Sample records for case studies pertaining

  1. Insider Threat: Preventing Direct Action Attacks Within the United States Army

    DTIC Science & Technology

    2017-06-09

    violence within the United States, this study focused solely on cases where a US Army Soldier attacked fellow Soldiers. For the purposes of this study ...chapters will examine Army doctrine and two case studies , in detail. The conclusion of this project will provide recommendations on improved... study specifically on insider threats pertaining to targeted violence, this literature review does not include information pertaining to cases

  2. Taxi Regulatory Revision in Oakland and Berkeley, California : Two Case Studies

    DOT National Transportation Integrated Search

    1983-06-01

    A case study was performed of regulatory changes pertaining to taxicabs in Oakland and neighboring Berkeley, CA. In Oakland rates were approximately doubled and limits on the number of taxi permits removed. Companies were allowed to levy a per-trip s...

  3. Appendix : liquefaction damage to bridges and approach embankment : catalog of selected case histories.

    DOT National Transportation Integrated Search

    2002-11-01

    The catalog documents the seismic performance of bridges and ancillary components in the presence of liquefaction-induced ground displacements. Data pertaining to seismological, geotechnical, and structural aspects of numerous case studies are presen...

  4. The Chemistry of Curcumin, the Health Promoting Ingredient in Turmeric

    ERIC Educational Resources Information Center

    Dewprashad, Brahmadeo

    2010-01-01

    Case studies pertaining to the health benefits of foods can be particularly effective in engaging students and in teaching core concepts in science (Heidemann and Urquart 2005). This case study focuses on the chemistry of curcumin, the health-promoting ingredient in turmeric. The case was developed to review core concepts in organic chemistry and…

  5. Biological Water Quality Criteria

    EPA Pesticide Factsheets

    Page contains links to Technical Documents pertaining to Biological Water Quality Criteria, including, technical assistance documents for states, tribes and territories, program overviews, and case studies.

  6. The Effects of Incest: A Review of the Literature Pertaining to Women and Children.

    ERIC Educational Resources Information Center

    Warner, Lisa Elaine

    The number of children and adult women known to have experienced an incestuous relationship is growing. Clinical case studies, systematic empirical case studies, and comparative empirical studies have been conducted to examine the effects of incest. Although few studies have been able to directly connect psychological and relational problems of…

  7. Preimplantation genetic diagnosis: a systematic review of litigation in the face of new technology.

    PubMed

    Amagwula, Tochi; Chang, Peter L; Hossain, Amjad; Tyner, Joey; Rivers, Aimée L; Phelps, John Y

    2012-11-01

    To study legal cases against IVF facilities pertaining to preimplantation genetic diagnosis (PGD) misdiagnosis. Systematic case law review. University medical center using US legal databases. The IVF recipients using PGD services. Lawsuits pertaining to PGD against IVF facilities. Lawsuits, court rulings, damage awards, and settlements pertaining to PGD after the birth of a child with a genetic defect. Causes of action pertaining to PGD arise from negligence in performing the procedure as well as failure to properly inform patients of key information, such as inherent errors associated with the PGD process, a facility's minimal experience in performing PGD, and the option of obtaining PGD. Courts have sympathized with the financial burden involved in caring for children with disabilities. Monetary damage awards are based on the costs of caring for children with debilitating defects, including lifetime medical and custodial care. Facilities offering PGD services expose themselves to a new realm of liability in which damage awards can easily exceed the limits of a facility's insurance policy. Competent laboratory personnel and proper informed consent--with particular care to inform patients of the inherent inaccuracies of PGD--are crucial in helping deter liability. Copyright © 2012 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  8. Students' Perspectives on Gatekeeping in Counselor Education: A Case Study

    ERIC Educational Resources Information Center

    Foster, Jennifer M.; Leppma, Monica; Hutchinson, Tracy S.

    2014-01-01

    Through in-depth interviews, the authors examined 10 master's-level counseling students' perceptions of gatekeeping. Case analysis resulted in 3 major themes pertaining to the necessity of gatekeeping, vital components, and counseling student characteristics. Implications of the findings are also discussed.

  9. Unmanned Aerial Systems (UAS) Evaluation of Routine Atmospheric Sounding Measurements using Unmanned Systems (ERASMUS)

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

    De Boer, Gijs

    Data were collected to improve understanding of the Arctic troposphere, and to provide researchers with a focused case-study period for future observational and modeling studies pertaining to Arctic atmospheric processes.

  10. Soil quality: Some basic considerations and case studies

    Treesearch

    Dale W. Johnson

    2010-01-01

    Some fundamental properties of soils that pertain to the concept of soil quality are discussed including a discussion of what can and cannot be changed with management.Case studies showing the effects of N-fixing vegetation and N-enrichment effects on invasive species are provided to illustrate the complications that may arise from applying one soil quality standard to...

  11. Commentary on "Childhood Leukemia Survivors and Their Return to School: A Literature Review, Case Study, and Recommendations"

    ERIC Educational Resources Information Center

    Schmitt, Ara

    2011-01-01

    This commentary pertains to the article, "Childhood Leukemia Survivors and Their Return to School: A Literature Review, Case Study, and Recommendations" by D. Scott Hermann, Jill R. Thurber, Kenneth Miles, and Gloria Gilbert in this issue (2011) regarding pediatric leukemia. The authors present a literature review regarding leukemia in…

  12. Bitter Strawberries: The Construction of Differences in a Multicultural School: A Case Study

    ERIC Educational Resources Information Center

    González-Faraco, Juan Carlos; Jiménez-Vicioso, Juan Ramón; Pérez-Moreno, Heliodoro Manuel

    2013-01-01

    This paper presents the results of a case study looking at the views of teachers and other educational professionals pertaining to the academic progress and general integration of immigrant schoolchildren in multicultural schools in the province of Huelva (Andalusia, Spain). It is organised into three sections: first, the geographical and social…

  13. Implementing and Analyzing Social Media in Higher Education

    ERIC Educational Resources Information Center

    Davis, Jenny L.; Compton, D'Lane; Farris, D. Nicole; Love, Tony P.

    2015-01-01

    This article examines how social media can incorporate into the higher education setting in meaningful ways using optional participation, active content production, and active moderation. The authors use two authoethnographic case studies. The first case pertains to pedagogical use through a student created and maintained Facebook group for a…

  14. Shifting Borders: A Case Study of Internationalisation of Education within a Dutch School Group in Amsterdam

    ERIC Educational Resources Information Center

    Prickarts, Boris

    2017-01-01

    This article focuses on a case study of internationalisation of education, a process of change pertaining to the mission, vision and delivery of education. Teachers working in international schools can be understood as gearing a student's disposition towards the ability and preparedness to handle and value differences and diversity. In an effort…

  15. THE EMERGENCE OF ECOLOGICAL ENGINEERING AS A DISCIPLINE

    EPA Science Inventory

    Pioneering efforts in the field of ecological engineering research and practice have proven to be tremendous strides toward establishing a new engineering discipline with a science base in ecology. Case studies, demonstrations and applications pertaining to restoration, rehabili...

  16. A Case Study on the Status of Technical and Vocational Education in Thailand. Case Studies on Technical and Vocational Education in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Shoolap, Charoon; Choomnoom, Siripan

    This two-part report presents an overview of the vocational and technical education system in Thailand. The first part is a review of the current and likely future situations pertaining to vocational and technical education in that country. An analysis of economic conditions, human resource development, and the existing technical and vocational…

  17. Teachers' Knowledge Development and Change: Untangling Beliefs and Practices

    ERIC Educational Resources Information Center

    Theriot, Shirley; Tice, Kathleen C.

    2009-01-01

    Through a case-study approach, the authors focus on understanding the complexity of teachers' knowledge development, particularly as it pertains to teachers' beliefs about literacy development and their teaching practices in literacy. Participants of the study are middle-school teachers who shared their beliefs and practices through (1) a…

  18. Ethical Considerations in Filing Personal Bankruptcy: A Hypothetical Case Study

    ERIC Educational Resources Information Center

    Landry, Robert J., III

    2012-01-01

    A great deal of research by legal studies scholars pertains to employment law, international law, and corporate governance, as well as other fields including ethics and international law. The fields typically addressed are very important and rightfully receive considerable attention in the scholarship and textbooks. However, bankruptcy as a…

  19. Constructing Knowledge from Interactions.

    ERIC Educational Resources Information Center

    Lawler, Robert W.

    1990-01-01

    Using case studies that are functionalist in orientation and computational in technique, the role of control knowledge in developing constructive thinking is illustrated. Further, the integration of related knowledge structures, emanating from diverse sensory modes and pertaining to both place value in addition and angle relationships in geometry,…

  20. Economic and Demographic Trends in Jesuit Higher Education: A Qualitative Multiple Case Study

    ERIC Educational Resources Information Center

    Hansen, Damien J.

    2017-01-01

    This study addressed the current paucity of research dedicated to the perceptions of strategic planners in Jesuit colleges and universities pertaining to how current market trends are impacting their institutions. The collective success of member institutions is paramount as these institutions are purveyors of Ignatian principals such as social…

  1. Promoting Student Achievement through Educational Practices in Middle School Math Transitioning Classrooms

    ERIC Educational Resources Information Center

    Jackson, Viola Towels

    2016-01-01

    There is a plethora of research pertaining to Response to Intervention (RTI) implementation at the elementary school setting. However, research studies on teachers' perceptions relative to implementing RTI in a middle school tier-based classroom had not been conducted. The purpose of this qualitative case study was to examine teachers' perception…

  2. Benefits of Early Intervention for Special Children.

    ERIC Educational Resources Information Center

    Bailey, Pamela W.; Trohanis, Pascal L.

    The document contains summaries of over 50 publicly available publications which support the case for early intervention for handicapped children and their families. Section 1 contains studies pertaining to the effectiveness of any intervention. This section also describes projects approved by the United States Department of Education's Joint…

  3. Case Citations 1996. Eighteenth Series (School Administrators).

    ERIC Educational Resources Information Center

    Evans, William J., Jr., Ed.

    This document contains case citations for 1996 in areas pertaining to school administration. The cases are categorized according to the topics of negligence, workers' compensation, administrator due process, discrimination against school administrators, and discrimination in hiring teachers for administrative positions. Negligence cases cover…

  4. Torts.

    ERIC Educational Resources Information Center

    McCarthy, Martha M.

    During 1978, cases pertaining to pupil injuries (mainly involving athletics) and employee injuries under workmen's compensation laws continued to dominate tort litigation in the educational sphere. Several noteworthy cases, however, were rendered in the emerging areas of educational malpractice and constitutional torts. The cases discussed are…

  5. Current Literature on Venereal Disease, 1972. Number Three. Abstracts and Bibliography.

    ERIC Educational Resources Information Center

    Lea, Mildred V., Ed.

    Presented are abstracts of documents and research pertaining to the clinical description, laboratory diagnosis, management, and therapy of syphilis and gonorrhea. Abstracted case studies of other minor venereal and related diseases are also included, as are bibliographies on current research and evaluation, public health methods, and behavioral…

  6. Current Literature on Venereal Disease, 1972. Number Two. Abstracts and Bibliography.

    ERIC Educational Resources Information Center

    Lea, Mildred V., Ed.

    Presented are abstracts of documents and research pertaining to the clinical description, laboratory diagnosis, management, and therapy of syphilis and gonorrhea. Abstracted case studies of other minor venereal and related diseases are also included, as are bibliographies on current research and evaluation, public health methods, and behavioral…

  7. Current Literature on Venereal Disease, 1972. Number One. Abstracts and Bibliography.

    ERIC Educational Resources Information Center

    Lea, Mildred V., Ed.

    Presented are abstracts of documents and research pertaining to the clinical description, laboratory diagnosis, management, and therapy of syphilis and gonorrhea. Abstracted case studies of other minor venereal and related diseases are also included, as are bibliographies on current research and evaluation, public health methods, and behavioral…

  8. Veteran Transfer Students and Concealed Weapons on Campus

    ERIC Educational Resources Information Center

    Pesetski, Christine; Ofstein, Jennifer; Outlaw, Stacy; Brooks, Racheal

    2014-01-01

    This case details the challenges faced by various members of a 4-year university regarding Kathryn, a non-traditional transfer student and military veteran who recently returned from a traumatic deployment in Afghanistan. Precisely, this study identifies ambiguities pertaining to (a) threat assessment, (b) university weapons policies, (c) transfer…

  9. Education and the Law of Defamation.

    ERIC Educational Resources Information Center

    Pyra, Joseph F.

    1982-01-01

    Summarizes Canadian law pertaining to defamation and looks at educational cases in this area. The definition of defamation is explored generally, then defamation, libel, slander, the importance of publication, and the role of malice are examined. Various defenses available to a defendant in a suit of defamation are studied. (Author/BRR)

  10. Facial Emotion Recognition in Child Psychiatry: A Systematic Review

    ERIC Educational Resources Information Center

    Collin, Lisa; Bindra, Jasmeet; Raju, Monika; Gillberg, Christopher; Minnis, Helen

    2013-01-01

    This review focuses on facial affect (emotion) recognition in children and adolescents with psychiatric disorders other than autism. A systematic search, using PRISMA guidelines, was conducted to identify original articles published prior to October 2011 pertaining to face recognition tasks in case-control studies. Used in the qualitative…

  11. Population Validity for Educational Data Mining Models: A Case Study in Affect Detection

    ERIC Educational Resources Information Center

    Ocumpaugh, Jaclyn; Baker, Ryan; Gowda, Sujith; Heffernan, Neil; Heffernan, Cristina

    2014-01-01

    Information and communication technology (ICT)-enhanced research methods such as educational data mining (EDM) have allowed researchers to effectively model a broad range of constructs pertaining to the student, moving from traditional assessments of knowledge to assessment of engagement, meta-cognition, strategy and affect. The automated…

  12. Perfectionism of Academically Gifted Primary School Students: The Case of Japan

    ERIC Educational Resources Information Center

    Maksic, Slavica; Iwasaki, Kumiko

    2009-01-01

    This study focuses on perfectionism in Japanese and North American academically gifted children as it pertains to their potential contribution in the countries seeking progress and global leadership. Perfectionist' tendencies and the characteristics that typically reveal such tendencies are examined in academically gifted Japanese juku-school…

  13. Teaching for Scientific Literacy: Bangladeshi Teachers' Perspectives, Practices and Challenges

    ERIC Educational Resources Information Center

    Sarkar, Mahbub; Corrigan, Deborah

    2012-01-01

    This paper reports on the way three Bangladeshi science teachers perceive scientific literacy, translate their perspectives into classroom teaching, the values they consider pertaining scientific literacy and the issues they perceive as challenging in their teaching. Employing a case study approach, data in this research were gathered through…

  14. Utility of Boron in Dermatology.

    PubMed

    Jackson, David G; Cardwell, Leah A; Oussedik, Elias; Feldman, Steven R

    2017-08-09

    Boron compounds are being investigated as therapies for dermatologic conditions. Several features of boron chemistry make this element an ideal component in dermatologic treatments. We review the published dermatologically-relevant clinical trials and case studies pertaining to boron compounds. PubMed was utilized to query terms boron, chemistry, drug, development, dermatology, atopic dermatitis, psoriasis, onychomycosis, tavaborole, AN 2690, crisaborole, and AN 2728. Clinical trials, case studies, animal studies and in vitro studies. pertaining to atopic dermatitis, psoriasis and onychomycosis were included. Crisaborole 2% topical solution reduced atopic dermatitis lesions by approximately 60% when compared to pre-treatment baseline. Crisaborole maintains its dose-dependent effect in treatment of psoriasis and significantly reduces psoriatic plaques when compared to controls. Adverse effects were mild, frequency of events varied between studies. Crisaborole was well tolerated when applied to sensitive skin. Topical tavaborole significantly reduced or eliminated onychomycosis with minimal side effects compared to placebo. Tavaborole was effective in treating recalcitrant onychomycosis. Boron-based compounds form stable interactions with enzyme targets and are safe medications for the treatment of atopic dermatitis, psoriasis, and onychomycosis. The mild and rare side effects of topical boron-based compounds may make them ideal treatments for individuals with sensitive skin and pediatric populations.

  15. A Domain-Specific System for Representing Knowledge of Both Man-Made Objects and Human Actions. Evidence from a Case with an Association of Deficits

    ERIC Educational Resources Information Center

    Vannuscorps, Gilles; Pillon, Agnesa

    2011-01-01

    We report the single-case study of a brain-damaged individual, JJG, presenting with a conceptual deficit and whose knowledge of living things, man-made objects, and actions was assessed. The aim was to seek for empirical evidence pertaining to the issue of how conceptual knowledge of objects, both living things and man-made objects, is related to…

  16. A Web-Based Synchronous Collaborative Review Tool: A Case Study of an On-Line Graduate Course

    ERIC Educational Resources Information Center

    Serce, Fatma Cemile; Yildirim, Soner

    2006-01-01

    On-line collaboration is an instructional method that facilitates collaboration in an on-line learning setting. To promote effective collaboration, it is vital to reveal both the student's and the instructor's point of view pertaining to effective on-line collaboration. In this study, the effectiveness of a learning management system in on-line…

  17. Maintaining Web-based Bibliographies: A Case Study of Iter, the Bibliography of Renaissance Europe.

    ERIC Educational Resources Information Center

    Castell, Tracy

    1997-01-01

    Introduces Iter, a nonprofit research project developed for the World Wide Web and dedicated to increasing access to all published materials pertaining to the Renaissance and, eventually, the Middle Ages. Discusses information management issues related to building and maintaining Iter's first Web-based bibliography, focusing on printed secondary…

  18. Migration: Pre-Requisite for Rural Economic Regeneration?

    ERIC Educational Resources Information Center

    Stockdale, Aileen

    2006-01-01

    Migration from and to depopulating areas is related to the prospects for rural economic regeneration. The focus is on whether or not migration processes give rise to the necessary human capital required for successful endogenous development. Data from Scottish case studies pertaining to in-, out- and return migrants are analysed. Only by leaving…

  19. Open Access Publishing Trend Analysis: Statistics beyond the Perception

    ERIC Educational Resources Information Center

    Poltronieri, Elisabetta; Bravo, Elena; Curti, Moreno; Maurizio Ferri,; Mancini, Cristina

    2016-01-01

    Introduction: The purpose of this analysis was twofold: to track the number of open access journals acquiring impact factor, and to investigate the distribution of subject categories pertaining to these journals. As a case study, journals in which the researchers of the National Institute of Health (Istituto Superiore di Sanità) in Italy have…

  20. Assessing Success: The Impacts of a Fundamentals of Speech Course on Decreasing Public Speaking Anxiety

    ERIC Educational Resources Information Center

    Hunter, Karla M.; Westwick, Joshua N.; Haleta, Laurie L.

    2014-01-01

    Despite assessment's prominence in higher education, many communication departments still find its implementation problematic. In this case study, we answer a call for heightened research pertaining to the best practices for assessment of large, multisection, standardized public speaking courses. We demonstrate the ease with which the basic course…

  1. An Integrated Approach to Developing and Implementing Learning-Centred Curricula

    ERIC Educational Resources Information Center

    Hubball, Harry; Burt, Helen

    2004-01-01

    The purpose of this article is to provide a critical review of the motivating factors, processes and outcomes pertaining to learning-centred curriculum reform in higher education. A case study example is provided from the Faculty of Pharmaceutical Sciences at the University of British Columbia. Although academic units on university campuses tend…

  2. Exploring Levels of Job Satisfaction among Teachers in Public Secondary Schools in Tanzania

    ERIC Educational Resources Information Center

    Msuya, Ombeni William

    2016-01-01

    A case study on the role of extrinsic factors (hygiene factors) and socio-demographic factors in determining job satisfaction among teachers in public secondary schools in Tanzania was undertaken. Biographical variables pertaining to teachers' age, sex, marital status and work experience were investigated to determine whether they had any…

  3. NDE measurements for understanding of performance: A few case studies on engineering components, human health and cultural heritage

    NASA Astrophysics Data System (ADS)

    Raj, Baldev; Venkatraman, B.

    2013-01-01

    Life cycle management involves a seamless integration of materials, design, analysis, production, manufacturing, and degradation plus, a wide variety of disciplines relating to surveillance and characterisation with adequate feedback and control. Science and technology of non-destructive evaluation (NDE) links all these domains and disciplines together in a seamless and robust manner. A number of research programs on NDE science and technology have evolved during the last four decades world over including the one at Indira Gandhi Centre for Atomic Research, Kalpakkam, initiated and nurtured by the first author. Many engineering and technology challenges pertaining to fast spectrum reactors have been successfully solved by this Centre through development of innovative sensors, procedures and coupled with strong basic science and modeling approaches. These technologies have also been selectively applied in gaining insights of human health and cultural heritage. This paper highlights some of the innovative NDE sensors and techniques developed in the field of electromagnetic NDE and their successful applications. A few interesting case studies pertaining to NDE in heritage and healthcare using acoustic and thermal methods are also presented.

  4. Sports.

    ERIC Educational Resources Information Center

    Sharp, Linda A.

    This chapter includes all cases, at either the K-12 or higher education level, that deal with student-athletes, coaches, athletic directors, athletic associations, and booster organizations. However, no case law is discussed that pertains to physical education instruction. The cases are discussed in the following sections: (1) eligibility; (2)…

  5. Learning curves for urological procedures: a systematic review.

    PubMed

    Abboudi, Hamid; Khan, Mohammed Shamim; Guru, Khurshid A; Froghi, Saied; de Win, Gunter; Van Poppel, Hendrik; Dasgupta, Prokar; Ahmed, Kamran

    2014-10-01

    To determine the number of cases a urological surgeon must complete to achieve proficiency for various urological procedures. The MEDLINE, EMBASE and PsycINFO databases were systematically searched for studies published up to December 2011. Studies pertaining to learning curves of urological procedures were included. Two reviewers independently identified potentially relevant articles. Procedure name, statistical analysis, procedure setting, number of participants, outcomes and learning curves were analysed. Forty-four studies described the learning curve for different urological procedures. The learning curve for open radical prostatectomy ranged from 250 to 1000 cases and for laparoscopic radical prostatectomy from 200 to 750 cases. The learning curve for robot-assisted laparoscopic prostatectomy (RALP) has been reported to be 40 procedures as a minimum number. Robot-assisted radical cystectomy has a documented learning curve of 16-30 cases, depending on which outcome variable is measured. Irrespective of previous laparoscopic experience, there is a significant reduction in operating time (P = 0.008), estimated blood loss (P = 0.008) and complication rates (P = 0.042) after 100 RALPs. The available literature can act as a guide to the learning curves of trainee urologists. Although the learning curve may vary among individual surgeons, a consensus should exist for the minimum number of cases to achieve proficiency. The complexities associated with defining procedural competence are vast. The majority of learning curve trials have focused on the latest surgical techniques and there is a paucity of data pertaining to basic urological procedures. © 2013 The Authors. BJU International © 2013 BJU International.

  6. Ten Studies Pertaining to Residence, Mobility, and School Attendance Patterns of Discrete Black and Mexican American Populations in Tucson, Arizona, Between 1918 and 1976. Volume I.

    ERIC Educational Resources Information Center

    Bockman, John F.

    Volume I contains the substance of five studies originally filed with the United States District Court for the District of Arizona in the cases of "Fisher v. Lohr" and "Mendoza v. Tucson School District No. 1." Study I determines patterns of attendance at several elementary schools by non-Mexican American and Mexican American…

  7. A Case Study on Instructional Decision Making through an Analysis of Two Literacy Programs in New York City Schools

    ERIC Educational Resources Information Center

    Wong, Gary

    2017-01-01

    Decision making is a cornerstone of quality leadership. However, specific research is needed in areas pertaining to education and programs used towards state test scores. In this study, the researcher has investigated the scores from the New York State English Language Arts exam; the effect two literacy programs had on the exam, Teacher's College…

  8. Design criteria monograph for pressurized metal cases

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Organiation and presentation of data pertaining to design of solid propellant rocket engine cases are discussed. Design criteria are presented in form of monograph based on accumulated experience and knowledge. Improvements in reliability, cost effectiveness, and engine efficiency are stressed.

  9. Using Technology to Enhance Research-Based Best Practices for Increasing Parental Involvement: A Case Study

    ERIC Educational Resources Information Center

    Helgesen, Rhonda L.

    2012-01-01

    The No Child Left Behind Act of 2001 (NCLB) established guidelines pertaining to student achievement and included requirements regarding parental involvement and communication between the school and home. Various issues stand in the way of realizing the level of parental engagement desired by educators and ordered by NCLB. Parental participation…

  10. Reducing the Threatening and Aggressive Behavior of a Middle School Student with Asperger's Syndrome

    ERIC Educational Resources Information Center

    Sansosti, Frank J.

    2012-01-01

    The purpose of this case study was to demonstrate the success of a multicomponent intervention to reduce the threatening and aggressive behaviors of a middle school student with Asperger's syndrome. The author provides information pertaining to the student and details the procedures for developing a packaged intervention. Results of this approach,…

  11. Ten Studies Pertaining to Residence, Mobility, and School Attendance Patterns of Discrete Black and Mexican American Populations in Tucson, Arizona, Between 1918 and 1976. Volume II.

    ERIC Educational Resources Information Center

    Bockman, John F.

    Volume II contains the substance of five studies originally filed with the United States District Court for the District of Arizona in the cases of "Fisher v. Lohr" and "Mendoza v. Tucson School District No. 1." Study VI examines the migration of Spanish-surnamed households from Tucson's south and west sides to the east side…

  12. 76 FR 4880 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-27

    ... (December 5, 2006); (12) MSPB/GOVT-1: Appeals and Case Records, 67 FR 70254 (November 21, 2002); (13) OGE... case EAC determines that the disclosure is compatible with the purpose for which the records were... 300, Washington, DC 20005. In the case where an individual believes EAC maintains records pertaining...

  13. "Inclusion--That Word!" Examining Some of the Tensions in Supporting Pupils Experiencing Social, Emotional and Behavioural Difficulties/Needs

    ERIC Educational Resources Information Center

    Mowat, Joan Gaynor

    2015-01-01

    This paper explores issues around stigmatisation and labelling as they pertain to pupils with SEBD. The paper draws upon an evaluative case study, conducted in two Scottish local authorities, of the implementation of support groups, and examines how the approach was experienced by pupils who participated within the intervention, drawing from a…

  14. Access and Success for African American Engineers and Computer Scientists: A Case Study of Two Predominantly White Public Research Universities

    ERIC Educational Resources Information Center

    Newman, Christopher Bufford

    2011-01-01

    Over the past decade, three rationales have emerged for emphasizing the reinforcement of the United States' science, technology, engineering, and mathematics (STEM) pipeline. The first rationale pertains to U.S. global competitiveness, the second revolves around the benefits of a diverse workforce, and the third argument points to social justice…

  15. Whose "Jihad"? Oral History of an American Muslim Educational Leader and U.S. Public Schools

    ERIC Educational Resources Information Center

    Ezzani, Miriam D.; King, Kelley M.

    2018-01-01

    While case studies have documented how teachers can either ameliorate or exacerbate situations of ignorance or hate in the classroom toward Muslim students, the role of educational leaders in U.S. public schools remains negligible. In response, this paper aims to develop the knowledge base of educational leadership as it pertains to the jihad or…

  16. Dilemmas pertaining to three canals in the mesiobuccal root of a maxillary second molar: a case report.

    PubMed

    Arora, Ankit; Acharya, Shashi Rashmi; Saraswathi, Muliya Vidya; Sharma, Padmaja; Ather, Amber

    2013-08-01

    The mesiobuccal root of the maxillary molars is well known to pose a hindrance during endodontic therapy. Presented here is a case of a maxillary left second molar where three canals were located in its mesiobuccal root with the use of visual and diagnostic aids. Difficulties encountered during the process of unveiling the tooth's internal anatomy were discussed. The dilemmas encountered pertained to the root canal configuration, the nomenclature of the extra canals, and the justification for the presence of a third canal. The root canal configuration of 3-2-1 was confirmed for the mesiobuccal root using information gained from clinical, radiographic, and multi-detector computed tomography (MDCT) scan findings. This case demonstrates the need for efforts to locate extra canals in the mesiobuccal root of the maxillary molars as their internal anatomy remains a mystery.

  17. VLA observations of radio sources in interacting galaxy pairs in poor clusters

    NASA Technical Reports Server (NTRS)

    Batuski, David J.; Hanisch, Robert J.; Burns, Jack O.

    1992-01-01

    Observations of 16 radio sources in interacting galaxies in 14 poor clusters were made using the Very Large Array in the B configuration at lambda of 6 and 2 cm. These sources had been unresolved in earlier observations at lambda of 21 cm, and were chosen as a sample to determine which of three models for radio source formation actually pertains in interacting galaxies. From the analysis of this sample, the starburst model appears most successful, but the 'central monster' model could pertain in some cases.

  18. Air-water analogy and the study of hydraulic models

    NASA Technical Reports Server (NTRS)

    Supino, Giulio

    1953-01-01

    The author first sets forth some observations about the theory of models. Then he established certain general criteria for the construction of dynamically similar models in water and in air, through reference to the perfect fluid equations and to the ones pertaining to viscous flow. It is, in addition, pointed out that there are more cases in which the analogy is possible than is commonly supposed.

  19. Validity of juvenile idiopathic arthritis diagnoses using administrative health data.

    PubMed

    Stringer, Elizabeth; Bernatsky, Sasha

    2015-03-01

    Administrative health databases are valuable sources of data for conducting research including disease surveillance, outcomes research, and processes of health care at the population level. There has been limited use of administrative data to conduct studies of pediatric rheumatic conditions and no studies validating case definitions in Canada. We report a validation study of incident cases of juvenile idiopathic arthritis in the Canadian province of Nova Scotia. Cases identified through administrative data algorithms were compared to diagnoses in a clinical database. The sensitivity of algorithms that included pediatric rheumatology specialist claims was 81-86%. However, 35-48% of cases that were identified could not be verified in the clinical database depending on the algorithm used. Our case definitions would likely lead to overestimates of disease burden. Our findings may be related to issues pertaining to the non-fee-for-service remuneration model in Nova Scotia, in particular, systematic issues related to the process of submitting claims.

  20. Disciplinary and Academic Decisions Pertaining to Students: A Review of the 1995 Judicial Decisions.

    ERIC Educational Resources Information Center

    Pavela, Gary

    1997-01-01

    Reviews 1995 case law concerning constitutional due process in college student disciplinary cases. Finds that administrators should follow substantive and procedural rules carefully; disciplinary determinations should not substitute for academic judgments; academic dishonesty should be treated as a disciplinary offense; internships and clinical…

  1. The First Amendment: The Finished Mystery Case and World War I.

    ERIC Educational Resources Information Center

    Mueller, Jean West; Schamel, Wynell Burroughs

    1990-01-01

    Introduces the censorship, and imprisonment of Jehovah's Witnesses who distributed, "The Finished Mystery," which contained antiwar statements deemed seditious during World War I. Asks students to examine a Justice Department document pertaining to the case. Helps students decide whether national security needs should override First…

  2. Disciplinary and Academic Decisions Pertaining to Students: A Review of the 1997 Judicial Decisions.

    ERIC Educational Resources Information Center

    Stoner, Edward N.; Schupansky, Susan P.

    1998-01-01

    Reviews key cases concerning disciplinary and academic decisions in higher education handed down by courts in 1997. Cases touched on procedural due process (for medical residents, academic versus disciplinary decisions, other notable issues), double jeopardy, breach of contract, student discipline records under the Family Education Rights and…

  3. 78 FR 70482 - Federal Acquisition Regulation; Federal Acquisition Circular 2005-71; Small Entity Compliance Guide

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-25

    ...: Small Entity Compliance Guide. SUMMARY: This document is issued under the joint authority of DOD, GSA... the FAR case number. For information pertaining to status or publication schedules, contact the Regulatory Secretariat at 202- 501-4755. Rules Listed in FAC 2005-71 Item Subject FAR Case Analyst *I...

  4. 76 FR 4187 - Federal Acquisition Regulation; Federal Acquisition Circular 2005-49; Introduction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-24

    ..., GSA, and NASA in this Federal Acquisition Circular (FAC) 2005-49. A companion document, the Small Entity Compliance Guide (SECG), follows this FAC. The FAC, including the SECG, is available via the... FAR case. Please cite FAC 2005-49 and the specific FAR case number. For information pertaining to...

  5. 77 FR 23363 - Federal Acquisition Regulation; Federal Acquisition Circular 2005-58; Introduction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ...) in this Federal Acquisition Circular (FAC) 2005-58. A companion document, the Small Entity Compliance Guide (SECG), follows this FAC. The FAC, including the SECG, is available via the Internet at http://www... case. Please cite FAC 2005-58 and the specific FAR case numbers. For information pertaining to status...

  6. Rhode Island Board of Medical Licensure and Discipline: Illustration of the disciplinary process as it pertains to cases involving opioid prescribing.

    PubMed

    McDonald, James V

    Prescription-drug overuse/overdose and misuse is an important and pivotal issue to state medical boards. This is an illustration of how some cases involving overprescribing of opioids have been addressed by the Rhode Island Board of Medical Licensure and Discipline.

  7. Characteristics of a wind-actuated aerodynamic braking device for high-speed trains

    NASA Astrophysics Data System (ADS)

    Takami, H.; Maekawa, H.

    2017-04-01

    To shorten the stopping distance of the high speed trains in case of emergency, we developed a small-sized aerodynamic braking unit without use of the friction between a rail and a wheel. The developed device could actuate a pair of two drag panels with a travelling wind. However, after the drag panel fully opened, vibrational movements of the drag panel characterized by its slight flutter were repeated. In this study, to stabilize the opened panel, matters pertaining to the angle of attack with respect to the drag panel and pertaining to the arrangement of the two panels were examined by a wind tunnel experiment using a scale model. As a result, to stabilize the opened panel and to keep the good performance of the braking device, it is found out that an angle of attack of 75 to 80 degrees is suitable provided that the interval of the two panels is narrow enough.

  8. The Capgras syndrome in paranoid schizophrenia.

    PubMed

    Silva, J A; Leong, G B

    1992-01-01

    Capgras syndrome is characterized by a delusion of impostors who are thought to be physically similar but psychologically distinct from the misidentified person. This syndrome is generally thought to be relatively rare. Most of our knowledge about Capgras syndrome derives from single case studies and small series of cases usually from diagnostically heterogeneous groups. In this article, a series of 31 patients suffering from both paranoid schizophrenia and Capgras syndrome is described. Issues pertaining to the phenomenology of Capgras syndrome, the possible relation between Capgras syndrome and other delusional misidentification syndromes, and a neurobiological hypothesis aimed at explaining Capgras syndrome are discussed.

  9. Health Care Autonomy in Children with Chronic Conditions: Implications for Self Care and Family Management

    PubMed Central

    Beacham, Barbara L.; Deatrick, Janet A.

    2013-01-01

    Synopsis Health care autonomy typically occurs during late adolescence but health care providers and families often expect children with chronic health conditions to master self-care earlier. Few studies have examined the development of health care autonomy as it pertains to self-care and family management. This review will link the three concepts and discuss implications for families and health care providers. Case studies are provided as exemplars to highlight areas where intervention and research is needed. PMID:23659815

  10. 7 CFR 271.7 - Allotment reduction procedures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... available data pertaining to the number of people participating in the program and the amounts of benefits... for completing the processing of such cases shall be five calendar days or the end of the month of...

  11. Australian Bat Lyssavirus in a child: the first reported case.

    PubMed

    Francis, Joshua R; Nourse, Clare; Vaska, Vikram L; Calvert, Sophie; Northill, Judith A; McCall, Brad; Mattke, Adrian C

    2014-04-01

    Human infection with Australian Bat Lyssavirus is extremely rare and has not previously been reported in a child. We describe a fatal case of Australian Bat Lyssavirus in an 8-year-old child, and review the literature pertaining to the diagnosis and management of lyssavirus infection with consideration of its applicability to this emerging strain.

  12. Evolving Legal Standards Pertaining to Sexual Harassment: Administrators' Guide. From Inquiry to Practice.

    ERIC Educational Resources Information Center

    McCarthy, Martha

    Few topics are receiving as much attention in the courts as sexual harassment. For example, the U.S. Supreme Court has delivered five case decisions since spring 1998. Three of the cases involved sexual harassment in employment, one involved teacher-to-student harassment, and one involved student-to-student (peer) harassment. These Supreme Court…

  13. 29 CFR Appendix A to Part 35 - Age Distinctions in Statutes Affecting Financial Assistance Administered by DOL

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... waived by the Secretary, * * * in the case of an individual with a disability.” 20 CFR 670.400. 3. Indian... for the purpose of developing and implementing techniques and approaches, and demonstrating the..., provides that notwithstanding other provisions pertaining to payments in the case of deceased persons, if...

  14. 29 CFR Appendix A to Part 35 - Age Distinctions in Statutes Affecting Financial Assistance Administered by DOL

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... waived by the Secretary, * * * in the case of an individual with a disability.” 20 CFR 670.400. 3. Indian... for the purpose of developing and implementing techniques and approaches, and demonstrating the..., provides that notwithstanding other provisions pertaining to payments in the case of deceased persons, if...

  15. 29 CFR Appendix A to Part 35 - Age Distinctions in Statutes Affecting Financial Assistance Administered by DOL

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... waived by the Secretary, * * * in the case of an individual with a disability.” 20 CFR 670.400. 3. Indian... for the purpose of developing and implementing techniques and approaches, and demonstrating the..., provides that notwithstanding other provisions pertaining to payments in the case of deceased persons, if...

  16. 29 CFR Appendix A to Part 35 - Age Distinctions in Statutes Affecting Financial Assistance Administered by DOL

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... waived by the Secretary, * * * in the case of an individual with a disability.” 20 CFR 670.400. 3. Indian... for the purpose of developing and implementing techniques and approaches, and demonstrating the..., provides that notwithstanding other provisions pertaining to payments in the case of deceased persons, if...

  17. Terminology of the tonsils.

    PubMed

    Casteleyn, C; Simoens, P; Van den Broeck, W

    2011-06-01

    Many terms used for referring to tonsillar structures are applied in immunological research. However, in many cases, the use of these terms is not in compliance with official veterinary anatomical nomenclature. This is partly attributable to ambiguous descriptions present in conventional anatomical textbooks. This study gives an overview of pertaining controversial terms and promotes the official anatomical terminology applicable to the tonsils, to enhance the unequivocal transfer of knowledge generated during immunological research. © 2011 Blackwell Verlag GmbH.

  18. On Creativity: A Case Study of Military Innovation

    DTIC Science & Technology

    2015-09-01

    HSI theses, it does not aim to define or refine the HSI process, nor does it seek to demonstrate how aspects of a problem pertain to or influence...Neuroscientists have found that the brain operates in both an externally focused, goal-directed mode, solving problems by the use of known patterns, and an...The entire brain is active when engaged in creative problem solving. During the creative process, an increase of new neurological connections between

  19. Summary of technical testimony in the Colorado Water Division 1 Trial

    Treesearch

    Nancy (Tech. Coord.) Gordon

    1995-01-01

    The Colorado Water Division 1 Water Rights Trial was one of the most significant federal reserved instream flow water rights cases to occur since the Supreme Court of the United States ruled in the case of United States v. New Mexico in 1978. This document summarize the large amount of technical data and information pertaining to the disciplines of geomorphology,...

  20. Characterizing dense suspensions: two case studies from the pharmaceutical industry

    NASA Astrophysics Data System (ADS)

    Goldfarb, David J.; Khawaja, Nazia; Kazakevich, Irina; Bhattacharjee, Himanshu; Heslinga, Michael; Dalton, Chad

    2015-11-01

    Liquid suspensions of Active Pharmaceutical Ingredient powders are present as pharmaceutical dosage forms in the form of oral suspensions and injectables. We present two case studies, both dense (~ 30-40%) suspensions, in which the physical characterization of the product, specifically, particle size & shape and rheology were key to understanding the key product attributes as pertaining to the manufacturing process and to patient administration. For the one case study, an oral suspension, identifying variations in particle morphology during the wet milling of the product was key to the product understanding necessary to modify the milling process. Rheological measurements were applied as well. For the second case study, an injectable, results from different particle size measurement techniques and rheological measurements indicated the possibility of flocculation in a formulation. Additionally, measurements were obtained to assess the ``injectability'' of the product via rheometer and texture analyzer measurements and Poiseuille flow modeling. As a result, the relevant shear rate regime for this drug product administration was identified.

  1. LANDFIRE 2001 and 2008 Refresh Geographic Area Report--Pacific Southwest

    USGS Publications Warehouse

    Bastion, Henry; Long, Don; Lundberg, Brenda; Kost, Jay; Natharius, Jeffrey A.; Kreilick, Heather; Martin, Charley; Smail, Tobin; Napoli, James; Hann, Wendel

    2011-01-01

    In this report, we (1) address the background and provide details pertaining to why there are two Refresh data sets, (2) explain the requirements, planning, and procedures behind the completion and delivery of the updated products for each of the data product sets, (3) show and describe results, and (4) provide case studies illustrating the performance of LANDFIRE National, LANDFIRE 2001 Refresh and LANDFIRE 2008 Refresh (LF_1.1.0) data products on some example wildland fires.

  2. A preliminary investigation of three issues pertaining to a common behavioral treatment for nocturnal enuresis.

    PubMed

    Mace, F C; Parrish, J M

    1984-09-01

    Two adolescent brothers exhibiting nocturnal enuresis since birth participated in this multiple case study examining the successful application of a modified alarm and pad procedure with a deaf youth and the generalization of effects to an initially untreated, non-hearing impaired sibling. A description of the treatment program and the explicit statement of an avoidance contingency prior to intervention resulted in a rapid and marked increase in percentage of dry nights in both cases, with further increases observed following implementation of an alarm and pad plus accident correction procedure in conjunction with self-monitoring. Treatment gains were maintained at a 10-month follow-up.

  3. Health care autonomy in children with chronic conditions: implications for self-care and family management.

    PubMed

    Beacham, Barbara L; Deatrick, Janet A

    2013-06-01

    Health care autonomy typically occurs during late adolescence but health care providers and families often expect children with chronic health conditions to master self-care earlier. Few studies have examined the development of health care autonomy as it pertains to self-care and family management. This review links the 3 concepts and discusses the implications for families and health care providers. Case studies are provided as exemplars to highlight areas where intervention and research is needed. Copyright © 2013 Elsevier Inc. All rights reserved.

  4. 28 CFR 700.23 - Notice of subpoenas and emergency disclosures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... disclosures. (a) Subpoenas. When records pertaining to an individual are subpoenaed by a grand jury, court, or... days of the service of the subpoena or, in the case of a grand jury subpoena, within 10 working days of...

  5. 46 CFR 503.73 - Exceptions-meetings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... FEDERAL MARITIME COMMISSION GENERAL AND ADMINISTRATIVE PROVISIONS PUBLIC INFORMATION Public Observation of Federal Maritime Commission Meetings and Public Access to Information Pertaining to Commission Meetings § 503.73 Exceptions—meetings. Except in a case where the agency finds that the public interest requires...

  6. Air pollution and health in Sri Lanka: a review of epidemiologic studies.

    PubMed

    Nandasena, Yatagama Lokuge S; Wickremasinghe, Ananda R; Sathiakumar, Nalini

    2010-06-02

    Air pollution is increasingly documented as a threat to public health in most developing countries. Evaluation of current air quality levels, regulatory standards and scientific literature on outdoor and indoor air pollution, and health effects are important to identify the burden, develop and implement interventions and to fill knowledge gaps in Sri Lanka. PUBMED and Medline databases, local journals and conference proceedings were searched for epidemiologic studies pertaining to air pollution and health effects in Sri Lanka. All the studies pertaining to air pollution and health effects were considered. Sixteen studies investigated the association between exposure to ambient or indoor air pollution (IAP) and various health outcomes ranging from respiratory symptoms, low birth weight and lung cancers. Of the sixteen, three used a case control design. Half of the studies collected exposure data only through questionnaires. There were positive associations between air pollution and adverse health effects in all studies. Methodological limitations in most of the studies resulted in poor quantification of risk estimates. A limited number of epidemiological studies in Sri Lanka have investigated the health effects of air pollution. Based on findings of studies and reported air quality levels, air pollution may be considered a neglected public health problem in Sri Lanka.

  7. [Different uses of Fagopyrum esculentum Moench (buckwheat) in Japan and China: what ancient medical documents reveal].

