergy did not differ from those who remained egg-allergic on in

  14. Comprehension and compliance with the discharge advice and quality of life at home among the postoperative neurosurgery patients discharged from PGIMER, Chandigarh, India

    PubMed Central

    Kumar, Vishal; Singh, Amarjeet; Tewari, Manoj K.; Kaur, Sukhpal

    2016-01-01

    Problem Statement: Neurosurgical patients require special care not only in the hospital but also after their discharge from the hospital. Comprehension and compliance to the instructions given by the doctors/nurses at the time of discharge is important in home care of these patients. Many such patients suffer from various co-morbidities. Variable periods of convalescence affect health-related quality of life in these patients. Purpose of the Study: To determine the degree of compliance of neurosurgery patients and their family caregivers with the discharge advice given by the consultantsTo evaluate the quality of life of these patientsTo know the problems faced by these patients at home. Materials and Methods: This cross-sectional interview-based descriptive study was conducted in 2010 in Chandigarh. These patients were visited at their home. A scale was evolved to evaluate comprehension and compliance to the advice given at the time of discharge, according to the criteria developed by Clark et al. Lawton Brody instrumental activity of daily life and Spitzer quality of life index were used to assess patients' quality of life after the operation. Verbatim responses were recorded for the purpose of qualitative research. Results: Overall, 58 patients and their caregivers were interviewed at home. Mean age of the patients was 38.9 years. Out of 37 patients, 35 showed good comprehension and 33 patients had a good compliance with the instructions given for medication. The condition of 74.1% patients improved after the operation. Depression was reported in 31% of the patients. Many (36.2%) patients had to quit their job due to the disease. Almost half (47.4%) of the patients were independent in daily activities of their life while being evaluated on Barthel activity of daily life index. Conclusion and Recommendations: It is in the long term that the true complexity and impact of operations become apparent. After operation, such patients are likely to have a range of

  15. A Comparative Study of Exceptional Experiences of Clients Seeking Advice and of Subjects in an Ordinary Population

    PubMed Central

    Fach, W.; Atmanspacher, H.; Landolt, K.; Wyss, T.; Rössler, W.

    2012-01-01

    Exceptional experiences (EE) occur frequently within the populations of many countries and across various socio-cultural contexts. Although some EE show similarities with mental disorders, it would be a mistake to identify them in general as disorders. In fact, the vast number of individuals reporting EE includes subclinical and completely healthy subjects. We conducted a comparative empirical study of several characteristics of EE for two samples – one from ordinary population and the other from clients seeking advice. We found surprisingly similar phenomenological patterns of EE in both samples, but the frequency and intensity of EE for clients seeking advice significantly exceeded those for the ordinary population. Our results support the hypothesis of a continuous spectrum between mental health and mental disorder for the types of experiences analyzed. PMID:23423775

  16. Association between Precipitation Upstream of a Drinking Water Utility and Nurse Advice Calls Relating to Acute Gastrointestinal Illnesses

    PubMed Central

    Tornevi, Andreas; Axelsson, Gösta; Forsberg, Bertil

    2013-01-01

    Background The River Göta Älv is a source of fresh-water for the City of Gothenburg (Sweden). We recently identified a clear association between upstream precipitation and indicator bacteria concentrations in the river water outside the intake to the drinking water utility. This study aimed to determine if variation in the incidence of acute gastrointestinal illnesses is associated with upstream precipitation. Methods We acquired data, covering 1494 days, on the daily number of telephone calls to the nurse advice line from citizens in Gothenburg living in areas with Göta Älv as a fresh-water supply. We separated calls relating to gastrointestinal illnesses from other medical concerns, and analyzed their association with precipitation using a distributed lag non-linear Poisson regression model, adjusting for seasonal patterns and covariates. We used a 0–21-day lag period for precipitation to account for drinking water delivery times and incubation periods of waterborne pathogens. Results The study period contained 25,659 nurse advice calls relating to gastrointestinal illnesses. Heavy rainfall was associated with increased calls the same day and around 5–6 days later. Consecutive days of wet weather were also found to be associated with an increase in the daily number of gastrointestinal concerns. No associations were identified between precipitation and nurse advice calls relating to other medical concerns. Conclusion An increase in nurse advice calls relating to gastrointestinal illnesses around 5–6 days after heavy rainfall is consistent with a hypothesis that the cause could be related to drinking water due to insufficient barriers in the drinking water production, suggesting the need for improved drinking water treatment. PMID:23875009

