Role of Representation in Prospective Teachers' Fractions Schemes

ERIC Educational Resources Information Center

Boyce, Steven; Moss, Diana

2017-01-01

This research report explores relationships between fractions' task representations (discrete, rectangular, or circular) and elementary prospective teachers' (PTs) fractions conceptions. Studies show PTs' conceptions of fractions are centered on a part-whole understanding, which may be problematic when teaching children about improper fractions.…

Prospective Computer Teachers' Mental Images about the Concepts of "School" and "Computer Teacher"

ERIC Educational Resources Information Center

Saban, Aslihan

2011-01-01

In this phenomenological study, prospective computer teachers' mental images related to the concepts of "school" and "computer teacher" were examined through metaphors. Participants were all the 45 seniors majoring in the Department of Computer and Instructional Technologies at Selcuk University, Ahmet Kelesoglu Faculty of…

Investigation of the Cognitive Structures of Prospective Preschool Teachers on the Concepts of Circle, Disk and Annulus with the Word Association Test

ERIC Educational Resources Information Center

Gok Colak, Feride; Tugluk, Mehmet Nur

2017-01-01

This study aimed to investigate the cognitive structures of prospective preschool teachers and to identify their misconceptions about the concepts of circle, disk and annulus. In the study, the Word Association Test was used as the data collection instrument. The study was conducted in the fall semester of the 2014-2015 academic year with the…

Analyzing Prospective Teachers' Images of Scientists Using Positive, Negative and Stereotypical Images of Scientists

ERIC Educational Resources Information Center

Subramaniam, Karthigeyan; Harrell, Pamela Esprivalo; Wojnowski, David

2013-01-01

Background and purpose: This study details the use of a conceptual framework to analyze prospective teachers' images of scientists to reveal their context-specific conceptions of scientists. The conceptual framework consists of context-specific conceptions related to positive, stereotypical and negative images of scientists as detailed in the…

Assessing Prospective Chemistry Teachers' Understanding of Gases through Qualitative and Quantitative Analyses of Their Concept Maps

ERIC Educational Resources Information Center

Kibar, Zeynep Bak; Yaman, Fatma; Ayas, Alipasa

2013-01-01

The use of concept mapping as a tool to measure the meaningful learning of students is the focus of this study. The study was carried out with 24 last year students (22 years old) from the Department of Chemistry Teaching at Fatih Faculty of Education, Karadeniz Technical University (KTU). Prospective Chemistry Teachers (PCT) were asked to create…

Prospective Primary Teachers' Prior Experiences, Conceptions, and Pedagogical Valuations of Experimental Activities in Science Education

ERIC Educational Resources Information Center

García-Carmona, Antonio; Criado, Ana M.; Cruz-Guzmán, Marta

2018-01-01

A diagnostic study is presented of the prior experiences, conceptions, and pedagogical valuations of prospective primary teachers (PPTs) about experimental activities (ExA's) in science education. The participants were 121 PPTs who, in small teams, responded to various questions related to ExA. Their responses were analysed interpretively with…

Examining Cognitive Structures of Prospective Preschool Teachers Concerning the Subject "Force and Motion"

ERIC Educational Resources Information Center

Timur, Serkan

2012-01-01

The purpose of this study is to identify the cognitive structures of prospective preschool teachers concerning the concepts included in the subject "force and motion". The study was conducted on a total of 56 prospective teachers who studied Preschool Teaching at Canakkale Onsekiz Mart University. The Word Association Test (WAT) was…

Investigating Prospective Teachers' Ability to Write Context-Based Problems

ERIC Educational Resources Information Center

Ültay, Neslihan; Donmez Usta, Necla

2016-01-01

Purpose: The purpose of this study is to investigate the prospective teachers' ability to write context-based problems about the concepts in radioactivity unit. Methodology: The study is carried out in a university in Turkey with 21 prospective teachers in physics, chemistry and biology in 2014-2015 fall terms. In the study, data are collected…

Framing Prospective Elementary Teachers' Conceptions of Dissolving as a Ladder of Explanations

NASA Astrophysics Data System (ADS)

Subramaniam, Karthigeyan; Esprivalo Harrell, Pamela

2013-11-01

The paper details an exploratory qualitative study that investigated 61 prospective teachers' conceptual understanding of dissolving salt and sugar in water respectively. The study was set within a 15-week elementary science methods course that included a 5E learning cycle lesson on dissolving, the instructional context. Oversby's (Prim Sci Rev 63:6-19, 2002, Aspects of teaching secondary science, Routledge Falmer, London, 2002) ladder of explanations for the context of dissolving, current scientific explanations for dissolving and perspectives on conceptions and misconceptions provided the unified framework for the study. Concept maps, interview transcripts, written artifacts, and drawings and narratives were used as data to investigate these prospective teachers' conceptual understanding of dissolving throughout the 15-weeks of the methods course. Analysis revealed that participants' explanations of dissolving were predominantly descriptive explanations (39 %) and interpretative explanations (38 %), with lower percentage occurrences of intentional (14 %) and cause and effect (9 %) level explanations. Most of these explanations were also constructed by a set of loosely connected and reinforcing everyday concepts abstracted from common everyday experiences making them misconceptions. Implications include: (1) the need for science teacher educators to use multiple platforms to derive their prospective elementary teachers' conceptual understandings of science content; and (2) to identify and help them identify their own scientific conceptions and misconceptions and how they influence the construction of scientific/nonscientific explanations. Science teacher educators also need to emphasize the role of meaningful frameworks associated with the concept that is being introduced during the Engage phase of the 5E learning cycle. This is important because, relevant prior knowledge is associated with the knowledge of the particle theory of matter and both are part of larger knowledge system comprised of interrelated scientific concepts.

Assessment of Prospective Teachers' Views Regarding the Concept of Criticism

ERIC Educational Resources Information Center

Karakus, Neslihan

2015-01-01

Critical thinking is one of the skills that exist in the Turkish course curriculum and is aimed to be acquired by students. The objective of the study is to determine prospective Turkish teachers' perspectives regarding the concept of critism, which is both a mental exercise and carries an important role in the world of ideas. In order to assess…

On the Content-Dependence of Prospective Teachers' Knowledge: A Case of Exemplifying Definitions

ERIC Educational Resources Information Center

Leikin, Roza; Zazkis, Rina

2010-01-01

In this article, we demonstrate that prospective teachers' content knowledge related to defining mathematical concepts is dependent on content area. We use the example of generation (a research tool we developed in a previous study) to investigate prospective teachers' knowledge. We asked prospective secondary mathematics teachers to provide…

Preservice Science and Technology Teachers' Pedagogical Content Knowledge on Cell Topics

ERIC Educational Resources Information Center

Usak, Muhammet

2009-01-01

The purpose of this study is to explain prospective science and technology teachers' pedagogical content knowledge (PCK) about the cell. Lesson preparation, laboratory plan, interview with teacher candidates, and concept mapping were used to collect the data for prospective teacher's PCK. The study was conducted with six prospective science and…

Prospective Special Education Teachers' Metaphorical Perceptions on the Concept of Special Education Teacher

ERIC Educational Resources Information Center

Deniz, Levent

2016-01-01

The aim of this research is to define the perceptions of prospective special education teachers regarding special education teacher through metaphors. Phenomenology design was used in this research. The study group comprised 116 third year prospective special education teachers studying at Marmara University, Ataturk Faculty of Education, Special…

Prospective Elementary Teachers' Conceptions of Unitizing with Whole Numbers and Fractions

ERIC Educational Resources Information Center

Tobias, Jennifer M.; Roy, George J.; Safi, Farshid

2015-01-01

This article examines prospective elementary teachers' conceptions of unitizing with whole numbers and fraction concepts and operations throughout a semester-long mathematics content course. Student work samples and classroom conversations are used to illustrate the types of unitizing understandings that prospective teachers bring to teacher…

From Present Surveying to Future Prospecting of the Asteroid Belt

NASA Astrophysics Data System (ADS)

Clark, P. E.; Curtis, S. A.; Rilee, M.; Cheung, C.

2004-03-01

Requirements are analyzed for application of future mission architecture, the Autonomous Nano-Technology Swarm (ANTS), to proposed in situ prospecting, of the asteroid belt, the Prospecting Asteroid Mission (PAM) as part of a NASA 2003 Revolutionary Aerospace Concept (RASC) study.

School Leadership and Administration: Important Concepts, Case Studies and Simulations

ERIC Educational Resources Information Center

Gorton, Richard; Alston, Judy; Snowden, Petra

2006-01-01

This text helps prospective and experienced principals, administrators, and supervisors increase their knowledge and skills through concepts, case-studies, and simulations. This book contains the following two parts and fifteen chapters. Part I presents important theoretical concepts and research findings that can improve educators'…

Examining How Prospective Teachers Come To Understand Two Science Constructs, Evaporation and Condensation, as a Result of Class Discussion and Textbook Reading.

ERIC Educational Resources Information Center

You, Li-Ching; Schallert, Diane L.

As part of a larger project aimed at exploring how students' conceptual growth results from interacting with the teacher and the assigned readings associated with a course, this study focused on how prospective elementary teachers conceptualized two concepts, evaporation and condensation in a Concepts in Earth Science Course. In the conceptual…

Are Creative Comparisons Developed by Prospective Chemistry Teachers Evidence of Their Conceptual Understanding? The Case of Inter- and Intramolecular Forces

ERIC Educational Resources Information Center

Sendur, Gulten

2014-01-01

The aim of this study is to determine prospective chemistry teachers' creative comparisons about the basic concepts of inter- and intramolecular forces, and to uncover the relationship between these creative comparisons and prospective teachers' conceptual understanding. Based on a phenomenological research method, this study was conducted with…

Prospective Elementary Science Teachers' Understanding of Photosynthesis and Cellular Respiration in the Context of Multiple Biological Levels as Nested Systems

ERIC Educational Resources Information Center

Akçay, Süleyman

2017-01-01

In this study, Turkish prospective elementary science teachers' understanding of photosynthesis and cellular respiration has been analysed within the contexts of ecosystem knowledge, organism knowledge and interconnection knowledge (IK). In the analysis, concept maps developed by 74 prospective teachers were used. The study was carried out with…

Developing Prospective Teachers' Understanding of Addition and Subtraction with Whole Numbers

ERIC Educational Resources Information Center

Roy, George J.

2014-01-01

This study was situated in a semester-long classroom teaching experiment examining prospective teachers' understanding of number concepts and operations. The purpose of this paper is to describe the learning goals, tasks, and tools used to cultivate prospective teachers' understanding of addition and subtraction with whole numbers. Research…

Problem Solving in Genetics: Conceptual and Procedural Difficulties

ERIC Educational Resources Information Center

Karagoz, Meryem; Cakir, Mustafa

2011-01-01

The purpose of this study was to explore prospective biology teachers' understandings of fundamental genetics concepts and the association between misconceptions and genetics problem solving abilities. Specifically, the study describes conceptual and procedural difficulties which influence prospective biology teachers' genetics problem solving…

The Evaluation of Prospective Teachers' Attitudes towards Citizenship and Citizenship Education

ERIC Educational Resources Information Center

Ramazan, Özbek; Ezlam, Susam

2017-01-01

This study aims to determine the attitudes of prospective teachers studying pedagogical formation education towards citizenship and citizenship education based on their gender, area of specialization, ethnicity and geographical area. This study explains the global implications of the concepts of citizenship, and citizenship education. A…

Prospective Middle Grade Mathematics Teachers' Knowledge of Algebra for Teaching

ERIC Educational Resources Information Center

Huang, Rongjin; Kulm, Gerald

2012-01-01

This study examined prospective middle grade mathematics teachers' knowledge of algebra for teaching with a focus on knowledge for teaching the concept of function. 115 prospective teachers from an interdisciplinary program for mathematics and science middle teacher preparation at a large public university in the USA participated in a survey. It…

Teaching of evolution in public schools: A cross-cultural examination

NASA Astrophysics Data System (ADS)

Stewart, Joshua M.

The current study sought to examine how the cultural settings of Colorado, United States, and Baden-Wurttemberg, Germany, influenced perspectives, understandings, and acceptance of college students who want to become teachers (i.e., prospective teachers) in regard to the theory of evolution, creationism, and intelligent design with both quantitative and qualitative components. The quantitative sample for the study consisted of 221 German prospective teachers from Baden-Wurttemberg and 231 United States prospective teachers from Colorado. The quantitative component consisted of a 42-item survey with both Likert and true/false items to examine how (1) country of origin, (2) religious participation, and (3) educational background influence students' views and understandings of the theory of evolution and alternative conceptions. Additionally, in a Likert 6-item motivated reasoning task (a theoretical construct), prospective teachers were asked to read and critique arguments supporting and opposing the theory of evolution; differences in how students critiqued arguments were hypothesized to demonstrate biases. For a separate sample from the same locations (8 German and 11 United States students), a qualitative component examined prospective teachers' positions on teaching the theory of evolution in public schools. Prospective teachers were asked to provide support for their position, anticipate opposing arguments, and implications that both positions would have for students. Lastly, prospective teachers were also asked to explain and define the theory of evolution. The current study aided in examining how teachers' perspectives, understandings, and acceptance impacted what was taught in the science classroom. The researcher found that country of origin, religious behavior, and educational background predicted prospective teachers' responses to numerous criterion variables used in the current study. Further, qualitative results expressed major differences between prospective teachers' views regarding the inclusion of evolution or alternative conceptions in public schools, between Colorado and Baden-Wurttemberg. As a potential indicator, findings from the current study may be useful in understanding potential differences between these two countries, in regard to perceptions of the theory of evolution and alternative conceptions. Further, findings from the current study might also inform how these topics might be covered in educational settings with a lowered risk of conflict.

Determination of Students' Alternative Conceptions about Chemical Equilibrium: A Review of Research and the Case of Turkey

ERIC Educational Resources Information Center

Ozmen, Haluk

2008-01-01

This study aims to determine prospective science student teachers' alternative conceptions of the chemical equilibrium concept. A 13-item pencil and paper, two-tier multiple choice diagnostic instrument, the Test to Identify Students' Alternative Conceptions (TISAC), was developed and administered to 90 second-semester science student teachers…

Relational Aggression, Victimization and Self-Concept: Testing Pathways from Middle Childhood to Adolescence.

PubMed

Blakely-McClure, Sarah J; Ostrov, Jamie M

2016-02-01

When studying adolescent development, it is important to consider two key areas that are salient for teens, which are self-concept and peer relations. A secondary analysis of the National Institute of Health and Human Development Study of Early Child Care and Youth Development was conducted to examine the prospective bidirectional associations between self-concept and peer relations. To date, how social development broadly and peer relations in particular (e.g., relational aggression and victimization) affect self-concept domains is not fully understood. Using a large sample (N = 1063; 532 girls; M = 11.14 years; SD = .59) with multiple informants, the present study examined whether fifth grade relational aggression and sixth grade relational victimization was associated with adolescent self-concept in three key domains (i.e., academic, sports, physical appearance). A significant direct effect emerged, such that relational aggression in middle childhood was associated with decreases in academic self-concept and increases in sports self-concept in adolescence. Analyses also revealed that having higher levels of domain specific self-concept led to decreases in relational aggression across the transition to adolescence. The findings highlight the importance of examining bidirectional prospective associations between relational aggression, relational victimization, and domain specific self-concept. Implications for future research and clinical intervention are discussed.

Metaphorical Perceptions of Prospective Music Teachers towards "Traditional Turkish Classical Music Course" Concept

ERIC Educational Resources Information Center

Eldemir, Abdurrahim Can

2016-01-01

The purpose of this study is to determine the perceptions of prospective music teachers towards Traditional Turkish Art Music course by means of metaphors. Phenomenological design, one of qualitative study methods, was used in the study. The study group of our research consists of juniors and seniors studying in the Music Education Division,…

Being a Mentor: Novice Teachers' Mentors' Conceptions of Mentoring Prior to Training

ERIC Educational Resources Information Center

Schatz-Oppenheimer, Orna

2017-01-01

This study deals with novice teachers' mentors' conceptions of mentoring prior to their mentoring training. In Israel, all novice teachers have to be supported and assessed by a mentor during their first year of teaching. The aim of this study was to elicit from prospective mentors their own conception of professional mentoring, as a basis for…

Secondary school physics teachers' conceptions of scientific evidence: A collective case study

NASA Astrophysics Data System (ADS)

Taylor, Joseph A.

Engaging secondary school students in inquiry-oriented tasks that more closely simulate the scholarly activities of scientists has been recommended as a way to improve scientific literacy. Two tasks that are frequently recommended include students' design of original experiments, and students' evaluation of scientific evidence and conclusions. Yet, little is known about teachers' conceptions of experimentation. The principal aim of this study, therefore, was to describe the nature of prospective and practicing physics teachers' conceptions of scientific evidence. More specifically, the following research questions guided this study: (1) What types of issues related to the measurement reliability and experimental validity of scientific evidence do practicing and prospective physics teachers think about when designing experiments? (2) When presented with hypothetical scenarios that describe unsound experimental procedures or poorly supported conclusions (or both), what concerns will prospective and practicing physics teachers raise? And (3) When the participants' responses to parallel research prompts are compared across protocols, what similarities and differences exist? The nature of the teacher-participants' conceptions was described from an analysis of data collected from research prompts such as interviews and hand written artifacts. In these research prompts, the teachers "thought aloud" while designing experiments and critically evaluated student-collected evidence presented in hypothetical classroom scenarios. The data from this study suggested that the three teachers, while contemplating the reliability and validity of scientific evidence, frequently used their conceptions of evidence in conjunction with specific subject matter conceptions. The data also indicated that the relationship between subject matter knowledge and conceptions of evidence was more pronounced for some conceptions of evidence than for others. Suggestions for future research included conducting similar studies in other physics content areas as well as other scientific disciplines. Implications for science teacher education suggested that science and science methods courses encourage the construction of evidence-based arguments, as well as engagement in peer review and critique.

Nonsuicidal self-injury in community adolescents: A systematic review of prospective predictors, mediators and moderators.

PubMed

Valencia-Agudo, Fatima; Burcher, Georgina Corbet; Ezpeleta, Lourdes; Kramer, Tami

2018-06-01

Nonsuicidal self-injury (NSSI) usually starts during adolescence and is associated with an array of psychological and psychiatric symptoms and future suicide attempts. The aim of this study is to determine prospective predictors, mediators and moderators of NSSI in adolescent community samples in order to target prevention and treatment strategies. Two team members searched online databases independently. Thirty-nine studies were included in the review. Several variables were seen to prospectively predict NSSI: female gender, family-related variables, peer victimisation, depression, previous NSSI and self-concept. Few studies analysed mediators and moderators. Low self-concept was highlighted as a relevant moderator in the relationship between intra/interpersonal variables and NSSI. Implications of these findings are discussed. The considerable heterogeneity between studies posed a limitation to determine robust predictors of NSSI. Further prospective studies using standardised measures of predictors and outcomes are needed to ascertain the most at risk individuals and develop prevention strategies. Copyright © 2018 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

Conceptual Difficulties Experienced by Prospective Teachers in Electrochemistry: Half-Cell Potential, Cell Potential, and Chemical and Electrochemical Equilibrium in Galvanic Cells.

