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Sample records for alara practices present

  1. Integration of Formal Job Hazard Analysis & ALARA Work Practice

    SciTech Connect

    NELSEN, D.P.

    2002-09-01

    ALARA work practices have traditionally centered on reducing radiological exposure and controlling contamination. As such, ALARA policies and procedures are not well suited to a wide range of chemical and human health issues. Assessing relative risk, identifying appropriate engineering/administrative controls and selecting proper Personal Protective Equipment (PPE) for non nuclear work activities extends beyond the limitations of traditional ALARA programs. Forging a comprehensive safety management program in today's (2002) work environment requires a disciplined dialog between health and safety professionals (e.g. safety, engineering, environmental, quality assurance, industrial hygiene, ALARA, etc.) and personnel working in the field. Integrating organizational priorities, maintaining effective pre-planning of work and supporting a team-based approach to safety management represents today's hallmark of safety excellence. Relying on the mandates of any single safety program does not provide industrial hygiene with the tools necessary to implement an integrated safety program. The establishment of tools and processes capable of sustaining a comprehensive safety program represents a key responsibility of industrial hygiene. Fluor Hanford has built integrated safety management around three programmatic attributes: (1) Integration of radiological, chemical and ergonomic issues under a single program. (2) Continuous improvement in routine communications among work planning/scheduling, job execution and management. (3) Rapid response to changing work conditions, formalized work planning and integrated worker involvement.

  2. Health physics manual of good practices for reducing radiation exposure to levels that are as low as reasonably achievable (ALARA)

    SciTech Connect

    Herrington, W.N.; Higby, D.P.; Kathren,., R.L.; Merwin, S.E.; Stoetzel, G.A.

    1988-06-01

    A primary objective of the US Department of Energy (DOE) health physics and radiation protection program has been to limit radiation exposures to those levels that are as low as reasonably achievable (ALARA). As a result, the ALARA concept developed into a program and a set of operational principles to ensure that the objective was consistently met. Implementation of these principles required that a guide be produced. The original ALARA guide was issued by DOE in 1980 to promote improved understanding of ALARA concepts within the DOE community and to assist those responsible for operational ALARA activities in attaining their goals. Since 1980, additional guidance has been published by national and international organizations to provide further definition and clarification to ALARA concepts. As basic ALARA experience increased, the value and role of the original guide prompted the DOE Office of Nuclear Safety (ONS) to support a current revision. The revised manual of good practices includes six sections: 1.0 Introduction, 2.0 Administration, 3.0 Optimization, 4.0 Setting and Evaluating ALARA Goals, 5.0 Radiological Design, and 6.0 Conduct of Operations. The manual is directed primarily to contractor and DOE staff who are responsible for conduct and overview of radiation protection and ALARA programs at DOE facilities. The intent is to provide sufficient guidance such that the manual, if followed, will ensure that radiation exposures are maintained as low as reasonably achievable and will establish the basis for a formally structured and auditable program. 118 refs., 16 figs., 3 tabs.

  3. Current practices for maintaining occupational exposures ALARA at low-level waste disposal sites

    SciTech Connect

    Hadlock, D.E.; Herrington, W.N.; Hooker, C.D.; Murphy, D.W.; Gilchrist, R.L.

    1983-12-01

    The United States Nuclear Regulatory Commission contracted with Pacific Northwest Laboratory (PNL) to provide technical assistance in establishing operational guidelines, with respect to radiation control programs and methods of minimizing occupational radiation exposure, at Low-Level Waste (LLW) disposal sites. The PNL, through site visits, evaluated operations at LLW disposal sites to determine the adequacy of current practices in maintaining occupational exposures as low as is reasonably achievable (ALARA). The data sought included the specifics of: ALARA programs, training programs, external exposure control, internal exposure control, respiratory protection, surveillance, radioactive waste management, facilities and equipment, and external dose analysis. The results of the study indicated the following: The Radiation Protection and ALARA programs at the three commercial LLW disposal sites were observed to be adequate in scope and content compared to similar programs at other types of nuclear facilities. However, it should be noted that there were many areas that could be improved upon to help ensure the health and safety of occupationally exposed individuals.

  4. ALARA Center of Technology promotes good radiological work practices at Hanford

    SciTech Connect

    Waggoner, L.O., Westinghouse Hanford, Richland, WA

    1997-10-31

    The central Radiological Control Organization, originally under the previous Management and Operations contractor (Westinghouse Hanford Company) decided that a significant improvement in ALARA implementation would result if examples of engineered controls used for radiological work were assembled in one location to provide a ``showcase`` for workers and managers. The facility would be named the ALARA Center of Technology (ACT) and would include the latest technologies used to accomplish radiological work, as well as proven techniques, tools, and equipment. A location for the Center was selected in the 200 East Area of Hanford in a central location to be easily accessible to all facilities and contractors. Since there was little money available for this project, a decision was made to contact several vendors and request loans of their tools, equipment, and materials. In return, the center would help market products on site and assist with product demonstrations when the vendors visited Hanford. Out of 28 vendors originally contacted, 16 responded with offers to loan products. This included a containment tent, several glove bags, BEPA filtered vacuum cleaners, portable ventilation systems, fixatives, temporary shielding, pumps, and several special tools. Vendors who could not provide products sent videos and brochures. Westinghouse Hanford Company began using the ACT in June 1996. Fluor Daniel Hanford, Inc., the present Management and Integrating Contractor for the Hanford Site, held the formal opening ceremony of the ALARA Center of Technology on October 1, 1996. The Center now has about 1200 ft{sup 2} of floor space fi Iled with tools, equipment and material used to perform radiological work.

  5. What is ALARA

    SciTech Connect

    Auxier, J.A.; Dickson, H.W.

    1981-01-01

    The as-low-as-reasonably-achievable (ALARA) philosophy as it applies to personnel radiation exposure has been with us for a long time. The essential tenets of this philosophy surfaced quite early in the history of the Manhattan Project. Although the terminology has suffered through various translations and the application has seen many organizations and agencies come and go, the principles remain as valid today as ever. It is regretable that some regulatory agencies claim ALARA as their newfound miracle drug and that application according to their prescriptions will result in endless rounds of cyclical improvement in radiation protection practices. Others have taken advantage of the popularity of ALARA and have bastardized the philosophy to mean whatever is expedient for their purposes. In this paper, we review briefly the history of ALARA and what it seemingly means to different interest groups and offer a balanced viewpoint that health physicists should adopt.

  6. ALARA Center of Technology -- resource guide

    SciTech Connect

    Waggoner, L.O.

    1998-02-05

    The purpose is to provide a source of information that can be used to assist personnel in the planning, training, and execution of radiological work using the principles of ALARA. This document is not intended to replace HNF or WHC Control Manual requirements. The ALARA Tools-List provides detailed information on the use and procurement of engineered controls, mockup training guidelines, and good radiological work practices that have been proven to be ALARA.

  7. ALARA: Progress and prospects

    SciTech Connect

    Khan, T.A.; Baum, J.W.

    1988-01-01

    This paper has two main topics. The first part describes the establishment and work of the ALARA Center; the second part presents some results of studies at the Center with international data on doses at PWR plants. This data then is used to reach a preliminary understanding of some of the factors that are causing high doses at PWRs. This approach should help in reducing occupational exposures in a more effective manner.

  8. Savannah River Site ALARA Program appraisals

    SciTech Connect

    Johnson, J.R.

    1992-06-01

    ALARA Program audits are recommended in PNL-6566, ``Health Physics Manual of Good Practices for Reducing Radiation Exposure to Levels that are As Low As Reasonably Achievable (ALARA).`` The Department of Energy (DOE) Order 5480.11, ``Radiation Protection For Occupational Workers,`` requires contractors to conduct internal audits of all functional elements of the radiological protection program, which includes the ALARA program, as often as necessary, but at a minimum every three years. At the Savannah River Site (SRS), these required audits are performed as part of the Health Protection Internal Appraisal Program. This program was established to review the Site radiological protection program, which includes the ALARA program, on an ongoing basis and to provide recommendations for improvement directly to senior Health Protection management. This paper provides an overview of the SRS Health Protection Internal Appraisal program. In addition, examples of specific performance criteria and detailed appraisal guidelines used ALARA appraisals are provided.

  9. Savannah River Site ALARA Program appraisals

    SciTech Connect

    Johnson, J.R.

    1992-01-01

    ALARA Program audits are recommended in PNL-6566, Health Physics Manual of Good Practices for Reducing Radiation Exposure to Levels that are As Low As Reasonably Achievable (ALARA).'' The Department of Energy (DOE) Order 5480.11, Radiation Protection For Occupational Workers,'' requires contractors to conduct internal audits of all functional elements of the radiological protection program, which includes the ALARA program, as often as necessary, but at a minimum every three years. At the Savannah River Site (SRS), these required audits are performed as part of the Health Protection Internal Appraisal Program. This program was established to review the Site radiological protection program, which includes the ALARA program, on an ongoing basis and to provide recommendations for improvement directly to senior Health Protection management. This paper provides an overview of the SRS Health Protection Internal Appraisal program. In addition, examples of specific performance criteria and detailed appraisal guidelines used ALARA appraisals are provided.

  10. INNOVATIVE ALARA TOOLS AND WORK PRACTICES USED AT THE DOE HANFORD SITE

    SciTech Connect

    WAGGONER LO

    2010-02-12

    The Hanford Nuclear Reservation occupies an area of 586 square miles in southeastern Washington state. The site was created as part of the World War II Manhattan Project to produce weapons grade plutonium. A multitude of old reactor plants, processing facilities, underground tank farms, contaminated soil and ground water remain and are part of an on-going environmental cleanup mission of the site. The Columbia River bisects Hanford, and the concern is that the river will become contaminated if the sources of contamination are not removed. Currently facilities are being removed, the ground water is being treated, and contaminated soil is being transferred to an approved burial ground about 15 miles away from the River located in the center of the Hanford Site The remaining facilities and adjacent structures are undergoing D&D (decontaminate and demolish) and to date, significant progress has been made. During this presentation, I will discuss how we are using innovative tools and work practices to D&D these Hanford Site facilities.

  11. The optimisation approach of ALARA in nuclear practice: an early application of the precautionary principle. Scientific uncertainty versus legal uncertainty.

    PubMed

    Lierman, S; Veuchelen, L

    2005-01-01

    The late health effects of exposure to low doses of ionising radiation are subject to scientific controversy: one view finds threats of high cancer incidence exaggerated, while the other view thinks the effects are underestimated. Both views have good scientific arguments in favour of them. Since the nuclear field, both industry and medicine have had to deal with this controversy for many decades. One can argue that the optimisation approach to keep the effective doses as low as reasonably achievable, taking economic and social factors into account (ALARA), is a precautionary approach. However, because of these stochastic effects, no scientific proof can be provided. This paper explores how ALARA and the Precautionary Principle are influential in the legal field and in particular in tort law, because liability should be a strong incentive for safer behaviour. This so-called "deterrence effect" of liability seems to evaporate in today's technical and highly complex society, in particular when dealing with the late health effects of low doses of ionising radiation. Two main issues will be dealt with in the paper: 1. How are the health risks attributable to "low doses" of radiation regulated in nuclear law and what lessons can be learned from the field of radiation protection? 2. What does ALARA have to inform the discussion of the Precautionary Principle and vice-versa, in particular, as far as legal sanctions and liability are concerned? It will be shown that the Precautionary Principle has not yet been sufficiently implemented into nuclear law.

  12. Proceedings of the Department of Energy ALARA Workshop

    SciTech Connect

    Dionne, B.J.; Baum, J.W.

    1992-12-31

    The report contains summaries of papers, discussions, and operational exercises presented at the first Department of Energy ALARA Workshop held at Brookhaven National Laboratory, Upton, New York on April 21--22, 1992. The purpose of this workshop was to provide a forum for, and enhance communication among, ALARA personnel, as well as to inform DOE`s field office and contractor personnel about the Office of Health`s programs and expectations from the entire DOE complex efforts in the ALARA area.The two-day workshop consisted of one day dedicated to presentations on implementing various elements of a formal ALARA program at the DOE contractors` facilities, regulatory aspects of ALARA programs, and DOE Headquarters` ALARA expectations/initiatives. The second day was devoted to detailed discussions on ALARA improvements and problems, and operational exercises on cost-benefit analyses and on ALARA job/experiment reviews. At this workshop, 70 health physicists and radiation safety engineers from 5 DOE Headquarter Offices, 7 DOE operations/area offices, and 27 contractor facilities exchanged information, which is expected to stimulate further improvement in the DOE contractors` ALARA programs. Individual papers are indexed separately.

  13. Proceedings of the Department of Energy ALARA Workshop

    SciTech Connect

    Dionne, B.J.; Baum, J.W.

    1992-01-01

    The report contains summaries of papers, discussions, and operational exercises presented at the first Department of Energy ALARA Workshop held at Brookhaven National Laboratory, Upton, New York on April 21--22, 1992. The purpose of this workshop was to provide a forum for, and enhance communication among, ALARA personnel, as well as to inform DOE's field office and contractor personnel about the Office of Health's programs and expectations from the entire DOE complex efforts in the ALARA area.The two-day workshop consisted of one day dedicated to presentations on implementing various elements of a formal ALARA program at the DOE contractors' facilities, regulatory aspects of ALARA programs, and DOE Headquarters' ALARA expectations/initiatives. The second day was devoted to detailed discussions on ALARA improvements and problems, and operational exercises on cost-benefit analyses and on ALARA job/experiment reviews. At this workshop, 70 health physicists and radiation safety engineers from 5 DOE Headquarter Offices, 7 DOE operations/area offices, and 27 contractor facilities exchanged information, which is expected to stimulate further improvement in the DOE contractors' ALARA programs. Individual papers are indexed separately.

  14. BNL ALARA Center: ALARA Notes, No. 9

    SciTech Connect

    Khan, T.A.; Xie, J.W.; Beckman, M.C.

    1994-02-01

    This issue of the Brookhaven National Laboratory`s Alara Notes includes the agenda for the Third International Workshop on ALARA and specific instructions on the use of the on-line fax-on-demand service provided by BNL. Other topics included in this issue are: (1) A discussion of low-level discharges from Canadian nuclear plants, (2) Safety issues at French nuclear plants, (3) Acoustic emission as a means of leak detection, (4) Replacement of steam generators at Doel-3, Beaznau, and North Anna-1, (5) Remote handling equipment at Bruce, (6) EPRI`s low level waste program, (7) Radiation protection during concrete repairs at Savannah River, (8) Reactor vessel stud removal/repair at Comanche Peak-1, (9) Rework of reactor coolant pump motors, (10) Restoration of service water at North Anna-1 and -2, (11) Steam generator tubing problems at Mihama-1, (12) Full system decontamination at Indian Point-2, (13) Chemical decontamination at Browns Ferry-2, and (14) Inspection methodolody in France and Japan.

  15. ALARA at nuclear power plants

    SciTech Connect

    Baum, J.W.

    1990-01-01

    Implementation of the As Low As Reasonably Achievable (ALARA) principle at nuclear power plants presents a continuing challenge for health physicists at utility corporate and plant levels, for plant designers, and for regulatory agencies. The relatively large collective doses at some plants are being addressed though a variety of dose reduction techniques. It is planned that this report will include material on historical aspects, management, valuation of dose reduction, quantitative and qualitative aspects of optimization, design, operational considerations, and training. The status of this work is summarized in this report. 30 refs., 1 fig., 6 tabs.

  16. Occupational dose reduction at Department of Energy contractor facilities: Study of ALARA programs. Status 1990

    SciTech Connect

    Dionne, B.J.; Meinhold, C.B.; Khan, T.A.; Baum, J.W.

    1992-08-01

    This report provides the US Department of Energy (DOE) and its contractors with information that will be useful for reducing occupational radiation doses at DOE`s nuclear facilities. In 1989 and 1990, health physicists from the Brookhaven National Laboratory`s (BNL) ALARA Center visited twelve DOE contractor facilities with annual collective dose equivalents greater than 100 person-rem (100 person-cSv). The health physicists interviewed radiological safety staff, engineers, and training personnel who were responsible for dose control. The status of ALARA practices at the major contractor facilities was compared with the requirements and recommendation in DOE Order 5480.11 ``Radiation Protection for Occupational Workers`` and PNL-6577 ``Health Physics Manual of Good Practices for Reducing Radiation Exposure to Levels that are as Low as Reasonably Achievable.`` The information and data collected are described and examples of successful practices are presented. The findings on the status of the DOE Contractor ALARA Programs are summarized and evaluated. In addition, the supplement to this report contains examples of good-practice documents associated with implementing the major elements of a formally documented ALARA program for a major DOE contractor facility.

  17. Presenting practice financial information.

    PubMed

    Webster, Lee Ann H

    2007-01-01

    Medical practice leadership teams, often consisting primarily of physicians with limited financial backgrounds, must make important business decisions and continuously monitor practice operations. In order to competently perform this duty, they need financial reports that are relevant and easy to understand. This article explores financial reporting and decision-making in a physician practice. It discusses reports and tools, such as ratios, graphs, and comparisons, that practices typically include in their reports. Because profitability and cash flow are often the most important financial considerations for physician practices, reports should generally focus on the impact of various activities and potential decisions upon these concerns. This article also provides communication tips for both those presenting practice financial information and those making the decisions. By communicating effectively, these leaders can best use financial information to improve decision-making and maximize financial performance.

  18. Chernobyl Deconstruction ALARA Analysis

    SciTech Connect

    Shipler, Dillard B.; Batiy, Valeriy; Povlovsky, Leonid; Schmidt, John P.; Schmieman, Eric A.

    2004-03-24

    The Bechtel/EDF/Battelle Consortium has recently completed the conceptual design for the Chernobyl New Safe Confinement (NSC). Battelle has the scope of work related to environment and safety of the design. As part of the safety analysis, an ALARA analysis was performed for deconstruction of the major, unstable elements of the Shelter Object over the destroyed Unit 4 of the reactor complex. The major elements addressed in the analysis included the current roof sections and the major beams supporting the roof sections. The analysis was based on the existing configuration of the Shelter Object, the developing conceptual design of the NSC arch structure, the developing conceptual design of the facilities within and associated with the NSC (including handling and processing of deconstructed elements, and waste management), and existing Ukranian regulations and working processes and procedures. KSK (a Ukranian Consortium) is a subcontractor to the Bechtel/EDF/Battelle Consortium and performed much of the dose analysis. The analysis concluded that ALARA could be achieved with appropriate implementation of existing Ukrainian regulations and procedures, and developing conceptual design criteria and features.

  19. Fluor Hanford ALARA Center is a D and D Resource

    SciTech Connect

    Waggoner, L.O.

    2008-01-15

    The mission at the Hanford Nuclear Reservation changed when the last reactor plant was shut down in 1989 and work was started to place all the facilities in a safe condition and begin decontamination, deactivation, decommissioning, and demolition (D and D). These facilities consisted of old shutdown reactor plants, spent fuel pools, processing facilities, and 177 underground tanks containing 53 million gallons of highly radioactive and toxic liquids and sludge. New skills were needed by the workforce to accomplish this mission. By 1995, workers were in the process of getting the facilities in a safe condition and it became obvious improvements were needed in their tools, equipment and work practices. The Hanford ALARA Program looked good on paper, but did little to help contractors that were working in the field. The Radiological Control Director decided that the ALARA program needed to be upgraded and a significant improvement could be made if workers had a place they could visit that had samples of the latest technology and could talk to experienced personnel who have had success doing D and D work. Two senior health physics personnel who had many years experience in doing radiological work were chosen to obtain tools and equipment from vendors and find a location centrally located on the Hanford site. Vendors were asked to loan their latest tools and equipment for display. Most vendors responded and the Hanford ALARA Center of Technology opened on October 1, 1996. Today, the ALARA Center includes a classroom for conducting training and a mockup area with gloveboxes. Two large rooms have a containment tent, several glove bags, samples of fixatives/expandable foam, coating displays, protective clothing, heat stress technology, cutting tools, HEPA filtered vacuums, ventilation units, pumps, hydraulic wrenches, communications equipment, shears, nibblers, shrouded tooling, and several examples of innovative tools developed by the Hanford facilities. See Figures I and

  20. Using Weibull Distribution Analysis to Evaluate ALARA Performance

    SciTech Connect

    E. L. Frome, J. P. Watkins, and D. A. Hagemeyer

    2009-10-01

    As Low as Reasonably Achievable (ALARA) is the underlying principle for protecting nuclear workers from potential health outcomes related to occupational radiation exposure. Radiation protection performance is currently evaluated by measures such as collective dose and average measurable dose, which do not indicate ALARA performance. The purpose of this work is to show how statistical modeling of individual doses using the Weibull distribution can provide objective supplemental performance indicators for comparing ALARA implementation among sites and for insights into ALARA practices within a site. Maximum likelihood methods were employed to estimate the Weibull shape and scale parameters used for performance indicators. The shape parameter reflects the effectiveness of maximizing the number of workers receiving lower doses and is represented as the slope of the fitted line on a Weibull probability plot. Additional performance indicators derived from the model parameters include the 99th percentile and the exceedance fraction. When grouping sites by collective total effective dose equivalent (TEDE) and ranking by 99th percentile with confidence intervals, differences in performance among sites can be readily identified. Applying this methodology will enable more efficient and complete evaluation of the effectiveness of ALARA implementation.

  1. Westinghouse Hanford Company ALARA year-end report, Calendar Year 1994: Revision 3A, Radiological engineering and ALARA

    SciTech Connect

    Berglund, O.D.

    1995-06-01

    It has long been the US Department of Energy`s (DOE`s) Policy that radiation doses should be maintained as far below the dose limits as is reasonably achievable. This policy, known as the ``ALARA Principle of radiation protection,`` maintains that radiation exposures should be maintained as low as reasonably achievable, taking into account social, technical, economic, practical, and public policy considerations. The ALARA Principle is based on the hypothesis that even very low radiation doses carry some risk. As a result, it is not enough to maintain doses at/or slightly below limits; the lower the doses, the lower the risks. Because it is not possible to reduce all doses at DOE facilities to zero, economic and social factors must be considered to determine the optimal level of radiation doses. According to the ALARA Principle, if doses are too high, resources should be well spent to reduce them. At some point, the resources being spent to maintain low doses are exactly balanced by the risks avoided. Reducing doses below this point results in a misallocation of resources; the resources could be spent elsewhere and have a greater positive impact on health and safety. The objective of the Westinghouse Hanford Company (WHC) ALARA/Contamination Control Improvement Project (CCIP) Program is to manage and control exposures (both individual and collective) to the work force, the general public, and the environment to levels as low as is reasonable using the aforementioned ALARA Principle.

  2. Five-year ALARA review of dosimetry results :

    SciTech Connect

    Paulus, Luke R.

    2013-08-01

    A review of personnel dosimetry (external and internal) and environmental monitoring results from 1 January 2008 through 31 December 2012 performed at Sandia National Laboratories, New Mexico was conducted to demonstrate that radiation protection methods used are compliant with regulatory limits and conform with the ALARA philosophy. ALARA is the philosophical approach to radiation protection by managing and controlling radiation exposures (individual and collective) to the work force and to the general public to levels that are As Low As is Reasonably Achievable taking social, technical, economic, practical, and public policy considerations into account. ALARA is not a dose limit but a process which has the objective of attaining doses as far below applicable dose limits As Low As is Reasonably Achievable.

  3. LANL Environmental ALARA Program Status Report for CY 2015

    SciTech Connect

    Whicker, Jeffrey Jay; Mcnaughton, Michael; Gillis, Jessica Mcdonnel; Ruedig, Elizabeth

    2016-03-29

    Los Alamos National Laboratory (LANL) ensures that radiation exposures to members of the public and the environment from LANL operations, past and present, are below regulatory thresholds and are as low as reasonably achievable (ALARA) through compliance with DOE Order 458.1 Radiation Protection for the Public and the Environment, and LANL Policy 412 Environmental Radiation Protection. In 2007, a finding (RL.2-F-1) and observation (RL.2-0-1) in the NNSA/ LASO report, September 2007, Release of Property (Land) Containing Residual Radioactive Material Self-Assessment Report, indicated that LANL had no policy or documented process in place for the release of property containing residual radioactive material. In response, LANL developed PD410, Los Alamos National Laboratory Environmental ALARA Program. The most recent version of this document became effective on September 28, 2011. The document provides program authorities, responsibilities, descriptions, processes, and thresholds for conducting qualitative and quantitative ALARA analyses for prospective and actual radiation exposures to the public and t o the environment resulting from DOE activities conducted on the LANL site.

  4. Pacific Northwest Laboratory ALARA report for CY 1990

    SciTech Connect

    Ceffalo, G.M.; Oxley, C.L.; Wright, P.A.

    1992-05-01

    This report provides summary results of the CY 1990 ALARA Program at the Pacific Northwest Laboratory. Information has been included regarding whole-body exposures to radiation, skin contaminations, and the nonradiological ALARA program.

  5. ALARA ASSESSMENT OF SETTLER SLUDGE SAMPLING METHODS

    SciTech Connect

    NELSEN LA

    2009-01-30

    The purpose of this assessment is to compare underwater and above water settler sludge sampling methods to determine if the added cost for underwater sampling for the sole purpose of worker dose reductions is justified. Initial planning for sludge sampling included container, settler and knock-out-pot (KOP) sampling. Due to the significantly higher dose consequence of KOP sludge, a decision was made to sample KOP underwater to achieve worker dose reductions. Additionally, initial plans were to utilize the underwater sampling apparatus for settler sludge. Since there are no longer plans to sample KOP sludge, the decision for underwater sampling for settler sludge needs to be revisited. The present sampling plan calls for spending an estimated $2,500,000 to design and construct a new underwater sampling system (per A21 C-PL-001 RevOE). This evaluation will compare and contrast the present method of above water sampling to the underwater method that is planned by the Sludge Treatment Project (STP) and determine if settler samples can be taken using the existing sampling cart (with potentially minor modifications) while maintaining doses to workers As Low As Reasonably Achievable (ALARA) and eliminate the need for costly redesigns, testing and personnel retraining.

  6. Five-Year ALARA Review of Dosimetry Results 1 January 2009 through 31 December 2013.

    SciTech Connect

    Paulus, Luke R

    2014-08-01

    A review of dosimetry results from 1 January 2009 through 31 December 2013 was conducted to demonstrate that radiation protection methods used are compliant with regulatory limits and conform to the ALARA philosophy. This included a review and evaluation of personnel dosimetry (external and internal) results at Sandia National Laboratories, New Mexico as well as at Sandia National Laboratories, California. Additionally, results of environmental monitoring efforts at Sandia National Laboratories, New Mexico were reviewed. ALARA is a philosophical approach to radiation protection by managing and controlling radiation exposures (individual and collective) to the work force and to the general public to levels that are As Low As is Reasonably Achievable taking social, technical, economic, practical, and public policy considerations into account. ALARA is not a dose limit but a process which has the objective of attaining doses as far below applicable dose limits As Low As is Reasonably Achievable.

  7. Five-Year ALARA Review of Dosimetry Results 1 January 2010 through 31 December 2014.

    SciTech Connect

    Paulus, Luke R.

    2015-06-01

    A review of dosimetry results from 1 January 2010 through 31 December 2014 was conducted to demonstrate that radiation protection methods used are compliant with regulatory limits and conform to the philosophy to keep exposures to radiation As Low As is Reasonably Achievable (ALARA). This included a review and evaluation of personnel dosimetry (external and internal) results at Sandia National Laboratories, New Mexico as well as at Sandia National Laboratories, California. Additionally, results of environmental monitoring efforts at Sandia National Laboratories, New Mexico were reviewed. ALARA is a philosophical approach to radiation protection by managing and controlling radiation exposures (individual and collective) to the work force and to the general public to levels that are As Low As is Reasonably Achievable taking social, technical, economic, practical, and public policy considerations into account. ALARA is not a dose limit but a process which has the objective of attaining doses as far below applicable dose limits As Low As is Reasonably Achievable.

  8. Proceedings of the Third International Workshop on the implementation of ALARA at nuclear power plants

    SciTech Connect

    Khan, T.A.; Roecklein, A.K.

    1995-03-01

    This report contains the papers presented and the discussions that took place at the Third International Workshop on ALARA Implementation at Nuclear Power Plants, held in Hauppauge, Long Island, New York from May 8--11, 1994. The purpose of the workshop was to bring together scientists, engineers, health physicists, regulators, managers and other persons who are involved with occupational dose control and ALARA issues. The countries represented were: Canada, Finland, France, Germany, Japan, Korea, Mexico, the Netherlands, Spain, Sweden, the United Kingdom and the United States. The workshop was organized into twelve sessions and three panel discussions. Individual papers have been cataloged separately.

  9. Application of ALARA principles to shipment of spent nuclear fuel

    SciTech Connect

    Greenborg, J.; Brackenbush, L.W.; Murphy, D.W. Burnett, R.A.; Lewis, J.R.

    1980-05-01

    The public exposure from spent fuel shipment is very low. In view of this low exposure and the perfect safety record for spent fuel shipment, existing systems can be considered satisfactory. On the other hand, occupational exposure reduction merits consideration and technology improvement to decrease dose should concentrate on this exposure. Practices that affect the age of spent fuel in shipment and the number of times the fuel must be shipped prior to disposal have the largest impact. A policy to encourage a 5-year spent fuel cooling period prior to shipment coupled with appropriate cask redesign to accommodate larger loads would be consistent with ALARA and economic principles. And finally, bypassing high population density areas will not in general reduce shipment dose.

  10. Pacific Northwest Laboratory ALARA report for CY 1992

    SciTech Connect

    Ceffalo, G.M.

    1993-09-01

    This report provides summary results of the CY 1992 As Low As Reasonably Achievable (ALARA) Program at the Pacific Northwest Laboratory (PNL).(a) This report includes information regarding whole-body exposures to radiation, skin contaminations, and the nonradiological ALARA program.

  11. Incentivizing Distributed Solar: Best Practices (Presentation)

    SciTech Connect

    Bird, L.; Reger, A.

    2013-06-01

    The presentation discussed findings of a recent NREL technical report on best practices for designing and implementing incentives for small and mid-sized residential and commercial distributed solar energy projects. Topics covered included: factors to consider in setting and modifying incentive levels over time, differentiating incentives to encourage various market segments, and administrative issues such as providing equitable access to incentives and customer protection. In addition, the presentation explored how incentive programs can be designed to respond to changing market conditions while attempting to provide a longer-term and stable environment for the solar industry. The findings of the report were based on interviews with program administrators, regulators, and industry representatives as well as data from numerous incentive programs nationally, particularly the largest and longest-running programs.

  12. ALARA Review of the Spallation Neutron Source Accumulator Ring and Transfer Lines

    SciTech Connect

    Haire, M.J.

    2003-06-30

    The Spallation Neutron Source (SNS) is designed to meet the growing need for new tools that will deepen our understanding in materials science, life science, chemistry, fundamental and nuclear physics, earth and environmental sciences, and engineering sciences. The SNS is an accelerator-based neutron-scattering facility that when operational will produce an average beam power of 2 MW at a repetition rate of 60 Hz. The accelerator complex consists of the front-end systems, which will include an ion source; a 1-GeV full-energy linear accelerator; a single accumulator ring and its transfer lines; and a liquid mercury target. This report documents an as-low-as-reasonably-achievable (ALARA) review of the accumulator ring and transfer lines at their early design stage. An ALARA working group was formed and conducted a review of the SNS ring and transfer lines at the {approx}25% complete design stage to help ensure that ALARA principles are being incorporated into the design. The radiological aspects of the SNS design criteria were reviewed against regulatory requirements and ALARA principles. Proposed features and measures were then reviewed against the SNS design criteria. As part of the overall review, the working group reviewed the design manual; design drawings and process and instrumentation diagrams; the environment, safety, and health manual; and other related reports and literature. The group also talked with SNS design engineers to obtain explanations of pertinent subject matter. The ALARA group found that ALARA principles are indeed being incorporated into the early design stage. Radiation fields have been characterized, and shielding calculations have been performed. Radiological issues are being adequately addressed with regard to equipment selection, access control, confinement structure and ventilation, and contamination control. Radiation monitoring instrumentation for worker and environment protection are also being considered--a good practice at this

  13. Module Technology: Current Practice and Issues (Presentation)

    SciTech Connect

    Wohlgemuth, J.

    2010-10-05

    PV modules must provide mechanical support for the cells, protect the world from the voltages inside, protect the cells, diodes and interconnects from the weather outside, couple as much light as possible into the PV cells and minimize the temperature increase of the cells. The package must continue to serve these functions for at least 25 years as that is the typical module warranty period today. Furthermore the package must do all this for as low a cost as possible since the key to large scale PV growth is a reduction in cost while retaining excellent module reliability and durability. This paper will review current module construction practices for both crystalline silicon and thin film PV with emphasis on explaining why the present designs and materials have been selected. Possible long term issues with today's designs and materials will be discussed. Several proposed solutions to these issues will be presented, highlighting the research efforts that will be necessary in order to verify that they can cost effectively solve the identified issues.

  14. Occupational dose reduction at Department of Energy contractor facilities: Bibliography of selected readings in radiation protection and ALARA; Volume 5

    SciTech Connect

    Dionne, B.J.; Sullivan, S.G.; Baum, J.W.

    1994-01-01

    Promoting the exchange of information related to implementation of the As Low as Reasonably Achievable (ALARA) philosophy is a continuing objective for the Department of Energy (DOE). This report was prepared by the Brookhaven National Laboratory (BNL) ALARA Center for the DOE Office of Health. It contains the fifth in a series of bibliographies on dose reduction at DOE facilities. The BNL ALARA Center was originally established in 1983 under the sponsorship of the Nuclear Regulatory Commission to monitor dose-reduction research and ALARA activities at nuclear power plants. This effort was expanded in 1988 by the DOE`s Office of Environment, Safety and Health, to include DOE nuclear facilities. This bibliography contains abstracts relating to various aspects of ALARA program implementation and dose-reduction activities, with a specific focus on DOE facilities. Abstracts included in this bibliography were selected from proceedings of technical meetings, journals, research reports, searches of the DOE Energy, Science and Technology Database (in general, the citation and abstract information is presented as obtained from this database), and reprints of published articles provided by the authors. Facility types and activities covered in the scope of this report include: radioactive waste, uranium enrichment, fuel fabrication, spent fuel storage and reprocessing, facility decommissioning, hot laboratories, tritium production, research, test and production reactors, weapons fabrication and testing, fusion, uranium and plutonium processing, radiography, and accelerators. Information on improved shielding design, decontamination, containments, robotics, source prevention and control, job planning, improved operational and design techniques, as well as on other topics, has been included. In addition, DOE/EH reports not included in previous volumes of the bibliography are in this volume (abstracts 611 to 684). This volume (Volume 5 of the series) contains 217 abstracts.

  15. The Presenter's Fieldbook: A Practical Guide.

    ERIC Educational Resources Information Center

    Garmston, Robert J.

    This book was written for anyone in an educational setting who wants to deliver presentations to support transforming changes. The first chapter provides background for how to present when the intent is to transform. The two dominant staff-development tasks are the modification of the culture of the workplace and the modification of the teachers'…

  16. IMPROVED WELL PLUGGING EQUIPMENT AND WASTE MANGEMENT TECHNIQUES EXCEED ALARA GOALS AT THE OAK RIDGE NATIONAL LABORATORY

    SciTech Connect

    Whiteside, R.; Pawlowicz, R.; Whitehead, L.; Arnseth, R.

    2002-02-25

    In 2000, Bechtel Jacobs Company LLC (BJC) contracted Tetra Tech NUS, Inc. (TtNUS) and their sub-contractor, Texas World Operations, Inc. (TWO), to plug and abandon (P&A) 111 wells located in the Melton Valley area of Oak Ridge National Laboratory (ORNL). One hundred and seven of those wells were used to monitor fluid movement and subsurface containment of the low level radioactive liquid waste/grout slurry that was injected into the Pumpkin Valley Shale Formation, underlying ORNL. Four wells were used as hydrofracture injection wells to emplace the waste in the shale formation. Although the practice of hydrofracturing was and is considered by many to pose no threat to human health or the environment, the practice was halted in 1982 after the Federal Underground Injection Control regulations were enacted by United States Environmental Protection Agency (USEPA) making it necessary to properly close the wells. The work is being performed for the United States Department of Energy Oak Ridge Operations (DOE ORO). The project team is using the philosophy of minimum waste generation and the principles of ALARA (As Low As Reasonably Achievable) as key project goals to minimize personnel and equipment exposure, waste generation, and project costs. Achievement of these goals was demonstrated by the introduction of several new pieces of custom designed well plugging and abandonment equipment that were tested and used effectively during field operations. Highlights of the work performed and the equipment used are presented.

  17. Neutron sources: Present practice and future potential

    SciTech Connect

    Cierjacks, S.; Smith, A.B.

    1988-01-01

    The present capability and future potential of accelerator-based monoenergetic and white neutron sources are outlined in the context of fundamental and applied neutron-nuclear research. The neutron energy range extends from thermal to 500 MeV, and the time domain from steady-state to pico-second pulsed sources. Accelerator technology is summarized, including the production of intense light-ion, heavy-ion and electron beams. Target capabilities are discussed with attention to neutron-producing efficiency and power-handling capabilities. The status of underlying neutron-producing reactions is summarized. The present and future use of neutron sources in: fundamental neutron-nuclear research, nuclear data acquisition, materials damage studies, engineering tests, and biomedical applications are discussed. Emphasis is given to current status, near-term advances well within current technology, and to long-range projections. 90 refs., 4 figs.

  18. Neutron sources: present practice and future potential

    SciTech Connect

    Cierjacks, S.; Smith, A.B.

    1988-01-01

    The present capability and future potential of accelerator-based monoenergetic and white neutron sources are outlined in the context of fundamental and applied neutron-nuclear research. The neutron energy range extends from thermal to 500+ MeV, and the time domain from steady-state to pico-second pulsed sources. Accelerator technology is summarized, including the production of intense light-ion, heavy-ion and electron beams. Target capabilities are discussed with attention to neutron-production efficiency and power-handling capabilities. The status of underlying neutron-producing reactions is summarized. The present and future use of neutron sources in: (i) fundamental neutron-nuclear research, (ii) nuclear-data acquisition, (iii) materials-damage studies, (iv) engineering test, and (v) biomedical applications are discussed. Emphasis is given to current status, near-term advances well within current technology, and to long-range projections.

  19. Present Status of Radiotherapy in Clinical Practice

    NASA Astrophysics Data System (ADS)

    Duehmke, Eckhart

    Aims of radiation oncology are cure from malignant diseases and - at the same time preservation of anatomy (e.g. female breast, uterus, prostate) and organ functions (e.g. brain, eye, voice, sphincter ani). At present, methods and results of clinical radiotherapy (RT) are based on experiences with natural history and radiobiology of malignant tumors in properly defined situations as well as on technical developments since World War II in geometrical and biological treatment planning in teletherapy and brachytherapy. Radiobiological research revealed tolerance limits of healthy tissues to be respected, effective total treatment doses of high cure probability depending on histology and tumor volume, and - more recently - altered fractionation schemes to be adapted to specific growth fractions and intrinsic radiosensitivities of clonogenic tumor cells. In addition, Biological Response Modifiers (BRM), such as cis-platinum, oxygen and hyperthermia may steepen cell survival curves of hypoxic tumor cells, others - such as tetrachiordekaoxid (TCDO) - may enhance repair of normal tissues. Computer assisted techniques in geometrical RT-planning based on individual healthy and pathologic anatomy (CT, MRT) provide high precision RT for well defined brain lesions by using dedicated linear accelerators (Stereotaxy). CT-based individual tissue compensators help with homogenization of distorted dose distributions in magna field irradiation for malignant lymphomas and with total body irradiation (TBI) before allogeneic bone marrow transplantation, e.g. for leukemia. RT with fast neutrons, Boron Neutron Capture Therapy (BNCT), RT with protons and heavy ions need to be tested in randomized trials before implementation into clinical routine.

  20. History and Culture of Alara--The Action Learning and Action Research Association

    ERIC Educational Resources Information Center

    Zuber-Skerritt, Ortrun; Passfield, Ron

    2016-01-01

    As co-founders of the Action Learning and Action Research Association (ALARA), we tell the story of this international network organisation through our personal experience. Our history traces the evolution of ALARA from origins at the first World Congress in 1990 in Brisbane, Australia, through development over two and a half decades, to its…

  1. The program of the ALARA Center at Brookhaven National Laboratory

    SciTech Connect

    Khan, T.A.; Baum, J.W.

    1993-01-01

    In 1984 the Brookhaven National Laboratory was asked by the Nuclear Regulatory Commission to set up a Center to monitor dose-reduction efforts in the US and abroad and to focus the industry's attention on ALARA. The paper summarizes the main work of the ALARA Center between 1984 and 1992. The Center maintains nine data bases for the NRC and the Nuclear Power Industry. These databases are constantly updated and access to them is provided through a personal computer and a modem and by periodic publications in the form of a newsletter and NUREG reports. Also described briefly are eight other projects related to dose-reduction at nuclear power plants that the Center has carried out for the NRC. Among these are projects that analyze the cost-effectiveness of engineering modifications, look at worldwide activities at dose reduction and compare US and foreign dose experience, examine high-dose worker groups and high-dose jobs, develop optimum techniques to control contamination at nuclear plants, and look at the doses being received by men and women in all sectors of the nuclear industry.

  2. The program of the ALARA Center at Brookhaven National Laboratory

    SciTech Connect

    Khan, T.A.; Baum, J.W.

    1993-04-01

    In 1984 the Brookhaven National Laboratory was asked by the Nuclear Regulatory Commission to set up a Center to monitor dose-reduction efforts in the US and abroad and to focus the industry`s attention on ALARA. The paper summarizes the main work of the ALARA Center between 1984 and 1992. The Center maintains nine data bases for the NRC and the Nuclear Power Industry. These databases are constantly updated and access to them is provided through a personal computer and a modem and by periodic publications in the form of a newsletter and NUREG reports. Also described briefly are eight other projects related to dose-reduction at nuclear power plants that the Center has carried out for the NRC. Among these are projects that analyze the cost-effectiveness of engineering modifications, look at worldwide activities at dose reduction and compare US and foreign dose experience, examine high-dose worker groups and high-dose jobs, develop optimum techniques to control contamination at nuclear plants, and look at the doses being received by men and women in all sectors of the nuclear industry.

  3. Virtual radiation fields for ALARA determination

    SciTech Connect

    Knight, T.W.

    1995-12-31

    As computing power has increased, so too has the ability to model and simulate complex systems and processes. In addition, virtual reality technology has made it possible to visualize and understand many complex scientific and engineering problems. For this reason, a virtual dosimetry program called Virtual Radiation Fields (VRF) is developed to model radiation dose rate and cumulative dose to a receptor operating in a virtual radiation environment. With the design and testing of many facilities and products taking place in the virtual world, this program facilitates the concurrent consideration of radiological concerns during the design process. Three-dimensional (3D) graphical presentation of the radiation environment is made possible through the use of IGRIP, a graphical modeling program developed by Deneb Robotics, Inc. The VRF simulation program was designed to model and display a virtual dosimeter. As a demonstration of the program`s capability, the Hanford tank, C-106, was modeled to predict radiation doses to robotic equipment used to remove radioactive waste from the tank. To validate VRF dose predictions, comparison was made with reported values for tank C-106, which showed agreement to within 0.5%. Graphical information is presented regarding the 3D dose rate variation inside the tank. Cumulative dose predictions were made for the cleanup operations of tank C-106. A four-dimensional dose rate map generated by VRF was used to model the dose rate not only in 3D space but also as a function of the amount of waste remaining in the tank. This allowed VRF to predict dose rate at any stage in the waste removal process for an accurate simulation of the radiological conditions throughout the tank cleanup procedure.

  4. ALARA assessment of spent fuel and nuclear waste transportation systems

    SciTech Connect

    Sutherland, S. H.