    PubMed

    Tatsumi, Nami; Marui, Eiji

    2012-03-01

    The purpose of this thesis is to demonstrate that buckwheat has been recognized, both in Japan and China, as a crop that is useful in many ways: as an agricultural crop, and for the healing powers and properties that, according to traditional Chinese medicine, it has. A comparative study of ancient documents pertaining to medicine in these countries has made it clear that this is the case. Buckwheat, however, has been used quite differently in each country. As is shown in some ancient Chinese documents pertaining to medicine, China has treated buckwheat primarily as a medicine for clinical use rather than as an edible crop. Nowadays, buckwheat is eaten only in some regions of China. Although it came to Japan from China as a medicine, in Japan buckwheat gradually became a popular food crop. It has become an important component of traditional Japanese cuisine thanks in part to government support and the strong demand that developed in Japanese society.

  8. Ber-H2 (CD30) immunohistochemical staining in malignant melanoma.

    PubMed

    Polski, J M; Janney, C G

    1999-09-01

    Malignant melanoma can be included in the differential diagnosis of Hodgkin's disease, anaplastic large cell lymphoma, or embryonal carcinoma These malignancies express CD30, a marker of diagnostic value. A retrospective immunohistochemical study was undertaken to determine the frequency of immunoreactivity of Ber-H2 (anti-CD30 monoclonal antibody) in malignant melanoma Archival paraffin-embedded tissue from 24 primary and metastatic lesions was used. No Ber-H2 labeling was observed in the majority of the studied cases. Variable weak cytoplasmic staining was present in only one case. The findings are compared with the previous reports claiming frequent CD30 expression in malignant melanoma. We discuss issues pertaining to the interpretation of the Ber-H2 IHC staining in formalin-fixed, paraffin-embedded tissue.

  9. Nanomaterial Case Study: A Comparison of Multiwalled ...

    EPA Pesticide Factsheets

    This Independent Peer Review Draft document presents a case study of multiwalled carbon nanotubes (MWCNTs); it focuses on the specific example of MWCNTs as used in flame-retardant coatings applied to upholstery textiles. This case study is organized around the comprehensive environmental assessment (CEA) framework, which structures available information pertaining to the product life cycle, environmental transport and fate, exposure-dose in receptors (i.e., humans, ecological populations, and the environment), and potential impacts in these receptors. The document does not draw conclusions about potential risks, or present an exhaustive review of the literature. Rather, it was used in an independent peer review to provide feedback on revisions that EPA made to the external review draft of the document based on public comments and the CEA process to identify research gaps for MWCNTs. This document seeks to identify what is known and unknown related to assessing the health and environmental implications of a nanomaterial; in this case multiwalled carbon nanotubes (MWCNTs) used in flame-retardant coatings applied to textiles.

  10. Rebel with a Cause: A School Board Member Calls for Reform in Miami-Dade County Public Schools

    ERIC Educational Resources Information Center

    Manning, Tom

    2011-01-01

    This case describes the experience of a new school board member in Miami-Dade County Public Schools, Marta Perez, as she discovers a wide range of ethical and management problems in the school district and attempts to deal with them. Layered throughout the case are challenges pertaining to the school board's roles and responsibilities,…

  11. The Links between Academic Research and Economic Development in Ethiopia: The Case of Addis Ababa University

    ERIC Educational Resources Information Center

    Mulu, Nega Kahsay

    2017-01-01

    This paper aims to examine the major issues concerning the links between academic research and economic development in Ethiopia by considering the Addis Ababa University as a case. The paper is based on two premises. The first pertains to the idea that universities being one of the actors in knowledge production plays a central role in enhancing…

  12. Solitary morphea profunda following trauma sustained in an automobile accident.

    PubMed

    Touloei, Khasha; Wiener, Adam; Glick, Bradley P

    2015-01-01

    Solitary morphea profunda (SMP) is a variant of localized scleroderma (LS). We report the case of a 50-year-old white woman with a history of trauma sustained in an automobile accident who presented with SMP on the right upper arm. We also provide a review of the classification, epidemiology, etiology, diagnostic studies, pathogenesis, physical findings, histopathology, treatment, and prognosis of SMP, along with other important details pertaining to the disease. We also provide a brief overview of LS and morphea profunda (MP).

  13. Evolution of Unmanned Aerial Warfare: A Historical Look at Remote Airpower - A Case Study in Innovation

    DTIC Science & Technology

    2016-06-10

    The starting point—and primary research question—pertains to assessing how the U.S. Air Force and predecessors used unmanned aircraft in major...that starts with the historical perspective, then discusses the development of UASs during major conflicts, and finally UASs in the 1990s, Iraq, and...the blame for starting the war and pay reparations to the amount of 132 billion gold marks, or $33 billion. On 28 June 1919, a compromised peace was

  14. A meta-analysis of data associating DRD4 gene polymorphisms with schizophrenia.

    PubMed

    Xu, Feng-Ling; Wu, Xue; Zhang, Jing-Jing; Wang, Bao-Jie; Yao, Jun

    2018-01-01

    To explore the association between DRD4 polymorphisms and schizophrenia risk, a meta-analysis was carried out with 41 case-control articles. Specifically, we included 28 articles (5,735 cases and 5,278 controls) that pertained to the 48 bp variable number tandem repeat (VNTR) polymorphism, nine articles (1,517 cases and 1,746 controls) that corresponded to the 12 bp tandem repeat (TR), six articles (1,912 cases and 1,836 controls) that addressed the 120 bp TR, 10 articles (2,927 cases and 2,938 controls) that entailed the -521 C>T polymorphism, six articles (1,735 cases and 1,724 controls) that pertained to the -616 C>G polymorphism, and four articles (1,191 cases and 1,215 controls) that involved the -376 C>T polymorphism. Pooled analysis, subgroup analysis, and sensitivity analysis were performed, and the data were visualized by means of forest and funnel plots. Results of pooled analysis indicated that the -521 CC variant ( P z =0.009, odds ratio [OR] =1.218, 95% confidence interval [CI] =1.050-1.413) and genotype L/L (ie, long allele) of the 120 bp TR were risk factors of schizophrenia ( P z =0.004, OR =1.275, 95% CI =1.081-1.504). The 48 bp VNTR, the 12 bp TR, the -616 C>G polymorphism, and the -376 C>T polymorphism were not associated with schizophrenia. Additional research is warranted to explore the association between polymorphisms of DRD4 and schizophrenia risk.

  15. Education Policy Studies in South Africa, 1995-2006

    ERIC Educational Resources Information Center

    Deacon, Roger; Osman, Ruksana; Buchler, Michelle

    2010-01-01

    This article reports on findings pertaining to scholarship in education policy drawn from a wider study on all education research in South Africa from 1995 to 2006. This study, which defined education research as broadly pertaining to teaching and/or learning, obtained extensive data from a wide range of sources, including universities, public…

  16. 10 CFR 1008.12 - Exemptions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... individual at the individual's request of the existence of records in an investigative file pertaining to...: Notifying an individual at the individual's request of the existence of records in an investigative file...) Alien Visits and Participation (DOE-52). (B) Clearance Board Cases (DOE-46). (C) Security Correspondence...

  17. 10 CFR 1008.12 - Exemptions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... individual at the individual's request of the existence of records in an investigative file pertaining to...: Notifying an individual at the individual's request of the existence of records in an investigative file...) Alien Visits and Participation (DOE-52). (B) Clearance Board Cases (DOE-46). (C) Security Correspondence...

  18. 10 CFR 1008.12 - Exemptions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... individual at the individual's request of the existence of records in an investigative file pertaining to...: Notifying an individual at the individual's request of the existence of records in an investigative file...) Alien Visits and Participation (DOE-52). (B) Clearance Board Cases (DOE-46). (C) Security Correspondence...

  19. 10 CFR 1008.12 - Exemptions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... individual at the individual's request of the existence of records in an investigative file pertaining to...: Notifying an individual at the individual's request of the existence of records in an investigative file...) Alien Visits and Participation (DOE-52). (B) Clearance Board Cases (DOE-46). (C) Security Correspondence...

  20. Shark attack.

    PubMed

    Guidera, K J; Ogden, J A; Highhouse, K; Pugh, L; Beatty, E

    1991-01-01

    Shark attacks are rare but devastating. This case had major injuries that included an open femoral fracture, massive hemorrhage, sciatic nerve laceration, and significant skin and muscle damage. The patient required 15 operative procedures, extensive physical therapy, and orthotic assistance. A review of the literature pertaining to shark bites is included.

  1. Media Defamation and the Free-Lance Writer.

    ERIC Educational Resources Information Center

    Stevens, George E.

    1987-01-01

    Discusses the responsibilities of publishers and freelance writers concerning the liability involved in defamatory statements. Reviews several court cases pertaining to publisher liability and claims that, if a writer is not under the immediate control or supervision of the publisher, the publisher may avoid liability. (MM)

  2. Role transition from caregiver to case manager--Part II.

    PubMed

    Schmitt, Nancy

    2006-01-01

    This two-part article explores the process of role transition as it pertains to nurses moving from roles of caregivers to roles of case managers. Part 1 of the article presented a theoretical model that demonstrated the interplay of significant factors in the process of role transition and discussed how this model could be used to examine nurses' experience of this transition. Part 2 presents findings from a qualitative study involving interview and focus group data contributed by nurses who have made the transition from caregiver to case manager. Data point to specific tensions experienced by these nurses, which are associated with time-task orientation, interactions and relationships, business culture and objectives, and self-image and professional identity. Recommendations for preparing and supporting nurses through this role are also offered.

  3. Gender identity disputed in the court of justice: a story of female to male sexual transformation in the hellenistic period, described by Diodorus Siculus.

    PubMed

    Armeni, Anastasia K; Vasileiou, Vasiliki; Markantes, George; Damoulari, Christina; Mandrapilia, Angelina; Kosmopoulou, Fotini A; Keramisanou, Varvara; Georgakopoulou, Danai; Georgopoulos, Neoklis A

    2014-01-01

    Cases of sexual reassignment in Greco-Roman antiquity, presenting as a pubertal female to male gender transformation, are described in the "classical"literature. Textual evidence concerning a case of androgynism, garnered by Diodorus Siculus, among other similar accounts, as an odd story of gender dispute in a court of justice, is provided in the present study. A medical interpretation of the data pertaining to this case has been attempted and is herein reported. The spontaneous virilization and post-pubertal gender inversion of the specific individual appears to have been caused by a defect either in 5α-reductase type 2 or in 17β hydroxysteroid dehydrogenase genes and consequent deficient enzymatic activity.

  4. Data science for assessing possible tax income manipulation: The case of Italy

    NASA Astrophysics Data System (ADS)

    Ausloos, Marcel; Cerqueti, Roy; Mir, Tariq A.

    2017-11-01

    This paper explores a real-world fundamental theme under a data science perspective. It specifically discusses whether fraud or manipulation can be observed in and from municipality income tax size distributions, through their aggregation from citizen fiscal reports. The study case pertains to official data obtained from the Italian Ministry of Economics and Finance over the period 2007-2011. All Italian (20) regions are considered. The considered data science approach concretizes in the adoption of the Benford first digit law as quantitative tool. Marked disparities are found, - for several regions, leading to unexpected "conclusions". The most eye browsing regions are not the expected ones according to classical imagination about Italy financial shadow matters.

  5. 40 CFR 792.195 - Retention of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... section, documentation records, raw data, and specimens pertaining to a study and required to be retained... records, raw data, and specimens pertaining to a study and required to be retained by this part shall be... those items listed in paragraph (c) of this section, documentation records, raw data, and specimens...

  6. Admissions Decisions, the Law, and Students with Disabilities

    ERIC Educational Resources Information Center

    Kutnak, Michael J.; Janosik, Steven M.

    2015-01-01

    This article explores the legal implications for U.S. higher education administrators who make admissions decisions regarding students with disabilities. A review of federal legislation, case law, and government agency rulings pertaining to higher education admissions and students with disabilities informs administrators of current law.…

  7. 45 CFR 1303.8 - Waiver of requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION FOR CHILDREN, YOUTH AND FAMILIES, HEAD START... following: (1) Litigation dates cannot be changed; (2) Personal emergencies pertaining to the health of a..., spouse, parents, or siblings; (3) The complexity of the case is such that preparation of the necessary...

  8. 45 CFR 1303.8 - Waiver of requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION FOR CHILDREN, YOUTH AND FAMILIES, HEAD START... following: (1) Litigation dates cannot be changed; (2) Personal emergencies pertaining to the health of a..., spouse, parents, or siblings; (3) The complexity of the case is such that preparation of the necessary...

  9. 49 CFR 511.66 - Confidential business information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 6 2010-10-01 2010-10-01 false Confidential business information. 511.66 Section... in Cases of Violation of Average Fuel Economy Standards § 511.66 Confidential business information... business information. The provisions of 15 U.S.C. 2005(d) pertaining to discretionary release by the...

  10. 49 CFR 511.66 - Confidential business information.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 6 2012-10-01 2012-10-01 false Confidential business information. 511.66 Section... in Cases of Violation of Average Fuel Economy Standards § 511.66 Confidential business information... business information. The provisions of 15 U.S.C. 2005(d) pertaining to discretionary release by the...

  11. 49 CFR 511.66 - Confidential business information.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 6 2014-10-01 2014-10-01 false Confidential business information. 511.66 Section... in Cases of Violation of Average Fuel Economy Standards § 511.66 Confidential business information... business information. The provisions of 15 U.S.C. 2005(d) pertaining to discretionary release by the...

  12. 33 CFR 209.320 - Policy on release of commercial statistics.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... statistics. 209.320 Section 209.320 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE... statistics. The collection of commercial statistics pertaining to rivers, harbors, and waterways, and annual... waterway statistics. In case Federal or State agencies or local interests request other than general...

  13. The Counselor and Testing: Some Legal Concerns.

    ERIC Educational Resources Information Center

    Talbutt, Lou Culler

    1983-01-01

    Summarizes significant laws and court cases pertaining to discrimination in educational testing and discusses the implications for counselors. Counselors must be knowledgeable about current testing information, regulations of the state and local boards of education, and professional guidelines to avoid discrimination of students because of sex,…

  14. Conceptualizing Programme Evaluation

    ERIC Educational Resources Information Center

    Hassan, Salochana

    2013-01-01

    The main thrust of this paper deals with the conceptualization of theory-driven evaluation pertaining to a tutor training programme. Conceptualization of evaluation, in this case, is an integration between a conceptualization model as well as a theoretical framework in the form of activity theory. Existing examples of frameworks of programme…

  15. 33 CFR 209.320 - Policy on release of commercial statistics.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... statistics. 209.320 Section 209.320 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE... statistics. The collection of commercial statistics pertaining to rivers, harbors, and waterways, and annual... waterway statistics. In case Federal or State agencies or local interests request other than general...

  16. Nanomaterial Case Study: Nanoscale Silver in Disinfectant ...

    EPA Pesticide Factsheets

    EPA announced the release of the final report, Nanomaterial Case Study: Nanoscale Silver in Disinfectant Spray. This report represents a case study of engineered nanoscale silver (nano-Ag), focusing on the specific example of nano-Ag as possibly used in disinfectant sprays. This case study is organized around the comprehensive environmental assessment (CEA) framework, which structures available information pertaining to the product life cycle, environmental transport and fate, exposure-dose in receptors (i.e., humans, ecological populations, and the environment), and potential impacts in these receptors. The document does not draw conclusions about potential risks. Instead, it is intended to be used as part of a process to identify what is known and unknown about nano-Ag in a selected application. In turn, the external review draft of the document provided a starting point to identify and prioritize possible research directions to support future assessments of nanomaterials. The information presented in the case study and the questions raised in this document are a foundation for a process to determine priorities among various research topics and directions. After that process has been completed, a final chapter will be added to this document to summarize highlights from preceding chapters and the major research issues that have emerged.

  17. Emergent self-regulatory activity among young children during scientific inquiry: An analysis of six kindergarten children

    NASA Astrophysics Data System (ADS)

    Lomangino, Adrienne Gelpi

    2000-10-01

    This qualitative investigation extends the study of self-regulation to examine young children's developing self-regulated learning competencies. The framework for this research draws upon social cognitive, developmental, and sociocultural perspectives on self-regulation and research on children's scientific thinking. Taking a multiple case study approach, this study examines six kindergarten children's emerging self-regulatory competencies during inquiry-based science instruction. Data were collected during two inquiry-based science programs of study, one pertaining to light and shadow and a second pertaining to motion on inclined planes. Data sources included: videotaped records of the instruction, transcriptions of the videotapes, interviews with the children and teacher, student work, and field notes. Taking an inductive approach to analysis, patterns in the children's activity were identified through a recursive process of defining and refining categories that characterized the children's verbal and behavioral activity. Each case study examines a child's behavior within each phase of the inquiry for evidence of emerging self-regulatory competence. Analysis revealed nascent forms of goal-setting and planning, monitoring, resource management, seeking social assistance, and evaluating. Monitoring activity occurred more frequently than planning or evaluating. For several children, animating materials served to promote motivation. Children's efforts to support peers' activity and monitor the meaning of ongoing discourse contrast with common assumptions about children's attention to others' thinking. Variations in self-regulatory activity were found across phases of instruction. The children exhibited interpersonal self-regulatory efforts, in which monitoring and control of the self was entwined with the activity of others. Joint participation also played a critical role in supporting the metacognitive demands of self-regulation and prompting metacognitive awareness. However, planning and self-evaluation were constrained by the opportunities provided within the instruction for engaging in self-regulatory activity.

  18. Incidence of human rabies and characterization of rabies virus nucleoprotein gene in dogs in Fujian Province, Southeast China, 2002-2012.

    PubMed

    Zhang, Jian-Ming; Zhang, Zhi-Shan; Deng, Yan-Qin; Wu, Shou-Li; Wang, Wei; Yan, Yan-Sheng

    2017-08-30

    Rabies is a global fatal infectious viral disease that is characterized by a high mortality after onset of clinical symptoms. Recently, there has been an increase in the incidence of rabies in China. The aim of this study was to investigate the incidence of human rabies and characterize the rabies virus nucleoprotein gene in dogs sampled from Fujian Province, Southeast China from 2002 to 2012. Data pertaining to human rabies cases in Fujian Province during the period from 2002 through 2012 were collected, and the epidemiological profiles were described. The saliva and brain specimens were collected from dogs in Quanzhou, Longyan and Sanming cities of the province, and the rabies virus antigen was determined in the canine saliva specimens using an ELISA assay. Rabies virus RNA was extracted from canine brain specimens, and rabies virus nucleoprotein gene was amplified using a nested RT-PCR assay, followed by sequencing and genotyping. A total of 226 human rabies cases were reported in Fujian Province from 2002 to 2012, in which 197 cases were detected in three cities of Quanzhou, Longyan and Sanming. ELISA assay revealed positive rabies virus antigen in six of eight rabid dogs and 165 of 3492 seemingly healthy dogs. The full-length gene fragment of the rabies virus nucleoprotein gene was amplified from the brain specimens of seven rabid dogs and 12 seemingly healthy dogs. Sequence alignment and phylogenetic analysis revealed that these 19 rabies virus nucleoprotein genes all belonged to genotype I, and were classified into three genetic groups. Sequencing analysis showed a 99.7% to 100% intra-group and an 86.4% to 89.3% inter-group homology. This study is the first description pertaining to the epidemiological characteristics of human rabies cases and characterization of the rabies virus nucleoprotein gene in dogs in Fujian Province, Southeast China. Our findings may provide valuable knowledge for the development of strategies targeting the prevention and control of rabies.

  19. Competency Among Hard-To-Employ Youths. Final Report.

    ERIC Educational Resources Information Center

    Caplan, Nathan

    This report consists of five chapters: the first evaluates a theory of youth unemployment which particulary pertains to youths who are skillful in "nonstandard" competencies--the theory of competing competencies. The second chapter illustrates such behavior through the use of a case history. The third chapter presents empirical support for the…

  20. How Soon Is Too Soon? Addiction Recovery and Family Reunification.

    ERIC Educational Resources Information Center

    Hohman, Melinda M.; Butt, Rick L.

    2001-01-01

    Describes the addiction recovery process and its impact on parenting behaviors, as this information pertains to child welfare workers involved in family reunification decisions. Reviews two models of recovery, one from alcoholism and one from cocaine addiction, and discusses women's recovery issues, case examples, and child welfare applications.…

  1. 76 FR 70904 - Commission Organization; Practice and Procedure; Radio Broadcast Services; and Experimental Radio...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-16

    ... obsolete. These sections pertain to comparative hearings for broadcast license renewal applications. The enactment of section 309(k) of the Communications Act of 1934 eliminated comparative broadcast hearings for... broadcast comparative cases involving applicants for only new facilities, is amended to delete the words...

  2. On Campus with Women, Number 27, Summer 1980.

    ERIC Educational Resources Information Center

    Association of American Colleges, Washington, DC.

    A newsletter on issues pertaining to women's rights on campuses and in employment is presented. Developments and issues include the following: initiation of intercollegiate athletic championships for women in nine sports; a charge of unequal pay for women coaches; university cases of alleged sex discrimination in athletic programs; reference to…

  3. Implementing a Diversity-Orientated Online Graduate-Level Health Professions Education Program

    ERIC Educational Resources Information Center

    Savard, Isabelle

    2015-01-01

    This case describes the strategies implemented in the development of an online Master's degree program in Health Professions Education (HPE) and an online short, Master's level diploma program. The strategies presented pertain to three of the main challenges identified: program cohesiveness, a multidisciplinary approach, and information technology…

  4. Enterprise Resource Planning in Small and Medium Enterprises: Examining the Business Case

    ERIC Educational Resources Information Center

    Thompson, Millard A.

    2016-01-01

    Prior research pertaining to the behaviors that related to the acceptance and use of technology was primarily focused on individual end users with little concentration on the collective organizational perspective. Infrastructure changes in organizations developed as they transitioned from serviceable information technology systems to enterprise…

  5. A GPS coverage model

    NASA Technical Reports Server (NTRS)

    Skidmore, Trent A.

    1994-01-01

    The results of several case studies using the Global Positioning System coverage model developed at Ohio University are summarized. Presented are results pertaining to outage area, outage dynamics, and availability. Input parameters to the model include the satellite orbit data, service area of interest, geometry requirements, and horizon and antenna mask angles. It is shown for precision-landing Category 1 requirements that the planned GPS 21 Primary Satellite Constellation produces significant outage area and unavailability. It is also shown that a decrease in the user equivalent range error dramatically decreases outage area and improves the service availability.

  6. Building America Case Study: Design Guidance for Passive Vents in New Construction Multifamily Buildings, New York, New York

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

    2016-02-01

    This document addresses the use of passive vents as a source of outdoor air in multifamily buildings. The challenges associated with implementing passive vents and the factors affecting performance are outlined. A comprehensive design methodology and quantified performance metrics are provided. Two hypothetical design examples are provided to illustrate the process. This document is intended to be useful to designers, decision-makers, and contractors implementing passive ventilation strategies. It is also intended to be a resource for those responsible for setting high-performance building program requirements, especially pertaining to ventilation and outdoor air. To ensure good indoor air quality, a dedicated sourcemore » of outdoor air is an integral part of high-performance buildings. Presently, there is a lack of guidance pertaining to the design and installation of passive vents, resulting in poor system performance. This report details the criteria necessary for designing, constructing, and testing passive vent systems to enable them to provide consistent and reliable levels of ventilation air from outdoors.« less

  7. A case study evaluation of an intervention aiming to strengthen the midwifery professional role in Morocco: anticipated barriers to reaching outcomes

    PubMed Central

    Abou Malham, Sabina; Hatem, Marie; Leduc, Nicole

    2015-01-01

    Background In order to reduce the high maternal mortality ratio, Morocco is strongly committed to strengthen its midwifery professional role. This study aimed to identify barriers that could potentially hinder an action plan to strengthen the midwifery professional role from achieving desired outcomes. We used a conceptual framework, which is derived from Hatem-Asmar’s (1997) framework on the interaction of educational, professional, and sociocultural systems in which a professional role evolves and from Damschroder et al’s (2009) framework for the implementation analysis. Methods This paper builds on a qualitative case study on the factors affecting the action plan’s implementation process that also revealed rich data about anticipated barriers to reaching outcomes. Data were collected through training sessions, field observations, documents, focus groups (n=20), and semistructured interviews (n=11) with stakeholders pertaining to the three systems under study. Content analysis was used to identify themes related to barriers. Results Seven barriers that may compromise the achievement of desired results were found. They relate to the legal framework, social representations, and media support in the sociocultural system and the practice environment, networks and communication mechanisms, and characteristics related to the role and the readiness in the professional system. Conclusion Disregarding sociocultural and professional system level, barriers may impede efforts to strengthen the midwife’s role and to provide qualified midwives who can improve the quality of maternal care. Making changes in the educational system cannot be thought of as an isolated process. Its success is closely tied with multiple contextual factors pertaining to the two other systems. Activities recommended to address these barriers may have great potential to build a competent midwifery workforce that contributes to positive maternal and neonatal health outcomes. PMID:26445547

  8. Special report, a brief history of data and theory pertaining to the atmosphere of the moon

    NASA Technical Reports Server (NTRS)

    Thomas, G. E.

    1972-01-01

    A brief historical account of data and theory pertaining to the lunar atmosphere prior to the Apollo program is presented. It consists of a summary of the most important pre-Apollo research, rather than an exhaustive bibliographical study, and constitutes a supporting analytical study for the Apollo 17 UV Spectrometer Experiment.

  9. The prevalence of vegetative and minimally conscious states: a systematic review and methodological appraisal.

    PubMed

    Pisa, Federica Edith; Biasutti, Emanuele; Drigo, Daniela; Barbone, Fabio

    2014-01-01

    To systematically review prevalence studies of vegetative state (VS) and minimally conscious state (MCS) in geographically defined populations, to appraise study methods and assess sources of heterogeneity. MEDLINE, EBM Reviews, and EMBASE databases were searched using key terms. Two reviewers independently identified pertinent articles and screened the references for additional studies. Studies measuring the prevalence of VS and/or MCS in a defined population were included, and information on characteristics, methods, and results was extracted. Heterogeneity was quantified through the statistic I. We identified 5 cross-sectional prevalence surveys of VS and 1 of MCS. Prevalence ranged from 0.2 cases per 100,000 inhabitants to 3.4 for VS and was 1.5 per 100,000 for MCS. Relevant heterogeneity (I = 99.0%) prevented us from calculating a summary estimate. The prevalence of trauma cases varied from 21.9% to 53.8%. Variability pertaining to diagnostic criteria, definition of case, and methods of ascertainment was found. In the few prevalence studies of VS and MCS that were identified, the estimates showed high variability and could not be pooled. Future studies should consider using comparable methods for the definition, ascertainment, and confirmation of cases.

  10. In Canada: Litigating Literacy

    ERIC Educational Resources Information Center

    Robertson, Heather-jane

    2004-01-01

    While Canadians tend to consider the American system to be overly litigious, they are catching up fast. Their own domestic set of plaintiffs is suing the agents of obesity and pollution, but actions pertaining to education seem to be spiking as well. A few of these cases are trivial. This morning's local newspaper reports that a judge has ruled…

  11. Using Groups to Change the Department Head Role: An Organization Development Case

    ERIC Educational Resources Information Center

    LeBlanc, Sheila; London, Chad; Huisman, Jeroen

    2013-01-01

    This article provides a detailed description and analysis of how one Canadian institution used groups of department heads as change agents to address their most acute department head role tensions. It is demonstrated that this institution's change initiative aligned very closely to the recommendations proposed, in both the literature pertaining to…

  12. Misunderstood Superheroes: Batman and Performance Based Logistics

    DTIC Science & Technology

    2009-02-01

    the mass community. How do the Batman myth , ethos, and psychology pertain to PBL? PBL—born on the dark side in the 1990s, perhaps with a tad of...without PBL. Now, that’s about as scary as Batman’s psychotic nemesis, the Joker! Business Case Analysis The most debated characteristic of Batman is why

  13. Hand, Foot, and Mouth Disease Preliminarily Diagnosed as Hypochondriasis.

    ERIC Educational Resources Information Center

    Davidson, Michael Jay; And Others

    1990-01-01

    A case in which a dental student with hand, foot, and mouth disease was told he had "medical student disease" (MSD), or hypochondriasis, is related; literature pertaining to the occurrence and treatment of MSD is reviewed, and the importance of care in approaches to both students and patients are discussed. (MSE)

  14. Compulsory Disclosure by Newsmen: The Implications of the Legal Heritage for the Contemporary Situation.

    ERIC Educational Resources Information Center

    Eshelman, David

    In the almost 100 years of reported litigation pertaining to compulsory disclosure of news sources, the basic pleadings asserted in common law cases have included employer's regulations, professional ethics, self-incrimination, lack of jurisdictional authority, and relevancy. American courts have consistently denied an evidentiary privilege for…

  15. The Effect of Podcasted Review Sessions on Accounting I Students' Performance

    ERIC Educational Resources Information Center

    Badowski, Robert

    2009-01-01

    Podcasting is a relatively new and yet unproven technology, especially when pertaining to higher education. The goal of this research was to address the issue of the educational significance of podcasting review sessions in Principles of Accounting I, by systematically conducting experimental embedded design research to build a case for its…

  16. Section 504 in American Public Schools: An Ongoing Response to Change

    ERIC Educational Resources Information Center

    Schraven, Jodie; Jolly, Jennifer L.

    2010-01-01

    This paper seeks to specifically focus on the evolution of civil rights case law and legislation as it pertains to educating students with disabilities, specifically the often implemented but poorly understood Section 504 provisions. The purpose of this paper is to examine historical influences that precipitated the implementation of Section 504…

  17. Solution-Focused Therapy for Families Coping with Suicide

    ERIC Educational Resources Information Center

    de Castro, Sahily; Guterman, Jeffrey T.

    2008-01-01

    Solution-focused therapy is proposed as a model for families coping with suicide. The nature and incidence of suicide is described along with a consideration of the effects that suicide has on families and prevailing treatment approaches. Three case examples illustrate the application. Implications are discussed pertaining to the theory, practice,…

  18. 31 CFR 800.220 - Party or parties to a transaction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (Continued) OFFICE OF INVESTMENT SECURITY, DEPARTMENT OF THE TREASURY REGULATIONS PERTAINING TO MERGERS, ACQUISITIONS, AND TAKEOVERS BY FOREIGN PERSONS Definitions § 800.220 Party or parties to a transaction. The terms party to a transaction and parties to a transaction mean: (a) In the case of an acquisition of an...

  19. 77 FR 75765 - Federal Acquisition Regulation; Federal Acquisition Circular 2005-64; Introduction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-21

    ... (Councils) in this Federal Acquisition Circular (FAC) 2005-64. A companion document, the Small Entity Compliance Guide (SECG), follows this FAC. The FAC, including the SECG, is available via the Internet at http... cite FAC 2005-64 and the specific FAR case number. For information pertaining to status or publication...

  20. Nature vs. nurture: two brothers with schizophrenia.

    PubMed

    Keltner, N L; James, C A; Darling, R J; Findley, L S; Oliver, K

    2001-01-01

    The nature vs. nurture argument as it pertains to two brothers. To explore the synergistic effects of heritability and environment in the cases of two brothers with schizophrenia. Review of the literature and the authors' clinical experience. The nature vs. nurture dichotomy may not be as relevant as looking at the interaction between these two forces.

  1. Palmoplantar Dermatoses- A Clinical Study of 300 Cases

    PubMed Central

    Rajashekhar, Nadiga; Gejje, Somashekar

    2016-01-01

    Introduction Dermatoses affecting palms and soles are among the most difficult of all dermatological therapeutic problems. Many previous studies have focused on the specific diseases of palmoplantar dermatoses. However, none of them have included a comprehensive study of palmoplantar dermatoses. Aims: To study the epidemiological aspects like age distribution, sex distribution, the dermatoses affecting the palms & soles and the frequency of involvement of palms, soles or both palms & soles, in patient with palmoplantar dermatoses. Materials and Methods This cross sectional study was conducted in the Department of Dermatology between October 2011 to September 2013. First 300 cases attending the department of dermatology primarily with complaints pertaining to palms and soles were enrolled in the study. After taking consent a detailed history and clinical examination pertaining to the aim of the study was recorded and analysed, which included inspection of morphology and distribution of lesions and palpation of any swelling. Direct microscopic examination of scrapings, wet mounted with 10% potassium hydroxide was done for cases with scaly lesions. Those who had a pustule, gram staining was done. Patch testing using Indian Standard Battery Series was done for those cases of eczema. A sample for biopsy was taken when diagnosis could not be arrived clinically, and subjected to histopathological examination. Results In our study of 300 patients with palmoplantar dermatoses, 164 were females and 136 were males, the ratio observed being 1.2:1. The peak incidence was found in the age group 21-30 years, with 41 females (25%) and 35 males (25.7%). Most frequently affected individuals in this study were housewives (30%). The most common five diseases of palmoplantar dermatoses were palmoplantar psoriasis (20.7%), moniliasis (19%), palmoplantar hyperhidrosis (7%), keratolysis exfoliativa (6%) and pitted keratolysis (6%). Majority of patients had involvement of both palms and soles (44.3%) as compared to patients with involvement of only palm (28%) and only sole (27.3%). The commonest palmoplantar dermatoses with only palm involvement was keratolysis exfoliativa (16.7%), with only sole involvement was moniliasis (41%) and with both palms and soles involvement was palmoplantar psoriasis (41.4%). Associated nail changes were seen in 80 cases (26.6%), with maximum incidence in palmoplantar psoriasis (62.5%). Associated dermatological conditions were observed in 43 patients (14.3%). Conclusion Palmoplantar dermatoses are frequently encount-ered in the dermatologic field. Further investigation with a wider and larger population is necessary to understand the epidemiology, based on which accurate diagnosis and proper treatment could be achieved. PMID:27656539

  2. Defining Economic Success as It Pertains to Native American Owned Businesses Located on/or Adjacent to North Dakota Reservations

    ERIC Educational Resources Information Center

    Schmitt, Barbara Elise

    2013-01-01

    Successful economic development is essential in building and sustaining a healthy community. The purpose of this study was to identify indicators of successful economic development as it pertained to Native American owned businesses located on/or adjacent to North Dakota reservations. More specifically this study sought to explore specific…

  3. Neonatal herpes infections in The Netherlands in the period 2006-2011.

    PubMed

    Hemelaar, Steffannie J A L; Poeran, Jashvant; Steegers, Eric A P; van der Meijden, Willem I

    2015-05-01

    To monitor the incidence of neonatal herpes in The Netherlands between 2006 and 2011, as well as the adherence to the rather conservative Dutch prevention policy. Questionnaires were sent to all virology laboratories (n = 44), gynaecology and paediatrics departments of all hospitals in The Netherlands (n = 89). Questionnaires for the laboratories pertained to rates of proven cases of neonatal herpes; for the gynaecologists and paediatricians it pertained to rates of genital herpes during pregnancy and neonatal herpes, and their policy. For gynaecologists this concerned the risk of herpes simplex virus transmission in case of primary genital herpes during pregnancy or labour; for paediatricians it concerned the diagnostic policy in a neonate suspected of neonatal herpes. For the period 2006-2011 38 cases of neonatal herpes were reported, yielding an incidence of 4.7 per 100,000 births. The estimated annual number of pregnant women with primary or recurrent genital herpes was 278. Of the responding gynaecologists and paediatricians, only 59% and up to 39%, respectively, reported a policy in accordance with the national guideline. The incidence of neonatal herpes in The Netherlands seems to have increased in the period 2006-2011. Combined with suboptimal guideline adherence this warrants strategies to improve awareness and subsequent adherence.

  4. The impact of obesity surgery on musculoskeletal disease.

    PubMed

    El-Khani, Ussamah; Ahmed, Ahmed; Hakky, Sherif; Nehme, Jean; Cousins, Jonathan; Chahal, Harvinder; Purkayastha, Sanjay

    2014-12-01

    Obesity is an important modifiable risk factor for musculoskeletal disease. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-compliant systematic review of bariatric surgery on musculoskeletal disease symptoms was performed. One thousand nineteen papers were identified, of which 43 were eligible for data synthesis. There were 79 results across 24 studies pertaining to physical capacity, of which 53 (67 %) demonstrated statistically significant post-operative improvement. There were 75 results across 33 studies pertaining to musculoskeletal pain, of which 42 (56 %) demonstrated a statistically significant post-operative improvement. There were 13 results across 6 studies pertaining to arthritis, of which 5 (38 %) demonstrated a statistically significant post-operative improvement. Bariatric surgery significantly improved musculoskeletal disease symptoms in 39 of the 43 studies. These changes were evident in a follow-up of 1 month to 10 years.

  5. Collaborative international research: ethical and regulatory issues pertaining to human biological materials at a South African institutional research ethics committee.

    PubMed

    Sathar, Aslam; Dhai, Amaboo; van der Linde, Stephan

    2014-12-01

    Human Biological Materials (HBMs) are an invaluable resource in biomedical research. To determine if researchers and a Research Ethics Committee (REC) at a South African institution addressed ethical issues pertaining to HBMs in collaborative research with developed countries. Ethically approved retrospective cross-sectional descriptive audit. Of the 1305 protocols audited, 151 (11.57%) fulfilled the study's inclusion criteria. Compared to other developed countries, a majority of sponsors (90) were from the USA (p = 0.0001). The principle investigators (PIs) in all 151 protocols informed the REC of their intent to store HBMs. Only 132 protocols informed research participants (P < 0.0001). In 148 protocols informed consent (IC) was obtained from research participants, 116 protocols (76.8%) solicited broad consent compared to specific consent (32; 21.2%) [p < 0.0001]. In 105 cases a code was used to maintain confidentiality. HBMs were anonymised in 14 protocols [p < 0.0001]. More protocols informed the REC (90) than the research participants (67) that HBMs would be exported (p = 0.011). Export permits (EPs) and Material Transfer Agreements (MTAs) were not available in 109 and 143 protocols, respectively. Researchers and the REC did not adequately address the inter-related ethical and regulatory issues pertaining to HBMs. There was a lack of congruence between the ethical guidelines of developed countries and their actions which are central to the access to HBMs in collaborative research. HBMs may be leaving South Africa without EPs and MTAs during the process of international collaborative research. © 2013 John Wiley & Sons Ltd.

  6. A robot sets a table: a case for hybrid reasoning with different types of knowledge

    NASA Astrophysics Data System (ADS)

    Mansouri, Masoumeh; Pecora, Federico

    2016-09-01

    An important contribution of AI to Robotics is the model-centred approach, whereby competent robot behaviour stems from automated reasoning in models of the world which can be changed to suit different environments, physical capabilities and tasks. However models need to capture diverse (and often application-dependent) aspects of the robot's environment and capabilities. They must also have good computational properties, as robots need to reason while they act in response to perceived context. In this article, we investigate the use of a meta-CSP-based technique to interleave reasoning in diverse knowledge types. We reify the approach through a robotic waiter case study, for which a particular selection of spatial, temporal, resource and action KR formalisms is made. Using this case study, we discuss general principles pertaining to the selection of appropriate KR formalisms and jointly reasoning about them. The resulting integration is evaluated both formally and experimentally on real and simulated robotic platforms.

  7. Seizure as an initial presentation of human immunodeficiency virus: acute toxoplasmosis mimicking glioblastoma multiforme.

    PubMed

    Parekh, Parth; Boggs, Jody P; Silverberg, Marc; Marik, Paul

    2013-11-14

    We present a case of a 46-year-old man with a history significant only for hypertension and depression that presented with a new onset seizure resulting from a right parietal lobe mass. Further evaluation determined the parietal mass to be central nervous system toxoplasmosis, which was the initial presentation of his underlying HIV/AIDS. This case provided a diagnostic challenge and demonstrates the importance of a thorough evaluation as it pertains to a newly diagnosed brain lesion.

  8. Two interesting cases highlighting an oblivious specialty of psychoneuroendocrinology.

    PubMed

    Hari Kumar, K V S; Dhull, Pawan; Somasekharan, Manoj; Seshadri, K

    2012-01-01

    Psychoneuroendocrinology deals with the overlap disorders pertaining to three different specialties. Awareness about the somatic manifestations of psychiatric diseases and vice versa is a must for all the clinicians. The knowledge of this interlinked specialty is essential because of the obscure presentation of certain disorders. Our first case was treated as depressive disorder, whereas the diagnosis was hypogonadism with empty sella. Our second patient was managed as schizophrenia and the evaluation revealed bilateral basal ganglia calcification and a diagnosis of Fahr's disease. We report these cases for their unusual presentation and to highlight the importance of this emerging specialty.

  9. La Vente promotionnelle: Vocabulaire general de la vente en magasin (Vocabulary Used for the Promotional Sale).

    ERIC Educational Resources Information Center

    de Villers-Sidani, Marie-Eva, Comp.; And Others

    This vocabulary list consists of 84 commonly used terms and expressions pertaining to the sale of store merchandise. The vocabulary items are listed alphabetically in English, with the French equivalent given opposite the English. In many cases, explanatory notes and examples illustrating the use of individual items are included. An alphabetical…

  10. Anatomic and Quantitative Temporal Bone CT for Preoperative Assessment of Branchio-Oto-Renal Syndrome.

    PubMed

    Ginat, D T; Ferro, L; Gluth, M B

    2016-12-01

    We describe the temporal bone computed tomography (CT) findings of an unusual case of branchio-oto-renal syndrome with ectopic ossicles that are partially located in the middle cranial fossa. We also describe quantitative temporal bone CT assessment pertaining to cochlear implantation in the setting of anomalous cochlear anatomy associated with this syndrome.

  11. 78 FR 15835 - Requirements Pertaining to Third Party Conformity Assessment Bodies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ... parties. In that case, the laboratory is considered ``firewalled.'' Similarly, section 14(f)(2)(B) of the..., ASTM F2853-10, requires only one measurement when used to determine the lead content of a paint sample... heterogeneity effect: * * * an 8 mm diameter x-ray surface shot (HHXRF),\\2\\ with a scatter that widens in three...

  12. The Case for History of Education in Teacher Education

    ERIC Educational Resources Information Center

    Ediger, Marlow

    2018-01-01

    Students have much to benefit from courses pertaining to the history of the teaching profession. History of education, as a course to be taken in teacher education, has been greatly minimized in the ensuing years. Approximately six per cent of colleges/universities require a course in this area for prospective teachers. When being a student in the…

  13. Legislative Analysis of the Federal Role in Indian Education.

    ERIC Educational Resources Information Center

    Deloria, Vine, Jr.

    Legislation pertaining to American Indian affairs is highly dependent upon the events and movements of history. No purified legal theory such as contract law or the law of damages emerges from the field of Indian law. While some of the legal theory must come from the ratified treaties, statutes, and case law defining the relationship of the United…

  14. Social Media and Higher Education: The Problem of Anonymous Electronic Threats to the Campus Community

    ERIC Educational Resources Information Center

    Reynolds, Cristin Lee; Platt, R. Eric; Malone Schaffer, Lenore; Foster, Holly

    2017-01-01

    This case is for use in graduate courses pertaining to student affairs and higher education administration. It presents challenges higher education professionals face concerning anonymous social media, and specifically how threats made through anonymous social media platforms such as Yik Yak affect the entire university community. The anonymity of…

  15. 75 FR 14067 - Federal Acquisition Regulation; Federal Acquisition Circular 2005-40; Small Entity Compliance Guide

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-23

    ... of the rule appearing in Federal Acquisition Circular (FAC) 2005-40 which amends the Federal... referring to FAC 2005-40 which precedes this document. These documents are also available via the Internet... the table below. Please cite FAC 2005-40 and the specific FAR case number. For information pertaining...

  16. Can Graduate Students Re-Energize the Labor Movement?

    ERIC Educational Resources Information Center

    Kitchen, Deeb-Paul, II

    2014-01-01

    In recent years, issues pertaining to graduate student union organizing have been at the center of several political battles and court cases. This attention is, at least in part, due to the growth of graduate student unions at a time when organized labor's influence is receding in other, more traditionally unionized sectors of the labor force. As…

  17. Fluid dynamic and thermodynamic analysis of a model pertaining to cryogenic fluid management in low gravity environments for a system with dynamically induced settling

    NASA Technical Reports Server (NTRS)

    Rios, J.

    1982-01-01

    The settling behavior of the liquid and gaseous phases of a fluid in a propellant and in a zero-g environment, when such settling is induced through the use of a dynamic device, in this particular case, a helical screw was studied. Particular emphasis was given to: (1) the description of a fluid mechanics model which seems applicable to the system under consideration, (2) a First Law of Thermodynamics analysis of the system, and (3) a discussion of applicable scaling rules.

  18. Legal and Ethical Issues Regarding Social Media and Pharmacy Education

    PubMed Central

    Fink, Joseph L.

