Sample records for author describes current

  1. [EU law on marketing authorization of medicines. History, current state of development and perspectives].

    PubMed

    Nettesheim, Martin

    2008-07-01

    The article describes the development of EU policies and regulations on the marketing authorization of medicines. First, it describes the changing perspective of the EU towards the regulation of such authorizations. While its original focus was on the liberalization of national markets, it has today assumed overarching political responsibility for the development and marketing of medicines. Second, the article describes the current, rather fragmented regulatory system. Finally, political perspectives on the integration of markets for medicines are developed.

  2. The Deprofessionalization of Social Work

    ERIC Educational Resources Information Center

    Specht, Harry

    1972-01-01

    Four ideological currents serve to undermine professionalism in social work: activism, anti-individualism, communalism, and environmentalism. The author describes each of these currents and discusses the ways in which social work education accommodates them. (Author)

  3. Financing Academic Departments of Psychiatry

    ERIC Educational Resources Information Center

    Liptzin, Benjamin; Meyer, Roger E.

    2011-01-01

    Objective: The authors describe the many financial challenges facing academic departments of psychiatry and the resulting opportunities that may arise. Method: The authors review the history of financial challenges, the current economic situation, and what may lie ahead for academic departments of psychiatry. Results: The current environment has…

  4. A beam current density monitor for intense electron beams

    NASA Astrophysics Data System (ADS)

    Fiorito, R. B.; Raleigh, M.; Seltzer, S. M.

    1983-12-01

    The authors describe a new type of electric probe for mapping the radial current density profile of high-energy, high current electron beams. The idea of developing an electrically sensitive probe for these conditions was originally suggested to one of the authors during a year's visit to the Lawrence Livermore National Laboratory. The resulting probe is intended for use on the Experimental Test Accelerator (ETA) and the Advanced Test Accelerator at that laboratory. This report discusses in detail: the mechanical design, the electrical response, and temperature effects, as they pertain to the electric probe, and describe the first experimental results obtained using this probe on ETA.

  5. The pediatric intensive care unit business model.

    PubMed

    Schleien, Charles L

    2013-06-01

    All pediatric intensivists need a primer on ICU finance. The author describes potential alternate revenue sources for the division. Differentiating units by size or academic affiliation, the author describes drivers of expense. Strategies to manage the bottom line including negotiations for hospital services are covered. Some of the current trends in physician productivity and its described metrics, with particular focus on clinical FTE management is detailed. Methods of using this data to enhance revenue are discussed. Some of the other current trends in the ICU business related to changes at the federal and state level as well as in the insurance sector, moving away from fee-for-service are covered. Copyright © 2013 Elsevier Inc. All rights reserved.

  6. Holography--An Update.

    ERIC Educational Resources Information Center

    Jacobs, D. J.

    1988-01-01

    This article describes the basic physics of several types of holograms and discusses different recording materials in use. Current and possible future applications of holograms are described as well as their large-scale production. (Author)

  7. SHARAF: The Canadian Shared Authority File Project.

    ERIC Educational Resources Information Center

    MacIntosh, Helen

    1982-01-01

    Describes history, operating procedures, and current activities of group of users of the University of Toronto Library Automation System (UTLAS) who cooperated with each other, the bibliographic utility, and the National Library of Canada to produce an automated authority control system, termed Shared Authority File (SHARAF). Five references are…

  8. Digital Video Interactive (DVI) Based Authoring Tools for Unit Level Training. Final Technical Report for Period 27 September 1991 - 27 May 1992.

    ERIC Educational Resources Information Center

    Hyltin, John P.; And Others

    This report describes DVI (Digital Video Interactive) technology, current authoring languages and tools, and the reasons for developing new tools and applications. The work described was performed by Betac Corporation as part of a Phase II Small Business Innovation Research project. Section I provides background information on DVI. DVI technology…

  9. Software List.

    ERIC Educational Resources Information Center

    Computers in Chemical Education Newsletter, 1984

    1984-01-01

    Lists and briefly describes computer programs recently added to those currently available from Project SERAPHIM. Program name, subject, hardware, author, supplier, and current cost are provided in separate listings for Apple, Atari, Pet, VIC-20, TRS-80, and IBM-PC. (JN)

  10. Pre-specialization - Considerations for more focused and personalized educational modules in the twenty-first century.

    PubMed

    Han, Jason J; Vapiwala, Neha

    2018-04-14

    This essay provides a multidisciplinary discussion of the current medical education curriculum and the increasing need to adapt it to our rapidly evolving and expanding healthcare environment. Thorough literature search on the topic of medical school curriculum, ranging from its historical origins to contemporary practice as well as statistics, was conducted. The authors give a brief historical overview of and rationale behind the current structure of the medical education system in America. The recent trends towards information overload and rapid evolution of the evidence-base are discussed. Specialization, as a means of responding to the burgeoning abundance of information in medicine, is described. The authors further provide current as well as foreseeable limitations of today's medical training paradigm as the trend towards specialization continues. The potential negative influences of a specialist-focused training paradigm on the overall length of training and the degree of autonomy exercised by generalists are described. A proposal toward pre-specialization at the level of medical school is introduced and elaborated upon. The authors incorporate social psychology principles and analyze trends toward career specialization, highlighting potential benefits to a different-size-for-all approach. The importance of optionality and flexibility of such a curriculum is emphasized. The authors describe the inevitable trend toward specialization, and the need to fundamentally re-configure American medical education system to behoove trainees' experiences and quality of training during the 21st century.

  11. 78 FR 73915 - Notice of Request for Extension of Currently Approved Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-09

    ..., Enterprise Information Security & Policy. [FR Doc. 2013-29218 Filed 12-6-13; 8:45 am] BILLING CODE 8120-08-P ... TENNESSEE VALLEY AUTHORITY Notice of Request for Extension of Currently Approved Information... Currently Approved Information Collection. SUMMARY: The information collection described below will be...

  12. Therapists in Oncology Settings

    ERIC Educational Resources Information Center

    Hendrick, Susan S.

    2013-01-01

    This article describes the author's experiences of working with cancer patients/survivors both individually and in support groups for many years, across several settings. It also documents current best-practice guidelines for the psychosocial treatment of cancer patients/survivors and their families. The author's view of the important qualities…

  13. Connected vehicle pilot deployment program phase 1, concept of operations (ConOps) – Tampa (THEA).

    DOT National Transportation Integrated Search

    2016-02-01

    This document describes the Concept of Operations (ConOps) for the Tampa Hillsborough Expressway Authority (THEA) Connected Vehicle (CV) Pilot Deployment. This ConOps describes the current state of operations, establishes the reasons for change, and ...

  14. Connected Vehicle Pilot Deployment Program phase 1 : System Requirements Specification (SyRS) : Tampa (THEA) : final report.

    DOT National Transportation Integrated Search

    2016-08-01

    This document describes the System Requirements Specification (SyRS) for the Tampa Hillsborough Expressway Authority (THEA) Connected Vehicle (CV) Pilot Deployment. This SyRS describes the current system requirements derived from the user needs, Conc...

  15. 'I think it will eventually be done away with': Attitudes among healthcare professionals towards the current system of animal experimentation.

    PubMed

    Dignon, Andrée

    2016-08-01

    This article describes a study of attitudes to the current system of animal experimentation (for the production of health interventions) among 52 UK healthcare professionals. These healthcare professionals participated in three separate focus groups (of 18, 17 and 17 participants) and were invited to respond to the question 'what is your opinion about the current system of animal testing?' The study focused specifically on their views of the current system (rather than their views of animal testing in general). The healthcare professionals were critical of the current system, particularly with regard to regulation, secrecy, validity, unnecessary suffering and welfare. © The Author(s) 2014.

  16. Learning about Phenylketonuria (PKU)

    MedlinePlus

    ... provides current, expert-authored, peer-reviewed, full-text articles describing the application of genetic testing to the diagnosis, management, and genetic counseling of patients with specific inherited ...

  17. Understanding the Ties that Bind and the Possibilities for Change

    ERIC Educational Resources Information Center

    Teachout, David J.

    2007-01-01

    The author describes how contemporary music education at the secondary level has fallen short of Dr. Charles Leonhard's vision for developing musical understanding and musical responsiveness in all students and cites several historical events as pivotal in promoting the profession's current path. The author then challenges this generalization by…

  18. Writing about Clients: Developing Composite Case Material and Its Rationale

    ERIC Educational Resources Information Center

    Duffy, Maureen

    2010-01-01

    Ethical guidelines of the 4 major professional associations representing counselors and psychotherapists are reviewed. To help clarify thinking about writing up clinical cases, 3 kinds of cases are described. The author concludes that the current guidelines for clinician authors in writing about clients for publication or presentation are…

  19. Current Events in Basic Business Education

    ERIC Educational Resources Information Center

    Van Hook, Barry L.

    1974-01-01

    The author suggests the use of current events to stimulate student interest in basic business courses. Suggested topics described are monetary devaluation, interest rate adjustments, Illinois no-fault automobile insurance, labor-management disputes, Dow-Jones average, Picasso's death, energy crisis, sale of surplus wheat, local consumer assistance…

  20. ELT-572(v)2 DIRCM: simulation, system design and DTE process to protect ItAF platforms against ManPADS

    NASA Astrophysics Data System (ADS)

    Borriello, G.; Bonori, V.; Cresti, M.; Dente, E.; Ideo, L.; Mazzi, G.; Usai, A.; Tafuto, A.; Togna, F.

    2014-10-01

    In this paper authors provide a description of the currently deployed Man Portable Air Defense System (ManPADS) heat-seeking missiles. Principles of IR seeking and Aircraft signatures are shortly described. Basic information are listed on currently designed Infra-Red Counter Measure Systems, intended to protect Aircrafts against ManPADS. Authors provide an overview on ELT-572(v)2 DIRCM Program, funded by Italian Air Force, currently in low rate production phase. Description of the Design and Development phase, completed in Elettronica SpA in 2013, is reported. Development Test and Evaluation (DTE) Activities on ELT-572(v)2 DIRCM, jointly performed by Elettronica Spa and Italian Air Force Flight Test Centre, are shortly described. A summary of tests and some results are also discussed. Platform Installation Programs, using the low rate production units from ELT-572(v)2 DIRCM Program, are finally listed.

  1. The Stigma of Families with Mental Illness

    ERIC Educational Resources Information Center

    Larson, Jon E.; Corrigan, Patrick

    2008-01-01

    Objective: This article describes family stigma, which is defined as the prejudice and discrimination experienced by individuals through associations with their relatives. Methods: The authors describe family stigma and present current research related to mental illness stigma experienced by family members. Research indicates this type of stigma…

  2. Learning about Factor V Leiden Thrombophilia

    MedlinePlus

    ... gov] Current, expert-authored, peer-reviewed, full-text articles describing the application of genetic testing to the diagnosis, management, and genetic counseling of patients with specific inherited ...

  3. Project SERAPHIM Report.

    ERIC Educational Resources Information Center

    Moore, John W.

    1983-01-01

    Lists and briefly describes computer programs recently added to those currently available from Project SERAPHIM. Program name, subject, hardware, author, supplier, and cost are provided in separate listings for Apple, PET, TRS-80 I or III, IBM, VIC-20, TERAK, and PDP-11 microcomputers. Includes corrections for two current Apple programs. (JN)

  4. The Myth about Students

    ERIC Educational Resources Information Center

    Oblinger, Diana G.; Hawkins, Brian L.

    2005-01-01

    In this article, the authors discuss the reality of today's current students and their expectations of the institutions they attend. Specifically, they describe the current generation, the Net Generation, of traditional-age college students who have grown up with computers and the Internet, living in a rapid-response, multimedia, anytime-anywhere…

  5. Toward an Implementation Paradigm of Educational Change.

    ERIC Educational Resources Information Center

    Berman, Paul

    Besides identifying current problems in educational change research, this document describes the inadequate paradigm on which past research has been based and outlines a currently emerging paradigm of educational innovation. The author asserts that previous research findings have been inconsistent and not comparable. Basic to the research problems…

  6. Is There a Consensus on Consensus Methodology? Descriptions and Recommendations for Future Consensus Research.

    PubMed

    Waggoner, Jane; Carline, Jan D; Durning, Steven J

    2016-05-01

    The authors of this article reviewed the methodology of three common consensus methods: nominal group process, consensus development panels, and the Delphi technique. The authors set out to determine how a majority of researchers are conducting these studies, how they are analyzing results, and subsequently the manner in which they are reporting their findings. The authors conclude with a set of guidelines and suggestions designed to aid researchers who choose to use the consensus methodology in their work.Overall, researchers need to describe their inclusion criteria. In addition to this, on the basis of the current literature the authors found that a panel size of 5 to 11 members was most beneficial across all consensus methods described. Lastly, the authors agreed that the statistical analyses done in consensus method studies should be as rigorous as possible and that the predetermined definition of consensus must be included in the ultimate manuscript. More specific recommendations are given for each of the three consensus methods described in the article.

  7. Enacting Firm, Fair and Friendly Practice: A Model for Strengths-Based Child Protection Relationships?

    PubMed

    Oliver, Carolyn; Charles, Grant

    2016-06-01

    Strengths-based solution-focused approaches are gaining ground in statutory child protection work, but few studies have asked front line practitioners how they navigate the complex worker-client relationships such approaches require. This paper describes one component of a mixed-methods study in a large Canadian statutory child protection agency in which 225 workers described how they applied the ideas of strengths-based practice in their daily work. Interviews with twenty-four practitioners were analysed using an interpretive description approach. Only four interviewees appeared to successfully enact a version of strengths-based practice that closely mirrored those described by key strengths-based child protection theorists and was fully congruent with their mandated role. They described navigating a shifting balance of collaboration and authority in worker-client relationships based on transparency, impartial judgement, attentiveness to the worker-client interaction and the value that clients were fellow human beings. Their accounts extend current conceptualisations of the worker-client relationship in strengths-based child protection work and are congruent with current understandings of effective mandated relationships. They provide what may be a useful model to help workers understand and navigate relationships in which they must reconcile their own authority and expertise with genuine support for the authority and expertise of their clients.

  8. Teaching about Death to Undergraduates.

    ERIC Educational Resources Information Center

    Pine, Vanderlyn R.; And Others

    Development, implementation, and teaching of a college-level course on dying and death are described. The authors review their own experiences in becoming involved with death education and describe teaching methods, problems, and content of their current course in dying and death at the State University of New York, College at New Paltz. Because…

  9. Assessment of Internship Effectiveness in South Italy Universities

    ERIC Educational Resources Information Center

    della Volpe, Maddalena

    2017-01-01

    Purpose: The purpose of this paper is to describe and discuss the way internships are currently evaluated in Campania Universities by host institutions. Design/methodology/approach: The author collected and described questionnaires used by the universities of the Regional Observatory of Campania University System. These questionnaires are given by…

  10. Neurology Didactic Curricula for Psychiatry Residents: A Review of the Literature and a Survey of Program Directors

    ERIC Educational Resources Information Center

    Reardon, Claudia L.; Walaszek, Art

    2012-01-01

    Objective: Minimal literature exists on neurology didactic instruction offered to psychiatry residents, and there is no model neurology didactic curriculum offered for psychiatry residency programs. The authors sought to describe the current state of neurology didactic training in psychiatry residencies. Methods: The authors electronically…

  11. Education and Training in Psychiatry in the U.K.

    ERIC Educational Resources Information Center

    Carney, Stuart; Bhugra, Dinesh K.

    2013-01-01

    Background/Objective: Recent training and education changes have raised important issues in delivery of psychiatric education at all levels. In this article, the authors describe the current status of mental health education in the training of all doctors and postgraduate training and education in psychiatry in the U.K. Method: The authors explore…

  12. Assisted suicide: Models of legal regulation in selected European countries and the case law of the European Court of Human Rights.

    PubMed

    Grosse, Claudia; Grosse, Alexandra

    2015-10-01

    This paper presents three different models of the legal regulation of assisted suicide in European countries. First, the current legal regime governing assisted suicide in the Netherlands is described where both euthanasia and assisted suicide have been legalised. This section also includes some empirical data on euthanasia and assisted-suicide practices in the Netherlands, as well as a comparison with the current legal legislation in Belgium and Luxembourg. Next, Switzerland is presented as a country where euthanasia is punishable by law but assisted suicide is legally allowed, provided it is not carried out with selfish motives. This section also focuses on the assisted-suicide-related case law of the Swiss Federal Supreme Court and the European Court of Human Rights. Last, the current legal situation regarding assisted suicide in Austria and Germany is described. While the Austrian Penal Code explicitly prohibits assisted suicide, assistance with suicide is not specifically regulated by the German Penal Code. However, medical doctors are not allowed to assist suicides according to the professional codes of conduct drawn up by the German medical associations under the supervision of the health authorities. © The Author(s) 2014.

  13. Who are We?

    ERIC Educational Resources Information Center

    Jones, Janet

    1974-01-01

    Described the efforts of an elementary school teacher to help her students to think and verbalize about their current experiences while including in the lesson some art history of the Paleolithic period. (Author/RK)

  14. Churg-Strauss syndrome in childhood: a case report.

    PubMed

    Albahri, Ziad; Minxová, Lenka; Lukeš, Antonín; Mawiri, Abdul Al; Štefáčková, Šárka

    2014-10-01

    Churg-Strauss syndrome is a rare form of small-vessel vasculitis. In the current report, we describe the case of a 17-year-old Czech girl predominantly characterized by peripheral neuropathy, the presence of cardiac and pulmonary involvement, hypereosinophilia, asthma, and sinusitis that led to the diagnosis of Churg-Strauss syndrome. © The Author(s) 2013.

  15. An On-Line Program for Intermediate Level Latin Readings.

    ERIC Educational Resources Information Center

    Raia, Ann

    2001-01-01

    Introduces an on-line intermediate Latin program to potential users by describing the goals and elements of the site (www.iona.edu/latin). Operation of the program is described, as well as the benefits for language education, its current uses, and suggestions for more creative uses in the classroom. (Author/VWL)

  16. Computerized Adaptive Testing for Effective and Efficient Measurement in Counseling and Education

    ERIC Educational Resources Information Center

    Weiss, David J.

    2004-01-01

    Computerized adaptive testing (CAT) is described and compared with conventional tests, and its advantages summarized. Some item response theory concepts used in CAT are summarized and illustrated. The author describes the potential usefulness of CAT in counseling and education and reviews some current issues in the implementation of CAT.

  17. [How does noise affect us? In our health, life styles and environs].

    PubMed

    Murillo, Inma Castells

    2007-10-01

    Noise acts by means of the ear on the central and autonomous nervous systems. When this stimulus passes determined limits, it provokes deafness and has pathological effects, both instantaneous and differed, on both nervous systems. At much lower levels, noise produces discomfort, diminishes attention, or impedes communication, concentration and sleep; noise reduces school or professional performance; noise increases the possibility for antisocial behavior; noise can lead to a loss in the value of a building or can cause accidents in the work place. The author describes the importance of this topic, reviews the anatomical-physiological features of the ear, and describes noise and its properties. The author also describes how noise affects our organism, habits, life styles, society, working environment and health. The author finishes by providing some current preventive measures and some recommendations to avoid this pollutant.

  18. An Annotated List of Disciplines and Sub-Disciplines in the Biological Sciences

    ERIC Educational Resources Information Center

    McDonald, Brandon

    2008-01-01

    Biology has become a large and diversified science. Current biological research areas transgress academic and professional boundaries to such a degree that the biological sciences could arguably be referred to as "all encompassing." In this article, the author describes how he compiled information on currently recognised disciplines and…

  19. Educational Leadership in an Online World: Connecting Students to Technology Responsibly, Safely, and Ethically

    ERIC Educational Resources Information Center

    Ribble, Mike; Miller, Teresa Northern

    2013-01-01

    The current gap in technology knowledge and lack of leadership preparation related to digital literacy for school environments can cause serious problems, as school leaders, parents, and broader social communities are currently realizing. The authors describe strategies for educational leaders to prepare their stakeholder groups for a digital…

  20. Return to a Broadcast Newsroom to Stay Current in the Field.

    ERIC Educational Resources Information Center

    Youngblood, Steven

    1999-01-01

    Describes how the author, a broadcasting educator, worked as a summer intern at a professional TV station in order to keep his instruction current, and to keep up on the latest stylistic and technological changes in the business. Discusses the benefits of doing so, and notes some useful information learned. (SR)

  1. Narrative, Poststructuralism, and Social Justice: Current Practices in Narrative Therapy

    ERIC Educational Resources Information Center

    Combs, Gene; Freedman, Jill

    2012-01-01

    This paper is a review of current practice in narrative therapy with a focus on how it is attractive and useful for therapists who wish to work for social justice. The authors describe narrative therapy's roots in poststructuralist philosophy and social science. They illustrate its major theoretical constructs, including the "narrative metaphor,"…

  2. Online Data Collection.

    ERIC Educational Resources Information Center

    Topp, Neal W.; Pawloski, Bob

    2002-01-01

    Describes the eventful history of online data collection and presents a review of current literature following by a list of pros and cons to be considered when stepping into online surveying. (Contains 14 references.) (Author/YDS)

  3. The Language Situation in Tunisia.

    ERIC Educational Resources Information Center

    Daoud, Mohamed

    2001-01-01

    Describes the current language situation in Tunisia while maintaining a historical perspective that is helpful in understanding how language-related changes have come about, and a prospective view that may illuminate future developments. (Author/VWL)

  4. Defining technology dependence in children and adolescents.

    PubMed

    Spratling, Regena

    2015-05-01

    The purpose of this review was to identify current terms and definitions used to identify and describe children and adolescents who require technology. A total of 400 articles published from January 2000 through May 2012 were reviewed; 26 articles met the inclusion criteria. The review included only primary research studies that focused on a child and adolescent sample (birth to 18 years old) who required technology. Current terms and definitions used to describe children and adolescents who require technology include technology and complex care. Technology is a constant in both terminology and definitions, and it differentiates this population from the general population of children with chronic illness and special health care needs. This review highlights the need for better, more detailed descriptions of the population of children and adolescents who require technology in their daily lives. © The Author(s) 2014.

  5. Attitudes towards attrition among UK trainees in obstetrics and gynaecology.

    PubMed

    Gafson, Irene; Currie, Jane; O'Dwyer, Sabrina; Woolf, Katherine; Griffin, Ann

    2017-06-02

    Physician dissatisfaction in the workplace has consequences for patient safety. Currently in the UK, 1 in 5 doctors who enter specialist training in obstetrics and gynaecology leave the programme before completion. Trainee attrition has implications for workforce planning, organization of health-care services and patient care. The authors conducted a survey of current trainees' and former trainees' views concerning attrition and 'peri-attrition' - a term coined to describe the trainee who has seriously considered leaving the specialty. The authors identified six key themes which describe trainees' feelings about attrition in obstetrics and gynaecology: morale and undermining; training processes and paperwork; support and supervision; work-life balance and realities of life; NHS environment; and job satisfaction. This article discusses themes of an under-resourced health service, bullying, lack of work-life balance and poor personal support.

  6. The ABPN Maintenance of Certification Program for Psychiatrists: Past History, Current Status, and Future Directions

    ERIC Educational Resources Information Center

    Faulkner, Larry R.; Tivnan, Patricia W.; Winstead, Daniel K.; Reus, Victor I.; Andrade, Naleen N.; Brooks, Beth Ann; Colenda, Christopher C.; Mrazek, David A.; Reifler, Burton V.; Schneidman, Barbara

    2008-01-01

    Objective: To describe the American Board of Psychiatry and Neurology (ABPN) Maintenance of Certification Program, its underlying rationale, how it will be implemented now, and what it might look like in the future. Methods: The authors describe the philosophical foundation, specific components, and the implementation timeline of the ABPN…

  7. Meeting Students Where They Are Online, but Leading Them Somewhere More Interesting: Reflections on Teaching the Facebook Class

    ERIC Educational Resources Information Center

    Manuel, Jeffrey T.; P. Schunke, Matthew

    2016-01-01

    This article describes a unique interdisciplinary course on social media and the self developed and taught by the authors at Southern Illinois University Edwardsville. The article describes challenges facing humanities faculty who wish to teach on topics with high societal currency and student interest. Current research into humanistic approaches…

  8. Optimizing logistics for balloon-occluded retrograde transvenous obliteration (BRTO) of gastric varices by doing away with the indwelling balloon: concept and techniques.

    PubMed

    Saad, Wael E; Nicholson, David B

    2013-06-01

    Since the conception of balloon-occluded retrograde transvenous obliteration (BRTO) of gastric varices 25 years ago, the placement of an indwelling balloon for hours has been central to the BRTO procedure. Numerous variables and variations of the BRTO procedure have been described, including methods to reduce sclerosant, combining percutaneous transhepatic obliteration, varying sclerosant, and using multiple sclerosants within the same procedure. However, the consistent feature of BRTO has always remained the indwelling balloon. Placing an indwelling balloon over hours for the BRTO procedure is a logistical burden that taxes the interventional radiology team and hospital resources. Substituting the balloon with hardware (coils or Amplatzer vascular plugs [AVPs] or both) is technically feasible and its risks most likely correlate with gastrorenal shunt (GRS) size. The current authors use packed 0.018- or 0.035-in coils or both for small gastric variceal systems (GRS size A and B) and AVPs for GRS sizes up to size E (from size A-E). The current authors recommend an indwelling balloon (no hardware substitute) for very large gastric variceal system (GRS size F). Substituting the indwelling balloon for hardware in size F and potentially size E GRS can also be risky. The current article describes the techniques of placing up to 16-mm AVPs through balloon occlusion guide catheters and then deflating the balloon once it has been substituted with the AVPs. In addition, 22-mm AVPs can be placed through sheaths once the balloon occlusion catheters are removed to further augment the 16-mm Amplatzer occlusion. To date, there are no studies describing, let alone evaluating, the clinical feasibility of performing BRTO without indwelling balloons. The described techniques have been successfully performed by the current authors. However, the long-term safety and effectiveness of these techniques is yet to be determined. Copyright © 2013 Elsevier Inc. All rights reserved.

  9. History, Current Status, and Future Prospects of Counseling in South Korea

    ERIC Educational Resources Information Center

    Lee, Sang Min; Suh, Suhyun; Yang, Eunjoo; Jang, Yoo Jin

    2012-01-01

    Although the counseling profession was introduced to South Korea in the 1950s by American delegates of education, counseling has been only lately recognized as a specialized field that requires distinctive knowledge and skills. In this article, the authors describe the history and the current status of counseling in South Korea and then discuss…

  10. A Survey of Current and Future Perceived Multi-National Corporation Manufacturing Training Needs in Tianjin, (T.E.D.A.) China.

    ERIC Educational Resources Information Center

    Hickey, Will

    2001-01-01

    Describes a study that surveyed current and perceived future employer-provided training practices among multinational corporations manufacturing companies in the Tianjin Economic Development Area (T.E.D.A.) of China. Highlights include labor market; human resources management in China; workforce productivity; and return on investment. (Author/LRW)

  11. A Two-Pronged Approach to Retaining Millennial Nurses.

    PubMed

    Koppel, Jenna; Deline, Marisa; Virkstis, Katherine

    2017-12-01

    Despite increased staff engagement and improved new hire on-boarding, organizations struggle to retain millennial nurses. One dominant trait is shared by organizations that have successfully reduced turnover for this group: investment in select strategies that cement loyalty to the organization. In this article, the authors describe 2 strategies for retaining early-tenure millennial nurses. In the 1st article of this series, the authors described why nursing leaders must supplement their organization's current investments in engagement with strategies targeted at millennials in their 1st 3 years. This 2nd part of the series will outline these strategies.

  12. Notes on Current Planning for Higher Education in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Heister, Matthias M.

    1985-01-01

    Objectives, methods, and problems of higher education planning agencies are described, and the work of the Bund-Lander-Kommission fur Bildungsplanung und Forschungsforderung is given particular emphasis. (Author/RM)

  13. Observations from Space and the Future of Meteorology

    ERIC Educational Resources Information Center

    Tepper, Morris

    1974-01-01

    Describes space-based observations and other aspects of meterology that will enable weather forecasters to lengthen the scale of predictability from the current day-to-day basis to one week or longer. (Author/GS)

  14. [The induction current, an ideal resource for the smelting of dental alloys].

    PubMed

    Ionescu, G; Chiper, C; Teofănescu, L; Brezulianu, C

    1996-01-01

    The authors present an electrical furnace for melting dental alloys, made by the German company BEGO. This furnace uses electrical current of high frequency. The advantages of this melting method are the possibility of controlling the adequate melting temperature for a specific type of alloy, the fusion in a protective environment of rare gas and casting by associating the centrifugation with the vacuum. This leads to exact castings without any defects. The authors describe as a personal contribution an external cooling system capable of maintaining the furnace's parameters even when the water pressure is low.

  15. Honorary authorship epidemic in scholarly publications? How the current use of citation-based evaluative metrics make (pseudo)honorary authors from honest contributors of every multi-author article.

    PubMed

    Kovacs, Jozsef

    2013-08-01

    The current use of citation-based metrics to evaluate the research output of individual researchers is highly discriminatory because they are uniformly applied to authors of single-author articles as well as contributors of multi-author papers. In the latter case, these quantitative measures are counted, as if each contributor were the single author of the full article. In this way, each and every contributor is assigned the full impact-factor score and all the citations that the article has received. This has a multiplication effect on each contributor's citation-based evaluative metrics of multi-author articles, because the more contributors an article has, the more undeserved credit is assigned to each of them. In this paper, I argue that this unfair system could be made fairer by requesting the contributors of multi-author articles to describe the nature of their contribution, and to assign a numerical value to their degree of relative contribution. In this way, we could create a contribution-specific index of each contributor for each citation metric. This would be a strong disincentive against honorary authorship and publication cartels, because it would transform the current win-win strategy of accepting honorary authors in the byline into a zero-sum game for each contributor.

  16. Higher Education in Russia: Traditions and Modern Times (Report at the Seventh Congress of the Russian Union of Rectors)

    ERIC Educational Resources Information Center

    Sadovnichii, V.

    2004-01-01

    This article represents a speech delivered by the author at the Seventh Congress of the Russian Union of Rectors. In his address, the author describes the current higher educational trend in Russia. He explains how higher education's orientation toward the state, its openness to all social classes, and its fundamental character are the principles…

  17. Leveraging Facebook to Brand Radiology.

    PubMed

    Tso, Hilda H; Parikh, Jay R

    2018-03-30

    In the current health care climate, radiologists should consider developing their brand. Facebook is the market leader for social media networking in the United States. The authors describe how radiologists can leverage Facebook to develop and market organizational, group, and individual brands. The authors then address concerns related to the use of social media by radiologists. Copyright © 2018 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  18. Digital controls for gas turbine engines

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

    Robinson, K.

    1987-01-01

    This paper begins by first describing the simplistic requirements of a gas turbine engine; how these requirements are best satisfied, frequently with the aid of electronic control systems; what the trade-off between integrity and reliability means; and finally, but forming a major section, this paper describes in qualitative detail a few of the current programmes for Full Authority Digital Engine Controls (FADEC).

  19. Nelson syndrome: historical perspectives and current concepts.

    PubMed

    Hornyak, Mark; Weiss, Martin H; Nelson, Don H; Couldwell, William T

    2007-01-01

    The appearance of an adrenocorticotropic hormone (ACTH)-producing tumor after bilateral adrenalectomy for Cushing disease was first described by Nelson in 1958. The syndrome that now bears his name was characterized by hyperpigmentation, a sellar mass, and increased plasma ACTH levels. The treatment of Cushing disease has changed drastically since the 1950s, when the choice was adrenalectomy. Thus, the occurrence, diagnosis, and treatment of Nelson syndrome have changed as well. In the modern era of high-resolution neuroimaging, transsphenoidal microneurosurgery, and stereotactic radiosurgery, Nelson syndrome has become a rare entity. The authors describe the history of the diagnosis and treatment of Nelson syndrome. In light of the changes described, the authors believe this disease must be reevaluated in the contemporary era and a modern paradigm adopted.

  20. Adam Smith in the Mathematics Classroom

    ERIC Educational Resources Information Center

    Lipsey, Sally I.

    1975-01-01

    The author describes a series of current economic ideas and situations which can be used in the mathematics classroom to illustrate the use of signed numbers, the coordinate system, univariate and multivariate functions, linear programing, and variation. (SD)

  1. ADVANCES IN PARTICLE SAMPLING AND MEASUREMENT

    EPA Science Inventory

    The paper, by five authorities who contributed significantly to the second symposium on advances to particle sampling and measurement (October 1979 in Daytona Beach, FL) summarizes salient developments in the field. Current techniques were described as being expensive, complicate...

  2. Is there any value to arthroscopic debridement of ankle osteoarthritis and impingement?

    PubMed

    Phisitkul, Phinit; Tennant, Joshua N; Amendola, Annunziato

    2013-09-01

    This article summarizes the current literature regarding the use of arthroscopy for the various types of ankle osteoarthritis with impingement symptoms. Discussion includes the role of diagnostic arthroscopy and adjunctive use of arthroscopy with other modalities. The section on the authors' preferred technique describes our current operative and perioperative strategies in detail. Published by Elsevier Inc.

  3. The use of gaming technology for rehabilitation in people with multiple sclerosis.

    PubMed

    Taylor, M J D; Griffin, M

    2015-04-01

    Gaming technology - exergaming - is a novel tool to facilitate exercise, improve balance, and encourage rehabilitation training. This review will describe some of the key exergame research to promote physical activity and its use in rehabilitation in other diseases or clinical populations. We will then describe the current state of research in exergaming in people with multiple sclerosis and describe the theories for the mechanism behind some of the improvements in outcomes seen after using exergaming. Lastly, we will identify gaps in the literature and provide directions for future work in this growing area. The current work is contradictory and there is no consensus with regards to training duration/intensity and the outcomes used to assess the clinical effectiveness. This in part is due to the off-the-shelf nature of the games used. A more satisfactory approach would be the development of bespoke games which match a clinical need. Exergames are seen as enjoyable and could be effective in enhancing adherence to rehabilitation. However, the definitive RCT has yet to be carried out comparing exergaming to traditional exercise. © The Author(s), 2014.

  4. [Diphtheria in the military forces: lessons and current status of prophylaxis, prospects of epidemiological control process].

    PubMed

    Belov, A B; Ogarkov, P I

    2014-01-01

    We analyzed the epidemiological situation of diphtheria in the world and in Russia and experience of mass vaccination of military personnel and civil population with diphtheria toxoid for the last 50 years. Early diagnosis of diphtheria in military personnel has a prognostic value. Authors described the peculiarities of epidemiological process of diphtheria in military personnel in 80-90 years of 20th century and organizational aspects of mass vaccination with diphtheria toxoid. Authors analyzed current problems of epidemiology and prophylaxis of diphtheria in military personnel and civil population and possible developments. According to long-term prognosis authors mentioned the increase of morbidity and came to conclusion that it is necessary enhance the epidemiological surveillance. Authors presented prospect ways of improvement of vaccination and rational approaches to immunization of military personnel under positive long-term epidemiological situation.

  5. Literacy in Fiji: Its Origins and Its Development.

    ERIC Educational Resources Information Center

    Mangubhai, Francis

    1987-01-01

    The history of literacy in Fiji, where levels of literacy in both vernacular and English have been low, is discussed. A project to improve literacy in educational contexts is described. Current problems and future developments are discussed. (Author/MT)

  6. Review Citations for Best-Selling Books.

    ERIC Educational Resources Information Center

    Palmer, Joseph W.

    1979-01-01

    Compares "Book Review Digest,""Book Review Index," and "Current Book Review Citations" for their coverage of titles appearing on the best-seller lists of "Publishers Weekly." Methodology is described and results are provided for both 1976 and 1978 titles. (Author/JD)

  7. The Physics of White Dwarfs.

    ERIC Educational Resources Information Center

    Van Horn, Hugh M.

    1979-01-01

    Describes the current understanding of the structure and evolution of the white dwarf stars that was gained as a result of the increasingly sensitive and detailed astronomical observations coupled with calculations of the properties of matter under extreme conditions. (Author/GA)

  8. Fixing health care before it fixes us.

    PubMed

    Kotlikoff, Laurence J

    2009-02-01

    The current American health care system is beyond repair. The problems of the health care system are delineated in this discussion. The current health care system needs to be replaced in its entirety with a new system that provides every American with first-rate, first-tier medicine and that doesn't drive our nation broke. The author describes a 10-point Medical Security System, which he proposes will address the problems of the current health care system.

  9. Terminology, the importance of defining.

    PubMed

    van Mil, J W Foppe; Henman, Martin

    2016-06-01

    Multiple terms and definitions exist to describe specific aspects of pharmacy practice and service provision. This commentary explores the reasons for different interpretations of words and concepts in pharmaceutical care and pharmacy practice research. Reasons for this variation can be found in language, culture, profession and may also depend on developments over time. A list of words is provided where the authors think that currently multiple interpretations are possible. To make sure that the reader understands the essence, it seems imperative that authors include a definition of the topics that they actually study in their papers, and that they clearly cite existing definitions or refer to collections of definitions such as existing glossaries. It is important that presenters, authors and reviewers of pharmacy practice papers pay more attention to this aspect of describing studies.

  10. Programming parallel architectures: The BLAZE family of languages

    NASA Technical Reports Server (NTRS)

    Mehrotra, Piyush

    1988-01-01

    Programming multiprocessor architectures is a critical research issue. An overview is given of the various approaches to programming these architectures that are currently being explored. It is argued that two of these approaches, interactive programming environments and functional parallel languages, are particularly attractive since they remove much of the burden of exploiting parallel architectures from the user. Also described is recent work by the author in the design of parallel languages. Research on languages for both shared and nonshared memory multiprocessors is described, as well as the relations of this work to other current language research projects.

  11. USSR and Eastern Europe Scientific Abstracts Biomedical and Behavioral Sciences, Number 80

    DTIC Science & Technology

    1977-11-17

    A flow diagram shows the acceptable processes for purifying the farm wastes. It was concluded that current methods of handling the wastes were...quilizer, and the successes realized in investigations of its metabolism and pharmacokinetics . The authors undertook to study such distribution of...described (this journal, Vol 63, 1977, p 496, by these authors). A synchronization reaction was observed in the cochlear nuclei—with respect to the

  12. [Gluteoplasty with intramuscular silicone cohesive gel implants: a retrospective study of 50 cases].

    PubMed

    Horn, G

    2009-10-01

    For a few years, surgery of the gluteus has become more and more popular. In this retrospective study of 50 cases over a period of five years, the author presents his results, using a personal technique of gluteoplasty with intramuscular implants. After a review of the different current surgical techniques and of the different types of gluteus, the author describes his own surgical strategy.

  13. A developmental, biopsychosocial model for the treatment of children with gender identity disorder.

    PubMed

    Zucker, Kenneth J; Wood, Hayley; Singh, Devita; Bradley, Susan J

    2012-01-01

    This article provides a summary of the therapeutic model and approach used in the Gender Identity Service at the Centre for Addiction and Mental Health in Toronto. The authors describe their assessment protocol, describe their current multifactorial case formulation model, including a strong emphasis on developmental factors, and provide clinical examples of how the model is used in the treatment.

  14. On Line in New York.

    ERIC Educational Resources Information Center

    Egan, David

    1994-01-01

    The International Education and Resource Network (I*EARN) creates an international classroom in which students work together on global education projects and literary and current events publications. Teacher David Egan describes some of the many activities available to students on the network. (LZ/Author)

  15. Current Status of Research on Providing Sight to the Blind by Electrical Stimulation of the Brain

    ERIC Educational Resources Information Center

    Dobelle, William H.

    1977-01-01

    Described is a prosthesis that connects a television camera and associated circuitry to the visual centers of the brain to restore a limited amount of visual sensation to totally blind persons. (Author/MH)

  16. Counseling Mexican Americans: A Multimodal Approach.

    ERIC Educational Resources Information Center

    Ponterotto, Joseph G.

    1987-01-01

    Describes a culturally sensitive and relevant therapeutic framework for nonminority and minority counselors working with clients of Mexican-American heritage. Uses Lazarus's multimodal approach as the basis. Examines the current status of Mexican-American mental health service delivery and use. (Author/ABB)

  17. An Empirically Derived Taxonomy for Personality Diagnosis: Bridging Science and Practice in Conceptualizing Personality

    PubMed Central

    Westen, Drew; Shedler, Jonathan; Bradley, Bekh; DeFife, Jared A.

    2013-01-01

    Objective The authors describe a system for diagnosing personality pathology that is empirically derived, clinically relevant, and practical for day-to-day use. Method A random national sample of psychiatrists and clinical psychologists (N=1,201) described a randomly selected current patient with any degree of personality dysfunction (from minimal to severe) using the descriptors in the Shedler-Westen Assessment Procedure–II and completed additional research forms. Results The authors applied factor analysis to identify naturally occurring diagnostic groupings within the patient sample. The analysis yielded 10 clinically coherent personality diagnoses organized into three higher-order clusters: internalizing, externalizing, and borderline-dysregulated. The authors selected the most highly rated descriptors to construct a diagnostic prototype for each personality syndrome. In a second, independent sample, research interviewers and patients’ treating clinicians were able to diagnose the personality syndromes with high agreement and minimal comorbidity among diagnoses. Conclusions The empirically derived personality prototypes described here provide a framework for personality diagnosis that is both empirically based and clinically relevant. PMID:22193534

  18. The Toda lattice hierarchy and deformation of conformal field theories

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

    Fukuma, M.; Takebe, T.

    In this paper, the authors point out that the Toda lattice hierarchy known in soliton theory is relevant for the description of the deformations of conformal field theories while the KP hierarchy describes unperturbed conformal theories. It is shown that the holomorphic parts of the conserved currents in the perturbed system (the Toda lattice hierarchy) coincide with the conserved currents in the KP hierarchy and can be written in terms of the W-algebraic currents. Furthermore, their anti-holomorphic counterparts are obtained.

  19. Alliances and Legitimacy: Walking the Operational Tightrope

    DTIC Science & Technology

    2013-05-23

    powers. In effect , this describes a dynamic whereby alliances serve the interests of both strong 111Brett Ashley Leeds, “Alliance Reliability in...comply with a collection of information if it does not display a currently valid OMB control number . PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS...ALLIANCES AND LEGITIMACY: WALKING THE OPERATIONAL TIGHTROPE 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S

  20. Nutritional aspects to prevent heart diseases in traditional Persian medicine.

    PubMed

    Kordafshari, Gholamreza; Kenari, Hoorieh Mohammadi; Esfahani, Mohammad Mehdi; Ardakani, Mohammad Reza Shams; Keshavarz, Mansoor; Nazem, Esmaeil; Moghimi, Maryam; Zargaran, Arman

    2015-01-01

    Cardiovascular diseases are major health complications currently in various societies. Management of heart diseases as a prevention step or as treatment with low-cost procedures like lifestyle modifications including nutrition are important current trends. Although the term nutrition dates back to 2 past centuries, Persian physicians contributed to this term at least from 1000 years ago. Rhazes (865-925 AD) was one of the pioneers in this field. He preferred using foods in treating illnesses. "Foods and drinks" were 1 subject from 6 principles (Setteh Zarorieh) that Persian physicians believed can affect human health. In this review, we described some medieval Persian views on the role of nutrition in heart diseases and compare their prescriptions with current findings. Interestingly, current investigations mostly support Persian medicine principles. Historically, this work shows that the concept of nutrition in heart diseases has had a successful background at least from 1000 years ago in Persia. © The Author(s) 2014.

  1. Stereotypes: A Preliminary Report on Mannerisms and Blindisms.

    ERIC Educational Resources Information Center

    Leonhardt, M.

    1990-01-01

    The article describes current research on stereotypes in a group of blind children in Barcelona, Spain. Mannerisms and blindisms covering a range of verbal and motor behavior are defined and discussed, as are the variables of behavior related to them. (Author/DB)

  2. Differential Calculus: Concepts and Notation.

    ERIC Educational Resources Information Center

    Hobbs, David; Relf, Simon

    1997-01-01

    Suggests that many students with A-level mathematics, and even with a degree in mathematics or a related subject, do not have an understanding of the basic principles of calculus. Describes the approach used in three textbooks currently in use. Contains 14 references. (Author/ASK)

  3. The Case for Focusing on Millennial Retention.

    PubMed

    Koppel, Jenna; Deline, Marisa; Virkstis, Katherine

    A concern for nurse leaders is rapid turnover of engaged, early-tenure millennial nurses. In this 1st article in a 2-part series, the authors describe why leaders should supplement their organization's current investments in engagement with retention strategies targeted at millennial nurses.

  4. Columbia University Press: Trading on Tradition.

    ERIC Educational Resources Information Center

    Fialkoff, Francine

    1998-01-01

    Columbia University Press's current and future solvency rests on a complex balance of reference, scholarly, and trade titles as well as an innovative collaboration with the library to help guarantee the house's preeminence in the academic community. The Press's strategic approach is described. (Author)

  5. Study on vessel sewage treatment technologies

    NASA Astrophysics Data System (ADS)

    Shen, Wei; Xing, Guojing

    2017-10-01

    In this paper, the author, on the basis of his experience in researches of past years, discusses the status quo and classifications of vessel sewage treatment technology, analyzes problems plaguing current vessel sewage treatment and describes the focuses of development of vessel sewage treatment technology.

  6. The Conquest of Air and Space

    ERIC Educational Resources Information Center

    Eisley, J. G.

    1971-01-01

    Describes a course for non-engineering students as an introduction to: (1) the physical principles of flight within the atmosphere and in space, (2) the major historical developments in the conquest of air and space, and (3) the current state of aeronautical developments. (Author/TS)

  7. Handbook of Applied Behavior Analysis

    ERIC Educational Resources Information Center

    Fisher, Wayne W., Ed.; Piazza, Cathleen C., Ed.; Roane, Henry S., Ed.

    2011-01-01

    Describing the state of the science of ABA, this comprehensive handbook provides detailed information about theory, research, and intervention. The contributors are leading ABA authorities who present current best practices in behavioral assessment and demonstrate evidence-based strategies for supporting positive behaviors and reducing problem…

  8. Imaging Brunelleschi's cupola wall using muon scattering radiography

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

    Guardincerri, Elena

    2015-09-16

    This PowerPoint presentation describes the cupola's structure and current reinforcements, reasoning behind why muon radiography would be helpful. A demonstration project is described where a similar wall was constructed to illustrate the potential benefits to Italian authorities; Requirements and a potential plan were created and collaboration to make it happen was deemed to be possible among LANL, Toshiba, the Parma and Florence Universities and the Opera del Duomo,

  9. Patterns and natural history of radiographically defined osteoarthritis in a registry of women

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

    Cerhan, J.R.