    1980-01-01

    The effects of ALARA (as low as reasonably achievable) on transportation system costs were evaluated for LWR spent fuel, high-level commercial and defense wastes, and remotely handled TRU waste. Three dose rate specifications were used: 10 mrem/h at 2m, 5 mrem/h, and 2 mrem/h. The evaluation was done for wastes and LWR spent fuel 1, 3, 5, and 10 years old. Gamma shield materials were depleted uranium, lead, and steel; the neutron shield material was water. Results for a 7-element PWR cask show that uranium shielding is the lightest, and that the increased weight of the low dose rate casks results in 1 to 2 million dollars increase in lifetime transportation costs. 6 figures, 3 tables. (DLC)

  5. Multilateral analysis of increasing collective dose and new ALARA programme.

    PubMed

    Oumi, Tadashi; Morii, Yasuki; Imai, Toshirou

    2011-07-01

    JAPC (The Japan Atomic Power Company) is the only electric power company that operates different types of nuclear reactors in Japan; it operates two BWRs (boiling water reactors), one pressurised water reactor and one gas cooled reactor. JAPC has been conducting various activities aimed at reducing radiation dose received by workers for over 45 y. Recently, the collective dose resulting from periodic maintenance has increased at each plant because of the replacement of large equipment and the unexpected extension of the outage period. In particular, the collective dose at Tokai-2 is one of the highest among Japanese BWR plants((1)), owing to the replacement and strengthening of equipment to meet earthquake-proof requirements. In this study, the authors performed a multilateral analysis of unacceptably a large collective dose and devised a new ALARA programme that includes a 3D dose prediction map and the development of machines to assist workers.

  6. ALARA Controls and the Radiological Lessons Learned During the Uranium Fuel Removal Projects at the Molten Salt Reactor Experiment

    SciTech Connect

    Gilliam, B. J.; Chapman, J. A.; Jugan, M. R.

    2002-02-26

    The removal of uranium-233 (233 U) from the auxiliary charcoal bed (ACB) of the Molten Salt Reactor Experiment (MSRE), performed from January through May 2001, created both unique radiological challenges and widely-applicable lessons learned. In addition to the criticality concerns and alpha contamination, 233U has an associated intense gamma photon from the cocontaminant uranium-232 (232U) decaying to thallium-208 (208Tl). Therefore, rigorous contamination controls and significant shielding were implemented. Extensive, timed mock-up training was also imperative to minimize individual and collective personnel exposures. Back-up shielding and containment techniques (that had been previously developed for defense in depth) were used successfully to control significant, changed conditions. Additional controls were placed on tests and on recovery designs to assure a higher level of safety throughout the removal operations. This paper delineates the manner in which each difficulty was solved, while relating the relevance of the results and the methodology to other projects with high dose-rate, highly-contaminated ionizing radiation hazards. Because of the distinctive features of and current interest in molten salt technology, a brief overview is provided. Also presented is the detailed, practical application of radiological controls integrated into, rather than added after, each evolution of the project--thus demonstrating the broad-based benefits of radiological engineering and ALARA reviews. The resolution of the serious contamination-control problems caused by unexpected uranium hexafluoride (UF6) gaseous diffusion is also explicated. Several tables and figures document the preparations, equipment and operations. A comparison of the pre-job dose calculations for the various functions of the uranium deposit removal (UDR) and the post-job dose-rate data are included in the conclusion.

  7. Review of ALARA plan for activities at the 105 K-East fuel storage basin

    SciTech Connect

    Vargo, G.J.; Durham, J.S.; Hickey, E.E.; Stansbury, P.S.; Cicotte, G.R.

    1994-09-01

    As part of its ongoing efforts to reduce doses to workers to levels as low as reasonably achievable (ALARA), Westinghouse Hanford Company (WHC) tasked the Health Protection Department of the Pacific Northwest Laboratory (PNL) to review operations at the 105 K-East Fuel Storage Basin (105 K-East). This review included both routine operations and a proposed campaign to encapsulate N-Reactor fuel stored there. This report summarizes the results of PNL`s reviews of policy, procedures, and practices for operations at 105 K-East as well as an evaluation of the major sources of occupational radiation exposures. Where possible, data previously collected by WHC and its predecessors were used. In addition, PNL staff developed a three-dimensional model of the radiological environment within 105 K-East to assess the relative contributions of different radiation sources to worker dose and to provide a decision tool for use in evaluating alternative methods of dose rate reduction. The model developed by PNL indicates that for most areas in the basin the primary source of occupational radiation exposure is the contaminated concrete surfaces of the basin near the waterline. Basin cooling water piping represents a significant source in a number of areas, particularly the Technical Viewing Pit. This report contains specific recommendations to reduce the impact of these sources of occupational radiation exposure in 105 K-East. Other recommendations to reduce doses to workers during activities such as filter changes and filter sampling are also included.

  8. Occupational dose reduction at Department of Energy contractor facilities: Bibliography of selected readings in radiation protection and ALARA

    SciTech Connect

    Dionne, B.J.; Sullivan, S.G.; Baum, J.W.

    1993-12-01

    This bibliography contains abstracts relating to various aspects of ALARA program implementation and dose reduction activities, with a focus on DOE facilities. Abstracts included in this bibliography were selected from proceedings of technical meetings, journals, research reports, searches of the DOE Energy, Science and Technology Database (in general, the citation and abstract information is presented as obtained from this database), and reprints of published articles provided by the authors. Facility types and activities covered in the scope of this report include: radioactive waste, uranium enrichment, fuel fabrication, spent fuel storage and reprocessing, facility decommissioning, hot laboratories, tritium production, research, test and production reactors, weapons fabrication and testing, fusion, uranium and plutonium processing, radiography, and aocelerators. Information on improved shielding design, decontamination, containments, robotics, source prevention and control, job planning, improved operational and design techniques, as well as on other topics, has been included. In addition, DOE/EH reports not included in previous volumes of the bibliography are in this volume (abstracts 611 to 684). This volume (Volume 5 of the series) contains 217 abstracts. An author index and a subject index are provided to facilitate use. Both indices contain the abstract numbers from previous volumes, as well as the current volume. Information that the reader feels might be included in the next volume of this bibliography should be submitted to the BNL ALARA Center.

  9. Methodology for making environmental as low as reasonably achievable (ALARA) determinations

    SciTech Connect

    Brown, R.C.; Speer, D.R.

    1982-01-01

    An overall evaluation concept for use in making differential cost-benefit analyses in environmental as low as reasonably achievable (ALARA) determinations is being implemented by Rockwell Hanford Operations. This evaluation includes consideration of seven categories: (1) capital costs; (2) operating costs; (3) state of the art; (4) safety; (5) accident or upset consequences; (6) reliability, operability, and maintainability; and (7) decommissionability. Appropriate weighting factors for each of these categories are under development so that ALARA determinations can be made by comparing scores of alternative proposals for facility design, operations, and upgrade. This method of evaluation circumvents the traditional basis of a stated monetary sum per person-rem of dose commitment. This alternative was generated by advice from legal counsel who advised against formally pursuing this avenue of approach to ALARA for environmental and occupational dose commitments.

  10. SMA actuators: a viable practical technology (Presentation Video)

    NASA Astrophysics Data System (ADS)

    Browne, Alan L.; Brown, Jeffrey; Hodgson, Darel E.

    2015-04-01

    Diverse products either based solely on or incorporating Shape Memory Alloys (SMA) have and are being made in a wide range of industries, and IP is being captured. Why then compared to SE (superelastic) Nitinol, and especially conventional technology, do so few ideas reach production? This presentation delves deeply into this topic in reaching the final assessment that SMA actuators are indeed now a viable practical technology. The presentation begins with an introduction to and description of the fundamental basis of SMA actuator technology. Examples of multiple commercially available geometric forms of SMA actuators are given and the functionalities that they provide are described. This is followed by examples of multiple commercial products incorporating such SMA actuators. Given that there are literally millions of commercial products incorporating conventional actuator technologies, indications are given as to why there are their less than 1000 that utilize SMA. Experience based challenges to the commercial use of SMA actuators are described. Besides having to compete with existing non-SMA technology which is quite mature additional challenges that are unique to SM actuators are indicated these including a wider than expected set of technical engineering problems and challenges and that a broader scope of dynamics is required.

  11. Alternative Practice Dental Hygiene in California: Past, Present, and Future

    PubMed Central

    MERTZ, ELIZABETH; GLASSMAN, PAUL

    2012-01-01

    This study examines the development of the registered dental hygienist in alternative practice in California through an analysis of archival documents, stakeholder interviews, and two surveys of the registered dental hygienist in alternative practice. Designing, testing and implementing a new practice model for dental hygienists took 23 years. Today, registered dental hygienists in alternative practice have developed viable alternative methods for delivering preventive oral health care services in a range of settings with patients who often have no other source of access to care. PMID:21337961

  12. Implementation of the principle of as low as reasonably achievable (ALARA) for medical and dental personnel

    SciTech Connect

    Not Available

    1990-12-31

    This report is part of a series prepared under the auspices of Scientific Committee 46, Operational Radiation Safety. It provides guidance on the process of implementing the as low as reasonably achievable'' (ALARA) principle for the use of radiation by medical and dental personnel. The use of cost-benefit analysis is recommended as a basic method upon which to base ALARA decisions. Examples are provided to illustrate the ALARA principle as a process of optimization and to provide a starting point for the development of individualized ALARA programs. NCRP Report No. 91, Recommendations on Limits for Exposure to Ionizing Radiation, calls for the use of reference ranges for occupational exposures. This report recommends the use of 2 reference ranges, one based on individual dose equivalents, and the other based on collective dose equivalent. In accordance with the recommendations of NCRP Report No. 82, SI Units in Radiation Protection and Measurements, as of January 1990, only SI units are used in the text. Readers needing factors for conversion of SI to conventional units are encouraged to consult Report No. 82. 84 refs., 10 figs., 10 tabs.

  13. The Practice of Psychotherapy in Mexico: Past and Present

    ERIC Educational Resources Information Center

    Stark, Marcella D.; Frels, Rebecca K.; Chavez, Rafael Reyes; Sharma, Bipin

    2010-01-01

    This article explores the history of psychotherapy in Mexico and describes past and current practices of psychological services, training, and supervision for Mexican international students in the United States. Sample curricula, texts, and universities in Mexico are listed. Implications for training underscore the importance of collaboration and…

  14. Interdisciplinary Practices in Ontario: Past, Present, and Future

    ERIC Educational Resources Information Center

    Clausen, Kurt W.; Drake, Susan M.

    2010-01-01

    In Canada, the province of Ontario has had a rather turbulent relationship with interdisciplinarity as it has tried to implement this practice into the public school system. Specifically, the provincial government has repeatedly attempted to introduce such reforms as integrated units, harmonized objectives, and open-concept, student-centered pods,…

  15. Risk and safety concerns in anesthesiology practice: The present perspective

    PubMed Central

    Bajwa, Sukhminder Jit Singh; Kaur, Jasbir

    2012-01-01

    Newer developments and advancements in anesthesiology, surgical, and medical fields have widened the functional scope of anesthesiologist thus increasing his professional responsibilities and obligations. While at workplace, anesthesiologist is exposed to a wide array of potential hazards that can be detrimental to his overall health. Numerous risks and safety concerns have been mentioned in the literature, but the magnitude of challenges in anesthesiology practice are far greater than those cited and anticipated. Many times these challenging situations are unavoidable and the attending anesthesiologist has to deal with them on an individual basis. These hazards not only affect the general health but can be extremely threatening in various other ways that can increase the potential risks of morbidity and mortality. This article is an attempt to bring a general awareness among anesthesia fraternity about the various health hazards associated with anesthesia practice. Also, a genuine attempt has been made to enumerate the various preventive methods and precautions that should be adopted to make practice of anesthesiology safe and smooth. PMID:25885495

  16. The ethical debate on present day paternity testing practices.

    PubMed

    Mertens, G

    2006-01-01

    The last years, the number of paternity tests on buccal swabs sold over the internet as "test kits", has steeply increased. The commercial providers of these services facilitate controversial practices, including clandestine sampling at home, anonymous sending off for analysis, motherless testing and using "stolen" personal objects containing biological material (combs, cigarette butts). This has led to concern on the consequences on the family unit--especially the child--which may suffer emotionally, physically and financially. In reaction, legal initiatives are appearing throughout Europe. The UK Human Genetics Commission has advised that the non-consensual obtaining and analysis of personal genetic information should be a new criminal offence. The German Federal Court of Justice has ruled that paternity tests performed without the mother's knowledge are inadmissible as evidence in lawsuits. French law strictly forbids the application of DNA testing without the involvement of the court system. In Belgium, a proposal for law has been laid down where the offering to

  17. Present Practice And Perceived Needs-Managing Diagnostic Images

    NASA Astrophysics Data System (ADS)

    Vanden Brink, John A.

    1982-01-01

    With the advent of digital radiography and the installed base of CT, Nuclear Medicine and Ultrasound Scanners numbering in the thousands and the potential of NMR, the market potential for the electronic management of digital images is perhaps one of the most exciting, fastest growing (and most ill defined) fields in medicine today. New technology in optical data storage, electronic transmission, image reproduction, microprocessing, automation and software development provide the promise of a whole new generation of products which will simplify and enhance the diagnostic process (thereby hopefully improving diagnostic accuracy), enable implementation of archival review in a practical sense, expand the availability of diagnostic data and lower the cost/case by at least an order of magnitude.

  18. A practical guide to designing a poster for presentation.

    PubMed

    Briggs, D J

    Poster presentations are frequently used to disseminate research findings and clinical initiatives at conferences, and present module material for educational courses. However, many nurses lack confidence when it comes to designing posters. This article considers the skills required to design a poster. Aspects of good poster design are also discussed.

  19. Alternative materials lead to practical nanophotonic components (Presentation Recording)

    NASA Astrophysics Data System (ADS)

    Kinsey, Nathaniel; Ferrera, Marcello; DeVault, Clayton; Kim, Jongbum; Kildishev, Alexander V.; Shalaev, Vladimir M.; Boltasseva, Alexandra

    2015-09-01

    Recently, there has been a flurry of research in the field of alternative plasmonic materials, but for telecommunication applications, CMOS compatible materials titanium nitride and doped zinc oxides are among the most promising materials currently available. TiN is a gold-like ceramic with a permittivity cross-over near 500nm. In addition, TiN can attain ultra-thin, ultra-smooth epitaxial films on substrates such as c-sapphire, MgO, and silicon. Partnering TiN with CMOS compatible silicon nitride enables a fully solid state waveguide which is able to achieve a propagation length greater than 1cm for a ~8μm mode size at 1.55μm. Utilizing doped zinc oxide films as a dynamic material, high performance modulators can also be realized due to the low-loss achieved by the TiN/Si3N4 waveguide. Simply by placing a thin layer of aluminum doped zinc oxide (AZO) on top of the waveguide structure, a modulator with very low insertion loss is achieved. Our recent work has investigated optical tuning of AZO films by the pump-probe method, demonstrating a change in the refractive index of -0.17+0.25i at 1.3μm with an ultrafast response of 1ps. Assuming this change in the refractive index for the AZO film, a modulation of ~0.7dB/μm is possible in the structure with ~0.5dB insertion loss and an operational speed of 1THz. Further optimization of the design is expected to lead to an increased modulation depth without sacrificing insertion loss or speed. Consequently, nanophotonic technologies are reaching a critical point where many applications including telecom, medicine, and quantum science can see practical systems which provide new functionalities.

  20. Guide to reducing radiation exposure to as low as reasonably achievable (ALARA)

    SciTech Connect

    Kathren, R.L.

    1980-04-01

    This document is designed to provide DOE contractor personnel with general guidance regarding programs and techniques to reduce radiation exposures to as low as reasonably achievable (ALARA). Thus it is directed towards a broad audience, and should have special relevance and interest for operating management as well as radiation protection personnel. It is well recognized that each contractor has needs specific and critical to its radiation protection program. Hence no single set of specific and detailed criteria can be set down as a prescription for achieving the ALARA goal. Rather, general guidance in the form of broad principles is given in order to acquaint management with ALARA needs and concepts. The purpose is to encourage maximum management support of the technical personnel responsible for carrying out day-to-day radiation protection activities. Although primarily written for management, this document also contains technical guidance of potential value to those directly involved in radiation protection activities. Again it should be stressed that what is provided is guidance, and is therefore not mandatory.

  1. Specialty Practice or Interstitial Practice? A Reconsideration of School Social Work's Past and Present

    ERIC Educational Resources Information Center

    Phillippo, Kate L.; Blosser, Allison

    2013-01-01

    This article analyzes school social work's history to provide perspective on current dilemmas in social work practice and research. The authors use interstitial emergence theory, which holds that practices from overlapping fields (like social work and K-12 education) can develop into new fields, as an analytic framework. This perspective extends…

  2. Selection and Presentation of Commercially Available Electronic Resources: Issues and Practices.

    ERIC Educational Resources Information Center

    Jewell, Timothy D.

    This report focuses on practices related to the selection and presentation of commercially available electronic resources. As part of the Digital Library Federation's Collection Practices Initiative, the report also shares the goal of identifying and propagating practices that support the growth of sustainable and scalable collections. It looks in…

  3. ALARA Analysis of Radiological Control Criteria Associated with Alternatives for Disposal of Hazardous Wastes

    SciTech Connect

    Aaberg, Rosanne L.; Bilyard, Gordon R.; Branch, Kristi M.; Lavender, Jay C.; Miller, Peter L.

    2002-05-15

    This ALARA analysis of Radiological Control Criteria (RCC) considers alternatives to continued storage of certain DOE mixed wastes. It also considers the option of treating hazardous wastes generated by DOE facilities, which have a very low concentration of radionuclide contaminants, as purely hazardous waste. Alternative allowable contaminant levels examined correspond to doses to an individual ranging from 0.01 mrem/yr to 10 to 20 mrem/yr. Generic waste inventory data and radionuclide source terms are used in the assessment. Economic issues, potential health and safety issues, and qualitative factors relating to the use of RCCs are considered.

  4. Presentation: Human and Ecological Health Impacts Associated with Water Reuse and Conservation Practices

    EPA Pesticide Factsheets

    This presentation was given by Dr. James Johnson at the STAR Human and Ecological Health Impacts Associated with Water Reuse and Conservation Practices Kick-off Meeting and Webinar held on Oct. 26-27, 2016.

  5. High level waste tank closure project: ALARA applications at the Idaho National Engineering and Environmental Laboratory.

    PubMed

    Aitken, Steven B; Butler, Richard; Butterworth, Steven W; Quigley, Keith D

    2005-05-01

    Bechtel BWXT Idaho, Maintenance and Operating Contractor for the Department of Energy at the Idaho National Engineering and Environmental Laboratory, has emptied, cleaned, and sampled six of the eleven 1.135 x 10(6) L high level waste underground storage tanks at the Idaho Nuclear Technology and Engineering Center, well ahead of the State of Idaho Consent Order cleaning schedule. Cleaning of a seventh tank is expected to be complete by the end of calendar year 2004. The tanks, with associated vaults, valve boxes, and distribution systems, are being closed to meet Resource Conservation and Recovery Act regulations and Department of Energy orders. The use of remotely operated equipment placed in the tanks through existing tank riser access points, sampling methods and application of as-low-as-reasonably-achievable (ALARA) principles have proven effective in keeping personnel dose low during equipment removal, tank, vault, and valve box cleaning, and sampling activities, currently at 0.03 Sv.

  6. What if Best Practice Is Too Expensive? Feedback on Oral Presentations and Efficient Use of Resources

    ERIC Educational Resources Information Center

    Leger, Lawrence A.; Glass, Karligash; Katsiampa, Paraskevi; Liu, Shibo; Sirichand, Kavita

    2017-01-01

    We evaluate feedback methods for oral presentations used in training non-quantitative research skills (literature review and various associated tasks). Training is provided through a credit-bearing module taught to MSc students of banking, economics and finance in the UK. Monitoring oral presentations and providing "best practice"…

  7. Presenting a Practical Model of Reinforcing Spiritual Leadership in Educational Institutes (A Case Study)

    ERIC Educational Resources Information Center

    Taghizadeh, Houshang; Shokri, Abdolhossein

    2015-01-01

    The present study seeks to identify the relation between the components of spiritual leadership and to present a practical model to reinforce the spiritual leadership in Tabriz Branch, Islamic Azad University. The research is of descriptive type, and the statistical population consists of all the official personnel of Tabriz Branch. The research…

  8. Ad hoc supervision of general practice registrars as a 'community of practice': analysis, interpretation and re-presentation.

    PubMed

    Clement, T; Brown, J; Morrison, J; Nestel, D

    2016-05-01

    General practice registrars in Australia undertake most of their vocational training in accredited general practices. They typically see patients alone from the start of their community-based training and are expected to seek timely ad hoc support from their supervisor. Such ad hoc encounters are a mechanism for ensuring patient safety, but also provide an opportunity for learning and teaching. Wenger's (Communities of practice: learning, meaning, and identity. Cambridge University Press, New York, 1998) social theory of learning ('communities of practice') guided a secondary analysis of audio-recordings of ad hoc encounters. Data from one encounter is re-presented as an extended sequence to maintain congruence with the theoretical perspective and enhance vicariousness. An interpretive commentary communicates key features of Wenger's theory and highlights the researchers' interpretations. We argue that one encounter can reveal universal understandings of clinical supervision and that the process of naturalistic generalisation allows readers to transfer others' experiences to their own contexts. The paper raises significant analytic, interpretive, and representational issues. We highlight that report writing is an important, but infrequently discussed, part of research design. We discuss the challenges of supporting the learning and teaching that arises from adopting a socio-cultural lens and argue that such a perspective importantly captures the complex range of issues that work-based practitioners have to grapple with. This offers a challenge to how we research and seek to influence work-based learning and teaching in health care settings.

  9. Re-presenting science: Visual and didactic practice in nineteenth-century chemistry

    NASA Astrophysics Data System (ADS)

    Ritter, Christopher Owen

    This dissertation argues that there is no divide between scientific and didactic practice in chemistry: they are one in the same. Similarly, it argues that representation is inherently re-presentation, which is to say, there is also no divide between the production and the reproduction of scientific knowledge. These arguments are based upon visual practices of nineteenth-century chemistry, in which chemists made knowledge through careful practices of visual representation. The historical argument begins with two post-alchemical systems of representation, the chemical characters of Jean Henri Hassenfratz and Pierre Auguste Adet, introduced in the Nomenclature chimique of 1787, and John Dalton's atomic symbols. It argues that although the symbols of both systems did not survive, the visual practices within which they were situated did. Focusing on the teaching of American chemists Benjamin Silliman and Robert Hare, it examines chemical didactics after Dalton, including the visual practices of Dalton's colleague, William Wollaston. The larger context of visual practices in the nineteenth-century figures in the history of chemistry. Anschauung, or reflection on direct observation or perception, was at the core of Johann Heinrich Pestalozzi and Friedrich Frobel's reforms in early education. It also influenced chemical practice. Frobel's kindergarten modeling practices, the kindergarten movement in mid-century England, and Anschauungsunterricht, or teaching through images, have historical links with chemical representation, in particular the use of graphical formulas by Alexander Crum Brown and Edward Frankland. Crum Brown's formulas and Frankland's Lecture Notes for Chemical Students form the center of an investigation of the didactic, rhetorical, typographical, and personal factors involved in representational practices in chemistry, and the production of chemical knowledge on the page. These aspects of chemical practice in turn influenced chemical atomism. The

  10. Implementation of ALARA radiation protection on the ISS through polyethylene shielding augmentation of the Service Module Crew Quarters

    NASA Astrophysics Data System (ADS)

    Shavers, M. R.; Zapp, N.; Barber, R. E.; Wilson, J. W.; Qualls, G.; Toupes, L.; Ramsey, S.; Vinci, V.; Smith, G.; Cucinotta, F. A.

    2004-01-01

    With 5-7 month long duration missions at 51.6° inclination in Low Earth Orbit, the ionizing radiation levels to which International Space Station (ISS) crewmembers are exposed will be the highest planned occupational exposures in the world. Even with the expectation that regulatory dose limits will not be exceeded during a single tour of duty aboard the ISS, the "as low as reasonably achievable" (ALARA) precept requires that radiological risks be minimized when possible through a dose optimization process. Judicious placement of efficient shielding materials in locations where crewmembers sleep, rest, or work is an important means for implementing ALARA for spaceflight. Polyethylene (C nH n) is a relatively inexpensive, stable, and, with a low atomic number, an effective shielding material that has been certified for use aboard the ISS. Several designs for placement of slabs or walls of polyethylene have been evaluated for radiation exposure reduction in the Crew Quarters (CQ) of the Zvezda (Star) Service Module. Optimization of shield designs relies on accurate characterization of the expected primary and secondary particle environment and modeling of the predicted radiobiological responses of critical organs and tissues. Results of the studies shown herein indicate that 20% or more reduction in equivalent dose to the CQ occupant is achievable. These results suggest that shielding design and risk analysis are necessary measures for reducing long-term radiological risks to ISS inhabitants and for meeting legal ALARA requirements. Verification of shield concepts requires results from specific designs to be compared with onboard dosimetry.

  11. Implementation of ALARA radiation protection on the ISS through polyethylene shielding augmentation of the Service Module crew quarters

    NASA Astrophysics Data System (ADS)

    Shavers, M.; Zapp, N.; Barber, R.; Wilson, J.; Qualls, G.; Toupes, L.; Ramsey, S.; Vinci, V.; Smith, G.; Cucinotta, F.

    With 5 to 7-month long duration missions at 51.6° inclination in Low Earth Orbit, the ionizing radiation levels to which International Space Station (ISS) crewmembers are exposed will be the highest planned occupational exposures in the world. Even with the expectation that regulatory dose limits will not be exceeded during a single tour of duty aboard the ISS, the "as low as reasonably achievable" (ALARA) precept requires that radiological risks be minimized when possible through an dose optimization process. Judicious placement of efficient shielding materials in locations where crewmembers sleep, rest, or work is an important means for implementing ALARA for spaceflight. Polyethylene (Cn Hn ), is a relatively inexpensive, stable, and, with a low atomic number, an effective shielding material that has been certified for use aboard the ISS. Several designs for placement of slabs or walls of polyethylene have been evaluated for radiation exposure reduction in the Crew Quarters (CQ) of the Zvezda (Star) Service Module. Optimization of shield designs relies on accurate characterization of the expected primary and secondary particle environment and modeling of the predicted radiobiological responses of critical organs and tissues. Results of the studies shown herein indicate that 20% or more reduction in dose equivalent to the CQ occupant is achievable. These results suggest that shielding design and risk analysis are necessary measures for reducing long-term radiological risks to ISS inhabitants and for meeting legal ALARA requirements. Verification of shield concepts requires results from specific designs to be compared with onboard dosimetry.

  12. Implementation of ALARA radiation protection on the ISS through polyethylene shielding augmentation of the Service Module Crew Quarters.

    PubMed

    Shavers, M R; Zapp, N; Barber, R E; Wilson, J W; Qualls, G; Toupes, L; Ramsey, S; Vinci, V; Smith, G; Cucinotta, F A

    2004-01-01

    With 5-7 month long duration missions at 51.6 degrees inclination in Low Earth Orbit, the ionizing radiation levels to which International Space Station (ISS) crewmembers are exposed will be the highest planned occupational exposures in the world. Even with the expectation that regulatory dose limits will not be exceeded during a single tour of duty aboard the ISS, the "as low as reasonably achievable" (ALARA) precept requires that radiological risks be minimized when possible through a dose optimization process. Judicious placement of efficient shielding materials in locations where crewmembers sleep, rest, or work is an important means for implementing ALARA for spaceflight. Polyethylene (CnHn) is a relatively inexpensive, stable, and, with a low atomic number, an effective shielding material that has been certified for use aboard the ISS. Several designs for placement of slabs or walls of polyethylene have been evaluated for radiation exposure reduction in the Crew Quarters (CQ) of the Zvezda (Star) Service Module. Optimization of shield designs relies on accurate characterization of the expected primary and secondary particle environment and modeling of the predicted radiobiological responses of critical organs and tissues. Results of the studies shown herein indicate that 20% or more reduction in equivalent dose to the CQ occupant is achievable. These results suggest that shielding design and risk analysis are necessary measures for reducing long-term radiological risks to ISS inhabitants and for meeting legal ALARA requirements. Verification of shield concepts requires results from specific designs to be compared with onboard dosimetry.

  13. Commissioning of experimental enclosures (Hutches) at the Advanced Photon Source - A to Z ALARA.

    SciTech Connect

    Vacca, J.; Job, P. K.; Rauchas, A.; Justus, A.; Veluri, V. R.

    2000-11-01

    The Advanced Photon Source (APS), 7 GeV electron Storage Ring at the Argonne National Laboratory is designed to be a major national user facility providing high-brilliance x-ray beams. Figure 1 shows a plan view of the APS. At completion, APS will have 35 bending magnet (BM) beamlines and 35 insertion device (ID) beamlines. A typical x-ray beamline at APS comprises of a front end (FE) that confines the beam; a first optics enclosure (FOE) which houses optics to filter and monochromatize the beam; and beam transports, additional optics, and the experiment stations. Figure 2 shows a section of the storage ring with the layout of the ID and BM beamlines and typical experiment stations. The first x-ray beam was delivered to an experiment station in 1995. Ever since, to date, over 120 experimental stations (hutches) have been commissioned and are receiving intense x-ray beams of varying energies for various experiments. This paper describes in some detail the steps involved in the process of commissioning experimental stations and the implementation of the ALARA at each step.

  14. A Case of Undiagnosed Harlequin Syndrome Presenting in General Dental Practice.

    PubMed

    Edwards, Kathryn; Schaefer, Andrew; Greenwood, Mark; Staines, Konrad

    2016-01-01

    Harlequin syndrome is a rare, clinically striking syndrome characterized by distinctly demarcated asymmetric facial flushing and sweating. It may be of idiopathic aetiology or caused by demonstrable ipsilateral damage to the sympathetic nervous system. A case is described where a patient presented to her general dental practitioner complaining of distinctly demarcated unilateral facial flushing and sweating. Onward referral resulted in a diagnosis of Harlequin syndrome. CPD/CLINICAL RELEVANCE: This article highlights the neurological signs and symptoms of Harlequin syndrome, making it easier to recognize if it presents in general dental practice.

  15. Does Practice Make Perfect? Role of Training and Feedback in Improving Scientists' Presentation Skills

    NASA Astrophysics Data System (ADS)

    Tankersley, R. A.; Bourexis, P.; Kaser, J. S.

    2011-12-01

    that use of the PSP alone does not guarantee communication growth or competence. To achieve significant gains in presentation skills, a three pronged approach is required: (1) formal training in best-practices and techniques for preparing and delivering presentations (e.g., Presentation Boot Camp), (2) frequent opportunities to practice and hone presentation skills (e.g., presentations at professional meetings, informal science centers, and K-12 classrooms), and (3) regular, individualized and structured feedback (e.g., Presentations Skill Protocol).

  16. Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices

    PubMed Central

    Dellefield, Mary Ellen; Corazzini, Kirsten

    2015-01-01

    Development of the comprehensive care plan (CCP) is a requirement for nursing homes participating in the federal Medicare and Medicaid programs, referred to as skilled nursing facilities. The plan must be developed within the context of the comprehensive interdisciplinary assessment framework—the Resident Assessment Instrument (RAI). Consistent compliance with this requirement has been difficult to achieve. To improve the quality of CCP development within this framework, an increased understanding of complex factors contributing to inconsistent compliance is required. In this commentary, we examine the history of the comprehensive care plan; its development within the RAI framework; linkages between the RAI and registered nurse staffing; empirical evidence of the CCP’s efficacy; and the limitations of extant standards of practices in CCP development. Because of the registered nurse’s educational preparation, professional practice standards, and licensure obligations, the essential contributions of professional nurses in CCP development are emphasized. Recommendations for evidence-based micro and macro level practice changes with the potential to improve the quality of CCP development and regulatory compliance are presented. Suggestions for future research are given. PMID:27417811

  17. Implementation of ALARA radiation protection on the ISS through polyethylene shielding augmentation of the Service Module Crew Quarters

    NASA Technical Reports Server (NTRS)

    Shavers, M. R.; Zapp, N.; Barber, R. E.; Wilson, J. W.; Qualls, G.; Toupes, L.; Ramsey, S.; Vinci, V.; Smith, G.; Cucinotta, F. A.

    2004-01-01

    With 5-7 month long duration missions at 51.6 degrees inclination in Low Earth Orbit, the ionizing radiation levels to which International Space Station (ISS) crewmembers are exposed will be the highest planned occupational exposures in the world. Even with the expectation that regulatory dose limits will not be exceeded during a single tour of duty aboard the ISS, the "as low as reasonably achievable" (ALARA) precept requires that radiological risks be minimized when possible through a dose optimization process. Judicious placement of efficient shielding materials in locations where crewmembers sleep, rest, or work is an important means for implementing ALARA for spaceflight. Polyethylene (CnHn) is a relatively inexpensive, stable, and, with a low atomic number, an effective shielding material that has been certified for use aboard the ISS. Several designs for placement of slabs or walls of polyethylene have been evaluated for radiation exposure reduction in the Crew Quarters (CQ) of the Zvezda (Star) Service Module. Optimization of shield designs relies on accurate characterization of the expected primary and secondary particle environment and modeling of the predicted radiobiological responses of critical organs and tissues. Results of the studies shown herein indicate that 20% or more reduction in equivalent dose to the CQ occupant is achievable. These results suggest that shielding design and risk analysis are necessary measures for reducing long-term radiological risks to ISS inhabitants and for meeting legal ALARA requirements. Verification of shield concepts requires results from specific designs to be compared with onboard dosimetry. c2004 COSPAR. Published by Elsevier Ltd. All rights reserved.

  18. Enhancing presentation skills for the advanced practice nurse: strategies for success.

    PubMed

    Vollman, Kathleen M

    2005-01-01

    Professional speaking is a component of the professional practice role of the advanced practice nurse (APN). The skills to communicate effectively to one person or an audience of 100 provide the APN with the essential tools for implementing change, collaborating effectively, presenting information at professional meetings, or communicating the impact of clinical outcomes in the boardroom. Public speaking skills, a professional image, and improved communication can facilitate advancement along any career ladder. The greater your fear, the more self-confidence you will gain by stepping up to a challenge and conquering it. This article describes strategies for organizing and presenting your message in a clear and concise format. Techniques to manage the anxiety produced when attempting to articulate your thoughts is essential for effective communication. Skills for enhancing the delivery of your message through effective body language, professional image, voice modulation, and use of audiovisual aids are addressed. Creative techniques for fielding questions are key in promoting a dynamic closure and provide consistent reinforcement of the key message content.

  19. Training and practice of pediatric surgery in Africa: past, present, and future.

    PubMed

    Elhalaby, Essam A; Uba, Francis A; Borgstein, Eric S; Rode, Heinz; Millar, Alastair J W

    2012-05-01

    The evolution and recognition of pediatric surgery as a specialty in Africa can be divided into 4 distinct phases, starting from early 1920s till the present. The pace of development has been quite variable in different parts of Africa. Despite all recent developments, the practice of pediatric surgery in Africa continues to face multiple challenges, including limited facilities, manpower shortages, the large number of sick children, disease patterns specific to the region, late presentation and advanced pathology, lack of pediatric surgeons outside the tertiary hospitals, and inadequate governmental support. Standardization of pediatric surgery training across the continent is advocated. Collaboration with well-established pediatric surgical training centers in Africa and other developed countries is necessary. The problems of delivery of pediatric surgical services need to be addressed urgently, if the African child is to have access to essential pediatric surgical services like his or her counterpart in the high-income parts of the world.

  20. Ad Hoc Supervision of General Practice Registrars as a "Community of Practice": Analysis, Interpretation and Re-Presentation

    ERIC Educational Resources Information Center

    Clement, T.; Brown, J.; Morrison, J.; Nestel, D.

    2016-01-01

    General practice registrars in Australia undertake most of their vocational training in accredited general practices. They typically see patients alone from the start of their community-based training and are expected to seek timely ad hoc support from their supervisor. Such ad hoc encounters are a mechanism for ensuring patient safety, but also…

  1. Non-codified traditional medicine practices from Belgaum Region in Southern India: present scenario

    PubMed Central

    2014-01-01

    Background Traditional medicine in India can be classified into codified (Ayurveda, Unani, Siddha, Homeopathy) and non-codified (folk medicine) systems. Both the systems contributing equally to the primary healthcare in India. The present study is aimed to understand the current scenario of medicinal practices of non-codified system of traditional medicine in Belgaum region, India. Methods The study has been conducted as a basic survey of identified non-codified traditional practitioners by convenience sampling with semi structured, open ended interviews and discussions. The learning process, disease diagnosis, treatment, remuneration, sharing of knowledge and socio-demographic data was collected, analysed and discussed. Results One hundred and forty traditional practitioners were identified and interviewed for the present study. These practitioners are locally known as “Vaidya”. The study revealed that the non-codified healthcare tradition is practiced mainly by elderly persons in the age group of 61 years and above (40%). 73% of the practitioners learnt the tradition from their forefathers, and 19% of practitioners developed their own practices through experimentation, reading and learning. 20% of the practitioners follow distinctive “Nadi Pariksha” (pulse examination) for disease diagnosis, while others follow bodily symptoms and complaints. 29% of the traditional practitioners do not charge anything, while 59% practitioners receive money as remuneration. Plant and animal materials are used as sources of medicines, with a variety of preparation methods. The preference ranking test revealed higher education and migration from villages are the main reasons for decreasing interest amongst the younger generation, while deforestation emerged as the main cause of medicinal plants depletion. Conclusion Patrilineal transfer of the knowledge to younger generation was observed in Belgaum region. The observed resemblance in disease diagnosis, plant collection and

  2. Geographic Medical History: Advances in Geospatial Technology Present New Potentials in Medical Practice

    NASA Astrophysics Data System (ADS)

    Faruque, F. S.; Finley, R. W.

    2016-06-01

    Genes, behaviour, and the environment are known to be the major risk factors for common diseases. When the patient visits a physician, typical questions include family history (genes) and lifestyle of the patient (behaviour), but questions concerning environmental risk factors often remain unasked. It is ironic that 25 centuries ago Hippocrates, known as the father of medicine, noted the importance of environmental exposure in medical investigation as documented in his classic work, "Airs, Waters, Places", yet the practice of routinely incorporating environmental risk factors is still not in place. Modern epigenetic studies have found that unhealthy lifestyle and environmental factors can cause changes to our genes that can increase disease risk factors. Therefore, attempting to solve the puzzle of diseases using heredity and lifestyle alone will be incomplete without accounting for the environmental exposures. The primary reason why environmental exposure has not yet been a routine part of the patient's medical history is mostly due to our inability to provide clinicians useful measures of environmental exposures suitable for their clinical practices. This presentation will discuss advances in geospatial technology that show the potential to catalyse a paradigm shift in medical practice and health research by allowing environmental risk factors to be documented as the patient's "Geographic Medical History". In order to accomplish this we need information on: a) relevant spatiotemporal environmental variables, and b) location of the individual in that person's dynamic environment. Common environmental agents that are known to interact with genetic make-up include air pollutants, mold spores, pesticides, etc. Until recently, the other component, location of an individual was limited to a static representation such as residential or workplace location. Now, with the development of mobile technology, changes in an individual's location can be tracked in real time if

  3. Setting up a mobile dental practice within your present office structure.

    PubMed

    Morreale, James P; Dimitry, Susan; Morreale, Mark; Fattore, Isabella

    2005-02-01

    Different service models have emerged in Canada and the United States to address the issue of senior citizens' lack of access to comprehensive dental care. Over the past decade, one such model, the use of mobile dental service units, has emerged as a practical strategy. This article describes a mobile unit, operated as an adjunct to the general practitioner's office and relying mainly on existing office resources, both human and capital, to deliver services at long-term care institutions. The essential components of a profitable geriatric mobile unit are described, including education, equipment, marketing research and development, and human resource management. Issues related to patient consent and operating expenditures are also discussed. Data from one practitioner's mobile dental unit, in Hamilton, Ontario, are presented to demonstrate the feasibility and profitability of this approach.

  4. Occupational dose reduction at nuclear power plants: Annotated bibliography of selected readings in radiation protection and ALARA. Volume 8

    SciTech Connect

    Sullivan, S.G.; Khan, T.A.; Xie, J.W.

    1995-05-01

    The ALARA Center at Brookhaven National Laboratory publishes a series of bibliographies of selected readings in radiation protection and ALARA in a continuing effort to collect and disseminate information on radiation dose reduction at nuclear power plants. This volume 8 of the series. The abstracts in this bibliography were selected form proceedings of technical meetings and conference journals, research reports, and searches of the Energy Science and Technology database of the US Department of Energy. The subject material of these abstracts relates to the many aspects of radiation protection and dose reduction, and ranges form use of robotics, to operational health physics, to water chemistry. Material on the design, planning, and management of nuclear power stations is included, as well as information on decommissioning and safe storage efforts. Volume 8 contains 232 abstracts, an author index, and a subject index. The author index is specific for this volume. The subject index is cumulative and lists all abstract numbers from volumes 1 to 8. The numbers in boldface indicate the abstracts in this volume; the numbers not in boldface represent abstracts in previous volumes.

  5. Occupational dose reduction at nuclear power plants: Annotated bibliography of selected readings in radiation protection and ALARA. Volume 7

    SciTech Connect

    Kaurin, D.G.; Khan, T.A.; Sullivan, S.G.; Baum, J.W.

    1993-07-01

    The ALARA Center at Brookhaven National Laboratory publishes a series of bibliographies of selected readings in radiation protection and ALARA in the continuing effort to collect and disseminate information on radiation dose reduction at nuclear power plants. This is volume 7 of the series. The abstracts in this bibliography were selected from proceedings of technical meetings and conferences, journals, research reports, and searches of the Energy Science and Technology database of the US Department of Energy. The subject material of these abstracts relates to radiation protection and dose reduction, and ranges from use of robotics to operational health physics, to water chemistry. Material on the design, planning, and management of nuclear power stations is included, as well as information on decommissioning and safe storage efforts. Volume 7 contains 293 abstract, an author index, and a subject index. The author index is specific for this volume. The subject index is cumulative and lists all abstract numbers from volumes 1 to 7. The numbers in boldface indicate the abstracts in this volume; the numbers not in boldface represent abstracts in previous volumes.

  6. Presentation of SLE in UK primary care using the Clinical Practice Research Datalink

    PubMed Central

    Nightingale, Alison L; Davidson, Julie E; Molta, Charles T; Kan, Hong J; McHugh, Neil J

    2017-01-01

    Objectives To describe the presenting symptoms of SLE in primary care using the Clinical Practice Research Database (CPRD) and to calculate the time from symptom presentation to SLE diagnosis. Methods Incident cases of SLE were identified from the CPRD between 2000 and 2012. Presenting symptoms were identified from the medical records of cases in the 5 years before diagnosis and grouped using the British Isles Lupus Activity Group (BILAG) symptom domains. The time from the accumulation of one, two and three BILAG domains to SLE diagnosis was investigated, stratified by age at diagnosis (<30, 30–49 and ≥50 years). Results We identified 1426 incident cases (170 males and 1256 females) of SLE. The most frequently recorded symptoms and signs prior to diagnosis were musculoskeletal, mucocutaneous and neurological. The median time from first musculoskeletal symptom to SLE diagnosis was 26.4 months (IQR 9.3–43.6). There was a significant difference in the time to diagnosis (log rank p<0.01) when stratified by age and disease severity at baseline, with younger patients <30 years and those with severe disease having the shortest times and patients aged ≥50 years and those with mild disease having the longest (6.4 years (IQR 5.8–6.8)). Conclusions The time from symptom onset to SLE diagnosis is long, especially in older patients. SLE should be considered in patients presenting with flaring or chronic musculoskeletal, mucocutaneous and neurological symptoms. PMID:28243454

  7. Presence without Being Present: Reflection and Action in a Community of Practice

    ERIC Educational Resources Information Center

    Enfield, Mark; Stasz, Bird

    2011-01-01

    Reflection and Communities of Practice are common constructs in teacher education. Co-teaching is often seen as beneficial, yet teacher education students rarely have experiences being co-taught. Thus, reflection, communities of practice, and co-teaching, deserve careful consideration in designing teacher education learning experiences. Based on…

  8. Field Education in the Present Moment: Evaluating a 14-Week Pedagogical Model to Increase Mindfulness Practice

    ERIC Educational Resources Information Center

    Lee, Jacquelyn J.; Himmelheber, Sarah A.

    2016-01-01

    Social work practitioners increasingly use mindfulness techniques, and research into the impact of this practice is being explored by multiple related disciplines, such as psychology and education. Cultivating the potential benefits of mindfulness at multiple practice levels necessitates curricular integration of mindfulness training. This article…

  9. Present status of obstetrics in family practice and the effects of malpractice issues.

    PubMed

    Bredfeldt, R; Colliver, J A; Wesley, R M

    1989-03-01

    A survey of 800 active members of the American Academy of Family Physicians 1985-1987 membership directory was conducted for the purpose of determining the impact, over time, of malpractice issues upon the practice of obstetrics by family physicians. The survey response rate was 60.4 percent. Almost 20 percent of all respondents reported that they have never provided obstetric care of any type. Another 40 percent have provided obstetric care previously but have now discontinued this care, while the remaining 40 percent currently offer obstetric care to their patients. The proportion of respondents who discontinued the practice of obstetrics because of increased risk of malpractice litigation increased significantly over the years from 1947 to 1986 (P = .0084). The proportion of respondents who discontinued obstetric practice because of increased malpractice insurance costs also increased significantly from 1945 to 1986 (P = .0002). The proportion of those entering practice during the past five years who decided not to offer obstetric services because of malpractice risks was significantly greater than the proportion entering practice earlier (21.0 percent vs 2.0 percent, P = .0090). Although the current patterns of obstetric practice showed regional variation, the accelerating impact of malpractice risk and insurance cost on these patterns was similar throughout the nation.