    2010-01-01

    Widespread use of social media applications like Facebook, YouTube, and Twitter has introduced new complexities to the legal and ethical environment of higher education. Social communications have traditionally been considered private; however, now that much of this information is published online to the public, more insight is available to students' attitudes, opinions, and character. Pharmacy educators and administrators may struggle with the myriad of ethical and legal issues pertaining to social media communications and relationships with and among students. This article seeks to clarify some of these issues with a review of the legal facets and pertinent court cases related to social media. In addition, 5 core ethical issues are identified and discussed. The article concludes with recommendations for pharmacy educators with regard to preparing for and addressing potential legal issues pertaining to social media. PMID:21436925

  19. Legal and ethical issues regarding social media and pharmacy education.

    PubMed

    Cain, Jeff; Fink, Joseph L

    2010-12-15

    Widespread use of social media applications like Facebook, YouTube, and Twitter has introduced new complexities to the legal and ethical environment of higher education. Social communications have traditionally been considered private; however, now that much of this information is published online to the public, more insight is available to students' attitudes, opinions, and character. Pharmacy educators and administrators may struggle with the myriad of ethical and legal issues pertaining to social media communications and relationships with and among students. This article seeks to clarify some of these issues with a review of the legal facets and pertinent court cases related to social media. In addition, 5 core ethical issues are identified and discussed. The article concludes with recommendations for pharmacy educators with regard to preparing for and addressing potential legal issues pertaining to social media.

  20. Faculty Perspectives in Saudi Arabia Pertaining to Attributes of Successful Universities and Future Learning Environments

    ERIC Educational Resources Information Center

    Kutbi, Ibrahim; Hashim, Khairuddin

    2017-01-01

    Universities face the challenge of being relevant. This study investigates respondents' perspectives pertaining to attributes of successful universities and future learning environments. Data were collected using a specially designed survey during the 2016 academic year. The sample size was 518 King Abdulaziz University (KAU) academics. The…

  1. Prevention of lassa Fever in Nigeria.

    PubMed

    Inegbenebor, Ute; Okosun, John; Inegbenebor, Josephine

    2010-01-01

    Although specific treatment is available for Lassa fever, early diagnosis is still difficult in most Nigerian primary and secondary health centers. This study was carried out to compare the case-fatality rates of Lassa fever and other medical diseases commonly seen in adult medical wards, to determine the community habits that make Lassa fever endemic in Edo Central District of Nigeria, with the aim of prescribing preventive measures for its control in Nigeria. The records of 908 inpatients in the adult medical wards of Irrua Specialist Teaching Hospital, Irrua and responses from respondents interviewed by trained interviewers on their knowledge, attitudes and practices pertaining to Lassa fever were used for this study. The case-fatality rate of Lassa fever in this center was 28%. Cultural factors and habits were found to favor endemicity of Lassa fever in Edo Central District of Nigeria. Preventive measures were prescribed for families and communities.

  2. The implications of starvation induced psychological changes for the ethical treatment of hunger strikers

    PubMed Central

    Fessler, D

    2003-01-01

    Design: Electronic databases were searched for (a) editorials and ethical proclamations on hunger strikers and their treatment; (b) studies of voluntary and involuntary starvation, and (c) legal cases pertaining to hunger striking. Additional studies were gathered in a snowball fashion from the published material cited in these databases. Material was included if it (a) provided ethical or legal guidelines; (b) shed light on psychological changes accompanying starvation, or (c) illustrated the practice of hunger striking. Authors' observations, opinions, and conclusions were noted. Conclusions: Although the heterogeneous nature of the sources precluded statistical analysis, starvation appears to be accompanied by marked psychological changes. Some changes clearly impair competence, in which case physicians are advised to follow advance directives obtained early in the hunger strike. More problematic are increases in impulsivity and aggressivity, changes which, while not impairing competence, enhance the likelihood that patients will starve themselves to death. PMID:12930863

  3. A comparison of the validity of GHQ-12 and CHQ-12 in Chinese primary care patients in Manchester.

    PubMed

    Pan, P C; Goldberg, D P

    1990-11-01

    The present study compares the efficacy of the GHQ-12 and the Chinese Health Questionnaire (CHQ-12) in Cantonese speaking Chinese primary-care patients living in Greater Manchester, using relative operating characteristic (ROC) analysis. We did not find that the Chinese version offered any advantage over the conventional version of the GHQ in this population. Stepwise discriminant analysis however confirmed the value of individual items in the former pertaining to specific somatic symptoms and interpersonal relationships in differentiating cases from non-cases. Information biases, arising from the lack of a reliability study on the second-stage case identifying interview and the unique linguistic characteristics of the Chinese language may have affected the overall validity indices of the questionnaires. The study also examines the effects of using different criteria to define a case, and shows that with increasing levels of severity, there is an improvement in the diagnostic performance of the two questionnaires as reflected by areas under ROC curves and traditional validity indices. Possible explanations of these findings are discussed. The scoring method proposed by Goodchild & Duncan-Jones (1985) when used on these questionnaires had no demonstrable advantage over the conventional scoring method.

  4. Molecular Determination of Fasciola Spp. Isolates from Domestic Ruminants Fecal Samples in the Northwest of Iran

    PubMed Central

    IMANI BARAN, Abbas; CHERAGHI SARAY, Habib; KATIRAEE, Farzad

    2017-01-01

    Background: Fasciola species are the main causes for fascioliasis with great financial losses and are among the most important food/water-borne parasites worldwide. The basic proceedings such as epidemiology and effective control of fascioliasis rely mainly on precise identification of Fasciola species. The present study was conducted to determine the Fasciola species in ruminant fecal samples from East Azerbaijan Province in Iran. Methods: Overall, 2012 fecal samples were collected and processed initially for microscopic examination of Fasciola eggs in 2014–15. Then, recovered eggs were subjected to molecular identification. A fragment of 618 bp of the 28S rRNA gene pertaining to Fasciola genus was amplified under PCR. The amplified fragment was restricted by fast digest Ava II enzyme in order to a Restriction Fragment Length Polymorphism. Results: Based on microscopic examination, 72 samples were infected, from which, 10 and 62 cases pertained to cattle and sheep samples respectively. Based on RFLP, the PCR products restricted by the Ava II restriction enzyme produced 529 bp fragments only. According to the positive controls, all restriction patterns were related to Fasciola hepatica, while no restriction patterns were linked to F. gigantica. Conclusion: Based on PCR-RFLP, F. hepatica was dominant species in animals of the studied areas and no evidence of F. gigantica was observed. Therefore, further field studies to verify these results are suggested. PMID:28761485

  5. Understanding Is Key: An Analysis of Factors Pertaining to Trust in a Real-World Automation System.

    PubMed

    Balfe, Nora; Sharples, Sarah; Wilson, John R

    2018-06-01

    This paper aims to explore the role of factors pertaining to trust in real-world automation systems through the application of observational methods in a case study from the railway sector. Trust in automation is widely acknowledged as an important mediator of automation use, but the majority of the research on automation trust is based on laboratory work. In contrast, this work explored trust in a real-world setting. Experienced rail operators in four signaling centers were observed for 90 min, and their activities were coded into five mutually exclusive categories. Their observed activities were analyzed in relation to their reported trust levels, collected via a questionnaire. The results showed clear differences in activity, even when circumstances on the workstations were very similar, and significant differences in some trust dimensions were found between groups exhibiting different levels of intervention and time not involved with signaling. Although the empirical, lab-based studies in the literature have consistently found that reliability and competence of the automation are the most important aspects of trust development, understanding of the automation emerged as the strongest dimension in this study. The implications are that development and maintenance of trust in real-world, safety-critical automation systems may be distinct from artificial laboratory automation. The findings have important implications for emerging automation concepts in diverse industries including highly automated vehicles and Internet of things.

  6. 77 FR 5440 - Withdrawal of Regulations Pertaining to Imports of Cotton Woven Fabric and Short Supply...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ...-AA90 Withdrawal of Regulations Pertaining to Imports of Cotton Woven Fabric and Short Supply Procedures... for the purpose of withdrawing regulations pertaining to imports of cotton woven fabric and short... ``Comments on proposed Withdrawal of Regulations Pertaining to Imports of Cotton Woven Fabric and Short...

  7. 19 CFR 113.30 - Information pertaining to principals and sureties on the bond.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Information pertaining to principals and sureties... HOMELAND SECURITY; DEPARTMENT OF THE TREASURY CUSTOMS BONDS Principals and Sureties § 113.30 Information pertaining to principals and sureties on the bond. The general information pertaining to the principal and...

  8. "Am I Becoming a Serial Killer?" A Case Study of Cognitive Behavioral Therapy for Mental Illness Anxiety.

    PubMed

    Gelinas, Bethany L; Hadjistavropoulos, Heather

    2016-05-01

    Although mental illness anxiety is described in the literature, there is very little information on which to draw when treating individuals who present with fears and worries about mental health. In fact, we identified no previous case descriptions focused on this form of anxiety and treated from a cognitive behavioral perspective. The current case study aims to advance the understanding of the clinical picture of mental illness anxiety, and facilitate the understanding of how cognitive behavioral techniques for health anxiety can be effectively adapted and implemented for such a case. A case study approach was adopted in which a baseline condition and repeated assessments were conducted during an 8-week treatment and 2-month follow-up period. In the current case study, we discuss the assessment, conceptualization, and cognitive behavioral treatment of a 24-year old woman who presented with mental illness anxiety. Several common health anxiety assessment tools and cognitive behavioural techniques were adapted for her particular clinical presentation. Consistent with research evidence for health anxiety, significant improvements in health anxiety and anxiety sensitivity were seen after eight sessions of therapy and maintained at 2-month follow-up. The results provide preliminary evidence that cognitive behavioral techniques for health anxiety can be effectively and efficiently adapted for mental illness anxiety. However, the lack of available research pertaining to mental illness anxiety contributes to challenges in conceptualization, assessment and treatment.

  9. Verb Form Indicates Discourse Segment Type in Biological Research Papers: Experimental Evidence

    ERIC Educational Resources Information Center

    de Waard, Anita; Maat, Henk Pander

    2012-01-01

    Corpus studies suggest that verb tense is a differentiating feature between, on the one hand, text pertaining to experimental results (involving methods and results) and on the other hand, text pertaining to more abstract concepts (i.e. regarding background knowledge in a field, hypotheses, problems or claims). In this paper, we describe a user…

  10. General Practitioners' Understanding Pertaining to Reliability, Interactive and Usability Components Associated with Health Websites

    ERIC Educational Resources Information Center

    Usher, Wayne

    2009-01-01

    This study was undertaken to determine the level of understanding of Gold Coast general practitioners (GPs) pertaining to such criteria as reliability, interactive and usability components associated with health websites. These are important considerations due to the increased levels of computer and World Wide Web (WWW)/Internet use and health…

  11. EFFECTS OF NUTRIENT AND PESTICIDE LOADING ON AQUATIC ECOSYSTEMS AS PERTAINING TO THE EMERGENCE AND TRANSMISSION OF HUMAN DISEASE: THE CASE OF “SWIMMERS’ ITCH”

    EPA Science Inventory

    It is expected that nutrient additions (nitrogen and phosphorus in the form of fertilizers, sewage effluent, etc.) boost both food quantity and food quality for aquatic snails (the intermediate hosts for cercarial dermatitis). As a result, these grazers will be more competent ...

  12. 32 CFR Appendix B to Part 150 - Format for Assignment of Errors and Brief on Behalf of Accused (§ 150.15)

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... THE SECRETARY OF DEFENSE REGULATIONS PERTAINING TO MILITARY JUSTICE COURTS OF CRIMINAL APPEALS RULES... Brief on Behalf of Accused (§ 150.15) In the United States ______ 2 Court of Criminal Appeals United... Accused Case No. ____ Tried at (location), on (date(s)) before a (type of court-martial) appointed by...

  13. 7 CFR 201.33 - Seed in bulk or large quantities; seed for cleaning or processing.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... quantities; seed for cleaning or processing. (a) In the case of seed in bulk, the information required under... seeds. (b) Seed consigned to a seed cleaning or processing establishment, for cleaning or processing for... pertaining to such seed show that it is “Seed for processing,” or, if the seed is in containers and in...

  14. 7 CFR 201.33 - Seed in bulk or large quantities; seed for cleaning or processing.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... quantities; seed for cleaning or processing. (a) In the case of seed in bulk, the information required under... seeds. (b) Seed consigned to a seed cleaning or processing establishment, for cleaning or processing for... pertaining to such seed show that it is “Seed for processing,” or, if the seed is in containers and in...

  15. 7 CFR 201.33 - Seed in bulk or large quantities; seed for cleaning or processing.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... quantities; seed for cleaning or processing. (a) In the case of seed in bulk, the information required under... seeds. (b) Seed consigned to a seed cleaning or processing establishment, for cleaning or processing for... pertaining to such seed show that it is “Seed for processing,” or, if the seed is in containers and in...

  16. 7 CFR 201.33 - Seed in bulk or large quantities; seed for cleaning or processing.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... quantities; seed for cleaning or processing. (a) In the case of seed in bulk, the information required under... seeds. (b) Seed consigned to a seed cleaning or processing establishment, for cleaning or processing for... pertaining to such seed show that it is “Seed for processing,” or, if the seed is in containers and in...

  17. 7 CFR 201.33 - Seed in bulk or large quantities; seed for cleaning or processing.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... quantities; seed for cleaning or processing. (a) In the case of seed in bulk, the information required under... seeds. (b) Seed consigned to a seed cleaning or processing establishment, for cleaning or processing for... pertaining to such seed show that it is “Seed for processing,” or, if the seed is in containers and in...

  18. Progressive outer retinal necrosis: a missed diagnosis and a blind, young woman.

    PubMed

    Parekh, Parth; Oldfield, Edward C; Marik, Paul E

    2013-04-22

    We present a 33-year-old woman with a history significant for HIV/AIDS (CD4 count of 17) and diabetes mellitus who was diagnosed as having progressive outer retinal necrosis (PORN) after presenting with peripheral vision loss. This case provided a diagnostic challenge and demonstrates the devastating effects of a misdiagnosis as it pertains to PORN.

  19. The Center for Advanced Systems and Engineering (CASE)

    DTIC Science & Technology

    2012-01-01

    targets from multiple sensors. Qinru Qiu, State University of New York at Binghamton – A Neuromorphic Approach for Intelligent Text Recognition...Rogers, SUNYIT, Basic Research, Development and Emulation of Derived Models of Neuromorphic Brain Processes to Investigate the Computational Architecture...Issues They Present Work pertaining to the basic research, development and emulation of derived models of Neuromorphic brain processes to

  20. Progressive outer retinal necrosis: a missed diagnosis and a blind, young woman

    PubMed Central

    Parekh, Parth; Oldfield, Edward C; Marik, Paul E

    2013-01-01

    We present a 33-year-old woman with a history significant for HIV/AIDS (CD4 count of 17) and diabetes mellitus who was diagnosed as having progressive outer retinal necrosis (PORN) after presenting with peripheral vision loss. This case provided a diagnostic challenge and demonstrates the devastating effects of a misdiagnosis as it pertains to PORN. PMID:23608868

  1. The NASTRAN user's manual (level 17.0)

    NASA Technical Reports Server (NTRS)

    1979-01-01

    NASTRAN embodies a lumped element approach, wherein the distributed physical properties of a structure are represented by a model consisting of a finite number of idealized substructures or elements that are interconnected at a finite of grid points, to which loads are applied. All input and output data pertain to the idealized structural model. The general procedures for defining structural models are described and instructions are given for each of the bulk data cards and case control cards. Additional information on the case control cards and use of parameters is included for each rigid format.

  2. An Alternative Health Care Facility: Concept of Operations for the Off-site Triage, Treatment, and Transportation Center (OST3C). Mass Casualty Care Strategy for a Chemical Terrorism Incident

    DTIC Science & Technology

    2001-03-01

    destruction incident. These exercises identified the need for jurisdictions to formulate response plans that optimize their existing resources by... formulated with state licensing and public health agencies and approved prior to use. Jurisdictions should consider developing guidelines pertaining to...Phenergan), 50mg/ suppository Ea Ringers Lactate, 1000cc Case/6 Saline Solution IV (0.9% 500ml) Case/24 Sodium Bicarbonate (4.2% Injection) (Pkg/10) Pkg/10

  3. A Critical Analysis of Grain-Size and Yield-Strength Dependence of Near-Threshold Fatigue-Crack Growth in Steels.

    DTIC Science & Technology

    1981-07-15

    strength (ays) or grain size ( ) -- as is the case, for example, with a low-carbon ferritic steel -- it is unmistakably clear that for the gamut of...steels examined (15 cases), the transition points do not order on the basis of £ either cy, or k alone. Rather, values of AKT for the gamut of steels...the search for a systematic ordering of near-threshold fatigue crack growth rates that pertains to the whole gamut of steels. SURVEY AND ANALYSIS A

  4. Kinematics and control algorithm development and simulation for a redundant two-arm robotic manipulator system

    NASA Technical Reports Server (NTRS)

    Hennessey, Michael P.; Huang, Paul C.; Bunnell, Charles T.

    1989-01-01

    An efficient approach to cartesian motion and force control of a 7 degree of freedom (DOF) manipulator is presented. It is based on extending the active stiffness controller to the 7 DOF case in general and use of an efficient version of the gradient projection technique for solving the inverse kinematics problem. Cooperative control is achieved through appropriate configuration of individual manipulator controllers. In addition, other aspects of trajectory generation using standard techniques are integrated into the controller. The method is then applied to a specific manipulator of interest (Robotics Research T-710). Simulation of the kinematics, dynamics, and control are provided in the context of several scenarios: one pertaining to a noncontact pick and place operation; one relating to contour following where contact is made between the manipulator and environment; and one pertaining to cooperative control.

  5. 45 CFR 1115.4 - Procedures for requests for access to or disclosure of records pertaining to an individual.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... disclosure of records pertaining to an individual. 1115.4 Section 1115.4 Public Welfare Regulations Relating... REGULATIONS § 1115.4 Procedures for requests for access to or disclosure of records pertaining to an individual. (a) Any person may request review of records pertaining to him by appearing at the National...

  6. University Students' Behaviors Pertaining to Sustainability: A Structural Equation Model with Sustainability-Related Attributes

    ERIC Educational Resources Information Center

    Sahin, Elvan; Ertepinar, Hamide; Teksoz, Gaye

    2012-01-01

    The purpose of this study is to construct a structural equation model to examine the links among attitudes, values, and behaviors pertaining to sustainability, participation in outdoor recreation as well as gender and tendency to follow mass media for university students. The data were collected by on-line administration of a survey to 958…

  7. [Sustainability analysis of an evaluation policy: the case of primary health care in Brazil].

    PubMed

    Felisberto, Eronildo; Freese, Eduardo; Bezerra, Luciana Caroline Albuquerque; Alves, Cinthia Kalyne de Almeida; Samico, Isabella

    2010-06-01

    This study analyzes the sustainability of Brazil's National Policy for the Evaluation of Primary Health Care, based on the identification and categorization of representative critical events in the institutionalization process. This was an evaluative study of two analytical units: Federal Management of Primary Health Care and State Health Secretariats, using multiple case studies with data collected through interviews and institutional documents, using the critical incidents technique. Events that were temporally classified as specific to implementation, sustainability, and mixed were categorized analytically as pertaining to memory, adaptation, values, and rules. Federal management and one of the State Health Secretariats showed medium-level sustainability, while the other State Secretariat showed strong sustainability. The results indicate that the events were concurrent and suggest a weighting process, since the adaptation of activities, adequacy, and stabilization of resources displayed a strong influence on the others. Innovations and the development of technical capability are considered the most important results for sustainability.

  8. Comprehensive Environmental Assessment Applied to ...

    EPA Pesticide Factsheets

    In September 2013, EPA announced the availability of the final report, Comprehensive Environmental Assessment Applied to Multiwalled Carbon Nanotube Flame-Retardant Coatings in Upholstery Textiles: A Case Study Presenting Priority Research Gaps for Future Risk Assessments. This final report presents a case study of multiwalled carbon nanotubes (MWCNTs); it focuses on the specific example of MWCNTs as used in flame-retardant coatings applied to upholstery textiles. This case study is organized around the comprehensive environmental assessment (CEA) framework, which structures available information pertaining to the product life cycle, environmental transport and fate, exposure-dose in receptors (i.e., humans, ecological populations, and the environment), and potential impacts in these receptors. A group of experts representing multiple disciplines and multiple sector perspectives used an earlier draft of the case study in conjunction with a structured workshop process to identify and prioritize research gaps that, if pursued, could inform future MWCNT assessment efforts. The final report is not a health, risk, or exposure assessment and as such does not draw conclusions about potential risks, or present an exhaustive review of the literature. Rather, it presents the MWCNT research priorities that experts identified in this application of CEA in order to aid research planning throughout the scientific community. The outcomes of these research efforts may subsequ

  9. Onset factors in cerebral palsy: A systematic review.

    PubMed

    van Lieshout, Pascal; Candundo, Hamilton; Martino, Rosemary; Shin, Sabina; Barakat-Haddad, Caroline

    2017-07-01

    Studies have noted several factors associated with the occurrence of Cerebral Palsy (CP), yet considerable uncertainty remains about modifiable factors related to disease onset. A systematic review was performed to identify existing systematic reviews and primary studies pertaining to targeted factors associated with the onset of CP. The following databases were searched: MEDLINE, MEDLINE In Process, EMBASE, PsycINFO, Scopus, Web of Science, Cochrane Database of Systematic Reviews, CINHAL, ProQuest Dissertations & Theses, Huge Navigator, AARP Ageline. Variations of MeSH and keyword search terms were used. Critical appraisal was conducted on selected articles. Data extraction targeted reported factors, risk estimates, and 95% confidence intervals (CI). Findings identified two systematic reviews and three meta- analyses, as well as 83 studies of case control, cohort, and cross-sectional methodological designs. Selected studies indicated that lower gestational age was associated with the onset of CP. Medical diagnoses for the mother, in particular chorioamnionitis, was found to be positively associated with onset of CP. Preeclampsia was reported to be either inconclusive or positively associated with CP onset. Low birth weight predominantly indicated a positive association with the onset of CP, while male gender showed mixed findings. The combination of male gender with pre-term or low birth weight was also found to be positively associated with CP. Evidence was identified in the literature pertaining to specific factors relating to the onset of CP, in particular showing positive associations with lower gestational age and low birth weight. Copyright © 2016. Published by Elsevier B.V.

  10. 77 FR 37834 - Revocation of Certain Requirements Pertaining to Caps Intended for Use With Toy Guns and Toy Guns...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... Certain Requirements Pertaining to Caps Intended for Use With Toy Guns and Toy Guns Not Intended for Use... compliance than our existing regulations pertaining to caps intended for use with toy guns and toy guns not... regulations pertaining to caps intended for use with toy guns and toy guns not intended for use with caps...

  11. 78 FR 66840 - Revocation of Certain Requirements Pertaining to Caps Intended for Use With Toy Guns and Toy Guns...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-07

    ... Certain Requirements Pertaining to Caps Intended for Use With Toy Guns and Toy Guns Not Intended for Use... regulations pertaining to caps intended for use with toy guns refer to obsolete equipment, but the ASTM F963... revokes the existing regulations pertaining to caps intended for use with toy guns and toy guns not...

  12. Perceptions, intentions and behavioral norms that affect pre-license driving among Arab youth in Israel.

    PubMed

    Gesser-Edelsburg, Anat; Zemach, Mina; Lotan, Tsippy; Elias, Wafa; Grimberg, Einat

    2018-02-01

    The present study examines reported pre-license driving among youth from the population of Arab citizens of Israel. The purpose of the present study is to examine which sociodemographic variables, attitudes and perceptions about safe driving and individual and societal behavioral norms are associated with pre-license driving. The research distinguished between the factors that actually contribute to pre-license driving (reported behavior, peer norms, gender and parents' messages) and the factors that explain the intention (parental authority, social norms, parents' messages and fear of road crashes). Even though there was a significant partial overlap (84%) between those who intend to drive without a license and those who reported driving without a license, the main factors that distinguish pre-license driving groups are different from the factors that distinguish the intention to drive before receiving a license. What is unique about the findings is the identification of the context in which social norms are influential and that in which parental authority is influential. The study indicated that in the case of pre-license driving, the main motivating factor is subjective norms, whereas in the case of expecting to drive without a license, the main motivating factor is the interaction between parental authority and the messages that parents convey. While actual behavior pertains to the behavioral level, we argue that intended behavior pertains to the cognitive level. At this level, rational considerations arise, such as fear of parental punishment and fear of accidents. These considerations compete with the influence of friends and their norms, and may outweigh them. The findings suggest that it is important to safeguard youth against the influence of peer pressure as early as the stage of behavioral intentions. Follow-up studies can simulate situations of pre-license driving due to social pressure and identify the factors that might affect young people's decision-making. Moreover, providing parents with training before the accompaniment period is highly recommended. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Space station related investigations in Europe

    NASA Astrophysics Data System (ADS)

    Wienss, W.; Vallerain, E.

    1984-10-01

    Studies pertaining to the definition of Europe's role in the Space Station program are described, with consideration given to such elements as pressurized modules as laboratories for materials processing and life sciences, unpressurized elements, and service vehicles for on-orbit maintenance and repair activities. Candidate elements were selected against such criteria as clean interfaces, the satisfaction of European user needs, new technology items, and European financial capabilities; and their technical and programmatic implications were examined. Different scenarios were considered, ranging from a fully Space-Station-dependent case to a completely autonomous, free-flying man-tendable configuration. Recommendations on a collaboration between Europe and the United States are presented.

  14. Software development for safety-critical medical applications

    NASA Technical Reports Server (NTRS)

    Knight, John C.

    1992-01-01

    There are many computer-based medical applications in which safety and not reliability is the overriding concern. Reduced, altered, or no functionality of such systems is acceptable as long as no harm is done. A precise, formal definition of what software safety means is essential, however, before any attempt can be made to achieve it. Without this definition, it is not possible to determine whether a specific software entity is safe. A set of definitions pertaining to software safety will be presented and a case study involving an experimental medical device will be described. Some new techniques aimed at improving software safety will also be discussed.

  15. [Work-related accidents in minors in Lombardy].

    PubMed

    Pianosi, G; Zocchetti, C

    1995-01-01

    Work-related injuries in children and adolescents represent a negative indication of more general inequities of the society in which events occur. Their characteristics are not well described, particularly in Italy, and this paper is aimed at highlighting some fundamental aspects of these injuries. The case in point is represented by the injuries that received compensation and occurred in the Lombardy Region (Italy) between 1984 and 1989 and involved people under the age of eighteen. The injuries occurring in the same period and area in workers over eighteen were used for comparison. Work related injuries in minors were more frequent in crafts activities than in industry, but their gravity (in terms of deaths or permanent consequences) was lower than in the corresponding adult workers. Ninety percent of the events in young workers occurred in males, in each age category, and about 5% of the cases pertains to very young workers (less than 15 years). Cuts/lacerations are the most frequent type of lesion (49.9%) and the hands represent the site most frequently involved (55.5%). The great majority of the observed injuries pertains to a limited number of economic activity sectors: about 75% of the cases occurred in ten sectors. Metal manufacturing, construction and machine production scored first, with interesting correlations with the same sectors in adult workers. Ten specific occupations represent over fifty percent of the cases, with mechanics and bricklayers at the top. The description of the accident in terms of mode of occurrence and the agents involved was less informative and not specific.(ABSTRACT TRUNCATED AT 250 WORDS)

  16. Tuberculous Otitis Media and Staphylococcus aureus Coinfection in a Five-Year-Old Boy with Miliary Tuberculosis.

    PubMed

    Manigandan, Gopalakrishnan; Venkatesh, Chandrasekaran; Gunasekaran, Dhandapani; Soundararajan, Palanisamy

    2013-01-01

    A five-year-old boy with acute on chronic ear discharge and fever was diagnosed to have tubercular otitis media (TOM) with Staphylococcus aureus co-infection. His chest X-ray was suggestive of miliary tuberculosis. The clinical presentation of the child with a brief review of the literature pertaining to the case is being discussed in this report.

  17. USSR Report, Physics and Mathematics.

    DTIC Science & Technology

    1987-04-09

    D.C. 20402. Correspondence pertaining to matters other than procurement may be addres; to Joint Publications Research Service, 1000 North Glebe...later gradual recovering of F and M bands after laser treatment, no matter by what method the crystals had been colored. They also reveal a new series...SRS) scattering, only excitation of the first Stokes component in each case being considered as a practical matter . Interaction of the radiation

  18. An Annotated Bibliography of Literature Integrating Organizational and Systems Theory

    DTIC Science & Technology

    1985-09-01

    believed to be representative of current thinking on the problem as it is defined in this particular effort. 4. Abstracting For abstracting purposes...individual concept or isolated case which defies mathematical description or classical empirical validation) or nomothetic (pertaining to the abstract ...and to induce change in organizations - laboratory training. Laboratory training is a method used to promote changes in the learning process itself

  19. A Litigation Trend Analysis of Case Law Outcomes Pertaining to the Educational Rights of English Learners: A Civil Rights Issue

    ERIC Educational Resources Information Center

    Racines, Delia Elizabeth

    2014-01-01

    The landmark 2001 No Child Left Behind (NCLB) Act has been a step forward in federal policy for the ever-increasing population of English Learners (ELs), fostering inclusion in standards-based assessments and college and/or career-readiness efforts, yet, ELs continue to struggle academically. The current 5.4 million ELs make up the lowest…

  20. A Modified Delphi to Identify the Significant Works Pertaining to the Understanding of Reading Comprehension and Content Analysis of the Identified Works

    ERIC Educational Resources Information Center

    Zunker, Norma D.; Pearce, Daniel L.

    2012-01-01

    The first part of this study explored the significant works pertaining to the understanding of reading comprehension using a Modified Delphi Method. A panel of reading comprehension experts identified 19 works they considered to be significant to the understanding of reading comprehension. The panel of experts identified the reasons they…

  1. Nasal vestibulitis: etiology, risk factors, and clinical characteristics: A retrospective study of 118 cases.

    PubMed

    Lipschitz, Noga; Yakirevitch, Arkadi; Sagiv, Doron; Migirov, Lela; Talmi, Yoav P; Wolf, Michael; Alon, Eran E

    2017-10-01

    Nasal vestibulitis (NV) is a common infection; however, scant data is available in the literature as it pertains to NV. We aim to describe the clinical characteristics of NV in respect to its potential complications. A retrospective chart review of 118 NV cases admitted to a tertiary medical center between 2008 and 2015. Identified risk factors for NV included nasal hair plucking (n=15, 14.41%), nose blowing (n=10, 9.32%), nose picking (n=9, 8.47%) and nose piercing (n=5, 3.39%). Twelve patients (10.17%) were diabetic, and 3 patients were immunosuppressed. Mid-facial cellulitis was observed in the majority of patients (78.81%), and abscess of the nasal vestibule was observed in almost half (48.30%). Cultures were taken from 33.33% of patients demonstrated MSSA as the most common isolate (81.25%). No complications were observed. Even in complicated cases of NV requiring admission, the risk of major complications is extremely low. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Systematic Hybrid Network Scheduling for Multiple Traffic Classes with Host Timing and Phase Constraints

    NASA Technical Reports Server (NTRS)

    Hall, Brendan (Inventor); Bonk, Ted (Inventor); Varadarajan, Srivatsan (Inventor); Smithgall, William Todd (Inventor); DeLay, Benjamin F. (Inventor)

    2017-01-01

    Systems and methods for systematic hybrid network scheduling for multiple traffic classes with host timing and phase constraints are provided. In certain embodiments, a method of scheduling communications in a network comprises scheduling transmission of virtual links pertaining to a first traffic class on a global schedule to coordinate transmission of the virtual links pertaining to the first traffic class across all transmitting end stations on the global schedule; and scheduling transmission of each virtual link pertaining to a second traffic class on a local schedule of the respective transmitting end station from which each respective virtual link pertaining to the second traffic class is transmitted such that transmission of each virtual link pertaining to the second traffic class is coordinated only at the respective end station from which each respective virtual link pertaining to the second traffic class is transmitted.

  3. A summary and integration of research concerning single pilot IFR operational problems

    NASA Technical Reports Server (NTRS)

    Chapman, G. C.

    1983-01-01

    A review of seven research studies pertaining to Single Pilot IFR (SPIFR) operations was performed. Two studies were based on questionnaire surveys; two based on National Transportation Safety Board (NTSB) reports; two were based on Aviation Safety Reporting System (ASRS) incident reports, and one report used event analysis and statistics to forecast problems. The results obtained in each study were extracted and integrated. Results were synthesized and key issues pertaining to SPIFR operations problems were identified. The research that was recommended by the studies and that addressed the key issues is catalogued for each key issue.

  4. Understanding Is Key: An Analysis of Factors Pertaining to Trust in a Real-World Automation System

    PubMed Central

    Balfe, Nora; Sharples, Sarah; Wilson, John R.

    2018-01-01

    Objective: This paper aims to explore the role of factors pertaining to trust in real-world automation systems through the application of observational methods in a case study from the railway sector. Background: Trust in automation is widely acknowledged as an important mediator of automation use, but the majority of the research on automation trust is based on laboratory work. In contrast, this work explored trust in a real-world setting. Method: Experienced rail operators in four signaling centers were observed for 90 min, and their activities were coded into five mutually exclusive categories. Their observed activities were analyzed in relation to their reported trust levels, collected via a questionnaire. Results: The results showed clear differences in activity, even when circumstances on the workstations were very similar, and significant differences in some trust dimensions were found between groups exhibiting different levels of intervention and time not involved with signaling. Conclusion: Although the empirical, lab-based studies in the literature have consistently found that reliability and competence of the automation are the most important aspects of trust development, understanding of the automation emerged as the strongest dimension in this study. The implications are that development and maintenance of trust in real-world, safety-critical automation systems may be distinct from artificial laboratory automation. Application: The findings have important implications for emerging automation concepts in diverse industries including highly automated vehicles and Internet of things. PMID:29613815

  5. Perspectives on Positioning, Interaction, and Learning in Small-Group Discussion: Possibilities for Extending the Analytic Lens

    ERIC Educational Resources Information Center

    Kittleson, Julie M.; Wilson, Rachel E.

    2014-01-01

    In this forum piece, we respond to Karin Due's study of social dynamics in groups of students in physics class and gender issues that play out in this context. We discuss two threads that appear in Due's paper: one pertains to patterns of talk within groups and how these patterns open up possibilities for learning, the other pertains to…

  6. Medical malpractice in endourology: analysis of closed cases from the State of New York.

    PubMed

    Duty, Brian; Okhunov, Zhamshid; Okeke, Zeph; Smith, Arthur

    2012-02-01

    Medical malpractice indemnity payments continue to rise, resulting in increased insurance premiums. We reviewed closed malpractice claims pertaining to endourological procedures with the goal of helping urologists mitigate their risk of lawsuit. All closed malpractice claims from 2005 to 2010 pertaining to endourological procedures filed against urologists insured by the Medical Liability Mutual Insurance Company of New York were examined. Claims were reviewed for plaintiff demographics, medical history, operative details, alleged complication, clinical outcome and lawsuit disposition. A total of 25 closed claims involved endourological operations and of these cases 10 were closed with an indemnity payment. The average payout was $346,722 (range $25,000 to $995,000). Of the plaintiffs 16 were women and mean plaintiff age was 51.4 years. Cystoscopy with ureteral stent placement/exchange resulted in 13 lawsuits, ureteroscopic lithotripsy 8, percutaneous stone extraction 2 and shock wave lithotripsy 2. There were 17 malpractice suits brought for alleged operative complications. Failure to arrange adequate followup was implicated in 4 cases. Error in diagnosis and delay in treatment was alleged in 3 claims. Urologists are not immune to the current medical malpractice crisis. Endourology and urological oncology generate the greatest number of lawsuits against urologists. Most malpractice claims involving endourological procedures result from urolithiasis and alleged technical errors. Therefore, careful attention to surgical technique is essential during stone procedures to reduce the risk of malpractice litigation. Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  7. What Patterns or Anomalies Develop among the Institutional Characteristics of Colleges and Universities That Have Signed a Title IX Sexual Assault and Harassment Resolution Agreement with the OCR?

    ERIC Educational Resources Information Center

    Brayman, Paul

    2017-01-01

    The Office for Civil Rights for the Department of Education received 9,989 complaints in 2014. 5,845 of those cases were Title IX complaints, 854 pertaining to sexual harassment or assault (United States Department of Education, 2015). This dissertation answers the question, "What patterns or anomalies develop among the institutional…

  8. Tuberculous Otitis Media and Staphylococcus aureus Coinfection in a Five-Year-Old Boy with Miliary Tuberculosis

    PubMed Central

    Manigandan, Gopalakrishnan; Venkatesh, Chandrasekaran; Gunasekaran, Dhandapani; Soundararajan, Palanisamy

    2013-01-01

    A five-year-old boy with acute on chronic ear discharge and fever was diagnosed to have tubercular otitis media (TOM) with Staphylococcus aureus co-infection. His chest X-ray was suggestive of miliary tuberculosis. The clinical presentation of the child with a brief review of the literature pertaining to the case is being discussed in this report. PMID:23599614

  9. Influx: A Tool and Framework for Reasoning under Uncertainty

    DTIC Science & Technology

    2015-09-01

    Interfaces to external programs Not all types of problems are naturally suited to being entirely modelled and implemented within Influx1. In general... development pertaining to the implementation of the reasoning tool and specific applications are not included in this document. RELEASE LIMITATION...which case a probability is supposed to reflect the subjective belief of an agent for the problem at hand ( based on its experience and/or current state

  10. The mating dance in cleanup recoveries: How to court responsible parties and in what court to do it

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

    Meyer, G.A.

    1995-12-31

    This article discusses the legalities which pertain specifically to hazardous waste cleanup. Topics of discussion include the following: threshold decisions: litigate or negotiate; forum issues--Federal or state court; claims in state court; and different types of damages and recovery. CERCLA is not the only grounds for recovery in environmental contamination cases. Common law and RCRA are also attractive.

  11. [Managerial performance in public health services: a case study in Mato Grosso do Sul, Brazil].

    PubMed

    Barbieri, Ana Rita; Hortale, Virginia Alonso

    2005-01-01

    This paper presents part of a doctoral dissertation that developed a theoretical model capable of identifying managerial performance in various administrative levels of a Municipal Health Secretariat. The methodology was a case study of the Municipal Health Secretariat in Campo Grande, capital of the State of Mato Grosso do Sul, Brazil. The theoretical model was based on recent debates emphasizing the need to modernize public administration, with an emphasis on efficacy and efficiency in the organizations as a whole. Some 31 interviews were conducted with the objective of identifying the managers' performance, through questions based on their daily practices in planning, organization, direction, and control. Managers from higher hierarchical levels obtained better results, while those in basic health units generally developed activities and complied with decisions passed down by imposition, with limited capacity to plan, organize, or control activities pertaining to their management sphere. These results stem partially from the charismatic leadership and centralizing administration of the current management in the municipal health system.

  12. A Comparative Assessment of the Role of Energy in Qatar's East Asian Foreign Relations: Case Studies on China, Japan and South Korea

    NASA Astrophysics Data System (ADS)

    Park, Rebekah

    Energy is an important factor in international relations and recently the global energy paradigm has been seen to be shifting towards the East. In light of such change, a comparative assessment of the role of energy in Qatar' East Asian foreign relations will be conducted by taking China, Japan and South Korea as case studies. The research aimed to assess each of the bilateral relationship in terms of their origin and development in the energy sector generating an interpretation of their growing interdependence, taking into consideration the various domestic, regional and international influencing factors. At this level, LNG development and trade was adopted to see the extent of energy cooperation. In general, energy cooperation played the leading role in the three relationships, but to different degrees. Furthermore, all three bilateral relationship pertain to the 'complex interdependence approach' that is supported by the use of institutionalism and soft power.

  13. An initial investigation into methods of computing transonic aerodynamic sensitivity coefficients

    NASA Technical Reports Server (NTRS)

    Carlson, Leland A.

    1991-01-01

    Continuing studies associated with the development of the quasi-analytical (QA) sensitivity method for three dimensional transonic flow about wings are presented. Furthermore, initial results using the quasi-analytical approach were obtained and compared to those computed using the finite difference (FD) approach. The basic goals achieved were: (1) carrying out various debugging operations pertaining to the quasi-analytical method; (2) addition of section design variables to the sensitivity equation in the form of multiple right hand sides; (3) reconfiguring the analysis/sensitivity package in order to facilitate the execution of analysis/FD/QA test cases; and (4) enhancing the display of output data to allow careful examination of the results and to permit various comparisons of sensitivity derivatives obtained using the FC/QA methods to be conducted easily and quickly. In addition to discussing the above goals, the results of executing subcritical and supercritical test cases are presented.

  14. Primary Beam Air Kerma Dependence on Distance from Cargo and People Scanners

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

    Strom, Daniel J.; Cerra, Frank

    The distance dependence of air kerma or dose rate of the primary radiation beam is not obvious for security scanners of cargo and people in which there is relative motion between a collimated source and the person or object being imaged. To study this problem, one fixed line source and three moving-source scan-geometry cases are considered, each characterized by radiation emanating perpendicular to an axis. The cases are 1) a stationary line source of radioactive material, e.g., contaminated solution in a pipe; 2) a moving, uncollimated point source of radiation that is shuttered or off when it is stationary; 3)more » a moving, collimated point source of radiation that is shuttered or off when it is stationary; and 4) a translating, narrow “pencil” beam emanating in a flying-spot, raster pattern. Each case is considered for short and long distances compared to the line source length or path traversed by a moving source. The short distance model pertains mostly to dose to objects being scanned and personnel associated with the screening operation. The long distance model pertains mostly to potential dose to bystanders. For radionuclide sources, the number of nuclear transitions that occur a) per unit length of a line source, or b) during the traversal of a point source, is a unifying concept. The “universal source strength” of air kerma rate at a meter from the source can be used to describe x-ray machine or radionuclide sources. For many cargo and people scanners with highly collimated fan or pencil beams, dose varies as the inverse of the distance from the source in the near field and with the inverse square of the distance beyond a critical radius. Ignoring the inverse square dependence and using inverse distance dependence is conservative in the sense of tending to overestimate dose.« less

  15. Primary Beam Air Kerma Dependence on Distance from Cargo and People Scanners.

    PubMed

    Strom, Daniel J; Cerra, Frank

    2016-06-01

    The distance dependence of air kerma or dose rate of the primary radiation beam is not obvious for security scanners of cargo and people in which there is relative motion between a collimated source and the person or object being imaged. To study this problem, one fixed line source and three moving-source scan-geometry cases are considered, each characterized by radiation emanating perpendicular to an axis. The cases are 1) a stationary line source of radioactive material, e.g., contaminated solution in a pipe; 2) a moving, uncollimated point source of radiation that is shuttered or off when it is stationary; 3) a moving, collimated point source of radiation that is shuttered or off when it is stationary; and 4) a translating, narrow "pencil" beam emanating in a flying-spot, raster pattern. Each case is considered for short and long distances compared to the line source length or path traversed by a moving source. The short distance model pertains mostly to dose to objects being scanned and personnel associated with the screening operation. The long distance model pertains mostly to potential dose to bystanders. For radionuclide sources, the number of nuclear transitions that occur a) per unit length of a line source or b) during the traversal of a point source is a unifying concept. The "universal source strength" of air kerma rate at 1 m from the source can be used to describe x-ray machine or radionuclide sources. For many cargo and people scanners with highly collimated fan or pencil beams, dose varies as the inverse of the distance from the source in the near field and with the inverse square of the distance beyond a critical radius. Ignoring the inverse square dependence and using inverse distance dependence is conservative in the sense of tending to overestimate dose.

  16. Forty-Five Years of Civil Litigation Against Canadian Psychiatrists: An Empirical Pilot Study

    PubMed Central

    Luther, Glen; Gutheil, Thomas G.

