Sample records for case studies concern

  1. Concerns, Use of Time, and the Intersections of Leadership: Case Study of Two Charter School Principals

    ERIC Educational Resources Information Center

    Bickmore, Dana L.; Dowell, Margaret-Mary Sulentic

    2011-01-01

    As part of a multiple case study of charter school leadership, the researchers in this study examined 2 principals' priorities and practices through their expressed concerns and use of time. Through an embedded case design and analysis, 6 themes surfaced from the principal interviews that occurred over the course of a school year--accountability,…

  2. [The adopted child and his problems. Pedo-psychiatric point of view].

    PubMed

    Schachter, M

    1980-12-01

    After a survey of the recent pedopsychiatric literature concerning the difficulties exhibited by young adoptees, we describe our own experience with 35 adopted children. The subjects were divided in two groups: a) the first group of 26 cases (74%) concerning clinical disturbances with no evident relation to the situation derived by the adoption; b) the second group of 9 cases (26%) concerning: 1. four cases ou rebellious behaviour against the adopters et 2. fives cases of camouflaged rejection of the adoptees by their adopters. These 9 cases are given with details; the characteristics of the other 26 cases are summarized. Our pedopsychiatric experience has shown that adoption was a failure in 26% of the cases related in the present study.

  3. Stuffed in a Locker: A Case Study Involving Guns on Campus

    ERIC Educational Resources Information Center

    Lampron, Phillip Andrew

    2017-01-01

    Ensuring that children are safe is imperative for any educational institution. This case presents a realistic scenario of the safety concerns of leaders and staff in a middle school concerned with potential gang activity. Inspired by actual events, this case illustrates burdens that many middle school leaders across the nation face on a daily…

  4. Tumor-based case-control studies of infection and cancer: muddling the when and where of molecular epidemiology.

    PubMed

    Engels, Eric A; Wacholder, Sholom; Katki, Hormuzd A; Chaturvedi, Anil K

    2014-10-01

    We describe the "tumor-based case-control" study as a type of epidemiologic study used to evaluate associations between infectious agents and cancer. These studies assess exposure using diseased tissues from affected individuals (i.e., evaluating tumor tissue for cancer cases), but they must utilize nondiseased tissues to assess control subjects, who do not have the disease of interest. This approach can lead to exposure misclassification in two ways. First, concerning the "when" of exposure assessment, retrospective assessment of tissues may not accurately measure exposure at the key earlier time point (i.e., during the etiologic window). Second, concerning the "where" of exposure assessment, use of different tissues in cases and controls can have different accuracy for detecting the exposure (i.e., differential exposure misclassification). We present an example concerning the association of human papillomavirus with various cancers, where tumor-based case-control studies likely overestimate risk associated with infection. In another example, we illustrate how tumor-based case-control studies of Helicobacter pylori and gastric cancer underestimate risk. Tumor-based case-control studies can demonstrate infection within tumor cells, providing qualitative information about disease etiology. However, measures of association calculated in tumor-based case-control studies are prone to over- or underestimating the relationship between infections and subsequent cancer risk. ©2014 American Association for Cancer Research.

  5. Are British Higher Educational Concerns Different from European Higher Educational Concerns?

    ERIC Educational Resources Information Center

    Mangset, Marte

    2008-01-01

    British universities are known among the other Bologna countries not to have adjusted fully to the new common three-tier degree structure. Is it the case that British higher educational concerns are different from Continental concerns? A study of recent developments in two British graduate schools of history shows that a three-tier study structure…

  6. A Case Study of Three States' Dissemination of "Research within Reach: A Research Guided Response to Concerns of Reading Educators."

    ERIC Educational Resources Information Center

    Southwest Educational Development Lab., Austin, TX.

    An exploratory case study examined the distribution patterns and subsequent use of "Research within Reach: A Research Guided Response to Concerns of Reading Educators" in three states during the period October 1978 to February 1980. Copies of the book were distributed at regional conferences, state workshops, inservice workshops, and via…

  7. Putting concerns about nature in context: the case of agricultural biotechnology.

    PubMed

    Kaebnick, Gregory E

    2007-01-01

    Concerns about nature are playing increasingly prominent roles in a variety of social debates, including medical biotechnology, environmental protection, and agricultural biotechnology. These concerns are often simply rejected as incoherent: critics argue that there is no good account for how natural states of affairs can have moral value, and that the concept of "nature" is too multifarious and vague to be deployed in moral argument anyway. When these concerns are defended, they are frequently formulated as strong claims that make implausible ontological commitments and that ignore the linkages between these different debates. Agricultural biotechnology provides an especially challenging case study for evaluating concerns about nature. I offer a qualified defense that recognizes these concerns as conceptually linked, attends to social context at appropriate points, and overcomes the charges of incoherence. This defense supports a restrained treatment of concerns about nature in public policy: public policy can neither endorse nor dismiss them. In the case of agricultural biotechnology, this stance probably mandates some form of labeling.

  8. Clarifying perspectives: Ethics case reflection sessions in childhood cancer care.

    PubMed

    Bartholdson, Cecilia; Lützén, Kim; Blomgren, Klas; Pergert, Pernilla

    2016-06-01

    Childhood cancer care involves many ethical concerns. Deciding on treatment levels and providing care that infringes on the child's growing autonomy are known ethical concerns that involve the whole professional team around the child's care. The purpose of this study was to explore healthcare professionals' experiences of participating in ethics case reflection sessions in childhood cancer care. Data collection by observations, individual interviews, and individual encounters. Data analysis were conducted following grounded theory methodology. Healthcare professionals working at a publicly funded children's hospital in Sweden participated in ethics case reflection sessions in which ethical issues concerning clinical cases were reflected on. The children's and their parents' integrity was preserved through measures taken to protect patient identity during ethics case reflection sessions. The study was approved by a regional ethical review board. Consolidating care by clarifying perspectives emerged. Consolidating care entails striving for common care goals and creating a shared view of care and the ethical concern in the specific case. The inter-professional perspectives on the ethical aspects of care are clarified by the participants' articulated views on the case. Different approaches for deliberating ethics are used during the sessions including raising values and making sense, leading to unifying interactions. The findings indicate that ethical concerns could be eased by implementing ethics case reflection sessions. Conflicting perspectives can be turned into unifying interactions in the healthcare professional team with the common aim to achieve good pediatric care. Ethics case reflection sessions is valuable as it permits the discussion of values in healthcare-related issues in childhood cancer care. Clarifying perspectives, on the ethical concerns, enables healthcare professionals to reflect on the most reasonable and ethically defensible care for the child. A consolidated care approach would be valuable for both the child and the healthcare professionals because of the common care goals. © The Author(s) 2015.

  9. A Qualitative Exploration of Multiple Case Studies of the Perception of School Social Workers Concerning Their Roles in Public Schools

    ERIC Educational Resources Information Center

    Morrison, Alesha Nicole

    2016-01-01

    This qualitative exploration in the form of multiple case studies interviewed a group of seven social workers from the St. Louis Metropolitan area to gain their perception as school social workers concerning their roles in public schools. The literature on school social workers indicated that school social workers brought unique knowledge and…

  10. The Practice of Academic Freedom in Classroom Speech in U.S. Catholic Higher Education: A Case Study with Suggestions Concerning Religious Mission

    ERIC Educational Resources Information Center

    Jacobs, Richard M.

    2011-01-01

    This article reports a case study of seventeen faculty leaders teaching at a Catholic university who responded to a questionnaire concerning academic freedom and its practice in classroom speech. Situating the responses within a heuristic model, this article offers a portrait that provides insight into how these faculty leaders define academic…

  11. Guidelines for Using Case Studies in the Teaching-Learning Process

    ERIC Educational Resources Information Center

    McFarlane, Donovan A.

    2015-01-01

    In this paper, the author expresses concerns regarding the extensive use of case studies in the college classroom and advises college and university faculties to be more careful in their selection and use of case studies as an effective­-based method of teaching. The author communicates the important role that case studies play in teaching and…

  12. Parental Concerns Regarding a Centre-Based Early Intervention Programme for Down Syndrome in Malaysia: A Case Study

    ERIC Educational Resources Information Center

    Kunagaratnam, Nagasangari; Loh, Sau Cheong

    2010-01-01

    This qualitative study provides information on the concerns faced by parents having children with Down syndrome in a centre-based Early Intervention Programme in Malaysia and how they coped with these concerns. Semi-structured interviews were conducted with a total of five parents and two special educators. The interview and observation findings…

  13. WeSaySo Case Study: Designing and Implementing a Case Study for Use in an Instructional Design Class.

    ERIC Educational Resources Information Center

    Graves, Rick; Barnett, Mardee; Gamble, Yolanda; Kolak, Mike

    A case study was used in an instructional design class to facilitate the transfer of conceptual knowledge to concrete concerns and to aid instructional technology graduate students' understanding of the steps involved in designing, analyzing, and implementing an effective needs analysis. The case study involved real events at fictitious company…

  14. Review of ORD Nanomaterial Case Studies Workshop

    EPA Pesticide Factsheets

    The following is a letter report from the Executive Committee of the BOSC concerning the review of the ORD Nanomaterial Case Studies Workshop: Developing a Comprehensive Environmental Assessment Research Strategy for Nanoscale Titanium Dioxide.

  15. Causal Inference in Retrospective Studies.

    ERIC Educational Resources Information Center

    Holland, Paul W.; Rubin, Donald B.

    1988-01-01

    The problem of drawing causal inferences from retrospective case-controlled studies is considered. A model for causal inference in prospective studies is applied to retrospective studies. Limitations of case-controlled studies are formulated concerning relevant parameters that can be estimated in such studies. A coffee-drinking/myocardial…

  16. Evaluating Drugs and Food Additives for Public Use: A Case Studies Approach.

    ERIC Educational Resources Information Center

    Merritt, Sheridan V.

    1980-01-01

    Described is a case study used in an introductory college biology course that provides a basis for generating debate on an issue concerning the regulation of controversial food additives and prescription drugs. The case study contained within this article deals with drug screening, specifically with information related to thalidomide. (CS)

  17. How to Critically Evaluate Case Studies in Social Work

    ERIC Educational Resources Information Center

    Lee, Eunjung; Mishna, Faye; Brennenstuhl, Sarah

    2010-01-01

    The purpose of this article is to develop guidelines to assist practitioners and researchers in evaluating and developing rigorous case studies. The main concern in evaluating a case study is to accurately assess its quality and ultimately to offer clients social work interventions informed by the best available evidence. To assess the quality of…

  18. When environmental action does not activate concern: the case of impaired water quality in two rural watersheds.

    PubMed

    Stough-Hunter, Anjel; Lekies, Kristi S; Donnermeyer, Joseph F

    2014-12-01

    Little research has considered how residents' perceptions of their local environment may interact with efforts to increase environmental concern, particularly in areas in need of remediation. This study examined the process by which local environmental action may affect environmental concern. A model was presented for exploring the effects of community-based watershed organizations (CWOs) on environmental concern that also incorporates existing perceptions of the local environment. Survey data were collected from area residents in two watersheds in southwestern Pennsylvania, USA, an area affected by abandoned mine drainage. The findings suggest that residents' perceptions of local water quality and importance of improving water quality are important predictors of level of environmental concern and desire for action; however, in this case, having an active or inactive CWO did not influence these perceptions. The implications of these findings raise important questions concerning strategies and policy making around environmental remediation at the local level.

  19. The Bring Your Own Technology Initiative: An Examination of Teachers' Adoption

    ERIC Educational Resources Information Center

    Cardoza, Yanet; Tunks, Jeanne

    2014-01-01

    This case study explored teachers' concerns, use, and actual practices in their adoption of the Bring Your Own Technology (BYOT) initiative. Participants were 12 secondary teachers in a private school setting. The Concerns-Based Adoption Model tools provided data: Stages of Concern Questionnaire (SoCQ), Levels of Use interview, and the Innovation…

  20. Concerns About Lung Cancer Among Prisoners.

    PubMed

    Renault, Luc; Perrot, Emmanuel; Pradat, Eric; Bartoli, Christophe; Greillier, Laurent; Remacle-Bonnet, Anne; Telmon, Norbert; Mazières, Julien; Molinier, Laurent; Couraud, Sébastien

    2018-02-01

    Few studies have looked at lung cancer in prisoners, despite this population is possibly at increased risk of malignancy. In a previous study, we found an early onset of lung cancer in prisoners. Thus, the present CARCAN study was aimed at assessing the epidemiological characteristics, management, prognosis, and incidence of lung cancer in prisoners compared to a sample of non-prisoner patients. We performed a multi-center observational case-control study. Cases were prisoners diagnosed with lung cancer from 2005 to 2013. Controls were non-prisoner lung cancer patients selected from hospital databases and randomly matched to cases (targeted case-control ratio: 1:3). Incidence rates in both groups were calculated using national statistics. Seventy-two cases and 170 controls met inclusion criteria. Cases were mainly men (99%). Mean age at diagnosis was 52.9 (± 11.0) in cases and 64.3 (± 10.1) in controls (p < 0.0001). More case patients were current smokers compared to control patients (83% vs 53%; p < 0.0001). We found no significant differences between the two groups as concerns histologic types, TNM stages at diagnosis, initially-employed treatments, times to management or survival. Incidence rates (2008-2012) in male prisoners were higher than those in the general population in all concerned age groups. There is a shift of lung cancer toward young people in prisons. However, the presentation, management, and prognosis of lung cancer are similar between prisoners and non-prisoners. These finding could justify a specific screening policy for the incarcerated populations.

  1. Public Participation Guide: Skorpion Zinc Project Case Study - Namibia

    EPA Pesticide Factsheets

    This case study describes the efforts of an independent professional team working with South African and Namibian specialists to identify and address environmental and public health and safety concerns related to a zinc mine and refinery.

  2. The First Amendment Finds a New Battleground: The Classroom.

    ERIC Educational Resources Information Center

    Repa, Barbara Kate

    1990-01-01

    Sketches recent struggles over censorship and student publications, beginning with the Hazelwood School District v. Kuhlmeier case. Argues the flurry of litigation concerning First Amendment rights necessitates including these concerns in social studies courses. (CH)

  3. The Case Study Method: Guidelines, Practices, and Applications for Vocational Education. Research and Development Series No. 189.

    ERIC Educational Resources Information Center

    Spirer, Janet E.

    In comparison with traditional experimental design, which is concerned with what happened, a case study approach is more appropriate for answering the question of why or how something happened. As an alternative complementary-vocational-education-evaluation approach, the case study attempts to describe and analyze some program in comprehensive…

  4. Case Studies.

    ERIC Educational Resources Information Center

    Emerson, Allen; And Others

    1994-01-01

    Three cases of use of collaborative learning techniques in the college classroom are described: a developmental mathematics course, a graduate-level writing project, and college science instruction. Each case includes description of specific class activities and assignments, results, and teacher concerns and comments. (MSE)

  5. An examination of Eyal & Hurst’s (2008) framework for promoting retention in resource-poor settings through locally-relevant training: A case study for the University of Guyana Surgical Training Program

    PubMed Central

    Prashad, Anupa J.; Cameron, Brian H.; McConnell, Meghan; Rambaran, Madan; Grierson, Lawrence E. M.

    2017-01-01

    Background Eyal and Hurst proposed that locally relevant medical education can offset the prevalence of physician “brain drain” in resource-poor regions of the world, and presented a framework of the ethical and pragmatic benefits and concerns posed by these initiatives. The present study explored the framework’s utility through a case study of the University of Guyana Diploma in Surgery (UGDS) program Methods The framework’s utility was evaluated using a case study design that included review and analysis of documents and semi-structured interviews with graduates, trainees, faculty members, and policy makers associated with the UGDS program. Data were analyzed from constructivist and interpretivist perspectives, and compared against the benefits and concerns described by Eyal and Hurst. Results The framework is a useful template for capturing the breadth of experience of locally relevant training in the Guyanese setting. However, the results suggest that delineating the framework factors as either beneficial or concerning may constrict its applicability. The case study design also provided specific insights about the UGDS program, which indicate that the Program has promoted the retention of graduates and a sustainable culture of postgraduate medical education in Guyana. Conclusion It is suggested that the framework be modified so as to represent the benefits and concerns of locally relevant training along a continuum of advantage. These approaches may help us understand retention within a resource-poor country, but also within particularly remote areas and public health care systems generally. PMID:29114344

  6. Information Transfer Case Studies in Foreign Transportation Literature

    DOT National Transportation Integrated Search

    1983-09-01

    An assessment of the effectiveness of the transfer of foreign literature to U.S. transportation professionals has been conducted. The methodology involved a series of case studies concerning (1) distribution of the report on a major German Federal Re...

  7. Letter Report for the Review of ORD Nanomaterial Case Studies Workshop (August 2010)

    EPA Pesticide Factsheets

    The following is a letter report from the Executive Committee of the BOSC concerning the review of the ORD Nanomaterial Case Studies Workshop: Developing a Comprehensive Environmental Assessment Research Strategy for Nanoscale Titanium Dioxide.

  8. Exploring Teacher Concerns of Pre-Collegiate Urban Teaching Academy Students

    ERIC Educational Resources Information Center

    Fletcher, Edward C., Jr.; Dicicco, Michael

    2017-01-01

    The purpose of this study was to explore whether the concerns of a group of pre-collegiate students enrolled in an urban teaching academy (UTA) program were unique or similar to those found in earlier studies using Fuller's model as a framework for analysis. Using an instrumental case study approach, findings indicated that the UTA students…

  9. An Analysis of Teachers' Concept Confusion Concerning Electric and Magnetic Fields

    ERIC Educational Resources Information Center

    Hekkenberg, Ans; Lemmer, Miriam; Dekkers, Peter

    2015-01-01

    In an exploratory study, 36 South African physical science teachers' understanding of basic concepts concerning electric and magnetic fields was studied from a perspective of possible concept confusion. Concept confusion is said to occur when features of one concept are incorrectly attributed to a different concept, in the case of this study to…

  10. Analysis of eco-innovation with triple helix approach: case-study of biofloc catfish farming in Yogyakarta

    NASA Astrophysics Data System (ADS)

    Purwadi, D.; Nurlaily, I.

    2018-03-01

    Concerning environmental into focus of innovation process will expand the number of actor involved. Eco-innovation and triple helix are often frameworks applied to analyse how environmental concern are integrated in innovation process and how different stakeholder groups are having inter relation. Case study from biofloc catfish farming in Yogyakarta is presented to demonstrate a possible approach for researching the success of triple helix frameworks. This case is considered on basic of the result of a survey among farmers, academician and government. The paper concludes the creating of full triple helix encounters problem in practice. It also includes suggestion for further research on fisheries development.

  11. Multimodal Behavior Therapy: Case Study of a High School Student.

    ERIC Educational Resources Information Center

    Seligman, Linda

    1981-01-01

    A case study of a high school student concerned with weight problems illustrates multimodal behavior therapy and its use in a high school setting. Multimodal therapy allows the school counselor to maximize referral sources while emphasizing growth and actualization. (JAC)

  12. A Case Study of an Expert Problem Poser for Mathematics Competitions

    ERIC Educational Resources Information Center

    Kontorovich, Igor'; Koichu, Boris

    2016-01-01

    This paper is concerned with organizational principles of a pool of familiar problems of expert problem posers and the ways by which they are utilized for creating new problems. The presented case of Leo is part of a multiple-case study with expert problem posers for mathematics competitions. We present and inductively analyze the data collected…

  13. Evaluation of School Uniform Policy in Turkey: A Case Study

    ERIC Educational Resources Information Center

    Cinoglu, Mustafa

    2014-01-01

    The purpose of this study is to evaluate the results of current school uniform policies according to views of stakeholders. Descriptive case study method was used for this study to understand the concerns of the stakeholders about school uniforms. Data was collected through interviews with stakeholders and also reviewing the documents in TOKI…

  14. The New Faculty Members' Concerns: The Case of Jordanian Universities

    ERIC Educational Resources Information Center

    Qudais, Mahmoud Abu; Al-Omari, Aieman; Smadi, Rana

    2009-01-01

    The present study aimed to identify and interpret concerns of the new faculty members in Jordanian universities. A total of 336 new faculty members who participated in this study were asked to rate their perceptions of issues related to teaching, research, service, balancing work and home life and the academic culture of their workplace. Means and…

  15. Best practices in intercultural health: five case studies in Latin America.

    PubMed

    Mignone, Javier; Bartlett, Judith; O'Neil, John; Orchard, Treena

    2007-09-05

    The practice of integrating western and traditional indigenous medicine is fast becoming an accepted and more widely used approach in health care systems throughout the world. However, debates about intercultural health approaches have raised significant concerns. This paper reports findings of five case studies on intercultural health in Chile, Colombia, Ecuador, Guatemala, and Suriname. It presents summary information on each case study, comparatively analyzes the initiatives following four main analytical themes, and examines the case studies against a series of the best practice criteria.

  16. Using spontaneous commentary of nursing home residents to develop resident-centered measurement tools: A case study.

    PubMed

    Bangerter, Lauren R; Abbott, Katherine; Heid, Allison; Eshraghi, Karen; Van Haitsma, Kimberly

    Nursing home (NH) residents routinely complete surveys that assess their health, well-being, preferences, and care needs. Such surveys reveal important information, however, are largely based on the concerns of providers as opposed to the concerns of residents. Thus, researchers must enhance efforts to ensure that these surveys are guided by the priorities, needs, and concerns of residents. We present a case study to demonstrate how spontaneous commentary of NH residents holds particular efficacy for ensuring that measurement tools are guided by the needs, concerns, and priorities of residents. Spontaneous comments from NH residents (N = 370) collected as part of a study developing the Preferences for Everyday Living Inventory for NH residents (PELI-NH) were used to refine the PELI-NH across key phases of measurement development. This work demonstrates how the spontaneous commentary of NH residents may contribute to the refinement of NH measurement tools, and allow researchers to base these tools on the needs and priorities of NH residents. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. A Case Study in Acoustical Design.

    ERIC Educational Resources Information Center

    Ledford, Bruce R.; Brown, John A.

    1992-01-01

    Addresses concerns of both facilities planners and instructional designers in planning for the audio component of group presentations. Factors in the architectural design of enclosures for the reproduction of sound are described, including frequency, amplitude, and reverberation; and a case study for creating an acceptable enclosure is presented.…

  18. Enhancing Systems Engineering Education Through Case Study Writing

    NASA Technical Reports Server (NTRS)

    Stevens, Jennifer Stenger

    2016-01-01

    Developing and refining methods for teaching systems engineering is part of Systems Engineering grand challenges and agenda for research in the SE research community. Retention of systems engineering knowledge is a growing concern in the United States as the baby boom generation continues to retire and the faster pace of technology development does not allow for younger generations to gain experiential knowledge through years of practice. Government agencies, including the National Aeronautics and Space Administration (NASA), develop their own curricula and SE leadership development programs to "grow their own" systems engineers. Marshall Space Flight Center (MSFC) conducts its own Center-focused Marshall Systems Engineering Leadership Development Program (MSELDP), a competitive program consisting of coursework, a guest lecture series, and a rotational assignment into an unfamiliar organization engaged in systems engineering. Independently, MSFC developed two courses to address knowledge retention and sharing concerns: Real World Marshall Mission Success course and its Case Study Writers Workshop and Writers Experience. Teaching case study writing and leading students through a hands-on experience at writing a case study on an SE topic can enhance SE training and has the potential to accelerate the transfer of experiential knowledge. This paper is an overview of the pilot experiences with teaching case study writing, its application in case study-based learning, and identifies potential areas of research and application for case study writing in systems engineering education.

  19. A Case Study on TRICARE Online Web-enabled Appointing: Improving Utilization Rates at Navy Medical Treatment Facilities

    DTIC Science & Technology

    2009-10-20

    Low usage volume raised concerns about the effectiveness of TOL. In 2004, the eHealth Division of TMA Information Management conducted a study to...Case Study 31 (Version 15.8). Falls Church, VA: Department of Defense, TRICARE Management Activity, Information Management eHealth Division

  20. The Bureaucratising of Lesson Study: A Javanese Case

    ERIC Educational Resources Information Center

    Kusanagi, Kanako N.

    2014-01-01

    Lesson study developed organically in Japan over a period of 140 years, whereas in Indonesia, lesson study was introduced as a top-down initiative. This research explores beyond general cultural differences by illustrating how the daily concerns of teachers and their social interactions differ in Japan and in the case of an Indonesian school, the…

  1. Is There a Risk of Suburban Transmission of Malaria in Selangor, Malaysia?

    PubMed Central

    Braima, Kamil A.; Sum, Jia-Siang; Ghazali, Amir-Ridhwan M.; Muslimin, Mustakiza; Jeffery, John; Lee, Wenn-Chyau; Shaker, Mohammed R.; Elamin, Alaa-Eldeen M.; Jamaiah, Ibrahim; Lau, Yee-Ling; Rohela, Mahmud; Kamarulzaman, Adeeba; Sitam, Frankie; Mohd-Noh, Rosnida; Abdul-Aziz, Noraishah M.

    2013-01-01

    Background The suburban transmission of malaria in Selangor, Malaysia’s most developed and populous state still remains a concern for public health in this region. Despite much successful control efforts directed at its reduction, sporadic cases, mostly brought in by foreigners have continued to occur. In addition, cases of simian malaria caused by Plasmodium knowlesi, some with fatal outcome have caused grave concern to health workers. The aim of this study was to investigate the possibility of local malaria transmission in suburban regions of Selangor, which are adjacent to secondary rainforests. Findings A malaria survey spanning 7 years (2006 - 2012) was conducted in Selangor. A total of 1623 laboratory confirmed malaria cases were reported from Selangor’s nine districts. While 72.6% of these cases (1178/1623) were attributed to imported malaria (cases originating from other countries), 25.5% (414/1623) were local cases and 1.9% (31/1623) were considered as relapse and unclassified cases combined. In this study, the most prevalent infection was P. vivax (1239 cases, prevalence 76.3%) followed by P. falciparum (211, 13.0%), P. knowlesi (75, 4.6%), P. malariae (71, 4.4%) and P. ovale (1, 0.06%). Mixed infections comprising of P. vivax and P. falciparum were confirmed (26, 1.6%). Entomological surveys targeting the residences of malaria patients’ showed that the most commonly trapped Anopheles species was An. maculatus. No oocysts or sporozoites were found in the An. maculatus collected. Nevertheless, the possibility of An. maculatus being the malaria vector in the investigated locations was high due to its persistent occurrence in these areas. Conclusions Malaria cases reported in this study were mostly imported cases. However the co-existence of local cases and potential Plasmodium spp. vectors should be cause for concern. The results of this survey reflect the need of maintaining closely monitored malaria control programs and continuous extensive malaria surveillance in Peninsula Malaysia. PMID:24194901

  2. Is there a risk of suburban transmission of malaria in Selangor, Malaysia?

    PubMed

    Braima, Kamil A; Sum, Jia-Siang; Ghazali, Amir-Ridhwan M; Muslimin, Mustakiza; Jeffery, John; Lee, Wenn-Chyau; Shaker, Mohammed R; Elamin, Alaa-Eldeen M; Jamaiah, Ibrahim; Lau, Yee-Ling; Rohela, Mahmud; Kamarulzaman, Adeeba; Sitam, Frankie; Mohd-Noh, Rosnida; Abdul-Aziz, Noraishah M

    2013-01-01

    The suburban transmission of malaria in Selangor, Malaysia's most developed and populous state still remains a concern for public health in this region. Despite much successful control efforts directed at its reduction, sporadic cases, mostly brought in by foreigners have continued to occur. In addition, cases of simian malaria caused by Plasmodium knowlesi, some with fatal outcome have caused grave concern to health workers. The aim of this study was to investigate the possibility of local malaria transmission in suburban regions of Selangor, which are adjacent to secondary rainforests. A malaria survey spanning 7 years (2006 - 2012) was conducted in Selangor. A total of 1623 laboratory confirmed malaria cases were reported from Selangor's nine districts. While 72.6% of these cases (1178/1623) were attributed to imported malaria (cases originating from other countries), 25.5% (414/1623) were local cases and 1.9% (31/1623) were considered as relapse and unclassified cases combined. In this study, the most prevalent infection was P. vivax (1239 cases, prevalence 76.3%) followed by P. falciparum (211, 13.0%), P. knowlesi (75, 4.6%), P. malariae (71, 4.4%) and P. ovale (1, 0.06%). Mixed infections comprising of P. vivax and P. falciparum were confirmed (26, 1.6%). Entomological surveys targeting the residences of malaria patients' showed that the most commonly trapped Anopheles species was An. maculatus. No oocysts or sporozoites were found in the An. maculatus collected. Nevertheless, the possibility of An. maculatus being the malaria vector in the investigated locations was high due to its persistent occurrence in these areas. Malaria cases reported in this study were mostly imported cases. However the co-existence of local cases and potential Plasmodium spp. vectors should be cause for concern. The results of this survey reflect the need of maintaining closely monitored malaria control programs and continuous extensive malaria surveillance in Peninsula Malaysia.

  3. Cautionary Tales: Ethics and Case Studies in Science

    PubMed Central

    Herreid, Clyde Freeman

    2014-01-01

    Ethical concerns are normally avoided in science classrooms in spite of the fact that many of our discoveries impinge directly on personal and societal values. We should not leave the ethical problems for another day, but deal with them using realistic case studies that challenge students at their ethical core. In this article we illustrate how case studies can be used to teach STEM students principles of ethics. PMID:25574280

  4. Students' Perceptions on Environmental Management of HEIs and the Role of Social Capital: A Case Study in the University of the Aegean

    ERIC Educational Resources Information Center

    Jones, Nikoleta; Roumeliotis, Spiridon; Iosifides, Theodoros; Hatziantoniou, Maria; Sfakianaki, Eleni; Tsigianni, Eleni; Thivaiou, Kalliopi; Biliraki, Athina; Evaggelinos, Kostas

    2013-01-01

    Purpose: The aim of the present study is to contribute to the discussion introducing the concept of social capital as a significant parameter influencing students' perceptions concerning greening initiatives in HEIs. Design/methodology/approach: A theoretical analysis is presented concerning the possible links of social capital components with…

  5. Is the Library a "Welcoming Space"?: An Urban Academic Library and Diverse Student Experiences

    ERIC Educational Resources Information Center

    Elteto, Sharon; Jackson, Rose M.; Lim, Adriene

    2008-01-01

    This article presents a case study of an urban academic library's attempt to identify factors that influence the perceptions of students of color concerning the library as a welcoming space. The goal of this study is to determine if there are qualitative divergent factors along racial lines concerning how students use this library. The research is…

  6. Toxoplasmosis gondii and schizophrenia: a case control study in a low Toxoplasma gondii seroprevalence Mexican population

    USDA-ARS?s Scientific Manuscript database

    There are conflicting reports concerning the association of T. gondii infection and schizophrenia. Therefore, we determined such association in a Mexican population of Mestizo ethnicity. Through a case-control study design, 50 schizophrenic patients and 150 control subjects matched by gender, age, r...

  7. The Psychometric Properties of Classroom Response System Data: A Case Study

    ERIC Educational Resources Information Center

    Kortemeyer, Gerd

    2016-01-01

    Classroom response systems (often referred to as "clickers") have slowly gained adoption over the recent decade; however, critics frequently doubt their pedagogical value starting with the validity of the gathered responses: There is concern that students simply "click" random answers. This case study looks at different…

  8. Authenticity and Unification in Quechua Language Planning.

    ERIC Educational Resources Information Center

    Hornberger, Nancy H.; King, Kendall

    1998-01-01

    Examines the potentially problematic tension between the goals of authenticity and unification in Quechua-language planning. One case study examines the orthographic debate that arose in Peru, and the second case study concerns two indigenous communities in Saraguro in the Southern Ecuadorian highlands where Spanish predominates but two Quichua…

  9. Enhancing Personal and Family Finance Courses Using Case Studies

    ERIC Educational Resources Information Center

    Gudmunson, Clinton G.; Zuiker, Virginia Solis; Katras, Mary Jo; Sabri, Mohamad Fazli

    2015-01-01

    Growing financial concerns among college students and on college campuses suggests urgency in teaching personal finance more effectively. Active learning approaches to teaching, including the use of case studies, problem-based learning, group work, in-class writing, demonstrations, and so forth, may be more appropriate and useful when used to…

  10. Where Learners' Questions Meet Modes of Teaching: A Study of Cases

    ERIC Educational Resources Information Center

    de Jesus, Helena Pedrosa; Almeida, Patricia; Teixeira-Dias, Jose J.; Watts, Mike

    2007-01-01

    This paper is concerned with "match-mismatch" problems. In particular it seeks to match students' questioning to different modes of teaching in undergraduate chemistry. Kolb's theory of experiential learning is used to bridge between learners' questioning and teaching formats. Three case studies illuminate both sets of characteristics, the…

  11. Transition from School to Young Adulthood: Four Case Studies of Young Adults Labelled Mentally Retarded.

    ERIC Educational Resources Information Center

    Lichtenstein, Stephen; Michaelides, Nike

    1993-01-01

    These 4 case studies examine the last years of high school and postschool experiences of 4 21-year-olds labeled mentally retarded. Issues discussed include school compliance with legislation concerning Individualized Education Programs, influence of parental involvement, adult services, and necessary employment supports. (JDD)

  12. Enhancing Cultural Adaptation through Friendship Training: A Single-Case Study.

    ERIC Educational Resources Information Center

    Liu, Yi-Ching; Baker, Stanley B.

    1993-01-01

    Four-year-old girl from mainland China experienced culture shock when attending American university day-care center. Counseling intern from Taiwan designed friendship training program based on assumptions concerning adaptation, acculturation, and peer relationships. Evaluated as intensive single-case study, findings indicated the program may be…

  13. Ethical dilemmas among nurses as they transition to hospital case management: implications for organizational ethics, part I.

    PubMed

    O'Donnell, Lolita T

    2007-01-01

    To describe the experiences of ethical concerns by clinical nurses as they transitioned into their new role in hospital case management. Through this study, an attempt was made to explore experiences of ethical concerns and identify the implications for organizational ethics. In this study, nurse case managers practicing in the acute hospital setting, military, not-for-profit community, and teaching hospitals were interviewed. The majority of the nurse case manager participants were engaged in hospital discharge planning and utilization review activities. An interpretive phenomenological approach was used to identify the themes inherent in ethical concerns and articulate them within the context of hospital nurse case management. Fifteen participants were interviewed to obtain a qualitative description of the nurse case managers' lived experiences of ethical dilemmas and how they were resolved. Nurse case managers' perceptions of solutions/options to resolve such ethical dilemmas were explored. As nurses transition into the expanded role of case management in the present healthcare delivery system, they frequently face situations demanding ethical choices and judgments to accommodate diverse patient interests and needs. These ethical decisions required in daily practice in case management represent ethical dilemmas to nurses. The insights derived from the analysis of the interviews have implications for nursing practice, education, policy, ethics, and research; recommendations for organizations employing nurse case managers in terms of recruitment, orientation, training, and continued need for educational support are identified. 1. The clinical decisions required in daily practice of case management represented challenges to the nurses. This highlights the critical role of adequate educational orientation to case management for beginning case managers. 2. Nurse case managers should be cognizant of the "disconnect" that could occur between their obligations to the organizations that employ them and the healthcare needs of the patients that they advocate for. 3. Aside from the importance of linking patient care outcomes with accountability, nurse case managers may need to advocate for policy change and system reform.

  14. Sexual Abuse Allegations by Children with Neuropsychiatric Disorders

    ERIC Educational Resources Information Center

    Lindblad, Frank; Lainpelto, Katrin

    2011-01-01

    All Swedish court cases from 2004 and 2006 concerning alleged child sexual abuse (sexual harassment excluded) were identified through criminal registers. Fourteen cases (one boy) concerned a child with a neuropsychiatric disorder. The diagnostic groups were mental retardation (10 cases), autism (three cases), and ADHD (one case). Psychiatric…

  15. Case Study of An Adopted Chinese Woman with Bulimia Nervosa: A Cultural and Transcultural Approach.

    PubMed

    de Montgremier, Marion Vu-Augier; Chen, Liangliang; Chen, Jue; Moro, Marie Rose

    2017-08-25

    For a long time, eating disorders were considered as culture-bound syndromes, specific to Western countries. This theory has been refuted for anorexia, but few transcultural studies have been carried out on bulimia nervosa. As a result, knowledge concerning this disorder is limited. On the basis of a clinical case involving a bulimic Chinese girl, we attempt to demonstrate the impact of cultural factors on the disorder. We discuss the atypical characteristics of her symptom profile, in particular the absence of preoccupations concerning her appearance and the psycho-pathological impact of the secrecy surrounding her adoption. In this particular case, bulimia triggered a search for filiation and identity that could have later enabled her to restore harmonious family ties and to gain autonomy. We also examine the case in the context of adoption in China. This clinical case points out how important it is to take cultural factors into account and how useful a transcultural approach is in order to understand bulimia, and suggest effective methods of care.

  16. The role of social isolation of elders in recidivism of self-neglect cases at San Francisco Adult Protective Services.

    PubMed

    Spensley, Catherine

    2008-01-01

    This study examined the relationship between social isolation of elders and recidivism of self-neglect cases at San Francisco Adult Protective Services. Of secondary interest was an examination of other risk factors: mental health concerns, cognitive deficits, and substance/alcohol abuse. A secondary chart review was conducted on 704 elder clients with confirmed cases of self-neglect in 2004. Bivariate and multivariate analyses showed a positive relationship between substance/ alcohol abuse and recidivism, and a negative relationship between cognitive decline and recidivism. No significant relationships were found for social isolation or mental health concerns and recidivism. This study supports previous research suggesting significant relationships between substance abuse and self-neglect, further demonstrating a need for more substance/alcohol abuse programs for elders.

  17. Ethical dilemmas among nurses as they transition to hospital case management: implications for organizational ethics, part II.

    PubMed

    O'Donnell, Lolita T

    2007-01-01

    The purpose of this study was to describe the experiences of ethical concerns by clinical nurses as they transitioned into their new role in hospital case management. Through this study, an attempt was made to explore experiences of ethical concerns and identify the implications for organizational ethics. In this study, nurse case managers practicing in the acute care setting, military, not-for-profit community, and teaching hospitals were interviewed. The majority of the nurse case manager participants were engaged in hospital discharge planning and utilization review activities. An interpretive phenomenological approach was used to identify the themes inherent in ethical concerns and articulate them within the context of hospital nurse case management. Fifteen participants were interviewed to obtain a qualitative description of the nurse case managers' lived experiences of ethical dilemmas and how they were resolved. Nurse case managers' perceptions of solutions/options to resolve such ethical dilemmas were explored. As nurses transition into the expanded role of case management in the present healthcare delivery system, they frequently face situations demanding ethical choices and judgments to accommodate diverse patient interests and needs. These ethical decisions required in daily practice of case management represent ethical dilemmas to nurses. The insights derived from the analysis of the interviews have implications for nursing practice, education, policy, ethics, and research; recommendations for organizations employing nurse case managers in terms of recruitment, orientation, training, and continued need for educational support are identified. 1. The clinical decisions required in daily practice of case management represented challenges to the nurses. This highlights the critical role of adequate educational orientation to case management for beginning case managers. 2. Nurse case managers should be cognizant of the "disconnect" that could occur between their obligations to the organizations that employ them and the healthcare needs of the patients that they advocate for. 3. Aside from the importance of linking patient care outcomes with accountability, nurse case managers may need to advocate for policy change and system reform.

  18. Best practices in intercultural health: five case studies in Latin America

    PubMed Central

    Mignone, Javier; Bartlett, Judith; O'Neil, John; Orchard, Treena

    2007-01-01

    The practice of integrating western and traditional indigenous medicine is fast becoming an accepted and more widely used approach in health care systems throughout the world. However, debates about intercultural health approaches have raised significant concerns. This paper reports findings of five case studies on intercultural health in Chile, Colombia, Ecuador, Guatemala, and Suriname. It presents summary information on each case study, comparatively analyzes the initiatives following four main analytical themes, and examines the case studies against a series of the best practice criteria. PMID:17803820

  19. "I'm Present, 'A' Please": A Case Study Examining Grading Issues in a Recreation Curriculum

    ERIC Educational Resources Information Center

    Gray, H. Joey

    2008-01-01

    Despite extensive research, grading and the potential for grade inflation remain areas of concern within higher education. The purpose of this qualitative case study was to obtain collective understandings regarding grading and pressures to inflate grades from faculty and instructors within a research-intensive university. The study focused on a…

  20. A Case Study on Educators' Perceptions of Leader Behaviors throughout Response-to-Intervention Implementation

    ERIC Educational Resources Information Center

    Strickland, Thomas Joel

    2017-01-01

    The purpose of this two-case study was to describe the perceptions of middle school administrators and teachers concerning leader behaviors throughout the implementation of Response-to-Intervention (RTI) programs. The theory which guided this study is transformational leadership theory (Bass, 1990) as it related directly to how administrators and…

  1. Building Capacity, Fostering Institutionalization: A Study of Assessment at Independent Colleges in the United States

    ERIC Educational Resources Information Center

    Chong, Jocelyn S.

    2009-01-01

    The literature on higher education assessment provides a historical context for this study and describes best practices and their challenges. While research studies have examined institutional efforts on a case-by-case basis, little quantitatively empirical research has been conducted concerning the extent to which institutions have built capacity…

  2. Academic Staff's Perspectives upon Student Plagiarism: A Case Study at a University in Hong Kong

    ERIC Educational Resources Information Center

    Li, Yongyan

    2015-01-01

    Much of the previous research concerning student plagiarism has been conducted in Anglo-American settings. The present paper reports a case study of academic staff's perspectives upon student plagiarism at a university in Hong Kong. Based on interviews with 16 instructors, the study focused on the teachers' views and pedagogical practices,…

  3. KQED: A Case Study in Confusion.

    ERIC Educational Resources Information Center

    Huttenstine, Marian L.; Hamner, Claire

    The United States Supreme Court's ruling in the "Houchins v KQED" case exemplifies the confusion of that court concerning any consistent view of the First Amendment of the United States Constitution, especially in terms of newsgathering and prior restraint. In this case, the Court reversed a lower court's decision that had held invalid a…

  4. Implementation at the School Building Level: The Development and Analysis of Nine Mini-Case Studies.

    ERIC Educational Resources Information Center

    Hall, Gene; And Others

    As part of a district-wide longitudinal study of the implementation of a science curriculum innovation, researchers developed case studies of a sample of nine elementary schools in the Jefferson County School District, a large suburban system in Colorado. The study applied the Concerns-Based Adoption Model, which assumes that change is carried out…

  5. Communicating with scientific graphics: A descriptive inquiry into non-ideal normativity.

    PubMed

    Sheredos, Benjamin

    2017-06-01

    Scientists' graphical practices have recently become a target of inquiry in the philosophy of science, and in the cognitive sciences. Here I supplement our understanding of graphical practices via a case study of how researchers crafted the graphics for scientific publication in the field of circadian biology. The case highlights social aspects of graphical production which have gone understudied - especially concerning the negotiation of publication. I argue that it also supports a challenge to the claim that empirically-informed "cognitive design principles" offer an apt understanding of the norms of success which govern good scientific graphic design to communicate data and hypotheses to other experts. In this respect, the case-study also illustrates how "descriptive" studies of scientific practice can connect with normative issues in philosophy of science, thereby addressing a central concern in recent discussions of practice-oriented philosophy of science. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Clinical governance breakdown: Australian cases of wilful blindness and whistleblowing.