    The authors studied the natural history of osteoarthritis (OA) in a registry of female radium dial painters who had longitudinal radiographic examinations. Radiographs of the hands, spine, pelvis, knees and feet were graded for OA using the method of Kellgren and Lawrence. The prevalence of OA in this study was consistent with other population-based studies of OA in white women. A full body OA score was defined as the summation of the number of joints with OA. Higher full body OA score was associated with increased risk of all-cause mortality, after controlling for age and year of birth. Variables cross-sectionallymore » associated with the full body OA score included increasing age; later year of birth; increasing systolic and diastolic blood pressure; increasing uric acid level; a history of diabetes, cholecystectomy, or cardiovascular disease; and being a current drinker of alcohol or being a current smoker. The authors described that natural history of OA for individual joints, joint groups, and the full body. The authors found that progression of OA was common, but not universal. Every joint group studied also displayed some amount of regression, although the authors could not conclude how much of the regression was real versus measurement error. The authors found that, in general, joints with a baseline OA grade of one to four were more likely to progress to a higher grade compared to joints with a grade of zero at baseline. Finally, the authors described predictors of followup OA status and predictors of change from baseline to followup for the full body. Predictors of greater change (to more OA) included increasing age, a history of cholecystectomy, having ever drank alcohol, and not having ever smoked. Predictors of a higher followup OA status included increasing age, increasing baseline full body OA score, a history of cholecystectomy, being a current drinker, and having never smoked.« less

  10. Team deliberate practice in medicine and related domains: a consideration of the issues.

    PubMed

    Harris, Kevin R; Eccles, David W; Shatzer, John H

    2017-03-01

    A better understanding of the factors influencing medical team performance and accounting for expert medical team performance should benefit medical practice. Therefore, the aim here is to highlight key issues with using deliberate practice to improve medical team performance, especially given the success of deliberate practice for developing individual expert performance in medicine and other domains. Highlighting these issues will inform the development of training for medical teams. The authors first describe team coordination and its critical role in medical teams. Presented next are the cognitive mechanisms that allow expert performers to accurately interpret the current situation via the creation of an accurate mental "model" of the current situation, known as a situation model. Following this, the authors propose that effective team performance depends at least in part on team members having similar models of the situation, known as a shared situation model. The authors then propose guiding principles for implementing team deliberate practice in medicine and describe how team deliberate practice can be used in an attempt to reduce barriers inherent in medical teams to the development of shared situation models. The paper concludes with considerations of limitations, and future research directions, concerning the implementation of team deliberate practice within medicine.

  11. FGK stars and T Tauri stars: Monograph series on nonthermal phenomena in stellar atmospheres

    NASA Technical Reports Server (NTRS)

    Cram, Lawrence E. (Editor); Kuhi, Leonard V. (Editor)

    1989-01-01

    The purpose of this book, FGK Stars and T Tauri Stars, like all other volumes of this series, is to exhibit and describe the best space data and ground based data currently available, and also to describe and critically evaluate the status of current theoretical models and physical mechanisms that have been proposed to interpret these data. The method for obtaining this book was to collect manuscripts from competent volunteer authors, and then to collate and edit these contributions to form a well structured book, which will be distributed to an international community of research astronomers by NASA and by the French CNRS.

  12. Self-Management Procedures for Coping with Stress

    ERIC Educational Resources Information Center

    Vattano, Anthony J.

    1978-01-01

    Relaxation training, systematic desensitization, and meditation are effective self-management procedures for coping with stress and anxiety. This article describes research on stress and anxiety that led to development of these techniques, as well as current applications, and implications for social work education and practice. (Author)

  13. Ethics Education in CACREP-Accredited Counselor Education Programs

    ERIC Educational Resources Information Center

    Urofsky, Robert; Sowa, Claudia

    2004-01-01

    The authors present the results of a survey investigating ethics education practices in counselor education programs accredited by the Council for Accreditation of Counseling and Related Educational Programs and counselor educators' beliefs regarding ethics education. Survey responses describe current curricular approaches to ethics education,…

  14. 47 CFR 15.31 - Measurement standards.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., such as perimeter protection systems, carrier current systems, and systems employing a “leaky” coaxial cable as an antenna, measurements for verification or for obtaining a grant of equipment authorization... interconnecting cables as determined by the boundary defined by an imaginary straight line periphery describing a...

  15. Shoreline Activities.

    ERIC Educational Resources Information Center

    Stout, Prentice K.

    1980-01-01

    Described is a method of photographically recording the seasonal movements of the beach, and the equipment and details used in this method. Included is a method for determining current speed and instruction for construction of a tin can viewing box to be used in underwater sea form observations. (Author/DS)

  16. Predicting Information Flows in Network Traffic.

    ERIC Educational Resources Information Center

    Hinich, Melvin J.; Molyneux, Robert E.

    2003-01-01

    Discusses information flow in networks and predicting network traffic and describes a study that uses time series analysis on a day's worth of Internet log data. Examines nonlinearity and traffic invariants, and suggests that prediction of network traffic may not be possible with current techniques. (Author/LRW)

  17. Beauty and the Beast: The Mission of General Education.

    ERIC Educational Resources Information Center

    Menke, Pamela Glenn

    1979-01-01

    "Back to Basics" has become a popular phrase to describe the current trend in higher education's general education requirements. What must be addressed beyond the evident need for basic skills is the nature of the "mission" of the general education curriculum component. (Author)

  18. Catalog on Microfiche at the Eastman Kodak Libraries

    ERIC Educational Resources Information Center

    Freund, Clare E.

    1977-01-01

    The paper traces the evolution of Eastman Kodak's computer produced union catalog on microfiche and describes the current operational procedures. Advantages and disadvantages are discussed, as well as possible future development. An example of a title record displayed on microfiche is included. (Author/JPF)

  19. Sociology of Sport.

    ERIC Educational Resources Information Center

    Greendorfer, Susan L.

    1985-01-01

    The author describes the issues which created the schism between physical education and sociology. If the subdiscipline of sports sociology is to survive, these misunderstandings must be erased. Current investigations of relevant topics are of interest to both physical educators and coaches and could begin to bridge the gap. (MT)

  20. A Note on Discrete Mathematics and Calculus.

    ERIC Educational Resources Information Center

    O'Reilly, Thomas J.

    1987-01-01

    Much of the current literature on the topic of discrete mathematics and calculus during the first two years of an undergraduate mathematics curriculum is cited. A relationship between the recursive integration formulas and recursively defined polynomials is described. A Pascal program is included. (Author/RH)

  1. Cumulative Development of Attentional Theory.

    ERIC Educational Resources Information Center

    Posner, Michael I.

    1982-01-01

    Describes current work in selective attention within a framework of research conducted over the past century. Presents evidence that findings at the level of performance, subjective experience, and neural systems can be linked, even though these findings are not yet reducible to a single theory. (Author/GC)

  2. Milieu Therapy with the Adolescent Sociopath.

    ERIC Educational Resources Information Center

    Walker, Betty A.

    1978-01-01

    This paper defines sociopathy and presents current findings on its causes and treatment. A milieu therapy program is described, including the preventive and active treatment methods used to keep the adolescent sociopath fully occupied in constructive activities and "sponsor" relationships to overcome antisocial behavior patterns. (Author/SJL)

  3. Nutrition in Nursing Curricula: Recent Developments and Recommendations.

    ERIC Educational Resources Information Center

    Morse, Winifred; Corcoran-Perry, Sheila

    1993-01-01

    Analyzes developments regarding nutrition content in nursing curricula before 1960, from 1960 to early 1980s, and currently. Describes nursing education, public policy decisions, and the evolution of the professions of nursing and dietetics. Specifies guidelines for essential content for undergraduate nursing curricula. (Author/JOW)

  4. The Required Business Computing Course: Peer-Group Learning with a Managerial Emphasis

    ERIC Educational Resources Information Center

    Schonberger, Richard J.; Franz, Lori

    1978-01-01

    This paper describes course design aimed at catching up with current business practice. Discussion concerns differences between old and new pedagogies, as well as obstacles in the way of adopting the new approach, particularly in the introductory course. (Author/IRT)

  5. Collection Evaluation in Research Libraries: The Search for Quality, Consistency, and System in Collection Development.

    ERIC Educational Resources Information Center

    Mosher, Paul H.

    1979-01-01

    Reviews the history, literature, and methodology of collection evaluation or assessment in American research libraries; discusses current problems, tools, and methodology of evaluation; and describes an ongoing collection evaluation program at the Stanford University Libraries. (Author/MBR)

  6. Variables Associated With Tic Exacerbation in Children With Chronic Tic Disorders.

    PubMed

    Himle, Michael B; Capriotti, Matthew R; Hayes, Loran P; Ramanujam, Krishnapriya; Scahill, Lawrence; Sukhodolsky, Denis G; Wilhelm, Sabine; Deckersbach, Thilo; Peterson, Alan L; Specht, Matt W; Walkup, John T; Chang, Susanna; Piacentini, John

    2014-03-01

    Research has shown that motor and vocal tics fluctuate in frequency, intensity, and form in response to environmental and contextual cues. Behavioral models have proposed that some of the variation in tics may reflect context-dependent interactive learning processes such that once tics are performed, they are influenced by environmental contingencies. The current study describes the results of a function-based assessment of tics (FBAT) from a recently completed study comparing Comprehensive Behavioral Intervention for Tics (CBIT) with supportive psychotherapy. The current study describes the frequency with which antecedent and consequence variables were reported to exacerbate tics and the relationships between these functional variables and sample baseline characteristics, comorbidities, and measures of tic severity. Results showed that tic-exacerbating antecedents and consequences were nearly ubiquitous in a sample of children with chronic tic disorder. In addition, functional variables were related to baseline measures of comorbid internalizing symptoms and specific measures of tic severity. © The Author(s) 2014.

  7. Active imaginative listening-a neuromusical critique.

    PubMed

    Rosenboom, David

    2014-01-01

    The parallel study of music in science and creative practice can be traced back to the ancients; and paralleling the emergence of music neuroscience, creative musical practitioners have employed neurobiological phenomena extensively in music composition and performance. Several examples from the author's work in this area, which began in the 1960s, are cited and briefly described. From this perspective, the author also explores questions pertinent to current agendas evident in music neuroscience and speculates on potentially potent future directions.

  8. Devices used for stabilisation of newborn infants at birth.

    PubMed

    Roehr, Charles C; O'Shea, Joyce E; Dawson, Jennifer A; Wyllie, Jonathan P

    2018-01-01

    This review examines devices used during newborn stabilisation. Evidence for their use to optimise the thermal, respiratory and cardiovascular management in the delivery room is presented. Mechanisms of action and rationale of use are described, current developments are presented and areas of future research are highlighted. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  9. [Organization of monitoring of electromagnetic radiation in the urban environment].

    PubMed

    Savel'ev, S I; Dvoeglazova, S V; Koz'min, V A; Kochkin, D E; Begishev, M R

    2008-01-01

    The authors describe new current approaches to monitoring the environment, including the sources of electromagnetic radiation and noise. Electronic maps of the area under study are shown to be made, by constructing the isolines or distributing the actual levels of controlled factors. These current approaches to electromagnetic and acoustic monitoring make it possible to automate a process of measurements, to analyze the established situation, and to simplify the risk controlling methodology.

  10. Annual Review of Sociology. Volume 7, 1981.

    ERIC Educational Resources Information Center

    Turner, Ralph H., Ed.; Short, James F., Jr., Ed.

    Fifteen essays describing current research in sociology are included in this publication. Almost all the authors are with departments of sociology in U.S. colleges and universities. The essays fall into ten broad categories: theory and method, social processes, institutions, formal organizations, political and economic sociology, differentiation…

  11. Estimating Gender Wage Gaps: A Data Update

    ERIC Educational Resources Information Center

    McDonald, Judith A.; Thornton, Robert J.

    2016-01-01

    In the authors' 2011 "JEE" article, "Estimating Gender Wage Gaps," they described an interesting class project that allowed students to estimate the current gender earnings gap for recent college graduates using data from the National Association of Colleges and Employers (NACE). Unfortunately, since 2012, NACE no longer…

  12. Usable Multi-factor Authentication and Risk-based Authorization

    DTIC Science & Technology

    2015-06-01

    acceptance. In the previous section we described user studies that explored risks perceived by individuals using online banking and credit card purchases... iTunes purchases. We note that the fingerprint scanners in the current experiment are very different from what would be available in future. However

  13. Paralegals in Corrections: A Proposed Model.

    ERIC Educational Resources Information Center

    McShane, Marilyn D.

    1987-01-01

    Describes the legal assistance program currently offered by the Texas Department of Corrections which demonstrates the wide range of questions and problems that the paralegal can address. Reviews paralegal's functions in the prison setting and the services they can provide in assisting prisoners to maintain their rights. (Author/ABB)

  14. Cognitive Neuroscience Discoveries and Educational Practices

    ERIC Educational Resources Information Center

    Sylwester, Robert

    2006-01-01

    In this article, the author describes seven movement-related areas of cognitive neuroscience research that will play key roles in shifting the current behavioral orientation of teaching and learning to an orientation that also incorporates cognitive neuroscience discoveries. These areas of brain research include: (1) mirroring system; (2) plastic…

  15. An Investigation of Exceptional Twins.

    ERIC Educational Resources Information Center

    Crismore, Avon

    The author, herself a mother of twins, reviews research on exceptional twins. She considers reasons for fascination with twins and comments upon important advances in technology. Current research in Indianapolis to measure cognitive, perceptual, personality, and chromosome patterns of twins is described. Differences in the makeup of identical and…

  16. Education in Liquid Modernity

    ERIC Educational Resources Information Center

    Bauman, Zygmunt

    2005-01-01

    The author initially describes several seminal and interconnected departures from the old social order which are currently happening and which are creating a new and indeed unprecedented setting for the educational process, thereby raising a series of never-before-encountered challenges for the educators. He then details how society is being…

  17. Mycobacterium chimaera - a new threat for cardiac surgical patients?

    PubMed

    Jaworski, Radosław; Naumiuk, Łukasz; Paczkowski, Konrad; Formella, Danuta; Pek, Renata; Zieliński, Jacek; Haponiuk, Ireneusz

    2017-03-01

    An outbreak of invasive Mycobacterium chimaera infections associated with "heater-cooler" devices in patients treated with cardiac surgery has been described worldwide. The authors summarize the current state of knowledge regarding the epidemiology, diagnostics, treatment, and prevention of Mycobacterium chimaera infections in patients after cardiothoracic surgery.

  18. Conducting Child Assessments. Technical Report.

    ERIC Educational Resources Information Center

    McLean, Mary

    This report discusses assessment procedures for young children who are culturally and linguistically diverse and describes three practices that the authors feel should be added to the currently recommended DEC practices. In the first place, professionals should gather information prior to assessment to determine whether a child should be referred…

  19. Interpersonal Forgiveness within the Helping Professions: An Attempt to Resolve Differences of Opinion.

    ERIC Educational Resources Information Center

    Enright, Robert D.; And Others

    1992-01-01

    Uses Lakatos's philosophy of science as guide for resolving published authors' differences of opinion about interpersonal forgiveness. Reviews ancient writings and current philosophical writings on interpersonal forgiveness. Critiques papers on forgiveness which have counseling implications. Describes process model of interpersonal forgiveness.…

  20. Using Simulation Games to Increase Student and Instructor Engagement

    ERIC Educational Resources Information Center

    Auman, Corinne

    2011-01-01

    Instructors are often reluctant to alter their current pedagogies in favor of engaged learning alternatives. In this article the author describes the development and implementation of an engaged learning, simulation-based pedagogy designed to increase student and instructor engagement. Student learning was examined across simulation and…

  1. Library Literacy Programs for English Language Learners. ERIC Digest.

    ERIC Educational Resources Information Center

    McMurrer, Eileen; Terrill, Lynda

    This digest summarizes the history of public libraries and library literacy programs; describes current delivery models; and discusses initiatives in library literacy, profiling one successful public library program that serves adult English language learners and their families. (Adjunct ERIC Clearinghouse for ESL Literacy Education) (Author/VWL)

  2. Qualitative and quantitative assessment of Unresolved Complex Mixture in PM2.5 of Bakersfield, CA.

    EPA Science Inventory

    The 2010 CalNex (California Nexus) field experiment offered an opportunity for detailed characterization of atmospheric particulate carbon composition and sources in Bakersfield, CA. In the current study, the authors describe and employ a new protocol for reporting unresolved com...

  3. Memory, Cognitive Processing, and the Process of "Listening": A Reply to Thomas and Levine.

    ERIC Educational Resources Information Center

    Bostrom, Robert N.

    1996-01-01

    Describes several "inaccurate" statements made in L. Thomas' and T. Levine's article in this journal (volume 21, page 103) regarding the current author's research and positions on the listening construct. Suggests that Thomas' and Levine's model has serious methodological flaws. (RS)

  4. Development of Independent-type Optical CT

    NASA Astrophysics Data System (ADS)

    Yamaguchi, Tatsushi; Shiozawa, Daigoro; Rokunohe, Toshiaki; Kida, Junzo; Zhang, Wei

    Optical current transformers (optical CTs) have features that they can be made much smaller and lighter than conventional electromagnetic induction transformers by their simple structure, and contribute to improvement of equipment reliability because of their excellent surge resistance performance. Authors consider optical CTs to be next generation transformers, and are conducting research and development of optical CTs aiming to apply to measuring and protection in electric power systems. Specifically we developed an independent-type optical CT by utilizing basic data of optical CTs accumulated for large current characteristics, temperature characteristics, vibration resistance characteristics, and so on. In performance verification, type tests complying with IEC standards, such as short-time current tests, insulation tests, accuracy tests, and so on, showed good results. This report describes basic principle and configuration of optical CTs. After that, as basic characteristics of optical CTs, conditions and results of verification tests for dielectric breakdown characteristics of sensor fibers, large current characteristics, temperature characteristics, and vibration resistance characteristics are described. Finally, development outline of the independent-type optical CT aiming to apply to all digital substation and its type tests results are described.

  5. Double row anchor fixation: a novel technique for a diabetic calanceal insufficiency avulsion fracture.

    PubMed

    Greenhagen, Robert M; Highlander, Peter D; Burns, Patrick R

    2012-01-01

    Avulsion fractures of the calcaneal tuberosity represent only 1.3% to 2.7% of calcaneal fractures. These fractures are common pathologically in nature and attributed to decreased bone mineral density. Calcaneal insufficiency avulsion (CIA) fracture in patients with diabetes mellitus is most likely due to Charcot neuroarthropathy (CN) as described by the Brodsky classification (Brodsky 3B). Traditional open reduction and internal fixation is difficult in all calcaneal avulsion fractures because of poor bone quality. The authors report the first known description of the use of fracture fragment excision and double row anchor fixation.A 39-year-old woman with type I diabetes mellitus and a history of CN presented with an avulsion fracture of the calcaneal tuberosity. Excision of the fracture fragment and a gastrocnemius recession and reattachment of the Achilles tendon with double row anchor fixation to the calcaneus were performed. At 1 year, the patient's American Orthopaedic Foot & Ankle Society rearfoot score improved from 27/100 to 88/100. CIA fractures are an infrequently described injury. Because diabetes mellitus is frequently associated with this disease, it most likely represents a CN event. Traditionally, CIA fractures have been operatively treated with open reduction internal fixation. Previous authors have described difficulty with fixation because of poor quality. In the current report, the authors describe a novel operative approach to CIA fractures through the use of double row anchor fixation and excision of the fracture fragments. The authors feel that this previously undescribed treatment is superior to traditional methods and may serve as a new treatment option for all patients who have sustained this unusual pathology regardless of the underlying cause. The current authors provide a novel operative technique that provides inherent advantages to the traditional repair of CIA fractures. We believe CIA fractures represent a CN-type event and care should be taken when evaluating and treating these patients to prevent further sequelae. Copyright © 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  6. Active imaginative listening—a neuromusical critique

    PubMed Central

    Rosenboom, David

    2014-01-01

    The parallel study of music in science and creative practice can be traced back to the ancients; and paralleling the emergence of music neuroscience, creative musical practitioners have employed neurobiological phenomena extensively in music composition and performance. Several examples from the author's work in this area, which began in the 1960s, are cited and briefly described. From this perspective, the author also explores questions pertinent to current agendas evident in music neuroscience and speculates on potentially potent future directions. PMID:25202231

  7. Educating Tomorrow's Valuable Citizen.

    ERIC Educational Resources Information Center

    Burstyn, Joan N., Ed.

    This collection of essays by various authors discusses the dilemmas that face those who would educate tomorrow's valuable citizens and describes the day-to-day commitment needed to maintain a community. The book gives guidelines for action through examples of current programs that provide a forum for civic discussion and public consensus on the…

  8. Telling the Public--It's Science Week

    ERIC Educational Resources Information Center

    Auty, Geoff

    2011-01-01

    This article describes an opportunity to engage the public in demonstrating and explaining some aspects of science. About 10 years ago, the author met Peter Evennett in the ASE Conference exhibition. Peter was a member of the Leeds Philosophical and Literary Society and currently its president. As a contribution to "Science Week" (which…

  9. Estimating Gender Wage Gaps

    ERIC Educational Resources Information Center

    McDonald, Judith A.; Thornton, Robert J.

    2011-01-01

    Course research projects that use easy-to-access real-world data and that generate findings with which undergraduate students can readily identify are hard to find. The authors describe a project that requires students to estimate the current female-male earnings gap for new college graduates. The project also enables students to see to what…

  10. A Descriptive and Evaluative Analysis of Program Planning Literature, 1950-1983.

    ERIC Educational Resources Information Center

    Sork, Thomas J.; Buskey, John H.

    1986-01-01

    Literature that presents a complete program planning model was described and analyzed using explicitly defined and uniformly applied descriptive and evaluative dimensions. Several observations about the current state of the program planning literature are made, and recommendations designed to strengthen the literature are offered. (Author/CT)

  11. Electronic Travel Aids for Blind Persons.

    ERIC Educational Resources Information Center

    Hill, Everett W.; Bradfield, Anna L.

    1987-01-01

    The article describes four of the most widely accepted and utilized Electronic Travel Aids for blind persons--the Lindsay Russell Pathsounder, the Mowat Sensor, the Sonicguide, and the C-5 Laser Cane. Current uses and applications of the four aids for specific populations of visually impaired persons are discussed. (Author)

  12. Energy Conservation and Public Policy: If It's Such a Good Idea, Why Don't We Do More of It?

    ERIC Educational Resources Information Center

    Morell, David

    1981-01-01

    Defines the policy context within which decisions about energy conservation are currently made. Describes how conservation fits into national energy policy. Discusses the political, economic, institutional, social, and psychological barriers to efforts for easing energy problems. (Author/MK)

  13. Teaching about Bioethics through Authoring of Websites

    ERIC Educational Resources Information Center

    Willmott, Christopher J. R.; Wellens, Jane

    2004-01-01

    There is growing awareness of the need to equip students to think through the ethical implications of developments in biology. We describe an exercise in which students work in teams to produce websites about current controversial issues within the subject. Participants report a significant improvement in their knowledge of bioethics and…

  14. 47 CFR 90.743 - Renewal expectancy.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... showing must include: (1) A description of its current service in terms of geographic coverage and... relate to any matter described in this paragraph. (c) Phase I non-nationwide licensees have license terms... authorization in order to receive a renewal expectancy. Phase I nationwide licensees and all Phase II licensees...

  15. 47 CFR 90.743 - Renewal expectancy.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... showing must include: (1) A description of its current service in terms of geographic coverage and... relate to any matter described in this paragraph. (c) Phase I non-nationwide licensees have license terms... authorization in order to receive a renewal expectancy. Phase I nationwide licensees and all Phase II licensees...

  16. Cognitive Load Theory--Sometimes Less Is More

    ERIC Educational Resources Information Center

    Taylor, Cody

    2013-01-01

    The following paper represents review of the literature examining the current research related to cognitive load theory and more specifically the negative aspects of the redundant on-screen text. The authors describe working and long-term memory and how both factor into human learning through the facilitation of knowledge transfer. Limited working…

  17. Conducting "Good" Equity Research in Mathematics Education: A Question of Methodology

    ERIC Educational Resources Information Center

    Bullock, Erika C.

    2012-01-01

    Hostetler (2005) describes "good" education research as that which attends to the well-being of students, teachers, and communities. In this essay, the author proposes measuring equity-based research in mathematics education against Hostetler's standard. She argues that current equity-based research has not adequately addressed the…

  18. Identifying Needed Technical Standards: The LITA TESLA Committee at Work.

    ERIC Educational Resources Information Center

    Carter, Ruth C.

    1984-01-01

    Efforts of the Technical Standards for Library Automation Committee (TESLA), a division-wide committee of the Library Information and Technology Association (LITA) of the American Library Association, are described. The current status of suggested technical standards and recommended action are detailed. Five sources are given. (Author/EJS)

  19. The Computer in the Living Room.

    ERIC Educational Resources Information Center

    Schlafly, Hubert J.

    Disputing some opinions that technological advancement will make our country into the world of "1984," the author suggests benefits that can come from community antenna television (CATV). He outlines the potential of the two-way cable; describes the current status of the operation; discusses obstacles such as competition, regulation, equipment,…

  20. Private Power and Privileged Education: De/constructing Institutionalized Racism.

    ERIC Educational Resources Information Center

    Herr, Kathryn

    1999-01-01

    Based on the author's teaching/counseling experience, describes the micropolitics of race and privilege manifest in one elite independent school that threatened academically gifted African-American high school students' success. Privileged education must be reexamined before advocating it for students currently ill-served by public schools.…

  1. Biology Bulletins "Revisited"

    ERIC Educational Resources Information Center

    Audet, Richard H.

    2006-01-01

    In October 1981, an article appeared in "The American Biology Teacher" with the catchy title, "Bio-Bull." In it, author, Dale Carlson, described a powerful form of communication that he employed successfully in his community college classes. Each week students received what he called a "Bio-Bull" that included current biological topics,…

  2. Productive Pedagogies: Narrowing the Gap between Schools and Communities?

    ERIC Educational Resources Information Center

    Leat, David; Thomas, Ulrike

    2016-01-01

    There is little sign that current attempts to close the "attainment gap" are working. This article argues for a different approach to addressing the "gap," based on a community asset approach. The authors describe ongoing work on community curriculum making in North-East England, in which schools undertake projects using…

  3. The Relationship between Black Racial Identity and Academic Achievement in Urban Settings

    ERIC Educational Resources Information Center

    Harper, Brian E.

    2007-01-01

    This article examines the relationship between Black racial identity and academic achievement in urban settings. Using Mary Shelley's Frankenstein (1918) as a comparative framework, the author describes current practices and suggests practical applications of empirical findings for practicing classroom teachers of African American students.…

  4. The Trend toward More Directive Moral Education in the United States.

    ERIC Educational Resources Information Center

    Torney-Purta, Judith; Schwille, John

    1983-01-01

    Describes the history of moral and values education in the United States, highlighting concerns about indoctrination and relativism. The current strength of several approaches is assessed: directive moral education supportive of common core civic values; values clarification; and the approach based on Kohlberg's theory. (Author/CS)

  5. InCommon: Toward Building a Global University

    ERIC Educational Resources Information Center

    Mitrano, Tracy

    2006-01-01

    The author describes her academic fantasy of a Global University existing within current universities. A select group of students from any number of participating brick-and-mortar institutions from around the world would contribute, and these students would spend their four undergraduate years answering one question per semester or per year,…

  6. Student Loans in Ghana.

    ERIC Educational Resources Information Center

    Kotey, N.

    1992-01-01

    This article summarizes the current pattern of finance of higher education in Ghana, gives a brief history of student loans in Ghana, and describes a new program, which is administered by the Social Security and National Insurance Trust and is expected to result in a higher rate of loan repayment. (Author/DB)

  7. Counselor Education and Title IX: Current Perceptions and Questions

    ERIC Educational Resources Information Center

    Welfare, Laura E.; Wagstaff, Jennifer; Haynes, Jenna R.

    2017-01-01

    This national survey of counselor educator perceptions of the Title IX requirement to report student disclosures of gender-based discrimination revealed the need for greater clarity about faculty strategies for serving counseling program students while upholding the federal law. The authors describe the recent expansion of the requirements and…

  8. Twirling Trash

    ERIC Educational Resources Information Center

    Ashley, Susan

    2011-01-01

    The process of finding inspiration for a class project is fascinating and intriguing. In this article, the author describes a class project inspired by the gyre, a widespread circulating rotation or vortex of ocean currents, known as the Great Pacific Garbage Patch. This particular gyre is the location of an enormous floating mass of garbage,…

  9. Mobile Phone Mood Charting for Adolescents

    ERIC Educational Resources Information Center

    Matthews, Mark; Doherty, Gavin; Sharry, John; Fitzpatrick, Carol

    2008-01-01

    Mobile phones may provide a useful and engaging platform for supporting therapeutic services working with adolescents. This paper examines the potential benefits of the mobile phone for self-charting moods in comparison to existing methods in current practice. The paper describes a mobile phone application designed by the authors which allows…

  10. Perfusion Electronic Record Documentation Using Epic Systems Software.

    PubMed

    Riley, Jeffrey B; Justison, George A

    2015-12-01

    The authors comment on Steffens and Gunser's article describing the University of Wisconsin adoption of the Epic anesthesia record to include perfusion information from the cardiopulmonary bypass patient experience. We highlight the current-day lessons and the valuable quality and safety principles the Wisconsin-Epic model anesthesia-perfusion record provides.

  11. Preliminary Development and Validation of a Measure of Relationship Authenticity

    ERIC Educational Resources Information Center

    Lopez, Frederick G.; Rice, Kenneth G.

    2006-01-01

    The authors describe the preliminary development and validation of the Authenticity in Relationships Scale. An initial pool of 37 items addressing various elements of the proposed definition of "relationship authenticity" was administered to 2 independent samples of undergraduates (N = 487) who acknowledged being in a current romantic…

  12. Economic Education in Korea: Current Status and Changes

    ERIC Educational Resources Information Center

    Hahn, Jinsoo; Jang, Kyungho

    2010-01-01

    The authors describe key aspects of precollege and undergraduate economic education in Korea. They show that precollege students seem to have low economics literacy due to problems with the curriculum and insufficient training of teachers. At the undergraduate level, they show that economics departments have more male students than female students…

  13. A Rotation Invariant in 3-D Reaching

    ERIC Educational Resources Information Center

    Mitra, Suvobrata; Turvey, M. T.

    2004-01-01

    In 3 experiments, the authors investigated changes in hand orientation during a 3-D reaching task that imposed specific position and orientation requirements on the hand's initial and final postures. Instantaneous hand orientation was described using 3-element rotation vectors representing current orientation as a rotation from a fixed reference…

  14. A Prototype of an Intelligent System for Information Retrieval: IOTA.

    ERIC Educational Resources Information Center

    Chiaramella, Y.; Defude, B.

    1987-01-01

    Discusses expert systems and their value as components of information retrieval systems related to semantic inference, and describes IOTA, a model of an intelligent information retrieval system which emphasizes natural language query processing. Experimental results are discussed and current and future developments are highlighted. (Author/LRW)

  15. Selling the Home Territory: Assignments for International MBA Students.

    ERIC Educational Resources Information Center

    Reep, Diana C.

    2000-01-01

    Describes the author's approach to a MBA writing course functioning to connect the writing and oral presentation assignments to the students' current jobs. Notes that most international students lack an understanding of American business practices. Develops the assignments around what the students do know. Notes three assignments including a…

  16. Differentiated Coaching: Fostering Reflection with Teachers

    ERIC Educational Resources Information Center

    Stover, Katie; Kissel, Brian; Haag, Karen; Shoniker, Rebecca

    2011-01-01

    Literacy coaches inspire teacher reflection and promote a culture of ongoing professional learning. This article illustrates the role of literacy coaches, describes how coaches differentiate support for a diverse group of teachers, and explains how teacher reflection can be a catalyst for change and professional growth. The authors, current and…

  17. Historical and Current Trends in Colon Trauma

    PubMed Central

    Causey, Marlin Wayne; Rivadeneira, David E.; Steele, Scott R.

    2012-01-01

    The authors discuss the evolution of the evaluation and management of colonic trauma, as well as the debate regarding primary repair versus fecal diversion. Their evidence-based review covers diagnosis, management, surgical approaches, and perioperative care of patients with colon-related trauma. The management of traumatic colon injuries has evolved significantly over the past 50 years; here the authors describe a practical approach to the treatment and management of traumatic injuries to the colon based on the most current research. However, management of traumatic colon injuries remains a challenge and continues to be associated with significant morbidity. Familiarity with the different methods to the approach and management of colonic injuries will allow surgeons to minimize unnecessary complications and mortality. PMID:24294119

  18. Cancer screening in the United States, 2017: A review of current American Cancer Society guidelines and current issues in cancer screening.

    PubMed

    Smith, Robert A; Andrews, Kimberly S; Brooks, Durado; Fedewa, Stacey A; Manassaram-Baptiste, Deana; Saslow, Debbie; Brawley, Otis W; Wender, Richard C

    2017-03-01

    Answer questions and earn CME/CNE Each year, the American Cancer Society publishes a summary of its guidelines for early cancer detection, data and trends in cancer screening rates, and select issues related to cancer screening. In this issue of the journal, the authors summarize current American Cancer Society cancer screening guidelines, describe an update of their guideline for using human papillomavirus vaccination for cancer prevention, describe updates in US Preventive Services Task Force recommendations for breast and colorectal cancer screening, discuss interim findings from the UK Collaborative Trial on Ovarian Cancer Screening, and provide the latest data on utilization of cancer screening from the National Health Interview Survey. CA Cancer J Clin 2017;67:100-121. © 2017 American Cancer Society. © 2017 American Cancer Society.

  19. Spirocerca lupi granulomatous pneumonia in two free-ranging maned wolves (Chrysocyon brachyurus) from central Brazil.

    PubMed

    Blume, Guilherme R; Reis Junior, Janildo L; Gardiner, Chris H; Hoberg, Eric P; Pilitt, Patricia A; Monteiro, Rafael Veríssimo; de Sant'Ana, Fabiano J F

    2014-11-01

    The current report describes granulomatous pneumonia due to Spirocerca lupi in 2 free-ranging maned wolves (Chrysocyon brachyurus). Both wolves had multiple, white, 1-1.5 cm in diameter, soft, encapsulated granulomas in the caudal lung lobes, which contained centrally placed parasites on cut sections. Microscopically, there was granulomatous inflammation with numerous intralesional sections of spirurid nematodes. Representative complete adult specimens of nematodes derived from these lesions were submitted for parasitological exam and identified as the spirurid S. lupi. To the authors' knowledge, there have been no published reports of S. lupi in maned wolves. © 2014 The Author(s).

  20. Quasilinear theory of plasma turbulence. Origins, ideas, and evolution of the method

    NASA Astrophysics Data System (ADS)

    Bakunin, O. G.

    2018-01-01

    The quasilinear method of describing weak plasma turbulence is one of the most important elements of current plasma physics research. Today, this method is not only a tool for solving individual problems but a full-fledged theory of general physical interest. The author's objective is to show how the early ideas of describing the wave-particle interactions in a plasma have evolved as a result of the rapid expansion of the research interests of turbulence and turbulent transport theorists.

  1. A Distance Judgment Function Based on Space Perception Mechanisms: Revisiting Gilinsky's (1951) Equation

    ERIC Educational Resources Information Center

    Ooi, Teng Leng; He, Zijiang J.

    2007-01-01

    In her seminal article in "Psychological Review," A. S. Gilinsky (1951) successfully described the relationship between physical distance (D) and perceived distance (d) with the equation d = DA/(A + D), where A = constant. To understand its theoretical underpinning, the authors of the current article capitalized on space perception mechanisms…

  2. Instructional Systems Development Model for Interactive Videodisc. Final Report.

    ERIC Educational Resources Information Center

    Campbell, J. Olin; And Others

    This third and final report on a 3-year project, which developed authoring and production procedures for interactive videodisc based on the Interservice Procedures for Instructional Systems Development (IPISD), reviews the current state of the art, provides an overview of the project, and describes two videodiscs made for the project and the…

  3. School Psychology in Rural Contexts: Ethical, Professional, and Legal Issues

    ERIC Educational Resources Information Center

    Edwards, Lynn M.; Sullivan, Amanda L.

    2014-01-01

    Delivering psychological services in rural communities presents a number of unique challenges for practitioners relative to their peers in urban and suburban communities. In this article, the authors describe the current context of rural schools and examine the ethical and legal issues school psychologists may face when practicing in rural…

  4. The Antibiotic Resistance Problem Revisited

    ERIC Educational Resources Information Center

    Lawson, Michael A.

    2008-01-01

    The term "antibiotic" was first proposed by Vuillemin in 1889 but was first used in the current sense by Walksman in 1941. An antibiotic is defined as a "derivative produced by the metabolism of microorganisms that possess antibacterial activity at low concentrations and is not toxic to the host." In this article, the author describes how…

  5. Towards Networked Knowledge: The Learning Registry, an Infrastructure for Sharing Online Learning Resources

    ERIC Educational Resources Information Center

    Lee, Ashley; Hobson, Joe; Bienkowski, Marie; Midgley, Steve; Currier, Sarah; Campbell, Lorna M.; Novoselova, Tatiana

    2012-01-01

    In this article, the authors describe an open-source, open-data digital infrastructure for sharing information about open educational resources (OERs) across disparate systems and platforms. The Learning Registry, which began as a project funded by the U.S. Departments of Education and Defense, currently has an active international community…

  6. A Look at Early Childhood Programming in Museums

    ERIC Educational Resources Information Center

    Bowers, Betsy

    2012-01-01

    Based on data from an exploratory, online survey, this article reveals that a surprisingly high number of art and history museums currently offer programs for very young children. The author describes the kinds of challenges that survey respondents faced when planning and conducting programs, and calls for more research and more collective action.…

  7. Enhancing the Teaching of Introductory Economics with a Team-Based, Multi-Section Competition

    ERIC Educational Resources Information Center

    Beaudin, Laura; Berdiev, Aziz N.; Kaminaga, Allison Shwachman; Mirmirani, Sam; Tebaldi, Edinaldo

    2017-01-01

    The authors describe a unique approach to enhancing student learning at the introductory economics level that utilizes a multi-section, team-based competition. The competition is structured to supplement learning throughout the entire introductory course. Student teams are presented with current economic issues, trends, or events, and use economic…

  8. Customized Internet Assessment for Students and Educators

    ERIC Educational Resources Information Center

    Barot, Aekam B.; Barot, Bal

    2006-01-01

    The average age of students at Lake Michigan College (LMC) is twenty-eight years old. In the current study, the application of customized internet assessment for Chemistry 101, Introductory College Chemistry, from 2001 to 2005 is compared with traditional assessment from 1996 to 2000. The authors describe the ways in which computerized assessment…

  9. Teaching Students Financial Literacy Using the Internet

    ERIC Educational Resources Information Center

    Risinger, C. Frederick

    2009-01-01

    As the author researched the causes and implications of the current economic crisis, he came across numerous commentaries on how financial literacy was seldom taught (or taught well) in U.S. schools. This article, aimed at teachers and supervisors at all grade levels, describes some Internet sites that: (1) explain the collapse of the housing…

  10. The Development of the Counseling Profession in Japan: Past, Present, and Future

    ERIC Educational Resources Information Center

    Grabosky, Tomoko Kudo; Ishii, Harue; Mase, Shizuno

    2012-01-01

    The authors provide a sociohistorical overview of the development of the counseling profession in Japan. They describe Japan's major social, cultural, and political changes; growing psychological problems in Japanese society; and an increased need for counseling services. Historical overviews and the current state of counseling are presented with…

  11. Educating the next generation of nature entrepreneurs

    Treesearch

    Judith C. Jobse; Loes Witteveen; Judith Santegoets; Daan van der Linde

    2015-01-01

    With this paper, it is illustrated that a focus on entrepreneurship training in the nature and wilderness sector is relevant for diverse organisations and situations. The first curricula on nature entrepreneurship are currently being developed. In this paper the authors describe a project that focusses on educating the next generation of nature entrepreneurs, reflect...

  12. Speech-Language Pathologists' Preparation, Practices, and Perspectives on Serving Culturally and Linguistically Diverse Children

    ERIC Educational Resources Information Center

    Guiberson, Mark; Atkins, Jenny

    2012-01-01

    This study describes the backgrounds, diversity training, and professional perspectives reported by 154 Colorado speech-language pathologists in serving children from culturally and linguistically diverse (CLD) backgrounds. The authors compare the results of the current survey to those of a similar survey collected in 1996. Respondents reported…

  13. Using Massively Multiplayer Online Role-Playing Games for Online Learning

    ERIC Educational Resources Information Center

    Childress, Marcus D.; Braswell, Ray

    2006-01-01

    This article addresses the use of a massively multiplayer online role-playing game (MMORPG) to foster communication and interaction and to facilitate cooperative learning in an online course. The authors delineate the definition and history of massively multiplayer online games (MMOGs), and describe current uses of MMORPGs in education, including…

  14. Toward a Pedagogy of Transformative Teacher Education: World Educational Links

    ERIC Educational Resources Information Center

    Reed, Judith; Black, Deborah J.

    2006-01-01

    By describing an innovative model for teacher education, these authors hope to contribute to an interrogation of teacher education, class, and culture within the current political and economic system. Inaugurated at Keene State College in New Hampshire in May 2002, World Educational Links (WEL) prepares future educators for anti-oppressive…

  15. The Relationship of Curriculum to School District Organization.

    ERIC Educational Resources Information Center

    Turner, Harold E.

    This paper attempts to place in perspective the necessary relationships between school district organization and the curriculum in today's society. In the first part of the presentation, the author describes some of the forces currently affecting the curriculum and those forces likely to continue making an impact in the future. Future needs…

  16. Changing Staffing Patterns in Technical Services since the 1970s: A Study in Change.

    ERIC Educational Resources Information Center

    Andrews, Virgina Lee; Kelley, Carol Marie

    1988-01-01

    Describes the impact of automation on the responsibilities of both support and professional staff as well as evolutionary role of library assistants at Texas Tech University. Workflows for retrospective conversion of monographs and serials, current processing techniques, and the organization of the processing units are discussed. (Author/CLB)

  17. Utilizing a Substance Use Attitudes, Practices and Knowledge Survey for Multidisciplinary Curriculum Development

    ERIC Educational Resources Information Center

    Alexander, Dale; Waters, Vicki; McQueen, Katie; Basinger, Scott

    2006-01-01

    The authors describe the development and administration of a substance use attitudes questionnaire to social work students and clinicians, physician assistant students and practitioners, and medical interns. The general purpose for the Attitudes Survey was to collect baseline data regarding past training, current attitudes, beliefs, practices, and…

  18. Development of the Alberta Diagnostic Reading Program.

    ERIC Educational Resources Information Center

    Horvath, Frank G.; Machura, Shirley

    The development of the Alberta Diagnostic Reading Program (ADRP) was based on a current psycholinguistic theory that describes reading as a process in which the reader uses background information to communicate with the author. To ensure its usefulness and effectiveness, the developers of the ADRP sought the advice and direct involvement of many…

  19. Patterns in Authoring of Adaptive Educational Hypermedia: A Taxonomy of Learning Styles

    ERIC Educational Resources Information Center

    Brown, Elizabeth; Cristea, Alexandra; Stewart, Craig; Brailsford, Tim

    2005-01-01

    This paper describes the use of adaptation patterns in the task of formulating standards for adaptive educational hypermedia (AEH) systems that is currently under investigation by the EU ADAPT project. Within this project, design dimensions for high granularity patterns have been established. In this paper we focus on detailing lower granularity…

  20. Creative Non-Compliance in East Harlem Schools.

    ERIC Educational Resources Information Center

    Fleigel, Seymour

    This paper describes a program that has evolved in District No. 4 in the East Harlem area of Manhattan (New York). There, a system of "choice" at the junior high school level is possible due in part to the latitude afforded local school districts under the current decentralized system of authority. The program permits students and…

  1. The Impact of Field Experiences in Yellowstone National Park on Practice in Secondary Classrooms

    ERIC Educational Resources Information Center

    McGrew, Christopher N.

    2012-01-01

    The current study focused on how six participants of a 2009 professional development activity at Yellowstone National Park described their experience and classroom instructional impact. The author focused on words and phrases illustrating perspective gathering, reflection and public performance to determine the impact of both the experience at…

  2. A Laboratory Exercise on Photoperiodic Changes in the Testes of the Mongolian Gerbil.

    ERIC Educational Resources Information Center

    Treagust, David F.; And Others

    1980-01-01

    A laboratory exercise using a gerbil is described for use in the high school biology class and in accordance with the National Science Teachers Association guidelines. The authors cite references that deal with current awareness of the moral status concerning animals. The exercise includes measurement and calculations. (SA)

  3. Management Matters. Virtual School Library Media Center Management Manual

    ERIC Educational Resources Information Center

    Pappas, Marjorie L.

    2005-01-01

    In this article, the author describes a management manual she maintained while working as a school library media specialist. She started the manual when she was a student in the organization and administration course in the library science program and kept it current with information gleaned from conferences, workshops, and networking with other…

  4. Commonsense System Pricing; Or, How Much Will that $1,200 Computer Really Cost?

    ERIC Educational Resources Information Center

    Crawford, Walt

    1984-01-01

    Three methods employed to price and sell computer equipment are discussed: computer pricing, hardware pricing, system pricing (system includes complete computer and support hardware system and relatively complete software package). Advantages of system pricing are detailed, the author's system is described, and 10 systems currently available are…

  5. Community College Counseling: Why Are Research Outcomes so Elusive?

    ERIC Educational Resources Information Center

    Schwitzer, Alan M.; Pribesh, Shana; Ellis-O'Quinn, Amanda; Huber, Patricia B.; Wilmer, Elizabeth C.

    2016-01-01

    This article focuses on counseling research in the community college context. The article suggests the need for a robust community college knowledge base, describes some limitations of the current community college literature, and suggests a framework for more effective work in this area. The authors' own experiences and selected examples of…

  6. Leadership in Transition: The Community College Presidency.

    ERIC Educational Resources Information Center

    Vaughan, George B.

    Stemming from the author's personal experiences, interviews, research, and needs expressed by individuals in the community college field, this book examines issues currently facing community college presidents and argues for a change in leadership to meet the needs of a new era in higher education. Chapter 1 briefly describes the role of the…

  7. Facing the new facts of retirement income adequacy.

    PubMed

    Mills, Marjorie S; Young, Michael L

    2004-01-01

    A range of new factors is responsible for the current problem with insufficient retirement resources. Changes inside and outside the organization share partial responsibility, as do employee behaviors. In addition, other factors simply have been overlooked as employers and employees think about retirement income adequacy. The authors describe the current situation, discuss the significant risks it creates for both employers and employees and advise employers on what they should do to help employees build a more secure future in retirement.

  8. A SHALLOW WATER ISOBARIC BUOY.

    DTIC Science & Technology

    The genesis, development, and testing of an instrument for following currents in shallow waters is described. The volume of the ’shallow water ...isobaric buoy’ (SWIB) varies in response to pressure signals derived from the depth of the water in which the instrument floats. Mechanisms for auto...indicate the feasibility of the system. The instrument can hover in a relatively restricted horizontal layer. The instrument may find application as a water stability indicator as well as a shallow water current tag. (Author)

  9. Clinical immunology review series: an approach to desensitization

    PubMed Central

    Krishna, M T; Huissoon, A P

    2011-01-01

    Allergen immunotherapy describes the treatment of allergic disease through administration of gradually increasing doses of allergen. This form of immune tolerance induction is now safer, more reliably efficacious and better understood than when it was first formally described in 1911. In this paper the authors aim to summarize the current state of the art in immunotherapy in the treatment of inhalant, venom and drug allergies, with specific reference to its practice in the United Kingdom. A practical approach has been taken, with reference to current evidence and guidelines, including illustrative protocols and vaccine schedules. A number of novel approaches and techniques are likely to change considerably the way in which we select and treat allergy patients in the coming decade, and these advances are previewed. PMID:21175592

  10. Analysis of NASA communications (Nascom) II network protocols and performance

    NASA Technical Reports Server (NTRS)

    Omidyar, Guy C.; Butler, Thomas E.