    2016-01-01

    Objectives: To extract the themes pertaining to prudent psychiatric practice from written court judgments in Canada. Methods: We searched the medical and legal literature for cases involving civil litigation against Canadian psychiatrist and reviewed all available written judgments. We completed a thematic analysis of the civil actions against psychiatrists as conveyed by those written court judgments. We classified the cases according to the disposal status and the essential lessons from the decisions on standard of care and practice by Canadian psychiatrists. Results: Forty such cases were identified as involving psychiatrists over a 45-year period. A subgroup included those dealing with limitation periods and disclosure applications. Thirty of the 40 cases (75%) were decided in favour of the defendant psychiatrists, including 2 dismissed for running over the limitation period. The cases that actually went to trial suggest that documentation and obtaining second opinions are protective against claims of negligence. Inpatient cases resulting in successful litigation against psychiatrists involved fatal outcomes, but not all fatal outcomes led to successful litigation. Conclusions: The key lessons from these cases are the importance and relevance of regular best clinical practices, such as documentation, obtaining second opinions, following guidelines, and balancing competencies in the expert and manager or advocate roles. Incorporating these practices should allay concerns about litigation against psychiatrists. PMID:27253702

  17. Forty-Five Years of Civil Litigation Against Canadian Psychiatrists: An Empirical Pilot Study.

    PubMed

    Mela, Mansfield; Luther, Glen; Gutheil, Thomas G

    2016-02-01

    To extract the themes pertaining to prudent psychiatric practice from written court judgments in Canada. We searched the medical and legal literature for cases involving civil litigation against Canadian psychiatrist and reviewed all available written judgments. We completed a thematic analysis of the civil actions against psychiatrists as conveyed by those written court judgments. We classified the cases according to the disposal status and the essential lessons from the decisions on standard of care and practice by Canadian psychiatrists. Forty such cases were identified as involving psychiatrists over a 45-year period. A subgroup included those dealing with limitation periods and disclosure applications. Thirty of the 40 cases (75%) were decided in favour of the defendant psychiatrists, including 2 dismissed for running over the limitation period. The cases that actually went to trial suggest that documentation and obtaining second opinions are protective against claims of negligence. Inpatient cases resulting in successful litigation against psychiatrists involved fatal outcomes, but not all fatal outcomes led to successful litigation. The key lessons from these cases are the importance and relevance of regular best clinical practices, such as documentation, obtaining second opinions, following guidelines, and balancing competencies in the expert and manager or advocate roles. Incorporating these practices should allay concerns about litigation against psychiatrists. © The Author(s) 2015.

  18. 36 CFR 1260.26 - Who is responsible for issuing special procedures for declassification of information pertaining...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... issuing special procedures for declassification of information pertaining to intelligence activities... procedures for declassification of information pertaining to intelligence activities, sources and methods, or of classified cryptologic information in NARA's holdings? (a) The Director of National Intelligence...

  19. 36 CFR 1260.26 - Who is responsible for issuing special procedures for declassification of information pertaining...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... issuing special procedures for declassification of information pertaining to intelligence activities... procedures for declassification of information pertaining to intelligence activities, sources and methods, or of classified cryptologic information in NARA's holdings? (a) The Director of National Intelligence...

  20. 48 CFR 1371.105 - Foreseeable cost factors pertaining to different shipyard locations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... pertaining to different shipyard locations. 1371.105 Section 1371.105 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE DEPARTMENT SUPPLEMENTAL REGULATIONS ACQUISITIONS INVOLVING SHIP CONSTRUCTION AND SHIP... locations. Insert provision 1352.271-74, Foreseeable Cost Factors Pertaining to Different Shipyard Locations...

  1. 48 CFR 1371.105 - Foreseeable cost factors pertaining to different shipyard locations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... pertaining to different shipyard locations. 1371.105 Section 1371.105 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE DEPARTMENT SUPPLEMENTAL REGULATIONS ACQUISITIONS INVOLVING SHIP CONSTRUCTION AND SHIP... locations. Insert provision 1352.271-74, Foreseeable Cost Factors Pertaining to Different Shipyard Locations...

  2. 48 CFR 1371.105 - Foreseeable cost factors pertaining to different shipyard locations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... pertaining to different shipyard locations. 1371.105 Section 1371.105 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE DEPARTMENT SUPPLEMENTAL REGULATIONS ACQUISITIONS INVOLVING SHIP CONSTRUCTION AND SHIP... locations. Insert provision 1352.271-74, Foreseeable Cost Factors Pertaining to Different Shipyard Locations...

  3. 48 CFR 1371.105 - Foreseeable cost factors pertaining to different shipyard locations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... pertaining to different shipyard locations. 1371.105 Section 1371.105 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE DEPARTMENT SUPPLEMENTAL REGULATIONS ACQUISITIONS INVOLVING SHIP CONSTRUCTION AND SHIP... locations. Insert provision 1352.271-74, Foreseeable Cost Factors Pertaining to Different Shipyard Locations...

  4. 48 CFR 1371.105 - Foreseeable cost factors pertaining to different shipyard locations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... pertaining to different shipyard locations. 1371.105 Section 1371.105 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE DEPARTMENT SUPPLEMENTAL REGULATIONS ACQUISITIONS INVOLVING SHIP CONSTRUCTION AND SHIP... locations. Insert provision 1352.271-74, Foreseeable Cost Factors Pertaining to Different Shipyard Locations...

  5. 22 CFR 707.11 - Purpose.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... information pertaining to him; the times, places, and procedures to be followed by an individual seeking access to records of the Corporation containing information pertaining to him, procedures to be followed... part 707 of records of the Corporation containing information pertaining to him; and the fees charged...

  6. Understanding behavioural intention to play online game: The case of VocBlast

    NASA Astrophysics Data System (ADS)

    Ali, Z.

    2018-04-01

    Research has shown that mobile learning enables its users to learn at any time and place. The current study investigates the use of VocBlast; an app that integrates technical and engineering vocabulary, in terms of understanding the behavioural intention of its players. The study employs 129 engineering and technical students from Universiti Malaysia Pahang (UMP). Online survey was used to collect their opinions; in particular male and female students’ opinions on the use of the app in the future. The results of the study indicated that there was no significant difference pertaining to their behavioural intention using VocBlast in the course of time. The study implies that more time needs to be given to the students in playing VocBlast as it is believed that playing the game repetitively would promote positive perceptions among its players.

  7. Protecting the fetus against HIV infection: a systematic review of placental transfer of antiretrovirals.

    PubMed

    McCormack, Shelley A; Best, Brookie M

    2014-11-01

    Maternal-to-fetal transfer of antiretroviral drugs contributes to prevention of vertical transmission of HIV. This systematic review discusses published studies containing data pertaining to the pharmacokinetics of placental transfer of antiretrovirals in humans, including paired cord and maternal plasma samples collected at the time of delivery as well as ex vivo placental perfusion models. Articles pertaining to placental transfer of antiretrovirals were identified from PubMed, from references of included articles, and from US Department of Health and Human Services Panel on Treatment of HIV-infected Pregnant Women and Prevention of Perinatal Transmission guidelines. Articles from non-human animal models or that had no original maternal-to-fetal transfer data were excluded. PRISMA guidelines were followed. A total of 103 published studies were identified. Data across studies appeared relatively consistent for the nucleoside reverse transcriptase inhibitors (NRTIs) and the non-nucleotide reverse transcriptase inhibitors (NNRTIs), with cord to maternal ratios approaching 1 for many of these agents. The protease inhibitors atazanavir and lopinavir exhibited consistent maternal-to-fetal transfer across studies, although the transfer may be influenced by variations in drug-binding proteins. The protease inhibitors indinavir, nelfinavir, and saquinavir exhibited unreliable placental transport, with cord blood concentrations that were frequently undetectable. Limited data, primarily from case reports, indicate that darunavir and raltegravir provide detectable placental transfer. These findings appear consistent with current guidelines of using two NRTIs plus an NNRTI, atazanavir/ritonavir, or lopinavir/ritonavir to maximize placental transfer as well as to optimally suppress maternal viral load. Darunavir/ritonavir and raltegravir may reasonably serve as second-line agents.

  8. 36 CFR § 1260.26 - Who is responsible for issuing special procedures for declassification of records pertaining to...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... special procedures for declassification of records pertaining to intelligence activities and intelligence... procedures for declassification of records pertaining to intelligence activities and intelligence sources or... Intelligence is responsible for issuing special procedures for declassification of classified records...

  9. 76 FR 69585 - Testing and Labeling Pertaining to Product Certification Regarding Representative Samples for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-08

    ... 1107 Testing and Labeling Pertaining to Product Certification Regarding Representative Samples for... [CPSC Docket No. CPSC-2011-0082] Testing and Labeling Pertaining to Product Certification Regarding... to Product Certification.'' The proposed rule was intended to implement what was then known as...

  10. A research program for the socioeconomic impacts of gene editing regulation

    PubMed Central

    Whelan, Agustina I.; Lema, Martin A.

    2017-01-01

    ABSTRACT Gene editing technologies are a group of recent innovations in plant breeding using molecular biology, which have in common the capability of introducing a site-directed mutation or deletion in the genome. The first cases of crops improved with these technologies are approaching the market; this has raised an international debate regarding if they should be regulated as genetically modified crops or just as another form of mutagenesis under conventional breeding. This dilemma for policymakers not only entails issues pertaining safety information and legal/regulatory definitions. It also demands borrowing tools developed in the field of social studies of science and technology, as an additional basis for sound decision making. PMID:28080208

  11. A research program for the socioeconomic impacts of gene editing regulation.

    PubMed

    Whelan, Agustina I; Lema, Martin A

    2017-01-02

    Gene editing technologies are a group of recent innovations in plant breeding using molecular biology, which have in common the capability of introducing a site-directed mutation or deletion in the genome. The first cases of crops improved with these technologies are approaching the market; this has raised an international debate regarding if they should be regulated as genetically modified crops or just as another form of mutagenesis under conventional breeding. This dilemma for policymakers not only entails issues pertaining safety information and legal/regulatory definitions. It also demands borrowing tools developed in the field of social studies of science and technology, as an additional basis for sound decision making.

  12. Biopharma business models in Canada.

    PubMed

    March-Chordà, I; Yagüe-Perales, R M

    2011-08-01

    This article provides new insights into the different strategy paths or business models currently being implemented by Canadian biopharma companies. Through a case-study methodology, seven biopharma companies pertaining to three business models were analyzed, leading to a broad set of results emerging from the following areas: activity, business model and strategy; management and human resources; and R&D, technology and innovation strategy. The three business models represented were: model 1 (conventional biotech oriented to new drug development, radical innovation and search for discoveries); model 2 (development of a technology platform, usually in proteomics and bioinformatics); and model 3 (incremental innovation, with shorter and less risky development timelines). Copyright © 2011 Elsevier Ltd. All rights reserved.

  13. A pharmacy practice laboratory exercise to apply biochemistry concepts.

    PubMed

    Harrold, Marc W; McFalls, Marsha A

    2010-10-11

    To develop exercises that allow pharmacy students to apply foundational knowledge discussed in a first-professional year (P1) biochemistry course to specific disease states and patient scenarios. A pharmacy practice laboratory exercise was developed to accompany a lecture sequence pertaining to purine biosynthesis and degradation. The assignment required students to fill a prescription, provide patient counseling tips, and answer questions pertaining to the disease state, the underlying biochemical problem, and the prescribed medication. Students were graded on the accuracy with which they filled the prescription, provided patient counseling, and answered the questions provided. Overall, students displayed mastery in all of these areas. Additionally, students completed a course survey on which they rated this exercise favorably, noting that it helped them to integrate basic science concepts and pharmacy practice. A laboratory exercise provided an opportunity for P1 students to apply foundational pharmacy knowledge to a patient case and can serve as a template for the design of additional exercises.

  14. Computer-aided classification of breast microcalcification clusters: merging of features from image processing and radiologists

    NASA Astrophysics Data System (ADS)

    Lo, Joseph Y.; Gavrielides, Marios A.; Markey, Mia K.; Jesneck, Jonathan L.

    2003-05-01

    We developed an ensemble classifier for the task of computer-aided diagnosis of breast microcalcification clusters,which are very challenging to characterize for radiologists and computer models alike. The purpose of this study is to help radiologists identify whether suspicious calcification clusters are benign vs. malignant, such that they may potentially recommend fewer unnecessary biopsies for actually benign lesions. The data consists of mammographic features extracted by automated image processing algorithms as well as manually interpreted by radiologists according to a standardized lexicon. We used 292 cases from a publicly available mammography database. From each cases, we extracted 22 image processing features pertaining to lesion morphology, 5 radiologist features also pertaining to morphology, and the patient age. Linear discriminant analysis (LDA) models were designed using each of the three data types. Each local model performed poorly; the best was one based upon image processing features which yielded ROC area index AZ of 0.59 +/- 0.03 and partial AZ above 90% sensitivity of 0.08 +/- 0.03. We then developed ensemble models using different combinations of those data types, and these models all improved performance compared to the local models. The final ensemble model was based upon 5 features selected by stepwise LDA from all 28 available features. This ensemble performed with AZ of 0.69 +/- 0.03 and partial AZ of 0.21 +/- 0.04, which was statistically significantly better than the model based on the image processing features alone (p<0.001 and p=0.01 for full and partial AZ respectively). This demonstrated the value of the radiologist-extracted features as a source of information for this task. It also suggested there is potential for improved performance using this ensemble classifier approach to combine different sources of currently available data.

  15. 36 CFR 1260.26 - Who is responsible for issuing special procedures for declassification of records pertaining to...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... issuing special procedures for declassification of records pertaining to intelligence activities and intelligence sources or methods, or of classified cryptologic records in NARA's holdings? 1260.26 Section 1260... procedures for declassification of records pertaining to intelligence activities and intelligence sources or...

  16. 36 CFR 1260.26 - Who is responsible for issuing special procedures for declassification of records pertaining to...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... issuing special procedures for declassification of records pertaining to intelligence activities and intelligence sources or methods, or of classified cryptologic records in NARA's holdings? 1260.26 Section 1260... procedures for declassification of records pertaining to intelligence activities and intelligence sources or...

  17. Complete duplication of bladder and urethra in a sagittal plane in a male infant: case report and literature review.

    PubMed

    Coker, Alisa M; Allshouse, Michael J; Koyle, Martin A

    2008-08-01

    Complete duplication of the bladder and urethra is a rare entity. It may occur in the coronal and sagittal planes, and is often associated with other organ system anomalies, in particular of the gastrointestinal tract. We report an unusual variant of sagittal duplication of the bladder, in a male, associated with rudimentary hindgut duplication, and review the literature pertaining to this unusual anomaly.

  18. A case of Munchausen syndrome by proxy with subsequent stalking behavior.

    PubMed

    Reisner, Andrew D

    2006-06-01

    A case of Munchausen syndrome by proxy (factitious disorder by proxy) wherein the patient presented with symptoms of severe borderline personality disorder and questionable psychotic symptoms is discussed. This patient was also adjudicated for harassing and stalking a child protective services worker assigned to her case. Issues pertaining to possible feigning of psychotic symptoms were addressed in her inpatient treatment. Despite doubts concerning the veracity of some of her psychotic symptoms, the patient responded well to clozapine, and she was subsequently able to stay out of the psychiatric hospital for longer periods and make a reasonably good adjustment to living in a group home. After refusing to continue with clozapine therapy because of weight gain concerns, her adjustment declined.

  19. A Case of Posterior Sternoclavicular Dislocation in a Professional American Football Player

    PubMed Central

    Yang, Justin S.; Bogunovic, Ljiljana; Brophy, Robert H.; Wright, Rick W.; Scott, Reggie; Matava, Matthew

    2015-01-01

    Sternoclavicular (SC) dislocation is a rare injury of the upper extremity. Treatment of posterior SC dislocation ranges from conservative (closed reduction) to operative (open reduction with or without surgical reconstruction of the SC joint). To date, we are unaware of any literature that exists pertaining to this injury or its treatment in elite athletes. The purpose of this case report is to describe a posterior SC joint dislocation in a professional American football player and to illustrate the issues associated with its diagnosis and treatment and the athlete’s return to sports. To our knowledge, this case is the first reported in a professional athlete. He was treated successfully with closed reduction and returned to play within 5 weeks of injury. PMID:26137177

  20. Major childhood infectious diseases and other determinants associated with type 1 diabetes: a case-control study.

    PubMed

    Tenconi, M T; Devoti, G; Comelli, M; Pinon, M; Capocchiano, A; Calcaterra, V; Pretti, G

    2007-03-01

    The objective of the study was to evaluate the association between infectious diseases and other events pertaining to childhood medical history and type 1 diabetes. A case-control study was carried out, taking as cases 159 type 1 diabetic patients (0-29 years) recorded from 1988 to 2000 within the population registry of the Pavia province (North Italy). As controls 318 non-diabetic subjects were matched by age and sex. A questionnaire was administered by standardised interviewers. Data were analysed by conditional logistic regression. Viral childhood diseases (OR 4.29; 95%CI 1.57-11.74) and bottle feeding (OR 1.83; 95%CI 1.08-3.09) were directly correlated to type 1 diabetes; an inverse correlation was found for vitamin D administration during lactation (0-14 years) (OR 0.31; 95%CI 0.11-0.86) and for history of scarlet fever in both sexes and age groups (OR 0.19; 95%CI 0.08-0.46). Most associations of the studied variables confirm already known findings. The significant inverse correlation of type 1 diabetes with scarlet fever history is a peculiar finding, the meaning of which is still obscure, although it has been recently described that streptococcal A infections are regulated by HLA class II alleles.

  1. Pentachlorophenol and cancer risk: Focusing the lens on ...

    EPA Pesticide Factsheets

    Objective: Pentachlorophenol is a fungicide widely used as a wood preservative, classified in 1999 by the International Agency for Research on Cancer as a “possible human carcinogen”. We review currently available epidemiological research to determine the extent to which recent studies address the limitations of the previous data, particularly with respect to distinguishing the effect of pentachlorophenol from that of its contaminants (e.g., dioxins) and other chlorophenols. Data Sources and Extraction: We examined published studies with a quantitative or qualitative pentachlorophenol measure, or an assessment of chlorophenol exposure and additional information on specific jobs that would likely have used pentachlorophenol rather than other chlorophenols. The data collection process focused on results pertaining specifically to all cancer sites and specific hematopoietic cancers, and data pertaining to risks associated with other types of chlorophenols, dioxins, or furans. Synthesis: In contrast with dioxin, pentachlorophenol exposure was not associated with total cancer incidence or mortality. However, the pentachlorophenol studies present considerable evidence pertaining to lymphopoietic cancers, with strong associations seen in multiple studies, in different locations and using different designs. The extension of a large cohort study of sawmill workers, with follow-up to 1995, provides information about risks of relatively rare cancers (e.g.,

  2. Precision GPS ephemerides and baselines

    NASA Technical Reports Server (NTRS)

    1991-01-01

    Based on the research, the area of precise ephemerides for GPS satellites, the following observations can be made pertaining to the status and future work needed regarding orbit accuracy. There are several aspects which need to be addressed in discussing determination of precise orbits, such as force models, kinematic models, measurement models, data reduction/estimation methods, etc. Although each one of these aspects was studied at CSR in research efforts, only points pertaining to the force modeling aspect are addressed.

  3. Knowledge, attitude and anxiety pertaining to basic life support and medical emergencies among dental interns in Mangalore City, India.

    PubMed

    Somaraj, Vinej; Shenoy, Rekha P; Panchmal, Ganesh Shenoy; Jodalli, Praveen S; Sonde, Laxminarayan; Karkal, Ravichandra

    2017-01-01

    This cross-sectional study aimed to assess the knowledge, attitude and anxiety pertaining to basic life support (BLS) and medical emergencies among interns in dental colleges of Mangalore city, Karnataka, India. The study subjects comprised of interns who volunteered from the four dental colleges. The knowledge and attitude of interns were assessed using a 30-item questionnaire prepared based on the Basic Life Support Manual from American Heart Association and the anxiety of interns pertaining to BLS and medical emergencies were assessed using a State-Trait Anxiety Inventory (STAI) Questionnaire. Chi-square test was performed on SPSS 21.0 (IBM Statistics, 2012) to determine statistically significant differences ( P <0.05) between assessed knowledge and anxiety. Out of 183 interns, 39.89% had below average knowledge. A total of 123 (67.21%) reported unavailability of professional training. The majority (180, 98.36%) felt the urgent need of training in basic life support procedures. Assessment of stress showed a total of 27.1% participants to be above high-stress level. Comparison of assessed knowledge and stress was found to be insignificant ( P =0.983). There was an evident lack of knowledge pertaining to the management of medical emergencies among the interns. As oral health care providers moving out to the society, a focus should be placed on the training of dental interns with respect to Basic Life Support procedures.

  4. Anemia, red blood cell transfusions, and necrotizing enterocolitis.

    PubMed

    Maheshwari, Akhil; Patel, Ravi M; Christensen, Robert D

    2018-02-01

    In the past 15 years, multiple clinical studies have identified a temporal association between red blood cell (RBC) transfusions and necrotizing enterocolitis (NEC). With some variability, most of these studies indicate that up to one-third of all cases of NEC involving very low-birth weight infants may occur within 24-48h after receiving a RBC transfusion. There is also evidence that the risk of such transfusion-associated NEC may be higher in infants transfused with the greatest severity of anemia. In this article, we summarize the clinical evidence pertaining to these issues; specifically, the contribution of RBC transfusions, and the contribution of severity of underlying anemia, to the pathogenesis of a type of NEC potentially termed, "transfusion/anemia-associated NEC." Copyright © 2018 Elsevier Inc. All rights reserved.

  5. 16 CFR § 1014.3 - Procedures for requests pertaining to individual records.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 16 Commercial Practices 2 2013-01-01 2013-01-01 false Procedures for requests pertaining to individual records. § 1014.3 Section § 1014.3 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION... pertaining to individual records. (a) Any individual may request the Commission to inform him or her whether...

  6. 37 CFR 211.2 - Recordation of documents pertaining to mask works.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... pertaining to mask works. 211.2 Section 211.2 Patents, Trademarks, and Copyrights COPYRIGHT OFFICE, LIBRARY OF CONGRESS COPYRIGHT OFFICE AND PROCEDURES MASK WORK PROTECTION § 211.2 Recordation of documents pertaining to mask works. The conditions prescribed in § 201.4 of this chapter for recordation of transfers...

  7. 1 CFR 425.2 - Procedures for notification of existence of records pertaining to individuals.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... records pertaining to individuals. 425.2 Section 425.2 General Provisions MISCELLANEOUS AGENCIES PRESIDENT'S COMMISSION ON WHITE HOUSE FELLOWSHIPS § 425.2 Procedures for notification of existence of records pertaining to individuals. (a) The system of records, as defined in the Privacy Act of 1974, maintained by...

  8. 1 CFR 425.2 - Procedures for notification of existence of records pertaining to individuals.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... records pertaining to individuals. 425.2 Section 425.2 General Provisions MISCELLANEOUS AGENCIES PRESIDENT'S COMMISSION ON WHITE HOUSE FELLOWSHIPS § 425.2 Procedures for notification of existence of records pertaining to individuals. (a) The system of records, as defined in the Privacy Act of 1974, maintained by...

  9. 1 CFR 425.2 - Procedures for notification of existence of records pertaining to individuals.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... records pertaining to individuals. 425.2 Section 425.2 General Provisions MISCELLANEOUS AGENCIES PRESIDENT'S COMMISSION ON WHITE HOUSE FELLOWSHIPS § 425.2 Procedures for notification of existence of records pertaining to individuals. (a) The system of records, as defined in the Privacy Act of 1974, maintained by...

  10. 37 CFR 201.26 - Recordation of documents pertaining to computer shareware and donation of public domain computer...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... pertaining to computer shareware and donation of public domain computer software. 201.26 Section 201.26... public domain computer software. (a) General. This section prescribes the procedures for submission of legal documents pertaining to computer shareware and the deposit of public domain computer software...

  11. 37 CFR 201.26 - Recordation of documents pertaining to computer shareware and donation of public domain computer...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... pertaining to computer shareware and donation of public domain computer software. 201.26 Section 201.26... public domain computer software. (a) General. This section prescribes the procedures for submission of legal documents pertaining to computer shareware and the deposit of public domain computer software...

  12. 37 CFR 201.26 - Recordation of documents pertaining to computer shareware and donation of public domain computer...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... pertaining to computer shareware and donation of public domain computer software. 201.26 Section 201.26... public domain computer software. (a) General. This section prescribes the procedures for submission of legal documents pertaining to computer shareware and the deposit of public domain computer software...

  13. 37 CFR 201.26 - Recordation of documents pertaining to computer shareware and donation of public domain computer...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... pertaining to computer shareware and donation of public domain computer software. 201.26 Section 201.26... public domain computer software. (a) General. This section prescribes the procedures for submission of legal documents pertaining to computer shareware and the deposit of public domain computer software...

  14. Risk factors for granuloma formation in children induced by tracheobronchial foreign bodies.

    PubMed

    Huang, Zhenghua; Zhou, Ai; Zhang, Jianya; Xie, Lisheng; Li, Qi

    2015-12-01

    The aim of this study was to analyze the risk factors for granuloma formation caused by plant-based tracheobronchial foreign bodies in children, and investigate the underlying pathogenesis. In this retrospective analysis of 153 cases with tracheobronchial foreign bodies (peanuts and watermelon seeds), 35 cases of granuloma formation as granulation group (G), and 118 cases of no granuloma formation as non-granulation group (NG) were studied. Clinical data pertaining to sex (S), age (A), foreign body surface smoothness (SF), foreign body shape (SH), foreign body oil release state (O), the location of foreign bodies (L), and foreign body retention time (T) were collected for statistical analysis. Univariate analysis showed no significant difference between the two groups (G and NG) with respect to S, A, SH and L. Significant factors based on univariate analysis included SF, O and T. Multivariate logistic regression analysis revealed that SF and T were independent risk factors associated with development of granuloma. SF, O and T had relationship with the granuloma formation. Local trauma caused by an irregular and sharp foreign body, and extended period of time represent the main factors causing granuloma formation. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  15. Path integrals, the ABL rule and the three-box paradox

    NASA Astrophysics Data System (ADS)

    Sokolovski, D.; Puerto Giménez, I.; Sala Mayato, R.

    2008-10-01

    The three-box problem is analysed in terms of virtual pathways, interference between which is destroyed by a number of intermediate measurements. The Aharonov-Bergmann-Lebowitz (ABL) rule is shown to be a particular case of Feynman's recipe for assigning probabilities to exclusive alternatives. The ‘paradoxical’ features of the three box case arise in an attempt to attribute, in contradiction to the uncertainty principle, properties pertaining to different ensembles produced by different intermediate measurements to the same particle. The effect can be mimicked by a classical system, provided an observation is made to perturb the system in a non-local manner.

  16. Local structure studies of materials using pair distribution function analysis

    NASA Astrophysics Data System (ADS)

    Peterson, Joseph W.

    A collection of pair distribution function studies on various materials is presented in this dissertation. In each case, local structure information of interest pushes the current limits of what these studies can accomplish. The goal is to provide insight into the individual material behaviors as well as to investigate ways to expand the current limits of PDF analysis. Where possible, I provide a framework for how PDF analysis might be applied to a wider set of material phenomena. Throughout the dissertation, I discuss 0 the capabilities of the PDF method to provide information pertaining to a material's structure and properties, ii) current limitations in the conventional approach to PDF analysis, iii) possible solutions to overcome certain limitations in PDF analysis, and iv) suggestions for future work to expand and improve the capabilities PDF analysis.

  17. Northeastern Gulf of Mexico coastal and marine ecosystem program: Data search and synthesis, annotated bibliography. Appendix A: Physical oceanography. Final report

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

    NONE

    This study summarizes environmental and socioeconomic information related to the Florida Panhandle Outer Continental Shelf (OCS). It contains a conceptual model of active processes and identification of information gaps that will be useful in the design of future environmental studies in the geographic area. The annotated bibliography for this study is printer in six volumes, each pertaining to a specific topic. They are as follows: Appendix A--Physical Oceanography; Appendix B--Meteorology; Appendix C--Geology; Appendix D--Chemistry; Appendix E--Biology; and Appendix F--Socioeconomics. This volume contains bibliographic references pertaining to physical oceanography.

  18. Compensatory mechanisms in fish populations: Literature reviews: Volume 1, Critical evaluation of case histories of fish populations experiencing chronic exploitation or impact: Final report

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

    Saila, S.B.; Chen, X.; Erzini, K.

    1987-05-01

    This study includes case histories of certain fish species which are experiencing chronic perturbations and related literature pertaining to compensation processes. ''Compensation'' has been defined as the ability of fish to offset the population reduction caused by natural or man-induced stresses. Certain compensation methods are widely accepted, and include cannibalism, competition, disease, growth and predation, among others. These compensation methods are examined in relation to each fish species included in the study. Stock-recruit relationships and empirical observations of changes in growth and mortality have been the focus of much of the background on compensation. One of the conclusions drawn frommore » this study is that a significant amount of recruitment variability exists and can be attributed to environmental (rather than compensatory) factors. The stock-recruitment problem appears to be the most significant scientific problem related to compensation in the types of fish included in this study. Results of the most recent studies of the American shad support this theory. Life histories, breeding biology and other pertinent data relating to each species included in the study will be found in the appendices.« less

  19. Single case design studies in music therapy: resurrecting experimental evidence in small group and individual music therapy clinical settings.

    PubMed

    Geist, Kamile; Hitchcock, John H

    2014-01-01

    The profession would benefit from greater and routine generation of causal evidence pertaining to the impact of music therapy interventions on client outcomes. One way to meet this goal is to revisit the use of Single Case Designs (SCDs) in clinical practice and research endeavors in music therapy. Given the appropriate setting and goals, this design can be accomplished with small sample sizes and it is often appropriate for studying music therapy interventions. In this article, we promote and discuss implementation of SCD studies in music therapy settings, review the meaning of internal study validity and by extension the notion of causality, and describe two of the most commonly used SCDs to demonstrate how they can help generate causal evidence to inform the field. In closing, we describe the need for replication and future meta-analysis of SCD studies completed in music therapy settings. SCD studies are both feasible and appropriate for use in music therapy clinical practice settings, particularly for testing effectiveness of interventions for individuals or small groups. © the American Music Therapy Association 2014. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  20. A GIS-based multicriteria evaluation for aiding risk management Pinus pinaster Ait. forests: a case study in Corsican Island, western Mediterranean Region.

    PubMed

    Pasqualini, Vanina; Oberti, Pascal; Vigetta, Stéphanie; Riffard, Olivier; Panaïotis, Christophe; Cannac, Magali; Ferrat, Lila

    2011-07-01

    Forest management can benefit from decision support tools, including GIS-based multicriteria decision-aiding approach. In the Mediterranean region, Pinus pinaster forests play a very important role in biodiversity conservation and offer many socioeconomic benefits. However, the conservation of this species is affected by the increase in forest fires and the expansion of Matsucoccus feytaudi. This paper proposes a methodology based on commonly available data for assessing the values and risks of P. pinaster forests and to generating maps to aid in decisions pertaining to fire and phytosanitary risk management. The criteria for assessing the values (land cover type, legislative tools for biodiversity conservation, environmental tourist sites and access routes, and timber yield) and the risks (fire and phytosanitation) of P. pinaster forests were obtained directly or by considering specific indicators, and they were subsequently aggregated by means of GIS-based multicriteria analysis. This approach was tested on the island of Corsica (France), and maps to aid in decisions pertaining to fire risk and phytosanitary risk (M. feytaudi) were obtained for P. pinaster forest management. Study results are used by the technical offices of the local administration-Corsican Agricultural and Rural Development Agency (ODARC)-for planning the conservation of P. pinaster forests with regard to fire prevention and safety and phytosanitary risks. The decision maker took part in the evaluation criteria study (weight, normalization, and classification of the values). Most suitable locations are given to target the public intervention. The methodology presented in this paper could be applied to other species and in other Mediterranean regions.

  1. A GIS-Based Multicriteria Evaluation for Aiding Risk Management Pinus pinaster Ait. Forests: A Case Study in Corsican Island, Western Mediterranean Region

    NASA Astrophysics Data System (ADS)

    Pasqualini, Vanina; Oberti, Pascal; Vigetta, Stéphanie; Riffard, Olivier; Panaïotis, Christophe; Cannac, Magali; Ferrat, Lila

    2011-07-01

    Forest management can benefit from decision support tools, including GIS-based multicriteria decision-aiding approach. In the Mediterranean region, Pinus pinaster forests play a very important role in biodiversity conservation and offer many socioeconomic benefits. However, the conservation of this species is affected by the increase in forest fires and the expansion of Matsucoccus feytaudi. This paper proposes a methodology based on commonly available data for assessing the values and risks of P. pinaster forests and to generating maps to aid in decisions pertaining to fire and phytosanitary risk management. The criteria for assessing the values (land cover type, legislative tools for biodiversity conservation, environmental tourist sites and access routes, and timber yield) and the risks (fire and phytosanitation) of P. pinaster forests were obtained directly or by considering specific indicators, and they were subsequently aggregated by means of GIS-based multicriteria analysis. This approach was tested on the island of Corsica (France), and maps to aid in decisions pertaining to fire risk and phytosanitary risk ( M. feytaudi) were obtained for P. pinaster forest management. Study results are used by the technical offices of the local administration— Corsican Agricultural and Rural Development Agency (ODARC)—for planning the conservation of P. pinaster forests with regard to fire prevention and safety and phytosanitary risks. The decision maker took part in the evaluation criteria study (weight, normalization, and classification of the values). Most suitable locations are given to target the public intervention. The methodology presented in this paper could be applied to other species and in other Mediterranean regions.

  2. The frequency and severity of epistaxis in children with sickle cell anaemia in eastern Uganda: a case-control study.

    PubMed

    Nardo-Marino, Amina; Williams, Thomas N; Olupot-Olupot, Peter

    2017-01-01

    There are a paucity of data on epistaxis as it pertains to sickle cell anaemia. Some case studies suggest epistaxis to be a significant complication in patients with sickle cell anaemia in sub-Saharan Africa; however, no robust studies have sought to establish the epidemiology or pathophysiology of this phenomenon. We conducted a case-control study with the aim of investigating the importance of epistaxis among children presenting with sickle cell anaemia at the Mbale Regional Referral Hospital in eastern Uganda. Cases were children aged 2-15 years with an existing diagnosis of laboratory confirmed sickle cell anaemia, while controls were children without sickle cell anaemia who were frequency matched to cases on the basis of age group and gender. The frequency and severity of epistaxis was assessed using a structured questionnaire developed specifically for this study. Odds ratios controlled for age group and gender were calculated using unconditional logistic regression. A total of 150 children were included, 73 children with sickle cell anaemia and 77 children without sickle cell anaemia. The overall prevalence of epistaxis among children with sickle cell anaemia and children without sickle cell anaemia was 32.9 and 23.4% respectively. The case-control odds ratios for epistaxis, recurrent epistaxis and severe epistaxis were, 1.6 (95%CI 0.8-3.4; p  = 0.2), 7.4 (1.6-34.5; 0.01), and 8.3 (1.0-69.8; 0.05) respectively. Our results suggest that in eastern Uganda, children with sickle cell anaemia experience epistaxis more frequently and with greater severity than children without sickle cell anaemia. Further studies are indicated to confirm this conclusion and investigate aetiology.

  3. 7 CFR 1942.19 - Information pertaining to preparation of notes or bonds and bond transcript documents for public...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... includes information for use by public body applicants in the preparation and issuance of evidence of debt... 7 Agriculture 13 2010-01-01 2009-01-01 true Information pertaining to preparation of notes or... REGULATIONS (CONTINUED) ASSOCIATIONS Community Facility Loans § 1942.19 Information pertaining to preparation...

  4. 17 CFR 19.02 - Reports pertaining to cotton call purchases and sales.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Reports pertaining to cotton... CHAPTER AND BY MERCHANTS AND DEALERS IN COTTON § 19.02 Reports pertaining to cotton call purchases and... chapter shall file CFTC Form 304 reports showing the quantity of call cotton bought or sold on which the...

  5. 17 CFR 19.02 - Reports pertaining to cotton call purchases and sales.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 17 Commodity and Securities Exchanges 1 2014-04-01 2014-04-01 false Reports pertaining to cotton... CHAPTER AND BY MERCHANTS AND DEALERS IN COTTON § 19.02 Reports pertaining to cotton call purchases and... chapter shall file CFTC Form 304 reports showing the quantity of call cotton bought or sold on which the...

  6. 77 FR 31182 - Final Withdrawal of Regulations Pertaining to Imports of Cotton Woven Fabric and Short Supply...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-25

    ... No. 120117047-2421-02] RIN 0625-AA90 Final Withdrawal of Regulations Pertaining to Imports of Cotton... final rule withdrawing regulations pertaining to imports of cotton woven fabric and short supply procedures. Both sets of regulations are obsolete: The tariff quota on cotton woven fabric expired in 2009...

  7. 17 CFR 19.02 - Reports pertaining to cotton call purchases and sales.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 17 Commodity and Securities Exchanges 1 2012-04-01 2012-04-01 false Reports pertaining to cotton... CHAPTER AND BY MERCHANTS AND DEALERS IN COTTON § 19.02 Reports pertaining to cotton call purchases and... chapter shall file CFTC Form 304 reports showing the quantity of call cotton bought or sold on which the...

  8. 17 CFR 19.02 - Reports pertaining to cotton call purchases and sales.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 17 Commodity and Securities Exchanges 1 2011-04-01 2011-04-01 false Reports pertaining to cotton... CHAPTER AND BY MERCHANTS AND DEALERS IN COTTON § 19.02 Reports pertaining to cotton call purchases and... chapter shall file CFTC Form 304 reports showing the quantity of call cotton bought or sold on which the...

  9. 17 CFR 19.02 - Reports pertaining to cotton call purchases and sales.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 17 Commodity and Securities Exchanges 1 2013-04-01 2013-04-01 false Reports pertaining to cotton... CHAPTER AND BY MERCHANTS AND DEALERS IN COTTON § 19.02 Reports pertaining to cotton call purchases and... chapter shall file CFTC Form 304 reports showing the quantity of call cotton bought or sold on which the...

  10. 14 CFR 382.87 - What other requirements pertain to seating for passengers with a disability?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false What other requirements pertain to seating for passengers with a disability? 382.87 Section 382.87 Aeronautics and Space OFFICE OF THE SECRETARY... DISABILITY IN AIR TRAVEL Seating Accommodations § 382.87 What other requirements pertain to seating for...

  11. 14 CFR 382.87 - What other requirements pertain to seating for passengers with a disability?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false What other requirements pertain to seating for passengers with a disability? 382.87 Section 382.87 Aeronautics and Space OFFICE OF THE SECRETARY... DISABILITY IN AIR TRAVEL Seating Accommodations § 382.87 What other requirements pertain to seating for...

  12. 14 CFR 382.87 - What other requirements pertain to seating for passengers with a disability?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false What other requirements pertain to seating for passengers with a disability? 382.87 Section 382.87 Aeronautics and Space OFFICE OF THE SECRETARY... DISABILITY IN AIR TRAVEL Seating Accommodations § 382.87 What other requirements pertain to seating for...

  13. 14 CFR 382.87 - What other requirements pertain to seating for passengers with a disability?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false What other requirements pertain to seating for passengers with a disability? 382.87 Section 382.87 Aeronautics and Space OFFICE OF THE SECRETARY... DISABILITY IN AIR TRAVEL Seating Accommodations § 382.87 What other requirements pertain to seating for...

  14. 14 CFR 382.87 - What other requirements pertain to seating for passengers with a disability?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false What other requirements pertain to seating for passengers with a disability? 382.87 Section 382.87 Aeronautics and Space OFFICE OF THE SECRETARY... DISABILITY IN AIR TRAVEL Seating Accommodations § 382.87 What other requirements pertain to seating for...

  15. Measures of Effectiveness-CONUS Reorganization 1973 (As Pertains to FORSCOM, TRADOC, HSC, OTEA and CAA). Volume I. Executive Summary

    DTIC Science & Technology

    1974-11-01

    obvioun that they were’ dkep]y corncented a d halrd at work in &,tvrloping meaw to masure their rmT effectiveness . This proposed eval- tiatiot plIn wilt be...AD/A-002 532 MEASURES OF EFFECTIVENESS -CONUS REORCAN- IZATION 1973 (AS PERTAINS TO FORSCOM. TRADOC, HSC, OTEA AND CAA). VOLUME I.EXECUTIVE SUMMARY M...resulting Interaction organizational objective goal effectiveness imovati ye chanuge vrasurement are a The study provider, an evaluatinn plan, "ased

  16. Epidemiology and Clinical Features of Guillain-Barre Syndrome in Isfahan, Iran.

    PubMed

    Ansari, Behnaz; Basiri, Keivan; Derakhshan, Yeganeh; Kadkhodaei, Farzaneh; Okhovat, Ali Asghar

    2018-01-01

    Guillain-Barre syndrome (GBS) is an immune-mediated peripheral neuropathy. We compared clinical, laboratory characteristics, and disease course of GBS subtypes in a large group of Iranian patients in Isfahan. We collected data from patients who were admitted to Alzahra referral university Hospital, Isfahan, Iran with a diagnosis of GBS. In this population-based cross-sectional research, characteristic of 388 cases with GBS between 2010 and 2015 were studied. The current study recruited 388 patients with GBS including 241 males (62.1%) and 147 females (37.9%) with a mean age of 42.78 ± 21.34. Patients with polyradiculopathy had the highest mean age of 55.12 ± 20.59 years, whereas the least age was seen in acute motor axonal neuropathy (AMAN) with the mean of 36.30 ± 18.71 years. The frequency of GBS witnessed the highest frequency in spring with 113 cases (29.1%) and winter with 101 cases (26%). Patients' electrodiagnostic findings indicated that the highest frequency pertained to AMSAN with 93 cases (24%), whereas the least frequent diagnosis was acute Polyradiculopathy with 8 cases (2.1%). Most of the patients did not have any infections (53.6%) and among patients with infections, AMSAN had the highest frequency (22.9%) and finally, patients with AMSAN and AMAN had a higher length of stay. The study demonstrated incidence, sex distribution, preceding infection, and surgery similar to previous studies. However, our data differs from a study in Tehran that showed acute inflammatory demyelinating polyradiculoneuropathy is more prevalent than other types and we found a seasonal preponderance in cold months, particularly in axonal types.

  17. Live From the Front: Operational Ramifications of Military Web Logs in Combat Zones

    DTIC Science & Technology

    2007-05-10

    may view milbloggers’ First Amendment right to freedom of speech , similar First Amendment cases must be examined. In United States v...redress of grievances against certain military regulations. The Court found in favor of the military because a service member’s freedom of speech “yields...11 The U.S. Supreme Court has given the military wide latitude to restrict service member’s freedom of speech in matters pertaining to national

  18. How bad faith lawsuits can be tailored to fit HMOs.

    PubMed

    Stern, J B

    1999-06-01

    In January 1999, in the case of Goodrich v. Aetna, a California jury returned a record-breaking verdict of $120.5 million damages in favor of a widow as a result of Aetna's failure to act in good faith in the treatment of her terminally ill husband. The following article discusses the history and basis of this kind of lawsuit, major decisions specifically pertaining to HMOs, and the outlook for future liability in this area.

  19. Health for All? Sexual Orientation, Gender Identity, and the Implementation of the Right to Access to Health Care in South Africa.

    PubMed

    Müller, Alexandra

    2016-12-01

    The framework of health and human rights provides for a comprehensive theoretical and practical application of general human rights principles in health care contexts that include the well-being of patients, providers, and other individuals within health care. This is particularly important for sexual and gender minority individuals, who experience historical and contemporary systematical marginalization, exclusion, and discrimination in health care contexts. In this paper, I present two case studies from South Africa to (1) highlight the conflicts that arise when sexual and gender minority individuals seek access to a heteronormative health system; (2) discuss the international, regional, and national human rights legal framework as it pertains to sexual orientation, gender identity, and health; and (3) analyze the gap between legislative frameworks that offer protection from discrimination based on sexual orientation and gender identity and their actual implementation in health service provision. These case studies highlight the complex and intersecting discrimination and marginalization that sexual and gender minority individuals face in health care in this particular context. The issues raised in the case studies are not unique to South Africa, however; and the human rights concerns illustrated therein, particularly around the right to health, have wide resonance in other geographical and social contexts.

  20. Health for All? Sexual Orientation, Gender Identity, and the Implementation of the Right to Access to Health Care in South Africa

    PubMed Central

    2016-01-01

    Abstract The framework of health and human rights provides for a comprehensive theoretical and practical application of general human rights principles in health care contexts that include the well-being of patients, providers, and other individuals within health care. This is particularly important for sexual and gender minority individuals, who experience historical and contemporary systematical marginalization, exclusion, and discrimination in health care contexts. In this paper, I present two case studies from South Africa to (1) highlight the conflicts that arise when sexual and gender minority individuals seek access to a heteronormative health system; (2) discuss the international, regional, and national human rights legal framework as it pertains to sexual orientation, gender identity, and health; and (3) analyze the gap between legislative frameworks that offer protection from discrimination based on sexual orientation and gender identity and their actual implementation in health service provision. These case studies highlight the complex and intersecting discrimination and marginalization that sexual and gender minority individuals face in health care in this particular context. The issues raised in the case studies are not unique to South Africa, however; and the human rights concerns illustrated therein, particularly around the right to health, have wide resonance in other geographical and social contexts. PMID:28559686

  1. Spectroscopy of a one-dimensional V-shaped quantum well with a point impurity

    NASA Astrophysics Data System (ADS)

    Fassari, S.; Gadella, M.; Glasser, M. L.; Nieto, L. M.