  10. Risk assessment and optimization (ALARA) analysis for the environmental remediation of Brookhaven National Laboratory`s hazardous waste management facility

    SciTech Connect

    Dionne, B.J.; Morris, S.C. III; Baum, J.W.

    1998-01-01

    The Department of Energy`s (DOE) Office of Environment, Safety, and Health (EH) sought examples of risk-based approaches to environmental restoration to include in their guidance for DOE nuclear facilities. Extensive measurements of radiological contamination in soil and ground water have been made at Brookhaven National Laboratory`s Hazardous Waste Management Facility (HWMF) as part of a Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) remediation process. This provided an ideal opportunity for a case study. This report provides a risk assessment and an {open_quotes}As Low as Reasonably Achievable{close_quotes} (ALARA) analysis for use at other DOE nuclear facilities as an example of a risk-based decision technique. This document contains the Appendices for the report.

  11. Lessons Learned at Envirocare of Utah's Containerized Waste Facility (CWF): Dose Minimization Through ALARA Techniques and Tools

    SciTech Connect

    Heckman, J.; Gardner, J.; Ledoux, M. R.

    2003-02-24

    Envirocare of Utah, Inc. (Envirocare) commenced operation of its Class A Containerized Waste Facility (CWF) on October 25, 2001. The opening of this facility began a new era for Envirocare, in that; their core business had always been low level, high volume, bulk radioactive waste. The CWF commenced operations to dispose of low level, low volume, high activity, containerized radioactive waste. Due to the potential for high dose rates on the waste disposal containers, the ALARA principle (As Low As Reasonably Achievable) plays an important role in the operation of the CWF and its mission to properly dispose of waste while minimizing doses to the workers, public, and the environment. This paper will enumerate some of the efforts made by the management and staff of the CWF that have contributed to significant dose reductions.

  12. Risk assessment and optimization (ALARA) analysis for the environmental remediation of Brookhaven National Laboratory`s hazardous waste management facility

    SciTech Connect

    Dionne, B.J.; Morris, S. III; Baum, J.W.

    1998-03-01

    The Department of Energy`s (DOE) Office of Environment, Safety, and Health (EH) sought examples of risk-based approaches to environmental restoration to include in their guidance for DOE nuclear facilities. Extensive measurements of radiological contamination in soil and ground water have been made at Brookhaven National Laboratory`s Hazardous Waste Management Facility (HWMF) as part of a Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) remediation process. This provided an ideal opportunity for a case study. This report provides a risk assessment and an {open_quotes}As Low as Reasonably Achievable{close_quotes} (ALARA) analysis for use at other DOE nuclear facilities as an example of a risk-based decision technique.

  13. Public health perspectives in cross-system practice: past, present and future.

    PubMed

    Bada Math, Suresh; Moirangthem, Sydney; Kumar, C Naveen

    2015-01-01

    Cross-system practice is widely prevalent in Indian settings. The recent policy decisions of the Government of India and the legalisation of cross-system practice in various states have brought this issue into the limelight once again. We aim to critically evaluate this issue from the philosophical, academic, and public health perspectives, as well as with reference to training. On the one hand, students of traditional Indian medicine are being introduced to allopathy without philosophical backing, practice based on the aetiological model and training in modern pharmacology. In addition, pharmaceutical industries are wooing AYUSH practitioners and their prescription patterns have already been "allopathised". As for the allopathic system, it is witnessing enormous scientific advances and growing increasingly complicated. The medicines are risky and also associated with many life-threatening side-effects. Meanwhile, the government is grappling with the humungous problem of ensuring health services for all. The government's intention is to expand the reach of health services by allowing cross-system practice, but the issue has much wider ramifications. The authors believe that before cross-system practice is allowed, there is a need for a comprehensive and deeper understanding of all the benefits and pitfalls of such as system. A few of these are discussed in this article. Specifically, we delve into the philosophical issues, syllabus and training, advances in medical technology, and larger public health perspectives. We end by suggesting a few steps that may help to improve public health in the country.

  14. Present Company Excepted or Accepted?: Recognizing Each Other's Faces in Educational Leadership's Scholarship and Practice

    ERIC Educational Resources Information Center

    Place, A. William; Lindle, Jane Clark

    2006-01-01

    Purpose: The persisting tension over the relative importance of theory and practice creates a crevasse between scholars and practitioners. The purpose here is to problematize divisions between cultural norms found among scholars and practitioners. Design/methodology/approach: Both authors, higher education scholars, experienced temporary…

  15. Conceptions of Educational Practices Among the Nahuas of Mexico: Past and Present.

    PubMed

    Chamoux, Marie-Noëlle

    2015-01-01

    Historical documents and recent fieldwork indicate that, since the sixteenth century, there is robust continuity in central beliefs about learning among Nahuatl families. Nahuatl documents from nearly five centuries ago and current Nahuatl adults consider guidance and teaching to be accompaniment of the learner, more than direct action, because nobody can enter the minds and personalities of others. Learning by observing and pitching in is valued: The adults can organize good conditions of apprenticeship, they can indicate the good direction and the goal, serve as examples, and protect the learner. Across centuries, Nahuatl educational practices consist of facilitating observation by copresence, early training for attentive engagement, hiding nothing, and not preventing children from trying, as well as persuading children to be responsible, to work, and to adopt a calm attitude for paying close attention.

  16. Shaping the Right to Education for Roma Children: A Case Study of Present Practices in Ghent, Belgium

    ERIC Educational Resources Information Center

    Hemelsoet, Elias

    2015-01-01

    Western European cities are increasingly confronted with Roma immigrants. Societal changes associated with this phenomenon create new challenges for schools. Using a case study, this article sheds light on present practices that shape the right to education for Roma children. Three principal success factors are distinguished: boundary-blurring…

  17. Present Practices and Background to Teaching and Learning at the Royal University of Bhutan (RUB): A Pilot Study

    ERIC Educational Resources Information Center

    Gyamtso, Deki; Maxwell, T. W.

    2012-01-01

    In Bhutan relatively few studies at the higher education level have been done and fewer still reported in international journals. This pilot study highlights the present practices and culture of teaching and learning at one of the teacher education colleges of the Royal University of Bhutan (RUB). It looks broadly across the issues of…

  18. Childhood Emotional Abuse and Neglect as Predictors of Psychological and Physical Symptoms in Women Presenting to a Primary Care Practice

    ERIC Educational Resources Information Center

    Spertus, Ilyse L.; Yehuda, Rachel; Wong, Cheryl M.; Halligan, Sarah; Seremetis, Stephanie V.

    2003-01-01

    Objective: There were two aims to this study: first to examine whether emotional abuse and neglect are significant predictors of psychological and somatic symptoms, and lifetime trauma exposure in women presenting to a primary care practice, and second to examine the strength of these relationships after controlling for the effects of other types…

  19. Symptomatic pectus excavatum in seniors: an exploratory study on clinical presentation and incidence in daily practice.

    PubMed

    Winkens, Ron A G; Guldemond, Frank I; Hoppener, Paul F H M; Kragten, Hans A; Knottnerus, J Andre

    2013-01-01

    Objectives. Doctors all over the world consider a pectus excavatum usually as an incidental finding. There is some evidence suggesting that a pectus excavatum may cause symptoms in the elderly. It is not known how often a pectus excavatum occurs and how strong the relation is with symptoms. Methods. In hospitals and general practice data, we searched for evidence of a connection between cardiac symptoms and the presence of a pectus excavatum in a retrospective survey among patients in whom a pectus excavatum was found in a chest X-ray. In radiology reports, we searched for "pectus excavat(∗) " in almost 160000 chest X-rays. The identified X-rays were reviewed by 2 radiologists. Reported symptoms were combined to a severity sum score and the relation with pectus excavatum was assessed through logistic regression. Results. Pectus excavatum was found in 1 to 2 per 1000 chest X-rays. In 32% of patients (N = 117), we found symptoms that might reflect the presence of symptomatic pectus excavatum. We found a significant relation between the SPES sum score and the radiological level of pectus excavatum. Conclusions. A pectus excavatum found when examining the patient should not be neglected and should be considered as a possible explanation for symptoms like dyspnoea, fatigue, or palpitations.

  20. Dental Erosion and Its Growing Importance in Clinical Practice: From Past to Present

    PubMed Central

    Johansson, Ann-Katrin; Omar, Ridwaan; Carlsson, Gunnar E.; Johansson, Anders

    2012-01-01

    Since the mid-1990s, the focus of studies on tooth wear has steadily shifted from the general condition towards the more specific area of dental erosion; equally, a shift has occurred from studies in adults to those in children and adolescents. During this time, understanding of the condition has increased greatly. This paper attempts to provide a critical overview of the development of this body of knowledge, from earlier perceptions to the present. It is accepted that dental erosion has a multifactorial background, in which individual and lifestyle factors have great significance. Notwithstanding methodological differences across studies, data from many countries confirm that dental erosion is common in children and young people, and that, when present, it progresses rapidly. That the condition, and its ramifications, warrants serious consideration in clinical dentistry, is clear. It is important for the oral healthcare team to be able to recognize its early signs and symptoms and to understand its pathogenesis. Preventive strategies are essential ingredients in the management of patients with dental erosion. When necessary, treatment aimed at correcting or improving its effects might best be of a minimally invasive nature. Still, there remains a need for further research to forge better understanding of the subject. PMID:22505907

  1. Full journal publication of abstracts presented at the Nordic Congress of General Practice in 2009 and 2011

    PubMed Central

    Waldorff, Frans Boch; Petersen, Kristine; Vinther, Siri; Sandholdt, Håkon; Siersma, Volkert; Andersen, John Sahl

    2017-01-01

    Objective To determine the overall publication rates for abstracts presented at two consecutive Nordic Congresses of General Practice and to evaluate determinants for these publication rates. Design Prospective study. Setting MEDLINE (PubMed) and Google Scholar were searched for relevant publications from 1 January 2009 up until 31 August 2014. Methods Abstracts accepted for oral or poster presentation were identified from the original congress booklets from the Nordic Congresses of General Practice in 2009 and 2011. Based on PubMed and Google Scholar searches, we subsequently identified full journal publications within a 36-month follow-up from both congresses. In cases of doubt, the first author was contacted directly. Main outcome measures Full journal publication within 36 months after the congress. Results A total of 200 abstracts were analyzed. Of these, 85 (42.5%) were identified with a full publication within 36 months after the congress. More abstracts from the 2011 congress were published compared to the 2009 congress odds ratio (OR) 1.97, 95% confidence interval (CI) (1.10; 3.50). Abstracts accepted for oral presentation were more often published OR 1.94, 95% CI (1.08; 3.50) than accepted poster abstracts. In the multivariate analysis, a university affiliation for both first and last author increased the probability for publication OR 4.23, 95% CI (1.71; 10.42), as well as more than two authors. An optimal number, based on the highest OR, seems to be 3–4 authors with OR 2.43, 95% CI (1.07; 5.54). Qualitative studies were published at the same frequency as quantitative studies OR 1.36, 95% CI (0.57; 3.24). Conclusion Less than half of the abstracts accepted for oral or poster presentation at two consecutive Nordic Congresses of General Practice were published as full text articles within 36 months. Key points Congress abstracts accepted for Nordic Congress of General Practice are not indexed in international search databases. Less than half of the

  2. Study of infectious intestinal disease in England: rates in the community, presenting to general practice, and reported to national surveillance

    PubMed Central

    Wheeler, Jeremy G; Sethi, Dinesh; Cowden, John M; Wall, Patrick G; Rodrigues, Laura C; Tompkins, David S; Hudson, Michael J; Roderick, Paul J

    1999-01-01

    Objective To establish the incidence and aetiology of infectious intestinal disease in the community and presenting to general practitioners. Comparison with incidence and aetiology of cases reaching national laboratory based surveillance. Design Population based community cohort incidence study, general practice based incidence studies, and case linkage to national laboratory surveillance. Setting 70 general practices throughout England. Participants 459 975 patients served by the practices. Community surveillance of 9776 randomly selected patients. Main outcome measures Incidence of infectious intestinal disease in community and reported to general practice. Results 781 cases were identified in the community cohort, giving an incidence of 19.4/100 person years (95% confidence interval 18.1 to 20.8). 8770 cases presented to general practice (3.3/100 person years (2.94 to 3.75)). One case was reported to national surveillance for every 1.4 laboratory identifications, 6.2 stools sent for laboratory investigation, 23 cases presenting to general practice, and 136 community cases. The ratio of cases in the community to cases reaching national surveillance was lower for bacterial pathogens (salmonella 3.2:1, campylobacter 7.6:1) than for viruses (rotavirus 35:1, small round structured viruses 1562:1). There were many cases for which no organism was identified. Conclusions Infectious intestinal disease occurs in 1 in 5 people each year, of whom 1 in 6 presents to a general practitioner. The proportion of cases not recorded by national laboratory surveillance is large and varies widely by microorganism. Ways of supplementing the national laboratory surveillance system for infectious intestinal diseases should be considered. Key messagesInfectious intestinal disease is common, with 9.4 million estimated cases each year in EnglandIn 1.5 million cases (1 in 6) patients present to their general practitionerOnly a fraction of these cases are reported to national laboratory

  3. Recommended Radiation Protection Practices for Low-Level Waste Disposal Sites

    SciTech Connect

    Hadlock, D. E.; Hooker, C. D.; Herrington, W. N.; Gilchrist, R. L.

    1983-12-01

    The United States Nuclear Regulatory Commission contracted with Pacific Northwest Laboratory (PNL) to provide technical assistance in estsblishing operational guidelines, with respect to radiation control programs and methods of minimizing occupational radiation exposure, at Low-Level Waste (LLW) dis- posal sites. The PNL, through site visits, evaluated operations at LLW dis- posal sites to determine the adequacy of current practices in maintaining occupational exposures as low as is reasonably achievable (ALARA). The data sought included the specifics of: ALARA programs, training programs, external exposure control , internal exposure control , respiratory protection, survei 1 - lance, radioactive waste management, facilities and equipment, and external dose analysis. The results of the study indicated the following: The Radiation Protection and ALARA programs at the three commercial LLW disposal sites were observed to be adequate in scope and content compared to similar programs at other types of nuclear facilities. However, it should be noted that there were many areas that could be improved upon to help ensure the health and safety of the occupa- tionally exposed individuals. As a result, radiation protection practices were recommended with related rationales in order to reduce occupational exposures as far below specified radiation limits as is reasonably achievable. In addition, recommendations were developed for achieving occupational exposure ALARA under the Regulatory Requirements issued in 10 CFR Part 61.

  4. Non-practice of breast self examination and marital status are associated with delayed presentation with breast cancer.

    PubMed

    Ghazali, Sumarni Mohd; Othman, Zabedah; Cheong, Kee Chee; Hock, Lim Kuang; Wan Mahiyuddin, Wan Rozita; Kamaluddin, Muhammad Amir; Yusoff, Ahmad Faudzi; Mustafa, Amal Nasir

    2013-01-01

    Delay in seeking treatment for breast cancer is a barrier to the early diagnosis and management of the disease, resulting in a poorer prognosis. We here estimated the prevalence of delayed presentation for breast cancer and identified possible influential sociodemographic factors in a cross-sectional study of 250 patients diagnosed with primary breast cancer at the Radiotherapy and Oncology Clinic in Kuala Lumpur Hospital. Data were collected by face-to-face interview using a structured questionnaire and from medical records. We examined associations between delayed presentation (presenting to a physician more than 3 months after self-discovery of a symptom) and sociodemographic characteristics, practice of breast self examination (BSE), history of benign breast disease, family history of breast cancer and type of symptom, symptom disclosure and advice from others to seek treatment using multiple logistic regression. Time from self-discovery of symptom to presentation ranged from tghe same day to 5 years. Prevalence of delayed presentation was 33.1% (95%CI: 27.4, 39.3). A significantly higher proportion of delayers presented with late stages (stage III/IV) (58.3% vs. 26.9%, p<0.001). Divorced or widowed women (OR: 2.23, 95% CI: 1.11, 4.47) had a higher risk of delayed presentation than married women and women who never performed breast self examination were more likely to delay presentation compared to those who regularly performed BSE (OR: 2.74, 95% CI: 1.33, 5.64). Our findings indicate that delayed presentation for breast cancer symptoms among Malaysian women is high and that marital status and breast self examination play major roles in treatment-seeking for breast cancer symptoms.

  5. Factors affecting urine specific gravity in apparently healthy cats presenting to first opinion practice for routine evaluation.

    PubMed

    Rishniw, Mark; Bicalho, Rodrigo

    2015-04-01

    Evidence suggests that apparently healthy cats presenting for routine evaluation should have a randomly sampled urine specific gravity (USG) >1.035. A USG <1.035 might reflect inappropriate concentrating ability warranting further investigation. We measured the USG of 1040 apparently healthy cats presenting to first opinion practice in an observational study, using either in-clinic refractometers or measurements provided by reference laboratories, and examined factors that might affect USG. In-clinic refractometers were calibrated using distilled water (specific gravity = 1.000). The USG was >1.030 in 91% of cats and >1.035 in 88% of cats; 121 adult cats (⩾6 months old) and five young cats (<6 months old) had USGs of <1.035. Of these 126 cats, a pathological cause was identified in 27 adult cats - of these, 26 were >9 years old - but no young cats. No cause was identified in 43 adult cats, and further investigation was not pursued in 51 adult cats. Factors that affected USG included age, diet type, sex, fasting status, drinking avidity, refractometer type, and the interaction between sex and diet - increasing dietary moisture content lowered USG only in female cats. Most factors minimally affected USG. The odds of having a USG <1.035 without apparent pathology included age and dietary moisture content. Drinking avidity decreased with increasing dietary moisture content. Our results show that most apparently healthy cats presenting to first-opinion practice should have a USG >1.035. Dietary management strategies to lower USG might be less effective than anticipated, and warrant monitoring of USG to determine efficacy. Older cats with USG <1.035 are more likely to have pathological causes identified, although clinicians are more likely to examine these cats for possible pathology. A lack of stringent refractometer calibration could have caused some errors in estimates of USG by some observers, but would be unlikely to alter markedly the findings.

  6. Neutron field measurements for alara purposes around a Van de Graaff accelerator building.

    PubMed

    Kockerols, P; Lebacq, A L; Gasparro, J; Hult, M; Janssens, H; Lövestam, G; Vanhavere, F

    2004-01-01

    The Institute for Reference Materials and Measurements operates a 7.0 MV Van de Graaff accelerator to generate monoenergetic neutron radiation for experimental applications. Owing to increased intensities of generated neutron fields and the more stringent regulation related to the maximum dose for the public, a concrete shielding wall surrounding the experimental building was constructed. This paper presents a study aiming at evaluating the effect of the shielding on the neutron field outside the wall. For this purpose, the following measurements were carried out around the building: (1) cartography of the neutron field for different experimental conditions; (2) measurement of neutron spectra using multiple Bonner spheres; (3) activation measurements using gold discs followed by low-level gamma spectrometry. From the measurements, it can be concluded that the wall fulfils its purpose to reduce the neutron dose rate to the surrounding area to an acceptable level.

  7. Developing clinical practice guidelines: types of evidence and outcomes; values and economics, synthesis, grading, and presentation and deriving recommendations

    PubMed Central

    2012-01-01

    Clinical practice guidelines are one of the foundations of efforts to improve healthcare. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearinghouses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this second paper, we discuss issues of identifying and synthesizing evidence: deciding what type of evidence and outcomes to include in guidelines; integrating values into a guideline; incorporating economic considerations; synthesis, grading, and presentation of evidence; and moving from evidence to recommendations. PMID:22762158

  8. Developing clinical practice guidelines: types of evidence and outcomes; values and economics, synthesis, grading, and presentation and deriving recommendations.

    PubMed

    Woolf, Steven; Schünemann, Holger J; Eccles, Martin P; Grimshaw, Jeremy M; Shekelle, Paul

    2012-07-04

    Clinical practice guidelines are one of the foundations of efforts to improve healthcare. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearinghouses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this second paper, we discuss issues of identifying and synthesizing evidence: deciding what type of evidence and outcomes to include in guidelines; integrating values into a guideline; incorporating economic considerations; synthesis, grading, and presentation of evidence; and moving from evidence to recommendations.

  9. Promoting Early Presentation of Breast Cancer in Older Women: Implementing an Evidence-Based Intervention in Routine Clinical Practice

    PubMed Central

    Forbes, Lindsay J. L.; Forster, Alice S.; Dodd, Rachael H.; Tucker, Lorraine; Laming, Rachel; Sellars, Sarah; Patnick, Julietta; Ramirez, Amanda J.

    2012-01-01

    Background. Women over 70 with breast cancer have poorer one-year survival and present at a more advanced stage than younger women. Promoting early symptomatic presentation in older women may reduce stage cost effectively and is unlikely to lead to overdiagnosis. After examining efficacy in a randomised controlled trial, we piloted a brief health professional-delivered intervention to equip women to present promptly with breast symptoms, as an integral part of the final invited mammogram at age ~70, in the English National Health Service Breast Screening Programme. Methods. We trained mammographers, who then offered the intervention to older women in four breast screening services. We examined breast cancer awareness at baseline and one month in women receiving the intervention, and also in a service where the intervention was not offered. Results. We trained 27 mammographers to deliver the intervention confidently to a high standard. Breast cancer awareness increased 7-fold at one month in women receiving the intervention compared with 2-fold in the comparison service (odds ratio 15.2, 95% confidence interval 10.0 to 23.2). Conclusions. The PEP Intervention can be implemented in routine clinical practice with a potency similar to that achieved in a randomised controlled trial. It has the potential to reduce delay in diagnosis for breast cancer in older women. PMID:23213334

  10. Knowledge, Judgement and the Curriculum: On the Past, Present and Future of the Idea of the Practical

    ERIC Educational Resources Information Center

    Biesta, Gert

    2013-01-01

    In 1970, Joseph Schwab published the first of four papers that argued for a turn to the idea of the Practical in curriculum research and practice. In this paper, I revisit Schwab's original paper and explore the extent to which his case for the Practical is still relevant today. I first look at the past of the deliberative tradition in which…

  11. ALARA notes, Number 8

    SciTech Connect

    Khan, T.A.; Baum, J.W.; Beckman, M.C.

    1993-10-01

    This document contains information dealing with the lessons learned from the experience of nuclear plants. In this issue the authors tried to avoid the `tyranny` of numbers and concentrated on the main lessons learned. Topics include: filtration devices for air pollution abatement, crack repair and inspection, and remote handling equipment.

  12. Patients presenting with somatic complaints in general practice: depression, anxiety and somatoform disorders are frequent and associated with psychosocial stressors

    PubMed Central

    2010-01-01

    Background Mental disorders in primary care patients are frequently associated with physical complaints that can mask the disorder. There is insufficient knowledge concerning the role of anxiety, depression, and somatoform disorders in patients presenting with physical symptoms. Our primary objective was to determine the prevalence of depression, anxiety, and somatoform disorders among primary care patients with a physical complaint. We also investigated the relationship between cumulated psychosocial stressors and mental disorders. Methods We conducted a multicentre cross-sectional study in twenty-one private practices and in one academic primary care centre in Western Switzerland. Randomly selected patients presenting with a spontaneous physical complaint were asked to complete the self-administered Patient Health Questionnaire (PHQ) between November 2004 and July 2005. The validated French version of the PHQ allowed the diagnosis of mental disorders (DSM-IV criteria) and the analyses of exposure to psychosocial stressors. Results There were 917 patients exhibiting at least one physical symptom included. The rate of depression, anxiety, and somatoform disorders was 20.0% (95% confidence interval [CI] = 17.4% to 22.7%), 15.5% (95% CI = 13.2% to 18.0%), and 15.1% (95% CI = 12.8% to 17.5%), respectively. Psychosocial stressors were significantly associated with mental disorders. Patients with an accumulation of psychosocial stressors were more likely to present anxiety, depression, or somatoform disorders, with an increase of 2.2 fold (95% CI = 2.0 to 2.5) for each additional stressor. Conclusions The investigation of mental disorders and psychosocial stressors among patients with physical complaints is relevant in primary care. Psychosocial stressors should be explored as potential epidemiological causes of mental disorders. PMID:20843358

  13. Presenting a practical model for governmental political mapping on road traffic injuries in Iran in 2008: a qualitative study

    PubMed Central

    Ainy, E; Soori, Hamid; Mahfozphoor, S; Movahedinejad, AA

    2011-01-01

    Objectives This study was conducted to assess political mapping in relation to road traffic injuries (RTIs) management and prevention to present a practical model for RTIs. Design A phenomenological qualitative study was developed to identify stakeholders on RTI in Iran in 2008. Setting The designed questions were discussed by systematic discussion with the relevant specialists. After receiving written consent from the main responsible stakeholders, the questionnaire was filled in by trained experts. Themes were determined and content was analysed in each part. Participants Main responsible stakeholders. Main outcome measures By comparing other countries' political mappings which were found in the library and by Internet searching, political mapping of RTI in Iran was suggested. Results Subjects were 26 experts from governmental and non-governmental organizations. The main proposed leading agencies were traffic police and presidency (13% each). Findings showed that only 31% of our political mapping was formed according to the World Health Organization (WHO). In 94% of cases, the involved organizations had unspecified roles; the reason was poor monitoring for RTI in 39% of organizations. Lack of adequate authority and suitable legislation, appropriate laws and tasks definition were 94% and 18%, respectively. The most essential policy to overcome problems was defined as appropriate legislation (21%), and the most frequent type of support needed was mentioned as adequate budgeting (25%). Conclusion Traffic police can play the leading agency role by government support, with strong leadership, appropriate legislation, defined tasks and adequate budget. PMID:22046498

  14. Health physics manual of good practices for accelerator facilities

    SciTech Connect

    Casey, W.R.; Miller, A.J.; McCaslin, J.B.; Coulson, L.V.

    1988-04-01

    It is hoped that this manual will serve both as a teaching aid as well as a useful adjunct for program development. In the context of application, this manual addresses good practices that should be observed by management, staff, and designers since the achievement of a good radiation program indeed involves a combined effort. Ultimately, radiation safety and good work practices become the personal responsibility of the individual. The practices presented in this manual are not to be construed as mandatory rather they are to be used as appropriate for the specific case in the interest of radiation safety. As experience is accrued and new data obtained in the application of this document, ONS will update the guidance to assure that at any given time the guidance reflects optimum performance consistent with current technology and practice.The intent of this guide therefore is to: define common health physics problems at accelerators; recommend suitable methods of identifying, evaluating, and managing accelerator health physics problems; set out the established safety practices at DOE accelerators that have been arrived at by consensus and, where consensus has not yet been reached, give examples of safe practices; introduce the technical literature in the accelerator health physics field; and supplement the regulatory documents listed in Appendix D. Many accelerator health physics problems are no different than those at other kinds of facilities, e.g., ALARA philosophy, instrument calibration, etc. These problems are touched on very lightly or not at all. Similarly, this document does not cover other hazards such as electrical shock, toxic materials, etc. This does not in any way imply that these problems are not serious. 160 refs.

  15. Pharmacy Education Reaction to Presentations on Bridging the Gap Between the Basic Sciences and Clinical Practice: Teaching, Research, and Service.

    ERIC Educational Resources Information Center

    Doluisio, James T.

    1980-01-01

    Issues in the conflict between clinical practice and basic research in pharmacy are reviewed: professional associations' role, curriculum needs and traditions, internal strains and diversity in the profession, computer use, scholarly work of faculty, using the medical profession as a model, and misperceptions of what clinical and basic sciences…

  16. The Idea of Calling Presented in Light of High-Impact Practices in a General Education Course and Beyond

    ERIC Educational Resources Information Center

    Bechtold, John I.

    2017-01-01

    This article describes a course taught at a U.S. Christian college located in Pennsylvania that uses "high impact practices," as described by Kuh and O'Donnell (2013), to educate students about calling. The course, titled "Created and Called for Community," is required for all incoming first-year students in their second…

  17. School Psychology Research and Practice in East Asia: Perspectives on the Past, Present, and Future Directions of the Field

    ERIC Educational Resources Information Center

    Brown, Jacqueline A.; Watanabe, Yayoi; Lee, Dong Hun; McIntosh, Kent

    2016-01-01

    To engage in a comparison of school psychology research and practice in eastern and western countries, the current study sought to identify key themes that have influenced the field of school psychology in East Asian countries. Forty-six leading school psychology professionals in Japan, Hong Kong, South Korea, Thailand, and Taiwan provided their…

  18. Accountability Practices in the History of Danish Primary Public Education from the 1660s to the Present

    ERIC Educational Resources Information Center

    Ydesen, Christian; Andreasen, Karen E.

    2014-01-01

    This paper focuses on primary education accountability as a concept and as an organizational practice in the history of Danish public education. Contemporary studies of education policy often address questions of accountability, but the manifestations of school accountability differ significantly between different national settings. Furthermore,…

  19. A practical profile of integrated safety assessment of near-surface disposal of radwaste at PINSTECH.

    PubMed

    Jan, F; Ahmad, S S; Hasany, S M; Aslam, M

    2007-06-01

    Near-surface or shallow land disposal of radioactive waste has been the primary practice at the Pakistan Institute of Nuclear Science and Technology (PINSTECH). The adopted choice of this mode of disposal has been based on a study of the site and the quality and quantity of waste generated at the 5 MW reactor with HEU fuel. Specific measures regarding the radiation safety of the workers and environmental protection have been adopted. The waste disposal operations are conducted to meet local regulatory requirements, IAEA recommendations and internationally endorsed principles such as ALARA (as low as reasonably achievable - economic, social and other relevant factors being considered). The data obtained through the years of operational and management experience have manifested the robustness of the disposal system and reliability of the disposal criterion, and have also served to further refine the latter. Consequently, confidence in the current shallow-land-burial practices has increased. Radiological safety of these practices has been assessed by addressing different aspects of the safety and disposal system. These parameters, as indices of a non-exclusive and operational safety model, are presented.

  20. The Differential Impact of Observational Learning and Practice-Based Learning on the Development of Oral Presentation Skills in Higher Education

    ERIC Educational Resources Information Center

    De Grez, Luc; Valcke, Martin; Roozen, Irene

    2014-01-01

    The present study focuses on the design and evaluation of an innovative instructional approach to developing oral presentation skills. The intervention builds on the observational learning theoretical perspective. This perspective is contrasted with the traditional training and practice approach. Two sequencing approaches--learners starting with…

  1. Practical guidance for the use of a pattern-matching technique in case-study research: a case presentation.

    PubMed

    Almutairi, Adel F; Gardner, Glenn E; McCarthy, Alexandra

    2014-06-01

    This paper reports on a study that demonstrates how to apply pattern matching as an analytical method in case-study research. Case-study design is appropriate for the investigation of highly-contextualized phenomena that occur within the social world. Case-study design is considered a pragmatic approach that permits employment of multiple methods and data sources in order to attain a rich understanding of the phenomenon under investigation. The findings from such multiple methods can be reconciled in case-study analysis, specifically through a pattern-matching technique. Although this technique is theoretically explained in the literature, there is scant guidance on how to apply the method practically when analyzing data. This paper demonstrates the steps taken during pattern matching in a completed case-study project that investigated the influence of cultural diversity in a multicultural nursing workforce on the quality and safety of patient care. The example highlighted in this paper contributes to the practical understanding of the pattern-matching process, and can also make a substantial contribution to case-study methods.

  2. Detection and Management of Diabetes during Pregnancy in Low Resource Settings: Insights into Past and Present Clinical Practices

    PubMed Central

    Delamou, Alexandre; Belaid, Loubna; De Brouwere, Vincent

    2016-01-01

    Background. Timely and adequate treatment is important to limit complications of diabetes affecting pregnancy, but there is a lack of knowledge on how these women are managed in low resource settings. Objective. To identify modalities of gestational diabetes detection and management in low and lower middle income countries. Methods. We conducted a scoping review of published literature and searched the databases PubMed, Web of Science, Embase, and African Index Medicus. We included all articles published until April 24, 2016, containing information on clinical practices of detection and management of gestational diabetes irrespective of publication date or language. Results. We identified 23 articles mainly from Asia and sub-Saharan Africa. The majority of studies were conducted in large tertiary care centers and hospital admission was reported in a third of publications. Ambulatory follow-up was generally done by weekly to fortnightly visits, whereas self-monitoring of blood glucose was not the norm. The cesarean section rate for pregnancies affected by diabetes ranged between 20% and 89%. Referral of newborns to special care units was common. Conclusion. The variety of reported provider practices underlines the importance of promoting latest consensus guidelines on GDM screening and management and the dissemination of information regarding their implementation. PMID:27803934

  3. Perceptions of Interns and General Medicine Examiners Regarding Cardiovascular Case Presentation in Practical Exams of General Medicine in Final MBBS Summative Examinations

    PubMed Central

    Nimbal, Naren; Rekha, M C; Patil, Giridhar; Padaki, Samata; Dambal, Amrut; Pise, Gajanan; Kalsad, S T

    2015-01-01

    Introduction Assessment of cardiovascular cases in practical exit exam is limited to simple history taking and physical examination. Standards of assessment are not uniform. This makes assessment less valid and reliable. Aim To explore the perceptions of Internees and General Medicine Examiners about current practices in Cardio Vascular system (CVS) case presentation in final MBBS exit exams and the necessity to change some of the practices. Materials and Methods A set questions pertaining to the preparation for exams, validity, reliability, feasibility and educational impact were prepared to guide in obtaining the perceptions of internees and internal medicine examiners. Focus group discussions were conducted. Data Analysis was done by immersion-crystallization process. Results Most of the internees admitted to feeling concerned because of difficulty in diagnosing murmurs by auscultation. Most of the examiners felt concerned about the logistics involved in arranging practical exams. Both admitted to the lack of uniform standards in assessment. Both agreed that the present system thrived as it was relatively feasible. Some internees suggested that the exam may be conducted in two parts by splitting the syllabus instead of once. Some internees suggested incorporating a student-doctor program to improve practical skills just like the on-going student nurse program. Conclusion There is a need for overhauling the assessment of cardiovascular system in final MBBS summative exams towards one aligned to the competencies as required in an Indian Medical Graduate. Blueprinting of practical assessment with due weightage assigned to epidemiologically important topics is the need of the hour. PMID:26816933

  4. Correcting non cephalic presentation with moxibustion: study protocol for a multi-centre randomised controlled trial in general practice

    PubMed Central

    Vas, Jorge; Aranda, José Manuel; Barón, Mercedes; Perea-Milla, Emilio; Méndez, Camila; Ramírez, Carmen; Aguilar, Inmaculada; Modesto, Manuela; Lara, Ana María; Martos, Francisco; García-Ruiz, Antonio J

    2008-01-01

    Background Non cephalic presentation in childbirth involves various risks to both the mother and the foetus. The incidence in Spain is 3.8% of all full-term pregnancies. The most common technique used to end the gestation in cases of non cephalic presentation is that of caesarian section, and although it provokes a lower rate of morbi-mortality than does vaginal delivery in such situations, there remains the possibility of traumatic injury to the foetal head and neck, while maternal morbidity is also increased. The application of heat (moxibustion) to an acupuncture point, in order to correct non cephalic presentation, has been practised in China since ancient times, but as yet there is insufficient evidence of its real effectiveness. Methods/Design The experimental design consists of a multi-centre randomised controlled trial with three parallel arms, used to compare real moxibustion, sham moxibustion and the natural course of events, among pregnant women with a non cephalic presentation and a gestational duration of 33–35 weeks (estimated by echography). The participants in the trial will be blinded to both interventions. The results obtained will be analyzed by professionals, blinded with respect to the allocation to the different types of intervention. In addition, we intend to carry out a economic analysis. Discussion This trial will contribute to the development of evidence concerning moxibustion in the correction of non cephalic presentations. The primary outcome variable is the proportion of cephalic presentations at term. As secondary outcomes, we will evaluate the proportion of cephalic presentations at week 38 of gestation, determined by echography, together with the safety of the technique, the specificity of moxibustion and the control of the blinding process. This study has been funded by the Health Ministry of the Andalusian Regional Government. Trial registration Current Controlled Trials ISRCTN10634508. PMID:18495031

  5. Seeking balance between the past and the present: Vietnamese refugee parenting practices and adolescent well-being

    PubMed Central

    Hauff, Edvard; Allen, James; Middelthon, Anne-Lise

    2012-01-01

    This qualitative study examines the resources that Vietnamese refugee parents use in raising their adolescent youth in exile and how they, and their adolescents, regard their experiences of different parenting styles. The study is based on 55 semi-structured interviews and several focus groups performed with a small sample of Vietnamese refugee parents and their adolescent children. Three main themes from the interviews were identified: the role of the extended family and siblings in bringing up children; language acquisition and cultural continuity and, finally, religion and social support. Our findings suggest extended kin are involved in the raising of adolescent children, providing additional family ties and support. Parents regarded Vietnamese language acquisition by their youth as facilitating both communication with extended kin and cultural transmission. Several parents stressed the importance of religious community to socialising and creating a sense of belonging for their youth. Vietnamese refugee parents seek a balance between Vietnamese values and their close extended family social networks, and the opportunities in Norway to develop autonomy in pursuit of educational and economic goals. Together these parenting practices constituted a mobilization of resources in support of their youth. These findings may have important implications for future research on resiliency and the role of these strategies as protective factors mediating mental health outcomes. They may also have implications for treatment, in terms of the types of resources treatment can access and for prevention strategies that maximize key cultural resources for Vietnamese refugee youth. PMID:22711948

  6. Perspectives on Past and Present Waste Disposal Practices: A Community-Based Participatory Research Project in Three Saskatchewan First Nations Communities

    PubMed Central

    Zagozewski, Rebecca; Judd-Henrey, Ian; Nilson, Suzie; Bharadwaj, Lalita

    2011-01-01

    The impact of current and historical waste disposal practices on the environment and human health of Indigenous people in First Nations communities has yet to be adequately addressed. Solid waste disposal has been identified as a major environmental threat to First Nations Communities. A community-based participatory research project (CBPR) was initiated by the Saskatoon Tribal Council Health and Family Services Incorporated to investigate concerns related to waste disposal in three Saskatchewan First Nations Communities. Utilizing a qualitative approach, we aimed to gain an understanding of past and present waste disposal practices and to identify any human and environmental health concerns related to these practices. One to one interviews and sharing circles were conducted with Elders. Elders were asked to share their perspectives on past and present waste disposal practices and to comment on the possible impacts these practices may have on the environment and community health. Historically waste disposal practices were similar among communities. The homeowner generated small volumes of waste, was exclusively responsible for disposal and utilized a backyard pit. Overtime waste disposal evolved to weekly pick-up of un-segregated garbage with waste disposal and open trash burning in a community dump site. Dump site locations and open trash burning were identified as significant health issues related to waste disposal practices in these communities. This research raises issues of inequity in the management of waste in First Nations Communities. It highlights the need for long-term sustainable funding to support community-based waste disposal and management strategies and the development of First Nations centered and delivered educational programs to encourage the adoption and implementation of waste reduction, reutilization and recycling activities in these communities. PMID:21573032

  7. Intervention-Driven Assessment Practices in Early Childhood/Early Intervention: Measuring What Is Possible Rather than What Is Present

    ERIC Educational Resources Information Center

    VanDerHeyden, Amanda M.

    2005-01-01

    Comments on an article by Marisa G. Macy, Diane D. Bricker, and Jane K. Squires. This commentary presents a distinction between curriculum-based assessment (CBA) and curriculum-based measurement (CBM). CBA has been linked to a mastery measurement model whereas; CBM has been linked to a general outcome measurement model. The primary difference…

  8. Evaluating mediation and moderation effects in school psychology: a presentation of methods and review of current practice.

    PubMed

    Fairchild, Amanda J; McQuillin, Samuel D

    2010-02-01

    Third variable effects elucidate the relation between two other variables, and can describe why they are related or under what conditions they are related. This article demonstrates methods to analyze two third-variable effects: moderation and mediation. The utility of examining moderation and mediation effects in school psychology is described and current use of the analyses in applied school psychology research is reviewed and evaluated. Proper statistical methods to test the effects are presented, and different effect size measures for the models are provided. Extensions of the basic moderator and mediator models are also described.

  9. Eugenic sterilization: a discussion of certain legal, medical, and moral aspects of present practices in our public mental institutions.

    PubMed

    Birnbaum, M

    1961-03-18

    Eugenic sterilization is defined as sterilization of a person who is either mentally ill or mentally defective and will either severely handicap any future offspring through heredity or is unable to properly care for a child. When an institutionalized mentally disordered person of reproductive age reaches a stage when he is able to return to the community, 3 possibilities arise: 1) eugenic surgical sterilization; 2) eugenic institutional sterilization, where the patient is effectively sterilized by being kept in the institution; and 3) discharge without eugenic sterilization. 3 cases of patients discharged without sterilization are presented. A review of the law of eugenic surgical sterilization reveals that 22 states have laws that permit compulsory eugenic sterilization without patient consent. Even though a state does not specifically authorize eugenic sterilization, it does not mean that such a procedure cannot be done legally. However, fewer and fewer eugenic sterilizations are being performed. Decisions relating to sterilization more often are made by medical men than by judges. Medically, the Committee of the American Neurological Association for the Investigation of Eugenical Sterilization, in a report made 25 years ago, condemned on both medical and philosophical grounds widespread eugenic surgical sterilizations except in certain cases. Morally, the author believes that patients and physicians are incapable of acting as moral beings in dealing with the question of eugenic sterilization because of 1) lack of proper facilities to allow freedom of choice, and 2) lack of knowledge of available relevant facts. With respect to the 3 alternatives for dealing with mental patients who are capable of reproducing, the author asks: Is it morally just to sterilize a person without first offering adequate treatment, rehabilitation, and follow-up that a well-equipped institution could offer? Is it just to incarcerate a patient without offering the personnel and

  10. Maintaining radiation exposures as low as reasonably achievable (ALARA) for dental personnel operating portable hand-held x-ray equipment.

    PubMed

    McGiff, Thomas J; Danforth, Robert A; Herschaft, Edward E

    2012-08-01

    Clinical experience indicates that newly available portable hand-held x-ray units provide advantages compared to traditional fixed properly installed and operated x-ray units in dental radiography. However, concern that hand-held x-ray units produce higher operator doses than fixed x-ray units has caused regulatory agencies to mandate requirements for use of hand-held units that go beyond those recommended by the manufacturer and can discourage the use of this technology. To assess the need for additional requirements, a hand-held x-ray unit and a pair of manikins were used to measure the dose to a simulated operator under two conditions: exposures made according to the manufacturer's recommendations and exposures made according to manufacturer's recommendation except for the removal of the x-ray unit's protective backscatter shield. Dose to the simulated operator was determined using an array of personal dosimeters and a pair of pressurized ion chambers. The results indicate that the dose to an operator of this equipment will be less than 0.6 mSv y⁻¹ if the device is used according to the manufacturer's recommendations. This suggests that doses to properly trained operators of well-designed, hand-held dental x-ray units will be below 1.0 mSv y⁻¹ (2% of the annual occupational dose limit) even if additional no additional operational requirements are established by regulatory agencies. This level of annual dose is similar to those reported as typical dental personnel using fixed x-ray units and appears to satisfy the ALARA principal for this class of occupational exposures.

  11. Novel real-time 3D radiological mapping solution for ALARA maximization, D and D assessments and radiological management

    SciTech Connect

    Dubart, Philippe; Hautot, Felix; Morichi, Massimo; Abou-Khalil, Roger

    2015-07-01

    Good management of dismantling and decontamination (D and D) operations and activities is requiring safety, time saving and perfect radiological knowledge of the contaminated environment as well as optimization for personnel dose and minimization of waste volume. In the same time, Fukushima accident has imposed a stretch to the nuclear measurement operational approach requiring in such emergency situation: fast deployment and intervention, quick analysis and fast scenario definition. AREVA, as return of experience from his activities carried out at Fukushima and D and D sites has developed a novel multi-sensor solution as part of his D and D research, approach and method, a system with real-time 3D photo-realistic spatial radiation distribution cartography of contaminated premises. The system may be hand-held or mounted on a mobile device (robot, drone, e.g). In this paper, we will present our current development based on a SLAM technology (Simultaneous Localization And Mapping) and integrated sensors and detectors allowing simultaneous topographic and radiological (dose rate and/or spectroscopy) data acquisitions. This enabling technology permits 3D gamma activity cartography in real-time. (authors)

  12. [The shutdown point and the output volume limit (OVL) in the present situation of healthcare in Hungary (or a little economics for practicing physicians)].