  17. Giving great advice. Interview by Thomas A Stewart and Gardiner Morse.

    PubMed

    Wasserstein, Bruce

    2008-01-01

    Few deal makers have been at it as long, and at such a high level, as Bruce Wasserstein, the chairman and CEO of the financial advisory and asset-management firm Lazard. In this edited interview, two HBR editors explore how he creates value as a manager, as a deal maker, and as a counselor to CEOs. Wasserstein, who has been a major figure in mergers and acquisitions for more than 30 years, talks about attracting and managing talent, building and sustaining a knowledge business, sizing up industries and companies, and crafting advice to help CEOs unlock value. At the heart of his approach is a singular ability to dissect a strategy's underlying premises in order to figure out whether a plan or deal "makes sense." Part of that determination involves understanding the broader context: Where is the industry going? What external factors will affect it? Such sensemaking informs every move Wasserstein makes, and it has paid off handsomely. In his career, he has helped broker more than a thousand deals, worth hundreds of billions of dollars. His intellect, creativity, and doggedness are what allow him to pick apart the most complex problems and devise novel solutions. In an age of specialization, he recognizes the importance of connecting the dots; he draws on the knowledge and skills of creative generalists as well as industry and regional specialists when setting up and executing deals. Wasserstein studied at Harvard University's business and law schools and at Cambridge University, helped lead First Boston's M&A practice, cofounded the investment-banking firm Wasserstein Perella Group, and then joined Lazard, which he famously took public in 2005 after disassembling a century and a half of family ownership. He is the 2007 recipient of Harvard Law School's Great Negotiator Award.

  18. Returning to work after electrical injuries: workers' perspectives and advice to others.

    PubMed

    Stergiou-Kita, Mary; Mansfield, Elizabeth; Bayley, Mark; Cassidy, J David; Colantonio, Angela; Gomez, Manuel; Jeschke, Marc; Kirsh, Bonnie; Kristman, Vicki; Moody, Joel; Vartanian, Oshin

    2014-01-01

    The objective of this study was to gain an understanding of workers' experiences with returning to work, the challenges they experienced, and the supports they found most beneficial when returning to work after a workplace electrical injury. Thirteen semistructured qualitative telephone interviews were conducted with individuals who experienced an electrical injury at the workplace. Participants were recruited from specialized burns rehabilitation programs in Ontario, Canada. Interviews were transcribed verbatim and thematic analysis used to analyze the qualitative interviews. Data regarding workers' demographics, injury events, and occupational categories were also gathered to characterize the sample.Participants identified three distinct categories of challenges: 1) physical, cognitive, and psychosocial impairments and their effects on their work performance; 2) feelings of guilt, blame, and responsibility for the injury; and 3) having to return to the workplace or worksite where the injury took place. The most beneficial supports identified by the injured workers included: 1) support from family, friends, and coworkers; and 2) the receipt of rehabilitation services specialized in electrical injury. The most common advice to others after electrical injuries included: 1) avoiding electrical injury; 2) feeling ready to return to work; 3) filing a Workplace Safety and Insurance Board injury/claims report;4) proactive self-advocacy; and 5) garnering the assistance of individuals who understood electrical injuries to advocate on their behalf. Immediate and persistent physical, cognitive, psychosocial, and support factors can affect individuals' abilities to successfully return to work after an electrical injury. Specialized services and advocacy were viewed as beneficial to successful return to work.

  19. [Malaria prophylaxis; advice for the individual traveller. The Working Group for Malaria Prophylaxis].

    PubMed

    1998-04-18

    Recently, the Dutch Working Group on Malaria Prophylaxis produced new national guidelines. The new approach takes the risk of malaria and of serious morbidity or mortality for the individual traveller as its point of departure. In large areas in the tropics, there is no malaria risk. In some areas with limited risk, proguanil is still an effective chemoprophylactic (mainly in Central America, the Near East, Central Asia and parts of Indonesia). However, multiple-drug resistant Plasmodium falciparum necessitates the use of mefloquine, despite disturbing side effects in some people, in Sub-Saharan Africa, major parts of South East Asia and the Amazone basin of South America. If mefloquine is contraindicated, alternatives advised are the combination of proguanil and chloroquine or (in South East Asia) doxycycline. For visits to transmission areas lasting 7 days or less, alternative prophylactic measures may be acceptable, but only if the traveller after the visit has easy access to adequate medical facilities. When exposure lasts not more than two nights, use of a mosquito net, repellents and protective clothing without chemoprophylaxis is acceptable, provided the traveller is well informed. To take along pocket treatment is only advised for some journeys lasting more than one month to areas with multiple-drug resistant falciparum malaria. When mefloquine prophylaxis is used, such stand-by treatment is only advocated for a few countries in South East Asia; when mefloquine cannot be given, also for other areas. The type of pocket treatment recommended depends on the chemoprophylaxis used and on whether contraindications exist. Drugs that can be used are: halofantrine (if no contraindications exist and an ECG shows no prolongation of the QT interval) or quinine, either alone (in pregnancy) or combined with doxycycline or clindamycine (the latter for children < 8 years). With the new individual approach advice may differ for different persons visiting similar tropical

  20. Human Cloning: Let's Discuss It.

    ERIC Educational Resources Information Center

    Taras, Loretta; Stavroulakis, Anthea M.; Ortiz, Mary T.

    1999-01-01

    Describes experiences with holding discussions on cloning at a variety of levels in undergraduate biology courses. Discusses teaching methods used and student reactions to the discussions. Contains 12 references. (WRM)