ERIC Educational Resources Information Center

Ozkaya, Ali Riza

2002-01-01

A previous study of prospective teachers found that students from different countries and different levels of electrochemistry hold common misconceptions, indicating that concepts were presented to them poorly. Reports on how prospective teachers' scientifically incorrect ideas were used to form assertion-reason-type questions and how these…

The Physics of Music with Interdisciplinary Approach: A Case of Prospective Music Teachers

ERIC Educational Resources Information Center

Turna, Özge; Bolat, Mualla

2016-01-01

Physics of music is an area that is covered by interdisciplinary approach. In this study it is aimed to determine prospective music teachers' level of association with physics concepts which are related to music. The research is a case study which combines qualitative and quantitative methods. Eighty-four students who were studying at the…

Prospective Chemistry Teachers' Mental Models of Vapor Pressure

ERIC Educational Resources Information Center

Tumay, Halil

2014-01-01

The main purpose of this study was to identify prospective chemistry teachers' mental models of vapor pressure. The study involved 85 students in the Chemistry Teacher Training Department of a state university in Turkey. Participants' mental models of vapor pressure were explored using a concept test that involved qualitative comparison tasks.…

Relationships between Prospective Elementary Teachers' Classroom Practice and Their Conceptions of Biology and of Teaching Science.

ERIC Educational Resources Information Center

Meyer, Helen; Tabachnick, B. Robert; Hewson, Peter W.; Lemberger, John; Park, Hyun-Ju

1999-01-01

Discusses three prospective elementary teachers' conceptions of teaching science and selected portions of their knowledge base in life science. Explores how these teachers' conceptions, along with their teaching actions, developed during the course of a teacher-education program. Contains 21 references. (Author/WRM)

Confronting prospective teachers' ideas of evolution and scientific inquiry using technology and inquiry-based tasks

NASA Astrophysics Data System (ADS)

Crawford, Barbara A.; Zembal-Saul, Carla; Munford, Danusa; Friedrichsen, Patricia

2005-08-01

This study addresses the need for research in three areas: (1) teachers' understandings of scientific inquiry; (2) conceptual understandings of evolutionary processes; and (3) technology-enhanced instruction using an inquiry approach. The purpose of this study was to determine in what ways The Galapagos Finches software-based materials created a context for learning and teaching about the nature of scientific knowledge and evolutionary concepts. The research used a design experiment in which researchers significantly modified a secondary science methods course. The multiple data sources included: audiotaped conversations of two focus pairs of participants as they interacted with the software; written pre- and posttests on concepts of natural selection of the 21 prospective teachers; written pre- and posttests on views of the nature of science; three e-mail journal questions; and videotaped class discussions. Findings indicate that prospective teachers initially demonstrated alternative understandings of evolutionary concepts; there were uninformed understandings of the nature of scientific inquiry; there was little correlation between understandings and disciplines; and even the prospective teachers with research experience failed to understand the diverse methods used by scientists. Following the module there was evidence of enhanced understandings through metacognition, and the potential for interactive software to provide promising context for enhancing content understandings.

Improve your marketing effectiveness and net income through better prospecting.

PubMed

Gombeski, William R; Kantor, David; Bendycki, Nadine A; Wack, Jeff

2002-01-01

Prospecting is the process of finding customers who are ready to buy and can generate high net income for an organization. Leads for prospects come from three categories of sources: (1) organization-initiated; (2) acquired leads; and (3) marketing activity-initiated leads. Findings from a study of academic medical organizations showed a modest use of effective prospecting by hospitals surveyed and that there are opportunities to increase database marketing efforts. The data suggests that prospecting and its companion concept of qualifying are not fully integrated into many healthcare organization's marketing strategies and tactics.

What Do the Prospective Science Teachers Know about the Human Eye?

ERIC Educational Resources Information Center

Sahin, Çigdem

2014-01-01

In this study, the views of the Prospective Science Teacher (PST)s about the human eye were examined. The following data collection tools were used: the Word Association Test (WAT), open ended questions, drawing technique, two tiered question item and an interview about concepts. The data of the study whose sample consisted of 34 PSTs were…

Framing Prospective Elementary Teachers' Conceptions of Dissolving as a Ladder of Explanations

ERIC Educational Resources Information Center

Subramaniam, Karthigeyan; Esprivalo Harrell, Pamela

2013-01-01

The paper details an exploratory qualitative study that investigated 61 prospective teachers' conceptual understanding of dissolving salt and sugar in water respectively. The study was set within a 15-week elementary science methods course that included a 5E learning cycle lesson on dissolving, the instructional context. Oversby's…

The Concept of English Philologists' Training at Swiss Universities

ERIC Educational Resources Information Center

Zasluzhena, Alla

2016-01-01

The issue of plurilingual approach usage to the study of foreign languages has been made actual on case study of Swiss universities. Basic concepts of English philologists' formation at Swiss universities have been determined. These components have been analyzed with relation to their relevance to the prospective philologist in English Linguistics…

Preparing prospective physics teachers to teach integrated science in junior high school

NASA Astrophysics Data System (ADS)

Wiyanto; Hartono; Nugroho, S. E.

2018-03-01

The physics education study program especially prepares its students to teach physics in senior high school, however in reality many its graduates have become science teachers in junior high school. Therefore introducing integrated science to prospective physics teachers is important, because based on the curriculum, science in the junior high school should be taught integratedly. This study analyzed integrated science teaching materials that developed by prospective physics teachers. Results from this study showed that majority of the integration materials that developed by the prospective physics teachers focused on topic with an overlapping concept or theme as connecting between two or three subjects.

Effectiveness of a Constructivist Approach to Science Instruction for Prospective Elementary Teachers

ERIC Educational Resources Information Center

Liang, Ling L.; Gabel, Dorothy L.

2005-01-01

This study examines the effectiveness of a new constructivist curriculum model (Powerful Ideas in Physical Science) in improving prospective teachers' understanding of science concepts, in fostering a learning environment supporting conceptual understanding, and in promoting positive attitudes toward learning and teaching science and chemistry in…

Population Geography: Problems, Concepts, and Prospects.

ERIC Educational Resources Information Center

Peters, Gary L.; Larkin, Robert P.

This book introduces secondary students to population geography. Material from other disciplines is included because the study of population is multidisciplinary. It is presented in eleven chapters. The introduction considers definitions of concepts and aspects of population geography, explaining the emphasis on spatial patterns of population…

Alcohol and caffeine consumption and decreased fertility.

PubMed

Hakim, R B; Gray, R H; Zacur, H

1998-10-01

To examine the effects of alcohol and caffeine on conception. Prospective observational study. Healthy volunteers in two manufacturing facilities. One hundred twenty-four women who provided daily urine samples for measurement of steroid hormones and hCG, and prospective information about alcohol and caffeine consumption. Probability of conception per 100 menstrual cycles. There was >50% reduction in the probability of conception during a menstrual cycle during which participants consumed alcohol. Caffeine consumption did not independently affect the probability of conception but may enhance alcohol's negative effect. Women who abstained from alcohol and consumed less than one cup of coffee or its equivalent per day conceived 26.9 pregnancies per 100 menstrual cycles compared with 10.5 per 100 menstrual cycles among those who consumed any alcohol and more than one cup of coffee per day. This study revealed an independent dose-related negative effect of alcohol consumption on the ability to conceive. Our results suggest that women who are attempting to conceive should abstain from consuming alcohol.

Prospective mathematics teachers' understanding of the base concept

NASA Astrophysics Data System (ADS)

Horzum, Tuğba; Ertekin, Erhan

2018-02-01

The purpose of this study is to analyze what kind of conceptions prospective mathematics teachers(PMTs) have about the base concept(BC). One-hundred and thirty-nine PMTs participated in the study. In this qualitative research, data were obtained through open-ended questions, the semi-structured interviews and pictures of geometric figures drawn by PMTs. As a result, it was determined that PMTs dealt with the BC in a broad range of seven different images. It was also determined that the base perception of PMTs was limited mostly to their usage in daily life and in this context, they have position-dependent and word-dependent images. It was also determined that PMTs named the base to explain the BC or paid attention to the naming of three-dimensional geometric figures through the statement: 'objects are named according to their bases'. At the same time, it was also determined that PMTs had more than one concept imageswhich were contradicting with each other. According to these findings, potential explanations and advices were given.

Where Do We Go from Here? Making Sense of Prospective Social Studies Teachers' Memories, Conceptions, and Visions of Social Studies Teaching and Learning

ERIC Educational Resources Information Center

Hawley, Todd S.; Crowe, Alicia R.; Brooks, Elizabeth W.

2012-01-01

Like most teacher educators, the authors are aware that prospective teachers enter programs with many experiences in schools, and social studies classrooms in particular, that influence their beliefs about schooling, what it means to teach, their subject, and students. These experiences and beliefs inform how they then experience their program…

[Prospective memory - concepts, methods of assessment, neuroanatomical bases and its deficits in mental disorders].

PubMed

Wiłkość, Monika; Izdebski, Paweł; Zajac-Lamparska, Ludmiła

2013-01-01

In the last two decades of the last century there has been a shift in the studies on memory. In psychology of memory the criticism of the laboratory approach resulted in development of the ecological approach. One of the effects of this change was to initiate researches on memory that includes plans for the future, which has resulted in the distinction of the concept of prospective memory. Prospective memory is used in many aspects of everyday life. It deals with remembering intentions and plans, it is connected with remembering about specific task or activity in the future. There are three types of PM: event-based prospective memory, time-based prospective memory and activity-based prospective memory. Current research in this field have already established its own paradigm and tools measuring PM and there is still increasing scientific interest in this issue. Prospective memory assessment may be carried out in various ways. Among them, the most frequently used are: a) questionnaires, b) psychological tests, c) experimental procedures. Within the latter, the additional distinction can be introduced for: the experiments conducted under natural conditions and the laboratory procedures. In Polish literature, there are only a few articles on PM. The aim of this work is to review studies on assessment methods of PM. Its neuroanatomical bases and its functioning in different mental disorders are analyzed. The work is aimed to focus clinicians attention on prospective memory as an area which is important for complex diagnosis of cognitive processes.

Effectiveness of a Constructivist Approach to Science Instruction for Prospective Elementary Teachers

NASA Astrophysics Data System (ADS)

Liang, Ling L.; Gabel, Dorothy L.

2005-08-01

This study examines the effectiveness of a new constructivist curriculum model (Powerful Ideas in Physical Science) in improving prospective teachers’ understanding of science concepts, in fostering a learning environment supporting conceptual understanding, and in promoting positive attitudes toward learning and teaching science and chemistry in particular. A non-equivalent pretest post-test control-group design was employed. Analysis of covariance and repeated-measures analyses of variance were performed to analyze the scores on concept tests and attitude surveys. Data from videotaped observations of laboratory sessions and interviews of prospective teachers were analyzed by employing a naturalistic inquiry method to provide insights into the process of science learning and teaching for the teacher trainees. The interpretations were made based on the findings that could be corroborated by both methodologies. Conclusions and limitations of the present study as well as recommendations for future implementation of constructivist science curriculum in general are also included.

Racing in the Marathon or Traveling to a Mysterious Place: Prospective Primary Teachers' Conceptions of Experienced and Ideal Learning

ERIC Educational Resources Information Center

Saban, Ahmet; Koçbeker-Eid, Beyhan Nazli; Saban, Aslihan

2014-01-01

In this study, Turkish primary teacher candidates' experienced and ideal conceptions of learning were examined through metaphors. The participants of this phenomenological study included 193 sophomores taking the "Principles and Methods of Teaching" course at Ahmet Kelesoglu Education Faculty, Necmettin Erbakan University, in the fall of…

Old Habits Die Hard: An Uphill Struggle against Rules without Reason in Mathematics Teacher Education

ERIC Educational Resources Information Center

O'Meara, Niamh; Fitzmaurice, Olivia; Johnson, Patrick

2017-01-01

Mathematics teacher educators in the University of Limerick became aware of a lack of conceptual understanding of key mathematics concepts of prospective secondary mathematics teachers through observation on teaching placement and in pedagogy lectures. A pilot study to enhance the conceptual understanding of prospective teachers was carried out…

Educating Prospective Teachers of Biology: Findings, Limitations, and Recommendations.

ERIC Educational Resources Information Center

Hewson, Peter W.; Tabachnick, B. Robert; Zeichner, Kenneth M.; Lemberger, John

1999-01-01

Summarizes a complex study of a science-teacher-education program whose goal was to graduate teachers who held conceptual change conceptions of teaching science and were disposed to put hem into practice. Concludes that there are influences on prospective teachers from their content coursework that have significant implications for how they view…

Prospective Elementary Teachers' Misunderstandings in Solving Ratio and Proportion Problems

ERIC Educational Resources Information Center

Monteiro, Cecilia

2003-01-01

This study explores difficulties that prospective elementary mathematics teachers have with the concepts of ratio and proportion, mainly when they are engaged in solving problems using algorithm procedures. These difficulties can be traced back to earlier experiences when they were students of junior and high school. The reflection on these…

Prospective Teachers' Misconceptions about the Atomic Structure in the Context of Electrification by Friction and an Activity in Order to Remedy Them

ERIC Educational Resources Information Center

Sarikaya, Mustafa

2007-01-01

Science educators have generally agreed that understanding the atom concept is the basis of science education. However, the numerous research studies have shown that many students at all educational levels have difficulties understanding this concept. This study was developed under three headings. The first was to identify misconceptions that…

WebQuest on Conic Sections as a Learning Tool for Prospective Teachers

ERIC Educational Resources Information Center

Kurtulus, Aytac; Ada, Tuba

2012-01-01

WebQuests incorporate technology with educational concepts through integrating online resources with student-centred and activity-based learning. In this study, we describe and evaluate a WebQuest based on conic sections, which we have used with a group of prospective mathematics teachers. The WebQuest entitled: "Creating a Carpet Design Using…

Mathematical Language Skills of Mathematics Prospective Teachers

ERIC Educational Resources Information Center

Gürefe, Nejla

2018-01-01

Effective mathematics teaching can be actualized only with correct use of the mathematical content language which comprises mathematical rules, concepts, symbols and terms. In this research, it was aimed to examine the mathematics prospective teachers' content language skills in some basic geometric concepts which are ray, angle, polygon,…

Promoting Prospective Elementary Teachers' Learning to Use Formative Assessment for Life Science Instruction

ERIC Educational Resources Information Center

Sabel, Jaime L.; Forbes, Cory T.; Zangori, Laura

2015-01-01

To support elementary students' learning of core, standards-based life science concepts highlighted in the "Next Generation Science Standards," prospective elementary teachers should develop an understanding of life science concepts and learn to apply their content knowledge in instructional practice to craft elementary science learning…

Empowering Prospective Teachers to Become Active Sense-Makers: Multimodal Modeling of the Seasons

NASA Astrophysics Data System (ADS)

Kim, Mi Song

2015-10-01

Situating science concepts in concrete and authentic contexts, using information and communications technologies, including multimodal modeling tools, is important for promoting the development of higher-order thinking skills in learners. However, teachers often struggle to integrate emergent multimodal models into a technology-rich informal learning environment. Our design-based research co-designs and develops engaging, immersive, and interactive informal learning activities called "Embodied Modeling-Mediated Activities" (EMMA) to support not only Singaporean learners' deep learning of astronomy but also the capacity of teachers. As part of the research on EMMA, this case study describes two prospective teachers' co-design processes involving multimodal models for teaching and learning the concept of the seasons in a technology-rich informal learning setting. Our study uncovers four prominent themes emerging from our data concerning the contextualized nature of learning and teaching involving multimodal models in informal learning contexts: (1) promoting communication and emerging questions, (2) offering affordances through limitations, (3) explaining one concept involving multiple concepts, and (4) integrating teaching and learning experiences. This study has an implication for the development of a pedagogical framework for teaching and learning in technology-enhanced learning environments—that is empowering teachers to become active sense-makers using multimodal models.

The Teaching Processes of Prospective Science Teachers with Different Levels of Science-Teaching Self-Efficacy Belief

ERIC Educational Resources Information Center

Saka, Mehpare; Bayram, Hale; Kabapinar, Filiz

2016-01-01

The concept of self-efficacy, which is an important variable in the teaching process, and how it reflects on teaching have recently been the focus of attention. Therefore, this study deals with the relationship between the science-teaching self-efficacy beliefs of prospective science teachers and their teaching practices. It was conducted with…

Mission and sensor concepts for coastal and ocean monitoring using spacecraft and aircraft

NASA Technical Reports Server (NTRS)

Darnell, W. L.

1980-01-01

A concept developed for a 1990 oceanic mission which places strong emphasis on coastal monitoring needs is described and analysed. The concept assumes that use of one active spacecraft in orbit and one on standby plus airplanes and data collection platforms which provide continuing complementary coverage and surface truth. The coastal measurement requirements and goals, the prospective oceanic and coastal sensors, the spacecraft and aircraft data platforms, and the prospective orbit designs are discussed.

An Analysis of Prospective Science Teachers' Understanding of the Nature of Science.

ERIC Educational Resources Information Center

Ogunniyi, M. B.

1982-01-01

An instrument was developed to measure conceptions of the language of science held by prospective Nigerian science teachers (N=106) relative to conceptions held by seven selected science philosophers (Carnap, Frank, Hempel, Kemeny, Nagel, Nash, and Popper). Subjects did not endorse the language of science associated with a particular philosopher.…

Eliciting the Views of Prospective Elementary and Preschool Teachers about the Nature of Science

ERIC Educational Resources Information Center

Karaman, Ayhan

2018-01-01

Recent science education standards emphasize the importance of the instruction of nature of science (NOS) concepts at all levels of schooling from pre-K to K-12. Delivering a proper NOS education to students is excessively dependent on their teachers with an adequate understanding of NOS concepts. The present study investigated the science…

When Nature of Science Meets Marxism: Aspects of Nature of Science Taught by Chinese Science Teacher Educators to Prospective Science Teachers

ERIC Educational Resources Information Center

Wan, Zhi Hong; Wong, Siu Ling; Zhan, Ying

2013-01-01

Nature of science (NOS) is beginning to find its place in the science education in China. In a study which investigated Chinese science teacher educators' conceptions of teaching NOS to prospective science teachers through semi-structured interviews, five key dimensions emerged from the data. This paper focuses on the dimension, "NOS content…

Common Interest, Common Visions? Chinese Science Teacher Educators' Views about the Values of Teaching Nature of Science to Prospective Science Teachers

ERIC Educational Resources Information Center

Wan, Zhi Hong; Wong, Siu Ling; Yung, Benny Hin Wai

2011-01-01

Teaching nature of science (NOS) is beginning to take root in science education in China. This exploratory study interviewed 24 science teacher educators from economically developed parts of China about their conceptions of teaching NOS to prospective science teachers. Five key dimensions emerged from the data. This paper focuses on the dimension…

Preparing Prospective Elementary Teachers To Foster Conceptually Based Mathematical Understandings: A Study Investigating Change in Prospective Teachers' Conceptions Related to Mathematics Teaching and Learning.

ERIC Educational Resources Information Center

Benken, Babette M.; Brown, Nancy

More than two decades of research and experience supports the idea that computer and calculator technologies can have an important role to play in supporting and effecting student learning (Heid, 1988; Kaput, 1992; Kutzler, 1996; Papert, 1980; Waits and Demana, 1999). The development of Classroom Communication Systems (CCSs) is providing new…

Employment as a Journey or a Destination? Interpreting Graduates' and Employers' Perceptions--A Malaysia Case Study

ERIC Educational Resources Information Center

Cheong, Kee-Cheok; Hill, Christopher; Leong, Yin-Ching; Zhang, Chen

2018-01-01

As human capital came to the fore in the discourse on economic growth, so too has the concepts of employment prospects and employability attributes as students transit to the labor market. This paper examines three issues in this transition in the context of Malaysia. These are, first, how important is employment prospects a consideration when…

The Learning Reconstruction of Particle System and Linear Momentum Conservation in Introductory Physics Course

NASA Astrophysics Data System (ADS)

Karim, S.; Saepuzaman, D.; Sriyansyah, S. P.