    PubMed

    Gresz, Miklós

    2008-09-07

    In the present situation of health care, financing has become so complicated that the treating doctor has to know not only his profession but also has to consider the different regulations, laws and book of rules. The work of the physician cannot be carried out only through the fact that he is a master of his art, that is healing. All healing practice, diagnostic abilities, intuition, empathy and other things are in vain: if he is not familiar with the basics of financing he can lead his institution to insolvency. This article tries to give a view of a small part of financing, the output volume limit (OVL) from another aspect. According to the basics of economy and general rules of leadership it tries to show up the practical difficulties of the output volume limit. The study enlightens that by defining the output volume limit one has to consider the shutdown point of the hospital and knowing this, the actual output volume limit should be defined in the way that it does not make the proper activity of the hospital completely impossible.

  13. Health physics manual of good practices for tritium facilities

    SciTech Connect

    Blauvelt, R.K.; Deaton, M.R.; Gill, J.T.

    1991-12-01

    The purpose of this document is to provide written guidance defining the generally accepted good practices in use at Department of Energy (DOE) tritium facilities. A {open_quotes}good practice{close_quotes} is an action, policy, or procedure that enhances the radiation protection program at a DOE site. The information selected for inclusion in this document should help readers achieve an understanding of the key radiation protection issues at tritium facilities and provide guidance as to what characterizes excellence from a radiation protection point of view. The ALARA (As Low as Reasonable Achievable) program at DOE sites should be based, in part, on following the good practices that apply to their operations.

  14. Thoracic outlet syndromes in sport: a practical review in the face of limited evidence--unusual pain presentation in an athlete.

    PubMed

    Twaij, H; Rolls, A; Sinisi, M; Weiler, R

    2013-11-01

    Despite thoracic outlet syndrome (TOS) being first described early in the 19th century, the subsequent literature seems limited, focusing on case reports and investigations providing little assistance in the management of equivocal presentations. Best practice clinical management, with little evidence base, poses great challenges for clinicians in deciding how to manage TOS, when to operate and which procedure should be undertaken. Furthermore, the implications of TOS and its surgical effects are poorly documented, with little evidence in the literature as to the impact of surgical intervention on athletes and their physiology or function. This paper describes a clinical example of TOS highlighting salient issues and examining the evidence to guide clinical management at each stage, in the case of a 26-year-old professional football player who suffered an acute onset of unilateral right shoulder to bicep pain associated with tingling in the hand. Clinicians managing similar cases in the future will have a reference point to assist their diagnosis, management and promote much needed research to further our understanding of this difficult syndrome.

  15. Presentation of respiratory symptoms prior to diagnosis in general practice: a case–control study examining free text and morbidity codes

    PubMed Central

    Hayward, Richard A; Chen, Ying; Croft, Peter; Jordan, Kelvin P

    2015-01-01

    Objective General practitioners can record patients’ presenting symptoms by using a code or free text. We compared breathlessness and wheeze symptom codes and free text recorded prior to diagnosis of ischaemic heart disease (IHD), chronic obstructive pulmonary disease (COPD) and asthma. Design A case–control study. Setting 11 general practices in North Staffordshire, UK, contributing to the Consultations in Primary Care Archive consultation database. Participants Cases with an incident diagnosis of IHD, COPD or asthma in 2010 were matched to controls (four per case) with no such diagnosis. All prior consultations with codes for breathlessness or wheeze symptoms between 2004 and 2010 were identified. Free text of cases and controls were also searched for mention of these symptoms. Results 592 cases were identified, 194 (33%) with IHD, 182 (31%) with COPD and 216 (37%) with asthma. 148 (25%) cases and 125 (5%) controls had a prior coded consultation for breathlessness. Prevalence of a prior coded symptom of breathlessness or wheeze was 30% in cases, 6% in controls. Median time from first coded symptom to diagnosis among cases was 57 weeks. After adding symptoms recorded in text, prevalence rose to 62% in cases and 25% in controls. Median time from first recorded symptom increased to 144 weeks. The associations between diagnosis of cases and prior symptom codes was strong IHD relative risk ratio (RRR) 3.21 (2.15 to 4.79); COPD RRR 9.56 (6.74 to 13.60); asthma RRR 10.30 (7.17 to 14.90). Conclusions There is an association between IHD, COPD and asthma diagnosis and earlier consultation for respiratory symptoms. Symptoms are often noted in free text by GPs long before they are coded. Free text searching may aid investigation of early presentation of long-term conditions using GP databases, and may be an important direction for future research. PMID:26070795

  16. Control Points in School Business Management, Presenting General Observations, Specific Control Points, and a Series of Checkpoints for the Practicing School Business Administrator.

    ERIC Educational Resources Information Center

    Association of School Business Officials, Chicago, IL.

    This revised outline of a 1962 address contains general guidelines considered still useful for practicing school business administrators. Introductory "general observations" and a preamble give advice about good personal qualities, policy and planning practices, and relations with school boards, community, staff, and fellow professional…

  17. Policy Development, Theory and Practice in Environmental Adult Education: Reflections on the Learning for Environmental Action Programme from 1995 to the Present

    ERIC Educational Resources Information Center

    Clover, Darlene E.

    2006-01-01

    Contemporary neo-conservative and globalisation practices and policies have a powerful impact on every aspect of human life. Policies enacted by the governments to accumulate wealth have destroyed natural environments like nothing before. As the negative impact of neo-conservatism and globalisation grew on people's lives and environment, the…

  18. Personal History and Present Practice: A Cross Cultural Study of the Influences on Arts Integration in the United States and Japan

    ERIC Educational Resources Information Center

    Silver, Jana L.

    2012-01-01

    Through observations, life history research, and qualitative data analysis, this study seeks to answer the question: Who and what influences elementary school teachers to ultimately use or not use art in their current classroom practice? This study examines the personal histories of nine elementary school general education teachers in the United…

  19. INFLUENCE OF AN EDUCATIONAL DEMONSTRATION PROGRAM ON DAIRYMEN'S ADOPTION OF FARM PRACTICES. PAPER PRESENTED AT THE NATIONAL SEMINAR ON ADULT EDUCATION RESEARCH (CHICAGO, FEBRUARY 11-13, 1968).

    ERIC Educational Resources Information Center

    BROWN, EMORY J.; HARTMAN, JOEL

    PENNSYLVANIA STATE UNIVERSITY AND THE TENNESSEE VALLEY AUTHORITY CONDUCTED A FIVE YEAR (1961-66) AGRICULTURAL EDUCATION PROJECT IN TWO PENNSYLVANIA COUNTIES. THIS PAPER REPORTED THE PRELIMINARY FINDINGS. USING THE CRITERION OF ADOPTION OF SELECTED AGRICULTURAL PRACTICES BY SURROUNDING FARMERS, THEY ATTEMPTED TO MEASURE THE INFLUENCE OF 17…

  20. A new method to decide the practical feature of Fresnel lens from the result of ultra-high refractive index method (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Shibuya, Masato; Hiramatsu, Takashi; Araki, Keisuke; Nakadate, Suezou; Fujii, Junki

    2016-10-01

    We propose a new method to decide the brazed feature of Fresnel lens from the result of high refractive index method. Traditionally the feature has been designed to satisfy the phase-difference function for a point object by having brazed surface relieves only on one side of the lens. Therefore the exit ray of the practical feature is different from that of high-index method even for this point object. Thus the aberration is changed. To solve this problem, we propose Fresnel lens having brazed feature on both sides. Studying the spherical Fresnel lens which collects sun light, we theoretically show how to decide the shape. Also by practical lens designing, we demonstrate the validity of our theory. The proposed method is useful to decide the brazed feature of Fresnel lens from the result of high refractive index method, especially for small view angle lenses.

  1. [Who limit vaginal birth for breech presentation: medical practice or Law? Discussion between a medical doctor, a lawyer and the head chief of an university hospital].

    PubMed

    Delotte, J; Oliver, A; Boukaidi, S; Mialon, O; Breaud, J; Benchimol, D; Bongain, A

    2011-10-01

    The mode of delivery of breech presentation still remains a debate in France. Despite the medical arguments, themselves in debate, exists a legal pressure felt by medical practitioners. Our study highlights the different opinions of medical practitioners, lawyers and medical teachers faced with breech presentation.

  2. Achieving the "triple aim" for inborn errors of metabolism: a review of challenges to outcomes research and presentation of a new practice-based evidence framework.

    PubMed

    Potter, Beth K; Chakraborty, Pranesh; Kronick, Jonathan B; Wilson, Kumanan; Coyle, Doug; Feigenbaum, Annette; Geraghty, Michael T; Karaceper, Maria D; Little, Julian; Mhanni, Aizeddin; Mitchell, John J; Siriwardena, Komudi; Wilson, Brenda J; Syrowatka, Ania

    2013-06-01

    Across all areas of health care, decision makers are in pursuit of what Berwick and colleagues have called the "triple aim": improving patient experiences with care, improving health outcomes, and managing health system impacts. This is challenging in a rare disease context, as exemplified by inborn errors of metabolism. There is a need for evaluative outcomes research to support effective and appropriate care for inborn errors of metabolism. We suggest that such research should consider interventions at both the level of the health system (e.g., early detection through newborn screening, programs to provide access to treatments) and the level of individual patient care (e.g., orphan drugs, medical foods). We have developed a practice-based evidence framework to guide outcomes research for inborn errors of metabolism. Focusing on outcomes across the triple aim, this framework integrates three priority themes: tailoring care in the context of clinical heterogeneity; a shift from "urgent care" to "opportunity for improvement"; and the need to evaluate the comparative effectiveness of emerging and established therapies. Guided by the framework, a new Canadian research network has been established to generate knowledge that will inform the design and delivery of health services for patients with inborn errors of metabolism and other rare diseases.

  3. Quality Assessments of Prospective Teachers: Surveys of Previous and Present Practices. College Reading and Learning Assistance Technical Report 85-11.

    ERIC Educational Resources Information Center

    King, James R.; And Others

    A critical analysis of reports and empirical literature on the quality of candidates in teacher education programs is presented and the results of a nation-wide survey of basic skills competencies required of such candidates are described. While standardized test scores for education majors have been declining, many states in the survey did not…

  4. Bacterial vaginosis, vaginal flora patterns and vaginal hygiene practices in patients presenting with vaginal discharge syndrome in The Gambia, West Africa

    PubMed Central

    Demba, Edward; Morison, Linda; van der Loeff, Maarten Schim; Awasana, Akum A; Gooding, Euphemia; Bailey, Robin; Mayaud, Philippe; West, Beryl

    2005-01-01

    no association between BV and HIV, and among micro-organisms associated with BV, only Bacteroides spp. and Prevotella spp. were associated with HIV. BV or vaginal flora patterns were not associated with any of the factors relating to sexual hygiene practices (vaginal douching, menstrual hygiene, female genital cutting). Conclusion In this population, BV prevalence was higher than in corresponding populations in industrialised countries, but the pattern of vaginal micro-flora associated with BV was similar. BV or vaginal flora patterns were not associated with HIV nor with any of the vaginal hygiene characteristics. PMID:15757510

  5. Present but not accounted for: exploring the sexual risk practices and intervention needs of nonheterosexually identified women in a prevention program for women with HIV/AIDS.

    PubMed

    Teti, Michelle; Bowleg, Lisa; Rubinstein, Susan; Lloyd, Linda; Berhane, Zek; Gold, Marla

    2007-01-01

    Nonheterosexually identified (NHI) women may be present, but not accounted for, in HIV and sexually transmitted infection (STI) prevention interventions. This study used quantitative and qualitative methods to examine the sexual risk behaviors and intervention needs of NHI women in Protect and Respect, a safer sex intervention for HIV-positive women. Study participants (n=32) were predominantly Black, low income, and between 28 and 51 years old. Although NHI participants were more likely than heterosexual participants (p < .05) to report obtaining their income from sex work, hustling, or selling drugs; and having a higher median number of male sex partners, qualitative analyses revealed that the intervention often neglected NHI women's experiences and unique safer sex needs. Heterosexist HIV and STI prevention programs may hinder NHI women's ability to protect themselves and their partners from reinfection and infection respectively. We discuss the implications of our research for future HIV/AIDS and STI research, services and interventions for NHI women.

  6. The psychological profile of women presenting to a multidisciplinary clinic for chronic pelvic pain: high levels of psychological dysfunction and implications for practice

    PubMed Central

    Bryant, Christina; Cockburn, Rebecca; Plante, Anne-Florence; Chia, Angela

    2016-01-01

    Objective Chronic pelvic pain (CPP) is widely acknowledged as a common problem with significant consequences for those diagnosed with this condition. There is a lack of studies with good sample size that provide a comprehensive psychological profile of women presenting to specialist chronic pain clinics. Therefore, the objective of this study was to describe the psychological profile of a representative sample of women presenting with CPP at a tertiary referral center. Design This was a cross-sectional study. Women were asked to complete a questionnaire assessing symptoms of anxiety and depression, pain severity and interference, pain self-efficacy and catastrophizing beliefs, and sexual functioning. Methods One-hundred and seventy-five women with CPP were recruited when they attended their initial assessment at a specialist CPP clinic of the Royal Women’s Hospital, a public hospital in Melbourne, Australia. Results Over 75% of the participants had experienced pain for longer than 2 years. Fifty-three percent of women experienced either moderate or severe anxiety, and 26.7% experienced moderate-to-severe depression. There were strong correlations between depressive symptoms and pain interference, pain catastrophizing and self-efficacy beliefs. Conclusion Our findings confirm previous evidence for high levels of psychological distress and functional impairment associated with this condition, and extend these findings by including measures that are highly relevant to treatment planning, such as thinking styles and pain self-efficacy. Therefore, treatment of this complex condition needs to be holistic, and a multidisciplinary approach is likely to be the best way to achieve this. PMID:27895510

  7. Contemporary use of antibiotics in 1089 adults presenting with acute lower respiratory tract illness in general practice in the U.K.: implications for developing management guidelines.

    PubMed

    Macfarlane, J; Lewis, S A; Macfarlane, R; Holmes, W

    1997-08-01

    Respiratory symptoms are the most common cause of general practitioner (GP) consultation, and hospital-based specialists are often called on to provide management guidelines, particularly in the area of antibiotic prescribing. The present authors have assessed factors associated with antibiotic use by 115 GPs when managing 1089 adults with an acute lower respiratory tract illness, including cough. They prescribed antibiotics to three-quarters of patients, but felt antibiotics to be definitely indicated in less than one-third of these cases and not needed in one-fifth. Univariate analysis revealed that antibiotics were prescribed more frequently by older GPs for older patients in the presence of underlying disease, discoloured sputum, shortness of breath, wheeze, fever, signs on chest examination, and 'other factors'. Multivariate logistic regression confirmed an independent effect for all these findings except for the presence of underlying disease, shortness of breath and wheeze. 'Other factors' included patient 'pressure' and social factors, and GP work pressure or prior experience with the patient. These factors were an important influence on prescribing, especially if the GP felt an antibiotic was not indicated. Amoxycillin was the first choice (58% of total) except where the patient had recently received antibiotics for the same illness. Broader spectrum antibiotics were used more commonly in patients with chronic lung disease, discoloured sputum, chest signs on examination and where the GP felt antibiotics were indicated. However, these antibiotics were also prescribed to 14% of previously well patients. General practitioners used a wide variety of terms to describe the illness with little consistency or structure. The decision concerning the use and choice of antibiotics and the confidence with which the GP makes that decision is a complex interaction between patient, doctor and disease, being affected not only by clinical features but also by the social and

  8. Threshold of toxicological concern for chemical substances present in the diet: a practical tool for assessing the need for toxicity testing.

    PubMed

    Kroes, R; Galli, C; Munro, I; Schilter, B; Tran, L; Walker, R; Würtzen, G

    2000-01-01

    The de minimis concept acknowledges a human exposure threshold value for chemicals below which there is no significant risk to human health. It is the underlying principle for the US Food and Drug Administration (FDA) regulation on substances used in food-contact articles. Further to this, the principle of Threshold of Toxicological Concern (TTC) has been developed and is now used by the Joint FAO/WHO Expert Committee on Food Additives (JECFA) in their evaluations. Establishing an accepted TTC would benefit consumers, industry and regulators, since it would preclude extensive toxicity evaluations when human intakes are below such threshold, and direct considerable time and cost resources towards testing substances with the highest potential risk to human health. It was questioned, however, whether specific endpoints that may potentially give rise to low-dose effects would be covered by such threshold. In this review, the possibility of defining a TTC for chemical substances present in the diet was examined for general toxicity endpoints (including carcinogenicity), as well as for specific endpoints, namely neurotoxicity and developmental neurotoxicity, immunotoxicity and developmental toxicity. For each of these endpoints, a database of specific no-observed-effect levels (NOELs) was compiled by screening oral toxicity studies. The substances recorded in each specific database were selected on the basis of their demonstrated adverse effects. For the neurotoxicity and developmental neurotoxicity databases, it was intended to cover all classes of compounds reported to have either a demonstrated neurotoxic or developmentally neurotoxic effect, or at least, on a biochemical or pharmacological basis were considered to have a potential for displaying such effects. For the immunotoxicity endpoint, it was ensured that only immunotoxicants were included in the database by selecting most of the substances from the Luster et al. database, provided that they satisfied the

  9. Delivery presentations

    MedlinePlus

    ... page: //medlineplus.gov/ency/patientinstructions/000621.htm Delivery presentations To use the sharing features on this page, ... baby by cesarean birth (C-section) . Less Common Presentations With the brow-first position, the baby's head ...

  10. Utilizing 3D-visualization to apply compulsory ALARA principles in nuclear power plant design and day-to-day operation

    SciTech Connect

    Sanders, R. L.; Lake, J. E.

    2006-07-01

    The development of an advanced visualization and simulation tool to support both design as well as day-to-day operation is presented. This tool exploits cutting edge computer graphics, physics-based effects modeling, virtual reality, and gaming technologies to establish a system that can eventually be used for the administrative planning and training of plant operators and design engineers. (authors)

  11. Information Presentation

    NASA Technical Reports Server (NTRS)

    Holden, Kritina; Sandor, A.; Thompson, S. G.; McCann, R. S.; Kaiser, M. K.; Begault, D. R.; Adelstein, B. D.; Beutter, B. R.; Stone, L. S.

    2008-01-01

    The goal of the Information Presentation Directed Research Project (DRP) is to address design questions related to the presentation of information to the crew on flight vehicles, surface landers and habitats, and during extra-vehicular activities (EVA). Designers of displays and controls for exploration missions must be prepared to select the text formats, label styles, alarms, electronic procedure designs, and cursor control devices that provide for optimal crew performance on exploration tasks. The major areas of work, or subtasks, within the Information Presentation DRP are: 1) Controls, 2) Displays, 3) Procedures, and 4) EVA Operations.

  12. Information Presentation

    NASA Technical Reports Server (NTRS)

    Holden, Kritina L.; Thompson, Shelby G.; Sandor, Aniko; McCann, Robert S.; Kaiser, Mary K.; Adelstein, Barnard D.; Begault, Durand R.; Beutter, Brent R.; Stone, Leland S.; Godfroy, Martine

    2009-01-01

    The goal of the Information Presentation Directed Research Project (DRP) is to address design questions related to the presentation of information to the crew. In addition to addressing display design issues associated with information formatting, style, layout, and interaction, the Information Presentation DRP is also working toward understanding the effects of extreme environments encountered in space travel on information processing. Work is also in progress to refine human factors-based design tools, such as human performance modeling, that will supplement traditional design techniques and help ensure that optimal information design is accomplished in the most cost-efficient manner. The major areas of work, or subtasks, within the Information Presentation DRP for FY10 are: 1) Displays, 2) Controls, 3) Procedures and Fault Management, and 4) Human Performance Modeling. The poster will highlight completed and planned work for each subtask.

  13. Conservation Presentation.

    ERIC Educational Resources Information Center

    Friday, Gerald

    2001-01-01

    Introduces a project in which students teach about the importance of recycling and conservation by presenting demonstrations. Includes demonstrations on water, plastic, and other recycling products such as steel. (YDS)

  14. Information Presentation

    NASA Technical Reports Server (NTRS)

    Holden, K.L.; Boyer, J.L.; Sandor, A.; Thompson, S.G.; McCann, R.S.; Begault, D.R.; Adelstein, B.D.; Beutter, B.R.; Stone, L.S.

    2009-01-01

    The goal of the Information Presentation Directed Research Project (DRP) is to address design questions related to the presentation of information to the crew. The major areas of work, or subtasks, within this DRP are: 1) Displays, 2) Controls, 3) Electronic Procedures and Fault Management, and 4) Human Performance Modeling. This DRP is a collaborative effort between researchers at Johnson Space Center and Ames Research Center.

  15. Presentation Skills.

    ERIC Educational Resources Information Center

    Burt, Lorna; And Others

    This guide is intended for use in an eight-session course designed to develop the presentation skills required of persons employed in the manufacturing and service industries. The course is structured so that, upon its completion, students will be able to accomplish the following: identify the traits of good and bad speakers; research and organize…

  16. Overview Presentation

    NASA Technical Reports Server (NTRS)

    Lytle, John

    2001-01-01

    This report provides an overview presentation of the 2000 NPSS (Numerical Propulsion System Simulation) Review and Planning Meeting. Topics include: 1) a background of the program; 2) 1999 Industry Feedback; 3) FY00 Status, including resource distribution and major accomplishments; 4) FY01 Major Milestones; and 5) Future direction for the program. Specifically, simulation environment/production software and NPSS CORBA Security Development are discussed.

  17. Peach bottom recirculation piping replacement ALARA program

    SciTech Connect

    Englesson, G.A.; Hilsmeier, A.E.; Mann, B.J.

    1986-01-01

    In late 1983, Philadelphia Electric Company (PECo) began detailed planning to replace the recirculation, residual heat removal, and part of the reactor water cleanup piping of the Peach Bottom Unit 2 reactor. Included in this work was an estimate of the collective exposure expected during piping replacement. That initial estimate, 1945 man-rem, is compared with the actual collective dose incurred during the piping replacement program. Also included are the exposures incurred during two additional tasks (safe end replacement and recirculation pump disassembly and decontamination) not considered in the initial estimate.

  18. Changing Clinical Presentation, Current Knowledge-Attitude-Practice, and Current Vision Related Quality of Life in Self-Reported Type 2 Diabetes Patients with Retinopathy in Eastern India: The LVPEI Eye and Diabetes Study

    PubMed Central

    Wallang, Batriti; Semwal, Preeti; Basu, Soumyava; Padhi, Tapas R.; Ali, Mohd Hasnat

    2016-01-01

    Purpose. To document the changing clinical presentation of diabetic retinopathy (DR) over a decade, the current knowledge-attitude-practice (KAP) of known type 2 diabetes mellitus (DM) patients, and the current vision related quality of life (VR-QOL) of patients with DR in a tertiary eye care center in Eastern India. Methods. Two hundred and forty patients with known type-2 DM were evaluated. The evaluation included status of DR (n = 240), KAP (n = 232), and VR-QOL (n = 75). International classification of DR was used in the study. The DR status was compared with another cohort (n = 472) examined a decade earlier, in year 2001. The KAP-25 questions were designed after literature review. The National Eye Institute Visual Function Questionnaire (NEI-VFQ; including optional items) was validated by Rasch analysis. Both KAP and VR-QOL were analyzed according to degree of DR, duration of known DM, and educational qualification. Results. Average age of the current cohort (n = 240) was 57.16 ± 9.03 years; there were 205 (85.4%) male patients and 143 (59.6%) patients had received less than graduate qualification. The mean duration of DM since diagnosis was 10 ± 7.8 months (range 8 months to 30 years); 118 (49.16%) patients had DR. In a decade time, 2001 to 2011, there was a change of retinopathy status at presentation (more often nonproliferative diabetic retinopathy, NPDR). One-third of NPDR patients had poor vision and half of them were hypertensive. KAP was better in patients with higher education and those having DR. VFQ score was higher in better seeing patients. Conclusion. Patients currently presenting at earlier stage of retinopathy are probably related to poor vision. Early detection and treatment of DR is likely to preserve and/or improve vision. PMID:27843643

  19. The prevention access and risk taking in young people (PARTY) project protocol: A cluster randomised controlled trial of health risk screening and motivational interviewing for young people presenting to general practice

    PubMed Central

    2012-01-01

    Background There are growing worldwide concerns about the ability of primary health care systems to manage the major burden of illness in young people. Over two thirds of premature adult deaths result from risks that manifest in adolescence, including injury, neuropsychiatric problems and consequences of risky behaviours. One policy response is to better reorientate primary health services towards prevention and early intervention. Currently, however, there is insufficient evidence to support this recommendation for young people. This paper describes the design and implementation of a trial testing an intervention to promote psychosocial risk screening of all young people attending general practice and to respond to identified risks using motivational interviewing. Main outcomes: clinicians’ detection of risk-taking and emotional distress, young people’s intention to change and reduction of risk taking. Secondary outcomes: pathways to care, trust in the clinician and likelihood of returning for future visits. The design of the economic and process evaluation are not detailed in this protocol. Methods PARTY is a cluster randomised trial recruiting 42 general practices in Victoria, Australia. Baseline measures include: youth friendly practice characteristics; practice staff’s self-perceived competency in young people’s care and clinicians’ detection and response to risk taking behaviours and emotional distress in 14–24 year olds, attending the practice. Practices are then stratified by a social disadvantage index and billing methods and randomised. Intervention practices receive: nine hours of training and tools; feedback of their baseline data and two practice visits over six weeks. Comparison practices receive a three hour seminar in youth friendly practice only. Six weeks post-intervention, 30 consecutive young people are interviewed post-consultation from each practice and followed-up for self-reported risk taking behaviour and emotional distress

  20. Annual Proceedings of Selected Papers on the Practice of Educational Communications and Technology Presented at the Annual Convention of the Association for Educational Communications and Technology (33rd, Anaheim, California, 2010). Volume 2

    ERIC Educational Resources Information Center

    Simonson, Michael, Ed.

    2010-01-01

    For the thirty-third year, the Research and Theory Division of the Association for Educational Communications and Technology (AECT) is sponsoring the publication of these Proceedings. This is Volume #2 of the 33rd "Annual Proceedings of Selected Papers on the Practice of Educational Communications and Technology." This volume includes…

  1. Stellar Presentations (Abstract)

    NASA Astrophysics Data System (ADS)

    Young, D.

    2015-12-01

    (Abstract only) The AAVSO is in the process of expanding its education, outreach and speakers bureau program. powerpoint presentations prepared for specific target audiences such as AAVSO members, educators, students, the general public, and Science Olympiad teams, coaches, event supervisors, and state directors will be available online for members to use. The presentations range from specific and general content relating to stellar evolution and variable stars to specific activities for a workshop environment. A presentation—even with a general topic—that works for high school students will not work for educators, Science Olympiad teams, or the general public. Each audience is unique and requires a different approach. The current environment necessitates presentations that are captivating for a younger generation that is embedded in a highly visual and sound-bite world of social media, twitter and U-Tube, and mobile devices. For educators, presentations and workshops for themselves and their students must support the Next Generation Science Standards (NGSS), the Common Core Content Standards, and the Science Technology, Engineering and Mathematics (STEM) initiative. Current best practices for developing relevant and engaging powerpoint presentations to deliver information to a variety of targeted audiences will be presented along with several examples.

  2. Let's Talk about Student Presentations

    ERIC Educational Resources Information Center

    Doree, Suzanne; Jardine, Richard; Linton, Thomas

    2007-01-01

    This article offers our ideas on why it is important to teach our students how to speak about mathematics and some practical resources for incorporating speaking activities, helping students prepare, evaluating student presentations, and getting your department to talk about student presentations. The ideas in this article were compiled when the…

  3. Present Status and Future of EUV (Extreme Ultra Violet) Light Source Research 5.Discharge Produced Plasma Light Sources 5.2Technical Issues Regarding the Practical Application and Future Prospects of a Discharge Produced Plasma Sources for Lithography

    NASA Astrophysics Data System (ADS)

    Sato, Hiroto

    Some important issues for the practical application of a discharge-basedEUV source for lithography are described. Innovative ideas taking into consideration both plasma physics and technological elements such as pulse power, materials, and heat management are required for the solution of key issues. Engineering approaches are described with the development plan of the EUVA. It is necessary to consider the factors relating to the issue as a whole in research and development in order to produce a clean, high power and high quality photon.

  4. Giving effective presentations.

    PubMed

    Englehart, Nadine

    2004-03-01

    Apprehension about oral communication, or public speaking is rated as the number one fear among most individuals. Developing skill in, and comfort with, public speaking is important whether we are presenting oral reports and proposals, responding to questions, or training co-workers. Effective speakers are able to communicate information in a way that stimulates interest, helps the audience to understand and remember, and influences attitudes and behaviours. Many of us think that effective speakers are born rather than made. In truth most successful speakers work hard and invest a great deal of time and effort in to improving their speaking capabilities. Effective public speaking is a learned skill and activity that requires lots of practice. Like other learned skills, having a strategy with clear action steps can help you achieve your goal.

  5. Practical Professional Portfolios.

    ERIC Educational Resources Information Center

    Giuliano, Frank J.

    1997-01-01

    Presents suggestions to help preservice teachers develop effective and practical portfolios. Discusses purposeful portfolios, portfolio development, entrance portfolios, progress portfolios, exit portfolios, and interview portfolios. (JRH)

  6. Health physics manual of good practices for plutonium facilities. [Contains glossary

    SciTech Connect

    Brackenbush, L.W.; Heid, K.R.; Herrington, W.N.; Kenoyer, J.L.; Munson, L.F.; Munson, L.H.; Selby, J.M.; Soldat, K.L.; Stoetzel, G.A.; Traub, R.J.

    1988-05-01

    This manual consists of six sections: Properties of Plutonium, Siting of Plutonium Facilities, Facility Design, Radiation Protection, Emergency Preparedness, and Decontamination and Decommissioning. While not the final authority, the manual is an assemblage of information, rules of thumb, regulations, and good practices to assist those who are intimately involved in plutonium operations. An in-depth understanding of the nuclear, physical, chemical, and biological properties of plutonium is important in establishing a viable radiation protection and control program at a plutonium facility. These properties of plutonium provide the basis and perspective necessary for appreciating the quality of control needed in handling and processing the material. Guidance in selecting the location of a new plutonium facility may not be directly useful to most readers. However, it provides a perspective for the development and implementation of the environmental surveillance program and the in-plant controls required to ensure that the facility is and remains a good neighbor. The criteria, guidance, and good practices for the design of a plutonium facility are also applicable to the operation and modification of existing facilities. The design activity provides many opportunities for implementation of features to promote more effective protection and control. The application of ''as low as reasonably achievable'' (ALARA) principles and optimization analyses are generally most cost-effective during the design phase. 335 refs., 8 figs., 20 tabs.

  7. Developing practice protocols for advanced practice nursing.

    PubMed

    Paul, S

    1999-08-01

    In most states, the role of an advanced practice nurse is dependent on practice protocols that provide an organized method for analyzing and managing a disease or major symptom. They are also used to control the process of medical care and to specify steps in the delivery of that care. Creating appropriate practice protocols is one of the most important precursors to implementing the advanced practice role, because they virtually drive the clinician's ability to treat or manage clinical situations or disease states. This article outlines the steps involved in developing practice protocols and discusses the content that should be included in a protocol, providing an example of narrative and algorithm format protocols. Pros and cons, as well as legal issues related to practice protocols, are also presented.

  8. Practice and Problems in Language Testing 5. Non-Classical Test Theory; Final Examinations in Secondary Schools. Papers Presented at the International Language Testing Symposium (5th, Arnhem, Netherlands, March 25-26, 1982).

    ERIC Educational Resources Information Center

    van Weeren, J., Ed.

    Presented in this symposium reader are nine papers, four of which deal with the theory and impact of the Rasch model on language testing and five of which discuss final examinations in secondary schools in both general and specific terms. The papers are: "Introduction to Rasch Measurement: Some Implications for Language Testing" (J. J.…

  9. Annual Proceedings of Selected Papers on The Practice of Education Communications and Technology Presented at the Annual Convention of the Association for Educational Communications and Technology (37th, Jacksonville, Florida, 2014). Volume 2

    ERIC Educational Resources Information Center

    Simonson, Michael, Ed.

    2014-01-01

    For the thirty-seventh year, the Research and Theory Division and the Division of Instructional Design of the Association for Educational Communications and Technology (AECT) sponsored the publication of these Proceedings. Papers published in this volume were presented at the annual AECT Convention in Jacksonville, Florida. This year's Proceedings…

  10. Annual Proceedings of Selected Papers on the Practice of Education Communications and Technology Presented at the Annual Convention of the Association for Educational Communications and Technology (38th, Indianapolis, Indiana, 2015). Volume 2

    ERIC Educational Resources Information Center

    Simonson, Michael, Ed.

    2015-01-01

    For the thirty-eighth time, the Research and Theory Division of the Association for Educational Communications and Technology (AECT) is sponsoring the publication of these Proceedings. Papers published in this volume were presented at the annual AECT Convention in Indianapolis, Indiana. The Proceedings of AECT's Convention are published in two…

  11. Research on Teaching and the Theory and Practice in Teacher Training. DPA Helsinki Investigations IV = Unterrichtsforschung und die Theorie und Praxis in der Lehrerausbildung. Papers presented at an International Symposium (Helsinki, October 2-3, 1980). Research Report 4.

    ERIC Educational Resources Information Center

    Komulainen, Erkki, Ed.; And Others

    Eight papers presented at an international symposium on teacher education research are featured in this document. Excerpts from the opening speech by Erkki A. Niskanen, Dean of the Faculty of Education at the University of Helsinki, outline research projects being carried out by teacher educators at the university. A paper by Yrjo Engestrom,…

  12. Training present and future cardiologists.

    PubMed

    Kuvin, Jeffrey T

    2011-11-15

    The future of cardiology rests in the hands and minds of cardiovascular trainees and fellowship programs. Education and training is rapidly changing, and the paradigm of "see one, do one, teach one" has now been replaced by formal assessments of competency, the incorporation of practice improvement and systems-based practice, and a focus on duty hours. To keep up with the expanding knowledge and science in cardiovascular medicine, the cardiology community needs to understand new educational initiatives and formulate pathways to teach, mentor, and educate trainees to become competent cardiovascular specialists. The author highlights some of the present and future issues facing cardiovascular training.

  13. Making your presentation fun: creative presentation techniques

    SciTech Connect

    KEENEN,MARTHA JANE

    2000-05-18

    What possesses someone to volunteer and go through hoops and red tape to make a presentation at a conference? For that matter, why does anyone ever present anything to anyone? Actually, presentations are a fact of life and there are many reasons for doing a presentation and doing it well. New and existing staff need training and orientation to the way things are done here. Handing all of them a manual and hoping they read it is pretty much a waste of paper. On the other hand, an effective, entertaining and upbeat presentation on the relevant topics is more likely to stick with those people. They will even have a name and face to remember and seek out when they have an issue on or with that topic. This can be a very effective beginning for networking with new peers. The presenter is seen as knowledgeable, as a source of information on company topics and possibly evaluated as a potential mentor or future manager. Project staff and/or peers benefit from clear, concise, presentations of topical knowledge. This is one way that a group working on various aspects of the same project or program can stay in touch and in step with each other. Most importantly, presentations may be the best or only door into the minds (and budgets) of management and customers. These presentations are a wonderful opportunity to address legal and compliance issues, budget, staffing, and services. Here is a chance, maybe the only one, to demonstrate and explain the wonderfulness of a program and the benefit they get by using the services offered most effectively. An interactive presentation on legal and compliance issues can be an effective tool in helping customers and/or management make good risk management decisions.

  14. Best Practices & Outstanding Initiatives

    ERIC Educational Resources Information Center

    Training, 2011

    2011-01-01

    In this article, "Training" editors recognize innovative and successful learning and development programs and practices. They share best practices from Automatic Data Processing, Inc., Farmers Insurance Group, FedEx Express, InterContinental Hotels Group, and Oakwood Temporary Housing. They also present the outstanding initiatives of EMD Serono,…

  15. Practically Saline

    PubMed Central

    Schroeder, Jonathan; O’Neal, Catherine; Jagneaux, Tonya

    2015-01-01

    Introduction. In December 2014, the Food and Drug Administration issued a recall of all Wallcur simulation products due to reports of their use in clinical practice. We present a case of septic shock and multiorgan failure after the accidental intravenous infusion of a nonsterile Wallcur simulation product. Case. The patient presented with symptoms of rigors and dyspnea occurring immediately after infusion of Wallcur Practi-0.9% saline. Initial laboratory evidence was consistent with severe septic shock and multiorgan dysfunction. His initial lactic acid level was 9 mmol/L (reference range = 0.5-2.2), and he had evidence of acute kidney injury and markers of disseminated intravascular coagulation. All 4 blood culture bottles isolated multidrug-resistant Empedobacter brevis. The patient recovered from his illness and was discharged with ciprofloxacin therapy per susceptibilities. Discussion. This patient represents the first described case of severe septic shock associated with the infusion of a Wallcur simulation product. Intravenous inoculation of a nonsterile fluid is rare and exposes the patient to unusual environmental organisms, toxins, or unsafe fluid characteristics such as tonicity. During course of treatment, we identified the possible culprit to be a multidrug-resistant isolate of Empedobacter brevis. We also discuss the systemic failures that led to this outbreak. PMID:26668812

  16. Tooth polishing: Relevance in present day periodontal practice

    PubMed Central

    Madan, Charu; Bains, Rhythm; Bains, Vivek K.

    2009-01-01

    Time has seen the emergence of more efficient and effective devices like jet abrasives. However, the role of rubber cups with prophy angles cannot be overlooked as they are still being widely used and provide an economical alternative. Owing to several shortcomings associated with the air polishing device using sodium bicarbonate (NaHCO3), trends are shifting towards the usage of low abrasive powders. Recent demonstration of Glycine Powder Air Polishing (GPAP) in removing subgingival biofilm results in less gingival erosion than hand instrumentation or NaHCO3 air-polishing. Despite the emergence of latest advances in polishing, data suggesting selective polishing of teeth is compelling. PMID:20376245

  17. Community Pharmacy Practice in India: Past, Present and Future

    PubMed Central

    Basak, Subal Chandra; Sathyanarayana, Dondeti

    2009-01-01

    Today, community pharmacists play an important role in any country as they take responsibility for patient’s medicine related needs for access to healthcare. However, in India only the supply of medicines remains the core activity of the community pharmacist. Most community pharmacists in the country still hardly offer patient‐oriented service. The role of the pharmacists in the community, and with it their medicine management, may change in the wake of the rapid growth of domestic medicine output and national healthcare expenditure. This article seeks to discuss the genesis of Indian community pharmacy, the majority of which are privately owned, and sketches its education, training and future prospects. PMID:23093872

  18. Practical Strategies To Justify Your "Present" and Ensure Your "Future."

    ERIC Educational Resources Information Center

    Queen, Robert; Rezin, Andrew

    In recent years, new economic pressures have been placed on community colleges as a result of increased expectations for accountability on the part of governing bodies and the public. In responding to these pressures, colleges must consider new approaches to management, while the tools and approaches developed in private industry can provide…

  19. Secure quantum signatures: a practical quantum technology (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Andersson, Erika

    2016-10-01

    Modern cryptography encompasses much more than encryption of secret messages. Signature schemes are widely used to guarantee that messages cannot be forged or tampered with, for example in e-mail, software updates and electronic commerce. Messages are also transferrable, which distinguishes digital signatures from message authentication. Transferability means that messages can be forwarded; in other words, that a sender is unlikely to be able to make one recipient accept a message which is subsequently rejected by another recipient if the message is forwarded. Similar to public-key encryption, the security of commonly used signature schemes relies on the assumed computational difficulty of problems such as finding discrete logarithms or factoring large primes. With quantum computers, such assumptions would no longer be valid. Partly for this reason, it is desirable to develop signature schemes with unconditional or information-theoretic security. Quantum signature schemes are one possible solution. Similar to quantum key distribution (QKD), their unconditional security relies only on the laws of quantum mechanics. Quantum signatures can be realized with the same system components as QKD, but are so far less investigated. This talk aims to provide an introduction to quantum signatures and to review theoretical and experimental progress so far.

  20. Applications of PET CT in clinical practice: Present and future

    NASA Astrophysics Data System (ADS)

    Costa, Durval Campos

    2007-02-01

    Radionuclide imaging and specially positron emission tomography (PET) has already demonstrated its benefits in three major medical subjects, i.e. neurology, cardiology and particularly clinical oncology. More recently the combination of PET and X-ray computed tomography (CT) as PET-CT led to a significant increment of the already large number of clinical applications of this imaging modality. This "anatomy-metabolic fusion" also known as Metabolic Imaging has its future assured if we can: (1) improve resolution reducing partial volume effect, (2) achieve very fast whole body imaging, (3) obtain accurate quantification of specific functions with higher contrast resolution and, if possible, (4) reduce exposure rates due to the unavoidable use of ionizing radiation.

  1. Joint appointments in practice positions.

    PubMed

    Hutelmyer, C M; Donnelly, G F

    1996-01-01

    Faculty practice has been a value in both nursing education and nursing service. Recent changes in education provide the opportunity for practice to be rewarded in the university setting. Changes in health care delivery demand expert practitioners and leadership in advanced practice nursing. The history of education-practice integration is reviewed. A new role of the practitioner educator (reverse joint appointee) is presented. Benefits of the position to both education and practice are discussed.

  2. 12 CFR 1102.36 - Oral presentations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Oral presentations. 1102.36 Section 1102.36... Practice for Proceedings § 1102.36 Oral presentations. (a) In general. A party does not have a right to an oral presentation. Under this section, a party's request to make an oral presentation may be denied...

  3. Graphical presentation of diagnostic information

    PubMed Central

    Whiting, Penny F; Sterne, Jonathan AC; Westwood, Marie E; Bachmann, Lucas M; Harbord, Roger; Egger, Matthias; Deeks, Jonathan J

    2008-01-01

    Background Graphical displays of results allow researchers to summarise and communicate the key findings of their study. Diagnostic information should be presented in an easily interpretable way, which conveys both test characteristics (diagnostic accuracy) and the potential for use in clinical practice (predictive value). Methods We discuss the types of graphical display commonly encountered in primary diagnostic accuracy studies and systematic reviews of such studies, and systematically review the use of graphical displays in recent diagnostic primary studies and systematic reviews. Results We identified 57 primary studies and 49 systematic reviews. Fifty-six percent of primary studies and 53% of systematic reviews used graphical displays to present results. Dot-plot or box-and- whisker plots were the most commonly used graph in primary studies and were included in 22 (39%) studies. ROC plots were the most common type of plot included in systematic reviews and were included in 22 (45%) reviews. One primary study and five systematic reviews included a probability-modifying plot. Conclusion Graphical displays are currently underused in primary diagnostic accuracy studies and systematic reviews of such studies. Diagnostic accuracy studies need to include multiple types of graphic in order to provide both a detailed overview of the results (diagnostic accuracy) and to communicate information that can be used to inform clinical practice (predictive value). Work is required to improve graphical displays, to better communicate the utility of a test in clinical practice and the implications of test results for individual patients. PMID:18405357

  4. Teaching Presentation Skills

    ERIC Educational Resources Information Center

    Baker, William H.; Thompson, Michael P.

    2004-01-01

    Effective teaching of presentation skills focuses on the most important element of the presentation--the message itself. Some instructors place the heaviest emphasis on the messenger (the presenter) and focus their presentation feedback on all the presenter is doing wrong--saying "um," gesturing awkwardly, and so forth. When students receive this…

  5. Subpart HH Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  6. Subpart A Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  7. Subpart DD Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  8. Subpart T Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  9. Subpart OO Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  10. Subpart L Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  11. Subpart W Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  12. Subpart RR Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  13. Subpart AA Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  14. Subpart I Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  15. Subpart NN Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  16. Subpart FF Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  17. Subpart MM Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  18. Subpart G Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  19. Subpart SS Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  20. Subpart N Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  1. Subpart PP Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  2. Subpart Z Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  3. Subpart S Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  4. Subpart V Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  5. Subpart QQ Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  6. Subpart X Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  7. Subpart Y Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  8. Subpart P Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  9. Subpart D Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  10. Subpart C Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  11. Subpart II Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  12. Subpart TT Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  13. Subpart UU Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  14. Islamic Beliefs and Practices.