    1991-01-01

    The NASA Communications (Nascom) Division of the Mission Operations and Data Systems Directorate is to undertake a major initiative to develop the Nascom II (NII) network to achieve its long-range service objectives for operational data transport to support the Space Station Freedom Program, the Earth Observing System, and other projects. NII is the Nascom ground communications network being developed to accommodate the operational traffic of the mid-1990s and beyond. The authors describe various baseline protocol architectures based on current and evolving technologies. They address the internetworking issues suggested for reliable transfer of data over heterogeneous segments. They also describe the NII architecture, topology, system components, and services. A comparative evaluation of the current and evolving technologies was made, and suggestions for further study are described. It is shown that the direction of the NII configuration and the subsystem component design will clearly depend on the advances made in the area of broadband integrated services.

  11. Musical hallucinosis: case reports and possible neurobiological models.

    PubMed

    Mocellin, Ramon; Walterfang, Mark; Velakoulis, Dennis

    2008-04-01

    The perception of music without a stimulus, or musical hallucination, is reported in both organic and psychiatric disorders. It is most frequently described in the elderly with associated hearing loss and accompanied by some degree of insight. In this setting it is often referred to as 'musical hallucinosis'. The aim of the authors was to present examples of this syndrome and review the current understanding of its neurobiological basis. We describe three cases of persons experiencing musical hallucinosis in the context of hearing deficits with varying degrees of associated central nervous system abnormalities. Putative neurobiological mechanisms, in particular those involving de-afferentation of a complex auditory recognition system by complete or partial deafness, are discussed in the light of current information from the literature. Musical hallucinosis can be experienced in those patients with hearing impairment and is phenomenologically distinct for hallucinations described in psychiatric disorders.

  12. An overview of tests for animal tissues in feeds applied in response to public health concerns regarding bovine spongiform encephalopathy.

    PubMed

    Gizzi, G; van Raamsdonk, L W D; Baeten, V; Murray, I; Berben, G; Brambilla, G; von Holst, C

    2003-04-01

    Enforcing the ban on meat-and-bone meal in feed for farmed animals, and especially ruminants, is considered an important measure to prevent the spread of bovine spongiform encephalopathy. The authors describe current analytical methods for the detection and identification of animal tissues in feed. In addition, recently approved requirements, such as the ban of intra-species recycling (practice of feeding an animal species with proteins derived from the bodies, or parts of bodies, of the same species) are described. In principle, four different approaches are currently applied, i.e. microscopic analysis, polymerase chain reaction, immunoassay analysis and near infrared spectroscopy or microscopy. The principal performance characteristics of these methods are presented and compared, and their specific advantages and disadvantages described. Special emphasis is also placed on the impact of rendering conditions, particularly high temperatures and on the use of molecular biology techniques.

  13. Norway's ICT Accessibility Legislation, Methods and Indicators.

    PubMed

    Rygg, Malin; Rømen, Dagfinn; Sterri, Brynhild Runa

    2016-01-01

    This paper gives an overview of the Norwegian legislation on Universal Design of information and communication technology (ICT) and how the Norwegian Authority for Universal Design of ICT works to enforce and achieve the goals behind the legislation. The Authority uses indicators to check websites for compliance with the regulations. This paper describes the rationale and intended use for the indicators and how they are used for both supervision and benchmarks as well as a way of gathering data to give an overview of the current state of Universal Design of websites in Norway.

  14. Summer Camp for Girls Sparks Interest in Welding and Electronics

    ERIC Educational Resources Information Center

    Peckham, Susanne

    2010-01-01

    Even in the face of a recession, great careers are currently available in many technical fields, and throughout the nation efforts are under way to grow the workforce in those jobs through greater diversity. In this article, the author describes a weeklong, free summer camp offered by Calhoun Community College, Decatur, Alabama, which gets high…

  15. Introducing a New Classification of Early Childhood Disorders: DC:0-5™

    ERIC Educational Resources Information Center

    Zeanah, Charles H.; Carter, Alice S.; Cohen, Julie; Egger, Helen; Gleason, Mary Margaret; Keren, Miri; Lieberman, Alicia; Mulrooney, Kathleen; Oser, Cindy

    2017-01-01

    This article introduces the revised and updated "DC:0-5™: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood." The authors describe the past and current efforts to create a developmentally based classification system for very young children. DC:0-3, published in 1994 by ZERO TO THREE,…

  16. Re-Envisioning Diversity in Higher Education: From Raising Awareness to Building Critical Consciousness among Faculty

    ERIC Educational Resources Information Center

    Stachowiak, Dana M.

    2015-01-01

    In this article, the author describes a disconnect between knowing "about" diversity and "understanding" diversity and recommends re-building the critical consciousness of faculty by turning the current discourse from a framework of diversity to a framework of social justice. As defined in the article, diversity is a call to be…

  17. Putting Research into Practice in School Violence Prevention and Intervention: How Is School Counseling Doing?

    ERIC Educational Resources Information Center

    McAdams, Charles; Shillingford, M. Ann; Trice-Black, Shannon

    2011-01-01

    This article reports the findings of a national survey of practicing school counselors regarding their knowledge of current research in school violence prevention and intervention. The authors describe four active areas of youth violence research over the past two decades and present findings that suggest that a potentially dangerous gap may exist…

  18. A National Survey of Spanish Language Testing for Placement of Outcome Assessment at B.A. -Granting Institutions in the United States.

    ERIC Educational Resources Information Center

    Wherritt, Irene; Cleary, T. Anne

    1990-01-01

    Describes the results of a national survey that was conducted to determine the current state of Spanish-language testing for placement and outcome assessments. The survey was undertaken in the United States in the departments of Spanish in B.A.-granting institutions. (Author/VWL)

  19. Flipping the Graduate Qualitative Research Methods Classroom: Did It Lead to Flipped Learning?

    ERIC Educational Resources Information Center

    Earley, Mark

    2016-01-01

    The flipped, or inverted, classroom has gained popularity in a variety of fields and at a variety of educational levels, from K-12 through higher education. This paper describes the author's positive experience flipping a graduate qualitative research methods classroom. After a review of the current literature on flipped classrooms in higher…

  20. Nurturing a Generation of Leaders: The College Library Directors' Mentor Program

    ERIC Educational Resources Information Center

    Hardesty, Larry

    2017-01-01

    The College Library Directors' Mentor Program has operated for more than 20 years, during which a substantial portion of the target audience of first-year library directors of small colleges has participated. Through this article, the authors identify the purpose of the program, describe its evolution and current status, and examine the nature of…

  1. Implications of Civility for Children and Adolescents: A Review of the Literature

    ERIC Educational Resources Information Center

    Wilkins, Keely; Caldarella, Paul; Crook-Lyon, Rachel; Young, K. Richard

    2010-01-01

    The purpose of this article is to review the literature exploring various definitions of civility, along with reasons why civility is vital to children and adolescents in any community. The authors examine definitions and components of civility in both historical and current contexts. The need for increased civility in modern society is described.…

  2. Using the News to Enhance Critical Thinking and Engagement in Middle and High School Students

    ERIC Educational Resources Information Center

    Walters, Jessica

    2017-01-01

    This article describes the author's adaptation of Gallagher's (2009) Article of the Week approach to teaching students literacy skills using current events. The use of this unique instructional routine within the context of a Catholic middle school language arts classroom has proven successful for supporting students in developing critical…

  3. Supporting the Research Process through Expanded Library Data Services

    ERIC Educational Resources Information Center

    Wang, Minglu

    2013-01-01

    Purpose: The purpose of this paper is to describe how the authors gained a better understanding of the variety of library users' data needs, and how gradually some new data services were established based on current capabilities. Design/methodology/approach: This paper uses a case study of the new data services at the John Cotton Dana Library, at…

  4. The Texas Bluebonnet Award: Planting the Seeds for Lifelong Reading

    ERIC Educational Resources Information Center

    Lesesne, Teri S.

    2007-01-01

    In this article, the author describes the Texas Bluebonnet Award (TBA), a program designed and implemented in Texas to encourage children to read more, explore a variety of current books, develop powers of discrimination, and identify their favorite books (www.txla.org/groups/tba/about.html). TBA began in 1979 through the effort of Dr. Janelle…

  5. Web 2.0 Reflective Inquiry: A Transformative Literacy Teacher Education Tool

    ERIC Educational Resources Information Center

    Stevens, Elizabeth Years

    2013-01-01

    The author describes a graduate class she teaches called Perspectives on Literacy and Technology, whose first goal is to provide a space for teachers enrolled in a literacy education MS program to reflect on current theory and research related to digital technologies and literacy. A secondary goal is to foster their use of "cutting-edge"…

  6. Analysis of the timber situation in Florida, 1995- 2025

    Treesearch

    Roger C. Conner; Raymond M. Sheffield

    2005-01-01

    The demand for wood fiber nationwide is expected to increase in the foreseeable future. Harvesting restrictions on forest lands in the West have increased pressure on the South's forest resources to provide more wood. The ability of Florida and other Southern States to respond is uncertain. The authors describe the current extent, condition, and availability of...

  7. Interpretation of Verb Phrase Telicity: Sensitivity to Verb Type and Determiner Type

    ERIC Educational Resources Information Center

    Ogiela, Diane A.; Schmitt, Cristina; Casby, Michael W.

    2014-01-01

    Purpose: The authors examine how adults use linguistic information from verbs, direct objects, and particles to interpret an event description as encoding a logical endpoint to the event described (in which case, it is telic) or not (in which case, it is atelic). Current models of aspectual composition predict that quantity-sensitive verbs…

  8. STEMEdhub: Supporting STEM Education Initiatives via the HUBzero Platform

    ERIC Educational Resources Information Center

    Lehman, James D.; Ertmer, Peggy A.; Bessenbacher, Ann M.

    2015-01-01

    Built as one of 60+ hubs on the HUBzero platform, STEMEdhub was developed in 2011 as a resource for research, education, and collaboration in STEM education. The hub currently supports 82 different groups. In this article, the authors describe two specific groups (SLED and AAU) that are taking advantage of numerous communication and resource tools…

  9. Linking Schools and the Community. Education U.S.A. Special Report.

    ERIC Educational Resources Information Center

    Gonder, Peggy Odell

    This booklet discusses the importance of involving members of the community in public school programs and activities and presents brief profiles of current school programs and policies that are attempting to do so. The author examines in detail the kinds and extent of parent and community interaction with the schools and describes what different…

  10. A Primer on School Law: A Guide for Board Members in Catholic Schools.

    ERIC Educational Resources Information Center

    Shaughnessy, Mary Angela

    This booklet provides prospective and current Catholic school board members with basic information concerning civil law as it affects schools in general and Catholic schools in particular. Chapter 1 describes the two main types of Catholic school boards: consultative boards, in which the pastor of the diocese has final authority to accept the…

  11. Effective Evaluation of the FRIENDS Anxiety Prevention Program in School Settings: A Response to Maggin and Johnson

    ERIC Educational Resources Information Center

    Barrett, Paula M.; Cooper, Marita; Stallard, Paul; Zeggio, Larissa; Gallegos- Guajardo, Julia

    2017-01-01

    This response aims to critically evaluate the methodology and aims of the meta-analytic review written by Maggin and Johnson (2014). The present authors systematically provide responses for each of the original criticisms and highlight concerns regarding Maggin and Johnson's methodology, while objectively describing the current state of evidence…

  12. Inside Practice of Science Teachers for Students with Hearing Impairments in Botswana Primary Schools

    ERIC Educational Resources Information Center

    Mukhopadhyay, Sourav; Moswela, Emmanuel

    2010-01-01

    In this qualitative study the authors describe how students with severe to profound hearing impairments learn science subjects in primary school in Botswana. Twenty-two teachers from two centres of deaf education in Botswana were recruited purposively to take part in the current study. Multilayered data collection methods were utilized to gain an…

  13. Learning to Solve a Business Problem: "Hands-On" Can Get Results

    ERIC Educational Resources Information Center

    Neeson, Robyn; Billington, Leo; Barrett, Rowena

    2007-01-01

    Small business training can facilitate business growth. The authors show that a "hands-on" approach can have a direct impact on a business owner's current situation. They consider this in relation to the problem of being unable to find the right staff, demonstrating that a program such as the one they describe enables learning and…

  14. Molecular markers linked to resistance to Cryphonectria parasitica in chestnut

    Treesearch

    Thomas L. Kubisiak

    1996-01-01

    Kubisiak describes how he came to work on the chestnut blight problem. He touches on the underlying theory behind recombinational linkage mapping, mentions some current results in work with chestnut, and discusses how these results compare to prior knowledge regarding the suspected pattern of inheritance of blight resistance. Finally, the author looks ahead and...

  15. Learning to Argue with Intermediate Macro Theory: A Semester-Long Team Writing Project

    ERIC Educational Resources Information Center

    Strasser, Georg; Wolfe, Marketa Halova

    2014-01-01

    The authors describe their experience with integrating a semester-long economic analysis project into an intermediate macroeconomic theory course. Students work in teams of "economic advisors" to write a series of nested reports that analyze the current state of the economy, and propose and evaluate policies for a decision-maker. The…

  16. Machismo and Virginidad: Sex Roles in Latin America. Discussion Paper 79-10.

    ERIC Educational Resources Information Center

    Quinones, Julio

    The purpose of this paper is to present a view of Latin American males and females that describes the situation in Latin America more accurately than the current stereotypical view accepted in the United States. The author discusses the roots of the North American misconception, citing differences between Latin American and North American cultures…

  17. D’Andrea’s disease (angiomegaly): a currently well-defined nosological entitys.

    PubMed

    Taurone, S; Spoletini, M; Di Matteo, F M; Mele, R; Tromba, L; Grippaudo, F R; Minni, A; Artico, M

    2017-01-01

    In 1997 D’Andrea et al. described a new nosological entity the characteristics of which consisted of lengthening, dilation and tortuosity of blood vessels, arteries or veins, less prominent, but also less circumscribed than an aneurysm. This condition does not necessarily imply specific aneurysm formation although aneurysms at multiple sites are a frequent observation. The term used by authors for angiomegaly of the venous system was venomegaly and the analogous condition of the arterial system was termed arteriomegaly. Although tortuosity and dilation of arteries and veins have been widely reported, suggesting a systemic disorder which affects the structural integrity of all vessels, most papers dealing with this intriguing condition did not describe any alterations in the components of vessel walls. In the present paper, the authors describe a well-defined condition, D’Andrea’s Disease (or DD, in this article), analyzing its salient morphological and clinical features and clarifying this pathological condition as a distinct and now well-defined nosological entity.

  18. Spider toxin inhibits gating pore currents underlying periodic paralysis.

    PubMed

    Männikkö, Roope; Shenkarev, Zakhar O; Thor, Michael G; Berkut, Antonina A; Myshkin, Mikhail Yu; Paramonov, Alexander S; Kulbatskii, Dmitrii S; Kuzmin, Dmitry A; Sampedro Castañeda, Marisol; King, Louise; Wilson, Emma R; Lyukmanova, Ekaterina N; Kirpichnikov, Mikhail P; Schorge, Stephanie; Bosmans, Frank; Hanna, Michael G; Kullmann, Dimitri M; Vassilevski, Alexander A

    2018-04-24

    Gating pore currents through the voltage-sensing domains (VSDs) of the skeletal muscle voltage-gated sodium channel Na V 1.4 underlie hypokalemic periodic paralysis (HypoPP) type 2. Gating modifier toxins target ion channels by modifying the function of the VSDs. We tested the hypothesis that these toxins could function as blockers of the pathogenic gating pore currents. We report that a crab spider toxin Hm-3 from Heriaeus melloteei can inhibit gating pore currents due to mutations affecting the second arginine residue in the S4 helix of VSD-I that we have found in patients with HypoPP and describe here. NMR studies show that Hm-3 partitions into micelles through a hydrophobic cluster formed by aromatic residues and reveal complex formation with VSD-I through electrostatic and hydrophobic interactions with the S3b helix and the S3-S4 extracellular loop. Our data identify VSD-I as a specific binding site for neurotoxins on sodium channels. Gating modifier toxins may constitute useful hits for the treatment of HypoPP. Copyright © 2018 the Author(s). Published by PNAS.

  19. Thermal energy harvesters with piezoelectric or electrostatic transducer

    NASA Astrophysics Data System (ADS)

    Prokaryn, Piotr; Domański, Krzysztof; Marchewka, Michał; Tomaszewski, Daniel; Grabiec, Piotr; Puscasu, Onoriu; Monfray, Stéphane; Skotnicki, Thomas

    2014-08-01

    This paper describes the idea of the energy harvester which converts thermal gradient present in environment into electricity. Two kinds of such devices are proposed and their prototypes are shown and discussed. The main parts of harvesters are bimetallic spring, piezoelectric transducer or electrostatic transducer with electret. The applied piezomembrane was commercial available product but electrets was made by authors. In the paper a fabrication procedure of electrets formed by the corona discharge process is described. Devices were compared in terms of generated power, charging current, and the voltage across a storage capacitor.

  20. Comparison of converter topologies for charging capacitors used in pulsed load applications

    NASA Technical Reports Server (NTRS)

    Nelms, R. M.; Schatz, J. E.; Pollard, Barry

    1991-01-01

    The authors present a qualitative comparison of different power converter topologies which may be utilized for charging capacitors in pulsed power applications requiring voltages greater than 1 kV. The operation of the converters in capacitor charging applications is described, and relevant advantages are presented. All of the converters except one may be classified in the high-frequency switching category. One of the benefits from high-frequency operation is a reduction in size and weight. The other converter discussed is a member of the command resonant changing category. The authors first describe a boost circuit which functions as a command resonant charging circuit and utilizes a single pulse of current to charge the capacitor. The discussion of high-frequency converters begins with the flyback and Ward converters. Then, the series, parallel, and series/parallel resonant converters are examined.

  1. Human factor implications of the Eurocopter AS332L-1 Super Puma cockpit

    NASA Technical Reports Server (NTRS)

    Padfield, R. Randall

    1993-01-01

    The purpose of this paper is to identify and describe some of the human factor problems which can occur in the cockpit of a modern civilian helicopter. After examining specific hardware and software problems in the cockpit design of the Eurocopter (Aerospatiale) AS332L-1 Super Puma, the author proposes several principles that can be used to avoid similar human factors problems in the design of future cockpits. These principles relate to the use and function of warning lights, the design of autopilots in two-pilot aircraft, and the labeling of switches and warning lights, specifically with respect to abbreviations and translations from languages other than English. In the final section of the paper, the author describes current trends in society which he suggests should be taken into consideration when designing future aircraft cockpits.

  2. Circular current loops, magnetic dipoles and spherical harmonic analysis.

    USGS Publications Warehouse

    Alldredge, L.R.

    1980-01-01

    Spherical harmonic analysis (SHA) is the most used method of describing the Earth's magnetic field, even though spherical harmonic coefficients (SHC) almost completely defy interpretation in terms of real sources. Some moderately successful efforts have been made to represent the field in terms of dipoles placed in the core in an effort to have the model come closer to representing real sources. Dipole sources are only a first approximation to the real sources which are thought to be a very complicated network of electrical currents in the core of the Earth. -Author

  3. Elbow hemiarthroplasty for the management of distal humeral fractures: current technique, indications and results.

    PubMed

    Phadnis, Joideep; Watts, Adam C; Bain, Gregory I

    2016-07-01

    There has been a growing recent interest in the use of elbow hemiarthroplasty for the treatment of distal humeral trauma in select patients. However, the current available evidence regarding outcome after elbow hemiarthroplasty is limited to case series and biomechanical data. Consequently, the procedure remains unfamiliar to many surgeons. The aim of the present review is to outline the evidence regarding elbow hemiarthroplasty and to use this, along with the author's experience, to better describe the indications, surgical technique and outcomes after this procedure.

  4. Obsessive-compulsive disorder: an overview.

    PubMed

    Simpson, H B; Fallon, B A

    2000-01-01

    In this article, which is the first in a three-part series, the authors provide an overview of the current state of our knowledge of the phenomenology, etiology, and diagnosis of OCD. The DSM-IV criteria for OCD are presented and explicated. Disorders that are commonly comorbid with OCD (e.g., major depressive disorder, other anxiety dis-orders, Tourette's disorder) are described. The authors also discuss disorders such as body dysmorphic disorder that may be related to OCD and are often termed OCD spectrum disorders. OCD is likely to have multiple causes and the authors discuss behavioral, neuroanatomical, and neurochemical theories of OCD. Two treatments have demonstrated efficacy in OCD, cognitive-behavioral therapy and pharmacotherapy with serotonergic reuptake inhibitors, and the authors discuss how these treatments may work in light of what is known about the etiology of the disorder. The different subtypes of OCD that have been proposed are described along with their implications for treatment. The article concludes with a discussion of diagnosis that provides specific guidance for the clinician on how to assess a patient for possible OCD. The next two articles in this series will cover cognitive-behavioral and medication treatment in detail.

  5. Unleashing Our Untapped Domestic Collection is the Key to Prevention

    DTIC Science & Technology

    2007-09-01

    Information Center (NCIC), Uniform Crime Reporting (UCR), and Integrated Automated Fingerprint Identification System (IAFIS) fingerprint ...The Blue Ocean Strategy Canvas , as described by Kim and Mauborgne, is an analytical framework that is both diagnostic and action oriented...The authors argue the value of a strategy canvas is its ability to capture the current state, provide an understanding of various factors impacting

  6. Measuring Empathy in the 21st Century: Development of an Empathy Index Rooted in Social Cognitive Neuroscience and Social Justice

    ERIC Educational Resources Information Center

    Gerdes, Karen E.; Lietz, Cynthia A.; Segal, Elizabeth A.

    2011-01-01

    Instruments currently being used to measure empathy do not reflect the recent neuroscientific scholarship on mirror neurons and the importance of self-awareness and emotion regulation in experiencing the fullest extent of empathy. The authors describe a theoretical framework for the initial development and pilot application of an empathy…

  7. Clubfoot: An Orthopaedic Surgeon Describes Clubfoot and Current Treatment Methods

    ERIC Educational Resources Information Center

    Vitale, Michael

    2007-01-01

    As an orthopaedic surgeon who has treated numerous cases of clubfoot in his career, the author knows that it takes exceptional parents to deal with the challenges of having a child born with a clubfoot. However, it should be noted that a clubfoot diagnosis does not mean a life of pain, deformity, and disability for a child. Today's treatment…

  8. Interventions with Young Female Offenders and Teenage Girls at Risk: Alternative Educational Services in a Singapore Girls' Home

    ERIC Educational Resources Information Center

    Zhang, Kaili Chen; Choo, Andrew; Lim, Liping

    2009-01-01

    This article presents factors that place girls at risk of delinquency and offending as well as the patterns in juvenile delinquency trends for females in Singapore. The authors also describe Singapore's overall structure of services for young offenders and the current status of alternative education programmes for young women engaged in delinquent…

  9. Graphical Methods: A Review of Current Methods and Computer Hardware and Software. Technical Report No. 27.

    ERIC Educational Resources Information Center

    Bessey, Barbara L.; And Others

    Graphical methods for displaying data, as well as available computer software and hardware, are reviewed. The authors have emphasized the types of graphs which are most relevant to the needs of the National Center for Education Statistics (NCES) and its readers. The following types of graphs are described: tabulations, stem-and-leaf displays,…

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

    Koniges, A.E.

    The author describes the new T3D parallel computer at NERSC. The adaptive mesh ICF3D code is one of the current applications being ported and developed for use on the T3D. It has been stressed in other papers in this proceedings that the development environment and tools available on the parallel computer is similar to any planned for the future including networks of workstations.

  11. Financial modeling/case-mix analysis.

    PubMed

    Heck, S; Esmond, T

    1983-06-01

    The authors describe a case mix system developed by users which goes beyond DRG requirements to respond to management's clinical/financial data needs for marketing, planning, budgeting and financial analysis as well as reimbursement. Lessons learned in development of the system and the clinical/financial base will be helpful to those currently contemplating the implementation of such a system or evaluating available software.

  12. The Current State and Developments in Higher Education in Gerontology in the Nordic Countries

    ERIC Educational Resources Information Center

    Hietanen, Heidi; Lyyra, Tiina-Mari; Parkatti, Terttu; Heikkinen, Eino

    2012-01-01

    The growing size of the older population challenges not only researchers but also higher education in gerontology. On the basis of an online survey the authors describe the situation of Nordic higher education in gerontology in 2008 and 2009 and also give some good examples of Nordic- and European-level collaboration. The survey results showed…

  13. Climbing out of a Deep Hole: Which Path up?

    ERIC Educational Resources Information Center

    Haveman, Robert; Heinrich, Carolyn; Smeeding, Timothy

    2012-01-01

    In this paper, the authors first discuss the Neumark and Troske piece, and then compare the U.S. context to that in Europe and Korea, as described by the Caspar, Hartwig, and Moench and the Cho and Shin contributions. Although they are in basic agreement with Neumark and Troske on the extent and depth of the current employment situation, they…

  14. Genotyping of Canine parvovirus in western Mexico.

    PubMed

    Pedroza-Roldán, César; Páez-Magallan, Varinia; Charles-Niño, Claudia; Elizondo-Quiroga, Darwin; De Cervantes-Mireles, Raúl Leonel; López-Amezcua, Mario Alberto

    2015-01-01

    Canine parvovirus (CPV) is one of the most common infectious agents related to high morbidity rates in dogs. In addition, the virus is associated with severe gastroenteritis, diarrhea, and vomiting, resulting in high death rates, especially in puppies and nonvaccinated dogs. To date, there are 3 variants of the virus (CPV-2a, CPV-2b, and CPV-2c) circulating worldwide. In Mexico, reports describing the viral variants circulating in dog populations are lacking. In response to this deficiency, a total of 41 fecal samples of suspected dogs were collected from October 2013 through April 2014 in the Veterinary Hospital of the University of Guadalajara in western Mexico. From these, 24 samples resulted positive by polymerase chain reaction, and the viral variant was determined by restriction fragment length polymorphism. Five positive diagnosed samples were selected for partial sequencing of the vp2 gene and codon analysis. The results demonstrated that the current dominant viral variant in Mexico is CPV-2c. The current study describes the genotyping of CPV strains, providing valuable evidence of the dominant frequency of this virus in a dog population from western Mexico. © 2014 The Author(s).

  15. Plague studies*

    PubMed Central

    Pollitzer, R.

    1953-01-01

    In examining the control and prevention of plague, the author pays particular attention to the control of commensal rodents and their fleas. The various rat poisons in current use, their efficacy and practical application, and the dangers involved in their manipulation are described in great detail. The author also discusses other anti-rodent measures such as fumigation, rat-proofing, sanitation, protection of food, etc. The second part of the study deals with: vector control—the outstanding value of DDT application in rodent-flea control is emphasized—, the direct control of bubonic and pneumonic plague, and the control of the spread of plague at a distance. PMID:20603968

  16. The world`s first 27 T and 30 T resistive magnets

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

    Bird, M.D.; Bole, S.; Eyssa, Y.M.

    1996-07-01

    The authors describe in detail a 30 Tesla, 32mm warm bore,m 15 MW resistive magnet which was put into operation at the National High Magnetic Field Laboratory in Tallahassee, FL in March 1995. The magnet consists of three concentric axially-cooled Bitter stacks connected electrically in series. This magnet employs a substantial new development in Bitter magnet technology which allows high current densities without the usually accompanying high stresses. Details of magnet optimization, design, construction, testing and operation are presented. The authors also report on operating experience with the 27 T magnets.

  17. RCRA, superfund and EPCRA hotline training module. Introduction to: RCRA corrective action updated July 1996

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

    NONE

    1996-07-01

    The module discusses the regulatory and statutory requirements and authorities governing the Resource Conservation and Recovery Act (RCRA) corrective action process. There are minimal regulatory requirements at present, but the Agency has issued a proposed rule (55 FR 30798; July 27, 1990) that would establish a comprehensive regulatory framework for implementing the corrective action program. This proposed rule and other guidance developed pursuant to statutory authorities are used to structure corrective action requirements in facility permits and orders. This module describes the current statutory and regulatory structure and discusses the future of the proposed rule.

  18. Modeling and strain gauging of eddy current repulsion deicing systems

    NASA Technical Reports Server (NTRS)

    Smith, Samuel O.

    1993-01-01

    Work described in this paper confirms and extends work done by Zumwalt, et al., on a variety of in-flight deicing systems that use eddy current repulsion for repelling ice. Two such systems are known as electro-impulse deicing (EIDI) and the eddy current repulsion deicing strip (EDS). Mathematical models for these systems are discussed for their capabilities and limitations. The author duplicates a particular model of the EDS. Theoretical voltage, current, and force results are compared directly to experimental results. Dynamic strain measurements results are presented for the EDS system. Dynamic strain measurements near EDS or EIDI coils are complicated by the high magnetic fields in the vicinity of the coils. High magnetic fields induce false voltage signals out of the gages.

  19. Use of transport models for wildfire behavior simulations

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

    Linn, R.R.; Harlow, F.H.

    1998-01-01

    Investigators have attempted to describe the behavior of wildfires for over fifty years. Current models for numerical description are mainly algebraic and based on statistical or empirical ideas. The authors have developed a transport model called FIRETEC. The use of transport formulations connects the propagation rates to the full conservation equations for energy, momentum, species concentrations, mass, and turbulence. In this paper, highlights of the model formulation and results are described. The goal of the FIRETEC model is to describe most probable average behavior of wildfires in a wide variety of conditions. FIRETEC represents the essence of the combination ofmore » many small-scale processes without resolving each process in complete detail.« less

  20. A mobile device system for early warning of ECG anomalies.

    PubMed

    Szczepański, Adam; Saeed, Khalid

    2014-06-20

    With the rapid increase in computational power of mobile devices the amount of ambient intelligence-based smart environment systems has increased greatly in recent years. A proposition of such a solution is described in this paper, namely real time monitoring of an electrocardiogram (ECG) signal during everyday activities for identification of life threatening situations. The paper, being both research and review, describes previous work of the authors, current state of the art in the context of the authors' work and the proposed aforementioned system. Although parts of the solution were described in earlier publications of the authors, the whole concept is presented completely for the first time along with the prototype implementation on mobile device-a Windows 8 tablet with Modern UI. The system has three main purposes. The first goal is the detection of sudden rapid cardiac malfunctions and informing the people in the patient's surroundings, family and friends and the nearest emergency station about the deteriorating health of the monitored person. The second goal is a monitoring of ECG signals under non-clinical conditions to detect anomalies that are typically not found during diagnostic tests. The third goal is to register and analyze repeatable, long-term disturbances in the regular signal and finding their patterns.

  1. Implementation of additional prescribing authorization among oncology pharmacists in Alberta.

    PubMed

    Au, Bianca; Dersch-Mills, Deonne; Ghosh, Sunita; Jupp, Jennifer; Chambers, Carole; Cusano, Frances; Danilak, Melanie

    2018-01-01

    Purpose To describe the practice settings and prescribing practices of oncology pharmacists with additional prescribing authorization. Methods A descriptive, cross-sectional survey of all oncology pharmacists in Alberta was conducted using a web-based questionnaire over four weeks between March and April 2016. Pharmacists were identified from the Cancer Services Pharmacy Directory and leadership staff in Alberta Health Services. Descriptive statistics were used to describe the practice setting, prescribing practices, motivators to apply for additional prescribing authorization, and the facilitators and barriers of prescribing. Logistic regression was used to explore factors associated with having additional prescribing authorization. Results The overall response rate was 41% (71 of 175 pharmacists). Oncology pharmacists with additional prescribing authorization made up 38% of respondents. They primarily worked in urban, tertiary cancer centers, and practiced in ambulatory care. The top 3 clinical activities they participated in were medication reconciliation, medication counseling/education, and ambulatory patient assessment. Respondents thought additional prescribing authorization was most useful for ambulatory patient assessment and follow-up. Antiemetics were prescribed the most often. The median number of prescriptions written in an average week of clinical work was 5. Competence, self-confidence, and the potential impact on patient care/perceived impact on work environment were the strongest facilitators of prescribing. The strongest motivators to apply for additional prescribing authorization were relevancy to practice, the potential for increased efficiency, and advancing the profession. Conclusion The current majority of oncology pharmacist prescribing in Alberta occurs in ambulatory care with a large focus on antiemetic prescribing. Pharmacists found additional prescribing authorization most useful for ambulatory patient assessment and follow-up.

  2. The ABPN Maintenance of Certification Program for psychiatrists: past history, current status, and future directions.

    PubMed

    Faulkner, Larry R; Tivnan, Patricia W; Winstead, Daniel K; Reus, Victor I; Andrade, Naleen N; Brooks, Beth Ann; Colenda, Christopher C; Mrazek, David A; Reifler, Burton V; Schneidman, Barbara

    2008-01-01

    To describe the American Board of Psychiatry and Neurology (ABPN) Maintenance of Certification Program, its underlying rationale, how it will be implemented now, and what it might look like in the future. The authors describe the philosophical foundation, specific components, and the implementation timeline of the ABPN Maintenance of Certification Program; the development of specific products that might be used by ABPN diplomates to meet its requirements; and several unanswered questions about its current status and future development. The ABPN Maintenance of Certification Program consists of specific requirements pertaining to professional standing, self-assessment and lifelong learning, performance in practice, and cognitive expertise that will be implemented incrementally over the next decade. The ABPN Maintenance of Certification Program has been implemented in a manner that is as consistent as possible with its underlying philosophical beliefs as well as the current and expected public and political concerns, diplomate needs, and the requirements of organizations responsible for licensure, credentialing, privileging, accreditation, professional development, and physician reimbursement.

  3. Thermoelectric Generation Of Current - Theoretical And Experimental Analysis

    NASA Astrophysics Data System (ADS)

    Ruciński, Adam; Rusowicz, Artur

    2017-12-01

    This paper provides some information about thermoelectric technology. Some new materials with improved figures of merit are presented. These materials in Peltier modules make it possible to generate electric current thanks to a temperature difference. The paper indicates possible applications of thermoelectric modules as interesting tools for using various waste heat sources. Some zero-dimensional equations describing the conditions of electric power generation are given. Also, operating parameters of Peltier modules, such as voltage and electric current, are analyzed. The paper shows chosen characteristics of power generation parameters. Then, an experimental stand for ongoing research and experimental measurements are described. The authors consider the resistance of a receiver placed in the electric circuit with thermoelectric elements. Finally, both the analysis of experimental results and conclusions drawn from theoretical findings are presented. Voltage generation of about 1.5 to 2.5 V for the temperature difference from 65 to 85 K was observed when a bismuth telluride thermoelectric couple (traditionally used in cooling technology) was used.

  4. Incorporating the Cultural Value of Respeto Into a Framework of Latino Parenting

    PubMed Central

    Calzada, Esther J.; Fernandez, Yenny; Cortes, Dharma E.

    2015-01-01

    Latino families face multiple stressors associated with adjusting to United States mainstream culture that, along with poverty and residence in inner-city communities, may further predispose their children to risk for negative developmental outcomes. Evidence-based mental health treatments may require culturally informed modifications to best address the unique needs of the Latino population, yet few empirical studies have assessed these cultural elements. The current study examined cultural values of 48 Dominican and Mexican mothers of preschoolers through focus groups in which they described their core values as related to their parenting role. Results showed that respeto, family and religion were the most important values that mothers sought to transmit to their children. Respeto is manifested in several domains, including obedience to authority, deference, decorum, and public behavior. The authors describe the socialization messages that Latina mothers use to teach their children respeto and present a culturally derived framework of how these messages may relate to child development. The authors discuss how findings may inform the cultural adaptation of evidence-based mental health treatments such as parent training programs. PMID:20099967

  5. Endoscopic monoportal removal of a choroid plexus papilloma in the posterior third ventricle in a child.

    PubMed

    Sufianov, Albert A; Gaibov, Saidi S K; Sufianov, Rinat A

    2015-07-01

    Currently, only a few reports describe the minimally invasive removal of choroid plexus papillomas (CPPs) and, to the best of the authors' knowledge, no reports detail the resection of such a papilloma through an endoscopic approach in infants. The authors here describe the endoscopic removal of a third ventricle CPP in a child. A 5-month-old male infant presented with progressive macrocephaly, vomiting, and convulsions. A lesion in the posterior third ventricle was detected on brain MRI. Because of the patient's very young age, neuroendoscopy was used as the least invasive technique. The tumor was completely resected through a monoportal neuroendoscopic approach. Histologically, the tumor was classified as a WHO Grade I CPP. After surgery, the patient's condition improved, with no complications during his recovery. Ten-month follow-up neuroimaging revealed no evidence of tumor recurrence or progressive hydrocephaly. In view of the successful neuroendoscopic excision of this posterior third ventricle CPP, the authors believe that this method seems promising in the treatment of young children with intraventricular lesions.

  6. Incorporating the cultural value of respeto into a framework of Latino parenting.

    PubMed

    Calzada, Esther J; Fernandez, Yenny; Cortes, Dharma E

    2010-01-01

    Latino families face multiple stressors associated with adjusting to United States mainstream culture that, along with poverty and residence in inner-city communities, may further predispose their children to risk for negative developmental outcomes. Evidence-based mental health treatments may require culturally informed modifications to best address the unique needs of the Latino population, yet few empirical studies have assessed these cultural elements. The current study examined cultural values of 48 Dominican and Mexican mothers of preschoolers through focus groups in which they described their core values as related to their parenting role. Results showed that respeto, family and religion were the most important values that mothers sought to transmit to their children. Respeto is manifested in several domains, including obedience to authority, deference, decorum, and public behavior. The authors describe the socialization messages that Latina mothers use to teach their children respeto and present a culturally derived framework of how these messages may relate to child development. The authors discuss how findings may inform the cultural adaptation of evidence-based mental health treatments such as parent training programs. (c) 2009 APA, all rights reserved.

  7. The Nature of Fatigue in Chronic Fatigue Syndrome.

    PubMed

    Olson, Karin; Zimka, Oksana; Stein, Eleanor

    2015-10-01

    In this article, we report the findings of our study on the nature of fatigue in patients diagnosed with chronic fatigue syndrome. Using ethnoscience as a design, we conducted a series of unstructured interviews and card sorts to learn more about how people with chronic fatigue syndrome describe fatigue. Participants (N = 14) described three distinct domains: tiredness, fatigue, and exhaustion. Most participants experienced tiredness prior to diagnosis, fatigue during daily life, and exhaustion after overexertion. We also discuss participants' ability to adapt to a variety of stressors and prevent shifts to exhaustion, and relate our findings to stress theory and other current research. Primary strategies that promoted adaptation to stressors included pacing and extended rest periods. These findings can aid health care professionals in detecting impending shifts between tiredness, fatigue, and exhaustion and in improving adaptive strategies, thereby improving quality of life. © The Author(s) 2015.

  8. Balancing Competing Needs: A Meta-Ethnography of Being a Partner to an Individual With a Mood Disorder.

    PubMed

    Lewis, Laura Foran

    2015-01-01

    More than 20% of individuals experience a mood disorder in their lifetime. Qualitative studies have explored the experience of being a partner to an individual with a mood disorder, but these studies remain isolated pieces of a larger puzzle. In this metasynthesis, I aimed to integrate current qualitative research to describe the experience of being a partner to an individual with a mood disorder. A systematic search was conducted to identify qualitative research. Noblit and Hare's meta-ethnography was used to translate key metaphors from individual studies into a single set of metaphors to describe the experience. Results indicated that these partners are disenfranchised caregivers balancing their own needs with partners' perceived and reported needs to strive for a stasis of guarded stability. Future research must explore ways to support these partners and include them in the health care team. © The Author(s) 2015.

  9. Theoretical foundations guiding culture change: The work of the Partnerships in Dementia Care Alliance.

    PubMed

    Dupuis, Sherry; McAiney, Carrie A; Fortune, Darla; Ploeg, Jenny; Witt, Lorna de

    2016-01-01

    Longstanding concerns about quality care provision, specifically in the area of long-term care, have prompted calls for changing the culture of care to reflect more client-driven and relationship-centred models. Despite an increase in culture change initiatives in both Canada and the United States, there is insufficient information about the theories and approaches that guide culture change. The purpose of this paper is to describe a culture change initiative currently underway in Canada, the Partnerships in Dementia Care Alliance, and the theoretical foundations informing our work. More specifically, we describe how the theoretical and philosophical underpinnings of the Alzheimer Disease and Related Dementias framework, the authentic partnership approach, participatory action research and Appreciative Inquiry have been integrated to guide a culture change process that encourages working collaboratively, thinking and doing differently and re-imagining new possibilities for changing the culture of dementia care. © The Author(s) 2014.

  10. Complexities and potential pitfalls of clinical study design and data analysis in assisted reproduction.

    PubMed

    Patounakis, George; Hill, Micah J

    2018-06-01

    The purpose of the current review is to describe the common pitfalls in design and statistical analysis of reproductive medicine studies. It serves to guide both authors and reviewers toward reducing the incidence of spurious statistical results and erroneous conclusions. The large amount of data gathered in IVF cycles leads to problems with multiplicity, multicollinearity, and over fitting of regression models. Furthermore, the use of the word 'trend' to describe nonsignificant results has increased in recent years. Finally, methods to accurately account for female age in infertility research models are becoming more common and necessary. The pitfalls of study design and analysis reviewed provide a framework for authors and reviewers to approach clinical research in the field of reproductive medicine. By providing a more rigorous approach to study design and analysis, the literature in reproductive medicine will have more reliable conclusions that can stand the test of time.

  11. Clinical Applications of Transcranial Magnetic Stimulation in Pediatric Neurology.

    PubMed

    Narayana, Shalini; Papanicolaou, Andrew C; McGregor, Amy; Boop, Frederick A; Wheless, James W

    2015-08-01

    Noninvasive brain stimulation is now an accepted technique that is used as a diagnostic aid and in the treatment of neuropsychiatric disorders in adults, and is being increasingly used in children. In this review, we will discuss the basic principles and safety of one noninvasive brain stimulation method, transcranial magnetic stimulation. Improvements in the spatial accuracy of transcranial magnetic stimulation are described in the context of image-guided transcranial magnetic stimulation. The article describes and provides examples of the current clinical applications of transcranial magnetic stimulation in children as an aid in the diagnosis and treatment of neuropsychiatric disorders and discusses future potential applications. Transcranial magnetic stimulation is a noninvasive tool that is safe for use in children and adolescents for functional mapping and treatment, and for many children it aids in the preoperative evaluation and the risk-benefit decision making. © The Author(s) 2014.

  12. Mining biomedical images towards valuable information retrieval in biomedical and life sciences.

    PubMed

    Ahmed, Zeeshan; Zeeshan, Saman; Dandekar, Thomas

    2016-01-01

    Biomedical images are helpful sources for the scientists and practitioners in drawing significant hypotheses, exemplifying approaches and describing experimental results in published biomedical literature. In last decades, there has been an enormous increase in the amount of heterogeneous biomedical image production and publication, which results in a need for bioimaging platforms for feature extraction and analysis of text and content in biomedical images to take advantage in implementing effective information retrieval systems. In this review, we summarize technologies related to data mining of figures. We describe and compare the potential of different approaches in terms of their developmental aspects, used methodologies, produced results, achieved accuracies and limitations. Our comparative conclusions include current challenges for bioimaging software with selective image mining, embedded text extraction and processing of complex natural language queries. © The Author(s) 2016. Published by Oxford University Press.

  13. Mathematical methods for protein science

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

    Hart, W.; Istrail, S.; Atkins, J.

    1997-12-31

    Understanding the structure and function of proteins is a fundamental endeavor in molecular biology. Currently, over 100,000 protein sequences have been determined by experimental methods. The three dimensional structure of the protein determines its function, but there are currently less than 4,000 structures known to atomic resolution. Accordingly, techniques to predict protein structure from sequence have an important role in aiding the understanding of the Genome and the effects of mutations in genetic disease. The authors describe current efforts at Sandia to better understand the structure of proteins through rigorous mathematical analyses of simple lattice models. The efforts have focusedmore » on two aspects of protein science: mathematical structure prediction, and inverse protein folding.« less

  14. FIRETEC: A transport description of wildfire behavior

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

    Linn, R.R.; Harlow, F.H.

    1997-12-01

    Wildfires are a threat to human life and property, yet they are an unavoidable part of nature and in some instances they are necessary for the natural maintenance and evolution of forests. Investigators have attempted to describe the behavior (speed, direction, modes of spread) of wildfires for over fifty years. Current models for numerical description are mainly algebraic and based on statistical or empirical ideas. The authors describe, in contrast, a transport model called FIRETEC, which is a self-determining fire behavior model. The use of transport formulations connects the propagation rates to the full conservation equations for energy, momentum, speciesmore » concentrations, mass, and turbulence. In this text, highlights of the model formulation and results are described. The goal of the FIRETEC model is to describe average behavior of the gases and fuels. It represents the essence of the combination of many small-scale processes without resolving each process in complete detail. The FIRETEC model is implemented into a computer code that examines line-fire propagation in a vertical spatial cut parallel to the direction of advancement. With this code the authors are able to examine wind effects, slope effects, and the effects of nonhomogeneous fuel distribution.« less

  15. Some Comments on Topological Approaches to the π-Electron Currents in Conjugated Systems.

    PubMed

    Dickens, Timothy K; Gomes, José A N F; Mallion, Roger B

    2011-11-08

    Within the past two years, three sets of independent authors (Mandado, Ciesielski et al., and Randić) have proposed methods in which π-electron currents in conjugated systems are estimated by invoking the concept of circuits of conjugation. These methods are here compared with ostensibly similar approaches published more than 30 years ago by two of the present authors (Gomes and Mallion) and (likewise independently) by Gayoso. Patterns of bond currents and ring currents computed by these methods for the nonalternant isomer of coronene that was studied by Randić are also systematically compared with those calculated by the Hückel-London-Pople-McWeeny (HLPM) "topological" approach and with the ab initio, "ipso-centric" current-density maps of Balaban et al. These all agree that a substantial diamagnetic π-electron current flows around the periphery of the selected structure (which could be thought of as a "perturbed" [18]-annulene), and consideration is given to the differing trends predicted by these several methods for the π-electron currents around its central six-membered ring and in its internal bonds. It is observed that, for any method in which calculated π-electron currents respect Kirchhoff's Laws of current conservation at a junction, consideration of bond currents-as an alternative to the more-traditional ring currents-can give a different insight into the magnetic properties of conjugated systems. However, provided that charge/current conservation is guaranteed-or Kirchhoff's First Law holds for bond currents instead of the more-general current-densities-then ring currents represent a more efficient way of describing the molecular reaction to the external magnetic field: ring currents are independent quantities, while bond currents are not.

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

    Carpenter, J.M.