    2018-02-01

    We consider the one-dimensional Hamiltonian with a V-shaped potential H0 = 1/2 [ -d2/dx2 + | x | ], decorated with a point impurity of either δ-type, or local δ‧-type or even nonlocal δ‧-type, thus yielding three exactly solvable models. We analyse the behaviour of the change in the energy levels when an interaction of the type - λ δ(x) or - λ δ(x -x0) is switched on. In the first case, even energy levels, pertaining to antisymmetric bound states, remain invariant with respect to λ even though odd energy levels, pertaining to symmetric bound states, decrease as λ increases. In the second, all energy levels decrease when the factor λ increases. A similar study has been performed for the so-called nonlocal δ‧ interaction, requiring a coupling constant renormalisation, which implies the replacement of the form factor λ by a renormalised form factor β. In terms of β, odd energy levels are unchanged. However, we show the existence of level crossings: after a fixed value of β the energy of each even level, with the natural exception of the first one, becomes lower than the constant energy of the previous odd level. Finally, we consider an interaction of the type - λδ(x) + μδ‧(x) , and analyse in detail the discrete spectrum of the resulting self-adjoint Hamiltonian.

  2. Agreeable fancy or disagreeable truth? Reconciling self-enhancement and self-verification.

    PubMed

    Swann, W B; Pelham, B W; Krull, D S

    1989-11-01

    Three studies asked why people sometimes seek positive feedback (self-enhance) and sometimes seek subjectively accurate feedback (self-verify). Consistent with self-enhancement theory, people with low self-esteem as well as those with high self-esteem indicated that they preferred feedback pertaining to their positive rather than negative self-views. Consistent with self-verification theory, the very people who sought favorable feedback pertaining to their positive self-conceptions sought unfavorable feedback pertaining to their negative self-views, regardless of their level of global self-esteem. Apparently, although all people prefer to seek feedback regarding their positive self-views, when they seek feedback regarding their negative self-views, they seek unfavorable feedback. Whether people self-enhance or self-verify thus seems to be determined by the positivity of the relevant self-conceptions rather than their level of self-esteem or the type of person they are.

  3. [Plummer-Vinson syndrome or related syndrome in 3 black African women].

    PubMed

    Aubry, P; Oddes, B; Chazouillères, O; Lebourgeois, M; Delanoue, G; Seurat, P L

    1985-01-01

    The Plummer-Vinson syndrome or "sideropenic dysphagia" is exceptional among Blacks. One case was recently reported in a female patient from Guadeloupe. This study pertains to three cases observed in Senegalese Black women aged 28, 27, and 41 years. These three women were admitted for a dysphagia, in fact in evidence 10, 4, and 7 years respectively before the diagnosis was made. A clinical anemia was noted twice in addition to mucocutaneous disorders (cases 1 and 2). The laboratory tests showed in all three cases a hypochromic microcytic sideropenic anemia (serum iron levels at 32, 14, and 31 mcg 100 ml respectively). Barium swallow films showed esophageal rings in front of C5-C6 (case 1) of T2-T3 (case 2) and a web of fine mucosal folds in front of C5-C6 (case 3). These films were confirmed cineradiographically by esophagoscopy. The treatment consisted of blood transfusions (cases 1 and 2) and administration of iron by injections and or per os. The endoscopic exams were repeated two or three times. Medical treatment rapidly changed the course of disease for the better. No cause for bleeding was found. A chemical achlorhydria (case 1), a provoked hypoachlorhydria (cases 2 and 3) can be retained as associated factors. In light of the frequency of esophageal membranes in the general population and the incidence of sideropenic anemias among African women, the Plummer-Vinson syndrome should be more often detected in Black Africa.

  4. 43 CFR 3277.12 - What will BLM do if I do not comply with all BLM requirements pertaining to utilization operations?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... all BLM requirements pertaining to utilization operations? 3277.12 Section 3277.12 Public Lands... § 3277.12 What will BLM do if I do not comply with all BLM requirements pertaining to utilization... corrective action within a specific time period. If the noncompliance continues or is serious in nature, BLM...

  5. 22 CFR 215.10 - Disclosure of record to person other than the individual to whom it pertains.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... individual to whom it pertains. 215.10 Section 215.10 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT... individual to whom it pertains. (a) Subject to the conditions of paragraphs (b) and (c) of this section, the... enforcement activity for which it is sought; (8) To a responsible person pursuant to a showing of compelling...

  6. 7 CFR 1.119 - Disclosure of record to person other than the individual to whom it pertains.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... individual to whom it pertains. 1.119 Section 1.119 Agriculture Office of the Secretary of Agriculture... individual to whom it pertains. No agency shall disclose any record which is contained in a system of records it maintains, by any means of communication to any person, or to another agency outside USDA, except...

  7. 8 CFR 103.8 - Definitions pertaining to availability of information under the Freedom of Information Act.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Definitions pertaining to availability of information under the Freedom of Information Act. 103.8 Section 103.8 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS POWERS AND DUTIES; AVAILABILITY OF RECORDS § 103.8 Definitions pertaining to availability of...

  8. 12 CFR 1403.3 - Procedures for requests pertaining to individual records in a record system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... for which an accounting of disclosure is required to be maintained and made available to that person; (3) A copy of a record pertaining to that person or the accounting of its disclosure; or (4) The review of a record pertaining to that person or the accounting of its disclosure. The request shall state...

  9. [The autoimmune rheumatic disease and laryngeal pathology].

    PubMed

    Osipenko, E V; Kotel'nikova, N M

    Vocal disorders make up one of the autoimmune pathological conditions characterized by multiple organ system dysfunction. Laryngeal pathology in this condition has an autoimmune nature; it is highly diverse and poorly explored. The objective of the present work based on the analysis of the relevant literature publications was to study clinical manifestations of the autoimmune rheumatic disease affecting the larynx. 'Bamboo nodes' on the vocal folds is a rare manifestation of laryngeal autoimmune diseases. We found out references to 49 cases of this condition in the available literature. All the patients were women presenting with autoimmune diseases. The present review highlights the problems pertaining to etiology of 'bamboo nodes' on the vocal folds and the method for the treatment of this condition.

  10. [Outlier cases in surgical disciplines. Micro-economic and macro-economic problems].

    PubMed

    Tecklenburg, A; Liebeneiner, J; Schaefer, O

    2009-09-01

    Postoperative complications will always occur and the negative impact puts strain on patients, relatives and the attending physicians. The conversion to a remuneration system based on flat rates (diagnosis-related groups) presents additional economic problems for hospitals in some resource-intensive treatments. This particularly pertains to extremely cost-intensive cases in which costs succeed revenue by the factor of 2 and are often surgical procedures. Here the economic risk increases with the number of interventions performed. Despite improvements in the remuneration system this problem persists. An improved payment for these treatments is desirable. To achieve this it is necessary to systematically analyze the extremely cost-intensive cases by experts of different medical disciplines to create a data basis for a proposal of a cost-covering payment.

  11. Alternative Geothermal Power Production Scenarios

    DOE Data Explorer

    Sullivan, John

    2014-03-14

    The information given in this file pertains to Argonne LCAs of the plant cycle stage for a set of ten new geothermal scenario pairs, each comprised of a reference and improved case. These analyses were conducted to compare environmental performances among the scenarios and cases. The types of plants evaluated are hydrothermal binary and flash and Enhanced Geothermal Systems (EGS) binary and flash plants. Each scenario pair was developed by the LCOE group using GETEM as a way to identify plant operational and resource combinations that could reduce geothermal power plant LCOE values. Based on the specified plant and well field characteristics (plant type, capacity, capacity factor and lifetime, and well numbers and depths) for each case of each pair, Argonne generated a corresponding set of material to power ratios (MPRs) and greenhouse gas and fossil energy ratios.

  12. Analysis of closed malpractice medical claims against Taiwanese EDs: 2003 to 2012.

    PubMed

    Wu, Kuan-Han; Wu, Chien-Hung; Cheng, Shih-Yu; Lee, Wen-Huei; Kung, Chia-Te

    2014-09-01

    The objective of the study is to examine the epidemiologic data of closed malpractice medical claims against emergency departments (EDs) in Taiwanese civil courts and to identify high-risk diseases. We conducted a retrospective study and reviewed the verdicts from the national database of the Taiwan judicial system that pertained to EDs. Between 2003 and 2012, a total of 63 closed medical claims were included. Seven cases (11.1%) resulted in an indemnity payment, 55.6% of the cases were closed in the district court, but appeals were made to the supreme court in 12 cases (19.1%). The mean incident-to-litigation closure time was 57.7 ± 26.8 months. Of the cases with indemnity paid, 5 cases (71.4%) were deceased, and 2 cases (28.6%) were gravely injured. All cases with indemnity paid were determined to be negligent by a medical appraisal. The gravely injured patients had more indemnity paid than deceased patients ($299800 ± 37000 vs $68700 ± 29300). The most common medical conditions involved were infectious diseases (27.0%), central nervous system bleeding (15.9%), and trauma cases (12.7%). It was also found that 71.4% of the allegations forming the basis of the lawsuit were diagnosis related. Emergency physicians (EPs) in Taiwan have similar medico-legal risk as American EPs, with an annual risk of being sued of 0.63%. Almost 90% of EPs win their cases but spend 58 months in litigation, and the mean indemnity payment was $134738. Cases with indemnity paid were mostly categorized as having diagnosis errors, with the leading cause of error as failure to order an appropriate diagnostic test. Copyright © 2014 Elsevier Inc. All rights reserved.

  13. A scoping study to identify opportunities to advance the ethical implementation and scale-up of HIV treatment as prevention: priorities for empirical research.

    PubMed

    Knight, Rod; Small, Will; Pakula, Basia; Thomson, Kimberly; Shoveller, Jean

    2014-07-03

    Despite the evidence showing the promise of HIV treatment as prevention (TasP) in reducing HIV incidence, a variety of ethical questions surrounding the implementation and "scaling up" of TasP have been articulated by a variety of stakeholders including scientists, community activists and government officials. Given the high profile and potential promise of TasP in combatting the global HIV epidemic, an explicit and transparent research priority-setting process is critical to inform ongoing ethical discussions pertaining to TasP. We drew on the Arksey and O'Malley framework for conducting scoping review studies as well as systematic approaches to identifying empirical and theoretical gaps within ethical discussions pertaining to population-level intervention implementation and scale up. We searched the health science database PubMed to identify relevant peer-reviewed articles on ethical and implementation issues pertaining to TasP. We included English language articles that were published after 2009 (i.e., after the emergence of causal evidence within this field) by using search terms related to TasP. Given the tendency for much of the criticism and support of TasP to occur outside the peer-reviewed literature, we also included grey literature in order to provide a more exhaustive representation of how the ethical discussions pertaining to TasP have and are currently taking place. To identify the grey literature, we systematically searched a set of search engines, databases, and related webpages for keywords pertaining to TasP. Three dominant themes emerged in our analysis with respect to the ethical questions pertaining to TasP implementation and scale-up: (a) balancing individual- and population-level interests; (b) power relations within clinical practice and competing resource demands within health care systems; (c) effectiveness considerations and socio-structural contexts of HIV treatment experiences within broader implementation contexts. Ongoing research and normative deliberation is required in order to successfully and ethically scale-up TasP within the continuum of HIV care models. Based on the results of this scoping review, we identify several ethical and implementation dimensions that hold promise for informing the process of scaling up TasP and that could benefit from new research.

  14. A scoping study to identify opportunities to advance the ethical implementation and scale-up of HIV treatment as prevention: priorities for empirical research

    PubMed Central

    2014-01-01

    Background Despite the evidence showing the promise of HIV treatment as prevention (TasP) in reducing HIV incidence, a variety of ethical questions surrounding the implementation and “scaling up” of TasP have been articulated by a variety of stakeholders including scientists, community activists and government officials. Given the high profile and potential promise of TasP in combatting the global HIV epidemic, an explicit and transparent research priority-setting process is critical to inform ongoing ethical discussions pertaining to TasP. Methods We drew on the Arksey and O’Malley framework for conducting scoping review studies as well as systematic approaches to identifying empirical and theoretical gaps within ethical discussions pertaining to population-level intervention implementation and scale up. We searched the health science database PubMed to identify relevant peer-reviewed articles on ethical and implementation issues pertaining to TasP. We included English language articles that were published after 2009 (i.e., after the emergence of causal evidence within this field) by using search terms related to TasP. Given the tendency for much of the criticism and support of TasP to occur outside the peer-reviewed literature, we also included grey literature in order to provide a more exhaustive representation of how the ethical discussions pertaining to TasP have and are currently taking place. To identify the grey literature, we systematically searched a set of search engines, databases, and related webpages for keywords pertaining to TasP. Results Three dominant themes emerged in our analysis with respect to the ethical questions pertaining to TasP implementation and scale-up: (a) balancing individual- and population-level interests; (b) power relations within clinical practice and competing resource demands within health care systems; (c) effectiveness considerations and socio-structural contexts of HIV treatment experiences within broader implementation contexts. Conclusion Ongoing research and normative deliberation is required in order to successfully and ethically scale-up TasP within the continuum of HIV care models. Based on the results of this scoping review, we identify several ethical and implementation dimensions that hold promise for informing the process of scaling up TasP and that could benefit from new research. PMID:24994501

  15. Space Technology: A study of the significance of recognition for innovators of spinoff technologies. A case study on the impact of the space technology hall of fame award

    NASA Technical Reports Server (NTRS)

    1993-01-01

    This report represents the preliminary effort in studying the significance of recognition for innovators of spinoff technologies. The purpose of this initial year's effort in this area was to gather preliminary data and define the direction for the remainder of the research. This report focuses on the most recent recipients of the Hall of Fame Award, the developers of liquid-cooled garments. Liquid-cooled garments technology and its spinoffs were used as a case study to define and explore the factors involved in technology transfer and to consider the possible incentives in developing commercial applications including the Hall of Fame Award. Through interviews, views of award recipients were obtained on factors encouraging spinoffs as well as impediments to spinoffs. The researchers observed complex inter-relationships among the significant entities (government, individuals, large and small business), the importance of people, the importance of resource availability, and the significance of intrinsic motivation; drew preliminary conclusions pertaining to the direct and indirect influence of recognition like the Hall of Fame Award; and planned the direction for next year's follow-on research.

  16. The implications of starvation induced psychological changes for the ethical treatment of hunger strikers.

    PubMed

    Fessler, D M T

    2003-08-01

    To evaluate existing ethical guidelines for the treatment of hunger strikers in light of findings on psychological changes that accompany the cessation of food intake. Electronic databases were searched for (a) editorials and ethical proclamations on hunger strikers and their treatment; (b) studies of voluntary and involuntary starvation, and (c) legal cases pertaining to hunger striking. Additional studies were gathered in a snowball fashion from the published material cited in these databases. Material was included if it (a) provided ethical or legal guidelines; (b) shed light on psychological changes accompanying starvation, or (c) illustrated the practice of hunger striking. Authors' observations, opinions, and conclusions were noted. Although the heterogeneous nature of the sources precluded statistical analysis, starvation appears to be accompanied by marked psychological changes. Some changes clearly impair competence, in which case physicians are advised to follow advance directives obtained early in the hunger strike. More problematic are increases in impulsivity and aggressivity, changes which, while not impairing competence, enhance the likelihood that patients will starve themselves to death.

  17. Nearest greedy for solving the waste collection vehicle routing problem: A case study

    NASA Astrophysics Data System (ADS)

    Mat, Nur Azriati; Benjamin, Aida Mauziah; Abdul-Rahman, Syariza; Wibowo, Antoni

    2017-11-01

    This paper presents a real case study pertaining to an issue related to waste collection in the northern part of Malaysia by using a constructive heuristic algorithm known as the Nearest Greedy (NG) technique. This technique has been widely used to devise initial solutions for issues concerning vehicle routing. Basically, the waste collection cycle involves the following steps: i) each vehicle starts from a depot, ii) visits a number of customers to collect waste, iii) unloads waste at the disposal site, and lastly, iv) returns to the depot. Moreover, the sample data set used in this paper consisted of six areas, where each area involved up to 103 customers. In this paper, the NG technique was employed to construct an initial route for each area. The solution proposed from the technique was compared with the present vehicle routes implemented by a waste collection company within the city. The comparison results portrayed that NG offered better vehicle routes with a 11.07% reduction of the total distance traveled, in comparison to the present vehicle routes.

  18. Investigation of self-help oil-spill response techniques and equipment

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

    Enderlin, W I; Downing, J P; Enderlin, C W

    1992-06-01

    The US Coast Guard commissioned Pacific Northwest Laboratory (PNL) to conduct this study of 45 self-help oil-spill response techniques and equipment for oceangoing tankers and inland tank barges to assess the potential effectiveness of the proposed countermeasure categories. This study considers the hypothetical outflow of oil in the case of side damage and bottom damage to single-hull designs. The results will be considered by the Coast Guard in drafting regulations pertaining to the requirement for tanker vessels to carry oil pollution response equipment (i.e., in response to the oil Pollution Act of 1990). PNL's approach to this investigation included: assessingmore » time-dependent oil outflow in the cases of collision and grounding of both tankers and barges; identifying environmental constraints on self-help countermeasure operation; identifying human factor issues, such as crew performance, safety, and training requirements for the self-help countermeasures considered; and assessing each self-help countermeasure with respect to its potential for minimizing oil loss to the environment. Results from the time-dependent oil outflow, environmental limitations, and human factors requirements were input into a simulation model.« less

  19. When ''no'' means ''yes'': the gender implications of HIV programming in a Zimbabwean university.

    PubMed

    Masvawure, Tsitsi B; Terry, Paul E; Adlis, Sue; Mhloyi, Marvellous

    2009-01-01

    This study assessed the nature and extent of sexual risk-taking behavior by students in a Zimbabwean university and identified some of the sociocultural factors that facilitate sexual risk taking by female and male students. The main outcome measures of the study were condom use, number of sexual partners, and attitudes toward gender equity and equality. A cross-sectional design was used and a questionnaire was administered to 933 students. Information pertaining to students' sexual practices, condom use practices, attitudes toward HIV testing, and their beliefs pertaining to women's role in sexual decision making and a woman's right to refuse sexual intercourse were among some of the variables assessed. The vast majority of the university students (83%) are sexually experienced; only a third used condoms at their last sexual encounter; the use or nonuse of condoms was significantly associated with age, sex, marital status, and attitudes toward gender issues. There were also significant differences in the sexual behavior and attitudes of female and male students. Our study suggests that HIV prevention efforts targeted at university students need to incorporate a discussion of broader cultural beliefs, particularly those pertaining to gender role myths, if they are to be effective.

  20. Heteroscedastic Latent Trait Models for Dichotomous Data.

    PubMed

    Molenaar, Dylan

    2015-09-01

    Effort has been devoted to account for heteroscedasticity with respect to observed or latent moderator variables in item or test scores. For instance, in the multi-group generalized linear latent trait model, it could be tested whether the observed (polychoric) covariance matrix differs across the levels of an observed moderator variable. In the case that heteroscedasticity arises across the latent trait itself, existing models commonly distinguish between heteroscedastic residuals and a skewed trait distribution. These models have valuable applications in intelligence, personality and psychopathology research. However, existing approaches are only limited to continuous and polytomous data, while dichotomous data are common in intelligence and psychopathology research. Therefore, in present paper, a heteroscedastic latent trait model is presented for dichotomous data. The model is studied in a simulation study, and applied to data pertaining alcohol use and cognitive ability.

  1. Neuroimaging in aphasia treatment research: Standards for establishing the effects of treatment

    PubMed Central

    Kiran, Swathi; Ansaldo, Ana; Bastiaanse, Roelien; Cherney, Leora R.; Howard, David; Faroqi-Shah, Yasmeen; Meinzer, Marcus; Thompson, Cynthia K

    2012-01-01

    The goal of this paper is to discuss experimental design options available for establishing the effects of treatment in studies that aim to examine the neural mechanisms associated with treatment-induced language recovery in aphasia, using functional magnetic resonance imaging (fMRI). We present both group and single-subject experimental or case-series design options for doing this and address advantages and disadvantages of each. We also discuss general components of and requirements for treatment research studies, including operational definitions of variables, criteria for defining behavioral change and treatment efficacy, and reliability of measurement. Important considerations that are unique to neuroimaging-based treatment research are addressed, pertaining to the relation between the selected treatment approach and anticipated changes in language processes/functions and how such changes are hypothesized to map onto the brain. PMID:23063559

  2. Chinese Social Media Reaction to Information about 42 Notifiable Infectious Diseases.

    PubMed

    Fung, Isaac Chun-Hai; Hao, Yi; Cai, Jingxian; Ying, Yuchen; Schaible, Braydon James; Yu, Cynthia Mengxi; Tse, Zion Tsz Ho; Fu, King-Wa

    2015-01-01

    This study aimed to identify what information triggered social media users' responses regarding infectious diseases. Chinese microblogs in 2012 regarding 42 infectious diseases were obtained through a keyword search in the Weiboscope database. Qualitative content analysis was performed for the posts pertinent to each keyword of the day of the year with the highest daily count. Similar posts were grouped and coded. We identified five categories of information that increased microblog traffic pertaining to infectious diseases: news of an outbreak or a case; health education/information; alternative health information/Traditional Chinese Medicine; commercial advertisement/entertainment; and social issues. News unrelated to the specified infectious diseases also led to elevated microblog traffic. Our study showcases the diverse contexts from which increased social media traffic occur. Our results will facilitate better health communication as causes underlying increased social media traffic are revealed.

  3. AIDS and the responsibilities of academic health science centers: a case law approach.

    PubMed

    McKenzie, S B

    1992-01-01

    The advent of AIDS and HIV infection has heightened administrator and faculty concern over providing and maintaining a safe environment for students in the health professions. Failure to provide this environment may result in litigation. Although case law on AIDS-related issues in higher education is sparse, court decisions on related issues are helpful in providing guidance on university responsibility. Case law indicates that if faculty provide appropriate supervision and give adequate instruction, including accepted safety practices, the courts will determine that the university has provided reasonable care to prevent student exposure to HIV. Other issues, related to HIV-positive students, demand that universities create carefully deliberated policies and procedures that do not discriminate against these individuals. This paper is the result of research on case law as it pertains to the potential legal issues of HIV and the university.

  4. Interrupted time series design: a useful approach for studying interventions targeting participation.

    PubMed

    Anaby, Dana; Lal, Shalini; Huszczynski, Justine; Maich, Jana; Rogers, Jade; Law, Mary

    2014-11-01

    Comparative effectiveness research (CER) strives for evidence to inform clinical decisions for specific clients in typical health care settings. While the randomized controlled trial (RCT) is well-aligned with the objectives of CER, this design may not be feasible or applicable to all research questions, particularly those pertaining to clinical decision making and individually based change. It is important, therefore, to consider alternative approaches, especially when studying complex and subjective outcomes such as children's participation. We propose the use of interrupted time series (ITS) quasi-experimental design for its potential application in determining the effectiveness of participation-focused interventions. In this perspective, ITS design is described, ascertaining its advantages and limitations, and suggestions are provided to overcome challenges to implementation. Results of a case study using the ITS approach to evaluate changes in participation of an adolescent with physical disabilities are described. Finally, strategies to implement this design in practice are suggested.

  5. Researching a local heroin market as a complex adaptive system.

    PubMed

    Hoffer, Lee D; Bobashev, Georgiy; Morris, Robert J

    2009-12-01

    This project applies agent-based modeling (ABM) techniques to better understand the operation, organization, and structure of a local heroin market. The simulation detailed was developed using data from an 18-month ethnographic case study. The original research, collected in Denver, CO during the 1990s, represents the historic account of users and dealers who operated in the Larimer area heroin market. Working together, the authors studied the behaviors of customers, private dealers, street-sellers, brokers, and the police, reflecting the core elements pertaining to how the market operated. After evaluating the logical consistency between the data and agent behaviors, simulations scaled-up interactions to observe their aggregated outcomes. While the concept and findings from this study remain experimental, these methods represent a novel way in which to understand illicit drug markets and the dynamic adaptations and outcomes they generate. Extensions of this research perspective, as well as its strengths and limitations, are discussed.

  6. Compact, Non-Pneumatic Rock-Powder Samplers

    NASA Technical Reports Server (NTRS)

    Sherrit, Stewart; Bar-Cohen, Yoseph; Badescu, Mircea; Bao, Xiaoqi; Chang, Zensheu; Jones, Christopher; Aldrich, Jack

    2008-01-01

    Tool bits that automatically collect powdered rock, permafrost, or other hard material generated in repeated hammering action have been invented. The present invention pertains to the special case in which it is desired to collect samples in powder form for analysis by x-ray diffraction and possibly other techniques. The present invention eliminates the need for both the mechanical collection equipment and the crushing chamber and the pneumatic collection equipment of prior approaches, so that it becomes possible to make the overall sample-acquisition apparatus more compact.

  7. Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report.

    PubMed

    Park, Hyejin; Park, Jungchan; Lee, Jonghwan; Kim, Gaabsoo

    2017-10-01

    Herein, we describe the anesthetic management during the first combined heart-liver transplant (CHLT) performed in Korea. Though CHLT is a rare procedure, accumulating evidence suggests that it is a feasible option for patients with coexisting heart and liver failure. A 45-year-old female patient presented with severe cardiac dysfunction requiring extracorporeal membrane oxygenation (ECMO) support and secondary congestive hepatopathy. The patient underwent consecutive heart and liver transplantation using extracorporeal circulatory devices-heart transplant with cardiopulmonary bypass, and liver transplant with peripheral ECMO. In this case report, we focus on the specific anesthetic considerations for CHLT pertaining to the challenges associated with dual pathophysiology.

  8. On function classes related pertaining to strong approximation of double Fourier series

    NASA Astrophysics Data System (ADS)

    Baituyakova, Zhuldyz

    2015-09-01

    The investigation of embedding of function classes began a long time ago. After Alexits [1], Leindler [2], and Gogoladze[3] investigated estimates of strong approximation by Fourier series in 1965, G. Freud[4] raised the corresponding saturation problem in 1969. The list of the authors dealing with embedding problems partly is also very long. It suffices to mention some names: V. G. Krotov, W. Lenski, S. M. Mazhar, J. Nemeth, E. M. Nikisin, K. I. Oskolkov, G. Sunouchi, J. Szabados, R. Taberski and V. Totik. Study on this topic has since been carried on over a decade, but it seems that most of the results obtained are limited to the case of one dimension. In this paper, embedding results are considered which arise in the strong approximation by double Fourier series. We prove theorem on the interrelation between the classes Wr1,r2HS,M ω and H(λ, p, r1, r2, ω(δ1, δ2)), in the one-dimensional case proved by L. Leindler.

  9. Direct simulation Monte Carlo prediction of on-orbit contaminant deposit levels for HALOE

    NASA Technical Reports Server (NTRS)

    Woronowicz, Michael S.; Rault, Didier F. G.

    1994-01-01

    A three-dimensional version of the direct simulation Monte Carlo method is adapted to assess the contamination environment surrounding a highly detailed model of the Upper Atmosphere Research Satellite. Emphasis is placed on simulating a realistic, worst-case set of flow field and surface conditions and geometric orientations for the satellite in order to estimate an upper limit for the cumulative level of volatile organic molecular deposits at the aperture of the Halogen Occultation Experiment. A detailed description of the adaptation of this solution method to the study of the satellite's environment is also presented. Results pertaining to the satellite's environment are presented regarding contaminant cloud structure, cloud composition, and statistics of simulated molecules impinging on the target surface, along with data related to code performance. Using procedures developed in standard contamination analyses, along with many worst-case assumptions, the cumulative upper-limit level of volatile organic deposits on HALOE's aperture over the instrument's 35-month nominal data collection period is estimated at about 13,350 A.

  10. Radiation Oncology in Undergraduate Medical Education: A Literature Review

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

    Dennis, Kristopher E.B., E-mail: kdennis@bccancer.bc.c; Duncan, Graeme

    2010-03-01

    Purpose: To review the published literature pertaining to radiation oncology in undergraduate medical education. Methods and Materials: Ovid MEDLINE, Ovid MEDLINE Daily Update and EMBASE databases were searched for the 11-year period of January 1, 1998, through the last week of March 2009. A medical librarian used an extensive list of indexed subject headings and text words. Results: The search returned 640 article references, but only seven contained significant information pertaining to teaching radiation oncology to medical undergraduates. One article described a comprehensive oncology curriculum including recommended radiation oncology teaching objectives and sample student evaluations, two described integrating radiation oncologymore » teaching into a radiology rotation, two described multidisciplinary anatomy-based courses intended to reinforce principles of tumor biology and radiotherapy planning, one described an exercise designed to test clinical reasoning skills within radiation oncology cases, and one described a Web-based curriculum involving oncologic physics. Conclusions: To the authors' knowledge, this is the first review of the literature pertaining to teaching radiation oncology to medical undergraduates, and it demonstrates the paucity of published work in this area of medical education. Teaching radiation oncology should begin early in the undergraduate process, should be mandatory for all students, and should impart knowledge relevant to future general practitioners rather than detailed information relevant only to oncologists. Educators should make use of available model curricula and should integrate radiation oncology teaching into existing curricula or construct stand-alone oncology rotations where the principles of radiation oncology can be conveyed. Assessments of student knowledge and curriculum effectiveness are critical.« less

  11. Response to Nuclear Regulatory Commission`s ten questions pertaining to site-specific models for use in the license termination rule: Multimedia Environmental Pollutant Assessment System (MEPAS)

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

    Buck, J.W.; Whelan, G.; Strenge, D.L.

    This paper is in response to the US Nuclear Regulatory Commission (NRC) ten questions posed at the Modeling Workshop held November 13 and 14, 1997. The ten questions were developed in advance of the workshop to allow model developers to prepare a presentation at the Workshop. This paper is an expanded version of the Multimedia Environmental Pollutant Assessment System (MEPAS) presentation given at the Modeling Workshop by Pacific Northwest National Laboratory (PNNL) staff. This paper is organized by the ten questions asked by the NRC, each section devoted to a single question. The current version of methodology is MEPAS 3.2more » (NRC 1997) and the discussion in this paper will pertain to that version. In some cases, MEPAS 4.0, which is currently being developed under the Framework for Risk Analysis in Multimedia Environmental Systems (FRAMES) (Whelan et al. 1997), will be referenced to inform the reader of potential capabilities in the near future. A separate paper is included in the document that discusses the FRAMES concept.« less

  12. Strategies to improve the performance of learners in a nursing college. Part II: Issues pertaining to management, attitudes and values.

    PubMed

    Waterson, E; Harms, E; Qupe, L; Maritz, J; Manning, M; Makobe, K; Chabeli, M

    2006-05-01

    This article forms part two of a bigger study that was conducted in a nursing college to explore and describe the reasons for the poor performance of learners. Part one of the study dealt with the issues pertaining to education, while this article (part two) seeks to describe issues pertaining to management, attitudes and values that lead to the poor performance of learners in the nursing college under study. A qualitative, exploratory and descriptive design that was contextual in nature was employed, and three focus groups interviews were conducted. Seven tutors formed one group while other two groups were formed by fourth-year learners following a comprehensive diploma course. All participants voluntarily participated in the study. Data was analyzed using the descriptive method of open coding in accordance with Tesch's protocol (in Creswell, 1994:154-156). Trustworthiness was ensured using the following principles: credibility, conformability, transferability and dependability (Lincoln & Guba 1985:290-326). Findings were categorized into issues pertaining to management, attitudes and values that had an influence on the poor performance of learners as follows: Inadequate resources and study facilities; policies that change frequently; tutors' dissatisfaction with regard to staff development, the lack of involvement by management and lack of management support, staff shortage and maldistribution of staff members; ineffective selection process of learners; inconsistent regulations, and too many of them; policies and procedures resulting in confusion and poor discipline. Attitudes and values: Tutors' lack of motivation and interest, lack of respect by learners and no team work among tutors. Through a conceptualization process and the recommendations by participants, strategies to improve the learners' performance were described. It is recommended that these strategies be submitted to the staff development committee for implementation and future follow-up research be undertaken to determine the effectiveness of the strategies. It is also recommended that other nursing colleges replicate the study within their context.

  13. Analysis of Internet Information on Lateral Lumbar Interbody Fusion.

    PubMed

    Belayneh, Rebekah; Mesfin, Addisu

    2016-07-01

    Lateral lumbar interbody fusion (LLIF) is a surgical technique that is being increasingly used. The authors' objective was to examine information on the Internet pertaining to the LLIF technique. An analysis was conducted of publicly accessible websites pertaining to LLIF. The following search engines were used: Google (www.google.com), Bing (www.bing.com), and Yahoo (www.yahoo.com). DuckDuckGo (www.duckduckgo.com) was an additional search engine used due to its emphasis on generating accurate and consistent results while protecting searchers' privacy and reducing advertisements. The top 35 websites providing information on LLIF from the 4 search engines were identified. A total of 140 websites were evaluated. Each web-site was categorized based on authorship (academic, private, medical industry, insurance company, other) and content of information. Using the search term lateral lumbar interbody fusion, 174,000 Google results, 112,000 Yahoo results, and 112,000 Bing results were obtained. DuckDuckGo does not display the number of results found for a search. From the top 140 websites collected from each website, 78 unique websites were identified. Websites were authored by a private medical group in 46.2% of the cases, an academic medical group in 26.9% of the cases, and the biomedical industry in 5.1% of the cases. Sixty-eight percent of websites reported indications, and 24.4% reported contraindications. Benefits of LLIF were reported by 69.2% of websites. Thirty-six percent of websites reported complications of LLIF. Overall, the quality of information regarding LLIF on the Internet is poor. Spine surgeons and spine societies can assist in improving the quality of the information on the Internet regarding LLIF. [Orthopedics. 2016; 39(4):e701-e707.]. Copyright 2016, SLACK Incorporated.

  14. [Carrying out the compulsory orders in psychiatry].

    PubMed

    Khwaled, Razek; Grinshpoon, Alexander

    2007-08-01

    The way a modern society frames its Mental Health Act, especially the clauses pertaining to the compulsory management of those suffering from mental illness, reflects the manner in which it resolves the inherent conflict between the individual's right for personal liberty and dignity and the society's right for safety. The authors review legislation regarding compulsory examination and involuntary hospitalization of individuals suffering from mental illness, of 8 Western countries. The review focuses on both the criteria allowing such compulsory management and the rules that determine how these laws are enforced. In Israel, a Mental Health Act was first enacted in 1955 and then revised in 1991. Both Acts contain clauses establishing the necessary and sufficient conditions for compulsory examination or involuntary hospitalization of persons under emergency or non-emergency circumstances. By requiring more stringent criteria for involuntary confinement, compared with the early Act of 1955, the 1991 Act begins a trend of favoring the individual's rights. Later, as the review reveals, judges in Israel have continued this trend by requiring greater proof of dangerousness and by allowing more room for appeals. To examine issues pertaining to the mechanisms by which compulsory management of persons under the Mental Health Act is carried out, the authors present a retrospective survey on 170 cases of compulsory management, both compulsory examination and involuntary hospitalization, in a three month period in 2005. The results indicate that in 48.3% of cases the orders were carried out after one visit, 71.7% of the cases ended in involuntary hospitalization. Regarding the individuals' response to involuntary confinement, the findings indicate that 43% willfully complied while 7.2% vigorously or violently objected requiring the intervention of the police.

  15. Nutritional and health benefits of semi-elemental diets: A comprehensive summary of the literature

    PubMed Central

    Alexander, Dominik D; Bylsma, Lauren C; Elkayam, Laura; Nguyen, Douglas L

    2016-01-01

    AIM: To critically review and summarize the literature on nutritional and health outcomes of semi-elemental formulations on various nutritionally vulnerable patient populations who are unable to achieve adequate nutrition from standard oral diets. METHODS: We conducted a comprehensive literature search of Pubmed and Embase databases. We manually screened articles that examined nutritional and health outcomes (e.g., growth, disease activity, gastrointestinal impairment, mortality, and economic impact) among various patient groups receiving semi-elemental diets. This review focused on full-text articles of randomized controlled clinical trials and other intervention studies, but pertinent abstracts and case studies were also included. Results pertaining primarily to tolerance, digestion, and absorption were summarized for each patient population in this systematic review. RESULTS: Results pertaining primarily to tolerance, digestion, and absorption were summarized for each patient population. The efficacy of semi-elemental whey hydrolyzed protein (WHP) diet have been reported in various nutritionally high risk patient populations including - Crohn’s disease, short bowel syndrome, acute and chronic pancreatitis, cerebral palsy, cystic fibrosis, cerebrovascular accidents, human immunodeficiency virus, critically ill, and geriatrics. Collectively, the evidence from the medical literature indicates that feeding with a semi-elemental diet performs as well or better than parenteral or amino acid based diets in terms of tolerance, digestion, and nutrient assimilation measures across various disease conditions. CONCLUSION: Based on this comprehensive review of the literature, patient populations who have difficulty digesting or absorbing standard diets may be able to achieve improved health and nutritional outcomes through the use of semi-elemental WHP diets. PMID:27158547

  16. Evaluating risk factors for endemic human Salmonella Enteritidis infections with different phage types in Ontario, Canada using multinomial logistic regression and a case-case study approach

    PubMed Central

    2012-01-01

    Background Identifying risk factors for Salmonella Enteritidis (SE) infections in Ontario will assist public health authorities to design effective control and prevention programs to reduce the burden of SE infections. Our research objective was to identify risk factors for acquiring SE infections with various phage types (PT) in Ontario, Canada. We hypothesized that certain PTs (e.g., PT8 and PT13a) have specific risk factors for infection. Methods Our study included endemic SE cases with various PTs whose isolates were submitted to the Public Health Laboratory-Toronto from January 20th to August 12th, 2011. Cases were interviewed using a standardized questionnaire that included questions pertaining to demographics, travel history, clinical symptoms, contact with animals, and food exposures. A multinomial logistic regression method using the Generalized Linear Latent and Mixed Model procedure and a case-case study design were used to identify risk factors for acquiring SE infections with various PTs in Ontario, Canada. In the multinomial logistic regression model, the outcome variable had three categories representing human infections caused by SE PT8, PT13a, and all other SE PTs (i.e., non-PT8/non-PT13a) as a referent category to which the other two categories were compared. Results In the multivariable model, SE PT8 was positively associated with contact with dogs (OR=2.17, 95% CI 1.01-4.68) and negatively associated with pepper consumption (OR=0.35, 95% CI 0.13-0.94), after adjusting for age categories and gender, and using exposure periods and health regions as random effects to account for clustering. Conclusions Our study findings offer interesting hypotheses about the role of phage type-specific risk factors. Multinomial logistic regression analysis and the case-case study approach are novel methodologies to evaluate associations among SE infections with different PTs and various risk factors. PMID:23057531

  17. Generalisability of vaccine effectiveness estimates: an analysis of cases included in a postlicensure evaluation of 13-valent pneumococcal conjugate vaccine in the USA

    PubMed Central

    Link-Gelles, Ruth; Westreich, Daniel; Aiello, Allison E; Shang, Nong; Weber, David J; Rosen, Jennifer B; Motala, Tasneem; Mascola, Laurene; Eason, Jeffery; Scherzinger, Karen; Holtzman, Corinne; Reingold, Arthur L; Barnes, Meghan; Petit, Susan; Farley, Monica M; Harrison, Lee H; Zansky, Shelley; Thomas, Ann; Schaffner, William; McGee, Lesley; Whitney, Cynthia G; Moore, Matthew R

    2017-01-01

    Objectives External validity, or generalisability, is the measure of how well results from a study pertain to individuals in the target population. We assessed generalisability, with respect to socioeconomic status, of estimates from a matched case–control study of 13-valent pneumococcal conjugate vaccine effectiveness for the prevention of invasive pneumococcal disease in children in the USA. Design Matched case–control study. Setting Thirteen active surveillance sites for invasive pneumococcal disease in the USA. Participants Cases were identified from active surveillance and controls were age and zip code matched. Outcome measures Socioeconomic status was assessed at the individual level via parent interview (for enrolled individuals only) and birth certificate data (for both enrolled and unenrolled individuals) and at the neighbourhood level by geocoding to the census tract (for both enrolled and unenrolled individuals). Prediction models were used to determine if socioeconomic status was associated with enrolment. Results We enrolled 54.6% of 1211 eligible cases and found a trend toward enrolled cases being more affluent than unenrolled cases. Enrolled cases were slightly more likely to have private insurance at birth (p=0.08) and have mothers with at least some college education (p<0.01). Enrolled cases also tended to come from more affluent census tracts. Despite these differences, our best predictive model for enrolment yielded a concordance statistic of only 0.703, indicating mediocre predictive value. Variables retained in the final model were assessed for effect measure modification, and none were found to be significant modifiers of vaccine effectiveness. Conclusions We conclude that although enrolled cases are somewhat more affluent than unenrolled cases, our estimates are externally valid with respect to socioeconomic status. Our analysis provides evidence that this study design can yield valid estimates and the assessing generalisability of observational data is feasible, even when unenrolled individuals cannot be contacted. PMID:28851801

  18. Occupational Styrene Exposure on Auditory Function Among Adults: A Systematic Review of Selected Workers.

    PubMed

    Pleban, Francis T; Oketope, Olutosin; Shrestha, Laxmi

    2017-12-01

    A review study was conducted to examine the adverse effects of styrene, styrene mixtures, or styrene and/or styrene mixtures and noise on the auditory system in humans employed in occupational settings. The search included peer-reviewed articles published in English language involving human volunteers spanning a 25-year period (1990-2015). Studies included peer review journals, case-control studies, and case reports. Animal studies were excluded. An initial search identified 40 studies. After screening for inclusion, 13 studies were retrieved for full journal detail examination and review. As a whole, the results range from no to mild associations between styrene exposure and auditory dysfunction, noting relatively small sample sizes. However, four studies investigating styrene with other organic solvent mixtures and noise suggested combined exposures to both styrene organic solvent mixtures may be more ototoxic than exposure to noise alone. There is little literature examining the effect of styrene on auditory functioning in humans. Nonetheless, findings suggest public health professionals and policy makers should be made aware of the future research needs pertaining to hearing impairment and ototoxicity from styrene. It is recommended that chronic styrene-exposed individuals be routinely evaluated with a comprehensive audiological test battery to detect early signs of auditory dysfunction.

  19. HSP90, HSPA8, HIF-1 alpha and HSP70-2 polymorphisms in breast cancer: a case-control study.

    PubMed

    Zagouri, Flora; Sergentanis, Theodoros N; Gazouli, Maria; Tsigginou, Alexandra; Dimitrakakis, Constantine; Papaspyrou, Irene; Eleutherakis-Papaiakovou, Evaggelos; Chrysikos, Dimosthenis; Theodoropoulos, George; Zografos, George C; Antsaklis, Aris; Dimopoulos, Athanassios-Meletios; Papadimitriou, Christos A

    2012-12-01

    This case control study aims to investigate the role of HSP90 Gln488His (C > G), HSP70-2 P1/P2, HIF-1 alpha C1772T and HSPA8 intronic 1541-1542delGT polymorphisms as potential risk factors and/or prognostic markers for breast cancer. 113 consecutive incident cases of histologically confirmed ductal breast cancer and 124 healthy cases were recruited. The above mentioned polymorphisms were genotyped; multivariate logistic regression was performed. HSP90 GG (His/His) genotype was associated with elevated breast cancer risk. Similarly, the allele dose-response model pointed to increase in breast cancer risk per G allele. HSP70-2 P1/P2, HSPA8 intronic 1541-1542delGT and HIF-1 alpha polymorphisms were not associated with breast cancer risk, as evidenced by the dose-response allele models. The positive association between HSP90 G allele and breast cancer risk seemed to pertain to both premenopausal and postmenopausal women. With respect to survival analysis, none of the aforementioned polymorphisms was associated with either disease-free survival or overall survival. HSP90α Gln488His polymorphism seems to be a risk factor for breast cancer. On the other hand, our study did not point to excess risk conferred by HSPA8 1541-1542delGT, Hsp70-2 P1/P2 and HIF-1α C1772T.