    ERIC Educational Resources Information Center

    Sefein, Naim A.

    1981-01-01

    To help social studies classroom teachers present a realistic picture of the Middle Eastern religion of Islam, this article presents an overview of major beliefs and religious practices of Moslems. Information is presented on religious fundamentals, Islam's relationship to Judaism and Christianity, the development of Islam, the role of women, and…

  15. Neuromodulation: present and emerging methods

    PubMed Central

    Luan, Song; Williams, Ian; Nikolic, Konstantin; Constandinou, Timothy G.

    2014-01-01

    Neuromodulation has wide ranging potential applications in replacing impaired neural function (prosthetics), as a novel form of medical treatment (therapy), and as a tool for investigating neurons and neural function (research). Voltage and current controlled electrical neural stimulation (ENS) are methods that have already been widely applied in both neuroscience and clinical practice for neuroprosthetics. However, there are numerous alternative methods of stimulating or inhibiting neurons. This paper reviews the state-of-the-art in ENS as well as alternative neuromodulation techniques—presenting the operational concepts, technical implementation and limitations—in order to inform system design choices. PMID:25076887

  16. A practical model for reflection on practice.

    PubMed

    Lowry, Michael

    Although nurses are encouraged to reflect on their practice from pre-registration education onwards, many are anxious about the process and unclear how it is done or what it can achieve. This article discusses approaches to reflection and presents a new, triangular model of reflection that encourages nurses to share their reflections and helps to ensure they gain useful insights from the exercise.

  17. Marketing through Video Presentations.

    ERIC Educational Resources Information Center

    Newhart, Donna

    1989-01-01

    Discusses the advantages of using video presentations as marketing tools. Includes information about video news releases, public service announcements, and sales/marketing presentations. Describes the three stages in creating a marketing video: preproduction planning; production; and postproduction. (JOW)

  18. Improving clinical practice guidelines for practicing cardiologists.

    PubMed

    Benhorin, Jesaia; Bodenheimer, Monty; Brown, Mary; Case, Robert; Dwyer, Edward M; Eberly, Shirley; Francis, Charles; Gillespie, John A; Goldstein, Robert E; Greenberg, Henry; Haigney, Mark; Krone, Ronald J; Klein, Helmut; Lichstein, Edgar; Locati, Emanuela; Marcus, Frank I; Moss, Arthur J; Oakes, David; Ryan, Daniel H; Bloch Thomsen, Poul E; Zareba, Wojciech

    2015-06-15

    Cardiac-related clinical practice guidelines have become an integral part of the practice of cardiology. Unfortunately, these guidelines are often long, complex, and difficult for practicing cardiologists to use. Guidelines should be condensed and their format upgraded, so that the key messages are easier to comprehend and can be applied more readily by those involved in patient care. After presenting the historical background and describing the guideline structure, we make several recommendations to make clinical practice guidelines more user-friendly for clinical cardiologists. Our most important recommendations are that the clinical cardiology guidelines should focus exclusively on (1) class I recommendations with established benefits that are supported by randomized clinical trials and (2) class III recommendations for diagnostic or therapeutic approaches in which quality studies show no benefit or possible harm. Class II recommendations are not evidence based but reflect expert opinions related to published clinical studies, with potential for personal bias by members of the guideline committee. Class II recommendations should be published separately as "Expert Consensus Statements" or "Task Force Committee Opinions," so that both majority and minority expert opinions can be presented in a less dogmatic form than the way these recommendations currently appear in clinical practice guidelines.

  19. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Mai, T.

    2012-08-01

    This presentation summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050. This presentation was presented in a Wind Powering America webinar on August 15, 2012 and is now available through the Wind Powering America website.

  20. Presenting Food Science Effectively

    ERIC Educational Resources Information Center

    Winter, Carl K.

    2016-01-01

    While the need to present food science information effectively is viewed as a critical competency for food scientists by the Institute of Food Technologists, most food scientists may not receive adequate training in this area. Effective presentations combine both scientific content and delivery mechanisms that demonstrate presenter enthusiasm for…

  1. Make Your Presentation Powerful

    ERIC Educational Resources Information Center

    Palmer, Erik

    2015-01-01

    "I was planning on doing a lot of work today during your presentation, but I couldn't get anything done. I just had to pay attention!" The author received this unexpected feedback from a teacher at the end of a presentation he gave, and although he considered it a compliment, it made him reflect on the dire state of presentations in…

  2. Great Practices

    EPA Pesticide Factsheets

    The National Great Practice Compendium highlights outstanding activities, technologies, and programs that prevent trash from entering the aquatic environment and/or that reduce the overall volume of trash that is generated.

  3. Presentation skills for nurses.

    PubMed

    Foulkes, Mark

    2015-02-20

    This article emphasises the importance of effective presentation skills. Such skills allow nurses to share knowledge and expertise and to communicate clearly in a range of workplace scenarios. Nurses are increasingly being asked to present in formal and informal situations, such as conferences, poster presentations, job interviews, case reports and ward-based teaching. This article explores the principles underpinning the development of these skills, discusses the situations in which they could be applied and demonstrates how nurses might improve and develop as presenters.

  4. Periodontology: past, present, perspectives.

    PubMed

    Slots, Jørgen

    2013-06-01

    Periodontitis is an infectious disease that affects the tooth-supporting tissues and exhibits a wide range of clinical, microbiological and immunological manifestations. The disease is associated with and is probably caused by a multifaceted dynamic interaction of specific infectious agents, host immune responses, harmful environmental exposure and genetic susceptibility factors. This volume of Periodontology 2000 covers key subdisciplines of periodontology, ranging from etiopathogeny to therapy, with emphasis on diagnosis, classification, epidemiology, risk factors, microbiology, immunology, systemic complications, anti-infective therapy, reparative treatment, self-care and affordability issues. Learned and unlearned concepts of periodontitis over the past 50 years have shaped our current understanding of the etiology of the disease and of clinical practice.

  5. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Hand, M.; Mai, T.

    2012-08-01

    This presentation library summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050. It was presented in an Union of Concerned Scientists webinar on June 12, 2012.

  6. The Upside of Presentism

    ERIC Educational Resources Information Center

    Fendler, Lynn

    2008-01-01

    Presentism is generally regarded as a necessary evil in historiography. This paper explores the upside of that inevitability. Using a philosophical approach to discourse analysis in the tradition of new cultural history, the paper distinguishes between a strategic use of presentism on the one hand, and a rationalistic approach to history on the…

  7. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Hand, M.

    2012-10-01

    This presentation library summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050. It is being presented at the Utility Variable-Generation Integration Group Fall Technical Workshop on October 24, 2012.

  8. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Mai, T.

    2012-08-01

    This presentation summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050. It was presented in a Power Systems Engineering Research Center webinar on September 4, 2012.

  9. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Hand, M. M.

    2012-08-01

    This presentation library summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050. It was presented in a webinar given by the California Energy Commission.

  10. President Reagan Presents Medals

    NASA Technical Reports Server (NTRS)

    1981-01-01

    President Ronald Reagan presents astronaut John Young with the Congressional Space Medal of Honor as well as NASA's Distinguished Service Medal. Astronaut Robert C. Crippen also received the Distinguished Service Medal and Dr. Alan Lovelace was presented with the President's Citizens Medal. From left to right: President Ronald Reagan Astronaut, John Young Astronaut, Robert Crippen Dr. Alan Lovelace Vice President George Bush

  11. Display and Presentation Boards.

    ERIC Educational Resources Information Center

    Midgley, Thomas Keith

    The use of display and presentation boards as tools to help teachers/trainers convey messages more clearly is briefly discussed, and 24 different types of display and presentation boards are described and illustrated; i.e., chalk, paste-up, hook-n-loop, electric, flannel, scroll, communication planning, acetate pocket, slot, pin-tack, preview,…

  12. ALARA Overview System at Crystal River Unit 3 Nuclear Station.

    PubMed

    Kline, K B; Cope, W B

    1995-08-01

    During the Spring of 1994 the Health Physics Department at Florida Power Company used video and audio equipment to support remote health physics coverage for their Crystal River Unit 3 refueling outage (Refuel 9). The system consisted of eight cameras with audio interface linked to a control center located in a low-dose area. The system allowed health physics personnel to monitor steam generator and refueling activities with minimum exposure in high-dose areas, cutting by half the dose from the previous outage. B&W Nuclear Technologies provided complete setup, maintenance and tear-down, as well as assuming responsibilities for contaminated video and audio equipment.

  13. Solar Data Hub (Presentation)

    SciTech Connect

    Orwig, K.

    2011-04-01

    As power grid integration of renewables becomes ever more important and detailed, the need for a centralized place for solar-related resource data is needed. This presentation describes such a place and website.

  14. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Hand, M. M.

    2012-09-01

    This presentation summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050.

  15. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Mai, T.

    2012-11-01

    This presentation summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050.

  16. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Mai, T.

    2012-10-01

    This presentation library summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050.

  17. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Mai, T.

    2013-04-01

    This presentation summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050.

  18. Biomass Program Overview Presentation

    SciTech Connect

    2011-12-01

    This presentation is an interactive walk through of the Program's vision of advancing the biofuels and bioproducts industry and highlights the research and development activities that will help achieve it.

  19. Blade Testing Trends (Presentation)

    SciTech Connect

    Desmond, M.

    2014-08-01

    As an invited guest speaker, Michael Desmond presented on NREL's NWTC structural testing methods and capabilities at the 2014 Sandia Blade Workshop held on August 26-28, 2014 in Albuquerque, NM. Although dynamometer and field testing capabilities were mentioned, the presentation focused primarily on wind turbine blade testing, including descriptions and capabilities for accredited certification testing, historical methodology and technology deployment, and current research and development activities.

  20. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Hand, M. M.

    2012-08-01

    This presentation library summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050. It was presented to the 2012 Western Conference of Public Service Commissioners, during their June, 2012, meeting. The Western Conference of Public Service Commissioners is a regional association within the National Association of Regulatory Utility Commissioners (NARUC).

  1. Xenotransfusions, past and present.

    PubMed

    Roux, Françoise A; Saï, Pierre; Deschamps, Jack-Yves

    2007-05-01

    The first blood transfusions in humans were xenotransfusions, carried out by Jean-Baptiste Denis beginning in 1667. Richard Lower, Matthäus Purmann and Georges Mercklin also experimented with the use of animal blood for transfusion until this practice was forbidden in 1670, after the death of one of Denis's patients. In the middle of the 19th century, xenotransfusion was rescued from oblivion by the work of Pierre Cyprien Oré. Franz Gesellius and Oscar Hasse fervently defended xenotransfusion, but Emil Ponfick and Leonard Landois stressed the potentially harmful effects of inter-species transfusion from 1874 onward. Xenotransfusion was abandoned completely following the discovery of blood groups by Karl Landsteiner in 1900. From 2000, because of progress in xenotransplantation and the need of blood supply, xenotransfusion is again being considered. Pigs are the best potential donors. The development of alpha-1,3-galactosyltransferase gene-knockout pigs has overcome the first hurdle to xenotransfusion. The main obstacle to porcine red blood cell transfusion is now the cellular response involving macrophages or natural killer cells.

  2. ESO Presentation in Copenhagen

    NASA Astrophysics Data System (ADS)

    Madsen, C.; D'Odorico, S.

    2004-12-01

    On November 8, ESO continued its series of presentations in memberstates with an event in Copenhagen. So far events have been organised in Belgium, Finland, Portugal, Sweden, Switzerland and the United Kingdom. The purpose of these presentations is to raise the awareness of ESO amongst decision-makers, academia and the media. Over time, the scope and specific focus of the national events have varied, considering the particular circumstances and the wishes of the national hosts, and accordingly, the presentation in Denmark was primarily oriented towards industry. The meeting was initiated by the Royal Danish Consulate General in Munich in conjunction with the Confederation of Danish Industries and the Ministry for Science, Technology and Innovation. Leading up to the meeting, several articles about ESO had appeared in the Danish press and the 2nd TV Channel featured a report on the ESO projects also in connection with the event.

  3. [Atypical presentation of preeclampsia].

    PubMed

    Ditisheim, A; Boulvain, M; Irion, O; Pechère-Bertschi, A

    2015-09-09

    Preeclampsia is a pregnancy-related syndrome, which still represents one of the major causes of maternal-fetal mortality and morbidity. Diagnosis can be made difficult due to the complexity of the disorder and its wide spectrum of clinical manifestations. In order to provide an efficient diagnostic tool to the clinician, medical societies regularly rethink the definition criteria. However, there are still clinical presentations of preeclampsia that escape the frame of the definition. The present review will address atypical forms of preeclampsia, such as preeclampsia without proteinuria, normotensive preeclampsia, preeclampsia before 20 weeks of gestation and post-partum preeclampsia.

  4. Effective lecture presentation skills.

    PubMed

    Gelula, M H

    1997-02-01

    Lectures are the most popular form of teaching in medical education. As much as preparation and organization are key to the lecture's success, the actual presentation also depends upon the presenter's ability to reach the audience. Teaching is a lively activity. It calls for more than just offering ideas and data to an audience. It calls for direct contact with the audience, effective use of language, capability to use limited time effectively, and the ability to be entertaining. This article offers a structure to effective lecturing by highlighting the importance of voice clarity and speaking speed, approaches to using audiovisual aids, effectively using the audience to the lecture, and ways to be entertaining.

  5. Renewable Electricity Futures (Presentation)

    SciTech Connect

    Mai, T.

    2012-08-01

    This presentation library summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050. It was presented at the 2012 RE AMP Annual Meeting. RE-AMP is an active network of 144 nonprofits and foundations across eight Midwestern states working on climate change and energy policy with the goal of reducing global warming pollution economy-wide 80% by 2050.

  6. Renewable Electricity Futures (Presentation)

    SciTech Connect

    DeMeo, E.

    2012-08-01

    This presentation library summarizes findings of NREL's Renewable Electricity Futures study, published in June 2012. RE Futures investigated the challenges and impacts of achieving very high renewable electricity generation levels in the contiguous United States by 2050. It was presented at Wind Powering America States Summit. The Summit, which follows the American Wind Energy Association's (AWEA's) annual WINDPOWER Conference and Exhibition, provides state Wind Working Groups, state energy officials, U.S. Energy Department and national laboratory representatives, and professional and institutional partners an opportunity to review successes, opportunities, and challenges for wind energy and plan future collaboration.

  7. [Metachromatic Leukodystrophy. Case Presentation].

    PubMed

    Espejo, Lina María; de la Espriella, Ricardo; Hernández, José Fernando

    Metachromatic leukodystrophy (MLD) is a rare demyelinating disease (prevalence 1:40 000), also called arylsulfatase A deficiency (ARS-A), which may present with neurological and psychiatric symptoms. Clinical assessment may be difficult, due to unspecific signs and symptoms. A case is presented of a 16 year-old female patient seen in psychiatry due to behavioural changes, psychosis, and with impaired overall performance. She was initially diagnosed with schizophrenia, but the Nuclear Magnetic Resonance (NMR) scan and laboratory tests lead to the diagnosis of MLD.

  8. Collaboration Practices

    ERIC Educational Resources Information Center

    Brodie, Carolyn S.

    2006-01-01

    Collaborative practices of library media specialists and teachers as set forth in "Information Power" and implemented by the Institute for Library and Information Literacy Education (ILILE) are the focus of this article. Much has been written about collaboration in the past and much is still to be learned. "Information Power" tells everyone that…

  9. The Practice

    ERIC Educational Resources Information Center

    Billy, Reverend

    2008-01-01

    Consulting for a moment such luminaries as Mahatma Gandhi, Dr. King, Cesar Chavez--I would say that personal revelation is not less necessary to radical change than public revolution. Amen? "Backing Away From The Product" really has to be both a spiritual practice and a public embarrassment so extreme that its witnesses won't stop talking about it…

  10. COUNSELING PRACTICES.

    ERIC Educational Resources Information Center

    WATERLOO, GLENN E.

    THE NEED FOR COUNSELING IS EMPHASIZED BY THE FACT THAT 875,000 CHILDREN IN THE UNITED STATES HAVE MENTAL AND PHYSICAL IMPEDIMENTS TO LEARNING. TYPICAL COUNSELING PRACTICES ARE PROBLEM-CENTERED COUNSELING, EXCLUSIVELY "VOCATIONAL" OR "EDUCATIONAL" COUNSELING WITH LITTLE CONCERN FOR THE WHOLE INDIVIDUAL, EXTREME DIRECTIVE OR…

  11. Teacher Beliefs-Practice Congruency.

    ERIC Educational Resources Information Center

    Dobson, Russell L.; Dobson, Judith E.

    1983-01-01

    Discussed are reasons why teacher beliefs-practice congruency is desirable. An argument is presented for teacher beliefs-practice congruency; reasons are established why congruency is neglected; and "dialogue" is presented as a process for arriving at congruency. (Authors/JM)

  12. MOVES Workshops and Presentations

    EPA Pesticide Factsheets

    The U.S. EPA held a three-day workshop including EPA presentations on MOVES 2010 algorithms and default data, information on ways to use MOVES more efficiently for various purposes, and discussion of ideas and plans for MOVES future development.

  13. Managing Presentation Anxiety

    ERIC Educational Resources Information Center

    Hartman, Jackie L.; LeMay, Elaine

    2004-01-01

    All business communication professors struggle with anxiety-ridden students when discussing public speaking. To alleviate students' fears of speaking in public a process was designed to allow business communication students to acknowledge, address, and annul their presentation fears. A six-year comparative study using qualitative methods and…

  14. Giving effective poster presentations

    SciTech Connect

    Rice, J A

    1998-08-27

    Giving an effective poster presentation can be easy and rewarding with attention to a few proven concepts. Define your audience. Keep the words and graphics clear, concise, and eye-catching. Remember, you have three seconds to attract attention and 30 seconds to get your message across.

  15. Rachael Humberg Exit Presentation

    NASA Technical Reports Server (NTRS)

    Humberg, Rachael

    2008-01-01

    This viewgraph presentation reviews the experiences of a college student during a summer internship. The student involved in many projects, such as Stratospheric Observatory for Infrared Astronomy (SOFIA), Acoustic Equipment Testing, Acoustic Test planing for the X-48B and Ikhana.

  16. Film Presentation Techniques.

    ERIC Educational Resources Information Center

    Monod, Pierre

    1976-01-01

    This article discusses three types of films and their use in the second language classroom. The description film is objective and static, and elicits adjectives and adverbs. This kind of film should be presented three times, each time followed by a different set of learning exercises. The culture film - characterized by descriptions, scenes from…

  17. Interactive Presentation of Content

    ERIC Educational Resources Information Center

    Magdin, Martin; Turcáni, Milan; Vrábel, Marek

    2009-01-01

    In the paper we discus about design of universal environment for solution of creating effective multimedia applications with accent on the implementation of interactive elements with the possibility of using the adaptive systems (AS). We also discuss about possibilities of offline presentation of this interactive multimedia adaptive animations…

  18. Poster Plus Presentations.

    ERIC Educational Resources Information Center

    Journal of Chemical Education, 1983

    1983-01-01

    Forty-five "poster session" papers presented at the Seventh Biennial Conference on Chemical Education (Stillwater, Oklahoma 1982) are highlighted. These papers focused on computers in chemistry and chemical education (emphasizing programs) and on instructional innovations (including courses, teaching methods, testing, experiments, and others). (JN)

  19. Sirenomelia: a rare presentation.

    PubMed

    Reddy, K Ramesh; Srinivas, S; Kumar, Shiva; Reddy, Surweshwar; Prasad, Hari; Irfan, G M

    2012-01-01

    We are presenting two cases of Sirenomelia (Mermaid Syndrome), which is an extreme example of the caudal regression syndrome. It invariably presents with lower limb fusion, sacral and pelvic bony anomalies, absent external genitalia, imperforate anus, and renal agenesis or dysgenesis. There are approximately 300 cases reported in the literature, 15% of which are associated with twinning, most often monozygotic. The syndrome of caudal regression is thought to be the result of injury to the caudal mesoderm early in gestation. One of our cases survived for 12 days after birth. This new born had an unusually high anorectal anomaly in which the colon was ending at the level of mid transverse colon, fused lower limbs and genital anomalies. Ultrasound of the abdomen revealed horseshoe kidney. Colostomy was performed on day 2 of life. The second case encountered was a stillborn baby on whom an autopsy was performed.

  20. Promoting professional development through poster presentations.

    PubMed

    Durkin, Gregory

    2011-01-01

    Poster presentations are commonplace at regional and national nursing conferences, although the development of a poster remains an intimidating task for many staff nurses. The author describes the staff development department's role in implementing in-house poster presentation sessions. Nursing staff are provided support and assistance in presenting posters to their colleagues at yearly sessions. The result has been increased comfort and experience with poster creation, participation in professional development activities, and dissemination of nursing practice innovation.

  1. Ground Vehicle Robotics Presentation

    DTIC Science & Technology

    2012-08-14

    Mr. Jim Parker Associate Director Ground Vehicle Robotics Distribution Statement A. Approved for public release Report Documentation Page...Briefing 3. DATES COVERED 01-07-2012 to 01-08-2012 4. TITLE AND SUBTITLE Ground Vehicle Robotics Presentation 5a. CONTRACT NUMBER 5b. GRANT...ABSTRACT Provide Transition-Ready, Cost-Effective, and Innovative Robotics and Control System Solutions for Manned, Optionally-Manned, and Unmanned

  2. Pachygyria Presented as Mania

    PubMed Central

    Chatterjee, Seshadri Sekhar; Talapatra, Devlina; Acharya, Rudra; Sarkhel, Sujit

    2015-01-01

    Psychiatric manifestation of pachygyria, a neuronal migration disorder is rare in literature; rarer if it is bipolar disorder specifically. Here, we report a case of mania and seizure who subsequently diagnosed as pachygyria. Proper literature about pathophysiology is discussed and recently discovered putative genetic role in bipolar disorder explained. This case also emphasis the importance of detailed history taking and imaging investigation even in a pure psychiatric presentation. PMID:26702182

  3. Prematurity: present and future

    PubMed Central

    Tsimis, M. E.; Al-Hamayel, N. Abu; Germaine, H.; Burd, I.

    2014-01-01

    The study of preterm labor and prematurity, as with any medical science, has undergone a major transformation in its approach from an inevitable part of obstetrics with few answers to one in which science has led to knowledge and clinical intervention. Despite these advancements, understanding of preterm labor and prevention of prematurity is still limited. In the current review, we begin the discussion with fetal viability, first from a historical perspective and then from the understanding of this issue from a prospective of various professional organizations. We then present the scope of the problem of preterm birth from various countries including the discrepancy between the US and Europe. We continue with updates on extreme prematurity and outcomes with two longitudinal studies from the past 2 years. We further review available interventions for prematurity and discuss the use of antenatal corticosteroids. First, we examine their use in the context of professional recommendations and then examine the trajectory of their continued use in the late preterm period. We focus on a European-based trial with preliminary results and an ongoing American counterpart. The current knowledge of molecular mechanisms behind preterm labor is presented with a focus on the multiple etiologies of preterm labor, both known and presumed, with updates in the basic science realm. Furthermore, up-to-date studies on prediction of preterm birth and prematurity-related morbidity are presented. PMID:25300768

  4. Practice question.

    PubMed

    Linda, Nazarko

    2009-09-23

    Care homes in the UK are diverse. Some are small, stand alone homes while others are part of large groups. Some homes are in rural areas and some in towns. Staff working in care homes may be registered nurses or care assistants. Care home staff are more likely to work part time than staff working in the NHS. Keeping up to date with changes in practice is one of the challenges of working in a care home, especially a smaller home.

  5. Exit Presentation -- Maintaining Balance

    NASA Technical Reports Server (NTRS)

    Heap, Erin

    2010-01-01

    This slide presentation reviews the projects which the author engaged in during an internship at Johnson Space Center. Project 1 was involved with Stochastic Resonance (SR). Stochastic resonance is a phenomenon in which the response of a non-linear system to a weak input signal is optimized by the presence of a particular non-zero level of noise. The goal of this project was to develop a countermeasure for sensorimotor disturbances that are experienced after long duration space flight. The second project was a pilot study that was to examine how adaptation to a novel functional task was affected by postural disturbance.

  6. Choriocarcinoma presenting with thyrotoxicosis

    PubMed Central

    Sotello, David; Test, Victor J.; Lado-Abeal, Joaquin

    2016-01-01

    We describe a 26-year-old man with metastatic choriocarcinoma who presented with hyperthyroidism associated with elevated β-human chorionic gonadotropin (B-HCG) and respiratory failure secondary to diffuse lung metastasis. After the first cycle of chemotherapy, the concentration of B-HCG dramatically decreased and the patient became euthyroid, allowing us to discontinue antithyroid medications. The patient's hyperthyroidism was caused by stimulation of the thyroid gland by high B-HCG levels, as shown by the marked improvement of the patient's thyroid function panel after chemotherapy. PMID:26722165

  7. Energy Week presentations

    SciTech Connect

    2006-07-01

    Topics covered include: energy security; clean energy and low carbon; energy for growth and poverty reduction in Africa; financing of energy efficiency; SMEs for decentralised energy service provision; potential for biofuels in developing countries; clean energy and sustainable development; clean energy finance and private equity funds; power generation and low carbon technologies; beyond traditional finance; rehabilitation and emission control in thermal power plants; and carbon finance. The presentations are mainly in ppt (Power Point) or pdf (Acrobat) format. Some videos of the conference are also available on the website.

  8. OASIS-CC presentation

    NASA Technical Reports Server (NTRS)

    1992-01-01

    The Operations and Science Instrument Support (OASIS) project is a long-term effort to help produce operations capabilities that can support space science missions of the next century. Portions of the OASIS concept in software have been implemented under the general name OASIS-R/T. OASIS-CC is the OASIS Command and Control, for monitoring and controlling science instruments and spacecraft during test, integration, launch and on-orbit operations. Viewgraphs are presented on the OASIS-CC functionality description, OASIS-CC support, and OASIS-CC as a tool.

  9. EDITORIAL: Presentation of Manuscripts

    NASA Astrophysics Data System (ADS)

    Hudson, R. P.

    1984-01-01

    We wish to draw the attention of authors to two points concerning the presentation of manuscripts. First, some changes have been made recently in our Instructions to Authors. We have reduced from two to one the number of duplicate copies of the manuscript required, asked for corrected proofs to be returned to the Editor rather than directly to the publishers, clarified that a single set of illustration-photographs will suffice, removed a specific suggestion for a style manual that we had offered for general guidance only, and added an instruction on conventions in spelling and hyphenation. Secondly, authors are required, of course, to present a thorough analysis of their experimental data and to include an estimate of their uncertainty. For this purpose, however, we strongly encourage the authors to follow the recommendations put forward by an international working group [1] to the Comité International des Poids et Mesures (CIPM) and endorsed by that body in its Recommandation 1 (CI-1981). This recommendation has been published by the CIPM [2] and was also summarized recently in this journal [3]. [1] 1981 Metrologia 17 69-74, in particular, see pp 73-74 [2] 1981 ProcA~¨s-Verbaux CIPM 10th Session 49, A1 A12. An English language version is available on application to the Director of the Bureau International des Poids et Mesures. [3] 1982 Metrologia 18 41-44, in particular, see p 44.

  10. Biomarkers present in asphaltenes

    SciTech Connect

    Philp, R.P.

    1985-01-01

    The significance and distribution of biomarkers in sediments, source rocks and crude oils are well documented in the literature. Little attention has been directed towards the biomarkers that are present in the asphaltene fractions of crude oils and source rock extracts. Asphaltene fractions by definition are insoluble in certain solvents and consist of high molecular components which makes them difficult to analyze by techniques commonly used to characterize the soluble extracts. Asphaltenes are ideally suited for analysis by microscale pyrolysis techniques (py) combined with gas chromatography (GC) and gas chromatography-mass spectrometry (GC-MS). Utilization of the multiple ion detection technique in conjunction with the py-GC-MS analyses permits the distribution of the steranes, triterpanes and other biomarker produced by pyrolysis of the asphaltenes to be easily determined. It is proposed in this paper to discuss the pyrolysis of asphaltene from a variety of source rocks and analysis of the biomarkers, released by the pyrolysis. These biomarkers distributions can be used to obtain information on source and maturity of the organic matter in a similar manner to using the soluble biomarkers. It is proposed to discuss the asphaltene biomarker distributions and also to speculate as to why certain biomarkers are present only in the extracts and asphaltenes and not produced by pyrolysis of the kerogens.

  11. Wind for Schools (Presentation)

    SciTech Connect

    Kelly, M.

    2007-06-01

    Schools are key to achieving the goal of producing 20% of the nation's electricity demand. Most significantly, schools are training the scientists, technicians, businesspeople, decisionmakers, and teachers of the future. What students learn and believe about wind energy will impact the United States' ability to create markets and policy, develop and improve technology, finance and implement projects, and create change in all of our public and private institutions. In the nearer term, school districts have large facility costs, electrical loads, and utility costs. They are always in search of ways to reduce costs or obtain revenue to improve educational programs. Schools value teaching about the science and technology of renewable energy. They are important opinion leaders, particularly in rural communities. And their financial structures are quite different from other institutions (funding, incentives, restrictions, etc.). Learning objectives: The presentation will use case studies, project experience, and discussion with the audience to convey the current status of wind energy applications and education in U.S. schools and understanding of the elements that create a successful school wind energy project. The presentation will provide attendees with a background in the current level of knowledge and generate discussion on several themes.

  12. Practical Stereochemistry.

    PubMed

    Kellogg, Richard M

    2017-03-01

    The relationship between fundamental and applied is often uneasy, particularly in modern political climates. A familiar political view, aimed negatively at the scientific community, is that the former is a waste of money whereas the latter gives value for investment. The answer that fundamental is required as the basis for practical suffers from the fact that the timelines between fundamental and practical are often long and the routes contorted and unexpected. This has been my experience. In this Account, examples are given from the research in which I have been involved wherein quite fundamental considerations have led to various applications. The longer the time, the clearer and broader the relationship. Fundamental can and does lead to application. They need and depend on each other. I have seen this both from the side of academia and from small companies. In the course of the past 40 plus years, I have been involved in various aspects of stereochemistry and, in particular, chirality. It has been rewarding to see that several of the developments, most originally grounded in fundamental research considerations, have been used in the chemical community and given new dimensions and often practical applications by others. In this Account, a path-not planned deliberately by me-from orbital symmetry and Woodward-Hoffmann rules through crown ethers to conformational analysis to diastereomeric resolutions to deracemizations powered by Ostwald ripening and the Gibbs-Thomson effect to nucleation to helicenes is described. In order of discussion, the orbital symmetry aspects have via an unusual and unpredicted path has resulted in, among other things, a synthesis of hindered alkenes useful for the production of molecular motors. The crown ether aspects led to discovery of the utility of cesium salts particularly for racemization sensitive nucleophilic substitutions. Work on diastereomeric resolutions has concentrated on the mechanistic as well as practical

  13. Practical SPI Planning

    NASA Astrophysics Data System (ADS)

    Landaeta, José Francisco; García, Javier; Amescua, Antonio

    This paper presents a practical procedure named P4SPI for planning, monitoring and closing an SPI. Planning activities are performed using PMBOK's process areas as a reference; monitoring activities using Six Sigma tools and techniques and closing activities using gathering qualitative and quantitative information about the SPI Implementation. These activities are supported by office templates.

  14. Adult Recruitment Practices.

    ERIC Educational Resources Information Center

    Kaufman, Juliet, Ed.; And Others

    Findings of an American College Testing Program 1981 survey on college recruitment of adult students are summarized, and 12 articles on adult recruitment are presented. Titles and authors are as follows: "Adult Recruitment Practices: A Report of a National Survey" (Patricia Spratt, Juliet Kaufmann, Lee Noel); "Three Programs for Adults in Shopping…

  15. Sentence-Combining Practice

    ERIC Educational Resources Information Center

    Akin, Judy O'Neal

    1978-01-01

    Sample sentence-combining lessons developed to accompany the first-year A-LM German textbook are presented. The exercises are designed for language manipulation practice; they involve breaking down more complex sentences into simpler sentences and the subsequent recombination into complex sentences. All language skills, and particularly writing,…

  16. Research into Practice.

    ERIC Educational Resources Information Center

    Bergen, Doris

    1994-01-01

    Comments on the articles presented in this issue with respect to their implications for classroom practices. Stresses that in this issue, the researchers describe how social context factors (such as adult viewpoints and adult-child interaction patterns) and physical context factors (such as variations in classroom space-time organization and…

  17. Educational Researchers and Practicality

    ERIC Educational Resources Information Center

    Van Velzen, Joke H.

    2013-01-01

    In this article, an attempt to identify further directions in research designs that researchers can use to contribute to the relevance of educational research findings, by including teachers' practicality issues, is presented. Sixty experienced teachers in secondary education read the reporting of modified experimental research findings about an…

  18. Acne: clinical presentations.

    PubMed

    Shalita, Alan R

    2004-01-01

    Acne vulgaris, the most common disease of the skin, can be manifested in a wide variety of clinical presentations. As a result of this clinical variation, there are almost as many classifications of acne as there are clinicians with particular interest in the disease. Thus acne has been classified as types I-IV, inflammatory versus noninflammatory, comedonal, comedopapular, papular, papulopustular, pustular, and "cystic" or nodular (even nodular-cystic). For those who are enamored of classification, there are subdivisions of the various categories, including "sandpaper comedones" and microcysts. There is even disagreement as to what constitutes a papule versus a nodule. The classic textbook definition of a nodule refers to lesions 1 cm or larger, but the early investigators of oral isotretinoin defined nodules as 4 mm or larger, and this definition has creeped into many texts, recently clarified by Bologna.(1)

  19. Summer Student Research Presentations

    NASA Technical Reports Server (NTRS)

    Casey, Carol (Editor)

    2005-01-01

    In 2005, over 150 undergraduate students and first-year graduate students participated in a variety of research programs coordinated by the Jet Propulsion Laboratory Education Office in conjunction with the Caltech Student- Faculty Programs Office. The programs give students the opportunity to conduct research under the guidance of an experienced mentor for a 10-week period. Students gain valuable experience while contributing to the ongoing goals of JPL. Students are required to submit progress reports and an abstract, and to give an oral presentation of their projects to an audience of JPL staff and other students. This set of abstracts provides brief descriptions of the projects that were conducted by these students and their mentors. A schedule of student talks is also included.

  20. RESRAD model presentation

    SciTech Connect

    Yu, C.; Faillace, E.; Chen, S.Y.; Wallo, A. III; Williams, W.A.; Peterson, H.; Domotor, S.

    1998-05-01

    RESRAD was one of the multimedia models selected by the US Nuclear Regulatory Commission (NRC) to include in its workshop on radiation dose modeling and demonstration of compliance with the radiological criteria for license termination. This paper is a summary of the presentation made at the workshop and focuses on the 10 questions the NRC distributed to all participants prior to the workshop. The code selection criteria, which were solicited by the NRC, for demonstrating compliance with the license termination rule are also included. Among the RESRAD family of codes, RESRAD and RESRAD-BUILD are designed for evaluating radiological contamination in soils and in buildings. Many documents have been published to support the use of these codes. This paper focuses on these two codes. The pathways considered, the databases and parameters used, quality control and quality assurance, benchmarking, verification and validation of these codes, and capabilities as well as limitations of these codes are discussed in detail.

  1. Water Past and Present

    NASA Technical Reports Server (NTRS)

    2008-01-01

    This image of sulfate and water ice deposits in the Olympia Undae region of Mars was taken by the Compact Reconnaissance Imaging Spectrometer for Mars (CRISM) at 2213 UTC on October 2, 2006 (6:13 p.m. EDT) near 81.6 degrees north latitude, 188.9 degrees east longitude. CRISM's image was taken in 544 colors covering 0.36-3.92 micrometers, and shows features as small as 20 meters (66 feet) across.

    Olympia Undae is a large dune field that stretches some 1,100 kilometers (684 miles) across the northern polar region of Mars, just south of the ice cap. The region holds a vast expanse of complex, shifting dunes and is best described as a sand sea or erg similar to the Sahara.

    The two images above provide interesting clues into Mars' history by revealing the planet's wet past and frozen present. The left image is an infrared, false-color image that reveals dark-colored dunes overlying a lighter substrate. Spectral data from CRISM and its sister instrument OMEGA suggest similar compositions of these dunes and the dark basal, or lowermost, unit of the north polar layered deposits. HIRISE images revealed cross-bedding (crossed layers that are oriented at a different angle to the main layer) in this dark unit. On Earth, cross-bedded sediments can form in both windy and watery environments. The dark polar basal unit on Mars is interpreted as a sand sheet underlying and pre-dating the ice, and now being eroded to dunes by the Martian winds.

    The mineralogy of the Olympia Undae region holds a record of past water. CRISM spectral data (right image) shows that the darker dunes are rich in polyhydrated sulfate (sulfates with more than one water molecule incorporated into each molecule of the mineral). The mineral gypsum is a polyhydrated sulfate, and the most likely constituent in these dunes. The gypsum probably formed by evaporation of ancient, saline water or by aqueous alteration of the silicate portion of the dune material. Areas shaded in red are cover by

  2. Presenting the right evidence.

    PubMed

    MacStravic, R S

    1987-09-01

    The primary focus in any marketing communication is its theme--the conclusion that audiences are intended to reach as the result of seeing or hearing the message. Two kinds of conclusions are possible. The first type, factual conclusions, are an awareness and acceptance of objective, verifiable information such as services or technologies offered, location, hours, and charges. The second type of conclusion, an opinion, is a conviction that a given healthcare organization offers a positive subjective attribute, such as compassion, competence, or friendliness. To increase the credibility of subjective attribute claims, marketers can provide seven basic forms of evidence: Statistics; Stories; Exhibits; Demonstrations; Examples; Promises; Testimony. To be effective, the evidence presented must be the right evidence. An organization must determine and respond to what signifies and demonstrates specific subjective attributes to its customers. Organizations must known what quality of patient care means in customer terms, as well as in professional terms. Organizations that deliver the right evidence of quality will enjoy the strongest market positions.

  3. STS-69 postflight presentation

    NASA Astrophysics Data System (ADS)

    1995-10-01

    A postflight conference of the STS-69 mission is presented. The flightcrew ('The Dog Team') consisted of Cmdr. David Walker, Pilot Kenneth Cockrell, Payload Cmdr. James Voss, and Mission Specialists James Newman and Michael Gernhardt. The mission's primary objective was the deployment and retrieval of the SPARTAN-201 satellite, which investigated the interaction between the Sun and it's solar wind. Other secondary experiments and shuttle payloads included the Wake Shield Facility (WSF), which grew several layers of semiconductor films, the International Extreme Ultraviolet Hitchhiker (IEH-1), the Capillary Pumped Loop-2/Gas Bridge Assembly (CAPL-2/GBA), several Get Away Specials (GAS) experiments, the Electrolysis Performance Improvement Concept Study (EPICS), the Thermal Energy Storage (TES-2) experiment, the Commercial Generic Bioprocessing Apparatus-7 (CGBA-7), the National Institutes of Health-Cells 4 (NIH-C4) experiment, and the Biological Research in Canister-6 (BRIC-6) experiment. Earth views consisted of Saudi Arabia water wells, uncommon vortices over Oman, the Amazon River, the Bahamas, Somalia, a sunset over the Earth's horizon, and two hurricanes, Luis and Marilyn.

  4. Aqueous cleaning design presentation

    NASA Technical Reports Server (NTRS)

    Maltby, Peter F.

    1995-01-01

    The phase-out of CFC's and other ozone depleting chemicals has prompted industries to re-evaluate their present methods of cleaning. It has become necessary to find effective substitutes for their processes as well as to meet the new cleaning challenges of improved levels of cleanliness and to satisfy concerns about environmental impact of any alternative selected. One of the most popular alternatives being selected is aqueous cleaning. This method offers an alternative for removal of flux, grease/oil, buffing compound, particulates and other soils while minimizing environmental impact. What I will show are methods that can be employed in an aqueous cleaning system that will make it environmentally friendly, relatively simple to maintain and capable of yielding an even higher quality of cleanliness than previously obtained. I will also explore several drying techniques available for these systems and other alternatives along with recent improvements made in this technology. When considering any type of cleaning system, a number of variables should be determined before selecting the basic configuration. Some of these variables are: (1) Soil or contaminants being removed from your parts; (2) The level of cleanliness required; (3) The environmental considerations of your area; (4) Maintenance requirements; and (5) Operating costs.

  5. IKONOS: future and present

    NASA Astrophysics Data System (ADS)

    Schaap, Niek

    2003-04-01

    The IKONOS satellite has been operational since January 2000 and was the first commercial satellite collecting imagery with 1 meter resolution. The current life expectancy of the satellite is 10 years. Since the launch, Space Imaging Inc. (the owner of the satellite) supplied IKONOS imagery to users in many vertical markets, such as: agriculture, defense, oil & gas and telecommunications. This oral presentation will give comprehensive information about IKONOS and the future: * Block II, the successor of IKONOS. Space Imaging expects to launch in 2004 a new high-resolution satellite, ensuring both continuity and (for some years) a tandem operation with IKONOS, greatly improving the availability of imagery. * Space Imaging affiliates. IKONOS imagery collected, processed and sold by regional affiliates. These regional affiliates are strategically located around the world, like Japan Space Imaging (Tokyo), Space Imaging Middle East (Dubai) and Space Imaging Eurasia (Ankara, Turkey). * Technical briefing IKONOS. IKONOS (compared to other commercial high-resolution satellites) has superior collection capabilities. Due to, the higher orbit altitude, local reception of the imagery, bi-directional scanning and the high agility of the satellite, is the IKONOS satellite capable to collect the imagery relative quickly.

  6. Marketing a Radiology Practice.

    PubMed

    Levin, David C; Rao, Vijay M; Flanders, Adam E; Sundaram, Baskaran; Colarossi, Margaret

    2016-10-01

    In addition to being a profession, the practice of radiology is a business, and marketing is an important part of that business. There are many facets to marketing a radiology practice. The authors present a number of ideas on how to go about doing this. Some marketing methods can be directed to both patients and referring physicians. Others should be directed just to patients, while still others should be directed just to referring physicians. Aside from marketing, many of them provide value to both target audiences.

  7. Using poster presentations in nursing education.

    PubMed

    Utecht, Cheryl; Tremayne, Penny

    This article outlines how student nurses evaluated the introduction of a poster presentation within a module. It highlights how such a strategy can: make learning more enjoyable; disseminate information to peers and practice staff; and be used as a teaching aid for patients.

  8. Presenting Data: Can You Follow a Recipe?

    ERIC Educational Resources Information Center

    Drummond, Gordon B.; Tom, Brian D. M.

    2011-01-01

    In this article, the authors address the practicalities of how data should be presented, summarized, and interpreted. There are no exact rules; indeed there are valid concerns that exact rules may be inappropriate and too prescriptive. New procedures evolve, and new methods may be needed to deal with new types of data, just as people know that new…

  9. Linking Literacy: Past, Present, and Future.

    ERIC Educational Resources Information Center

    Camperell, Kay, Ed.; And Others

    1995-01-01

    The papers in this book focus on the strategies, practices, theory, or research related to emergent literacy, elementary and secondary reading, literature, philosophy, affective issues, school improvement, teacher training, and assessment that are related in important ways to issues in past, present and future reading education. Papers in the book…

  10. Practice Makes Perfect?: Effective Practice Instruction in Large Ensembles

    ERIC Educational Resources Information Center

    Prichard, Stephanie

    2012-01-01

    Helping young musicians learn how to practice effectively is a challenge faced by all music educators. This article presents a system of individual music practice instruction that can be seamlessly integrated within large-ensemble rehearsals. Using a step-by-step approach, large-ensemble conductors can teach students to identify and isolate…

  11. Putting evidence into practice.

    PubMed

    Feight, Deborah; Baney, Tara; Bruce, Susan; McQuestion, Maurene

    2011-10-01

    Radiation dermatitis, or radiodermatitis, is a significant symptom caused by radiation therapy for the treatment of cancerous and noncancerous conditions. Radiodermatitis can negatively affect patients' physical functioning and quality of life. The Oncology Nursing Society coordinated a Putting Evidence Into Practice (PEP) project team to develop a PEP resource summarizing current evidence for the management of patients with radiodermatitis. Oncology nurses play an important role in educating, assessing, and monitoring patients for this symptom. Many common nursing interventions for radiodermatitis are based on tradition or opinion and have not been researched thoroughly. In addition, evidence to support some current interventions in practice is lacking. This article presents information concerning radiodermatitis, summarizes the evidence-based review for its prevention and management, and identifies gaps in the literature, as well as opportunities for research, education, and practice.