    This paper reviews the early history of pulsed spallation neutron source development at Argonne and provides an overview of existing sources world wide. A number of proposals for machines more powerful than currently exist are under development, which are briefly described. The author reviews the status of the Intense Pulsed Neutron Source, its instrumentation, and its user program, and provides a few examples of applications in fundamental condensed matter physics, materials science and technology.

  17. Meeting the Needs of Chinese English Language Learners at Writing Centers in America: A Proposed Culturally Responsive Model

    ERIC Educational Resources Information Center

    Wang, Peizhen; Machado, Crystal

    2015-01-01

    This paper describes the ways in which Writing Centers (WC) currently serve English Language Learners (ELL) at American universities. The authors argue that the pedagogy offered at these centers does not always meet the needs of the Chinese ELLs who make up the largest population of ELLs at American universities. The proposed supplemental model…

  18. Ingredients of a Successful Summer Learning Program: A Case Study of the Building Educated Leaders for Life (BELL) Accelerated Learning Summer Program

    ERIC Educational Resources Information Center

    Capizzano, Jeffrey; Bischoff, Kendra; Woodroffe, Nicola; Chaplin, Duncan

    2007-01-01

    Based on positive results from a previous evaluation of a summer learning intervention, the current report describes the specific elements of the successful program so it can be replicated, and investigates potential barriers to implementation and replication. The study estimated impacts of the program overall; the authors could not identify which…

  19. Investigating the Promise of Mass-Customized Education: A Content Analysis Self-Reported Descriptions of Web 2.0-Learning-Tools Based on Multiple Intelligence Theory

    ERIC Educational Resources Information Center

    Folkestad, James E.; Anderson, Sharon K.

    2009-01-01

    Is the world "flat" or is the world "spiky"? Although leading authors and thinkers [Florida, 2005] struggle to find the perfect metaphor for describing our 21st century global ecosystem, there is agreement that the landscape is shifting. There is overwhelming agreement that our current education system was designed and…

  20. Use of Information and Communication Technologies in Primary Education--A Case Study of the Czech Republic

    ERIC Educational Resources Information Center

    Hlásná, Pavla; Klímová, Blanka; Poulová, Petra

    2017-01-01

    The aim of this research study is to explore the use of information and communication technologies (ICT) in classes at the first stage of primary schools, specifically in the Czech Republic. Firstly, the authors discuss the current state of this research issue, and secondly, they describe their own research which should clarify how, why and how…

  1. The phenomena of police fantasies, leg fetish, and father identification in a homosexual male.

    PubMed

    Baltazar, K K

    1997-01-01

    The relationship of police fantasies and leg fetish to identification with the father in a homosexual male. To describe two manifestations of identification with the father in a male homosexual. The author's clinical work. It is important to decode current behavior in light of theory and past history, to help clients move from potentially destructive behavior to satisfying interpersonal interactions.

  2. [Some unique characteristics of the demographic situation in Russia].

    PubMed

    Brui, B; Mikhailov, E

    1991-01-01

    The authors briefly describe the demographic situation in the Russian Soviet Federated Socialist Republic, using data from the 1989 census and current demographic research. Changes in the birth rate and population growth are examined, and migration flows in the various regions of the republic are compared. Factors affecting low birth rates are analyzed, and trends in marriage, divorce, mortality, and life expectancy are explored.

  3. Obstetric Ultrasound

    PubMed Central

    Nicholson, Stuart F.; Nimrod, Carl A.

    1988-01-01

    This article addresses the current indications for an obstetric ultrasound and describes the findings that it is reasonable to expect when reading an ultrasound report. The authors discuss several common obstetrical problems focussing the attention on the usefulness of the imaging information. Finally, they provide a glimpse into the future direction of obstetric ultrasound by discussing vaginal scanning, Doppler assessment of fetal blood flow, and routine ultrasound in pregnancy. PMID:21253229

  4. Advances in the Care of Adults With Congenital Heart Disease.

    PubMed

    Nasr, Viviane G; Kussman, Barry D

    2015-09-01

    The significant decline in mortality among children and adolescents with congenital heart disease (CHD) is associated with an increasing prevalence of CHD in adults, particularly those with moderate to severe defects. As a significant percentage of adolescents and young adults are lost to follow-up in the transition from pediatric to adult care, they may present for elective procedures with substantial CHD-associated morbidity. In addition to the specific cardiac defect, the procedures performed, and the current pathophysiological status, several factors should be considered when managing the adult with CHD. These include the type of setting (adult vs pediatric institution); surgeon (pediatric vs adult cardiac surgeon); coexisting diseases associated with CHD, such as coronary artery disease, hepatic dysfunction, renal dysfunction, cerebrovascular accidents, myopathy, and coagulation disorders; acquired diseases of aging; pregnancy; and psychosocial functioning. The current status of the management of common and important congenital cardiac defects is also described. © The Author(s) 2014.

  5. A Structured Peer-Mentoring Method for Physical Activity Behavior Change Among Adolescents.

    PubMed

    Smith, Laureen H; Petosa, Rick L

    2016-10-01

    Despite national guidelines for regular physical activity, most adolescents are not physically active. Schools serve an estimated 60 million youth and provide an educational environment to meet the current physical activity guidelines. The obesity epidemic and chronic disease comorbidities associated with physical inactivity are not likely to be reversed without a strong contribution from local schools. This article describes how a structured peer-mentoring method provides a feasible, flexible, and tailored means to meet the current guidelines for best practice in a school setting. Structured peer mentoring using trained high school mentors to support behavior change in younger peers is an innovative method to meeting the School Health Guidelines to Promote Healthy Eating and Physical Activity Through structured peer mentoring, adolescents are provided consistent social support in a caring and personalized manner. This support builds skills and competencies enhancing self-efficacy to sustain a lifetime of physical activity behavior. © The Author(s) 2016.

  6. Federal Farmworker Housing Standards and Regulations, Their Promise and Limitations, and Implications for Farmworker Health.

    PubMed

    Moss Joyner, Ann; George, Lance; Hall, Mary Lee; Jacobs, Ilene J; Kissam, E D; Latin, Shelley; Parnell, Allan; Ruiz, Virginia; Shadbeh, Nargess; Tobacman, Janet

    2015-11-01

    The housing available to most farmworkers is substandard and unacceptable in 21st-century America. The federal government established minimal occupational safety and health standards applicable to migrant farmworker labor camps decades ago, and some states have statutory schemes and regulations that set standards for farm labor camps and employee housing. Many of these federal and state regulations no longer reflect current employment and housing trends, and enforcement success varies greatly. These regulations implicitly recognize the connection between housing conditions and health, but do not effectively address that connection. This review describes the current state of farmworker housing, discusses laws and regulations pertaining to such housing, and highlights the literature on health risks associated with inadequate housing. We propose specific recommendations to strengthen enforcement and reduce the risks of substandard housing for the health of farmworkers and their families. © The Author(s) 2015.

  7. NERC Policy 10: Measurement of two generation and load balancing IOS

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

    Spicer, P.J.; Galow, G.G.

    1999-11-01

    Policy 10 will describe specific standards and metrics for most of the reliability functions described in the Interconnected Operations Services Working Group (IOS WG) report. The purpose of this paper is to discuss, in detail, the proposed metrics for two generation and load balancing IOSs: Regulation; Load Following. For purposes of this paper, metrics include both measurement and performance evaluation. The measurement methods discussed are included in the current draft of the proposed Policy 10. The performance evaluation method discussed is offered by the authors for consideration by the IOS ITF (Implementation Task Force) for inclusion into Policy 10.

  8. Migration plans and hours of work in Malaysia.

    PubMed

    Gillin, E D; Sumner, D A

    1985-01-01

    "This article describes characteristics of prospective migrants in the Malaysian Family Life Survey and investigates how planning to move affects hours of work. [The authors] use ideas about intertemporal substitution...to discuss the response to temporary and permanent wage expectations on the part of potential migrants. [An] econometric section presents reduced-form estimates for wage rates and planned migration equations and two-stage least squares estimates for hours of work. Men currently planning a move were found to work fewer hours. Those originally planning only a temporary stay at their current location work more hours." excerpt

  9. Introduction to the special section on developing guidelines for the evidence-based assessment (EBA) of adult disorders.

    PubMed

    Hunsley, John; Mash, Eric J

    2005-09-01

    The goal of this special section is to encourage greater awareness of evidence-based assessment (EBA) in the development of a scientifically supported clinical psychology. In this introductory article, the authors describe the elements that authors in this special section were asked to consider in their focused reviews (including the scope of available psychometric evidence, advancements in psychopathology research, and evidence of attention to factors such as gender, age, and ethnicity in measure validation). The authors then present central issues evident in the articles that deal with anxiety, depression, personality disorders, and couple distress and in the accompanying commentaries. The authors conclude by presenting key themes emerging from the articles in this special section, including gaps in psychometric information, limited information about the utility of assessment, the discrepancy between recommended EBAs and current training and practice, and the need for further data on the process of clinical assessment.

  10. PubMed Central

    Lepage, D

    1991-01-01

    The author deals with temporary incapacity, as currently expressed by "sick leave." Minor psychiatric problems are involved more and more as a cause of temporary incapacity, and sometimes the duration of such leaves of absence is much longer than might be warranted by the nature of the problem. Challenges by paying agents and employers are more and more frequent. On the basis of literature of a very general nature the author distinguishes between a difficult personal situation, a symptom, an illness, functional limitations and invalidity, the last one being at the crossroads between medical, personal and social reasons. The author emphasizes the particular difficulties experienced by physicians faced with that kind of problem and describes the rapid intervention needed to deal with the underlying reasons for an obvious request for a leave of absence. PMID:1933706

  11. Translational research: understanding the continuum from bench to bedside.

    PubMed

    Drolet, Brian C; Lorenzi, Nancy M

    2011-01-01

    The process of translating basic scientific discoveries to clinical applications, and ultimately to public health improvements, has emerged as an important, but difficult, objective in biomedical research. The process is best described as a "translation continuum" because various resources and actions are involved in this progression of knowledge, which advances discoveries from the bench to the bedside. The current model of this continuum focuses primarily on translational research, which is merely one component of the overall translation process. This approach is ineffective. A revised model to address the entire continuum would provide a methodology to identify and describe all translational activities (eg, implementation, adoption translational research, etc) as well their place within the continuum. This manuscript reviews and synthesizes the literature to provide an overview of the current terminology and model for translation. A modification of the existing model is proposed to create a framework called the Biomedical Research Translation Continuum, which defines the translation process and describes the progression of knowledge from laboratory to health gains. This framework clarifies translation for readers who have not followed the evolving and complicated models currently described. Authors and researchers may use the continuum to understand and describe their research better as well as the translational activities within a conceptual framework. Additionally, the framework may increase the advancement of knowledge by refining discussions of translation and allowing more precise identification of barriers to progress. Copyright © 2011 Mosby, Inc. All rights reserved.

  12. Dissemination 2.0: closing the gap between knowledge and practice with new media and marketing.

    PubMed

    Bernhardt, Jay M; Mays, Darren; Kreuter, Matthew W

    2011-01-01

    Despite substantial investments in public health and clinical research at the national level, and significant advancements in these areas of science, few evidence-based programs and services are rapidly implemented in health care or public health practice as a result of failures of dissemination. A significant gap in current processes to disseminate and implement effective programs relates to the lack of systems and infrastructure to facilitate distribution of scientific research products to potential end users, including clinicians and other practitioners. In this article, the authors assert that Web 2.0 technologies can be leveraged to enhance dissemination efforts and increase the implementation of evidence-based programs and services in everyday practice. The authors describe the research-to-practice delivery process and highlight gaps in the supply chain necessary to translate research findings into evidence-based practice. The authors critically evaluate the 4 most prominent strategies currently used to promote dissemination and implementation of research evidence in practice, and they detail how each can be improved by leveraging Web 2.0 technologies to enhance dissemination of research evidence. Last, the authors provide examples and suggestions for capitalizing on Web 2.0 technologies to enhance dissemination efforts and ensure that evidence-based research products reach intended end users and are implemented in clinical practice.

  13. Improving Organisational Effectiveness of Coalition Operations

    DTIC Science & Technology

    2010-04-01

    does not display a currently valid OMB control number. 1. REPORT DATE APR 2010 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE...only marginally concrete elements of an organisation that can hardly be described. These elements develop permanently and can be planed or controlled ...structure is the formal system of task and authority relationships that control how people coordinate their actions and use resources to achieve

  14. Reducing Periorbital Edema and Ecchymosis after Rhinoplasty: Literature Review and Personal Approach.

    PubMed

    Tasman, Abel-Jan

    2018-02-01

    Postoperative periorbital edema and ecchymosis are most bothersome to rhinoplasty patients. The degree of swelling and bruising is influenced by several factors, and numerous prophylactic and therapeutic measures have been described in the literature. This article reviews the current literature and concludes with the author's suggestions on how to best minimize postoperative periorbital edema and ecchymosis. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  15. Risk Metrics for Android (trademark) Devices

    DTIC Science & Technology

    2017-02-01

    allows for easy distribution of malware. This report surveys malware distribution methodologies , then describes current work being done to determine the...given a standard weight of wi = 1. Two data sets were used for testing this methodology . Because the authors are Chinese, they chose to download apps...Order Analysis excels at handling non -obfuscated apps, but may not be able to detect malware that employs encryption or dynamically changes its payload

  16. Virtual Surgical Planning in Craniofacial Surgery

    PubMed Central

    Chim, Harvey; Wetjen, Nicholas; Mardini, Samir

    2014-01-01

    The complex three-dimensional anatomy of the craniofacial skeleton creates a formidable challenge for surgical reconstruction. Advances in computer-aided design and computer-aided manufacturing technology have created increasing applications for virtual surgical planning in craniofacial surgery, such as preoperative planning, fabrication of cutting guides, and stereolithographic models and fabrication of custom implants. In this review, the authors describe current and evolving uses of virtual surgical planning in craniofacial surgery. PMID:25210509

  17. The evolving Alaska mapping program.

    USGS Publications Warehouse

    Brooks, P.D.; O'Brien, T. J.

    1986-01-01

    This paper describes the development of mapping in Alaska, the current status of the National Mapping Program, and future plans for expanding and improving the mapping coverage. Research projects with Landsat Multispectral Scanner and Return Vidicon imagery and real- and synthetic-aperture radar; image mapping programs; digital mapping; remote sensing projects; the Alaska National Interest Lands Conservation Act; and the Alaska High-Altitude Aerial Photography Program are also discussed.-from Authors

  18. Bringing ayahuasca to the clinical research laboratory.

    PubMed

    Riba, Jordi; Barbanoj, Manel J

    2005-06-01

    Since the winter of 1999, the authors and their research team have been conducting clinical studies involving the administration of ayahuasca to healthy volunteers. The rationale for conducting this kind of research is twofold. First, the growing interest of many individuals for traditional indigenous practices involving the ingestion of natural psychotropic drugs such as ayahuasca demands the systematic study of their pharmacological profiles in the target species, i.e., human beings. The complex nature of ayahuasca brews combining a large number of pharmacologically active compounds requires that research be carried out to establish the safety and overall pharmacological profile of these products. Second, the authors believe that the study of psychedelics in general calls for renewed attention. Although the molecular and electrophysiological level effects of these drugs are relatively well characterized, current knowledge of the mechanisms by which these compounds modify the higher order cognitive processes in the way they do is still incomplete, to say the least. The present article describes the development of the research effort carried out at the Autonomous University of Barcelona, commenting on several methodological aspects and reviewing the basic clinical findings. It also describes the research currently underway in our laboratory, and briefly comments on two new studies we plan to undertake in order to further our knowledge of the pharmacology of ayahuasca.

  19. Technical Limitations in Merging Secular and Sacred Functions in Monumental Churches

    NASA Astrophysics Data System (ADS)

    Piatkowska, Ksenia

    2017-10-01

    The abandonment of churches and their adaptation for secular purposes is a current subject in Europe and worldwide. Most cases involve objects that were desacralized and then rebuilt as a whole object for alternative functions. Thus far, the merging of secular and sacred functions in one monumental Catholic church has not raised any issues. The paper describes the case of St. Catherine’s Church in Gdansk, Poland, where sacred function exists parallel to the new secular function being implemented. The study is based on the authentic, professional experience of the author. It describes the technical limitations arising from the need to ensure destinies for the optimal conditions of both sacred and secular function, while avoiding undesirable interference between them. The author further identifies architectural solutions most relevant to current requirements for protection of sacred zones in the church, for preservation of the monument, and for optimal function of a modern science museum. Significant design issues include: the inviolability of the sacred zone, preservation of the historical value of the monument, proper operation of new secular zones in compliance with contemporary standards of safety, performance of the assumed mission and profitability. The research indicates specific areas where the highest probability of collision exists between the sacred and profane and where technical problems are likely to occur.

  20. Retraction Note: Catalytic living ring-opening metathesis polymerization

    NASA Astrophysics Data System (ADS)

    Nagarkar, Amit A.; Kilbinger, Andreas F. M.

    2018-05-01

    We the authors are retracting this Article because of our failure to reproduce the molecular weight dispersities (PDI) shown in Fig. 4 using the chain-transfer agent described in the paper (CTA1). While the degenerate chain-transfer mechanism described in Fig. 3 is correct, the best molecular weight dispersities that could be reproduced with the chain-transfer agent shown in the Article are much larger (PDI > 2.0) than reported.We have since studied the kinetics of CTA1 in comparison with several other chain-transfer agents we are currently investigating and we now understand that the reactivity of CTA1 towards propagating ruthenium alkylidene complexes is very low. Very long monomer addition times would therefore have been necessary to gain control over the molecular weight distribution. Such long addition times would exceed the lifetime of the Grubbs catalyst in solution. Faster addition of the monomer has since repeatedly been shown to broaden the molecular weight dispersity.Additionally, the best chain-transfer agents we are currently investigating are orders of magnitude more reactive than CTA1 but give broader molecular weight dispersities than reported in Fig. 4. Molecular weight and dispersity control as shown in Fig. 4 is therefore an inappropriate claim for CTA1.The authors deeply regret these errors and apologize to the community.

  1. From yaks to yogurt: the history, development, and current use of probiotics.

    PubMed

    McFarland, Lynne V

    2015-05-15

    The development of probiotics, which are living bacteria or yeasts used to confer a health benefit on the host, has paralleled our research in food preservation, microbiologic identification techniques, and our understanding of how the complex interactions in microbiota impact the host's health and recovery from disease. This review briefly describes the history of probiotics, where probiotic strains were originally isolated, and the types of probiotic products currently available on the global market. In addition, the uses or indications for these probiotics are described, along with the types of clinical investigations that have been done. Continuing challenges persist for the proper probiotic strain identification, regulatory pathways, and how healthcare providers can choose a specific strain to recommend to their patients. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  2. Past, present, and future of neuropsychology in Argentina.

    PubMed

    Fernandez, Alberto Luis; Ferreres, Aldo; Morlett-Paredes, Alejandra; Rivera, Diego; Arango-Lasprilla, Juan Carlos

    2016-11-01

    To describe the history, current situation, and future challenges of Argentinian neuropsychology. A brief historical description highlighting the most representative authors and publications is made. In addition, a survey was administered to a sample of 135 neuropsychologists practicing neuropsychology in Argentina. The survey explored the current neuropsychological practices among the respondents. Results show that most Argentinian neuropsychologists are: psychologists, women, and work in the clinical field in the country's major cities. Besides, the practice of neuropsychology is mostly unregulated with few training opportunities. Argentinian neuropsychology emerged from neurology in the early twentieth century and slowly progressed until the 1960s when the first organized research groups were created. Since then, a substantial and steady progress followed. However, more training opportunities and a better regulation of the discipline are needed. No similar studies have been conducted in the past, thus becoming one of the first to describe the development of neuropsychology in Argentina.

  3. Comment on "Chiral gauge field and axial anomaly in a Weyl semimetal"

    NASA Astrophysics Data System (ADS)

    Zhang, Kai; Zhang, Erhu; Zhang, Shengli

    2017-12-01

    In Liu et al. [Phys. Rev. B 87, 235306 (2013), 10.1103/PhysRevB.87.235306], the authors obtain that the cross coupling between vector gauge field and chiral gauge field can lead to the anomaly of vector current. We demonstrate that this anomaly is not a physical effect. On one hand, it can be regulated out by the proper regulation. On the other hand, it leads to unjustifiable results, the breaking of the vector gauge symmetry and the ambiguous boundary current. Moreover, the effects associated with anomaly of vector current are understood by random phase approximation (RPA) in the paper we comment on. We point out that the RPA cannot describe the effects resulting from the quantum anomaly.

  4. Solid state recording current meter conversion

    USGS Publications Warehouse

    Cheng, Ralph T.; Wang, Lichen

    1985-01-01

    The authors describe the conversion of an Endeco-174 current meter to a solid-state recording current meter. A removable solid-state module was designed to fit in the space originally occupied by an 8-track tape cartridge. The module contains a CPU and 128 kilobytes of nonvolatile CMOS memory. The solid-state module communicates with any terminal or computer using an RS-232C interface at 4800 baud rate. A primary consideration for conversion was to keep modifications of the current meter to a minimum. The communication protocol was designed to emulate the Endeco tape translation unit, thus the need for a translation unit was eliminated and the original data reduction programs can be used without any modification. After conversion, the data recording section of the current meter contains no moving parts; the storage capacity of the module is equivalent to that of the original tape cartridge.

  5. Education and training in psychiatry in the U.K.

    PubMed

    Carney, Stuart; Bhugra, Dinesh K

    2013-07-01

    Recent training and education changes have raised important issues in delivery of psychiatric education at all levels. In this article, the authors describe the current status of mental health education in the training of all doctors and postgraduate training and education in psychiatry in the U.K. The authors explore and describe some of the initiatives that are being used in order to increase exposure to mental health placements in the Foundation Program, and they then describe the existing specific mental health opportunities within general practice and other specialist training programs. After graduation from medical school, a two-year Foundation training program is a must, and, at the end of the first year, trainees become eligible for full registration with the "regulator," the General Medical Council; after finishing the second year, they become eligible to undertake specialist training. Psychiatry training takes up to 6 years, and six specialties are recognized as leading to certificates for completion of training before independent practice. These six specialties are 1) general and community; 2) child and adolescent; 3) medical psychotherapy; 4) forensic psychiatry; 5) psychiatry of old age; and 6) psychiatry of learning disability. Also, three subspecialties-liaison psychiatry, addictions, and rehabilitation-form a part of the training in general and community psychiatry. The authors discuss advantages and disadvantages of such an approach and raise key issues related to ongoing work to improve recruitment, progression, and retention of trainee psychiatrists.

  6. Biomarkers for immune-related toxicities of checkpoint inhibitors: current progress and the road ahead.

    PubMed

    Patil, Pradnya D; Burotto, Mauricio; Velcheti, Vamsidhar

    2018-03-01

    Immune checkpoint pathways are key immune regulatory pathways that play a physiologic role in maintaining immune-homeostasis and are often co-opted by cancer cells to evade the host immune system. Recent developments in cancer immunotherapy, mainly drugs blocking the immune checkpoint pathways, have revolutionized the treatment paradigm for many solid tumors. A wide spectrum of immune-related adverse events (irAEs) have been described with the use of these agents which necessitate treatment with immunosuppression, lead to disruption of therapy and can on occasion be life-threatening. There are currently no clinically validated biomarkers to predict the risk of irAEs. Areas covered: In this review, the authors describe the current progress in identifying biomarkers for irAEs and potential future directions. Literature search was conducted using PubMed-MEDLINE, Embase and Scopus. In addition, abstracts from major conference proceedings were reviewed for relevant content. Expert commentary: The discovery of biomarkers for irAEs is currently in its infancy, however there are a lot of promising candidate biomarkers that are currently being investigated. Biomarkers that can identify patients at a higher risk of developing irAEs or lead to early detection of autoimmune toxicities are crucial to optimize patient selection for immune-oncology agents and to minimize toxicity with their use.

  7. [Epidemiologic reasons for screening programs in the national health service].

    PubMed

    Ottó, Szabolcs

    2003-11-30

    The author describes the current health state of the Hungarian population in terms of cancer mortality and morbidity. Based on the comparative analysis of national and international, mainly European, data he describes the unfavourable Hungarian indices trying to identify their causes and the possible breaking free from them, as well. The greatest potential lies in the organised, continuous screenings within the frame of "Johan Béla National Programme of the Decade of Health". Since tumour diseases pose severe and alarming problems in national health care the reduction of extremely high mortality in three tumour localisation (cervix uteri, breast and colorectum) by regular screenings is absolutely justified.

  8. Research of Steel-dielectric Transition Using Subminiature Eddy-current Transducer

    NASA Astrophysics Data System (ADS)

    Dmitriev, S. F.; Malikov, V. N.; Sagalakov, A. M.; Ishkov, A. V.

    2018-05-01

    The research aims to develop a subminiature transducer for electrical steel investigation. The authors determined the capability to study steel characteristics at different depths based on variations of eddy-current transducer amplitude at the steel-dielectric boundary. A subminiature transformer-type transducer was designed, which enables to perform local investigations of ferromagnetic materials using an eddy-current method based on local studies of the steel electrical conductivity. Having the designed transducer as a basis, a hardware-software complex was built to perform experimental studies of steel at the interface boundary. Test results are reported for a specimen with continuous and discrete measurements taken at different frequencies. The article provides the key technical information about the eddy current transformer used and describes the methodology of measurements that makes it possible to control steel to dielectric transition.

  9. Submicrosecond characteristics of lightning return-stroke currents

    NASA Technical Reports Server (NTRS)

    Leteinturier, Christiane; Hamelin, Joel H.; Eybert-Berard, Andre

    1991-01-01

    The authors describe the experimental results obtained during 1987 and 1988 triggered-lightning experiments in Florida. Seventy-four simultaneous submicrosecond time-resolved measurements of triggered return-stroke current (I) and current derivative (dI/dt) were made in Florida in 1987 and 1988. Peak currents ranged from about 5 to 76 kA, peak dI/dt amplitude from 13 to 411 kA/microsec and rise time from 90 to 1000 ns. The mean peak dI/dt values of 110 kA/microsec were 2-3 times higher than data from instrumented towers and peak I and dI/dt appear to be positively correlated. These data confirm previous experiments and conclusions supported by forty measurements. They are important in order to define, for example, standards for lightning protection. Present standards give a dI/dt maximum of 140 kA/microsec.

  10. Membrane paradigm and RG flows for anomalous holographic theories

    NASA Astrophysics Data System (ADS)

    Copetti, Christian; Fernández-Pendás, Jorge

    2018-04-01

    Holographic RG flows can be better understood with the help of radially conserved charges. It was shown by various authors that the bulk gauge and diffeomorphism symmetries lead to the conservation of the zero mode of the holographic U(1) current and, if the spacetime is stationary, to that of the holographic heat current. In describing dual theories with 't Hooft anomalies the bulk gauge invariance is broken by Chern-Simons terms. We show that conservation laws can still be derived and used to characterize the anomalous transport in terms of membrane currents at the horizon. We devote particular attention to systems with gravitational anomalies. These are known to be problematic due to their higher derivative content. We show that this feature alters the construction of the membrane currents in a way which is deeply tied with the anomalous gravitational transport.

  11. Determining the sample size required to establish whether a medical device is non-inferior to an external benchmark.

    PubMed

    Sayers, Adrian; Crowther, Michael J; Judge, Andrew; Whitehouse, Michael R; Blom, Ashley W

    2017-08-28

    The use of benchmarks to assess the performance of implants such as those used in arthroplasty surgery is a widespread practice. It provides surgeons, patients and regulatory authorities with the reassurance that implants used are safe and effective. However, it is not currently clear how or how many implants should be statistically compared with a benchmark to assess whether or not that implant is superior, equivalent, non-inferior or inferior to the performance benchmark of interest.We aim to describe the methods and sample size required to conduct a one-sample non-inferiority study of a medical device for the purposes of benchmarking. Simulation study. Simulation study of a national register of medical devices. We simulated data, with and without a non-informative competing risk, to represent an arthroplasty population and describe three methods of analysis (z-test, 1-Kaplan-Meier and competing risks) commonly used in surgical research. We evaluate the performance of each method using power, bias, root-mean-square error, coverage and CI width. 1-Kaplan-Meier provides an unbiased estimate of implant net failure, which can be used to assess if a surgical device is non-inferior to an external benchmark. Small non-inferiority margins require significantly more individuals to be at risk compared with current benchmarking standards. A non-inferiority testing paradigm provides a useful framework for determining if an implant meets the required performance defined by an external benchmark. Current contemporary benchmarking standards have limited power to detect non-inferiority, and substantially larger samples sizes, in excess of 3200 procedures, are required to achieve a power greater than 60%. It is clear when benchmarking implant performance, net failure estimated using 1-KM is preferential to crude failure estimated by competing risk models. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  12. Yields of biologically significant damage produced in mammalian DNA by irradiation associated with radon decay. Final progress report

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

    Ward, J.F.

    1994-03-01

    The objective of this project was to characterize the difference between damage to DNA caused by alpha particles and by low LET radiation. Estimation of the risk posed by exposure to high LET radiation (such as that from radon) relies at present on epidemiological data, and is therefore largely empirical. This empiricism is evident from the concepts of quality factor or RBE that find use for describing the biological effects of high LET radiation. The author argues that some effort should be made to address the mechanisms of DNA damage by high and low LET forms of radiation, and howmore » these mechanisms might relate to the biological endpoints. This report summarizes the results of the author`s investigations and the current understanding of these mechanisms.« less

  13. A Russian-American approach to the treatment of alcoholism in Russia: preliminary results.

    PubMed

    Levine, B G; Nebelkopf, E

    1998-01-01

    The enormous cost of alcoholism to Russian society threatens to block the current transition towards a functioning democracy. The authors describe the introduction of a 12-Step based psychotherapeutic treatment approach at the Recovery Treatment Center in Moscow. This program is the result of extensive collaboration between American addiction experts, Russian psychologists and recovering alcoholics since 1990. Preliminary outcome data and analysis of in-depth interviews with fifteen patients who successfully completed treatment at this center suggest this approach can be successfully introduced into Russia in a way that has special relevance to the current democratic transformation in the society at large.

  14. Proposed Performance-Based Metrics for the Future Funding of Graduate Medical Education: Starting the Conversation.

    PubMed

    Caverzagie, Kelly J; Lane, Susan W; Sharma, Niraj; Donnelly, John; Jaeger, Jeffrey R; Laird-Fick, Heather; Moriarty, John P; Moyer, Darilyn V; Wallach, Sara L; Wardrop, Richard M; Steinmann, Alwin F

    2017-12-12

    Graduate medical education (GME) in the United States is financed by contributions from both federal and state entities that total over $15 billion annually. Within institutions, these funds are distributed with limited transparency to achieve ill-defined outcomes. To address this, the Institute of Medicine convened a committee on the governance and financing of GME to recommend finance reform that would promote a physician training system that meets society's current and future needs. The resulting report provided several recommendations regarding the oversight and mechanisms of GME funding, including implementation of performance-based GME payments, but did not provide specific details about the content and development of metrics for these payments. To initiate a national conversation about performance-based GME funding, the authors asked: What should GME be held accountable for in exchange for public funding? In answer to this question, the authors propose 17 potential performance-based metrics for GME funding that could inform future funding decisions. Eight of the metrics are described as exemplars to add context and to help readers obtain a deeper understanding of the inherent complexities of performance-based GME funding. The authors also describe considerations and precautions for metric implementation.

  15. A case for change: disruption in academic medicine.

    PubMed

    Kahn, Marc J; Maurer, Ralph; Wartman, Steven A; Sachs, Benjamin P

    2014-09-01

    Disruptive technologies allow less expensive and more efficient processes to eventually dominate a market sector. The academic health center's tripartite mission of education, clinical care, and research is threatened by decreasing revenues and increasing expenses and is, as a result, ripe for disruption. The authors describe current disruptive technologies that threaten traditional operations at academic health centers and provide a prescription not only to survive, but also to prosper, in the face of disruptive forces.

  16. [Chronic insomnia: treatment methods based on the current "3P" model of insomnia].

    PubMed

    Poluektov, M G; Pchelina, P V

    2015-01-01

    Authors consider one of the popular models of the pathogenesis of chronic insomnia--"3P" model. It explains the origin and course of insomnia on the basis of interaction of three factors: predisposing, precipitating and perpetuating. The role of each group of factors and its connection to the cerebral hyperarousal state is discussed. Different variants of cognitive-behavioral therapy and pharmacological treatment of chronic insomnia are described.

  17. [Ethics, knowledge and psychiatry: in Aulus Cornelius Celsus' De Medicina].

    PubMed

    Trancas, Bruno; Borja Santos, Nuno

    2007-01-01

    Modern medicine has many roots on greco-roman practice of the medical art. The authors analyse the work De Medicina by Aulus Cornelius Celsus. They look upon the nature of the medical knowledge, the principles of ethics, causality and describe the mental disorders (phrenitis, depression, third insanity, seizure disorder and womb disease), with special detail to signs and symptoms, treatment and prognosis. An association with current medical knowledge is established.

  18. Enhancing Police Responses to Domestic Violence Incidents: Reports From Client Advocates in New South Wales.

    PubMed

    Goodman-Delahunty, Jane; Crehan, Anna Corbo

    2016-07-01

    In an online survey about experiences with the police complaint system, 239 client advocates described a recent incident in which a client with grounds to lodge a complaint declined to do so. Almost one third of those incidents involved domestic violence. Thematic analysis of case descriptions revealed that many police did not take domestic violence reports seriously. A typology of problematic police conduct was developed. Many officers failed to observe current procedures and appeared to lack knowledge of relevant laws. Citizens feared retaliatory victimization by police and/or perceived that complaining was futile. Implications of these findings are reviewed in light of procedural justice theory. © The Author(s) 2015.

  19. Implications and challenges for implementation of the FDA’s final deeming rule for waterpipe tobacco

    PubMed Central

    Sutfin, Erin L; Soule, Eric K; McKelvey, Karma; Jenson, Desmond

    2017-01-01

    For the first time, the Food and Drug Administration’s (FDAs) Center for Tobacco Products now has regulatory authority over all tobacco products, including waterpipe tobacco. In the rule expanding its authority to cover all tobacco products, the FDA uses largely a one-size-fits-all approach. However, several aspects of waterpipe tobacco smoking make it unique from other tobacco products, which may require more specific, tailored rules. This paper describes the distinct features of waterpipe tobacco products and accessories, and identifies unique challenges to the current regulation posed by this form of tobacco use. Additionally, we highlight the need for further research-generated evidence to support additional rulemaking. PMID:28667092

  20. Simulation electromagnetic scattering on bodies through integral equation and neural networks methods

    NASA Astrophysics Data System (ADS)

    Lvovich, I. Ya; Preobrazhenskiy, A. P.; Choporov, O. N.

    2018-05-01

    The paper deals with the issue of electromagnetic scattering on a perfectly conducting diffractive body of a complex shape. Performance calculation of the body scattering is carried out through the integral equation method. Fredholm equation of the second time was used for calculating electric current density. While solving the integral equation through the moments method, the authors have properly described the core singularity. The authors determined piecewise constant functions as basic functions. The chosen equation was solved through the moments method. Within the Kirchhoff integral approach it is possible to define the scattered electromagnetic field, in some way related to obtained electrical currents. The observation angles sector belongs to the area of the front hemisphere of the diffractive body. To improve characteristics of the diffractive body, the authors used a neural network. All the neurons contained a logsigmoid activation function and weighted sums as discriminant functions. The paper presents the matrix of weighting factors of the connectionist model, as well as the results of the optimized dimensions of the diffractive body. The paper also presents some basic steps in calculation technique of the diffractive bodies, based on the combination of integral equation and neural networks methods.

  1. Conversations, coping, & connectedness: a qualitative study of women who have experienced involuntary pregnancy loss.

    PubMed

    Van, Paulina

    2012-01-01

    The purpose of this qualitative study was to describe processes and strategies used by women to cope after pregnancy loss. Twenty women with a history of involuntary pregnancy loss were interviewed. All of the women were in the last month of a subsequent pregnancy, married or partnered, and most were EuroAmerican or Asian American and had completed college. Taped interviews, fieldnotes, and analytical notes were transcribed then subsequently coded and developed in individual or team sessions. Construction and confirmation of the categories and related themes derived from the data was a collaborative process. Three themes were revealed that described the coping behaviors used by the women: being myself, connecting with others, and avoiding and pretending. The core concept of connectedness and coping after involuntary pregnancy loss was further validated in this study. The purpose of this study was to describe processes and strategies that facilitate coping for 20 women, pregnant subsequent to an involuntary pregnancy loss (IPL). Involuntary pregnancy loss (IPL) refers to miscarriages, ectopic pregnancies, fetal deaths, and stillbirths (Van & Meleis, 2003). This current study was designed to replicate two prior qualitative studies, with African-American women, by the author (Patterson, 2000; Van, 2001). Based on the author's previous work, a theoretical framework entitled "A Model of Living with Grief after Pregnancy Loss" was constructed (Patterson, 2000). For the current study, a more diverse sample was used to potentially expand the applicability of the Model of Living with Grief after Pregnancy Loss to women who are of races other than African American.

  2. Enhancing Risk Detection Among Homeless Youth: A Randomized Clinical Trial of a Promising Pilot Intervention.

    PubMed

    Bender, Kimberly A; DePrince, Anne; Begun, Stephanie; Hathaway, Jessica; Haffejee, Badiah; Schau, Nicholas

    2016-03-02

    Homeless youth frequently experience victimization, and youth with histories of trauma often fail to detect danger risks, making them vulnerable to subsequent victimization. The current study describes a pilot test of a skills-based intervention designed to improve risk detection among homeless youth through focusing attention to internal, interpersonal, and environmental cues. Youth aged 18 to 21 years (N = 74) were recruited from a shelter and randomly assigned to receive usual case management services or usual services plus a 3-day manualized risk detection intervention. Pretest and posttest interviews assessed youths' risk detection abilities through vignettes describing risky situations and asking youth to identify risk cues present. Separate 2 (intervention vs. control) × 2 (pretest vs. posttest) mixed ANOVAs found significant interaction effects, as intervention youth significantly improved in overall risk detection compared with control youth. Post hoc subgroup analyses found the intervention had a greater effect for youth without previous experiences of indirect victimization than those with previous indirect victimization experiences. © The Author(s) 2016.

  3. Development and Applications of Portable Gas Chromatography-Mass Spectrometry for Emergency Responders, the Military, and Law-Enforcement Organizations.

    PubMed

    Leary, Pauline E; Dobson, Gareth S; Reffner, John A

    2016-05-01

    Portable gas chromatography-mass spectrometry (GC-MS) systems are being deployed for field use, and are designed with this goal in mind. Performance characteristics of instruments that are successful in the field are different from those of equivalent technologies that are successful in a laboratory setting. These field-portable systems are extending the capabilities of the field user, providing investigative leads and confirmatory identifications in real time. Many different types of users benefit from the availability of this technology including emergency responders, the military, and law-enforcement organizations. This manuscript describes performance characteristics that are important for field-portable instruments, especially field-portable GC-MS systems, and demonstrates the value of this equipment to the disciplines of explosives investigations, fire investigations, and counterfeit-drug detection. This paper describes the current state of portable GC-MS technology, including a review of the development of portable GC-MS, as well as a demonstration of the value of this capability using different examples. © The Author(s) 2016.

  4. What's science? Where's science? Science journalism in German print media.

    PubMed

    Summ, Annika; Volpers, Anna-Maria

    2016-10-01

    This article examines the current state of science coverage in German print media. It deals with the following questions: (1) how the main characteristics of science journalism can be described, (2) whether there is a difference between various scientific fields, and (3) how different definitions of science journalism lead to differing findings. Two forms of science coverage were analyzed in a standardized, two-part content analysis of German newspapers (N = 1730 and N = 1640). The results show a significant difference between a narrow and a broad definition of science journalism. In the classic understanding, science journalism is prompted by scientific events and is rather noncritical. Science coverage in a broad sense is defined by a wider range of journalistic styles, driven by non-scientific events, and with a focus on the statements of scientific experts. Furthermore, the study describes the specific role of the humanities and social sciences in German science coverage. © The Author(s) 2015.

  5. A variational approach to niche construction.

    PubMed

    Constant, Axel; Ramstead, Maxwell J D; Veissière, Samuel P L; Campbell, John O; Friston, Karl J

    2018-04-01

    In evolutionary biology, niche construction is sometimes described as a genuine evolutionary process whereby organisms, through their activities and regulatory mechanisms, modify their environment such as to steer their own evolutionary trajectory, and that of other species. There is ongoing debate, however, on the extent to which niche construction ought to be considered a bona fide evolutionary force, on a par with natural selection. Recent formulations of the variational free-energy principle as applied to the life sciences describe the properties of living systems, and their selection in evolution, in terms of variational inference. We argue that niche construction can be described using a variational approach. We propose new arguments to support the niche construction perspective, and to extend the variational approach to niche construction to current perspectives in various scientific fields. © 2018 The Authors.

  6. Postscript: SD-Squared Revisited Again

    ERIC Educational Resources Information Center

    Woollams, Anna M.; Lambon Ralph, Matthew A.; Plaut, David C.; Patterson, Karalyn

    2010-01-01

    The current authors reply to a postscript by Coltheart, Tree, and Saunders which was in response to the current authors response on a comment by the current authors on the original article. The current authors begin by responding to the final challenge posed by Coltheart, Tree, and Saunders (2010). They believe that both experimental and…

  7. Reforming Miners' Lung Disease Compensation in South Africa--Long Overdue but What Are the Options?

    PubMed

    Ehrlich, Rodney; Rees, David

    2016-02-01

    A number of countries have workers' compensation systems which reserve specific arrangements for workers in certain sectors, notably mining. This article describes the current impetus to reform of the century-old South African mining compensation system. It is intended as a case study of the implications of harmonization of two disparate compensation systems for occupational lung disease, specifically in relation to equity in financial benefits, equity in coverage, linkage of compensation to disease prevention, and efficient administration. After decades of neglect, it is clear that while inferior financial benefits for miners are no longer tenable, the costs of equalization are not supportable by the current actuarial status of the miners' Compensation Fund. There is also an argument for two miner-specific entitlements to be retained--free medical examinations for ex-miners and autopsy-based posthumous compensation. A new dispensation to support the casualties of a declining industry will require sustained political will. © The Author(s) 2016.

  8. Effects-based strategy development through center of gravity and target system analysis

    NASA Astrophysics Data System (ADS)

    White, Christopher M.; Prendergast, Michael; Pioch, Nicholas; Jones, Eric K.; Graham, Stephen

    2003-09-01

    This paper describes an approach to effects-based planning in which a strategic-theater-level mission is refined into operational-level and ultimately tactical-level tasks and desired effects, informed by models of the expected enemy response at each level of abstraction. We describe a strategy development system that implements this approach and supports human-in-the-loop development of an effects-based plan. This system consists of plan authoring tools tightly integrated with a suite of center of gravity (COG) and target system analysis tools. A human planner employs the plan authoring tools to develop a hierarchy of tasks and desired effects. Upon invocation, the target system analysis tools use reduced-order models of enemy centers of gravity to select appropriate target set options for the achievement of desired effects, together with associated indicators for each option. The COG analysis tools also provide explicit models of the causal mechanisms linking tasks and desired effects to one another, and suggest appropriate observable indicators to guide ISR planning, execution monitoring, and campaign assessment. We are currently implementing the system described here as part of the AFRL-sponsored Effects Based Operations program.

  9. In defense of genuine ignorance: supporting vitality and relevance in graduate curricula.

    PubMed

    Goren, S; Peter, L; Fischer, S

    1992-01-01

    Genuine ignorance, defined by John Dewey as curiosity and openmindedness in opposition to repetition of catch phrases and familiar propositions, is nurtured in graduate nursing curricula in which the educational process is congruent with course content. Preparation for advanced practice in the mental health environment of the foreseeable future required abandonment of the familiar medical model in favor of conceptual models consistent with current thinking in psychiatric nursing and exposure to current problems (homelessness, family violence, AIDS) and current problem solving strategies (brief treatment, family preservation). Involvement in practice-based research and operationalizing new perspectives on familiar clinical problems, are suggested as strategies for developing the advanced practitioner. Two of the authors, former graduate students, describe the impact of changed perspectives and research activity on their own practice.

  10. Adult education and the challenges of regional development: Policy and sustainability in North Denmark

    NASA Astrophysics Data System (ADS)

    Rasmussen, Palle; Staugaard, Hans Jørgen

    2016-10-01

    Adult education is governed at many levels - internationally, nationally and locally. The authors of this paper look at the challenges, structures and practices of adult education policy at the local level, more specifically in North Denmark (Northern Jutland), one of the five administrative regions of the Danish nation-state. In many ways, the current educational challenges in this remote region of Europe are similar to what can be observed worldwide and especially in countries which are generally considered welfare states. The authors see the growing social and educational divide between the region's peripheral areas and its largest city centre as a major challenge - for society as a whole and for adult education in particular. It is from this perspective that the authors describe the present structures of adult education in the region and the strategies employed by local authorities and educational institutions. This is followed by an evaluation of both structures and efforts in terms of their ability to cope with the challenges.

  11. Exercise recommendations for childhood cancer survivors exposed to cardiotoxic therapies: an institutional clinical practice initiative.

    PubMed

    Okada, Maki; Meeske, Kathleen A; Menteer, Jondavid; Freyer, David R

    2012-01-01

    Childhood cancer survivors who have received treatment with anthracyclines are at risk for developing cardiomyopathy in dose-dependent fashion. Historically, restrictions on certain types of physical activity that were intended to preserve cardiac function have been recommended, based on a mixture of evidence-based and consensus-based recommendations. In the LIFE Cancer Survivorship & Transition Program at Children's Hospital Los Angeles, the authors reevaluated their recommendations for exercise in survivors who were exposed to anthracyclines, with or without irradiation in proximity to the myocardium. The primary goal was to develop consistent, specific, practical, safe, and (where possible) evidence-based recommendations for at-risk survivors in the program. To accomplish this, the authors referred to current exercise guidelines for childhood cancer survivors, consulted recent literature for relevant populations, and obtained input from the program's pediatric cardiology consultant. The resulting risk-based exercise recommendations are designed to complement current published guidelines, maximize safe exercise, and help childhood cancer survivors return to a normal life that emphasizes overall wellness and physical activity. This article describes a single institution's experience in modifying exercise recommendations for at-risk childhood survivors and includes the methods, findings, and current institutional practice recommendations along with sample education materials.

  12. CAN I ACCESS MY PERSONAL GENOME? THE CURRENT LEGAL POSITION IN THE UK

    PubMed Central

    Kaye, Jane; Kanellopoulou, Nadja; Hawkins, Naomi; Gowans, Heather; Curren, Liam; Melham, Karen

    2014-01-01

    This paper discusses the nature of genomic information, and the moral arguments in support of an individual's right to access it. It analyses the legal avenues an individual might take to access their sequence information. The authors describe the policy implications in this area and conclude that, for now, the law appears to strike an appropriate balance, but new policy will need to be developed to address this issue. PMID:24136352

  13. [A new formula for the measurement of rigor mortis: the determination of the FRR-index (author's transl)].