  20. The Use of Social Media in Graduate Medical Education: A Systematic Review.

    PubMed

    Sterling, Madeline; Leung, Peggy; Wright, Drew; Bishop, Tara F

    2017-07-01

    Despite the growing presence of social media in graduate medical education (GME), few studies have attempted to characterize their effect on residents and their training. The authors conducted a systematic review of the peer-reviewed literature to understand the effect of social media on resident (1) education, (2) recruitment, and (3) professionalism. The authors identified English-language peer-reviewed articles published through November 2015 using Medline, Embase, Cochrane, PubMed, Scopus, and ERIC. They extracted and synthesized data from articles that met inclusion criteria. They assessed study quality for quantitative and qualitative studies through, respectively, the Medical Education Research Study Quality Instrument and the Consolidated Criteria for Reporting Qualitative Studies. Twenty-nine studies met inclusion criteria. Thirteen (44.8%) pertained to residency education. Twitter, podcasts, and blogs were frequently used to engage learners and enhance education. YouTube and wikis were more commonly used to teach technical skills and promote self-efficacy. Six studies (20.7%) pertained to the recruitment process; these suggest that GME programs are transitioning information to social media to attract applicants. Ten studies (34.5%) pertained to resident professionalism. Most were exploratory, highlighting patient and resident privacy, particularly with respect to Facebook. Four of these studies surveyed residents about their social network behavior with respect to their patients, while the rest explored how program directors use it to monitor residents' unprofessional online behavior. The effect of social media platforms on residency education, recruitment, and professionalism is mixed, and the quality of existing studies is modest at best.

  1. Marine ecological risk assessment methods for radiation accidents.

    PubMed

    Ye, Sufen; Zhang, Luoping; Feng, Huan

    2017-12-01

    Ecological risk assessment (ERA) is a powerful technical tool that can be used to analyze potential and extreme adverse environmental impacts. With the rapid development of nuclear power plants in coastal areas around the world, the establishment of approaches and methodologies for marine ERA with a focus on radiation accidents is an urgent requirement for marine environmental management. In this study, the approaches and methodologies for ERA pertaining to marine radiation accidents (MRA) are discussed and summarized with applications in case studies, such as the nuclear accident in Fukushima, Japan, and a hypothetical accident in Daya Bay, China. The concepts of ERA and Risk Degree of ERA on MRA are defined for the first time to optimize the ERA system. The results of case studies show that the ERA approach and methodology for MRA are scientifically sound and effective in both the early and late stage of MRAs along with classic ERA Approach and the ERICA Integrated Approach. The results can be useful in the decision-making processes and the risk management at the beginning of accident as well as the ecological restoration after the accident. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Karoshi Related to Labor Intensity and Risk of Cardiovascular Events: A Case Report.

    PubMed

    Liu, Ning-guo; Wang, Tao; Huang, Pingf; Qing, Zhi-qiang; Zhang, Jian-hua; Chen, Yi-jiu

    2015-10-01

    Karoshi remains one of the most troublesome issues in forensic identification. It is rather a social medicine than a clinical disease. Japanese scholars pioneered examining the relation between sud- den cardiac death (SCD) and chronic fatigue from long time and/or high-tension work. In the current case, a 55-year-old man, whose job was loading and carrying heavy cement bags, was found dead after 11 days of continuous hard work. His family members sued the cement factory for his death and claimed for compensation. The problem was the difficulty of identifying the causative relation without the precedent or the relevant regulations. However, the forensic problems were finally acknowledged after autopsy and calculation of labor intensity. The lawsuit was won as the first case pertaining to Karoshi in the Chinese court.

  3. Exercise collapse associated with sickle cell trait (ECAST): case report and literature review.

    PubMed

    Quattrone, Richard D; Eichner, E Randy; Beutler, Anthony; Adams, W Bruce; O'Connor, Francis G

    2015-01-01

    Sickle cell trait (SCT) has been associated with exertional collapse (ECAST) and exercise-related sudden death in athletes and military warfighters. The mechanisms underlying ECAST remain controversial in the sports medicine community. Multiple case presentations and anecdotal reports postulate the role of extraordinary exercise intensity, but other risk factors including dehydration, heat, previous exertional rhabdomyolysis, genetic cofactors, and dietary supplements have been cited as potential contributors. Others have hypothesized some of the aforementioned factors combining in a "perfect storm" to trigger ECAST with a resultant potentially fatal "metabolic crisis." This case report provides a brief review of SCT as it pertains to exercise in warfighters and athletes, identifies known and postulated risk factors associated with ECAST, and introduces the potential mechanistic role of the "double hit" as a contributor to ECAST.

  4. A Death Involving a Fired and Deflected Bullet: A Case Report from Lyon University Institute of Forensic Science, France.

    PubMed

    Maujean, Géraldine; Guinet, Tiphaine; Malicier, Daniel

    2016-01-01

    In case of gunshot deaths, atypical wounds can make the distinction between entrance and exit wounds harder. They may be due either to anatomical reasons or to diverse cogent ballistic arguments. The reported case pertains to a fatal hunting accident involving an expanded conical point bullet against the neck with both atypical entrance and exit wounds. Ballistic analyses including test firings allowed a better understanding of the external and internal findings. Upon premature impact with an intermediary target, the bullet experienced expansion in the formation of sharp brass petals responsible for a star-shaped entry wound. The trajectory of the deformed high energy projectile through the victim's body was then deviated by the cervical column, causing it to be tangential to the skin when exiting the body. The description of such atypical cases may benefit other experts and may assist in their investigation into similar cases. © 2015 American Academy of Forensic Sciences.

  5. Tire pressure special study : methodology

    DOT National Transportation Integrated Search

    2001-08-01

    Tire Pressure Special Study: Methodology is the : first in a series of research notes pertaining to the : Tire Pressure Special Study (TPSS) conducted by : the National Highway Traffic Safety Administration : (NHTSA). Upcoming research notes wi...

  6. Peri-operative deaths in Singapore: a forensic perspective in a study of 132 cases.

    PubMed

    Lau, G

    1994-05-01

    A study of 132, largely non-traumatic, peri-operative deaths out of 6605 Coroner's autopsies, conducted over a three-year period from 1989 to 1991, showed a preponderance of males (M:F ratio = 1.36), with almost half (46.3%) being middle-aged subjects between 40 to 59 years, while infants (< one year old) made up about a tenth of the cases. A total of 51 cases (38.6%) were related to cardiothoracic surgery, which also accounted for the majority of deaths that had occurred intra-operatively (11/21 or 8.3% in all) and within the first postoperative day (16/36 or 12.1% in all). The vast majority of cases (81.8%) were pathologically natural deaths, with 15.2% attributable to complications or mishaps of surgery and invasive diagnostic or therapeutic procedures. There were three anaesthetic deaths which accounted for 2.3% of the cases. Out of 124 completed Coroner's inquiries as at the end of June 1993, verdicts of death from natural causes were recorded in 110 (83.3%) cases. General surgery accounted for the highest proportion of unnatural deaths (6.1%), which was twice that for cardiothoracic surgery (3.0%). While there was close agreement between a finding of a pathologically natural death and a similar Coroner's verdict (107/110 or 97.3%), only a total of ten out of 23 pathologically unnatural deaths received verdicts of misadventure at the time of writing. Although a verdict of misadventure usually pertained to an iatrogenic death, this was not invariably the case. Thus far, no findings of medical negligence was made in any of the Coroner's inquiries into these cases.(ABSTRACT TRUNCATED AT 250 WORDS)

  7. Identification of trends in scientific publications related to genetic polymorphisms in gestational diabetes mellitus.

    PubMed

    Gomes, J S; Minasi, L B; da Cruz, A D; Rodrigues, F M

    2016-05-09

    Gestational diabetes is a genetic multifactorial systemic disease that has been extensively studied. Consequently, there is a large volume of scientific literature pertaining to genes associated with gestational diabetes. The aim of this study was to characterize the main trends in scientific publications focusing on the associations between genetic polymorphisms and gestational diabetes mellitus (GDM). The related articles were extracted from Scopus using the key words "genetic polymorphism" and "gestational diabetes mellitus"; the collected data focused on various fields (medical, biochemical, etc.) and included papers published within December 2013. One hundred and eighty-three relevant articles published between 1987 and 2013 were identified; we observed a significantly increasing trend in the number of publications pertaining to GDM. A majority of the articles focused on the medical (59.9%), biochemical, and genetics and molecular biological (29.6%) aspects of the disease. The genes coding for transcription factor 7-like 2 and glucokinase (TCF7L2, 29% and GCK, 28%) were predominantly studied and reported. This study helped quantify the growth in research pertaining to GDM; researchers from the USA have published a majority of the publications related to GDM. Several candidate genes have been linked to diabetes; however, the specific gene locus responsible for GDM has not yet been identified. The results of this study could help determine the orientation of future research on genetic factors associated with GDM.

  8. Predominant discourses in Swedish nursing.

    PubMed

    Dahlborg-Lyckhage, Elisabeth; Pilhammar-Anderson, Ewa

    2009-05-01

    The aim of this study was to elucidate the predominant discourse in the field of Swedish nursing in 2000, 25 years after nursing was introduced as an academic discipline in Sweden. The method used was content analysis and deconstructive analysis of discourses. Laws, statutes, regulations, and examination requirements, including official reports, recruitment campaigns, and media coverage, were analyzed. The findings uncovered competing discourses striving to gain hegemony. In the public sector, official requirements competed against the media fixation on gender stereotypes and the realities of local recruitment campaigns. Media has a major role in disseminating prevailing conceptions and conventions pertaining to the nursing profession. As a result, decision makers, students, patients, and family members could get lower expectations of the professional competence of nursing practitioners than would otherwise have been the case in the absence of media exposure.

  9. IMA Genome-F 3: Draft genomes of Amanita jacksonii, Ceratocystis albifundus, Fusarium circinatum, Huntiella omanensis, Leptographium procerum, Rutstroemia sydowiana, and Sclerotinia echinophila.

    PubMed

    van der Nest, Magriet A; Beirn, Lisa A; Crouch, Jo Anne; Demers, Jill E; de Beer, Z Wilhelm; De Vos, Lieschen; Gordon, Thomas R; Moncalvo, Jean-Marc; Naidoo, Kershney; Sanchez-Ramirez, Santiago; Roodt, Danielle; Santana, Quentin C; Slinski, Stephanie L; Stata, Matt; Taerum, Stephen J; Wilken, P Markus; Wilson, Andrea M; Wingfield, Michael J; Wingfield, Brenda D

    2014-12-01

    The genomes of fungi provide an important resource to resolve issues pertaining to their taxonomy, biology, and evolution. The genomes of Amanita jacksonii, Ceratocystis albifundus, a Fusarium circinatum variant, Huntiella omanensis, Leptographium procerum, Sclerotinia echinophila, and Rutstroemia sydowiana are presented in this genome announcement. These seven genomes are from a number of fungal pathogens and economically important species. The genome sizes range from 27 Mb in the case of Ceratocystis albifundus to 51.9 Mb for Rutstroemia sydowiana. The latter also encodes for a predicted 17 350 genes, more than double that of Ceratocystis albifundus. These genomes will add to the growing body of knowledge of these fungi and provide a value resource to researchers studying these fungi.

  10. Malpractice in otology.

    PubMed

    Blake, Danielle M; Svider, Peter F; Carniol, Eric T; Mauro, Andrew C; Eloy, Jean Anderson; Jyung, Robert W

    2013-10-01

    (1) Analyze otologic procedural malpractice litigation in the United States of America. (2) Discuss ways to prevent future malpractice litigation. Case series with record review. The study is a case series with review of court records pertaining to otologic procedures using the Westlaw legal database. The phrase medical malpractice was searched with terms related to otology and neurotology obtained from the AAO-HNS website. Of the 47 claims that met inclusion criteria, 63.8% were decided in the physician's favor, 25.5% were decided in the plaintiff's favor (average payment $446,697), and 10.6% were settled out of court (average payment $372,607). Cerumen removal was the most common procedure leading to complaint (21.3%) and the most likely procedure to lead to payment (50.0%). Hearing loss was the most common injury claimed among all cases (53.2%) and resulted in a high proportion of cases that led to payment (40.0%). Other common alleged injuries were facial nerve injury (27.7%), tympanic membrane perforation (23.4%), need for additional surgery (42.6%), and lack of informed consent (31.9%). In addition, cases resulting from acoustic neuroma or stapedectomy resulted in higher payments to the plaintiffs (average $3,498,597 and $2,733,000, respectively). Malpractice trials were resolved in the defendant's favor in the majority of cases. Cerumen removal was the most common procedure leading to complaint and the procedure most likely to result in payment. Hearing loss was the most common injury cited. Payment was highest in acoustic neuroma and stapedectomy cases.

  11. Age of dementia diagnosis in community dwelling bilingual and monolingual Hispanic Americans

    PubMed Central

    Lawton, Deborah M.; Gasquoine, Philip G.; Weimer, Amy A.

    2015-01-01

    Bilingualism has been reported to delay the age of retrospective report of first symptom in dementia. This study determined if the age of clinically diagnosed Alzheimer's disease and vascular dementia occurred later for bilingual than monolingual, immigrant and U.S. born, Hispanic Americans. It involved a secondary analysis of the subset of 81 bi/monolingual dementia cases identified at yearly follow-up (1998 through 2008) using neuropsychological test results and objective diagnostic criteria from the Sacramento Area Latino Study on Aging that involved a random sampling of community dwelling Hispanic Americans (N = 1789). Age of dementia diagnosis was analyzed in a 2 × 2 (bi/monolingualism × immigrant/U.S. born) ANOVA that space revealed both main effects and the interaction were non-significant. Mean age of dementia diagnosis was descriptively (but not significantly) higher in the monolingual (M = 81.10 years) than the bilingual (M = 79.31) group. Overall, bilingual dementia cases were significantly better educated than monolinguals, but U.S. born bilinguals and monolinguals did not differ significantly in education. Delays in dementia symptomatology pertaining to bilingualism are less likely to be found in studies: (a) that use age of clinical diagnosis vs. retrospective report of first dementia symptom as the dependent variable; and (b) involve clinical cases derived from community samples rather than referrals to specialist memory clinics. PMID:25598395

  12. 46 CFR 174.030 - Specific applicability.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.030 Specific applicability. Each mobile offshore drilling unit (MODU) inspected under Subchapter IA of this...

  13. 46 CFR 174.030 - Specific applicability.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.030 Specific applicability. Each mobile offshore drilling unit (MODU) inspected under Subchapter IA of this...

  14. Forced convective heat transfer in boundary layer flow of Sisko fluid over a nonlinear stretching sheet.

    PubMed

    Munir, Asif; Shahzad, Azeem; Khan, Masood

    2014-01-01

    The major focus of this article is to analyze the forced convective heat transfer in a steady boundary layer flow of Sisko fluid over a nonlinear stretching sheet. Two cases are studied, namely (i) the sheet with variable temperature (PST case) and (ii) the sheet with variable heat flux (PHF case). The heat transfer aspects are investigated for both integer and non-integer values of the power-law index. The governing partial differential equations are reduced to a system of nonlinear ordinary differential equations using appropriate similarity variables and solved numerically. The numerical results are obtained by the shooting method using adaptive Runge Kutta method with Broyden's method in the domain[Formula: see text]. The numerical results for the temperature field are found to be strongly dependent upon the power-law index, stretching parameter, wall temperature parameter, material parameter of the Sisko fluid and Prandtl number. In addition, the local Nusselt number versus wall temperature parameter is also graphed and tabulated for different values of pertaining parameters. Further, numerical results are validated by comparison with exact solutions as well as previously published results in the literature.

  15. Global identification of stochastic dynamical systems under different pseudo-static operating conditions: The functionally pooled ARMAX case

    NASA Astrophysics Data System (ADS)

    Sakellariou, J. S.; Fassois, S. D.

    2017-01-01

    The identification of a single global model for a stochastic dynamical system operating under various conditions is considered. Each operating condition is assumed to have a pseudo-static effect on the dynamics and be characterized by a single measurable scheduling variable. Identification is accomplished within a recently introduced Functionally Pooled (FP) framework, which offers a number of advantages over Linear Parameter Varying (LPV) identification techniques. The focus of the work is on the extension of the framework to include the important FP-ARMAX model case. Compared to their simpler FP-ARX counterparts, FP-ARMAX models are much more general and offer improved flexibility in describing various types of stochastic noise, but at the same time lead to a more complicated, non-quadratic, estimation problem. Prediction Error (PE), Maximum Likelihood (ML), and multi-stage estimation methods are postulated, and the PE estimator optimality, in terms of consistency and asymptotic efficiency, is analytically established. The postulated estimators are numerically assessed via Monte Carlo experiments, while the effectiveness of the approach and its superiority over its FP-ARX counterpart are demonstrated via an application case study pertaining to simulated railway vehicle suspension dynamics under various mass loading conditions.

  16. 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.

  17. Socio-ethical education in nanotechnology engineering programmes: a case study in Malaysia.

    PubMed

    Balakrishnan, Balamuralithara; Er, Pek Hoon; Visvanathan, Punita

    2013-09-01

    The unique properties of nanotechnology have made nanotechnology education and its related subjects increasingly important not only for students but for mankind at large. This particular technology brings educators to work together to prepare and produce competent engineers and scientists for this field. One of the key challenges in nanotechnology engineering is to produce graduate students who are not only competent in technical knowledge but possess the necessary attitude and awareness toward the social and ethical issues related to nanotechnology. In this paper, a research model has been developed to assess Malaysian nanotechnology engineering students' attitudes and whether their perspectives have attained the necessary objectives of ethical education throughout their programme of study. The findings from this investigation show that socio ethical education has a strong influence on the students' knowledge, skills and attitudes pertaining to socio ethical issues related to nanotechnology.

  18. Pinching solutions of slender cylindrical jets

    NASA Technical Reports Server (NTRS)

    Papageorgiou, Demetrios T.; Orellana, Oscar

    1993-01-01

    Simplified equations for slender jets are derived for a circular jet of one fluid flowing into an ambient second fluid, the flow being confined in a circular tank. Inviscid flows are studied which include both surface tension effects and Kelvin-Helmholtz instability. For slender jets a coupled nonlinear system of equations is found for the jet shape and the axial velocity jump across it. The equations can break down after a finite time and similarity solutions are constructed, and studied analytically and numerically. The break-ups found pertain to the jet pinching after a finite time, without violation of the slender jet ansatz. The system is conservative and admissible singular solutions are those which conserve the total energy, mass, and momentum. Such solutions are constructed analytically and numerically, and in the case of vortex sheets with no surface tension certain solutions are given in closed form.

  19. Anorexia Nervosa and First-Person Perspective: Altruism, Family System, and Body Experience.

    PubMed

    Englebert, Jérôme; Follet, Valérie; Valentiny, Caroline

    2018-01-01

    Based on the case study of Jeanne, the objective of this article is to study patterns of specific subjectivity in anorexic subjects. We seek to identify, in a first-person perspective, the core vulnerability features of anorexic existence, beyond the dimension of food alone. The identification of a psychopathological structure results in a better understanding of Jeanne's clinical situation and helps formulate psychotherapeutic and prophylactic recommendations. We suggest that so-called "denial" is a psychological mechanism that should be reconsidered. Denial is not a mechanism pertaining to anorexic subjects alone, but is also a process encountered both in the patient's family and in the therapeutic environment. Anorexic denial is based on anosognosia and the refusal to see one's own thinness, while other people's denial consists in a widespread inability to perceive the altruism and intersubjective problematic on which the existence of an anorexic subject fundamentally depends. © 2017 S. Karger AG, Basel.

  20. Chinese Social Media Reaction to Information about 42 Notifiable Infectious Diseases

    PubMed Central

    Fung, Isaac Chun-Hai; Ying, Yuchen; Schaible, Braydon James; Yu, Cynthia Mengxi; Tse, Zion Tsz Ho; Fu, King-Wa

    2015-01-01

    This study aimed to identify what information triggered social media users’ responses regarding infectious diseases. Chinese microblogs in 2012 regarding 42 infectious diseases were obtained through a keyword search in the Weiboscope database. Qualitative content analysis was performed for the posts pertinent to each keyword of the day of the year with the highest daily count. Similar posts were grouped and coded. We identified five categories of information that increased microblog traffic pertaining to infectious diseases: news of an outbreak or a case; health education / information; alternative health information / Traditional Chinese Medicine; commercial advertisement / entertainment; and social issues. News unrelated to the specified infectious diseases also led to elevated microblog traffic. Our study showcases the diverse contexts from which increased social media traffic occur. Our results will facilitate better health communication as causes underlying increased social media traffic are revealed. PMID:25946020

  1. Electricity and Empire in 1920s Palestine under British Rule.

    PubMed

    Shamir, Ronen

    2016-12-01

    This article examines some techno-political aspects of the early years of electrification in British-ruled 1920s Palestine. It emphasizes the importance of local technical, topographical and hydrological forms of knowledge for understanding the dynamics of electrification. Situating the analysis in a general colonial context of electrification, the study shows that British colonial rulers lagged behind both German firms and local entrepreneurs in understanding the specific conditions pertaining to electrification in Palestine. Subsequently, the study shows that the British had limited control of the actual electrification process and its declared/professed developmental purposes, thereby complicating assumptions about electrification as a tool of the Empire/tool of empire. Finding some similarities between the cases of electrifying Palestine and India, the article's findings may shed further light on the importance of micro-politics of knowledge for understanding the trajectory of electrification in the colonies.

  2. Orbito-Masticatory Syndrome

    PubMed Central

    Mettu, Pradeep; Bhatti, M. Tariq; El-Dairi, Mays; Price, Evan B.; Lin, Amy Y.; Alaraj, Ali; Setabutr, Pete; Moss, Heather E.

    2016-01-01

    We describe two unique cases of visual symptoms occurring during mastication in patients with lateral orbital wall defects. A 57-year old male reported intermittent double vision and oscillopsia after a right fronto-temporal-orbito-zygomatic craniotomy with osteotomy of the lesser wing of the sphenoid for a complex invasive pituitary adenoma. Proptosis of the right globe was present only during mastication. Computed tomography (CT) revealed a bony defect in the right lateral orbital wall. A 48-year-old man presented with transient diplopia and scotoma in the right eye elicited by chewing. CT and magnetic resonance imaging demonstrated a bilobed lesion connecting the temporal fossa to the orbit through a defect in the right lateral orbital wall. The regional neuroanatomy and pathophysiology as pertaining to the cases are discussed. PMID:26919071

  3. New Risk Curves for NHTSA's Brain Injury Criterion (BrIC): Derivations and Assessments.

    PubMed

    Laituri, Tony R; Henry, Scott; Pline, Kevin; Li, Guosong; Frankstein, Michael; Weerappuli, Para

    2016-11-01

    The National Highway Traffic Safety Administration (NHTSA) recently published a Request for Comments regarding a potential upgrade to the US New Car Assessment Program (US NCAP) - a star-rating program pertaining to vehicle crashworthiness. Therein, NHTSA (a) cited two metrics for assessing head risk: Head Injury Criterion (HIC15) and Brain Injury Criterion (BrIC), and (b) proposed to conduct risk assessment via its risk curves for those metrics, but did not prescribe a specific method for applying them. Recent studies, however, have indicated that the NHTSA risk curves for BrIC significantly overstate field-based head injury rates. Therefore, in the present three-part study, a new set of BrIC-based risk curves was derived, an overarching head risk equation involving risk curves for both BrIC and HIC15 was assessed, and some additional candidatepredictor- variable assessments were conducted. Part 1 pertained to the derivation. Specifically, data were pooled from various sources: Navy volunteers, amateur boxers, professional football players, simple-fall subjects, and racecar drivers. In total, there were 4,501 cases, with brain injury reported in 63. Injury outcomes were approximated on the Abbreviated Injury Scale (AIS). The statistical analysis was conducted subject to ordinal logistic regression analysis (OLR), such that the various levels of brain injury were cast as a function of BrIC. The resulting risk curves, with Goodman Kruksal Gamma=0.83, were significantly different than those from NHTSA. Part 2 pertained to the assessment relative to field data. Two perspectives were considered: "aggregate" (ΔV=0-56 km/h) and "point" (high-speed, regulatory focus). For the aggregate perspective, the new risk curves for BrIC were applied in field models pertaining to belted, mid-size, adult drivers in 11-1 o'clock, full-engagement frontal crashes in the National Automotive Sampling System (NASS, 1993-2014 calendar years). For the point perspective, BrIC data from tests were used. The assessments were conducted for minor, moderate, and serious injury levels for both Newer Vehicles (airbag-fitted) and Older Vehicles (not airbag-fitted). Curve-based injury rates and NASS-based injury rates were compared via average percent difference (AvgPctDiff). The new risk curves demonstrated significantly better fidelity than those from NHTSA. For example, for the aggregate perspective (n=12 assessments), the results were as follows: AvgPctDiff (present risk curves) = +67 versus AvgPctDiff (NHTSA risk curves) = +9378. Part 2 also contained a more comprehensive assessment. Specifically, BrIC-based risk curves were used to estimate brain-related injury probabilities, HIC15-based risk curves from NHTSA were used to estimate bone/other injury probabilities, and the maximum of the two resulting probabilities was used to represent the attendant headinjury probabilities. (Those HIC15-based risk curves yielded AvgPctDiff=+85 for that application.) Subject to the resulting 21 assessments, similar results were observed: AvgPctDiff (present risk curves) = +42 versus AvgPctDiff (NHTSA risk curves) = +5783. Therefore, based on the results from Part 2, if the existing BrIC metric is to be applied by NHTSA in vehicle assessment, we recommend that the corresponding risk curves derived in the present study be considered. Part 3 pertained to the assessment of various other candidate brain-injury metrics. Specifically, Parts 1 and 2 were revisited for HIC15, translation acceleration (TA), rotational acceleration (RA), rotational velocity (RV), and a different rotational brain injury criterion from NHTSA (BRIC). The rank-ordered results for the 21 assessments for each metric were as follows: RA, HIC15, BRIC, TA, BrIC, and RV. Therefore, of the six studied sets of OLR-based risk curves, the set for rotational acceleration demonstrated the best performance relative to NASS.

  4. Cybersecurity Implications for Industry, Academia, and Parents: A Qualitative Case Study in NSF STEM Education

    NASA Astrophysics Data System (ADS)

    Stevenson, Gregory V.

    Rationale: Former President Barack Obama's 3.9 trillion for the 2015 fiscal year budget request included a 2.9 billion investment in Science, Technology, Engineering and Math (STEM) education. Research then showed that the national spending for cybersecurity has exceeded $10.7 billion in the 2015 fiscal year. Nonetheless, the number of cyberattacks has risen year after year since 2012, potentially due to the lack of education and training in cybersecurity. Methodology: A qualitative case study research was conducted to explore and investigate the lived professional experiences of experts from San Antonio Texas whose efforts were aligned to increase the number of qualified cybersecurity professionals. To qualify the organizational needs for cybersecurity professionals, the study gathered expert opinions by surveying human resource managers pertaining to the needs of cybersecurity education. To refine and further validate data collection efforts, the study involved researcher observations and a survey of a narrow cohort to perform analytic induction to eliminate bias and exhaust the exploratory research (Maxwell, 2005). Result: The findings of the case study will: 1) help augment the importance of cybersecurity education in pre-kindergarten through 12th grade, 2) be utilized as a single guide for school leaders in the process of developing cybersecurity education strategies, and 3) in the longer term, be used by the National Sciences Foundation (NSF) as an effective model to institute cybersecurity education practices nationwide and thereby reduce the existing trouble of the nation by criminal cyber actors.

  5. 46 CFR 174.040 - Stability requirements: general.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.040... draft for navigation, towing, or drilling afloat, or at a temporary draft when changing drafts. ...

  6. 46 CFR 174.040 - Stability requirements: general.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.040... draft for navigation, towing, or drilling afloat, or at a temporary draft when changing drafts. ...

  7. US Fertility Prevention as Poverty Prevention

    PubMed Central

    Romero, Diana; Agénor, Madina

    2009-01-01

    Purpose This paper examines the impact of the United States (US) welfare reform family-cap policy on the childbearing decisions of poor and low-income women by posing two complementary questions, both placed within a broader historical context. Specifically, it raises an empirical question pertaining to the family cap’s effectiveness and a social justice question pertaining to the policy’s ethical and legal justification in terms of human and reproductive rights. Methods In order to address the first question, a thorough review of past and current research pertaining to the family cap at both the state and national level is provided. The second question is addressed with an overview of international human and reproductive rights documents of relevance to the family-cap policy, as well as an analysis of the covenants’ numerous components with which the family cap is in conflict. Finally, this paper situates the family cap in its historical context by investigating previous governmental attempts to control and regulate the reproductive health and rights of poor women and women of color in the US. Main findings The majority of empirical analyses of the family cap have found that the policy has not had an impact on poor women’s reproductive health behaviors. In addition, the exclusive application of this policy to poor women receiving cash assistance is demonstrated to be in violation of 8 international human and reproductive rights documents, several of which the US is a signatory. Conclusion These two findings make a strong case that policymakers and social and health researchers alike critically re-examine whether a policy that has not achieved its ostensible goal and is applied in a disparate manner—primarily to poor women and families, and women of color—should continue to be implemented by the states. PMID:19879450

  8. US fertility prevention as poverty prevention: an empirical question and social justice issue.

    PubMed

    Romero, Diana; Agénor, Madina

    2009-01-01

    This paper examines the impact of the US welfare reform family-cap policy on the childbearing decisions of poor and low-income women by posing two complementary questions, both placed within a broader historical context. Specifically, it raises an empirical question pertaining to the family cap's effectiveness and a social justice question pertaining to the policy's ethical and legal justification in terms of human and reproductive rights. To address the first question, a thorough review of past and current research pertaining to the family cap at both the state and national levels is provided. The second question is addressed with an overview of international human and reproductive rights documents of relevance to the family-cap policy, as well as an analysis of the covenants' numerous components with which the family cap is in conflict. Finally, this paper situates the family cap in its historical context by investigating previous governmental attempts to control and regulate the reproductive health and rights of poor women and women of color in the United States. The majority of empirical analyses of the family cap have found that the policy has not had an impact on poor women's reproductive health behaviors. In addition, the exclusive application of this policy to poor women receiving cash assistance is demonstrated to be in violation of eight international human and reproductive rights documents, several of which the US is a signatory. These two findings make a strong case that policy makers and social and health researchers alike critically reexamine whether a policy that has not achieved its ostensible goal and is applied in a disparate manner-primarily to poor women and families and women of color-should continue to be implemented by the states.

  9. Reducing Operating Room Costs Through Real-Time Cost Information Feedback: A Pilot Study.

    PubMed

    Tabib, Christian H; Bahler, Clinton D; Hardacker, Thomas J; Ball, Kevin M; Sundaram, Chandru P

    2015-08-01

    To create a protocol for providing real-time operating room (OR) cost feedback to surgeons. We hypothesize that this protocol will reduce costs in a responsible way without sacrificing quality of care. All OR costs were obtained and recorded for robot-assisted partial nephrectomy and laparoscopic donor nephrectomy. Before the beginning of this project, costs pertaining to the 20 most recent cases were analyzed. Items were identified from previous cases as modifiable for replacement or omission. Timely feedback of total OR costs and cost of each item used was provided to the surgeon after each case, and costs were analyzed. A cost analysis of the robot-assisted partial nephrectomy before the washout period indicates expenditures of $5243.04 per case. Ten recommended modifiable items were found to have an average per case cost of $1229.33 representing 23.4% of the total cost. A postwashout period cost analysis found the total OR cost decreased by $899.67 (17.2%) because of changes directly related to the modifiable items. Therefore, 73.2% of the possible identified savings was realized. The same stepwise approach was applied to laparoscopic donor nephrectomies. The average total cost per case before the washout period was $3530.05 with $457.54 attributed to modifiable items. After the washout period, modifiable items costs were reduced by $289.73 (8.0%). No complications occurred in the donor nephrectomy cases while one postoperative complication occurred in the partial nephrectomy group. Providing surgeons with feedback related to OR costs may lead to a change in surgeon behavior and decreased overall costs. Further studies are needed to show equivalence in patient outcomes.

  10. Aircraft fire safety research

    NASA Technical Reports Server (NTRS)

    Botteri, Benito P.

    1987-01-01

    During the past 15 years, very significant progress has been made toward enhancing aircraft fire safety in both normal and hostile (combat) operational environments. Most of the major aspects of the aircraft fire safety problem are touched upon here. The technology of aircraft fire protection, although not directly applicable in all cases to spacecraft fire scenarios, nevertheless does provide a solid foundation to build upon. This is particularly true of the extensive research and testing pertaining to aircraft interior fire safety and to onboard inert gas generation systems, both of which are still active areas of investigation.

  11. QUARTZ FIBER ELECTROSCOPES

    DOEpatents

    Henderson, R.P.

    1956-04-17

    This patent pertains to quartz fiber electroscopes of small size for use by personnel to monitor nuclear radiation. The invention resides tn a novel way of charging the electroscope whereby the charging of the electroscope whereby the charging of the electroscope is carried out without obtaining contact with the fiber system or its support and the electroscope can therefore be constructed without a protective cap to prevent wrongful discharge. The electroscope is charged by placing a voltage between an electrode located in close proximity to the element to be charged and the electroscope me metallic case. ABSTRACTS

  12. Patient advocacy by rural emergency physicians after major service cuts: the case of Nelson, BC.

    PubMed

    Fleet, Richard; Plant, Jeff; Ness, Rhonda; Moola, Shiraz

    2013-01-01

    Efforts at cost containment through regionalization have led to reduced services in several rural emergency departments (EDs) in Canada. As a result, questions have been raised about patient safety and equitable access to care, compelling physicians to advocate for their patients. Few published reports on physicians' advocacy experiences pertaining to rural EDs exist. We describe our experience of patient advocacy after major service cuts at Kootenay Lake Hospital in Nelson, BC. Despite mixed results, we suggest increased physician involvement in patient advocacy.

  13. Are Law and Policy Clear and Consistent? Roles and Responsibilities of the Defense Acquisition Executive and the Chief Information Officer

    DTIC Science & Technology

    2010-01-01

    Not Considered Relevant Two current CIO R&R pertain to Year-2000 ( Y2K ) issues. Although it is likely that the software conversion tasks associated...CIOs with tasks related to Y2K software conversion. 44 USC §3506 does not include the term information technology, but does include the term...information resources, which, in this case appears to include IT but explicitly excludes NSS. The CIO R&R in 44 USC §3603 charges the CIO Council with Y2K

  14. 75 FR 18055 - Drawbridge Operation Regulation; Mermentau River, Grand Chenier, LA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-09

    ... electrical and mechanical repairs pertaining to the bridge's main span drive assembly and system components... in order to perform electrical and mechanical repairs pertaining to the bridge's main span drive...

  15. What happens when capitated behavioral health comes to town? The transition from the Fort Bragg demonstration to a capitated managed behavioral health contract.

    PubMed

    Heflinger, C A; Northrup, D A

    2000-11-01

    Capitated managed care contracts for behavioral health services are becoming more prevalent across the country in both public and private sectors. This study followed the transition from a demonstration project for child mental health services to a capitated managed behavioral health care contract with a for-profit managed care company. The focus of the study was on the impact--at both the service system and the individual consumer level--pertaining to the start-up and maintenance of a capitated managed behavioral health program. A case study using multiple methods and multiple sources of information incorporated a program fidelity framework that examined micro to macro levels of program implementation. The findings of this study include the following: access to services decreased, the lengths of stay and average daily census in the more intensive levels of treatment declined, difficult-to-treat children were shifted to the public sector, and ratings of service system performance and coordination fell.

  16. Experimental and Theoretical Studies of Axisymmetric Free Jets

    NASA Technical Reports Server (NTRS)

    Love, Eugene S.; Grigsby, Carl E.; Lee, Louise P.; Woodling, Mildred J.

    1959-01-01

    Some experimental and theoretical studies have been made of axisymmetric free jets exhausting from sonic and supersonic nozzles into still air and into supersonic streams with a view toward problems associated with propulsive jets and the investigation of these problems. For jets exhausting into still air, consideration is given to the effects of jet Mach number, nozzle divergence angle, and jet static pressure ratio upon jet structure, jet wavelength, and the shape and curvature of the jet boundary. Studies of the effects of the ratio of specific heats of the jets are included are observations pertaining to jet noise and jet simulation. For jets exhausting into supersonic streams, an attempt has been made to present primarily theoretical certain jet interference effects and in formulating experimental studies. The primary variables considered are jet Mach number, free stream Mach number, jet static pressure ratio, ratio of specific heats of the jet, nozzle exit angle, and boattail angle. The simulation problem and the case of a hypothetical hypersonic vehicle are examined, A few experimental observations are included.

  17. Health impacts of large releases of radionuclides. Mental health, stress and risk perception: insights from psychological research.

    PubMed

    Renn, O

    1997-01-01

    Risk perceptions are only slightly correlated with the expected values of a probability distribution for negative health impacts. Psychometric studies have documented that context variables such as dread or personal control are important predictors for the perceived seriousness of risk. Studies about cultural patterns of risk perceptions emphasize different response sets to risk information, depending on cultural priorities such as social justice versus personal freedom. This chapter reports the major psychological research results pertaining to the factors that govern individual risk perception and discusses the psychometric effects due to people's risk perception and the experience of severe stress. The relative importance of the psychometric context variables, the signals pertaining to each health risks and symbolic beliefs are explained.

  18. Wound Dehiscence and Device Migration after Subconjunctival Bevacizumab Injection with Ahmed Glaucoma Valve Implantation

    PubMed Central

    Miraftabi, Arezoo; Nilforushan, Naveed

    2016-01-01

    Purpose: To report a complication pertaining to subconjunctival bevacizumab injection as an adjunct to Ahmed Glaucoma Valve (AGV) implantation. Case Report: A 54-year-old woman with history of complicated cataract surgery was referred for advanced intractable glaucoma. AGV implantation with adjunctive subconjunctival bevacizumab (1.25 mg) was performed with satisfactory results during the first postoperative week. However, 10 days after surgery, she developed wound dehiscence and tube exposure. The second case was a 33-year-old man with history of congenital glaucoma and uncontrolled IOP who developed AGV exposure and wound dehiscence after surgery. In both cases, for prevention of endophthalmitis and corneal damage by the unstable tube, the shunt was removed and the conjunctiva was re-sutured. Conclusion: The potential adverse effect of subconjunctival bevacizumab injection on wound healing should be considered in AGV surgery. PMID:27195095

  19. Zika Virus and Pregnancy: A Review of the Literature and Clinical Considerations

    PubMed Central

    Marrs, Caroline; Olson, Gayle; Saade, George; Hankins, Gary; Wen, Tony; Patel, Janak; Weaver, Scott

    2016-01-01

    The latest Zika virus (ZIKV) outbreak has reached epidemic proportions as it spreads throughout South and Central America. In November 2015, the Brazilian Ministry of Health reported a 20-fold increase in the number of cases of neonatal microcephaly, which corresponds geographically and temporally to the ZIKV outbreak. Case reports have provided some evidence of a causal link between maternal ZIKV infection, fetal microcephaly, and intracranial calcifications. The sparse data regarding ZIKV in pregnancy come solely from case reports and personal communications, and recommendations for management of ZIKV exposure during pregnancy are rapidly evolving. Our objective is to review and synthesize the current literature regarding ZIKV as it pertains to pregnancy and provide some assistance to clinicians who may have to manage a pregnant patient with potential exposure to ZIKV. We will also explore certain aspects of related viruses in pregnancy in hopes to shed light on this little-known topic. PMID:26939047

  20. [A case of mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episode/Leigh overlap syndrome].

    PubMed

    Matsui, Jun; Takano, Tomoyuki; Ryujin, Fukiko; Anzai, Yuko; Yoshioka, Seiichiro; Takeuchi, Yoshihiro; Goto, Yuichi

    2014-09-01

    We experienced a case in which mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) was identified as complications following the onset of Leigh syndrome along with a 10191 T>C mutation of the mitochondrial gene. The case pertains to a 26-year-old woman. The disease appeared when she was 11 years old due to divergent strabismus, at which point a diagnosis of juvenile Leigh syndrome was made. Many infraction images not conforming to the vessel region were observed upon a brain MRI which was performed at 26 years of age, thus leading to her being diagnosed with MELAS as a complication. Upoon bibliographical consideration, it was speculated that the clinical features of MELAS/Leigh overlap syndrome clearly differ from Leigh syndrome in terms of age of onset, symptoms, and prognosis. Pleiotropic genetic factors including heteroplasmy were presumed to be involved in the diverse phenotype of overlap syndrome.

  1. Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Standard Reporting and Evaluation Guidelines: Results of a National Institutes of Health Working Group.

    PubMed

    Maverakis, Emanual; Wang, Elizabeth A; Shinkai, Kanade; Mahasirimongkol, Surakameth; Margolis, David J; Avigan, Mark; Chung, Wen-Hung; Goldman, Jennifer; La Grenade, Lois; Pirmohamed, Munir; Shear, Neil H; Tassaeeyakul, Wichittra; Hoetzenecker, Wolfram; Klaewsongkram, Jettanong; Rerkpattanapipat, Ticha; Manuyakorn, Wiparat; Yasuda, Sally Usdin; Sharon, Victoria R; Sukhov, Andrea; Micheletti, Robert; Struewing, Jeff; French, Lars E; Cheng, Michelle Y

    2017-06-01

    Toxic epidermal necrolysis (TEN) and Stevens-Johnson Syndrome (SJS) are rare, acute, life-threatening dermatologic disorders involving the skin and mucous membranes. Research into these conditions is hampered by a lack of standardization of case reporting and data collection. To establish a standardized case report form to facilitate comparisons and maintain data quality based on an international panel of SJS/TEN experts who performed a Delphi consensus-building exercise. The elements presented for committee scrutiny were adapted from previous case report forms and from PubMed literature searches of highly cited manuscripts pertaining to SJS/TEN. The expert opinions and experience of the members of the consensus group were included in the discussion. Overall, 21 out of 29 experts who were invited to participate in the online Delphi exercise agreed to participate. Surveys at each stage were administered via an online survery software tool. For the first 2 Delphi rounds, results were analyzed using the Interpercentile Range Adjusted for Symmetry method and statements that passed consensus formulated a new case report form. For the third Delphi round, the case report form was presented to the committee, who agreed that it was "appropriate and useful" for documenting cases of SJS/TEN, making it more reliable and valuable for future research endeavors. With the consensus of international experts, a case report form for SJS/TEN has been created to help standardize the collection of patient information in future studies and the documentation of individual cases.

  2. 46 CFR 174.220 - Hatches and coamings.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Offshore Supply Vessels § 174.220 Hatches and... securing-devices; and (2) Be attached to the hatch frame or coaming by hinges, captive chains, or other...

  3. 46 CFR 174.220 - Hatches and coamings.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Offshore Supply Vessels § 174.220 Hatches and... securing-devices; and (2) Be attached to the hatch frame or coaming by hinges, captive chains, or other...

  4. 46 CFR 174.220 - Hatches and coamings.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Offshore Supply Vessels § 174.220 Hatches and... securing-devices; and (2) Be attached to the hatch frame or coaming by hinges, captive chains, or other...

  5. 46 CFR 174.220 - Hatches and coamings.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Offshore Supply Vessels § 174.220 Hatches and... securing-devices; and (2) Be attached to the hatch frame or coaming by hinges, captive chains, or other...

  6. 46 CFR 174.220 - Hatches and coamings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Offshore Supply Vessels § 174.220 Hatches and... securing-devices; and (2) Be attached to the hatch frame or coaming by hinges, captive chains, or other...

  7. The peer-reviewed literature on undergraduate education for public health in the United States, 2004-2014.

    PubMed

    Evashwick, Connie J; Tao, Donghua; Arnold, Lauren D

    2014-01-01

    The education of undergraduate college students in the field of public health has burgeoned over the past decade. Professional literature in peer-reviewed journals is one indicator of the status of a field of study and its related body of knowledge. It is also a mechanism for sharing information among professionals about challenges, issues, experiences, and best practices. The purpose of the literature review conducted here was to describe the status of the peer-reviewed literature over the past decade pertaining to the education of undergraduates about the field of public health in the United States (U.S.). A literature search was conducted of three databases: PubMed, Scopus, and ERIC. Inclusion criteria were publication date from January 1, 2004 through July 31, 2014; written in the English language; pertaining to undergraduate education in the U.S.; and a focus on public health as the primary discipline. Public health was searched as an overarching discipline; articles focused on sub-disciplines or other health professions disciplines were excluded. The search resulted in 158 articles. Each of the authors reviewed the abstracts for all articles and read full articles when necessary. The result was 23 articles that were then considered in depth. The articles were categorized according to their primary theme: curriculum, courses, learning objectives (N = 14); evaluation of teaching method (N = 3); case study (N = 3); career path and advising (N = 2); accreditation (N = 1). Year of publication and journal were also examined. The results of the literature search lead to several observations about how the peer-reviewed literature has been used to date and how it could be used to advance the emerging field of undergraduate education for public health.