2016-08-01

This study is initiated by low achievement of prospective teachers in understanding concepts in introductory physics course. In this case, a problem has been identified that students cannot develop their thinking skills required for building physics concepts. Therefore, this study will reconstruct a learning process, emphasizing a physics concept building. The outcome will design physics lesson plans for the concepts of particle system as well as linear momentum conservation. A descriptive analysis method will be used in order to investigate the process of learning reconstruction carried out by students. In this process, the students’ conceptual understanding will be evaluated using essay tests for concepts of particle system and linear momentum conservation. The result shows that the learning reconstruction has successfully supported the students’ understanding of physics concept.

Escaping the impulse to immediate gratification: the prospect concept promotes a future-oriented mindset, prompting an inclination towards delayed gratification.

PubMed

Cheng, Ying-Yao; Shein, Paichi Pat; Chiou, Wen-Bin

2012-02-01

People's willingness to postpone receiving an immediate reward in order to gain additional benefits in the future, that is, a tendency to shallow delay discounting, is closely related to one's health, wealth, and happiness. We conducted two experiments investigating how the prospect concept can induce a future-oriented mindset and induce people to behave accordingly. We found that engaging in prospective imagery led the participants to focus on delayed utility over immediate utility in financial decisions (Experiment 1). Participants who received the prospect prime via a scrambled-sentence task decreased their desire to pursue hedonic activities for instant gratification (Experiment 2). Moreover, a state of future orientation mediated the effect of the prospect prime on measures of delayed gratification (Experiments 1 and 2). Thus, reminders of prospect may activate a mindset for future orientation by which delayed gratification is strengthened. ©2011 The British Psychological Society.

The Sensitivity of Measures of Unwanted and Unintended Pregnancy Using Retrospective and Prospective Reporting: Evidence from Malawi

PubMed Central

Sennott, Christie

2015-01-01

A thorough understanding of the health implications of unwanted and unintended pregnancies is constrained by our ability to accurately identify them. Commonly used techniques for measuring such pregnancies are subject to two main sources of error: the ex post revision of preferences after a pregnancy and the difficulty of identifying preferences at the time of conception. This study examines the implications of retrospective and prospective measurement approaches, which are vulnerable to different sources of error, on estimates of unwanted and unintended pregnancies. We use eight waves of closely-spaced panel data from young women in southern Malawi to generate estimates of unwanted and unintended pregnancies based on fertility preferences measured at various points in time. We then compare estimates using traditional retrospective and prospective approaches to estimates obtained when fertility preferences are measured prospectively within months of conception. The 1,062 young Malawian women in the sample frequently changed their fertility preferences. The retrospective measures slightly underestimated unwanted and unintended pregnancies compared to the time-varying prospective approach; in contrast the fixed prospective measures overestimated them. Nonetheless, most estimates were similar in aggregate, suggesting that frequent changes in fertility preferences need not lead to dramatically different estimates of unwanted and unintended pregnancy. Greater disagreement among measures emerged when classifying individual pregnancies. Carefully designed retrospective measures are not necessarily more problematic for measuring unintended and unwanted fertility than are more expensive fixed prospective ones. PMID:25636647

Compensatory enlargement of the left main coronary artery: insights from the PROSPECT study.

PubMed

Inaba, Shinji; Mintz, Gary S; Shimizu, Takehisa; Weisz, Giora; Mehran, Roxana; Marso, Steven P; Xu, Ke; de Bruyne, Bernard; Serruys, Patrick W; Stone, Gregg W; Maehara, Akiko

2014-03-01

Glagov proposed that remodeling delayed development of significant coronary artery stenoses until plaque occupied, on average, 40% of arterial area (40% plaque burden). The aim of the current study was to confirm the previously proposed concept of coronary remodeling as first described by Glagov who studied postmortem left main coronary arteries (LMCAs). Using the in-vivo intravascular ultrasound data from the Providing Regional Observations to Study Predictors of Events in the Coronary Tree (PROSPECT) study, we evaluated 552 LMCAs in 552 patients. External elastic membrane cross-sectional areas (CSAs) increased in proportion to the increase in plaque and media CSAs (r=0.61, P<0.0001), especially when the plaque burden was 20% or lower (r=0.88, P<0.0001). For more advanced atherosclerosis (>40% plaque burden), there was an inverse relationship between lumen CSA and plaque burden (r=-0.57, P<0.0001), whereas this relationship was weak in the presence of less than 40% plaque burden. The frequency of virtual histology derived thin-cap fibroatheroma increased with increasing plaque burden. In contrast, the frequency of pathological intimal thickening decreased. The previously proposed remodeling concept of Glagov was validated in vivo in the PROSPECT study patients. In addition, the present study suggested that plaque phenotype worsened with increasing LMCA plaque growth.

The concept of geothermal exploration in west Java based on geophysical data

NASA Astrophysics Data System (ADS)

Gaffar, Eddy Z.

2018-02-01

Indonesia has the largest geothermal prospects in the world and most of them are concentrated in Java and Sumatera. The ones on Sumatra island are generally controlled by Sumatra Fault, either the main fault or the second and the third order fault. Geothermal in Java is still influenced by the subduction of oceanic plates from the south of Java island that forms the southern mountains extending from West Java to East Java. From a geophysical point of view, there is still no clue or concept that accelerates the process of geothermal exploration. The concept is that geothermal is located around the volcano (referred to the volcano as a host) and around the fault (fault as a host). There is another method from remote sensing analysis that often shows circular feature. In a study conducted by LIPI, we proposed a new concept for geothermal exploration which is from gravity analysis using Bouguer anomaly data from Java Island, which also show circular feature. The feature is supposed to be an "ancient crater" or a hidden caldera. Therefore, with this hypothesis, LIPI Geophysics team will try to prove whether this symptom can help accelerate the process of geothermal exploration on the island of West Java. Geophysical methods might simplify the exploration of geothermal prospect in West Java. Around the small circular feature, there are some large geothermal prospect areas such as Guntur, Kamojang, Drajat, Papandayan, Karaha Bodas, Patuha. The concept proposed by our team will try be applied to explore geothermal in Java Island for future work.

Focal Therapy for Prostate Cancer: An "À la Carte" Approach.

PubMed

Sivaraman, Arjun; Barret, Eric

2016-06-01

Personalizing focal ablation energy for prostate cancer on the basis of cancer location is a novel concept. We propose the use of high-intensity focused ultrasound, cryotherapy, and brachytherapy for posterior, anterior, and apical tumors, respectively, to improve the overall outcome. This concept needs to be verified in prospective studies. Copyright © 2015 European Association of Urology. Published by Elsevier B.V. All rights reserved.

The effects of a new constructivist science curriculum (PIPS) for prospective elementary teachers

NASA Astrophysics Data System (ADS)

Liang, Ling L.

This study examines the effectiveness of a new constructivist curriculum model (Powerful Ideas in Physical Science, PIPS) in promoting preservice teachers' understanding of science concepts, in fostering a learning environment supporting conceptual change, and in improving preservice teachers' attitudes toward science as well as their science teaching efficacy beliefs. The PIPS curriculum model integrates a conceptual change perspective with a hands-on, inquiry-based approach and other promising effective teaching strategies such as cooperative learning. Three instructors each taught one class section using the PIPS and one using the existing curriculum for an introductory science course. Their students were 121 prospective elementary teachers at a large mid-western university. ANCOVA and Repeated Measures Analyses of Variance were performed to analyze the scores on concept tests and attitude surveys. Data from videotaped observations of lab sessions and interviews of prospective teachers and their instructors were analyzed by employing a naturalistic inquiry method to get insights into the process of science learning and teaching for the prospective teachers. The interpretations were made based on the findings that could be corroborated by both methodologies. For the twelve prospective teachers interviewed, it was found that the PIPS model was more effective in promoting conceptual understanding and positive attitudes toward science learning for those with lower past science performance. The PIPS approach left more room for self-reflection on the development of understanding of science concepts in contrast to the lecture-lab type teaching. Factors that might have influenced the teacher trainees' attitudes and beliefs about learning and teaching science were identified and discussed. It was also found that better cooperative learning and a more supportive learning environment have been promoted in the PIPS classrooms. However, the differential treatment effects on learning outcomes for all participants of the study, as measured by the paper-pencil instruments, were not statistically significant. Both students' and instructors' perspectives of the PIPS approach are presented in the study. Limitations of the present study as well as recommendations for future revision of the PIPS curriculum and effective implementation of the constructivist teaching in general, are also included.

An Analysis of Prospective Teachers' Knowledge for Constructing Concept Maps

ERIC Educational Resources Information Center

Subramaniam, Karthigeyan; Esprívalo Harrell, Pamela

2015-01-01

Background: Literature contends that a teacher's knowledge of concept map-based tasks influence how their students perceive the task and execute the creation of acceptable concept maps. Teachers who are skilled concept mappers are able to (1) understand and apply the operational terms to construct a hierarchical/non-hierarchical concept map; (2)…

EVALUATION OF A REMOTE EXPOSURE MONITORING STRATEGY FOR USE IN LONGITUDINAL COHORT STUDIES

EPA Science Inventory

The Federal Government is currently planning a large, prospective birth cohort study known as the National Children's Study that will potentially involve 100,000 children and their families. The observation period will start as close to conception as possible and will continue...

Prospect Theory and Coercive Bargaining

ERIC Educational Resources Information Center

Butler, Christopher K.

2007-01-01

Despite many applications of prospect theory's concepts to explain political and strategic phenomena, formal analyses of strategic problems using prospect theory are rare. Using Fearon's model of bargaining, Tversky and Kahneman's value function, and an existing probability weighting function, I construct a model that demonstrates the differences…

Prospective environmental restoration/ restoration up front: a concept for an incentive-based program to increase restoration planning and implementation in the United States.

PubMed

Stahl, Ralph G; Gouguet, Ron; DeSantis, Amanda; Liu, Jenny; Ammann, Michael

2008-01-01

This article describes a concept variously termed prospective environmental restoration, restoration up front, or restoration banking. Briefly, the concept centers on the ability of an entity, public or private, to gain durable credits for undertaking proactive restoration activities. Once obtained, these credits can be applied to an existing liability, held in the event of a future liability, or traded or sold to others that might have need for the credits. In the case of a natural resource damage claim or response action, possessing or applying the credits does not negate the need for responsible entities to clean up spills or releases of hazardous substances or oil or to address their clean-up requirements under applicable federal and state statutes. Concepts similar to prospective environmental restoration/restoration up front include wetlands mitigation banking, conservation habitat banking, and emissions trading. Much of the concept and details provided herein stem from the practice of natural resource damage assessment, although that is not the sole driver for the concept. The concept could also apply where the credits could be used to offset other environmental liabilities, for example, to provide habitat mitigation where development is being planned. The authors believe that the concept, if widely applied, could reduce the time and costs associated with restoration and perhaps lead to an increase in voluntary restoration and conservation nationally. Currently, there are no state or federal regulations or policies that directly provide for this approach.

Pre-gravid oral contraceptive use in relation to birth weight: a prospective cohort study

PubMed Central

Hatch, EE; Hahn, KA; Mikkelsen, EM; Riis, AH; Sorensen, HT; Rothman, KJ; Wise, LA

2015-01-01

Few studies have evaluated the association between pregravid oral contraceptive (OC) use and birth weight, and findings have been conflicting. We conducted a prospective cohort study of 5921 pregnancy planners in Denmark to evaluate recency, duration, and type of OC used before conception in relation to infant birth weight. Participants completed online questionnaires and reported detailed information on contraceptive history and covariates at baseline. Participants completed bimonthly follow-up questionnaires to update their pregnancy status for up to12 months or until conception occurred. Birth weight data were ascertained from the Danish Medical Birth Registry for 4046 live births delivered by study participants between 2008 and 2010. We used multivariable linear and log-binomial regression analyses to control for confounding. Mean birth weight was higher among women who had used OCs within 0–1 months (mean difference = 97 g, CI: 26, 168) or 2–6 months (mean difference=40 g, CI: −5, 85) before conception, compared with more than 12 months before conception. Mean birth weight was lower among women who had used OCs for long durations (mean difference comparing ≥12 with <4 years of OC use = −85 g, CI: −158, −11). Our findings indicate that pregravid OC use within 6 months of conception may be associated with a small increase in birth weight, but that long duration of use may have the opposite effect. Results were stronger among male infants, among 2nd and 4th generation OC users, and among users of OCs with a higher estrogen dose. PMID:26076921

Genetic Pedagogical Content Knowledge (PCK) Ability Profile of Prospective Biology Teacher

NASA Astrophysics Data System (ADS)

Purwianingsih, W.; Muthmainnah, E.; Hidayat, T.

2017-02-01

Genetics is one of the topics or subject matter in biology that are considered difficult. Student difficulties of understanding genetics, can be caused by lack of understanding this concept and the way of teachers teach. Pedagogical Content Knowledge (PCK) is a way to understand the complex relationships between teaching and content taught through the use of specific teaching approaches. The aims of study was to analyze genetic PCK ability profile of prospective biology teacher.13 student of sixth semester Biology education department who learned Kapita Selekta Biologi SMA course, participated in this study. PCK development was measured by CoRes (Content Representation). Before students fill CoRes, students are tested mastery genetic concepts through a multiple-choice test with three tier-test. Data was obtained from the prior CoRes and its revisions, as well as the mastery concept in pre and post test. Results showed that pre-test of genetic mastery concepts average on 55.4% (low category) and beginning of the writing CoRes, student get 43.2% (Pra PCK). After students get lecture and simulating learning, the post-test increased to 63.8% (sufficient category) and PCK revision is also increase 58.1% (growing PCK). It can be concluded that mastery of subject matter could affects the ability of genetic PCK.

Prevalence and Correlates of Use of Safer Conception Methods in a Prospective Cohort of Ugandan HIV-Affected Couples with Fertility Intentions.

PubMed

Wagner, Glenn J; Linnemayr, Sebastian; Goggin, Kathy; Mindry, Deborah; Beyeza-Kashesya, Jolly; Finocchario-Kessler, Sarah; Robinson, Eric; Birungi, Josephine; Wanyenze, Rhoda K

2017-08-01

We examined the prevalence and correlates of safer conception methods (SCM) use in HIV-affected couples with fertility intentions. A prospective cohort of 400 HIV clients in Uganda who had fertility intentions with their partner was surveyed every 6 months for 24 months. Logistic regression analysis was used to determine individual, relationship and provider level predictors of SCM use. Over one-third (35%) reported any use of timed unprotected intercourse (TUI) during the study; use of other SCM was rare. Baseline predictors of any TUI use included lower social support, greater perceived provider stigma of childbearing, greater SCM awareness, greater control over sexual decision making in the relationship, inconsistent condom use, and the belief that a desire for childbearing impedes condom use. These findings highlight the need for policy and provider training regarding integration of safer conception counselling into family planning and reproductive health services for people living with HIV.

Exploring prospective secondary science teachers' understandings of scientific inquiry and Mendelian genetics concepts using computer simulation

NASA Astrophysics Data System (ADS)

Cakir, Mustafa

The primary objective of this case study was to examine prospective secondary science teachers' developing understanding of scientific inquiry and Mendelian genetics. A computer simulation of basic Mendelian inheritance processes (Catlab) was used in combination with small-group discussions and other instructional scaffolds to enhance prospective science teachers' understandings. The theoretical background for this research is derived from a social constructivist perspective. Structuring scientific inquiry as investigation to develop explanations presents meaningful context for the enhancement of inquiry abilities and understanding of the science content. The context of the study was a teaching and learning course focused on inquiry and technology. Twelve prospective science teachers participated in this study. Multiple data sources included pre- and post-module questionnaires of participants' view of scientific inquiry, pre-posttests of understandings of Mendelian concepts, inquiry project reports, class presentations, process videotapes of participants interacting with the simulation, and semi-structured interviews. Seven selected prospective science teachers participated in in-depth interviews. Findings suggest that while studying important concepts in science, carefully designed inquiry experiences can help prospective science teachers to develop an understanding about the types of questions scientists in that field ask, the methodological and epistemological issues that constrain their pursuit of answers to those questions, and the ways in which they construct and share their explanations. Key findings included prospective teachers' initial limited abilities to create evidence-based arguments, their hesitancy to include inquiry in their future teaching, and the impact of collaboration on thinking. Prior to this experience the prospective teachers held uninformed views of scientific inquiry. After the module, participants demonstrated extended expertise in their understandings of following aspects of scientific inquiry: (a) the iterative nature of scientific inquiry; (b) the tentativeness of specific knowledge claims; (c) the degree to which scientists rely on empirical data, as well as broader conceptual and metaphysical commitments, to assess models and to direct future inquiries; (d) the need for conceptual consistency; (e) multiple methods of investigations and multiple interpretations of data; and (f) social and cultural aspects of scientific inquiry. This research provided evidence that hypothesis testing can support the integrated acquisition of conceptual and procedural knowledge in science. Participants' conceptual elaborations of Mendelian inheritance were enhanced. There were qualitative changes in the nature of the participants' explanations. Moreover, the average percentage of correct responses improved from 39% on the pretest to 67% on the posttest. Findings also suggest those prospective science teachers' experiences as learners of science in their methods course served as a powerful tool for thinking about the role of inquiry in teaching and learning science. They had mixed views about enacting inquiry in their teaching in the future. All of them stated some kind of general willingness to do so; yet, they also mentioned some reservations and practical considerations about inquiry-based teaching.

Social Capital and Health: A Review of Prospective Multilevel Studies

PubMed Central

Murayama, Hiroshi; Fujiwara, Yoshinori; Kawachi, Ichiro

2012-01-01

Background This article presents an overview of the concept of social capital, reviews prospective multilevel analytic studies of the association between social capital and health, and discusses intervention strategies that enhance social capital. Methods We conducted a systematic search of published peer-reviewed literature on the PubMed database and categorized studies according to health outcome. Results We identified 13 articles that satisfied the inclusion criteria for the review. In general, both individual social capital and area/workplace social capital had positive effects on health outcomes, regardless of study design, setting, follow-up period, or type of health outcome. Prospective studies that used a multilevel approach were mainly conducted in Western countries. Although we identified some cross-sectional multilevel studies that were conducted in Asian countries, including Japan, no prospective studies have been conducted in Asia. Conclusions Prospective evidence from multilevel analytic studies of the effect of social capital on health is very limited at present. If epidemiologic findings on the association between social capital and health are to be put to practical use, we must gather additional evidence and explore the feasibility of interventions that build social capital as a means of promoting health. PMID:22447212

Social capital and health: a review of prospective multilevel studies.

PubMed

Murayama, Hiroshi; Fujiwara, Yoshinori; Kawachi, Ichiro

2012-01-01

This article presents an overview of the concept of social capital, reviews prospective multilevel analytic studies of the association between social capital and health, and discusses intervention strategies that enhance social capital. We conducted a systematic search of published peer-reviewed literature on the PubMed database and categorized studies according to health outcome. We identified 13 articles that satisfied the inclusion criteria for the review. In general, both individual social capital and area/workplace social capital had positive effects on health outcomes, regardless of study design, setting, follow-up period, or type of health outcome. Prospective studies that used a multilevel approach were mainly conducted in Western countries. Although we identified some cross-sectional multilevel studies that were conducted in Asian countries, including Japan, no prospective studies have been conducted in Asia. Prospective evidence from multilevel analytic studies of the effect of social capital on health is very limited at present. If epidemiologic findings on the association between social capital and health are to be put to practical use, we must gather additional evidence and explore the feasibility of interventions that build social capital as a means of promoting health.

A new concept of the anatomy of the thoracic oesophagus: the meso-oesophagus. Observational study during thoracoscopic esophagectomy.