  12. Understanding the Mediatisation of Educational Policy as Practice

    ERIC Educational Resources Information Center

    Rawolle, Shaun

    2010-01-01

    The main argument presented in this paper is that the mediatisation of education should be viewed as forms of practice linked to specific practice effects. Drawing on Bourdieu's conceptualisation of practice--as elements of practice, practice games and field effects--the paper argues that viewing mediatisation as practice provides a set of…

  13. Seamless presentation capture, indexing, and management

    NASA Astrophysics Data System (ADS)

    Hilbert, David M.; Cooper, Matthew; Denoue, Laurent; Adcock, John; Billsus, Daniel

    2005-10-01

    Technology abounds for capturing presentations. However, no simple solution exists that is completely automatic. ProjectorBox is a "zero user interaction" appliance that automatically captures, indexes, and manages presentation multimedia. It operates continuously to record the RGB information sent from presentation devices, such as a presenter's laptop, to display devices, such as a projector. It seamlessly captures high-resolution slide images, text and audio. It requires no operator, specialized software, or changes to current presentation practice. Automatic media analysis is used to detect presentation content and segment presentations. The analysis substantially enhances the web-based user interface for browsing, searching, and exporting captured presentations. ProjectorBox has been in use for over a year in our corporate conference room, and has been deployed in two universities. Our goal is to develop automatic capture services that address both corporate and educational needs.

  14. Best Practices in Business Instruction.

    ERIC Educational Resources Information Center

    Briggs, Dianna, Ed.

    This document is intended to give business teachers a few best practice ideas. Section 1 presents an overview of best practice and a chart detailing the instructional levels, curricular areas, and main competencies addressed in the 26 papers in Section 2. The titles and authors of the papers included in Section 2 are as follows: "A Software…

  15. Assessment as an "Emotional Practice"

    ERIC Educational Resources Information Center

    Steinberg, Carola

    2008-01-01

    The intention of this article is to illustrate how assessment is an "emotional practice" (Hargreaves, 1998) for teachers and how paying attention to the emotions involved can provide useful information about assessment practices to teachers, teacher-educators and policy-reformers. Through presenting a review of research literature it makes three…

  16. Predictors of Rural Practice Location

    ERIC Educational Resources Information Center

    Kegel-Flom, Penelope

    1977-01-01

    Attitudes toward the urban environment and place of origin were found to be the best predictors of an optometrist's practice location. Findings of this study imply that optometry students most likely to enter rural practice can be objectively identified early in their training and that the predictive equation presented may be useful in the…

  17. Distinguished Practices of Distinguished Schools.

    ERIC Educational Resources Information Center

    Council for American Private Education, Germantown, MD.

    The Blue Ribbon Schools (BRS) program was designed in 1982 with three purposes in mind: to identify and recognize outstanding schools; to provide schools a tool and criteria for self-assessment and improvement; and to facilitate the sharing of best practices among schools. This book presents profiles and best practices of 12 elementary, 2 middle,…

  18. Practical review of pharmacology concepts.

    PubMed

    Janda, Sue M; Fagan, Nancy L

    2010-01-01

    Pharmacology concepts are used routinely in nursing practice. These concepts may be as simple as drug names and side effects, or as complex as pharmacokinetics or pharmacodynamics. All play major roles in drug efficacy and safety. A practical review of pharmacology, including pharmacokinetic and pharmacodynamic concepts, will be presented.

  19. [ISRAEL NEONATOLOGY: PRESENT AND FUTURE].

    PubMed

    Dollberg, Shaul

    2016-01-01

    The practice of neonatology in Israel debuted in the 1970s as local enterprises by individual hospitals that needed to provide sick and preterm newly born infants with up-to-date and effective care. Descriptions of research and advances in humane and gentle treatment during neonatal care for preterm infants and their families, as well as prevention of neonatal infections, follow-up of preterm infants and care of full-term infants are presented in this issue. The Israel National Very Low Birth Weight (VLBW) Infant database provides an excellent source of knowledge, which has led to multiple scientific publications. Recent international comparisons of the outcome of preterm VLBW infants, made possible by this unique database in Israel, has provided the neonatal community and the Ministry of Health with insights as to the differences in prognosis between Israel and other countries, especially among extremely low birth weight infants. At the border of viability, mortality in Israelis significantly higher than that reported in other countries and proactive steps undertaken to examine these differences and prompt correctional action should be pursued. The Israel Ministry of Health started positive initiatives and should ensure that their steps are implemented at the preterm infant's bedside.

  20. CLINICAL PRACTICE

    PubMed Central

    Giudice, Linda C.

    2011-01-01

    A healthy 25-year-old woman presents with worsening dysmenorrhea, pain of recent onset in the left lower quadrant, and dyspareunia. She has regular menstrual cycles, and her last menstrual period was 3 weeks before presentation. How should this patient be evaluated and treated? PMID:20573927

  1. Training Practices.

    ERIC Educational Resources Information Center

    1996

    This document contains four papers presented at a symposium moderated by Valeria Stokes at the 1996 conference of the Academy of Human Resource Development. "Management Development Simulations: Effective or Not?" (Jill R. Hough) reviews the differences between simulations and educational games and presents a simulation classification…

  2. Ares Launch Vehicles Lean Practices Case Study

    NASA Technical Reports Server (NTRS)

    Doreswamy, Rajiv, N.; Self, Timothy A.

    2008-01-01

    This viewgraph presentation describes test strategies and lean philisophies and practices that are applied to Ares Launch Vehicles. The topics include: 1) Testing strategy; 2) Lean Practices in Ares I-X; 3) Lean Practices Applied to Ares I-X Schedule; 4) Lean Event Results; 5) Lean, Six Sigma, and Kaizen Practices in the Ares Projects Office; 6) Lean and Kaizen Success Stories; and 7) Ares Six Sigma Practices.

  3. The Amount of Practice Really Matters: Specificity of Practice May Be Valid Only after Sufficient Practice

    ERIC Educational Resources Information Center

    Krigolson, Olav E.; Tremblay, Luc

    2009-01-01

    Studies investigating the specificity hypothesis have not always demonstrated that reliance on a specific source of feedback increases with practice. The goal of the present study was to address this inconsistency by having participants practice a throwing task with or without vision at incremental levels (10, 50, 100, or 200 acquisition trials).…

  4. Promoting the exotic pet practice.

    PubMed

    Harris, Don J

    2005-09-01

    The marketing and promotion of an exotic pet veterinary practice allows the use of strategies that are not necessarily available in other veterinary disciplines. The advantage that an exotics practice enjoys is that it is able to capitalize not only on the unique nature of the species being attended but also on the specialized features of the hospital itself that make it specifically appropriate in caring for exotic pets. Before marketing, however, comes the responsibility that the practice live up to the claims made in promotional materials. A practice cannot ethically be presented as an "exotics" practice if it is nothing more than a dog and cat facility that is willing to attend to exotic pets. It is the competence of the veterinary staff and the appropriateness of the facility that determines the suitability of the practice for exotics management.

  5. Taking the Floor: Oral Presentations in EFL Classrooms

    ERIC Educational Resources Information Center

    Al-Issa, Ali Said; Al-Qubtan, Redha

    2010-01-01

    This article discusses theoretical and practical aspects pertaining to oral presentations in the EFL context. It discusses issues and proposes ideas concerning the advantages of presentations, types of presentations, ways of arranging presentations in the classroom, possible topics of presentations and sources of data and information obtained for…

  6. The Practical Turn in Teacher Education: Designing a Preparation Sequence for Core Practice Frames

    ERIC Educational Resources Information Center

    Janssen, Fred; Westbroek, Hanna; Doyle, Walter

    2014-01-01

    Amid calls for more practice-based teacher education, this article presents a concrete illustration of a practice-based bridging strategy for preparing high school biology teachers to enact open-inquiry labs. Open-inquiry labs were considered a core practice frame that served as a context for identifying core practices and for giving coherence to…

  7. Practice Chains of Production and Consumption: Mediatized Practices across Social Fields

    ERIC Educational Resources Information Center

    Rawolle, Shaun

    2010-01-01

    The argument developed in this paper is that a focus on practice provides some resolutions to methodological problems facing Bourdieuian scholarship in education. In order to develop Bourdieu's work on practice to account for the interactions between practices, this paper presents a conceptualization of practice as chains of production and…

  8. Multispecialty Clinic Practice

    PubMed Central

    Margolin, David A.; Beck, David E.

    2011-01-01

    A multispecialty clinic practice is a common practice arrangement for colorectal surgeons. This type of practice has a variety of features, both positive and negative. The authors explore location, practice patterns, lifestyles, compensation, and academic opportunities associated with a multispecialty clinic practice. This information can assist younger surgeons in choosing a practice opportunity and guide experienced surgeons through their career progression. PMID:22654568

  9. Pheochromocytoma in Urologic Practice

    PubMed Central

    Waingankar, Nikhil; Bratslavsky, Gennady; Jimenez, Camilo; Russo, Paul; Kutikov, Alexander

    2016-01-01

    Context Pheochromocytoma is regularly encountered in urological practice and requires a thoughtful and careful clinical approach. Objective To review clinical aspects of management of pheochromocytoma in urologic practice. Evidence Acquisition A systematic review of English-language literature was performed through year 2015 using the Medline database. Manuscripts were selected with consensus of the coauthors and evaluated using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) criteria. Evidence Synthesis Findings and recommendations of the evaluated manuscripts are discussed with an emphasis on the description of presentation, diagnosis, evaluation, and perioperative care. Conclusion In addition to surgical expertise, appropriate management of pheochromocytoma in urologic practice requires nuanced understanding of pathophysiology, genetics, and endocrinological principles. When skillfully managed, the vast majority of patients with pheochromocytoma should expect an excellent prognosis. Patient Summary In this article we review the clinical approach to patients with pheochromocytoma, a tumor that stems from the innermost part of the adrenal gland and that often secretes excessive amounts of powerful hormones such as noradrenaline and adrenaline. Significant expertise is required to appropriately manage patients with these tumors. Take Home Message In addition to surgical expertise, appropriate management of pheochromocytoma in urologic practice requires nuanced understanding of pathophysiology, genetics, and endocrinological principles. When skillfully managed, vast majority of patients with pheochromocytoma should expect an excellent prognosis. PMID:28078330

  10. PAVES: A Presentation Strategy for Beginning Presenters in Inclusive Environments

    ERIC Educational Resources Information Center

    Combes, Bertina H.; Walker, Michelle; Harrell, Pamela Esprivalo; Tyler-Wood, Tandra

    2008-01-01

    Public speaking will continue to be an unsettling experience for some students, including those with disabilities. Experts have suggested several reasons for fearing public speaking; adequate preparation and practice can alleviate most of them. Using the PAVES (Posture, Attitude, Voice, Eye Contact, Smile) strategy described in this article can…

  11. Colon cancer presenting as a testicular metastasis

    PubMed Central

    Mohiuddin, Majid; Sharif, Asma

    2016-01-01

    We report a case of a 43-year-old male who initially presented with intermittent testicular pain as the first sign of metastatic stage IV colon cancer. Physical examination revealed a normal penis, scrotum and testes. Magnetic resonance imaging (MRI) of pelvis showed an irregular 3 cm mass of the spermatic cord and right radical inguinal orchiectomy was performed. The pathological diagnosis was metastatic adenocarcinoma. In conclusion, even though metastases to the testes are rare, they should be considered in clinical practice especially in older men who present with a testicular mass or discomfort. PMID:28138654

  12. Practical cardiac auscultation.

    PubMed

    Shindler, Daniel M

    2007-01-01

    This article focuses on the practical use of the stethoscope. The art of the cardiac physical examination includes skillful auscultation. The article provides the author's personal approach to the patient for the purpose of best hearing, recognizing, and interpreting heart sounds and murmurs. It should be used as a brief introduction to the art of auscultation. This article also attempts to illustrate heart sounds and murmurs by using words and letters to phonate the sounds, and by presenting practical clinical examples where auscultation clearly influences cardiac diagnosis and treatment. The clinical sections attempt to go beyond what is available in standard textbooks by providing information and stethoscope techniques that are valuable and useful at the bedside.

  13. 16 CFR 1052.3 - Conduct of oral presentation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Conduct of oral presentation. 1052.3 Section... INFORMAL ORAL PRESENTATIONS IN PROCEEDINGS BEFORE THE CONSUMER PRODUCT SAFETY COMMISSION § 1052.3 Conduct of oral presentation. (a) The purpose of the oral presentation is to afford interested persons...

  14. Practice Notes: Strategies in Health Education

    ERIC Educational Resources Information Center

    Health Education & Behavior, 2007

    2007-01-01

    The Practice Notes section is intended to keep readers informed about health education practice around the country. It is an attempt to spread the word about exemplary strategies, initiatives, and programs and share successes in overcoming obstacles or challenges. Periodically, articles presenting perspectives on practice-related issues are also…

  15. Evaluation of Reflective Practice in Teacher Education

    ERIC Educational Resources Information Center

    Belvis, Esther; Pineda, Pilar; Armengol, Carme; Moreno, Victoria

    2013-01-01

    Teacher education based on "reflective practice" consists of observing, analysing and reflecting on teacher performance in order to improve professional practice. This article presents the results of an evaluation of a programme on mathematics teaching carried out using reflective practice. It was targeted at 284 teachers in various…

  16. Research & Librarianship. Research and Practice in Academic Libraries: A Case Study; The Current State of Public Library Research in Select Peer-Reviewed Journals: 1996-2000; From Research to Action in School Library Media Programs; Collaborative Authorship in 'North Carolina Libraries': Past, Present, and Future; Publications and Sinners: Research from the Church Library Perspective.

    ERIC Educational Resources Information Center

    Foote, Margaret; DuBose, Stefanie; Durant, David; Hersberger, Julie; Demas, Christopher; Dickinson, Gail K.

    2001-01-01

    This section includes five articles on research and librarianship including a case study on research and practice in academic libraries; select peer-reviewed journals that examine the current state of public library research (1996-2000); development of research on school library media programs; benefits of collaborative authorship for librarians…

  17. Student Presentations in the Classroom

    ERIC Educational Resources Information Center

    Farnsworth, David L.

    2008-01-01

    For many years, the author has been involving his students in classroom teaching of their own classes. The day-to-day practice is described, and the advantages and disadvantages for both the instructor and the students are discussed. Comparisons with the Moore Method of teaching are made.

  18. Student Bodies, Past and Present

    ERIC Educational Resources Information Center

    Prescott, Heather Munro

    2011-01-01

    This article examines how the field of college health has evolved over time to address the needs of an increasingly diverse student population. The central argument is that college and university health programs developed in conjunction with shifting standards of medical care and public health practices in the United States. The author reviews the…

  19. School Reform: Past and Present.

    ERIC Educational Resources Information Center

    Parker, Franklin

    United States educational history is full of uncertain reform attempts beginning with colonial New England's school reform goal of salvation in this world as a preparation for eternal life in the next. A more practical type of education characterized the Early National Period. Monitorial schools and communal schools, as in New Harmony, Indiana,…

  20. Empowering a healthy practice environment.

    PubMed

    Kushner, Jodi; Ruffin, Tasha

    2015-03-01

    This article provides frontline nurses a tool kit so they can advocate a healthy practice environment. The healthy nurse, healthy work hours, job satisfaction, adequate sleep, power naps at work, and balancing family/work are discussed. The overweight nurse, nurse fatigue, compassion fatigue, shift work sleep disorder, and role strain are discussed as barriers to a healthy practice environment. Case reports with analysis and recommendations are discussed to overcome these barriers. Resources are presented for frontline nurses to develop a tool kit for transforming their environment to a healthy practice environment and to empower them to become healthy nurses.

  1. Exemplary Practices: Going beyond Appropriate Practices

    ERIC Educational Resources Information Center

    Sims, Sandra; Lambdin, Dolly; VanVolkinburg, Pat; Santos, B. J.; Graham, George; Gorwitz, Crystal

    2010-01-01

    NASPE recently published the newly revised Appropriate Practices documents (elementary, middle and high school), intending to clearly distinguish between teaching practices that "should" and "should not" occur in physical education classes. Good physical education teachers incorporate appropriate practices into their teaching. However, there are…

  2. Setting Up Private Practice in Psychiatry*

    PubMed Central

    De Sousa, Alan; De Sousa, Avinash

    2015-01-01

    Setting up a private practice in Mumbai is an onerous task. The present paper looks at the difficulties face by young psychiatrists when starting a private practice in psychiatry. It suggests certain guidelines to be followed to ensure the development of a successful practice. It also suggests methods to gain popularity among patients and society along with the ethics to be followed, knowledge base to be garnered, and the role of using multiple therapies and versatility in private practice. PMID:25838718

  3. Reflective practice for personal and professional transformation.

    PubMed

    Kofoed, Nancy A

    2011-01-01

    Reflection is the mindful (and prayerful) consideration of professional or personal actions in such a way as to transform present and future experience. Nurses will find ways to create transformation in patient care through reflection in practice, clinical supervision, leadership, education, and evidence-based practice. This article discusses models and processes for reflective practice for professional, personal, and Christian spiritual transformation, making application to case studies in nursing practice.

  4. e-GGRT Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  5. Colleges and Universities Training Presentations

    EPA Pesticide Factsheets

    EPA has produced the following training presentation(s) for reporters subject to this subpart. Generally, these presentations explain the rule or show how to use the reporting system e-GGRT to submit annual GHG reports to EPA.

  6. Myocarditis in Clinical Practice.

    PubMed

    Sinagra, Gianfranco; Anzini, Marco; Pereira, Naveen L; Bussani, Rossana; Finocchiaro, Gherardo; Bartunek, Jozef; Merlo, Marco

    2016-09-01

    Myocarditis is a polymorphic disease characterized by great variability in clinical presentation and evolution. Patients presenting with severe left ventricular dysfunction and life-threatening arrhythmias represent a demanding challenge for the clinician. Modern techniques of cardiovascular imaging and the exhaustive molecular evaluation of the myocardium with endomyocardial biopsy have provided valuable insight into the pathophysiology of this disease, and several clinical registries have unraveled the disease's long-term evolution and prognosis. However, uncertainties persist in crucial practical issues in the management of patients. This article critically reviews current information for evidence-based management, offering a rational and practical approach to patients with myocarditis. For this review, we searched the PubMed and MEDLINE databases for articles published from January 1, 1980, through December 31, 2015, using the following terms: myocarditis, inflammatory cardiomyopathy, and endomyocardial biopsy. Articles were selected for inclusion if they represented primary data or were review articles published in high-impact journals. In particular, a risk-oriented approach is proposed. The different patterns of presentation of myocarditis are classified as low-, intermediate-, and high-risk syndromes according to the most recent evidence on prognosis, clinical findings, and both invasive and noninvasive testing, and appropriate management strategies are proposed for each risk class.

  7. Presentation: Overview of Water Reuse Challenges and Opportunities

    EPA Pesticide Factsheets

    This presentation, Overview of Water Reuse Challenges and Opportunities, was given at the STAR Human and Ecological Health Impacts Associated with Water Reuse and Conservation Practices Kick-off Meeting and Webinar held on Oct. 26-27, 2016.

  8. The present status of hypnosis

    PubMed Central

    Peterfy, G.

    1973-01-01

    In this brief survey of the medical uses of hypnosis the author attempts to clarify the various theories of hypnosis, indications for its use in medical practice, and applications in the treatment of psychosomatic disorders, psychiatric disorders and in miscellaneous cases. Brief descriptions of a variety of induction methods are given, and the potential hazards of hypnosis are explored. It is the author's impression that the practice of hypnosis has, through the years, been misunderstood and often unjustly discredited. The reputation gained for it by charlatans and well intentioned, though untrained, practitioners, has obscured its value as a therapeutic tool in the eyes of a large segment of the medical profession. Hypnosis, when judiciously utilized by a qualified therapist, may be a valuable addition to the armamentarium of psychotherapeutic treatment methods. PMID:4599597

  9. Mathematical Reasoning in Teachers' Presentations

    ERIC Educational Resources Information Center

    Bergqvist, Tomas; Lithner, Johan

    2012-01-01

    This paper presents a study of the opportunities presented to students that allow them to learn different types of mathematical reasoning during teachers' ordinary task solving presentations. The characteristics of algorithmic and creative reasoning that are seen in the presentations are analyzed. We find that most task solutions are based on…

  10. STS-80 Post Flight Presentation

    NASA Technical Reports Server (NTRS)

    1996-01-01

    The flight crew of STS-80, Cmdr. Kenneth D. Cockrell, Pilot Kent V. Rominger, Mission Specialists, Tamara E. Jernigan, Thomas D. Jones, and F. Story Musgrave give a post flight presentation of their mission. This presentation is divided into two parts first a slide presentation of still shots, and the second is a video presentation.

  11. Creating Presentations on ICT Classes

    ERIC Educational Resources Information Center

    Marchis, Iuliana

    2010-01-01

    The article focuses on the creation of presentations on ICT classes. The first part highlights the most important steps when creating a presentation. The main idea is, that the computer presentation shouldn't consist only from the technological part, i.e. the editing of the presentation in a computer program. There are many steps before and after…

  12. Put Power into Your Presentations: Using Presentation Software Effectively

    ERIC Educational Resources Information Center

    Safransky, Robert J.; Burmeister, Marsha L.

    2009-01-01

    Microsoft PowerPoint, Apple Keynote, and OpenOffice Impress are relatively common tools in the classroom and in the boardroom these days. What makes presentation software so popular? As the Chinese proverb declares, a picture is worth a thousand words. People like visual presentations. Presentation software can make even a dull subject come to…

  13. Practice-audit-publish: A practice reflection.

    PubMed

    Ferrari, Robert

    2016-12-01

    Practice audits are useful opportunities to improve practice efficiency and effectiveness, reduce clinical errors, demonstrate quality care to stakeholders, promote high standards of practice, lower the risk of liability, and foster practice change. However, a benefit that is usually overlooked is the possibility of publication of the results of a practice audit. Publication (research) has a number of benefits for the clinician, including skill development as a scholar, communicator, professional, and collaborator. A practice audit is beneficial to an individual physician; furthermore, publication of the audit results could be beneficial for many others such as health care providers, patients, and other stakeholders in a health care system. The problem is that practice audits often begin without a clear plan. The important steps in planning and carrying out a practice audit can be captured by thinking about how a research publication evolves. Thus, a good researcher is a good practice auditor. This paper reviews the author's experience and provides examples and directions of the process of practice-audit-publish.

  14. 49 CFR 1116.2 - Manner of presentation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Manner of presentation. 1116.2 Section 1116.2... OF TRANSPORTATION RULES OF PRACTICE ORAL ARGUMENT BEFORE THE BOARD § 1116.2 Manner of presentation... usually be heard for each of the opposing interests, unless additional presentations are...

  15. 46 CFR 201.131 - Presentation of evidence.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Presentation of evidence. 201.131 Section 201.131... PRACTICE AND PROCEDURE Hearing Procedures (Rule 13) § 201.131 Presentation of evidence. (a) Testimony... specifically encouraged to cooperate with each other in joint presentations particularly in such items as...

  16. Clinical Practice in Portuguese Sexology.

    PubMed

    Alarcão, Violeta; Ribeiro, Sofia; Almeida, Joana; Giami, Alain

    2016-12-02

    Few studies explore the clinicians' knowledge, attitudes, and practices regarding sexuality, despite their role in the sexual-health socialization process. This study focuses on Portuguese sexologists engaged in clinical practice. It aims to characterize sexologists' sex education and training and their clinical practices, including diagnostic and therapeutic approaches. This research followed the methodology of an European survey on sexology as a profession (Euro-Sexo). From the 91 respondents who completed questionnaires, 51 (56%) were active in clinical practice. Results indicate that the Portuguese clinical sexologist is significantly older, predominantly male, has had training in sexology, performs more scientific research, and is more engaged in teaching activities when compared to nonclinical working sexologists. This article describes the main sexual problems presented by patients to Portuguese clinical sexologists and highlights differences in the professional groups and approaches toward treating these problems by medical doctors and nonmedical professionals. Results reinforce the idea that there are intra-European differences in the educational background of sexologists and reveal important variations in Portuguese sexologists' education, training, and clinical practice. The representations and practices of the sexologists in Portugal, as in other European countries, are embedded in cultural scenarios and sexual cultures, with implications for the clinical practice.

  17. Triage: Napoleon to the present day.

    PubMed

    Blagg, C R

    2004-01-01

    Triage, the sorting of patients according to the severity of their injuries and the need for urgent surgery was a concept developed by Dr. Larrey, a military surgeon in Napoleon's army. The evolution of the concept in military medicine from that time to the present is described. Triage in civilian practice first became a serious issue with the development of dialysis for chronic renal failure in the 1960s and the problem of the allocation of this scarce and very expensive treatment. With new developments in organ transplantation and technology it continues to be an issue today.

  18. Case Presentations from the Addiction Academy.

    PubMed

    Laes, JoAn R; Wiegand, Timothy

    2016-03-01

    In this article, a case-based format is used to address complex clinical issues in addiction medicine. The cases were developed from the authors' practice experience, and were presented at the American College of Medical Toxicology Addiction Academy in 2015. Section I: Drug and Alcohol Dependence and Pain explores cases of patients with co-occurring pain and substance use disorders. Section II: Legal and Policy Issues in Substance Use Disorders highlights difficult legal and policy questions in addiction medicine. Section III: Special Populations and Addictive Disorders delves into the complexity of addiction in special populations (pregnant, pediatric, and geriatric patients).

  19. Net present value approaches for drug discovery.

    PubMed

    Svennebring, Andreas M; Wikberg, Jarl Es

    2013-12-01

    Three dedicated approaches to the calculation of the risk-adjusted net present value (rNPV) in drug discovery projects under different assumptions are suggested. The probability of finding a candidate drug suitable for clinical development and the time to the initiation of the clinical development is assumed to be flexible in contrast to the previously used models. The rNPV of the post-discovery cash flows is calculated as the probability weighted average of the rNPV at each potential time of initiation of clinical development. Practical considerations how to set probability rates, in particular during the initiation and termination of a project is discussed.

  20. The practice doctorate: innovation or disruption?

    PubMed

    Chase, Susan K; Pruitt, Rosanne H

    2006-05-01

    Advanced practice nurses, particularly nurse practitioners, have been described as a disruptive innovation. The American Association of Colleges of Nursing (AACN) has proposed that by 2015 all advanced practice nurses be prepared with a Doctor of Nursing Practice (DNP). This article uses critical reflection on published literature to examine the potential difficulties that mandating such a change may present to potential students, practicing advanced practice nurses, colleges of nursing, and doctoral education in general. After considering the pressures in the nursing profession to prepare nurse faculty and reviewing the success of current models of education for advanced practice, we explore in depth the unintended consequences of the AACN recommendation. Implications for academic nursing, curriculum, advanced practice nurses, doctoral education, titling and licensure, economic issues, and the lack of evaluation research are addressed. We recommend abandoning the 2015 deadline for implementation of advanced practice nurse preparation with the DNP.

  1. Finance for practicing radiologists.

    PubMed

    Berlin, Jonathan W; Lexa, Frank James

    2005-03-01

    This article reviews basic finance for radiologists. Using the example of a hypothetical outpatient computed tomography center, readers are introduced to the concept of net present value. This concept refers to the current real value of anticipated income in the future, realizing that revenue in the future has less value than it does today. Positive net present value projects add wealth to a practice and should be pursued. The article details how costs and revenues for a hypothetical outpatient computed tomography center are determined and elucidates the difference between fixed costs and variable costs. The article provides readers with the steps used to calculate the break-even volume for an outpatient computed tomography center given situation-specific assumptions regarding staff, equipment lease rates, rent, and third-party payer mix.

  2. TMJ in your practice.

    PubMed

    Broadbent, James M

    2006-01-01

    The orthodontic population has a high probability of internal joint and muscles of mastication disorders. In the past orthodontics has been performed with modest consideration of the jaw joints. Reasons why braces are not effective in the treatment of TM disorders are explained. Presently increased emphasis is given to the function and health of the TM joints. The aware orthodontist has an opportunity to address TM disorders and improve the quality of life for his or her patients by doing a few things differently before or concurrent with conventional orthodontics. Application of orthotic and functional jaw orthopedic appliance therapy principles as presented does address the root cause and will help the majority of individuals with internal derangement and associated craniofacial pain in the orthodontic practice. Consulting services are available from author to help with individual case treatment planning or get treatment back on track.

  3. 'Dry Laboratories' in Science Education; Computer-Based Practical Work.

    ERIC Educational Resources Information Center

    Kirschner, Paul; Huisman, Willibrord

    1998-01-01

    Identifies the problems associated with the use of dry laboratories in science education, presents design considerations for the use of such practicals in science education, and presents examples of innovative nontraditional practicals. Contains 23 references. (DDR)

  4. Integral Presentations of Catalan Numbers

    ERIC Educational Resources Information Center

    Dana-Picard, Thierry

    2010-01-01

    We compute in three different ways the same definite parametric integral. By-products are the derivation of a combinatorial identity and two integral presentations of Catalan numbers. One of them leads to a presentation using the [gamma] function.

  5. Past and present Aral Sea

    NASA Astrophysics Data System (ADS)

    Dukhovniy, Viktor; Stulina, Galina; Eshchanov, Odylbek

    2013-04-01

    any more (1980-1990). Kokaral was the first of the large islands becoming a peninsula, separating the Small Aral Sea in the north-east by joining the shoreline in the west. By 1986, the peninsula practically detached the small Aral Sea from the large Aral Sea, leaving only a narrow flow passage in the east. Since that time, the hydrological regimes of the Small and Large Seas have become separated. The construction of Kokaral dam in Kazakhstan, 12 km long and 8 m high, then completely separated the small Aral Sea from the large Aral Sea and changed the hydrological regimes of the water bodies. Level of this part of Sea became from this moment permanently higher than in the large Aral Sea on 42 m a.s.l. The eastern part of the sea, where the bed is much shallower and the slope is gentler is more subjected to shrinking then the western part. 2005 year became threshold, from which Eastern Aral Sea began new story - deviation from almost empty water body to almost 4 meters depth. Present assessment of water balance of Aral Sea and delta at whole dependent from delivery water river and drainage flow through control section of Samanbay on the Amudarya and some cross sections on the enter main collectors to the delta boundary. These hydrological characteristics accepted on the base of information from BWO Amudarya and our monitoring of allocation of different waters on the delta. Water volume and water surface area of Eastern and Western Aral Sea bowls were definite on the result RS data from Landsat. Bathymetric curves gave ability to assess dynamic levels of Seas. After series of enough water years 2002 - 2005 with average water income to south Priaralie 12.5 km3 period of water scarce years lead to sharp decrease of surface water area of the Eastern bowl from 1010,5 th.ha on average on two time with failure of level from 31,1 m up to average 28,5 m. But phase of permanent reducing all indicators water body changed in 2008 on deviation in range from 26.3 m to 29.5 m. Some

  6. URBAN STORMWATER BEST MANAGEMENT PRACTICE (BMP) RESEARCH

    EPA Science Inventory

    Presentation on urban best management practice research conducted by the Urban Watershed Research Branch. The presentation to Region 3 started with Branch history, discussed results of recent projects, identified mechanisms for collaboration between ORD and Regions and discussed ...

  7. Langerhans cell histiocytosis presenting as hypothyroid goitre: a unique presentation.

    PubMed

    Marupudi, Krishna Chaitanya; Karanth, Suman S; Thomas, Joseph

    2014-12-02

    Langerhans cell histiocytosis (LCH) is a disease involving the antigen presenting cells, which can range from a single system involvement with an indolent course to a multisystem disease with increased morbidity. We present a rare case of LCH presenting as hypothyroid goitre that was successfully treated as per the LCH III trial protocol with a combination of vinblastine and oral prednisolone. We highlight the need for awareness of this rare presentation of LCH as a painless goitre which is often misdiagnosed as poorly differentiated thyroid carcinoma or overlooked as a benign disease.

  8. Amoebiasis Presenting as Acute Appendicitis.

    PubMed

    Ichikawa, Hitoshi; Imai, Jin; Mizukami, Hajime; Uda, Shuji; Yamamoto, Soichiro; Nomura, Eiji; Tajiri, Takuma; Watanabe, Norihito; Makuuchi, Hiroyasu

    2016-12-20

    We report a case of amoebic appendicitis without colitis symptoms. Acute appendicitis is commonly encountered by gastroenterologists in their daily practice. The number of cases of amoebiasis increases annually in Japan, and is thought to be associated with an increase in sexually transmitted disease or travel to endemic areas. However, acute amoebic appendicitis is rare and the prognosis is very poor compared to nonamoebic appendicitis. In our case, appendectomy was performed immediately after onset, and the patient was discharged without complications. It is difficult to differentiate between amoebic and nonamoebic appendicitis preoperatively, and the possibility of amoebic appendicitis should be kept in mind.

  9. Dressed to Present: Ratings of Classroom Presentations Vary with Attire

    ERIC Educational Resources Information Center

    Gurung, Regan A. R.; Kempen, Laura; Klemm, Kayla; Senn, Rebecca; Wysocki, Rosie

    2014-01-01

    This study investigates the effects of formality of dress on ratings of classroom presentations. Participants (N = 65, 66% women) from a Midwestern university in the United States rated three female students giving a presentation designed for a health psychology class in one of four outfits: casual, party, business casual, or business formal.…

  10. Practicing What We Teach: Trauma-Informed Educational Practice

    ERIC Educational Resources Information Center

    Carello, Janice; Butler, Lisa D.

    2015-01-01

    This article presents the starting case for applying the elements of trauma-informed care (TIC) to education and outlines the authors' initial efforts to develop guidelines for what they call trauma-informed educational practice. To this end, the article starts with a literature review related to the potential for vicarious traumatization and…

  11. Sheehan's Syndrome Presenting as Major Depressive Disorder.

    PubMed

    Qadri, Mehmood I; Mushtaq, Mohsin Bin; Qazi, Iram; Yousuf, Sameena; Rashid, Aaliya

    2015-01-01

    Sheehan's syndrome or Simmond's disease is a rare endocrine disorder seen in clinical practice. The clinical spectrum is diverse and a high index of suspicion together with a good clinical acumen and proper diagnostic approach helps in early diagnosis and prompt treatment of this endocrinopathy. Sheehan's syndrome presenting as a major depressive disorder finds less mention in the literature. The patient discussed here is a 45-year-old female who had been on antidepressants and psychiatry follow up for a long time until she presented to our Out Patient Department (OPD), where she was evaluated in detail and diagnosed as a case of Sheehan's syndrome. The patient is doing well and is on a regular follow-up with us. Further studies are required to demystify the strength of this association in more detail and to elucidate the possible underlying mechanism.

  12. Practical Tips for Increasing Listening Practice Time

    ERIC Educational Resources Information Center

    McCaughey, Kevin

    2015-01-01

    Learning a language--like learning to dance ballet, weaving carpets, or playing the saxophone--takes time and practice. In general, it is safe to say that the more practice one gets, the better one will become. This article will help teachers of English reconsider how to think about listening tasks. It will provide guidance for increasing…

  13. EE Certification: Making Best Practice Standard Practice

    ERIC Educational Resources Information Center

    Glenn, Joanne M. Lozar

    2006-01-01

    Pursuing environmental education certification is difficult, so why do it? What does it mean to be certified? Who benefits? How? These are just a few of the compelling questions addressed in "EE Certification: Making Best Practice Standard Practice," a new article exploring advancements and challenges in state and national EE…

  14. Best Practices in Grading. Research into Practice

    ERIC Educational Resources Information Center

    Johnston, Howard

    2011-01-01

    Grading is one of the most enduring features of schooling. No matter what other reforms occur in a school, grading remains as one of the cornerstones of educational practice. But recently this long-standing tradition has come under scrutiny with some alarming results. Many traditional grading practices actually "depress" achievement, and may, in…

  15. Representing Practice: Practice Models, Patterns, Bundles

    ERIC Educational Resources Information Center

    Falconer, Isobel; Finlay, Janet; Fincher, Sally

    2011-01-01

    This article critiques learning design as a representation for sharing and developing practice, based on synthesis of three projects. Starting with the findings of the Mod4L Models of Practice project, it argues that the technical origins of learning design, and the consequent focus on structure and sequence, limit its usefulness for sharing…

  16. Practical Epistemologies in Physical Education Practice

    ERIC Educational Resources Information Center

    Quennerstedt, Mikael

    2013-01-01

    With a point of departure in a transactional understanding of epistemology, the purpose of this paper is to explore practical epistemologies in physical education (PE) by investigating how knowledge is produced and reproduced in students' and teachers' actions in PE practices posted as clips on the user-generated video-sharing website…

  17. Fetal movement and fetal presentation.

    PubMed

    Suzuki, S; Yamamuro, T

    1985-09-01

    Fetal movements were analyzed by means of ultrasonography in an attempt to clarify the causative factor of frank breech presentation. Fetal posture, position, presentation and movements, as well as posture of the extremities and the volume of amniotic cavity were analyzed by ultrasonography in 112 fetuses ranging from 12 to 42 weeks of gestation. There existed three different fetal states: inactivity; slow sporadic movements without changes of presentations; active whole body movements with changes of presentations. It appears likely that version of fetal presentation from breech to cephalic occurs as the fetus tries to accommodate itself to the shape of the uterus during the state of active whole body movements, and the frank breech presentation of the fetus might result when the whole body movements are weak or absent.

  18. No Presentism in Quantum Gravity

    NASA Astrophysics Data System (ADS)

    Wüthrich, Christian

    This essay offers a reaction to the recent resurgence of presentism in the philosophy of time. What is of particular interest in this renaissance is that a number of recent arguments supporting presentism are crafted in an untypically naturalistic vein, breathing new life into a metaphysics of time with a bad track record of co-habitation with modern physics. Against this trend, the present essay argues that the pressure on presentism exerted by special relativity and its core lesson of Lorentz symmetry cannot easily be shirked. A categorization of presentist responses to this pressure is offered. As a case in point, I analyze a recent argument by Monton (Presentism and quantum gravity, 263-280, 2006) presenting a case for the compatibility of presentism with quantum gravity. Monton claims that this compatibility arises because there are quantum theories of gravity that use fixed foliations of spacetime and that such fixed foliations provide a natural home for a metaphysically robust notion of the present. A careful analysis leaves Monton's argument wanting. In sum, the prospects of presentism to be alleviated from the stress applied by fundamental physics are faint.

  19. Professional communications: publications and presentations.

    PubMed

    Ulrich, Beth T

    2007-01-01

    This article, which appears as Chapter 7 in ANNA's new publication, Career Fulfillment in Nephrology Nursing: Your Guide to Professional Development (2nd edition), will look at professional communications, including publications and presentations. ANNA's new publication, edited by Carol M. Headley and released in September 2007, will provide focus-driven direction and can serve as your personal guide and mentor to career development. The goals of this chapter are to: (a) define the elements common to preparing presentations and publications; (b) present the essentials of developing and submitting a manuscript for publication, and (c) demonstrate the core elements of making successful presentations.

  20. Section 608 Rule Presentation Slides

    EPA Pesticide Factsheets

    This document presents slides informing the public about updates to the Section 608 concerning appliance disposal, refrigerant reclamation, technician certification, refrigerant sales restriction, recordkeeping, and repairing refrigerant leaks.

  1. Chemotherapy of leishmaniasis: present challenges.

    PubMed

    Uliana, Silvia R B; Trinconi, Cristiana T; Coelho, Adriano C

    2017-01-20

    Cutaneous and visceral leishmaniasis are amongst the most devastating infectious diseases of our time, affecting millions of people worldwide. The treatment of these serious diseases rely on a few chemotherapeutic agents, most of which are of parenteral use and induce severe side-effects. Furthermore, rates of treatment failure are high and have been linked to drug resistance in some areas. Here, we reviewed data on current chemotherapy practice in leishmaniasis. Drug resistance and mechanisms of resistance are described as well as the prospects for applying drug combinations for leishmaniasis chemotherapy. It is clear that efforts for discovering new drugs applicable to leishmaniasis chemotherapy are essential. The main aspects on the various steps of drug discovery in the field are discussed.

  2. Condoms: Past, present, and future

    PubMed Central

    Marfatia, Y. S.; Pandya, Ipsa; Mehta, Kajal

    2015-01-01

    Though many methods of prevention of STI/HIV are available, condoms remain of utmost importance. They have gone a long way from the oiled silk paper used by the Chinese and the hard sheaths made of tortoise- shell used by the Japanese to the latex condoms of today. The breakthrough came when the rubber vulcanization process was invented by Charles Goodyear and eventually the first rubber condom was made. The condom offers maximum protection( more than 90%) against HIV, Hepatitis B virus and N.Gonorrhoea. They also offer protection in scenarios when alternate sexual practices are adapted. The female condom in the only female driven contraceptive method available today. Graphene and Nano lubricated condoms are new in the market and others in futuristic approach may include wearable technology/Technology driven condom and invisible Condoms. Both Correct and Consistent use of condoms needs to be promoted for HIV/STI prevention. PMID:26692603

  3. Task Group 9 Update (Presentation)

    SciTech Connect

    Bosco, N.

    2014-04-01

    This presentation is a brief update of IEC TC82 QA Task Force, Group 9. Presented is an outline of the recently submitted New Work Item Proposal (NWIP) for a Comparative Thermal Cycling Test for CPV Modules to Differentiate Thermal Fatigue Durability.

  4. Pleural sarcoidosis: a rare presentation

    PubMed Central

    Loughney, E.; Higgins, B. G.

    1997-01-01

    Sarcoidosis is a chronic disorder of unknown aetiology which causes tissue injury and granuloma formation in many organs. Although over 80% of cases have intrathoracic disease at presentation, pleural sarcoidosis remains an unusual manifestation. A case of sarcoidosis presenting with a discrete pleural mass is reported. 




 PMID:9059488

  5. Web-Based Slide Presentations.

    ERIC Educational Resources Information Center

    Just, Melissa L.

    At the University of Southern California's Norris Medical Library, seminars on World Wide Web topics are given to faculty, staff, students, and to community health care providers at remote sites. The presentations have been given using presentation software such as Microsoft PowerPoint, while running Netscape in the background, switching between…

  6. Preparing Slide Presentations on Computers.

    ERIC Educational Resources Information Center

    Elberfeld, John K.

    1982-01-01

    Suggest use of well-organized slide presentation as effective way to introduce computers to large audiences and discusses how to get started--state objective, analyze audience, outline presentation, prepare slides--and equipment needed to obtain slides from television screens, miniature components, and book illustrations. References and sources…

  7. Teaching of Multimedia Presentation Creation

    ERIC Educational Resources Information Center

    Nagyová, Ingrid; Turcáni, Milan

    2008-01-01

    Multimedia presentation has its well-founded place in classwork and in the teaching process itself. Multimedia enables teachers to speak to their pupils and students through pictures and sounds. Computer presentation accompanies the teacher in the teaching process that thus becomes more comprehensive, well-considered and effective. In addition…

  8. The stratosphere: Present and future

    NASA Technical Reports Server (NTRS)

    Hudson, R. D. (Editor); Reed, E. I. (Editor)

    1979-01-01

    The present status of stratospheric science is discussed. The three basic elements of stratospheric science-laboratory measurements, atmospheric observations, and theoretical studies are presented along with an attempt to predict, with reasonable confidence, the effect on ozone of particular anthropogenic sources of pollution.

  9. Integrating Financial Analysis into Presentations

    ERIC Educational Resources Information Center

    Saatci, Elizabeth

    2004-01-01

    Assignments that combine case studies with applied research can work for presentations as well as for written reports. One such assignment that has proven to be successful both in the author's classes and later in the students' professional lives is based on (1) incorporating banking concepts and encouraging their use in presentations; (2)…

  10. Ethical Practices for College Presidents.

    ERIC Educational Resources Information Center

    American Association of State Colleges and Universities, Washington, DC.

    A policy statement on ethical practices for college presidents developed by the Committee on Governance of the American Association of State Colleges and Universities (AASCU) is presented. Presidents of AASCU member institutions recognize the special responsibilities that pertain to them by virtue of the public trust they hold. To fulfill that…

  11. Practice Theory in Language Learning

    ERIC Educational Resources Information Center

    Young, Richard F.; Astarita, Alice C.

    2013-01-01

    Ortega (2011) has argued that second language acquisition is stronger and better after the social turn. Of the post-cognitive approaches she reviews, several focus on the social context of language learning rather than on language as the central phenomenon. In this article, we present Practice Theory not as yet another approach to language…

  12. Teaching Rhetorica: Theory, Pedagogy, Practice

    ERIC Educational Resources Information Center

    Ronald, Kate, Ed.; Ritchie, Joy, Ed.