    PubMed

    Cleary, Sonja; Duke, Maxine

    2017-01-01

    After their attempts to have patient safety concerns addressed internally were ignored by wilfully blind managers, nurses from Bundaberg Base Hospital and Macarthur Health Service felt compelled to 'blow the whistle'. Wilful blindness is the human desire to prefer ignorance to knowledge; the responsibility to be informed is shirked. To provide an account of instances of wilful blindness identified in two high-profile cases of nurse whistleblowing in Australia. Critical case study methodology using Fay's Critical Social Theory to examine, analyse and interpret existing data generated by the Commissions of Inquiry held into Bundaberg Base Hospital and Macarthur Health Service patient safety breaches. All data was publicly available and assessed according to the requirements of unobtrusive research methods and secondary data analysis. Ethical considerations: Data collection for the case studies relied entirely on publicly available documentary sources recounting and detailing past events. Data from both cases reveal managers demonstrating wilful blindness towards patient safety concerns. Concerns were unaddressed; nurses, instead, experienced retaliatory responses leading to a 'social crisis' in the organisation and to whistleblowing. Managers tasked with clinical governance must be aware of mechanisms with the potential to blind them. The human tendency to favour positive news and avoid conflict is powerful. Understanding wilful blindness can assist managers' awareness of the competing emotions occurring in response to ethical challenges, such as whistleblowing.

  7. Compassion and Vigilance: Investigators' Strategies To Manage Ethical Concerns in Palliative and End-of-Life Research

    PubMed Central

    Cartwright, Juliana C.; Nelson, Christine A.; Knafl, Kathleen

    2012-01-01

    Abstract Background Ethical concerns were identified as a potential barrier to advancing palliative and end-of-life science at the 2004 National Institutes of Health State of the Science Meeting. However, data are lacking about the nature of ethical concerns and strategies for balancing the need to advance science with human subjects protections. Methods A qualitative case-study design was used to follow 43 end-of-life studies from proposal development through the review process and implementation. Investigators participated in semi-structured telephone interviews and provided document data regarding their experiences with grant and IRB reviews. Using constant comparative analysis within and across cases, the investigators identified commonly encountered and unique concerns and strategies for managing these concerns. Findings Investigator strategies fell into two broad categories: 1) Recruitment and consent strategies related to subject identification and enrollment; and 2) Protocol-related strategies related to the process of data collection. These strategies shared the overarching meta-themes of compassion, as evidenced by a heightened sensitivity to the needs of the population, coupled with vigilance, as evidenced by close attention to the possible effects of study participation on the participants' well-being, clinical care, and the needs of research staff. Conclusions Ethical concerns have led to the development of compassionate and vigilant strategies designed to balance the potential for risk of harm with the need to advance the science of palliative and end-of-life care. These strategies can be used by investigators to address ethical concerns and minimize barriers to the development of palliative and end-of-life care science. PMID:22731516

  8. Compassion and vigilance: investigators' strategies to manage ethical concerns in palliative and end-of-life research.

    PubMed

    Hickman, Susan E; Cartwright, Juliana C; Nelson, Christine A; Knafl, Kathleen

    2012-08-01

    Ethical concerns were identified as a potential barrier to advancing palliative and end-of-life science at the 2004 National Institutes of Health State of the Science Meeting. However, data are lacking about the nature of ethical concerns and strategies for balancing the need to advance science with human subjects protections. A qualitative case-study design was used to follow 43 end-of-life studies from proposal development through the review process and implementation. Investigators participated in semi-structured telephone interviews and provided document data regarding their experiences with grant and IRB reviews. Using constant comparative analysis within and across cases, the investigators identified commonly encountered and unique concerns and strategies for managing these concerns. Investigator strategies fell into two broad categories: 1) Recruitment and consent strategies related to subject identification and enrollment; and 2) Protocol-related strategies related to the process of data collection. These strategies shared the overarching meta-themes of compassion, as evidenced by a heightened sensitivity to the needs of the population, coupled with vigilance, as evidenced by close attention to the possible effects of study participation on the participants' well-being, clinical care, and the needs of research staff. Ethical concerns have led to the development of compassionate and vigilant strategies designed to balance the potential for risk of harm with the need to advance the science of palliative and end-of-life care. These strategies can be used by investigators to address ethical concerns and minimize barriers to the development of palliative and end-of-life care science.

  9. Practice and Policy to Enhance Student Induction and Transition: A Case Study of Institution-Wide Change

    ERIC Educational Resources Information Center

    Alsford, Sally; Rose, Christine

    2014-01-01

    This case study gives an analytical account of institutional development in induction provision. Driven by student experience concerns, a London post-1992 University set up an "enhanced induction project" to provide a more integrated, personalised approach through more coordinated processes. In a large, diverse context, university-wide…

  10. Language and Cultural Immersion: An Ethnographic Case Study

    ERIC Educational Resources Information Center

    Jackson, Jane

    2004-01-01

    This paper focuses on an evaluative, ethnographic case study of an English language and cultural immersion programme for Hong Kong university students. Prior to a five-week sojourn in England, the 15 English majors completed a survey and interview to determine their expectations and concerns. While in Oxford, they took courses in an English…

  11. Using Total Communication with Young Children with Down Syndrome: A Literature Review and Case Study.

    ERIC Educational Resources Information Center

    Gibbs, Elizabeth D.; Carswell, Lynn E.

    1991-01-01

    Total communication is the simultaneous use of speech and manual signs. This article presents a literature review regarding language disabilities of children with Down's syndrome and a case study concerning the effectiveness of the use of total communication with an infant with Down's syndrome. (Author/BB)

  12. Medical Diagnostic Consultation concerning Mental Retardation: An Analogue Study of School Psychologists' Attitudes

    ERIC Educational Resources Information Center

    Wodrich, David L.; Tarbox, Jennifer; Balles, John; Gorin, Joanna

    2010-01-01

    Recent research of relevance to school psychologists suggests that the cause, or etiology, of mental retardation can be established by medical diagnosticians in approximately one-half of cases. In the current study, 109 practicing school psychologists considered a hypothetical case of an elementary student with mental retardation and indicated…

  13. Dioxin in Midland: A Case Study of Press Coverage of Expert Disagreement.

    ERIC Educational Resources Information Center

    Palen, John

    Drawing from articles appearing in several national publications about the dioxin contamination found in Midland, Michigan, in l983, a case study examined how the publications handled the phenomenon of expert disagreement concerning the nature of dioxin. Specifically, it examined how the publications handled expert disagreement about (1) the way…

  14. Effective Implementation of E-Learning: A Case Study of the Australian Army

    ERIC Educational Resources Information Center

    Newton, Diane; Ellis, Allan

    2005-01-01

    Purpose--This case study identifies factors influencing the implementation of e-learning within the Australian Army training context. Design/methodology/approach--A grounded theory approach was used to gain an understanding of the concerns of stakeholders involved in e-learning implementation. This research included interviews with Army managers,…

  15. Comparing the Lifetimes of Two Brands of Batteries

    ERIC Educational Resources Information Center

    Dunn, Peter K.

    2013-01-01

    In this paper, we report a case study that illustrates the importance in interpreting the results from statistical tests, and shows the difference between practical importance and statistical significance. This case study presents three sets of data concerning the performance of two brands of batteries. The data are easy to describe and…

  16. C++ and operating systems performance - A case study

    NASA Technical Reports Server (NTRS)

    Russo, Vincent F.; Madany, Peter W.; Campbell, Roy H.

    1990-01-01

    Object-oriented design and programming has many software engineering advantages. Its application to large systems, however, has previously been constrained by performance concerns. The Choices operating system, which has over 75,000 lines of code, is object-oriented and programmed in C++. This paper is a case study of the performance of Choices.

  17. Bullying and Victimisation Dynamics in High School: An Exploratory Case Study

    ERIC Educational Resources Information Center

    Lekunze, Lucy M. George; Strom, B. Ivan

    2017-01-01

    Bullying is a worldwide concern and erroneous perceptions of the phenomenon could underscore unsustainable interventions. The purpose of this qualitative exploratory case study was to examine, in-depth, how some high school teachers from two schools in New Jersey perceived student bullying. The primary research question was: What perceptions do…

  18. Undergraduates' Perceptions of Conflict of Interest in Industry-Sponsored Research

    ERIC Educational Resources Information Center

    Perry, Heather Brodie

    2018-01-01

    The prevalence of industry-sponsored research has led to significant concerns about financial conflicts of interest and the impact on research findings. This case study sought to examine how students considered conflict of interest when establishing the cognitive authority of a journal article. The case study used a mixed methods pretest and…

  19. Students with Reading Disabilities Participating in Literature Discussions: A Case Study

    ERIC Educational Resources Information Center

    O'Brien, Elysha Patino

    2011-01-01

    This qualitative case study addressed a lack of research concerning literature discussions for students with learning disabilities in reading. Fourth and fifth grade students with reading disabilities participated in twice-weekly literature discussions, 30-to-60 minutes each, for 12 weeks. The students attended a Title I school and most were…

  20. Transformative Multicultural Science Curriculum: A Case Study of Middle School Robotics

    ERIC Educational Resources Information Center

    Grimes, Mary Katheryn

    2012-01-01

    Multicultural Science has been a topic of research and discourse over the past several years. However, most of the literature concerning this topic (or paradigm) has centered on programs in tribal or Indigenous schools. Under the framework of instructional congruence, this case study explored how elementary and middle school students in a…

  1. Thai English Teachers' Understanding of "Postmethod Pedagogy": Case Studies of University Lecturers

    ERIC Educational Resources Information Center

    Saengboon, Saksit

    2013-01-01

    This qualitative case study aimed to solicit Thai EFL university lecturers' opinions concerning postmethod pedagogy. It was motivated by an interest in how local teachers construe pedagogical innovations such as postmethod pedagogy vis-à-vis their own teaching conditions. More often than not, local teachers encounter many challenges in…

  2. Inclusive Education in an International School: A Case Study from Hong Kong

    ERIC Educational Resources Information Center

    Chan, Twiggy; Yuen, Mantak

    2015-01-01

    This case study provides an overview of current policy, practices and problems concerning inclusion in one international secondary school in Hong Kong. A total of 13 interviews were conducted with the school management team, teachers, students and parents, supplemented by 12 classroom observations and two "student-shadowing" exercises.…

  3. Is Management for Golden-winged Warblers and Cerulean Warblers Compatible?

    Treesearch

    Kenneth V. Rosenberg Paul B. Hamel

    2005-01-01

    Conservation of species with high Partners in Flight concern scores may suggest management for apparently conflicting habitat needs on a given property or specific site, such as birds requiring early-successional vs. latersuccessional broadleaved forests. Two species of concern with distinctly different habitat needs provide a case study for consideration. Declining...

  4. Planning and Implementing Virtual Charter Schools in Wisconsin: A Case Study

    ERIC Educational Resources Information Center

    Lee, Juanita Joyce

    2010-01-01

    The long-term concern relative to education inequity indicates that the nation's youth will not be adequately prepared for the global and highly competitive marketplace of the 21st century (Casner-Lotto & Barrington, 2006). Initiatives to address this concern persist, including the creation of the virtual charter school (Vanourek, 2006;…

  5. Professional Doctoral Scholarship in Ghana: A Case Study of the CDT-BEPS Framework

    ERIC Educational Resources Information Center

    Owusu-Manu, D.; Edwards, D. J.; Afrane, S. K.; Dontwi, I. K.; Laycock, P.

    2015-01-01

    The constantly evolving paradigm of 21st century educational offerings and the growing demand for "professional practice" research degrees have raised concerns about the relevance of the traditional "theoretical" PhD award. To meet this growing demand, and address these concerns, alternative routes to achieving the doctoral…

  6. An International Study of Prospective Teachers' Initial Teaching Conceptions and Concerns: The Case of Teaching "Combustion."

    ERIC Educational Resources Information Center

    De Jong, Onno; Ahtee, Maija; Goodwin, Alan; Hatzinikita, Vassilia; Koulaidis, Vasilis

    1999-01-01

    Investigated Dutch, Finnish, English, and Greek preservice science teachers' conceptions of and concerns about how to teach the concept of combustion. Participants prepared lessons for junior secondary students, then completed interviews and questionnaires. Results revealed many important and similar characteristics of prospective teachers' views…

  7. A Socioeconomic Analysis of Environmental Concern: Case of the Four Corners Electric Power Complex. Bulletin No. 626.

    ERIC Educational Resources Information Center

    Eastman, Clyde; And Others

    Recently American attention has focused on the problems of pollution and environmental protection. Focusing on the Four Corners Interstate Air Quality Control Region, this study determined which socioeconomic characteristics were associated with concern for environmental quality as measured by willingness to pay for pollution abatement. Sample…

  8. Columbia Daily Tribune v. The Curators of the University of Missouri: A Case Study.

    ERIC Educational Resources Information Center

    Watt, Phyllis C.

    The 1978 lawsuit between the Columbia, Missouri, "Daily Tribune" and the University of Missouri concerning Sunshine Laws, while singular and specific, is of concern to all news organizations. When "Tribune" reporter Randy McConnell was denied access to the University's audit reports and other documents and was forbidden to…

  9. PROJECT CONCERN--A CASE STUDY IN URBAN-SUBURBAN COOPERATION. POSITION PAPER.

    ERIC Educational Resources Information Center

    MAHAN, THOMAS W.

    PROJECT CONCERN SEEKS TO DEMONSTRATE THAT THE LOWER ACHIEVEMENT OF DISADVANTAGED STUDENTS IS AN "ARTIFACT" OF A NEGATIVE INTERACTION BETWEEN THE SLUM NEIGHBORHOOD AND THE SLUM SCHOOL. TO COUNTERACT THIS EFFECT, THE PROJECT HAS BUSED OVER 250 INNER CITY MINORITY GROUP CHILDREN, FROM KINDERGARTEN THROUGH FIFTH GRADE, TO FIVE MIDDLE CLASS…

  10. ICT Use in Preschool Science Education: A Case Study of Some Private Nursery Schools in Ekiti State

    ERIC Educational Resources Information Center

    Oluwadare, Feyisetan Adijatu

    2015-01-01

    This research reveals ICT uses in Ekiti preschool education and explores this use of ICT for science education. This case study is part of a wider research project concerning the use of Information and Communication Technologies (ICT) for teaching main natural science's concepts and mathematics in early year's classroom. The study was conducted…

  11. Innovation in the Management of Primary School Construction in Afghanistan. A Case Study. Educational Building Report 9.

    ERIC Educational Resources Information Center

    Ahmad, Fazel

    By 1973 there were very great disparities between the opportunities for education in the urban and rural areas of Afghanistan. This case study concerns provincial school construction programs for hundreds of small buildings in the remotest areas of what is one of the most mountainous countries of the world. A study proposed alternative building…

  12. Ethnic Identity Construction in the Schooling Context: A Case Study of a Tibetan Neidi Boarding School in China

    ERIC Educational Resources Information Center

    Zhiyong, Zhu

    2007-01-01

    This article reviews the studies concerning ethnic identity construction in the schooling context. Next, it outlines a conceptual framework about theories of ethnic identity. Finally, it demonstrates a case study of ethnic identity construction of Neidi Tibet School with data collection and analysis. (Contains 1 note, 2 tables, and 2 figures.)

  13. Working towards Best Practice in Assessment. A Case Study Approach to Some Issues Concerning Competency-Based Assessment in the Vocational Education and Training Sector.

    ERIC Educational Resources Information Center

    Bloch, Barbara; Thomson, Peter

    Between July and November 1993, a cross-section of Australia's school- and workplace-based vocational education and training programs was studied to identify programs using innovative assessment strategies and materials. As innovative strategies/materials were identified, the study methodology was revised and a case study approach was adopted. The…

  14. [Zygomatic-orbito-malar fractures. Apropos of 85 cases].

    PubMed

    Ait Benhamou, C; Kadiri, F; Laraqui, N; Benghalem, A; Touhami, M; Chekkoury, A; Benchakroun, Y

    1996-01-01

    Our retrospective study has concerned 85 cases of zygomatic-orbito molar fractures, hospitalised and treated from january 1983 to december 1992. 86% of patients were men. The young adult is interested in 78% of cases. The traffic accidents are predominant in 45%. The diagnosis is especially, made by the clinic and confirmed by the radiology. The abstension is justificate in 27, 1% due to the absence of deplacement and associated disorders. The orthopedic treatment concerns the len deplaced (20% of cases) and stable molar fractures. The surgery such as reduction with osteosynthesis or reconstruction of floor is realised in 55% of patients presenting deplaced fractures with norphologic and/or fonctionel disorders. The evolution is good in general. Few sequellaes has been noted in 25% cases. The authors insist on the interest of the precocity of diagnosis and treatment and on the multidisciplinar collaboration which permit an adapted treatment with few sequellaes.

  15. A Practice Concepts Symposium on Drug Misuse in the Elderly: Examination of a Case History.

    ERIC Educational Resources Information Center

    Silverstone, Barbara; And Others

    1986-01-01

    Set of articles consisting of an introduction (Barbara Silverstone, et al.) and case study concerning drug misuse in the elderly, and six papers examining the case from the perspectives of clinical pharmacology (William Simonson); pharmacology (Peter Lamy); psychiatry (Charles Gaitz and Nancy Wilson); nursing (Delores Alford); social work (Janet…

  16. White spots on Smoke rings by Bruce Nauman: a case study on contemporary art conservation using microanalytical techniques.

    PubMed

    Mafalda, Ana Cardeira; da Câmara, Rodrigo Bettencourt; Strzelec, Patrick; Schiavon, Nick; Mirão, José; Candeias, António; Carvalho, Maria Luísa; Manso, Marta

    2015-02-01

    The artwork "Smoke Rings: Two Concentric Tunnels, Non-Communicating" by Bruce Nauman represents a case study of corrosion of a black patina-coated Al-alloy contemporary artwork. The main concern over this artwork was the widespread presence of white spots on its surface. Alloy substrate, patina, and white spots were characterized by means of energy-dispersive X-ray fluorescence and scanning electron microscopy with energy-dispersive spectroscopy. Alloy substrate was identified as an aluminum alloy 6,000 series Al-Si-Mg. Patina's identified composition confirmed the documentation provided by the atelier. Concerning the white spots, zircon particles were found on patina surface as external elements.

  17. Trade-Off Analysis between Concerns Based on Aspect-Oriented Requirements Engineering

    NASA Astrophysics Data System (ADS)

    Laurito, Abelyn Methanie R.; Takada, Shingo

    The identification of functional and non-functional concerns is an important activity during requirements analysis. However, there may be conflicts between the identified concerns, and they must be discovered and resolved through trade-off analysis. Aspect-Oriented Requirements Engineering (AORE) has trade-off analysis as one of its goals, but most AORE approaches do not actually offer support for trade-off analysis; they focus on describing concerns and generating their composition. This paper proposes an approach for trade-off analysis based on AORE using use cases and the Requirements Conflict Matrix (RCM) to represent compositions. RCM shows the positive or negative effect of non-functional concerns over use cases and other non-functional concerns. Our approach is implemented within a tool called E-UCEd (Extended Use Case Editor). We also show the results of evaluating our tool.

  18. Teaching Logistics without Formal Classes: A Case Study

    ERIC Educational Resources Information Center

    Carravilla, Maria Antonia; Oliveira, Jose Fernando

    2004-01-01

    This paper describes a case study concerning the teaching of logistics in the Computers and Electrical Engineering degree at FEUP. The logistics course is taken in the last semester of the degree and there are no lectures given by the teachers. All the learning strategy is based upon the autonomous learning capacity of the students, following the…

  19. Marietta Celebration of Unity Case Study.

    ERIC Educational Resources Information Center

    Philbin, Meg; Phillips, Rebecca

    This case study concerns the forming of a Marietta, Ohio unity committee, entitled Citizens for Social and Racial Justice, in response to the local Ku Klux Klan's (KKK) request for a parade permit in order to demonstrate against blacks in this city. Marietta, the county seat of Washington County, Ohio, has a population composed of both white and…

  20. Navigating Contested Terrain: Vernacular Education in a Papua New Guinean Village

    ERIC Educational Resources Information Center

    Troolin, David

    2013-01-01

    This paper describes a case study of language development in rural Papua New Guinea, in which parents felt the local school was not meeting the educational needs of their children. In this case study, the local, national and global narratives concerning use of the vernacular in education were apparent in the negotiation leading to an apparent…

  1. Factors Affecting Women's Decisions to Pursue an IS Degree: A Case Study

    ERIC Educational Resources Information Center

    Serapiglia, Constance Patricia; Lenox, Terri L.

    2010-01-01

    The declining participation of women in the computer-related professions is a concern to academia and business. There appears to be a complex set of factors influencing the selection of a major and completing the degree. A case study of 25 undergraduate women explored, in detail, the events, conditions, and relationships that affected the decision…

  2. Quality Management: An "Essential Attributes" Approach. A Case Study towards a Sustainable Model of Course Effectiveness Evaluation

    ERIC Educational Resources Information Center

    Murphy, Francis S.

    2005-01-01

    Education of potential professional engineers should take account of the type of employment that they will eventually obtain. The quality of an engineering degree course can be judged by assessing whether the correct balance of "essential attributes" has been effectively obtained. This case study is concerned with assessing the balance…

  3. Connection of Environmental Education with Application of Experiential Teaching Methods: A Case Study from Greece

    ERIC Educational Resources Information Center

    Koutsoukos, Marios; Fragoulis, Iosif; Valkanos, Euthimios

    2015-01-01

    The main objective of this case study is to examine secondary education teachers' opinions concerning the connection of environmental education with the use of experiential teaching methods. Exploring whether the application of experiential methods can upgrade the learning procedure, leading to a more holistic approach, the research focuses on…

  4. Without Women No Development: Selected Case Studies from Asia of Non-Formal Education for Women.

    ERIC Educational Resources Information Center

    Shah, Madhuri, Ed.

    This handbook presents 15 case studies on the non-formal education of women from four Asian countries: India, Bangladesh, Sri Lanka, and Malaysia. The goal of this publication is to provide information about education-related issues concerning women and girls and development. This information is intended for those people, in governmental and…

  5. The Impact of CETA on Institutional Vocational Education. Case Studies and Final Report, 1977.

    ERIC Educational Resources Information Center

    Anderson, Robert; Rozansky, Rosa D.

    This final report summarizes the findings of the National League of Cities and U.S. Conference of Mayors concerning CETA funded programs. It also examines three case studies in Chicago; Erie, Pennsylvania; and the Virginia Peninsula. The report discusses the need for cooperation between CETA and the vocational education system. Characteristics of…

  6. Data Mining in Course Management Systems: Moodle Case Study and Tutorial

    ERIC Educational Resources Information Center

    Romero, Cristobal; Ventura, Sebastian; Garcia, Enrique

    2008-01-01

    Educational data mining is an emerging discipline, concerned with developing methods for exploring the unique types of data that come from the educational context. This work is a survey of the specific application of data mining in learning management systems and a case study tutorial with the Moodle system. Our objective is to introduce it both…

  7. A case study of one school system's adoption and implementation of an elementary science program

    NASA Astrophysics Data System (ADS)

    Kelly, Michael Patrick

    2000-10-01

    The researcher's purpose in this study was to examine the process used by the Minot Public Schools to adopt and implement a new elementary science program from Silver Burdett Ginn called Discovery Works. Using case study methods within a naturalistic design, the researcher investigated teachers' concerns as they adopted and implemented Discovery Works in their classrooms. Data were gathered using the Concerns Based Adoption Model (CBAM) instrument, interviews with adoption committee members, classroom teachers, grade level meetings, and document analysis of field notes related to each phase of the study. Content analysis methods were used to analyze the data. Emergent themes were presented and substantiated in the data, in terms of six research questions that guided this research. The data were analyzed both quantitatively and qualitatively to provide a rich, thick description that and enabled the researcher to confirm and triangulate the concerns of teachers in this study. The quantitative data revealed a general nonuser profile by teachers as they implemented Discovery Works. Three major themes of concerns emerged from a qualitative analysis of the data. The first theme was implementation, including issues related to teacher attitudes and inservice needs. The second theme, management issues, had five concerns subsumed within it. These included concerns related to time, materials, storage, reorder, and cooperative groups. The third theme, effects on students, included issues concerning hands-on methods of teaching science, vocabulary, especially at the upper elementary, and assessment issues. Possible solutions to resolve each of the concerns were presented. Major conclusions are that teacher concerns about Discovery Works were normal for any group experiencing a new innovation. Teachers and students enjoyed using the hands-on materials, and that Minot Public Schools has taken a small, but important step forward on the road to science education reform. Although there is still a strong emphasis on the language arts of science, as opposed to scientific inquiry, there has been increased learning of science content and the process skills necessary to do scientific inquiry. Recommendations were made for professional development activities that would assist teachers in the next phase of the implementation process.

  8. Addressing a community's cancer cluster concerns

    PubMed Central

    Gavin, AT; Catney, D

    2006-01-01

    The felling of a telecommunications mast highlighted a community's concern regarding an alleged cancer cluster of eleven cases in a small rural area of Northern Ireland. At the request of the Local District Council, the Northern Ireland Cancer Registry (NICR) undertook an investigation. After extensive searching and contact with the community, only 6 of the alleged cases could be identified. Of these six, two did not have cancer and one had a non-malignant tumour. In addition to the three confirmed cancer cases, a search of the NICR database identified a further 17 cancers of mixed types in keeping with the population pattern of cancers. Standardised incidence and mortality rates were within, or lower than, the expected level. The results were presented to the local community at an open meeting. Despite extensive media interest when the issue of the alleged cluster was first raised, the negative findings received only local media attention. This study illustrates the value of an accurate population cancer registry in addressing cancer cluster concerns. PMID:16964811

  9. Can agricultural groundwater economies collapse? An inquiry into the pathways of four groundwater economies under threat

    NASA Astrophysics Data System (ADS)

    Petit, Olivier; Kuper, Marcel; López-Gunn, Elena; Rinaudo, Jean-Daniel; Daoudi, Ali; Lejars, Caroline

    2017-09-01

    The aim of this paper is to investigate the notion of collapse of agricultural groundwater economies using the adaptive-cycle analytical framework. This framework was applied to four case studies in southern Europe and North Africa to question and discuss the dynamics of agricultural groundwater economies. In two case studies (Saiss in Morocco and Clain basin in France), the imminent physical or socio-economic collapse was a major concern for stakeholders and the early signs of collapse led to re-organization of the groundwater economy. In the other two cases (Biskra in Algeria and Almeria in Spain), collapse was either not yet a concern or had been temporarily resolved through increased efficiency and access to additional water resources. This comparative analysis shows the importance of taking the early signs of collapse into account. These signs can be either related to resource depletion or to environmental and socio-economic impacts. Beyond these four case studies, the large number of groundwater economies under threat in (semi-)arid areas should present a warning regarding their possible collapse. Collapse can have severe and irreversible consequences in some cases, but it can also mean new opportunities and changes.

  10. The Role of Indigenous Knowledge in Biodiversity Assessment and Monitoring: A Case Study in Uganda

    Treesearch

    Robinah K. Nanyunja

    2006-01-01

    Biodiversity is being lost at unprecedented rates through destruction of habitats and ecosystems for short-term economic gain. Concern about this has led governments, multilateral organizations, scientists, environmentalists, and others to look for ways to promote the conservation of biodiversity. This concern has led to the development of rapid biodiversity assessment...

  11. The Autonomy to Choose--The Case of Ninth-Grade Mathematics Students

    ERIC Educational Resources Information Center

    Lavy, Ilana; Zarfin, Orly

    2013-01-01

    In this study we explored the effects of providing ninth-grade students with the chance to take part in decision making concerning the mathematics level they would be assigned to in high school. Decisions concerned their self-competence regarding their mathematical abilities, their learning goals and the class atmosphere. The students were taught…

  12. Early Childhood Pre-Service Teachers' Concerns and Solutions to Overcome Them (the Case of Pamukkale University)

    ERIC Educational Resources Information Center

    Cevher-Kalburan, Nilgün

    2014-01-01

    The purpose of this qualitative study is to determine early childhood pre-service teachers' concerns and solutions. One hundred early childhood pre-service teachers who were enrolled at Pamukkale University, Turkey, answered two open-ended questions by e-mail. In addition, six of these participants were interviewed for developing a deeper…

  13. Linguistic Capital: Continuity and Change in Educational Language Polices for South Asians in Hong Kong Primary Schools

    ERIC Educational Resources Information Center

    Fang, Gao

    2011-01-01

    Language-in-education policies within post-colonization, nationalism, and globalization are currently key concerns of the sociology of language as they impact language teaching and learning in multilingual contexts. Despite these concerns, studies of educational language policies for ethnic minorities, in this case, those of South Asians in Hong…

  14. Case Study of An Adopted Chinese Woman with Bulimia Nervosa: A Cultural and Transcultural Approach

    PubMed Central

    de MONTGREMIER, Marion Vu-Augier; CHEN, Liangliang; CHEN, Jue; MORO, Marie Rose

    2017-01-01

    Summary For a long time, eating disorders were considered as culture-bound syndromes, specific to Western countries. This theory has been refuted for anorexia, but few transcultural studies have been carried out on bulimia nervosa. As a result, knowledge concerning this disorder is limited. On the basis of a clinical case involving a bulimic Chinese girl, we attempt to demonstrate the impact of cultural factors on the disorder. We discuss the atypical characteristics of her symptom profile, in particular the absence of preoccupations concerning her appearance and the psycho-pathological impact of the secrecy surrounding her adoption. In this particular case, bulimia triggered a search for filiation and identity that could have later enabled her to restore harmonious family ties and to gain autonomy. We also examine the case in the context of adoption in China. This clinical case points out how important it is to take cultural factors into account and how useful a transcultural approach is in order to understand bulimia, and suggest effective methods of care. PMID:28955146

  15. Reliability of robotic system during general surgical procedures in a university hospital.

    PubMed

    Buchs, Nicolas C; Pugin, François; Volonté, Francesco; Morel, Philippe

    2014-01-01

    Data concerning the reliability of robotic systems are scarce, especially for general surgery. The aim of this study was to assess the incidence and consequences of robotic malfunction in a teaching institution. From January 2006 to September 2012, 526 consecutive robotic general surgical procedures were performed. All failures were prospectively recorded in a computerized database and reviewed retrospectively. Robotic malfunctions occurred in 18 cases (3.4%). These dysfunctions concerned the robotic instruments in 9 cases, the robotic arms in 4 cases, the surgical console in 3 cases, and the optical system in 2 cases. Two malfunctions were considered critical, and 1 led to a laparoscopic conversion (conversion rate due to malfunction, .2%). Overall, there were more dysfunctions at the beginning of the study period (2006 to 2010) than more recently (2011 to 2012) (4.2% vs 2.6%, P = .35). The robotic system malfunction rate was low. Most malfunctions could be resolved during surgery, allowing the procedures to be completed safely. With increased experience, the system malfunction rate seems to be reduced. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. Institutional Ethical Review and Ethnographic Research Involving Injection Drug Users: A Case Study

    PubMed Central

    Small, Will; Maher, Lisa; Kerr, Thomas

    2014-01-01

    Ethnographic research among people who inject drugs (PWID) involves complex ethical issues. While ethical review frameworks have been critiqued by social scientists, there is a lack of social science research examining institutional ethical review processes, particularly in relation to ethnographic work. This case study describes the institutional ethical review of an ethnographic research project using observational fieldwork and in-depth interviews to examine injection drug use. The review process and the salient concerns of the review committee are recounted, and the investigators’ responses to the committee’s concerns and requests are described to illustrate how key issues were resolved. The review committee expressed concerns regarding researcher safety when conducting fieldwork and the investigators were asked to liaise with the police regarding the proposed research. An ongoing dialogue with the institutional review committee regarding researcher safety and autonomy from police involvement, as well as formal consultation with a local drug user group and solicitation of opinions from external experts, helped to resolve these issues. This case study suggests that ethical review processes can be particularly challenging for ethnographic projects focused on illegal behaviours, and that while some challenges could be mediated by modifying existing ethical review procedures, there is a need for legislation that provides legal protection of research data and participant confidentiality. PMID:24581074

  17. A Case Study of School Principals in the United States and Japan: Metaphors of Fire and Water.

    ERIC Educational Resources Information Center

    McGee, Glenn W.

    In the United States in recent years there has been extensive concern about school reform and keen interest in Japanese business-management practices. This paper presents findings of a case study that examined the role and responsibilities of two middle school principals, one in Japan and one in the United States. The study is based on Krug's…

  18. Vision and Action

    DTIC Science & Technology

    1994-06-01

    Recent results from Cognitive Neurophysiology-the discipline which is concerned, among other topics, with the study of visual agnosia (a condition...and A. Newell. GPS: A Case Study in Generality and Problem Solving. Academic Press, New York, 1969. [13] M. Farah. Visual Agnosia : Diesorders of Object...A Case Study of Visual Agnosia . Lawrence Erlbaum, Hillsdale, New Jersey, 1992. [31] D. Jacobs. Space efficient 3d model indexing. In Proc. IEEE

  19. [Doping in sports. Cases reported to the Poison Control Center of Marseille from 1992 to 2000].

    PubMed

    Spadari, M; Coja, C; Rodor, F; Monnier, B; Affaton, M F; Arditti, J; Hayek-Lanthois, M; David, J M; Valli, M

    2001-11-24

    To study the doping substances used in sport and their toxicity. Retrospective analysis from January 1992 to December 2000 of the cases of use of doping substances in sport reported by telephone to the anti-poison center in Marseilles. Fifty-one cases were reported concerning 48 men and 3 women with a mean age of 30, ranging from 10 to 55 years. Sixty-three percent of cases were reported over the last four years. The sport practiced was bodybuilding, except in 2 cases (cycling in one case and running in the other). The products used were mainly anabolizing hormones (15 times), clenbuterol (14 times) and creatine (7 times). A third of cases concerned associations of substances and 19 cases presented with symptomatology. The diversity in nature and status of the substances mentioned and their association requires enhanced vigilance with regard to the use of drugs in sport. The recent measures voted within the framework of the anti-doping law dated 23/3/99 are aimed at increasing surveillance with the development of anti-doping antennae.

  20. The Performance of the Japanese Case Particles in Children's Speech: With Special Reference to "Ga" and "O."

    ERIC Educational Resources Information Center

    Miyata, Hiroko

    1993-01-01

    The purpose of this paper is to demonstrate that children's use of Japanese case particles obeys the grammatical principles introduced at the earlier stage of language development. In previous studies concerning the acquisition of Japanese case examined through the experimental method, it has been suggested that children acquire the functional use…

  1. [Pyogenic abscess of the breast: clinical and therapeutic aspects].

    PubMed

    Beyrouti, M I; Boujelben, S; Beyrouti, R; Ben Amar, M; Abid, M; Louati, D; Zidi, Z; Ben Salah, K; Abid, O; Ghorbel, A

    2007-01-01

    The goal of this retrospective work was to study the clinical aspects and the principles of management of the abscess of the breast in order to determine a convenient and recent therapeutic attitude. Our retrospective survey concerns 114 cases of breast abscess collected in a surgery department over a period of 14 years, from 1990 to 2003. All patients have been operated and the diagnosis confirmed through the operation. The puerperal abscesses have been noted in 31 cases. One hundred and four women and ten men were concerned, with a sex-ratio of 0.1. The medium age was 33 years old for the women and 42 years for the men. The diagnosis was based on the clinical criteria, confirmed by the ultrasonography in 11 cases out of 16 and by the mammary puncture in 15 cases out of 22. Two non-puerperal abscesses have revealed an infiltrating canal carcinoma. The Staphylococcus aureus was the germ the most frequently met, concerning 8 cases out of 16. The surgical biopsies carried out in 52 cases revealed a fibrocystic mastopathy in six cases, a canalar ectasia in two cases and an infiltrating canalar carcinoma in two cases. The surgical treatment, performed in any case, was associated to an anti-staphylococcus antibiotherapy. The recurrence of the abscess has been observed in four cases. The frequency of pyogenic abscess of the breast, particularly the puerperal abscesses, has considerably decreased. The non-puerperal abscesses often pose a differential diagnosis problem with the very aggressive inflammatory cancers. The percutaneous ultrasonography guided drainage must be proposed in first intention to treat the abscesses of the breast. However, surgical treatment is still valid with an abscess either relapsing or chronic, or else the failure of the non-operative processes.

  2. World Perspective Case Descriptions on Educational Programs for Adults: Ghana.

    ERIC Educational Resources Information Center

    Ansere, Joe K.; Mensah, Eric A.

    This document contains two case studies, one by J. K. Ansere, concerning the modular program of distance education to prepare teachers in Ghana and the other, by E.A. Mensah, reporting on a research experiment that compared teaching methods used to teach the course of study at a Ghanian worker's college. The modular program described by Ansere is…

  3. From Boutique to Big Box: A Case Study Concerning Teacher Change Transitioning to a Public Montessori Elementary School

    ERIC Educational Resources Information Center

    Van Acker, Teresa A.

    2013-01-01

    Public Montessori schools have grown in number significantly in the United States. This case study chronicles the journey of teachers as they navigate the tension of balancing the Montessori approach with an accountability Standards model. Although Montessori may be in demand among parents in the nation, exhibited by the increase in public…

  4. Null conformal Killing-Yano tensors and Birkhoff theorem

    NASA Astrophysics Data System (ADS)

    Ferrando, Joan Josep; Sáez, Juan Antonio

    2016-04-01

    We study the space-times admitting a null conformal Killing-Yano tensor whose divergence defines a Killing vector. We analyze the similarities and differences with the recently studied non null case (Ferrando and Sáez in Gen Relativ Gravit 47:1911, 2015). The results by Barnes concerning the Birkhoff theorem for the case of null orbits are analyzed and generalized.

  5. A Case Study Showing How One Young Child Represented Issues Concerned with Attachment and Separation in Her Spontaneous Explorations

    ERIC Educational Resources Information Center

    Arnold, Cath

    2009-01-01

    This paper presents a case study of a young child, demonstrating evidence of a connection between "enveloping" objects and understanding presence and absence of a temporary and permanent nature. The starting point for the researcher was: an interest in identifying schemas or repeated patterns in order to understand cognitive development and; a…

  6. Case Study of Employment Trends across 25 Years of Graduates of a Japanese Science and Technology University

    ERIC Educational Resources Information Center

    Nakayama, Minoru

    2014-01-01

    Graduates in the areas of Science and Technology are believed to have traditionally been employed in a number of specific industries, but the recent restructuring of some industries may have affected this phenomenon. In order to examine the trends concerning employment issues in more detail, a case study was conducted by surveying employment…

  7. A Case Study on the Perceptions of Educators on the Penetration of Personal Learning Environments in Typical Education

    ERIC Educational Resources Information Center

    Armakolas, Stefanos; Mikroyannidis, Alexander; Panagiotakopoulos, Christos; Panousopoulou, Theofania

    2016-01-01

    Personal Learning Environments (PLEs) help students manage and take control of their own learning. As such, the PLE promotes self-regulation in learning and allows learners to aggregate, manipulate and share digital artefacts within a flexible and versatile online space. This paper presents a case study in Greece, concerning an investigation about…

  8. The Implications of Teachers' Implicit Theories for Moral Education: A Case Study from Finland

    ERIC Educational Resources Information Center

    Rissanen, Inkeri; Kuusisto, Elina; Hanhimäki, Eija; Tirri, Kirsi

    2018-01-01

    Implicit theories concerning the malleability of human qualities are known to have a powerful impact on motivation and learning, but their role in moral education is an under-researched topic. In this qualitative case study, we examined the impact of implicit theories on four Finnish teachers' practices of teaching morally and in teaching…

  9. One Mentor or Two: An Instrumental Case Study of Strategic Collaboration and Peer Mentoring

    ERIC Educational Resources Information Center

    Wasburn, Mara H.

    2008-01-01

    This instrumental case study investigates the use of a team mentoring approach in a first-year seminar, which was created in response to concerns about first-year student attrition. The seminar was developed in the department of Organizational Leadership at Purdue University--West Lafayette in 2004. The aims of the course were to familiarize…

  10. Leadership in Boys' Education: 16 Case Studies from Public and Private, Rural and Urban, Primary and Secondary Schools.

    ERIC Educational Resources Information Center

    Fletcher, Richard, Ed.; Hartman, Deborah, Ed.; Browne, Rollo, Ed.

    Concern about boys' education in Australia and New Zealand led to the Leadership in Boys' Education Conference in May 1999. This book contains edited conference presentations focusing on boys' educational needs. The book also presents case studies related to academic achievement, school structure, discipline and bullying, broadening boys' options,…

  11. Practical Considerations Informing Teachers' Technology Integration Decisions: The Case of Tablet PCs

    ERIC Educational Resources Information Center

    Pareja Roblin, Natalie; Tondeur, Jo; Voogt, Joke; Bruggeman, Bram; Mathieu, Griet; van Braak, Johan

    2018-01-01

    The unique characteristics of tablet PCs promise important benefits for education. Yet, little is known about the rationale underlying teachers' decisions concerning their educational uses within the constraints of daily classroom practice. The current multiple case study investigated the practical considerations informing nine secondary school…

  12. Sex and Vaccination

    ERIC Educational Resources Information Center

    Zavrel, Erik; Herreid, Clyde Freeman

    2008-01-01

    This case study is centered upon the recent debate concerning the decision by Texas Governor Rick Perry to mandate the compulsory vaccination of girls in the Texas public school system against the human papillomavirus (HPV) prior to entering the sixth grade. The interrupted case method is particularly appropriate for this subject with the case…

  13. Perceived Impact of a Character Education Program at a Midwest Rural Middle School: A Case Study

    ERIC Educational Resources Information Center

    Goss, Sandra J.; Holt, Carleton R.

    2014-01-01

    Today concern exists for the safety and success of students in the public education system. Families, educators, and community members are concerned with the physical, emotional, and mental well-being of students in an environment where incidents of violence are growing. Events like the school shootings at Jonesboro, Arkansas, and at Columbine…

  14. An "EAR" on environmental surveillance and monitoring: A case study on the use of exposure-activity ratios (EARS) to prioritize sites, chemicals, and bioactivities of concern in Great Lakes waters

    EPA Science Inventory

    Current environmental monitoring approaches focus primarily on chemical occurrence. However, based on chemical concentration alone, it can be difficult to identify which compounds may be of toxicological concern for prioritization for further monitoring or management. This can be...

  15. [Professional misconduct in obstetrics and gynecology in light of the Supreme Medical Court between 2002-2012].

    PubMed

    Kordel, Piotr; Kordel, Krzysztof

    2014-11-01

    The aim of the study was to present and analyze the verdicts of the Supreme Medical Court concerning professional misconduct among obstetrics and gynecology specialists between 2002-2012. Verdicts of the Supreme Medical Court from 84 cases concerning obstetrics and gynecology speciallsts, passed between 2002-20 12, were analyzed. The following categories were used to classify the types of professional misconduct: decisive erro, error in the performance of a medical procedure, organizational errol error of professional judgment, criminal offence, and unethical behavior. The largest group among the accused professionals were doctors working in private offices and on-call doctors in urban and district hospitals. The most frequent type of professional malpractice was decisive error and the most frequent type of case were obstetric labor complications. The analysis also showed a correlation between the type of case and the sentence in the Supreme Medical Court. A respective jurisdiction approach may be observed in the Supreme Medical Court ruling against cases concerning professional misconduct which are also criminal offences (i.e., illegal abortion, working under the influence). The most frequent types of professional misconduct should determine areas for professional training of obstetrics and gynecology specialists.

  16. A multilevel meta-analysis of single-case and small-n research on interventions for reducing challenging behavior in persons with intellectual disabilities.

    PubMed

    Heyvaert, M; Maes, B; Van den Noortgate, W; Kuppens, S; Onghena, P

    2012-01-01

    The effectiveness of different interventions for challenging behavior (CB) in persons with intellectual disabilities (ID) was reviewed by means of a two-phase study. First, a systematic review of 137 meta-analyses and reviews on group-study interventions for CB in persons with ID was conducted. Based on this review, hypotheses concerning the effectiveness of divergent interventions for CB and concerning the impact of variables moderating treatment effectiveness were systematically generated. Second, these hypotheses were tested by means of a multilevel meta-analysis of single-case and small-n research. Two hundred and eighty-five studies reporting on 598 individuals were examined. The average treatment effect was large and statistically significant. However, this effect varied significantly over the included studies and participants. Compared to the meta-analyses and reviews focusing on group-studies in this research domain, the results of the present multilevel meta-analysis of single-case and small-n intervention research provided more detailed knowledge on which specific CB and intervention components moderate the interventions' effectiveness. Copyright © 2011 Elsevier Ltd. All rights reserved.