PubMed

Cuesta, Miguel A; Weijs, Teus J; Bleys, Ronald L A W; van Hillegersberg, Richard; van Berge Henegouwen, Mark I; Gisbertz, Suzanne S; Ruurda, Jelle P; Straatman, Jennifer; Osugi, Harushi; van der Peet, Donald L

2015-09-01

During thoracoscopic oesophageal surgery, we observed not previously described fascia-like structures. Description of similar structures in rectal cancer surgery was of paramount importance in improving the quality of resection. Therefore, we aimed to describe a new comprehensive concept of the surgical anatomy of the thoracic oesophagus with definition of the meso-oesophagus. We retrospectively evaluated 35 consecutive unedited videos of thoracoscopic oesophageal resections for cancer, to determine the surgical anatomy of the oesophageal fascia's vessels and lymphatic drainage. The resulting concept was validated in a prospective study, including 20 patients at three different centres. Additional confirmation was sought by a histologic study of a cadaver's thorax. A thin layer of connective tissue around the infracarinal oesophagus, involving the lymph nodes at the level of the carina, was observed during thoracoscopic esophagectomy in 32 of the 35 patients included in the retrospective study and in 19 of the 20 patients included in the prospective study. A thick fascia-like structure from the upper thoracic aperture to the lower thoracic aperture was visualized in all patients. This fascia is encountered between the descending aorta and left aspect of the infracarinal oesophagus. Above the carina it expands on both sides of the oesophagus to lateral mediastinal structures. This fascia contains oesophageal vessels, lymph vessels and nodes and nerves. The histologic study confirmed these findings. Here we described the concept of the "meso-oesophagus". Applying the description of the meso-oesophagus will create a better understanding of the oesophageal anatomy, leading to more adequate and reproducible surgery.

Disaggregating the Effects of Marital Trajectories on Health

ERIC Educational Resources Information Center

Dupre, Matthew E.; Meadows, Sarah O.

2007-01-01

Recent studies linking marital status and health increasingly focus on marital trajectories to examine the relationship from a life course perspective. However, research has been slow to bridge the theoretical concept of a marital trajectory with its measurement. This study uses retrospective and prospective data to model the age-dependent effects…

Prospects for Geostationary Doppler Weather Radar

NASA Technical Reports Server (NTRS)

Tanelli, Simone; Fang, Houfei; Durden, Stephen L.; Im, Eastwood; Rhamat-Samii, Yahya

2009-01-01

A novel mission concept, namely NEXRAD in Space (NIS), was developed for detailed monitoring of hurricanes, cyclones, and severe storms from a geostationary orbit. This mission concept requires a space deployable 35-m diameter reflector that operates at 35-GHz with a surface figure accuracy requirement of 0.21 mm RMS. This reflector is well beyond the current state-of-the-art. To implement this mission concept, several potential technologies associated with large, lightweight, spaceborne reflectors have been investigated by this study. These spaceborne reflector technologies include mesh reflector technology, inflatable membrane reflector technology and Shape Memory Polymer reflector technology.

PROSPECTIVE PREGNANCY STUDY DESIGNS FOR ASSESSING REPRODUCTIVE AND DEVELOPMENTAL TOXICANTS

EPA Science Inventory

Of late, there is increasing recognition that exposures before, at or shortly after conception have life-long implications for human reproduction and development. Despite this evolving literature, few research initiatives have been designed to empirically evaluate exposures durin...

General Principles for Brain Design

NASA Astrophysics Data System (ADS)

Josephson, Brian D.

2006-06-01

The task of understanding how the brain works has met with only limited success since important design concepts are not as yet incorporated in the analysis. Relevant concepts can be uncovered by studying the powerful methodologies that have evolved in the context of computer programming, raising the question of how the concepts involved there can be realised in neural hardware. Insights can be gained in regard to such issues through the study of the role played by models and representation. These insights lead on to an appreciation of the mechanisms underlying subtle capacities such as those concerned with the use of language. A precise, essentially mathematical account of such capacities is in prospect for the future.

When Nature of Science Meets Marxism: Aspects of Nature of Science Taught by Chinese Science Teacher Educators to Prospective Science Teachers

NASA Astrophysics Data System (ADS)

Wan, Zhi Hong; Wong, Siu Ling; Zhan, Ying

2013-05-01

Nature of science (NOS) is beginning to find its place in the science education in China. In a study which investigated Chinese science teacher educators' conceptions of teaching NOS to prospective science teachers through semi-structured interviews, five key dimensions emerged from the data. This paper focuses on the dimension, NOS content to be taught to prospective science teachers. Among a total of twenty NOS elements considered by the Chinese science teacher educators to be important ideas to be taught, five were suggested by no less than a half of the educators. They are (1) empirical basis of scientific investigation, (2) logics in scientific investigation, (3) general process of scientific investigation, (4) progressive nature of scientific knowledge, and (5) realist views of mind and natural world. This paper discusses the influence of Marxism, a special socio-cultural factor in China, on Chinese science teacher educators' conceptions of NOS content to be taught to prospective science teachers. We argue the importance of considering ideological traditions (mainly those in general philosophy and religion) when interpreting views of NOS or its content to be taught in different countries and regions and understanding students' conceptual ecology of learning NOS.

Spotting and designing promiscuous ligands for drug discovery.

PubMed

Schneider, P; Röthlisberger, M; Reker, D; Schneider, G

2016-01-21

The promiscuous binding behavior of bioactive compounds forms a mechanistic basis for understanding polypharmacological drug action. We present the development and prospective application of a computational tool for identifying potential promiscuous drug-like ligands. In combination with computational target prediction methods, the approach provides a working concept for rationally designing such molecular structures. We could confirm the multi-target binding of a de novo generated compound in a proof-of-concept study relying on the new method.

Super-large optical gyroscopes for applications in geodesy and seismology: state-of-the-art and development prospects

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

Velikoseltsev, A A; Luk'yanov, D P; Vinogradov, V I

2014-12-31

A brief survey of the history of the invention and development of super-large laser gyroscopes (SLLGs) is presented. The basic results achieved using SLLGs in geodesy, seismology, fundamental physics and other fields are summarised. The concept of SLLG design, specific features of construction and implementation are considered, as well as the prospects of applying the present-day optical technologies to laser gyroscope engineering. The possibilities of using fibre-optical gyroscopes in seismologic studies are analysed and the results of preliminary experimental studies are presented. (laser gyroscopes)

Luck, Choice, and Educational Equality

ERIC Educational Resources Information Center

Calvert, John

2015-01-01

Harry Brighouse discusses two conceptions of educational equality. The first is a type of equality of opportunity, heavily influenced by the work of John Rawls, which he calls the meritocratic conception. According to this conception, an individual's educational prospects should not be influenced by factors such as their social class background.…

Sozial Studies: How Travel Abroad Empowers a Global Perspective

ERIC Educational Resources Information Center

Pearcy, Mark

2014-01-01

The personal experiences and values of individual teachers can tend to restrict the ability to promote a "global perspective" in the social studies, the subject area most suited to that concept. One antidote to this instructional myopia is the prospect of overseas travel, in the form of study tours, the type of which have been shown to…

DEMONSTRATION OF LOW COST BURDEN, EXPOSURE MONITORING STRATEGIES FOR USE IN LONGITUDINAL COHORT STUDIES - VOLUME I - FINAL REPORT AND VOLUME II - APPENDICES

EPA Science Inventory

The Federal Government is currently planning a large, prospective birth cohort study known as the National Children's Study that will potentially involve 100,000 children and their families. The observation period will start as close to conception as possible and will continue f...

Analyzing prospective teachers' images of scientists using positive, negative and stereotypical images of scientists

NASA Astrophysics Data System (ADS)

Subramaniam, Karthigeyan; Esprívalo Harrell, Pamela; Wojnowski, David

2013-04-01

Background and purpose : This study details the use of a conceptual framework to analyze prospective teachers' images of scientists to reveal their context-specific conceptions of scientists. The conceptual framework consists of context-specific conceptions related to positive, stereotypical and negative images of scientists as detailed in the literature on the images, role and work of scientists. Sample, design and method : One hundred and ninety-six drawings of scientists, generated by prospective teachers, were analyzed using the Draw-A-Scientist-Test Checklist (DAST-C), a binary linear regression and the conceptual framework. Results : The results of the binary linear regression analysis revealed a statistically significant difference for two DAST-C elements: ethnicity differences with regard to drawing a scientist who was Caucasian and gender differences for indications of danger. Analysis using the conceptual framework helped to categorize the same drawings into positive, stereotypical, negative and composite images of a scientist. Conclusions : The conceptual framework revealed that drawings were focused on the physical appearance of the scientist, and to a lesser extent on the equipment, location and science-related practices that provided the context of a scientist's role and work. Implications for teacher educators include the need to understand that there is a need to provide tools, like the conceptual framework used in this study, to help prospective teachers to confront and engage with their multidimensional perspectives of scientists in light of the current trends on perceiving and valuing scientists. In addition, teacher educators need to use the conceptual framework, which yields qualitative perspectives about drawings, together with the DAST-C, which yields quantitative measure for drawings, to help prospective teachers to gain a holistic outlook on their drawings of scientists.

Breathing-synchronised electrical stimulation of the abdominal muscles in patients with acute tetraplegia: A prospective proof-of-concept study.

PubMed

Liebscher, Thomas; Schauer, Thomas; Stephan, Ralph; Prilipp, Erik; Niedeggen, Andreas; Ekkernkamp, Axel; Seidl, Rainer O

2016-11-01

To examine whether, by enhancing breathing depth and expectoration, early use of breathing-synchronised electrical stimulation of the abdominal muscles (abdominal functional electrical stimulation, AFES) is able to reduce pulmonary complications during the acute phase of tetraplegia. Prospective proof-of-concept study. Spinal cord unit at a level 1 trauma center. Following cardiovascular stabilisation, in addition to standard treatments, patients with acute traumatic tetraplegia (ASIA Impairment Scale A or B) underwent breathing-synchronised electrical stimulation of the abdominal muscles to aid expiration and expectoration. The treatment was delivered in 30-minute sessions, twice a day for 90 days. The target was for nine of 15 patients to remain free of pneumonia meeting Centers for Disease Control and Prevention (CDC) diagnostic criteria. Eleven patients were recruited to the study between October 2011 and November 2012. Two patients left the study before completion. None of the patients contracted pneumonia during the study period. No complications from electrical stimulation were observed. AFES led to a statistically significant increase in peak inspiratory and expiratory flows and a non-statistically significant increase in tidal volume and inspiratory and expiratory flow. When surveyed, 6 out of 9 patients (67%) reported that the stimulation procedure led to a significant improvement in breathing and coughing. AFES appears to be able to improve breathing and expectoration and prevent pneumonia in the acute phase of tetraplegia (up to 90 days post-trauma). This result is being validated in a prospective multicentre comparative study.

Gender differences in prospective teachers’ mathematical literacy: problem solving of occupational context on shipping company

NASA Astrophysics Data System (ADS)

Lestari, N. D. S.; Juniati, D.; Suwarsono, St.

2018-04-01

The purpose of this paper is to describe to what extent the prospective teachers can be considered as mathematically literate and how they communicate their reasoning in solving the problem based on the sex differences. Data were collected through mathematics literacy test on occupational context by 157 of prospective teachers from three universities in East Java, Indonesia. Their written responses were collected, organized based on the sex differences, analyzed and categorized to one of three levels of mathematical literacy. The examples of interesting students’ response altogether with the scoring are discussed to describe their characteristic on mathematical literacy and their communication. The result showed that in general the mathematical literacy of female prospective teachers tend to be better than male prospective math teachers. Female prospective teachers are more capable of logical reasoning, using concepts, facts and procedures and algebraic operations to draw conclusions; make an interpretations and evaluations. This study has an implication that gender differences in mathematical literacy of prospective math teachers do exist, therefore this issue should be given a serious concern from the development programs of the faculty.

Beyond Formalism and Altruism: The Prospects for Moral Personality.

ERIC Educational Resources Information Center

Campbell, Robert C.; Christopher, John Chambers

1996-01-01

Claims that even if objections to eudaimonism are completely correct, critics still have not explained how anyone might develop a eudaimonistic moral conception. Concludes that moral personality is a legitimate object of study and discusses the challenges posed by taking moral personality seriously. (MOK)

Lesbian Parenting: Issues, Strengths and Challenges.

ERIC Educational Resources Information Center

McNair, Ruth; Dempsey, Deborah; Wise, Sarah; Perlesz, Amaryll

2002-01-01

This study examined family relationships, conception methods, involvement of biological fathers in their children's lives, and the use of social and support networks by Australian lesbian and bisexual parents/prospective parents. Findings indicated that lesbians achieved parenthood most commonly within a heterosexual relationship or through self-…

Forbidden Fruit and the Prediction of Cigarette Smoking

PubMed Central

SUSSMAN, STEVE; GRANA, RACHEL; POKHREL, PALLAV; ROHRBACH, LOUISE A.; SUN, PING

2011-01-01

The concept of “forbidden fruit” has been popularly associated with adolescent cigarette smoking in the US. However, only a few empirical studies have been conducted to investigate how this construct operates among adolescents. We examined the concurrent and prospective relationships between two related concepts of forbidden fruit and adolescent cigarette smoking behavior and intention. We found some support for forbidden fruit attitudes as concurrent and longitudinal predictors of smoking and intention to smoke. Implications of these findings are discussed. PMID:20590380

Self-esteem and illness self-concept in emerging adults with Type 1 diabetes: Long-term associations with problem areas in diabetes.

PubMed

Luyckx, Koen; Rassart, Jessica; Aujoulat, Isabelle; Goubert, Liesbet; Weets, Ilse

2016-04-01

This long-term prospective study examined whether illness self-concept (or the degree to which chronic illness becomes integrated in the self) mediated the pathway from self-esteem to problem areas in diabetes in emerging adults with Type 1 diabetes. Having a central illness self-concept (i.e. feeling overwhelmed by diabetes) was found to relate to lower self-esteem, and more treatment, food, emotional, and social support problems. Furthermore, path analyses indicated that self-esteem was negatively related to both levels and relative changes in these problem areas in diabetes over a period of 5 years. Illness self-concept fully mediated these associations. © The Author(s) 2014.

A prospective controlled study of the effect of intramural uterine fibroids on the outcome of assisted conception.

PubMed

Hart, R; Khalaf, Y; Yeong, C T; Seed, P; Taylor, A; Braude, P

2001-11-01

Although uterine fibroids occur in 30% of women and are associated with a degree of subfertility, the effect of intramural fibroids on the outcome of IVF or ICSI treatment has not been prospectively studied. Data were prospectively collected on 434 women undergoing IVF/ICSI in the assisted conception unit of an inner London teaching hospital. Patients were assessed for the presence of fibroids by transvaginal ultrasound and hysterosonography or hysteroscopy where appropriate. During the study period, 112 women with (study), and 322 women without (controls), intramural fibroids were treated. Patients were similar regarding the cause and duration of their infertility, number of previous treatments, and basal serum FSH concentration. Women in the study group were on average 2 years older (36.4 versus 34.6 years; P < 0.01). There was no significant difference in the duration of ovarian stimulation or gonadotrophin requirement, number of follicles developed, oocytes collected, embryos available for transfer or replaced. When analysing only women with intramural fibroids of < or =5 cm in size (n = 106) pregnancy, implantation and ongoing pregnancy rates were significantly reduced: 23.3, 11.9 and 15.1 respectively compared with 34.1, 20.2 and 28.3% in the control group (P = 0.016, P = 0.018 and P = 0.003). The mean size of the largest fibroids was 2.3 cm (90% range 2.1-2.5 cm). Logistic regression analysis demonstrated that the presence of intramural fibroids was one of the significant variables affecting the chance of an ongoing pregnancy, even after controlling for the number of embryos available for replacement and increasing age, particularly age > or =40 years, odds ratio 0.46 (CI 0.24-0.88; P = 0.019). This study demonstrated that an intramural fibroid halves the chances of an ongoing pregnancy following assisted conception.

Preliminary study of fusion reactor: Solution of Grad Shapranov equation

NASA Astrophysics Data System (ADS)

Setiawan, Y.; Fermi, N.; Su'ud, Z.

2012-06-01

Nuclear fussion is prospective energy sources for the future due to the abundance of the fuel and can be categorized and clean energy sources. The problem is how to contain very hot plasma of temperature few hundreed million degrees safety and reliably. Tokamax type fussion reactors is considered as the most prospective concept. To analyze the plasma confining process and its movement Grad-Shavranov equation must be solved. This paper discuss about solution of Grad-Shavranov equation using Whittaker function. The formulation is then applied to the ITER design and example.

Rehabilitation: 25 Years of Concepts, Principles, Perspectives. A Collection of Articles Published in "Rehabilitation Literature," 1959-1984.

ERIC Educational Resources Information Center

Regnier, Stephen J., Comp.; Petkovsek, Marian, Comp.

Twenty-five articles from the bimonthly journal "Rehabilitation Literature" (1959-1984) are presented. The articles were chosen to represent key concepts, principles, and perspectives in rehabilitation. The following authors and titles are represented: "A Concept of Rehabilitation" (H. Talbot); "Rehabilitation: Prospect and Retrospect" (H.…

Prospective Pedagogy for Teaching Chemical Bonding for Smart and Sustainable Learning

ERIC Educational Resources Information Center

Dhindsa, Harkirat S.; Treagust, David F.

2014-01-01

As an important subject in the curriculum, many students find chemistry concepts difficult to learn and understand. Chemical bonding especially is important in understanding the compositions of chemical compounds and related concepts and research has shown that students struggle with this concept. In this theoretical paper based on analysis of…

Hydrogen-via-electricity concept. Critique report

NASA Technical Reports Server (NTRS)

Escher, W. J. D.

1981-01-01

The hydrogen-via-electricity (HvE) concept is the prospective use of hydrogen fuel produced electrolytically from the electric utility grid as a means of responding to conventional fuels shortages. The two sets of comments and critiques of this concept solicited from the Government/Government contractor group and from the electric utility companies are presented.

Reflective action assessment with a prospective clinical problem solving tool in the context of rehabilitation medicine: an illustrative case study.

PubMed

Kellett, David; Mpofu, Elias; Madden, Richard

2013-06-01

This study describes a case formulation approach applying a prospective ICF derived clinical tool to assess rehabilitation needs for a community dwelling stroke survivor with care from an outpatient rehabilitation medicine clinic. Case history data on the person were assessed for rehabilitation management planning using a prospective tool to interlink current with projected future functional status in everyday settings. Implicit assessment with reflective action informed decision points at each stage of the rehabilitation process. As a result of reflective action using the prospective tool, rehabilitation management led to significant changes in client participation after limitations to mobility and self care were mapped to the living conditions of the stroke survivor. The context sensitive rehabilitative plan resulted in higher subjective health-related quality of life in the stroke survivor and significant other and enhanced their capacity for participation. Reflective action informed assessment applying ICF concepts to clinical problem solving resulted in positive gains in health-related quality of life in a stroke survivor.

Latin American Youth in a Time of Change and Crisis.

ERIC Educational Resources Information Center

United Nations Economic and Social Council, New York, NY.

This 4-part study reaffirms the concepts of a previous study entitled "Situation and Prospects of Youth in Latin America" and approved in 1983, and on the basis of new knowledge explores more deeply national situations and their diversity. It offers new conceptual and theoretical contributions on the condition of youth in Latin America…

Eliciting and Developing Teachers' Conceptions of Random Processes in a Probability and Statistics Course

ERIC Educational Resources Information Center

Smith, Toni M.; Hjalmarson, Margret A.

2013-01-01

The purpose of this study is to examine prospective mathematics specialists' engagement in an instructional sequence designed to elicit and develop their understandings of random processes. The study was conducted with two different sections of a probability and statistics course for K-8 teachers. Thirty-two teachers participated. Video analyses…

Predictors of Children's Kindergarten Classroom Engagement: Preschool Adult-Child Relationships, Self-Concept, and Hyperactivity/Inattention

ERIC Educational Resources Information Center

Searle, Amelia Kate; Miller-Lewis, Lauren R.; Sawyer, Michael G.; Baghurst, Peter A.