  8. Pediatric pancreatic trauma: trending toward nonoperative management?

    PubMed

    Cuenca, Alex G; Islam, Saleem

    2012-11-01

    Pancreatic trauma is rare in children and optimal care has not been defined. We undertook this study to review the cumulative experience from three centers. After obtaining Institutional Review Board approval at each site, the trauma registries of three institutions were searched for pancreatic injuries. The charts were reviewed and data pertaining to demographics, hospital course, and outcome were obtained and analyzed. During the study period, a total of 79 pancreatic injuries were noted. The most common mechanism of injury was motor vehicle crash (44%) followed by child abuse (11%) and bicycle crashes (11%). Computed tomographic (CT) scans were obtained in 95 per cent with peripancreatic fluid the most common finding. Median Injury Severity Score (ISS) was 9, whereas median organ injury score was 2, and a higher grade correlated with need for operation (P = 0.001). Pancreatic operations were performed in 32 patients, whereas nonoperative management was noted in 47 cases. We noted no differences in length of stay, age, ISS, or initial blood pressure in operative versus nonoperatively managed cases. Pancreatic injuries were rare in children with trauma. CT scans were the most common method of diagnosis. Nonoperative management appeared to be safe and was more common, especially for the lower grade injuries.

  9. A Clockwork Wikipedia: From a Broad Perspective to a Case Study.

    PubMed

    Benjakob, Omer; Aviram, Rona

    2018-06-01

    While research has shown that scientists use Wikipedia and that scientific content on Wikipedia ramifies back into scientific literature, many questions remain on how the two sides interact and through what paradigm this dynamic may be best understood. Using the circadian clock field as a case study, we discuss this scientific field's representation on Wikipedia. We traced the changes made to the articles for "Circadian clock" and "Circadian rhythm" and reviewed the debates that informed them over a span of a decade, using Wikipedia's native and third-party tools. Specifically, we focused on how groundbreaking research pertaining to the function of biological oscillators was integrated into the articles to reflect a wider paradigmatic shift within the field. We also identified the articles' main editors to detail the dynamic collective editorial process that took place during a time that saw the field undergo a fundamental change. We discuss the different concerns the academic community has with Wikipedia-specifically regarding its content and its contributors-to ask whether the online encyclopedia's open model is inherently at odds with scientific culture or whether the model could reflect science or even expand on its core values and practices such as peer review and the idea of communicating science.

  10. Civil liability: characterization of the demand for lawsuits against dentists.

    PubMed

    Zanin, Alice Aquino; Herrera, Lara Maria; Melani, Rodolfo Francisco Haltenhoff

    2016-08-18

    In light of the fact that dentists may be held civilly liable for their practice, it is important to understand the current situation of lawsuits filed against these professionals by studying current legal decisions and the literature. The objective of this study was to analyze the case law of the Court of Justice of São Paulo, Brazil, relative to the profile of patients and professionals, the most commonly involved specialties, the amounts litigated and the court decisions pertaining to civil liability lawsuits against dentists. In an inductive approach, a single researcher screened and collected civil liability rulings by accessing the Court's website, and following a statistical-descriptive procedure and an indirect observation technique. The most frequently involved specialty was prosthodontics. However, oral and maxillofacial surgery was related to a higher incidence of damages awarded to settle claims and to higher damage amounts. The dentist was found guilty in 44.32% of the cases researched. Pecuniary damages ranged between R$ 485.50 and R$ 12,530.00, and non-pecuniary damages ranged between R$ 2,500.00 and R$ 70,000.00. Most lawsuits were filed by women against male dentists. An increase in the relative number of lawsuits against companies versus individuals was observed.

  11. Middle East respiratory syndrome in children. Dental considerations.

    PubMed

    Al-Sehaibany, Fares S

    2017-04-01

    As of January 2016, 1,633 laboratory-confirmed cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection and 587 MERS-related deaths have been reported by the World Health Organization globally. Middle East Respiratory Syndrome Coronavirus  may occur sporadically in communities or may be transmitted within families or hospitals. The number of confirmed MERS-CoV cases among healthcare workers has been increasing. Middle East Respiratory Syndrome Coronavirus may also spread through aerosols generated during various dental treatments, resulting in transmission between patients and dentists. As MERS-CoV cases have also been reported among children, pediatric dentists are at risk of MERS-CoV infection. This review discusses MERS-CoV infection in children and healthcare workers, especially pediatric dentists, and considerations pertaining to pediatric dentistry. Although no cases of MERS-CoV transmission between a patient and a dentist have yet been reported, the risk of MERS-CoV transmission from an infected patient may be high due to the unique work environment of dentists (aerosol generation).

  12. Contemporary, emerging, and ratified wireless security standards: an update for the networked dental office.

    PubMed

    Mupparapu, Muralidhar

    2006-02-15

    Wireless networking is not new to contemporary dental offices around the country. Wireless routers and network cards have made access to patient records within the office handy and, thereby, saving valuable chair side time and increasing productivity. As is the case with any rapidly developing technology, wireless technology also changes with the same rate. Unless, the users of the wireless networking understand the implications of these changes and keep themselves updated periodically, the office network will become obsolete very quickly. This update of the emerging security protocols and pertaining to ratified wireless 802.11 standards will be timely for the contemporary dentist whose office is wirelessly networked. This article brings the practicing dentist up-to-date on the newer versions and standards in wireless networking that are changing at a fast pace. The introduction of newer 802.11 standards like super G, Super AG, Multiple Input Multiple Output (MIMO), and pre-n are changing the pace of adaptation of this technology. Like any other rapidly transforming technology, information pertaining to wireless networking should be a priority for the contemporary dentist, an eventual end-user in order to be a well-informed and techno-savvy consumer.

  13. Avoiding legal pitfalls in surrogacy arrangements.

    PubMed

    James, Summer; Chilvers, Rebecca; Havemann, Dara; Phelps, John Y

    2010-12-01

    The goal of this article is to discuss the legal pitfalls that reproductive endocrinologists face when participating in gestational surrogacy contracts. This paper was composed using Westlaw and LexisNexis commercial legal search engines to perform a review of statutes and cases pertaining to gestational surrogacy. The search results demonstrated that in the absence of suitable preparation, there is significant potential for litigation while participating in gestational agreements. Providers caring for gestational carriers have been named as parties in lawsuits for failure to provide psychological screening, failure to screen for infectious disease and participation in gestational contracts that are not compliant with state law. There is great disparity in state laws and court rulings pertaining to gestational agreements. When legal disputes arise, individual state laws and court rulings are controlling over the Uniform Parentage Act. Likewise, recommendations by the American College of Obstetricians and Gynecologists and the American Society for Reproductive Medicine do not supersede state laws. The failure to abide by individual state laws unnecessarily exposes reproductive endocrinologists and their IVF facilities to potential litigation. In order to lessen exposure to litigation, an understanding of individual state legislation or historical court rulings is advised. Copyright © 2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  14. Editorial Comments, 1974-1986: The Case For and Against the Use of Computer-Assisted Decision Making

    PubMed Central

    Weaver, Robert R.

    1987-01-01

    Journal editorials are an important medium for communicating information about medical innovations. Evaluative statements contained in editorials pertain to the innovation's technical merits, as well as its probable economic, social and political, and ethical consequences. This information will either promote or impede the subsequent diffusion of innovations. This paper analyzes the evaluative information contained in thirty editorials that pertain to the topic of computer-assisted decision making (CDM). Most editorials agree that CDM technology is effective and economical in performing routine clinical tasks; controversy surrounds the use of more sophisticated CDM systems for complex problem solving. A few editorials argue that the innovation should play an integral role in transforming the established health care system. Most, however, maintain that it can or should be accommodated within the existing health care framework. Finally, while few editorials discuss the ethical ramifications of CDM technology, those that do suggest that it will contribute to more humane health care. The editorial analysis suggests that CDM technology aimed at routine clinical task will experience rapid diffusion. In contrast, the diffusion of more sophisticated CDM systems will, in the foreseeable future, likely be sporadic at best.

  15. Rail capacity improvement study for heavy rail transit operations.

    DOT National Transportation Integrated Search

    2012-10-01

    This study offers a combination of considerations and evaluation tools pertaining to relevant means of capacity improvements (technology, operations, route, and vehicle upgrades), both conventional and emerging. Guidance regarding the economics is of...

  16. Recycled materials in Portland cement concrete

    DOT National Transportation Integrated Search

    2000-06-01

    This report pertains to a comprehensive study involving the use of recycled materials in Portland cement concrete. Three different materials were studied including crushed glass (CG), street sweepings (SS), and recycled concrete (RC). Blast furnace s...

  17. Unravelling the enigma of Perthes disease

    PubMed Central

    2013-01-01

    Perthes disease is an idiopathic avascular necrosis of a juvenile hip. Although 2010 marked a century since it was first described, the aetiology remains unknown. It is suggested that adverse socioeconomic circumstances may be a key precipitant. This work describes recent studies that explore the disease epidemiology. Descriptive studies include a case register from Merseyside, hospital discharge data from Scotland, analysis of the world’s largest community disease register (General Practice Research Database [GPRD]) and a systematic review of incidence. Analytical studies include a nested case-controlled study in the GPRD and a hospital case-controlled study. The studies demonstrated a striking north–south divide in the UK incidence of Perthes disease, similar to that seen in many adult diseases. There was a sustained fall in disease frequency in all studies, with a narrowing of the north–south divide. There was a strong association with area deprivation, independent of living in an urban environment. Internationally, equatorial regions were unaffected by disease and northern Europe had the highest incidence, which was primarily a function of race although latitude was an independent predictor. Individual characteristics associated with the disease were congenital anomalies of the genitourinary tract and a structural abnormality of arterial calibre. Despite a falling incidence, Perthes disease remains an important cause of child morbidity and exemplifies socioeconomic inequalities. A deprivation-related exposure, acting early in development, appears critical. The aetiological factor in Perthes disease remains elusive but it is likely that unravelling this enigma may unlock additional secrets pertaining to the developmental origins of this and other diseases. PMID:23838491

  18. 48 CFR 2901.405 - Deviations pertaining to treaties and executive agreements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... DOLAR 2901.405 Deviations pertaining to treaties and executive agreements. (a) The Director, DAMS is... deviations not authorized by FAR 1.405(b) or (c), the Director, DAMS, will process the request for deviation...

  19. 48 CFR 2901.405 - Deviations pertaining to treaties and executive agreements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... DOLAR 2901.405 Deviations pertaining to treaties and executive agreements. (a) The Director, DAMS is... deviations not authorized by FAR 1.405(b) or (c), the Director, DAMS, will process the request for deviation...

  20. System and method of operating toroidal magnetic confinement devices

    DOEpatents

    Chance, M.S.; Jardin, S.C.; Stix, T.H.; Grimm, R.C.; Manickam, J.; Okabayashi, M.

    1984-08-30

    This invention pertains to methods and arrangements for attaining high beta values in plasma confinement devices. More specifically, this invention pertains to methods for accessing the second stability region of operation in toroidal magnetic confinement devices.

  1. 49 CFR 173.5 - Agricultural operations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (16,094 lbs.) of ammonium nitrate fertilizer properly classed as Division 5.1, PG III, in a bulk... application. (d) See § 173.315(m) pertaining to nurse tanks of anhydrous ammonia. (e) See § 173.6 pertaining...

  2. An epidemiological assessment of problematic contacts to members of Congress.

    PubMed

    Scalora, Mario J; Baumgartner, Jerome V; Zimmerman, William; Callaway, David; Hatch Maillette, Mary A; Covell, Christmas N; Palarea, Russell E; Krebs, Jason A; Washington, David O

    2002-11-01

    In order to assess the nature of threat assessment activity pertaining to members of Congress, 4387 cases involving threatening and other problematic contact were analyzed. The cases were studied regarding subject characteristics, articulated motives, as well as several aspects of contact behavior in relation to approach behavior. Approachers were significantly less likely to have articulated threat language prior to or during their contacts and were also less likely to have stated a policy grievance (foreign or domestic) as the source of their concern. Further, approachers were substantially more likely to have expressed help seeking requests as part of their prior and approach-related contacts and were less likely to have had racial or sexualized content within their contacts. Approachers were also significantly more likely to have had a criminal record as well as displayed symptoms suggestive of major mental illness. Subjects engaging in approach behavior were also less likely to have used an alias, were less likely to be a direct constituent of the target and were more likely to have contacted multiple congressional targets. The implications for threat assessment activity are discussed.

  3. A cultural accommodation model for cross-cultural psychotherapy: Illustrated with the case of Asian Americans.

    PubMed

    Leong, Frederick T; Lee, Szu-Hui

    2006-01-01

    As an extension of F. T. L. Leong's (1996) integrative model, this article presents the cultural accommodation model (CAM), an enhanced theoretical guide to effective cross-cultural clinical practice and research. Whereas F. T. L. Leong's model identifies the importance of integrating the universal, group, and individual dimensions, the CAM takes the next step by providing a theoretical guide to effective psychotherapy with culturally different clients by means of a cultural accommodation process. This model argues for the importance of selecting and applying culture-specific constructs when working with culturally diverse groups. The first step of the CAM is to identify cultural disparities that are often ignored and then accommodate them by using current culturally specific concepts. In this article, several different cultural "gaps" or culture-specific constructs of relevance to Asian Americans with strong scientific foundations are selected and discussed as they pertain to providing effective psychotherapy to this ethnic minority group. Finally, a case study is incorporated to illustrate application of the CAM. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  4. Planar screening by charge polydisperse counterions

    NASA Astrophysics Data System (ADS)

    Trulsson, M.; Trizac, E.; Šamaj, L.

    2018-01-01

    We study how a neutralising cloud of counterions screens the electric field of a uniformly charged planar membrane (plate), when the counterions are characterised by a distribution of charges (or valence), n(q) . We work out analytically the one-plate and two-plate cases, at the level of non-linear Poisson-Boltzmann theory. The (essentially asymptotic) predictions are successfully compared to numerical solutions of the full Poisson-Boltzmann theory, but also to Monte Carlo simulations. The counterions with smallest valence control the long-distance features of interactions, and may qualitatively change the results pertaining to the classic monodisperse case where all counterions have the same charge. Emphasis is put on continuous distributions n(q) , for which new power-laws can be evidenced, be it for the ionic density or the pressure, in the one- and two-plates situations respectively. We show that for discrete distributions, more relevant for experiments, these scaling laws persist in an intermediate but yet observable range. Furthermore, it appears that from a practical point of view, hallmarks of the continuous n(q) behaviour are already featured by discrete mixtures with a relatively small number of constituents.

  5. The relevance of psychodynamic psychotherapy to understanding therapist-patient sexual abuse and treatment of survivors.

    PubMed

    Yahav, Rivka; Oz, Sheri

    2006-01-01

    Regardless of the therapy modality, research continues to point to the therapeutic relationship as a major salient factor in clinical success or failure. When a patient is sexually abused by his or her therapist, this therapeutic relationship is cynically exploited in a way that does not properly serve the essential needs of the patient. When this patient then seeks reparative therapy, the subsequent therapist needs to pay close attention to issues of the relationship which were breached by the previous clinician. In this article, two case studies showing very different dynamics will be presented in order to demonstrate: (1) relevant factors related to transference, countertransference, projective identification, and the analytic third pertaining to the former, abusive therapy; and (2) needs versus wishes, and issues related to boundaries and self-disclosure in the corrective therapy.

  6. On finite element implementation and computational techniques for constitutive modeling of high temperature composites

    NASA Technical Reports Server (NTRS)

    Saleeb, A. F.; Chang, T. Y. P.; Wilt, T.; Iskovitz, I.

    1989-01-01

    The research work performed during the past year on finite element implementation and computational techniques pertaining to high temperature composites is outlined. In the present research, two main issues are addressed: efficient geometric modeling of composite structures and expedient numerical integration techniques dealing with constitutive rate equations. In the first issue, mixed finite elements for modeling laminated plates and shells were examined in terms of numerical accuracy, locking property and computational efficiency. Element applications include (currently available) linearly elastic analysis and future extension to material nonlinearity for damage predictions and large deformations. On the material level, various integration methods to integrate nonlinear constitutive rate equations for finite element implementation were studied. These include explicit, implicit and automatic subincrementing schemes. In all cases, examples are included to illustrate the numerical characteristics of various methods that were considered.

  7. The epidemiology of suicide in Jamaica 2002-2010: rates and patterns.

    PubMed

    Abell, W D; James, K; Bridgelal-Nagassar, R; Holder-Nevins, D; Eldemire, H; Thompson, E; Sewell, C

    2012-08-01

    Suicide is increasingly recognized as a worldwide problem. There is a paucity of quality data pertaining to suicide in developing countries. Epidemiological analysis of suicide data elucidates prevailing patterns that facilitate risk factor identification and the development of germane programmatic responses. This paper analyses temporal variations in suicide rates for the years 2002-2010 in Jamaica and describes the sociodemographic profile of cases and method of suicide for the latter four years. Data pertaining to suicides were extracted from the police (The Jamaica Constabulary Force) records. These were summarized and analysed with respect to person, place and time. Population statistics for the computation of rates were obtained from publications of the Statistical Institute of Jamaica. Age-standardized rates were generated for comparison of trends over time. Poisson and binomial probabilities were used to determine statistically significant differences in rates. Suicide rates in Jamaica have remained relatively stable for the period reviewed with mean overall annual incidence of 2.1 per 100 000 population. Rates for males were significantly higher than those for females. The majority (90.4%) of suicide cases were males. A trend for higher rates of suicide was generally noted in the 25-34-year and the 75-year and over age groups. Hanging was the main method used to commit suicide (77.5%). Age-adjusted rates of suicide indicate no significant changes in Jamaica over the period 2002 to 2010. Continued surveillance of suicide as well as improved recording of the circumstances surrounding suicides are recommended to promote greater understanding of suicides and this will ultimately inform intervention strategies.

  8. Asbestos-related occupational cancers compensated under the Industrial Accident Compensation Insurance in Korea.

    PubMed

    Ahn, Yeon-Soon; Kang, Seong-Kyu

    2009-04-01

    Compensation for asbestos-related cancers occurring in occupationally-exposed workers is a global issue; this is also an issue in Korea. To provide basic information regarding compensation for workers exposed to asbestos, 60 cases of asbestos-related occupational lung cancer and mesothelioma that were compensated during 15 yr; from 1993 (the year the first case was compensated) to 2007 by the Korea Labor Welfare Corporation (KLWC) are described. The characteristics of the cases were analyzed using the KLWC electronic data and the epidemiologic investigation data conducted by the Occupational Safety and Health Research Institute (OSHRI) of the Korea Occupational Safety and Health Agency (KOSHA). The KLWC approved compensation for 41 cases of lung cancer and 19 cases of mesothelioma. Males accounted for 91.7% (55 cases) of the approved cases. The most common age group was 50-59 yr (45.0%). The mean duration of asbestos exposure for lung cancer and mesothelioma cases was 19.2 and 16.0 yr, respectively. The mean latency period for lung cancer and mesothelioma cases was 22.1 and 22.6 yr, respectively. The major industries associated with mesothelioma cases were shipbuilding and maintenance (4 cases) and manufacture of asbestos textiles (3 cases). The major industries associated with lung cancer cases were shipbuilding and maintenance (7 cases), construction (6 cases), and manufacture of basic metals (4 cases). The statistics pertaining to asbestos-related occupational cancers in Korea differ from other developed countries in that more cases of mesothelioma were compensated than lung cancer cases. Also, the mean latency period for disease onset was shorter than reported by existing epidemiologic studies; this discrepancy may be related to the short history of occupational asbestos use in Korea. Considering the current Korean use of asbestos, the number of compensated cases in Korea is expected to increase in the future but not as much as developed countries.

  9. Challenging cell phone impact on reproduction: a review.

    PubMed

    Merhi, Zaher O

    2012-04-01

    The radiofrequency electromagnetic radiation (RF-EMR) produced by cell phones can enhance the excitability of the brain and has recently been classified as carcinogenic. The suggested use of hands-free kits lowers the exposure to the brain, but it might theoretically increase exposure to the reproductive organs. This report summarizes the potential effects of RF-EMR on reproductive potentials in both males and females. A critical review of the literature pertaining to the impact of cell phone RF-EMR on reproduction in male and female animals and humans was performed, with a focus on gonad metabolism, apoptosis of reproductive cells, fertility status, and serum reproductive hormones. While some animal and human studies revealed alterations in reproductive physiology in both males and females, others did not report any association. The in vitro and in vivo studies to date are highly diverse, very inconsistent in conduct and, in many cases, report different primary outcomes. The increasing use of cell phone warrants well-designed studies to ascertain the effect of their RF-EMR on reproduction.

  10. The multicolored Asian lady beetle, Harmonia axyridis: A review of its biology, uses in biological control, and non-target impacts

    PubMed Central

    Koch, R L

    2003-01-01

    Throughout the last century, the multicolored Asian lady beetle, Harmonia axyridis (Pallas) has been studied quite extensively, with topics ranging from genetics and evolution to population dynamics and applied biological control being covered. Much of the early work on H. axyridis was conducted in the native Asian range. From the 1980's to the present, numerous European and North American studies have added to the body of literature on H. axyridis. H. axyridis has recently gained attention in North America both as a biological control agent and as a pest. This literature review was compiled for two reasons. First, to assist other researchers as a reference, summarizing most of the voluminous body of literature on H. axyridis pertaining to its biology, life history, uses in biological control, and potential non-target impacts. Secondly, to be a case study on the impacts of an exotic generalist predator. PMID:15841248

  11. RELATIVE POTENCY RANKING FOR CHLOROPHENOLS

    EPA Science Inventory

    Recently the National Center for Environmental Assessment-Cincinnati completed a feasibility study for developing a toxicity related relative potency ranking scheme for chlorophenols. In this study it was concluded that a large data base exists pertaining to the relative toxicity...

  12. 46 CFR 174.080 - Flooding on self-elevating and surface type units.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.080 Flooding on self-elevating and surface type units. (a) On a surface type unit or...

  13. 46 CFR 174.080 - Flooding on self-elevating and surface type units.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.080 Flooding on self-elevating and surface type units. (a) On a surface type unit or...

  14. 32 CFR 2001.33 - Mandatory review for declassification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... information sought with a reasonable amount of effort. Requests for broad types of information, entire file... information pertains to intelligence activities, the Director of National Intelligence. (d) Intelligence information. Mandatory declassification review requests for information pertaining to intelligence sources...

  15. Perioperative Care for Pediatric Patients With Penetrating Brain Injury: A Review.

    PubMed

    Mikhael, Marco; Frost, Elizabeth; Cristancho, Maria

    2017-05-19

    Traumatic brain injury (TBI) continues to be the leading cause of death and acquired disability in young children and adolescents, due to blunt or penetrating trauma, the latter being less common but more lethal. Penetrating brain injury (PBI) has not been studied extensively, mainly reported as case reports or case series, due to the assumption that both types of brain injury have common pathophysiology and consequently common management. However, recommendations and guidelines for the management of PBI differ from those of blunt TBI in regards to neuroimaging, intracranial pressure (ICP) monitoring, and surgical management including those pertaining to vascular injury. PBI was one of the exclusion criteria in the second edition of guidelines for the acute medical management of severe TBI in infants, children, and adolescents that was published in 2012 (it is referred to as "pediatric guidelines" in this review). Many reviews of TBI do not differentiate between the mechanisms of injury. We present an overview of PBI, its presenting features, epidemiology, and causes as well as an analysis of case series and the conclusions that may be drawn from those and other studies. More clinical trials specific to penetrating head injuries in children, focusing mainly on pathophysiology and management, are needed. The term PBI is specific to penetrating injury only, whereas TBI, a more inclusive term, describes mainly, but not only, blunt injury.

  16. Impact of Infection Control Measures to Control an Outbreak of Multidrug-Resistant Tuberculosis in a Human Immunodeficiency Virus Ward, Peru

    PubMed Central

    Ticona, Eduardo; Huaroto, Luz; Kirwan, Daniela E.; Chumpitaz, Milagros; Munayco, César V.; Maguiña, Mónica; Tovar, Marco A.; Evans, Carlton A.; Escombe, Roderick; Gilman, Robert H.

    2016-01-01

    Multidrug-resistant tuberculosis (MDRTB) rates in a human immunodeficiency virus (HIV) care facility increased by the year 2000—56% of TB cases, eight times the national MDRTB rate. We reported the effect of tuberculosis infection control measures that were introduced in 2001 and that consisted of 1) building a respiratory isolation ward with mechanical ventilation, 2) triage segregation of patients, 3) relocation of waiting room to outdoors, 4) rapid sputum smear microscopy, and 5) culture/drug–susceptibility testing with the microscopic-observation drug-susceptibility assay. Records pertaining to patients attending the study site between 1997 and 2004 were reviewed. Six hundred and fifty five HIV/TB–coinfected patients (mean age 33 years, 79% male) who attended the service during the study period were included. After the intervention, MDRTB rates declined to 20% of TB cases by the year 2004 (P = 0.01). Extremely limited access to antiretroviral therapy and specific MDRTB therapy did not change during this period, and concurrently, national MDRTB prevalence increased, implying that the infection control measures caused the fall in MDRTB rates. The infection control measures were estimated to have cost US$91,031 while preventing 97 MDRTB cases, potentially saving US$1,430,026. Thus, this intervention significantly reduced MDRTB within an HIV care facility in this resource-constrained setting and should be cost-effective. PMID:27621303

  17. Coming out of the dark: content analysis of articles pertaining to gay, lesbian, and bisexual issues in couple and family therapy journals.

    PubMed

    Hartwell, Erica E; Serovich, Julianne M; Grafsky, Erika L; Kerr, Zachary Y

    2012-06-01

    The present study seeks to extend previous research regarding literature related to gay, lesbian, and bisexual (GLB) issues published in couple and family therapy (CFT)-related journals by presenting the results from a content analysis of GLB studies in CFT-related journals from 1996 to 2010. Results of the analysis revealed a 238.8% increase in total GLB content published since the original review. Articles pertaining to therapy with GLB clients continue to represent the largest area of publication. With one exception, all surveyed journals showed an increase in the percentage of GLB content since the first study. Emerging areas of research include studies related to supervision and training, GLB mental health and substance use, and sexual minority adolescents. A movement away from deficit-based perspectives could open a new lens on family life. © 2012 American Association for Marriage and Family Therapy.

  18. Constructivist Instructional Practices and Teacher Beliefs Related to Secondary Science Teaching and Learning

    NASA Astrophysics Data System (ADS)

    Nelson, Adrienne Fleurette

    The purpose of this mixed method research study was to examine the constructivist beliefs and instructional practices of secondary science teachers. The research also explored situations that impacted whether or not student centered instruction occurred. The study revealed science teachers held constructive beliefs pertaining to student questioning of the learning process and student autonomy in interacting with other learners. Teachers held the least constructivist beliefs pertaining to student teacher collaboration on lesson design. Additionally, teacher beliefs and practice were not congruent due to instructional practices being deemed less constructivist than reported. The study found that curricular demands, teacher perceptions about students, inadequate laboratory resources, and the lack of teacher understanding about the components of constructivist instruction inhibited student centered instruction. The results of this study led to six recommendations that can be implemented by school districts in collaboration with science teachers to promote constructivist instruction.

  19. Synchronistic mind-matter correlations in therapeutic practice: a commentary on Connolly (2015).

    PubMed

    Atmanspacher, Harald; Fach, Wolfgang

    2016-02-01

    This commentary adds some ideas and refinements to the inspiring discussion in a recent paper by Connolly () that makes use of a dual-aspect framework developed by us earlier. One key point is that exceptional experiences (of which synchronicities are a special case) cannot in general be identified with experiences of non-categorial or acategorial mental states. In fact, most exceptional experiences reported in the literature are experiences of categorial states. Conversely, there are non-categorial and acategorial states whose experience is not exceptional. Moreover, the psychodynamics of a synchronistic experience contain a subtle mesh of interacting processes pertaining to categorial, non-categorial and acategorial domains. We outline how this mesh may be addressed in particular cases of synchronicity described by Connolly. © 2016, The Society of Analytical Psychology.

  20. A review of recombinant factor VII for refractory bleeding in nonhemophilic trauma patients.

    PubMed

    Barletta, Jeffrey F; Ahrens, Christine L; Tyburski, James G; Wilson, Robert F

    2005-03-01

    Recombinant factor VII (rFVII) is an attractive agent to control refractory, coagulopathic bleeding in patients following major surgery. The purpose of this review is to evaluate the published experiences of rFVII in adult, nonhemophilic, surgical and trauma patients. A computerized literature search was conducted to identify articles pertaining to rFVII use for refractory bleeding in adult, nonhemophilic, surgical patients. The selected articles were reviewed and the applicable data was analyzed. A total of 117 patients were found in 8 case series and 24 case reports. Overall, rFVII was effective in restoring hemostasis in 99/117 (85%) patients with 76/99 (77%) surviving to hospital discharge. In trauma patients, hemostasis was achieved in 20/26 (77%) patients and 17/20 (85%) survived. There were 5 (4%) thromboembolic events observed in the 117 cases and much disparity was noted with the initial dose. Severe acidosis affected the activity of rFVII. Recombinant factor VII is an effective therapeutic agent for achieving hemostasis in nonhemophilic surgical patients. Published clinical experiences, however, are limited to small case series and case reports.

  1. Review of Grit and Resilience Literature within Health Professions Education

    PubMed Central

    Cain, Jeff

    2018-01-01

    Objective. To review literature pertaining to grit and resilience in health professions education. Findings. There is significant interest in grit and resilience throughout the health professions, but little has been published with regard to pharmacy. Although there are methodological issues with defining and measuring grit and resilience, several studies have shown relationships between the constructs and personal and academic well-being. Educational interventions aimed at increasing grit and resilience have produced mixed results. Developing protective factors appears to be the most common approach in helping students become more resilient. Summary. Literature pertaining to grit and resilience reveals that the terms are nuanced, complex, and difficult to measure and understand. Regardless, the general characteristics associated with grit and resilience are of interest to educators and warrant further study. PMID:29606705

  2. 49 CFR 350.335 - What are the consequences if my State has laws or regulations incompatible with the Federal...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Federal regulations? (a) A State that currently has compatible CMV safety laws and regulations pertaining... enforcement practice pertaining to CMV safety, in either interstate or intrastate commerce, is incompatible...

  3. 49 CFR 350.335 - What are the consequences if my State has laws or regulations incompatible with the Federal...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Federal regulations? (a) A State that currently has compatible CMV safety laws and regulations pertaining... enforcement practice pertaining to CMV safety, in either interstate or intrastate commerce, is incompatible...

  4. 49 CFR 350.335 - What are the consequences if my State has laws or regulations incompatible with the Federal...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Federal regulations? (a) A State that currently has compatible CMV safety laws and regulations pertaining... enforcement practice pertaining to CMV safety, in either interstate or intrastate commerce, is incompatible...

  5. 49 CFR 350.335 - What are the consequences if my State has laws or regulations incompatible with the Federal...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Federal regulations? (a) A State that currently has compatible CMV safety laws and regulations pertaining... enforcement practice pertaining to CMV safety, in either interstate or intrastate commerce, is incompatible...

  6. 46 CFR 503.79 - Exceptions-information pertaining to meeting.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Section 503.79 Shipping FEDERAL MARITIME COMMISSION GENERAL AND ADMINISTRATIVE PROVISIONS PUBLIC INFORMATION Public Observation of Federal Maritime Commission Meetings and Public Access to Information... where the agency finds that the public interest requires otherwise, information pertaining to a portion...

  7. Health Concerns of Young Adolescents.

    ERIC Educational Resources Information Center

    Sobal, Jeffery

    1987-01-01

    Examined health concerns of 278 urban junior high school students. Highest levels of concerns pertained to dental health, friendships, nutrition, and sex; lowest levels pertained to smoking, birth control, pregnancy, and homosexuality. Younger, female, and less healthy students expressed greater health concerns. (Author/NB)

  8. Apollo 16 Mission Report

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Information is provided on the operational and engineering aspects of the Apollo 16 mission. Customary units of measurement are used in those sections of the report pertaining to spacecraft systems and trajectories. The International System of Units is used in sections pertaining to science activities.

  9. Production of hydrogen using an anaerobic biological process

    DOEpatents

    Kramer, Robert; Pelter, Libbie S.; Patterson, John A.

    2016-11-29

    Various embodiments of the present invention pertain to methods for biological production of hydrogen. More specifically, embodiments of the present invention pertain to a modular energy system and related methods for producing hydrogen using organic waste as a feed stock.

  10. Assessment of the calibration of periodontal diagnosis and treatment planning among dental students at three dental schools.

    PubMed

    Lane, Brittany A; Luepke, Paul; Chaves, Eros; Maupome, Gerardo; Eckert, George J; Blanchard, Steven; John, Vanchit

    2015-01-01

    Calibration in diagnosis and treatment planning is difficult to achieve due to variations that exist in clinical interpretation. To determine if dental faculty members are consistent in teaching how to diagnose and treat periodontal disease, variations among dental students can be evaluated. A previous study reported high variability in diagnoses and treatment plans of periodontal cases at Indiana University School of Dentistry. This study aimed to build on that one by extending the research to two additional schools: Marquette University School of Dentistry and West Virginia University School of Dentistry. Diagnosis and treatment planning by 40 third- and fourth-year dental students were assessed at each of the schools. Students were asked to select the diagnosis and treatment plans on a questionnaire pertaining to 11 cases. Their responses were compared using chi-square tests, and multirater kappa statistics were used to assess agreement between classes and between schools. Logistic regression models were used to evaluate the effects of school, class year, prior experience, and GPA/class rank on correct responses. One case had a statistically significant difference in responses between third- and fourth-year dental students. Kappas for school agreement and class agreement were low. The students from Indiana University had higher diagnosis and treatment agreements than the Marquette University students, and the Marquette students fared better than the West Virginia University students. This study can help restructure future periodontal courses for a better understanding of periodontal diagnosis and treatment planning.

  11. Age of dementia diagnosis in community dwelling bilingual and monolingual Hispanic Americans.

    PubMed

    Lawton, Deborah M; Gasquoine, Philip G; Weimer, Amy A

    2015-05-01

    Bilingualism has been reported to delay the age of retrospective report of first symptom in dementia. This study determined if the age of clinically diagnosed Alzheimer's disease and vascular dementia occurred later for bilingual than monolingual, immigrant and U.S. born, Hispanic Americans. It involved a secondary analysis of the subset of 81 bi/monolingual dementia cases identified at yearly follow-up (1998 through 2008) using neuropsychological test results and objective diagnostic criteria from the Sacramento Area Latino Study on Aging that involved a random sampling of community dwelling Hispanic Americans (N = 1789). Age of dementia diagnosis was analyzed in a 2 × 2 (bi/monolingualism × immigrant/U.S. born) ANOVA that space revealed both main effects and the interaction were non-significant. Mean age of dementia diagnosis was descriptively (but not significantly) higher in the monolingual (M = 81.10 years) than the bilingual (M = 79.31) group. Overall, bilingual dementia cases were significantly better educated than monolinguals, but U.S. born bilinguals and monolinguals did not differ significantly in education. Delays in dementia symptomatology pertaining to bilingualism are less likely to be found in studies: (a) that use age of clinical diagnosis vs. retrospective report of first dementia symptom as the dependent variable; and (b) involve clinical cases derived from community samples rather than referrals to specialist memory clinics. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. An eco-sustainable green approach for heavy metals management: two case studies of developing industrial region.

    PubMed

    Rai, Prabhat Kumar

    2012-01-01

    Multifaceted issues or paradigm of sustainable development should be appropriately addressed in the discipline of environmental management. Pollution of the biosphere with toxic metals has accelerated dramatically since the beginning of the Industrial Revolution. In present review, comparative assessment of traditional chemical technologies and phytoremediation has been reviewed particularly in the context of cost-effectiveness. The potential of phytoremediation and green chemicals in heavy metals management has been described critically. Further, the review explores our work on phytoremediation as green technology during the last 6 years and hand in hand addresses the various ecological issues, benefits and constraints pertaining to heavy metal pollution of aquatic ecosystems and its phytoremediation as first case study. Second case study demonstrates the possible health implications associated with use of metal contaminated wastewater for irrigation in peri-urban areas of developing world. Our researches revealed wetland plants/macrophytes as ideal bio-system for heavy metals removal in terms of both ecology and economy, when compared with chemical treatments. However, there are several constraints or limitations in the use of aquatic plants for phytoremediation in microcosm as well as mesocosm conditions. On the basis of our past researches, an eco-sustainable model has been proposed in order to resolve the certain constraints imposed in two case studies. In relation to future prospect, phytoremediation technology for enhanced heavy metal accumulation is still in embryonic stage and needs more attention in gene manipulation area. Moreover, harvesting and recycling tools needs more extensive research. A multidisciplinary research effort that integrates the work of natural sciences, environmental engineers and policy makers is essential for greater success of green technologies as a potent tool of heavy metals management.

  13. Industrial-waste management in developing countries: the case of Lebanon.

    PubMed

    el-Fadel, M; Zeinati, M; el-Jisr, K; Jamali, D

    2001-04-01

    This paper presents a critical assessment of the existing Lebanese industrial sector, namely the current status and classification of industrial establishments based on a comparative synthesis and analysis of recent nationwide surveys and studies pertaining to industrial-waste management. Characterisation of solid and liquid industrial wastes generated, including hazardous wastes, is presented together with current and projected waste loads, recycling opportunities, and export/import practices. Institutional capacity and needs pertaining to the enforcement of relevant environmental legislation, staffing and resources, monitoring schemes, and public participation are critically evaluated. Finally, realistic options for industrial-waste management in the context of country-specific institutional economic and technical limitations are outlined. The industrial sector in Lebanon consists of small-scale industries (84% employ less than 10 persons), primarily involved in light manufacturing (96%). These industries which are distributed among 41 ill-defined zones and deficient in appropriate physical infrastructure, generate solid, liquid, and hazardous waste estimated at 346,730 tons/year, 20,169,600 m3/year and between 3000 to 15,000 tons/year, respectively. Although the growth of this sector contributes significantly to the socio-economic development of the country (industry accounts for 17% of the gross domestic product), in the absence of a comprehensive environmental management plan, this expansion may not be sustained into the coming millennium. The anticipated expansion will inevitably amplify adverse environmental impacts associated with industrial activities due to rising waste volumes and improper waste handling and disposal practices. These impacts are further aggravated by a deficient institutional framework, a lack of adequate environmental laws, and lax enforcement of regulations governing industrial-waste management.

  14. 10 CFR 602.3 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... ENERGY (CONTINUED) ASSISTANCE REGULATIONS EPIDEMIOLOGY AND OTHER HEALTH STUDIES FINANCIAL ASSISTANCE... Studies means research pertaining to potential health effects resulting from DOE or predecessor agency...) in the United States and abroad. Related systems or activities to enhance these areas, as well as...

  15. 10 CFR 602.3 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... ENERGY (CONTINUED) ASSISTANCE REGULATIONS EPIDEMIOLOGY AND OTHER HEALTH STUDIES FINANCIAL ASSISTANCE... Studies means research pertaining to potential health effects resulting from DOE or predecessor agency...) in the United States and abroad. Related systems or activities to enhance these areas, as well as...

  16. 10 CFR 602.3 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... ENERGY (CONTINUED) ASSISTANCE REGULATIONS EPIDEMIOLOGY AND OTHER HEALTH STUDIES FINANCIAL ASSISTANCE... Studies means research pertaining to potential health effects resulting from DOE or predecessor agency...) in the United States and abroad. Related systems or activities to enhance these areas, as well as...

  17. 10 CFR 602.3 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... ENERGY (CONTINUED) ASSISTANCE REGULATIONS EPIDEMIOLOGY AND OTHER HEALTH STUDIES FINANCIAL ASSISTANCE... Studies means research pertaining to potential health effects resulting from DOE or predecessor agency...) in the United States and abroad. Related systems or activities to enhance these areas, as well as...

  18. Holography and tomography

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

    Howells, M.

    This session includes a collection of outlines of pertinent information, diagrams, graphs, electron micrographs, and color photographs pertaining to historical aspects and recent advances in the development of X-ray Gabor Holography. Many of the photographs feature or pertain to instrumentation used in holography, tomography, and cryo-holography.

  19. Tram-related trauma in Melbourne, Victoria.

    PubMed

    Mitra, Biswadev; Al Jubair, Jubair; Cameron, Peter A; Gabbe, Belinda J

    2010-08-01

    To establish the incidence and pattern of injuries in patients presenting to hospital with tram-related injuries. Data on tram-related injury pertaining to 2001-2008 calendar years were extracted from three datasets: the population-based Victorian State Trauma Registry for major trauma cases, the Victorian Emergency Minimum Dataset for ED presentations and the National Coroners' Information System for deaths. Incidence rates adjusted for the population of Melbourne, and trends in the incidence of tram-related ED presentations and major trauma cases, were analysed and presented as incidence rate ratios (IRR). There were 1769 patients who presented to ED after trauma related to trams in Melbourne during the study period. Of these, 107 patients had injuries classified as major trauma. There was a significant increase in the rate of ED presentations (IRR 1.03, P = 0.010) with falls (46%) the most commonly reported mechanism. Most falls occurred inside the trams. There was also a significant increase in the incidence rates of major trauma cases (IRR 1.12, P = 0.006) with pedestrians accounting for most major trauma cases. Most cases of trauma related to trams have minor injuries and are discharged following ED management. Primary prevention of falls in trams and the separation of pedestrians from trams are key areas requiring immediate improvement. In the face of increasing trauma associated with trams, continuing safety surveillance and targeted public safety messages are important to sustain trams as safe and effective mode of transport.

  20. Correlations between spectra with different symmetries: any chance to be observed?

    NASA Astrophysics Data System (ADS)

    Braun, P.; Leyvraz, F.; Seligman, T. H.

    2011-06-01

    A standard assumption in quantum chaology is the absence of correlation between spectra pertaining to different symmetries. Doubts were raised about this statement for several reasons, in particular because in semiclassics the spectra of different symmetries are expressed in terms of the same set of periodic orbits. We re-examine this question and notice the absence of correlations in the universal regime. In the case of continuous symmetry, the problem is reduced to parametric correlation, and we expect correlations to be present up to a certain time which is essentially classical but larger than the ballistic time.

  1. Multivariate Lipschitz optimization: Survey and computational comparison

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

    Hansen, P.; Gourdin, E.; Jaumard, B.

    1994-12-31

    Many methods have been proposed to minimize a multivariate Lipschitz function on a box. They pertain the three approaches: (i) reduction to the univariate case by projection (Pijavskii) or by using a space-filling curve (Strongin); (ii) construction and refinement of a single upper bounding function (Pijavskii, Mladineo, Mayne and Polak, Jaumard Hermann and Ribault, Wood...); (iii) branch and bound with local upper bounding functions (Galperin, Pint{acute e}r, Meewella and Mayne, the present authors). A survey is made, stressing similarities of algorithms, expressed when possible within a unified framework. Moreover, an extensive computational comparison is reported on.

  2. Ketoconazole hepatotoxicity in a patient treated for environmental illness and systemic candidiasis

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

    Brusko, C.S.; Marten, J.T.

    1991-12-01

    Environmental illness, a hypothesized disease caused by exposure to substances such as combustion products, pesticides, food additives, and Candida albicans, is discussed. The case of a patient with environmental illness and systemic candidiasis for six weeks with ketoconazole, liver enzyme concentrations increased. One month after discontinuation of ketoconazole, the liver enzyme concentrations decreased; however, over the next five months, liver enzymes and bilirubin increased. The patient developed encephalopathy and eventually was transferred to a medical center for possible liver transplant. A review of the literature pertaining to ketoconazole hepatotoxicity is also presented.16 references.

  3. Incorporating reproductive management of beef heifers into a veterinary practice.

    PubMed

    Poock, Scott E; Payne, Craig A

    2013-11-01

    Veterinarians play an important role in reproductive management of dairy herds across the United States; however, in many cases, their involvement in reproductive management of beef herds has been limited. The reasons for this vary; however, there are ways for veterinarians to become more actively involved in reproductive management of US beef herds. Veterinarians can have an impact on producers' profits by implementing their skills and knowledge to beef heifer development programs. This article provides an overview of the services veterinarians can provide to beef cattle producers that pertain to reproductive management of replacement beef heifers. Published by Elsevier Inc.

  4. Perforated Sigmoid Diverticular Disease: a Management Protocol

    PubMed Central

    Moin, Thajammul

    2008-01-01

    Background: To develop an evidence-based protocol for the management of perforated sigmoid diverticular disease. Methods: A search of the literature was undertaken. All publications pertaining to perforated sigmoid diverticular disease were analyzed and then categorized according to their level of evidence. Recommendations were then made on the basis of this. Results: Multiple case reports suggest that primary closure of perforation of sigmoid diverticula is safe in the absence of peritoneal contamination. Conclusions: A 2-stage laparoscopic approach incorporating the principles of damage limitation surgery may be a safe strategy in the management of perforated diverticular disease. PMID:18435896

  5. An arctic fox rabies virus strain as the cause of human rabies in Russian Siberia.

    PubMed

    Kuzmin, I V

    1999-01-01

    A case of human rabies in the arctic zone of Siberia is described. The victim was bitten by a wolf, but characterization of the isolate by monoclonal antibodies showed that it was an arctic fox virus strain. This discovery reaffirmed the value of strain typing rabies virus isolates in regions where this has not been done already: such characterization pertains to the identification of the reservoir host, to the natural history of the virus in the reservoir, and to future surveillance, post-exposure treatment, and public education in the region.