    2006-01-01

    In their breakthrough anthology of women's rhetoric, "Available Means," Kate Ronald and Joy Ritchie presented the first comprehensive collection of women's rhetorical theory and practice from the third century B.C. to 2001. With that expansive gathering of women's rhetoric, they raised questions about gender, difference, and the rhetorical canon,…

  13. Learning Style Theory and Practice.

    ERIC Educational Resources Information Center

    Keefe, James W.

    This monograph builds upon rapid developments in the field of learning styles during the past few years, providing useful information about the theory, research, instrumentation, and practice of learning style. The first section presents an overview of learning style and addresses the school learning process, learning style concept, cognitive…

  14. Artists Comment on Museum Practices.

    ERIC Educational Resources Information Center

    Kanatani, Kim; Prabhu, Vas

    1996-01-01

    Presents three works of art that examine issues of exhibition, display, culture, and access in contemporary museum practices. The works include four black mannequins dressed as security guards, a room-size installation consisting solely of objects related to the artist, and a poster highlighting the general exclusion of women artists. (MJP)

  15. Instructional Leadership Practices in Singapore

    ERIC Educational Resources Information Center

    Ng, Foo Seong David; Nguyen, Thanh Dong; Wong, Koon Siak Benjamin; Choy, Kim Weng William

    2015-01-01

    This paper presents a review of the literature on principal instructional leadership in Singapore. The authors investigated the dimensions of instructional leadership in the practices of Singapore principals and highlighted the strategies these leaders adopt to enact their instructional roles. Singapore principals were found to play an active role…

  16. A Potpourri of Practical Ideas.

    ERIC Educational Resources Information Center

    Creighton, James L., Ed.

    1987-01-01

    Consisting of material designed for practical application in the English classroom and representing all educational levels, this collection of articles contains a selection of the best presentations given at the fall 1986 meeting of the Southeastern Ohio Council of Teachers of English. Following an introduction by guest editor James L. Creighton,…

  17. Practical Parenting: A Jewish Perspective.

    ERIC Educational Resources Information Center

    Lipsitz, Gail Josephson

    Based on the clinical expertise of social workers at Jewish Family Services of Central Maryland, this book presents practical advice for parents of all faiths, with each of 34 chapters exploring a specific parenting issue. The book is divided into five sections: (1) "Many Kinds of Families," dealing with only children, sibling struggles,…

  18. Practicing implant dentistry profitably.

    PubMed

    Stump, G; Adams, M; Alwan, M

    1997-03-01

    The success of dental implants has opened up countless treatment possibilities for restorative dentists to offer to their patients. Just as our clinical paradigms have had to change because of this new technology, so too must our paradigms concerning the way we communicate with our patients change if we are to get them to say "yes" to treatment that we know that they need. Success in clinical treatment using implants requires a systematic approach. A systematic approach to communicating with your patients will allow you to have the same high degree of success with treatment acceptance that is possible with dental implants. The key to the systems we have discussed is Relationship Centered Care. A relationship is fostered and enhanced through a Comprehensive Examination Process, a structured Consultation Process utilizing the influencing process and Financial Arrangements that allow the patient to receive what they want while the office maintains the profitability that it needs. A system for calculating rational fees can be utilized that allows the practice to have control over an area that traditionally was controlled by anecdotal factors. The Pride Institute has developed this material and is presenting it to the profession so that restorative dentists can truly practice implant dentistry profitably.

  19. Good Clinical Practice Training

    PubMed Central

    Arango, Jaime; Chuck, Tina; Ellenberg, Susan S.; Foltz, Bridget; Gorman, Colleen; Hinrichs, Heidi; McHale, Susan; Merchant, Kunal; Shapley, Stephanie; Wild, Gretchen

    2016-01-01

    Good Clinical Practice (GCP) is an international standard for the design, conduct, performance, monitoring, auditing, recording, analyses, and reporting of clinical trials. The goal of GCP is to ensure the protection of the rights, integrity, and confidentiality of clinical trial participants and to ensure the credibility and accuracy of data and reported results. In the United States, trial sponsors generally require investigators to complete GCP training prior to participating in each clinical trial to foster GCP and as a method to meet regulatory expectations (ie, sponsor’s responsibility to select qualified investigators per 21 CFR 312.50 and 312.53(a) for drugs and biologics and 21 CFR 812.40 and 812.43(a) for medical devices). This training requirement is often extended to investigative site staff, as deemed relevant by the sponsor, institution, or investigator. Those who participate in multiple clinical trials are often required by sponsors to complete repeated GCP training, which is unnecessarily burdensome. The Clinical Trials Transformation Initiative convened a multidisciplinary project team involving partners from academia, industry, other researchers and research staff, and government to develop recommendations for streamlining current GCP training practices. Recommendations drafted by the project team, including the minimum key training elements, frequency, format, and evidence of training completion, were presented to a broad group of experts to foster discussion of the current issues and to seek consensus on proposed solutions. PMID:27390628

  20. Practical Invisibility Cloaking

    NASA Astrophysics Data System (ADS)

    Choi, Joseph Sung-hwoon

    This thesis presents mainly two methodologies for achieving practical invisibility cloaking. Thus, using commercial technologies, devices that are good approximations to an 'ideal' cloak can be achieved - a cloak that is omnidirectional, broadband, operational for the visible spectrum, three-dimensional (3D), and phase-matching for the light field, among other attributes. We first describe 'paraxial cloaking,' where cloaking is considered as an imaging system. The small-angle ('paraxial') formalism provides a first-order design requirement for any 'perfect' cloaking device. A ray optics four-lens cloak (called the "Rochester Cloak'") is experimentally demonstrated, followed by theoretical work to match the phase for the entire visible spectrum. To extend our broadband, paraxial cloak to larger viewing angles, we then discretize space, angle, spectrum, and phase to approximate an ideal, omnidirectional cloak. Such 'discretized cloaking' is experimentally demonstrated as a 'digital cloak,' where commercially available digital image capture and display technologies are used. In particular, we demonstrate an active cloak that uses lenticular lenslet arrays, similar to 'integral imaging' for 3D displays. The 'digital integral cloak' we demonstrate is dynamic, but requires a time delay for image capture and processing, and is two-dimensional (2D) without phase-matching. Continuing improvements in commercial digital technology and computational power will minimize the resolution limitations of a digital cloak and enhance its processing speed. Thus, a wearable cloak can then be practically realized in the future.

  1. Creating an effective poster presentation.

    PubMed

    Taggart, H M; Arslanian, C

    2000-01-01

    One way to build knowledge in nursing is to share research findings or clinical program outcomes. The dissemination of these findings is often a difficult final step in a project that has taken months or years to complete. One method of sharing findings in a relaxed and informal setting is a poster presentation. This method is an effective form for presenting findings using an interactive approach. The milieu of a poster presentation enables the presenters to interact and dialogue with colleagues. Guidelines for size and format require that the poster is clear and informative. Application of design helps to create visually appealing posters. This article summarizes elements of designing and conducting a poster presentation.

  2. KINECTATION (Kinect for Presentation): Control Presentation with Interactive Board and Record Presentation with Live Capture Tools

    NASA Astrophysics Data System (ADS)

    Sutoyo, Rhio; Herriyandi; Fennia Lesmana, Tri; Susanto, Edy

    2017-01-01

    Presentation is one the most common activity performed in various fields of work (e.g. lecturer, employee, manager, etc.). The purpose of presentation is to demonstrate or introduce presenters’ idea to the attendees. Within the given time and specific place, presenters must transfer their knowledge and leave great impression for their audience. Generally, presenters use several handy tools such as mouse, presenter, and webcam to help them to navigate their slides. Nevertheless, some of these tools have several constraints and limitations such as not portable and does not support multimedia. In this research, we develop an application that assist presenters to control their presentation materials by using Microsoft KINECT. In this research, we manipulate colour image, image depth, and the skeleton of the presenters captured by the KINECT. Then, we show the post-process image results into the projector screen. The KINECT has more useful than other tools because it supports video and audio recording. Moreover, it also able to capture presenters’ movement that can be used as an input to interact and manipulate the content (i.e. by touching the projection wall). Not only this application provides an alternative in controlling presentation activity, but it also makes the presentation more efficient and attractive.

  3. Diversity of faculty practice in workshop classrooms

    NASA Astrophysics Data System (ADS)

    Franklin, Scott V.; Chapman, Tricia

    2013-01-01

    We present a temporally fine-grained characterization of faculty practice in workshop-style introductory physics courses. Practice is binned in five minute intervals and coded through two complementary observational protocols: the Reform Teaching Observation Protocol provides a summative assessment of fidelity to reform-teaching principles, while the Teaching Dimensions Observation Protocol records direct practice. We find that the TDOP's direct coding of practice explains nuances in the holistic RTOP score, with higher RTOP scores corresponding to less lecture, but not necessarily more student-directed activities. Despite using similar materials, faculty show significant differences in practice that manifests in both TDOP and RTOP scores. We also find a significant dependence of practice on course subject reflected in both RTOP and TDOP scores, with Electricity & Magnetism using more instructor-centered practices (lecture, illustration, etc.) than Mechanics courses.

  4. Angiomatous Hamartoma - A Rare Presentation

    PubMed Central

    Wadhera, Raman; Kaintura, Madhuri; Bhukar, Sandeep; Pillai, Dheeraj Shashikumar

    2016-01-01

    Eccrine Angiomatous Hamartoma (EAH) is a benign rare skin neoplasm characterised histologically by abnormal proliferation of sweat glands and surrounding capillaries and other dermal elements like fatty lobules and hair. It usually presents at birth or in early childhood in the form of solitary nodules mostly affecting the extremities. Here, we report a case of angiomatous hamartoma over the face which presented as a cystic swelling in preauricular region in a 55-year-old man. The late onset and a rare site for presentation of EAH prompted us to report the case. There is not even a single case of EAH arising in the “preauricular” region, reported. PMID:27790478

  5. Galactosemia presenting as recurrent sepsis.

    PubMed

    Rathi, Narendra; Rathi, Akanksha

    2011-12-01

    Galactosemia is a treatable metabolic disorder caused by the deficiency of enzyme galactose-1-phosphate uridyl transferase (GALT) and inherited as an autosomal recessive trait. A case of neonate manifesting with recurrent Escherichia coli sepsis is presented here which turned out to be a classic galactosemia. No other common presenting features were observed in this infant except cataract on slit lamp examination. To the best of our knowledge, there is no case of galactosemia reported in literature which presented with recurrent neonatal sepsis without hepatomegaly, hyperbilirubinemia, bleeding disorder, vomiting, diarrhea, failure to thrive, hypoglycemia, coagulopathy, hemolysis or renal tubular acidosis.

  6. Good Practice in Student Affairs: Principles To Foster Student Learning.

    ERIC Educational Resources Information Center

    Blimling, Gregory S.; Whitt, Elizabeth J.

    This book, based on the conclusions of a study of practices in college student affairs, presents nine papers which identify the best practices in student affairs, review research used to define the best practices, and give examples of how to use these practices in the field. The book is based on a 1996 meeting of an interdisciplinary study group…

  7. TREATMENT OF GASEOUS EFFLUENTS ISSUED FROM RECYCLING – A REVIEW OF THE CURRENT PRACTICES AND PROSPECTIVE IMPROVEMENTS

    SciTech Connect

    Patricia Paviet-Hartmann; William Kerlin; Steven Bakhtiar

    2010-11-01

    The objectives of gaseous waste management for the recycling of nuclear used fuel is to reduce by best practical means (ALARA) and below regulatory limits, the quantity of activity discharged to the environment. The industrial PUREX process recovers the fissile material U(VI) and Pu(IV) to re-use them for the fabrication of new fuel elements e.g. recycling plutonium as a Mixed Oxide (MOX) fuel or recycling uranium for new enrichment for Pressurized Water Reactor (PWR). Meanwhile the separation of the waste (activation and fission product) is performed as a function of their pollution in order to store and avoid any potential danger and release towards the biosphere. Raffinate, that remains after the extraction step and which contains mostly all fission products and minor actinides is vitrified, the glass package being stored temporarily at the recycling plant site. Hulls and end pieces coming from PWR recycled fuel are compacted by means of a press leading to a volume reduced to 1/5th of initial volume. An organic waste treatment step will recycle the solvent, mainly tri-butyl phosphate (TBP) and some of its hydrolysis and radiolytic degradation products such as dibutyl phosphate (HDPB) and monobutyl phosphate (H2MBP). Although most scientific and technological development work focused on high level waste streams, a considerable effort is still under way in the area of intermediate and low level waste management. Current industrial practices for the treatment of gaseous effluents focusing essentially on Iodine-129 and Krypton-85 will be reviewed along with the development of novel technologies to extract, condition, and store these fission products. As an example, the current industrial practice is to discharge Kr-85, a radioactive gas, entirely to the atmosphere after dilution, but for the large recycling facilities envisioned in the near future, several techniques such as 1) cryogenic distillation and selective absorption in solvents, 2) adsorption on activated

  8. Practical quantum digital signature

    NASA Astrophysics Data System (ADS)

    Yin, Hua-Lei; Fu, Yao; Chen, Zeng-Bing

    2016-03-01

    Guaranteeing nonrepudiation, unforgeability as well as transferability of a signature is one of the most vital safeguards in today's e-commerce era. Based on fundamental laws of quantum physics, quantum digital signature (QDS) aims to provide information-theoretic security for this cryptographic task. However, up to date, the previously proposed QDS protocols are impractical due to various challenging problems and most importantly, the requirement of authenticated (secure) quantum channels between participants. Here, we present the first quantum digital signature protocol that removes the assumption of authenticated quantum channels while remaining secure against the collective attacks. Besides, our QDS protocol can be practically implemented over more than 100 km under current mature technology as used in quantum key distribution.

  9. Is radiology presented to medical students as a fulfilling career?

    PubMed

    Gunderman, Richard B; Huynh, Justin

    2007-10-01

    The Pathway Evaluation Program is a resource that provides profiles of 42 different medical specialities, including diagnostic radiology. It is widely used by medical students. The portrait of radiologic practice it presents is a sobering one and has the potential to deflect top students from careers in radiology. Radiologic educators and practicing radiologists need to understand its findings to improve educational experience and enhance professional fulfillment in the field.

  10. HYDROGEOLOGIC CASE STUDIES (DENVER PRESENTATION)

    EPA Science Inventory

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  11. BioFuels Atlas (Presentation)

    SciTech Connect

    Moriarty, K.

    2011-02-01

    Presentation for biennial merit review of Biofuels Atlas, a first-pass visualization tool that allows users to explore the potential of biomass-to-biofuels conversions at various locations and scales.

  12. Gearbox Reliability Collaborative Update (Presentation)

    SciTech Connect

    Sheng, S.; Keller, J.; Glinsky, C.

    2013-10-01

    This presentation was given at the Sandia Reliability Workshop in August 2013 and provides information on current statistics, a status update, next steps, and other reliability research and development activities related to the Gearbox Reliability Collaborative.

  13. Pathway and Resource Overview (Presentation)

    SciTech Connect

    Ruth, M. F.

    2009-11-16

    This presentation provides information about hydrogen pathway analysis, which is analysis of the total levelized cost (including return on investment). Well-to-wheels (WTW) energy use, and WTW emissions for hydrogen production, delivery, and distribution pathways.

  14. Primary polycythaemia presenting with chorea.

    PubMed Central

    Borg-Costanzi, J. M.; Mohr, P. D.; Lewis, D.

    1981-01-01

    A case of primary polycythaemia presenting with severe chorea is reported and compared with previous cases. The aetiological factors of the chorea are discussed and the importance of early diagnosis stressed. PMID:7291101

  15. Wind Technologies & Evolving Opportunities (Presentation)

    SciTech Connect

    Robichaud, R.

    2014-07-01

    This presentation covers opportunities for wind technology; wind energy market trends; an overview of the National Wind Technology Center near Boulder, Colorado; wind energy price and cost trends; wind turbine technology improvements; and wind resource characterization improvements.

  16. Sanitary Surveys & Significant Deficiencies Presentation

    EPA Pesticide Factsheets

    The Sanitary Surveys & Significant Deficiencies Presentation highlights some of the things EPA looks for during drinking water system site visits, how to avoid significant deficiencies and what to do if you receive one.

  17. A centralized audio presentation manager

    SciTech Connect

    Papp, A.L. III; Blattner, M.M.

    1994-05-16

    The centralized audio presentation manager addresses the problems which occur when multiple programs running simultaneously attempt to use the audio output of a computer system. Time dependence of sound means that certain auditory messages must be scheduled simultaneously, which can lead to perceptual problems due to psychoacoustic phenomena. Furthermore, the combination of speech and nonspeech audio is examined; each presents its own problems of perceptibility in an acoustic environment composed of multiple auditory streams. The centralized audio presentation manager receives abstract parameterized message requests from the currently running programs, and attempts to create and present a sonic representation in the most perceptible manner through the use of a theoretically and empirically designed rule set.

  18. Nitrates and Nitrites TNC Presentation

    EPA Pesticide Factsheets

    The Nitrates and Nitrites Presentation gives an overview of nitrates and nitrites in drinking water, why it is important to monitor them and what to do in cases where the results exceed the maximum contaminant level (MCL).

  19. SpeakEasy: Online Support for Oral Presentation Skills.

    ERIC Educational Resources Information Center

    Hill, Monica; Storey, Anne

    2003-01-01

    Describes the development of an online course that aims to help tertiary students improve their English oral presentation skills. The course aims to allow learners to prepare their presentations out of class and then practice these skills in class with peer and teacher feedback. (Author/VWL)

  20. Assessment of a Brief Oral Presentation Assignment in Biopsychology

    ERIC Educational Resources Information Center

    Sleigh, Merry J.

    2013-01-01

    This study examined the suitability of a brief oral presentation exercise as an assessment method in biopsychology. Undergraduate students researched and presented a five-minute, self-selected fact related to course material, allowing them to practice oral communication skills, such as clearly explaining and carefully listening. Biopsychology…

  1. 16 CFR 303.18 - Terms implying fibers not present.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Terms implying fibers not present. 303.18... RULES AND REGULATIONS UNDER THE TEXTILE FIBER PRODUCTS IDENTIFICATION ACT § 303.18 Terms implying fibers... designation of a fiber which is not present in the product, (b) which are phonetically similar to the name...

  2. 16 CFR 303.18 - Terms implying fibers not present.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Terms implying fibers not present. 303.18... RULES AND REGULATIONS UNDER THE TEXTILE FIBER PRODUCTS IDENTIFICATION ACT § 303.18 Terms implying fibers... designation of a fiber which is not present in the product, (b) which are phonetically similar to the name...

  3. 29 CFR 8.11 - Presentations of other interested persons.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Presentations of other interested persons. 8.11 Section 8.11 Labor Office of the Secretary of Labor PRACTICE BEFORE THE ADMINISTRATIVE REVIEW BOARD WITH REGARD TO FEDERAL SERVICE CONTRACTS General Procedural Matters § 8.11 Presentations of other interested persons....

  4. 24 CFR 1720.425 - Presentation and admission of evidence.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Presentation and admission of evidence. 1720.425 Section 1720.425 Housing and Urban Development Regulations Relating to Housing and Urban... PRACTICE Adjudicatory Proceedings Discovery and Evidence § 1720.425 Presentation and admission of...

  5. Presenting the Iterative Curriculum Discourse Analysis (ICDA) Approach

    ERIC Educational Resources Information Center

    Iversen, Lars Laird

    2014-01-01

    The article presents a method for analysing recurring curriculum documents using discourse theory inspired by Ernesto Laclau and Chantal Mouffe. The article includes a presentation of the method in seven practical steps, and is illustrated and discussed throughout using the author's recent case study on religion, identity and values in Norwegian…

  6. Peripartum Cardiomyopathy Presenting as Bradycardia

    PubMed Central

    Rose, Carl H.; Tweet, Marysia S.; Hayes, Sharonne N.; Best, Patricia J. M.; Blauwet, Lori A.

    2017-01-01

    Peripartum cardiomyopathy (PPCM) is a disease that typically affects young otherwise healthy women. As PPCM is associated with significant mortality, timely diagnosis is necessary to ensure appropriate care. To our knowledge, this represents the first reported case of PPCM presenting as symptomatic bradycardia. We describe the patient's clinical presentation and relevant findings and review the potential etiology and ramifications of bradycardia in patients with PPCM. PMID:28255481

  7. The art of poster presentation.

    PubMed

    Maltby, H J; Serrell, M

    1998-04-01

    Need to attract attention with a captivating poster? This article provides helpful suggestions for the design and production of a poster. Layout, colour, balance, lettering and the use of pictures are considered. Details are also provided of the Research-poster Appraisal Tool (R-PAT) developed by Bushy (1991). The authors recommend that poster presenters use the tool to self-assess effectiveness prior to presentation. The tool can also be used by conference organisers for rating displayed posters.

  8. Breech presentation: increasing maternal choice.

    PubMed

    Tiran, Denise

    2004-11-01

    Pregnant women with a third trimester breech presentation are almost invariably offered Caesarean section as the mode of delivery of first choice, especially when external version has failed to turn the fetus to cephalic. However, increasingly women are resorting to alternatives, to avoid either operative delivery or manipulative intervention in late pregnancy. This paper reviews some of the options for women with breech presentation, focusing especially on integrating these options into conventional maternity care.

  9. Tutorial: angiocardiography, past and present

    NASA Technical Reports Server (NTRS)

    Sandler, H.

    1975-01-01

    The contribution of X-ray methodology and angiocardiography in the ability to study cardiac and cardiovascular function is presented. Angiocardiography remains the most reliable method for determination of overall chamber size and shape particularly in the face of disease states of varying etiologies. It also presents the most accurate means for obtaining dimensional information concerning the heart and blood vessels without the use of surgery or attachment of transducers.

  10. Orientations to Reflective Practice.

    ERIC Educational Resources Information Center

    Wellington, Bud; Austin, Patricia

    1996-01-01

    Delineates five orientations to reflective practice: immediate, technical, deliberative, dialectic, and transpersonal, each reflecting different social science bases and beliefs and values about education. Views them as interactive, interdependent, noncompeting, aspects of reflective practice. (SK)

  11. GPs in teaching practices.

    PubMed

    Charles, Janice; Valenti, Lisa; Miller, Graeme

    2012-01-01

    From April 2010 to March 2011, 956 general practitioners took part in BEACH (Bettering the Evaluation and Care of Health). Five hundred and ninety-four (62%) worked in a teaching practice for undergraduates, junior doctors or general practice registrars.

  12. Defining Empirically Based Practice.

    ERIC Educational Resources Information Center

    Siegel, Deborah H.

    1984-01-01

    Provides a definition of empirically based practice, both conceptually and operationally. Describes a study of how research and practice were integrated in the graduate social work program at the School of Social Service Administration, University of Chicago. (JAC)

  13. Best Practices in Wireless Emergency Alerts

    DTIC Science & Technology

    2014-02-01

    015 | 33 Value is measured in terms of the types of outcomes expected. For example, a practice that reduc- es property damage from a storm could be...of value to the alert originating community. 3. WEA Best Practices must present information with clarity. They must be clearly written us- ing terms...must be effective. They must show a measurable improvement over al- ternative practices. Based on these guidelines, the researchers further developed

  14. Present-day irrigation mitigates heat extremes

    NASA Astrophysics Data System (ADS)

    Thiery, Wim; Davin, Edouard L.; Lawrence, David M.; Hirsch, Annette L.; Hauser, Mathias; Seneviratne, Sonia I.

    2017-02-01

    Irrigation is an essential practice for sustaining global food production and many regional economies. Emerging scientific evidence indicates that irrigation substantially affects mean climate conditions in different regions of the world. Yet how this practice influences climate extremes is currently unknown. Here we use ensemble simulations with the Community Earth System Model to assess the impacts of irrigation on climate extremes. An evaluation of the model performance reveals that irrigation has a small yet overall beneficial effect on the representation of present-day near-surface climate. While the influence of irrigation on annual mean temperatures is limited, we find a large impact on temperature extremes, with a particularly strong cooling during the hottest day of the year (-0.78 K averaged over irrigated land). The strong influence on extremes stems from the timing of irrigation and its influence on land-atmosphere coupling strength. Together these effects result in asymmetric temperature responses, with a more pronounced cooling during hot and/or dry periods. The influence of irrigation is even more pronounced when considering subgrid-scale model output, suggesting that local effects of land management are far more important than previously thought. Our results underline that irrigation has substantially reduced our exposure to hot temperature extremes in the past and highlight the need to account for irrigation in future climate projections.

  15. Psychosurgery: past, present, and future.

    PubMed

    Mashour, George A; Walker, Erin E; Martuza, Robert L

    2005-06-01

    Psychosurgery, the neurosurgical treatment of psychiatric disease, has a history dating back to antiquity, and involves all of the clinical neurosciences. This review discusses the history of psychosurgery, its development in the 19th century, and the conditions of its use and abuse in the 20th century, with a particular focus on the frontal lobotomy. The transition to the modern era of psychosurgery is discussed, as well as the neurobiology underlying current psychosurgical procedures. The techniques of stereotactic cingulotomy, capsulotomy, subcaudate tractotomy, and limbic leukotomy are described, as well their indications and side effects. Due to the past abuse of psychosurgery, procedures are currently under strict control, and the example of the Cingulotomy Committee at the Massachusetts General Hospital is discussed. Finally, future directions of psychosurgery and somatic therapies are explored, including transcranial magnetic stimulation, vagal nerve stimulation, deep brain stimulation, gene therapy, and stem cell therapy. In summary, this review provides a concise yet comprehensive introduction to the history, current practice, and future trends of neurosurgery for psychiatric disorders.

  16. Negotiating Practice Research

    ERIC Educational Resources Information Center

    Julkunen, Ilse; Uggerhoj, Lars

    2016-01-01

    The complexity of carrying out practice research in social service organizations is often matched by the complexity of teaching future social work practitioners to use and engage in practice research. To appreciate the scope of the teaching challenge, it is important to reflect on the evolving definition of practice research and issues involved in…

  17. Why Macro Practice Matters

    ERIC Educational Resources Information Center

    Reisch, Michael

    2016-01-01

    This article asserts that macro practice is increasingly important in today's rapidly changing and complex practice environment. It briefly explores the history of macro practice in U.S. social work, summarizes its major contributions to the profession and to U.S. society, and provides some suggestions for how social work programs can expand…

  18. Best Practices & Outstanding Initiatives

    ERIC Educational Resources Information Center

    Training, 2012

    2012-01-01

    In this article, "Training" editors recognize innovative and successful learning and development programs and practices submitted in the 2012 Training Top 125 application. Best practices: (1) Edward Jones: Practice Makes Perfect (sales training); (2) Grant Thornton LLP: Senior Manager Development Program (SMDP); (3) MetLife, Inc.: Top Advisor…

  19. Reflecting Reflective Practice

    ERIC Educational Resources Information Center

    Galea, Simone

    2012-01-01

    This paper demystifies reflective practice on teaching by focusing on the idea of reflection itself and how it has been conceived by two philosophers, Plato and Irigaray. It argues that reflective practice has become a standardized method of defining the teacher in teacher education and teacher accreditation systems. It explores how practices of…

  20. Annual Proceedings of Selected Research and Development Papers Presented at the Annual Convention of the Association for Educational Communications and Technology - Volume 1 and Selected Papers on the Practice of Educational Communications and Technology - Volume 2 (34th, Jacksonville, Florida, 2011)

    ERIC Educational Resources Information Center

    Simonson, Michael, Ed.

    2011-01-01

    For the thirty-fourth year, the Association for Educational Communications and Technology (AECT) is sponsoring the publication of these Proceedings. Papers published in this volume were presented at the annual AECT Convention in Jacksonville, FL. A limited quantity of these Proceedings were printed and sold in both hardcopy and electronic…

  1. Unusual presentation of gallbladder perforation

    PubMed Central

    Jayasinghe, G.; Adam, J.; Abdul-Aal, Y.

    2015-01-01

    Introduction Gall bladder perforation is associated with high mortality rates and therefore must be recognised and managed promptly. We present an unusual presentation of spontaneous gall bladder perforation. Case presentation An elderly lady with multiple medical co-morbidities was admitted with sepsis following a fall. Initial assessment lead to a diagnosis of pneumonia, however a rapidly expanding right flank mass was incidentally noted during routine nursing care. Imaging studies were inconclusive, however incision and drainage of the mass revealed bile stained pus draining cutaneously from an acutely inflamed gallbladder. The patient made a good recovery following surgery, and was discharged with outpatient follow-up. Discussion Despite focussed post-hoc history taking she denied any prodromal symptoms of cholecystitis. In addition to reporting an unusual cause for a common presentation, we highlight the importance of a full body examination in the context of sepsis, regardless of whether the source has been identified. In addition, we advocate that surgical intervention in sepsis should not be delayed by imaging in cases where an abscess is suspected. Conclusions Percutaneous abscesses arising from the gallbladder are a rare but potentially serious consequence of acute cholecystitis, and may present in a wide variety of locations. Therefore it is imperative to conduct a full body inspection in the septic patient, even when a source has been identified. PMID:26686488

  2. Polycythemia vera presenting as acute myocardial infarction: An unusual presentation

    PubMed Central

    Bahbahani, Hussain; Aljenaee, Khaled; Bella, Abdelhaleem

    2014-01-01

    Acute myocardial infarction (AMI) is usually seen in the setting of atherosclerosis and its associated risk factors. Myocardial infarction in the young poses a particular challenge, as the disease is less likely, due to atherosclerosis. We report the case of a 37-year-old female patient who presented with ST segment elevation anterolateral AMI. The only abnormality on routine blood investigation was raised hemoglobin and hematocrit. After further testing, she was diagnosed according to the World Health Organization (WHO) criteria with polycythemia vera. This case illustrates the importance of recognizing polycythemia vera as an important cause of thrombosis, which can present initially as AMI, and to emphasize the early recognition of the disease in order to initiate appropriate management strategies. PMID:25544823

  3. Hepatitis E presenting with thrombocytopaenia.

    PubMed

    Masood, Irfan; Rafiq, Ali; Majid, Zain

    2014-10-01

    We hereby present the case of a 25-year-old man who presented at the emergency department of Civil Hospital Karachi, Pakistan with signs and symptoms of acute viral hepatitis. Serology tests revealed that the patient was suffering from hepatitis E viral (HEV) infection. Concurrently, the patient was also found to have thrombocytopaenia (TCP). His TCP became better after the resolution of his jaundice, with the patient requiring a transfusion of one mega unit of platelets. After ruling out other common causes of TCP and after a thorough literature search, we concluded that an immune-mediated mechanism secondary to HEV infection might have been the cause behind his low platelet counts. Hence, we propose considering the possibility of HEV infection in patients presenting with acute liver failure and TCP, irrespective of age, gender, and geographical location of the patient.

  4. Neonatal Hemophilia: A Rare Presentation

    PubMed Central

    Proença, Elisa; Godinho, Cristina; Oliveira, Dulce; Guedes, Ana; Morais, Sara; Carvalho, Carmen

    2015-01-01

    Hemophilia A is a X-linked hereditary condition that lead to decreased factor VIII activity, occurs mainly in males. Decreased factor VIII activity leads to increased risk of bleeding events. During neonatal period, diagnosis is made after post-partum bleeding complication or unexpected bleeding after medical procedures. Subgaleal hemorrhage during neonatal period is a rare, severe extracranial bleeding with high mortality and usually related to traumatic labor or coagulation disorders. Subgaleal hemorrhage complications result from massive bleeding. We present a neonate with unremarkable family history and uneventful pregnancy with a vaginal delivery with no instrumentation, presenting with severe subgaleal bleeding at 52 hours of life. Aggressive support measures were implemented and bleeding managed. The unexpected bleeding lead to a coagulation study and the diagnosis of severe hemophilia A. There were no known sequelae. This case shows a rare hemophilia presentation reflecting the importance of coagulation studies when faced with unexplained severe bleeding. PMID:26734126

  5. Comprehensible Presentation of Topological Information

    SciTech Connect

    Weber, Gunther H.; Beketayev, Kenes; Bremer, Peer-Timo; Hamann, Bernd; Haranczyk, Maciej; Hlawitschka, Mario; Pascucci, Valerio

    2012-03-05

    Topological information has proven very valuable in the analysis of scientific data. An important challenge that remains is presenting this highly abstract information in a way that it is comprehensible even if one does not have an in-depth background in topology. Furthermore, it is often desirable to combine the structural insight gained by topological analysis with complementary information, such as geometric information. We present an overview over methods that use metaphors to make topological information more accessible to non-expert users, and we demonstrate their applicability to a range of scientific data sets. With the increasingly complex output of exascale simulations, the importance of having effective means of providing a comprehensible, abstract overview over data will grow. The techniques that we present will serve as an important foundation for this purpose.

  6. Colovesical fistula presenting with epididymitis.

    PubMed

    Arneill, Matthew; Hennessey, Derek Barry; McKay, Damian

    2013-04-23

    This article reports a case of colovesical fistula presenting with epididymitis. A 75-year-old man with a recent conservatively managed localised diverticular perforation presented to hospital with acute pain and swelling of his left testicle and epididymis. On further questioning, the patient reported passing air in his urine. Urine cultures grew Enterococcus faecalis. Ultrasound scan confirmed a diagnosis of bacterial epididymitis and the patient was treated with intravenous antibiotics. Subsequent CT imaging revealed air in the bladder and a colovesical fistula. The patient went on to have Hartmann's procedure with repair of the bladder defect. This case highlights that: (1) Colovesical fistulae may rarely present with epididymitis. (2) Colovesical fistulae are the most common cause of pneumaturia.

  7. Acute diarrhoea: an unusual presentation

    PubMed Central

    Murthy, Avinash; Lee, C Y; Murthy, G Divakara

    2009-01-01

    An obese diabetic male presented with self limiting diarrhoea of 1 day duration, which had started after he ate sausages. Examination was unrevealing except for persistent low blood pressure. Computed tomographic (CT) scan, done to rule out retroperitoneal bleed, incidentally showed air in the gall bladder. He underwent emergent cholecystectomy, and a gangrenous gall bladder that grew Clostridium perfringens was removed. Emphysematous cholecystitis is not so infrequent, although only rarely does it present as diarrhoea alone. A high index of clinical suspicion is necessary as even advanced presentation can be subtle and appropriate radio imaging essential. Although abdominal radiograph and ultrasound could be useful, a CT scan is diagnostic. The CT scan and its classical finding confirmed the diagnosis, and it reiterates the importance of timely identification and urgent action, as emphysematous cholecystitis is associated with high mortality. PMID:21686790

  8. STS-112 Post Flight Presentation

    NASA Technical Reports Server (NTRS)

    2002-01-01

    The STS-112 post flight presentation begins with a shot of the moonrise over the Earth's Limb. A photograph of the STS-112 crew is shown. The crew consists of Mission Specialists Sandy Magnus, David Wolf, Piers Sellers and Fodor Yurchikhin, Pilot Pam Melroy and Commander Jeff Ashby. The crew departs from the Operations and Control Building to the launch pad at Kennedy Space Center in Florida. Sandy Magnus is shown preparing to board the Space Shuttle Atlantis. The actual STS-112 launch with flight deck activity during rendezvous with the International Space Station is also presented.

  9. [Neuroblastoma presenting as obstructive jaundice].

    PubMed

    García de Andoin Barandiaran, N; Lassaletta Atienza, A; Scaglione Ríos, C; Contra Martín, T; Madero López, L

    2006-01-01

    Obstructive jaundice as a presentation of abdominal tumors in childhood is extremely rare. To date, only 4 cases of neuroblastoma causing obstructive jaundice at diagnosis have been reported in children. We report a 4-year-old boy who presented to the emergency department with abdominal pain, jaundice, choluria and acholia. A diagnosis of unresectable, nonmetastatic neuroblastoma was made. Chemotherapy reduced the size of the tumor and relieved the symptoms of obstructive jaundice without the need for decompressive surgery. Abdominal tumors should be included in the differential diagnoses of obstructive jaundice in childhood.

  10. Science Directorate Publications and Presentations

    NASA Technical Reports Server (NTRS)

    Summers, F. G. (Compiler)

    2000-01-01

    This document lists the significant publications and presentation of the Science Directorate during the period January 1-December 31, 1999. Entries in the main part of the document are categorized according to NASA Reports (arranged by report number). Open Literature, and Presentations (arranged alphabetically by title). Most of the articles listed under Open Literature have appeared in refereed professional journals, books, monographs, or conference proceedings. Although many published abstracts are eventually expanded into full papers for publication in scientific and technical journals, they are often sufficiently comprehensive to include the significant results of the research reported. Therefore, published abstracts are listed separately in a section under Open Literature.

  11. Relevance of psychiatry in dermatology: Present concepts

    PubMed Central

    Basavaraj, K. H.; Navya, M. A; Rashmi, R.

    2010-01-01

    Skin is an organ that has a primary function in tactile receptivity and reacts directly upon emotional stimuli. Dermatological practice involves a psychosomatic dimension. A relationship between psychological factors and skin diseases has long been hypothesized. Psychodermatology addresses the interaction between mind and skin. It is divided into three categories according to the relationship between skin diseases and mental disorders. This article reviews different dermatological conditions under each of the three categories namely psychosomatic disorders, dermatological conditions due to primary and secondary psychiatric disorders. Dermatological conditions resulting from psychiatric conditions like stress/depression and those caused by psychiatric disorders are discussed. This review intends to present the relationship between the ‘skin’ and the ‘mind’ specifically from the dermatology point of view. The effects on the quality of life as a result of psychodermatological conditions are highlighted. A multidisciplinary approach for treatment from both dermatologic and psychiatric viewpoints are suggested. PMID:21180416

  12. Person-centred reflective practice.

    PubMed

    Devenny, Bob; Duffy, Kathleen

    Person-centred health and person-centred care have gained prominence across the UK following the publication of reports on public inquiries exploring failings in care. Self-awareness and participation in reflective practice are recognised as vital to supporting the person-centred agenda. This article presents an education framework for reflective practice, developed and used in one NHS board in Scotland, and based on the tenets of the clinical pastoral education movement. Providing an insight into the usefulness of a spiritual component in the reflective process, the framework provides an opportunity for nurses and other healthcare professionals to examine the spiritual dimensions of patient encounters, their own values and beliefs, and the effect these may have on their practice.

  13. Congenital syphilis: an unusual presentation.

    PubMed

    Dzebolo, N N

    1980-08-01

    Congenital syphilis was discovered in a neonate with the unusual radiographic presentation of unilateral involvement of three bones showing lytic lesions and periostitis. Congenital syphilis should be considered in a newborn infant with these radiographic manifestations, especially when a suggestive history is obtained.

  14. TNC Water System Basics Presentation

    EPA Pesticide Factsheets

    presentation provides an overview of what's required by transient non-community (TNC) public water systems in Wyoming and on EPA R8 Tribal Lands (CO, MT, ND, SD, UT, WY) to remain in compliance with the Safe Drinking Water Act.

  15. Technology - Past, present and future.

    NASA Technical Reports Server (NTRS)

    Faget, M. A.

    1972-01-01

    Review of the role of the space program in achieving the present level of technology in the United States. The program has created new levels in performance, precision, and reliability in many areas, and has consequently stimulated many innovations. The space program has also created new devices and materials that are suitable for commercial use.

  16. Atypical presentations of orbital cysticercosis.

    PubMed

    Pushker, Neelam; Chaturvedi, Amrita; Balasubramanya, Ramamurthy; Bajaj, Mandeep S; Kumar, Neena; Sony, Parul

    2005-01-01

    We describe three patients with orbital cysticercosis who presented with atypical clinical or radiologic features previously unreported. All three patients had a cyst with a scolex on imaging studies. After 6 weeks of treatment, all three had almost complete resolution of their features.

  17. DOE Collegiate Wind Competition (Presentation)

    SciTech Connect

    Jones, J.

    2014-02-01

    This presentation for the January Stakeholder Engagement and Outreach webinar outlines the expanded need for workers in the wind industry and provides an overview of the DOE Wind Competition (to be held in May 2014) and the guiding principles of the competition.

  18. Viewfoils for environmental capabilities presentation

    SciTech Connect

    1992-04-01

    This document contains information about the environmental applications of aerial surveys. It discusses the accuracy, dependability, history, advantages, and sensitivity of aerial surveys. Also included, are a brief overview of in-situ gamma spectroscopy and samples of aerial surveys. This document contains entirely of an outline and viewfoils for the presentation.

  19. STS-113 Post Flight Presentation

    NASA Technical Reports Server (NTRS)

    2002-01-01

    The STS-113 post-flight presentation begins with a view of Mission Specialists Michael E. Lopez-Alegria and John B. Herrington getting suited for the space mission. The STS-113 crew consists of: Commander James D. Wetherbee, Pilot Paul Lockhart, Mission Specialists Michael Lopez-Alegria and John Herrington. Cosmonauts Valery Korzun, and Sergei Treschev, and astronaut Peggy Whitson who are all members of the expedition five crew, and Commander Kenneth Bowersox, Flight Engineers Nikolai Budarin and Donald Pettit, members of Expedition Six. The main goal of this mission is to take Expedition Six up to the International Space Station and Return Expedition Five to the Earth. The second objective is to install the P(1) Truss segment. Three hours prior to launch, the crew of Expedition Six along with James Wetherbee, Paul Lockhart, Michael Lopez-Alegria and John Herrington are shown walking to an astrovan, which takes them to the launch pad. The actual liftoff is presented. Three Extravehicular Activities (EVA)'s are performed on this mission. Michael Lopez-Alegria and John Herrington are shown performing EVA 1 and EVA 2 which include making connections between the P1 and S(0) Truss segments, and installing fluid jumpers. A panoramic view of the ISS with the Earth in the background is shown. The grand ceremony of the crew exchange is presented. The astronauts performing everyday duties such as brushing teeth, washing hair, sleeping, and eating pistachio nuts are shown. The actual landing of the Space Shuttle is presented.

  20. Testing for PV Reliability (Presentation)

    SciTech Connect

    Kurtz, S.; Bansal, S.

    2014-09-01

    The DOE SUNSHOT workshop is seeking input from the community about PV reliability and how the DOE might address gaps in understanding. This presentation describes the types of testing that are needed for PV reliability and introduces a discussion to identify gaps in our understanding of PV reliability testing.

  1. PEV Integration with Renewables (Presentation)

    SciTech Connect

    Markel, T.

    2014-06-18

    This presentation discusses current research at NREL on integrating plug-in electric vehicles with the grid and using renewable energy to charge the grid. The Electric Vehicle Grid Integration (EVGI) and Integrated Network Testbed for Energy Grid Research and Technology Experimentation (INTEGRATE) are addressing the opportunities and technical requirements for vehicle grid integration that will increase marketability and lead to greater petroleum reduction.

  2. Rare presentation of sebaceous hyperplasia

    PubMed Central

    Lester, Rachael A; Torgerson, Rochelle R; Sandhu, Nicole P

    2014-01-01

    A 23-year-old woman presented with an 8-month history of asymptomatic thickening of the central areola bilaterally and oily nipple discharge. On examination, there were yellowish-pink papules coalescing into plaques bilaterally. Biopsy showed ectopic sebaceous glands (Montgomery tubercles), known as bilateral areolar sebaceous hyperplasia. PMID:24759166

  3. Understanding Algorithms in Different Presentations

    ERIC Educational Resources Information Center

    Csernoch, Mária; Biró, Piroska; Abari, Kálmán; Máth, János

    2015-01-01

    Within the framework of the Testing Algorithmic and Application Skills project we tested first year students of Informatics at the beginning of their tertiary education. We were focusing on the students' level of understanding in different programming environments. In the present paper we provide the results from the University of Debrecen, the…

  4. BVDV: past, present, and future

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The term bovine viral diarrhea (BVD) has come to refer to a collection of diverse clinical presentations that include respiratory, enteric and reproductive diseases accompanied by immunosuppression. BVD may be caused by one of three different species of bovine pestivirus, bovine viral diarrhea viru...