  17. The Association Between Medicolegal and Professional Concerns and Chest Pain Admission Rates.

    PubMed

    Brooker, Julie A; Hastings, Jeffrey W; Major-Monfried, Hannah; Maron, Chad P; Winkel, Maia; Wijeratne, H R Sagara; Fleischman, William; Weingart, Scott; Newman, David H

    2015-07-01

    For patients in whom acute coronary syndrome (ACS) is a concern, disposition decisions are complex and multifactorial and have traditionally been a source of considerable variation. An important factor in disposition decisions for these patients may be physician-perceived medicolegal risk and related professional concerns. The study aim was to determine, at the point of care, how much less frequently physicians report that they would admit possible ACS patients if there was either zero or a defined medicolegal risk. This was a point-of-care emergency physician survey. Research assistants approached physicians at or immediately following the moment of disposition decisions for patients who were being admitted for ACS. The primary outcome measures were the proportion of physicians reporting that patients would not have been admitted if medicolegal issues were of no concern and the proportion of physicians reporting that patients would not have been admitted if there was an "acceptable miss rate" of 1% to 2% for ACS patients. During the 3-month study period, 576 patients were admitted to an inpatient unit or to the ED observation protocol. Physicians were approached in 271 cases, and 259 surveys were completed. When presented with hypothetical zero medicolegal risk, physicians answered that they would not have admitted the patients in 30% of cases. With a hypothetical 1% to 2% acceptable miss rate, physicians indicated that they would not have admitted the patients in 29% of the cases. ED medicolegal and professional concerns may substantially increase admissions for possible ACS. An acceptable miss rate or a zero medicolegal risk environment could potentially lead to a major reduction in admissions that physicians feel to be clinically unnecessary. © 2015 by the Society for Academic Emergency Medicine.

  18. Developing a Tool to Evaluate Differences in Beliefs about Science Teaching and Learning among Freshman Science Student Teachers from Different Science Teaching Domains: A Case Study

    ERIC Educational Resources Information Center

    Markic, Silvija; Eilks, Ingo; Valanides, Nicos

    2008-01-01

    This paper presents a pilot case study on developing a qualitative tool to evaluate science student teachers' beliefs concerning science teaching and learning. The study is based on student teachers' drawings of themselves in a typical classroom situation and four open questions. Data was collected from 104 freshman science student teachers, and…

  19. Implementing a Course in Business Environment and Public Policy: A Case Study.

    ERIC Educational Resources Information Center

    Wooten, Bob E.; Snider, Walter D.

    1982-01-01

    Describes a course of study dealing with business values, ethics, and environment. The course focuses on issues concerning ethical and moral considerations that may be encountered in the marketplace. (JOW)

  20. A Case Study of Environmental, Health and Safety Issues Involving the Burlington, Massachusetts Public School System. "Tips, Suggestions, and Resources for Investigating and Resolving EHS Issues in Schools."

    ERIC Educational Resources Information Center

    Dresser, Todd H.

    An investigation was initiated concerning the environmental health within the Burlington, Massachusetts public school system to determine what specific environmental hazards were present and determine ways of eliminating them. This report presents 20 case studies that detail the environmental health issues involved, the approaches taken in…

  1. An Exploratory Use of the Stakeholder Approach to Defining and Measuring Quality: The Case of a Cypriot Higher Education Institution

    ERIC Educational Resources Information Center

    Iacovidou, Melpo; Gibbs, Paul; Zopiatis, Anastasios

    2009-01-01

    Cyprus has recently adopted laws to allow for the provision of private higher education. This case study concerns one such institution that is developing its understanding of quality through the eyes of two of its key stakeholders, staff and students. This empirical study is nested within the literature that advocates community-wide acceptance of…

  2. [Basic thoughts on psychopharmacological interventions through psychotherapy of severe forms of post-traumatic stress disorder: a case study].

    PubMed

    Joksimovic, Ljiljana; Wöller, Wolfgang; Kunzke, Dieter

    2013-01-01

    The present paper focuses on clinical issues concerning the psychopharmacological treatment of severe forms of post-traumatic stress disorder (PTSD).Using a case study, we discuss problems in this field against the background of psychodynamic and psychotraumatological theories. We also present strategies for the appropriate use of psychotropic drugs in the psychotherapy of PTSD.

  3. [Transsexualism or internalized homophobia--case study].

    PubMed

    Dziemian, Anna; Lucka, Izabela

    2008-01-01

    The objective of the paper is the presentation of ideas on human sexuality development, disorders concerning this area, particularly transsexualism, homosexualism and social stigmatization of homosexuals with its consequences. Symptoms reported and identified by adolescents such as sexual identity disorder, can masque a different problem, for instance lack of self-acceptance of homosexual orientation in a person from a conservative environment. The presented case study illustrates this problem.

  4. Accounting for actions and omissions: a discourse analysis of student nurse accounts of responding to instances of poor care.

    PubMed

    Ion, Robin; Smith, Kate; Moir, Jim; Nimmo, Sheila

    2016-05-01

    To explore how nursing students account for decisions to report or not report poor care witnessed on placement and to examine the implications of findings for educators. Concern has been raised about the extent to which cases of poor care go unreported. Failure to report cases may have serious consequences for patient safety. Semistructured interviews were conducted with 13 undergraduate students at a UK university during 2013. They were asked to consider their response to episodes of poor practice witnessed on placement. Data were transcribed verbatim and categorized according to whether or not students reported concerns. Cases were analysed in accordance with Potter and Wetherall's version of discourse analysis to identify the discursive strategies used to account for decisions to report or not report poor practice. Participants took care to present themselves in a positive light regardless of whether or not they had reported an episode of concern. Those who had reported tended to attribute their actions to internal factors such as moral strength and a commitment to a professional code. Those who had not or would not report concerns provided accounts which referred to external influences that prevented them from doing so or made reporting pointless. This study provides information about how students account for their actions and omissions in relation to the reporting of poor care. Findings suggest ways educators might increase reporting of concerns. © 2016 John Wiley & Sons Ltd.

  5. With Due Consideration: Australian Human Service Practitioners' Understandings of Confidentiality and Disclosure Obligations in Regard to Cases Concerning Gambling-Related Theft

    ERIC Educational Resources Information Center

    Patford, Janet; Tranent, Peter

    2013-01-01

    Preserving confidentiality is problematic for human service practitioners if they know that a client is seriously harming a third party or could do so in the future. The present study concerned financial harm, as generated by gambling-related theft. Clients who disclose gambling-related theft potentially create a dilemma for practitioners, who may…

  6. The role of non timber forest products: a case study of gatherers in the eastern United States

    Treesearch

    Siri Doble; Marla Emery

    2001-01-01

    Non Timber Forest Products (NTFPs) play a key role in the lives and livelihoods of rural residents in or near forested areas. Consequently, organizations concerned with rural development have begun to look toward NTFPs as an opportunity for rural economic development. Concerned with the potential implications for the social and ecological structures that support NTFP...

  7. Optimal management program for asbestos containing building materials to be available in the event of a disaster.

    PubMed

    Kim, Young-Chan; Hong, Won-Hwa

    2017-06-01

    The safe management and disposal of asbestos is a matter of considerable importance. A large number of studies have been undertaken to quantify the issue of waste management following a disaster. Nevertheless, there have been few (if any) studies concerning asbestos waste, covering the amount generated, the cost of disposal, and the degree of hazard incurred. Thus, the current study focuses on developing a program for the management of Asbestos Containing Building Materials (ACBMs), which form the source of asbestos waste in the event of a disaster. The study will also discuss a case study undertaken in a specific region in Korea in terms of: (1) the location of ACBM-containing buildings; (2) types and quantities of ACBMs; (3) the cost of ACBM disposal; (4) the amount of asbestos fiber present during normal times and during post-disaster periods; (5) the required order in which ACBM-containing buildings should be dismantled; and (6) additional greenhouse gases generated during ACBM removal. The case study will focus on a specific building, with an area of 35.34m 2 , and will analyze information concerning the abovementioned points. In addition, the case study will focus on a selected area (108 buildings) and the administrative district (21,063 buildings). The significance of the program can be established by the fact that it visibly transmits information concerning ACBM management. It is a highly promising program, with a widespread application for the safe management and optimal disposal of asbestos in terms of technology, policy, and methodology. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Different shades of green: a case study of support for wind farms in the rural midwest.

    PubMed

    Mulvaney, Kate K; Woodson, Patrick; Prokopy, Linda Stalker

    2013-05-01

    Benton County, in north-central Indiana, USA has successfully sited more than 500 turbines. To understand Benton County's acceptance of wind farms, a holistic case study was conducted that included a document review, a survey of local residents and interviews with key stakeholders. Survey questionnaires were sent to 750 residents asking questions about attitudes toward the wind farms, perceived benefits and impacts from the wind farms, environmental attitudes, and demographic information. Key stakeholders were also interviewed for a deeper understanding of the historical timeline and community acceptance of the wind farm development. While there is limited opposition to the turbines, on the whole the community presents a front of acceptance. Financial, rather than environmental, benefits are the main reason for the acceptance. Although significant in other case studies, transparency and participation do not play a large role in Benton County's acceptance. Most residents are not concerned with either visual impacts or noise from the wind turbines. More concrete benefits to the community, such as reduced energy bills for county residents, could help to extend acceptance even further within the community. Although there are concerns about the acceptance of wind farms and the impacts of those farms on local residents in both peer-reviewed literature and popular media, we found little evidence of those concerns in Benton County. Instead, we found Benton County to be a community largely accepting of wind farms.

  9. Different Shades of Green: A Case Study of Support for Wind Farms in the Rural Midwest

    NASA Astrophysics Data System (ADS)

    Mulvaney, Kate K.; Woodson, Patrick; Prokopy, Linda Stalker

    2013-05-01

    Benton County, in north-central Indiana, USA has successfully sited more than 500 turbines. To understand Benton County's acceptance of wind farms, a holistic case study was conducted that included a document review, a survey of local residents and interviews with key stakeholders. Survey questionnaires were sent to 750 residents asking questions about attitudes toward the wind farms, perceived benefits and impacts from the wind farms, environmental attitudes, and demographic information. Key stakeholders were also interviewed for a deeper understanding of the historical timeline and community acceptance of the wind farm development. While there is limited opposition to the turbines, on the whole the community presents a front of acceptance. Financial, rather than environmental, benefits are the main reason for the acceptance. Although significant in other case studies, transparency and participation do not play a large role in Benton County's acceptance. Most residents are not concerned with either visual impacts or noise from the wind turbines. More concrete benefits to the community, such as reduced energy bills for county residents, could help to extend acceptance even further within the community. Although there are concerns about the acceptance of wind farms and the impacts of those farms on local residents in both peer-reviewed literature and popular media, we found little evidence of those concerns in Benton County. Instead, we found Benton County to be a community largely accepting of wind farms.

  10. Institutional ethical review and ethnographic research involving injection drug users: a case study.

    PubMed

    Small, Will; Maher, Lisa; Kerr, Thomas

    2014-03-01

    Ethnographic research among people who inject drugs (PWID) involves complex ethical issues. While ethical review frameworks have been critiqued by social scientists, there is a lack of social science research examining institutional ethical review processes, particularly in relation to ethnographic work. This case study describes the institutional ethical review of an ethnographic research project using observational fieldwork and in-depth interviews to examine injection drug use. The review process and the salient concerns of the review committee are recounted, and the investigators' responses to the committee's concerns and requests are described to illustrate how key issues were resolved. The review committee expressed concerns regarding researcher safety when conducting fieldwork, and the investigators were asked to liaise with the police regarding the proposed research. An ongoing dialogue with the institutional review committee regarding researcher safety and autonomy from police involvement, as well as formal consultation with a local drug user group and solicitation of opinions from external experts, helped to resolve these issues. This case study suggests that ethical review processes can be particularly challenging for ethnographic projects focused on illegal behaviours, and that while some challenges could be mediated by modifying existing ethical review procedures, there is a need for legislation that provides legal protection of research data and participant confidentiality. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Is Schooling Good for the Development of Society?: The Case of South Africa

    ERIC Educational Resources Information Center

    Harber, Clive; Mncube, Vusi

    2011-01-01

    This paper is concerned with three possible theoretical relationships, between education and social, economic and political development, that--(a) education improves society, (b) education reproduces society as it is and (c) education actually makes society worse. The paper then uses South Africa as a case study to critically analyse these…

  12. Beyond Physics: A Case for Far Transfer

    ERIC Educational Resources Information Center

    Forsyth, Benjamin Robert

    2012-01-01

    This is a case study of a physics undergraduate who claimed that he "uses physics to understand other subjects." This statement suggested that this student could describe issues concerning the transfer of learning and especially instances of far transfer. Detailed instances of far transfer have been difficult to replicate in lab settings.…

  13. Administration and Organizational Influences on AFDC Case Decision Errors: An Empirical Analysis.

    ERIC Educational Resources Information Center

    Piliavin, Irving; And Others

    The quality of effort among public assistance personnel has been criticized virtually since the inception of welfare programs for the poor. However, until recently, empirical information on the performance of these workers has been nonexistent. The present study, concerned with Aid to Families with Dependent Children (AFDC) case decision errors,…

  14. The Implications of the Use of Parental Choice as a Legal "Circuit Breaker"

    ERIC Educational Resources Information Center

    Mead, Julie F.; Lewis, Maria M.

    2016-01-01

    This study explores four instances where parental choice has been employed as a legal "circuit breaker": (a) First Amendment Establishment Clause cases related to public funding, (b) Fourteenth Amendment Equal Protection cases regarding race-conscious student assignment, (c) Title IX regulations concerning single-sex education, and (d) a…

  15. Self-Injurious Behavior in People with Profound Intellectual Disabilities: A Meta-Analysis of Single-Case Studies

    ERIC Educational Resources Information Center

    Denis, Jo; Van den Noortgate, Wim; Maes, Bea

    2011-01-01

    The limitations people with profound intellectual disabilities experience in functioning contribute to a vulnerability to self-injurious behavior. Since this problem behavior has important negative consequences for people concerned, examining the effectiveness of treatments is important. In the current meta-analysis, single-case studies…

  16. Case Report: Septicemic Plague in a Community Hospital in California

    PubMed Central

    Margolis, David A.; Burns, Joseph; Reed, Sharon L.; Ginsberg, Michele M.; O’Grady, Terrence C.; Vinetz, Joseph M.

    2009-01-01

    Diagnosis of a case of septicemic plague acquired in rural California was delayed because of a series of confounding events, resulting in concern about reliance on community hospitals as sentinels for detecting potential bioterrorism-related events. An epizootic study confirmed the peri-domestic source of Yersinia pestis infection. PMID:18541761

  17. [Effects of performance-volume limit on the institutional financing of the Clinical Centre of the University of Pécs, Hungary].

    PubMed

    Endrei, Dóra; Kollár, Lajos; Bódis, József; Imhof, Gábor; Zemplényi, Antal; Vas, Gábor; Boncz, Imre

    2010-08-01

    The aim of our study is to demonstrate the effects of performance-volume limit (PVL) on the institutional financing of the Clinical Centre of the University of Pécs (CC UP). The data involved in the analysis are based on the reports towards the National Health Insurance Fund Administration (NHIFA), concerning the active inpatient care by specialist in the period between 2004 and 2008. We determined the real NHIFA reimbursement per weighted case number and the financial loss caused by the PVL. We analyzed the proportion of local health care obligation and urgency cases in comparison of various clinics. The reimbursement per weighted case number of CC UP has been less than the pre-announced NHIFA amounts after the installation of PVL. During the examined 5 years, i.e. 2004-2008, the loss in case of CC UP has been up to 3.256 million HUF due to the PVL. Concerning the whole of CC UP it means that 25.3 % of the treated cases and 24.5 % of the executed weighted case number has been out of local health care obligation. Studying the ratio of urgency cases inside the total volume of medical attendance, it is represented that 31.5 % of the cases and 36.1 % of the weighted case numbers came from the treatment of urgency cases. The introduction of performance-volume limit considerably reduced the health insurance financing of CC UP between 2004 and 2008.

  18. When do parents and child health professionals agree on child's psychosocial problems? Cross-sectional study on parent-child health professional dyads.

    PubMed

    Crone, Mathilde R; Zeijl, Elke; Reijneveld, Sijmen A

    2016-05-19

    About one third of all parents have concerns about their child's psychosocial development. Agreement between child health professionals (CHPs) and parents about such concerns may improve treatment adherence and outcomes. This study investigates which child, parenting and/or environmental stressors are associated with (dis)agreement in concerns regarding psychosocial problems in children, in parent-CHP dyads. During routine child health assessments, data were collected from a sample of children aged 14 months to 12 years (n = 3,870). CHPs registered the psychosocial problems that they identified, and parents reported their concerns. Child psychosocial stressors were measured with the ITSEA/CBCL, and the child's history of psychosocial problems. Environmental stressors referred to stressful family/contextual situations in the past year, and parenting stressors to perceived parenting efficacy. The CHPs and parents disagreed on 36.4 % of the children. CHPs based their identification of problems mainly on children's history of past problem (OR = 5.85, 95% CI = 4.74-7.22). Parental concerns were most likely in case of an increased ITSEA/CBCL score (OR = 7.69, CI = 5.39-10.97). CHP-parent agreement was more likely in case of a combination of child psychosocial, parenting and environmental stressors (OR = 35.58, CI = 24.11-52.48). Parental concerns not confirmed by the CHP were associated with higher educated parents, originating from an industrialized country, and younger children. The CHP-identified problems not confirmed by parental concerns were associated with older children. Agreement between CHPs and parents is associated with a co-occurrence of child, parenting and environmental stressors. Improved agreement between CHP and parents will increase the likelihood of shared decision-making regarding follow-up care and compliance with advice.

  19. Requirements Modeling with the Aspect-oriented User Requirements Notation (AoURN): A Case Study

    NASA Astrophysics Data System (ADS)

    Mussbacher, Gunter; Amyot, Daniel; Araújo, João; Moreira, Ana

    The User Requirements Notation (URN) is a recent ITU-T standard that supports requirements engineering activities. The Aspect-oriented URN (AoURN) adds aspect-oriented concepts to URN, creating a unified framework that allows for scenario-based, goal-oriented, and aspect-oriented modeling. AoURN is applied to the car crash crisis management system (CCCMS), modeling its functional and non-functional requirements (NFRs). AoURN generally models all use cases, NFRs, and stakeholders as individual concerns and provides general guidelines for concern identification. AoURN handles interactions between concerns, capturing their dependencies and conflicts as well as the resolutions. We present a qualitative comparison of aspect-oriented techniques for scenario-based and goal-oriented requirements engineering. An evaluation carried out based on the metrics adapted from literature and a task-based evaluation suggest that AoURN models are more scalable than URN models and exhibit better modularity, reusability, and maintainability.

  20. Therapist concerns and process issues in grappling with functional autobiographical amnesia.

    PubMed

    Tripathi, Ravikesh; Bharath, Srikala; Desai, Geetha; Mehrotra, Seema

    2013-07-01

    Dissociative amnesia is relatively rare form of the dissociative disorder. This paper aims at describing the salient features of a case of functional autobiographical amnesia in a young adult and the approach adopted in the psychological management of this case. The case highlights concerns of the therapist at various stages of the therapy process.

  1. Risk assessment as standard work in design.

    PubMed

    Morrill, Patricia W

    2013-01-01

    This case study article examines a formal risk assessment as part of the decision making process for design solutions in high risk areas. The overview of the Failure Modes and Effects Analysis (FMEA) tool with examples of its application in hospital building projects will demonstrate the benefit of those structured conversations. This article illustrates how two hospitals used FMEA when integrating operational processes with building projects: (1) adjacency decision for Intensive Care Unit (ICU); and (2) distance concern for handling of specimens from Surgery to Lab. Both case studies involved interviews that exposed facility solution concerns. Just-in-time studies using the FMEA followed the same risk assessment process with the same workshop facilitator involving structured conversations in analyzing risks. In both cases, participants uncovered key areas of risk enabling them to take the necessary next steps. While the focus of this article is not the actual design solution, it is apparent that the risk assessment brought clarity to the situations resulting in prompt decision making about facility solutions. Hospitals are inherently risky environments; therefore, use of the formal risk assessment process, FMEA, is an opportunity for design professionals to apply more rigor to design decision making when facility solutions impact operations in high risk areas. Case study, decision making, hospital, infection control, strategy, work environment.

  2. The parent-child-therapist alliance: A case study using a strategic approach.

    PubMed

    Naidu, Thirusha; Behari, Sheethal

    2010-06-01

    In this paper we present a single case study of a clinical approach that addresses the needs of parents and their children in psychotherapy. The approach begins by addressing the child's and parent's concerns separately at first by establishing strong therapeutic alliances with each, and then proceeds to address the concerns of the parent-child dyad. The basic premise is that the therapeutic alliance is the central element to successful outcomes in psychotherapy. The nature of alliance-building and its associated methods and techniques have been extensively considered for adult therapy. However, there is considerably less written on the therapeutic alliance with children and adolescents in the context of family interventions. We briefly examine some theoretical dimensions and applications of the therapeutic alliance in psychotherapy with children/adolescents and their parents. A three-phase alliance-building psychotherapy strategy, founded on the idea that each therapeutic relationship warrants an effective working alliance, is proposed. The case of a single mother and her adolescent daughter is employed to illustrate the strategy.

  3. Are We Asking the Right Questions? Moving beyond the State vs Non-State Providers Debate: Reflections and a Case Study from India

    ERIC Educational Resources Information Center

    Bangay, Colin; Latham, Michael

    2013-01-01

    This paper provides an overview of recent trends in basic education provision in India: charting an impressive expansion of enrolment in public schools but a growing concern with the quality of learning. Concerns around quality are seen as a driving factor in the migration of students from the public sector to low fee private schools. While there…

  4. The Belgian, French and Dutch midwife on trial: A critical case study.

    PubMed

    Eggermont, Marlies

    2015-05-01

    to develop juridical recommendations in order to avoid midwifery medical liability when providing intrapartum care. case law of the past 40 years concerning midwifery medical negligence when assisting labour/delivery in a hospital was analysed. Databases used were Jura and Judit (Belgium), Legifrance, Juricaf and Dalloz (France) and Recht, Rechtspraak (The Netherlands). A minority of cases were retrieved through contacts with insurance companies (only Belgium), lawyers and courts. law suits in Belgium, France and The Netherlands. the 100 analysed cases could be categorised into four types. The judicial assessment was focused on three domains of expertise of the midwife. Most cases involved interpreting fetal monitoring (47%), followed by recognising a specific pathology (32%) and responding to a complication (12%). A fourth type of case concerned exceeding the boundaries of the legal competencies of the midwife (9%). not identifying fetal distress through fetal monitoring was the most common cause of midwifery liability (15/47), followed by not recognising the symptoms of a pathology (10/32), particularly placental abruption and uterine rupture. Also an inaccurate response to complications (3/12) and evidently exceeding the professional competencies involved midwifery liability. achieving cardiotocograph interpretation skills is the first and most important recommendation. In pathologic cases, the midwife should immediately refer to an obstetrician, without any hesitation. The third recommendation is working in a team with the obstetrician. If the midwife has reasonable (evidence-based) doubts about the practice of the obstetrician, she should insist on re-assessment with respect to the boundaries of her competencies. The fourth recommendation concerns practising with knowledge of the client׳s/patient׳s medical record and updating the record with performances and observations. Consciously choosing the type of medical intervention in urgent cases of pathology is the final recommendation. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. Self-Report of Guardians Ad Litem: Provision of Information to Judges in Child Abuse and Neglect Cases.

    ERIC Educational Resources Information Center

    Goldman, Jacquelin; And Others

    1993-01-01

    This study of the reporting practices of 91 Guardians Ad Litem to Florida judges in child abuse and neglect cases found that information reported most often concerned the child's physical safety, interaction between parent and child, and parents' personality characteristics. Less frequently reported was information regarding conflict in the home…

  6. Using Visual Analysis to Evaluate and Refine Multilevel Models of Single-Case Studies

    ERIC Educational Resources Information Center

    Baek, Eun Kyeng; Petit-Bois, Merlande; Van den Noortgate, Wim; Beretvas, S. Natasha; Ferron, John M.

    2016-01-01

    In special education, multilevel models of single-case research have been used as a method of estimating treatment effects over time and across individuals. Although multilevel models can accurately summarize the effect, it is known that if the model is misspecified, inferences about the effects can be biased. Concern with the potential for model…

  7. Fostering Professional Communication Skills of Future Physicians and Teachers: Effects of E-Learning with Video Cases and Role-Play

    ERIC Educational Resources Information Center

    Gartmeier, Martin; Bauer, Johannes; Fischer, Martin R.; Hoppe-Seyler, Tobias; Karsten, Gudrun; Kiessling, Claudia; Möller, Grit E.; Wiesbeck, Anne; Prenzel, Manfred

    2015-01-01

    This study investigated the effectiveness of three different versions of a training programme on physician-patient and teacher-parent conversations for medical students and student teachers. The research questions concerned the differential effects of e-learning featuring contrastive video cases, role-play including video feedback and their…

  8. The Change towards a Teaching Methodology Based on Competences: A Case Study in a Spanish University

    ERIC Educational Resources Information Center

    Gonzalez, Jose Maria G.; Arquero Montaño, Jose Luis; Hassall, Trevor

    2014-01-01

    The European Higher Education Area (EHEA) has promoted the implementation of a teaching methodology based on competences. Drawing on New Institutional Sociology, the present work aims to identify and improve knowledge concerning the factors which are hindering that change in the Spanish university system. This is investigated using a case study…

  9. From Handpumps to Health: The Evolution of Water and Sanitation Programmes in Bangladesh, India and Nigeria.

    ERIC Educational Resources Information Center

    Black, Maggie

    The case histories of water and sanitation schemes described in this volume can best be understood by identifying the moments at which critical hurdles were encountered and surmounted. The first case study, which concerns Bangladesh, discusses promising prospects that existed amid the pollution and the technical and managerial expansion of the…

  10. Case Study Observational Research: A Framework for Conducting Case Study Research Where Observation Data Are the Focus.

    PubMed

    Morgan, Sonya J; Pullon, Susan R H; Macdonald, Lindsay M; McKinlay, Eileen M; Gray, Ben V

    2017-06-01

    Case study research is a comprehensive method that incorporates multiple sources of data to provide detailed accounts of complex research phenomena in real-life contexts. However, current models of case study research do not particularly distinguish the unique contribution observation data can make. Observation methods have the potential to reach beyond other methods that rely largely or solely on self-report. This article describes the distinctive characteristics of case study observational research, a modified form of Yin's 2014 model of case study research the authors used in a study exploring interprofessional collaboration in primary care. In this approach, observation data are positioned as the central component of the research design. Case study observational research offers a promising approach for researchers in a wide range of health care settings seeking more complete understandings of complex topics, where contextual influences are of primary concern. Future research is needed to refine and evaluate the approach.

  11. Application of geostatistics to coal-resource characterization and mine planning. Final report

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

    Kauffman, P.W.; Walton, D.R.; Martuneac, L.

    1981-12-01

    Geostatistics is a proven method of ore reserve estimation in many non-coal mining areas but little has been published concerning its application to coal resources. This report presents the case for using geostatistics for coal mining applications and describes how a coal mining concern can best utilize geostatistical techniques for coal resource characterization and mine planning. An overview of the theory of geostatistics is also presented. Many of the applications discussed are documented in case studies that are a part of the report. The results of an exhaustive literature search are presented and recommendations are made for needed future researchmore » and demonstration projects.« less

  12. Action Research and ICT Implementation

    ERIC Educational Resources Information Center

    Krumsvik, Rune

    2012-01-01

    This emancipatory action research study investigates implementation of information and communication technology (ICT) in schools. The case study examined retrospectively was part of a Norwegian ICT project called PILOT, the focus of which concerns the impact on school development of a locally developed Internet subject portal and study periods.…

  13. The Right to Minority Language Public School Education as a Function of the Equality Guarantee: A Reanalysis of the "Gosselin" Supreme Court of Canada Charter Case

    ERIC Educational Resources Information Center

    Grover, Sonja

    2006-01-01

    This paper concerns a recent Supreme Court of Canada decision dealing ostensibly with the protection of language minority rights. The case, in fact, however, concerns the Court imposing statutory limits on constitutionally guaranteed equality and liberty rights. The Court in the instant case held as constitutional Quebec legislation permitting…

  14. An experiment in multispectral, multitemporal crop classification using relaxation techniques

    NASA Technical Reports Server (NTRS)

    Davis, L. S.; Wang, C.-Y.; Xie, H.-C

    1983-01-01

    The paper describes the result of an experimental study concerning the use of probabilistic relaxation for improving pixel classification rates. Two LACIE sites were used in the study and in both cases, relaxation resulted in a marked improvement in classification rates.

  15. Component Cost Reduction by Value Engineering: A Case Study

    NASA Astrophysics Data System (ADS)

    Kalluri, Vinayak; Kodali, Rambabu

    2017-04-01

    The concept value engineering (VE) acts to increase the value of a product through the improvement in existent functions without increasing their costs. In other words, VE is a function oriented, systematic team approach study to provide value in a product, system or service. The authors systematically explore VE through the six step framework proposed by SAVE and a case study is presented to address the concern of reduction in cost without compromising the function of a hydraulic steering cylinder through the aforementioned VE framework.

  16. Doubling Syndemics

    PubMed Central

    2017-01-01

    Abstract This study investigates health concerns and access to health services for Roma from Romania who live in homelessness in Copenhagen, Denmark. They collect refundable bottles and call themselves “badocari,” which in Romanian refers to “people who work with bottles.” Homeless Roma in Denmark have not previously been studied through ethnographic research. The study stresses the importance of a syndemic approach towards understanding badocari health concerns. Syndemics is understood as co-occurring diseases, which unfold within contexts of social injustice. The case of the badocari is argued to be a case of “doubling syndemics” since the co-occurring diseases are further multiplied and enhanced by an ongoing mobility between dual contexts of precarious livelihoods in Romania and Denmark, respectively. The study complements the approach to syndemics with a perspective on human rights. It sheds light on the limited possibilities that exist for addressing health concerns of the badocari, both in Romania and in Denmark, and argues that the universal human right to health is not realized in the everyday lives of destitute EU migrants such as the badocari. Rather, they experience lack of access to adequate medical treatment and follow-up care, both as citizens of a member state and as co-citizens of the European Union. PMID:29302164

  17. Case studies on genetically modified organisms (GMOs): Potential risk scenarios and associated health indicators.

    PubMed

    de Santis, Barbara; Stockhofe, Norbert; Wal, Jean-Michel; Weesendorp, Eefke; Lallès, Jean-Paul; van Dijk, Jeroen; Kok, Esther; De Giacomo, Marzia; Einspanier, Ralf; Onori, Roberta; Brera, Carlo; Bikker, Paul; van der Meulen, Jan; Kleter, G

    2018-07-01

    Within the frame of the EU-funded MARLON project, background data were reviewed to explore the possibility of measuring health indicators during post-market monitoring for potential effects of feeds, particularly genetically modified (GM) feeds, on livestock animal health, if applicable. Four case studies (CSs) of potential health effects on livestock were framed and the current knowledge of a possible effect of GM feed was reviewed. Concerning allergenicity (CS-1), there are no case-reports of allergic reactions or immunotoxic effects resulting from GM feed consumption as compared with non-GM feed. The likelihood of horizontal gene transfer (HGT; CS-2) of GMO-related DNA to different species is not different from that for other DNA and is unlikely to raise health concerns. Concerning mycotoxins (CS-3), insect-resistant GM maize may reduce fumonisins contamination as a health benefit, yet other Fusarium toxins and aflatoxins show inconclusive results. For nutritionally altered crops (CS-4), the genetic modifications applied lead to compositional changes which require special considerations of their nutritional impacts. No health indicators were thus identified except for possible beneficial impacts of reduced mycotoxins and nutritional enhancement. More generally, veterinary health data should ideally be linked with animal exposure information so as to be able to establish cause-effect relationships. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. The Development and Status of Earth Science Education: A Comparison of Three Case Studies: Israel, England and Wales and the United States of America. Part II.

    ERIC Educational Resources Information Center

    Orion, Nir; King, Chris; Krockover, Gerald H.; Adams, Paul E.

    1999-01-01

    Explores the development and status of earth-science education in the United States. Compares the U.S. case with those of Israel, England, and Wales. Discusses the need to share common concerns and visions between cultures and communities. Contains 45 references. (Author/WRM)

  19. Justification for Punishing Crimes against the Elderly: Perceptions of Police Chiefs, Nursing Home Professionals, and Students

    ERIC Educational Resources Information Center

    Payne, Brian K.

    2003-01-01

    In the eighties, elder abuse cases became of paramount concern to policy makers and those working in fields serving older adults. Very little research, however, has examined how the justice system handles cases of elder abuse. In this paper, the results of a study assessing how various professionals recommended punishing those who harm elderly…

  20. The Local Embeddedness of Foreign Campuses: The Case of Tongji University in Florence

    ERIC Educational Resources Information Center

    Bellini, Nicola; Pasquinelli, Cecilia; Rovai, Serena; Tani, Simone

    2016-01-01

    This article is based on the case study of the establishment of the campus of Tongji University (TU) in Florence, Italy, in 2014. This is the first offshore campus of a Chinese university in a Western country, showing an innovative trend, in particular concerning the legitimacy within the host sociopolitical and economic context. This article…

  1. Diagnosis and Medication Overload? A Nurse Review of the Psychiatric Histories of Older Youth in Treatment Foster Care

    ERIC Educational Resources Information Center

    Narendorf, Sarah Carter; Bertram, Julie; McMillen, J. Curtis

    2011-01-01

    Prior research has raised concern about the appropriateness of psychotropic medication use and the validity of psychiatric diagnosing for youth in child welfare but has lacked in-depth case information. This study reports results from a psychiatric nurse review conducted with eight youth entering a foster care intervention using case records and…

  2. 76 FR 71468 - Defense Federal Acquisition Regulation Supplement: Accelerate Small Business Payments (DFARS Case...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-18

    ... all small business concerns. In combination with the change to the regulations, DoD immediately began... Federal Acquisition Regulation Supplement: Accelerate Small Business Payments (DFARS Case 2011-D008... Regulation Supplement to accelerate payments to all small business concerns. DATES: Effective Date: November...

  3. Incorporating Translation in Qualitative Studies: Two Case Studies in Education

    ERIC Educational Resources Information Center

    Sutrisno, Agustian; Nguyen, Nga Thanh; Tangen, Donna

    2014-01-01

    Cross-language qualitative research in education continues to increase. However, there has been inadequate discussion in the literature concerning the translation process that ensures research trustworthiness applicable for bilingual researchers. Informed by the literature on evaluation criteria for qualitative data translation, this paper…

  4. The perceived and predicted implications of psychiatric genetic knowledge among persons with multiple cases of depression in the family.

    PubMed

    Laegsgaard, M M; Stamp, A S; Hall, E O C; Mors, O

    2010-12-01

    Psychiatric genetic research raises hope regarding better treatment and prevention, but also regarding a possible de-stigmatizing effect of attributing mental illness to genetics. This study explores i) the impact on family relations of participating in a genetic study; ii) the impact of biogenetic attributions on perceptions of depression and stigma and iii) the perceived benefits and concerns regarding psychiatric genetic testing. Focus groups were conducted with 17 participants suffering from depression, with multiple cases of depression in the family, and previously participating in a genetic study. Participating in a genetic study caused more openness about depression in most families. A biogenetic explanation of depression was perceived as having the potential of diminishing self stigma. Testing of self and children was widely accepted, whereas prenatal testing raised concern. Persons suffering from depression may benefit from endorsing a biogenetic explanation, especially in relation to self-understanding and self-stigma. © 2010 John Wiley & Sons A/S.

  5. Beyond functional architecture in cognitive neuropsychology: a reply to Coltheart (2010).

    PubMed

    Plaut, David C; Patterson, Karalyn

    2010-01-01

    We (Patterson & Plaut, 2009) argued that cognitive neuropsychology has had a limited impact on cognitive science due to a nearly exclusive reliance on (a) single-case studies, (b) dissociations in cognitive performance, and (c) shallow, box-and-arrow theorizing, and we advocated adopting a case-series methodology, considering associations as well as dissociations, and employing explicit computational modeling in studying "how the brain does its cognitive business." In reply, Coltheart (2010) claims that our concern is misplaced because cognitive neuropsychology is concerned only with studying the mind, in terms of its "functional architecture," without regard to how this is implemented in the brain. In this response, we do not dispute his characterization of cognitive neuropsychology as it has typically been practiced over the last 40 years, but we suggest that our understanding of brain structure and function has advanced to the point where studying the mind without regard to the brain is unwise and perpetuates the field's isolation. Copyright © 2009 Cognitive Science Society, Inc.

  6. Collaborative Learning in Multicultural Classrooms: A Case Study of Dutch Senior Secondary Vocational Education

    ERIC Educational Resources Information Center

    Tielman, Kennedy; den Brok, Perry; Bolhuis, Sanneke; Vallejo, Bertha

    2012-01-01

    This research presents a descriptive study regarding collaborative learning in a multicultural classroom at a vocational education school in The Netherlands. The study bridges two domains of research: research on culturally diverse learning environments--which has mostly concerned primary and general secondary education--and studies on…

  7. [Management of sexually transmitted infections by private pharmacies in Hanoi].

    PubMed

    Tran Van, Bac; Pham Minh, Khue; Strobel, Michel

    2014-01-01

    This cross-sectional study comprising quantitative and qualitative analysis of clinical practices was designed to evaluate the quality and relevance of management of sexually transmitted infections (STI) based on a syndrome approach by private pharmacies in Hanoi in 2010 compared to a similar study conducted in 2000. One investigator played the role of a customer presenting signs of STI. He visited 60 randomly selected private pharmacies in Hanoi and noted the treatments, questions and advice provided by pharmacists. The results show that pharmacists proposed a treatment for 87% of cases of urethral discharge and 30% of cases of genital ulcers. The patient was not asked any questions in 55% of cases. None of the prescriptions complied with national guidelines. Only 8.3% of pharmacists/shop assistants asked the "patient" questions concerning the spouse/partner and 20% provided advice (the use of condoms in 26.6% of cases and a screening test for HIV in only one case). Pharmacists/shop assistants recommended consulting a doctor in only 43.3% of cases or a specialized STI clinic in only 16.7% of cases. The behaviour of private pharmacists/shop assistants in Hanoi have not changed over the last ten years (2000-2010). They readily treat STI inappropriately and provide little advice concerning prevention, screening and treatment. In the age of the HIV pandemic and microbial resistance to antibiotics, patients with STI should be advised to seek management by competent public services.

  8. Euthanasia in patients dying at home in Belgium: interview study on adherence to legal safeguards

    PubMed Central

    Smets, Tinne; Bilsen, Johan; Van den Block, Lieve; Cohen, Joachim; Van Casteren, Viviane; Deliens, Luc

    2010-01-01

    Background Euthanasia became legal in Belgium in 2002. Physicians must adhere to legal due care requirements when performing euthanasia; for example, consulting a second physician and reporting each euthanasia case to the Federal Review Committee. Aim To study the adherence and non-adherence of GPs to legal due care requirements for euthanasia among patients dying at home in Belgium and to explore possible reasons for non-adherence. Design of study Large scale, retrospective study. Setting General practice in Belgium. Method A retrospective mortality study was performed in 2005–2006 using the nationwide Belgian Sentinel Network of General Practitioners. Each week GPs reported medical end-of-life decisions taken in all non-sudden deaths of patients in their practice. GP interviews were conducted for each euthanasia case occurring at home. Results Interviews were conducted for nine of the 11 identified euthanasia cases. Requirements concerning the patient's medical condition were met in all cases. Procedural requirements such as consultation of a second physician were sometimes ignored. Euthanasia cases were least often reported (n = 4) when the physician did not regard the decision as euthanasia, when only opioids were used to perform euthanasia, or when no second physician was consulted. Factors that may contribute to explaining non-adherence to the euthanasia law included: being unaware of which practices are considered to be euthanasia; insufficient knowledge of the euthanasia law; and the fact that certain procedures are deemed burdensome. Conclusion Substantive legal due care requirements for euthanasia concerning the patient's request for euthanasia and medical situation were almost always met by GPs in euthanasia cases. Procedural consultation and reporting requirements were not always met. PMID:20353662

  9. Beyond Earth's boundaries: Human exploration of the Solar System in the 21st Century

    NASA Technical Reports Server (NTRS)

    1991-01-01

    This is an annual report describing work accomplished in developing the knowledge base that will permit informed recommendations and decisions concerning national space policy and the goal of human expansion into the solar system. The following topics are presented: (1) pathways to human exploration; (2) human exploration case studies; (3) case study results and assessment; (4) exploration program implementation strategy; (5) approach to international cooperation; (6) recommendations; and (7) future horizons.

  10. An Empirical Analysis of a Dominant Firm’s Market Power in a Restructured Electricity Market, A Case Study of Colorado

    DTIC Science & Technology

    1998-05-05

    legislation to implement electric restructuring might not necessarily guarantee the creation of competitive generation markets. During the...Pollitt 1997, 2). Legislators in states that are debating the implementation of electric restructuring therefore face common concerns related to market...and mitigating market power, using the state of Colorado as a case study. As in many other states, legislators in Colorado are grappling with the

  11. Converting MEMS technology into profits

    NASA Astrophysics Data System (ADS)

    Bryzek, Janusz

    1998-08-01

    This paper discusses issues related to transitioning a company from the advanced technology development phase (with a particular focus on MEMS) to a profitable business, with emphasis on start-up companies. It includes several case studies from (primarily) NovaSensor MEMS development history. These case studies illustrate strategic problems with which advanced MEMS technology developers have to be concerned. Conclusions from these case studies could be used as checkpoints for future MEMS developers to increase probability of profitable operations. The objective for this paper is to share the author's experience from multiple MEMS start-ups to accelerate development of the MEMS market by focusing state- of-the-art technologists on marketing issues.

  12. Mobile phones as a new memory aid: a preliminary investigation using case studies.

    PubMed

    Wade, T K; Troy, J C

    2001-04-01

    Memory impairment is one of the most common concerns following a brain injury of any severity. The use of effective external memory aids can help minimize the devastating effects such memory impairment can have on an individual's everyday life. Reviewed in this report are case studies of five individuals suffering significant everyday memory problems that were given a new memory aid that utilizes standard mobile phones. Measurements included diary-format observations and qualitative feedback. The results of the study show promising outcomes for all of the cases, and have led to recent adaptations to allow for wider and more effective use of this memory aid.

  13. Cerebrospinal fluid viral breakthrough in two HIV-infected subjects on darunavir/ritonavir monotherapy

    PubMed Central

    2012-01-01

    Darunavir/ritonavir monotherapy maintains HIV suppression in most patients who have achieved an undetectable viral load on combination antiretroviral treatment, and is increasingly used in the clinic. However, concerns have been raised about the effectiveness of ritonavir-boosted protease inhibitor (PI/r) monotherapy in the prevention of HIV replication in the central nervous system (CNS). Here we report the cases of 2 patients on darunavir/r maintenance monotherapy with cerebrospinal fluid viral breakthrough together with increased immunoactivation and biomarker signs of neuronal injury. These 2 cases raise concerns about the effectiveness of darunavir/ritonavir monotherapy in HIV CNS infection. Thus, we recommend caution with protease inhibitor monotherapy until CNS results have been obtained from clinical studies. PMID:22776013

  14. Cerebrospinal fluid viral breakthrough in two HIV-infected subjects on darunavir/ritonavir monotherapy.

    PubMed

    Gisslén, Magnus; Fuchs, Dietmar; Hagberg, Lars; Svennerholm, Bo; Zetterberg, Henrik

    2012-12-01

    Darunavir/ritonavir monotherapy maintains HIV suppression in most patients who have achieved an undetectable viral load on combination antiretroviral treatment, and is increasingly used in the clinic. However, concerns have been raised about the effectiveness of ritonavir-boosted protease inhibitor (PI/r) monotherapy in the prevention of HIV replication in the central nervous system (CNS). Here we report the cases of 2 patients on darunavir/r maintenance monotherapy with cerebrospinal fluid viral breakthrough together with increased immunoactivation and biomarker signs of neuronal injury. These 2 cases raise concerns about the effectiveness of darunavir/ritonavir monotherapy in HIV CNS infection. Thus, we recommend caution with protease inhibitor monotherapy until CNS results have been obtained from clinical studies.