    PubMed

    Forster, B; Ropohl, D; Raule, P

    1977-07-05

    The manual examination of rigor mortis as currently used and its often subjective evaluation frequently produced highly incorrect deductions. It is therefore desirable that such inaccuracies should be replaced by the objective measuring of rigor mortis at the extremities. To that purpose a method is described which can also be applied in on-the-spot investigations and a new formula for the determination of rigor mortis--indices (FRR) is introduced.

  14. Clinical and diagnostic features of East Coast fever (Theileria parva) infection of cattle.

    PubMed

    Irvin, A D; Mwamachi, D M

    1983-08-27

    East Coast fever is a tick-borne protozoal disease affecting cattle in a large part of East and Central Africa. Since the vector occurs over an even wider range there is considerable potential for the disease to spread to countries which are currently disease free. This article, describing the clinical and diagnostic features of East Coast fever, may remind authorities in these countries of the potential hazards posed by the disease.

  15. Advocating for continuing nursing education in a pediatric hospital: the Prince Scholar and Sabbatical Programs.

    PubMed

    Sperhac, A M; Goodwin, L D

    2000-01-01

    As nurses gain more experience, they often question the basis of nursing practice and want to find the most current and accepted methods of providing nursing care. Attending seminars, conferences, and continuing education programs is often difficult because of financial and staffing constraints. The authors describe the design and implementation of two funded programs--the Prince Scholars and Sabbatical Programs--that support continuing nursing education in a pediatric tertiary hospital.

  16. [Audio-visual communication in the history of psychiatry].

    PubMed

    Farina, B; Remoli, V; Russo, F

    1993-12-01

    The authors analyse the evolution of visual communication in the history of psychiatry. From the 18th century oil paintings to the first dagherrotic prints until the cinematography and the modern audiovisual systems they observed an increasing diffusion of the new communication techniques in psychiatry, and described the use of the different techniques in psychiatric practice. The article ends with a brief review of the current applications of the audiovisual in therapy, training, teaching, and research.

  17. An Appreciative Exploration of How Schools Create a Sense of Belonging to Facilitate the Successful Transition to a New School for Pupils Involved in a Managed Move

    ERIC Educational Resources Information Center

    Flitcroft, Deborah; Kelly, Catherine

    2016-01-01

    Much of the current guidance on managed moves focuses on the benefits of the "fresh start" provided. This paper describes an appreciative inquiry to explore how schools in one local authority create a sense of belonging to facilitate a fresh start for pupils involved in a managed move to a new school. Six deputy head teachers with…

  18. Advances in oral nano-delivery systems for colon targeted drug delivery in inflammatory bowel disease: selective targeting to diseased versus healthy tissue.

    PubMed

    Hua, Susan; Marks, Ellen; Schneider, Jennifer J; Keely, Simon

    2015-07-01

    Colon targeted drug delivery is an active area of research for local diseases affecting the colon, as it improves the efficacy of therapeutics and enables localized treatment, which reduces systemic toxicity. Targeted delivery of therapeutics to the colon is particularly advantageous for the treatment of inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease. Advances in oral drug delivery design have significantly improved the bioavailability of drugs to the colon; however in order for a drug to have therapeutic efficacy during disease, considerations must be made for the altered physiology of the gastrointestinal (GI) tract that is associated with GI inflammation. Nanotechnology has been used in oral dosage formulation design as strategies to further enhance uptake into diseased tissue within the colon. This review will describe some of the physiological challenges faced by orally administered delivery systems in IBD, the important developments in orally administered nano-delivery systems for colon targeting, and the future advances of this research. Inflammatory Bowel Disease (IBD) poses a significant problem for a large number of patients worldwide. Current medical therapy mostly aims at suppressing the active inflammatory episodes. In this review article, the authors described and discussed the various approaches current nano-delivery systems can offer in overcoming the limitations of conventional drug formulations. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

  19. Electronic cigarette use patterns and reasons for use among smokers recently diagnosed with cancer.

    PubMed

    Kalkhoran, Sara; Kruse, Gina R; Rigotti, Nancy A; Rabin, Julia; Ostroff, Jamie S; Park, Elyse R

    2018-06-14

    Many patients with cancer use electronic cigarettes (e-cigarettes), yet little is known about patterns and reasons for use. Using cross-sectional baseline data from a randomized controlled trial, we aimed to describe prevalence and correlates of e-cigarette use, frequency of use, and reasons for use among smokers recently diagnosed with cancer. Participants (n = 302) included adults (age ≥18 years) recently diagnosed with varied cancer types who smoked ≥1 cigarette within the past 30-d from two US academic medical centers. Participants reported ever and current e-cigarette use, and current e-cigarette users reported days of e-cigarette use and the main reason for use. We compared current, former, and never e-cigarette users by sociodemographics, cancer type, medical comorbidities, smoking behaviors, attitudes, and emotional symptoms, and described use among current e-cigarette users. Of smokers recently diagnosed with cancer, 49% (n = 149) reported ever e-cigarette use and 19% (n = 56) reported current use. Of current e-cigarette users, 29% (n = 16) reported daily use. Current e-cigarette users did not differ from former and never e-cigarette users by cancer type, smoking behaviors, or emotional symptoms. Women were more likely to be current users than never users, and current e-cigarette users had less education than former users. Most current e-cigarette users reported using them to help quit smoking (75%). One in five smokers with cancer report current e-cigarette use, but most are not using e-cigarettes daily. The majority report using e-cigarettes to quit smoking. E-cigarette use by patients with cancer appears to reflect a desire to quit smoking. © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

  20. Neurology didactic curricula for psychiatry residents: a review of the literature and a survey of program directors.

    PubMed

    Reardon, Claudia L; Walaszek, Art

    2012-03-01

    Minimal literature exists on neurology didactic instruction offered to psychiatry residents, and there is no model neurology didactic curriculum offered for psychiatry residency programs. The authors sought to describe the current state of neurology didactic training in psychiatry residencies. The authors electronically surveyed 172 directors of U.S. psychiatric residency training programs to examine the types and extent of neurology didactic instruction offered to their residents. Fifty-seven program directors (33%) responded. The majority of these psychiatry residency programs offer neurology didactic instruction to their residents, as provided by both neurology and psychiatry faculty, in a number of different settings and covering many topics. However, room for improvement likely remains. The authors hope this report will guide psychiatry residencies in optimizing their neurology didactic curricula. Further research should explore tools for assessing resident knowledge in neurology and measure the effectiveness of neurology curricula in increasing knowledge and improving clinical outcomes.

  1. Getting to the heart of rectal bleeding: subacute bacterial endocarditis presenting as anaemia and a GI bleed

    PubMed Central

    Cesari, Whitney; Stewart, Christy; Panda, Mukta

    2011-01-01

    In this case report, the authors demonstrate a case of subacute bacterial endocarditis presenting with anaemia. It is the first of its kind to describe a delay in diagnosis due to an initial patient investigation for a bleed rather than a cardiac evaluation. Astute clinicians need to be aware of the causes of anaemia in patients with endocarditis and consider that in Streptococcus bovis (S bovis) infection can be related to gastrointestinal polyps or malignancy resulting in bleeding. Although patients with S bovis endocarditis should undergo full gastrointestinal investigation after endocarditis is diagnosed, it should not delay medical treatment. In this article, the authors discuss the consequences of failing to achieve timely recognition of endocarditis along with common systemic complications. The authors also outline current recommendations for surgical intervention as heart valve replacement surgery was warranted in the patient to prevent fatal outcome. PMID:22674949

  2. A report on syphilis control in Turkey

    PubMed Central

    Christiansen, Sven

    1954-01-01

    This report presents the results of a six-month survey of the nature and extent of venereal diseases in Turkey which was undertaken by the author, on behalf of WHO, at the request of the Turkish Government. The first part of the report outlines the present venereal-disease-control system and includes descriptions of the work undertaken by public authorities, hospitals and dispensaries, mobile venereal-disease-control teams, and laboratories; in the second part, the author enumerates certain recommendations for the intensification of the current control programme. These recommendations are particularly concerned with the control of syphilis (since the incidence of other venereal diseases in Turkey is of very secondary importance), and with the expansion, standardization, and co-ordination of serodiagnostic facilities and services. It is suggested that there might be a gradual intensification and reorientation of the present programme. A proposed plan of operations for an eight-year period is described. PMID:13182590

  3. [Morphology and diagnostics of mechanisms of chest bone fractures and their use in analyzing forensic medicine results].

    PubMed

    Sobol, Julia; Kordel, Krzysztof; Kołowski, Janusz; Kis-Wojciechowska, Margit; Przybylski, Zygmunt

    2007-01-01

    The study presents the analysis of 343 available protocols of autopsy results. In the reviewed material, the authors noted that of 343 autopsies performed in 2005, in 92 cases, rib fractures were present. The study reviews the articles on the morphology and determination of the mechanism of rib fracturing. The authors describe the majority of factors that influence the type of fracture, as well as the current views on the possibility of applying the knowledge of morphology and mechanisms of rib fracturing in opinionating in traffic accidents, injuries inflicted to victims of assault and battery, in interpreting autopsy findings in victims of falls from high altitude or crushing by heavy objects, as well as in differentiating between primary and secondary injuries, and also identifying fractures occurring during resuscitation. Fractures in children are presented separately. The authors also analyze the issue of establishing the sequence of fractures.

  4. Secure HL7 transactions using Internet mail (Internet draft).

    PubMed

    Schadow, Gunther; Tucker, Mark; Rishel, Wes

    2002-01-01

    The document describes the applicability of the Internet standardisation efforts on secure electronic data interchange (EDI) transactions for Health Level-7 (HL7), an EDI standard for Healthcare used world-wide. The document heavily relies on the work in progress by the IETF EDIINT working group. It is in most parts a restatement of the EDIINTs requirements document and application statement 1 (AS#1) tailored to the needs of the HL7 audience. The authors tried to make the document as self consistent as possible. The goal is to give to the reader who is not a security or Internet standards expert enough foundational and detail information to enable him to build communication software that complies to the Internet standards. Even though the authors rely on and promote the respective Internet standards and drafts, they did not withstand from commenting on and criticising the work where they see upcoming problems in use with HL7 or other EDI protocols that have not been in the initial focus of the EDIINT working group. The authors make suggestions to add parameters to the specification of the MIME type for EDI messages in RFC 1767 in order to enhance functionality. The authors give use cases for a larger subset of disposition types and modifiers of message disposition notifications. One key issue where the document goes beyond the current EDIINT drafts is the concept of non-repudiation of commitment to an EDI transaction. Secure EDI transactions should be regarded as "distributed contracts," i.e. not only the sending and receiving of single messages should be non-refutable but also the connection between messages interchanges. In anticipation of this requirement HL7 usually requires a response message to be sent to acknowledge every transaction. The authors therefore have the requirement to securely couple an EDI response message to its request message. Given the current shape of RFC 1767 this is generally possible only if a response message is coupled with an MDN receipt and the combination of both signed by the responder. The document describes a protocol to bundle MDN and response that uses the MIME multi-part/related content type in RFC 2112.

  5. Potential-of-mean-force description of ionic interactions and structural hydration in biomolecular systems

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

    Hummer, G.; Garcia, A.E.; Soumpasis, D.M.

    1994-10-01

    To understand the functioning of living organisms on a molecular level, it is crucial to dissect the intricate interplay of the immense number of biological molecules. Most of the biochemical processes in cells occur in a liquid environment formed mainly by water and ions. This solvent environment plays an important role in biological systems. The potential-of-mean-force (PMF) formalism attempts to describe quantitatively the interactions of the solvent with biological macromolecules on the basis of an approximate statistical-mechanical representation. At its current status of development, it deals with ionic effects on the biomolecular structure and with the structural hydration of biomolecules.more » The underlying idea of the PMF formalism is to identify the dominant sources of interactions and incorporate these interactions into the theoretical formalism using PMF`s (or particle correlation functions) extracted from bulk-liquid systems. In the following, the authors shall briefly outline the statistical-mechanical foundation of the PMF formalism and introduce the PMF expansion formalism, which is intimately linked to superposition approximations for higher-order particle correlation functions. The authors shall then sketch applications, which describe the effects of the ionic environment on nucleic-acid structure. Finally, the authors shall present the more recent extension of the PMF idea to describe quantitatively the structural hydration of biomolecules. Results for the interface of ice and water and for the hydration of deoxyribonucleic acid (DNA) will be discussed.« less

  6. Introducing Value-Based Purchasing into TRICARE Reform

    PubMed Central

    Hosek, Susan D.; Sorbero, Melony E.; Martsolf, Grant; Kandrack, Ryan

    2017-01-01

    Abstract TRICARE, the health benefits program created for beneficiaries of the U.S. Department of Defense, covers health care provided in military treatment facilities and by civilian providers. Congress is now considering how to update TRICARE, which was first developed in the 1980s drawing on managed care concepts from civilian health plans. This article places TRICARE's current managed care strategy in historical context and describes recent innovations by private insurers and Medicare intended to enhance the value---cost and quality---of the care they purchase for their members. With this movement toward value-based purchasing as background, the authors evaluate two existing proposals for reform and describe an alternative approach that blends the existing proposals. PMID:28845347

  7. Image Engine: an object-oriented multimedia database for storing, retrieving and sharing medical images and text.

    PubMed Central

    Lowe, H. J.

    1993-01-01

    This paper describes Image Engine, an object-oriented, microcomputer-based, multimedia database designed to facilitate the storage and retrieval of digitized biomedical still images, video, and text using inexpensive desktop computers. The current prototype runs on Apple Macintosh computers and allows network database access via peer to peer file sharing protocols. Image Engine supports both free text and controlled vocabulary indexing of multimedia objects. The latter is implemented using the TView thesaurus model developed by the author. The current prototype of Image Engine uses the National Library of Medicine's Medical Subject Headings (MeSH) vocabulary (with UMLS Meta-1 extensions) as its indexing thesaurus. PMID:8130596

  8. Cartilage imaging in children: current indications, magnetic resonance imaging techniques, and imaging findings.

    PubMed

    Ho-Fung, Victor M; Jaramillo, Diego

    2013-07-01

    Evaluation of hyaline cartilage in pediatric patients requires in-depth understanding of normal physiologic changes in the developing skeleton. Magnetic resonance (MR) imaging is a powerful tool for morphologic and functional imaging of the cartilage. In this review article, current imaging indications for cartilage evaluation pertinent to the pediatric population are described. In particular, novel surgical techniques for cartilage repair and MR classification of cartilage injuries are summarized. The authors also provide a review of the normal anatomy and a concise description of the advances in quantitative cartilage imaging (ie, T2 mapping, delayed gadolinium-enhanced MR imaging of cartilage, and T1rho). Copyright © 2013 Elsevier Inc. All rights reserved.

  9. Studies on the estimation of the postmortem interval. 3. Rigor mortis (author's transl).

    PubMed

    Suzutani, T; Ishibashi, H; Takatori, T

    1978-11-01

    The authors have devised a method for classifying rigor mortis into 10 types based on its appearance and strength in various parts of a cadaver. By applying the method to the findings of 436 cadavers which were subjected to medico-legal autopsies in our laboratory during the last 10 years, it has been demonstrated that the classifying method is effective for analyzing the phenomenon of onset, persistence and disappearance of rigor mortis statistically. The investigation of the relationship between each type of rigor mortis and the postmortem interval has demonstrated that rigor mortis may be utilized as a basis for estimating the postmortem interval but the values have greater deviation than those described in current textbooks.

  10. Accelerated testing technique for evaluating performance of chemical air filters for DUV photolithographic equipment

    NASA Astrophysics Data System (ADS)

    Kishkovich, Oleg P.; Bolgov, Dennis; Goodwin, William

    1999-06-01

    In this paper, the authors discuss the requirements for chemical air filtration system used in conjunction with modern DUV photolithography equipment. Among the topics addressed are the scope of pollutants, their respective internal and external sources, and an overview of different types of filtration technologies currently in use. Key filtration parameters, including removal efficiency, service life, and spill protection capacity, are discussed and supported by actual data, reflection the total molecular base concentration in operational IC manufacturing facilities. The authors also describe a time-accelerated testing procedure for comparing and evaluating different filtration technologies and designs, and demonstrate how this three-day test procedure can reliably predict an effective filter service life up to ten years.

  11. Model-driven meta-analyses for informing health care: a diabetes meta-analysis as an exemplar.

    PubMed

    Brown, Sharon A; Becker, Betsy Jane; García, Alexandra A; Brown, Adama; Ramírez, Gilbert

    2015-04-01

    A relatively novel type of meta-analysis, a model-driven meta-analysis, involves the quantitative synthesis of descriptive, correlational data and is useful for identifying key predictors of health outcomes and informing clinical guidelines. Few such meta-analyses have been conducted and thus, large bodies of research remain unsynthesized and uninterpreted for application in health care. We describe the unique challenges of conducting a model-driven meta-analysis, focusing primarily on issues related to locating a sample of published and unpublished primary studies, extracting and verifying descriptive and correlational data, and conducting analyses. A current meta-analysis of the research on predictors of key health outcomes in diabetes is used to illustrate our main points. © The Author(s) 2014.

  12. Childhood headache attributed to airplane travel: a case report.

    PubMed

    Rogers, Kirsty; Rafiq, Nadia; Prabhakar, Prab; Ahmed, Mas

    2015-05-01

    Headache attributed to airplane flights is a rare form of headache disorder. This case study describes an 11-year-old girl with recurrent, severe, frontal headaches occurring during airplane travel. The episodes were associated with dizziness and facial pallor but no additional symptoms and showed spontaneous resolution on landing. Blood tests and imaging revealed no abnormalities. The present case fulfils the criteria for airplane headache recently included in the revised edition of the International Classification of Headache Disorders (ICHD-III Beta). Only a few cases of airplane headache have been reported in children. To our knowledge, this is the fourth case. We review the current literature on this rare syndrome and discuss various proposed pathophysiological mechanisms. © The Author(s) 2014.

  13. Health IT-enabled Care for Underserved Rural Populations: The Role of Nursing

    PubMed Central

    Effken, Judith A.; Abbott, Patricia

    2009-01-01

    This white paper explains the strong roles that nursing can play in using information technology (IT) to improve healthcare delivery in rural areas. The authors describe current challenges to providing care in rural areas, and how technology innovations can help rural communities to improve their health and health care. To maximize benefits, rural stakeholders (as individuals and groups) must collaborate to effect change. Because nonphysician providers deliver much of the health care in rural communities, this paper focuses on the critical roles of nurses on IT-enabled caremanagement teams. The authors propose changes in nursing practice, policy, and education to better prepare, encourage, and enable nurses to assume leadership roles in IT-enabled health care management in rural communities. PMID:19261937

  14. Enhancing adult learning in clinical supervision.

    PubMed

    Goldman, Stuart

    2011-01-01

    For decades, across almost every training site, clinical supervision has been considered "central to the development of skills" in psychiatry. The crucial supervisor/supervisee relationship has been described extensively in the literature, most often framed as a clinical apprenticeship of the novice to the master craftsman. This approach fails to directly incorporate adult-learning theory (ALT), despite a clear literature supporting its superiority. In this article, the author describes the basic principles of ALT, reviewing the limitations of current supervisory practice from the ALT perspective. He then describes system insights gleaned from elements of the manufacturing process and integrates them into a model that enhances ALT-informed approaches to clinical supervision that can be utilized in all settings. Although there are clear benefits of ALT and the proposed "pull" manufacturing management-informed approaches to supervision, there are several anticipated areas of likely resistance: the issues of time for the collaborative goal-setting, monitoring progress, and revising the educational plan. Much of this is already a factor in the current, labor-intensive patterns of individual supervision, and, in practice, even the formal monthly review has, in almost all cases, taken appreciably less than half of a supervisory hour. Any possible increases in time or effort would be more than compensated for by the inherent efficiency of resident-specific teaching and learning. Current supervisory practices can be revised to include principles of ALT and "pull" manufacturing systems that can enhance resident education.

  15. Head-mounted eye tracking: a new method to describe infant looking.

    PubMed

    Franchak, John M; Kretch, Kari S; Soska, Kasey C; Adolph, Karen E

    2011-01-01

    Despite hundreds of studies describing infants' visual exploration of experimental stimuli, researchers know little about where infants look during everyday interactions. The current study describes the first method for studying visual behavior during natural interactions in mobile infants. Six 14-month-old infants wore a head-mounted eye-tracker that recorded gaze during free play with mothers. Results revealed that infants' visual exploration is opportunistic and depends on the availability of information and the constraints of infants' own bodies. Looks to mothers' faces were rare following infant-directed utterances but more likely if mothers were sitting at infants' eye level. Gaze toward the destination of infants' hand movements was common during manual actions and crawling, but looks toward obstacles during leg movements were less frequent. © 2011 The Authors. Child Development © 2011 Society for Research in Child Development, Inc.

  16. A proposal for the annotation of recurrent colorectal cancer: the 'Sheffield classification'.

    PubMed

    Majeed, A W; Shorthouse, A J; Blakeborough, A; Bird, N C

    2011-11-01

    Current classification systems of large bowel cancer only refer to metastatic disease as M0, M1 or Mx. Recurrent colorectal cancer primarily occurs in the liver, lungs, nodes or peritoneum. The management of each of these sites of recurrence has made significant advances and each is a subspecialty in its own right. The aim of this paper was to devise a classification system which accurately describes the site and extent of metastatic spread. An amendment of the current system is proposed in which liver, lung and peritoneal metastases are annotated by 'Liv 0,1', 'Pul 0,1' and 'Per 0,1' in describing the primary presentation. These are then subclassified, taking into account the chronology, size, number and geographical distribution of metastatic disease or logoregional recurrence and its K-Ras status. This discussion document proposes a classification system which is logical and simple to use. We plan to validate it prospectively. © 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.

  17. Control algorithms for dynamic attenuators.

    PubMed

    Hsieh, Scott S; Pelc, Norbert J

    2014-06-01

    The authors describe algorithms to control dynamic attenuators in CT and compare their performance using simulated scans. Dynamic attenuators are prepatient beam shaping filters that modulate the distribution of x-ray fluence incident on the patient on a view-by-view basis. These attenuators can reduce dose while improving key image quality metrics such as peak or mean variance. In each view, the attenuator presents several degrees of freedom which may be individually adjusted. The total number of degrees of freedom across all views is very large, making many optimization techniques impractical. The authors develop a theory for optimally controlling these attenuators. Special attention is paid to a theoretically perfect attenuator which controls the fluence for each ray individually, but the authors also investigate and compare three other, practical attenuator designs which have been previously proposed: the piecewise-linear attenuator, the translating attenuator, and the double wedge attenuator. The authors pose and solve the optimization problems of minimizing the mean and peak variance subject to a fixed dose limit. For a perfect attenuator and mean variance minimization, this problem can be solved in simple, closed form. For other attenuator designs, the problem can be decomposed into separate problems for each view to greatly reduce the computational complexity. Peak variance minimization can be approximately solved using iterated, weighted mean variance (WMV) minimization. Also, the authors develop heuristics for the perfect and piecewise-linear attenuators which do not require a priori knowledge of the patient anatomy. The authors compare these control algorithms on different types of dynamic attenuators using simulated raw data from forward projected DICOM files of a thorax and an abdomen. The translating and double wedge attenuators reduce dose by an average of 30% relative to current techniques (bowtie filter with tube current modulation) without increasing peak variance. The 15-element piecewise-linear dynamic attenuator reduces dose by an average of 42%, and the perfect attenuator reduces dose by an average of 50%. Improvements in peak variance are several times larger than improvements in mean variance. Heuristic control eliminates the need for a prescan. For the piecewise-linear attenuator, the cost of heuristic control is an increase in dose of 9%. The proposed iterated WMV minimization produces results that are within a few percent of the true solution. Dynamic attenuators show potential for significant dose reduction. A wide class of dynamic attenuators can be accurately controlled using the described methods.

  18. Why invest in an educational fellowship program?

    PubMed

    Searle, Nancy S; Hatem, Charles J; Perkowski, Linda; Wilkerson, LuAnn

    2006-11-01

    Expanding and refining the repertoire of medical school teaching faculty is required by the many current and changing demands of medical education. To meet this challenge academic medical institutions have begun to establish programs--including educational fellowship programs--to improve the teaching toolboxes of faculty and to empower them to assume leadership roles within both institutional and educational arenas. In this article, the authors (1) provide historical background on educational fellowship programs; (2) describe the prevalence and focus of these programs in North American medical schools, based on data from a recent (2005) survey; and (3) give a brief overview of the nine fellowship programs that are discussed fully in other articles in this issue of Academic Medicine. These articles describe very different types of educational fellowships that, nevertheless, share common features: a cohort of faculty members who are selected to participate in a longitudinal set of faculty development activities to improve participants' teaching skills and to build a cadre of educational leaders for the institution. Evaluation of educational fellowships remains a challenging issue, but the authors contend that one way to evaluate the programs' effectiveness is to look at the educational improvements that have been instigated by program graduates. The authors hope that the various program descriptions will help readers to improve their existing programs and/or to initiate new programs.

  19. The road to pharmacist prescribing in Alberta Health Services.

    PubMed

    Gray, Margaret; Mysak, Tania

    2016-09-15

    The implementation of policy within a health organization to support a new legislative and regulatory framework of pharmacist prescribing in the Canadian province of Alberta is described. The evolution of pharmacists' practice activities to encompass medication management through independent prescribing authority has occurred in many jurisdictions around the world. In 2007, Alberta pharmacists were granted the most progressive scope of practice in all of North America. Pursuant to a series of legislative and regulatory initiatives enacted since 2000, the provincial health authority, Alberta Health Services (AHS), has worked to (1) establish a policy framework that supports pharmacist prescribing, (2) provide opportunities for pharmacist prescribing in both inpatient and ambulatory care practice environments, and (3) provide motivation and resources for AHS pharmacists to acquire "additional prescribing authorization" (APA) that enables them to independently prescribe and manage patients' ongoing drug therapy. Pharmacists with APA currently are permitted to prescribe all medications requiring a prescription, with the exception of opiates and other controlled substances; efforts to expand pharmacist prescribing to include those medications are ongoing. Currently, nearly half of all AHS pharmacists have APA. The health authority plans to make APA a standard expectation for all clinical pharmacists working in collaborative practice settings. Opportunities provided to Alberta pharmacists by legislation have been embraced by the provincial health authority. The AHS leadership remains committed to ensuring that its pharmacists practice to the full extent of their scope of practice and actively encourages and supports them in their efforts to provide optimal patient care. Copyright © 2016 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  20. Mental workload in decision and control

    NASA Technical Reports Server (NTRS)

    Sheridan, T. B.

    1979-01-01

    This paper briefly reviews the problems of defining and measuring the 'mental workload' of aircraft pilots and other human operators of complex dynamic systems. Of the alternative approaches the author indicates a clear preference for the use of subjective scaling. Some recent experiments from MIT and elsewhere are described which utilize subjective mental workload scales in conjunction with human decision and control tasks in the laboratory. Finally a new three-dimensional mental workload rating scale, under current development for use by IFR aircraft pilots, is presented.

  1. Development Directions for Various Types of the Light Wood-Framed Structures

    NASA Astrophysics Data System (ADS)

    Malesza, J.; Baszeń, M.; Miedziałowski, Cz

    2017-11-01

    The paper presents current trends in the development of the wood-framed structures. Authors describe the evolution of the technology of implementation, the production process of precast elements of buildings as well as selected realization on the site of these kinds of structures. The attention has been paid to the effect of implementation phases on construction and erecting technology of the wood-framed structures. The paper draws attention to the importance and enhancement of structural analysis of structures in individual phases of building realization.

  2. A review of the physics and response models for burnout of semiconductor devices

    NASA Astrophysics Data System (ADS)

    Orvis, W. J.; Khanaka, G. H.; Yee, J. H.

    1984-12-01

    Physical mechanisms that cause semiconductor devices to fail from electrical overstress--particularly, EMP-induced electrical stress--are described in light of the current literature and the authors' own research. A major concern is the cause and effects of second breakdown phenomena in p-n junction devices. Models of failure thresholds are evaluated for their inherent errors and for their ability to represent the relevant physics. Finally, the response models that relate electromagnetic stress parameters to appropriate failure-threshold parameters are discussed.

  3. Women and sexually transmitted diseases.

    PubMed

    Leonardo, C; Chrisler, J C

    1992-01-01

    This paper presents a brief review of historical developments in women's health care. It describes the current campaign against sexually transmitted diseases (STDs) and assesses the campaign's success in light of its history and the reality of women's lives. The authors suggest that women are forced into a double-bind in which they are expected to take responsibility for the prevention of STDs although they may not have the ability to do so. Modifications are suggested which take into account gender-role socialization and social group norms.

  4. Intelligent systems of the vehicles’ suspension

    NASA Astrophysics Data System (ADS)

    Yurlin, D.

    2018-02-01

    The article is devoted to the current condition of car’s active suspension system. It presents the tendencies in development of the active systems of suspension system, adjustable elements incorporated in them and the companies succeeded in designing such systems. It also mirrors the problem of impact of active systems on car’s safety and their importance for the driver. Advantages and disadvantages of the most common types of active elements are being described, analyzed and compared. The author concludes about the perspectives of these systems’ development.

  5. A new experimental proposal for {sup 235}U PFNS to answer a fifty years old question

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

    Kornilov, N.; Massey, T.; Grimes, S.

    2011-07-01

    The Prompt Fission Neutron Spectrum (PFNS) from {sup 235}U(n,f) is very important for various nuclear applications. It has been investigated in different experiments. In spite of {approx}50 years of experimental efforts, a continuing conflict exists at thermal neutron energy. Microscopic experimental PFNS cannot describe macroscopic data. In this report we discuss the current status of this problem and suggest a new experiment, which could possibly resolve this problem. (authors)

  6. Broadsheet number 57: problems in fine needle biopsy of the thyroid.

    PubMed

    Orell, S R; Philips, J

    2000-08-01

    The role of fine needle biopsy and cytological diagnosis in the preoperative evaluation of thyroid nodules is reviewed on the basis of the current literature as well as the authors' personal experience. Technical aspects and guidelines for reporting thyroid samples are discussed in some detail. The main emphasis is on diagnostic pitfalls, those which may lead to a false-negative diagnosis, to a false-positive diagnosis or to an erroneous typing of the lesion, and their cytological patterns are described.

  7. Food and Addiction among the Ageing Population

    PubMed Central

    Murray, Susan; Kroll, Cindy; Avena, Nicole M.

    2014-01-01

    Obesity among the elderly is a growing public health concern. Among the various factors that may contribute to the current rates of obesity is the rewarding aspect of highly palatable foods and beverages, which may lead to overconsumption and excess caloric intake. The present review describes recent research supporting the hypothesis that, for some individuals, the consumption these highly palatable foods and beverages may lead to the development of addictive-like behaviors. In particular, the authors consider the relevance of this hypothesis to the ageing population. PMID:25449527

  8. Spatial operator approach to flexible multibody system dynamics and control

    NASA Technical Reports Server (NTRS)

    Rodriguez, G.

    1991-01-01

    The inverse and forward dynamics problems for flexible multibody systems were solved using the techniques of spatially recursive Kalman filtering and smoothing. These algorithms are easily developed using a set of identities associated with mass matrix factorization and inversion. These identities are easily derived using the spatial operator algebra developed by the author. Current work is aimed at computational experiments with the described algorithms and at modelling for control design of limber manipulator systems. It is also aimed at handling and manipulation of flexible objects.

  9. A first step beyond traditional boundaries: destination therapy with the SynCardia total artificial heart.

    PubMed

    Spiliopoulos, Sotirios; Koerfer, Reiner; Tenderich, Gero

    2014-06-01

    The SynCardia total artificial heart is currently used as a bridge to transplantation therapy in cases of irreversible, acute or chronic, biventricular heart failure. We describe the implementation of this technology in the context of destination therapy in a patient with an end-stage heart failure on grounds of primary amyloidosis. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  10. Acoustic Modeling of Lightweight Structures: A Literature Review

    NASA Astrophysics Data System (ADS)

    Yang, Shasha; Shen, Cheng

    2017-10-01

    This paper gives an overview of acoustic modeling for three kinds of typical lightweight structures including double-leaf plate system, stiffened single (or double) plate and porous material. Classical models are citied to provide frame work of theoretical modeling for acoustic property of lightweight structures; important research advances derived by our research group and other authors are introduced to describe the current state of art for acoustic research. Finally, remaining problems and future research directions are concluded and prospected briefly

  11. State of the art in pathology business process analysis, modeling, design and optimization.

    PubMed

    Schrader, Thomas; Blobel, Bernd; García-Rojo, Marcial; Daniel, Christel; Słodkowska, Janina

    2012-01-01

    For analyzing current workflows and processes, for improving them, for quality management and quality assurance, for integrating hardware and software components, but also for education, training and communication between different domains' experts, modeling business process in a pathology department is inevitable. The authors highlight three main processes in pathology: general diagnostic, cytology diagnostic, and autopsy. In this chapter, those processes are formally modeled and described in detail. Finally, specialized processes such as immunohistochemistry and frozen section have been considered.

  12. Orthopaedic service lines-revisited.

    PubMed

    Patterson, Cheryl

    2008-01-01

    This article revisits the application of orthopaedic service lines from early introduction and growth of this organizational approach in the 1980s, through the 1990s, and into the current decade. The author has experienced and worked in various service-line structures through these three decades, as well as the preservice-line era of 1970s orthopaedics. Past lessons learned during earlier phases and then current trends and analysis by industry experts are summarized briefly, with indication given of the future for service lines. Variation versus consistency of certain elements in service-line definitions and in operational models is discussed. Main components of service-line structures and typical processes are described briefly, along with a more detailed section on the service-line director/manager role. Current knowledge contained here will help guide the reader to more "out-of-the-box" thinking toward comprehensive orthopaedic centers of excellence.

  13. Interventional Therapies for Chronic Low Back Pain: A Focused Review (Efficacy and Outcomes)

    PubMed Central

    Patel, Vikram B.; Wasserman, Ronald; Imani, Farnad

    2015-01-01

    Context: Lower back pain is considered to be one of the most common complaints that brings a patient to a pain specialist. Several modalities in interventional pain management are known to be helpful to a patient with chronic low back pain. Proper diagnosis is required for appropriate intervention to provide optimal benefits. From simple trigger point injections for muscular pain to a highly complex intervention such as a spinal cord stimulator are very effective if chosen properly. The aim of this article is to provide the reader with a comprehensive reading for treatment of lower back pain using interventional modalities. Evidence Acquisition: Extensive search for published literature was carried out online using PubMed, Cochrane database and Embase for the material used in this manuscript. This article describes the most common modalities available to an interventional pain physician along with the most relevant current and past references for the treatment of lower back pain. All the graphics and images were prepared by and belong to the author. Results: This review article describes the most common modalities available to an interventional pain physician along with the most relevant current and past references for the treatment of lower back pain. All the graphics and images belong to the author. Although it is beyond the scope of this review article to include a very detailed description of each procedure along with complete references, a sincere attempt has been made to comprehensively cover this very complex and perplexing topic. Conclusion: Lower back pain is a major healthcare issue and this review article will help educate the pain practitioners about the current evidence based treatment options. PMID:26484298

  14. An Immersed Boundary Method for Solving the Compressible Navier-Stokes Equations with Fluid Structure Interaction

    NASA Technical Reports Server (NTRS)

    Brehm, Christoph; Barad, Michael F.; Kiris, Cetin C.

    2016-01-01

    An immersed boundary method for the compressible Navier-Stokes equation and the additional infrastructure that is needed to solve moving boundary problems and fully coupled fluid-structure interaction is described. All the methods described in this paper were implemented in NASA's LAVA solver framework. The underlying immersed boundary method is based on the locally stabilized immersed boundary method that was previously introduced by the authors. In the present paper this method is extended to account for all aspects that are involved for fluid structure interaction simulations, such as fast geometry queries and stencil computations, the treatment of freshly cleared cells, and the coupling of the computational fluid dynamics solver with a linear structural finite element method. The current approach is validated for moving boundary problems with prescribed body motion and fully coupled fluid structure interaction problems in 2D and 3D. As part of the validation procedure, results from the second AIAA aeroelastic prediction workshop are also presented. The current paper is regarded as a proof of concept study, while more advanced methods for fluid structure interaction are currently being investigated, such as geometric and material nonlinearities, and advanced coupling approaches.

  15. Current drug therapy of patients with BPH-LUTS with the special emphasis on PDE5 inhibitors

    PubMed Central

    Govorov, Alexander; Kasyan, George; Priymak, Diana; Pushkar, Dmitry

    2016-01-01

    Introduction Benign prostatic hyperplasia (BPH) is the most common cause of lower urinary tract symptom (LUTS) development in men [1]. The intensity of the symptoms may vary from mild to severe, significantly affecting the quality of life. Erectile dysfunction (ED) is one of the most challenging issues in modern urology that significantly influences the quality of life in men worldwide. The objective of this literature review was to analyze the current drug therapies of patients with BPH-LUTS, with the special emphasis on PDE5 inhibitors. Material and methods The authors searched the literature for the period from 2000 until 2015 in MEDLINE and PubMed. Results Twenty-three articles were selected based on their reliability. A detailed analysis of the selected papers was performed. Primary attention was given to articles describing the use of PDE5. Works describing the use of different groups of drugs in patients with BPH-LUTS were also selected. Conclusions The current literature analysis suggests that the introduction of PDE5 inhibitors in clinical practice for the treatment of patients with BPH-LUTS will allow for significant expansion of the therapeutic options for the treatment of this disease. PMID:28127458

  16. What hath freud wrought? Current confusion and controversies about the clinical practice of psychoanalysis and psychodynamic psychotherapy.

    PubMed

    Chessick, Richard D

    2014-12-01

    This article discusses the current state of psychoanalysis and the challenges to the fundamental premises of Freud's psychoanalysis by those who have shifted to relationship or so-called two-person psychologies in our field. The author begins by briefly describing a parallel to the recent history of psychoanalysis in the sudden rise and fall of scholastic philosophy in the 14th century. He then focuses on contemporary attacks on Freud's psychoanalysis as a science, based on the contention by two-person psychologists that free association by the patient and evenly hovering attention by the analyst are actually impossible. He reviews Freud's idea of psychoanalysis, discusses psychodynamic psychotherapy, both conceived as scientific treatment procedures, and describes the current assault on their metapsychological and epistemological foundations. Returning to the parallel between what happened to medieval scholasticism and what has happened to psychoanalysis, he examines why this happened, and the resulting fragmentation of psychoanalytic practice. The article concludes with suggestions for the integration of various schools of psychoanalysis, reminding us of Benjamin Franklin's warning: "We must, indeed, all hang together or, most assuredly, we shall all hang separately."

  17. Current drug therapy of patients with BPH-LUTS with the special emphasis on PDE5 inhibitors.

    PubMed

    Kolontarev, Konstantin; Govorov, Alexander; Kasyan, George; Priymak, Diana; Pushkar, Dmitry

    2016-01-01

    Benign prostatic hyperplasia (BPH) is the most common cause of lower urinary tract symptom (LUTS) development in men [1]. The intensity of the symptoms may vary from mild to severe, significantly affecting the quality of life. Erectile dysfunction (ED) is one of the most challenging issues in modern urology that significantly influences the quality of life in men worldwide. The objective of this literature review was to analyze the current drug therapies of patients with BPH-LUTS, with the special emphasis on PDE5 inhibitors. The authors searched the literature for the period from 2000 until 2015 in MEDLINE and PubMed. Twenty-three articles were selected based on their reliability. A detailed analysis of the selected papers was performed. Primary attention was given to articles describing the use of PDE5. Works describing the use of different groups of drugs in patients with BPH-LUTS were also selected. The current literature analysis suggests that the introduction of PDE5 inhibitors in clinical practice for the treatment of patients with BPH-LUTS will allow for significant expansion of the therapeutic options for the treatment of this disease.

  18. 3D bioprinting and the current applications in tissue engineering.

    PubMed

    Huang, Ying; Zhang, Xiao-Fei; Gao, Guifang; Yonezawa, Tomo; Cui, Xiaofeng

    2017-08-01

    Bioprinting as an enabling technology for tissue engineering possesses the promises to fabricate highly mimicked tissue or organs with digital control. As one of the biofabrication approaches, bioprinting has the advantages of high throughput and precise control of both scaffold and cells. Therefore, this technology is not only ideal for translational medicine but also for basic research applications. Bioprinting has already been widely applied to construct functional tissues such as vasculature, muscle, cartilage, and bone. In this review, the authors introduce the most popular techniques currently applied in bioprinting, as well as the various bioprinting processes. In addition, the composition of bioink including scaffolds and cells are described. Furthermore, the most current applications in organ and tissue bioprinting are introduced. The authors also discuss the challenges we are currently facing and the great potential of bioprinting. This technology has the capacity not only in complex tissue structure fabrication based on the converted medical images, but also as an efficient tool for drug discovery and preclinical testing. One of the most promising future advances of bioprinting is to develop a standard medical device with the capacity of treating patients directly on the repairing site, which requires the development of automation and robotic technology, as well as our further understanding of biomaterials and stem cell biology to integrate various printing mechanisms for multi-phasic tissue engineering. Copyright © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  19. Phase II drugs that are currently in development for the treatment of cachexia.

    PubMed

    Dingemans, Anne-Marie C; de Vos-Geelen, Judith; Langen, Ramon; Schols, Annemie M W

    2014-12-01

    Cachexia is a syndrome presenting with progressive unintentional weight loss and wasting and weakness of skeletal muscle. Cachexia is prevalent in cancer and in chronic diseases including chronic obstructive pulmonary disease (COPD). The authors searched trial registers for current Phase II clinical trials on cachexia. Twelve studies were found with 11 compounds, including the anti-inflammatory drugs thalidomide, OHR/AVR118, celecoxib, VT-122, omega-3 supplements, and anabolic agents such as ghrelin analogues, MT-102, BYM338 and ruxolotinib. The authors note that one of the studies related to COPD while the others were related to different cancers. Herein, the authors describe the mechanisms of action and their Phase II study design. The compounds under study affect several pathways involved in cachexia by modulating inflammatory activity, anabolic potential, digestion and direct interaction with the muscle. Due to the multifactorial aspects of cachexia syndrome, combinations of these new drugs with nutritional intervention is probably the most promising approach. Furthermore, future studies should include interventions in pre-cachetic patients, as this stage might be more responsive to treatment. Future studies will benefit from well-defined end points and improved measures of cachexia, providing new insight into the disease. This insight, in combination with the elucidation of cachexia's underlying mechanism, will yield new treatment strategies in the near future.

  20. Global food and fibre security threatened by current inefficiencies in fungal identification.

    PubMed

    Crous, Pedro W; Groenewald, Johannes Z; Slippers, Bernard; Wingfield, Michael J

    2016-12-05

    Fungal pathogens severely impact global food and fibre crop security. Fungal species that cause plant diseases have mostly been recognized based on their morphology. In general, morphological descriptions remain disconnected from crucially important knowledge such as mating types, host specificity, life cycle stages and population structures. The majority of current fungal species descriptions lack even the most basic genetic data that could address at least some of these issues. Such information is essential for accurate fungal identifications, to link critical metadata and to understand the real and potential impact of fungal pathogens on production and natural ecosystems. Because international trade in plant products and introduction of pathogens to new areas is likely to continue, the manner in which fungal pathogens are identified should urgently be reconsidered. The technologies that would provide appropriate information for biosecurity and quarantine already exist, yet the scientific community and the regulatory authorities are slow to embrace them. International agreements are urgently needed to enforce new guidelines for describing plant pathogenic fungi (including key DNA information), to ensure availability of relevant data and to modernize the phytosanitary systems that must deal with the risks relating to trade-associated plant pathogens.This article is part of the themed issue 'Tackling emerging fungal threats to animal health, food security and ecosystem resilience'. © 2016 The Author(s).

  1. Nonclinical safety biomarkers of drug-induced vascular injury: current status and blueprint for the future.

    PubMed

    Mikaelian, Igor; Cameron, Mark; Dalmas, Deidre A; Enerson, Bradley E; Gonzalez, Raymond J; Guionaud, Silvia; Hoffmann, Peter K; King, Nicholas M P; Lawton, Michael P; Scicchitano, Marshall S; Smith, Holly W; Thomas, Roberta A; Weaver, James L; Zabka, Tanja S

    2014-06-01

    Better biomarkers are needed to identify, characterize, and/or monitor drug-induced vascular injury (DIVI) in nonclinical species and patients. The Predictive Safety Testing Consortium (PSTC), a precompetitive collaboration of pharmaceutical companies and the U.S. Food and Drug Administration (FDA), formed the Vascular Injury Working Group (VIWG) to develop and qualify translatable biomarkers of DIVI. The VIWG focused its research on acute DIVI because early detection for clinical and nonclinical safety monitoring is desirable. The VIWG developed a strategy based on the premise that biomarkers of DIVI in rat would be translatable to humans due to the morphologic similarity of vascular injury between species regardless of mechanism. The histomorphologic lexicon for DIVI in rat defines degenerative and adaptive findings of the vascular endothelium and smooth muscles, and characterizes inflammatory components. We describe the mechanisms of these changes and their associations with candidate biomarkers for which advanced analytical method validation was completed. Further development is recommended for circulating microRNAs, endothelial microparticles, and imaging techniques. Recommendations for sample collection and processing, analytical methods, and confirmation of target localization using immunohistochemistry and in situ hybridization are described. The methods described are anticipated to aid in the identification and qualification of translational biomarkers for DIVI. © 2014 by The Author(s).

  2. Transparent ICD and DRG coding using information technology: linking and associating information sources with the eXtensible Markup Language.

    PubMed

    Hoelzer, Simon; Schweiger, Ralf K; Dudeck, Joachim

    2003-01-01

    With the introduction of ICD-10 as the standard for diagnostics, it becomes necessary to develop an electronic representation of its complete content, inherent semantics, and coding rules. The authors' design relates to the current efforts by the CEN/TC 251 to establish a European standard for hierarchical classification systems in health care. The authors have developed an electronic representation of ICD-10 with the eXtensible Markup Language (XML) that facilitates integration into current information systems and coding software, taking different languages and versions into account. In this context, XML provides a complete processing framework of related technologies and standard tools that helps develop interoperable applications. XML provides semantic markup. It allows domain-specific definition of tags and hierarchical document structure. The idea of linking and thus combining information from different sources is a valuable feature of XML. In addition, XML topic maps are used to describe relationships between different sources, or "semantically associated" parts of these sources. The issue of achieving a standardized medical vocabulary becomes more and more important with the stepwise implementation of diagnostically related groups, for example. The aim of the authors' work is to provide a transparent and open infrastructure that can be used to support clinical coding and to develop further software applications. The authors are assuming that a comprehensive representation of the content, structure, inherent semantics, and layout of medical classification systems can be achieved through a document-oriented approach.