2013-01-01

The aim of this prospective study was to identify preschool factors that are associated with children's classroom engagement during their 1st school year. The study was guided by a social-motivational process model that highlights the importance of parent-child and teacher-child relationships in promoting engagement. In preschool, parents and…

A beginner's guide to writing the nursing conceptual model-based theoretical rationale.

PubMed

Gigliotti, Eileen; Manister, Nancy N

2012-10-01

Writing the theoretical rationale for a study can be a daunting prospect for novice researchers. Nursing's conceptual models provide excellent frameworks for placement of study variables, but moving from the very abstract concepts of the nursing model to the less abstract concepts of the study variables is difficult. Similar to the five-paragraph essay used by writing teachers to assist beginning writers to construct a logical thesis, the authors of this column present guidelines that beginners can follow to construct their theoretical rationale. This guide can be used with any nursing conceptual model but Neuman's model was chosen here as the exemplar.

Diagnostic support for selected neuromuscular diseases using answer-pattern recognition and data mining techniques: a proof of concept multicenter prospective trial.

PubMed

Grigull, Lorenz; Lechner, Werner; Petri, Susanne; Kollewe, Katja; Dengler, Reinhard; Mehmecke, Sandra; Schumacher, Ulrike; Lücke, Thomas; Schneider-Gold, Christiane; Köhler, Cornelia; Güttsches, Anne-Katrin; Kortum, Xiaowei; Klawonn, Frank

2016-03-08

Diagnosis of neuromuscular diseases in primary care is often challenging. Rare diseases such as Pompe disease are easily overlooked by the general practitioner. We therefore aimed to develop a diagnostic support tool using patient-oriented questions and combined data mining algorithms recognizing answer patterns in individuals with selected neuromuscular diseases. A multicenter prospective study for the proof of concept was conducted thereafter. First, 16 interviews with patients were conducted focusing on their pre-diagnostic observations and experiences. From these interviews, we developed a questionnaire with 46 items. Then, patients with diagnosed neuromuscular diseases as well as patients without such a disease answered the questionnaire to establish a database for data mining. For proof of concept, initially only six diagnoses were chosen (myotonic dystrophy and myotonia (MdMy), Pompe disease (MP), amyotrophic lateral sclerosis (ALS), polyneuropathy (PNP), spinal muscular atrophy (SMA), other neuromuscular diseases, and no neuromuscular disease (NND). A prospective study was performed to validate the automated malleable system, which included six different classification methods combined in a fusion algorithm proposing a final diagnosis. Finally, new diagnoses were incorporated into the system. In total, questionnaires from 210 individuals were used to train the system. 89.5 % correct diagnoses were achieved during cross-validation. The sensitivity of the system was 93-97 % for individuals with MP, with MdMy and without neuromuscular diseases, but only 69 % in SMA and 81 % in ALS patients. In the prospective trial, 57/64 (89 %) diagnoses were predicted correctly by the computerized system. All questions, or rather all answers, increased the diagnostic accuracy of the system, with the best results reached by the fusion of different classifier methods. Receiver operating curve (ROC) and p-value analyses confirmed the results. A questionnaire-based diagnostic support tool using data mining methods exhibited good results in predicting selected neuromuscular diseases. Due to the variety of neuromuscular diseases, additional studies are required to measure beneficial effects in the clinical setting.

Does a Course on the History and Philosophy of Chemistry Have Any Effect on Prospective Chemistry Teachers' Perceptions? The Case of Chemistry and the Chemist

ERIC Educational Resources Information Center

Sendur, G.; Polat, M.; Kazanci, C.

2017-01-01

The creative comparisons prospective chemistry teachers make about "chemistry" and the "chemist" may reflect how they perceive these concepts. In this sense, it seems important to determine which creative comparisons prospective teachers make with respect to these and how these can change after the history of chemistry is…

Blended Learning: Deficits and Prospects in Higher Education

ERIC Educational Resources Information Center

Cuesta Medina, Liliana

2018-01-01

This article examines the nature and evolution of the term blended learning (BL), which encompasses numerous connotations, including its conception as a strategy, delivery mode, opportunity, educational shift, or pedagogical approach. Although much has been said in this field, very few studies examine the different types of blends behind their…

Development and Prospects of Academic Entrepreneurship Education in Germany

ERIC Educational Resources Information Center

Klandt, Heinz; Volkmann, Christine

2006-01-01

This contribution deals with the development of entrepreneurship education at university level in Germany. Starting with a definition of the concept, the article focuses on relevant issues of entrepreneurship education, such as target groups and teaching formats. With particular emphasis on empirical studies carried out by the German Association…

Prospective thinking and decision making in primary school age children.

PubMed

Lombardi, Elisabetta; Di Dio, Cinzia; Castelli, Ilaria; Massaro, Davide; Marchetti, Antonella

2017-06-01

In this study, we seek to widen our understanding of the developmental processes underlying bargaining behaviour in children addressing the concept of prospective thinking. We argue that the emergence of the capacity to think prospectively about future outcomes or behaviours in response to current actions is a required precedent to strategic decision making. To test this idea, we compared 6, 8 and 10 years old children's performance on three tasks: the ultimatum game assessing fairness/inequality aversion, the marshmallow task, an intertemporal choice task evaluating the ability to delay gratification, and the dictator game assessing altruism. The children's socio-demographic and cognitive variables were also evaluated. We hypothesized that development of strategic thinking in the ultimatum game is related to an increased ability to delay gratification - given that both tasks require looking at prospective benefits - and, crucially, not to altruism, which benefits from immediate selfless reward. Our results confirmed our hypothesis suggesting that increased strategic planning with age would also stem from the development of competencies like prospective thinking.

Acoustic emission analysis as a non-destructive test procedure for fiber compound structures

NASA Technical Reports Server (NTRS)

Block, J.

1983-01-01

The concept of acoustic emission analysis is explained in scientific terms. The detection of acoustic events, their localization, damage discrimination, and event summation curves are discussed. A block diagram of the concept of damage-free testing of fiber-reinforced synthetic materials is depicted. Prospects for application of the concept are assessed.

Adapting Math Instruction to Support Prospective Elementary Teachers

ERIC Educational Resources Information Center

LeSage, Ann

2012-01-01

Purpose: Elementary teachers' understanding of mathematics is a significant contributor to student success with mathematics. Consequently, teacher educators are frequently charged with the responsibility of supporting the development of prospective elementary teachers' mathematics content knowledge as they re-learn concepts in ways they are…

Problems and Prospects in Foreign Language Computing.

ERIC Educational Resources Information Center

Pusack, James P.

The problems and prospects of the field of foreign language computing are profiled through a survey of typical implementation, development, and research projects that language teachers may undertake. Basic concepts in instructional design, hardware, and software are first clarified. Implementation projects involving courseware evaluation, textbook…

Estimating the Prospectivity of Geothermal Resources Using the Concept of Hydrogeologic Windows

NASA Astrophysics Data System (ADS)

Bielicki, Jeffrey; Blackwell, David; Harp, Dylan; Karra, Satish; Kelley, Richard; Kelley, Shari; Middleton, Richard; Person, Mark; Sutula, Glenn; Witcher, James

2016-04-01

In this Geothermal Play Fairways Analysis project we sought to develop new ways to analyze geologic, geochemical, and geophysical data to reduce the risk and increase the prospects of successful geothermal exploration and development. We collected, organized, and analyzed data from southwest New Mexico in the context of an integrated framework that combines the data for various signatures of a geothermal resource into a cohesive analysis of the presence of heat, fluid, and permeability. We incorporated data on structural characteristics (earthquakes, geophysical logs, fault location and age, basement depth), topographic and water table elevations, conservative ion concentrations, and thermal information (heat flow, bottom hole temperature, discharge temperature, and basement heat generation). These data were combined to create maps that indicate structural analysis, slope, geothermometry, and heat. We also mapped discharge areas (to constrain elevations where groundwater may be discharged through modern thermal springs or paleo-thermal springs) and subcrops: possible erosionally- or structurally-controlled breaches in regional-scale aquitards that form the basis of our hydrogeologic windows concept. These two maps were particularly useful in identifying known geothermal systems and narrowing the search for unknown geothermal prospects. We further refined the "prospectivity" of the areas within the subcrops and discharge areas by developing and applying a new method for spatial association analysis to data on known and inferred faults, earthquakes, geochemical thermometers, and heat flow. This new methodology determines the relationships of the location and magnitudes of observations of these data with known geothermal sites. The results of each of the six spatial association analyses were weighted between 0 and 1 and summed to produce a prospectivity score between 0 and 6, with 6 indicating highest geothermal potential. The mean value of prospectivity for all regions with positive prospectivity inside subcrops and discharge areas was 1.83 (standard deviation = 0.75), whereas this mean prospectivity for known geothermal sites was 3.07 (standard deviation = 0.90). These results suggest that our prospectivity analysis using our integrated framework and the hydrogeologic windows concept is useful for identifying known and potential geothermal resources. The prospectivity approach also substantially reduces the number of known geothermal resources per km2 (from 0.004 at prospectivity > 0 to 0.016 at prospectivity > 3), suggesting that limiting an exploration area to regions with high prospectivity scores could reduce exploration costs. Comparing this method to more simplistic methods revealed that this method consistently had a higher density of resources in the top quintile for prospectivity. Using our prospectivity map, we identified nine sites for further data collection and analysis: Rincon, Lordsburg, Mud Springs, Gillis Hot Well, Goodsight, Cliff-Riverside, Rio Salado/Lucero, and the Northern Little Florida Mountains.

Parenting from before conception.

PubMed

Lane, Michelle; Robker, Rebecca L; Robertson, Sarah A

2014-08-15

At fertilization, the gametes endow the embryo with a genomic blueprint, the integrity of which is affected by the age and environmental exposures of both parents. Recent studies reveal that parental history and experiences also exert effects through epigenomic information not contained in the DNA sequence, including variations in sperm and oocyte cytosine methylation and chromatin patterning, noncoding RNAs, and mitochondria. Transgenerational epigenetic effects interact with conditions at conception to program the developmental trajectory of the embryo and fetus, ultimately affecting the lifetime health of the child. These insights compel us to revise generally held notions to accommodate the prospect that biological parenting commences well before birth, even prior to conception. Copyright © 2014, American Association for the Advancement of Science.

What Subject Matter Knowledge Do Second-Level Teachers Need to Know to Teach Trigonometry? An Exploration and Case Study

ERIC Educational Resources Information Center

Walsh, Richard; Fitzmaurice, Olivia; O'Donoghue, John

2017-01-01

This study reports on the level of trigonometry Subject Matter Knowledge (SMK) of third and final-year pre-service second-level mathematics teachers () at an Irish third-level institution. The aim of the study was to determine if this sample of prospective teachers has an appropriate level of SMK to teach second-level trigonometric concepts. The…

Promoting Prospective Elementary Teachers' Learning to Use Formative Assessment for Life Science Instruction

NASA Astrophysics Data System (ADS)

Sabel, Jaime L.; Forbes, Cory T.; Zangori, Laura

2015-06-01

To support elementary students' learning of core, standards-based life science concepts highlighted in the Next Generation Science Standards, prospective elementary teachers should develop an understanding of life science concepts and learn to apply their content knowledge in instructional practice to craft elementary science learning environments grounded in students' thinking. To do so, teachers must learn to use high-leverage instructional practices, such as formative assessment, to engage students in scientific practices and connect instruction to students' ideas. However, teachers may not understand formative assessment or possess sufficient science content knowledge to effectively engage in related instructional practices. To address these needs, we developed and conducted research within an innovative course for preservice elementary teachers built upon two pillars—life science concepts and formative assessment. An embedded mixed methods study was used to evaluate the effect of the intervention on preservice teachers' (n = 49) content knowledge and ability to engage in formative assessment practices for science. Findings showed that increased life content knowledge over the semester helped preservice teachers engage more productively in anticipating and evaluating students' ideas, but not in identifying effective instructional strategies to respond to those ideas.

Prospects for Integrating Service Learning into Short-Term International Study

ERIC Educational Resources Information Center

Daly, Donna M.; Baker, Suzanne; Williams, Stephen J.

2014-01-01

In an era of significant social, political, and economic globalization, it is crucial for health and human services educators to adopt a more hands on international view vis-à-vis student education. This article presents information that will assist educators in extending domestic service learning concepts and activities into the undergraduate…

Educating Prospective Teachers of Biology: Introduction and Research Methods.

ERIC Educational Resources Information Center

Hewson, Peter W.; Tabachnick, B. Robert; Zeichner, Kenneth M.; Blomker, Kathryn B.; Meyer, Helen; Lemberger, John; Marion, Robin; Park, Hyun-Ju; Toolin, Regina

1999-01-01

Introduces an issue that details a complex study of a science-teacher-education program whose goal was to graduate teachers who held conceptual change conceptions of teaching science and were disposed to put them into practice. Presents a conceptual framework for science-teacher education, and describes the context and major questions of the…

Teacher Efficacy: A Study of Construct Dimensions.

ERIC Educational Resources Information Center

Guskey, Thomas R.; Passaro, Perry

The structure of a concept generally labeled "teacher efficacy" is examined. A sample of 342 prospective and experienced teachers was administered an efficacy questionnaire adapted from the research of S. Gibson and M. H. Dembo (1984). Factor analytic procedures with varimax rotation were used to generate a 2-factor solution that accounted for 32…

University Marketing: Perceptions, Practices and Prospects in the Less Developed World

ERIC Educational Resources Information Center

Maringe, Felix

2005-01-01

The article reports on research conducted in Zimbabwe's 11 universities between 2001 and 2003. The research was aimed at finding how vice chancellors and internal marketers perceived the marketing concept and its organization within the universities including the extent to which prospective university customers considered the arrangements for…

The Science Semester: Cross-Disciplinary Inquiry for Prospective Elementary Teachers

ERIC Educational Resources Information Center

Ford, Danielle J.; Fifield, Steve; Madsen, John; Qian, Xiaoyu

2013-01-01

We describe the Science Semester, a semester-long course block that integrates three science courses and a science education methods course for elementary teacher education majors, and examine prospective elementary teachers' developing conceptions about inquiry, science teaching efficacy, and reflections on learning through inquiry. The…

Preliminary Results From NASA's Space Solar Power Exploratory Research and Technology Program

NASA Technical Reports Server (NTRS)

Howell, Joe T.; Mankins, John C.

2000-01-01

Large solar power satellite (SPS) systems that might provide base load power into terrestrial markets were examined extensively in the 1970s by the US Department of Energy (DOE) and the National Aeronautics and Space Administration (NASA). Following a hiatus of about 15 years, the subject of space solar power (SSP) was reexamined by NASA from 1995-1997 in the "fresh look" study, and during 1998 in an SSP "concept definition study". As a result of these efforts, during 1999-2000, NASA has been conducting the SSP Exploratory Research and Technology (SERT) program. The goal of the SERT activity has been to conduct preliminary strategic technology research and development to enable large, multi-megawatt SSP systems and wireless power transmission (WPT) for government missions and commercial markets (in-space and terrestrial). In pursuing that goal, the SERT: (1) refined and modeled systems approaches for the utilization of SSP concepts and technologies, ranging from the near-term (e.g., for space science, exploration and commercial space applications) to the far-term (e.g., SSP for terrestrial markets), including systems concepts, architectures, technology, infrastructure (e.g. transportation), and economics; (2) conducted technology research, development and demonstration activities to produce "proof-of-concept" validation of critical SSP elements for both nearer and farther-term applications; and (3) engendered the beginnings of partnerships (nationally and internationally) that could be expanded, as appropriate, to pursue later SSP technology and applications. Through these efforts, the SERT should allow better informed future decisions regarding further SSP and related technology research and development investments by both NASA and prospective partners, and guide further definition of technology roadmaps - including performance objectives, resources and schedules, as well as "multi-purpose" applications (e.g., commerce, science, and government). This paper presents preliminary results from the SERT effort at a summary level, including the study approach, SPS concepts, applications findings, and concludes with a revised assessment of the prospects for solar power satellites using SSP technologies and systems.

Sociology, Music Education, and Social Change: The Prospect of Addressing Their Relations by Attending to Some Central, Expanded Concepts

ERIC Educational Resources Information Center

Johansen, Geir

2014-01-01

Studies on sociology and music education are important because they can enlighten how music education relates to social change. By studying how music education changes and is changed by society we enable ourselves to describe how it can contribute to the understanding of social change generally. This may lay the ground for us in contributing to…

[Prospect and application of microsatellite population genetics in study of geoherbs].

PubMed

Zhang, Wen-Jing; Zhang, Yong-Qing; Yuan, Qing-Jun; Huang, Lu-Qi; Jiang, Dan; Jing, Li

2013-12-01

The author introduces the basic concepts of microsatellite and population genetics and its characteristics, expounds the application of these theories for population genetic structure and genetic diversity, gene flow and evolutionary significant unit ESU division research. This paper discuss its applicationin study of genetic causes, origin of cultivation, different regional origins of geoherbs, aiming at providing a new theory and method for geoherbs.

Prospective study of symptom control in 133 cases of palliative care inpatients in Shatin Hospital.

PubMed

Lo, R S; Ding, A; Chung, T K; Woo, J

1999-07-01

We report a prospective study assessing the prevalence and severity of physical and nonphysical symptoms, and the benefits from treatment and intervention, in advanced cancer patients presenting to a local palliative care unit in Hong Kong. Patients were assessed by a modified version of the support team assessment schedule (STAS). The study highlighted some symptoms which needed better control, and also reinforced the team morale by demonstrating aspects where there was definite improvement. In general, the STAS was found to be practicable and acceptable by our patients and staff. The most important benefit gained from the study was the successful dissemination of the concept of audit and quality assurance throughout the unit, which is essential for continuous improvement in the future.

Troubleshooting Complex Equipment in the Military Services: Research and Prospects.

DTIC Science & Technology

1979-12-01

the maintenance concept for a given prime * ,equipeent. The concept defines levels of maintenance, the arrangements for support by mobile and depot...Naval Training Bquipment Center, 1975. Ross, S. AUmlied probability models with otimization aplications . San Francisco: Holden-Day, 1970. use, W.B. Human

Prospective Teachers' Awareness and Expression of Emotions: Associations with Proposed Strategies for Behavioral Management in the Classroom

ERIC Educational Resources Information Center

Garner, Pamela W.; Moses, Laurence K.; Waajid, Badiyyah

2013-01-01

This research examined whether prospective teachers' emotion regulation styles, dispositional empathy, and conceptions of competent student emotion and behavior were predictive of their attitudes about bullying and proposed responses to peer conflict. Overall, participants perceived physical bullying as more serious than verbal and relational…

The Relationship between Mathematical Knowledge of Numbers and Operations and Mathematics Beliefs of Prospective Teachers

ERIC Educational Resources Information Center

Stiegelmeyer, Cindy

2012-01-01

This study surveyed 82 preservice elementary teachers using items from an instrument designed to predict student achievement based on a teacher's mathematics knowledge for teaching (MKT) in numbers and operations concepts. Additional mathematics beliefs items asked participants to rate their level of agreement with math myths and math anxiety…

A Comparison of Three Sequences of Moves for Teaching Conjunctive and Relational Mathematical Concepts to Students in Elementary Education.

ERIC Educational Resources Information Center

Catanzano, Robert

Thirty-six prospective elementary education teachers were randomly assigned to three instructional moves: a characterization-exemplification with declarative statements (CED), a characterization-exemplification with interrogative statements (CEI), and an exemplification (E). The purposes of the study were to: (1) examine the efforts of the three…

Studies in Mathematics, Volume V. Concepts of Informal Geometry. Preliminary Edition.