  15. Health concerns and hazardous waste

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

    Yassi, A.; Weeks, J.; Kraut, A.

    1990-01-01

    This report discusses health effects of hazardous waste and emphasizes human health concerns related to establishing a hazardous waste management facility. The study reviewed world epidemiological and public health literature to identify cases of suspected or substantiated claims of public health impacts associated with hazardous waste management facilities and potential products or emissions from such facilities, and placed them into perspective, including possible routes and consequences of exposure, risk assessment, and the toxicity of selected organic and inorganic compounds.

  16. Mapping the hinterland: Data issues in open science.

    PubMed

    Grand, Ann; Wilkinson, Clare; Bultitude, Karen; Winfield, Alan F T

    2016-01-01

    Open science is a practice in which the scientific process is shared completely and in real time. It offers the potential to support information flow, collaboration and dialogue among professional and non-professional participants. Using semi-structured interviews and case studies, this research investigated the relationship between open science and public engagement. This article concentrates on three particular areas of concern that emerged: first, how to effectively contextualise and narrate information to render it accessible, as opposed to simply available; second, concerns about data quantity and quality; and third, concerns about the skills required for effective contextualisation, mapping and interpretation of information. © The Author(s) 2014.

  17. Mapping the hinterland: Data issues in open science

    PubMed Central

    Grand, Ann; Wilkinson, Clare; Bultitude, Karen; Winfield, Alan F. T.

    2016-01-01

    Open science is a practice in which the scientific process is shared completely and in real time. It offers the potential to support information flow, collaboration and dialogue among professional and non-professional participants. Using semi-structured interviews and case studies, this research investigated the relationship between open science and public engagement. This article concentrates on three particular areas of concern that emerged: first, how to effectively contextualise and narrate information to render it accessible, as opposed to simply available; second, concerns about data quantity and quality; and third, concerns about the skills required for effective contextualisation, mapping and interpretation of information. PMID:24769860

  18. Case Report: Laparoscopic Approach for Orchiopexy in a 26-Year-Old Man with Accidentally Discovered Persistent Müllerian Duct Syndrome and Bilateral Undescended Testis.

    PubMed

    Noureldin, Mohamed Essam; Tawfik, Ahmed Mohamed; Shaker, Hassan S

    2018-01-01

    Background: Persistent Müllerian duct syndrome (PMDS) is not a common form of disorder of sex development in which Müllerian duct derivatives (fallopian tubes, uterus, and the proximal vagina) are present in an otherwise normally differentiated 46 XY male. In most of cases, the challenge comes in the procedure of orchiopexy. Case Presentation: We report a case of a 26-year-old man with PMDS. It was accidentally discovered when the patient presented to our outpatient clinic concerning about his empty scrotum as a premarital check. Diagnostic laparoscopy discovered Mullerian remnants in the form of uterus, cervix, and fallopian tubes with two attached testes to the fallopian tubes. Staged laparoscopic orchiopexy was done. We discuss the presentation, the management of this case in the literature, and our intervention. Conclusion: PMDS is not a common condition. Several concerns present in the management of these cases. Malignant transformation of the testis is the main risk facing those patients. Few literature studies discussed the risk of changing of these remnants into malignant tissue. Thus discussion with the patient, tissue histopathology, expert opinions, and literature review are the main clues in management of such cases.

  19. UCLA Community College Bibliography: Nursing Education and Community Colleges

    ERIC Educational Resources Information Center

    Liu, Amy

    2007-01-01

    The references presented in this bibliography provide an overview of recent scholarship concerning associate degree nursing students, faculty, and pedagogy at community colleges. Included in this bibliography are studies that incorporate a variety of methodologies ranging from quasi-experimental, case study, and naturalistic inquiry to correlation…

  20. USEPA-USGS Case Studies

    EPA Science Inventory

    The presence of emerging contaminants (ECs) in the environment is an area of growing concern for the scientific community and the general public. ECs include a broad range of chemicals including personal care products, pharmaceuticles, industrial compounds, pesticides, and hormo...

  1. High occupancy vehicle project case studies : historical trends and project experiences

    DOT National Transportation Integrated Search

    1992-08-01

    High-occupancy vehicle (HOV) facilities represent one approach being used in many metropolitan areas today to respond to increasing traffic congestion, declining mobility levels, air quality and environmental concerns, and limited resources. HOV faci...

  2. Case Study: Advances in Modelling Exposure

    EPA Science Inventory

    Concerned about the health impacts of air pollution. many environmental agencies around the world are implementing regulations to reduce emissions from various sectors, thus maintaining ambient air quality at acceptable levels. The United States Environmental Protection Agency (E...

  3. Strategies to support spirituality in health care communication: a home hospice cancer caregiver case study.

    PubMed

    Reblin, Maija; Otis-Green, Shirley; Ellington, Lee; Clayton, Margaret F

    2014-12-01

    Although there is growing recognition of the importance of integrating spirituality within health care, there is little evidence to guide clinicians in how to best communicate with patients and family about their spiritual or existential concerns. Using an audio-recorded home hospice nurse visit immediately following the death of a patient as a case-study, we identify spiritually-sensitive communication strategies. The nurse incorporates spirituality in her support of the family by 1) creating space to allow for the expression of emotions and spiritual beliefs and 2) encouraging meaning-based coping, including emphasizing the caregivers' strengths and reframing negative experiences. Hospice provides an excellent venue for modeling successful examples of spiritual communication. Health care professionals can learn these techniques to support patients and families in their own holistic practice. All health care professionals benefit from proficiency in spiritual communication skills. Attention to spiritual concerns ultimately improves care. © The Author(s) 2014.

  4. ["And suddenly I have a tumor" - the situation of family S./N].

    PubMed

    Ries-Gisler, Tobias; Spirig, Rebecca

    2014-04-01

    Many families affected by a terminal illness need professional help and support. In order to be able to cope with emotional stress, loss of light-heartedness and changes in family structure thorough information is important for patients and their families. The Calgary Family-Assessment and Calgary Family Intervention-Model are suitable to determine the needs of concerned families and hence to offer appropriate interventions. In an instrumental case study the situation of Mrs. S.2 and her family was analyzed. Mrs. S. is suffering from an inoperable adenocarcinoma. An assessment classified the different information given during the first meeting and determined the focus of the interventions. Interventions concentrated on cognitive and emotional support. The case study showed how family models for nurses could systematically guide professionals in supporting families. Listening and spending time with the concerned person and their families showed to offer important factors, which were perceived as very helpful by the families.

  5. Science, safety, and trust: the case of transgenic food.

    PubMed

    Martinelli, Lucia; Karbarz, Małgorzata; Siipi, Helena

    2013-02-01

    Genetically modified (GM) food is discussed as an example of the controversial relation between the intrinsic uncertainty of the scientific approach and the demand of citizen-consumers to use products of science innovation that are known to be safe. On the whole, peer-reviewed studies on GM food safety do not note significant health risks, with a few exceptions, like the most renowned "Pusztai affair" and the recent "Seralini case." These latter studies have been disregarded by the scientific community, based on incorrect experimental designs and statistic analysis. Such contradictory results show the complexity of risk evaluation, and raise concerns in the citizen-consumers against the GM food. A thoughtful consideration by scientific community and decision makers of the moral values that are present in risk evaluation and risk management should be the most trustable answer to citizen-consumers to their claim for clear and definitive answers concerning safety/un-safety of GM food.

  6. Designing Multimedia Learning Application with Learning Theories: A Case Study on a Computer Science Subject with 2-D and 3-D Animated Versions

    ERIC Educational Resources Information Center

    Rias, Riaza Mohd; Zaman, Halimah Badioze

    2011-01-01

    Higher learning based instruction may be primarily concerned in most cases with the content of their academic lessons, and not very much with their instructional delivery. However, the effective application of learning theories and technology in higher education has an impact on student performance. With the rapid progress in the computer and…

  7. Moving Heaven and Earth: Administrative Search and Selection Processes and the Experience of an African American Woman Senior Administrator

    ERIC Educational Resources Information Center

    Barnett-Johnson, Kim R.

    2009-01-01

    The purpose of this case/phenomenological study was to examine a collegiate administrative search and selection process and the experience of an African American woman who was selected to the position of chancellor. A case concerning the search process of a regional campus of Ivy Tech Community College of Indiana was identified and chosen.…

  8. Meta-analysis of thirty-two case-control and two ecological radon studies of lung cancer.

    PubMed

    Dobrzynski, Ludwik; Fornalski, Krzysztof W; Reszczynska, Joanna

    2018-03-01

    A re-analysis has been carried out of thirty-two case-control and two ecological studies concerning the influence of radon, a radioactive gas, on the risk of lung cancer. Three mathematically simplest dose-response relationships (models) were tested: constant (zero health effect), linear, and parabolic (linear-quadratic). Health effect end-points reported in the analysed studies are odds ratios or relative risk ratios, related either to morbidity or mortality. In our preliminary analysis, we show that the results of dose-response fitting are qualitatively (within uncertainties, given as error bars) the same, whichever of these health effect end-points are applied. Therefore, we deemed it reasonable to aggregate all response data into the so-called Relative Health Factor and jointly analysed such mixed data, to obtain better statistical power. In the second part of our analysis, robust Bayesian and classical methods of analysis were applied to this combined dataset. In this part of our analysis, we selected different subranges of radon concentrations. In view of substantial differences between the methodology used by the authors of case-control and ecological studies, the mathematical relationships (models) were applied mainly to the thirty-two case-control studies. The degree to which the two ecological studies, analysed separately, affect the overall results when combined with the thirty-two case-control studies, has also been evaluated. In all, as a result of our meta-analysis of the combined cohort, we conclude that the analysed data concerning radon concentrations below ~1000 Bq/m3 (~20 mSv/year of effective dose to the whole body) do not support the thesis that radon may be a cause of any statistically significant increase in lung cancer incidence.

  9. The perceived health risks of indoor radon gas and overhead powerlines: a comparative multilevel approach.

    PubMed

    Poortinga, Wouter; Cox, Patrick; Pidgeon, Nick F

    2008-02-01

    Radon and overhead powerlines are two radiation risk cases that have raised varying levels of concern among the general public and experts. Despite both involving radiation-a typically feared and unseen health hazard-individuals' perceptions of the two risk cases may invoke rather different factors. We examined individual and geographic-contextual factors influencing public perceptions of the health risks of indoor radon gas and overhead powerlines in a comparative research design, utilizing a postal questionnaire with 1,528 members of the general public (response rate 28%) and multilevel modeling techniques. This study found that beliefs about the two risk cases mainly differed according to the level of "exposure"-defined here in terms of spatial proximity. We argue that there are two alternative explanations for this pattern of findings: that risk perception itself varies directly with proximity, or that risk is more salient to concerned people in the exposed areas. We also found that while people living in high radon areas are more concerned about the risks of indoor radon gas, they find these risks more acceptable and have more trust in authorities. These results might reflect the positive effects of successive radon campaigns in high radon areas, which may have raised awareness and concern, and at the same time may have helped to increase trust by showing that the government takes the health risks of indoor radon gas seriously, suggesting that genuine risk communication initiatives may have positive impacts on trust in risk management institutions.

  10. [Analysis of 115 kidney biopsies performed in Dakar (Senegal)].

    PubMed

    Diouf, B; Ka, E F; Niang, A; Mbengue, M; Ka, M M; Diouf, M L; Pouye, A; Moreira-Diop, T

    2001-01-01

    Few data are now avalable concerning renal pathology in black African. That is why we under took this study as a contribution to the better knowlege of pathological aspects of kidney disease in Dakar by analysing our 6 years's experience. It was a retrospective study concerning all the patients who underwent renal biopsyfrom January 1993 to December 1998. The samples were studied on light microscopy and immunoflorescence at the nephrology unit of Necker Hospital in Paris. We performed 115 renal biopsies during this period conceming 64 males and 51 females from 5 to 60 years old (mean age 28 years). Nephrotic syndrome represented 67% of the indications, followed by lupus nephritis (13%). We found primary glomerulonephritis in 75% of all cases. Anatomicaly, 54 cases of focal and segmental hyalinosis were found (47% of all biopsies). The other lesions were extra-membranous glomerulonephritis (8,6%), minimal change glomerulonephritis 6%, endo and extra-capillary glomerulonephritis 2,6%, Mesangial glomerulonephrits, extra-capillary glomerunephrotis, IgA nephropaty represented each 1,7%. In 5% of cases the lesions did not permit a precise classification. Focal and segmental hyalinosis is the main primary lesion and lupus nephritis the main secondary one in kidney deseases biopsied in Dakar.

  11. Astronomy and religion (1780-1915). Four case studies involving ideas of extraterrestrial life

    NASA Astrophysics Data System (ADS)

    Crowe, Michael J.

    The present essay discusses four examples of interactions, two from the eighteenth century and two from the nineteenth. All four cases concern the relations between religion and the astronomical claim that intelligent beings exist elsewhere in space. In each of these four cases religious claims influenced astronomy. Cases 3 and 4 share a feature not usually encountered in studies on the interactions of astronomy and religion in that they are instances where not just theistic belief but in fact core doctrines of a specific religion, Christianity, influenced astronomy. I begin by surveying the interactions between religion and the idea of extraterrestrial intelligent life in the early modern period.

  12. Parental vaccine refusal in Wisconsin: a case-control study.

    PubMed

    Salmon, Daniel A; Sotir, Mark J; Pan, William K; Berg, Jeffrey L; Omer, Saad B; Stokley, Shannon; Hopfensperger, Daniel J; Davis, Jeffrey P; Halsey, Neal A

    2009-02-01

    Successful immunization programs have diminished parental fear of diseases and increased fear of vaccines. Children with nonmedical exemptions to school immunization requirements are at increased risk of acquiring and transmitting disease. We explored differences in vaccine attitudes, beliefs, and information sources among parents of exempt and vaccinated children. Self-administered surveys were mailed to 780 parents of children with nonmedical exemptions (cases) and 1491 parents of fully-vaccinated children (controls). Vaccines most often refused by exempt children were varicella (49%) and hepatitis B (30%). The most common reason for claiming exemptions was vaccine might cause harm (57%). Parents of vaccinated children were less likely than parents of exempt children to report concern about vaccine safety, question the need for immunization, and oppose immunization requirements. Nearly 25% of parents of vaccinated children reported that children get more immunizations than are good for them and 34% expressed concern that children's immune systems could be weakened by too many immunizations. Both groups received information from health care professionals; parents of exempt children were more likely to also consult other sources. Our findings support the need for improved methods to communicate vaccine safety information. Further studies to explore vaccine safety concerns among parents are needed.

  13. Using VCL as an Aspect-Oriented Approach to Requirements Modelling

    NASA Astrophysics Data System (ADS)

    Amálio, Nuno; Kelsen, Pierre; Ma, Qin; Glodt, Christian

    Software systems are becoming larger and more complex. By tackling the modularisation of crosscutting concerns, aspect orientation draws attention to modularity as a means to address the problems of scalability, complexity and evolution in software systems development. Aspect-oriented modelling (AOM) applies aspect-orientation to the construction of models. Most existing AOM approaches are designed without a formal semantics, and use multi-view partial descriptions of behaviour. This paper presents an AOM approach based on the Visual Contract Language (VCL): a visual language for abstract and precise modelling, designed with a formal semantics, and comprising a novel approach to visual behavioural modelling based on design by contract where behavioural descriptions are total. By applying VCL to a large case study of a car-crash crisis management system, the paper demonstrates how modularity of VCL's constructs, at different levels of granularity, help to tackle complexity. In particular, it shows how VCL's package construct and its associated composition mechanisms are key in supporting separation of concerns, coarse-grained problem decomposition and aspect-orientation. The case study's modelling solution has a clear and well-defined modular structure; the backbone of this structure is a collection of packages encapsulating local solutions to concerns.

  14. LETTER TO THE EDITOR: On the relations between the zero-field splitting parameters in the extended Stevens operator notation and the conventional ones used in EMR for orthorhombic and lower symmetry

    NASA Astrophysics Data System (ADS)

    Rudowicz, C.

    2000-06-01

    Electron magnetic resonance (EMR) studies of paramagnetic species with the spin S ≥ 1 at orthorhombic symmetry sites require an axial zero-field splitting (ZFS) parameter and a rhombic one of the second order (k = 2), whereas at triclinic sites all five ZFS (k = 2) parameters are expressed in the crystallographic axis system. For the spin S ≥ 2 also the higher-order ZFS terms must be considered. In the principal axis system, instead of the five ZFS (k = 2) parameters, the two principal ZFS values can be used, as for orthorhombic symmetry; however, then the orientation of the principal axes with respect to the crystallographic axis system must be provided. Recently three serious cases of incorrect relations between the extended Stevens ZFS parameters and the conventional ones have been identified in the literature. The first case concerns a controversy concerning the second-order rhombic ZFS parameters and was found to have lead to misinterpretation, in a review article, of several values of either E or b22 published earlier. The second case concerns the set of five relations between the extended Stevens ZFS parameters bkq and the conventional ones Dij for triclinic symmetry, four of which turn out to be incorrect. The third case concerns the omission of the scaling factors fk for the extended Stevens ZFS parameters bkq. In all cases the incorrect relations in question have been published in spite of the earlier existence of the correct relations in the literature. The incorrect relations are likely to lead to further misinterpretation of the published values of the ZFS parameters for orthorhombic and lower symmetry. The purpose of this paper is to make the spectroscopists working in the area of EMR (including EPR and ESR) and related spectroscopies aware of the problem and to reduce proliferation of the incorrect relations.

  15. Brief Report: Prevalence of Pervasive Developmental Disorder in Brazil--A Pilot Study

    ERIC Educational Resources Information Center

    Paula, Cristiane S.; Ribeiro, Sabrina H.; Fombonne, Eric; Mercadante, Marcos T.

    2011-01-01

    This pilot study presents preliminary results concerning the prevalence of Pervasive Developmental Disorder (PDD) in South America. It was a three-phase study conducted in a typical town in Southeast Brazil. Case definition was based in a combination of standardized instruments and clinical evaluations by experts. The prevalence of PDD was…

  16. Writing Projects and Writing Instruction: A Study of Teacher Change.

    ERIC Educational Resources Information Center

    Wilson, David E.

    To examine the ways in which participation in the Iowa Writing Project influenced secondary English language arts teachers, a study surveyed and interviewed teachers who participated in the 1982 and 1985 Iowa Writing Project about their beliefs and practices concerning writing instruction. In addition, case studies and over 70 hours of classroom…

  17. The Direction and Autonomy of Interdisciplinary Study and Research Paths in Teacher Education

    ERIC Educational Resources Information Center

    Rasmussen, Klaus

    2016-01-01

    This paper presents a case study of didactic infrastructures to direct Study and Research Paths (SRP) in teacher education within the context of interdisciplinary inquiry. The disciplines of school mathematics and school biology, and their didactics, are made to interconnect through the investigation of a generating question concerning the illness…

  18. Problems of Adolescents and Youths: Symposium IV C.

    ERIC Educational Resources Information Center

    Nagaraja, Jaya; Suppiah, Chandraseagran

    This symposium contains reports on: (1) a study of drug abuse among adolescents in India, by Jaya Nagaraja; and (2) a case study of factors contributing to drug addiction among Malaysian youth, by Chandraseagran Suppiah. Based on a sample of 1,000 adolescents attending metropolitan city colleges, findings of the Indian study concern psychological…

  19. Outcome and Efficacy of Interventions by a Public Figure Threat Assessment and Management Unit: A Mirrored Study of Concerning Behaviors and Police Contacts Before and After Intervention.

    PubMed

    James, David V; Farnham, Frank R

    2016-09-01

    Specialized units for the assessment and management of concerning behaviors towards public figures have been set up in various jurisdictions. Their efficacy has been demonstrated descriptively and in terms of reduction in concern rates. This study of 100 consecutive cases from the Fixated Threat Assessment Centre (FTAC) in the UK uses a novel measure of outcome in the form of reduction in behaviors of concern and in police call-outs/stops, using data culled from police and health service records. It adopts a mirrored design, comparing individuals over 12-month and 2-year periods before and after FTAC intervention. It demonstrates significant reductions in both numbers of individuals involved in, and number of actual incidents of, concerning communication and problematic approach, as well as police call-outs/stops. Most results are consistent across subgroups with regard to gender, previous convictions, concern level, compulsory hospitalization and grievance-driven behavior. Such threat assessment units reduce risky behavior and save police time and, possibly, costs. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  20. 25-hydroxyvitamin D and breast cancer, colorectal cancer, and colorectal adenomas: case-control versus nested case-control studies.

    PubMed

    Grant, William B

    2015-02-01

    Existing literature includes concerns regarding reliability of case-control studies of breast cancer incidence with respect to 25-hydroxyvitamin D (25(OH)D) concentrations. For breast cancer, only case-control studies consistently find inverse correlations between 25(OH)D and breast cancer. However, for colorectal cancer, nested case-control studies find significant inverse correlations with respect to 25(OH)D concentrations at baseline for mean follow-up times of 7 years. This is a review of results currently existing in literature. I provide evidence that 25(OH)D concentration values are only useful for short follow-up times for breast cancer since it develops rapidly. To support the robust nature of breast cancer case-control studies, I show that results from 11 studies from seven countries align in a robust power-law fit to the odds ratio versus mean 25(OH)D concentrations. Case-control studies of breast cancer incidence rates provide reliable results. Copyright© 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

  1. Minimum-fuel, three-dimensional flight paths for jet transports

    NASA Technical Reports Server (NTRS)

    Neuman, F.; Kreindler, E.

    1985-01-01

    A number of studies dealing with fuel minimization are concerned with three-dimensional flight. However, only Neuman and Kreindler (1982) consider cases involving commercial jet transports. In the latter study, only the climb-out and descent portions of complete long-range flight paths below 10,000 ft altitude have been investigated. The present investigation is concerned with the computation of minimum-fuel nonturning and turning flight paths for climb-outs from 2000 to 10,000 ft for long-range flights (greater than 50 n mi), and for complete flight paths of lengths between 5 and 50 n mi.

  2. Predicting What Will Happen When You Intervene.

    PubMed

    Cartwright, Nancy; Hardie, Jeremy

    2017-01-01

    This paper offers some rules of thumb that practicing social workers can use for case studies that aim to construct, albeit not fully and never entirely reliably, models designed to help predict what will happen if they intervene in specific ways to help this particular client, here and now. We call these 'ex ante case-specific causal models'. 'Ex ante' because they are for before-the-fact prediction of what the likely effects of proposed actions are. 'Case-specific' because we are not concerned with studies that provide evidence for some general conclusion but rather with using what general and local knowledge one can get to predict what will happen to a specific client in the real settings in which they live. 'Causal' because this kind of case study aims to trace out as best possible the web of causal processes that will be responsible for what happens. In this sense our case studies resemble post facto realist evaluations.

  3. Exploring Management Strategies to Reduce Cheating in Written Examinations: Case Study of Midlands State University

    ERIC Educational Resources Information Center

    Taderera, Ever; Nyikahadzoi, Loveness; Matamande, Wilson; Mandimika, Elinah

    2014-01-01

    This study was concerned about cheating in written examinations at Midlands State University (MSU). The study revealed that both male and female students cheat in written examination; business studies students cheat more than other faculties, and younger (lower class) students cheat more than (upper class) older students. Factors influencing…

  4. A Case Study of Markdale High School's Implementation of Heterogeneously-Grouped Classes in English, Mathematics, Science, and Social Studies

    ERIC Educational Resources Information Center

    Pierre-Louis, Fred

    2010-01-01

    The purpose of this study was to describe Markdale High School's change from separate college preparatory and general level classes to heterogeneously-grouped classes in English, mathematics, science, and social studies, with particular emphasis on the principal's leadership style, change process, and teacher concerns (Hall & Hord, 2006)…

  5. A Methodology in Studying Noncommercial FM Radio Stations--A Case Study.

    ERIC Educational Resources Information Center

    Leidman, Mary Beth; Lamberski, Richard J.

    To examine the state of college- and university-affiliated noncommercial FM radio, a survey was conducted of all college and university stations nationwide which were identifiable through the 1982 Broadcasting Yearbook (N=670). The questionnaire requested information concerning demographics, funding, organization and structure, personnel,…

  6. The Long Game: Five Years of Simulating the Middle East

    ERIC Educational Resources Information Center

    Hardy, Mat; Totman, Sally

    2017-01-01

    Scholarly literature attesting to the benefits of role play in teaching international relations or political science subjects is abundant and universally positive. However, despite many case studies presenting snapshots of single examples, long term data concerning a role play exercise is difficult to find. This study presents student feedback…

  7. Orchestrating Literacies: Print Literacy Learning Opportunities within Multimodal Intergenerational Ensembles

    ERIC Educational Resources Information Center

    McKee, Lori L.; Heydon, Rachel M.

    2015-01-01

    This exploratory case study considered the opportunities for print literacy learning within multimodal ensembles that featured art, singing and digital media within the context of an intergenerational programme that brought together 13 kindergarten children (4 and 5 years) with seven elder companions. Study questions concerned how reading and…

  8. Giving Voice to Critical Campus Issues. Qualitative Research in Student Affairs.

    ERIC Educational Resources Information Center

    Manning, Kathleen, Ed.

    This book presents six qualitative research studies written by graduate students in the Higher Education and Student Affairs masters program at the University of Vermont. The papers provide case studies concerning suicide, acquaintance rape, alcohol-related student death, classism, adult children of alcoholics, and multiracial identity. Following…

  9. The Great Neurolinguistics Methodology Debate.

    ERIC Educational Resources Information Center

    Obler, L. K.

    A major debate exists in the neuropsychology community concerning whether case study is preferable to group study of brain-damaged patients. So far, the discussion has been limited to the advantages and disadvantages of both methods, with the assumption that neurolinguists pursue a single goal attainable by one or the other method. Practical…

  10. Internationalization Policies of Jesuit Universities: A Case Study of Japan and the U.S

    ERIC Educational Resources Information Center

    Jung, Kang-Yup

    2009-01-01

    In the wake of globalization, higher education institutions almost inevitably have adopted and implemented internationalization policies as their primary strategy for responding to the challenges and opportunities brought about by globalization. This study concerns the comparison of the motivations, program strategies, and organization strategies…

  11. Constitutive and numerical modeling of soil and soil-pile interaction for 3D applications and Kealakaha stream bridge case study.

    DOT National Transportation Integrated Search

    2011-12-01

    This study is concerned with developing new modeling tools for predicting the response of the new Kealakaha : Stream Bridge to static and dynamic loads, including seismic shaking. The bridge will span 220 meters, with the : deck structure being curve...

  12. What We Do: A Multiple Case Study from Mathematics Coaches' Perspectives

    ERIC Educational Resources Information Center

    Kane, Barbara Ann

    2013-01-01

    Teachers face new challenges when they teach a more rigorous mathematics curriculum than one to which they are accustomed. The rationale for this particular study originated from watching teachers struggle with understanding mathematical content and pedagogical practices. Mathematics coaches can address teachers' concerns through sustained,…

  13. Multimodal Representations in Senior Biology Assessments: A Case Study of NSW Australia

    ERIC Educational Resources Information Center

    Van Rooy, Wilhelmina Sabina; Chan, Eveline

    2017-01-01

    This paper investigates the use of multimodal representations to assess biological understanding in the final senior secondary school public examination in New South Wales, Australia. The investigation emanates from a larger Australian study concerned with the impact of disciplinary and technological innovations on science pedagogy, particularly…

  14. Is Infertility Associated with Childhood Autism?

    ERIC Educational Resources Information Center

    Grether, Judith K.; Qian, Yinge; Croughan, Mary S.; Wu, Yvonne W.; Schembri, Michael; Camarano, Loretta; Croen, Lisa A.

    2013-01-01

    Concerns persist about a possible link between infertility and risk of autism spectrum disorders (ASD). Interpretation of existing studies is limited by racial/ethnic homogeneity of study populations and other factors. Using a case-control design, we evaluated infertility history and treatment documented in medical records of members of Kaiser…

  15. Moral Disengagement in Science and Business Students: An Exploratory Study

    ERIC Educational Resources Information Center

    Cory, Suzanne N.

    2015-01-01

    Cases of unethical business practices and technical failures have been extensively reported. It seems that actions are often taken by individuals with little apparent concern for those affected by their negative outcomes, which can be described as moral disengagement. This study investigates levels of moral disengagement demonstrated by business…

  16. Understanding Decision Making in Teachers' Curriculum Design Approaches

    ERIC Educational Resources Information Center

    Boschman, Ferry; McKenney, Susan; Voogt, Joke

    2014-01-01

    The goal of this study was to reach a better understanding of the intuitive decisions teachers make when designing a technology-rich learning environment. A multiple case-study design was employed to examine what kinds of factors (external priorities, existing orientations or practical concerns) influence design interactions of teams of…

  17. Small-cell carcinoma of the urinary bladder: where do we stand?

    PubMed

    Ghervan, Liviu; Zaharie, Andreea; Ene, Bogdan; Elec, Florin I

    2017-01-01

    Small-cell carcinoma of the urinary bladder is a very rare pathology, but with a very aggressive behavior and disappointing prognosis. The literature concerning this type of cancer is scarce and physicians may encounter difficulty trying to manage it. Most articles involve the study of case series, without definite results due to the small number of patients. The present article aims at gathering the most significant articles and results in order to offer a broad perspective on the existing literature concerning this pathology.

  18. Great expectations--ethics, avian flu and the value of progress.

    PubMed

    Evans, Nicholas G

    2013-04-01

    A recent controversy over the US National Science Advisory Board for Biosecurity's recommendation to censor two publications on genetically modified H5N1 avian influenza has generated concern over the threat to scientific freedom such censorship presents. In this paper, I argue that in the case of these studies, appeals to scientific freedom are not sufficient to motivate a rejection of censorship. I then use this conclusion to draw broader concerns about the ethics of dual-use research.

  19. A CASE STUDY OF SOILS IN THE U.S.

    EPA Science Inventory

    Assessment of environmental condition is critical to wise management and policy decisions. However, for some concerns such as sustainability, it is difficult to assess environmental condition because it involves disparate social objectives and an understanding of complex ecologic...

  20. Effectiveness of Different Models of Case Management for Substance-Abusing Populations

    PubMed Central

    Vanderplasschen, Wouter; Wolf, Judith; Rapp, Richard C.; Broekaert, Eric

    2007-01-01

    Case management has been implemented in substance abuse treatment to improve (cost-) effectiveness, but controversy exists about its potential to realize this objective. A systematic and comprehensive review of peer-reviewed articles (n = 48) published between 1993 and 2003 is presented, focusing on the effects of different models of case management among various substance-abusing populations. Results show that several studies have reported positive effects, but only some randomized and controlled trials have demonstrated the effectiveness of case management compared with other interventions. Longitudinal effects of this intervention remain unclear. Although no compelling evidence was found for the effectiveness of case management, some evidence is available about the (differential) effectiveness of intensive case management and assertive community treatment for homeless and dually-diagnosed substance abusers. Strengths-based and generalist case management have proven to be relatively effective for substance abusers in general. Most positive effects concern reduced use of inpatient services and increased utilization of community-based services, prolonged treatment retention, improved quality of life, and high client satisfaction. Outcomes concerning drug use and psychosocial functioning are less consistent, but seem to be mediated by retention in treatment and case management. Further research is required to learn more about the extent of the effects of this intervention, how long these are sustained and what specific elements cause particular outcomes. PMID:17523588

  1. Foodborne botulism in southwest Romania during the post-communism period 1990-2007.

    PubMed

    Neghina, Adriana Maria; Marincu, Iosif; Moldovan, Roxana; Iacobiciu, Ioan; Neghina, Raul

    2010-02-01

    This study was a retrospective investigation of botulism cases over a period of 18 years following major political and economic changes, addressing the question of whether this disease is still an important health concern in southwest Romania. The medical records of botulism cases were used as the source of data. Patients from five southwest Romanian counties were hospitalized at Victor Babes Hospital of Infectious Diseases in Timisoara during the period 1990-2007. The median annual incidence of botulism cases in southwest Romania decreased from 0.1 per 100 000 persons during 1990-1998, to 0.05 per 100 000 persons during 1999-2007. Most of the cases (18.6%) were diagnosed in 1990, immediately following the communism period. The median age of the patients was 38 years (range 16-73 years); 24 (55.8%) were male; the case fatality rate was 2.3%. A significantly higher incidence rate of 2.7 cases per 100 000 persons occurred in rural areas, even though most of the cases (53.5%) were inhabitants of urban areas. The clinical pattern included: difficulty swallowing (79.1%), double and/or blurred vision (69.8%), dry mouth (60.5%), drooping eyelids (51.2%), vomiting (39.5%), mydriasis (37.2%), constipation (27.9%), abdominal pain (23.3%), and slurred speech (18.6%). All cases were attributed to contaminated food sources, mainly home-prepared traditional pork products. Although the botulism cases decreased over the study period in southwest Romania, this life-threatening disease continues to be an important concern. A strategy addressing individual behaviors in the home is needed to improve food safety. Copyright 2009 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  2. On the failure to notice that White people are White: Generating and testing hypotheses in the celebrity guessing game.

    PubMed

    Hegarty, Peter

    2017-01-01

    Drawing together social psychologists' concerns with equality and cognitive psychologists' concerns with scientific inference, 6 studies (N = 841) showed how implicit category norms make the generation and test of hypothesis about race highly asymmetric. Having shown that Whiteness is the default race of celebrity actors (Study 1), Study 2 used a variant of Wason's (1960) rule discovery task to demonstrate greater difficulty in discovering rules that require specifying that race is shared by White celebrity actors than by Black celebrity actors. Clues to the Whiteness of White actors from analogous problems had little effect on hypothesis formation or rule discovery (Studies 3 and 4). Rather, across Studies 2 and 4 feedback about negative cases-non-White celebrities-facilitated the discovery that White actors shared a race, whether participants or experimenters generated the negative cases. These category norms were little affected by making White actors' Whiteness more informative (Study 5). Although participants understood that discovering that White actors are White would be harder than discovering that Black actors are Black, they showed limited insight into the information contained in negative cases (Study 6). Category norms render some identities as implicit defaults, making hypothesis formation and generalization about real social groups asymmetric in ways that have implications for scientific reasoning and social equality. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  3. Professionals' Attitude Toward Reporting Child Sexual Abuse in Saudi Arabia.

    PubMed

    Al-Saif, Dalia M; Al-Eissa, Majid; Saleheen, Hassan; Al-Mutlaq, Huda; Everson, Mark D; Almuneef, Maha A

    2018-01-01

    Child sexual abuse (CSA) requires specialized knowledge and training that includes forensic interview skills. The aim of this study was to determine variations in professionals' attitudes toward CSA by measuring three aspects of forensic attitudes (sensitivity, specificity, and skepticism) and evaluating disagreements concerning the assessment of CSA cases in Saudi Arabia. A cross-sectional, web-based study, in which the Child Forensic Attitude Scale was used to measure professionals' attitudes, was conducted. Professionals who dealt with suspected cases of CSA as part of their jobs or were in professions that necessitated involvement with such cases, were selected as participants. Of 327 participants, 53% were aged ≤40 years, and 54% were men. In addition, 24% were doctors/nurses, 20% were therapists/psychiatrists, 24% were social workers, 17% were educators, 9% were law enforcement professionals, and 5% were medical examiners. Attitude subscale scores differed significantly according to participants' sex, specialty, and training. Women, healthcare professionals, and those who had participated in more than five training courses were more concerned about the underreporting of abuse (high sensitivity) relative to other professionals. In comparison, men, medical examiners, law enforcement officers, and undertrained professionals tended to underreport suspected sexual abuse cases (high specificity). High specificity in attitudes toward suspected cases of CSA could affect professionals' judgment and contribute to low reporting rates. Certain strategies, including increasing self-awareness of personal bias, specific CSA recognition courses, and team approaches to case assessment and management, should be implemented to control the influence of subjective factors.

  4. Integrated environmental planning in the Philippines: A case study of the Palawan Integrated Environmental Program

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

    Ganapin, D.J. Jr.

    1987-01-01

    Integrated environmental planning was analyzed using the case of the Palawan Integrated Environmental Program in the Philippines. The study explores the relationship between development and environmental planning and evaluates the importance of organizational coordination and timing in the integration of these two concerns. Factors affecting the accomplishment of the objectives of integrated environmental planning were also studied. Two planning phases of the Palawan Integrated Environmental Program were observed using the case study approach. Observations of various planning participants-consultants, middle level agency personnel, heads of local agencies-were also considered. The integration of environmental considerations in development planning was found to bemore » beneficial to both environmental and development concerns. The experience showed that such integration requiring tight organizational coordination and the proper timing of activities and outputs. The success of the Palawan Integrated Environmental Program was also found to depend on effective communication, the political functionality of the government, the leadership of its executives, the presence of appropriate structures of authority, sufficiency of funds and manpower and the availability of appropriate environmental planning techniques. Recommendations are provided to further strengthen the integration of environmental considerations in development planning and increase the effectiveness of integrated environmental programs.« less

  5. Presentation and outcome of clinical poor performance in one health district over a 5-year period: 2002–2007

    PubMed Central

    Cox, Stephen J; Holden, John D

    2009-01-01

    Background The detection, assessment, and management of primary care poor performance raise difficult issues for all those involved. Guidance has largely focused on managing the most serious cases where patient safety is severely compromised. The management of primary care poor performance has become an increasingly important part of primary care trust (PCT) work, but its modes of presentation and prevalence are not well known. Aim To report the prevalence, presentation modes, and management of primary care poor performance cases presenting to one PCT over a 5-year period. Design of study A retrospective review of primary care poor performance cases in one district. Setting St Helens PCT administered 35 practices with 130 GPs on the performers list, caring for 190 110 patients in North West England, UK. Method Cases presenting during 2002–2007 were initially reviewed by the chair of the PCT clinical executive committee. Anonymised data were then jointly reviewed by the assessor and another experienced GP advisor. Results There were 102 individual presentations (20 per year or one every 2–3 weeks) where clinician performance raised significant cause for concern occurred over the 5-year period. These concerns related to 37 individual clinicians, a range of 1–14 per clinician (mean 2.7). Whistleblowing by professional colleagues on 43 occasions was the most common presentation, of which 26 were from GPs about GPs. Patient complaints (18) were the second most common presentation. Twenty-seven clinicians were GPs, of whom the General Medical Council (GMC) were notified or involved in 13 cases. Clinicians were supported locally, and remedying was exclusively locally managed in 14 cases, and shared with an external organisation (such as the GMC or deanery) in another 12. Conclusion Professional whistleblowing and patient complaints were the most common sources of presentation. Effective PCT teams are needed to manage clinicians whose performance gives cause for concern. Sufficient resources and both formal and informal ways of reporting concerns are essential. PMID:19401017

  6. Identification of Gifted African American Primary Grade Students through Leadership, Creativity, and Academic Performance in Curriculum Material Making and Peer-Teaching: A Case Study

    ERIC Educational Resources Information Center

    Zhbanova, Ksenia S.; Rule, Audrey C.; Stichter, Mary K.

    2015-01-01

    Research into identification of gifted early childhood students of minority groups through classroom activities is lacking. A focus in the United States on students with learning challenges and a lack of awareness of educators concerning the needs of early childhood gifted students are important causes of this situation. The current case study…

  7. The Right Not To Hear: The Ethics of Parental Refusal of Hearing Rehabilitation

    PubMed Central

    Byrd, Serena; Shuman, Andrew G.; Kileny, Sharon; Kileny, Paul R.

    2015-01-01

    Objective To explore the ethics of parental refusal of auditory-oral hearing rehabilitation. Study Design Case study with medical ethical discussion and review. Methods Two young brothers present with severe-to-profound congenital sensorineural hearing loss. The parents, both of whom have normal hearing and work as sign language interpreters, have decided to raise their children with American Sign Language as their only form of communication. They have chosen not to pursue cochlear implantation nor support the use of hearing aids. Discussion This case raises significant questions concerning whether hearing rehabilitation should be mandated, and if there are circumstances in which parental preferences should be questioned or overridden with regard to this issue. In addition, legal concerns may be raised regarding the possible need to file a report with child protective services. Although similar cases involving the Deaf community have historically favored parental rights to forego hearing rehabilitation with either cochlear implantation or hearing aids, we explore whether conclusions should be different because the parents in this case are not hearing impaired. Conclusions The ethics of parental rights to refuse hearing augmentation are complex and strikingly context-dependent. A comprehensive appreciation of the medical, practical and legal issues is crucial prior to intervening in such challenging situations. PMID:21792972

  8. The medico-legal investigation of abandoned fetuses and newborns--a review of cases admitted to the Pretoria Medico-Legal Laboratory, South Africa.

    PubMed

    du Toit-Prinsloo, L; Pickles, C; Smith, Z; Jordaan, J; Saayman, G

    2016-03-01

    There is a dearth of literature on the extent of fetal or newborn abandonment or "dumping" and the medico-legal investigation procedures these cases require. This is despite the fact that these occurrences are a worldwide phenomenon and by definition involve criminal law concerns such as illegal abortion, concealment of birth, murder, or neonaticide, depending on the country concerned. This article contributes to current literature in both respects and provides a retrospective case audit for the period 2004-2008 pertaining to all abandoned newborns and fetuses admitted to the Pretoria Medico-Legal Laboratory (PMLL) in South Africa. Demographic details, scope, and nature of the medico-legal investigation as well as formulation of cause of death were recorded. A total of 289 cases were identified for inclusion in this study, 57% of which were considered to have been non-viable fetuses, while 45 of the viable fetuses were deemed to have been stillborn. These instances involve the crimes of concealment of birth and at times illegal abortion, yet prosecution of these cases are relatively unheard of. Signs of live birth were identified in 38 of the cases in the study. Of these infants, 9 were deemed to have died from injuries they have sustained, and in a further 9 cases, no anatomical cause of death could be identified. Homicidal cases should be brought in cases where death ensued as a result of abandonment; however, it is not known how many cases were prosecuted. A comparatively large number of cases were found to have been admitted to the Pretoria Medico-Legal Laboratory. This is alarming because South African abortion laws are liberal and services are free at point of access in the public health care sector. A substantial percentage of cases of abandoned infants were found to have shown signs of life after birth implying a homicidal manner of death or death by abandonment, but it seems these cases are merely shelved.

  9. An updated investigation of cancer incidence and mortality at a Scottish semiconductor manufacturing facility with case-control and case-only studies of selected cancers.

    PubMed

    Darnton, Andrew; Miller, Brian G; Maccalman, Laura; Galea, Karen S; Wilkinson, Sam; Cherrie, John W; Shafrir, Amy; McElvenny, Damien; Osman, John

    2012-10-01

    An earlier investigation raised concern that some cancer cases might be linked to work at a semiconductor manufacturing plant. The aim of this study was to describe an update of the cancer incidence and mortality of these workers and assess whether workplace exposures contributed to any increased risk of selected cancers. Standardised mortality ratios and standardised incidence ratios were calculated for cancer site groups of a priori interest in a cohort previously flagged against the National Health Service Central Register, with follow-up extended to the 2007 for deaths and 2006 for cancer registrations. Cases of female breast cancer, lung and stomach cancer, and male brain cancer, and a random sample of control subjects individually age-matched to the breast cancer cases, were identified from within the cohort dataset and invited to participate via general practitioners. Exposures were estimated using a job exposure matrix developed from a historical hygiene assessment and assigned to job histories obtained from personal interview of subjects (or proxies). Though the findings were uncertain, there were no excesses of mortality or cancer incidence, either overall or for specific cancer sites, suggestive of a workplace effect. Logistic regression analyses comparing 20 cases of breast cancer with 83 matched controls showed no consistent evidence of any relationship with occupational exposures. Assessment of commonalities of workplace exposures among case sets for other cancer types was limited by the small numbers. These results do not support earlier concerns about occupational cancer risks among this cohort.