  3. Transparent ICD and DRG Coding Using Information Technology: Linking and Associating Information Sources with the eXtensible Markup Language

    PubMed Central

    Hoelzer, Simon; Schweiger, Ralf K.; Dudeck, Joachim

    2003-01-01

    With the introduction of ICD-10 as the standard for diagnostics, it becomes necessary to develop an electronic representation of its complete content, inherent semantics, and coding rules. The authors' design relates to the current efforts by the CEN/TC 251 to establish a European standard for hierarchical classification systems in health care. The authors have developed an electronic representation of ICD-10 with the eXtensible Markup Language (XML) that facilitates integration into current information systems and coding software, taking different languages and versions into account. In this context, XML provides a complete processing framework of related technologies and standard tools that helps develop interoperable applications. XML provides semantic markup. It allows domain-specific definition of tags and hierarchical document structure. The idea of linking and thus combining information from different sources is a valuable feature of XML. In addition, XML topic maps are used to describe relationships between different sources, or “semantically associated” parts of these sources. The issue of achieving a standardized medical vocabulary becomes more and more important with the stepwise implementation of diagnostically related groups, for example. The aim of the authors' work is to provide a transparent and open infrastructure that can be used to support clinical coding and to develop further software applications. The authors are assuming that a comprehensive representation of the content, structure, inherent semantics, and layout of medical classification systems can be achieved through a document-oriented approach. PMID:12807813

  4. Smoothbore hunting ammunition - a historical overview.

    PubMed

    Bochyński, Piotr J; Karpiewska, Anna; Kuliczkowski, Maciej; Dobosz, Tadeusz

    2017-01-01

    This article deals with traditional hunting amunitions in paper cases, intended for smooth-bore shotgun. The paper describes the development of gunshot cartridges in historical terms, with particular emphasis on the origins and development of systems, initiating the combustion of subsequent generations of propelling cargo. The work gives an author's look into the uprising process of an integrating gunshot cartridge. The article contains a number of information about historical cartridges, currently not to be found, their dimensions, markings and ignition systems. The described cartridges are often examples of rare and long-lasting constructional solutions, that have been made to create a modern cartridge in weight scale calibers. The presented work includes a number of numerical data as well as ballistic, obsolete and archaic today's cartridges, with dimensions and ballistic properties. Some of the theses and data in this paper contained, according to the author's knowledge, are for the first time presented in the literature, and others can be found, but it is very tedious because of their dispersion in the literature or the availability of hard to find and unstable internet sources.

  5. Fungal Biodiversity and Their Role in Soil Health

    PubMed Central

    Frąc, Magdalena; Hannula, Silja E.; Bełka, Marta; Jędryczka, Małgorzata

    2018-01-01

    Soil health, and the closely related terms of soil quality and fertility, is considered as one of the most important characteristics of soil ecosystems. The integrated approach to soil health assumes that soil is a living system and soil health results from the interaction between different processes and properties, with a strong effect on the activity of soil microbiota. All soils can be described using physical, chemical, and biological properties, but adaptation to environmental changes, driven by the processes of natural selection, are unique to the latter one. This mini review focuses on fungal biodiversity and its role in the health of managed soils as well as on the current methods used in soil mycobiome identification and utilization next generation sequencing (NGS) approaches. The authors separately focus on agriculture and horticulture as well as grassland and forest ecosystems. Moreover, this mini review describes the effect of land-use on the biodiversity and succession of fungi. In conclusion, the authors recommend a shift from cataloging fungal species in different soil ecosystems toward a more global analysis based on functions and interactions between organisms. PMID:29755421

  6. Fungal Biodiversity and Their Role in Soil Health.

    PubMed

    Frąc, Magdalena; Hannula, Silja E; Bełka, Marta; Jędryczka, Małgorzata

    2018-01-01

    Soil health, and the closely related terms of soil quality and fertility, is considered as one of the most important characteristics of soil ecosystems. The integrated approach to soil health assumes that soil is a living system and soil health results from the interaction between different processes and properties, with a strong effect on the activity of soil microbiota. All soils can be described using physical, chemical, and biological properties, but adaptation to environmental changes, driven by the processes of natural selection, are unique to the latter one. This mini review focuses on fungal biodiversity and its role in the health of managed soils as well as on the current methods used in soil mycobiome identification and utilization next generation sequencing (NGS) approaches. The authors separately focus on agriculture and horticulture as well as grassland and forest ecosystems. Moreover, this mini review describes the effect of land-use on the biodiversity and succession of fungi. In conclusion, the authors recommend a shift from cataloging fungal species in different soil ecosystems toward a more global analysis based on functions and interactions between organisms.

  7. Alendronate-associated osteonecrosis of the jaws: A review of the main topics

    PubMed Central

    Paiva-Fonseca, Felipe; Santos-Silva, Alan R.; Della-Coletta, Ricardo; Vargas, Pablo A.

    2014-01-01

    Bisphosphonates is a group of inorganic pyrophosphates analogues that suppress bone resorption by inducing osteoclast inactivation, being frequently used for management of diseases affecting bone metabolism, bone metastases and bone tumors. However, since 2003 many cases describing the presence of necrotic bone exposures in the jaws have been described in patients receiving these drugs, what represent a significant complication of bisphosphonates treatment. The overall incidence of bisphosphonate-related osteonecrosis of the jaws is low, ranging from 0.7% to 12%, mainly observed in those patients receiving intravenously treatment. Osteonecrosis of the jaws associated to oral bisphosphonate, particularly alendronate, has also been reported by a number of authors. Considering that alendronate is one of the most used drugs worldwide, specially for treatment of osteoporosis, a better understanding of osteonecrosis of the jaws related to its use and how to manage these patients is extremely important. Therefore, in the current manuscript the authors aim to review the most important topics related to this pathological presentation. Key words:Bisphosphonates, alendronate, bisphosphonate-related osteonecrosis of the jaws, osteonecrosis. PMID:23986020

  8. New method to monitor RF safety in MRI-guided interventions based on RF induced image artefacts.

    PubMed

    van den Bosch, Michiel R; Moerland, Marinus A; Lagendijk, Jan J W; Bartels, Lambertus W; van den Berg, Cornelis A T

    2010-02-01

    Serious tissue heating may occur at the tips of elongated metallic structures used in MRI-guided interventions, such as vascular guidewires, catheters, biopsy needles, and brachytherapy needles. This heating is due to resonating electromagnetic radiofrequency (RF) waves along the structure. Since it is hard to predict the exact length at which resonance occurs under in vivo conditions, there is a need for methods to monitor this resonance behavior. In this study, the authors propose a method based on the RF induced image artefacts and demonstrate its applicability in two phantom experiments. The authors developed an analytical model that describes the RF induced image artefacts as a function of the induced current in an elongated metallic structure placed parallel to the static magnetic field. It describes the total RF field as a sum of the RF fields produced by the transmit coil of the MR scanner and by the elongated metallic structure. Several spoiled gradient echo images with different nominal flip angle settings were acquired to map the B1+ field, which is a quantitative measure for the RF distortion around the structure. From this map, the current was extracted by fitting the analytical model. To investigate the sensitivity of our method we performed two phantom experiments with different setup parameters: One that mimics a brachytherapy needle insertion and one that resembles a guidewire intervention. In the first experiment, a short needle was placed centrally in the MR bore to ensure that the induced currents would be small. In the second experiment, a longer wire was placed in an off-center position to mimic a worst case scenario for the patient. In both experiments, a Luxtron (Santa Clara, CA) fiberoptic temperature sensor was positioned at the structure tip to record the temperature. In the first experiment, no significant temperature increases were measured, while the RF image artefacts and the induced currents in the needle increased with the applied insertion depth. The maximum induced current in the needle was 44 mA. Furthermore, a standing wave pattern became clearly visible for larger insertion depths. In the second experiment, significant temperature increases up to 2.4 degrees C in 1 min were recorded during the image acquisitions. The maximum current value was 1.4 A. In both experiments, a proper estimation of the current in the metallic structure could be made using our analytical model. The authors have developed a method to quantitatively determine the induced current in an elongated metallic structure from its RF distortion. This creates a powerful and sensitive method to investigate the resonant behavior of RF waves along elongated metallic structures used for MRI-guided interventions, for example, to monitor the RF safety or to inspect the influence of coating on the resonance length. Principally, it can be applied under in vivo conditions and for noncylindrical metallic structures such as hip implants by taking their geometry into account.

  9. The Good, the Bad, and the Ugly: A Theoretical Framework for the Assessment of Continuous Colormaps.

    PubMed

    Bujack, Roxana; Turton, Terece L; Samsel, Francesca; Ware, Colin; Rogers, David H; Ahrens, James

    2018-01-01

    A myriad of design rules for what constitutes a "good" colormap can be found in the literature. Some common rules include order, uniformity, and high discriminative power. However, the meaning of many of these terms is often ambiguous or open to interpretation. At times, different authors may use the same term to describe different concepts or the same rule is described by varying nomenclature. These ambiguities stand in the way of collaborative work, the design of experiments to assess the characteristics of colormaps, and automated colormap generation. In this paper, we review current and historical guidelines for colormap design. We propose a specified taxonomy and provide unambiguous mathematical definitions for the most common design rules.

  10. The International Space University

    NASA Technical Reports Server (NTRS)

    Davidian, Kenneth J.

    1990-01-01

    The International Space University (ISU) was founded on the premise that any major space program in the future would require international cooperation as a necessary first step toward its successful completion. ISU is devoted to being a leading center for educating future authorities in the world space industry. ISU's background, goals, current form, and future plans are described. The results and benefits of the type of education and experience gained from ISU include technical reports describing the design projects undertaken by the students, an exposure to the many different disciplines which are a part of a large space project, an awareness of the existing activities from around the world in the space community, and an international professional network which spans all aspects of space activities and covers the globe.

  11. Results and applications of a space suit range-of-motion study

    NASA Technical Reports Server (NTRS)

    Reinhardt, AL

    1989-01-01

    The range of motion of space suits has traditionally been described using limited 2-D mapping of limb, torso, or arm movements performed in front of an orthogonal grid. A new technique for recovering extra-vehicular (EVA) space suit range-of-motion data during underwater testing was described in a paper presented by the author at the 1988 conference. The new technique uses digitized data which is automatically acquired from video images of the subject. Three-dimensional trajectories are recovered from these data, and can be displayed using 2-D computer graphics. Results of using this technique for the current shuttle EVA suit during underwater simulated weightlessness testing are discussed. Application of the data for use in animating anthropometric computer models is highlighted.

  12. Apollo LM guidance computer software for the final lunar descent.

    NASA Technical Reports Server (NTRS)

    Eyles, D.

    1973-01-01

    In all manned lunar landings to date, the lunar module Commander has taken partial manual control of the spacecraft during the final stage of the descent, below roughly 500 ft altitude. This report describes programs developed at the Charles Stark Draper Laboratory, MIT, for use in the LM's guidance computer during the final descent. At this time computational demands on the on-board computer are at a maximum, and particularly close interaction with the crew is necessary. The emphasis is on the design of the computer software rather than on justification of the particular guidance algorithms employed. After the computer and the mission have been introduced, the current configuration of the final landing programs and an advanced version developed experimentally by the author are described.

  13. Personality disorders as maladaptive, extreme variants of normal personality: borderline personality disorder and neuroticism in a substance using sample.

    PubMed

    Samuel, Douglas B; Carroll, Kathleen M; Rounsaville, Bruce J; Ball, Samuel A

    2013-10-01

    Although the current diagnostic manual conceptualizes personality disorders (PDs) as categorical entities, an alternative perspective is that PDs represent maladaptive extreme versions of the same traits that describe normal personality. Existing evidence indicates that normal personality traits, such as those assessed by the five-factor model (FFM), share a common structure and obtain reasonably predictable correlations with the PDs. However, very little research has investigated whether PDs are more extreme than normal personality traits. Utilizing item-response theory analyses, the authors of the current study extend previous research to demonstrate that the diagnostic criterion for borderline personality disorder and FFM neuroticism could be fit along a single latent dimension. Furthermore, the authors' findings indicate that the borderline criteria assessed the shared latent trait at a level that was more extreme (d = 1.11) than FFM neuroticism. This finding provides further evidence for dimensional understanding of personality pathology and suggests that a trait model in DSM-5 should span normal and abnormal personality functioning, but focus on the extremes of these common traits.

  14. Can Mary Shelley's Frankenstein be read as an early research ethics text?

    PubMed

    Davies, H

    2004-06-01

    The current popular view of the novel Frankenstein is that it describes the horrors consequent upon scientific experimentation; the pursuit of science leading inevitably to tragedy. In reality the importance of the book is far from this. Although the evil and tragedy resulting from one medical experiment are its theme, a critical and fair reading finds a more balanced view that includes science's potential to improve the human condition and reasons why such an experiment went awry. The author argues that Frankenstein is an early and balanced text on the ethics of research upon human subjects and that it provides insights that are as valid today as when the novel was written. As a narrative it provides a gripping story that merits careful analysis by those involved in medical research and its ethical review, and it is more enjoyable than many current textbooks! To support this thesis, the author will place the book in historical, scientific context, analyse it for lessons relevant to those involved in research ethics today, and then draw conclusions.

  15. An introduction to the Micrel Micropump MP Daily portable syringe driver.

    PubMed

    Groves, Karen E

    2003-11-01

    In this article the author describes the Micrel Micropump MP Daily (MP Daily) portable syringe driver. This follows the author's experience of a 4-month pilot of the device by an inpatient palliative care unit. Portable syringe drivers are commonly used to deliver continuous subcutaneous infusions in palliative care situations. Those in current use are not without problems and serious adverse events have occasionally been reported, mainly resulting from confusion between models. The MP Daily syringe driver addresses some of these issues while remaining small, lightweight and inexpensive, with a long battery life and fitting into the pocket of a shirt of pyjama jacket. Improvements over current models include an on/off button, the absence of facilities to set a zero rate or change the rate once the syringe driver is running, and the absence of a boost button. In addition, there are improved alarms, a message display system and a configuration menu. Although confusion remains a problem, and the ideal has not yet been reached, the MP Daily goes some considerable way towards reducing risks and opportunities for human error.

  16. The increasing globalization of health librarianship: a brief survey of international trends and activities.

    PubMed

    Madge, Bruce; Plutchak, T Scott

    2005-09-01

    Throughout his career, Leslie Morton was interested in international developments in health librarianship. In memory of the work he did in this field, the authors examine current developments in international health librarianship and describe some current themes. The authors draw from their combined experience in international activities and the published information available from selected library associations and related organizations. Although many of the major health library associations around the world are tackling agendas specific to their own country, issues of international concern are emerging in common. These are grouped around globalization, partnerships and co-operation, electronic access, especially open access, and working with the developing world in a number of different ways. Of course, the basis of all of these initiatives is to improve the health of the population by providing the best possible access to materials. Professional associations can provide a useful institutional infrastructure for addressing issues of international interest. Librarians should encourage their associations to develop these international initiatives and to seek out new and innovative ways to work together across international boundaries.

  17. Catalog of type specimens of recent Crocodilia and Testudines in the National Museum of Natural History, Smithsonian Institution

    USGS Publications Warehouse

    Reynolds, R.P.; Gotte, S.W.; Ernst, C.H.

    2007-01-01

    The known type specimens of Crocodilia and Testudines in the collection of the Division of Amphibians and Reptiles, National Museum of Natural History, Smithsonian Institution, published through 2006 represent 93 names of taxa. The catalog presents a list of 249 type-specimen records consisting of 39 holotypes, 52 syntypes, 3 lectotypes, 2 neotypes, 132 paratypes, and 21 paralectotypes. The list is arranged alphabetically by family within Crocodilia and Testudines, and alphabetically by genus and species, as described originally within family. Each entry provides both original and current genus and species names, author(s), date of publication, abbreviated type citation, page of original description, and accompanying fi gures and plates (if any), current type status, USNM catalog number, number of specimens, specimen measurement(s), locality, collector, and date collected. Also included for each taxon is the published type locality, type material at other institutions, an etymology, and remarks on corrections or additional data for original type records, changes in type status, and information pertaining to lost, exchanged, or destroyed specimens. An index of scientific names follows the catalog.

  18. Developing a novel Poverty in Healthcare curriculum for medical students at the University of Michigan Medical School.

    PubMed

    Doran, Kelly M; Kirley, Katherine; Barnosky, Andrew R; Williams, Joy C; Cheng, Jason E

    2008-01-01

    Nearly 90 million Americans live below 200% of the federal poverty threshold. The links between lower socioeconomic status and poor health are clear, and all physicians face the resulting challenges in patient care. Current medical school curricula do not adequately prepare students to address this issue despite recommendations from the Association of American Medical Colleges and the Institute of Medicine. In response, students and faculty at the University of Michigan Medical Center established the Poverty in Healthcare curriculum, which encompasses required learning experiences spanning all four years of undergraduate medical education. This article describes the design and implementation of this curriculum. The authors provide thorough descriptions of the individual learning experiences, including community site visits, longitudinal cases, mini-electives, and family centered experiences. The authors also discuss the history, costs, challenges, and evaluation process related to the Poverty in Healthcare curriculum, including issues specifically related to medical students' involvement in developing and implementing the curriculum. This information may be used as a guide for other medical schools in the development of curricula to address this current gap in medical student education.

  19. Personalized Nanomedicine: A Revolution at the Nanoscale.

    PubMed

    Fornaguera, Cristina; García-Celma, Maria José

    2017-10-12

    Nanomedicine is an interdisciplinary research field that results from the application of nanotechnology to medicine and has the potential to significantly improve some current treatments. Specifically, in the field of personalized medicine, it is expected to have a great impact in the near future due to its multiple advantages, namely its versatility to adapt a drug to a cohort of patients. In the present review, the properties and requirements of pharmaceutical dosage forms at the nanoscale, so-called nanomedicines, are been highlighted. An overview of the main current nanomedicines in pre-clinical and clinical development is presented, detailing the challenges to the personalization of these therapies. Next, the process of development of novel nanomedicines is described, from their design in research labs to their arrival on the market, including considerations for the design of nanomedicines adapted to the requirements of the market to achieve safe, effective, and quality products. Finally, attention is given to the point of view of the pharmaceutical industry, including regulation issues applied to the specific case of personalized medicine. The authors expect this review to be a useful overview of the current state of the art of nanomedicine research and industrial production, and the future opportunities of personalized medicine in the upcoming years. The authors encourage the development and marketing of novel personalized nanomedicines.

  20. Morell Mackenzie's Contribution to the Description of Spasmodic Dysphonia.

    PubMed

    Lorch, Marjorie Perlman; Whurr, Renata

    2016-12-01

    Since the middle of the 20th century, most discussions of spasmodic dysphonia (SD) reference a paper by Ludwig Traube published in1871 as the first historical citation, crediting him with priority for this clinical syndrome. However, our recent research has determined that the original observation by Traube was published in 1864 and does not in fact describe what is currently recognized as SD. It appears that many clinics throughout Europe and North America were investigating and publishing observations on a range of voice disorders. The wider context of work on laryngeal disorders in the 1860s-1870s is considered. One of Traube's contemporaries, Morell Mackenzie, made significant contributions to the understanding of laryngeal movement disorder and its consequences for the voice. These will be examined to gain a clearer focus on the characterization of this disorder. The clinical descriptions published by Morrell Mackenzie in the 1860s provide details that conform quite closely to our current-day understanding of SD. The citation of Traube's "hysterical" patient links to mid 20th-century views of the functional nature of SD and the utility of psychiatric treatment. The description presented by Mackenzie is consistent with current views of SD as a movement disorder. © The Author(s) 2016.

  1. Reentry Program and Social Work Education: Training the Next Generation of Criminal Justice Social Workers.

    PubMed

    Franke, Nancy D; Treglia, Dan; Cnaan, Ram A

    2017-01-01

    Social work plays a marginal role in opposing the trend of mass incarceration and high rates of recidivism, and social work education offers limited opportunities for students to specialize in working with people who are currently or were previously incarcerated. How to train students of social work to work against mass-incarceration is still challenging. The authors devised and implemented an in-school social service agency devoted to working with people pre and post release from a prison system. The agency is a field practicum setting where interested students study and practice reentry work. In this article, the authors describe and assess the educational merit of this in-school agency. Findings from surveys of students and alumni suggest that the program attained its educational goals of connecting classroom education to practice experience and training students for careers in the criminal justice system. The authors also discuss pending challenges. The experience of the Goldring Reentry Initiative suggests that by developing their own social work agencies, the authors may be able to heighten their students educational experience and expand their contribution to social work practice broadly.

  2. Evidence-Based Medicine: Reduction Mammaplasty.

    PubMed

    Greco, Richard; Noone, Barrett

    2017-01-01

    After reading this article, the participant should be able to: 1. Understand the multiple reduction mammaplasty techniques available for patients and describe the advantages and disadvantages associated with each. 2. Describe the indications for the treatment of macromastia in patients younger than 18 years. 3. Identify the preoperative indications for breast imaging before surgery. 4. Describe the benefits of breast infiltration with local anesthesia with epinephrine before surgery. 5. Understand the use of deep venous thrombosis prophylaxis in breast reduction surgery. 6. Describe when the use of drains is indicated after breast reduction surgery. The goal of this Continuing Medical Education module is to summarize key evidence-based data available to plastic surgeons to improve their care of patients with breast hypertrophy. The authors' goal is to present the current controversies regarding their treatment and provide a discussion of the various options in their care. The article was prepared to accompany practice-based assessment with ongoing surgical education for the Maintenance of Certification Program of the American Board of Plastic Surgery.

  3. Sensory properties of chile pepper heat - and its importance to food quality and cultural preference.

    PubMed

    Guzmán, Ivette; Bosland, Paul W

    2017-10-01

    Chile peppers are one of the most important vegetable and spice crops in the world. They contain capsaicinoids that are responsible for the characteristic burning (pungency) sensation. Currently, there are 22 known naturally occurring capsaicinoids that can cause the heat sensation when consumed. Each produces a different heat sensation effect in the mouth. A need exists for a standard and new terminology to describe the complex heat sensation one feels when eating a chile pepper. A comprehensive set of descriptors to describe the sensory characteristics of chile pepper heat was developed. It was validated with trained panelists tasting samples representing the five domesticated species and 14 pod-types within these species. Five key attributes that define and reference a lexicon for describing the heat sensation of chile peppers were determined to describe the heat sensation in any product, and importantly, can be used in the food industry worldwide. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  4. On Unsaturated Soil Mechanics - Personal Views on Current Research

    NASA Astrophysics Data System (ADS)

    Pande, G. N.; Pietruszczak, S.

    2015-09-01

    This paper presents the authors' personal views on current research being conducted by various research groups around the world in the broad area of mechanics of unsaturated geomaterials in general and soils in particular. The topic is of interest to a wide spectrum of scientists and engineers working in diverse areas such as geology and geophysics, powder technology, agricultural, petroleum, chemical, geotechnical, civil, environmental and nuclear engineering. Even if we restrict ourselves to civil, geotechnical and environmental engineering, it is noted that a plethora of hypotheses as well as a number of empirical and semi-empirical relations have been introduced for describing the mechanics of unsaturated porous media. However, many of these proposed advances as well as methods of testing may lack sound theoretical basis.

  5. Status and test report on the LANL-Boeing APLE/HPO flying-wire beam-profile monitor. Status report

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

    Wilke, M.; Barlow, D.; Fortgang, C.

    1994-07-01

    The High-Power Oscillator (HPO) demonstration of the Average Power Laser Experiment (APLE) is a collaboration by Los Alamos National Laboratory and Boeing to demonstrate a 10 kW average power, 10 {mu}m free electron laser (FEL). As part of the collaboration, Los Alamos National Laboratory (LANL) is responsible for many of the electron beam diagnostics in the linac, transport, and laser sections. Because of the high duty factor and power of the electron beam, special diagnostics are required. This report describes the flying wire diagnostic required to monitor the beam profile during high-power, high-duty operation. The authors describe the diagnostic andmore » prototype tests on the Los Alamos APLE Prototype Experiment (APEX) FEL. They also describe the current status of the flying wires being built for APLE.« less

  6. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group.

    PubMed

    Guerriero, S; Condous, G; van den Bosch, T; Valentin, L; Leone, F P G; Van Schoubroeck, D; Exacoustos, C; Installé, A J F; Martins, W P; Abrao, M S; Hudelist, G; Bazot, M; Alcazar, J L; Gonçalves, M O; Pascual, M A; Ajossa, S; Savelli, L; Dunham, R; Reid, S; Menakaya, U; Bourne, T; Ferrero, S; Leon, M; Bignardi, T; Holland, T; Jurkovic, D; Benacerraf, B; Osuga, Y; Somigliana, E; Timmerman, D

    2016-09-01

    The IDEA (International Deep Endometriosis Analysis group) statement is a consensus opinion on terms, definitions and measurements that may be used to describe the sonographic features of the different phenotypes of endometriosis. Currently, it is difficult to compare results between published studies because authors use different terms when describing the same structures and anatomical locations. We hope that the terms and definitions suggested herein will be adopted in centers around the world. This would result in consistent use of nomenclature when describing the ultrasound location and extent of endometriosis. We believe that the standardization of terminology will allow meaningful comparisons between future studies in women with an ultrasound diagnosis of endometriosis and should facilitate multicenter research. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.

  7. A Week Is a Long Time in Politics: The Health Implications of Jeremy Corbyn's UK Labour Party Leadership Victory.

    PubMed

    Scott-Samuel, Alex; Bambra, Clare

    2016-01-01

    For more than 30 years, socialism within the UK Labour Party - which was in government from 1997 to 2010 and is currently the main UK parliamentary opposition - has been in decline. Despite its origins as a party of and for the working class, Labour has become at best a social democratic party with strong neoliberal leanings. However, in the recent leadership election that followed Labour's general election defeat in May 2015, the socialist Jeremy Corbyn confounded all expectations by winning Labour's leadership with a substantial majority. We describe the political context of Corbyn's controversial victory and discuss its potential short- and medium-term impact on England's troubled National Health Service and on the public health. © The Author(s) 2015.

  8. Current Models of Investor State Dispute Settlement Are Bad for Health: The European Union Could Offer an Alternative Comment on "The Trans-Pacific Partnership: Is It Everything We Feared for Health?"

    PubMed

    McKee, Martin; Stuckler, David

    2016-08-20

    In this commentary, we endorse concerns about the health impact of the trans-pacific partnership (TPP), paying particular attention to its mechanisms for investor state dispute settlement. We then describe the different, judge-led approach being advocated by the European Commission team negotiating the Trans-Atlantic Trade and Investment Partnership, arguing that, while not perfect, it offers significant advantages. © 2017 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  9. The University of Hawaii/University of Indonesia collaboration to build and sustain a child psychiatric workforce.

    PubMed

    Guerrero, Anthony; Wiguna, Tjhin; McDermott, John

    2014-04-01

    The authors describe the University of Hawaii/University of Indonesia collaboration, which introduced the specialty of child psychiatry to Indonesia in the early 1970s via a specially designed program, based in Hawaii, for five jointly selected Indonesian psychiatrists. All five graduates remained in Indonesia to practice and establish their own training program, which has since trained all of the "newer generation," such that there are currently 40 child and adolescent psychiatrists in Indonesia. Since 2009, collaboration between the two institutions has been renewed and modernized through videoteleconferencing, jointly conducted with teaching sessions. The authors present this program as an example of a collaboration that developed the local workforce and that has utilized modern technology in international, bidirectionally beneficial education.

  10. The myths of coping with loss in undergraduate psychiatric nursing books.

    PubMed

    Holman, E Alison; Perisho, Jennifer; Edwards, Ada; Mlakar, Natalie

    2010-12-01

    Nurses often help patients cope with loss. Recent research has cast doubt on the validity of early theories about loss and grief commonly taught to nurses. We systematically examined the accuracy of information on coping with loss presented in 23 commonly used undergraduate psychiatric nursing books. All 23 books contained at least one unsupported assumption (myth) about loss and grief. In 78% of these books, authors described four or more myths and only one evidence-based finding about coping with loss. On balance most books provided details on the myths about grief and loss with minimal discussion of the current evidence. Authors of psychiatric nursing books continue to disseminate unsupported theories about grief responses without adequately acknowledging evidence challenging core assumptions underlying them. Copyright © 2010 Wiley Periodicals, Inc.

  11. [The risk of direct current countershock].

    PubMed

    Gajek, J; Zyśko, D

    2001-07-01

    Direct current cardioversion (DCC) is a procedure commonly used to restore the sinus rhythm in patients with supraventricular and ventricular arrhythmias. Its safety, regarding the use of electric current, is still a matter of controversy and debate. The patients with atrial fibrillation/flutter, supraventricular or ventricular tachycardia represent a broad spectrum of clinical conditions and it is difficult to draw the conclusions. The high success rate of DCC in restoring the sinus rhythm, may be partly responsible for enhancing and revealing proarrhythmic properties of antiarrhythmic drugs. The deaths described as a complications of DCC were mainly due to the proarrhythmia and less common to the progression of the pathologic process. The embolic, arrhythmic and anesthetic complications of DCC can be prevented if the known recommendations of performing the DCC are followed. The authors review critically the literature data about the complications of the procedure and come to the conclusion of safety of DCC.

  12. A paradigm shift on beta-thalassaemia treatment: How will we manage this old disease with new therapies?

    PubMed

    Cappellini, Maria Domenica; Porter, John B; Viprakasit, Vip; Taher, Ali T

    2018-07-01

    Beta-thalassaemia causes defective haemoglobin synthesis leading to ineffective erythropoiesis, chronic haemolytic anaemia, and subsequent clinical complications. Blood transfusion and iron chelation allow long-term disease control, and haematopoietic stem cell transplantation offers a potential cure for some patients. Nonetheless, there are still many challenges in the management of beta-thalassaemia. The main treatment option for most patients is supportive care; furthermore, the long-term efficacy and safety of current therapeutic strategies are limited and adherence is suboptimal. An increasing understanding of the underlying molecular and cellular disease mechanisms plus an awareness of limitations of current management strategies are driving research into novel therapeutic options. Here we provide an overview of the current pathophysiology, clinical manifestations, and global burden of beta-thalassaemia. We reflect on what has been achieved to date, describe the challenges associated with currently available therapy, and discuss how these issues might be addressed by novel therapeutic approaches in development. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

  13. The application of quantum mechanics in structure-based drug design.

    PubMed

    Mucs, Daniel; Bryce, Richard A

    2013-03-01

    Computational chemistry has become an established and valuable component in structure-based drug design. However the chemical complexity of many ligands and active sites challenges the accuracy of the empirical potentials commonly used to describe these systems. Consequently, there is a growing interest in utilizing electronic structure methods for addressing problems in protein-ligand recognition. In this review, the authors discuss recent progress in the development and application of quantum chemical approaches to modeling protein-ligand interactions. The authors specifically consider the development of quantum mechanics (QM) approaches for studying large molecular systems pertinent to biology, focusing on protein-ligand docking, protein-ligand binding affinities and ligand strain on binding. Although computation of binding energies remains a challenging and evolving area, current QM methods can underpin improved docking approaches and offer detailed insights into ligand strain and into the nature and relative strengths of complex active site interactions. The authors envisage that QM will become an increasingly routine and valued tool of the computational medicinal chemist.

  14. Classification in childhood disability: focusing on function in the 21st century.

    PubMed

    Rosenbaum, Peter; Eliasson, Ann-Christin; Hidecker, Mary Jo Cooley; Palisano, Robert J

    2014-08-01

    Classification systems in health care are usually based on current understanding of the condition. They are often derived empirically and adopted applying sound principles of measurement science to assess whether they are reliable (consistent) and valid (true) for the purposes to which they are applied. In the past 15 years, the authors have developed and validated classification systems for specific aspects of everyday function in people with cerebral palsy--gross motor function, manual abilities, and communicative function. This article describes the approaches used to conceptualize each aspect of function, develop the tools, and assess their reliability and validity. We report on the utility of each system with respect to clinical applicability, use of these tools for research, and the uptake and impact that they have had around the world. We hope that readers will find these accounts interesting, relevant, and applicable to their daily work with children and youth with disabilities. © The Author(s) 2014.

  15. The metamorphosis of 'culture-bound' syndromes.

    PubMed

    Jilek, W G; Jilek-Aall, L

    1985-01-01

    Starting from a critical review of the concept of 'culture-bound' disorders and its development in comparative psychiatry, the authors present the changing aspects of two so-called culture-bound syndromes as paradigms of transcultural metamorphosis (koro) and intra-cultural metamorphosis (Salish Indian spirit sickness), respectively. The authors present recent data on epidemics of koro, which is supposedly bound to Chinese culture, in Thailand and India among non-Chinese populations. Neither the model of Oedipal castration anxiety nor the model of culture-specific pathogenicity, commonly adduced in psychiatric and ethnological literature, explain these phenomena. The authors' data on Salish Indian spirit sickness describes the contemporary condition as anomic depression, which is significantly different from its traditional namesake. The traditional concept was redefined by Salish ritual specialists in response to current needs imposed by social changes. The stresses involved in creating the contemporary phenomena of koro and spirit sickness are neither culture-specific nor culture-inherent, as postulated for 'culture-bound' syndromes, rather they are generated by a feeling of powerlessness caused by perceived threats to ethnic survival.

  16. Liberalization of the Spanish electricity sector: An advanced model

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

    Unda, J.I.

    1998-06-01

    Spain`s electricity industry is being restructured to provide a competitive generation market, a regulated, open access transmission and distribution system, and phased-in customer choice. But while the reform is radical in its objectives, it will be gradual in its implementation. This article briefly describes the current state of affairs within the Spanish electricity sector and details the reform plans set out in the act, focusing on the adopted institutional design and the established transition period. It also offers an overview of the role that the regulatory authority will play throughout the process.

  17. Roofbolters with compressed-air rotators

    NASA Astrophysics Data System (ADS)

    Lantsevich, MA; Repin Klishin, AA, VI; Kokoulin, DI

    2018-03-01

    The specifications of the most popular roofbolters of domestic and foreign manufacture currently in operation in coal mines are discussed. Compressed-air roofbolters SAP and SAP2 designed at the Institute of Mining are capable of drilling in hard rocks. The authors describe the compressed-air rotator of SAP2 roofbolter with alternate motion rotors. From the comparative analysis of characteristics of SAP and SAP 2 roofbolters, the combination of high-frequency axial and rotary impacts on a drilling tool in SAP2 ensure efficient drilling in rocks with the strength up to 160 MPa.

  18. A keyboard control method for loop measurement

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

    Gao, Z.W.

    1994-12-31

    This paper describes a keyboard control mode based on the DEC VAX computer. The VAX Keyboard code can be found under running of a program was developed. During the loop measurement or multitask operation, it ables to be distinguished from a keyboard code to stop current operation or transfer to another operation while previous information can be held. The combining of this mode, the author successfully used one key control loop measurement for test Dual Input Memory module which is used in a rearrange Energy Trigger system for LEP 8 Bunch operation.

  19. [The sanitary protection of Armed Forces employed abroad].

    PubMed

    Pasini, W

    2006-01-01

    After recalling the numerous peace expeditions of the Italian Armed Forces in foreign countries, the author underlines the several health risk factors that such missions imply. The assessment of the biological risk should be based on the knowledge of the local sanitary situation and on the analysis of the operative characteristics of the mission: prevention is based on vaccinations (with plans based on the operative tasks and destinations) and on antimalaric chemoprophylaxis, carried out following WHO indications. In conclusion, the current organization of military field hospitals is briefly described.

  20. VMEbus based computer and real-time UNIX as infrastructure of DAQ

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

    Yasu, Y.; Fujii, H.; Nomachi, M.

    1994-12-31

    This paper describes what the authors have constructed as the infrastructure of data acquisition system (DAQ). The paper reports recent developments concerned with HP VME board computer with LynxOS (HP742rt/HP-RT) and Alpha/OSF1 with VMEbus adapter. The paper also reports current status of developing a Benchmark Suite for Data Acquisition (DAQBENCH) for measuring not only the performance of VME/CAMAC access but also that of the context switching, the inter-process communications and so on, for various computers including Workstation-based systems and VME board computers.

  1. A European Flagship Programme on Extreme Computing and Climate

    NASA Astrophysics Data System (ADS)

    Palmer, Tim

    2017-04-01

    In 2016, an outline proposal co-authored by a number of leading climate modelling scientists from around Europe for a (c. 1 billion euro) flagship project on exascale computing and high-resolution global climate modelling was sent to the EU via its Future and Emerging Flagship Technologies Programme. The project is formally entitled "A Flagship European Programme on Extreme Computing and Climate (EPECC)"? In this talk I will outline the reasons why I believe such a project is needed and describe the current status of the project. I will leave time for some discussion.

  2. Sonic Boom Minimization Efforts on Boeing HSCT Baseline

    NASA Technical Reports Server (NTRS)

    Cheung, Samson H.; Fouladi, Kamran; Haglund, George; Tu, Eugene

    1999-01-01

    A team was formed to tackle the sonic boom softening issues of the current Boeing HSCT design. The team consisted of personnel from NASA Ames, NASA Langley, and Boeing company. The work described in this paper was done when the first author was at NASA Ames Research Center. This paper presents the sonic boom softening work on two Boeing High Speed Civil Transport (HSCT) baseline configurations, Reference-H and Boeing-1122. This presentation can be divided into two parts: parametric studies and sonic boom minimization by CFD optimization routines.

  3. Sonoembryological evaluations of the development of placenta previa and velamentous cord insertion.

    PubMed

    Hasegawa, Junichi

    2015-01-01

    Longitudinal and cross-sectional investigations using ultrasound examinations during pregnancy can be used to clarify the mechanisms and pathophysiology of abnormal fetal and placental development. Such sonoembryological assessments are useful as a method for clarifying the etiology of disease. In the present review, we describe current knowledge based on our experience with applying sonoembryological methods to determine the developmental mechanisms of placenta previa and velamentous cord insertion. © 2014 The Author. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.

  4. Lessons learned from evaluating launch-site processing problems of Space Shuttle payloads

    NASA Technical Reports Server (NTRS)

    Flores, Carlos A.; Heuser, Robert E.; Sales, Johnny R.; Smith, Anthony M.

    1992-01-01

    The authors discuss a trend analysis program that is being conducted on the problem reports written during the processing of Space Shuttle payloads at Kennedy Space Center. The program is aimed at developing lessons learned that can both improve the effectiveness of the current payload processing cycles as well as help to guide the processing strategies for Space Station Freedom. The payload processing reports from STS 26R and STS 41 are used. A two-tier evaluation activity is described, and some typical results from the tier one analyses are presented.

  5. Prostheses and orthoses in the collections of the Auschwitz-Birkenau State Museum.

    PubMed

    Przeździak, Bogumił; Lutomirski, Adam; Kulczyk, Maria

    2011-01-01

    The authors described 424 orthopaedic appliances left by the prisoners of the Nazi Concentration Camp in Oświęcim. A collection of prostheses and orthoses, which is currently a part of the Auschwitz-Birkenau State Museum's exhibition, is extraordinary as it illustrates the fate of innocent, crippled people, who were incarcerated and murdered. Another point of value of the collection is its technical aspect, as it provides a clear picture of construction of prostheses and orthoses at the beginning of the 20th century.

  6. Increasing the Translation of Evidence Into Practice, Policy, and Public Health Improvements: A Framework for Training Health Professionals in Implementation and Dissemination Science

    PubMed Central

    Gonzales, Ralph; Handley, Margaret A.; Ackerman, Sara; O’Sullivan, Patricia S.

    2012-01-01

    The authors describe a conceptual framework for implementation and dissemination science (IDS) and propose competencies for IDS training. Their framework is designed to facilitate the application of theories and methods from the distinct domains of clinical disciplines (e.g., medicine, public health), population sciences (e.g., biostatistics, epidemiology) and translational disciplines (e.g., social and behavioral sciences, business administration education). They explore three principles that guided the development of their conceptual framework: Behavior change among organizations and/or individuals (providers, patients) is inherent in the translation process; engagement of stakeholder organizations, health care delivery systems, and individuals is imperative to achieve effective translation and sustained improvements; and IDS research is iterative, benefiting from cycles and collaborative, bidirectional relationships. The authors propose seven domains for IDS training--team science, context identification, literature identification and assessment, community engagement, intervention design and research implementation, evaluation of effect of translational activity, behavioral change communication strategies--and define twelve IDS training competencies within these domains. As a model, they describe specific courses introduced at the University of California, San Francisco, which they designed to develop these competencies. The authors encourage other training programs and institutions to use (or adapt) the design principles, conceptual framework, And proposed competencies to evaluate their current IDS training needs and to support new program development. PMID:22373617

  7. Redesigning the MCAT exam: balancing multiple perspectives.

    PubMed

    Schwartzstein, Richard M; Rosenfeld, Gary C; Hilborn, Robert; Oyewole, Saundra Herndon; Mitchell, Karen

    2013-05-01

    The authors of this commentary discuss the recently completed review of the current Medical College Admission Test (MCAT), which has been used since 1991, and describe the blueprint for the new test that will be introduced in 2015. The design of the MCAT exam reflects changes in medical education, medical science, health care delivery, and the needs of the populations served by graduates of U.S. and Canadian medical schools. The authors describe how balancing the ambitious goals for the new exam and the varying priorities of the testing program's many stakeholders made blueprint design complex. They discuss the tensions and trade-offs that characterized the design process as well as the deliberations and data that shaped the blueprint.The blueprint for the MCAT exam balances the assessment of a broad range of competencies in the natural, social, and behavioral sciences and critical analysis and reasoning skills that are essential to entering students' success in medical school. The exam will include four sections: Biological and Biochemical Foundations of Living Systems; Chemical and Physical Foundations of Biological Systems; Psychological, Social, and Biological Foundations of Behavior; and Critical Analysis and Reasoning Skills.The authors also offer recommendations for admission committees, advising them to review applicants' test scores, course work, and other academic, personal, and experiential credentials as part of a holistic admission process and in relation to their institutions' educational, scientific, clinical, and service-oriented goals.

  8. Defining teaching hospitals' GME strategy in response to new financial and market challenges.

    PubMed

    Wray, J L; Sadowski, S M

    1998-04-01

    The authors present an overview of current graduate medical education (GME) issues, particularly the financial challenges to teaching hospitals resulting from the Balanced Budget and Tax Payer Relief Acts of 1997 and other recent market-driven factors. They describe in detail the nature of Medicare GME payments before and after the 1997 legislation, with specific examples, and explain the negative financial impact of the legislation and aspects of the legislation that are designed to alleviate that impact. Other factors influencing GME program size and composition are also discussed, including oversupplies or shortages of physicians, the concern that teaching hospitals are using public funds to train international medical graduates, changing training requirements, etc. The authors also describe a recent consulting assignment during which they assisted a major teaching hospital to develop a GME strategy that was responsive to the organization's mission and patients and that took into account future GME financing challenges. Detailed explanations are given of how the consultants analyzed the hospital's GME programs and finances, developed and ranked key institution-specific program criteria (strategic, organizational and operational, and financial), and, in consultation with all key stakeholders, formulated a GME strategy specific to the institution's needs. The authors conclude by cautioning that each institution's GME strategy will be different, but that it is important for institutions to develop such strategies to better face future challenges.

  9. Intersectional Discrimination of Romani Women Forcibly Sterilized in the Former Czechoslovakia and Czech Republic

    PubMed Central

    Albert, Gwendolyn

    2017-01-01

    Abstract This paper reviews domestic and international activism seeking justice for Romani and other women harmed by coercive, forced, and involuntary sterilization in the former Czechoslovakia and Czech Republic. Framed by Michel Foucault’s theory of biopower, it summarizes the history of these abuses and describes human rights campaigns involving domestic and international litigation, advocacy, and grassroots activism, as well as the responses of the Czech governments. The paper describes how legal and policy work during the past decade has led to recognition of coercive, forced, and involuntary sterilization as a present-day human rights issue worldwide, to the adoption of new guidelines on female sterilization, and to a joint statement on the issue by seven UN agencies. Relying on academic literature, reports by domestic and international human rights groups, state investigations, judgments from Czech courts and the European Court of Human Rights (ECHR), media reports, and the experience of the authors, who have been allies of the Romani women harmed in the Czech Republic since 2005 and 2012, respectively, the paper describes the current state of play with respect to achieving redress for them, including current conceptual, legal, political, and social obstacles and their antecedents in 20th century notions of population control. PMID:29302160

  10. Intersectional Discrimination of Romani Women Forcibly Sterilized in the Former Czechoslovakia and Czech Republic.

    PubMed

    Albert, Gwendolyn; Szilvasi, Marek

    2017-12-01

    This paper reviews domestic and international activism seeking justice for Romani and other women harmed by coercive, forced, and involuntary sterilization in the former Czechoslovakia and Czech Republic. Framed by Michel Foucault's theory of biopower, it summarizes the history of these abuses and describes human rights campaigns involving domestic and international litigation, advocacy, and grassroots activism, as well as the responses of the Czech governments. The paper describes how legal and policy work during the past decade has led to recognition of coercive, forced, and involuntary sterilization as a present-day human rights issue worldwide, to the adoption of new guidelines on female sterilization, and to a joint statement on the issue by seven UN agencies. Relying on academic literature, reports by domestic and international human rights groups, state investigations, judgments from Czech courts and the European Court of Human Rights (ECHR), media reports, and the experience of the authors, who have been allies of the Romani women harmed in the Czech Republic since 2005 and 2012, respectively, the paper describes the current state of play with respect to achieving redress for them, including current conceptual, legal, political, and social obstacles and their antecedents in 20th century notions of population control.

  11. Miracle drug: Brazil approves never-tested cancer medicine.

    PubMed

    Kuchenbecker, Ricardo S; Mota, Daniel M

    2017-07-01

    Background Brazil recently approved synthetic phosphoetanolamine, a popularly dubbed 'cancer pill', a substance that has been shown to kill cancer cells in lab animal models but was not yet formally accessed in humans, and thus despite the existence of any evidence of its efficacy and safety. Methods The authors describe the recent decision of Brazil to aprove phosphoetanolamine in the context of growing 'judicialization' to promote access to medicines and thus reinforcing a growing sense of legal uncertainty. Results The approval of phosphoetanolamine despite the existence of any evidence of its efficacy and safety represents to the authors one of the saddest and surrealistic episodes in Brazil's recent public health history. Brazil's current economic crisis is fueling the 'judicialization' to promote access to medicines and thus reinforcing a growing sense of legal uncertainty in the context of rising economic constrains and a progressive failing state. The authors state that the Phosphoetanolamine's approval bill violates current legal prohibition of commercialisation of drugs without the Brazilian national drug regulatory agency's approval and thus may represent a potential menace to Brazil's pharmacogovernance and the country's governance to health technology assessment at the Brazilian national health systems. Conclusion Phosphoetanolamine's approval illustrates that the combination of flawed decision making, economic crisis and political interference may threaten weak governance mechanisms for drug regulation and health technology assessment and thus representing an extra burden in the sustainability of universal access-based national health systems.