ERIC Educational Resources Information Center

Anderson, Richard D.

The main purpose of this book is to provide background material in geometry for teachers or prospective teachers who know little or no geometry. It should be suitable as a text for a one-semester course for teachers of junior high school or upper elementary school students. Chapters contain developmental material and exercises. Chapters include:…

Current State and Future Prospects of Education for Sustainable Development (ESD) in Japan

ERIC Educational Resources Information Center

Tanaka, Haruhiko

2017-01-01

The UN Decade of Education for Sustainable Development (ESD) ran from 2005 to 2014. This study concerns the concepts of Sustainable Development (SD) and ESD. The term "sustainable development" was coined by the Brundtland Commission in 1987 as the key word in integrating environment and development. SD achieved international consensus at…

History of Mathematics: Illuminating Understanding of School Mathematics Concepts for Prospective Mathematics Teachers

ERIC Educational Resources Information Center

Clark, Kathleen Michelle

2012-01-01

The use of the history of mathematics in teaching has long been considered a tool for enriching students' mathematical learning. However, in the USA few, if any, research efforts have investigated how the study of history of mathematics contributes to a person's mathematical knowledge for teaching. In this article, I present the results of…

Self-Efficacy Perceptions of Prospective Social Studies Teachers in Relation to History Teaching

ERIC Educational Resources Information Center

Yilmaz, Ali

2009-01-01

Self-efficacy is one of the important concepts of the social cognitive theory, and can be defined as individual's perception of his or her own capabilities for organizing and successfully executing the courses of action required to attain designated types of performance. Teachers with high self-efficacy perception can contribute to creation of a…

Aptamer-siRNA Chimeras: Discovery, Progress, and Future Prospects

PubMed Central

Kruspe, Sven; Giangrande, Paloma H.

2017-01-01

Synthetic nucleic acid ligands (aptamers) have emerged as effective delivery tools for many therapeutic oligonucleotide-based drugs, including small interfering RNAs (siRNAs). In this review, we summarize recent progress in the aptamer selection technology that has made possible the identification of cell-specific, cell-internalizing aptamers for the cell-targeted delivery of therapeutic oligonucleotides. In addition, we review the original, proof-of-concept aptamer-siRNA delivery studies and discuss recent advances in aptamer-siRNA conjugate designs for applications ranging from cancer therapy to the development of targeted antivirals. Challenges and prospects of aptamer-targeted siRNA drugs for clinical development are further highlighted. PMID:28792479

Prospective Relations among Low-Income African American Adolescents’ Maternal Attachment Security, Self-Worth, and Risk Behaviors

PubMed Central

Lockhart, Ginger; Phillips, Samantha; Bolland, Anneliese; Delgado, Melissa; Tietjen, Juliet; Bolland, John

2017-01-01

This study examined prospective mediating relations among mother-adolescent attachment security, self-worth, and risk behaviors, including substance use and violence, across ages 13–17 in a sample of 901 low-income African American adolescents. Path analyses revealed that self-worth was a significant mediator between attachment security and risk behaviors, such that earlier attachment security predicted self-worth 1 year later, which in turn, predicted substance use, weapon carrying, and fighting in the 3rd year. Implications for the role of the secure base concept within the context of urban poverty are discussed. PMID:28174548

Unification of force and substance.

PubMed

Wilczek, Frank

2016-08-28

Maxwell's mature presentation of his equations emphasized the unity of electromagnetism and mechanics, subsuming both as 'dynamical systems'. That intuition of unity has proved both fruitful, as a source of pregnant concepts, and broadly inspiring. A deep aspect of Maxwell's work is its use of redundant potentials, and the associated requirement of gauge symmetry. Those concepts have become central to our present understanding of fundamental physics, but they can appear to be rather formal and esoteric. Here I discuss two things: the physical significance of gauge invariance, in broad terms; and some tantalizing prospects for further unification, building on that concept, that are visible on the horizon today. If those prospects are realized, Maxwell's vision of the unity of field and substance will be brought to a new level.This article is part of the themed issue 'Unifying physics and technology in light of Maxwell's equations'. © 2016 The Author(s).

Beamed energy for space craft propulsion - Conceptual status and development potential

NASA Technical Reports Server (NTRS)

Sercel, Joel C.; Frisbee, Robert H.

1987-01-01

This paper outlines the results of a brief study that sought to identify and characterize beamed energy spacecraft propulsion concepts that may have positive impact on the economics of space industrialization. It is argued that the technology of beamed energy propulsion systems may significantly improve the prospects for near-term colonization of outer space. It is tentatively concluded that, for space industrialization purposes, the most attractive near-term beamed energy propulsion systems are based on microwave technology. This conclusion is reached based on consideration of the common features that exist between beamed microwave propulsion and the Solar Power Satellite (SPS) concept. Laser power beaming also continues to be an attractive option for spacecraft propulsion due to the reduced diffraction-induced beam spread afforded by laser radiation wavelengths. The conceptual status and development potential of a variety of beamed energy propulsion concepts are presented. Several alternative space transportation system concepts based on beamed energy propulsion are described.

Outcome Analysis of Day-3 Frozen Embryo Transfer v/s Fresh Embryo Transfer in Infertility: A Prospective Therapeutic Study in Indian Scenario.

PubMed

Chandel, Neha Palo; Bhat, Vidya V; Bhat, B S; Chandel, Sidharth S

2016-10-01

Advanced fertilization techniques like frozen embryo transfer (FET) and assisted reproductive technology have become popular and commonly used methods to treat patients suffering from infertility. Incidences of infertility are on a rise due to increased representation of females in the work place, delay in marriages, stress, and ignorance. We performed this prospective therapeutic study to compare FET and fresh embryo transfer in the treatment of infertility in terms of conception rate, patient acceptance, complications, and patient's compliance. A prospective screening therapeutic study on 108 patients, from September 2013 to September 2014 in Karnataka, India, randomized the patients into 2 groups (n = 54), Group-I treated with day-3 FET while Group-II was treated with fresh embryo transfer, after performing ICSI. In 108 patients, 45 % patients were within 35 years of age, 35 % were in the age group 35-39. Significantly, 22 (40.75 %) patients treated with FET conceived (P = 0.022), whereas 16 (29.63 %) patients treated with fresh embryo transfer conceived (P = 0.59). There is limited published literature from the subcontinent, comparing techniques like FET and embryo transfers in the treatment of infertility. Awareness and economic reforms must be formulated in India to facilitate individuals facing infertility problems to conceive. FET has better and significant conception rates compared to fresh embryo transfers. FET shares an advantage of providing good quality embryos for future and subsequent implantations in cases of failure. Patient counseling and motivation play a pivotal role in the success of therapeutic procedure.

Tlokoeng Valley Community's Conceptions of Wetlands: Prospects for More Sustainable Water Resources Management

ERIC Educational Resources Information Center

Mokuku, Tšepo; Taylor, Jim

2015-01-01

This article explores prospects for community-based water resources management in Tlokoeng Valley, in the northern district of Lesotho. A qualitative survey was conducted to establish the pre-knowledge of the valley community. This provided a basis for a community education programme on wetlands conservation. Fifteen focus group interviews (FGIs)…

Increased incidence of preeclampsia in mothers of advanced age conceiving by oocyte donation.

PubMed

Dior, Uri P; Laufer, Neri; Chill, Henry H; Granovsky-Grisaru, Sorina; Yagel, Simcha; Yaffe, Haim; Gielchinsky, Yuval

2018-05-01

The aim of this study was to evaluate the risk of preeclampsia in women of advanced age who conceived through donated oocytes as compared with natural conceptions. A historical prospective study of singleton live births of parturients ≥ 45 years of age at four university hospitals was conducted. For the purpose of the study, the population was divided by the mode of conception into two groups: oocyte donation and natural conception. The main outcome variable in this study was preeclampsia. Secondary outcomes included pregnancy-induced hypertension and Small for Gestational Age. Two hundred and seventy pregnancies were achieved naturally and 135 women conceived by oocyte donation. Mean age at delivery for the natural conception and oocyte donation groups was 45.7 and 47.8, respectively. Preeclampsia complicated 3 out of 270 (1.1%) natural conception pregnancies and 17 out of 135 (12.6%) oocyte donation conceptions. After adjusting for confounders, oocyte donation pregnancies were found to be associated with a 12-fold increased risk for preeclampsia (P = 0.001). Among oocyte donation pregnancies, the risk of preeclampsia was not affected by parity or age. A substantially increased risk for preeclampsia was found in oocyte donation pregnancies, suggesting that the foreign oocyte may play a specific biologic role in the development of preeclampsia after the age of 45.

Prospective Environmental Risk Assessment for Sediment-Bound Organic Chemicals: A Proposal for Tiered Effect Assessment.

PubMed

Diepens, Noël J; Koelmans, Albert A; Baveco, Hans; van den Brink, Paul J; van den Heuvel-Greve, Martine J; Brock, Theo C M

A broadly accepted framework for prospective environmental risk assessment (ERA) of sediment-bound organic chemicals is currently lacking. Such a framework requires clear protection goals, evidence-based concepts that link exposure to effects and a transparent tiered-effect assessment. In this paper, we provide a tiered prospective sediment ERA procedure for organic chemicals in sediment, with a focus on the applicable European regulations and the underlying data requirements. Using the ecosystem services concept, we derived specific protection goals for ecosystem service providing units: microorganisms, benthic algae, sediment-rooted macrophytes, benthic invertebrates and benthic vertebrates. Triggers for sediment toxicity testing are discussed.We recommend a tiered approach (Tier 0 through Tier 3). Tier-0 is a cost-effective screening based on chronic water-exposure toxicity data for pelagic species and equilibrium partitioning. Tier-1 is based on spiked sediment laboratory toxicity tests with standard benthic test species and standardised test methods. If comparable chronic toxicity data for both standard and additional benthic test species are available, the Species Sensitivity Distribution (SSD) approach is a more viable Tier-2 option than the geometric mean approach. This paper includes criteria for accepting results of sediment-spiked single species toxicity tests in prospective ERA, and for the application of the SSD approach. We propose micro/mesocosm experiments with spiked sediment, to study colonisation success by benthic organisms, as a Tier-3 option. Ecological effect models can be used to supplement the experimental tiers. A strategy for unifying information from various tiers by experimental work and exposure-and effect modelling is provided.

Blended Learning in a Teacher Training Course: Integrated Interactive E-Learning and Contact Learning

ERIC Educational Resources Information Center

Kupetz, Rita; Ziegenmeyer, Brigit

2005-01-01

The paper discusses a blended learning concept for a university teacher training course for prospective teachers of English. The concept aims at purposeful learning using different methods and activities, various traditional and electronic media, learning spaces covering contact and distance learning, and task-based learning modules that begin…

CLASSROOM EPISODES FOR TEACHING PSYCHOLOGICAL PRINCIPLES AND CONCEPTS OF LEARNING.

ERIC Educational Resources Information Center

SULLIVAN, HOWARD J.; AND OTHERS

THE 16 CLASSROOM EPISODES PRESENTED IN THIS REPORT WERE SELECTED BECAUSE (1) THEY RELATE CLOSELY TO IMPORTANT PRINCIPLES AND CONCEPTS OF LEARNING AND (2) THEY HAVE HIGH INSTRUCTIONAL VALUE FOR PROSPECTIVE TEACHERS. IN DEVELOPING THE EPISODE MATERIALS, THE INVESTIGATORS PHOTOGRAPHED AND TAPE RECORDED WIDE VARIETIES OF CLASSROOM EVENTS FROM ONGOING…

Teaching and Learning Development Economics: Retrospect and Prospect

ERIC Educational Resources Information Center

Chen, Edward K. Y.

2005-01-01

The author has chosen three major topics in development economics for a discussion on how to teach the subject: the concepts and measurement of development, models of growth and development, and the international aspects of economic development. For the concepts of development, it is important to emphasize the coherence of the topics to be…

Language Arts Concepts for Elementary School Teachers.

ERIC Educational Resources Information Center

Burns, Paul C., Ed.; And Others

An anthology of literature on elementary school language arts concepts is presented. Its purpose is to provide specific content that may help prospective and practicing teachers to recognize the role of language content in teaching. The anthology is divided into seven parts. Part One presents a general picture of the language arts curriculum that…

Integrating Decision Making and Mental Health Interventions Research: Research Directions

PubMed Central

Wills, Celia E.; Holmes-Rovner, Margaret

2006-01-01

The importance of incorporating patient and provider decision-making processes is in the forefront of the National Institute of Mental Health (NIMH) agenda for improving mental health interventions and services. Key concepts in patient decision making are highlighted within a simplified model of patient decision making that links patient-level/“micro” variables to services-level/“macro” variables via the decision-making process that is a target for interventions. The prospective agenda for incorporating decision-making concepts in mental health research includes (a) improved measures for characterizing decision-making processes that are matched to study populations, complexity, and types of decision making; (b) testing decision aids in effectiveness research for diverse populations and clinical settings; and (c) improving the understanding and incorporation of preference concepts in enhanced intervention designs. PMID:16724158

[Complex diagnostic of cognitive impairment].

PubMed

Emelin, A Yu; Lobzin, V Yu

2017-01-01

In this article, the authors discussed the various aspects of pre-dementia stages of cognitive impairment, predominantly of neurodegenerative etiology. The modern conception of the pathophysiology of initial stages of cognitive impairment, the potential for lifetime pathological markers of amyloidosis and neurodegeneration are discussed. The authors proposed to use the concept of 'early signs of cognitive impairment'. The algorithm of the complex early diagnosis of cognitive impairment as well as the opportunities and prospects of clinical, neuropsychological, neuroimaging and laboratory examination methods are presented. The data on main diseases characterized by cognitive impairment and prospects for the use of new highly informative methods for early and differential diagnosis of Alzheimer's disease and vascular cognitive impairment are discussed.

One Step Forward, Two Steps Back: An Examination of Certificated Teachers' Metaphorical Images of Schooling

ERIC Educational Resources Information Center

Soysal, Yilmaz; Radmard, Somayyeh

2017-01-01

This study explored the metaphors of schooling generated by prospective teachers (N = 157) in Turkey who were attending a teacher training program to be certificated for the teaching profession. The schooling (teacher, learner, school) metaphors of certificated teachers were collected by using concept prompts such as "A teacher is like ……

Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women

PubMed Central

2013-01-01

Background There is limited evidence about the ways in which maternal age and mode of conception interact with psychological, sociodemographic, health and health service factors in governing pregnancy health. The aim of this study was to establish in what ways maternal age and mode of conception are associated with, health behaviours, health service use and self-rated physical and mental health during pregnancy. Method A prospective cohort study was conducted in a collaboration between universities, infertility treatment services and public and private obstetric hospitals in Melbourne and Sydney, Australia,. Consecutive cohorts of nulliparous English-literate women at least 28 weeks pregnant who had conceived through ART (ARTC) or spontaneously (SC) in three age-groups: 20–30; 31–36 and at least 37 years were recruited. Data were obtained via structured individual telephone interviews and self-report postal questionnaires at recruitment and four months postpartum. Study-specific questions assessed: sociodemographic characteristics; reproductive health; health behaviours and health service use. Standardized instruments assessed physical health: SF 12 Physical Component Score (PCS) and mental health: SF12 Mental Component Score (MCS); State Trait Anxiety Inventory and Edinburgh Postnatal Depression Scale. The main outcome measures were the SF 12 PCS, SF12 MCS scores and pregnancy-related hospital admissions. Results Of 1179 eligible women 791 (67%) participated, 27 had fertility treatment without oocyte retrieval and were excluded and 592/764 (78%) completed all pregnancy assessments. When other factors were controlled speaking a language other than English, having private health insurance and multiple gestation were associated with worse physical health and having private health insurance and better physical health were associated with better mental health. Pregnancy-related hospital admissions were associated with worse physical health and multiple gestation. Conclusions Maternal age and mode of conception are not associated with pregnancy health and health service use when sociodemographic factors are considered. PMID:23565589

Role of predisposition, injury, response and organ failure in the prognosis of patients with acute-on-chronic liver failure: a prospective cohort study

PubMed Central

2012-01-01

Introduction Acute deterioration of cirrhosis is associated with high mortality rates particularly in the patients who develop organ failure (OF), a condition that is referred to as acute-on-chronic liver failure (ACLF), which is currently not completely defined. This study aimed to determine the role of predisposing factors, the nature of the precipitating illness and inflammatory response in the progression to OF according to the PIRO (predisposition, injury, response, organ failure) concept to define the risk of in-hospital mortality. Methods A total of 477 patients admitted with acute deterioration of cirrhosis following a defined precipitant over a 5.5-year period were prospectively studied. Baseline clinical, demographic and biochemical data were recorded for all patients and extended serial data from the group that progressed to OF were analysed to define the role of PIRO in determining in-hospital mortality. Results One hundred and fifty-nine (33%) patients developed OF, of whom 93 patients died (58%) compared with 25/318 (8%) deaths in the non-OF group (P < 0.0001). Progression to OF was associated with more severe underlying liver disease and inflammation. In the OF group, previous hospitalisation (P of PIRO); severity of inflammation and lack of its resolution (R of PIRO); and severity of organ failure (O of PIRO) were associated with significantly greater risk of death. In the patients who recovered from OF, mortality at three years was almost universal. Conclusions The results of this prospective study shows that the occurrence of OF alters the natural history of cirrhosis. A classification based on the PIRO concept may allow categorization of patients into distinct pathophysiologic and prognostic groups and allow a multidimensional definition of ACLF. PMID:23186071

Folic acid supplementation, dietary folate intake during pregnancy and risk for spontaneous preterm delivery: a prospective observational cohort study.

PubMed

Sengpiel, Verena; Bacelis, Jonas; Myhre, Ronny; Myking, Solveig; Pay, Aase Devold; Haugen, Margaretha; Brantsæter, Anne-Lise; Meltzer, Helle Margrete; Nilsen, Roy M; Magnus, Per; Vollset, Stein Emil; Nilsson, Staffan; Jacobsson, Bo

2013-08-12

Health authorities in numerous countries recommend periconceptional folic acid to pregnant women to prevent neural tube defects. The objective of this study was to examine the association of folic acid supplementation during different periods of pregnancy and of dietary folate intake with the risk of spontaneous preterm delivery (PTD). The Norwegian Mother and Child Cohort Study is a population-based prospective cohort study. A total of 65,668 women with singleton pregnancies resulting in live births in 1999-2009 were included. Folic acid supplementation was self-reported from 26 weeks before pregnancy until week 24 during pregnancy. At gestational week 22, the women completed a food frequency questionnaire, which allowed the calculation of their average total folate intake from foods and supplements for the first 4-5 months of pregnancy. Spontaneous PTD was defined as the spontaneous onset of delivery between weeks 22+0 and 36+6 (n = 1,628). The median total folate intake was 266 μg/d (interquartile range IQR 154-543) in the overall population and 540 μg/d (IQR 369-651) in the supplement users. Eighty-three percent reported any folic acid supplementation from <8 weeks before to 24 weeks after conception while 42% initiated folic acid supplementation before their pregnancy. Cox regression analysis showed that the amount of folate intake from the diet (hazard ratio HR 1.16; confidence interval CI 0.65-2.08) and from the folic acid supplements (HR 1.04; CI 0.95-1.13) was not significantly associated with the risk of PTD. The initiation of folic acid supplementation more than 8 weeks before conception was associated with an increased risk for PTD (HR 1.19; CI 1.05-1.34) compared to no folic acid supplementation pre-conception. There was no significant association with PTD when supplementation was initiated within 8 weeks pre-conception (HR 1.01; CI 0.88-1.16). All analyses were adjusted for maternal characteristics and socioeconomic, health and dietary variables. Our findings do not support a protective effect of dietary folate intake or folic acid supplementation on spontaneous PTD. Pre-conceptional folic acid supplementation starting more than 8 weeks before conception was associated with an increased risk of PTD. These results require further investigation before discussing an expansion of folic acid supplementation guidelines.