  10. Sex Differences in Environmental Concern and Knowledge: The Case of Acid Rain.

    ERIC Educational Resources Information Center

    Arcury, Thomas A.; And Others

    1987-01-01

    Presents results of a telephone survey of 516 adults which focused on sex differences in concern and knowledge about one environmental issue, acid rain. The findings contradict predictions that women are more concerned about environmental issues: if there is a sex difference, men are found to be more concerned and knowledgeable about acid rain.…

  11. Handling the Dilemma of Self-Determination and Dementia: A Study of Case Managers' Discursive Strategies in Assessment Meetings.

    PubMed

    Österholm, Johannes H; Taghizadeh Larsson, Annika; Olaison, Anna

    2015-01-01

    In assessment meetings concerning care services for people with dementia, Swedish case managers face a dilemma. On the one hand, according to the law, the right to self-determination of every adult citizen must be respected, but on the other hand cognitive disabilities make it difficult to fulfill obligations of being a full-fledged citizen. In this article, we examine 15 assessment meetings to identify discursive strategies used by case managers to handle this dilemma. We also examine how these affect the participation of persons with dementia, and indicate implications of our study for social work practice and research.

  12. Recycling a School Plant: A Case Study

    ERIC Educational Resources Information Center

    Rankin, K. Duane

    1976-01-01

    The Venice-Lincoln Technical Center, Venice, Illinois, is housed in former public school facilities and offers a variety of adult education and job training classes. State agencies' involvement and enabling legislation concerned with program implementation, development, and funding are discussed. (LH)

  13. Use of the Transformative Framework in Mixed Methods Studies

    ERIC Educational Resources Information Center

    Sweetman, David; Badiee, Manijeh; Creswell, John W.

    2010-01-01

    A concern exists that mixed methods studies do not contain advocacy stances. Preliminary evidence suggests that this is not the case, but to address this issue in more depth the authors examined 13 mixed methods studies that contained an advocacy, transformative lens. Such a lens consisted of incorporating intent to advocate for an improvement in…

  14. Career-Related Instruction Promoting Students' Career Awareness and Interest towards Science Learning

    ERIC Educational Resources Information Center

    Salonen, Anssi; Kärkkäinen, Sirpa; Keinonen, Tuula

    2018-01-01

    The aim of this study was to investigate how career-related instruction implemented in secondary school chemistry education concerning water issues influences students' career awareness and their interest towards science learning. This case study is part of a larger design-based research study for the EU-MultiCO project, which focuses on promoting…

  15. A Case Study: Achievement Studies of Persistent, Transitional, and Transient Populations within the Blitz Program Model at a Large Midwestern Elementary School

    ERIC Educational Resources Information Center

    Ramey, Jackie D.

    2013-01-01

    The United States' Public Education system shared concerns regarding declining achievement results across the nation. Numerous research studies suggested significant correlations to various variables, such as, SES (Socio-Economic Status), LEP (Limited English Proficiency), IEP (Individualized Educational Programs), ethnicity, and student mobility.…

  16. Voices of Successful Science Teachers in an Urban Diverse Single Gender Girls' School

    ERIC Educational Resources Information Center

    Malhan, Jyoti

    2016-01-01

    This research study was conducted as a qualitative case study of four successful science teachers of female students in a diverse, title 1, urban, public girls' school. The study was designed to hear the 'muted' voices of successful science teachers concerning their beliefs and practices when they effectively provide learning opportunities for…

  17. Exploring Teacher Intervention in the Intersection of Digital Resources, Peer Collaboration, and Instructional Design.

    PubMed

    Strømme, Torunn Aa; Furberg, Anniken

    2015-09-01

    This paper reports on a case study of the teacher's role as facilitator in computer-supported collaborative learning (CSCL) settings in science. In naturalistic classroom settings, the teacher most often acts as an important resource and provides various forms of guidance during students' learning activities. Few studies, however, have focused on the role of teacher intervention in CSCL settings. By analyzing the interactions between secondary school students and their teacher during a science project, the current study provides insight into the concerns that teachers might encounter when facilitating students' learning processes in these types of settings. The analyses show that one main concern was creating a balance between providing the requested information and supporting students in utilizing each other's knowledge and understanding. Another concern was balancing support on an individual versus group level, and a third concern was directing the students' attention to coexisting conceptual perspectives. Most importantly, however, the analyses show how teacher intervention constitutes the pivotal "glue" that aids students in linking and using coexisting aspects of support such as peer collaboration, digital tools, and instructional design.

  18. Exploring Teacher Intervention in the Intersection of Digital Resources, Peer Collaboration, and Instructional Design

    PubMed Central

    FURBERG, ANNIKEN

    2015-01-01

    ABSTRACT This paper reports on a case study of the teacher's role as facilitator in computer‐supported collaborative learning (CSCL) settings in science. In naturalistic classroom settings, the teacher most often acts as an important resource and provides various forms of guidance during students’ learning activities. Few studies, however, have focused on the role of teacher intervention in CSCL settings. By analyzing the interactions between secondary school students and their teacher during a science project, the current study provides insight into the concerns that teachers might encounter when facilitating students’ learning processes in these types of settings. The analyses show that one main concern was creating a balance between providing the requested information and supporting students in utilizing each other's knowledge and understanding. Another concern was balancing support on an individual versus group level, and a third concern was directing the students’ attention to coexisting conceptual perspectives. Most importantly, however, the analyses show how teacher intervention constitutes the pivotal “glue” that aids students in linking and using coexisting aspects of support such as peer collaboration, digital tools, and instructional design. PMID:26900182

  19. Occupational medicine specialist referral triggers: Mixed-methods analysis of teleconsult cases.

    PubMed

    Eaton, J L; Mohammad, A; Mohr, D C; Brustein, D J; Kirkhorn, S R

    2017-12-30

    Qualitative analyses can yield critical lessons for learning organizations in healthcare. Few studies have applied these techniques in the field of occupational and environmental medicine (OEM). To describe the characteristics of complex cases referred for OEM subspecialty evaluation and variation by referring provider's training. Using a mixed methods approach, we conducted a content analysis of clinical cases submitted to a national OEM teleconsult service. Consecutive cases entered between April 2014 and July 2015 were screened, coded and analysed. 108 cases were available for analysis. Local Veterans Health Administration (VHA) non-specialist providers entered a primary medical diagnosis in 96% of cases at the time of intake. OEM speciality physicians coded significant medical conditions based on free text comments. Coder inter-rater reliability was 84%. The most frequent medical diagnosis types associated with tertiary OEM referral by non-specialists were endocrine (19%), cardiovascular (18%) and mental health (16%). Concern for usage of controlled and/or sedating medications was cited in 1% of cases. Compared to referring non-specialists, OEM physicians were more likely to attribute case complexity to musculoskeletal (OR: 2.3, 1.68-3.14) or neurological (OR: 1.69, 1.28-2.24) conditions. Medication usage (OR: 2.2, 1.49-2.26) was more likely to be a source of clinical concern among referring providers. The findings highlight the range of triggers for OEM physician subspecialty referral in clinical practice with employee patients. The results of this study can be used to inform development of provider education, standardized clinical practice pathways, and quality review activities for occupational medicine practitioners. Published by Oxford University Press on behalf of The Society of Occupational Medicine 2017.

  20. Examining the prevalence, role and impact of evidence regarding Antisocial Personality, sociopathy and psychopathy in capital cases: a survey of defense team members.

    PubMed

    Edens, John F; Cox, Jennifer

    2012-01-01

    Although anecdotal case accounts suggest that evidence concerning Antisocial Personality Disorder (APD), sociopathy and psychopathy is frequently introduced by the prosecution in capital murder trials, to date there has been no systematic research to determine the actual prevalence, role, or perceived impact of such evidence in these cases. Survey data collected from attendees at a national capital mitigation conference (n=41) indicated that prosecution evidence concerning APD was quite prevalent, with "sociopath" and "psychopath" labels being introduced less frequently. Evidence concerning these disorders, which were assessed primarily via DSM criteria and self-report personality inventories, was most often introduced by the prosecution in the sentencing phase to address a defendant's ostensible risk of future dangerousness and/or to rebut mitigating evidence-although it was also introduced frequently in the guilt/innocence phase of these trials to rebut mental health evidence offered by the defense. Survey respondents believed that evidence concerning APD, sociopathy, and psychopathy had a considerable impact on trial outcomes. Also, although defense objections were common, such evidence was rarely ruled to be inadmissible in these cases. Copyright © 2012 John Wiley & Sons, Ltd.

  1. Dysmorphism of the middle ear: case report

    PubMed Central

    Solero, P; Ferrara, M; Musto, R; Pira, A; Di Lisi, D

    2005-01-01

    Summary Although there are numerous publications in the literature describing the wide range of diagnosis, classifications and treatment of malformations of the hearing apparatus, even more variations can be found in clinical practice. Indeed, each individual case is unique as far as concerns pathogenesis, clinical course and treatment. The case reported herein describes a 12-year-old boy affected by cranio-facial dysmorphism and monolateral conductive hearing loss in the right ear: followed from radiological diagnosis – carried out to study a malformation of the ear pinna – to surgical treatment. PMID:16602328

  2. Acute myeloid leukemia associated with t(10;17)(p13-15;q12-21) and phagocytic activity by leukemic blasts: a clinical study and review of the literature.

    PubMed

    Oh, Seung Hwan; Park, Tae Sung; Cho, Sun Young; Kim, Min Jin; Huh, Jungwon; Kim, Bomi; Song, Sae Am; Lee, Ja Young; Jun, Kyung Ran; Shin, Jeong Hwan; Kim, Hye Ran; Lee, Jeong Nyeo

    2010-10-01

    Translocation (10;17)(p13-15;q12-21) in acute leukemia is rarely reported in the literature. Here, we present both a novel t(10;17) case study and a review of relevant literature on t(10;17) in acute leukemia (10 cases). In summary, we came to the following preliminary conclusions: t(10;17) is associated with poorly differentiated acute leukemia subtype [90%; eight cases of acute myeloid leukemia (AML M0, M1) and one case of acute undifferentiated leukemia], phagocytic activity by blasts occurs (30%), and the survival time was short in three of the seven t(10;17) cases for whom follow-up data were available (median, 8 months). More clinical studies concerning the prognosis, treatment response, and survival of patients with t(10;17) are necessary. 2010 Elsevier Inc. All rights reserved.

  3. Older Undergraduate English Majors and Their Self-Described Value of English

    ERIC Educational Resources Information Center

    Price, Joseph W.

    2013-01-01

    The purpose of this multiple case study was to develop an understanding of what older nontraditional undergraduate English majors voiced as the challenges, attributes, and promises concerning their choice of that academic major. Ten participants took part in this study; these were students enrolled during the Spring 2012 semester as English majors…

  4. Productive School Governance: Success Case Studies from New Zealand

    ERIC Educational Resources Information Center

    Piggot-Irvine, Eileen

    2008-01-01

    The rhetoric abounds concerning the types of effective, high trust, interactions that should exist for a school governing body. In practise, however, such interactions are often difficult to define, establish, maintain, and sustain. The study reported on in this paper attempted to identify interactions linked to perceptions of high trust via a…

  5. An Analysis of Canadian Physical Education Curricula

    ERIC Educational Resources Information Center

    Kilborn, Michelle; Lorusso, Jenna; Francis, Nancy

    2016-01-01

    There has been much international concern about the present and future status of school physical education. Recent research has employed surveys or case studies to examine the status of physical education but there is a dearth of in-depth physical education curriculum document analysis. The aim of this study is to contribute to the international…

  6. Enhancing Critical Thinking: Accounting Students' Perceptions

    ERIC Educational Resources Information Center

    Wilkin, Carla L.

    2017-01-01

    Purpose: The purpose of this paper is to demonstrate how assessment design was used to enhance students' critical thinking in a subject concerned with business enterprise systems. The study shows positive results and favorable perceptions of the merit of the approach. Design/Methodology/Approach: A case study approach was used to examine how the…

  7. The Implementation of Standards-Based Teacher Evaluation in Vietnamese Secondary Schools: A Case Study in Dong Thap

    ERIC Educational Resources Information Center

    Pham, Huy Q.

    2013-01-01

    Teacher quality has become a critical area of concern in Vietnamese education. Recently, new professional standards for teachers in secondary schools have been developed, piloted, and implemented. This study explores the perceptions of teachers, school principals, and other administrators about the new teacher professional standards, the…

  8. Developing "Butterfly Warriors": A Case Study of Science for Citizenship

    ERIC Educational Resources Information Center

    Chen, Junjun; Cowie, Bronwen

    2013-01-01

    Given worldwide concern about a decline in student engagement in school science and an increasing call for science for citizenship in New Zealand Curriculum, this study focused on a butterfly unit that investigated how students in a year-4 primary classroom learnt about New Zealand butterflies through thinking, talking, and acting as citizen…

  9. 75 FR 46946 - Proposed Collection; Comment Request; Assessing the Long-Term Impacts of the John E. Fogarty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... countries. The primary objective of the study is to develop detailed case studies of the long- term impacts... income countries. The findings will provide valuable information concerning return on the Center's... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; Comment...

  10. Beliefs on Learning and Teaching Language Components: The Case of Iranian EAP and EFL Learners

    ERIC Educational Resources Information Center

    Parsi, Gholamreza

    2017-01-01

    The present study intended to investigate the possible difference between EAP and EFL learners' beliefs concerning learning and teaching of language components, namely, vocabulary, pronunciation and grammar. Furthermore, this study examined the association between EAP and EFL learners' beliefs and their language components' development. To this…

  11. Syllabus of Vocational High School Based on ESP Approach

    ERIC Educational Resources Information Center

    Dewi, Sri Utami

    2015-01-01

    This study is designed as a case study and concerned on qualitative data, which reflected what actually happened in the area. The principal, the English teachers and students are placed as the key informants. The data is gained from the informants by applying in depth interview, questionnaire, documentation and observation. The data are analyzed…

  12. Leading Integrated Schools: A Study of the Multicultural Perspectives of Northern Irish Principals

    ERIC Educational Resources Information Center

    McGlynn, Claire

    2008-01-01

    This article is concerned with the sustained peace education initiative of integrated schooling and in particular with leadership responses to cultural diversity. Using a case study group of principals of integrated (mixed Catholic, Protestant and other) schools in Northern Ireland, the author explores how principals perceive and lead their…

  13. Mental Health Concerns in Williams Syndrome: Intervention Considerations and Illustrations from Case Examples

    ERIC Educational Resources Information Center

    Phillips, Kristin D.; Klein-Tasman, Bonita P.

    2009-01-01

    The refinement of the Williams syndrome phenotype has frequently included the study of behavioral and temperamental features common to individuals with this disorder. Within this line of research, the importance of evaluating incidence of psychopathology has been increasingly recognized, with studies consistently identifying an increased risk for…

  14. What's Working Memory Got to Do with It? A Case Study on Teenagers

    ERIC Educational Resources Information Center

    Price, Andrew; Oliver, Mary; McGrane, Joshua

    2015-01-01

    This paper presents the results of a small-scale study concerned with the development of working memory during adolescence. The working memory of adolescent students was examined with a novel method, electroencephalography, which allowed insight into the neurological development of the students. Results showed that: electroencephalography is a…

  15. Behavioral Management of Excessive Caffeine Consumption: Three Case Studies.

    ERIC Educational Resources Information Center

    Johnson-Greene, Douglas; And Others

    Although caffeine is seemingly harmless in ordinary daily intake, there has been increasing concern about the possible side effects of habitual caffeine ingestion. The excessive daily ingestion of caffeine in the form of coffee, soda pop, tea, and various medications may lead to a chronic disorder known as caffeinism. This study tested the…

  16. Modalities of Generalization Through Single Case Studies.

    PubMed

    Zittoun, Tania

    2017-06-01

    The value of case studies for theory building is still doubted in psychology. The paper argues for the importance of case studies and the possibility of generalizing from these for a specific sociocultural understanding of human development. The paper first clarifies the notion of abduction within case studies, drawing on pragmatists James and Peirce and expanding it with the work of Lewin, and argues that it is the core mechanism that allows generalization from case studies. The second section presents the possibility of generalizing from individual single case studies, for which not only the subjective perspective, but also the dynamics by which the social and cultural environment guide and enable the person's development, have to be accounted for. The third section elaborates the question of institutional case studies, where the challenge is to account both for institutional dynamics, and for persons' trajectories within; this is exemplified with an ongoing study on the process of obtaining citizenship in Switzerland. The paper briefly concludes by highlighting two possible implications of the paper, one concerning the process of theoretical reasoning, the other, the fact that sociocultural psychology could itself be seen as an institution in-the-making.

  17. Application of ERTS imagery to environmental studies of Lake Champlain

    NASA Technical Reports Server (NTRS)

    Lind, A. O.

    1974-01-01

    ERTS Imagery has provided data relating to a number of environmental and limnological concerns such as water quality, lake flooding and lake ice formation. Pollution plume data provided by ERTS was recently used in the Supreme Court case involving the States of Vermont and New York and a paper company. Flooding of lowland tracts has been a major concern due to a repetitive pattern of high lake levels over the past three years, and ERTS imagery is being used to construct the first series of flood maps of the affected areas. Lake ice development and turbidity patterns have also been studied from ERTS, since these have significance for shore erosion studies.

  18. Individual Differences in a Spatial-Semantic Virtual Environment.

    ERIC Educational Resources Information Center

    Chen, Chaomei

    2000-01-01

    Presents two empirical case studies concerning the role of individual differences in searching through a spatial-semantic virtual environment. Discusses information visualization in information systems; cognitive factors, including associative memory, spatial ability, and visual memory; user satisfaction; and cognitive abilities and search…

  19. Women Doing Historical Research.

    ERIC Educational Resources Information Center

    Korzenik, Diana

    1990-01-01

    Questions gender-related assumptions affecting the theory and practice of art education histories. Challenges the great man theory of art education history. Advocates research approaches that analyze individual backgrounds and achievements. Offers the author's research experiences as a case study, examining areas of concern, personal motivations,…

  20. Teaching Evolution & the Nature of Science.

    ERIC Educational Resources Information Center

    Farber, Paul

    2003-01-01

    The theory of evolution provides direction in many fields, such as ecology, genetics, and embryology. Examines issues concerning the teaching of the subject in the United States. Presents a case study approach to teach about the nature of science using the theory of evolution. (SOE)

  1. Assistive Technology. NICHCY News Digest.

    ERIC Educational Resources Information Center

    Horne, Richard, Ed.

    The newsletter presents six articles and associated information concerned with assistive technology for children and youth with handicaps. "Technology: Becoming an Informed Consumer" (Elizabeth Lahm and Sue Elting) reviews the history of technology with emphasis on assistive technology, offers case studies on technology applications, and gives…

  2. Cambridge Desegregation Succeeding.

    ERIC Educational Resources Information Center

    Alves, Michael

    1983-01-01

    This paper provides an overview of the controversy concerning "freedom of choice" desegregation plans and presents a case study of the plan adopted by Cambridge, Massachusetts, in 1981. Following the introduction, a short explanation of the plan's distinctive feature, controlled open enrollment, is given. (Under controlled open…

  3. Normal and Inverse Ferrite Spinels: A Set of Solid State Chemistry Related Experiments.

    ERIC Educational Resources Information Center

    Chaumont, C.; Burgard, M.

    1979-01-01

    Presents one of the themes of a French chemistry college laboratory course, which concerns the field of solid state chemistry and is focused on the study of the cation distribution in the case of certain spinel ferrites. (HM)

  4. Suicides on commuter rail in California : possible patterns-a case study.

    DOT National Transportation Integrated Search

    2010-12-01

    Suicides on rail systems constitute a significant social concern. Reports in local media, whether in newspapers, television, or radio, have brought awareness to this very sensitive and personal subject. This is also true for the San Francisco Bay Are...

  5. Determining the Ecosystem Services Important for Urban Landscapes-Slides

    EPA Science Inventory

    This presentation consists of introductory slides on ecosystem services in urban landscapes and then a discussion of two case studies concerning the provision of water quality in urban landscapes. The introductory slides will explore the range of ecosystem services provided by u...

  6. Reliability of dietary information from surrogate respondents.

    PubMed

    Hislop, T G; Coldman, A J; Zheng, Y Y; Ng, V T; Labo, T

    1992-01-01

    A self-administered food frequency questionnaire was included as part of a case-control study of breast cancer in 1980-82. In 1986-87, a second food frequency questionnaire was sent to surviving cases and husbands of deceased cases; 30 spouses (86% response rate) and 263 surviving cases (88% response rate) returned questionnaires. The dietary questions concerned consumption of specific food items by the case before diagnosis of breast cancer. Missing values were less common in the second questionnaire; there was no significant difference in missing values between surviving cases and spouses of deceased cases. Kappa statistics comparing responses in the first and second questionnaires were significantly lower for spouses of deceased cases than for surviving cases. Reported level of confidence by the husbands regarding knowledge about their wives' eating habits did not influence the kappa statistics or the frequencies of missing values. The lack of good agreement has important implications for the use of proxy interviews from husbands in retrospective dietary studies.

  7. How the mass media report social statistics: a case study concerning research on end-of-life decisions.

    PubMed

    Seale, Clive

    2010-09-01

    The issue of whether it is right to be concerned about the accuracy with which mass media report social scientific research is explored through a detailed case study of media reporting of two surveys of UK doctors' end-of-life decision-making. Data include press releases, emails and field notes taken during periods of media interest supplemented by a collection of print and broadcast media reports. The case study contributes to existing knowledge about the ways in which mass media establish, exaggerate and otherwise distort the meaning of statistical findings. Journalists ignored findings that did not fit into existing media interest in the 'assisted dying' story and were subject to pressure from interest groups concerned to promote their own interpretations and viewpoints. Rogue statistics mutated as they were set loose from their original research report context and were 'laundered' as they passed from one media report to another. Yet media accounts of the research, fuelling an already heated public debate about ethical issues in end-of-life care, arguably acted as a conduit for introducing new considerations into this debate, such as the role played by sedation at the end of life, the extent to which euthanasia is practiced outside the law, and the extent of medical opposition to the legalisation of assisted dying. The expectation that accuracy and comprehensiveness should be the sole criteria for judging journalists' reports is, finally, considered to be unrealistic and it is argued that social scientists need to understand and adapted to the conditions under which mass media reporting operates if they are to succeed in introducing the findings of social research into public debates. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

  8. Evaluation of occupational exposure to infrasonic noise in Poland.

    PubMed

    Pawlaczyk-Luszczyńska, M

    1999-01-01

    A short review of infrasound sources and effects on humans is presented. Polish standard PN-86/N-01338 and international standards ISO 7196:1995 and ISO 9612:1997 concerning the measuring techniques of infrasonic noise are described. The results of infrasonic noise measurements performed in the work environment in Poland are discussed. The study concerned the noise emitted by 124 different types of industrial machinery, appliances and means of transport. The measurements were made in typical working conditions with reference to Polish and international standards. The sound pressure levels exceeding Polish admissible values for: (a) workers' health protection were found in 5 (4.0%) cases, (b) ensuring proper conditions for performing basic functions in observational dispatcher cabins etc. in 77 (62.1%) cases; and (c) administration premises, design offices etc. in 92 (74.2%) cases. The admissible sound pressure levels for workers' health protection are in fact the permissible levels for hearing protection, however they do not correspond with the hearing threshold of infrasound the G-weighting characteristic is associated with. The hearing threshold of infrasound (G86 curve) was exceeded in 66.9% of all the industrial machinery and means of transport under study.

  9. [Dissociative disorders and affective disorders].

    PubMed

    Montant, J; Adida, M; Belzeaux, R; Cermolacce, M; Pringuey, D; Da Fonseca, D; Azorin, J-M

    2014-12-01

    The phenomenology of dissociative disorders may be complex and sometimes confusing. We describe here two cases who were initially misdiagnosed. The first case concerned a 61 year-old woman, who was initially diagnosed as an isolated dissociative fugue and was actually suffering from severe major depressive episode. The second case concerned a 55 year-old man, who was suffering from type I bipolar disorder and polyvascular disease, and was initially diagnosed as dissociative fugue in a mooddestabilization context, while it was finally a stroke. Yet dissociative disorders as affective disorder comorbidity are relatively unknown. We made a review on this topic. Dissociative disorders are often studied through psycho-trauma issues. Litterature is rare on affective illness comorbid with dissociative disorders, but highlight the link between bipolar and dissociative disorders. The later comorbidity often refers to an early onset subtype with also comorbid panic and depersonalization-derealization disorder. Besides, unipolar patients suffering from dissociative symptoms have more often cyclothymic affective temperament. Despite the limits of such studies dissociative symptoms-BD association seems to correspond to a clinical reality and further works on this topic may be warranted. Copyright © 2014 L’Encéphale. Published by Elsevier Masson SAS.. All rights reserved.

  10. Anal signs of child sexual abuse: a case-control study.

    PubMed

    Hobbs, Christopher J; Wright, Charlotte M

    2014-05-27

    There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. Retrospective case note review in a paediatric forensic unit. all eligible cases from 1990 to 2007 alleging anal abuse. all children examined anally from 1998 to 2007 with possible physical abuse or neglect with no identified concern regarding sexual abuse. Fisher's exact test (two-tailed) was performed to ascertain the significance of differences for individual signs between cases and controls. To explore the potential role of confounding, logistic regression was used to produce odds ratios adjusted for age and gender. A total of 184 cases (105 boys, 79 girls), average age 98.5 months (range 26 to 179) were compared with 179 controls (94 boys, 85 girls) average age 83.7 months (range 35-193). Of the cases 136 (74%) had one or more signs described in anal abuse, compared to 29 (16%) controls. 79 (43%) cases and 2 (1.1%) controls had >1 sign. Reflex anal dilatation (RAD) and venous congestion were seen in 22% and 36% of cases but <1% of controls (likelihood ratios (LR) 40, 60 respectively), anal fissure in 14% cases and 1.1% controls (LR 13), anal laxity in 27% cases and 3% controls (LR 10).Novel signs seen significantly more commonly in cases were anal fold changes, swelling and twitching. Erythema, swelling and fold changes were seen most commonly within 7 days of last reported contact; RAD, laxity, venous congestion, fissure and twitching were observed up to 6 months after the alleged assault. Anal findings are more common in children alleging anal abuse than in those presenting with physical abuse or neglect with no concern about sexual abuse. Multiple signs are rare in controls and support disclosed anal abuse.

  11. Anal signs of child sexual abuse: a case–control study

    PubMed Central

    2014-01-01

    Background There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. Methods Retrospective case note review in a paediatric forensic unit. Cases: all eligible cases from1990 to 2007 alleging anal abuse. Controls: all children examined anally from 1998 to 2007 with possible physical abuse or neglect with no identified concern regarding sexual abuse. Fisher’s exact test (two-tailed) was performed to ascertain the significance of differences for individual signs between cases and controls. To explore the potential role of confounding, logistic regression was used to produce odds ratios adjusted for age and gender. Results A total of 184 cases (105 boys, 79 girls), average age 98.5 months (range 26 to 179) were compared with 179 controls (94 boys, 85 girls) average age 83.7 months (range 35–193). Of the cases 136 (74%) had one or more signs described in anal abuse, compared to 29 (16%) controls. 79 (43%) cases and 2 (1.1%) controls had >1 sign. Reflex anal dilatation (RAD) and venous congestion were seen in 22% and 36% of cases but <1% of controls (likelihood ratios (LR) 40, 60 respectively), anal fissure in 14% cases and 1.1% controls (LR 13), anal laxity in 27% cases and 3% controls (LR 10). Novel signs seen significantly more commonly in cases were anal fold changes, swelling and twitching. Erythema, swelling and fold changes were seen most commonly within 7 days of last reported contact; RAD, laxity, venous congestion, fissure and twitching were observed up to 6 months after the alleged assault. Conclusions Anal findings are more common in children alleging anal abuse than in those presenting with physical abuse or neglect with no concern about sexual abuse. Multiple signs are rare in controls and support disclosed anal abuse. PMID:24884914

  12. Using ecosystem services in decision-making to support sustainable development: Critiques, model development, a case study, and perspectives.

    PubMed

    Zagonari, Fabio

    2016-04-01

    In this paper, I propose a general, consistent, and operational approach that accounts for ecosystem services in a decision-making context: I link ecosystem services to sustainable development criteria; adopt multi-criteria analysis to measure ecosystem services, with weights provided by stakeholders used to account for equity issues; apply both temporal and spatial discount rates; and adopt a technique to order performance of the possible solutions based on their similarity to an ideal solution (TOPSIS) to account for uncertainty about the parameters and functions. Applying this approach in a case study of an offshore research platform in Italy (CNR Acqua Alta) revealed that decisions depend non-linearly on the degree of loss aversion, to a smaller extent on a global focus (as opposed to a local focus), and to the smallest extent on social concerns (as opposed to economic or environmental concerns). Application of the general model to the case study leads to the conclusion that the ecosystem services framework is likely to be less useful in supporting decisions than in identifying the crucial features on which decisions depend, unless experts from different disciplines are involved, stakeholders are represented, and experts and stakeholders achieve mutual understanding. Copyright © 2016 Elsevier B.V. All rights reserved.

  13. Struggling to be seen and heard: the underserved and unserved populations.

    PubMed

    Cheng, Li-Rong Lilly

    2014-01-01

    The purpose of this paper is to provide some current information on the topic of the underserved and unserved populations including modern-day slaves, stateless/displaced persons, refugees/migrants and indigenous populations. Speech-language pathology education and services for the underserved as well as unserved populations are discussed. Three case studies which demonstrate knowledge transfer and exchange as potential models for future development are presented. These case studies lead to more inquiries, studies, innovations and involvement from individuals and groups who are concerned about the underserved and unserved populations. © 2015 S. Karger AG, Basel.

  14. Time since death and decomposition of the human body: variables and observations in case and experimental field studies.

    PubMed

    Mann, R W; Bass, W M; Meadows, L

    1990-01-01

    Much of the difficulty in determining the time since death stems from the lack of systematic observation and research on the decomposition rate of the human body. Continuing studies conducted at the University of Tennessee, Knoxville, provide useful information on the impact of carrion insect activity, ambient temperature, rainfall, clothing, burial and depth, carnivores, bodily trauma, body weight, and the surface with which the body is in contact. This paper reports findings and observations accumulated during eight years of research and case studies that may clarify some of the questions concerning bodily decay.

  15. [Extra skeletal Ewing's sarcoma. Report of two cases. Ultrastructural study of one case (author's transl)].

    PubMed

    Krulik, M; Brechot, J M; de Saint-Maur, P; Lecomte, D; Mougeot-Martin, M; Audebert, A A; Zylberait, D; Debray, J

    The authors report two cases of extra skeletal Ewing's sarcoma. The first case concerns a 26 years old woman presenting a tumor at the level of the sacrum area, locally recurrent, metastazing to the lungs and the lumbar column, despite of radiotherapy and chemotherapy and leading to death after a course of 18 months. The second one is that of a 30 years old man bearing a tumor of the shoulder area probably already metastazed to bones, rapidly recurrent and metastazing to the lungs and cause of death after 9 months in spite of intensive therapy. About these 2 observations a review of the literature of the cases of extra skeletal Ewing's sarcoma is done. Whatever nosologic discussion it seems that Ewing's sarcoma may present essentially as a tumor of soft tissues. An ultrastructural study has been performed in the second case. The findings are similar to those reported in Ewing's sarcoma.

  16. [Placement of children and adolescents following seclusion and restraint actions–a study on family-court approvals of minors in youth welfare, child and adolescent psychiatry and jail according to Para. 1631 German Civil Code].

    PubMed

    Kölch, Michael; Vogel, Harald

    2016-01-01

    According to German law (Para. 1631b German Civil Code), the placement of children and adolescents following seclusion and restraint actions must be approved by a family court. We analyzed the family court data of a court district in Berlin (Tempelhof-Kreuzberg) concerning cases of “placement of minors” between 2008 and 2011. A total of 474 such procedures were discovered. After data clearing and correction of cases (e. g., because of emergency interventions of the youth welfare system taking children into custody according to Para. 42, German Civil Code VIII), 376 cases remained. Of these 376 procedures in the years 2008 to 2011, 127 cases concerned children and adolescents according to Para. 1631b German Civil Code, and 249 procedures were settled either by dismissal, withdrawal or by repealing the initial decision to place the child with restrain or seclusion by means of an interim order or by filing an appeal against the final decision. Of the 127 procedures, 68 concerned girls, who were on average slightly younger than boys (14.5 years vs. 15.1 years). In two thirds of the procedures, the children and adolescents were German citizens. The majority of youths involved were living at home at the time of the procedure, but in 15 % of the case the youths were homeless. Most of the adolescents were treated with restraint in child and adolescent psychiatry. The most frequently quoted reasons for seclusion were substance abuse, suicide risk and running away from home/being homeless.

  17. Interventional cardiology live case presentations: regulatory considerations.

    PubMed

    Farb, Andrew; Brown, Sheila A; Wolf, Deborah A; Zuckerman, Bram

    2010-10-01

    Live case presentations are increasingly common at interventional cardiology conferences. Taking advantage of significant advances in communication technology, broadcasts of procedures can be viewed as an extension of traditional medical education targeted to large groups of practitioners. However, there are important ethical, commercial, and patient safety issues associated with live cases that deserve attention. Use of investigational devices in live case demonstrations is subject to review and approval by FDA's Center for Devices and Radiological Health (CDRH), and the outcomes of patients participating in live cases are considered in the overall clinical study results. This article discusses CDRH's regulatory view of live case presentations with a focus on patient safety, clinical trial integrity, and concerns regarding improper medical device promotion. © 2010 Wiley-Liss, Inc.

  18. Interventional cardiology live case presentations regulatory considerations.

    PubMed

    Farb, Andrew; Brown, Sheila A; Wolf, Deborah A; Zuckerman, Bram

    2010-10-01

    Live case presentations are increasingly common at interventional cardiology conferences. Taking advantage of significant advances in communication technology, broadcasts of procedures can be viewed as an extension of traditional medical education targeted to large groups of practitioners. However, there are important ethical, commercial, and patient safety issues associated with live cases that deserve attention. Use of investigational devices in live case demonstrations is subject to review and approval by FDA's Center for Devices and Radiological Health (CDRH), and the outcomes of patients participating in live cases are considered in the overall clinical study results. This article discusses CDRH's regulatory view of live case presentations with a focus on patient safety, clinical trial integrity, and concerns regarding improper medical device promotion. Copyright © 2010. Published by Elsevier Inc.

  19. Emergency contraception: why can't you give it away? Qualitative findings from an evaluation of advance provision of emergency contraception.

    PubMed

    Fairhurst, Karen; Ziebland, Sue; Wyke, Sally; Seaman, Peter; Glasier, Anna

    2004-07-01

    The Lothian Emergency Contraception Project (LECP)--a primary care-based intervention to offer advance supplies of emergency contraception (EC) to women aged 16-29 was not associated with a reduction in abortion rates. We undertook case studies, utilizing qualitative and quantitative methods, to evaluate the intervention. In this article we present findings from qualitative interviews with 44 primary care professionals working at case study sites and 22 women who had received advance supplies to explain this failure. Professionals reported that women rarely asked for advance supplies of EC and they were reluctant to offer supplies to women because of concerns about contradictory sexual health messages implied by the offer, a perceived association of EC use with chaotic behavior by women, views about the sort of women suitable for advance supplies and practical difficulties making the offer. Women were reluctant to ask for advance supplies because of misgivings about the appropriateness of offering advance supplies to everybody and concerns about being judged by health professionals as morally inadequate. If advance provision of EC is to be successful in reducing abortion rates, professionals must address their concerns about EC and develop imaginative ways of encouraging women most at risk of unwanted pregnancy to take supplies home.

  20. Getting ocean acidification on decision makers' to-do lists: dissecting the process through case studies

    USGS Publications Warehouse

    Cooley, Sarah R.; Jewett, Elizabeth B.; Reichert, Julie; Robbins, Lisa L.; Shrestha, Gyami; Wieczorek, Dan; Weisberg, Stephen B.

    2015-01-01

    Much of the detailed, incremental knowledge being generated by current scientific research on ocean acidification (OA) does not directly address the needs of decision makers, who are asking broad questions such as: Where will OA harm marine resources next? When will this happen? Who will be affected? And how much will it cost? In this review, we use a series of mainly US-based case studies to explore the needs of local to international-scale groups that are making decisions to address OA concerns. Decisions concerning OA have been made most naturally and easily when information needs were clearly defined and closely aligned with science outputs and initiatives. For decisions requiring more complex information, the process slows dramatically. Decision making about OA is greatly aided (1) when a mixture of specialists participates, including scientists, resource users and managers, and policy and law makers; (2) when goals can be clearly agreed upon at the beginning of the process; (3) when mixed groups of specialists plan and create translational documents explaining the likely outcomes of policy decisions on ecosystems and natural resources; (4) when regional work on OA fits into an existing set of priorities concerning climate or water quality; and (5) when decision making can be reviewed and enhanced.

  1. Further Concerns About Glutamine: A Case Report on Hyperammonemic Encephalopathy.

    PubMed

    Cioccari, Luca; Gautschi, Matthias; Etter, Reto; Weck, Anja; Takala, Jukka

    2015-10-01

    We report a case of a woman with hyperammonemic encephalopathy following glutamine supplementation. Case report. Plasma amino acid analysis suggestive of a urea cycle defect and initiation of a treatment with lactulose and the two ammonia scavenger drugs sodium benzoate and phenylacetate. Together with a restricted protein intake ammonia and glutamine plasma levels decreased with subsequent improvement of the neurological status. Massive catabolism and exogenous glutamine administration may have contributed to hyperammonemia and hyperglutaminemia in this patient. This case adds further concerns regarding glutamine administration to critically ill patients and implies the importance of monitoring ammonia and glutamine serum levels in such patients.

  2. Development of a tissue engineered heart valve for pediatrics: a case study in bioengineering ethics.

    PubMed

    Merryman, W David

    2008-03-01

    The following hypothetical case study was developed for bioengineering students and is concerned with choosing between two devices used for development of a pediatric tissue engineered heart valve (TEHV). This case is intended to elicit assessment of the devices, possible future outcomes, and ramifications of the decision making. It is framed in light of two predominant ethical theories: utilitarianism and rights of persons. After the case was presented to bioengineering graduate students, they voted on which device should be released. The results revealed that these bioengineering students preferred the more reliable (and substantially more expensive) design, though this choice precludes the majority of the world from having access to this technology. This case is intended to examine and explore where the balance lies between design, cost, and adequate distribution of biomedical devices.

  3. What ethics for case managers? Literature review and discussion.

    PubMed

    Corvol, Aline; Moutel, Grégoire; Somme, Dominique

    2016-11-01

    Little is known about case managers' ethical issues and professional values. This article presents an overview of ethical issues in case managers' current practice. Findings are examined in the light of nursing ethics, social work ethics and principle-based biomedical ethics. A systematic literature review was performed to identify and analyse empirical studies concerning ethical issues in case management programmes. It was completed by systematic content analysis of case managers' national codes of ethics. Only nine empirical studies were identified, eight of them from North America. The main dilemmas were how to balance system goals against the client's interest and client protection against autonomy. Professional codes of ethics shared important similarities, but offered different responses to these two dilemmas. We discuss the respective roles of professional and organizational ethics. Further lines of research are suggested. © The Author(s) 2015.

  4. Small-cell carcinoma of the urinary bladder: where do we stand?

    PubMed Central

    GHERVAN, LIVIU; ZAHARIE, ANDREEA; ENE, BOGDAN; ELEC, FLORIN I.

    2017-01-01

    Small-cell carcinoma of the urinary bladder is a very rare pathology, but with a very aggressive behavior and disappointing prognosis. The literature concerning this type of cancer is scarce and physicians may encounter difficulty trying to manage it. Most articles involve the study of case series, without definite results due to the small number of patients. The present article aims at gathering the most significant articles and results in order to offer a broad perspective on the existing literature concerning this pathology. PMID:28246491

  5. High prevalence of multidrug resistant tuberculosis in Djibouti: a retrospective study.

    PubMed

    Boyer-Cazajous, Géraldine; Martinaud, Christophe; Déhan, Céline; Hassan, Mohammed Osman; Gaas, Yassin; Chenilleau-Vidal, Marie-Caroline; Soler, Charles

    2014-02-13

    The Republic of Djibouti is an African country that exhibits one of the highest incidence rate of tuberculosis in the world. The aim of this study was to evaluate the prevalence of multidrug-resistant tuberculosis among new cases. We studied retrospectively every tuberculosis case diagnosed over a 12-month period in patients hospitalized at the French Military Hospital of Bouffard. During this period, 1,274 samples from 675 patients were tested. We isolated 266 mycobacteria corresponding to 180 cases of tuberculosis. Thirty-three were fully susceptible and 57% met the tuberculosis criteria, with 46% primary resistance. No extensively-drug-resistant tuberculosis was found. Our results highlight a major concern about the situation in this part of the world.

  6. The Welfare of Bears in Zoos: A Case Study of Poland.

    PubMed

    Maślak, Robert; Sergiel, Agnieszka; Bowles, David; Paśko, Łukasz

    2016-01-01

    The welfare of captive bears became a big issue of concern in Poland when a case of a bear being ill-treated became a high-profile case in the media. This case created a challenge to verify, study, and understand the main problems associated with bear keeping so that zoos could significantly improve the conditions in which they keep bears or ensure they keep bears at the minimum required standards. The results presented here are from 1 of the few countrywide studies of captive bear conditions conducted in all the captive institutions in Poland that keep bears. Thirteen institutions kept bears at the time of the study (2007-2009), including 54 individuals of 5 species. Major welfare problems were identified, and the results have been used to challenge zoos to address the changes required and focus the government's attention on areas that require legislative improvement.

  7. Turkey Creek—a case study of ecohydrology and integrated watershed management in the low-gradient Atlantic Coastal Plain, USA

    Treesearch

    Devendra Amatya; Timothy Callahan; William Hansen; Carl Trettin; Artur Radecki-Pawlik; Patrick Meire

    2015-01-01

    Water yield, water supply and quality, wildlife habitat, and ecosystem productivity and services are important societal concerns for natural resource management in the 21st century. Watershed-scale ecohydrologic studies can provide needed context for addressing complex spatial and temporal dynamics of these functions and services. This study was...

  8. Knowledge Transmitter, Social Scientist or Reflective Thinker: Three Images of the Practitioner in Western Australia High Schools.

    ERIC Educational Resources Information Center

    Carter, D. S. G.