  6. Radiation oncology in Canada.

    PubMed

    Giuliani, Meredith; Gospodarowicz, Mary

    2018-01-01

    In this article we provide an overview of the Canadian healthcare system and the cancer care system in Canada as it pertains to the governance, funding and delivery of radiotherapy programmes. We also review the training and practice for radiation oncologists, medical physicists and radiation therapists in Canada. We describe the clinical practice of radiation medicine from patients' referral, assessment, case conferences and the radiotherapy process. Finally, we provide an overview of the practice culture for Radiation Oncology in Canada. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  7. Obesogenic environment: a concept analysis and pediatric perspective.

    PubMed

    Gauthier, Kristine I; Krajicek, Marilyn J

    2013-07-01

    A concept analysis was undertaken to examine the attributes, characteristics, and uses of the concept of obesogenic environment within a pediatric context. Utilizing a modified version of Walker and Avant's method, the attributes and characteristics of obesogenic environment were identified as it pertains to children. Based on the review of the literature and previous definitions applied to adults, a definition of the concept of obesogenic environment within a pediatric context was developed; examples of sample cases illustrate the concept further. Defining the concept of obesogenic environment has utility for nursing theory development, practice, research, and education. © 2013, Wiley Periodicals, Inc.

  8. Expert Radiation Oncologist Interpretations of Involved-Site Radiation Therapy Guidelines in the Management of Hodgkin Lymphoma

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

    Hoppe, Bradford S.; Hoppe, Richard T., E-mail: rhoppe@stanford.edu

    Purpose: Recently, involved-site radiation therapy (ISRT) guidelines have been developed and published to replace the previous concept of involved-field radiation therapy for patients with lymphoma. However, these ISRT guidelines may be interpreted in different ways, posing difficulties for prospective clinical trials. This study reports survey results regarding interpretation of the ISRT guidelines. Methods and Materials: Forty-four expert lymphoma radiation oncologists were asked to participate in a survey that included 7 different cases associated with 9 questions. The questions pertained to ISRT contouring and asked respondents to choose between 2 different answers (no “correct” answer) and a third write-in option allowed.more » Results: Fifty-two percent of those surveyed responded to the questionnaire. Among those who responded, 72% have practiced for >10 years, 46% have treated >20 Hodgkin lymphoma cases annually, and 100% were familiar with the ISRT concept. Among the 9 questions associated with the 7 cases, 3 had concordance among the expert radiation oncologists of greater than 70%. Six of the questions had less than 70% concordance (range, 56%-67%). Conclusions: Even among expert radiation oncologists, interpretation of ISRT guidelines is variable. Further guidance for ISRT field design will be needed to reduce variability among practicing physicians.« less

  9. A qualitative exploration of driving stress and driving discourtesy.

    PubMed

    Scott-Parker, B; Jones, C M; Rune, K; Tucker, J

    2018-05-31

    Driving courtesy, and conversely driving discourtesy, recently has been of great interest in the public domain. In addition, there has been increasing recognition of the negative impact of stress upon the individual's health and wellbeing, with a plethora of interventions aimed at minimising stress more generally. The research literature regarding driving dis/courtesy, in comparison, is scant, with a handful of studies examining the dis/courteous driving behaviour of road users, and the relationship between driving discourtesy and driving stress. To examine courteous and discourteous driving experiences, and to explore the impact of stress associated with such driving experiences. Thirty-eight drivers (20 females) from the Sunshine Coast region volunteered to participate in one of four 1-1.5 h focus groups. Content analysis used the verbatim utterances captured via an Mp3 device. Three themes pertaining to stressful and discourteous interactions were identified. Theme one pertained to the driving context: road infrastructure (eg, roundabouts, roadwork), vehicles (eg, features), location (eg, country vs city, unfamiliar areas), and temporal aspects (eg, holidays). Theme two pertained to other road users: their behaviour (eg, tailgating, merging), and unknown factors (eg, illicit and licit drug use). Theme three pertained to the self as road user: their own behaviours (eg, deliberate intimidation), and their emotions (eg, angry reaction to other drivers, being in control). Driving dis/courtesy and driving stress is a complex phenomenon, suggesting complex intervention efforts are required. Driving discourtesy was reported as being highly stressful, therefore intervention efforts which encourage driving courtesy and which foster emotional capacity to cope with stressful circumstances appear warranted. Copyright © 2018. Published by Elsevier Ltd.

  10. Influence of the clearance on in-vitro tribology of large diameter metal-on-metal articulations pertaining to resurfacing hip implants.

    PubMed

    Rieker, Claude B; Schön, Rolf; Konrad, Reto; Liebentritt, Gernot; Gnepf, Patric; Shen, Ming; Roberts, Paul; Grigoris, Peter

    2005-04-01

    Large-diameter metal-on-metal articulations may provide an opportunity for wear reduction in total hip implants because earlier studies have shown that the formation of a fluid film that completely separates the bearing surfaces is theoretically possible. In such a lubrication mode and under ideal conditions, there is theoretically no amount of wear. Studies have suggested that the two primary parameters controlling the lubrication mode are the diameter and the clearance of the articulation. The goal of the present study was to experimentally investigate the influence of these two parameters on the wear behavior of large-diameter metal-on-metal articulations pertaining to resurfacing hip implants. The results of this in vitro investigation showed that longer running-in periods and higher amounts of running-in wear were associated with larger clearances.

  11. 40 CFR 68.65 - Process safety information.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to the technology of the process, and information pertaining to the equipment in the process. (b...) Information pertaining to the technology of the process. (1) Information concerning the technology of the...) Electrical classification; (iv) Relief system design and design basis; (v) Ventilation system design; (vi...

  12. 78 FR 36752 - Air University Board of Visitors Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-19

    ... pertaining to the educational policies and programs of Air University and for the AFIT Subcommittee to... independent advice and recommendations on matters pertaining to the educational, doctrinal, and research..., programs, and initiatives of Air University educational programs and will include an outbrief from the...

  13. 46 CFR 174.075 - Compartments assumed flooded: general.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Compartments assumed flooded: general. 174.075 Section 174.075 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling...

  14. 46 CFR 174.070 - General damage stability assumptions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false General damage stability assumptions. 174.070 Section 174.070 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling...

  15. 46 CFR 174.070 - General damage stability assumptions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false General damage stability assumptions. 174.070 Section 174.070 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling...

  16. 46 CFR 174.075 - Compartments assumed flooded: general.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Compartments assumed flooded: general. 174.075 Section 174.075 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling...

  17. 78 FR 79008 - Proposed Information Collection; Application for Waiver of Surface Sanitary Facilities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ... Information Collection; Application for Waiver of Surface Sanitary Facilities' Requirements (Pertaining to... for Waiver of Surface Sanitary Facilities' Requirements (Pertaining to Coal Mines). DATES: All...-3 require coal mine operators to provide bathing facilities, clothing change rooms, and sanitary...

  18. 77 FR 51469 - Change of Address for Merit Systems Protection Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-24

    ... Review Act This action pertains to the Commission's management, personnel and organization and does not... Protection Board. DATES: Effective August 24, 2012. FOR FURTHER INFORMATION CONTACT: Thomas J. Schlageter... INFORMATION: Regulatory Procedures Executive Order 12866 This action pertains to agency organization...

  19. Notification: Audit of EPA's Adherence to Policies, Procedures and Oversight Controls Pertaining to the Administrator’s Travel

    EPA Pesticide Factsheets

    Project #OA-FY17-0382, August 28, 2017. The EPA OIG plans to begin preliminary research on the EPA’s adherence to policies, procedures and oversight controls pertaining to the Administrator’s travel to Oklahoma.

  20. The Role of Macronutrients in Exercise.

    ERIC Educational Resources Information Center

    Arterberry, Christopher M.

    2002-01-01

    Explores the role of macronutrients in exercise, examining research pertaining to exercise intensity, exercise duration, macronutrient intake, and mode of exercise as they pertain to both athletes and recreational exercisers. The paper explains that coaches and trainers must interpret and apply research findings to individual exercisers,…

  1. 46 CFR 174.360 - Calculations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Dry Cargo Ships § 174.360 Calculations. Each ship to... for that ship by the International Convention for the Safety of Life at Sea, 1974, as amended, chapter...

  2. 40 CFR 68.65 - Process safety information.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... to the technology of the process, and information pertaining to the equipment in the process. (b...) Information pertaining to the technology of the process. (1) Information concerning the technology of the...) Electrical classification; (iv) Relief system design and design basis; (v) Ventilation system design; (vi...

  3. 40 CFR 68.65 - Process safety information.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... to the technology of the process, and information pertaining to the equipment in the process. (b...) Information pertaining to the technology of the process. (1) Information concerning the technology of the...) Electrical classification; (iv) Relief system design and design basis; (v) Ventilation system design; (vi...

  4. 46 CFR 172.165 - Intact stability calculations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO BULK CARGOES Special Rules Pertaining to a Ship That Carries a Bulk Liquefied Gas Regulated... paragraph (a) of this section, the effects of the addition of water ballast may be considered. ...

  5. Risk factors for buruli ulcer in Ghana-a case control study in the Suhum-Kraboa-Coaltar and Akuapem South Districts of the eastern region.

    PubMed

    Kenu, Ernest; Nyarko, Kofi Mensah; Seefeld, Linda; Ganu, Vincent; Käser, Michael; Lartey, Margaret; Calys-Tagoe, Benedict Nii Laryea; Koram, Kwodwo; Adanu, Richard; Razum, Oliver; Afari, Edwin; Binka, Fred N

    2014-01-01

    Buruli ulcer (BU) is a skin disease caused by Mycobacterium ulcerans. Its exact mode of transmission is not known. Previous studies have identified demographic, socio-economic, health and hygiene as well as environment related risk factors. We investigated whether the same factors pertain in Suhum-Kraboa-Coaltar (SKC) and Akuapem South (AS) Districts in Ghana which previously were not endemic for BU. We conducted a case control study. A case of BU was defined as any person aged 2 years or more who resided in study area (SKC or AS District) diagnosed according to the WHO clinical case definition for BU and matched with age- (+/-5 years), gender-, and community controls. A structured questionnaire on host, demographic, environmental, and behavioural factors was administered to participants. A total of 113 cases and 113 community controls were interviewed. Multivariate conditional logistic regression analysis identified presence of wetland in the neighborhood (OR=3.9, 95% CI=1.9-8.2), insect bites in water/mud (OR=5.7, 95% CI=2.5-13.1), use of adhesive when injured (OR=2.7, 95% CI=1.1-6.8), and washing in the Densu river (OR=2.3, 95% CI=1.1-4.96) as risk factors associated with BU. Rubbing an injured area with alcohol (OR=0.21, 95% CI=0.008-0.57) and wearing long sleeves for farming (OR=0.29, 95% CI=0.14-0.62) showed protection against BU. This study identified the presence of wetland, insect bites in water, use of adhesive when injured, and washing in the river as risk factors for BU; and covering limbs during farming as well as use of alcohol after insect bites as protective factors against BU in Ghana. Until paths of transmission are unraveled, control strategies in BU endemic areas should focus on these known risk factors.

  6. Socio-cultural perspectives on causes and intervention strategies of male infertility: a case study of Mhondoro-Ngezi, Zimbabwe.

    PubMed

    Moyo, Stanzia; Muhwati, Itai

    2013-06-01

    The subject of male infertility has, to a large extent, been broached from a western perspective that often insists on the biological factor. This approach has led to a narrowed and narrowing perception of male infertility in that it often neglects other possible crucial socio-cultural dimensions pertaining to the issue. The study is purely qualitative. Focus group discussions and key informant interviews (with males and females) are used to collect qualitative data. The study notes that, unlike in western inclined discourses, male infertility is an intricate condition that transcends biology. Witchcraft and punishment either from God or angry ancestors were avowed to be the determinants of male infertility. The study notes that the Shona people in Mhondoro-Ngezi exclusively rely on socio-cultural intervention strategies to solve the problem of male infertility. The study thus recommends a holistic approach to male infertility which integrates the socio-cultural perspectives in policy and programming, if progress is to be made in unearthing the underlying causes and treatment options.

  7. A Review of Solution Chemistry Studies: Insights into Students' Conceptions

    ERIC Educational Resources Information Center

    Calyk, Muammer; Ayas, Alipa; Ebenezer, Jazlin V.

    2005-01-01

    This study has reviewed the last two decades of student conception research in solution chemistry pertaining to aims, methods of exploring students' conception, general knowledge claims, students' conceptions and difficulties, and conceptual change studies. The aims of solution chemistry studies have been to assess students' understanding level of…

  8. Is case-specificity content-specificity? An analysis of data from extended-matching questions.

    PubMed

    Dory, Valerie; Gagnon, Robert; Charlin, Bernard

    2010-03-01

    Case-specificity, i.e., variability of a subject's performance across cases, has been a consistent finding in medical education. It has important implications for assessment validity and reliability. Its root causes remain a matter of discussion. One hypothesis, content-specificity, links variability of performance to variable levels of relevant knowledge. Extended-matching items (EMIs) are an ideal format to test this hypothesis as items are grouped by topic. If differences pertaining to content knowledge are the main cause of case-specificity, variability across topics should be high and variability across items within the same topic low. We used generalisability analysis on results of a written test composed of 159 EMIs sat by two cohorts of general practice trainees at one university. Two hundred and twenty-seven trainees took part. The variance component attributed to subjects was small. Variance attributed to topics was smaller than variance attributed to items. The main source of error was interaction between subjects and items, accounting for two-thirds of error. The generalisability D study revealed that for the same total number of items, increasing the number of topics results in a higher G coefficient than increasing the number of items per topic. Topical knowledge does not seem to explain case-specificity observed in our data. Structure of knowledge and reasoning strategy may be more important, in particular pattern-recognition which EMIs were designed to elicit. The causal explanations of case-specificity may be dependent on test format. Increasing the number of topics with fewer items each would increase reliability but also testing time.

  9. A systematic review of ethical issues in vaccine studies involving pregnant women.

    PubMed

    Beeler, Jennifer A; Lambach, Philipp; Fulton, T Roice; Narayanan, Divya; Ortiz, Justin R; Omer, Saad B

    2016-08-02

    Immunization during pregnancy can provide protection for mother and child. However, there have been only a limited number of studies documenting the efficacy and safety of this strategy. To determine the extent and nature of subject matter related to ethics in maternal immunization by systematically documenting the spectrum of ethical issues in vaccine studies involving pregnant women. We conducted a systematic literature review of published works pertaining to vaccine and therapeutic studies involving pregnant women through searches of PubMed, EMBASE, Web of Science, the Cochrane Database, and ClinicalTrials.gov. We selected literature meeting the inclusion criteria published between 1988 and June 2014. We systematically abstracted subject matter pertaining to ethical issues in immunization studies during pregnancy. Immunization-specific ethical issues were matched and grouped into major categories and subcategories. Seventy-seven published articles met the inclusion criteria. Published articles reported findings on data that had been collected in 26 countries, the majority of which were classified as high-income or upper-middle-income nations according to World Bank criteria. Review of these publications produced 60 immunization-specific ethical issues, grouped into six major categories. Notably, many studies demonstrated limited acknowledgment of key ethical issues including the rights and welfare of participants. Additionally, there was no discussion pertaining to the ethics of program implementation, including integration of maternal immunization programs into existing routine immunization programs. This review of ethical issues in immunization studies of pregnant women can be used to help inform future vaccine trials in this important population. Consistent documentation of these ethical issues by investigators will facilitate a broader and more nuanced discussion of ethics in immunization of pregnant women - offering new and valuable insights for programs developed to prevent disease in newborn children in low- and middle-income countries.

  10. 46 CFR 174.045 - Intact stability requirements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Intact stability requirements. 174.045 Section 174.045 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.045...

  11. 46 CFR 174.085 - Flooding on column stabilized units.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Flooding on column stabilized units. 174.085 Section 174.085 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling...

  12. 46 CFR 174.085 - Flooding on column stabilized units.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Flooding on column stabilized units. 174.085 Section 174.085 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling...

  13. 46 CFR 174.050 - Stability on bottom.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Stability on bottom. 174.050 Section 174.050 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.050...

  14. 46 CFR 174.045 - Intact stability requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Intact stability requirements. 174.045 Section 174.045 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.045...

  15. 46 CFR 174.065 - Damage stability requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Damage stability requirements. 174.065 Section 174.065 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.065...

  16. 46 CFR 174.065 - Damage stability requirements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Damage stability requirements. 174.065 Section 174.065 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.065...

  17. 46 CFR 174.050 - Stability on bottom.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Stability on bottom. 174.050 Section 174.050 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling Units § 174.050...

  18. 37 CFR 260.4 - Confidential information and statements of account.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Confidential information and statements of account. (a) For purposes of this part, confidential information shall include statements of account and any information pertaining to the statements of account... included on the statement of account. (d) Access to the confidential information pertaining to the royalty...

  19. 18 CFR 1301.20 - Disclosure of record to persons other than individual to whom it pertains.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Resources TENNESSEE VALLEY AUTHORITY PROCEDURES Privacy Act § 1301.20 Disclosure of record to persons other than individual to whom it pertains. For purposes of §§ 1301.11 to 1301.24, the parent of any minor or...

  20. 18 CFR 1301.20 - Disclosure of record to persons other than individual to whom it pertains.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Resources TENNESSEE VALLEY AUTHORITY PROCEDURES Privacy Act § 1301.20 Disclosure of record to persons other than individual to whom it pertains. For purposes of §§ 1301.11 to 1301.24, the parent of any minor or...

  1. 17 CFR 200.313 - Inspector General exemptions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... ORGANIZATION; CONDUCT AND ETHICS; AND INFORMATION AND REQUESTS Regulations Pertaining to the Privacy of Individuals and Systems of Records Maintained by the Commission § 200.313 Inspector General exemptions. (a..., 200.306, 200.307, 200.308, 200.309 and 200.310, insofar as the system contains information pertaining...

  2. 17 CFR 200.313 - Inspector General exemptions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... ORGANIZATION; CONDUCT AND ETHICS; AND INFORMATION AND REQUESTS Regulations Pertaining to the Privacy of Individuals and Systems of Records Maintained by the Commission § 200.313 Inspector General exemptions. (a..., 200.306, 200.307, 200.308, 200.309 and 200.310, insofar as the system contains information pertaining...

  3. 8 CFR 1208.6 - Disclosure to third parties.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... application, records pertaining to any credible fear determination conducted pursuant to § 1208.30, and records pertaining to any reasonable fear determination conducted pursuant to § 1208.31, shall not be... a credible fear or reasonable fear interview, or received a credible fear or reasonable fear review...

  4. 12 CFR 912.4 - Closed meetings.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... meetings. (a) The Board of Directors may close a meeting, or portion thereof, to public observation, or withhold information from the public pertaining to a meeting, when it determines that opening the meeting, or a portion thereof, or the public disclosure of information pertaining to such meeting, or portion...

  5. Hemothorax caused by spontaneous rupture of hepatocellular carcinoma: a case report and review of the literature.

    PubMed

    Ono, Fuminori; Hiraga, Masaki; Omura, Noriyuki; Sato, Manabu; Yamamura, Akihiro; Obara, Megumi; Sato, Jun; Onochi, Shoichi

    2012-10-10

    We report a rare case in which hemothorax occurred in addition to hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma (HCC) originating from the caudate lobe of the liver. The case pertains to a 56-year-old female who was transported to our hospital for impaired consciousness due to hemorrhagic shock. Computed tomography (CT) demonstrated ruptured HCC originating from the caudate lobe and accompanying hemoperitoneum and right hemothorax. Hemostasis was carried out by transcatheter arterial embolization (TAE), and surgery was conducted approximately one month after TAE. In the present case, no lesions as possible sources of bleeding were observed inside the pleural cavity, and, moreover, the diaphragm had no abnormalities in the intraoperative findings, suggesting that blood from the ruptured tumor may have traversed the intact diaphragm to enter the right pleural cavity soon after the HCC rupture. However, to the best of our knowledge, no similar cases of HCC have been reported to date, and this case is thus believed to be very rare. This unusual phenomenon may therefore be strongly associated with the location of the ruptured tumor and the formation of a hematoma inside the omental bursa. We discuss the mechanism causing hemothorax in the present case and also review the previously reported cases of ruptured HCC complicated by hemothorax.

  6. Hemothorax caused by spontaneous rupture of hepatocellular carcinoma: a case report and review of the literature

    PubMed Central

    2012-01-01

    We report a rare case in which hemothorax occurred in addition to hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma (HCC) originating from the caudate lobe of the liver. The case pertains to a 56-year-old female who was transported to our hospital for impaired consciousness due to hemorrhagic shock. Computed tomography (CT) demonstrated ruptured HCC originating from the caudate lobe and accompanying hemoperitoneum and right hemothorax. Hemostasis was carried out by transcatheter arterial embolization (TAE), and surgery was conducted approximately one month after TAE. In the present case, no lesions as possible sources of bleeding were observed inside the pleural cavity, and, moreover, the diaphragm had no abnormalities in the intraoperative findings, suggesting that blood from the ruptured tumor may have traversed the intact diaphragm to enter the right pleural cavity soon after the HCC rupture. However, to the best of our knowledge, no similar cases of HCC have been reported to date, and this case is thus believed to be very rare. This unusual phenomenon may therefore be strongly associated with the location of the ruptured tumor and the formation of a hematoma inside the omental bursa. We discuss the mechanism causing hemothorax in the present case and also review the previously reported cases of ruptured HCC complicated by hemothorax. PMID:23046863

  7. Whiplash: pathophysiology, diagnosis, treatment, and prognosis.

    PubMed

    Rodriquez, Arthur A; Barr, Karen P; Burns, Stephen P

    2004-06-01

    We have reviewed the literature relevant to pathophysiology, diagnosis, treatment, and prognosis of whiplash-associated disorder (WAD) since 1995 and provided a brief summary of literature pertaining to forces action on the head and neck during a motor vehicle accident. The scope of the current review is confined to the Quebec guidelines for WAD grades 1-3 but excludes grade 4 (neck complaints and fracture or dislocation). After excluding papers without scientific data and single case reports or case series with fewer than 20 patients, articles were reviewed for methodological quality. The diagnosis remains clinical. No imaging, physiological, or psychological study provides specific diagnostic criteria. In the acute period up to 2 weeks, soft collars or rest and work-leave do not shorten the duration of neck pain. Sick leave is reduced by high-dose methylprednisolone given within 8 h of injury, but confirmatory studies examining the cost-benefit relationship are needed. In the first 6 months, active as opposed to passive treatment results in improved outcomes. Specific exercise strategies have not been studied. For those with symptoms lasting more than 6 months, percutaneous radio-frequency neurotomy can provide pain relief for many months in those responding to blind local anesthetic facet blocks. Intra-articular corticosteroids are ineffective. Uncontrolled trials suggest that multimodal rehabilitation programs result in improved overall function. The overall prognosis for recovery has varied considerably across studies. Such variability is likely due to differences in case identification methods and whether outcome is assessed in terms of symptoms or the receipt of financial compensation for injury. The impact on prognosis of both collision- and patient-related factors is also reviewed.

  8. Multimodal retrieval of autobiographical memories: sensory information contributes differently to the recollection of events.

    PubMed

    Willander, Johan; Sikström, Sverker; Karlsson, Kristina

    2015-01-01

    Previous studies on autobiographical memory have focused on unimodal retrieval cues (i.e., cues pertaining to one modality). However, from an ecological perspective multimodal cues (i.e., cues pertaining to several modalities) are highly important to investigate. In the present study we investigated age distributions and experiential ratings of autobiographical memories retrieved with unimodal and multimodal cues. Sixty-two participants were randomized to one of four cue-conditions: visual, olfactory, auditory, or multimodal. The results showed that the peak of the distributions depends on the modality of the retrieval cue. The results indicated that multimodal retrieval seemed to be driven by visual and auditory information to a larger extent and to a lesser extent by olfactory information. Finally, no differences were observed in the number of retrieved memories or experiential ratings across the four cue-conditions.

  9. Tidewater Community College 2000 Graduate Survey Study.

    ERIC Educational Resources Information Center

    Kleiman, Lisa S.

    The 2000 Tidewater Community College (TCC) Graduate Survey Study is a measure of student satisfaction with the college educational experience. The study gives demographic data pertaining to all 2000 graduates, as well as enrollment, attendance, employment, educational, and attitudinal data generated from survey respondents. Highlights of the…

  10. Human Studies of Vertical and Horizontal Alveolar Ridge Augmentation Comparing Different Types of Bone Graft Materials: A Systematic Review.

    PubMed

    Chavda, Suraj; Levin, Liran

    2018-02-01

    Alveolar ridge augmentation can be completed with various types of bone augmentation materials (autogenous, allograft, xenograft, and alloplast). Currently, autogenous bone is labeled as the "gold standard" because of faster healing times and integration between native and foreign bone. No systematic review has currently determined whether there is a difference in implant success between various bone augmentation materials. The purpose of this article was to systematically review comparative human studies of vertical and horizontal alveolar ridge augmentation comparing different types of bone graft materials (autogenous, allograft, xenograft, and alloplast). A MEDLINE search was conducted under the 3 search concepts of bone augmentation, dental implants, and alveolar ridge augmentation. Studies pertaining to socket grafts or sinus lifts were excluded. Case reports, small case series, and review papers were excluded. A bias assessment tool was applied to the final articles. Overall, 219 articles resulted from the initial search, and 9 articles were included for final analysis. There were no discernible differences in implant success between bone augmentation materials. Generally, patients preferred nonautogenous bone sources as there were fewer hospital days, less pain, and better recovery time. Two articles had industrial support; however, conclusions of whether that support influenced the outcomes could not be determined. Future comparative studies should compare nonautogenous bone sources and have longer follow-up times.

  11. 10 CFR 602.3 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... project. Research means basic and applied research and that part of development not related to the development of specific systems or products. The primary aim of research is scientific study and... Studies means research pertaining to potential health effects resulting from DOE or predecessor agency...

  12. Horizontal transmission of group B streptococcus in a neonatal intensive care unit

    PubMed Central

    Morinis, Julia; Shah, Jay; Murthy, Prashanth; Fulford, Martha

    2011-01-01

    The incidence of early-onset group B streptococcal (GBS) sepsis in the neonatal population has decreased substantially since the introduction of maternal intrapartum antibiotic prophylaxis and routine prenatal screening. However, these strategies have not reduced the incidence of late-onset GBS infections. Additional research pertaining to the transmission of late-onset GBS infections is required to develop effective preventive methods. The present report describes probable horizontal transmission of late-onset GBS infection among three infants in a neonatal intensive care unit. GBS strain confirmation was based on the microbiological picture, antibiogram and pulsed-field gel electrophoresis. These cases highlight the morbidity associated with late-onset GBS disease and the importance of considering horizontal transmission as an etiological factor in GBS infection in the newborn period. Further studies assessing horizontal transmission in late-onset GBS disease may improve prevention and early intervention. PMID:22654550

  13. Horizontal transmission of group B streptococcus in a neonatal intensive care unit.

    PubMed

    Morinis, Julia; Shah, Jay; Murthy, Prashanth; Fulford, Martha

    2011-06-01

    The incidence of early-onset group B streptococcal (GBS) sepsis in the neonatal population has decreased substantially since the introduction of maternal intrapartum antibiotic prophylaxis and routine prenatal screening. However, these strategies have not reduced the incidence of late-onset GBS infections. Additional research pertaining to the transmission of late-onset GBS infections is required to develop effective preventive methods. The present report describes probable horizontal transmission of late-onset GBS infection among three infants in a neonatal intensive care unit. GBS strain confirmation was based on the microbiological picture, antibiogram and pulsed-field gel electrophoresis. These cases highlight the morbidity associated with late-onset GBS disease and the importance of considering horizontal transmission as an etiological factor in GBS infection in the newborn period. Further studies assessing horizontal transmission in late-onset GBS disease may improve prevention and early intervention.

  14. Encouraging planetary sciences students at the Master level with observations using small telescopes that lead to their publication

    NASA Astrophysics Data System (ADS)

    Sanchez-Lavega, A.; Ordoñez-Etxeberria, I.; del Rio Gaztelurrutia, T.; Illarramendi, M. A.; Perez-Hoyos, S.; Hueso, R.; Rojas, J. F.

    2017-12-01

    We present a set of practical experiments carried out with the students of the Master in Space Science and Technology of the University of the Basque Country (A. Sanchez-Lavega et al., Eur. J. of Eng. Education. 2014) using small telescopes that have been published in refereed journals. The telescopes (from 15 to 50 cm in aperture) and instruments pertain to the Aula EspaZio Gela Observatory (http://www.ehu.eus/aula-espazio/presentacion.html). The students have participated in some cases as co-authors of the publications or in presentations at meetings which encourages them to continue their scientific career towards PhD studies. Dedicated observations with these small telescopes with the participation of the planetary amateur community have also been employed in scientific research and publications. A series of examples are presented.

  15. Rapid, Robust Characterization of Subduction Zone Earthquakes

    NASA Astrophysics Data System (ADS)

    Irwin, Tisha Christine

    Energy is an important factor in international relations and recently the global energy paradigm has been seen to be shifting towards the East. In light of such change, a comparative assessment of the role of energy in Qatar' East Asian foreign relations will be conducted by taking China, Japan and South Korea as case studies. The research aimed to assess each of the bilateral relationship in terms of their origin and development in the energy sector generating an interpretation of their growing interdependence, taking into consideration the various domestic, regional and international influencing factors. At this level, LNG development and trade was adopted to see the extent of energy cooperation. In general, energy cooperation played the leading role in the three relationships, but to different degrees. Furthermore, all three bilateral relationship pertain to the 'complex interdependence approach' that is supported by the use of institutionalism and soft power.

  16. Setup, Validation and Quality Control of a Centralized WGS laboratory - Lessons Learned.

    PubMed

    Arnold, Cath; Edwards, Kirstin; Desai, Meeta; Platt, Steve; Green, Jonathan; Conway, David

    2018-04-25

    Routine use of Whole Genome analysis for infectious diseases can be used to enlighten various scenarios pertaining to Public Health, including identification of microbial pathogens; relating individual cases to an outbreak of infectious disease; establishing an association between an outbreak of food poisoning and a specific food vehicle; inferring drug susceptibility; source tracing of contaminants and study of variations in the genome affect pathogenicity/virulence. We describe the setup, validation and ongoing verification of a centralised WGS laboratory to carry out the sequencing for these public health functions for the National Infection Services, Public Health England in the UK. The performance characteristics and Quality Control metrics measured during validation and verification of the entire end to end process (accuracy, precision, reproducibility and repeatability) are described and include information regarding the automated pass and release of data to service users without intervention. © Crown copyright 2018.

  17. Perspective: Disclosing hidden sources of funding.

    PubMed

    Resnik, David B

    2009-09-01

    In this article, the author discusses ethical and policy issues related to the disclosure of hidden sources of funding in research. The author argues that authors have an ethical obligation to disclose hidden sources of funding and that journals should adopt policies to enforce this obligation. Journal policies should require disclosure of hidden sources of funding that authors know about and that have a direct relation to their research. To stimulate this discussion, the author describes a recent case: investigators who conducted a lung cancer screening study had received funding from a private foundation that was supported by a tobacco company, but they did not disclose this relationship to the journal. Investigators and journal editors must be prepared to deal with these issues in a manner that promotes honesty, transparency, fairness, and accountability in research. The development of well-defined, reasonable policies pertaining to hidden sources of funding can be a step in this direction.

  18. Principles and Applications of Ultrasonic-Based Nondestructive Methods for Self-Healing in Cementitious Materials

    PubMed Central

    Ahn, Eunjong; Kim, Hyunjun; Sim, Sung-Han; Shin, Sung Woo; Shin, Myoungsu

    2017-01-01

    Recently, self-healing technologies have emerged as a promising approach to extend the service life of social infrastructure in the field of concrete construction. However, current evaluations of the self-healing technologies developed for cementitious materials are mostly limited to lab-scale experiments to inspect changes in surface crack width (by optical microscopy) and permeability. Furthermore, there is a universal lack of unified test methods to assess the effectiveness of self-healing technologies. Particularly, with respect to the self-healing of concrete applied in actual construction, nondestructive test methods are required to avoid interrupting the use of the structures under evaluation. This paper presents a review of all existing research on the principles of ultrasonic test methods and case studies pertaining to self-healing concrete. The main objective of the study is to examine the applicability and limitation of various ultrasonic test methods in assessing the self-healing performance. Finally, future directions on the development of reliable assessment methods for self-healing cementitious materials are suggested. PMID:28772640

  19. Wound Dehiscence and Device Migration after Subconjunctival Bevacizumab Injection with Ahmed Glaucoma Valve Implantation.

    PubMed

    Miraftabi, Arezoo; Nilforushan, Naveed

    2016-01-01

    To report a complication pertaining to subconjunctival bevacizumab injection as an adjunct to Ahmed Glaucoma Valve (AGV) implantation. A 54-year-old woman with history of complicated cataract surgery was referred for advanced intractable glaucoma. AGV implantation with adjunctive subconjunctival bevacizumab (1.25 mg) was performed with satisfactory results during the first postoperative week. However, 10 days after surgery, she developed wound dehiscence and tube exposure. The second case was a 33-year-old man with history of congenital glaucoma and uncontrolled IOP who developed AGV exposure and wound dehiscence after surgery. In both cases, for prevention of endophthalmitis and corneal damage by the unstable tube, the shunt was removed and the conjunctiva was re-sutured. The potential adverse effect of subconjunctival bevacizumab injection on wound healing should be considered in AGV surgery.

  20. Utilising a collective case study system theory mixed methods approach: a rural health example

    PubMed Central

    2014-01-01

    Background Insight into local health service provision in rural communities is limited in the literature. The dominant workforce focus in the rural health literature, while revealing issues of shortage of maldistribution, does not describe service provision in rural towns. Similarly aggregation of data tends to render local health service provision virtually invisible. This paper describes a methodology to explore specific aspects of rural health service provision with an initial focus on understanding rurality as it pertains to rural physiotherapy service provision. Method A system theory-case study heuristic combined with a sequential mixed methods approach to provide a framework for both quantitative and qualitative exploration across sites. Stakeholder perspectives were obtained through surveys and in depth interviews. The investigation site was a large area of one Australian state with a mix of rural, regional and remote communities. Results 39 surveys were received from 11 locations within the investigation site and 19 in depth interviews were conducted. Stakeholder perspectives of rurality and workforce numbers informed the development of six case types relevant to the exploration of rural physiotherapy service provision. Participant perspective of rurality often differed with the geographical classification of their location. The numbers of onsite colleagues and local access to health services contributed to participant perceptions of rurality. Conclusions The complexity of understanding the concept of rurality was revealed by interview participants when providing their perspectives about rural physiotherapy service provision. Dual measures, such as rurality and workforce numbers, provide more relevant differentiation of sites to explore specific services, such rural physiotherapy service provision, than single measure of rurality as defined by geographic classification. The system theory-case study heuristic supports both qualitative and quantitative exploration in rural health services research. PMID:25066241

  1. Utilising a collective case study system theory mixed methods approach: a rural health example.

    PubMed

    Adams, Robyn; Jones, Anne; Lefmann, Sophie; Sheppard, Lorraine

    2014-07-28

    Insight into local health service provision in rural communities is limited in the literature. The dominant workforce focus in the rural health literature, while revealing issues of shortage of maldistribution, does not describe service provision in rural towns. Similarly aggregation of data tends to render local health service provision virtually invisible. This paper describes a methodology to explore specific aspects of rural health service provision with an initial focus on understanding rurality as it pertains to rural physiotherapy service provision. A system theory-case study heuristic combined with a sequential mixed methods approach to provide a framework for both quantitative and qualitative exploration across sites. Stakeholder perspectives were obtained through surveys and in depth interviews. The investigation site was a large area of one Australian state with a mix of rural, regional and remote communities. 39 surveys were received from 11 locations within the investigation site and 19 in depth interviews were conducted. Stakeholder perspectives of rurality and workforce numbers informed the development of six case types relevant to the exploration of rural physiotherapy service provision. Participant perspective of rurality often differed with the geographical classification of their location. The numbers of onsite colleagues and local access to health services contributed to participant perceptions of rurality. The complexity of understanding the concept of rurality was revealed by interview participants when providing their perspectives about rural physiotherapy service provision. Dual measures, such as rurality and workforce numbers, provide more relevant differentiation of sites to explore specific services, such rural physiotherapy service provision, than single measure of rurality as defined by geographic classification. The system theory-case study heuristic supports both qualitative and quantitative exploration in rural health services research.

  2. Striving towards efficiency in the Greek hospitals by reviewing case mix classifications.

    PubMed

    Polyzos, Nicholas M

    2002-09-01

    In order to verify the efficiency level of Greek public hospitals, this paper evaluates the most recent indicators. Relevant data were collected from the two following databases: (a) hospitals' utilisation data generally and per clinical speciality [Ministry of Health, Athens, (Data based) 1995]; (b) Patients' and hospitals' characteristics per diagnosis [National Statistical Office, Athens, (Data based) 1993]. As explanatory variables, the study examines supply and demand factors following case mix classifications. Firstly, average length of stay (ALOS) and secondly, cost per case were regressed as dependent variables. The study highlights the extent of variability across hospitals for different groups of patients with the same condition. The results specify the most important factors that affect ALOS and cost pertaining to efficiency. Per speciality analysis shows occupancy, size-type of the hospital, beds and doctors per speciality, access and use of outpatient services, and surgical operations, etc. as the most significant factors. Per disease-diagnosis analysis shows age of over 65 years, gender, residence, marital status, surgical operation and insurance as the most important factors. General cost analysis in all National Health Systems (NHS) hospitals shows that economies of scale appear in: (a) district and/or specialised hospitals of 250-400 beds; (b) regional and/or teaching hospitals of over but near to 400 beds. Consequently, the author determines the 'Greek' Diagnostic Related Groups (DRGs), based on the cost per clinical speciality in the nine basic specialities and on the cost per diagnosis of the top 15 diagnoses. Further to the scientific results, such studies will enhance much necessary discussions on the organisation of service delivery and financing, by following case mix classification. Copyright 2002 Elsevier Science Ireland Ltd.

  3. 78 FR 69322 - Modification of Regulations Regarding Time Limits for Submission of Information Pertaining to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-19

    ... Pertaining to Requests for Sampling in Antidumping Duty Administrative Reviews AGENCY: International Trade... sampling, and comments on sampling in antidumping (AD) administrative reviews. The modifications to the time limits, if adopted, will more clearly prescribe the time for filing requests for sampling in AD...

  4. 46 CFR 174.055 - Calculation of wind heeling moment (Hm).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Calculation of wind heeling moment (Hm). 174.055 Section 174.055 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Mobile Offshore Drilling...

  5. 16 CFR 1014.3 - Procedures for requests pertaining to individual records.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 16 Commercial Practices 2 2012-01-01 2012-01-01 false Procedures for requests pertaining to individual records. 1014.3 Section 1014.3 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION GENERAL... individual records. (a) Any individual may request the Commission to inform him or her whether a particular...

  6. Library Laws of Texas.

    ERIC Educational Resources Information Center

    Getz, Richard E., Comp.

    Compiled to provide a central reference point for all legislative information pertaining to libraries in the State of Texas, this publication includes all pertinent legislation as amended through the 71st Legislature, 1989, Regular Session. This update of the 1980 edition has been expanded to include statutes pertaining to the school and academic…

  7. 40 CFR 80.1506 - What penalties apply under this subpart?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Additional Requirements for Gasoline-Ethanol... pertains to the ethanol content of gasoline shall constitute a separate day of violation for each and every... that pertain to the ethanol content of gasoline. (2) For the purposes of this paragraph (b), the length...

  8. 40 CFR 80.1506 - What penalties apply under this subpart?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Additional Requirements for Gasoline-Ethanol... pertains to the ethanol content of gasoline shall constitute a separate day of violation for each and every... that pertain to the ethanol content of gasoline. (2) For the purposes of this paragraph (b), the length...

  9. 40 CFR 80.1506 - What penalties apply under this subpart?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Additional Requirements for Gasoline-Ethanol... pertains to the ethanol content of gasoline shall constitute a separate day of violation for each and every... that pertain to the ethanol content of gasoline. (2) For the purposes of this paragraph (b), the length...

  10. 40 CFR 40.115-2 - Intermunicipal agency.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ASSISTANCE RESEARCH AND DEMONSTRATION GRANTS § 40.115-2 Intermunicipal agency. (a) Under the Clean Air Act... substantial powers or duties pertaining to the prevention and control of air pollution. (b) Under the Resource... having substantial powers or duties pertaining to the control of pollution. [38 FR 12784, May 15, 1973...

  11. 40 CFR 40.115-3 - Interstate agency.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... RESEARCH AND DEMONSTRATION GRANTS § 40.115-3 Interstate agency. (a) Under the Clean Air Act, an agency... substantial powers or duties pertaining to the prevention and control of air pollution. (b) Under the Federal... powers or duties pertaining to the control of pollution of waters. (c) Under the Resource Conservation...

  12. 46 CFR 174.355 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO SPECIFIC VESSEL TYPES Special Rules Pertaining to Dry Cargo Ships § 174.355 Definitions. New ship means a... absence of a contract, the construction work of which is begun on or after August 1, 1992; or (iii) Which...

  13. 40 CFR 40.115-3 - Interstate agency.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... substantial powers or duties pertaining to the prevention and control of air pollution. (b) Under the Federal Water Pollution Control Act, an agency of two or more States established by or pursuant to an agreement... powers or duties pertaining to the control of pollution of waters. (c) Under the Resource Conservation...

  14. 75 FR 79034 - Proposed Extension of Existing Information Collection; Escape and Evacuation Plans (Pertains to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... Extension of Existing Information Collection; Escape and Evacuation Plans (Pertains to Underground Metal and... and evacuation plan specifically addressing the unique conditions of each underground metal and... fans, primary fan controls, fire doors, ventilation doors, and refuge chambers; (2) Procedures to show...

  15. 40 CFR 52.824 - Original identification of plan section.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... attainment and unclassified areas of the state (PSD) were submitted on March 9, 1987, by the Iowa Department... review/PSD regulations. (47) Revised Chapters 22 and 23 regulations pertaining to stack height credits..., incorporates by reference revised EPA PSD rules pertaining to NO X increments. (i) Incorporation by reference...

  16. Notification: Audit of EPA's Adherence to Policies, Procedures and Oversight Controls Pertaining to the Administrator's Travel (3rd notification)

    EPA Pesticide Factsheets

    Project #OA-FY17-0382, January 10, 2018. The OIG previously amended its preliminary research pertaining to Administrator Scott Pruitt's travel through September 30, 2017, and is now expanded to include the Administrator’s travel through December 31, 2017.

  17. Notification: Audit of EPA’s Adherence to Policies, Procedures and Oversight Controls Pertaining to the Administrator’s Travel (2nd notification)

    EPA Pesticide Factsheets

    Project #OA-FY17-0382, October 6, 2017 - The EPA OIG plans to expand the scope of preliminary research on the EPA’s adherence to policies, procedures and oversight controls pertaining to the Administrator’s travel.

  18. 75 FR 8701 - Notice of Settlement Agreement Pertaining to Construction of a Waste Repository on the Settlors...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-25

    ... Construction of a Waste Repository on the Settlors' Property Pursuant to the Comprehensive Environmental... a Settlement Agreement pertaining to Construction of a Waste Repository on Settlor's Property... waste repository on the property by resolving, liability the settling party might otherwise incur under...

  19. 78 FR 14084 - Request for Information To Gather Technical Expertise Pertaining to the Identification and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-04

    ... Native American students, as English learners. For these reasons this RFI seeks solutions; advice... Expertise Pertaining to the Identification and Placement of Native American Students Who Are English... students in grades K-12 as English learners and to appropriately place these students in language...

  20. 78 FR 76851 - Agency Information Collection Activities: BP Regulations Pertaining to Customs Brokers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-19

    ... DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection Agency Information Collection Activities: BP Regulations Pertaining to Customs Brokers AGENCY: U.S. Customs and Border Protection (CBP), Department of Homeland Security. ACTION: 60-day notice and request for comments; extension of an existing...

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