Prospective Teachers' Initial Conceptions about Pupils' Difficulties in Science and Mathematics: A Potential Resource in Teacher Education

ERIC Educational Resources Information Center

Kellner, Eva; Gullberg, Annica; Attorps, Iiris; Thoren, Ingvar; Tarneberg, Roy

2011-01-01

A crucial issue for prospective teachers (PTs) in their education is to develop pedagogical content knowledge (PCK; i.e. how to make a topic comprehensible to pupils). However, research has shown that PTs may have tacit ideas about teaching that act as filters preventing consideration of unfamiliar and discrepant ideas. These ideas must be…

[Current status and prospects of gene doping detection].

PubMed

Wang, Wenjun; Zhang, Sichun; Xu, Jingjuan; Xia, Xinghua; Tian, Yaping; Zhang, Xinrong; Chen, Hong-Yuan

2008-07-01

The fast development of biotechnology promotes the development of doping. From recombinant protein to gene doping, there is a great challenge to their detection. The improvement of gene therapy and potential to enhance athletic performance open the door for gene doping. After a brief introduction of the concept of gene doping, the current status and prospects of gene doping detection are reviewed.

Prospective parents' intentions regarding disclosure following the removal of donor anonymity.

PubMed

Crawshaw, Marilyn

2008-06-01

This short survey of UK infertility counsellors was designed to determine whether the removal of donor anonymity resulted in noticeable changes in prospective parents' stated intentions regarding disclosure of their origins to any children conceived through donor conception. Members of the British Infertility Counselling Association working in Human Fertilisation and Embryology Authority (HFEA) -- licensed centres, before and after the legal changes, were sent a short questionnaire that included space for free comments (take-up: 62%). Three-quarters reported changes. Of these, two-thirds said prospective parents were more likely to say they would disclose, while less than a tenth said prospective parents were less likely do so. Where no changes were noted, this was primarily because the majority of prospective parents had stated their intention to be open even prior to the legal changes. Possible influences on intentions included: the culture within the centre, moves towards openness within the wider society, and parents' lack of confidence regarding how to go about disclosure. Follow-up studies are needed to improve understanding of whether influences on decision making carry through to patterns of actual disclosure; whether involvement in counselling affects outcomes; and whether access to professional assistance at the time of planned disclosure is helpful.

Gender relations, demographic change and the prospects for sustainable development in Africa.

PubMed

Ahonsi, B A

1995-01-01

The author explores the interrelationships between gender relations, demographic change, and Africa's prospects for sustainable development in the larger context of the ecological, economic, and sociopolitical forces which shape living conditions in the region. To make the analysis manageable, the author adopts the concept of sustainable development as the organizing and selecting principle in the exploration of issues central to the development of his argument. Rapid and uneven population growth is just one of many factors implicated in Africa's econo-environmental crisis. However, its strong synergism with gender relations and the limited scope for overcoming the externally derived problems suggests that a transition to lower fertility and higher women's status may be Africa's most realistic road to sustainable development. Discussion is presented under the following headings: concept of sustainable development as an analytical framework, salient aspects of Africa's demography, environmental degradation in Africa, economic stagnation and decline, gender considerations common to the key aspects of Africa's development crisis, and movement toward an enhanced prospect for sustainable development in Africa.

Lymphocytic gastritis--prospective study of its relationship with varioliform gastritis.

PubMed Central

Haot, J; Jouret, A; Willette, M; Gossuin, A; Mainguet, P

1990-01-01

Lymphocytic gastritis is a new histopathological entity characterised by a dense lymphocytic infiltration of surface and pit gastric epithelium. Previous retrospective work has suggested that lymphocytic gastritis is related to an endoscopic form of gastropathy comprising enlarged folds, nodules and erosions, commonly denoted as varioliform gastritis. In the present prospective study, the relationship is clearly shown; nearly 82% (54/66) of the varioliform gastritis observed in four different endoscopy units correspond histologically to lymphocytic gastritis. The correlation is even better if cases showing strictly antral localisation are excluded (53/55) - that is, more than 96%. The histological concept of lymphocytic gastritis seems, however, to extend beyond varioliform gastritis as of 67 cases of lymphocytic gastritis diagnosed during the period under study, one third had no particular endoscopic expression. Images Figure 1 Figure 2 PMID:2323590

Resource Prospector: An Update on the Lunar Volatiles Prospecting and ISRU Demonstration Mission

NASA Technical Reports Server (NTRS)

Colaprete, A.; Elphic, R.; Andrews, D.; Trimble, J.; Bluethmann, B.; Quinn, J.; Chavers, G.

2016-01-01

Over the last two decades a wealth of new observations of the moon have demonstrated a lunar water system dramatically more complex and rich than was deduced following the Apollo era. Lunar water, and other volatiles, have the potential to be a valuable or enabling resource for future exploration. The NASA Human Exploration and Operations Mission Directorate (HEOMD) have selected a lunar volatiles prospecting mission for a concept study and potential flight in CY2021. The mission includes a rover-borne payload that (1) can locate surface and near-subsurface volatiles, (2) excavate and analyze samples of the volatile-bearing regolith, and (3) demonstrate the form, extractability and usefulness of the materials.

Resource Prospector: An Update on the Lunar Volatiles Prospecting and ISRU Demonstration Mission

NASA Technical Reports Server (NTRS)

Colaprete, A.; Elphic, R.; Andrews, D.; Trimble, J.; Bluethmann, B.; Quinn, J.; Chavers, G.

2017-01-01

Over the last two decades a wealth of new observations of the moon have demonstrated a lunar water system dramatically more complex and rich than was deduced following the Apollo era. Lunar water, and other volatiles, have the potential to be a valuable or enabling resource for future exploration. The NASA Human Exploration and Operations Mission Directorate (HEOMD) have selected a lunar volatiles prospecting mission for a concept study and potential flight in CY2021. The mission includes a rover-borne payload that (1) can locate surface and near-subsurface volatiles, (2) excavate and analyze samples of the volatile- bearing regolith, and (3) demonstrate the form, extractability and usefulness of the materials.

[P. Janet's concept of the notion of time].

PubMed

Fouks, L; Guibert, S; Montot, M

1988-10-01

The authors primarily show how P. Janet, influenced by Bergson, describes the evolution of the human mind, its complexities and progressive hierarchies, from the reflex arc to the differed arc which allows the emergence of feelings. The notion of time is late, it enters in the groups of feelings. It is interior, subjective and to its study succeeds the analysis of the concept of presence, absence, strain, memory which is for P. Janet essentially prospective, its essential act is narration. The notion of lived time is studied: in: the neurotics whose horror of the present is put forward, the depressed; in: melancholia of waiting where time does not fly, mania through the "delighted ones" and the "restless ones", the delirious.

Cultural psychiatry: research strategies and future directions.

PubMed

Kirmayer, Laurence J; Ban, Lauren

2013-01-01

This chapter reviews some key aspects of current research in cultural psychiatry and explores future prospects. The first section discusses the multiple meanings of culture in the contemporary world and their relevance for understanding mental health and illness. The next section considers methodological strategies for unpacking the concept of culture and studying the impact of cultural variables, processes and contexts. Multiple methods are needed to address the many different components or dimensions of cultural identity and experience that constitute local worlds, ways of life or systems of knowledge. Quantitative and observational methods of clinical epidemiology and experimental science as well as qualitative ethnographic methods are needed to capture crucial aspects of culture as systems of meaning and practice. Emerging issues in cultural psychiatric research include: cultural variations in illness experience and expression; the situated nature of cognition and emotion; cultural configurations of self and personhood; concepts of mental disorder and mental health literacy; and the prospect of ecosocial models of health and culturally based interventions. The conclusion considers the implications of the emerging perspectives from cultural neuroscience for psychiatric theory and practice. Copyright © 2013 S. Karger AG, Basel.

Direct-to-consumer DNA testing: the fallout for individuals and their families unexpectedly learning of their donor conception origins.

PubMed

Crawshaw, Marilyn

2017-07-11

Increasing numbers of donor-conceived individuals (and/or parents) are seeking individuals genetically related through donor conception. One route is through 'direct-to-consumer' (DTC) DNA testing, prompting calls for fertility services to alert donors and prospective parents to the increasing unsustainability of anonymity and secrecy. The complexity of interpreting DNA results in this context has also been discussed, including their lack of absolute certainty, as has the need for professional and peer support. This commentary highlights a different 'threat', from individuals learning of their donor-conception origins through the use of such tests by themselves or relatives for such purposes as genealogy or health checks. It illustrates the personal complexities faced by three older women and their families on learning not only of their genetic relationship to each other but also to 15 more donor-related siblings. DTC DNA services are a growing feature of modern life. This commentary raises ethical questions about their responsibilities towards those inadvertently learning of donor conception origins and the responsibilities of fertility services to inform prospective parents and donors of this new phenomenon. Considerations of how and when parents should tell their children of their donor-conception origins here instead become how and when children should inform their parents.

It 'did what it said on the tin' - participant's views of the content and process of donor conception parenthood preparation workshops.

PubMed

Crawshaw, Marilyn; Montuschi, Olivia

2014-03-01

Using donor conception treatment for family building brings challenges as well as rewards. As social model approaches to managing genetic difference within families gradually replace earlier medical models, parents are encouraged to be open with their children about their origins amidst greater social acceptance. Little is known about effective interventions to help prospective parents prepare for such family life. A survey was sent to participants in 16 Preparation for Parenthood workshops run in England by Donor Conception Network, a peer support organisation, between 2008 and 2010. The 79 respondents (32.4% response) included heterosexual couples, lesbian couples and single women considering sperm, egg or double donation. In 86% couples, both partners responded. The use of a range of techniques, a family lifespan approach, facilitators with personal as well as professional experience, medical and psychosocial specialists, and access to peer support were well received. Results suggest the value of attending cognitive and affective processes, acknowledging the impact of stigma and discussing how the donor's biography/presence can be conjoined with that of the new family. Findings suggest workshop approaches to donor conception parenthood preparation can be useful for prospective lesbian/single women/heterosexual-headed families considering donor conception. Such interventions have not previously been reported.

Prospective Teachers' Difficulties in Interpreting Elementary Phenomena of Electrostatic Interactions: Indicators of the Status of Their Intuitive Ideas

ERIC Educational Resources Information Center

Criado, Ana Maria; Garcia-Carmona, Antonio

2010-01-01

Student teachers were tested before and after a teaching unit on electrostatic interactions in an attempt to consider their intuitive ideas and concept development. A study was made of students' explanations of basic interactions: those between two charged bodies, and those between a charged body and a neutral body. Two indicators of the cognitive…

A Delphi Study to Develop a Standard List of Activities that Comprise Routine Clinical Pharmacy Services

DTIC Science & Technology

2012-06-08

The 2009 ASHP national survey on monitoring and patient education incorporates this generalist concept in its description of the three hospital...counseling Intravenous-to-oral medication conversion Drug selection recommendation Patient education Prospective order review Provider encounters...of Drug Information to Health Professionals Drug selection recommendation Decision to Prescribe a Medicine Patient education Provision of Drug

Using Lesson Study to Support the Teaching of Early Number Concepts: Examining the Development of Prospective Teachers' Specialized Content Knowledge

ERIC Educational Resources Information Center

Leavy, Aisling; Hourigan, Mairead

2018-01-01

Growing awareness of the importance of education in the early years has led professional organizations and policy makers to consider the effectiveness of mathematics education for young children. Factors such as educational environments, early years curricula and teacher education are some of the many aspects that have been examined. This paper…

Prospective randomized study comparing coronary artery bypass grafting with the new mini-extracorporeal circulation Jostra System or with a standard cardiopulmonary bypass.

PubMed

Remadi, Jean Paul; Rakotoarivelo, Zava; Marticho, Paul; Benamar, Amar

2006-01-01

To assess the potential benefits of a new concept of cardiopulmonary bypass (CPB), the mini-extracorporeal circulation (MECC) Jostra System, we conducted a prospective randomized study among patients who underwent coronary artery bypass grafting (CABG) with a MECC Jostra System or with a standard CPB. In a prospective randomized study, 400 patients underwent elective CABG using a standard CPB (200 patients) or a Jostra MECC System (200 patients). The patients were randomly assigned to have preoperative data similar for both groups. The operative mortality rate (< 30 days) was 1.5% for the MECC group and 2.5% for the CPB group (P = NS). Low-cardiac-output syndrome occurred in 0.66% and 4% for the CPB group (P < .001.). The inflammatory response was significantly reduced with the MECC. Likewise, C-reactive protein release was significantly higher in group B at 24 hours (69.6 +/- 38.5 vs 40.8 +/- 21.8 mg/L for the group A, P < .01) and at 48 hours (116.7 +/- 47.0 vs 65.4 +/- 39.5 mg/L, P < .05) postoperatively. In the CPB group, there was a significantly higher decrease of hematocrit and hemoglobin rate. So, the intraoperative transfusion rate amounted to 6% for the MECC group and 12.8% for the CPB group (P < .001). Patients in the CPB group had significantly higher levels of postoperative blood creatinine and urea. The MECC system is a new concept of CPB that seems to be reliable and safe. To perform CABG, the MECC provides an excellent surgical exposure like a standard CPB and a better biologic profile like CABG without CPB.

Concept Car Design and Ability Training

NASA Astrophysics Data System (ADS)

Lv, Jiefeng; Lu, Hairong

The concept design as a symbol of creative design thinking, reflecting on the future design of exploratory and prospective, as a vehicle to explore the notion of future car design, design inspiration and creativity is not only a bold display, more through demonstrate the concept, reflects the company's technological strength and technological progress, and thus enhance their brand image. Present Chinese automobile design also has a very big disparity with world level, through cultivating students' concept design ability, to establish native design features and self-reliant brand image is practical and effective ways, also be necessary and pressing.

A Curriculum for the New Dental Practitioner: Preparing Dentists for a Prospective Oral Health Care Environment

PubMed Central

Polverini, Peter J.

2012-01-01

The emerging concept of prospective health care would shift the focus of health care from disease management to disease prevention and health management. Dentistry has a unique opportunity to embrace this model of prospective and collaborative care and focus on the management of oral health. Academic dentistry must better prepare future dentists to succeed in this new health care environment by providing them with the scientific and technical knowledge required to understand and assess risk and practice disease prevention. Dental schools must consider creating career pathways for enabling future graduates to assume important leadership roles that will advance a prospective oral health care system. PMID:22390456

The Qualities of Teachers Who Instruct Peace Education: Views of Prospective Teachers' Who Attended the Peace Education Programme

ERIC Educational Resources Information Center

Polat, Soner; Arslan, Yaser; Günçavdi, Gizem

2016-01-01

The concept of peace can be described as the values including respecting features such as race, gender, religion, physical appearance, and age; appreciating diversities, unity, cooperation, tolerance and being fair. Related to this, the concept of peace education can be defined as an educational process during which peaceful problem-solving…

The Teaching of Mathematics in Secondary Schools as a Tool for Self-Reliance and Re-Branding Process in Nigeria

ERIC Educational Resources Information Center

Jonah, Tali D.; Caleb, Mbwas .L.; Stephen, Abe A.

2012-01-01

Mathematics teaching is an interaction between the teacher and the learners that leads to acquisition of desirable mathematical knowledge, ideas and skills necessary for applicability in our everyday life. This paper therefore looks at the concept of self-reliance, the concept of mathematics teaching, problems and prospects of mathematics teaching…

Commentary: Some Prospects for Connecting Concepts and Methods of Individual Cognition and of Situativity

ERIC Educational Resources Information Center

Greeno, James G.

2015-01-01

The development of scientific concepts and methods that supported analyses of individual cognition and learning occurred during the 1950s, 1960s, 1970s, and 1980s, with outstanding contributions by Newell and Simon (1972), van Dijk and Kintsch (1983), and others, providing an impressive and rapid scientific advance. At the same time, another…

Resilience research in schizophrenia: a review of recent developments.

PubMed

Mizuno, Yuya; Wartelsteiner, Fabienne; Frajo-Apor, Beatrice

2016-05-01

The concept of resilience is expected to be relevant in understanding the heterogeneous outcomes associated with schizophrenia. We reviewed recent developments in clinical studies focusing on the biological and psychological aspects of resilience in this population. We aimed to clarify current concepts of resilience in the field, elucidate gaps in the literature, and provide recommendations for future research. A total of 20 articles published between 2014 and 2015 were included. Six studies were neuroimaging studies, while the remaining studies used various psychological assessments. Most studies were cross-sectional except for three studies with naturalistic follow-up, one single-blind randomized controlled trial, and two published protocols of prospective studies. The following patterns of research were evident among the highly heterogeneous literature: studies focusing on protective factors and others emphasizing dynamic processes, studies investigating 'at-risk but resilient' groups (e.g. nonpsychotic siblings of patients with schizophrenia), and studies using psychological scales to measure resilience. The heterogeneity in how reports conceptualize, assess, and interpret resilience likely reflects the multidimensional nature of the concept itself and the lack of a 'gold standard' in assessing resilience in schizophrenia. Further research is needed to make recommendations on how to facilitate resilience in clinical care.

A taxonomy of prospection: introducing an organizational framework for future-oriented cognition.

PubMed

Szpunar, Karl K; Spreng, R Nathan; Schacter, Daniel L

2014-12-30

Prospection--the ability to represent what might happen in the future--is a broad concept that has been used to characterize a wide variety of future-oriented cognitions, including affective forecasting, prospective memory, temporal discounting, episodic simulation, and autobiographical planning. In this article, we propose a taxonomy of prospection to initiate the important and necessary process of teasing apart the various forms of future thinking that constitute the landscape of prospective cognition. The organizational framework that we propose delineates episodic and semantic forms of four modes of future thinking: simulation, prediction, intention, and planning. We show how this framework can be used to draw attention to the ways in which various modes of future thinking interact with one another, generate new questions about prospective cognition, and illuminate our understanding of disorders of future thinking. We conclude by considering basic cognitive processes that give rise to prospective cognitions, cognitive operations and emotional/motivational states relevant to future-oriented cognition, and the possible role of procedural or motor systems in future-oriented behavior.

Assessment of oxidative stress markers in recurrent pregnancy loss: a prospective study.

PubMed

Yiyenoğlu, Özgür Bilgin; Uğur, Mete Gürol; Özcan, Hüseyin Çağlayan; Can, Günay; Öztürk, Ebru; Balat, Özcan; Erel, Özcan

2014-06-01

To determine the levels of oxidative stress markers in recurrent pregnancy loss using a novel automated method. 30 pregnant women in their first trimester with a history of recurrent pregnancy loss (RPL) and 30 healthy pregnant women were enrolled in this prospective controlled study. Total antioxidant capacity (TAC), total oxidant level (TOL) and oxidative stress index (OSI) in maternal serum were measured using the more recently designated Erel method. We observed statistically significant increased TOL and OSI levels in patient group (p = 0.032, p = 0.007, respectively). We also demonstrated statistically significant decreased TAC in pregnant women who had a history of RPL (p = 0.013). Our results support the concept that oxidative stress plays a central role in the etiopathogenesis of RPL. Further studies to evaluate the predictive role of TAC, TOL, OSI levels using Erel method are needed.