    1990-01-01

    Analyzes three case studies, each representing one of the social studies teaching styles identified by D. S. G. Carter and R. G. Hacker: the knowledge transmitter, emphasizing content; the social scientist concerned with student development; and the reflective thinker, favoring process. Purpose of study was to ascribe meaning to the typology. Used…

  9. The Evaluation of the Studies Related to the New Curriculum of Physics Course: The Case of Turkey

    ERIC Educational Resources Information Center

    Ergin, Ismet

    2013-01-01

    The aim of this study is to state the points when choosing a method in studies concerning physics course new curriculum by evaluating researches whose topics are secondary physics course curriculum (in Turkey) in terms of subject, objective, method and consequences. 24 researches conducted within the lines of secondary physics course curriculum…

  10. Human Capital Problems in Zimbabwean Rural Schools: A Case Study of Mazowe District

    ERIC Educational Resources Information Center

    Zvavahera, Promise

    2014-01-01

    This study focused on the management of human capital in Zimbabwean rural schools. It was observed that teachers in rural schools preferred urban postings which turned out to have better facilities and incentives. Rural to urban migration of teachers is a cause for concern in Mazowe District. This study was motivated by the high teacher-turnover…

  11. Using Wikipedia to Enhance Student Learning: A Case Study in Economics

    ERIC Educational Resources Information Center

    Freire, Tiago; Li, Jingping

    2016-01-01

    Currently, there is widespread interest in how Web 2.0 tools can be used to improve students' learning experiences. Previous studies have focused either on the advantages of wikis or on concerns over the use of Wikipedia. In this study, we propose to use Wikipedia as a classroom wiki. In doing so, we discuss how students can improve their standard…

  12. mHealth: Don't Forget All the Stakeholders in the Business Case.

    PubMed

    Petersen, Carolyn; Adams, Samantha A; DeMuro, Paul R

    2015-12-31

    Mobile health (mHealth) facilitates linking patient-generated data with electronic health records with clinical decision support systems. mHealth can transform health care, but to realize this potential it is important to identify the relevant stakeholders and how they might be affected. Such stakeholders include primary stakeholders, such as patients, families and caregivers, clinicians, health care facilities, researchers, payors and purchasers, employer, and miscellaneous secondary stakeholders, such as vendors, suppliers, distributors, and consultants, policy makers and legislators. The breadth and depth of the mHealth market make it possible for mHealth to have a considerable effect on people's health. However, many concerns exist, including privacy, data security, funding, and the lack of case studies demonstrating efficacy and cost-effectiveness. Many American and European initiatives to address these concerns are afoot.

  13. Innovating towards Sustainable Agriculture: A Greek Case Study

    ERIC Educational Resources Information Center

    Koutsouris, Alex

    2008-01-01

    Agronomists (scientists and extensionists), despite the emergence of interactive approaches, still have troubles with (the introduction of) innovations, such as sustainable forms of agriculture. This article critically addresses such difficulties based on the evaluation of a project mainly concerning the introduction of Integrated Crop Management…

  14. INTEGRATING MODELS WITH STAKEHOLDER PREFERENCE OF WATER QUALITY INDICATORS: A CASE STUDY OF LAKE LANIER, GEORGIA, USA

    EPA Science Inventory

    One important aspect of Integrated Environmental Assessment is combining a scientific expertise and stakeholder concerns. Here, we propose a method to integrate stakeholder preferences, in particular preferences of stakeholders with differing environmental perspectives with a se...

  15. 'Jones Hybrid' hickory: A case study in Carya curation

    USDA-ARS?s Scientific Manuscript database

    'Jones Hybrid' hickory is an accession in the National Collection of Genetic Resources for Pecans and Hickories that was inherited with little information concerning its origination, its identity or its characteristics. It has been phenotypically and genetically profiled and is described here. Tha...

  16. Science Education Notes.

    ERIC Educational Resources Information Center

    School Science Review, 1979

    1979-01-01

    Included is information regarding: the adaptation of microcomputer materials in physics curricula; a school-industry liaison case study involving basic electronics for teachers; the use of language in science lessons; problems in teaching image-synthesis skills; and tabulated results of a questionnaire concerning a ten-year span of organic…

  17. Leveraging Community Resources: Creating Successful Partnerships to Improve Schools

    ERIC Educational Resources Information Center

    Aidman, Barry; Baray, Sarah Nelson

    2016-01-01

    Educational leaders increasingly acknowledge the importance of developing partnerships to address pressing and persistent educational concerns. This article reports the results of a qualitative case study that examined an exurban district's efforts to improve educational outcomes through the development of multisector partnerships with community…

  18. The Significance of Leadership Style.

    ERIC Educational Resources Information Center

    Goldman, Elise

    1998-01-01

    In a learning environment, leadership style reflects a leader's deeply held educational beliefs, which are mirrored in the school's culture. Case studies illustrate how the leadership styles of three principals affect school ambience. Good leadership practice means acknowledging each person's differing gifts, strengths, and concerns, and utilizing…

  19. PREDICTING CHANGES USING MULTI-DATE SATELLITE IMAGERY: SAN PEDRO RIVER CASE STUDY

    EPA Science Inventory

    .
    Vegetation change in the American West has been a subject of concern throughout the twentieth century. Although many of the changes have been recorded qualitatively through the use of comparative photography and historical reports, little quantitative information has been a...

  20. Challenges facing the veterinary profession in Ireland: 2. On-farm use of veterinary antimicrobials.

    PubMed

    Magalhães-Sant'Ana, Manuel; More, Simon J; Morton, David B; Hanlon, Alison J

    2017-01-01

    Antimicrobial resistance has emerged in recent years as a significant public health threat, which requires both an ethical and a scientific approach. In a recent Policy Delphi study, on-farm use of antimicrobials was a key concern identified by veterinary professionals in Ireland. In this case study (the second in a series of three resulting from a research workshop exploring the challenges facing the veterinary profession in Ireland; the other two case studies investigate clinical veterinary services and emergency/casualty slaughter certification) we aim to provide a value-based reflection on the constraints and possible opportunities for responsible use of veterinary antimicrobials in Ireland. Using a qualitative focus group approach, this study gathered evidence from relevant stakeholders, namely veterinarians working in public and private organisations, a representative from the veterinary regulatory body, a dairy farmer and a general medical practitioner. Three overarching constraints to prudent on-farm use of veterinary antimicrobials emerged from the thematic analysis: 'Defective regulations', 'Lack of knowledge and values' regarding farmers and vets and 'Farm-centred concerns', including economic and husbandry concerns. Conversely, three main themes which reflect possible opportunities to the barriers were identified: 'Improved regulations', 'Education' and 'Herd health management'. Five main recommendations arose from this study based on the perspectives of the study participants including: a) the potential for regulatory change to facilitate an increase in the number of yearly visits of veterinarians to farms and to implement electronic prescribing and shorter validity of prescriptions; b) a 'One Health' education plan; c) improved professional guidance on responsible use of veterinary antimicrobials; d) improved on-farm herd health management practices; and e) the promotion of a 'One Farm-One Vet' policy. These findings may assist Veterinary Council of Ireland and other competent authorities when revising recommendations concerning the prudent use of veterinary antimicrobials in farmed animals.

  1. The identification of living persons on images: A literature review.

    PubMed

    Gibelli, D; Obertová, Z; Ritz-Timme, S; Gabriel, P; Arent, T; Ratnayake, M; De Angelis, D; Cattaneo, C

    2016-03-01

    Personal identification in the forensic context commonly concerns unknown decedents. However, recently there has been an increase in cases which require identification of living persons, especially from surveillance systems. These cases bring about a relatively new challenge for forensic anthropologists and pathologists concerning the selection of the most suitable methodological approaches with regard to the limitations of the photographic representation of a given person for individualization and identity. Facial features are instinctively the primary focus for identification approaches. However, other body parts (e.g. hands), and body height and gait (on videos) have been considered in cases of personal identification. This review aims at summarizing the state-of-the-art concerning the identification of the living on images and videos, including a critical evaluation of the advantages and limitations of different methods. Recommendations are given in order to aid forensic practitioners who face cases of identification of living persons. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  2. Review of ecological-based risk management approaches used at five Army Superfund sites.

    PubMed

    Poucher, Sherri L; Tracey, Gregory A; Johnson, Mark S; Haines, Laurie B

    2012-04-01

    Factors used in environmental remedial decision making concerning ecological risk are not well understood or necessarily consistent. Recent Records of Decision (RODs) for Army CERCLA sites were reviewed to select case studies where remedial management occurred in response to ecological risks. Thirty-four Army RODs were evaluated representing decisions promulgated between 1996 and 2004. Five were selected based on assessments that remedial actions were clearly linked to concern for ecological receptors. The Ecological Risk Assessment (ERA) approach and the subsequent risk management process were reviewed for each site. The case studies demonstrated that the ERA findings, as well as critical management decisions regarding interpretation of identified ecological risks, were determinants of remedial action objectives. Decisions regarding the selection of remedial alternatives were based on a set of criteria prescribed by Superfund requirements and guidance. Remedial alternative evaluations require protection of human health and the environment, but protective conditions were determined using different methods at each site. Examining the remedial management process for the 5 case study sites revealed that uncertainty in the risk assessment and decisions regarding appropriate spatial scales for both risk assessment and remediation were important factors influencing remedial action decisions. The case reviews also revealed that levels of documentation were variable from site to site. In the future, more detailed documentation of decision criteria and the development of criteria that consider the resilience of the site will result in more technically defensible ecological risk management. Copyright © 2011 SETAC.

  3. Non-solar ultraviolet radiation and the risk of basal and squamous cell skin cancer.

    PubMed Central

    Bajdik, C. D.; Gallagher, R. P.; Astrakianakis, G.; Hill, G. B.; Fincham, S.; McLean, D. I.

    1996-01-01

    A case-control study of non-melanocytic skin cancer was conducted among men in the province of Alberta, Canada. Two hundred and twenty-six cases of basal cell carcinoma (BCC), 180 cases of squamous cell carcinoma (SCC) and 406 age-matched controls provided information concerning skin pigmentation, occupational history, recreational activity, exposure to sunlight and sources of non-solar ultraviolet radiation (NSUVR) and other potential risk factors. Our analyses show no evidence of elevated risk for BCC or SCC among subjects exposed to various types of NSUVR. This is in opposition to studies of melanoma that have shown elevated risks for exposure to fluorescent lighting, sunlamps and sunbeds. PMID:8664139

  4. A case study of the influences of audience and purpose on the composing processes of an engineer

    NASA Technical Reports Server (NTRS)

    Stalnaker, B. J.

    1981-01-01

    The design and preliminary findings of a study of composing processes (on the job) of engineers, managers, and scientists is presented. The influences of audience and purpose on the composing process of engineers was of concern; specifically, the cognitive processes, physical behaviors, and factors that influence the evoluton of a piece of writing. An overview of the study, related literature, outlines of research design, and preliminary findings from a case study of engineers are given. It is suggested that teaching be adapted to help students learn to represent rhetorical problems to guide composing for effective writing.

  5. Perceptions of Lawyers on Career Transition, Transferable Skills, and Preparation for Community College Leadership

    ERIC Educational Resources Information Center

    Nguyen, Thomas T.

    2014-01-01

    The purpose of this qualitative case study was to examine perspectives of attorneys who have transitioned into community college leadership. The study sought to answer questions concerning why attorneys decided to change careers, how they transition into new careers, and to what extent their legal backgrounds helped them in educational leadership.…

  6. The University of Vermont College of Medicine.

    ERIC Educational Resources Information Center

    Kaufman, Martin

    This study of the origin and history of the University of Vermont College of Medicine begins with the appointment of John Pomeroy to the faculty in 1804, and traces the years that followed. Chiefly concerned with the individuals who were involved, it is a case study of the responses of one small medical school to reform movements, and its ability…

  7. Strategies for Institutional Transformation: A Multi-Case Study of the Chief Diversity Officer Position

    ERIC Educational Resources Information Center

    Leon, Raul Alejandro

    2010-01-01

    This study is concerned with the fact that many colleges and universities have adopted strategic diversity plans, but many still fall short of reaping the benefits that diversity brings to the college environment (Milem, Chang, & Antonio, 2005). Today, several colleges and universities have developed a chief diversity officer (CDO) position to…

  8. How Do Visitors Relate to Biodiversity Conservation? An Analysis of London Zoo's "BUGS" Exhibit

    ERIC Educational Resources Information Center

    Chalmin-Pui, Lauriane Suyin; Perkins, Richard

    2017-01-01

    Using a case study of London Zoo's BUGS (Biodiversity Underpinning Global Survival) exhibit, this article assesses the role of experiential learning in raising biodiversity knowledge, concern and potential pro-conservation actions. Using Personal Meaning Mindmapping, a novel method in visitor research, the study examines how adult visitors relate…

  9. A Case Study of Local Needs for Information on Industrial Development. Extension Studies 55.

    ERIC Educational Resources Information Center

    Fuller, Theodore E.; Turner, Francis C.

    In order to identify some basic types of information concerning industrial development which might be useful to decision-makers at the local level, an opinion survey was conducted in five bordering nonmetropolitan Pennsylvania counties. A 13-item questionnaire was mailed to 222 local organizations, categorized by response rate as follows: (1)…

  10. Applied vs Basic Research: On Maintaining Your Balance with a Foot in Each Camp.

    ERIC Educational Resources Information Center

    Martin, David W.

    The paper discusses a number of issues concerning the practical usefulness of cognitive psychology research, and presents a case study of pilot training methods to illustrate a model of research processes that produces outcomes which contribute to both basic and applied research goals. Research studies are described as varying in the degree to…

  11. Perceptions toward the Value of Higher Education for Hotel Professionals in Las Vegas: A Case Study

    ERIC Educational Resources Information Center

    Deel, Gary Lee

    2015-01-01

    This study concerns a qualitative investigation of the views toward higher education and its importance to hospitality career success among hotel professionals in the Las Vegas, Nevada area. Existing literature supported the premise that education may be important to professional career success in several different ways, and that values concerning…

  12. Adoption of an Outdoor Residential Hall Smoking Policy in a California Public University: A Case Study

    ERIC Educational Resources Information Center

    Garg, Trit; Fradkin, Nicholas; Moskowitz, Joel M.

    2011-01-01

    Objective: Because secondhand smoke is a public health concern, many colleges have adopted bans to ensure healthier environments. This study demonstrates how outdoor smoking policy change can be accomplished at a large public university. Participants: The participants were 1,537 students housed in residential communities at the University of…

  13. Sudanese Young People Building Capital in Rural Australia: The Role of Mothers and Community

    ERIC Educational Resources Information Center

    Santoro, Ninetta; Wilkinson, Jane

    2016-01-01

    This article draws on an ethnographic study that consisted of in-depth case studies of eight Sudanese young people of refugee background living in rural Australia. Prompted by concern over deficit views of young refugees that pervade educational literature, we aimed to understand what facilitates their successful resettlement into Australian rural…

  14. Boundaries to Instructional Use of Facebook in Higher Education: A Grounded Theory Collective Case Study

    ERIC Educational Resources Information Center

    Whitehurst, Jodi Nicole

    2015-01-01

    The pervasive use of Facebook by college students has prompted educators in higher education to explore ways in which this social media platform could be used for instructional purposes. However, findings concerning Facebook in higher education instruction have been mixed. Furthermore, some studies have indicated significant boundaries to the…

  15. Management of a river recreation resource: the Lower Kananaskis River--a case study

    Treesearch

    Kimberley Rae; Paul F.J. Eagles

    2008-01-01

    This study examined recreational use of the Lower Kananaskis River in Southwestern Alberta, Canada. Surveys and participant observations helped develop a better understanding of current use levels and interviews with key policy leaders explored management issues and concerns. Users suggested the need for improvements to river infrastructure both on and off the river....

  16. Just One of the Boys? A Life History Case Study of a Male Physical Education Teacher

    ERIC Educational Resources Information Center

    Wedgwood, Nikki

    2005-01-01

    Studies of physical education teacher training have already established that hegemonic forms of masculinity are reinforced and reproduced both in the hidden curriculum (Flintoff, 1997) and the informal student culture (Skelton, 1993). Given this, an important feminist concern is whether male PE teachers whose own masculine identities are anchored…

  17. IGeneration: A Study in Challenge Based Learning at a Small Private University

    ERIC Educational Resources Information Center

    Hift, Jodi A.

    2013-01-01

    Faculty-buy in is an essential component of successful technology integration processes at the Higher Education level. The goal of this case study was to assess the University faculty's role in the utilization of Challenge Based Learning while teaching undergraduate students. Did the University have the faculty's support and buy-in concerning the…

  18. Leadership and Gender in Higher Education: A Case Study

    ERIC Educational Resources Information Center

    Young, Paula

    2004-01-01

    Literature concerning leadership styles in HE provides no distinct view on whether style relates to gender. Transformational styles are regarded by some as particularly suited to times of change, and likely to be adopted by women; but others argue such styles are unsuited to HE. In a study of leadership within an institute of higher education…

  19. Applying Agar's Concept of "Languaculture" to Explain Asian Students' Experiences in the Australian Tertiary Context

    ERIC Educational Resources Information Center

    Norris, Lindy; Tsedendamba, Nara

    2015-01-01

    This paper reports part of a broader qualitative case study of Asian students "translation" (Agar, 2006) to study in an Australian university. The paper is concerned with the experiences of eight participants and their involvement in a training programme in the use of language learning strategies (LLS) to support their engagement with…

  20. Individual Differences in Beginning Composing: An Orchestral Vision of Learning To Write. Technical Report No. 9.

    ERIC Educational Resources Information Center

    Dyson, Anne Haas

    A participant observation study of a primary grade classroom, in which three first grade students were selected as case study subjects, illustrates the range of workstyles of beginning writers. Primary grade teachers are often concerned that their students are not producing writing comparable with their capabilities, but educators' conceptions of…

  1. Ethic's Askew: A Case Study of Ethics in an Educational Environment

    ERIC Educational Resources Information Center

    Shurden, Susan; Santandreu, Juan; Shurden, Mike

    2010-01-01

    For a formal definition of ethics, Webster's New World Dictionary (1995) defines the term as "the study of standards of conduct and moral judgment". Ethics is important to individuals because we are concerned with what leaders do and who they are--their conduct and character. "Conduct" is a word that implies behavior. Behavior…

  2. Personal Information Sharing Behaviors of College Students via the Internet and Online Social Networks: A Case Study

    ERIC Educational Resources Information Center

    Flinn, Michael Bradley

    2009-01-01

    With privacy concerns growing on a daily basis, it is important to understand how college students guard their personally identifiable information. Despite the students' perceived readiness and several studies on the topic, it is not fully understood what personally identifiable information college students are sharing via online social networks…

  3. A Holistic Approach to Supporting the Learning of Young Indigenous Students: One Case Study

    ERIC Educational Resources Information Center

    Warren, Elizabeth; Quine, Janine

    2013-01-01

    Due to the high turnover of teaching staff in remote schools, the long-term sustainability of educational initiatives that enhance Indigenous student's learning is a major concern. This article presents a study of a remote Indigenous school (Ischool) situated in Queensland. Ischool has changed its approach to leadership, particularly the…

  4. Examining Transformative Faculty Development Factors to Advance Technology Adoption and Diffusion at a Campus-Based Institution

    ERIC Educational Resources Information Center

    McKissic, Stephanie Camille

    2012-01-01

    The purpose of this mixed-method research, in the context of a case study was to examine faculty concerns with integrating technologies and the influences and motivations that lead to technology adoption and diffusion in the classroom. Specifically, the study examined the conceptual frameworks of Rogers' Innovation Diffusion Theory (IDT) and…

  5. A Comparative Study of Backgrounds and Attitudes of Community College Academic Staff.

    ERIC Educational Resources Information Center

    Melone, Rudolph Joseph

    Community colleges should be responsive to the shifting needs of society. As in the case of other organizations, however, the ability to initiate and adapt to the necessary changes is dependent on the attitudes and backgrounds of the people in the institution. A primary concern of this study was determining whether junior colleges accept the…

  6. A Case Study of Online Peer Coaching of Consultant Communication Skill Development

    ERIC Educational Resources Information Center

    Wizda, Lorraine L.

    2010-01-01

    The purpose of the this study was to explore how peer coaches support the development of collaborative communication skills in an online format for consultants in training (CITs). The program examined was Instructional Consultation which pairs a consultant with a teacher to work collaboratively to resolve the teacher's concern regarding a student.…

  7. Factors Contributing to E-Learning Success: A Case Study in the Hashemite University

    ERIC Educational Resources Information Center

    Al-Khasawneh, Ahmad; Obeidallah, Randa

    2015-01-01

    This paper is concerned with the improvement of teaching and learning process through the adoption of Information and Communication Technology (ICT) and e-learning in Jordanian higher education institutions particularly in The Hashemite University (HU). The main challenge of the study is to provide such an understanding of how ICT and e-learning…

  8. Factors That Influence Self-Disclosure for Job Seekers Using Social Networking: A Qualitative Case Study

    ERIC Educational Resources Information Center

    Moss, Michael D.

    2013-01-01

    This study investigated factors that influence the extent and type of information job seekers reveal about themselves when using social networking to search for employment opportunities and advance their careers. It examined how user concerns regarding privacy influence the level of content they provide and their interactions with fellow community…

  9. Examining Current Beliefs, Practices and Barriers about Technology Integration: A Case Study

    ERIC Educational Resources Information Center

    Hsu, Pi-Sui

    2016-01-01

    The purpose of this mixed-methods study was to examine the current beliefs, practices and barriers concerning technology integration of Kindergarten through Grade Six teachers in the midwestern United States. The three data collection methods were online surveys with 152 teachers as well as interviews and observations with 8 teachers. The findings…

  10. Tea consumption may decrease the risk of osteoporosis: an updated meta-analysis of observational studies.

    PubMed

    Guo, Ming; Qu, Hua; Xu, Lin; Shi, Da-Zhuo

    2017-06-01

    Several epidemiological investigations have evaluated the correlation between tea consumption and risk of osteoporosis, but the results are inconsistent. Therefore, we conducted an updated meta-analysis of observational studies to assess this association. We searched for all relevant studies including cohort, cross-sectional, and case-control studies published from database inception to July 15, 2016, using MEDLINE EMBASE, and Cochrane Library. Polled odds ratios (ORs) were calculated using the random-effect model. Fourteen articles (16 studies) that examined 138523 patients were included in this meta-analysis. Seven studies concerning bone mineral density (BMD) showed an increase in BMD with tea consumption, including 4 cross-sectional studies (OR, 0.04, 95% confidence interval [CI], 0.01-0.08) and 3 cohort studies (OR, 0.01; 95% CI, 0.01-0.01). The remaining 9 studies concerning fracture, including 6 case-control studies and 3 cohort studies, showed no association between tea consumption and osteoporotic fracture (OR, 0.86; 95% CI, 0.74-1.01). This updated meta-analysis demonstrates that tea consumption could increase BMD, but the association with osteoporotic fracture requires further investigation. Together, the results highlight the need for future, high-quality-designed clinical trials on tea consumption and osteoporosis. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Women convicted of a sexual offence, including child pornography production: two case reports.

    PubMed

    Prat, S; Bertsch, I; Chudzik, L; Réveillère, Ch

    2014-03-01

    All available studies addressing the clinical and legal aspects of child pornography have systematically concerned male abusers. The social lens through which women are viewed tends to play down their responsibility in the sexual abuse of children. Unlike men, women rarely abuse children outside the close or family circle. Furthermore, they have frequently been abused themselves in their childhood. To our knowledge, no cases of women charged with sex-related offences, including child pornography, have been described in the literature. The psychopathological characteristics of female sexual abusers and of the two women in our cases tend to suggest that the deliberate downloading of child pornography images by women is unusual, as their deviant behaviour is not related to paedophile sexual arousal It is hypothesized that the act enables women perpetrators to satisfy the sexual urges of their spouse. Sexual abuse by women exists, but the nature of the abuse appears to be specific to the gender of the perpetrator. We present two cases of women charged with sexual offences concerning minors, including the production of child pornography material. Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  12. [Anticoagulation and peripartum management].

    PubMed

    Philippe, A; Ruivard, M; Auclair, C; Accoceberry, M; Bonnin, M; Pouly, J-L; Lémery, D; Philippe, P; Gallot, D

    2015-03-01

    To compare peripartum management of anticoagulated patients concerning locoregional analgesia, post-partum hemorrhage and thrombotic events according to planified interruption or not of antithrombotic therapy. We conducted a single tertiary care center retrospective study of all deliveries associated with antithrombotic therapy from January 2005 to September 2011. We identified 120 cases with prophylactic (71%) or curative (29%) anticoagulation. Two thrombotic events occurred. In case of curative therapy, the use of locoregional analgesia was lower (P<0.0001) and post-partum hemorrhage occurred more frequently (P=0.07) compared to prophylactic therapy. According to planified interruption or not of antithrombotic therapy, we observed a more prolonged duration of therapeutic interruption before delivery (55.6h±63.3 vs 26.4 h±11.6, P<0.0001), higher use of locoregional analgesia (83% vs 71%, P=0.02) but no difference concerning cesarean rate (35% vs 39%, P=0.8) or post-partum hemorrhage (13% vs 14%, P=0.9). In case of curative anticoagulation, plannified interruption favours the use of perimedullar analgesia after 24hour delay. In case of preventive anticoagulation, plannified interruption appears unnecessary as the 12hour delay is easier to reach. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  13. Student Teachers' Approaches to Teaching Biological Evolution

    NASA Astrophysics Data System (ADS)

    Borgerding, Lisa A.; Klein, Vanessa A.; Ghosh, Rajlakshmi; Eibel, Albert

    2015-06-01

    Evolution is fundamental to biology and scientific literacy, but teaching high school evolution is often difficult. Evolution teachers face several challenges including limited content knowledge, personal conflicts with evolution, expectations of resistance, concerns about students' conflicts with religion, and curricular constraints. Evolution teaching can be particularly challenging for student teachers who are just beginning to gain pedagogical knowledge and pedagogical content knowledge related to evolution teaching and who seek approval from university supervisors and cooperating teachers. Science teacher educators need to know how to best support student teachers as they broach the sometimes daunting task of teaching evolution within student teaching placements. This multiple case study report documents how three student teachers approached evolution instruction and what influenced their approaches. Data sources included student teacher interviews, field note observations for 4-5 days of evolution instruction, and evolution instructional artifacts. Data were analyzed using grounded theory approaches to develop individual cases and a cross-case analysis. Seven influences (state exams and standards, cooperating teacher, ideas about teaching and learning, concerns about evolution controversy, personal commitment to evolution, knowledge and preparation for teaching evolution, and own evolution learning experiences) were identified and compared across cases. Implications for science teacher preparation and future research are provided.

  14. Do Online Privacy Concerns Predict Selfie Behavior among Adolescents, Young Adults and Adults?

    PubMed Central

    Dhir, Amandeep; Torsheim, Torbjørn; Pallesen, Ståle; Andreassen, Cecilie S.

    2017-01-01

    Selfies, or self-portraits, are often taken and shared on social media for online self-presentation reasons, which are considered essential for the psychosocial development and well-being of people in today’s culture. Despite the growing popularity and widespread sharing of selfies in the online space, little is known about how privacy concerns moderate selfie behavior. In addition to this, it is also not known whether privacy concerns across age and gender groups influence selfie behavior. To address this timely issue, a survey assessing common selfie behaviors, that is, frequency of taking (individual and group selfies), editing (cropping and filtering), and posting selfies online, and social media privacy concerns (over personal data being accessed and misused by third parties) was conducted. The web-survey was administered to 3,763 Norwegian social media users, ranging from 13 to 50 years, with a preponderance of women (n = 2,509, 66.7%). The present study investigated the impact of privacy concerns on selfie behaviors across gender and age groups (adolescent, young adult, and adult) by use of the structural equation modeling approach. The results suggest that young adults have greater privacy concerns compared to adolescents and adults. Females have greater privacy concerns than males. Greater privacy concerns among female social media users were linked to lower engagement in selfie behavior, but privacy concerns did not influence selfie behavior in the case of male adolescents and young adults. Overall, privacy concerns were more consistently and inversely related to selfie behavior (taking and posting) among females than males. The study results have theoretical as well as practical implications for both researchers and policy makers. PMID:28588530

  15. Do Online Privacy Concerns Predict Selfie Behavior among Adolescents, Young Adults and Adults?

    PubMed

    Dhir, Amandeep; Torsheim, Torbjørn; Pallesen, Ståle; Andreassen, Cecilie S

    2017-01-01

    Selfies, or self-portraits, are often taken and shared on social media for online self-presentation reasons, which are considered essential for the psychosocial development and well-being of people in today's culture. Despite the growing popularity and widespread sharing of selfies in the online space, little is known about how privacy concerns moderate selfie behavior. In addition to this, it is also not known whether privacy concerns across age and gender groups influence selfie behavior. To address this timely issue, a survey assessing common selfie behaviors, that is, frequency of taking (individual and group selfies), editing (cropping and filtering), and posting selfies online, and social media privacy concerns (over personal data being accessed and misused by third parties) was conducted. The web-survey was administered to 3,763 Norwegian social media users, ranging from 13 to 50 years, with a preponderance of women ( n = 2,509, 66.7%). The present study investigated the impact of privacy concerns on selfie behaviors across gender and age groups (adolescent, young adult, and adult) by use of the structural equation modeling approach. The results suggest that young adults have greater privacy concerns compared to adolescents and adults. Females have greater privacy concerns than males. Greater privacy concerns among female social media users were linked to lower engagement in selfie behavior, but privacy concerns did not influence selfie behavior in the case of male adolescents and young adults. Overall, privacy concerns were more consistently and inversely related to selfie behavior (taking and posting) among females than males. The study results have theoretical as well as practical implications for both researchers and policy makers.

  16. Class effect of pharmacotherapy in bipolar disorder: fact or misbelief?

    PubMed Central

    2011-01-01

    Background Anecdotal reports suggests that most clinicians treat medications as belonging to a class with regard to all therapeutic indications; this means that the whole 'class' of drugs is considered to possesses a specific therapeutic action. The present article explores the possible existence of a true 'class effect' for agents available for the treatment of bipolar disorder. Methods We reviewed the available treatment data from randomized controlled trials (RCTs) and explored 16 'agent class'/'treatment issue' cases for bipolar disorder. Four classes of agents were examined: first-generation antipsychotics (FGAs), second-generation antipsychotics (SGAs), antiepileptics and antidepressants, with respect to their efficacy on four treatment issues of bipolar disorder (BD) (acute mania, acute bipolar depression, maintenance against mania, maintenance against depression). Results From the 16 'agent class'/' treatment issue' cases, only 3 possible class effects were detected, and they all concerned acute mania and antipsychotics. Four effect cases have not been adequately studied (FGAs against acute bipolar depression and in maintenance protection from depression, and antidepressants against acute mania and protection from mania) and they all concern treatment cases with a high risk of switching to the opposite pole, thus research in these areas is poor. There is no 'class effect' at all concerning antiepileptics. Conclusions The available data suggest that a 'class effect' is the exception rather than the rule in the treatment of BD. However, the possible presence of a 'class effect' concept discourages clinicians from continued scientific training and reading. Focused educational intervention might be necessary to change this attitude. PMID:21435226

  17. Cognitive Neuropsychology Has Been, Is, And Will Be Significant To Aphasiology

    PubMed Central

    Laine, Matti; Martin, Nadine

    2012-01-01

    Background In recent years, some critical voices have been raised in regard to the significance of cognitive neuropsychology (CNP) to the study of brain and mind. Given the central role of language disorders in CNP research, it is time to consider the relevance of this research approach in aphasiology. Aims We analyze the main points of criticism raised against the CNP research approach, evaluate the significance of this approach to the study of acquired language disorders, and make some suggestions concerning further development of the field. Main Contribution The main points of criticism against CNP (reliance on single-case studies; single-minded hunt for dissociations; emptiness of theorizing) have been important long-term concerns but do not take into account the fact that during its history of circa four decades, the CNP approach has diversified. There are thus CNP studies that rely on case series analyses, focus on error analyses rather than mere dissociations, or employ computational modeling rather than the “boxes-and-arrows” models of the mental architecture. The CNP approach to cognition and its disorders is thus applicable to different research questions and theoretical stances, providing experimental rigor to single-case patient studies. With regard to clinical applications in aphasia diagnostics and treatment, the CNP approach provides a richer view on the strengths and weaknesses of a patient’s cognitive-linguistic abilities. Conclusions We believe that CNP case studies continue to be an important source of information for generating hypotheses and providing converging evidence for research on the mind and on the brain. There is however a need for further research development especially in computational modeling of language processes, their impairments, and recovery. This research is expected to provide further benefit to clinical diagnostics and treatment of aphasia. PMID:23280004

  18. Forensic issues in suicide due to acid ingestion in a case of major depressive disorder.

    PubMed

    Vijayanath, V; Nagaraja Rao, K; Raju, G M; Anitha, M R

    2012-06-01

    Although rare, suicide using caustic substances in psychiatric practice is not infrequent. Such circumstances involve important forensic and psychiatric issues. In this case report, death due to sulfuric acid ingestion in a patient with major depressive disorder is reported. The legal issues concerning suicide in a patient with mental illness, autopsy findings, forensic issues, and pathophysiology concerning death by acid ingestion have been discussed.

  19. Moral Education in a Plural Society: A Singapore Case Study.

    ERIC Educational Resources Information Center

    Gopinathan, S.

    1980-01-01

    This article examines moral education in the schools of Singapore, a highly complex society with considerable pluralism plus rapid urbanization and industrialization. Analysis of recent government reports indicates an inadequate response to moral education issues--concern for political stability and ethnic sensibilities promote generalizations…

  20. Bernstein in the Urban Classroom: A Case Study

    ERIC Educational Resources Information Center

    Barrett, Brian D.

    2017-01-01

    Despite a long-standing concern within the sociology of education for ameliorating educational inequality, the challenge of improving educational opportunities for disadvantaged students remains deeply entrenched. While 'macro' issues such as segregation and systemic inequalities in school funding and access to qualified teachers must be addressed…

  1. Safety Training--A Special Case?

    ERIC Educational Resources Information Center

    Cooper, Mark; Cotton, David

    2000-01-01

    Review of research on industrial training and occupational safety and health did not find materials on training safely or risk assessment for training. A study of 34 safety inspectors indicated that risk decision making and assessment are serious concerns that should be addressed in safety training. (Contains 56 references.) (SK)

  2. Dynamics of Three Vortices on a Sphere

    NASA Astrophysics Data System (ADS)

    Borisov, Alexey V.; Mamaev, Ivan S.; Kilin, Alexander A.

    2018-01-01

    This paper is concerned with the dynamics of vortices on a sphere. It is shown that, as a result of reduction, the problem reduces to investigating a system with a nonlinear Poisson bracket. The topology of a symplectic leaf in the case of three vortices is studied.

  3. Digital English: Me, Online, Writing & Academia

    ERIC Educational Resources Information Center

    Rolinska, Ania

    2015-01-01

    This case study reports on the Digital English project, an experimental course in academic writing piloted with international students on a year-long pre-sessional programme. Inspired by Ulmer's (2003) "Mystory" project and Gauntlett's (2007) "Lego" research, the course concerns itself with the students' exploration of self at…

  4. Coherence, Dissonance, and Personal Style in Learning to Teach

    ERIC Educational Resources Information Center

    Anderson-Levitt, Kathryn; van Draanen, Jenna; Davis, Helen M.

    2017-01-01

    Concern that practical realities in classrooms will "trump" theories has led some universities to design residency teacher education programs that maximize coherence between university coursework and field experiences. Yet, some research suggests that student teachers can learn from dissonance. This qualitative case study of one cohort…

  5. The Process of Mentoring Pregnant Adolescents: An Exploratory Study.

    ERIC Educational Resources Information Center

    Blinn-Pike, Lynn; Kuschel, Diane; McDaniel, Annette; Mingus, Suzanne; Mutti, Megan Poole

    1998-01-01

    The process that occurs in relationships between volunteer adult mentors and pregnant adolescent "mentees" is described empirically; testable hypotheses based on findings concerning the mentor role are proposed. Case records from 20 mentors are analyzed; findings regarding mentors' roles are discussed. Criteria for conceptualizing quasi-parenting…

  6. An Approach to Ethical Practice in Management and Trainer Training.

    ERIC Educational Resources Information Center

    Johnston, Rita

    1992-01-01

    Concern with ethics has given rise to two educational approaches, one derived from philosophical principles of social ethics, the other based on case studies of practical issues. A combination of these is necessary to ensure situational applicability and to avoid moral relativism and expediency. (SK)

  7. Nowcasting and Forecasting Concentrations of Biological Contaminants at Beaches: A Feasibility and Case Study

    EPA Science Inventory

    Public concern over microbial contamination of recreational waters has increased in recent years. A common approach to evaluating beach water quality has been to use the persistence model which assumes that day-old monitoring results provide accurate estimates of current concentr...

  8. Melding Classroom Instruction With Real-World Problem-Solving.

    ERIC Educational Resources Information Center

    Gannon, John E.; Fairchild, G. Winfield

    1983-01-01

    Describes a course used to teach freshwater ecology to graduate and undergraduate students at the University of Michigan Biological Station. Explains how students receive an introduction to lake ecology and work on applied resource management questions concerning local lakes and streams. Gives case study examples. (SB)

  9. Evaluation of RSRM case hardware fretting concerns

    NASA Technical Reports Server (NTRS)

    Swauger, Thomas R.

    1990-01-01

    Fretting corrosion was first noted on Shuttle flight STS-26. This flight was the first usage of the Redesigned Solid Rocket Motor (RSRM). The occurrence of fretting has since been observed on both the field and factory joints of the RSRM. Fretting is a form of corrosion that occurs at the interface between contacting, highly loaded, metal surfaces when exposed to slight relative vibratory motions. The engineering effort performed to evaluate the effect of fretting on the RSRM case hardware is summarized. Based on the results of this evaluation, several conclusions were made concerning flight safety. Also, recommendations were made concerning trending the effects of multiple generations of fretting damage.

  10. Measles elimination – review of event notifications sent to National IHR Focal Point between 2010 and 2016

    PubMed

    Izdebski, Radosław; Henszel, Łukasz; Janiec, Janusz; Radziszewski, Franciszek

    The Member States of the World Health Organization (WHO) in accordance with International Health Regulations (2005) were obliged to appoint National IHR Focal Points (N IHR FP), of which tasks include obtaining information concerning public health emergencies of international concern which occurred abroad or within the country. The aim of this work is the review of WHO, ECDC, National IHR Focal Points from the WHO Member States and The State Sanitary Inspection notifications related to measles received by National IHR Focal Point in Poland in the period from 2010 to 2016. During this period N IHR FP was informed about 79 events related to measles. These events include: 36 related to the outbreaks in different countries, 27 concerning individual cases, 14 related to the exposure in contact with a measles case during air travel and two concerning the implementation of the MMR vaccination programs. Despite the progress in implementing the measures included in the elimination of measles programs in Europe, there was a significant increase in the number of measles cases and outbreaks particularly in years 2010-2011.

  11. Study designs may influence results: the problems with questionnaire-based case-control studies on the epidemiology of glioma.

    PubMed

    Johansen, Christoffer; Schüz, Joachim; Andreasen, Anne-Marie Serena; Dalton, Susanne Oksbjerg

    2017-03-28

    Glioma is a rare brain tumour with a very poor prognosis and the search for modifiable factors is intense. We reviewed the literature concerning risk factors for glioma obtained in case-control designed epidemiological studies in order to discuss the influence of this methodology on the observed results. When reviewing the association between three exposures, medical radiation, exogenous hormone use and allergy, we critically appraised the evidence from both case-control and cohort studies. For medical radiation and hormone replacement therapy (HRT), questionnaire-based case-control studies appeared to show an inverse association, whereas nested case-control and cohort studies showed no association. For allergies, the inverse association was observed irrespective of study design. We recommend that the questionnaire-based case-control design be placed lower in the hierarchy of studies for establishing cause-and-effect for diseases such as glioma. We suggest that a state-of-the-art case-control study should, as a minimum, be accompanied by extensive validation of the exposure assessment methods and the representativeness of the study sample with regard to the exposures of interest. Otherwise, such studies cannot be regarded as 'hypothesis testing' but only 'hypothesis generating'. We consider that this holds true for all questionnaire-based case-control studies on cancer and other chronic diseases, although perhaps not to the same extent for each exposure-outcome combination.

  12. Core Competencies: The Challenge For Graduate Peace and Conflict Studies Education

    NASA Astrophysics Data System (ADS)

    Windmueller, John; Wayne, Ellen Kabcenell; Botes, Johannes (Jannie)

    2009-05-01

    This article uses a case study of the assessment of a graduate program in negotiations and conflict management as a springboard for discussing several critical, but unanswered questions in our field. It raises questions regarding the lack of clear core competencies and expectations regarding curricula at the graduate-level of peace and conflict studies programs, as well as concerns over how educators in this field can or should assess their own work and train students for practice. It also addresses, via a comparative case analysis in Tajikistan, the degree to which the competencies and pedagogical approaches in this field are culturally bound. The picture that emerges from these case studies suggests that there have been important omissions in the way that the varied educational programs and the larger peace and conflict studies field itself have developed thus far.

  13. Case management needs of older and elderly cancer survivors.

    PubMed

    Stanton, Marietta; Franco, Gina; Scoggins, Reggie

    2012-01-01

    The purpose of this study was to examine the case management needs of older and elderly adults. The specific aim was to describe the results of a survey distributed to cancer survivors, asking them to respond to questions about their specific needs. The survey targeted the physical, psychosocial, social, and spiritual needs. Outpatient setting, outreach program. Fatigue, fear of reoccurrence, and sleep disturbances were of the greatest concern to the older and elderly cancer survivor. Case managers dealing with elderly cancer survivors can target these needs in terms of transitions from inpatient to outpatient care and beyond into the survivorship period.

  14. Perceptions of general environmental problems, willingness to expend federal funds on these problems, and concerns regarding the Los Alamos National Laboratory: Hispanics are more concerned than Whites.

    PubMed

    Burger, Joanna; Myers, O; Boring, C S; Dixon, C; Lord, C; Ramos, R; Shukla, S; Gochfeld, Michael

    2004-06-01

    Perceptions about general environmental problems, governmental spending for these problems, and major concerns about the US Department of Energy's Los Alamos National Laboratory (LANL) were examined by interviewing 356 people attending a gun show in Albuquerque, New Mexico. The hypothesis that there are differences in these three areas as a function of ethnicity was examined. We predicted that if differences existed, they would exist for all three evaluations (general environmental problems, government spending, and environmental concerns about LANL). However, this was not the case; there were fewer ethnic differences concerning LANL. Hispanics rated most general environmental problems higher than Whites and rated their willingness to expend federal funds higher than Whites, although all groups gave a lower score on willingness than on concern. Further, the congruence between these two types of ratings was higher for Hispanics than for others. In general, the concerns expressed by subjects about LANL showed few ethnic differences, and everyone was most concerned about contamination. These data indicate that Hispanics attending a gun show are equally or more concerned than others about environmental problems generally but are not more concerned about LANL. The data can be useful for developing future research and stewardship plans and for understanding general environmental problems and their relationship to concerns about LANL. More generally, they indicate that the attitudes and perceptions of Hispanics deserve increased study in a general population.

  15. Clinical Case Definitions for Classification of Intrathoracic Tuberculosis in Children: An Update

    PubMed Central

    Graham, Stephen M.; Cuevas, Luis E.; Jean-Philippe, Patrick; Browning, Renee; Casenghi, Martina; Detjen, Anne K.; Gnanashanmugam, Devasena; Hesseling, Anneke C.; Kampmann, Beate; Mandalakas, Anna; Marais, Ben J.; Schito, Marco; Spiegel, Hans M. L.; Starke, Jeffrey R.; Worrell, Carol; Zar, Heather J.

    2015-01-01

    Consensus case definitions for childhood tuberculosis have been proposed by an international expert panel, aiming to standardize the reporting of cases in research focusing on the diagnosis of intrathoracic tuberculosis in children. These definitions are intended for tuberculosis diagnostic evaluation studies of symptomatic children with clinical suspicion of intrathoracic tuberculosis, and were not intended to predefine inclusion criteria into such studies. Feedback from researchers suggested that further clarification was required and that these case definitions could be further improved. Particular concerns were the perceived complexity and overlap of some case definitions, as well as the potential exclusion of children with acute onset of symptoms or less severe disease. The updated case definitions proposed here incorporate a number of key changes that aim to reduce complexity and improve research performance, while maintaining the original focus on symptomatic children suspected of having intrathoracic tuberculosis. The changes proposed should enhance harmonized classification for intrathoracic tuberculosis disease in children across studies, resulting in greater comparability and the much-needed ability to pool study results. PMID:26409281

  16. Association between Pseudomonas aeruginosa positive water samples and healthcare-associated cases: nine-year study at one university hospital.