  12. Heat shock protein 90 inhibitors in the treatment of cancer: current status and future directions.

    PubMed

    Jhaveri, Komal; Ochiana, Stefan O; Dunphy, Mark Ps; Gerecitano, John F; Corben, Adriana D; Peter, Radu I; Janjigian, Yelena Y; Gomes-DaGama, Erica M; Koren, John; Modi, Shanu; Chiosis, Gabriela

    2014-05-01

    Heat shock protein 90 (HSP90) serves as a critical facilitator for oncogene addiction. There has been augmenting enthusiasm in pursuing HSP90 as an anticancer strategy. In fact, since the initial serendipitous discovery that geldanamycin (GM) inhibits HSP90, the field has rapidly moved from proof-of-concept clinical studies with GM derivatives to novel second-generation inhibitors. The authors highlight the current status of the second-generation HSP90 inhibitors in clinical development. Herein, the authors note the lessons learned from the completed clinical trials of first- and second-generation inhibitors and describe various assays attempting to serve for a more rational implementation of these agents to cancer treatment. Finally, the authors discuss the future perspectives for this promising class of agents. The knowledge gained thus far provides perhaps only a glimpse at the potential of HSP90 for which there is still much work to be done. Lessons from the clinical trials suggest that HSP90 therapy would advance at a faster pace if patient selection and tumor pharmacokinetics of these drugs were better understood and applied to their clinical development. It is also evident that combining HSP90 inhibitors with other potent anticancer therapies holds great promise not only due to synergistic antitumor activity but also due to the potential of prolonging or preventing the development of drug resistance.

  13. A decision framework for coordinating bioterrorism planning: lessons from the BioNet program.

    PubMed

    Manley, Dawn K; Bravata, Dena M

    2009-01-01

    Effective disaster preparedness requires coordination across multiple organizations. This article describes a detailed framework developed through the BioNet program to facilitate coordination of bioterrorism preparedness planning among military and civilian decision makers. The authors and colleagues conducted a series of semistructured interviews with civilian and military decision makers from public health, emergency management, hazardous material response, law enforcement, and military health in the San Diego area. Decision makers used a software tool that simulated a hypothetical anthrax attack, which allowed them to assess the effects of a variety of response actions (eg, issuing warnings to the public, establishing prophylaxis distribution centers) on performance metrics. From these interviews, the authors characterized the information sources, technologies, plans, and communication channels that would be used for bioterrorism planning and responses. The authors used influence diagram notation to describe the key bioterrorism response decisions, the probabilistic factors affecting these decisions, and the response outcomes. The authors present an overview of the response framework and provide a detailed assessment of two key phases of the decision-making process: (1) pre-event planning and investment and (2) incident characterization and initial responsive measures. The framework enables planners to articulate current conditions; identify gaps in existing policies, technologies, information resources, and relationships with other response organizations; and explore the implications of potential system enhancements. Use of this framework could help decision makers execute a locally coordinated response by identifying the critical cues of a potential bioterrorism event, the information needed to make effective response decisions, and the potential effects of various decision alternatives.

  14. Impact of a regional distributed medical education program on an underserved community: perceptions of community leaders.

    PubMed

    Toomey, Patricia; Lovato, Chris Y; Hanlon, Neil; Poole, Gary; Bates, Joanna

    2013-06-01

    To describe community leaders' perceptions regarding the impact of a fully distributed undergraduate medical education program on a small, medically underserved host community. The authors conducted semistructured interviews in 2007 with 23 community leaders representing, collectively, the education, health, economic, media, and political sectors. They reinterviewed six participants from a pilot study (2005) and recruited new participants using purposeful and snowball sampling. The authors employed analytic induction to organize content thematically, using the sectors as a framework, and they used open coding to identify new themes. The authors reanalyzed transcripts to identify program outcomes (e.g., increased research capacity) and construct a list of quantifiable indicators (e.g., number of grants and publications). Participants reported their perspectives on the current and anticipated impact of the program on education, health services, the economy, media, and politics. Perceptions of impact were overwhelmingly positive (e.g., increased physician recruitment), though some were negative (e.g., strains on health resources). The authors identified new outcomes and confirmed outcomes described in 2005. They identified 16 quantifiable indicators of impact, which they judged to be plausible and measureable. Participants perceive that the regional undergraduate medical education program in their community has broad, local impacts. Findings suggest that early observed outcomes have been maintained and may be expanding. Results may be applicable to medical education programs with distributed or regional sites in similar rural, remote, and/or underserved regions. The areas of impact, outcomes, and quantifiable indicators identified will be of interest to future researchers and evaluators.

  15. How to Search, Write, Prepare and Publish the Scientific Papers in the Biomedical Journals

    PubMed Central

    Masic, Izet

    2011-01-01

    This article describes the methodology of preparation, writing and publishing scientific papers in biomedical journals. given is a concise overview of the concept and structure of the System of biomedical scientific and technical information and the way of biomedical literature retreival from worldwide biomedical databases. Described are the scientific and professional medical journals that are currently published in Bosnia and Herzegovina. Also, given is the comparative review on the number and structure of papers published in indexed journals in Bosnia and Herzegovina, which are listed in the Medline database. Analyzed are three B&H journals indexed in MEDLINE database: Medical Archives (Medicinski Arhiv), Bosnian Journal of Basic Medical Sciences and Medical Gazette (Medicinki Glasnik) in 2010. The largest number of original papers was published in the Medical Archives. There is a statistically significant difference in the number of papers published by local authors in relation to international journals in favor of the Medical Archives. True, the Journal Bosnian Journal of Basic Medical Sciences does not categorize the articles and we could not make comparisons. Journal Medical Archives and Bosnian Journal of Basic Medical Sciences by percentage published the largest number of articles by authors from Sarajevo and Tuzla, the two oldest and largest university medical centers in Bosnia and Herzegovina. The author believes that it is necessary to make qualitative changes in the reception and reviewing of papers for publication in biomedical journals published in Bosnia and Herzegovina which should be the responsibility of the separate scientific authority/ committee composed of experts in the field of medicine at the state level. PMID:23572850

  16. Influence of broadening and high-injection effects on GaAs-AlGaAs quantum well lasers

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

    Blood, P.; Colak, S.; Kucharska, A.I.

    1988-08-01

    The authors have calculated gain spectra and gain-current relations for GaAs-AlGaAs quantum well lasers using a model which incorporates a phenomenological description of bandgap narrowing due to many-body effects at high injection, transmission broadening by a carrier-density-dependent intraband scattering process, and broadening of the density of states function by fluctuations in the well width. The justification for including all these phenomena is made by examining spontaneous emission spectra observed through contact windows on quantum well layers. Using reasonable values of the parameters describing these effects, the model predicts correctly the observed lengthening of the laser emission wavelength with respect tomore » the absorption edge and correctly describes the variation of this wavelength, which they have observed for a set of devices with different numbers of quantum wells and the same well width. For a single GaAs quantum well laser 25 A wide, with the same parameters, the model predicts an increase in threshold current by a factor of 2.5 compared to an ideal quantum well without these effects.« less

  17. Describing current and potential markets for alternative-fuel vehicles

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

    NONE

    1996-03-26

    Motor vehicles are a major source of greenhouse gases, and the rising numbers of motor vehicles and miles driven could lead to more harmful emissions that may ultimately affect the world`s climate. One approach to curtailing such emissions is to use, instead of gasoline, alternative fuels: LPG, compressed natural gas, or alcohol fuels. In addition to the greenhouse gases, pollutants can be harmful to human health: ozone, CO. The Clean Air Act Amendments of 1990 authorized EPA to set National Ambient Air Quality Standards to control this. The Energy Policy Act of 1992 (EPACT) was the first new law tomore » emphasize strengthened energy security and decreased reliance on foreign oil since the oil shortages of the 1970`s. EPACT emphasized increasing the number of alternative-fuel vehicles (AFV`s) by mandating their incremental increase of use by Federal, state, and alternative fuel provider fleets over the new few years. Its goals are far from being met; alternative fuels` share remains trivial, about 0.3%, despite gains. This report describes current and potential markets for AFV`s; it begins by assessing the total vehicle stock, and then it focuses on current use of AFV`s in alternative fuel provider fleets and the potential for use of AFV`s in US households.« less

  18. Electronic transport in the quantum spin Hall state due to the presence of adatoms in graphene

    NASA Astrophysics Data System (ADS)

    Lima, Leandro; Lewenkopf, Caio

    Heavy adatoms, even at low concentrations, are predicted to turn a graphene sheet into a topological insulator with substantial gap. The adatoms mediate the spin-orbit coupling that is fundamental to the quantum spin Hall effect. The adatoms act as local spin-orbit scatterer inducing hopping processes between distant carbon atoms giving origin to transverse spin currents. Although there are effective models that describe spectral properties of such systems with great detail, quantitative theoretical work for the transport counterpart is still lacking. We developed a multiprobe recursive Green's function technique with spin resolution to analyze the transport properties for large geometries. We use an effective tight-binding Hamiltonian to describe the problem of adatoms randomly placed at the center of the honeycomb hexagons, which is the case for most transition metals. Our choice of current and voltage probes is favorable to experiments since it filters the contribution of only one spin orientation, leading to a quantized spin Hall conductance of e2 / h . We also discuss the electronic propagation in the system by imaging the local density of states and the electronic current densities. The authors acknowledge the Brazilian agencies CNPq, CAPES, FAPERJ and INCT de Nanoestruturas de Carbono for financial support.

  19. Hidden Markov models in automatic speech recognition

    NASA Astrophysics Data System (ADS)

    Wrzoskowicz, Adam

    1993-11-01

    This article describes a method for constructing an automatic speech recognition system based on hidden Markov models (HMMs). The author discusses the basic concepts of HMM theory and the application of these models to the analysis and recognition of speech signals. The author provides algorithms which make it possible to train the ASR system and recognize signals on the basis of distinct stochastic models of selected speech sound classes. The author describes the specific components of the system and the procedures used to model and recognize speech. The author discusses problems associated with the choice of optimal signal detection and parameterization characteristics and their effect on the performance of the system. The author presents different options for the choice of speech signal segments and their consequences for the ASR process. The author gives special attention to the use of lexical, syntactic, and semantic information for the purpose of improving the quality and efficiency of the system. The author also describes an ASR system developed by the Speech Acoustics Laboratory of the IBPT PAS. The author discusses the results of experiments on the effect of noise on the performance of the ASR system and describes methods of constructing HMM's designed to operate in a noisy environment. The author also describes a language for human-robot communications which was defined as a complex multilevel network from an HMM model of speech sounds geared towards Polish inflections. The author also added mandatory lexical and syntactic rules to the system for its communications vocabulary.

  20. Control algorithms for dynamic attenuators

    PubMed Central

    Hsieh, Scott S.; Pelc, Norbert J.

    2014-01-01

    Purpose: The authors describe algorithms to control dynamic attenuators in CT and compare their performance using simulated scans. Dynamic attenuators are prepatient beam shaping filters that modulate the distribution of x-ray fluence incident on the patient on a view-by-view basis. These attenuators can reduce dose while improving key image quality metrics such as peak or mean variance. In each view, the attenuator presents several degrees of freedom which may be individually adjusted. The total number of degrees of freedom across all views is very large, making many optimization techniques impractical. The authors develop a theory for optimally controlling these attenuators. Special attention is paid to a theoretically perfect attenuator which controls the fluence for each ray individually, but the authors also investigate and compare three other, practical attenuator designs which have been previously proposed: the piecewise-linear attenuator, the translating attenuator, and the double wedge attenuator. Methods: The authors pose and solve the optimization problems of minimizing the mean and peak variance subject to a fixed dose limit. For a perfect attenuator and mean variance minimization, this problem can be solved in simple, closed form. For other attenuator designs, the problem can be decomposed into separate problems for each view to greatly reduce the computational complexity. Peak variance minimization can be approximately solved using iterated, weighted mean variance (WMV) minimization. Also, the authors develop heuristics for the perfect and piecewise-linear attenuators which do not require a priori knowledge of the patient anatomy. The authors compare these control algorithms on different types of dynamic attenuators using simulated raw data from forward projected DICOM files of a thorax and an abdomen. Results: The translating and double wedge attenuators reduce dose by an average of 30% relative to current techniques (bowtie filter with tube current modulation) without increasing peak variance. The 15-element piecewise-linear dynamic attenuator reduces dose by an average of 42%, and the perfect attenuator reduces dose by an average of 50%. Improvements in peak variance are several times larger than improvements in mean variance. Heuristic control eliminates the need for a prescan. For the piecewise-linear attenuator, the cost of heuristic control is an increase in dose of 9%. The proposed iterated WMV minimization produces results that are within a few percent of the true solution. Conclusions: Dynamic attenuators show potential for significant dose reduction. A wide class of dynamic attenuators can be accurately controlled using the described methods. PMID:24877818

  1. Cranial Mesenteric Arterial Obstruction Due To Strongylus vulgaris Larvae in a Donkey (Equus asinus).

    PubMed

    Borji, Hassan; Moosavi, Zahra; Ahmadi, Fatemeh

    2014-09-01

    Arteritis due to Strongylus vulgaris is a well-known cause of colic in horses and donkeys. The current report describes a fatal incidence of arterial obstruction in cranial mesenteric artery caused by S. vulgaris infection in an adult donkey in which anthelmintic treatment was not regularly administered. Necropsy findings of the abdominal cavity revealed a complete cranial mesenteric arterial obstruction due to larvae of S. vulgaris, causing severe colic. To the authors' knowledge, a complete cranial mesenteric arterial obstruction due to verminous arteritis has rarely been described in horses and donkeys. Based on recent reports of fatal arterial obstruction due to S. vulgaris infection in donkeys, it may be evident to consider acute colic caused by this pathogenic parasite a re-emerging disease in donkeys and horses.

  2. MoCog1: A computer simulation of recognition-primed human decision making

    NASA Technical Reports Server (NTRS)

    Gevarter, William B.

    1991-01-01

    This report describes the successful results of the first stage of a research effort to develop a 'sophisticated' computer model of human cognitive behavior. Most human decision-making is of the experience-based, relatively straight-forward, largely automatic, type of response to internal goals and drives, utilizing cues and opportunities perceived from the current environment. This report describes the development of the architecture and computer program associated with such 'recognition-primed' decision-making. The resultant computer program was successfully utilized as a vehicle to simulate findings that relate how an individual's implicit theories orient them toward particular goals, with resultant cognitions, affects, and behavior in response to their environment. The present work is an expanded version and is based on research reported while the author was an employee of NASA ARC.

  3. On the present and future of dissolution-DNP

    NASA Astrophysics Data System (ADS)

    Ardenkjaer-Larsen, Jan Henrik

    2016-03-01

    Dissolution-DNP is a method to create solutions of molecules with nuclear spin polarization close to unity. The many orders of magnitude signal enhancement have enabled many new applications, in particular in vivo MR metabolic imaging. The method relies on solid state dynamic nuclear polarization at low temperature followed by a dissolution to produce the room temperature solution of highly polarized spins. This work describes the present and future of dissolution-DNP in the mind of the author. The article describes some of the current trends in the field as well as outlines some of the areas where new ideas will make an impact. Most certainly, the future will take unpredicted directions, but hopefully the thoughts presented here will stimulate new ideas that can further advance the field.

  4. Phenomenology of Schizophrenia and the Representativeness of Modern Diagnostic Criteria.

    PubMed

    Kendler, Kenneth S

    2016-10-01

    This article aims to determine the degree to which modern operationalized diagnostic criteria for schizophrenia reflect the main clinical features of the disorder as described historically by diagnostic experts. Amazon.com, the National Library of Medicine, and Forgottenbooks.com were searched for articles written or translated into English from 1900 to 1960. Clinical descriptions of schizophrenia or dementia praecox appearing in 16 textbooks or review articles published between 1899 and 1956 were reviewed and compared with the criteria for schizophrenia from 6 modern US operationalized diagnostic systems. Twenty prominent symptoms and signs were reported by 5 or more authors. A strong association was seen between the frequency with which the symptoms/signs were reported and the likelihood of their presence in modern diagnostic systems. Of these 20 symptoms/signs, 3 (thought disorder, delusions, and hallucinations) were included in all diagnostic systems and were among the 4 most frequently reported. Three symptoms/signs were added then kept in subsequent criteria: emotional blunting, changes in volition, and changes in social life. Three symptoms/signs were added but then dropped: bizarre delusions, passivity symptoms, and mood incongruity. Eleven symptoms/signs were never included in any diagnostic system. Compared with historical authors, modern criteria favored symptoms over signs. Odd movements and postures, noted by 16 of 18 historical authors, were absent from all modern criteria. DSM-5 criteria contain 6 of the 20 historically noted symptoms/signs. Although modern operationalized criteria for schizophrenia reflect symptoms and signs commonly reported by historical experts, many clinical features emphasized by these experts are absent from modern criteria. This is not necessarily problematic as diagnostic criteria are meant to index rather than thoroughly describe syndromes. However, the lack of correspondence in schizophrenia between historically important symptoms/signs and current diagnostic systems highlights the limitations of clinical evaluations and research studies that restrict the diagnostic assessments to current diagnostic criteria. We should not confuse our DSM diagnostic criteria with the disorders that they were designed to index.

  5. The importance of nanoparticle shape in cancer drug delivery.

    PubMed

    Truong, Nghia P; Whittaker, Michael R; Mak, Catherine W; Davis, Thomas P

    2015-01-01

    Nanoparticles have been successfully used for cancer drug delivery since 1995. In the design of commercial nanoparticles, size and surface characteristics have been exploited to achieve efficacious delivery. However, the design of optimized drug delivery platforms for efficient delivery to disease sites with minimal off-target effects remains a major research goal. One crucial element of nanoparticle design influencing both pharmacokinetics and cell uptake is nanoparticle morphology (both size and shape). In this succinct review, the authors collate the recent literature to assess the current state of understanding of the influence of nanoparticle shape on the effectiveness of drug delivery with a special emphasis on cancer therapy. This review draws on studies that have focused on the role of nonspherical nanoparticles used for cancer drug delivery. In particular, the authors summarize the influence of nanoparticle shape on biocirculation, biodistribution, cellular uptake and overall drug efficacy. By comparing spherical and nonspherical nanoparticles, they establish some general design principles to serve as guidelines for developing the next generation of nanocarriers for drug delivery. Pioneering studies on nanoparticles show that nonspherical shapes show great promise as cancer drug delivery vectors. Filamentous or worm-like micelles together with other rare morphologies such as needles or disks may become the norm for next-generation drug carriers, though at present, traditional spherical micelles remain the dominant shape of nanocarriers described in the literature due to synthesis and testing difficulties. The few reports that do exist describing nonspherical nanoparticles show a number of favorable properties that should encourage more efforts to develop facile and versatile nanoparticle synthesis methodologies with the flexibility to create different shapes, tunable sizes and adaptable surface chemistries. In addition, the authors note that there is a current lack of understanding into the factors governing (and optimizing) the inter-relationships of size, surface characteristics and shapes of many nanoparticles proposed for use in cancer therapy.

  6. A Qualitative Investigation of the Significance of Companion Dogs.

    PubMed

    Maharaj, Nandini; Haney, Colleen J

    2015-09-01

    Using a qualitative design, the purpose of this study was to examine how people describe their relationship with their dog and what they do that suggest this bond represents a meaningful relationship. Dog owners (N = 27) aged 19 years and older were invited to participate in one of seven focus group discussions. A qualitative content analysis revealed the presence of three themes: (a) the impact of dogs on interpersonal relationships, (b) dogs as subjective beings, and (c) psychological and health benefits of dogs. The second theme reflects the personal agency of dogs and their unique contributions to the human-dog relationship. These themes are discussed in light of the current research in the field. The findings suggest implications for counseling research and practice in improving the health and well-being of dog owners. © The Author(s) 2014.

  7. [Private practice: a choice, but what challenges!].

    PubMed

    de Montigny, F

    1997-06-01

    Recent changes in the Canadian health care system are having an impact on the way health care services are delivered. As a result, opportunities are opening up for a whole new generation of autonomous and independent nurses who choose to work directly with clients in a private practice setting. In part one of this two-part article, the author describes the main responsibilities of the nurse entrepreneur. Stressed are the areas of competency and the entrepreneurial spirit required. Administrative, professional, legal and fiscal aspects of independent practice are also outlined. Part two of the article focuses on the ethical responsibilities of the nurse entrepreneur and the regulations concerning fees, publicity, insurance, and office and file management. The author recommends keeping current on new developments and establishing a process whereby clients can evaluate the quality of care they receive.

  8. Personal health monitoring - exploiting the power of the personal telephone.

    PubMed

    Hannan, Amir

    2015-11-01

    Many health issues that we currently face are related to our lifestyle choices. Educating patients can help them to make better informed health decisions. The internet and smartphones, mobile telephones that perform many of the functions of a computer, are becoming more accessible to the majority of the population. Applications on smartphones and professional health websites can signpost patients to trusted information and allow them to co-produce records. Empowering patients, staff and organizations through enabling access to records and understanding, building a partnership trust and the use of social media can enable people to do more and hopefully improve outcomes. In this article, I describe the steps we have taken to facilitate such interactions within our own primary care practice and the response of patients to these initiatives. © The Author(s) 2015.

  9. Postscript: Reading in Semantic Dementia--A Response to Woollams, Lambon Ralph, Plaut, and Patterson (2010)

    ERIC Educational Resources Information Center

    Coltheart, Max; Tree, Jeremy J.; Saunders, Steven J.

    2010-01-01

    The current authors reply to a response by Woollams, Lambon Ralph, Plaut, and Patterson on a comment by the current authors on the original article. The current authors list their agreements and disagreements with Woollams, Lambon Ralph, Plaut, and Patterson's response on the topics of the human reading system, cognitive architecture, experimental…

  10. See Me, Hear Me: Skype in the Classroom

    ERIC Educational Resources Information Center

    Foote, Carolyn

    2008-01-01

    In this article, the author describes how she was able to allow her students to talk with author Cynthia Leitich Smith through Skype, a free Internet telephony service. The author also describes how Skype can be used for recording podcasts and enhancing the reference services of libraries. Here, the author shares ideas on using Skype in libraries.

  11. Leaf insects from Luzon, Philippines, with descriptions of four new species, the new genus Pseudomicrophyllium, and redescription of Phyllium (Phyllium) geryon Gray, 1843, (Phasmida: Phylliidae).

    PubMed

    Cumming, Royce T; Leong, Jing V; Lohman, David J

    2017-12-17

    Examination of unidentified Phylliidae specimens revealed a number of undescribed species from the island of Luzon, Philippines. Morphological and molecular study of specimens from the obscure phasmid genus Microphyllium Zompro, 2001, revealed a new species, which we describe as Microphyllium haskelli Cumming sp. nov.. It is here described and differentiated from the two other species in the genus, both currently only known from adults of a single sex. Pseudomicrophyllium Cumming gen. nov. is described as a new genus within Phylliidae with the type species Pseudomicrophyllium faulkneri Cumming gen. et sp. nov. as the sole known species in the genus. As is unfortunately often the case in the leaf-mimicking family Phylliidae, this new genus and species is only known from a single specimen. In addition to the new genus, two new Phyllium (Phyllium) species from the siccifolium species-group are named and described as Ph. (Ph.) antonkozlovi Cumming sp. nov. and Ph. (Ph.) bourquei Cumming Le Tirant sp. nov.. In addition to the newly described species, Phyllium (Phyllium) geryon Gray, 1843 is redescribed from a nearly perfect specimen, completing some of the morphological knowledge gaps currently missing because of the severely damaged holotype specimen. A key to all known species of Phylliidae from Luzon is included. Holotype specimens for all four new species will be deposited in the National Museum of the Philippines type collection and paratype specimens will be deposited into the San Diego Natural History Museum collection or retained within the first author's collection.

  12. A Passive EMI Filter with Access to the Ungrounded Motor Neutral Line-Its Effect on Eliminating Leakage Current from the Inverter Heat Sink-

    NASA Astrophysics Data System (ADS)

    Doumoto, Takafumi; Akagi, Hirofumi

    This paper deals with a leakage current flowing out of the heat sink of a voltage-source PWM inverter. The heat-sink leakage current is caused by a steep change in the common-mode voltage produced by the inverter. It flows through parasitic capacitors between the heat sink and power semiconductor devices when no EMI filter is connected. Experimental results reveal that the heat-sink leakage current flows not into the supply side, but into the motor side. These understandings succeed in describing an equivalent common-mode circuit taking the parasitic capacitors into account. The authors have proposed a passive EMI filter that is unique in access to the ungrounded motor neutral line. It is discussed from this equivalent circuit that the passive EMI filter is effective in preventing the leakage current from flowing. Moreover, installation of another small-sized common-mode inductor at the ac side of the diode rectifier prevents the leakage current from flowing into the supply side. Experimental results obtained from a 200-V, 3.7-kW laboratory system confirm the effectiveness and viability of the EMI filter.

  13. Microfluidic Transduction Harnesses Mass Transport Principles to Enhance Gene Transfer Efficiency.

    PubMed

    Tran, Reginald; Myers, David R; Denning, Gabriela; Shields, Jordan E; Lytle, Allison M; Alrowais, Hommood; Qiu, Yongzhi; Sakurai, Yumiko; Li, William C; Brand, Oliver; Le Doux, Joseph M; Spencer, H Trent; Doering, Christopher B; Lam, Wilbur A

    2017-10-04

    Ex vivo gene therapy using lentiviral vectors (LVs) is a proven approach to treat and potentially cure many hematologic disorders and malignancies but remains stymied by cumbersome, cost-prohibitive, and scale-limited production processes that cannot meet the demands of current clinical protocols for widespread clinical utilization. However, limitations in LV manufacture coupled with inefficient transduction protocols requiring significant excess amounts of vector currently limit widespread implementation. Herein, we describe a microfluidic, mass transport-based approach that overcomes the diffusion limitations of current transduction platforms to enhance LV gene transfer kinetics and efficiency. This novel ex vivo LV transduction platform is flexible in design, easy to use, scalable, and compatible with standard cell transduction reagents and LV preparations. Using hematopoietic cell lines, primary human T cells, primary hematopoietic stem and progenitor cells (HSPCs) of both murine (Sca-1 + ) and human (CD34 + ) origin, microfluidic transduction using clinically processed LVs occurs up to 5-fold faster and requires as little as one-twentieth of LV. As an in vivo validation of the microfluidic-based transduction technology, HSPC gene therapy was performed in hemophilia A mice using limiting amounts of LV. Compared to the standard static well-based transduction protocols, only animals transplanted with microfluidic-transduced cells displayed clotting levels restored to normal. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

  14. Ebolavirus Vaccines: Progress in the Fight Against Ebola Virus Disease.

    PubMed

    Wu, Xiao-Xin; Yao, Hang-Ping; Wu, Nan-Ping; Gao, Hai-Nv; Wu, Hai-Bo; Jin, Chang-Zhong; Lu, Xiang-Yun; Xie, Tian-Shen; Li, Lan-Juan

    2015-01-01

    Ebolaviruses are highly infectious pathogens that cause lethal Ebola virus disease (EVD) in humans and non-human primates (NHPs). Due to their high pathogenicity and transmissibility, as well as the potential to be misused as a bioterrorism agent, ebolaviruses would threaten the health of global populations if not controlled. In this review, we describe the origin and structure of ebolaviruses and the development of vaccines from the beginning of the 1980s, including conventional ebolavirus vaccines, DNA vaccines, Ebola virus-like particles (VLPs), vaccinia virus-based vaccines, Venezuelan equine encephalitis virus (VEEV)-like replicon particles, Kunjin virus-based vaccine, recombinant Zaire Ebolavirusx2206;VP30, recombinant cytomegalovirus (CMV)-based vaccines, recombinant rabies virus (RABV)-based vaccines, recombinant paramyxovirus-based vaccines, adenovirus-based vaccines and vesicular stomatitis virus (VSV)-based vaccines. No licensed vaccine or specific treatment is currently available to counteract ebolavirus infection, although DNA plasmids and several viral vector approaches have been evaluated as promising vaccine platforms. These vaccine candidates have been confirmed to be successful in protecting NHPs against lethal infection. Moreover, these vaccine candidates were successfully advanced to clinical trials. The present review provides an update of the current research on Ebola vaccines, with the aim of providing an overview on current prospects in the fight against EVD. © 2015 The Author(s) Published by S. Karger AG, Basel.

  15. Wives' attitudes toward gender roles and their experience of intimate partner violence by husbands in Central Province, Sri Lanka.

    PubMed

    Jayatilleke, Achini; Poudel, Krishna C; Sakisaka, Kayako; Yasuoka, Junko; Jayatilleke, Achala Upendra; Jimba, Masamine

    2011-02-01

    The authors conducted a community based, cross-sectional study to describe the prevalence of intimate partner violence (IPV) by husbands and the association between wives' attitudes toward gender roles and their experience of IPV in Central Province, Sri Lanka. This article included a representative sample of 624 wives between 15 and 49 years of age and examined the prevalence of physical, psychological, and sexual abuse. Then, using multivariate logistic regression analysis, the authors examined the association between wives' attitudes toward gender roles and IPV. Of the 624 wives, 36% had experienced at least one episode of physical, psychological, or sexual abuse by their husbands during their life time (ever abuse), and 19% had experienced such abuse during the past 12 months (current abuse). The wives were less likely to experience current abuse by husbands if they believed that "outsiders should not intervene to protect abused wives." They were more likely to experience ever and current isolated psychological abuse by husbands if they did not believe that "a good wife always obeys her husband." This study suggests that the prevalence of IPV is high in Sri Lanka. Although several published studies on IPV suggest that traditional gender role attitudes tend to increase women's vulnerability to IPV, this study suggests that in Sri Lanka, the wives who respect cultural norms tend to experience less IPV by husbands.

  16. A haphazard reading of McHugh and Barlow (2010).

    PubMed

    McHugh, R Kathryn; Barlow, David H

    2010-12-01

    Replies to comments on Do haphazard reviews provide sound directions for dissemination efforts? (see record 2010-24768-012) by Eileen Gambrill and Julia H. Littell on the current authors' article The dissemination and implementation of evidence-based psychological treatments: A review of current efforts (see record 2010-02208-010) by Kathryn R. McHugh and David H. Barlow. In their commentary, Gambrill and Littell (2010, this issue) suggested that we provided misleading guidance on the selection of treatments for dissemination in our recent article (McHugh & Barlow, February- March 2010) on the dissemination and implementation of evidence-based treatments. These authors misread our article as an affirmation of the evidence base of the treatments involved in the dissemination and implementation efforts we described. In fact, we explicitly disclaimed in the third paragraph that "we do not revisit controversies surrounding the identification or appropriateness of [evidence-based psychological treatments] . . . rather, we focus on the status and adequacy of [dissemination and implementation] efforts currently under way (McHugh & Barlow, 2010, p. 73). Thus, our review was not intended as a guideline for which treatments to disseminate, nor was it a thorough review of the evidence base for the treatments included in the efforts we reviewed. We chose several programs for illustrative purposes as representative efforts from three general domains: national, state, and investigator initiated. PsycINFO Database Record (c) 2010 APA, all rights reserved.

  17. Towards an understanding of the molecular regulation of carbon allocation in diatoms: the interaction of energy and carbon allocation.

    PubMed

    Wagner, Heiko; Jakob, Torsten; Fanesi, Andrea; Wilhelm, Christian

    2017-09-05

    In microalgae, the photosynthesis-driven CO 2 assimilation delivers cell building blocks that are used in different biosynthetic pathways. Little is known about how the cell regulates the subsequent carbon allocation to, for example, cell growth or for storage. However, knowledge about these regulatory mechanisms is of high biotechnological and ecological importance. In diatoms, the situation becomes even more complex because, as a consequence of their secondary endosymbiotic origin, the compartmentation of the pathways for the primary metabolic routes is different from green algae. Therefore, the mechanisms to manipulate the carbon allocation pattern cannot be adopted from the green lineage. This review describes the general pathways of cellular energy distribution from light absorption towards the final allocation of carbon into macromolecules and summarizes the current knowledge of diatom-specific allocation patterns. We further describe the (limited) knowledge of regulatory mechanisms of carbon partitioning between lipids, carbohydrates and proteins in diatoms. We present solutions to overcome the problems that hinder the identification of regulatory elements of carbon metabolism.This article is part of the themed issue 'The peculiar carbon metabolism in diatoms'. © 2017 The Author(s).

  18. Science and society: some "made-in-Canada" options for improving integration.

    PubMed

    Kosseim, Patricia; Chapman, Sheila

    2011-05-01

    In this article, the authors describe relatively recent efforts by scientific research agencies to promote, through various funding programs, the integration of social sciences and humanities with the natural sciences. This "integrated" approach seeks to study science through a broader interdisciplinary lens in order to better anticipate, understand, and address its ethical, legal, and social implications. The authors review the origins and evolution of this trend, as well the arguments which have been formulated by both proponents and critics of integration. By using Genome Canada's "GE(3)LS" Research Program as a case study, the authors discuss the successes and continuing challenges of this model based on evaluation results available to date. The authors then go on to examine and compare three possible models for improving the future success of the GE(3)LS research program, including: 1) enhancing the current integrated research approach through incremental refinements based on concrete evidence and lessons learned; 2) promoting greater interaction and synergy across GE(3)LS research projects through a deliberate, systematic and coordinated "hub and spoke" approach; and 3) taking a broad programmatic approach to GE(3)LS research by creating a central resource of available expertise and advisory capacity.

  19. The Atomic Bomb Fragment: An Experience in Explaining Nuclear Science to the Popular Media

    NASA Astrophysics Data System (ADS)

    Jokisch, Derek

    2005-11-01

    On March 11, 1958 a B-47 strategic bomber on a training mission accidentally dropped a Mark 6 nuclear bomb over rural South Carolina. The bomb, which did not contain the fissionable core, detonated on a lot in Mars Bluff, SC, less than a mile from the current campus of Francis Marion University (FMU). Though the accounts of this event have been written several times, the most extensive account was recently published in the May 2005 issue of Esquire magazine. The author of the Esquire article contacted health physics faculty at FMU in February of 2005 after finding a local resident that claimed to have a fragment of the bomb. In attempting to authenticate the fragment, the author was surprised to measure radioactivity with a Geiger counter. He asked if FMU had the equipment necessary to determine the source of the activity. We spent one afternoon with the author while acquiring a gamma-ray spectrum from the fragment. In addition to presenting the brief scientific analysis, this talk will describe the communication with the author of the article and the subsequent interpretation presented in the publication.

  20. Authority of Pharmacists to Administer Human Papillomavirus Vaccine: Alignment of State Laws With Age-Level Recommendations.

    PubMed

    Dingman, Deirdre A; Schmit, Cason D

    One strategy to increase the uptake of human papillomavirus (HPV) vaccine among adolescents is through the use of pharmacists. Our objectives were to (1) use a publicly available database to describe the statutory and regulatory authority of pharmacists to administer the HPV vaccine in the United States and (2) discuss how the current status of laws may influence achievement of the Healthy People 2020 goal of 80% HPV vaccination rate for teenagers aged 13-15. Using information from the Centers for Disease Control and Prevention's (CDC's) Public Health Law Program database, we identified state laws in effect as of January 1, 2016, giving pharmacists authority to administer vaccines. We used a standardized analysis algorithm to determine whether states' laws (1) authorized pharmacists to administer HPV vaccine, (2) required third-party authorization for pharmacist administration, and (3) restricted HPV vaccine administration by pharmacists to certain patient age groups. Of 50 states and the District of Columbia, 40 had laws expressly granting pharmacists authority to administer HPV vaccine to patients, but only 22 had laws that authorized pharmacists to vaccinate preadolescents aged 11 or 12 (ie, the CDC-recommended age group). Pharmacists were granted prescriptive authority by 5 states, and they were given authority pursuant to general (non-patient-specific) third-party authorization (eg, a licensed health care provider) by 32 states or patient-specific third-party authorization by 3 states. Most states permitted pharmacists to administer HPV vaccines only to boys and girls older than 11 or 12, which may hinder achievement of the Healthy People 2020 goal for HPV vaccination. Efforts should be made to strengthen the role of pharmacists in addressing this public health issue.

  1. Paper-based analytical devices for clinical diagnosis: recent advances in the fabrication techniques and sensing mechanisms

    PubMed Central

    Sher, Mazhar; Zhuang, Rachel; Demirci, Utkan; Asghar, Waseem

    2017-01-01

    Introduction There is a significant interest in developing inexpensive portable biosensing platforms for various applications including disease diagnostics, environmental monitoring, food safety, and water testing at the point-of-care (POC) settings. Current diagnostic assays available in the developed world require sophisticated laboratory infrastructure and expensive reagents. Hence, they are not suitable for resource-constrained settings with limited financial resources, basic health infrastructure, and few trained technicians. Cellulose and flexible transparency paper-based analytical devices have demonstrated enormous potential for developing robust, inexpensive and portable devices for disease diagnostics. These devices offer promising solutions to disease management in resource-constrained settings where the vast majority of the population cannot afford expensive and highly sophisticated treatment options. Areas covered In this review, the authors describe currently developed cellulose and flexible transparency paper-based microfluidic devices, device fabrication techniques, and sensing technologies that are integrated with these devices. The authors also discuss the limitations and challenges associated with these devices and their potential in clinical settings. Expert commentary In recent years, cellulose and flexible transparency paper-based microfluidic devices have demonstrated the potential to become future healthcare options despite a few limitations such as low sensitivity and reproducibility. PMID:28103450

  2. Optimization of monopiles for offshore wind turbines.

    PubMed

    Kallehave, Dan; Byrne, Byron W; LeBlanc Thilsted, Christian; Mikkelsen, Kristian Kousgaard

    2015-02-28

    The offshore wind industry currently relies on subsidy schemes to be competitive with fossil-fuel-based energy sources. For the wind industry to survive, it is vital that costs are significantly reduced for future projects. This can be partly achieved by introducing new technologies and partly through optimization of existing technologies and design methods. One of the areas where costs can be reduced is in the support structure, where better designs, cheaper fabrication and quicker installation might all be possible. The prevailing support structure design is the monopile structure, where the simple design is well suited to mass-fabrication, and the installation approach, based on conventional impact driving, is relatively low-risk and robust for most soil conditions. The range of application of the monopile for future wind farms can be extended by using more accurate engineering design methods, specifically tailored to offshore wind industry design. This paper describes how state-of-the-art optimization approaches are applied to the design of current wind farms and monopile support structures and identifies the main drivers where more accurate engineering methods could impact on a next generation of highly optimized monopiles. © 2015 The Author(s) Published by the Royal Society. All rights reserved.

  3. Paper-based analytical devices for clinical diagnosis: recent advances in the fabrication techniques and sensing mechanisms.

    PubMed

    Sher, Mazhar; Zhuang, Rachel; Demirci, Utkan; Asghar, Waseem

    2017-04-01

    There is a significant interest in developing inexpensive portable biosensing platforms for various applications including disease diagnostics, environmental monitoring, food safety, and water testing at the point-of-care (POC) settings. Current diagnostic assays available in the developed world require sophisticated laboratory infrastructure and expensive reagents. Hence, they are not suitable for resource-constrained settings with limited financial resources, basic health infrastructure, and few trained technicians. Cellulose and flexible transparency paper-based analytical devices have demonstrated enormous potential for developing robust, inexpensive and portable devices for disease diagnostics. These devices offer promising solutions to disease management in resource-constrained settings where the vast majority of the population cannot afford expensive and highly sophisticated treatment options. Areas covered: In this review, the authors describe currently developed cellulose and flexible transparency paper-based microfluidic devices, device fabrication techniques, and sensing technologies that are integrated with these devices. The authors also discuss the limitations and challenges associated with these devices and their potential in clinical settings. Expert commentary: In recent years, cellulose and flexible transparency paper-based microfluidic devices have demonstrated the potential to become future healthcare options despite a few limitations such as low sensitivity and reproducibility.

  4. General Aviation in Nebraska: Nebraska SATS Project Background Paper No. 1

    NASA Technical Reports Server (NTRS)

    Smith, Russell; Wachal, Jocelyn

    2000-01-01

    The Nebraska SATS project is a state-level component of NASA's Small Aircraft Transportation System (SATS). During the next several years the project will examine several different factors affecting SATS implementation in Nebraska. These include economic and taxation issues, public policy issues, airport planning processes, information dissemination strategies, and systemic change factors. This background paper profiles the general aviation system in Nebraska. It is written to provide information about the "context" within which SATS will be pursued. The primary focus is thus on describing and providing background information about the current situation. A secondary focus is on drawing general conclusions about the ability of the current system to incorporate the types of changes implied by SATS. First, some brief information on the U.S. aviation system is provided. The next two sections profile the current general aviation aircraft and pilot base. Nebraska's system of general aviation airports is then described. Within this section of the paper, information is provided on the different types of general aviation airports in Nebraska, airport activity levels and current infrastructure. The fourth major section of the background paper looks at Nebraska's local airport authorities. These special purpose local governments oversee the majority of the general aviation airports in the state. Among the items examined are total expenditures, capital expenditures and planning activities. Next, the paper provides background information on the Nebraska Department of Aeronautics (NDA) and recent Federal funding for general aviation in Nebraska. The final section presents summary conclusions.

  5. Human Amniotic Membrane-Derived Products in Sports Medicine: Basic Science, Early Results, and Potential Clinical Applications.

    PubMed

    Riboh, Jonathan C; Saltzman, Bryan M; Yanke, Adam B; Cole, Brian J

    2016-09-01

    Amniotic membrane (AM)-derived products have been successfully used in ophthalmology, plastic surgery, and wound care, but little is known about their potential applications in orthopaedic sports medicine. To provide an updated review of the basic science and preclinical and clinical data supporting the use of AM-derived products and to review their current applications in sports medicine. Systematic review. A systematic search of the literature was conducted using the Medline, EMBASE, and Cochrane databases. The search term amniotic membrane was used alone and in conjunction with stem cell, orthopaedic, tissue engineering, scaffold, and sports medicine. The search identified 6870 articles, 80 of which, after screening of the titles and abstracts, were considered relevant to this study. Fifty-five articles described the anatomy, basic science, and nonorthopaedic applications of AM-derived products. Twenty-five articles described preclinical and clinical trials of AM-derived products for orthopaedic sports medicine. Because the level of evidence obtained from this search was not adequate for systematic review or meta-analysis, a current concepts review on the anatomy, physiology, and clinical uses of AM-derived products is presented. Amniotic membranes have many promising applications in sports medicine. They are a source of pluripotent cells, highly organized collagen, antifibrotic and anti-inflammatory cytokines, immunomodulators, and matrix proteins. These properties may make it beneficial when applied as tissue engineering scaffolds, improving tissue organization in healing, and treatment of the arthritic joint. The current body of evidence in sports medicine is heavily biased toward in vitro and animal studies, with little to no human clinical data. Nonetheless, 14 companies or distributors offer commercial AM products. The preparation and formulation of these products alter their biological and mechanical properties, and a thorough understanding of these differences will help guide the use of AM-derived products in sports medicine research. © 2015 The Author(s).

  6. Ethanol (EtOH) inhibition of NMDA-activated ion current is not voltage-dependent and EtOH does not interact with other binding sites on the NMDA receptor/ionophore complex

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

    Lovinger, D.M.; White, G.; Weight, F.F.

    1990-02-26

    Recent studies indicate that intoxicating concentrations of EtOH inhibit neuronal responses to activation of NMDA-type glutamate receptors. The authors have observed that the potency of different alcohols for inhibiting NMDA-activated ion current in hippocampal neurons increases as a function of increasing hydrophobicity, suggesting that EtOH acts at a hydrophobic site. To further characterize the mechanisms of this effect, the authors examined the voltage-dependence of the EtOH inhibition of NMDA-activated ion current as well as potential interactions of EtOH with other effectors of the NMDA receptor/ionophore complex. The amount of inhibition of peak NMDA-activated current by 50 mM EtOH did notmore » differ over a range of membrane potentials from {minus}60 to +60 mV, and EtOH did not alter the reversal potential of NMDA-activated current. The percent inhibition observed in the presence of 10-100 mM EtOH did not differ with NMDA concentrations from 10-100 {mu}M. The percent inhibition by 50 mM EtOH (30-48%) did not differ in the absence or presence of the channel blockers Mg{sup 2+} (50-500 {mu}M), Zn{sup 2+} (5 and 20 {mu}M) or ketamine (2 and 10 {mu}M), or with increasing concentrations of the NMDA receptor cofactor glycine (0.01-1 {mu}M). These data indicate that: (i) EtOH does not change the ion selectivity of the ionophore, and (ii) EtOH does not appear to interact with previously described binding sites on the NMDA receptor/ionophore complex.« less

  7. Substantial contribution and accountability: best authorship practices for medical writers in biomedical publications.

    PubMed

    Stocks, Angela; Simcoe, Donna; Toroser, Dikran; DeTora, Lisa

    2018-06-01

    To provide clarity on the professional medical writer as author or contributor by examining what "a substantial contribution" and "accountability" mean with respect to authorship in a biomedical publication. These terms relate to criteria 1 and 4 of the International Committee of Medical Journal Editors (ICMJE) authorship guidelines. We reviewed the ICMJE and Good Publication Practice authorship guidelines, which recommend that individuals not meeting all four authorship criteria should be acknowledged as contributors. We also surveyed and assessed selected journals for published guidance on authorship versus contributorship. We found that journals often vary in their authorship guidelines for medical writers. Notwithstanding, and to assist in determining the contribution made by the medical writer, we have expanded on current guidelines to develop recommendations for important intellectual contribution to the design of the work (developing the protocol, choosing endpoints) or the interpretation of data for the work (developing the discussion, interpreting new statistical output), which should result in inclusion of the medical writer as an author, as well as when accountability is relevant. If the medical writer does not qualify as an author, then their inclusion in the acknowledgements section is appropriate. Authors and contributors have a responsibility to create a publication that is accurate and true to the study results, but only authors must provide a substantial contribution and are accountable for that contribution. Contributions made by authors and non-author contributors should be fully described in the publication, to enable the reader to assess credit and responsibility.

  8. Current management of oral cancer. A multidisciplinary approach.

    PubMed

    Ord, R A; Blanchaert, R H

    2001-11-01

    Recent basic science discoveries have contributed to our understanding of the etiology of oral cancer and allowed us to consider innovative approaches to therapy. The authors evaluated and summarized current approaches to the management of oral cancer, emphasizing the multidisciplinary team approach to coordinate surgery, radiation therapy and chemotherapy. Current concepts in management, including complications of therapy, are described. State-of-the-art surgical techniques can spare patients with oral cancer from much of the morbidity and complications common in the past. The refinement of treatment strategies reduces complications and improves efficacy. Many exciting new clinical trials in the areas of gene therapy and immunomodulation are showing promise. Management of oral cancer has undergone radical change in the past 10 years and continues to evolve rapidly. Discoveries in molecular biology, diagnosis, surgery, radiation therapy and medical oncology have altered many traditional concepts and practices. General dental practitioners need to understand current treatment modalities for oral and pharyngeal cancers to determine to whom they should refer patients for the most appropriate treatment, and to make recommendations regarding complications associated with these cancers.

  9. [Big Data- challenges and risks].

    PubMed

    Krauß, Manuela; Tóth, Tamás; Hanika, Heinrich; Kozlovszky, Miklós; Dinya, Elek

    2015-12-06

    The term "Big Data" is commonly used to describe the growing mass of information being created recently. New conclusions can be drawn and new services can be developed by the connection, processing and analysis of these information. This affects all aspects of life, including health and medicine. The authors review the application areas of Big Data, and present examples from health and other areas. However, there are several preconditions of the effective use of the opportunities: proper infrastructure, well defined regulatory environment with particular emphasis on data protection and privacy. These issues and the current actions for solution are also presented.