  5. Tuberculosis presenting as posttraumatic panophthalmitis

    PubMed Central

    Gupta, Pankaj; Singh, Ramandeep; Gupta, Suruchi; Kumar, Abhiraj; Kakkar, Nandita

    2016-01-01

    Panophthalmitis is one of rare manifestations of tuberculosis described in atypical situations such as children, immune compromised patients, or drug abuse. The present report describes the first case of tubercular panophthalmitis developing after trauma in an otherwise healthy adult patient. A 46-year-old female patient presented with corneal infiltrate and endophthalmitis that developed after an injury to right eye with wooden object. Corneal scrapings and vitreous tap were sterile. The patient did not improve with antibiotics and developed panophthalmitis. On evisceration of the painful blind eye, histopathology showed the presence of granulomatous inflammation and acid-fast bacilli. The patient had no other systemic focus of tubercular infection. The patient was managed with anti-tubercular therapy for 6 months. Atypical presentations of tuberculosis like panophthalmitis pose a difficult problem in diagnosis as well as treatment. Direct inoculation of bacilli during trauma is a rare source of infection. This case report presents unusual development of tubercular panophthalmitis following direct inoculation of bacilli during trauma. Ocular tuberculosis should be considered in differential diagnosis of posttraumatic endophthalmitis and panophthalmitis, especially in endemic regions like India. PMID:27013830

  6. Storage Technology: Present and Future.

    ERIC Educational Resources Information Center

    Goldstein, Charles M.

    1984-01-01

    Reviews terminology inherent in discussing microcomputer storage technologies and addresses aspects of magnetic storage and present and near-future technologies, including floppy disks, Winchester and removable hard disks, optical digital disks, optical video disks, (audio) compact disks, perpendicular magnetic recording, and erasable optical…

  7. Present Vision--Future Vision.

    ERIC Educational Resources Information Center

    Fitterman, L. Jeffrey

    This paper addresses issues of current and future technology use for and by individuals with visual impairments and blindness in Florida. Present technology applications used in vision programs in Florida are individually described, including video enlarging, speech output, large inkprint, braille print, paperless braille, and tactual output…

  8. The Present State of Behaviorism

    ERIC Educational Resources Information Center

    Mowrer, O. Hobart

    1976-01-01

    Assesses the present status of behaviorism by dividing this study into an evaluation of Behaviorism 1, based explicitly on Pavlov's conception of conditioned-response learning, and Behaviorism 11, single-handedly launched and almost completely dominanted by Professor B. F. Skinner. (Author/RK)

  9. Vegetarian nutrition: past, present, future.

    PubMed

    Leitzmann, Claus

    2014-07-01

    Early human food cultures were plant-based. Major religions such as Hinduism and Buddhism have recommended a vegetarian way of life since their conception. The recorded history of vegetarian nutrition started in the sixth century bc by followers of the Orphic mysteries. The Greek philosopher Pythagoras is considered the father of ethical vegetarianism. The Pythagorean way of life was followed by a number of important personalities and influenced vegetarian nutrition until the 19th century. In Europe, vegetarian nutrition more or less disappeared during the Middle Ages. In the Renaissance era and in the Age of Enlightenment, various personalities practiced vegetarianism. The first vegetarian society was started in England in 1847. The International Vegetarian Society was founded in 1908 and the first vegan society began in 1944. Prominent vegetarians during this time included Sylvester Graham, John Harvey Kellogg, and Maximilian Bircher-Benner. A paradigm shift occurred at the turn of the 21st century. The former prejudices that vegetarianism leads to malnutrition were replaced by scientific evidence showing that vegetarian nutrition reduces the risk of most contemporary diseases. Today, vegetarian nutrition has a growing international following and is increasingly accepted. The main reasons for this trend are health concerns and ethical, ecologic, and social issues. The future of vegetarian nutrition is promising because sustainable nutrition is crucial for the well-being of humankind. An increasing number of people do not want animals to suffer nor do they want climate change; they want to avoid preventable diseases and to secure a livable future for generations to come.

  10. Towards bioelectronic logic (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Meredith, Paul; Mostert, Bernard; Sheliakina, Margarita; Carrad, Damon J.; Micolich, Adam P.

    2016-09-01

    One of the critical tasks in realising a bioelectronic interface is the transduction of ion and electron signals at high fidelity, and with appropriate speed, bandwidth and signal-to-noise ratio [1]. This is a challenging task considering ions and electrons (or holes) have drastically different physics. For example, even the lightest ions (protons) have mobilities much smaller than electrons in the best semiconductors, effective masses are quite different, and at the most basic level, ions are `classical' entities and electrons `quantum mechanical'. These considerations dictate materials and device strategies for bioelectronic interfaces alongside practical aspects such as integration and biocompatibility [2]. In my talk I will detail these `differences in physics' that are pertinent to the ion-electron transduction challenge. From this analysis, I will summarise the basic categories of device architecture that are possibilities for transducing elements and give recent examples of their realisation. Ultimately, transducing elements need to be combined to create `bioelectronic logic' capable of signal processing at the interface level. In this regard, I will extend the discussion past the single element concept, and discuss our recent progress in delivering all-solids-state logic circuits based upon transducing interfaces. [1] "Ion bipolar junction transistors", K. Tybrandt, K.C. Larsson, A. Richter-Dahlfors and M. Berggren, Proc. Natl Acad. Sci., 107, 9929 (2010). [2] "Electronic and optoelectronic materials and devices inspired by nature", P Meredith, C.J. Bettinger, M. Irimia-Vladu, A.B. Mostert and P.E. Schwenn, Reports on Progress in Physics, 76, 034501 (2013).

  11. Conceptualising Information Literacy as Social Practice: A Study of Pregnant Women's Information Practices

    ERIC Educational Resources Information Center

    Papen, Uta

    2013-01-01

    Introduction: The present study presents a view of information literacy not primarily as skill but as different practices, situated within specific social and institutional contexts. It suggests that questions of authority of knowledge are central to understanding people's information practices. Method: First, the concept of information practices…

  12. Pulmonary hyalinizing granuloma presenting with dysphagia: a rare presentation.

    PubMed

    Khan, Fazal; Hamid, Arsalan; Fatima, Benish; Hashmi, Shiraz; Fatimi, Saulat

    2017-01-01

    A 25-year-old man presented with a 2-month history of dysphagia and past history of pulmonary and intestinal tuberculosis. A barium swallow showed a point of constriction 42 mm above the gastroesophageal junction. Computed tomography revealed large opacities in bilateral lung fields, encroaching more on the esophagus. The lesion progressively compressed the esophagus as it moved inferiorly. A right posterolateral thoracotomy was performed for sub-anatomical resection of the mass. A biopsy revealed homogenous whirling hyalinized collagen fibers, highly suggestive of pulmonary hyalinizing granuloma, with no evidence of malignancy. Pulmonary hyalinizing granuloma should be considered in the differential diagnosis of longstanding dysphagia.

  13. Sheehan's syndrome presenting as psychosis: a rare clinical presentation.

    PubMed

    Shoib, Sheikh; Dar, Mohamand Maqbool; Arif, Tasleem; Bashir, Haamid; Bhat, Mohammad Hayat; Ahmed, Javid

    2013-02-01

    Sheehan's syndrome (SS) refers to the occurrence of varying degree of hypopituitarism after parturition (1). It is a rare cause of hypopituitarism in developed countries owing to advances in obstetric care and its frequency is decreasing worldwide. However, it is still frequent in underdeveloped and developing countries. Sheehan's syndrome is often diagnosed late as it evolves slowly (2,3). Reports of psychoses in patients with Sheehan's syndrome are rare. Herein, a case report of psychosis in a 31 year old woman who developed Sheehan's syndrome preceded by postpartum haemorrhage is presented. Treatment with thyroxine and glucocorticoids resulted in complete remission after attaining euthyroid and eucortisolemic state.

  14. Audiovisual Instruction in Pediatric Pharmacy Practice.

    ERIC Educational Resources Information Center

    Mutchie, Kelly D.; And Others

    1981-01-01

    A pharmacy practice program added to the core baccalaureate curriculum at the University of Utah College of Pharmacy which includes a practice in pediatrics is described. An audiovisual program in pediatric diseases and drug therapy was developed. This program allows the presentation of more material without reducing clerkship time. (Author/MLW)

  15. Highlights of Good Manufacturing Practice in Japan.

    PubMed

    Morita, K

    1990-01-01

    Good Manufacturing Practice (GMP) in the pharmaceutical industry originated in the United States. Japan, having absorbed many things from the U.S., is actively seeking to establish Good Manufacturing Practice to match the pharmaceutical manufacturing climate in Japan. Several of the themes which highlight Japanese GMP efforts are presented below.

  16. Social Work in Schools: Principles and Practice

    ERIC Educational Resources Information Center

    Openshaw, Linda

    2007-01-01

    This text gives social workers tools for effective and ethical practice in school settings. Readers learn practical skills for observation, assessment, intervention, and research that will enable them to respond to the needs of diverse students from preschool through the secondary grades. The book presents strategies for dealing with particular…

  17. Teachers Implementing Entrepreneurship Education: Classroom Practices

    ERIC Educational Resources Information Center

    Ruskovaara, Elena; Pihkala, Timo

    2013-01-01

    Purpose: This study aims to highlight the entrepreneurship education practices teachers use in their work. Another target is to analyze how these practices differ based on a number of background factors. Design/methodology/approach: This article presents a quantitative analysis of 521 teachers and other entrepreneurship education actors. The paper…

  18. Effective Practices for Spelling Instruction: Literature Synthesis.

    ERIC Educational Resources Information Center

    Cotton, Kathleen

    Because identification of effective instructional practices for building spelling skills remains a concern of those charged with guiding the development of student language arts competencies, this paper presents a synthesis of research and expert opinion on those practices that have been shown to foster spelling proficiency among both beginning…

  19. African American Homeschooling Practices: Empirical Evidence

    ERIC Educational Resources Information Center

    Mazama, Ama

    2016-01-01

    Despite a significant increase in scholarly interest for homeschooling, some of its most critical aspects, such as instructional daily practices, remain grossly understudied. This essay thus seeks to fill that void by presenting empirical evidence regarding the homeschooling practices of a specific group, African Americans. Most specifically, the…

  20. Spiritual Assessment in Counseling: Methods and Practice

    ERIC Educational Resources Information Center

    Oakes, K. Elizabeth; Raphel, Mary M.

    2008-01-01

    Given the widely expanding professional and empirical support for integrating spirituality into counseling, the authors present a practical discussion for raising counselors' general awareness and skill in the critical area of spiritual assessment. A discussion of rationale, measurement, and clinical practice is provided along with case examples.…

  1. Increasing your practice with cosmetic dentistry.

    PubMed

    Jameson, Cathy

    2006-05-01

    Incorporate these guidelines into your practice, and utilize patient financing to maximize your treatment acceptance, and the cosmetic aspect of your practice will likely boom. No matter how much you want to do something, or how great your ideas are, if you aren't able to execute the project, nothing will happen. Plan. Prepare. Present. Persevere.

  2. Practice Parameter for Psychodynamic Psychotherapy with Children

    ERIC Educational Resources Information Center

    Medicus, Jennifer

    2012-01-01

    This Practice Parameter describes the principles of psychodynamic psychotherapy with children and is based on clinical consensus and available research evidence. It presents guidelines for the practice of child psychodynamic psychotherapy, including indications and contraindications, the setting, verbal and interactive (play) techniques, work with…

  3. Sight-Word Practice in a Flash!

    ERIC Educational Resources Information Center

    Erwin, Robin W., Jr.

    2016-01-01

    For learners who need sight-word practice, including young students and struggling readers, digital flash cards may promote automatic word recognition when used as a supplemental activity to regular reading instruction. A novel use of common presentation software efficiently supports this practice strategy.

  4. A Better Research-Practice Partnership

    ERIC Educational Resources Information Center

    Henrick, Erin; Munoz, Marco A.; Cobb, Paul

    2016-01-01

    District leaders often feel that working with researchers is not mutually beneficial. Researchers do not provide enough practical guidance, and they are often unable to present their findings in time to inform district decision making. Research-practice partnerships (RPPs) are a potential new strategy for addressing these challenges. RPPs are…

  5. Improving Teaching Practice through Interdisciplinary Dialog

    ERIC Educational Resources Information Center

    Cardetti, Fabiana A.; Orgnero, M. Carolina

    2013-01-01

    This study presents the results of a self-study of interdisciplinary work that has generated profound changes in our teaching practices. The research grew out of an interest in exploring the nature of our work and the practices that contribute to its success. Our self-study revealed that our work process consists of five stages and is the product…

  6. Sialendoscopy Training: Presentation of a Realistic Model.

    PubMed

    Pascoto, Gabriela Robaskewicz; Stamm, Aldo Cassol; Lyra, Marcos

    2017-01-01

    Introduction Several surgical training simulators have been created for residents and young surgeons to gain experience with surgical procedures. Laboratory training is fundamental for acquiring familiarity with the techniques of surgery and skill in handing instruments. Objective The aim of this study is to present a novel simulator for training sialendoscopy. Method This realistic simulator was built with a synthetic thermo-retractile, thermo-sensible rubber which, when combined with different polymers, produces more than 30 different formulas. These formulas present textures, consistencies, and mechanical resistance are similar to many human tissues. Results The authors present a training model to practice sialendoscopy. All aspects of the procedure are simulated: month opening, dilatation of papillae, insert of the scope, visualization of stones, extraction of these stones with grasping or baskets, and finally, stone fragmentation with holmium laser. Conclusion This anatomical model for sialendoscopy training should be considerably useful to abbreviate the learning curve during the qualification of young surgeons while minimizing the consequences of technical errors.

  7. Sialendoscopy Training: Presentation of a Realistic Model

    PubMed Central

    Pascoto, Gabriela Robaskewicz; Stamm, Aldo Cassol; Lyra, Marcos

    2016-01-01

    Introduction Several surgical training simulators have been created for residents and young surgeons to gain experience with surgical procedures. Laboratory training is fundamental for acquiring familiarity with the techniques of surgery and skill in handing instruments. Objective The aim of this study is to present a novel simulator for training sialendoscopy. Method This realistic simulator was built with a synthetic thermo-retractile, thermo-sensible rubber which, when combined with different polymers, produces more than 30 different formulas. These formulas present textures, consistencies, and mechanical resistance are similar to many human tissues. Results The authors present a training model to practice sialendoscopy. All aspects of the procedure are simulated: month opening, dilatation of papillae, insert of the scope, visualization of stones, extraction of these stones with grasping or baskets, and finally, stone fragmentation with holmium laser. Conclusion This anatomical model for sialendoscopy training should be considerably useful to abbreviate the learning curve during the qualification of young surgeons while minimizing the consequences of technical errors. PMID:28050202

  8. Effective Practice in Inclusive and Special Needs Education

    ERIC Educational Resources Information Center

    Buli-Holmberg, Jorun; Jeyaprathaban, Sujathamalini

    2016-01-01

    The present study attempts to evaluate the effective teaching practice for children with special learning needs. The research question framed in the present study for investigation is which practice will be effective in different inclusive classroom settings and what are the factors that contribute for effective practices? Qualitative research was…

  9. Unusual presentation of obstructive jaundice.

    PubMed

    Gordillo Hernández, Alejandra; Nogales Muñoz, Ángel; Oliva Mompeán, Fernando

    2017-03-01

    Carcinoid tumors of the ampulla of Vater grow slowly and have an excellent prognosis after complete resection of local disease. Histopathological diagnosis is definitive, and the Whipple's procedure is performed as a standard at the present time, although more novel minimally-invasive techniques may be highly useful for selected patients. While tumor size is not a reliable marker of tumor aggression, it is nonetheless related to lymphatic invasion, hence an accurate diagnosis is important if the patient is to be offered the best option available for the treatment of their disease. Endoscopic ultrasound (EUS) is the technique of choice for presurgical assessment and endocopic excision, as it may rule out vascular and nodal involvement, and establish whether submucosal invasion is present, which precludes endoscopic resection. Local resection has been shown to obtain similar results as compared to CDP in terms of overall survival in patients with small periampullary NETs, with the advantage of significantly lower morbidity in selected cases.

  10. STS-82 Post Flight Presentation

    NASA Technical Reports Server (NTRS)

    1997-01-01

    The STS-82 crew, Commander Kenneth D. Bowersox, Pilot Scott J. Horowitz, Payload Commander Mark C. Lee, and Mission Specialists Gregory J. Harbaugh, Steven L. Smith, Joseph R. Tanner, and Steven A. Hawley present a video and still picture overview of their mission. Included in the presentation are the following: the pre-launch activities such as eating the traditional breakfast, being suited up, and riding out to the launch pad, various panoramic views of the shuttle on the pad, the countdown, engine ignition, launch, shuttle roll maneuver, separation of the Solid Rocket Boosters (SRB) from the shuttle, survey of the payload bay with the Shuttle's 50-foot remote manipulator system (RMS), the successful retrieve of the Hubble Space Telescope (HST), EVAs to repair HST, release of HST, and the shuttle's landing.

  11. Presenting Data And Telling Stories

    NASA Astrophysics Data System (ADS)

    Eales, Philip; Wayne, Andrew; Tildsley, Kevin M.; Wilkinson, Tim; Prieto, Diego Fernandez

    2013-12-01

    Earth observation data are now readily available at a range of scales and becoming increasingly familiar to the general public. Observations built up over several decades enable us to show long-term change and tell increasingly complex stories about the Earth and other planets. Data visualisation and computer graphics can help present these stories to a non-specialist public audience. In addition to high visual quality and clear design, we have found it useful to present data within its geographical and scientific context, in natural colour, in a realistic and immersive environment, using familiar visual and physical metaphors. The internet increasingly allows direct communication with the public and this places renewed emphasis on basics such as good story-telling. Examples are shown of work in television, print and digital media, and from ESA's Earth observation and planetary exploration programmes.

  12. OJPOT: online judge & practice oriented teaching idea in programming courses

    NASA Astrophysics Data System (ADS)

    Wang, Gui Ping; Chen, Shu Yu; Yang, Xin; Feng, Rui

    2016-05-01

    Practical abilities are important for students from majors including Computer Science and Engineering, and Electrical Engineering. Along with the popularity of ACM International Collegiate Programming Contest (ACM/ICPC) and other programming contests, online judge (OJ) websites achieve rapid development, thus providing a new kind of programming practice, i.e. online practice. Due to fair and timely feedback results from OJ websites, online practice outperforms traditional programming practice. In order to promote students' practical abilities in programming and algorithm designing, this article presents a novel teaching idea, online judge & practice oriented teaching (OJPOT). OJPOT is applied to Programming Foundation course. OJPOT cultivates students' practical abilities through various kinds of programming practice, such as programming contests, online practice and course project. To verify the effectiveness of this novel teaching idea, this study conducts empirical research. The experimental results show that OJPOT works effectively in enhancing students' practical abilities compared with the traditional teaching idea.

  13. The clinical utility of gene expression testing on the diagnostic evaluation of patients presenting to the cardiologist with symptoms of suspected obstructive coronary artery disease: results from the IMPACT (Investigation of a Molecular Personalized Coronary Gene Expression Test on Cardiology Practice Pattern) trial.

    PubMed

    McPherson, John A; Davis, Kelly; Yau, May; Beineke, Phil; Rosenberg, Steven; Monane, Mark; Fredi, Joseph L

    2013-06-01

    Accurate, noninvasive evaluation for obstructive coronary artery disease (CAD) remains challenging and inefficient. In this study, 171 patients presenting with stable chest pain and related symptoms without a history of CAD were referred to 6 cardiologists for evaluation. In the prospective cohort of 88 patients, the cardiologist's diagnostic strategy was evaluated before and after gene expression score (GES) testing. The GES is a validated, quantitative blood-based diagnostic test measuring peripheral blood cell expression levels of 23 genes to determine the likelihood of obstructive CAD (at least 1 vessel with ≥ 50% angiographic coronary artery stenosis). The objective of the study was to measure the effect of the GES on diagnostic testing using a pre/post study design. There were 83 prospective patients evaluable for study analysis, which included 57 (69%) women, mean age 53 ± 11 years, and mean GES 12.5 ± 9. Presenting symptoms were classified as typical angina, atypical angina, and noncardiac chest pain in 33%, 60%, and 7% of patients (n = 27, 50, and 6), respectively. After GES, changes in diagnostic testing occurred in 58% of patients (n = 48, P < 0.001). Of note, 91% (29/32) of patients with decreased testing had low GES (≤ 15), whereas 100% (16/16) of patients with increased testing had elevated GES (P < 0.001). A historical cohort of 83 patients, matched to the prospective cohort by clinical factors, had higher diagnostic test use compared with the post-GES prospective cohort (P < 0.001). In summary, the GES showed clinical utility in the evaluation of patients with suspected obstructive CAD presenting to the cardiologist's office.

  14. Present status of aircraft instruments

    NASA Technical Reports Server (NTRS)

    1932-01-01

    This report gives a brief description of the present state of development and of the performance characteristics of instruments included in the following group: speed instruments, altitude instruments, navigation instruments, power-plant instruments, oxygen instruments, instruments for aerial photography, fog-flying instruments, general problems, summary of instrument and research problems. The items considered under performance include sensitivity, scale errors, effects of temperature and pressure, effects of acceleration and vibration, time lag, damping, leaks, elastic defects, and friction.

  15. Syphilis: presentations in general medicine.

    PubMed

    Nyatsanza, Farai; Tipple, Craig

    2016-04-01

    Syphilis is caused by the spirochete bacteriumTreponema pallidumand can be transmitted both sexually and from mother to child.T pallidumcan infect any organ and produces a clinical disease with a relapsing and remitting course. It is not hard to see, therefore, why it is often described as the great mimic. In this review, we provide an update of modern syphilis epidemiology, clinical presentations, and testing and treatment strategies.

  16. Computer training, present and future.

    NASA Technical Reports Server (NTRS)

    Smith, G. A.

    1972-01-01

    The products of educational firms today lead toward a multimedia approach to the education and training of commercial programmers and systems analysts. Computer-assisted instruction or CAI is a relatively new medium to augment the other media. The government use of computers is discussed together with the importance of computer pretests. Pretests can aid in determining a person's ability to absorb a particular instructional level. The material presented in a number of computer courses is listed.

  17. Session: Test and Evaluation (Presentation)

    SciTech Connect

    Marion, B.; Hanley, C.

    2008-04-01

    The overall goal of this presentation is: (1) provide test and evaluation of PV cells/modules/systems to TPP participants, other PV industry, labs, and universities in support of technology optimization efforts sponsored by DOE's Solar Program and the SAI; (2) support commercial and emerging technology development; (3) provide component and system performance data to improve and validate system performance models; (4) provide T and E support for reliability activities; and (5) priority is placed on TPP's and other solicitations.

  18. Presentation of Ligands on Hydroxylapatite

    NASA Technical Reports Server (NTRS)

    Chu, Barbara C. F.; Orgel, Leslie E.

    1997-01-01

    Conjugates of biotin with the decamer of glutamic acid (glu(sub 10)) and the trimer of D,L-2-amino-5-phosphonovaleric acid (I) have been synthesized, and it has been shown that they mediate the binding of avidin to hydroxylapatite. In a similar way a conjugate of methotrexate with glu(sub 10) mediates the binding of dihydrofolate reductase to the mineral. The presentation of ligands on the hydroxylapatite component of bone may find applications in clinical medicine.

  19. Wegener granulomatosis presenting as epididymitis.

    PubMed

    Miller, D Chris; Koss, Michael N

    2009-06-01

    Isolated epididymitis is a very rare presentation of Wegener granulomatosis (WG). Only 1 such case has been previously reported. We report a case of epididymitis in which WG was not suspected clinically or pathologically at orchiectomy, and the patient subsequently developed pulmonary involvement with WG. WG was ultimately diagnosed and treated after lung biopsy several months after the orchiectomy. The retrospective pathologic review of the orchiectomy specimen confirmed the presence of WG in the epididymis; the testicular tissue was not involved.

  20. Nutraceuticals in psychiatric practice.

    PubMed

    Chiappedi, Matteo; de Vincenzi, Silvia; Bejor, Maurizio

    2012-08-01

    Nutraceuticals can be defined as food components or active principles present in aliments which have positive effects for health and quality of life, including preventing or treating disorders. Herbal and "natural" food supplements are increasingly used to treat different psychiatric disorders, often as "self-prescribed" therapies. With factors such as chronic illness, poor health, emotional distress, and quality of life influencing the desire for complementary medicine, patients with comorbid medical and psychiatric problems seem likely to turn to this approach. We reviewed the most commonly used herbal and dietary supplements for which a certain efficacy on psychiatric symptoms or disorders has been claimed, checking current Pubmed-indexed literature (the most important being St. John's wort, Omega-3 fatty acids, valerian, Kava, Ginkgo, folate, B vitamins, S-Adenosylmethionine, inositol, alfa-lactoalbumin and passionflower). There is evidence of efficacy for some of these herbs an supplements, proved also by Cochrane's meta-analysis. However many different areas (including efficacy, tolerability, optimal dosing, adequate shelf life, drug and non-pharmacological interactions) need to be thoroughly studied; moreover political decisions need to be scientifically guided in order to best serve psychiatric patients' interests and to prevent using of expensive and sometimes un-useful therapies. This implies that a scientific strategy is needed to rule out any third-part economical interest which could in any way influence therapeutic choices. The article presents some promising patents on nutraceuticals in psychiatric practice.

  1. Hidden figures are ever present.

    PubMed

    Mens, L H; Leeuwenberg, E L

    1988-11-01

    Preference judgments about alternative interpretations of unambiguous patterns can be explained in terms of a rivalry between a preferred and a second-best interpretation (cf. Leeuwenberg & Buffart, 1983). We tested whether this second-best interpretation corresponds to a suppressed but concurrently present interpretation or whether it merely reflects an alternative view that happens to be preferred less often. Two patterns were present immediately following each other with a very short onset asynchrony: a complete pattern and one out of three possible subpatterns of it, corresponding to the best, the second best, or an odd interpretation of the complete pattern. Subjects indicated which subpattern was presented by choosing among the three subpatterns shown after each trial. The scores, corrected for response-bias effects, indicated a relative facilitation of the second-best interpretation, in agreement with its predicted "hidden" presence. This result is more in line with theories that capitalize on the quality of the finally selected representation than with processing models aimed at reaching one single solution as fast and as economically as possible.

  2. Different Clinical Presentations of Brucellosis

    PubMed Central

    Hasanjani Roushan, Mohammad Reza; Ebrahimpour, Soheil; Moulana, Zahra

    2016-01-01

    Background Brucellosis is one of the important multi-organ zoonotic infectious diseases. The forms of the clinical course of brucellosis in humans are acute, sub-acute and chronic. Objectives The present study aimed to retrospectively analyze the clinical characteristics and complications in the clinical forms of human brucellosis in Iran. Patients and Methods The population included 957 patients admitted in the infectious diseases clinic affiliated to Babol University of Medical Sciences, Babol, Iran, within the past two decades. Data for the patients were obtained and documented in questionnaires. Patients were divided into three groups according to their history, symptoms and clinical presentation time: acute (0 - 2 months), sub-acute (3 - 12 months), and chronic (> 1 year). Results Most of the patients (73.8%) were in the acute stages of brucellosis, 22.6% had sub-acute brucellosis and 3.7% had chronic brucellosis. The most frequently observed symptoms were arthralgia (71%), sweating (66.7%), fever (57.2%) and backache (39.3%). The most common complication was arthritis (13.2%) in this study. Conclusions This infection was observed with a diversity of clinical manifestations. Therefore, diagnostic difficulty because of the various clinical presentations and the way to find undiagnosed complications should be investigated in the differential diagnosis of other diseases. PMID:27284398

  3. Unusual Paraneoplastic Presentation of Cholangiocarcinoma

    PubMed Central

    Opneja, Aman; Mahajan, Sonia; Kapoor, Sargam; Marur, Shanthi; Yang, Steve Hoseong; Manno, Rebecca

    2015-01-01

    Introduction. Cutaneous paraneoplastic syndromes are a heterogeneous group of skin manifestations that occur in relation to many known malignancies. Paraneoplastic occurrence of SCLE has been noted but is not commonly reported. SCLE association with cholangiocarcinoma is rare. Case Presentation. A 72-year-old man with a history of extrahepatic stage IV cholangiocarcinoma presented with a pruritic rash. Cholangiocarcinoma had been diagnosed three years earlier and was treated. Five months after interruption of his chemotherapy due to a semiurgent surgery, he presented with explosive onset of a new pruritic rash, arthralgias, and lower extremity edema. Physical exam revealed a scaly erythematous rash on his arms, hands, face, neck, legs, and trunk. It was thick and scaly on sun exposed areas. Skin biopsy revealed vacuolar interface dermatitis. Immunofluorescence revealed IgM positive cytoid bodies scattered along the epidermal basement membrane zone. PET-CT scanning revealed metabolically active recurrent disease in peripancreatic and periportal region with hypermetabolic lymph nodes. Oral steroids and new regimen of chemotherapy were started. Rash improved and steroids were tapered off. Discussion. Paraneoplastic syndromes demonstrate the complex interaction between the immune system and cancer. Treatment resistant SCLE should raise a suspicion for paraneoplastic etiology. PMID:26495003

  4. Unusual presentation of renal tuberculosis.

    PubMed

    Chaudhari, Aunp P; Ranganath, Ravi; Pavan, Malleshappa

    2011-07-01

    Urogenital tuberculosis (TB) is a common late manifestation of an earlier symptomatic or asymptomatic pulmonary TB infection. A latency period ranging from 5 to 40 years between the time of the initial infection and the expression of urogenital TB frequently occurs. As one of the most common sites of involvement of extrapulmonary TB, urogenital TB accounts for 15% to 20% of the infections. We present a patient who had culture-negative active tubercular kidney disease due to silent tuberculous infection. Our case demonstrates the limitations of noninvasive testing in establishing the diagnosis of renal tuberculosis.

  5. Esthesioneuroblastoma presenting as tooth pain.

    PubMed

    Devi, Parvathi; Bhavle, Radhika; Aggarwal, Avanti; Walia, Cherry

    2014-09-01

    Esthesioneuroblastoma, also called olfactory neuroblastoma, is a rare malignant tumor originating in the olfactory epithelium in the upper nasal cavity with intracranial extension and may also be associated with secondary sinus diseases. Esthesioneuroblastoma has been observed to cause death by distant metastasis or by invasion through the cribriform plate and secondary meningitis. It usually produces nasal obstruction, epistaxis and less commonly anosmia, headache and pain. We report a case of esthesioneuroblastoma in a 50-year-old female who reported with tooth pain as a presenting symptom.

  6. Tonsillolith: a panoramic radiograph presentation.

    PubMed

    Babu B, Balaji; Tejasvi M L, Avinash; Avinash, C K Anulekha; B, Chittaranjan

    2013-10-01

    Tonsilloliths are calcifications within a tonsillar crypt, involve primarily the palatine tonsil caused by dystrophic calcification as a result of chronic inflammation. Tonsilloliths are very uncommon and are microscopic. Tonsillar concretions sometimes produce symptoms which include non-specific chronic halitosis, irritable cough, dysphagia, otalgia and foreign body-like sensation or foul taste. Patients with tonsillolithiasis may also be asymptomatic, with their lesions being discovered incidentally on panoramic radiographs. This article presents an unusual case of multiple bilateral and asymptomatic tonsilloliths which were found during a routine panoramic radiographic examination.

  7. Presentation at Innoventure Annual Competition

    SciTech Connect

    2010-03-31

    This report documents the components of the workshop presented at the recent annual competition for the Innoventure program. The goal of the workshop was to focus on the delivery of science, technology, engineering, and math (STEM) concepts in a hands-on experiential learning format to increase interest in national security careers at NNSA, most of which are in the STEM fields. This work is a part of the National Security Preparedness Project (NSPP), being performed under a Department of Energy (DOE)/National Nuclear Security Administration (NNSA) grant.

  8. Glycoproteomics: Past, present and future

    NASA Astrophysics Data System (ADS)

    Morris, Howard R.; Chalabi, Sara; Panico, Maria; Sutton-Smith, Mark; Clark, Gary F.; Goldberg, David; Dell, Anne

    2007-01-01

    This invited paper charts the origins and progress of glycoproteomics mass spectrometry research at Imperial College, and in celebration of Donald Hunt's 65th birthday it puts into perspective some of the scientific influence which each group has had on the other over a period of some 35 years. We then describe and illustrate current nano-LC-ES-MS and MS/MS strategies for the structural assignment of N-linked glycosylation in proteins involved in sperm/egg fertilisation. Finally, we present recent progress in the automated interpretation of these glycopeptide data sets, which promises to supersede manual interpretation for many applications.

  9. Practice Increases Procedural Errors After Task Interruption.

    PubMed

    Altmann, Erik M; Hambrick, David Z

    2017-03-16

    Positive effects of practice are ubiquitous in human performance, but a finding from memory research suggests that negative effects are possible also. The finding is that memory for items on a list depends on the time interval between item presentations. This finding predicts a negative effect of practice on procedural performance under conditions of task interruption. As steps of a procedure are performed more quickly, memory for past performance should become less accurate, increasing the rate of skipped or repeated steps after an interruption. We found this effect, with practice generally improving speed and accuracy, but impairing accuracy after interruptions. The results show that positive effects of practice can interact with architectural constraints on episodic memory to have negative effects on performance. In practical terms, the results suggest that practice can be a risk factor for procedural errors in task environments with a high incidence of task interruption. (PsycINFO Database Record

  10. Private practice--an advanced practice option.

    PubMed

    Wilson, Anne; Jarman, Heather

    2002-10-01

    Currently there is considerable debate on the role and function of nurses in Australia and internationally. This debate stems from developments within the nursing profession itself from political and economic issues in health platforms, due to restructuring of the health care system, consumer expectations of health care and nurses' expectations of a career. This paper provides the opportunity to reflect on the development of the role of the private practice (independent nurse) and where that role is situated in the nursing profession. This forms the basis for discussion of the development of specialty practice at an advanced level in Australia and to demonstrate its relationship with the nurse practitioner movement in Australia.

  11. Four Practical Steps to Buying Copiers.

    ERIC Educational Resources Information Center

    Sturgeon, Julie

    1999-01-01

    Presents practical steps for avoiding overbuying when selecting copiers for university administration. Evaluating copying needs, eliminating excessive features, examining the dealer's capabilities, and being patient for the right price are discussed. (GR)

  12. Mastocytosis presenting as cardiac emergency.

    PubMed

    Ridolo, Erminia; Triggiani, Massimo; Montagni, Marcello; Olivieri, Elisa; Ticinesi, Andrea; Nouvenne, Antonio; Magliacane, Diomira; de Crescenzo, Gennaro; Meschi, Tiziana

    2013-12-01

    Mastocytosis is characterised by clonal proliferation of mast cells in the skin and in various internal organs, and by symptoms related to an acute release of mast cell-derived mediators. In 20-30 % of patients, mastocytosis occurs without the typical skin lesions of urticaria pigmentosa that are usually the first clinical sign of the disease. In these patients, anaphylaxis is often the presenting sign of the disease. We report three cases in which a cardiac emergency (cardiac arrest or ventricular fibrillation) was the first clinical manifestation of anaphylaxis associated with systemic mastocytosis. All patients were men, none of them had previous episodes of anaphylaxis or other mediator-related symptoms, and none had major pre-existing cardiovascular condition. An eliciting factor was identified in one case (a wasp sting), but one was found in the other two. Elevation of the serum tryptase suggested a mastocytosis, which was confirmed by bone marrow biopsy. This case series demonstrates that cardiovascular emergencies may be presenting signs of mastocytosis, and that elevation of serum tryptase after an acute cardiac event, if confirmed under basal conditions, may be useful for diagnosing this disease.

  13. Emphysematous pyelonephritis presenting as gastroenteritis.

    PubMed

    El-Hennawy, Adel S; Kona, Hima

    2007-01-01

    Emphysematous pyelonephritis (EPN) is a serious and often life-threatening condition due to a gas-producing and necrotizing infection involving the renal parenchyma and perirenal tissue. The infection is almost exclusively seen in diabetic patients, and the main feature of its presence is finding gas within the kidney. Patients usually present with fever, chills, flank pain, and dysuria. Laboratory testing usually reveals hyperglycemia, leukocytosis, pyuria, an elevated blood urea nitrogen (BUN) level, and high serum creatinine level. Other, nonspecific symptoms such as abdominal pain, nausea, vomiting, and diarrhea can accompany acute pyelonephritis, as found in the reported case. The appropriate management of such serious infection requires combined medical and surgical treatment. In severe infection, nephrectomy should not be delayed. We report a case of EPN in a diabetic patient who presented with gastrointestinal symptoms. A high index of suspicion, coupled with a good imaging study [preferably computed tomography (CT) scanning] of the abdomen can lead to early diagnosis. Appropriate medical and surgical management have resulted in a successful outcome.

  14. Presentation Extensions of the SOAP

    NASA Technical Reports Server (NTRS)

    Carnright, Robert; Stodden, David; Coggi, John

    2009-01-01

    A set of extensions of the Satellite Orbit Analysis Program (SOAP) enables simultaneous and/or sequential presentation of information from multiple sources. SOAP is used in the aerospace community as a means of collaborative visualization and analysis of data on planned spacecraft missions. The following definitions of terms also describe the display modalities of SOAP as now extended: In SOAP terminology, View signifies an animated three-dimensional (3D) scene, two-dimensional still image, plot of numerical data, or any other visible display derived from a computational simulation or other data source; a) "Viewport" signifies a rectangular portion of a computer-display window containing a view; b) "Palette" signifies a collection of one or more viewports configured for simultaneous (split-screen) display in the same window; c) "Slide" signifies a palette with a beginning and ending time and an animation time step; and d) "Presentation" signifies a prescribed sequence of slides. For example, multiple 3D views from different locations can be crafted for simultaneous display and combined with numerical plots and other representations of data for both qualitative and quantitative analysis. The resulting sets of views can be temporally sequenced to convey visual impressions of a sequence of events for a planned mission.

  15. Future and present regional wind

    NASA Astrophysics Data System (ADS)

    Salameh, T.; Vrac, M.; Drobinski, P.; Naveau, P.

    2009-04-01

    Accurate and rapid determination of near-surface wind fields in a complex area (orography, inhomogeneous surface properties) is a challenge for applications like the evaluation of wind energy production, the prediction of pollution transport and hazardous conditions for aeronautics and ship navigation, among others. This work presents a statistical downscaling approach for regional near-surface wind field in the region of southern France (characterized by the presence of major mountain ranges). It is based on generalized additive models (GAM, Salameh et al. 2008), relating large-scale upper air to local-scale surface atmospheric fields. We apply our statistical downscaling model conditionally on regional circulation patterns defined from measurements. Hence, near-surface wind components in southern France are simulated based on large-scale information from ERA-40 reanalyses (1991-2001) and from IPCC scenarios (1991-2001 and 2040-2050). The performances of our method are evaluated, (1) by comparing downscaled wind from ERA-40 and from IPCC, and (2) by comparing them with measurements, for the period 1991-2001. Then, we evaluate the change in regional atmospheric circulations in southern France, by comparing future and present downscaled wind.

  16. Configuration Aerodynamics: Past - Present - Future

    NASA Technical Reports Server (NTRS)

    Wood, Richard M.; Agrawal, Shreekant; Bencze, Daniel P.; Kulfan, Robert M.; Wilson, Douglas L.

    1999-01-01

    The Configuration Aerodynamics (CA) element of the High Speed Research (HSR) program is managed by a joint NASA and Industry team, referred to as the Technology Integration Development (ITD) team. This team is responsible for the development of a broad range of technologies for improved aerodynamic performance and stability and control characteristics at subsonic to supersonic flight conditions. These objectives are pursued through the aggressive use of advanced experimental test techniques and state of the art computational methods. As the HSR program matures and transitions into the next phase the objectives of the Configuration Aerodynamics ITD are being refined to address the drag reduction needs and stability and control requirements of High Speed Civil Transport (HSCT) aircraft. In addition, the experimental and computational tools are being refined and improved to meet these challenges. The presentation will review the work performed within the Configuration Aerodynamics element in 1994 and 1995 and then discuss the plans for the 1996-1998 time period. The final portion of the presentation will review several observations of the HSR program and the design activity within Configuration Aerodynamics.

  17. Leptospirosis presenting as honeymoon fever.

    PubMed

    de Sainte Marie, B; Delord, M; Dubourg, G; Gautret, P; Parola, P; Brouqui, P; Lagier, J C

    2015-05-01

    An increasing number of travelers from western countries visit tropical regions, questioning western physicians on the prophylaxis, the diagnosis and the therapeutic management of patients with travel-associated infection. In July 2014, a French couple stayed for an adventure-travel in Columbia without malaria prophylaxis. A week after their return the woman presented with fever, myalgia, and retro-orbital pain. Three days later, her husband presented similar symptoms. In both patients, testing for malaria, arboviruses and blood cultures remained negative. An empirical treatment with doxycycline and ceftriaxone was initiated for both patients. Serum collected from the female patient yielded positive IgM for leptospirosis but was negative for her husband. Positive Real-Time PCR were observed in blood and urine from both patients, confirming leptospirosis. Three lessons are noteworthy from this case report. First, after exclusion of malaria, as enteric fever, leptospirosis and rickettsial infection are the most prevalent travel-associated infections, empirical treatment with doxycycline and third generation cephalosporin should be considered. In addition, the diagnosis of leptospirosis requires both serology and PCR performed in both urine and blood samples. Finally, prophylaxis using doxycycline, also effective against leptospirosis, rickettsial infections or travellers' diarrhea should be recommended for adventure travelers in malaria endemic areas.

  18. Clinical presentation of cerebral aneurysms.

    PubMed

    Cianfoni, Alessandro; Pravatà, Emanuele; De Blasi, Roberto; Tschuor, Costa Silvia; Bonaldi, Giuseppe

    2013-10-01

    Presentation of a cerebral aneurysm can be incidental, discovered at imaging obtained for unrelated causes, can occur in the occasion of imaging obtained for symptoms possibly or likely related to the presence of an unruptured aneurysm, or can occur with signs and symptoms at the time of aneurismal rupture. Most unruptured intracranial aneurysms are thought to be asymptomatic, or present with vague or non-specific symptoms like headache or dizziness. Isolated oculomotor nerve palsies, however, may typically indicate the presence of a posterior circulation aneurysm. Ruptured intracranial aneurysms are by far the most common cause of non-traumatic subarachnoid hemorrhage and represent a neurological emergency with potentially devastating consequences. Subarachnoid hemorrhage may be easily suspected in the presence of sudden and severe headache, vomiting, meningism signs, and/or altered mental status. However, failure to recognize milder and more ambiguous clinical pictures may result in a delayed or missed diagnosis. In this paper we will describe the clinical spectrum of unruptured and ruptured intracranial aneurysms by discussing both typical and uncommon clinical features emerging from the literature review. We will additionally provide the reader with descriptions of the underlying pathophysiologic mechanisms, and main diagnostic pitfalls.

  19. Diaphragmatic hernia: an unusual presentation

    PubMed Central

    Shah, Neha; Fernandes, Roland; Thakrar, Amit; Rozati, Hamoun

    2013-01-01

    A 53-year-old lady presented to A&E with a 3-day history of severe epigastric pain and vomiting. This was preceded by a 3-month history of generalised abdominal discomfort, early satiety and increasing shortness of breath. A CT scan showed a left-sided posterior diaphragmatic defect. Urgent repair of the hernia showed herniation of three-quarter of the stomach, half of the transverse colon, the 13 cm spleen and the pancreas in the chest. There were no postoperative complications. Traumatic diaphragmatic hernias are known to be a complication of major trauma. However, the patient in this case report presented acutely, after mild physical trauma related to using a rowing machine. This exercise, when not performed correctly can raise intra-abdominal pressure. It is plausible that this trauma, although mild, was sufficient in causing the lady's diaphragmatic hernia. This case would suggest that the trauma required to cause a diaphragmatic hernia need not be as severe as originally thought. PMID:23616319

  20. Insulinoma presenting as idiopathic hypersomnia.

    PubMed

    Maestri, Michelangelo; Monzani, Fabio; Bonanni, Enrica; Di Coscio, Elisa; Cignoni, Fabio; Dardano, Angela; Iudice, Alfonso; Murri, Luigi

    2010-06-01

    We report the case of a 32-year-old woman with a history of increased sleep need and difficulty waking up; the diagnosis of idiopathic hypersomnia was hypothesized. During ambulatory polysomnography (PSG), the patient presented an episode characterized by loss of consciousness and jerking of the four limbs. A video-PSG monitoring was performed and the patient showed unresponsiveness and drowsiness at 7 a.m. During the episode, EEG showed theta-delta diffuse activity, and blood glucose level was 32 mg dl(-1). The diagnosis of insulinoma was then assumed; CT scan showed a hypodense mass into the pancreatic tail, and a partial pancreasectomy was performed. The described symptoms disappeared, and 5 years later the findings of a complete clinical and neurophysiological examination were negative. The clinical picture of insulinoma presenting with paroxysmal disorders has been previously described; however, whereas hypersomnia is uncommon, in the current case it represents the main symptom. Clinicians should keep in mind that neuroglycopenia should be considered in the differential diagnosis of patients with hypersomnia, particularly if the clinical scenario does not conform to standard criteria.