    PubMed

    Lefebvre, A; Bertrand, X; Quantin, C; Vanhems, P; Lucet, J-C; Nuemi, G; Astruc, K; Chavanet, P; Aho-Glélé, L S

    2017-07-01

    To study the association between the results of water samples and Pseudomonas aeruginosa healthcare-associated cases in a French university hospital. Generalized Estimating Equations were used on complete case and imputed datasets. The spatial unit was the building and the time unit was the quarter. For the period 2004-2013, 2932 water samples were studied; 17% were positive for P. aeruginosa. A higher incidence of P. aeruginosa cases was associated with a higher proportion of positive water samples (P=0.056 in complete case analysis and P=0.031 with the imputed dataset). The association was no longer observed when haematology and intensive care units were excluded, but was significant in analyses of data concerning intensive care units alone (P<0.001). This study suggests that water outlet contamination in hospitals can lead to an increase in healthcare-associated P. aeruginosa cases in wards dealing with susceptible patients, but does not play a significant role in other wards. Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  17. Ethical concerns related to grateful patient philanthropy: the physician's perspective.

    PubMed

    Wright, Scott M; Wolfe, Leah; Stewart, Rosalyn; Flynn, John A; Paisner, Richard; Rum, Steve; Parson, Gregory; Carrese, Joseph

    2013-05-01

    Philanthropic contributions to academic medical centers from grateful patients support research, patient care, education, and capital projects. The goal of this study was to identify the ethical concerns associated with philanthropic gifts from grateful patients. A qualitative study design was selected. Investigators conducted in-depth semi-structured interviews with 20 Department of Medicine physicians at Johns Hopkins who were identified by Development Office staff as experienced and successful in this realm-those having relationships with multiple patients who have made philanthropic contributions. Interview transcripts were independently coded by two investigators. Content analysis identified several themes related to ethical concerns. Eighteen informants (90 %) were Associate Professors or Professors; two (10 %) were females. Four thematic domains emerged related to ethical concerns associated with philanthropy from grateful patients: (i) impact of gift on the doctor-patient relationship; (ii) gift acquisition considered beyond the physician's professional role; (iii) justice and fairness; and (iv) vulnerability of patients. Despite acknowledging at least one of the aforementioned concerns, eleven physician informants (55 %) expressed the view that there were no ethical issues involved with grateful patient philanthropy. In this paper, we report that physicians involved in grateful patient philanthropy are aware of, and in some cases troubled by, the ethical concerns related to this activity. Further studies could examine how best to prepare faculty for the challenges that may accompany these gifts so as to help them maintain expected professional and ethical standards when accepting grateful patient philanthropy.

  18. Homework Policy Review: A Case Study of A Public School in the Western Cape Province

    ERIC Educational Resources Information Center

    Pfeiffer, Verbra

    2018-01-01

    A key concern today is the question of homework in our nation's public schools. In this study, an investigation was conducted with the first no-homework policy, which has been introduced in one of the primary schools in the Western Cape. This study seeks to determine whether a no-homework policy will validate a positive or negative effect on…

  19. Foundations for Success in the Teaching of O-Level Mathematics in Rural Day Secondary Schools in Masvingo District

    ERIC Educational Resources Information Center

    Mupa, Paul

    2015-01-01

    The growing failure rate in Mathematics at O-level is cause for concern and warrants an in-depth investigation. This study focused on factors that make the foundation of success in the teaching and learning of Mathematics. The study was qualitative and employed a case study design. Semi-structured interviews were used as data generation tool. The…

  20. Child sexual abuse: report of 311 cases with review of literature.

    PubMed

    Essabar, Laila; Khalqallah, Abdenbi; Dakhama, Badr Sououd Benjelloun

    2015-01-01

    Child sexual abuse (CSA) is a global problem that has significant consequences for public health; it has been a prominent topic of public concern for more than a decade, but many basic facts about the problem remain unclear or in dispute. We conducted a study of 311 cases of CSA in order to highlight the epidemiological features and negative impact on victims' well-being and to emphasize the need for a multidisciplinary approach to the primary prevention and management of CSA. We noted an increase in cases number with male predominance. Most of our patients came from lower socioeconomic classes. The perpetrators were male in 100% of cases; acquaintances in 70% of cases and family members in 22 cases. Physical examination were normal in 61% of cases, however, a range of psychological and physical effects were identified with dramatic health consequences: three cases of attempted suicide, five pregnancies and one case of HIV virus infection.

  1. [Hyperthyroidism and diabetes mellitus: analysis of 10 African cases].

    PubMed

    Sidibé, E H; Dia, M; Toure-Sow, H; Sow, A M; Seck-Gassama, S M; Ndoye, R

    1999-03-01

    This retrospective study of 10 patients with hyperthyroidisma and diabetes mellitus concerned 8 women and 2 men, aged from 15 to 77 years. The two disease developed at the same time in 8 cases. Diabetes mellitus occurred first in 2 cases. Common signs were loss of weight. Hyperthyroidism led to tachycardia at more than 100 bpm. Diarrhea was observed simultaneously in 2 cases and muscular weakness in 5. Goiter was found in 10 cases with a diffuse aspect. Graves' disease was diagnosed with exophthalmia in 9 cases and affected both eyes in 8. Elevated levels of thyroid hormones confirmed diagnosis in 8 cases. Diabetes was insulin-dependent in 3 cases and non-insulin dependent in the 7 others. IDDM patients (2 female and 1 male) were aged 15, 17 and 38. Keto acidosis was the first symptom in all cases. NIDDM patients (6 female and 1 male) were aged between 37 and 77.

  2. Enterprise architecture availability analysis using fault trees and stakeholder interviews

    NASA Astrophysics Data System (ADS)

    Närman, Per; Franke, Ulrik; König, Johan; Buschle, Markus; Ekstedt, Mathias

    2014-01-01

    The availability of enterprise information systems is a key concern for many organisations. This article describes a method for availability analysis based on Fault Tree Analysis and constructs from the ArchiMate enterprise architecture (EA) language. To test the quality of the method, several case-studies within the banking and electrical utility industries were performed. Input data were collected through stakeholder interviews. The results from the case studies were compared with availability of log data to determine the accuracy of the method's predictions. In the five cases where accurate log data were available, the yearly downtime estimates were within eight hours from the actual downtimes. The cost of performing the analysis was low; no case study required more than 20 man-hours of work, making the method ideal for practitioners with an interest in obtaining rapid availability estimates of their enterprise information systems.

  3. Urban simulation evaluation with study case of the Singapore Management University, Singapore

    NASA Astrophysics Data System (ADS)

    Seanders, O.

    2018-01-01

    This paper reports and discusses about the urban simulation evaluation with a study case, The Singapore Managemant University (SMU), the first major university to be located in the city centre. It is located in Bras Basah District, with some controversy on the geographical establishment, the physical realization of the University in the original plan required some demolishes, urban historical building, a public park and in the end will impact the lose of some certain qualities of the urban space. From this case we can see that the urban design and cultural heritage principles could come into conflicts with the more practical concerns of space constraints and transportation efficiency. This SMU case reflect the problem of the developing countries that have to decide between conservation of buildings and green spaces and space demands. In this case, for Singapore, it marks a progress in the step of greater community involvement in the planning process.

  4. Spatio-temporal diffusion pattern and hotspot detection of dengue in Chachoengsao province, Thailand.

    PubMed

    Jeefoo, Phaisarn; Tripathi, Nitin Kumar; Souris, Marc

    2011-01-01

    In recent years, dengue has become a major international public health concern. In Thailand it is also an important concern as several dengue outbreaks were reported in last decade. This paper presents a GIS approach to analyze the spatial and temporal dynamics of dengue epidemics. The major objective of this study was to examine spatial diffusion patterns and hotspot identification for reported dengue cases. Geospatial diffusion pattern of the 2007 dengue outbreak was investigated. Map of daily cases was generated for the 153 days of the outbreak. Epidemiological data from Chachoengsao province, Thailand (reported dengue cases for the years 1999-2007) was used for this study. To analyze the dynamic space-time pattern of dengue outbreaks, all cases were positioned in space at a village level. After a general statistical analysis (by gender and age group), data was subsequently analyzed for temporal patterns and correlation with climatic data (especially rainfall), spatial patterns and cluster analysis, and spatio-temporal patterns of hotspots during epidemics. The results revealed spatial diffusion patterns during the years 1999-2007 representing spatially clustered patterns with significant differences by village. Villages on the urban fringe reported higher incidences. The space and time of the cases showed outbreak movement and spread patterns that could be related to entomologic and epidemiologic factors. The hotspots showed the spatial trend of dengue diffusion. This study presents useful information related to the dengue outbreak patterns in space and time and may help public health departments to plan strategies to control the spread of disease. The methodology is general for space-time analysis and can be applied for other infectious diseases as well.

  5. Emotion, Confidence, Perception and Expectation Case of Mathematics

    ERIC Educational Resources Information Center

    Dogan, Hamide

    2012-01-01

    Students' concerns about mathematics can significantly affect their ability to learn the subject. In particular, their anxieties and attitudes can greatly affect how they perceive their own mathematical competence, and in return, this may make them reluctant to pursue mathematical studies. Many researchers believe in the role of active learning…

  6. Using Explicit Instruction for African American Male Students in Suburban Georgia: A Qualitative Case Study

    ERIC Educational Resources Information Center

    Harris, Dira D.

    2017-01-01

    Growing gaps in reading and vocabulary achievement between minority and majority student subgroups have led to an intense focus on implementing effective classroom instructional strategies. Prior research concerning teachers' perceptions of using explicit instructional strategies to teach vocabulary to underperforming students has been…

  7. Bridging CALL & HCI: Input from Participatory Design

    ERIC Educational Resources Information Center

    Cardenas-Claros, Monica S.; Gruba, Paul A.

    2010-01-01

    Participatory design (PD), or the collaboration between software engineers and end users throughout the design process, may help improve CALL design practices. In this case study, four ESL learners, a software designer, and a language teacher created and evaluated a series of paper prototypes concerning help options in computer-based second…

  8. A Service-Learning Model for At-Risk Adolescents

    ERIC Educational Resources Information Center

    Nelson, Judith A.; Eckstein, Daniel

    2008-01-01

    This article describes a service-learning case study and program description involving the development and the delivery of services in a Disciplinary Alternative Education Program for secondary students. Following an overview of the philosophy of constructivist theory applied to the concept of the dissemination of information concerning adolescent…

  9. Assessment and Application of National Environmental Databases and Mapping Tools at the Local Level to Two Community Case Studies

    EPA Science Inventory

    Communities are concerned over pollution levels and seek methods to systematically identify and prioritize the environmental stressors in their communities. Geographic information system (GIS) maps of environmental information can be useful tools for communities in their assessm...

  10. Teachers' Perceptions of State Decision-Making Processes for Mathematics Curricula

    ERIC Educational Resources Information Center

    Bothwell, Brett

    2012-01-01

    The purpose of this qualitative case study was to explore teachers' knowledge and professional opinions concerning state policy changes for college and workplace preparation, state curricula requirements and standards, student tracking, graduation rates, and the implication these elements have in the mathematics classroom. A qualitative…

  11. Recruiting and integrating stakeholders and sustaining participation in environmental management: A conceptual framework and case study from the Great Lakes Area of Concern

    EPA Science Inventory

    Stakeholder participation is now widely viewed as an essential component of environmental management projects. Although scholarship has identified and conceptualized numerous elements and components of high-quality participation, we argue that the processes of recruiting stakehol...

  12. Making an Ethical Decision: A Utilitarian Strategy.

    ERIC Educational Resources Information Center

    Price, Sandra J.

    1992-01-01

    By identifying and weighing the effects of an act on each constituency, a matrix based on John Stuart Mill's theories of utilitarianism illuminates and helps resolve complex ethical dilemmas. Application of the approach is illustrated with a simulated case study concerning the issue of reputation in a small private college. (Author/MSE)

  13. The Relevance of Innovative School Architecture for School Principals

    ERIC Educational Resources Information Center

    Schabmann, Alfred; Popper, Vera; Schmidt, Barbara Maria; Kühn, Christian; Pitro, Ulrike; Spiel, Christiane

    2016-01-01

    In many cases, innovative forms of learning require innovative concepts of using space in school. However, so far there has been a lack of research concerning the perspectives of school principals as important stakeholders in the adoption of alternative school architecture. The present study examines the importance of alternative school…

  14. Mapping Their Road to University: First-Generation Students' Choice and Decision of University

    ERIC Educational Resources Information Center

    Kutty, Faridah Mydin

    2014-01-01

    This paper describes a qualitative case study that investigated the aspirations and decision-making process of first-generation students concerning university education. The participants comprised of 16 first-generation students at a research university. Data were obtained through interviews and analyzed using thematic analysis method. The…

  15. No Room at the Top: Sex Discrimination in Higher Education.

    ERIC Educational Resources Information Center

    Sorgman, Margo

    Data are presented on women in higher education, along with information on federal legislation to eliminate sex discrimination, issues concerning redressing employment discrimination, specific problems with legislative procedures and enforcement of legislation, and case studies that highlight some of the processes involved. Evidence is cited that…

  16. DRGs and Family Care for the Elderly: A Case Study.

    ERIC Educational Resources Information Center

    Fischer, Lucy Rose; Eustis, Nancy N.

    1988-01-01

    Conducted interviews with family caregivers, patients, and staff of hospital before and after implementation of Diagnostic Related Groupings (DRGs). After DRGs, family and patients were more likely to express concern about problems in hospital admissions, discharge, and quality of care. Families increasingly served as mediators, supervisors, and…

  17. From Layperson to Novice Nurse: Professional Socialization in Nursing.

    ERIC Educational Resources Information Center

    Byrne, Michelle M.

    The experiences of baccalaureate student nurses, from layperson to novice nurse, was studied. Paradigm cases of five senior and five sophomore baccalaureate students were transcribed and analyzed for common meanings and themes. The paradigms concern touching patients, giving shots/creating pain, caring for and being intimate with young patients,…

  18. Security awareness for public bus transportation : case studies of attacks against the Israeli public bus system [research brief].

    DOT National Transportation Integrated Search

    2012-03-01

    Government regulators and transportation operators of public bus systems are concerned about terrorist attacks. Bus attacks in Israel between late September 2000 and the end of 2006, a period known as the Second Intifada, are particularly well known....

  19. Managing Strategic Change through TQM: Learning from Failure.

    ERIC Educational Resources Information Center

    Redman, Tom; Grieves, Jim

    1999-01-01

    Case study of a manufacturing firm that implemented total quality management (TQM) found that the initiative may have failed because the company was undergoing rapid, radical structural change. Other problems included short-term focus, communication problems, and employee concerns about job security. TQM may be more compatible with continuous…

  20. Are Separate Schools Divisive? A Case Study from Northern Ireland

    ERIC Educational Resources Information Center

    Hughes, Joanne

    2011-01-01

    In Northern Ireland, where the majority of children are educated at schools attended mainly by coreligionists, the debate concerning the role of schools in perpetuating intergroup hostilities has recently been reignited. Against questions regarding the efficacy of community relations policy in education, the research reported in this paper employs…

  1. Virtual Reality Training Environments: Contexts and Concerns.

    ERIC Educational Resources Information Center

    Harmon, Stephen W.; Kenney, Patrick J.

    1994-01-01

    Discusses the contexts where virtual reality (VR) training environments might be appropriate; examines the advantages and disadvantages of VR as a training technology; and presents a case study of a VR training environment used at the NASA Johnson Space Center in preparation for the repair of the Hubble Space Telescope. (AEF)

  2. Negotiator's checklist: success through preparation

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

    Wilds, L.J.

    In gaining environmental approval for a hydro project, negotiation is a necessity. Strategies for maximizing the success of negotiations are presented. The case study of successful negotiations by the Kodiak Electric Association concerning the Terror Lake project on Kodiak Island, Alaska, is presented. The utility of bringing in professional mediators is discussed.

  3. Concerns of the Novice Physical Education Teacher

    ERIC Educational Resources Information Center

    Gordon, Evelyn J.

    2016-01-01

    The purpose of this case study was to examine novice physical education teachers in the first and second year of teaching. Participants included two novice physical education teachers, John in Year 1 and Mark in Year 2. Methodology included observations, semistructured interviews, and documents. Data were analyzed using open coding and constant…

  4. Combined Credential Programs: Pedagogic, Practical, and Ideological Concerns

    ERIC Educational Resources Information Center

    Young, Kathryn S.

    2011-01-01

    The number of teacher education programs combining general and special education teacher certification is growing. In spite of this increase, little has been known about how these programs impact preservice teachers' (PSTs) developing professional identities. This article uses a case study of one newly implemented combined credential program at a…

  5. Integrating space and time: A case for phenological context in grazing studies and management

    USDA-ARS?s Scientific Manuscript database

    In water-limited landscapes, patterns in primary production are highly variable across space and time. Livestock grazing is a common agricultural practice worldwide and a concern is localized overuse of specific pasture resources that can exacerbate grass losses and soil erosion. On a research ranch...

  6. East Tennessee Hydrogen Initiative: Task II - Transition of Bus Transit to Hydrogen: A Case Study of a Medium Sized Transit Agency

    DOT National Transportation Integrated Search

    2010-12-01

    The current climate crisis and recent world events, including a global economic crisis and growing concerns over the availability and cost of petroleum fuels, has sparked a global interest in developing alternative, sustainable, clean fuel technologi...

  7. Theory, Practice, and Specialization: The Case for the Humanities

    ERIC Educational Resources Information Center

    Jacobs, Jonathan

    2012-01-01

    Humanistic studies cultivate types of conceptual fluency and modes of awareness important to thought concerning values. Not all knowledge is scientific knowledge. There is genuine comprehension of some valuative matters--they are not all to be interpreted in expressive or subjective terms. Education in the humanities can encourage value-relevant…

  8. Education for International Understanding: The Case of Ethiopia.

    ERIC Educational Resources Information Center

    International Bureau of Education, Paris (France).

    This study reviews Ethiopia's efforts, experiences, and achievements with respect to developing education for international understanding over the past two decades in response to the United Nations recognition of the role education plays in promoting peace. It is an overture aimed at sharing ideas and experiences with all concerned for the…

  9. High-Maintenance Parent or Cultural Differences?

    ERIC Educational Resources Information Center

    Gonzalez-Mena, Janet

    2000-01-01

    Examines the conflict which can arise when differing cultural practices of families and child care facilities clash. Presents a case study that exemplifies the potential conflict. Provides advice for child care practitioners on how to combine two differing perspectives and how to move from arguments and misunderstandings to common concerns. (SD)

  10. Resource Issues: A Case Study from New Orleans.

    ERIC Educational Resources Information Center

    Garvin, James R.; Young, Alma H.

    1993-01-01

    One major obstacle to collaboration is perception of value--especially in urban areas where resources are shrinking and social problems are increasing. Sharing of resources is weighted by considerations of proximal benefit and proximal concern. This article shows how a New Orleans full-services school pilot project successfully garnered funding…

  11. Simulating pesticide impacts on horned larks: a study in scaling from fields and flocks to populations and landscapes

    EPA Science Inventory

    Balancing the potential ecological impacts of anthropogenic stressors with the need to optimize food production, as in the case of agricultural pesticide use, creates enormous practical challenges for regulators. Concerns that compounds are impacting legally protected species ar...

  12. Consultants: Love-Hate Relationships with Communities of Practice

    ERIC Educational Resources Information Center

    Pastoors, Katja

    2007-01-01

    Purpose: This paper aims to explore consultants' experiences of communities of practice (CoPs) in one of the world's largest information technology companies against organisational strategies. The research focus concerns experiences of formal top-down and underground CoPs. Design/methodology/approach: The paper is an exploratory case study.…

  13. syNErgy: A Case Study in Workforce Curriculum Development

    ERIC Educational Resources Information Center

    Killingsworth, John; Grosskopf, Kevin R.

    2013-01-01

    With high unemployment and structural changes to industry, workforce development in the United States is a growing concern. Many semiskilled workers lack knowledge, skills, and abilities to be competitive for reemployment to green jobs. Nebraska's syNErgy research grant was introduced to address the training needs of unemployed and underemployed…

  14. Making Wise Choices: Telecommunications for Rural Community Viability. Proceedings of a Workshop (Kansas City, Missouri, February 25-27, 1997).

    ERIC Educational Resources Information Center

    Abbott, Eric A., Ed.

    This proceedings contains keynote speeches, community case studies, and small-group recommendations concerned with successful telecommunications initiatives in rural communities. The four keynote addresses are: "Electronic Highways and Byways: Converging Technologies and Rural Development" (Heather E. Hudson); "Information…

  15. SHORT- AND LONG-TERM ENVIRONMENTAL PERCEPTIONS: A CASE STUDY OF LAKE LANIER

    EPA Science Inventory

    This paper investigates stakeholders' different perspectives on the environment over the short- (2-5 yrs) and long-term (25+ yrs). Stakeholders were surveyed to indicate their level of concern for a list of water quality indicators and water quality stressors over both time horiz...

  16. Early Family Environments of Obese and Non-Obese College Students.

    ERIC Educational Resources Information Center

    Hailey, B. Jo; Sison, Gustave F. P., Jr.

    Although case studies and anecdotal information have suggested that differences exist between the early family environments of obese and non-obese individuals, no experimental research exists. Undergraduates completed the Family Environment Scale (FES) and a questionnaire concerning past and present weight information. Subjects were classified as…

  17. Exploring Principal Autonomy in Charter, Private, and Public Schools

    ERIC Educational Resources Information Center

    Adamson, Linda

    2012-01-01

    This qualitative multiple case study concerned how school principals in charter, private, and public school settings experience autonomy, based on the schools' governance structures and accountability systems. Principal autonomy was defined as the authority that school principals exercise to lead staff effectively, to make decisions based on…

  18. Psychodynamic Therapy and Intellectual Disabilities: Dealing with Challenging Behaviour.

    ERIC Educational Resources Information Center

    Berry, Paul

    2003-01-01

    Four case studies concerning long-term psychodynamic treatment of German individuals with intellectual disabilities are presented: an aggressive young man with a mild intellectual disability; a young man with multiple disabilities with destructive behavior; a withdrawn young woman with self-destructive behavior; and a young man with autism with…

  19. A Case Study of the Effects of Dredging in Narrgansett Bay (RI, USA) on Winter Flounder Eggs

    EPA Science Inventory

    Seasonal dredging constraints have been established in several northeastern U.S. estuaries with the intent to protect winter flounder (Pseudopleuronectes americanus). A major source of concern is impacts on demersal eggs due to elevated sedimentation rates during the winter-earl...

  20. Restricted Liberty, Parental Choice and Homeschooling

    ERIC Educational Resources Information Center

    Merry, Michael S.; Karsten, Sjoerd

    2010-01-01

    In this paper the authors carefully study the problem of liberty as it applies to school choice, and whether there ought to be restricted liberty in the case of homeschooling. They examine three prominent concerns that might be brought against homeschooling, viz., that it aggravates social inequality, worsens societal conflict and works against…

  1. Comparing Three Methods of Geometrical Approach in Visualizing Differential Equations

    ERIC Educational Resources Information Center

    KarimiFardinpour, Younes; Gooya, Zahra

    2018-01-01

    This paper concerns "planes-coordination" and "long-term-prediction" difficulties. These are specifically the case when students attempt to visualize solution curves of autonomous differential equations for predicting the long-term behavior of various initial conditions. To address these issues, a study was conducted in which…

  2. Elucidating public perceptions of environmental behavior: a case study of Lake Lanier

    EPA Science Inventory

    This paper investigates stakeholders' different perspectives on the environment over the short- (2-5 yrs) and long-term (25+ yrs). Stakeholders were surveyed to indicate their level of concern for a list of water quality indicators and water quality stressors over both time horiz...

  3. Canadian Postcolonialism: Recovering British Roots

    ERIC Educational Resources Information Center

    Doughty, Howard A.

    2005-01-01

    The field of Postcolonial Studies is one of the academic fashions that has arisen in an attempt to amend or replace radical theories of social power since the alleged discrediting of Marxism. The Canadian case is more ambiguous. Postcolonialism, already an essentially contested concept, is especially conflicted where Canada is concerned. Canada…

  4. Communication Coaching: A Case Study of Family Caregiver Burden.

    PubMed

    Wittenberg, Elaine; Ferrell, Betty; Koczywas, Marianna; Ferraro, Catherine

    2017-04-01

    Problematic communication among providers, patients, and their family members can affect the quality of patient care, causing stress to all parties involved and decreased opportunities for collaborative decision making.
. The purpose of this article is to present one case from a pilot study of a family caregiver intervention focused on communication. 
. The nurse-delivered communication intervention includes a written communication guide for family caregivers, as well as a one-time nurse communication coaching call. The call is aimed at identifying caregiver communication concerns, providing communication education, and role playing problematic communication.
. Psychological distress and caregiver confidence in communication were improved for the caregiver. Data presented from the case study demonstrate the need for family caregiver communication support and training and the potential benefits of such training.

  5. Language Discordance and Patient-Centered Care in Occupational Therapy: A Case Study

    PubMed Central

    Martinez, Jenny; Leland, Natalie

    2017-01-01

    The accumulative burden of a growing non-English speaking minority population and health disparities in the United States demonstrate the urgency of examining occupational therapy practices and defining care that is timely, effective, safe, and patient-centered. In this context, we investigate an occupational therapy episode of care from the perspectives of patient, caregiver, and primary occupational therapy care provider. Treatment sessions were observed and one-on-one semi-structured interviews were conducted with the participants. Several themes describing areas of concern in communication and care delivery emerged, including expectations for care, the therapy relationship, professional identity, and pragmatic constraints. The use of untrained interpreters compromised treatment effectiveness and safety. This case highlights potential areas of concern in therapy when working with a diverse patient population. Abundant opportunities exist for occupational therapy to situate itself as an equitable, responsive, valuable, and essential service. PMID:26460475

  6. Wall modeled LES of wind turbine wakes with geometrical effects

    NASA Astrophysics Data System (ADS)

    Bricteux, Laurent; Benard, Pierre; Zeoli, Stephanie; Moureau, Vincent; Lartigue, Ghislain; Vire, Axelle

    2017-11-01

    This study focuses on prediction of wind turbine wakes when geometrical effects such as nacelle, tower, and built environment, are taken into account. The aim is to demonstrate the ability of a high order unstructured solver called YALES2 to perform wall modeled LES of wind turbine wake turbulence. The wind turbine rotor is modeled using an Actuator Line Model (ALM) while the geometrical details are explicitly meshed thanks to the use of an unstructured grid. As high Reynolds number flows are considered, sub-grid scale models as well as wall modeling are required. The first test case investigated concerns a wind turbine flow located in a wind tunnel that allows to validate the proposed methodology using experimental data. The second test case concerns the simulation of a wind turbine wake in a complex environment (e.g. a Building) using realistic turbulent inflow conditions.

  7. Creating an IOT That Notifies Concerned People for the Falls of Geriatric Patients.

    PubMed

    Turkeli, Serkan; Kurt, Kenan Kaan; Catamak, Adem; Sonmez, Remzi Yalin; Atay, Huseyin Tanzer

    2016-01-01

    A fall is a multifactorial phenomenon which cause an increase in both mortality and injury rates. The cause of a fall is mostly related to loss in reflexes especially in older ages. A number of large prospective studies shows that elderly patients have significant fractures and injuries even sometimes in some cases a fall can be concluded with deaths. However, in case of fall, if the situation is noticed and aided quickly, the life quality can be increased significantly in older people. With implementation of preventive strategies or premonitory devices, this devastating problem can be solved. The IOT project is a prototype with two versions which are needled and attached versions and accomplishes basic functions such as information about falls and send it through the internet. By this way, the falls are transmitted to concerned people or patient's relatives with position information.

  8. Family violence in the military: a review of the literature.

    PubMed

    Rentz, E Danielle; Martin, Sandra L; Gibbs, Deborah A; Clinton-Sherrod, Monique; Hardison, Jennifer; Marshall, Stephen W

    2006-04-01

    Family violence, including both child maltreatment and spouse abuse, is a public health concern in both military and civilian populations. However, there is limited knowledge concerning violence in military families relative to civilian families. This literature review critically reviews studies that examine child maltreatment and spouse abuse among military families and compares family violence in military versus nonmilitary populations. Physical abuse and neglect compose the majority of the reported and substantiated cases of child maltreatment in military families, followed by sexual abuse and emotional abuse. On the other hand, physical abuse represents more than 90% of all substantiated cases of spouse abuse in military families, followed by emotional abuse, neglect, and sexual abuse. Mixed results were found when comparing military and nonmilitary families in terms of child maltreatment and spouse abuse, in part because of a lack of consistency in policies and practices between military and civilian agencies.

  9. Mature thunderstorm cloud-top structure and dynamics - A three-dimensional numerical simulation study

    NASA Technical Reports Server (NTRS)

    Schlesinger, R. E.

    1984-01-01

    The present investigation is concerned with results from an initial set of comparative experiments in a project which utilize a three-dimensional convective storm model. The modeling results presented are related to four comparative experiments, designated Cases A through D. One of two scientific questions considered involves the dynamical processes, either near the cloud top or well within the cloud interior, which contribute to organize cloud thermal patterns such as those revealed by IR satellite imagery for some storms having strong internal cloud-scale rotation. The second question is concerned with differences, in cloud-top height and temperature field characteristics, between thunderstorms with and without significant internal cloud-scale rotation. The four experiments A-D are compared with regard to both interior and cloud-top configurations in the context of the second question. A particular strong-shear experiment, Case B, is analyzed to address question one.

  10. [Spurious pity--lethal consequences: how helpers turn into offenders].

    PubMed

    Beine, Karl H

    2014-07-01

    This study gives a general view of 40 cases of killing series by members of staff in health care professions in hospitals and homes. The main issue of the analyses are the nine killing series in the German language area. For the investigation legal documents concerning specific characteristics of victims, site of crime and offenders were evaluated. The respective fields of work were investigated concerning the working climate, the position of the offenders in their working group, conflicts in the work place and the handling of the first intern hints to suspective behaviour. It is derives from the case-by-case analyses if there are any preliminary warnings and if there are any commonalities with regard to the victims, the offenders and the respective fields of activity. Personal sensitivities, working conditions and permanent confrontation with human sufferings can be interlaced with each other in that way that the superficial motivation to help is abysmally reversed. In this repect a term of compassion, which confounds real sympathy and self-pity, is essential. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Obstructive sleep apnea and associated attrition, active component, U.S. Armed Forces, January 2004-May 2016.

    PubMed

    Rogers, Amy E; Stahlman, Shauna; Hunt, Devin J; Oh, Gi-Taik; Clark, Leslie L

    2016-10-01

    Obstructive sleep apnea (OSA) is a growing health concern in both civilian and military populations. Individuals who suffer from OSA have increased rates of cardiovascular disease, chronic fatigue, motor vehicle accidents, cognitive impairment, and post-traumatic stress disorder. Data from the Defense Medical Surveillance System (DMSS) were utilized to examine the incidence of OSA and associated attrition from service in active component military members from 1 January 2004 through 31 May 2016. The study identified 223,731 incident cases of OSA with an overall incidence rate of 139.2 per 10,000 person-years, between 2004 and 2015. Rates increased more than 3-fold between 2004 and 2015. In 2015, 48.1% of all incident cases of OSA were diagnosed in the last year of service. The high percentage of cases diagnosed prior to separation from service is concerning because OSA is a treatable and partially preventable disease. OSA represents a large health and economic burden for the armed services and yet there are persistent research gaps in appropriate screening and prevention strategies to improve both individual health and mission performance.

  12. Psoriasis superimposed on vitiligo: the tricolored vulva.

    PubMed

    Tin, Kyi Saw; Scurry, James; Dyall-Smith, Delwyn

    2014-01-01

    This study aimed to describe 2 cases of vulvar psoriasis and vitiligo resulting in a striking clinical appearance. Case 1 was of a 41-year-old woman concerned about a dark pigmentation around the introitus. Case 2 was of an 80-year-old woman with vulvar itch and red, white, and brown areas. The vulva in each case showed a tricolored appearance of well-demarcated red, white, and brown colors. Biopsies showed psoriasis superimposed on vitiligo in the red, vitiligo in the white, and normal skin in the brown areas. When psoriasis and vitiligo are colocalized, the redness of the psoriasis may mask the vitiligo resulting in a striking red, white, and brown tricolored appearance.

  13. Reserve lithium-thionyl chloride battery for missile applications

    NASA Astrophysics Data System (ADS)

    Planchat, J. P.; Descroix, J. P.; Sarre, G.

    A comparative performance study has been conducted for silver-zinc, thionyl chloride, and thermal batteries designed for such missile applications as ICBM guidance system power supplies. Attention is given to each of the three candidates' conformity to requirements concerning mechanical configuration, electrochemical design, electrolyte reservoir, external case, and gas generator. The silver-zinc and Li-SOCl2 candidates employ similar cell configurations and yield comparable performance. The thermal battery is found to be incapable of meeting battery case temperature-related requirements.

  14. The Cohen syndrome: clinical and endocrinological studies of two new cases.

    PubMed Central

    Balestrazzi, P; Corrini, L; Villani, G; Bolla, M P; Casa, F; Bernasconi, S

    1980-01-01

    This report concerns two new cases of the Cohen syndrome and gives further information on the variable phenotypical pattern of the disease. The frequency of major and minor clinical signs is reviewed from all the published reports. Among the minor signs we found previously undescribed skeletal abnormalities in one of our patients. The reported delay onset of puberty, which appears to be a frequent aspect of the syndrome, seems to occur without LH and FSH deficiency, as our patients show. Images PMID:6782211

  15. Case Study: Review of Operating Room Utilization at Mayo Clinic Arizona (MCA)

    DTIC Science & Technology

    2008-05-01

    or CRNA in training. The training of staff and the use of advanced technology, such as the Davinci Surgical Robot, may lead to an increase in time...gynecology performed during block-time will involve the use of the Davinci robot. When using the robot for a case, the set-up and prep-time before...1999). It is because of the cost of surgical staff that block-time lost to delays is concerning. MCA implemented block-time because it provides a tool

  16. Leptospirosis in Greece.

    PubMed

    Papa, Anna; Kotrotsiou, Tzimoula

    2015-09-01

    Leptospirosis is a zoonotic disease with increased public health concern worldwide. The disease occurs more often in temperate and tropical regions. The present study analyzes the demographic, epidemiological and clinical data of 168 leptospirosis cases laboratory diagnosed in northern Greece during 1998-2014. Most patients were males, aged 50-69 years, working in animal husbandry or farming. Cases were observed more frequently in summer and autumn. Severity of the disease was correlated with presence of pulmonary involvement and hemorrhagic manifestations. Copyright © 2015 Elsevier B.V. All rights reserved.

  17. Clinical research for delayed hemorrhage after endoscopic sphincterotomy

    PubMed Central

    Wang, Yundong; Han, Zhen; Niu, Xiaoping; Jia, Yuliang; Yuan, Heming; Zhang, Guozheng; He, Chiyi

    2015-01-01

    To analyze the effect of delayed hemorrhage after endoscopic sphincterotomy (EST) and compare the efficacy in improving complication between medicine treatment alone and medicine combined with endoscopic treatment. 1741 patients with EST admitted in Yijishan hospital of Wannan medical college from September 2009 to May 2014 were enrolled in this study. 32 cases suffered from delayed hemorrhage. The patients with delayed hemorrhage were evaluated through incision length of duodenal papilla, clinical manifestation, stool occult blood test and the difference of hemoglobin concentration between pre and post operation. 32 patients were divided into mild bleeding group, mild serious group and serious group through the speed and amount of bleeding. All cases in mild group accepted medicine treatment. Mild serious group were divided into medicine therapy group and medicine combined with endoscopic therapy group randomly. Serious group accepted vascular intervention therapy even traditional operation. The different treatments for delayed hemorrhage were judged by efficiency. The dates were analyzed by t-test or chi-square test. Nobody endured delayed hemorrhage who accepted small incision. Delayed hemorrhage was found in 7 patients out of 627 cases who accepted medium-large incision, 25 patients of 920 cases who accepted large incision. The patients who accepted lager EST were more dangerous than small EST (χ2=4.718, P=0.030) concerning delayed hemorrhage. 32 cases in 1741 patients suffered from delayed hemorrhage. 14 patients only have passed black stool after EST. Among 14 cases, 13 patients stop bleeding after medical therapy, and 1 case received endoscopic hemostasis. 15 cases with hematemesis or melena after EST, 7 patients who received combination therapy stop bleeding. 3 patients from 8 cases stop bleeding after single chemical treatment, 5 cases had to receive endoscopic hemostasis after ineffectual medical therapy. There are significant difference for concerning effect between combination therapy group and medical therapy group (P=0.026). 3 patients repeatedly vomited blood and develop to peripheral circulatory failure. Those patients all received vascular intervention therapy, 2 patients stop bleeding, 1 patient failed in vascular intervention therapy and given up emergency rescue and died. Large EST has more risks than small EST in concerning delayed hemorrhage. Delayed bleeding after EST should be treated by different levels. Adapted therapy should be recommend for patients with different levels bleeding. PMID:26131161

  18. A Case Study of the Academic Achievement of African American Males in Single-Sex Classrooms in Rural South Carolina

    ERIC Educational Resources Information Center

    Pannell, Lynette Martin

    2013-01-01

    The purpose of this study was to investigate the differences of Measures of Academic Progress (MAP) scores between fourth-grade African American male students who were enrolled in single-sex classrooms and their counterparts who were enrolled in coeducational classrooms. The research provided descriptive data concerning one Title I school in rural…

  19. Teachers' Interpretations of the Ethical Dimensions of Teaching on the Chinese Mainland: A Case Study of Two Secondary Schools in Shanghai

    ERIC Educational Resources Information Center

    Lijia, Wang; Lai, Manhong; Lo, Leslie N. K.

    2016-01-01

    This paper highlights Chinese teachers' ethical concerns in their relationships with students, colleagues, and students' parents. Through a qualitative study of 26 teachers, it was found that the teachers were often trapped in a dilemma between teaching to students' real development and teaching to the test. The ethics of professional…

  20. Parental Factors and Early English Education as a Foreign Language: A Case Study in Mainland China

    ERIC Educational Resources Information Center

    Butler, Yuko Goto

    2014-01-01

    As English has increasingly become associated with social and economic power in the context of globalisation, there has been a growing concern regarding achievement gaps in English that appear to be correlated to learners' socio-economic status (SES). The present study aims to examine how parents' SES and their behaviours and beliefs about English…

  1. The Development of a Tutor Programme in a University Hall of Residence--A Case Study.

    ERIC Educational Resources Information Center

    Beasley, V. J.

    The tutor system within a university hall of residence at Flinders University of South Australia and a method of inquiry used to study the system are examined. Interviews with residence hall tutors revealed four concerns: the need for guidelines, the nature of academic tutoring, pastoral care and its implications, and communication channels within…

  2. An Examination of Information Technology and Its Perceived Quality Issues in Single System Hospitals in the United States

    ERIC Educational Resources Information Center

    Byrd, Linda W.

    2009-01-01

    The safety and quality of healthcare is of great concern in the United States. The positive effects of information technology reported in past research, especially case studies, has encouraged expectations that information technology may increase the quality of healthcare while reducing costs of healthcare. The goals of this study was to examine…

  3. Prevalence of Primary Methamphetamine-Related Cases and Treatment-Centre Preparedness among Youth Outpatient Substance Abuse Treatment Centres in British Columbia, Canada

    ERIC Educational Resources Information Center

    Callaghan, Russell C.; Rush, Brian; Tavares, Joey; Taylor, Lawren; Victor, J. Charles

    2009-01-01

    Adolescent methamphetamine use is a prominent concern for Canadian media and government. Few empirical studies, however, have established the scope of adolescent methamphetamine use or associated outpatient substance abuse treatment utilization. The current study aimed to answer the following questions: (1) What was the overall proportion of…

  4. "Making It Relevant": A Rural Teacher's Integration of an International Studies Program

    ERIC Educational Resources Information Center

    Lee, Mimi Miyoung

    2007-01-01

    This paper presents a case study in which a series of international programs was delivered via interactive videoconferencing technology to a middle school classroom in a small rural town in the USA. Despite positive reactions to the international programs, a deeper look at the use of the programs pointed to some reason for concern regarding the…

  5. Including Visually Impaired Students in Physical Education Lessons: A Case Study of Teacher and Pupil Experiences

    ERIC Educational Resources Information Center

    Herold, Frank; Dandolo, Jack

    2009-01-01

    Following recent education policy and curriculum changes in England, the notion of inclusion of children with special educational needs in physical education has increasingly become a topic of research interest and concern. It was the aim of this study to explore personal experiences and perspectives of inclusion in physical education. To this end…

  6. Transferring Community Music into the Classroom: Some Issues Concerning the Pedagogy of Japanese Traditional Music

    ERIC Educational Resources Information Center

    Shiobara, Mari

    2011-01-01

    Based on my personal experiences of learning nagauta as a case study, this article examines the process of learning traditional Japanese music. It raises attention to potential pedagogical issues when traditional music is introduced into school music classrooms, as was suggested in the 2008 Japanese Course of Study for Music. From my observation…

  7. Studying Research Collaboration Patterns via Co-authorship Analysis in the Field of TeL: The Case of "Educational Technology & Society" Journal

    ERIC Educational Resources Information Center

    Zervas, Panagiotis; Tsitmidelli, Asimenia; Sampson, Demetrios G.; Chen, Nian-Shing; Kinshuk

    2014-01-01

    Research collaboration is studied in different research areas, so as to provide useful insights on how researchers combine existing distributed scientific knowledge and transform it into new knowledge. Commonly used metrics for measuring research collaborative activity include, among others, the co-authored publications (concerned with who works…

  8. Investigating Parents' Attitudes towards Digital Technology Use in Early Childhood: A Case Study from Croatia

    ERIC Educational Resources Information Center

    Mikelic Preradovic, Nives; Lešin, Gordana; Šagud, Mirjana

    2016-01-01

    The aim of this study is to investigate perceptions of parents in Croatia towards advantages and disadvantages of computer use in general as well as their children's computer use and to reveal parents' concerns and opinions about digital technology (DT) education in kindergarten. The paper reports on research findings from one of the large public…

  9. Early Urban Field Experiences for Prospective Teachers: A Case Study of Multicultural Field Placements through a University-Based Preservice STEM Teacher Program

    ERIC Educational Resources Information Center

    Segal, Eden H.

    2011-01-01

    Educational and political leaders have expressed concern about racial and ethnic disparities in students' readiness for postsecondary study and careers in science, technology, engineering, and mathematics (STEM). A lack of preparedness of STEM teachers in high-need urban districts, which serve predominantly low-income minority students, is often…

  10. Community Networks and Effective Change in Proprietary Colleges and Universities: A Systems Perspective

    ERIC Educational Resources Information Center

    Valentine, Dorothy J.

    2017-01-01

    This case study was conducted to gain more knowledge from citizens in the four city area of Virginia which included Chesapeake, Norfolk, Portsmouth, and Virginia Beach concerning the emergence of proprietary colleges in these areas. It was a qualitative study designed to gain more insight into the feelings and regard that citizens in these areas…

  11. Bullying among Secondary School Students in Malaysia: A Case Study

    ERIC Educational Resources Information Center

    Salleh, Norshidah Mohamad; Zainal, Khalim

    2014-01-01

    Bullying is an issue that is difficult to be eliminated in schools. Bully activity in school is a discipline problem and may interrupt the teaching and learning process. It often receives attention from parents who are concerned that such activity can develop into fights, which can lead to serious injury or even death. The study was conducted in…

  12. Building Safer Secondary Schools in Uganda through Collective Commitment to Health and Safety Compliance

    ERIC Educational Resources Information Center

    Sekiwu, Denis; Kabanda, Milly

    2014-01-01

    The area of safety and accident prevention is of great concern to managers, because of the increasing number of deaths and accidents at work places. Using a case of Wakiso district, the study sought to investigate the relationship between collective commitment and management of health and safety in Ugandan secondary schools. The study employed a…

  13. The Role of Nurse Educators in the Development of Reflective Practitioners: A Selective Case Study of the Australian and UK Experience.