  10. Poor boy 3D seismic effort yields South Central Kentucky discovery

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

    Hanratty, M.

    1996-11-04

    Clinton County, Ky., is on the eastern flank of the Cincinnati arch and the western edge of the Appalachian basin and the Pine Mountain overthrust. Clinton County has long been known for high volume fractured carbonate wells. The discovery of these fractured reservoir, unfortunately, has historically been serendipitous. The author currently uses 2D seismic and satellite imagery to design 3D high resolution seismic shoots. This method has proven to be the most efficient and is the core of his program. The paper describes exploration methods, seismic acquisition, well data base, and seismic interpretation.

  11. The clinical case: validity, values and strategies to approach its writing.

    PubMed

    Mellado, J M; Packer, C D

    The case report is used to communicate the experience acquired by its authors with a patient. Although its relevance has been doubted, the case report deserves to be vindicated and contextualized. We review the case report's historical tradition, recent evolution and current formats. We describe its utility as a scientific tool, a continuing education resource and an aid to diagnosis. We reflect on the teaching potential its writing entails. Finally, we provide strategies to address the writing of a radiological case report. Copyright © 2017 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.

  12. TVA's photovoltaic activities

    NASA Astrophysics Data System (ADS)

    Chinery, G. T.; Wood, J. M.

    1985-08-01

    This paper describes the Tennessee Valley Authority's (TVA) current photovoltaic (PV) activities. These include four roof-mounted 4 kWp residential arrays (which are also Southeast Residential Station field sites) and two 5-6 kWp commercial sites, all grid connected with no battery storage. Also included are approximately 30 kWp of non-grid-connected remote sites with storage (remote lighting, weather stations, etc.). Monitoring results from the two 'online' residential systems are presented. Finally, TVA's future PV plans are discussed, both with respect to interfacing with a multitude of residential and commercial cogenerators and with regard to possible TVA PV central station plans.

  13. Energy Efficient Engine: Control system component performance report

    NASA Technical Reports Server (NTRS)

    Beitler, R. S.; Bennett, G. W.

    1984-01-01

    An Energy Efficient Engine (E3) program was established to develop technology for improving the energy efficiency of future commercial transport aircraft engines. As part of this program, General Electric designed and tested a new engine. The design, fabrication, bench and engine testing of the Full Authority Digital Electronic Control (FADEC) system used for controlling the E3 Demonstrator Engine is described. The system design was based on many of the proven concepts and component designs used on the General Electric family of engines. One significant difference is the use of the FADEC in place of hydromechanical computation currently used.

  14. Wearable device implications in the healthcare industry.

    PubMed

    Erdmier, Casey; Hatcher, Jason; Lee, Michael

    2016-01-01

    This manuscript analyses the impact of wearable device technology in the healthcare industry. The authors provide an exploration of the different types of wearable technology that are becoming popular or are emerging into the consumer market and the personal health information and other user data these devices collect. The applications of wearable technology to healthcare and wellness are discussed, along with the impact of these devices on the industry. Finally, an analysis is provided, describing the current regulations in the US and UK that govern wearable devices and the impact of these device regulations on users and healthcare professionals.

  15. The object the metaphor the power and evergreen or the eighth way to make a hypermedia project fail

    NASA Technical Reports Server (NTRS)

    Warren, Bruce A.

    1990-01-01

    A patented software technique is described that is necessary and sufficient to keep hypermedia data bases current with the manufacturing technology. The technique proved its validity in four years of use in petrochemical plants. This technique is based on the following principles: (1) the data base must be object structured, i.e., all components must retain visible individuality; (2) the author must be seeing and experiencing the multimedia data objects as he creates; and (3) the hypermedia tools must possess power in the form of unlimited capacity.

  16. Research of energy characteristics of frequency-regulated electric drive

    NASA Astrophysics Data System (ADS)

    Arsentiev, O. V.; Arsentiev, G. O.; Dunaev, M. P.

    2018-03-01

    The paper considers the urgency of the research problems of the inverter as a part of the frequency converter. Experimental studies on the influence of the nature of the load on the structure of the distribution of power consumption are used. The authors described virtual models, allowing for analysis of changes in the cardinality of the inverter-factor when using it on an active-inductive load. According to the results, there are research conclusions to determine the relationship between the current form in the DC- link constant voltage and the mode of operation of the induction motor.

  17. Beacon communities aim to use health information technology to transform the delivery of care.

    PubMed

    Maxson, Emily R; Jain, Sachin H; McKethan, Aaron N; Brammer, Craig; Buntin, Melinda Beeuwkes; Cronin, Kelly; Mostashari, Farzad; Blumenthal, David

    2010-09-01

    The Beacon Community Program, authorized under the 2009 American Recovery and Reinvestment Act (ARRA), aims to demonstrate the potential for health information technology to enable local improvements in health care quality, cost efficiency, and population health. If successful, these communitywide efforts will yield important lessons that will assist other communities seeking to harness technology to achieve and sustain health care improvements. This paper highlights key programmatic details that reflect the meaningful use of technology in the fifteen Beacon communities. It describes the innovations they propose and provides insight into current and future challenges.

  18. Pathological Joking or Witzelsucht Revisited.

    PubMed

    Granadillo, Elias D; Mendez, Mario F

    2016-01-01

    Humor, or the perception or elicitation of mirth and funniness, is distinguishable from laughter and can be differentially disturbed by neuropsychiatric disease. The authors describe two patients with constant joking, or Witzelsucht, in the absence of pseudobulbar affect and review the literature on pathological humor. These patients had involvement of frontal structures, impaired appreciation of nonsimple humor, and a compulsion for disinhibited joking. Current neuroscience suggests that impaired humor integration from right lateral frontal injury and disinhibition from orbitofrontal damage results in disinhibited humor, preferentially activating limbic and subcortical reward centers. Additional frontal-subcortical circuit dysfunction may promote pathological joking as a compulsion.

  19. EIA's Role in Energy Data Collection, With Some Notes on Water Data

    NASA Astrophysics Data System (ADS)

    Leckey, T. J.

    2017-12-01

    The U.S. Energy Information Administration (EIA) is the statistical and analytical agency within the U.S. Department of Energy. EIA collects, analyzes, and disseminates independent and impartial energy information to promote sound policymaking, efficient markets, and public understanding of energy and its interaction with the economy and the environment. EIA conducts a comprehensive data collection program that covers the full spectrum of energy sources, end uses, and energy flows. This presentation will describe EIA's authority to collect energy data, report on the range of energy areas currently collected by EIA, discuss some areas where energy information and water issues intersect, and describe the relatively few areas where EIA does collect a small amount of water data. The presentation will conclude with some thoughts about necessary components for effective collection of water data at the federal level.

  20. Specialized CCDs for high-frame-rate visible imaging and UV imaging applications

    NASA Astrophysics Data System (ADS)

    Levine, Peter A.; Taylor, Gordon C.; Shallcross, Frank V.; Tower, John R.; Lawler, William B.; Harrison, Lorna J.; Socker, Dennis G.; Marchywka, Mike

    1993-11-01

    This paper reports recent progress by the authors in two distinct charge coupled device (CCD) technology areas. The first technology area is high frame rate, multi-port, frame transfer imagers. A 16-port, 512 X 512, split frame transfer imager and a 32-port, 1024 X 1024, split frame transfer imager are described. The thinned, backside illuminated devices feature on-chip correlated double sampling, buried blooming drains, and a room temperature dark current of less than 50 pA/cm2, without surface accumulation. The second technology area is vacuum ultraviolet (UV) frame transfer imagers. A developmental 1024 X 640 frame transfer imager with 20% quantum efficiency at 140 nm is described. The device is fabricated in a p-channel CCD process, thinned for backside illumination, and utilizes special packaging to achieve stable UV response.

  1. Pain assessment in children: theoretical and empirical validity.

    PubMed

    Villarruel, A M; Denyes, M J

    1991-12-01

    Valid assessment of pain in children is foundational for both the nursing practice and research domains, yet few validated methods of pain measurement are currently available for young children. This article describes an innovative research approach used in the development of photographic instruments to measure pain intensity in young African-American and Hispanic children. The instruments were designed to enable children to participate actively in their own care and to do so in ways that are congruent with their developmental and cultural heritage. Conceptualization of the instruments, methodological development, and validation processes grounded in Orem's Self-Care Deficit Theory of Nursing are described. The authors discuss the ways in which the gaps between nursing theory, research, and practice are narrowed when development of instruments to measure clinical nursing phenomena are grounded in nursing theory, validated through research and utilized in practice settings.

  2. Research and the health of indigenous populations in low- and middle-income countries.

    PubMed

    Mohindra, K S

    2017-06-01

    In low- and middle-income countries (LMICs)-when there are available data-a 'health divide' exists between indigenous and non-indigenous populations living in the same society. Despite the limited available evidence suggesting that indigenous populations have high levels of health needs, there is scant research on indigenous health, especially in Africa, China and South Asia. Pursuing research, however, is clouded by the prior negative experiences that indigenous populations have had with researchers. In this paper, we describe the current evidence base on indigenous health in LMICs, propose practical strategies for undertaking future research, and conclude by describing how global health researchers can contribute to improving the health of indigenous populations. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  3. COREBA (cognition-oriented emergent behavior architecture)

    NASA Astrophysics Data System (ADS)

    Kwak, S. David

    2000-06-01

    Currently, many behavior implementation technologies are available for modeling human behaviors in Department of Defense (DOD) computerized systems. However, it is commonly known that any single currently adopted behavior implementation technology is not so capable of fully representing complex and dynamic human decision-making and cognition behaviors. The author views that the current situation can be greatly improved if multiple technologies are integrated within a well designed overarching architecture that amplifies the merits of each of the participating technologies while suppressing the limitations that are inherent with each of the technologies. COREBA uses an overarching behavior integration architecture that makes the multiple implementation technologies cooperate in a homogeneous environment while collectively transcending the limitations associated with the individual implementation technologies. Specifically, COREBA synergistically integrates Artificial Intelligence and Complex Adaptive System under Rational Behavior Model multi-level multi- paradigm behavior architecture. This paper will describe applicability of COREBA in DOD domain, behavioral capabilities and characteristics of COREBA and how the COREBA architectural integrates various behavior implementation technologies.

  4. Equivalence testing using existing reference data: An example with genetically modified and conventional crops in animal feeding studies.

    PubMed

    van der Voet, Hilko; Goedhart, Paul W; Schmidt, Kerstin

    2017-11-01

    An equivalence testing method is described to assess the safety of regulated products using relevant data obtained in historical studies with assumedly safe reference products. The method is illustrated using data from a series of animal feeding studies with genetically modified and reference maize varieties. Several criteria for quantifying equivalence are discussed, and study-corrected distribution-wise equivalence is selected as being appropriate for the example case study. An equivalence test is proposed based on a high probability of declaring equivalence in a simplified situation, where there is no between-group variation, where the historical and current studies have the same residual variance, and where the current study is assumed to have a sample size as set by a regulator. The method makes use of generalized fiducial inference methods to integrate uncertainties from both the historical and the current data. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. Social and cultural meanings of self-efficacy.

    PubMed

    Burke, Nancy J; Bird, Joyce A; Clark, Melissa A; Rakowski, William; Guerra, Claudia; Barker, Judith C; Pasick, Rena J

    2009-10-01

    This article describes the influences of social context on women's health behavior through illustration of the powerful influences of social capital (the benefits and challenges that accrue from participation in social networks and groups) on experiences and perceptions of self-efficacy. The authors conducted inductive interviews with Latino and Filipino academics and social service providers and with U.S.-born and immigrant Latinas and Filipinas to explore direct and indirect influences of social context on health behaviors such as mammography screening. Iterative thematic analysis identified themes (meanings of efficacy, spheres of efficacy, constraints on efficacy, sources of social capital, and differential access to and quality of social capital) that link the domain of social capital with the behavioral construct perceived self-efficacy. The authors conclude that social capital addresses aspects of social context absent in the current self-efficacy construct and that these aspects have important implications for scholars' and practitioners' understandings of health behavior and intervention development.

  6. Developments in Human Centered Cueing Algorithms for Control of Flight Simulator Motion Systems

    NASA Technical Reports Server (NTRS)

    Houck, Jacob A.; Telban, Robert J.; Cardullo, Frank M.

    1997-01-01

    The authors conducted further research with cueing algorithms for control of flight simulator motion systems. A variation of the so-called optimal algorithm was formulated using simulated aircraft angular velocity input as a basis. Models of the human vestibular sensation system, i.e. the semicircular canals and otoliths, are incorporated within the algorithm. Comparisons of angular velocity cueing responses showed a significant improvement over a formulation using angular acceleration input. Results also compared favorably with the coordinated adaptive washout algorithm, yielding similar results for angular velocity cues while eliminating false cues and reducing the tilt rate for longitudinal cues. These results were confirmed in piloted tests on the current motion system at NASA-Langley, the Visual Motion Simulator (VMS). Proposed future developments by the authors in cueing algorithms are revealed. The new motion system, the Cockpit Motion Facility (CMF), where the final evaluation of the cueing algorithms will be conducted, is also described.

  7. The seemingly quixotic pursuit of a cumulative psychological science: introduction to the special issue.

    PubMed

    Curran, Patrick J

    2009-06-01

    The goal of any empirical science is to pursue the construction of a cumulative base of knowledge upon which the future of the science may be built. However, there is mixed evidence that the science of psychology can accurately be characterized by such a cumulative progression. Indeed, some argue that the development of a truly cumulative psychological science is not possible with the current paradigms of hypothesis testing in single-study designs. The author explores this controversy as a framework to introduce the 6 articles that make up this special issue on the integration of data and empirical findings across multiple studies. The author proposes that the methods and techniques described in this set of articles can significantly propel researchers forward in their ongoing quest to build a cumulative psychological science. (PsycINFO Database Record (c) 2009 APA, all rights reserved).

  8. Cultural Humility: A Concept Analysis.

    PubMed

    Foronda, Cynthia; Baptiste, Diana-Lyn; Reinholdt, Maren M; Ousman, Kevin

    2016-05-01

    Diversity is being increasingly recognized as an area of emphasis in health care. The term cultural humility is used frequently but society's understanding of the term is unclear. The aim of this article was to provide a concept analysis and a current definition for the term cultural humility. Cultural humility was used in a variety of contexts from individuals having ethnic and racial differences, to differences in sexual preference, social status, interprofessional roles, to health care provider/patient relationships. The attributes were openness, self-awareness, egoless, supportive interactions, and self-reflection and critique. The antecedents were diversity and power imbalance. The consequences were mutual empowerment, partnerships, respect, optimal care, and lifelong learning. Cultural humility was described as a lifelong process. With a firm understanding of the term, individuals and communities will be better equipped to understand and accomplish an inclusive environment with mutual benefit and optimal care. © The Author(s) 2015.

  9. Adaptation to Early-Stage Nonfluent/Agrammatic Variant Primary Progressive Aphasia: A First-Person Account.

    PubMed

    Douglas, Joanne T

    2014-06-01

    Primary progressive aphasia (PPA) is a young-onset neurodegenerative disorder characterized by declining language ability. The nonfluent/agrammatic variant of PPA (PPA-G) has the core features of agrammatism in language production and effortful, halting speech. As with other frontotemporal spectrum disorders, there is currently no cure for PPA, nor is it possible to slow the course of progression. The primary goal of treatment is therefore palliative in nature. However, there is a paucity of published information about strategies to make meaningful improvements to the quality of life of people with PPA, particularly in the early stages of the disease where any benefit could most be appreciated by the affected person. This report describes a range of strategies and adaptations designed to improve the quality of life of a person with early-stage PPA-G, based on my experience under the care of a multidisciplinary medical team. © The Author(s) 2014.

  10. Neurosurgical management of L-asparaginase induced haemorrhagic stroke

    PubMed Central

    Ogbodo, Elisha; Kaliaperumal, Chandrasekaran; O’Sullivan, Michael

    2012-01-01

    The authors describe a case of L-asparaginase induced intracranial thrombosis and subsequent haemorrhage in a newly diagnosed 30-year-old man with acute lymphoblastic leukaemia who was successfully managed by surgical intervention. At presentation, he had a Glasgow Coma Score of 7/15, was aphasic and had dense right hemiplegia. Neuroimaging revealed an acute anterior left middle cerebral artery infarct with parenchymal haemorrhagic conversion, mass effect and subfalcine herniation. He subsequently underwent left frontal craniotomy and evacuation of large frontal haematoma and decompressive craniectomy for cerebral oedema. Six months postoperatively he underwent titanium cranioplasty. He had made good clinical recovery and is currently mobilising independently with mild occasional episodes of expressive dysphasia, difficulty with fine motor movement on the right side, and has remained seizure free. This is the first documented case of L-asparaginase induced haemorrhagic stroke managed by neurosurgical intervention. The authors emphasise the possible role of surgery in managing chemotherapy induced intracranial complications. PMID:22605598

  11. Quantum and Multidimensional Explanations in a Neurobiological Context of Mind.

    PubMed

    Korf, Jakob

    2015-08-01

    This article examines the possible relevance of physical-mathematical multidimensional or quantum concepts aiming at understanding the (human) mind in a neurobiological context. Some typical features of the quantum and multidimensional concepts are briefly introduced, including entanglement, superposition, holonomic, and quantum field theories. Next, we consider neurobiological principles, such as the brain and its emerging (physical) mind, evolutionary and ontological origins, entropy, syntropy/neg-entropy, causation, and brain energy metabolism. In many biological processes, including biochemical conversions, protein folding, and sensory perception, the ubiquitous involvement of quantum mechanisms is well recognized. Quantum and multidimensional approaches might be expected to help describe and model both brain and mental processes, but an understanding of their direct involvement in mental activity, that is, without mediation by molecular processes, remains elusive. More work has to be done to bridge the gap between current neurobiological and physical-mathematical concepts with their associated quantum-mind theories. © The Author(s) 2014.

  12. The search for and analysis of direct samples of early Solar System aqueous fluids.

    PubMed

    Zolensky, Michael E; Bodnar, Robert J; Yurimoto, Hisayoshi; Itoh, Shoichi; Fries, Marc; Steele, Andrew; Chan, Queenie H-S; Tsuchiyama, Akira; Kebukawa, Yoko; Ito, Motoo

    2017-05-28

    We describe the current state of the search for direct, surviving samples of early, inner Solar System fluids-fluid inclusions in meteorites. Meteoritic aqueous fluid inclusions are not rare, but they are very tiny and their characterization is at the state of the art for most analytical techniques. Meteoritic fluid inclusions offer us a unique opportunity to study early Solar System brines in the laboratory. Inclusion-by-inclusion analyses of the trapped fluids in carefully selected samples will, in the immediate future, provide us detailed information on the evolution of fluids as they interacted with anhydrous solid materials. Thus, real data can replace calculated fluid compositions in thermochemical calculations of the evolution of water and aqueous reactions in comets, asteroids, moons and the terrestrial planets.This article is part of the themed issue 'The origin, history and role of water in the evolution of the inner Solar System'. © 2017 The Author(s).

  13. Thyroid storm: an updated review.

    PubMed

    Chiha, Maguy; Samarasinghe, Shanika; Kabaker, Adam S

    2015-03-01

    Thyroid storm, an endocrine emergency first described in 1926, remains a diagnostic and therapeutic challenge. No laboratory abnormalities are specific to thyroid storm, and the available scoring system is based on the clinical criteria. The exact mechanisms underlying the development of thyroid storm from uncomplicated hyperthyroidism are not well understood. A heightened response to thyroid hormone is often incriminated along with increased or abrupt availability of free hormones. Patients exhibit exaggerated signs and symptoms of hyperthyroidism and varying degrees of organ decompensation. Treatment should be initiated promptly targeting all steps of thyroid hormone formation, release, and action. Patients who fail medical therapy should be treated with therapeutic plasma exchange or thyroidectomy. The mortality of thyroid storm is currently reported at 10%. Patients who have survived thyroid storm should receive definite therapy for their underlying hyperthyroidism to avoid any recurrence of this potentially fatal condition. © The Author(s) 2013.

  14. Circadian rhythms in anesthesia and critical care medicine: potential importance of circadian disruptions.

    PubMed

    Brainard, Jason; Gobel, Merit; Bartels, Karsten; Scott, Benjamin; Koeppen, Michael; Eckle, Tobias

    2015-03-01

    The rotation of the earth and associated alternating cycles of light and dark--the basis of our circadian rhythms--are fundamental to human biology and culture. However, it was not until 1971 that researchers first began to describe the molecular mechanisms for the circadian system. During the past few years, groundbreaking research has revealed a multitude of circadian genes affecting a variety of clinical diseases, including diabetes, obesity, sepsis, cardiac ischemia, and sudden cardiac death. Anesthesiologists, in the operating room and intensive care units, manage these diseases on a daily basis as they significantly affect patient outcomes. Intriguingly, sedatives, anesthetics, and the intensive care unit environment have all been shown to disrupt the circadian system in patients. In the current review, we will discuss how newly acquired knowledge of circadian rhythms could lead to changes in clinical practice and new therapeutic concepts. © The Author(s) 2014.

  15. Development and evaluation of an automatic method for the study of platelet osmotic response.

    PubMed

    Gigout, T; Blondel, W; Didelon, J; Latger, V; Dumas, D; Schooneman, F; Stoltz, J F

    1999-01-01

    Study of the osmotic resistance to hypotonic medium of platelets has often been suggested as a global test to assess the viability of these cells in transfusion or to study modification during haematological pathologies. A number of authors have analysed the behaviour of platelets in hypotonic media by a variety of methods (cell count, determinations of substances released, morphology, etc.), but most studies are currently based on the so-called "Hypotonic Shock Response" test (HSR). In this study, the authors describe a new automated and reproducible apparatus, called fragilimeter, using slow dialysis to assess platelet osmotic resistance. The variations in light transmission through a platelet suspension according to ionic strength are linked to the change in cellular volume and lysis and characterise the osmotic behaviour of the cells. The results revealed the good reproducibility and sensibility of the technique. This apparatus allows also the realisation of the "HSR" test.

  16. The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5): Background and rationale.

    PubMed

    Davis, Gavin A; Purcell, Laura; Schneider, Kathryn J; Yeates, Keith Owen; Gioia, Gerard A; Anderson, Vicki; Ellenbogen, Richard G; Echemendia, Ruben J; Makdissi, Michael; Sills, Allen; Iverson, Grant L; Dvořák, Jiří; McCrory, Paul; Meeuwisse, Willem; Patricios, Jon; Giza, Christopher C; Kutcher, Jeffrey S

    2017-06-01

    This article presents the Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5). The Sport Concussion Assessment Tool was introduced in 2004, following the 2nd International Conference on Concussion in Sport in Prague, Czech Republic. Following the 4th International Consensus Conference, held in Zurich, Switzerland, in 2012, the SCAT 3rd edition (Child SCAT3) was developed for children aged between 5 and12 years. Research to date was reviewed and synthesised for the 5th International Consensus Conference on Concussion in Sport in Berlin, Germany, leading to the current revision of the test, the Child SCAT5. This article describes the development of the Child SCAT5. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  17. Automated recognition and extraction of tabular fields for the indexing of census records

    NASA Astrophysics Data System (ADS)

    Clawson, Robert; Bauer, Kevin; Chidester, Glen; Pohontsch, Milan; Kennard, Douglas; Ryu, Jongha; Barrett, William

    2013-01-01

    We describe a system for indexing of census records in tabular documents with the goal of recognizing the content of each cell, including both headers and handwritten entries. Each document is automatically rectified, registered and scaled to a known template following which lines and fields are detected and delimited as cells in a tabular form. Whole-word or whole-phrase recognition of noisy machine-printed text is performed using a glyph library, providing greatly increased efficiency and accuracy (approaching 100%), while avoiding the problems inherent with traditional OCR approaches. Constrained handwriting recognition results for a single author reach as high as 98% and 94.5% for the Gender field and Birthplace respectively. Multi-author accuracy (currently 82%) can be improved through an increased training set. Active integration of user feedback in the system will accelerate the indexing of records while providing a tightly coupled learning mechanism for system improvement.

  18. Continuous positive airway pressure (CPAP) to treat respiratory distress in newborns in low- and middle-income countries.

    PubMed

    Dewez, Juan Emmanuel; van den Broek, Nynke

    2017-01-01

    Severe respiratory distress is a serious complication common to the three major causes of neonatal mortality and morbidity (prematurity, intra-partum-related hypoxia and infections). In low- and middle-income countries (LMICs), 20% of babies presenting with severe respiratory distress die.Continuous positive airway pressure (CPAP), is an effective intervention for respiratory distress in newborns and widely used in high-income countries. Following the development of simple, safe and relatively inexpensive CPAP devices, there is potential for large-scale implementation in the developing world.In this article, we describe existing CPAP systems and present a review of the current literature examining the effectiveness of CPAP compared to standard care (oxygen) in newborns with respiratory distress. We also discuss the evidence gap which needs to be addressed prior to its integration into health systems in LMICs. © The Author(s) 2016.

  19. clearScience: Infrastructure for Communicating Data-Intensive Science.

    PubMed

    Bot, Brian M; Burdick, David; Kellen, Michael; Huang, Erich S

    2013-01-01

    Progress in biomedical research requires effective scientific communication to one's peers and to the public. Current research routinely encompasses large datasets and complex analytic processes, and the constraints of traditional journal formats limit useful transmission of these elements. We are constructing a framework through which authors can not only provide the narrative of what was done, but the primary and derivative data, the source code, the compute environment, and web-accessible virtual machines. This infrastructure allows authors to "hand their machine"- prepopulated with libraries, data, and code-to those interested in reviewing or building off of their work. This project, "clearScience," seeks to provide an integrated system that accommodates the ad hoc nature of discovery in the data-intensive sciences and seamless transitions from working to reporting. We demonstrate that rather than merely describing the science being reported, one can deliver the science itself.

  20. Where to find nutritional science journals on the World Wide Web.

    PubMed

    Brown, C M

    1997-08-01

    The World Wide Web (WWW) is a burgeoning information resource that can be utilized for current awareness and assistance in manuscript preparation and submission. The ever changing and expanding nature of the WWW allows it to provide up to the minute information, but this inherent changeability often makes information access difficult. To assist nutrition scientists in locating useful information about nutritional science journals on the WWW, this article critically reviews and describes the WWW sites for seventeen highly ranked nutrition and dietetics journals. Included in each annotation are the site's title, web address or Universal Resource Locator (URL), journal ranking and site authorship. Also listed is whether or not the site makes available the guidelines for authors, tables of contents, abstracts, online ordering, as well as information about the editorial board. This critical survey illustrates that the information on the web, regardless of its authority, is not of equal quality.

  1. [Mathematic concept model of accumulation of functional disorders associated with environmental factors].

    PubMed

    Zaĭtseva, N V; Trusov, P V; Kir'ianov, D A

    2012-01-01

    The mathematic concept model presented describes accumulation of functional disorders associated with environmental factors, plays predictive role and is designed for assessments of possible effects caused by heterogenous factors with variable exposures. Considering exposure changes with self-restoration process opens prospects of using the model to evaluate, analyse and manage occupational risks. To develop current theoretic approaches, the authors suggested a model considering age-related body peculiarities, systemic interactions of organs, including neuro-humoral regulation, accumulation of functional disorders due to external factors, rehabilitation of functions during treatment. General objective setting covers defining over a hundred unknow coefficients that characterize speed of various processes within the body. To solve this problem, the authors used iteration approach, successive identification, that starts from the certain primary approximation of the model parameters and processes subsequent updating on the basis of new theoretic and empirical knowledge.

  2. Women's Experiences of Publicly Funded Non-Invasive Prenatal Testing in Ontario, Canada: Considerations for Health Technology Policy-Making.

    PubMed

    Vanstone, Meredith; Yacoub, Karima; Giacomini, Mita; Hulan, Danielle; McDonald, Sarah

    2015-08-01

    Non-invasive prenatal testing (NIPT) via fetal DNA in maternal blood has been publicly funded in Ontario, Canada, for high-risk women since 2014. We solicited women's experiences and values related to this new health technology to describe how this test is currently being used in Ontario and to provide information about patient priorities to inform future policy decisions about the use of NIPT. Guided by constructivist grounded theory methodology, we interviewed 38 women who had diverse personal experiences with NIPT. Participants' accounts of their values for decision making about NIPT heavily relied on three mutually modulating factors: timing, accuracy, and risk. The values expressed by women conflict with the way that publicly funded NIPT has typically been implemented in Ontario. We offer recommendations for how NIPT might be integrated into prenatal care pathways in a way more consistent with women's values. © The Author(s) 2015.

  3. Adolescents' health choices related rights, duties and responsibilities: An integrative review.

    PubMed

    Moilanen, Tanja; Pietilä, Anna-Maija; Coffey, Margaret; Kangasniemi, Mari

    2016-08-11

    Although the link between adolescents' health choices in relation to rights, duties and responsibilities is acknowledged, little is studied in this subject. To identify, describe and synthesize previous studies on adolescents' health choices in relation to rights, duties and responsibilities. Ethical approval is not needed as it is an integrative review of published literature. The integrative review was used to review and synthesize current knowledge. Electronic and manual searches from 2009 to March 2014 were used to systematically identify earlier studies. The review identified 13 studies. Adolescents' health choices were linked to unsuccessfully exercised rights, arising from questioned autonomy and freedom, and their duties were hardly mentioned. Research into adolescents' health choices in relation to their rights, duties and responsibilities is still methodologically fragmented. In future, more research is needed to support adolescents' health promotion initiatives and increase their involvement opportunities. © The Author(s) 2016.

  4. Molecular SPECT Imaging: An Overview

    PubMed Central

    Khalil, Magdy M.; Tremoleda, Jordi L.; Bayomy, Tamer B.; Gsell, Willy

    2011-01-01

    Molecular imaging has witnessed a tremendous change over the last decade. Growing interest and emphasis are placed on this specialized technology represented by developing new scanners, pharmaceutical drugs, diagnostic agents, new therapeutic regimens, and ultimately, significant improvement of patient health care. Single photon emission computed tomography (SPECT) and positron emission tomography (PET) have their signature on paving the way to molecular diagnostics and personalized medicine. The former will be the topic of the current paper where the authors address the current position of the molecular SPECT imaging among other imaging techniques, describing strengths and weaknesses, differences between SPECT and PET, and focusing on different SPECT designs and detection systems. Radiopharmaceutical compounds of clinical as well-preclinical interest have also been reviewed. Moreover, the last section covers several application, of μSPECT imaging in many areas of disease detection and diagnosis. PMID:21603240

  5. Evidence-based recommendations for the prescription of exercise for major depressive disorder.

    PubMed

    Rethorst, Chad D; Trivedi, Madhukar H

    2013-05-01

    Major depressive disorder (MDD) is a source of great disease burden, due in part to the limited accessibility and effectiveness of current treatments. Although current treatments are efficacious in a segment of the population with MDD, there is a clear need for alternative and augmentation treatment strategies. Exercise is one such alternative treatment option. Research has shown exercise to be efficacious as both a stand-alone and an augmentation therapy. As a result, exercise is now included in the American Psychiatric Association's treatment recommendations. The purpose of this article is to provide clinicians with a knowledge base to prescribe exercise to their patients. The authors describe the evidence supporting the use of exercise in the treatment of MDD, provide evidence-based recommendations for prescribing exercise, and address practical considerations related to prescribing exercise in real-world treatment settings.

  6. Malignant transformation of a 5-mm gallbladder polyp over 2 years: a case report and review of current literature.

    PubMed

    Lu, Darren; Radin, Randall; Yung, Evan; Tchelepi, Hisham

    2015-03-01

    Gallbladder polyps (GBPs) are incidentally seen in 4% to 7% of adults on abdominal ultrasounds. Most GBPs are benign cholesterol polyps, adenomyomatosis, or inflammatory polyps. Currently, cholecystectomy is widely accepted as appropriate care for polyps 10 mm or larger as they present a higher risk for malignancy. However, the management of small polyps smaller than 10 mm has continued to be a dilemma to clinicians and radiologists. Many authors support a nonoperative approach with imaging follow-up for polyps smaller than 10 mm, as most have been shown to be benign. However, small polyps do have the potential to be neoplastic adenomas and become malignant. In this report, we will describe a case of a tiny GBP that subsequently developed into a 20-mm carcinoma over a period of 2 years.

  7. An Autonomous Flight Safety System

    NASA Technical Reports Server (NTRS)

    Bull, James B.; Lanzi, Raymond J.

    2007-01-01

    The Autonomous Flight Safety System (AFSS) being developed by NASA s Goddard Space Flight Center s Wallops Flight Facility and Kennedy Space Center has completed two successful developmental flights and is preparing for a third. AFSS has been demonstrated to be a viable architecture for implementation of a completely vehicle based system capable of protecting life and property in event of an errant vehicle by terminating the flight or initiating other actions. It is capable of replacing current human-in-the-loop systems or acting in parallel with them. AFSS is configured prior to flight in accordance with a specific rule set agreed upon by the range safety authority and the user to protect the public and assure mission success. This paper discusses the motivation for the project, describes the method of development, and presents an overview of the evolving architecture and the current status.

  8. Multiple wavelength tunable surface-emitting laser arrays

    NASA Astrophysics Data System (ADS)

    Chang-Hasnain, Connie J.; Harbison, J. P.; Zah, Chung-En; Maeda, M. W.; Florez, L. T.; Stoffel, N. G.; Lee, Tien-Pei

    1991-06-01

    Techniques to achieve wavelength multiplexing and tuning capabilities in vertical-cavity surface-emitting lasers (VCSELs) are described, and experimental results are given. The authors obtained 140 unique, uniformly separated, single-mode wavelength emissions from a 7 x 20 VCSEL array. Large total wavelength span (about 430 A) and small wavelength separation (about 3 A) are obtained simultaneously with uncompromised laser performance. All 140 lasers have nearly the same threshold currents, voltages, and resistances. Wavelength tuning is obtained by using a three-mirror coupled-cavity configuration. The three-mirror laser is a two-terminal device and requires only one top contact. Discrete tuning with a range as large as 61 A is achieved with a small change in drive current of only 10.5 mA. The VCSEL output power variation is within 5 dB throughout the entire tuning range.

  9. Targeting "risky" gender ideologies: constructing a community-driven, theory-based HIV prevention intervention for youth.

    PubMed

    Laub, C; Somera, D M; Gowen, L K; Díaz, R M

    1999-04-01

    Since the beginning of the HIV epidemic, school-based HIV prevention education targeting youth has taken many forms. Although there has been some success, educators continue to be challenged by situations in which youth are knowledgeable about HIV but continue to engage in risky sexual behavior. In this article, the authors propose that the underlying or implicit theories about teenagers' sexual risk behavior that guide most of these prevention activities are not accurate descriptions or valid explanations of sexual risk in this population. The article is divided into three major sections. First, the authors articulate the theories underlying HIV prevention activities that are typically found in standard school-based prevention curricula, discussing both their limitations and strengths. Second, they discuss their increased awareness of the role of gender ideologies and sexual scripts in the sexual lives of youth. Finally, the authors describe their current HIV prevention activity ("The Game") as it emerges and is shaped by their increasing understanding of the critical role of gender-based ideologies and sexual scripts in young people's sexual risk behavior.

  10. An open repository of earthquake-triggered ground-failure inventories

    USGS Publications Warehouse

    Schmitt, Robert G.; Tanyas, Hakan; Nowicki Jessee, M. Anna; Zhu, Jing; Biegel, Katherine M.; Allstadt, Kate E.; Jibson, Randall W.; Thompson, Eric M.; van Westen, Cees J.; Sato, Hiroshi P.; Wald, David J.; Godt, Jonathan W.; Gorum, Tolga; Xu, Chong; Rathje, Ellen M.; Knudsen, Keith L.

    2017-12-20

    Earthquake-triggered ground failure, such as landsliding and liquefaction, can contribute significantly to losses, but our current ability to accurately include them in earthquake-hazard analyses is limited. The development of robust and widely applicable models requires access to numerous inventories of ground failures triggered by earthquakes that span a broad range of terrains, shaking characteristics, and climates. We present an openly accessible, centralized earthquake-triggered groundfailure inventory repository in the form of a ScienceBase Community to provide open access to these data with the goal of accelerating research progress. The ScienceBase Community hosts digital inventories created by both U.S. Geological Survey (USGS) and non-USGS authors. We present the original digital inventory files (when available) as well as an integrated database with uniform attributes. We also summarize the mapping methodology and level of completeness as reported by the original author(s) for each inventory. This document describes the steps taken to collect, process, and compile the inventories and the process for adding additional ground-failure inventories to the ScienceBase Community in the future.

  11. Creating a palliative and end-of-life program in a cure-oriented pediatric setting: the zig-zag method.

    PubMed

    Harper, Joann; Hinds, Pamela S; Baker, Justin N; Hicks, Judy; Spunt, Sheri L; Razzouk, Bassem I

    2007-01-01

    Children living with and dying of advanced-stage cancer suffer physically, emotionally, and spiritually. Relief of their suffering requires comprehensive, compassionate palliative and end-of-life (EoL) care.However, an EoL care program might appear inconsistent with the mission of a pediatric oncology research center committed to seeking cures. Here the authors describe the methods used to achieve full institutional commitment to their EoL care program and those used to build the program's philosophical, research, and educational foundations after they received approval. The authors convened 10 focus groups to solicit staff perceptions of the hospital's current palliative and EoL care. They also completed baseline medical record reviews of 145 patient records to identify key EoL characteristics. The authors then crafted a vision statement and a strategic plan, implemented new research protocols,and established publication and funding trajectories. They conclude that establishing a state-of-the-art palliative and EoL program in a cure-oriented pediatric setting is achievable via consensus building and recruitment of diverse institutional resources.

  12. Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and Systems Sciences.

    PubMed

    Gonzalo, Jed D; Haidet, Paul; Papp, Klara K; Wolpaw, Daniel R; Moser, Eileen; Wittenstein, Robin D; Wolpaw, Terry

    2017-01-01

    In the face of a fragmented and poorly performing health care delivery system, medical education in the United States is poised for disruption. Despite broad-based recommendations to better align physician training with societal needs, adaptive change has been slow. Traditionally, medical education has focused on the basic and clinical sciences, largely removed from the newer systems sciences such as population health, policy, financing, health care delivery, and teamwork. In this article, authors examine the current state of medical education with respect to systems sciences and propose a new framework for educating physicians in adapting to and practicing in systems-based environments. Specifically, the authors propose an educational shift from a two-pillar framework to a three-pillar framework where basic, clinical, and systems sciences are interdependent. In this new three-pillar framework, students not only learn the interconnectivity in the basic, clinical, and systems sciences but also uncover relevance and meaning in their education through authentic, value-added, and patient-centered roles as navigators within the health care system. Authors describe the Systems Navigation Curriculum, currently implemented for all students at the Penn State College of Medicine, as an example of this three-pillar educational model. Simple adjustments, such as including occasional systems topics in medical curriculum, will not foster graduates prepared to practice in the 21st-century health care system. Adequate preparation requires an explicit focus on the systems sciences as a vital and equal component of physician education.

  13. Business plan to establish a CT colonography service.

    PubMed

    Fajardo, Laurie L; Hurley, James P; Brown, Bruce P; Summers, Robert W; McDaniel, R Donald

    2006-03-01

    The authors describe the University of Iowa Department of Radiology's business planning process to initiate a new service in computed tomographic colonography (CTC). Also known as virtual colonoscopy, CTC is a noninvasive technology that offers less risk, and potentially similar sensitivity and specificity, than conventional optical colonoscopy (OC). Although not currently covered by all insurance payers, about a year ago, the Centers for Medicare and Medicaid Services instituted temporary Current Procedural Terminology codes (Category III) for CTC. In locales where the procedure is not covered by insurers, it is likely to be sought by patients willing to pay out of pocket to undergo noninvasive cancer screening as an alternative to OC. Thus, CTC could become the preferred method of colon cancer surveillance by insurance providers in the near future. In developing the business plan, the authors reviewed pertinent scientific and clinical data to evaluate the need for and efficacy of CTC. Local market data were used to estimate patient and procedure volumes and utilization. The authors modeled financial expectations with respect to return on investment on the basis of recently reported models specific to CTC, resource requirements, and the operational impact of the new service on existing hospital and departmental clinical functions. Because there are few local providers of CTC in the authors' region, the business plan also included a publicity campaign and plan to market the new service, stimulate general public interest early, and differentiate the program as a leader in applying this unique new technology to promote cancer screening. Finally, the planning committee acknowledged and accommodated needs specific to the missions of an academic medical center with respect to research and education in designing the new service.

  14. Lagrangians and Systems They Describe-How Not to Treat Dissipation in Quantum Mechanics.

    ERIC Educational Resources Information Center

    Ray, John R.

    1979-01-01

    The author argues that a Lagrangian that yields equations of motion for a damped simple harmonic oscillator does not describe this system, but a completely different physical system, and constructs a physical system that the Lagrangian describes and derives some of its properties. (Author/GA)

  15. Integrating Multimedia Technology in a High School EFL Program

    ERIC Educational Resources Information Center

    Mayora, Carlos A.

    2006-01-01

    The author describes a Technologically Enhanced Language Learning program in Venezuela and how it helped improve high school EFL instruction. The author presents six challenges of teaching EFL and describes the context for the program. The author then provides a rationale for using multimedia in language teaching, based on theoretical frameworks.…

  16. Eggcited about Chickens

    ERIC Educational Resources Information Center

    Jones, Carolyn; Brown, Paul

    2012-01-01

    In this article, the authors describe St Peter's Primary School's and Honiton Primary School's experiences of keeping chickens. The authors also describe the benefits they bring and the reactions of the children. (Contains 5 figures.)

  17. Self-reports of meaning in life matter.

    PubMed

    Heintzelman, Samantha J; King, Laura A

    2015-09-01

    Replies to the comments made by Friedman (see record 2015-39598-012), Jeffery & Shackelford (see record 2015-39598-013), Brown & Wong (see record 2015-39598-014), Fowers & Lefevor (see record 2015-39598-015), Hill et al. (see record 2015-39598-016) on the current authors' original article, "Life is pretty meaningful," (see record 2014-03265-001). The current authors thank the comment authors for their efforts, and acknowledge their dedication to what is often a difficult and inscrutable construct, meaning in life. One lesson the current authors have learned from these reactions is that a review of self-report responses to items like "My life is purposeful and meaningful" cannot encompass the entirety of the meaning-in-life landscape. In this reply, the current authors reflect on aspects of the commentaries, highlighting what they can garner about meaning in life from the portion of it that is reflected in phenomenological experience and represented in self-reports: These are the data they have. The current authors first consider three methodological concerns that bear on whether these data are informative (at all) and then they consider more conceptual critiques. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  18. Radiographic Measurement of Displacement in Acetabular Fractures: A Systematic Review of the Literature.

    PubMed

    Dodd, Andrew; Osterhoff, Georg; Guy, Pierre; Lefaivre, Kelly A

    2016-06-01

    To report methods of measurement of radiographic displacement and radiographic outcomes in acetabular fractures described in the literature. A systematic review of the English literature was performed using EMBASE and Medline in August 2014. Inclusion criteria were studies of operatively treated acetabular fractures in adults with acute (<6 weeks) open reduction and internal fixation that reported radiographic outcomes. Exclusion criteria included case series with <10 patients, fractures managed >6 weeks from injury, acute total hip arthroplasty, periprosthetic fractures, time frame of radiographic outcomes not stated, missing radiographic outcome data, and non-English language articles. Basic information collected included journal, author, year published, number of fractures, and fracture types. Specific data collected included radiographic outcome data, method of measuring radiographic displacement, and methods of interpreting or categorizing radiographic outcomes. The number of reproducible radiographic measurement techniques (2/64) and previously described radiographic interpretation methods (4) were recorded. One radiographic reduction grading criterion (Matta) was used nearly universally in articles that used previously described criteria. Overall, 70% of articles using this criteria documented anatomic reductions. The current standard of measuring radiographic displacement in publications dealing with acetabulum fractures almost universally lacks basic description, making further scientific rigor, such as testing reproducibility, impossible. Further work is necessary to standardize radiographic measurement techniques, test their reproducibility, and qualify their validity or determine which measurements are important to clinical outcomes. Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

  19. Does the sole description of a tax authority affect tax evasion?--the impact of described coercive and legitimate power.

    PubMed

    Hartl, Barbara; Hofmann, Eva; Gangl, Katharina; Hartner-Tiefenthaler, Martina; Kirchler, Erich

    2015-01-01

    Following the classic economic model of tax evasion, taxpayers base their tax decisions on economic determinants, like fine rate and audit probability. Empirical findings on the relationship between economic key determinants and tax evasion are inconsistent and suggest that taxpayers may rather rely on their beliefs about tax authority's power. Descriptions of the tax authority's power may affect taxpayers' beliefs and as such tax evasion. Experiment 1 investigates the impact of fines and beliefs regarding tax authority's power on tax evasion. Experiments 2-4 are conducted to examine the effect of varying descriptions about a tax authority's power on participants' beliefs and respective tax evasion. It is investigated whether tax evasion is influenced by the description of an authority wielding coercive power (Experiment 2), legitimate power (Experiment 3), and coercive and legitimate power combined (Experiment 4). Further, it is examined whether a contrast of the description of power (low to high power; high to low power) impacts tax evasion (Experiments 2-4). Results show that the amount of fine does not impact tax payments, whereas participants' beliefs regarding tax authority's power significantly shape compliance decisions. Descriptions of high coercive power as well as high legitimate power affect beliefs about tax authority's power and positively impact tax honesty. This effect still holds if both qualities of power are applied simultaneously. The contrast of descriptions has little impact on tax evasion. The current study indicates that descriptions of the tax authority, e.g., in information brochures and media reports, have more influence on beliefs and tax payments than information on fine rates. Methodically, these considerations become particularly important when descriptions or vignettes are used besides objective information.

  20. A Systematic Review of Research on Social Networks of Older Adults.

    PubMed

    Ayalon, Liat; Levkovich, Inbar

    2018-01-29

    There has been a substantial interest in life course/life span changes in older adults' social networks and in the relationship between social networks and health and wellbeing. The study embarked on a systematic review to examine the existing knowledgebase on social network in the field of gerontology. Our focus was on studies in which both ego (respondents) and his or her alters (network members) are queried about their social ties. We searched for studies published in English before September, 2017, relied on quantitative methods to obtain data from both ego (60 years of age and older) and alters and provided a quantitative account of the social network properties. We searched the following data sets: APA Psychnet, Pubmed, Sociological abstracts, and Ageline. This was followed by a snowball search of relevant articles using Google Scholar. Titles and abstracts were reviewed and selected articles were extracted independently by two reviewers. A total of 5,519 records were retrieved. Of these, 3,994 records remained after the removal of duplicates. Ten records reporting on five original samples were kept for the systematic review. One study described a social network of community dwelling older adults and the remaining studies described social networks of institutional older adults. The present study points to a lacuna in current understanding of social networks in the field of gerontology. It provides a useful review and possible tools for the design of future studies to address current shortcomings in the field. © The Author(s) 2018. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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