    ERIC Educational Resources Information Center

    Mallik, Maggie

    1998-01-01

    A study tour of two British and eight Australian nursing schools found reflective practice fully endorsed in Australia, but the movement is threatened by concern with cost effectiveness. Issues to be resolved include ethical use of student journals and process and outcome evaluation of the effectiveness of reflection. (SK)

  14. Translation Strategies of EFL Student Teachers: A Think Aloud Protocol-Based Case Study

    ERIC Educational Resources Information Center

    Aly, Mahsoub Abdul-Sadeq

    2004-01-01

    The main concern of the present study is to investigate the strategies followed by the EFL students in the translation process. This problem has been dealt with through answering the following two questions: 1- What are the strategies followed by the EFL student teachers in the translation process?; 2 - What are the educational implications for…

  15. A Case Study of Key Stakeholders' Perceptions of the Learning Center's Effectiveness for English Learners at a District in Central California

    ERIC Educational Resources Information Center

    Nava, Norma Leticia

    2016-01-01

    This qualitative study explored stakeholders' (administrators, teachers, and parents) perspectives of English learners in the learning center, a response to intervention model, at a school district in Central California. Research existed concerning the yearly academic growth of students in a learning center, but there was a lack of knowledge about…

  16. "After Hours" Schools as Core to the Spatial Politics of "In-Betweenness"

    ERIC Educational Resources Information Center

    Tsolidis, Georgina; Kostogriz, Alex

    2008-01-01

    In this article the authors draw on a larger study in which their overall concern is to illustrate how diasporic identifications develop through a range of scales related to self, family, community, nation and beyond. They consider the Melbourne Greek community as an exemplar of diasporic experience and use it as a case study for their…

  17. Operational effectiveness and quality assurance mechanisms with stochastic demand of blood supply: blood bank case study.

    PubMed

    Smith, Alan D

    2011-01-01

    A general overview of various blood products operational effectiveness and related strategies that can be utilised by service providers (in particular, healthcare providers) is presented in the present study. In terms of the massive volumes of blood products, the North American blood centres collect more than eight million units of whole blood, which represents appropriately 50% of the US and Quebec, Canada?s volunteer donor blood supply. A case study of the quality inspection and inventory control concerns of the Central Blood Bank, located in the metropolitan area of Pittsburgh, PA, is presented. Initially, brief introduction to its general operating environment is followed by sections describing its general situation, quality-service initiatives, and followed by a fairly detailed discussion of the practical applications of lessons learned from the case study.

  18. 26 CFR 601.503 - Requirements of power of attorney, signatures, fiduciaries and Commissioner's authority to...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... taxpayer. In the case of an insolvent taxpayer, form 56, “Notice Concerning Fiduciary Relationship,” should... and effect at the time the form 56, “Notice Concerning Fiduciary Relationship,” is filed. (ii... form 56, “Notice Concerning Fiduciary Relationship,” should be filed by the residuary legatee(s...

  19. 26 CFR 601.503 - Requirements of power of attorney, signatures, fiduciaries and Commissioner's authority to...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... taxpayer. In the case of an insolvent taxpayer, form 56, “Notice Concerning Fiduciary Relationship,” should... and effect at the time the form 56, “Notice Concerning Fiduciary Relationship,” is filed. (ii... form 56, “Notice Concerning Fiduciary Relationship,” should be filed by the residuary legatee(s...

  20. 26 CFR 601.503 - Requirements of power of attorney, signatures, fiduciaries and Commissioner's authority to...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... taxpayer. In the case of an insolvent taxpayer, form 56, “Notice Concerning Fiduciary Relationship,” should... and effect at the time the form 56, “Notice Concerning Fiduciary Relationship,” is filed. (ii... form 56, “Notice Concerning Fiduciary Relationship,” should be filed by the residuary legatee(s...

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

    Czamanski, O.Z.

    Mixed empirical evidence concerning the A-J effect suggests that regulatory constraints affect utilities differently, depending upon their organizational structure. An important characteristic of firms is the concern for profits on the part of managements. This concern is related to the extent that management owns the firms' residual claims. In the case of many utilities, professional management means divorce of ownership from the firm's decision-making.

  2. Fresh fruits, vegetables and mushrooms as transmission vehicles for Echinococcus multilocularis in highly endemic areas of Poland: reply to concerns.

    PubMed

    Lass, Anna; Szostakowska, Beata; Myjak, Przemysław; Korzeniewski, Krzysztof

    2016-09-01

    Echinococcus multilocularis is a tapeworm that may cause alveolar echinococcosis (AE), one of the most dangerous parasitic zoonoses. As in the case of other foodborne diseases, unwashed fruits and vegetables, contaminated with dispersed forms of E. multilocularis, may serve as an important transmission route for this parasite. In this article, we reply to the incorrect interpretation of results of our study concerning the detection of E. multilocularis DNA in fresh fruit, vegetable and mushroom samples collected from the highly endemic areas of the Warmia-Masuria Province, Poland, to dispel any doubts. The accusations formulated by the commentators concerning our paper are unfounded; moreover, these commentators demand information which was beyond the purview of our study. Making generalisations and drawing far-reaching conclusions from our work is also unjustified. The majority of positive samples were found in only a few hyperendemic communities; this information corresponds with the highest number of both infected foxes and AE cases in humans recorded in this area. Our findings indicate that E. multilocularis is present in the environment and may create a potential risk for the inhabitants. These people should simply be informed to wash fruits and vegetables before eating. No additional far-reaching conclusions should be drawn from our data. We believe these commentators needlessly misinterpreted our results and disseminated misleading information. Nevertheless, we would like to encourage any readers simply to contact us if any aspects of our study are unclear.

  3. Proactive investigation of hydrocarbons released into a linked groundwater-surfacewater hydrologic system: Chevron Estero Marine Terminal

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

    Tormey, D.; Waldron, J.; Culbertson, D.

    When regulatory concern is high, it is critical to address potential ecological impacts early, and hence [open quotes]close the door[close quotes] on further unnecessary studies, as illustrated by the Chevron Estero Marine Terminal case study. Cutter stock (diesel-like hydrocarbons) leaked from a facility sump, reached the water table, and migrated laterally an unknown distance. Media reports led to heightened public and regulatory concern, and the information gap led to worst-case assumptions about the extent and impact of the release to the biota of a nearby creek (Toro Creek). Chevron undertook a rapid assessment with two goals: define the extent ofmore » cutter stock in soil and groundwater, and close the door on expensive biological studies of Toro Creek. The assessment consisted of installing a large number of small-diameter soil borings and temporary well points, monitor wells, and analyzing soil, groundwater, and hydraulic gradient. The information gap was very rapidly filled with the following comprehensive picture: (1) the cutter stock had mixed with heavy crude oil, was highly adsorptive to soil and practically insoluble in water; (2) the cutter stock had not reached Toro Creek; (3) Toro Creek is always a losing stream, hydraulically connected to groundwater beneath the Chevron facility; (4) the groundwater basin is isolated by bedrock boundaries. Early attention to Toro Creek and the Pacific Ocean, and open communication with concerned agencies effectively limited the investigation to soil and water.« less

  4. Proactive investigation of hydrocarbons released into a linked groundwater-surfacewater hydrologic system: Chevron Estero Marine Terminal

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

    Tormey, D.; Waldron, J.; Culbertson, D.

    When regulatory concern is high, it is critical to address potential ecological impacts early, and hence {open_quotes}close the door{close_quotes} on further unnecessary studies, as illustrated by the Chevron Estero Marine Terminal case study. Cutter stock (diesel-like hydrocarbons) leaked from a facility sump, reached the water table, and migrated laterally an unknown distance. Media reports led to heightened public and regulatory concern, and the information gap led to worst-case assumptions about the extent and impact of the release to the biota of a nearby creek (Toro Creek). Chevron undertook a rapid assessment with two goals: define the extent of cutter stockmore » in soil and groundwater, and close the door on expensive biological studies of Toro Creek. The assessment consisted of installing a large number of small-diameter soil borings and temporary well points, monitor wells, and analyzing soil, groundwater, and hydraulic gradient. The information gap was very rapidly filled with the following comprehensive picture: (1) the cutter stock had mixed with heavy crude oil, was highly adsorptive to soil and practically insoluble in water; (2) the cutter stock had not reached Toro Creek; (3) Toro Creek is always a losing stream, hydraulically connected to groundwater beneath the Chevron facility; (4) the groundwater basin is isolated by bedrock boundaries. Early attention to Toro Creek and the Pacific Ocean, and open communication with concerned agencies effectively limited the investigation to soil and water.« less

  5. Transformation of pharmaceuticals during oxidation/disinfection processes in drinking water treatment.

    PubMed

    Postigo, Cristina; Richardson, Susan D

    2014-08-30

    Pharmaceuticals are emerging contaminants of concern and are widespread in the environment. While the levels of these substances in finished drinking waters are generally considered too low for human health concern, there are now concerns about their disinfection by-products (DBPs) that can form during drinking water treatment, which in some cases have been proven to be more toxic than the parent compounds. The present manuscript reviews the transformation products of pharmaceuticals generated in water during different disinfection processes, i.e. chlorination, ozonation, chloramination, chlorine dioxide, UV, and UV/hydrogen peroxide, and the main reaction pathways taking place. Most of the findings considered for this review come from controlled laboratory studies involving reactions of pharmaceuticals with these oxidants used in drinking water treatment. Copyright © 2014 Elsevier B.V. All rights reserved.

  6. Reasons for measles cases not being vaccinated with MMR: investigation into parents' and carers' views following a large measles outbreak.

    PubMed

    McHale, P; Keenan, A; Ghebrehewet, S

    2016-03-01

    Uptake rates for the combined measles, mumps and rubella (MMR) vaccine have been below the required 95% in the UK since a retracted and discredited article linking the MMR vaccine with autism and inflammatory bowel disease was released in 1998. This study undertook semi-structured telephone interviews among parents or carers of 47 unvaccinated measles cases who were aged between 13 months and 9 years, during a large measles outbreak in Merseyside. Results showed that concerns over the specific links with autism remain an important cause of refusal to vaccinate, with over half of respondents stating this as a reason. A quarter stated child illness during scheduled vaccination time, while other reasons included general safety concerns and access issues. Over half of respondents felt that more information or a discussion with a health professional would help the decision-making process, while a third stated improved access. There was clear support for vaccination among respondents when asked about current opinions regarding MMR vaccine. The findings support the hypothesis that safety concerns remain a major barrier to MMR vaccination, and also support previous evidence that experience of measles is an important determinant in the decision to vaccinate.

  7. What do women know about breast cancer prophylaxis and a healthy style of life?

    PubMed

    Sielska, Jolanta; Matecka, Monika; Dąbrowska, Eliza; Jakubek, Ewa; Urbaniak, Monika

    2015-01-01

    The aim of the study was to determine the factors influencing women's knowledge concerning breast cancer prophylaxis and find out the sources of the knowledge. In the Greater Poland region, breast cancer has been the most frequently detected tumour for years. The percentage of breast cancer cases has increased by 31% in the last decade. The study encompassed 337 women aged 40-59 who participated in the mammographic examinations. An original research tool was used which assessed the level of knowledge concerning breast cancer prophylaxis, the knowledge of health-oriented behaviour in this regard and the influence of the medical personnel on women's education. Age is a factor diversifying the knowledge of the breast self-examination method. Doctors and nurses were rarely indicated as a source of knowledge concerning breast cancer prophylaxis. The subjects presented a high level of knowledge of the factors increasing the risk of developing cancer. A correlation between the level of education and the knowledge of one's own breast to a degree which enables a woman to detect even a slight change was observed. Vital findings also concern the sources of knowledge concerning breast cancer prophylaxis. The results of the studies indicated little informative support on the part of the medical personnel; therefore, one should call for supplementing training courses for doctors and nurses focusing on the issues of prophylaxis, including the method of breast self-examination.

  8. 49 CFR Appendix C to Part 209 - FRA's Policy Statement Concerning Small Entities

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... to pay the assessment; the impacts an assessment might exact on the entity's continued business; and... factors in communications with FRA concerning civil penalty cases. Long-term solutions to compliance...

  9. 49 CFR Appendix C to Part 209 - FRA's Policy Statement Concerning Small Entities

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... to pay the assessment; the impacts an assessment might exact on the entity's continued business; and... factors in communications with FRA concerning civil penalty cases. Long-term solutions to compliance...

  10. 49 CFR Appendix C to Part 209 - FRA's Policy Statement Concerning Small Entities

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... to pay the assessment; the impacts an assessment might exact on the entity's continued business; and... factors in communications with FRA concerning civil penalty cases. Long-term solutions to compliance...

  11. Neurological aspects of human parvovirus B19 infection: a systematic review

    PubMed Central

    Barah, Faraj; Whiteside, Sigrid; Batista, Sonia; Morris, Julie

    2014-01-01

    Parvovirus B19 has been linked with various clinical syndromes including neurological manifestations. However, its role in the latter remains not completely understood. Although the last 10 years witnessed a surge of case reports on B19-associated neurological aspects, the literature data remains scattered and heterogeneous, and epidemiological information on the incidence of B19-associated neurological aspects cannot be accurately extrapolated. The aim of this review is to identify the characteristics of cases of B19-associated neurological manifestations. A computerized systematic review of existing literature concerning cases of B19-related neurological aspects revealed 89 articles describing 129 patients; 79 (61.2%) were associated with CNS manifestations, 41 (31.8%) were associated with peripheral nervous system manifestations, and 9 (7.0%) were linked with myalgic encephalomyelitis. The majority of the cases (50/129) had encephalitis. Clinical characteristic features of these cases were analyzed, and possible pathological mechanisms were also described. In conclusion, B19 should be included in differential diagnosis of encephalitic syndromes of unknown etiology in all age groups. Diagnosis should rely on investigation of anti-B19 IgM antibodies and detection of B19 DNA in serum or CSF. Treatment of severe cases might benefit from a combined regime of intravenous immunoglobulins and steroids. To confirm these outcomes, goal-targeted studies are recommended to exactly identify epidemiological scenarios and explore potential pathogenic mechanisms of these complications. Performing retrospective and prospective and multicenter studies concerning B19 and neurological aspects in general, and B19 and encephalitic syndromes in particular, are required. © 2014 The Authors. Reviews in Medical Virology published by John Wiley & Sons, Ltd. PMID:24459081

  12. A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients.

    PubMed

    Molina, Wilson R; Pessoa, Rodrigo; Donalisio da Silva, Rodrigo; Kenny, McCabe C; Gustafson, Diedra; Nogueira, Leticia; Leo, Mark E; Yu, Michael K; Kim, Fernando J

    2017-01-01

    Approximately 12% of all ureteral stents placed are retained or "forgotten." Forgotten stents are associated with significant safety concerns as well as increased costs and legal issues. Retained ureteral stents (RUS) often occur due to lack of clinical follow-up, communication or language barriers, and economic concerns. We describe a multiplatform application that facilitates data collection to prevent RUS. The "Stent Tracker" application can be installed on mobile devices and computers. The encrypted and password-protected information is accessible from any device and provides information about each procedure, stent placement and removal dates, as well as product description. This multicenter retrospective study included 194 patients who underwent stent placement between July and October 2015. Nominal data was tallied and ordinal data was divided into quartiles of 25, 50, and 75%. A total of 194 patients from three institutions underwent ureteral stent placement. Reasons for stent placement include 122 cases post ureteroscopy (63%), 8 cases post percutaneous nephrolithotomy (PCNL) (4%), 14 cases post extracorporeal shock wave lithotripsy (SWL) (7%), 18 cases of cancer-related ureteral obstruction (9%), 21 cases of hydronephrosis (11%), and 11 for other reasons (6%). Of these patients, only one patient was lost to follow-up (0.5%). On average, ureteral stents were removed within 14 days of placement (IQR: 8-26 days). The "Stent Tracker" is a patient safety application that provides a secure and simplified interface, which can significantly reduce the incidence of RUS. Further developments could include automated notifications to patients and staff, color-coding, and integrated information with electronic patient charts.

  13. [Views of health system administrators, professionals, and users concerning the electronic health record and facilitators and obstacles to its implementation].

    PubMed

    Costa, Jose Felipe Riani; Portela, Margareth Crisóstomo

    2018-02-05

    The design and deployment of complex technologies like the electronic health record (EHR) involve technical, personal, social, and organizational issues. The Brazilian public and private scenario includes different local and regional initiatives for implementation of the electronic health record. The Brazilian Ministry of Health also has a proposal to develop a national EHR. The current study aimed to provide a comprehensive view of perceptions by health system administrators, professionals, and users concerning their experiences with the electronic health record and their opinions of the possibility of developing a national EHR. This qualitative study involved 28 semi-structured interviews. The results revealed both the diversity of factors that can influence the implementation of an electronic health record and the existence of convergences and aspects that tend to be valued differently according to the different points of view. Key aspects include discussions on the electronic health record's attributes and it impact on healthcare, especially in the case of local electronic health records, concerns over costs and confidentiality and privacy pertaining to electronic health records in general, and the possible implications of centralized versus decentralized data storage in the case of a national EHR. The interviews clearly showed the need to establish more effective communication among the various stakeholders, and that the different perspectives should be considered when drafting and deploying an EHR at the local, regional, and national levels.

  14. Communication in pediatric critical care: A proposal for an evidence-informed framework.

    PubMed

    Carnevale, Franco A; Farrell, Catherine; Cremer, Robin; Séguret, Sylvie; Canouï, Pierre; Leclerc, Francis; Lacroix, Jacques; Hubert, Philippe

    2016-03-01

    The aim of this investigation was to conduct a comprehensive examination of communication between parents and health care professionals (HCPs) in the pediatric intensive care unit (PICU). A secondary analysis was performed on data from 3 previous qualitative studies, which included 30 physicians, 37 nurses, and 38 parents in France and Quebec (Canada). All three studies examined a mix of cases where children either survived or died. All data referring to communication between parents (and patients when applicable) and HCPs were examined to identity themes that related to communication. Thematic categories for parents and HCPs were developed. Three interrelated dimensions of communication were identified: (1) informational communication, (2) relational communication, and (3) communication and parental coping. Specific themes were identified for each of these 3 dimensions in relation to parental concerns as well as HCP concerns. This investigation builds on prior research by advancing a comprehensive analysis of PICU communication that includes (a) cases where life-sustaining treatments were withdrawn or withheld as well as cases where they were maintained, (b) data from HCPs as well as parents, and (c) investigations conducted in 4 different sites. An evidence-informed conceptual framework is proposed for PICU communication between parents and HCPs. We also outline priorities for the development of practice, education, and research. © The Author(s) 2014.

  15. Teaching points-do they occur and what do they contain? An observation study concerning the general practice rotation.

    PubMed

    Duncan, Gertrude Florence; Roth, Lisa Marie; Donner-Banzhoff, Nobert; Boesner, Stefan

    2016-04-18

    A general practice rotation is mandatory in most undergraduate medical education programs. However, little is known about the student-teacher interaction which takes place in this setting. In this study we analyzed occurrence and content of teaching points. From April to December 2012, 410 individual patient consultations were observed in twelve teaching practices associated with the Philipps University Marburg, Germany. Material was collected using structured field-note forms and videotaping. Data analysis was descriptive in form. A teaching point is defined here as a general rule or specific, case-related information divulged by the teaching practitioner. According to the analysis of 410 consultations, teaching points were made in 66.3% of consultations. During these consultations, 74.3% general- and 46.3% case related teaching points occurred; multiple categorizations were possible. Of seven possible topics, therapy was most common, followed, in frequency of occurrence, by patient history, diagnostic procedure, physical examination, disease pathology, differential diagnosis, risk factors and case presentation. The majority of consultations conducted within student presence contained teaching points, most frequently concerning therapy. General teaching points were more common than specific teaching points. Whilst it is encouraging that most consultations included teaching points, faculty development aimed at raising awareness for teaching and learning techniques is important.

  16. Quality Assessment of Family Planning Sterilization Services at Health Care Facilities: Case Record Audit.

    PubMed

    Mathur, Medha; Goyal, Ram Chandra; Mathur, Navgeet

    2017-05-01

    Quality of sterilization services is a matter of concern in India because population control is a necessity. Family Planning Sterilization (FPS) services provided at public health care facilities need to be as per Standard Operating Procedures. To assess the quality of FPS services by audit of case records at selected health care facilities. This cross-sectional study was conducted for two and a half year duration at selected public health care facilities of central India by simple random sampling where FPS services were provided. As per the standards of Government of India, case records were audited and compliance was calculated to assess the quality of services. Results of record audit were satisfactory but important criteria like previous contraceptive history and postoperative counselling were found to be deviated from standards. At Primary Health Centres (PHCs) only 89.5% and at Community Health Centres (CHCs) 58.7% of records were having details of previous contraceptive history. Other criteria like mental illness (only 70% at CHCs) assessment were also inadequate. Although informed consent was found to be having 100% compliance in all records. Quality of care in FPS services is the matter of concern in present scenario for better quality of services. This study may enlighten the policy makers regarding improvements needed for providing quality care.

  17. E-Learning in Urology: Implementation of the Learning and Teaching Platform CASUS® - Do Virtual Patients Lead to Improved Learning Outcomes? A Randomized Study among Students.

    PubMed

    Schneider, Anna-Teresa; Albers, Peter; Müller-Mattheis, Volker

    2015-01-01

    E-learning is playing an increasing role in medical education, supporting a problem-based and practical oriented education without putting patients at risk and compensating for the decrease in instructor-centered teaching. Not much research has been done concerning learning effects and reaction on behalf of the students. We created computer-based cases for four important diagnoses in urology using the authoring system CASUS®. Fourth-year medical school students were randomized into two groups: (1) the CASUS® group, using the online cases for preparation, and (2) the book group, using a textbook. A multiple-choice test referring to the prepared topic had to be completed at the beginning of each lecture and the results were analyzed. Evaluation of the students concerning the acceptance of the program was done at the end of the semester. Members of the CASUS® group scored significantly higher with an average of 20% better test results than students using textbooks for preparation. Evaluation regarding the program showed a highly positive rating. Limitations include the small study population and the possibly biased test performance of the students. Computerized patient cases facilitate practice-oriented teaching and result in an interesting and engaging learning model with improved learning outcomes. © 2015 S. Karger AG, Basel.

  18. Financial incentives for antipsychotic depot medication: ethical issues.

    PubMed

    Claassen, Dirk

    2007-04-01

    Giving money as a direct incentive for patients in exchange for depot medication has proved beneficial in some clinical cases in assertive outreach (AO). However, ethical concerns around this practice have been raised, and will be analysed in more detail here. Ethical concern voiced in a survey of all AO teams in England were analysed regarding their content. These were grouped into categories. 53 of 70 team managers mentioned concerns, many of them serious and expressing a negative attitude towards giving money for depot adherence. Four broad categories of ethical concern following Christensen's concept were distinguished: valid consent and refusal (n = 5), psychiatric paternalism (n = 31), resource allocation (n = 4), organisational relationships (n = 2), with a residual category others and unspecified (n = 11). The main concerns identified are discussed on the background of existing ethical theories in healthcare and the specific problems of community mental health and AO. Points for practice are derived from this discussion. A way forward is outlined that includes informed consent and an operational policy in the use of incentives, further randomised controlled trials and qualitative studies, and continuing discussions with all stakeholders, especially service users.

  19. How Physics Teachers Approach Innovation: An Empirical Study for Reconstructing the Appropriation Path in the Case of Special Relativity

    ERIC Educational Resources Information Center

    De Ambrosis, Anna; Levrini, Olivia

    2010-01-01

    This paper concerns an empirical study carried out with a group of high school physics teachers engaged in the Module on relativity of a Master course on the teaching of modern physics. The study is framed within the general research issue of how to promote innovation in school via teachers' education and how to foster fruitful interactions…

  20. Obstetrical Providers' Management of Chronic Pain in Pregnancy: A Vignette Study.

    PubMed

    Tucker Edmonds, Brownsyne; McKenzie, Fatima; Austgen, MacKenzie B; Ashburn-Nardo, Leslie; Matthias, Marianne S; Hirsh, Adam T

    2017-05-01

    Describe obstetrical providers' management of a hypothetical case on chronic pain in pregnancy and determine whether practices differ based on patient race. This was a self-administered survey at a clinical conference. Seventy-six obstetrician-gynecologists and one nurse practitioner were surveyed. A case-vignette described a pregnant patient presenting with worsening chronic lower back pain, requesting an opioid refill and increased dosage. We varied patient race (black/white) across two randomly assigned identical vignettes. Providers indicated their likelihood of prescribing opioids, drug testing, and referring on a 0 (definitely would not) to 10 (definitely would) scale; rated their suspicions/concerns about the patient on a 0-10 VAS scale; and ranked those concerns in order of importance. We calculated correlation coefficients, stratifying analyses by patient race. Providers were not inclined to refill the opioid prescription (median = 3.0) or increase the dose (median = 1.0). They were more likely to conduct urine drug tests on white than black patients ( P = 0.008) and more likely to suspect that white patients would divert the medication ( P =0.021). For white patients, providers' highest-ranked concern was the patient's risk of abuse/addiction, whereas, for black patients, it was harm to the fetus. Suspicion about symptom exaggeration was more closely related to decisions about refilling the opioid prescriptions and increasing the dose for black patients (r = -0.357, -0.439, respectively), whereas these decisions were more closely correlated with concerns about overdose for white patients (r = -0.406, -0.494, respectively). Provider suspicion and concerns may differ by patient race, which may relate to differences in pain treatment and testing. Further study is warranted to better understand how chronic pain is managed in pregnancy. © 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  1. Categorizing mistaken false positives in regulation of human and environmental health.

    PubMed

    Hansen, Steffen Foss; Krayer von Krauss, Martin P; Tickner, Joel A

    2007-02-01

    One of the concerns often voiced by critics of the precautionary principle is that a widespread regulatory application of the principle will lead to a large number of false positives (i.e., over-regulation of minor risks and regulation of nonexisting risks). The present article proposes a general definition of a regulatory false positive, and seeks to identify case studies that can be considered authentic regulatory false positives. Through a comprehensive review of the science policy literature for proclaimed false positives and interviews with authorities on regulation and the precautionary principle we identified 88 cases. Following a detailed analysis of these cases, we found that few of the cases mentioned in the literature can be considered to be authentic false positives. As a result, we have developed a number of different categories for these cases of "mistaken false positives," including: real risks, "The jury is still out," nonregulated proclaimed risks, "Too narrow a definition of risk," and risk-risk tradeoffs. These categories are defined and examples are presented in order to illustrate their key characteristics. On the basis of our analysis, we were able to identify only four cases that could be defined as regulatory false positives in the light of today's knowledge and recognized uncertainty: the Southern Corn Leaf Blight, the Swine Flu, Saccharin, and Food Irradiation in relation to consumer health. We conclude that concerns about false positives do not represent a reasonable argument against future application of the precautionary principle.

  2. Suicide risk in schizophrenia: an analysis of 17 consecutive suicides.

    PubMed

    Saarinen, P I; Lehtonen, J; Lönnqvist, J

    1999-01-01

    The aim of this study was to investigate interactional factors related to the recognition of suicide risk in patients with schizophrenia. The study focused on 17 schizophrenia patients who had committed suicide during the National Suicide Prevention Project in Finland between April 1, 1987, and March 31, 1988, in the province of Kuopio. Consensus case reports were assembled by using the psychological autopsy method. Study methods included structured and in-depth interviews of next of kin and interviews of health care or social services workers who had treated the suicide victims. Male and female patients with schizophrenia committed suicide in equal proportions. Most had suffered from schizophrenia for more than 15 years; all but one had been receiving psychiatric treatment at the time of suicide. Retrospective assessment indicated that 59 percent of the patients were clinically depressed at the time of suicide. In 76 percent of the cases, the mental health professionals involved in treatment had not believed that there was a risk of suicide during their last contact with the patient. In 29 percent of the cases, the patient's paranoid ideas concerning treatment personnel had increased. Patients' withdrawal from human relationships because of depression was related to loss of the treatment professionals' concern for the patients. The findings in this descriptive study suggest that withdrawal by a patient with schizophrenia and an increase in the patient's paranoid behavior should be regarded as signals of risk of suicide.

  3. Odor impact assessment of trace sulfur compounds from working faces of landfills in Beijing, China.

    PubMed

    Liu, Yanjun; Lu, Wenjing; Wang, Hongtao; Huang, Qifei; Gao, Xingbao

    2018-08-15

    Odor pollution from landfills is causing a growing number of public complaints and concerns. Compared with hydrogen sulfide (H 2 S) and ammonia (NH 3 ), odor impacts of trace sulfur compounds (TSCs) are arousing concerns due to their low odor threshold values (OTVs). Working face on landfill sites has been claimed as major source of odor impacts. This study estimated the odor impacts of fugitive TSCs from the working face of a large typical municipal solid waste (MSW) landfill in Beijing, China. A modified wind tunnel system was introduced to estimate emission rates of TSCs, which is a basic requirement for odor impact assessment. The odor activity value (OAV) method was introduced for odor evaluation. Fieldwork in the selected landfill was conducted from 2014 to 2015. Methyl mercaptan (CH 3 SH), dimethyl sulfide, dimethyl disulfide (DMDS), and carbon disulfide (CS 2 ) were the TSCs studied in this work. The spatial concentration distributions of the TSCs were calculated on the basis of the Gaussian dispersion model in a "normal case" scenario and a "worst case" scenario. DMDS showed the highest emission rate (7.18 μg m -2  s -1 ), and CH 3 SH was the dominant odorous compound with an average emission rate of 4.58 μg m -2  s -1 . The dispersion modeling indicated that the odor impact distances of the TSCs in the studied landfill for the normal case and worst case scenarios were 495 ± 96 m and 9230 m at the downwind regions, respectively. Results of this study can benefit the formulation of strategies for odor control and abatement in landfill sites. Copyright © 2018 Elsevier Ltd. All rights reserved.

  4. Is excision biopsy of fibroadenomas based solely on size criteria warranted?

    PubMed

    Neville, Grace; Neill, Cathleen O'; Murphy, Rosemary; Corrigan, Mark; Redmond, Paul H; Feeley, Linda; Bennett, Michael W; O'Connell, Fionnuala; Browne, Tara Jane

    2018-05-25

    Fibroadenomas (FA) are the most common benign tumor in the female breast. Most are managed conservatively provided there is clinical, radiologic, and pathologic concordance. However, surgical excision is typically recommended for cellular fibroepithelial lesions or those lesions with clinical, radiologic, or pathologic features concerning for phyllodes tumor (PT). Some studies have suggested surgical excision in all FA >30 mm to reduce core needle biopsy (CNB) sampling errors. The aim of our study was to evaluate, in the absence of any other concerning clinicopathologic features, whether surgical excision of FA was warranted based on size criteria alone. Cork University Hospital is a large academic center in Southern Ireland. Its breast cancer center provides both a screening and symptomatic service and diagnoses approximately 600 cancers per year. The breast histopathological data base was reviewed for all CNBs from January 1, 2010, to June 30, 2015, with a diagnosis of FA that went on to have excision at our institution. We excluded all cellular fibroepithelial lesions and those cases with co-existent lobular neoplasia, ductal carcinoma in situ, invasive carcinoma, atypical ductal hyperplasia, or lesions which would require excision in their own right. Cases in which the radiologic targeted mass was discordant with a diagnosis of FA were also excluded. Patient demographics and preoperative radiologic size and the radiologic target were recorded in each case. All radiology was reviewed by a breast radiologist prior to inclusion in the study, and there was histologic radiologic concordance with a diagnosis of FA in all cases. A total of 12,109 consecutive radiologically guided CNB were performed January 2010-June 2015; 3438 with a diagnosis of FA were identified of which 290 cases went on to have surgical excision. Of those 290 cases; 98.28% (n = 285) were confirmed as FA on excision. The remaining 1.72% (n = 5) had atypical features-FA with LCIS (n = 1), benign PT (n = 3), and invasive ductal carcinoma (n = 1). Our study suggests that, excision based solely on size is not warranted in clinical and radiologically concordant cases with a diagnosis of FA on CNB. © 2018 Wiley Periodicals, Inc.

  5. Leakage of radioactive materials from particle accelerator facilities by non-radiation disasters like fire and flooding and its environmental impacts

    NASA Astrophysics Data System (ADS)

    Lee, A.; Jung, N. S.; Mokhtari Oranj, L.; Lee, H. S.

    2018-06-01

    The leakage of radioactive materials generated at particle accelerator facilities is one of the important issues in the view of radiation safety. In this study, fire and flooding at particle accelerator facilities were considered as the non-radiation disasters which result in the leakage of radioactive materials. To analyse the expected effects at each disaster, the case study on fired and flooded particle accelerator facilities was carried out with the property investigation of interesting materials presented in the accelerator tunnel and the activity estimation. Five major materials in the tunnel were investigated: dust, insulators, concrete, metals and paints. The activation levels on the concerned materials were calculated using several Monte Carlo codes (MCNPX 2.7+SP-FISPACT 2007, FLUKA 2011.4c and PHITS 2.64+DCHAIN-SP 2001). The impact weight to environment was estimated for the different beam particles (electron, proton, carbon and uranium) and the different beam energies (100, 430, 600 and 1000 MeV/nucleon). With the consideration of the leakage path of radioactive materials due to fire and flooding, the activation level of selected materials, and the impacts to the environment were evaluated. In the case of flooding, dust, concrete and metal were found as a considerable object. In the case of fire event, dust, insulator and paint were the major concerns. As expected, the influence of normal fire and flooding at electron accelerator facilities would be relatively low for both cases.

  6. [Occupational toxic exposure and the pregnant woman. 2: results of a prospective study of 100 pregnancies].

    PubMed

    Testud, F; Lambert-Chhum, R; Bellemin, B; Descotes, J

    2001-12-01

    Many women of childbearing age are occupationally exposed to chemicals and concerned with the ensuing risk when pregnant. To present the results of a prospective follow-up study of 100 pregnant women and to discuss them after a brief overview of the published data on this topic. Since January 1996 the Lyon Poison Center has been conducting a prospective follow-up of all request concerning pregnant women occupationally exposed to chemicals. A thorough evaluation of the hazards of the handled products and of the actual exposure at the workplace is done for each patient. A toxicological advice is given and the outcome of the pregnancy is followed-up. One hundred pregnant women were included between January 1996 and December 2000. Based on the nature of the handled products, two groups have been identified: the first included 73 women exposed to organic solvents and the second 27 women exposed to miscellaneous. When the exposure was considered potentially hazardous for the pregnancy, either withdrawal from the workstation (19 cases), avoidance of certain activities (9 cases) or improvement of individual protective measures (29 cases) was recommended. In 43% of the cases, the occupational exposure was not considered hazardous to the outcome of the pregnancy. No increase of adverse outcome was identified: 4 miscarriages and 96 living births were observed, with 2 major malformations and 1 minor malformation. Occupational exposure to chemicals was not found to affect adversely the outcome of these 100 pregnancies.

  7. The right not to hear: the ethics of parental refusal of hearing rehabilitation.

    PubMed

    Byrd, Serena; Shuman, Andrew G; Kileny, Sharon; Kileny, Paul R

    2011-08-01

    To explore the ethics of parental refusal of auditory-oral hearing rehabilitation. Case study with medical ethical discussion and review. Two young brothers present with severe-to-profound congenital sensorineural hearing loss. The parents, both of whom have normal hearing and work as sign language interpreters, have decided to raise their children with American Sign Language as their only form of communication. They have chosen not to pursue cochlear implantation nor support the use of hearing aids. This case raises significant questions concerning whether hearing rehabilitation should be mandated, and if there are circumstances in which parental preferences should be questioned or overridden with regard to this issue. In addition, legal concerns may be raised regarding the possible need to file a report with Child Protective Services. Although similar cases involving the Deaf community have historically favored parental rights to forego hearing rehabilitation with either cochlear implantation or hearing aids, we explore whether conclusions should be different because the parents in this case are not hearing impaired. The ethics of parental rights to refuse hearing rehabilitation are complex and strikingly context-dependent. A comprehensive appreciation of the medical, practical, and legal issues is crucial prior to intervening in such challenging situations. Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.

  8. Pediatric Old World cutaneous leishmaniasis treated with oral fluconazole: A case series.

    PubMed

    Michelerio, Andrea; Barruscotti, Stefania; Bossi, Grazia; Brazzelli, Valeria

    2018-05-01

    Cutaneous leishmaniasis has an incidence of 0.7-1.2 million cases per year and represents a growing concern in the outpatient dermatologic practice in Europe because of imported cases due to increased travel to risk areas and to immigration phenomena. When dealing with children, the treatment can be challenging because of side effects and pain of classic antimonial therapy leading to poor rates of course completion and requirement of sedation for several children. We retrospectively studied three cases of cutaneous leishmaniasis in pediatric patients, between the ages of 3 and 6 years of age, treated with oral fluconazole. We examined the efficacy, the tolerability, the safety profile and the cosmetic result of fluconazole at a dose of 6 mg/kg/daily for 6 weeks. The patients had a complete resolution of their lesions with minimal scarring. No adverse effect was reported. The leishmaniasis species identified were L. major or L. tropica. Considering sides effects and the parents' and the clinician's concern for systemic treatment in the pediatric population, fluconazole represents a valid, safe and easily manageable option for Old World cutaneous leishmaniasis in pediatric outpatients caused by L. major or L. tropica. © 2018 Wiley Periodicals, Inc.

  9. A Recommendation for the Management of Illness Anxiety Disorder Patients Abusing the Health Care System.

    PubMed

    Almalki, Mohammad; Al-Tawayjri, Ibrahim; Al-Anazi, Ahmed; Mahmoud, Sami; Al-Mohrej, Ahmad

    2016-01-01

    Introduction. Illness anxiety disorder (IAD) entails a preoccupation with having a serious, undiagnosed illness in which somatic symptoms are, if present, mild in intensity (American Psychiatric Association, 2013). Case Report. This is a case of seventy-three-year-old Saudi man who started visiting the primary health care center around twenty-five years ago. With concerns of having cancer, the patient continuously visited the hospital, costing over $170,000. Throughout this period, the patient has been exposed to extensive unnecessary imaging studies and laboratory tests that have effects on his life in all aspects with such concerns. Five years ago, a family doctor has put an end to that by directing the patient to the right path. The doctor made several actions; most importantly, he directed the patient to a cognitive behavioral therapy which significantly improved a range of hypochondriacal beliefs and attitudes. This patient's case demonstrates the fundamental importance of a proper health system that limits such patients from abusing the health system and depleting the medical resources. Moreover, this case emphasizes the important role of the family physician who can be the first physician to encounter such patients. Thus, proper understanding of the nature of such disorder is a key element for better diagnosis and management.

  10. Perceptions and Attitudes of General and Special Education Teachers toward Collaborative Teaching

    ERIC Educational Resources Information Center

    Robinson, Garletta

    2017-01-01

    In a Georgia middle school, general and special education teachers expressed concerns about the challenges of working collaboratively in the inclusive classroom. Effective teacher collaboration is pivotal to ensure academic success of all students. The purpose of this qualitative bounded instrumental case study was to explore middle school…

  11. "A Bit of a Chameleon Act": A Case Study of One Teacher's Understandings of Diversity

    ERIC Educational Resources Information Center

    Allard, Andrea C.

    2006-01-01

    While for political, economic and social justice reasons, there is now an emphasis on ensuring that all children achieve educationally, including those whose ethnicity, "race" or socio-economic status are different from the dominant culture, multiple and often contradictory discourses operate concerning how teachers should work with…

  12. Enrollment Planning Using Computer Decision Model: A Case Study at Grambling State University.

    ERIC Educational Resources Information Center

    Ghosh, Kalyan; Lundy, Harold W.

    Achieving enrollment goals continues to be a major administrative concern in higher education. Enrollment management can be assisted through the use of computerized planning and forecast models. Although commercially available Markov transition type curve fitting models have been developed and used, a microcomputer-based decision planning model…

  13. Orienting Schools toward Equity: Subgroup Accountability Pressure and School-Level Responses

    ERIC Educational Resources Information Center

    Garver, Rachel

    2017-01-01

    This article examines school-level responses to subgroup accountability pressure through an ethnographic case study of a school cited for failing to make adequate yearly progress for student subgroups. Concerns about the calculations and measures used to derive the citation and reservations about acting on accountability data delegitimized the…

  14. Perspectives of Physicians, Families, and Case Managers Concerning Access to Health Care by Individuals with Developmental Disabilities

    ERIC Educational Resources Information Center

    Reichard, Amanda; Turnbull, H. Rutherford, III

    2004-01-01

    This study of the status of medical care for Kansans with developmental disabilities consists of reports from physicians, service providers, and family members. Overall, these three groups indicated satisfaction with medical care across the four criteria of availability, accessibility, appropriateness, and affordability. The bases for these…

  15. Teachers' Entrepreneurial Profile: Case Study

    ERIC Educational Resources Information Center

    Stettiner, Caio Flavio; Formigoni, Alexandre; Filho, Mário Pereira Roque; de Camargo, Mauricio Ortiz; Moia, Roberto Padilha

    2015-01-01

    This article was prepared in order to investigate whether the teachers working in a Business Administration BA degree have an entrepreneurial profile, with the aim of finding whether such teachers are able to support the Pedagogical Proposal of the Institution to which they belong to in what concerns the requirement of the course and also the…

  16. Random Assignment and Informed Consent: A Case Study of Multiple Perspectives

    ERIC Educational Resources Information Center

    Walker, Robert; Hoggart, Lesley; Hamilton, Gayle

    2008-01-01

    Although random assignment is generally the preferred methodology in impact evaluations, it raises numerous ethical concerns, some of which are addressed by securing participants' informed consent. However, there has been little investigation of how consent is obtained in social experiments and the amount of information that can be conveyed--and…

  17. RETROSPECTIVE LANDSCAPE ANALYSIS, AN APPROACH FOR EVALUATION LAND COVER CHANGE: SAN PEDRO RIVER CASE STUDY

    EPA Science Inventory


    Vegetation change in the American West has been the subject of much concern and controversy throughout the twentieth century. Over the years, a considerable number and variety of 'claims have been made regarding cause related to changes in land cover. The evidence for vegetat...

  18. A Case Study on the Facilitation of Positive Behavior Interventions and Supports in a Public Elementary School

    ERIC Educational Resources Information Center

    Shumway, John Todd

    2017-01-01

    Disruptive behaviors in elementary schools are a serious concern for teachers. With mounting pressure from school district administrations, state and federal government agencies, and the communities in which these schools reside, teachers often struggle to determine the best path to achieve consistent student engagement. When inappropriate…

  19. Long-Term Autobiographical Memory for Legal Involvement: Individual and Sociocontextual Predictors

    ERIC Educational Resources Information Center

    Quas, Jodi A.; Alexander, Kristen Weede; Goodman, Gail S.; Ghetti, Simona; Edelstein, Robin S.; Redlich, Allison

    2010-01-01

    We examined adults' long-term autobiographical memory for a dramatic life event-participating as a child victim in a criminal prosecution because of alleged sexual abuse. The study is unique in several ways, including that we had extensive documentation concerning the sexual abuse allegations, the children's involvement in their legal case, and…

  20. The Integration of Spirituality and Transformational Leadership in Higher Education

    ERIC Educational Resources Information Center

    Patton, Cheryl; Webster, Natasha; Moore-Dent, JoAnne

    2017-01-01

    As concerns about the skyrocketing costs of a college degree have converged with the increasing availability of open educational resources (OER), higher education administrators are asking faculty and curriculum designers to use OERs to design courses and programs. This case study explores the decision making process and outcomes of an online,…

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