Familial Transmission of Educational Plans and the Academic Self-Concept: A Three-Generation Longitudinal Study

PubMed Central

Mortimer, Jeylan T.; Zhang, Lei; Wu, Chen-Yu; Hussemann, Jeanette; Johnson, Monica Kirkpatrick

2016-01-01

This research investigates the social reproduction of inequality by drawing on prospective longitudinal data from three generations of Youth Development Study respondents. It examines intergenerational influence on the relatively unexplored academic self-concept as well as educational plans, a critical component of the status attainment model. A structural equation model, based on 422 3-generation triads, finds evidence that the sources giving rise to the development of children’s (Generation 3) achievement orientations do not only result from parental (G2) contemporaneous influence. Prior influences implicate grandparent (G1) educational attainment and income, grandparental expectations for the G2 adolescent, the G2 academic self-concept and educational plans measured more than twenty years earlier (in G2’s adolescence), and G2 educational attainment. A familial culture emphasizing academic self-confidence and high educational expectations may be an important component of “family capital” that supports educational attainment and contributes to the maintenance of social class position in each successive generation. PMID:28396611

Familial Transmission of Educational Plans and the Academic Self-Concept: A Three-Generation Longitudinal Study.

PubMed

Mortimer, Jeylan T; Zhang, Lei; Wu, Chen-Yu; Hussemann, Jeanette; Johnson, Monica Kirkpatrick

2017-03-01

This research investigates the social reproduction of inequality by drawing on prospective longitudinal data from three generations of Youth Development Study respondents. It examines intergenerational influence on the relatively unexplored academic self-concept as well as educational plans, a critical component of the status attainment model. A structural equation model, based on 422 3-generation triads, finds evidence that the sources giving rise to the development of children's (Generation 3) achievement orientations do not only result from parental (G2) contemporaneous influence. Prior influences implicate grandparent (G1) educational attainment and income, grandparental expectations for the G2 adolescent, the G2 academic self-concept and educational plans measured more than twenty years earlier (in G2's adolescence), and G2 educational attainment. A familial culture emphasizing academic self-confidence and high educational expectations may be an important component of "family capital" that supports educational attainment and contributes to the maintenance of social class position in each successive generation.

Teaching GUI-Programming Concepts to Prospective K12 ICT Teachers: MIT App Inventor as an Alternative to Text-Based Languages

ERIC Educational Resources Information Center

Mihci, Can; Ozdener Donmez, Nesrin

2017-01-01

The purpose of this research is to investigate the short and long-term effects of using GUI-oriented visual Blocks-Based Programming languages (BBL) as a 2nd tier tool when teaching programming to prospective K12 ICT teachers. In a mixed-method approach, the effect on academic success as well as the impact on professional opinions and preferences…

Prospective markets and design concepts for civilian remotely piloted aircraft

NASA Technical Reports Server (NTRS)

Nelms, W. P., Jr.; Gregory, T. J.; Aderhold, J. R.

1976-01-01

This paper summarizes a study that examines the technical, economic, and environmental aspects of remotely piloted vehicles (RPVs) in the civil environment. A market survey was conducted in which 35 civil applications of RPVs were identified. For a number of these uses, vehicle and system concepts were defined, benefit and cost comparisons were made with present methods, and the influence of safety and environmental implications was assessed. The results suggest a sizable potential demand for the use of RPVs in the civil sector, and some of the applications show promising cost savings over established methods. A focussed technology effort could provide the safety assurances needed for routine civilian operation of RPVs.

2, 6, Heave! Sail Training's Influence on the Development of Self-Concept and Social Networks and Their Impact on Engagement with Learning and Education. A Pilot Study

ERIC Educational Resources Information Center

Henstock, Murray; Barker, Katrina; Knijnik, Jorge

2013-01-01

It is difficult to provide disengaged youth, who are at risk of not fulfilling their potential, with the social support necessary to remain active contributors to society. They are more likely to fail and drop from education greatly reducing the prospect of becoming constructive, productive community members. Consequently strategies to promote…

Media Exposure in Very Young Girls: Prospective and Cross-Sectional Relationships with BMIz, Self-Esteem and Body Size Stereotypes

ERIC Educational Resources Information Center

Rodgers, Rachel F.; Damiano, Stephanie R.; Wertheim, Eleanor H.; Paxton, Susan J.

2017-01-01

Media exposure among young children has been suggested to influence self-concept and the adoption of social stereotypes regarding body weight, as well as being associated with increased weight. The aim of this study was to examine the role of TV/DVD viewing in the development of positive stereotypes toward thinness, self-esteem and body mass index…

Prospecting Rovers for Lunar Exploration

NASA Technical Reports Server (NTRS)

Graham, Jerry B.; Vaughn, Jason A.; Farmer, Jeffery T.

2007-01-01

A study of lunar rover options for exploring the permanently shadowed regions of the lunar environment is presented. The potential for nearly continuous solar illumination coupled with the potential for water ice, focus exploration planner's attention on the polar regions of the moon. These regions feature craters that scientists have reason to believe may contain water ice. Water ice can be easily converted to fuel cell reactants, breathing oxygen, potable water, and rocket propellant. For these reasons, the NASA Robotic Lunar Exploration Program (RLEP) sponsored a study of potential prospecting rover concepts as one part of the RLEP-2 Pre-Phase A. Numerous vehicle configurations and power, thermal, and communication options are investigated. Rover options in the 400kg to 530kg class are developed which are capable of either confirming the presence of water ice at the poles, or conclusively demonstrating its absence.

Predicting sugar-sweetened behaviours with theory of planned behaviour constructs: Outcome and process results from the SIPsmartER behavioural intervention.

PubMed

Zoellner, Jamie M; Porter, Kathleen J; Chen, Yvonnes; Hedrick, Valisa E; You, Wen; Hickman, Maja; Estabrooks, Paul A

2017-05-01

Guided by the theory of planned behaviour (TPB) and health literacy concepts, SIPsmartER is a six-month multicomponent intervention effective at improving SSB behaviours. Using SIPsmartER data, this study explores prediction of SSB behavioural intention (BI) and behaviour from TPB constructs using: (1) cross-sectional and prospective models and (2) 11 single-item assessments from interactive voice response (IVR) technology. Quasi-experimental design, including pre- and post-outcome data and repeated-measures process data of 155 intervention participants. Validated multi-item TPB measures, single-item TPB measures, and self-reported SSB behaviours. Hypothesised relationships were investigated using correlation and multiple regression models. TPB constructs explained 32% of the variance cross sectionally and 20% prospectively in BI; and explained 13-20% of variance cross sectionally and 6% prospectively. Single-item scale models were significant, yet explained less variance. All IVR models predicting BI (average 21%, range 6-38%) and behaviour (average 30%, range 6-55%) were significant. Findings are interpreted in the context of other cross-sectional, prospective and experimental TPB health and dietary studies. Findings advance experimental application of the TPB, including understanding constructs at outcome and process time points and applying theory in all intervention development, implementation and evaluation phases.

Environmental concepts in rural Honduras: A case study of their range and application within environmental education design

NASA Astrophysics Data System (ADS)

Bradford, Robert Sanders

1998-12-01

The rate of environmental degradation in the Third World continues to present residents of countries like Honduras with conditions that threaten the quality of life and ecological systems. How people conceptualize their environment could be a point of entry into a greater understanding of environmental problems. Through individual interviews and focus group discussions, this study comprises a qualitative examination of the environmental concepts of a sample of 75 rural Hondurans. Analysis of their concepts was used to construct a tentative interpretation of the rural Honduran worldview characteristics of Self, Other, Relationship, Classification, Causality, Time, and Space. The findings of this investigation indicated that rural Hondurans conceptualize their environment through the worldview lenses of survival and poverty, leading to a sense of fatalism when confronting the complex and multifaceted problems associated with quality of life and environmental quality. Analysis of concepts and worldview also indicated that rural Hondurans generally do not believe their environmental problems are solvable, nor do they appear to understand that these problems are also cultural problems whose solutions will most likely require some revision of their current worldview. An educational approach that fosters the integration of compatible environmental concepts into the rural Honduran worldview is recommended through the application of design strategies for a prospective environmental education process.

The social life of cognition.

PubMed

Korman, Joanna; Voiklis, John; Malle, Bertram F

2015-02-01

We begin by illustrating that long before the cognitive revolution, social psychology focused on topics pertaining to what is now known as social cognition: people's subjective interpretations of social situations and the concepts and cognitive processes underlying these interpretations. We then examine two questions: whether social cognition entails characteristic concepts and cognitive processes, and how social processes might themselves shape and constrain cognition. We suggest that social cognition relies heavily on generic cognition but also on unique concepts (e.g., agent, intentionality) and unique processes (e.g., projection, imitation, joint attention). We further suggest that social processes play a prominent role in the development and unfolding of several generic cognitive processes, including learning, attention, and memory. Finally, we comment on the prospects of a recently developing approach to the study of social cognition (social neuroscience) and two potential future directions (computational social cognition and social-cognitive robotics). Copyright © 2014 Elsevier B.V. All rights reserved.

Nanoscale solid-state cooling: a review.

PubMed

Ziabari, Amirkoushyar; Zebarjadi, Mona; Vashaee, Daryoosh; Shakouri, Ali

2016-09-01

The recent developments in nanoscale solid-state cooling are reviewed. This includes both theoretical and experimental studies of different physical concepts, as well as nanostructured material design and device configurations. We primarily focus on thermoelectric, thermionic and thermo-magnetic coolers. Particular emphasis is given to the concepts based on metal-semiconductor superlattices, graded materials, non-equilibrium thermoelectric devices, Thomson coolers, and photon assisted Peltier coolers as promising methods for efficient solid-state cooling. Thermomagnetic effects such as magneto-Peltier and Nernst-Ettingshausen cooling are briefly described and recent advances and future trends in these areas are reviewed. The ongoing progress in solid-state cooling concepts such as spin-calorimetrics, electrocalorics, non-equilibrium/nonlinear Peltier devices, superconducting junctions and two-dimensional materials are also elucidated and practical achievements are reviewed. We explain the thermoreflectance thermal imaging microscopy and the transient Harman method as two unique techniques developed for characterization of thermoelectric microrefrigerators. The future prospects for solid-state cooling are briefly summarized.

Predictors of fecundability and conception waits among the Dogon of Mali.

PubMed

Strassmann, B I; Warner, J H

1998-02-01

Surprisingly little is known about the mechanisms that underlie variation in female fertility in humans. Data on this topic are nonetheless vital to a number of pragmatic and theoretical enterprises, including population planning, infertility treatment and prevention, and evolutionary ecology. Here we study female fertility by focusing on one component of the interbirth interval: the waiting time to conception during menstrual cycling. Our study population is a Dogon village of 460 people in Mali, West Africa. This population is pronatalist and noncontracepting. In accordance with animist beliefs, the women spend five nights sleeping at a menstrual hut during menses. By censusing the women present at the menstrual huts in the study village on each of 736 consecutive nights, we were able to monitor women's conception waits prospectively. Hormonal profiles confirm the accuracy of the data on conception waits obtained from the menstrual hut census (Strassmann [1996], Behavioral Ecology 7:304-315). Using survival analysis, we identified significant predictors of the waiting time to conception: wife's age (years), husband's age (< 35, 35-49, > 49 years), marital duration (years), gravidity (number of prior pregnancies), and breast-feeding status. Additional variables were not significant, including duration of postpartum amenorrhea, sex of the last child, nutritional status, economic status, polygyny, and marital status (fiancée vs. married). We fit both continuous and discrete time survival models, but the former appeared to be a better choice for these data.

Folic acid supplementation, dietary folate intake during pregnancy and risk for spontaneous preterm delivery: a prospective observational cohort study

PubMed Central

2013-01-01

Background Health authorities in numerous countries recommend periconceptional folic acid to pregnant women to prevent neural tube defects. The objective of this study was to examine the association of folic acid supplementation during different periods of pregnancy and of dietary folate intake with the risk of spontaneous preterm delivery (PTD). Methods The Norwegian Mother and Child Cohort Study is a population-based prospective cohort study. A total of 65,668 women with singleton pregnancies resulting in live births in 1999–2009 were included. Folic acid supplementation was self-reported from 26 weeks before pregnancy until week 24 during pregnancy. At gestational week 22, the women completed a food frequency questionnaire, which allowed the calculation of their average total folate intake from foods and supplements for the first 4–5 months of pregnancy. Spontaneous PTD was defined as the spontaneous onset of delivery between weeks 22+0 and 36+6 (n = 1,628). Results The median total folate intake was 266 μg/d (interquartile range IQR 154–543) in the overall population and 540 μg/d (IQR 369–651) in the supplement users. Eighty-three percent reported any folic acid supplementation from <8 weeks before to 24 weeks after conception while 42% initiated folic acid supplementation before their pregnancy. Cox regression analysis showed that the amount of folate intake from the diet (hazard ratio HR 1.16; confidence interval CI 0.65-2.08) and from the folic acid supplements (HR 1.04; CI 0.95-1.13) was not significantly associated with the risk of PTD. The initiation of folic acid supplementation more than 8 weeks before conception was associated with an increased risk for PTD (HR 1.19; CI 1.05-1.34) compared to no folic acid supplementation pre-conception. There was no significant association with PTD when supplementation was initiated within 8 weeks pre-conception (HR 1.01; CI 0.88-1.16). All analyses were adjusted for maternal characteristics and socioeconomic, health and dietary variables. Conclusions Our findings do not support a protective effect of dietary folate intake or folic acid supplementation on spontaneous PTD. Pre-conceptional folic acid supplementation starting more than 8 weeks before conception was associated with an increased risk of PTD. These results require further investigation before discussing an expansion of folic acid supplementation guidelines. PMID:23937678

The Concept of Sustainable Agriculture: Challenges and Prospects

NASA Astrophysics Data System (ADS)

Abubakar, M. S.; Attanda, M. L.

2013-12-01

Agriculture has changed dramatically, especially since the end of World War II. Food and fibre productivity raised due to new technologies, mechanization, increased chemical use, specialization and government policies that favoured maximizing production. Sustainable agriculture is a subject of great interest and lively debate in many parts of the world. Most agriculturalists agree that the concept of sustainable agriculture is of paramount importance to the sustainability of our biosphere and its ever increasing human population. This paper is an effort to identify the ideas, practices and policies that constitute concept of sustainable agriculture.

Comparison of university students' understanding of graphs in different contexts

NASA Astrophysics Data System (ADS)

Planinic, Maja; Ivanjek, Lana; Susac, Ana; Milin-Sipus, Zeljka

2013-12-01

This study investigates university students’ understanding of graphs in three different domains: mathematics, physics (kinematics), and contexts other than physics. Eight sets of parallel mathematics, physics, and other context questions about graphs were developed. A test consisting of these eight sets of questions (24 questions in all) was administered to 385 first year students at University of Zagreb who were either prospective physics or mathematics teachers or prospective physicists or mathematicians. Rasch analysis of data was conducted and linear measures for item difficulties were obtained. Average difficulties of items in three domains (mathematics, physics, and other contexts) and over two concepts (graph slope, area under the graph) were computed and compared. Analysis suggests that the variation of average difficulty among the three domains is much smaller for the concept of graph slope than for the concept of area under the graph. Most of the slope items are very close in difficulty, suggesting that students who have developed sufficient understanding of graph slope in mathematics are generally able to transfer it almost equally successfully to other contexts. A large difference was found between the difficulty of the concept of area under the graph in physics and other contexts on one side and mathematics on the other side. Comparison of average difficulty of the three domains suggests that mathematics without context is the easiest domain for students. Adding either physics or other context to mathematical items generally seems to increase item difficulty. No significant difference was found between the average item difficulty in physics and contexts other than physics, suggesting that physics (kinematics) remains a difficult context for most students despite the received instruction on kinematics in high school.

[Pregnancy outcome after preconceptional exposure to methotrexate for ectopic pregnancy].

PubMed

Lagarce, Laurence; Bernard, Nathalie; Carlier, Patrick; Phelipot-Lates, Silviana; Perault-Pochat, Marie-Christine; Drablier, Guillaume; Bourneau-Martin, Delphine; Lainé-Cessac, Pascale

2016-09-01

Methotrexate (MTX) is a known teratogenic drug used off-label in the treatment of ectopic pregnancies (EP). As MTX polyglutamated derivatives remains into the cells during several weeks, it is recommended to avoid conception during 3 to 6 months following MTX therapy. We report the follow-up of pregnancies after preconceptional exposure to MTX for EP. Prospective cases of pregnancy occurring within 3 months after MTX injection for an EP recorded in the Terappel database were analyzed. Data were obtained on 52 pregnant women. The median age of patients was 28 (18-38), and the median gestational age at inclusion was 7 weeks after last menstrual period (3-22). The time between the last MTX injection and conception ranged from 12 days to 13 weeks and the total MTX dose was between 40 to 210mg. Out of 45 pregnancies with known outcome, there were 39 live births (87%), 3 spontaneous abortions (6.7%) occurring 63 to 94 days after MTX administration, 2 elective terminations, and 1 medical termination after premature rupture of membranes, oligohydramnios and arthrogryposis (48mg of MTX 9 and 8 weeks before conception). Two additional cases of major malformations were observed among 40 examinable babies or fetuses: tetralogy of Fallot (MTX 6 weeks before conception), and cerebral ventriculomegaly with normal karyotype (50mg of MTX 9 to 13 weeks before conception). The resulting rate of major malformations was 7.5% (95% CI: 1.6-20.4). Although this prospective study shows a major malformation rate higher than expected in the general population, the observed malformations are not consistent with the typical pattern of methotrexate embryopathy. However, the case of tetralogy of Fallot is reminiscent of previously published cases with MTX exposure during early pregnancy. Owing to the small sample size, more powerful studies are needed to confirm or refute these findings. Copyright © 2016 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

[Technology development as social process: prospects and frontiers of social scientific elucidation of technological advancement].

PubMed

Dierkes, M

1990-05-01

This article provides an overview of the new developments in social scientific technology research which have changed considerably as a result of public debate and reactions to the importance of advancements in technology. The shift in emphasis, away from the effects of technology to its shaping, is described and certain hypotheses and concepts of advancement in the study of the social conditions underlying technical development processes are presented.

Kinesthetic stimulation for obstructive sleep apnea syndrome: An "on-off" proof of concept trial.

PubMed

Hernández, Alfredo I; Pérez, Diego; Feuerstein, Delphine; Loiodice, Corinne; Graindorge, Laurence; Guerrero, Gustavo; Limousin, Nadège; Gagnadoux, Frédéric; Dauvilliers, Yves; Tamisier, Renaud; Prigent, Arnaud; Mabo, Philippe; Amblard, Amel; Senhadji, Lotfi; Pépin, Jean-Louis

2018-02-15

Obstructive sleep apnea (OSA) occurs when the upper airway narrows or collapses due to the loss of upper airway muscle activation at sleep onset. This study investigated the effectiveness of triggered kinesthetic stimulation in patients with OSA. This proof-of-concept, open-label, multicenter prospective study was conducted on 24 patients with severe OSA. During a one night evaluation, kinesthetic stimulation was intermittently delivered in 30 minute periods. The duration of apneas and hypopneas during Stim on and Stim off periods were compared. Five hospital-based university centers in France participated. Sleep studies were evaluated by a single scorer at a core laboratory (CHU Grenoble). Results show that during the Stim on phases, statistically significant decreases in durations of apneas and hypopneas were observed in 56% and 46% of patients, respectively. Overall, 75% of patients showed an improvement in apneas or hypopneas durations. The mean reduction in durations for patients with a significant decrease was 4.86 seconds for apneas and 6.00 seconds for hypopneas. This proof of concept study is the first to identify kinesthetic stimulation as a potentially effective therapy for OSA. These data justify evaluation in a controlled study.

Racial microstressors, racial self-concept, and depressive symptoms among male African Americans during the transition to adulthood.

PubMed

Kogan, Steven M; Yu, Tianyi; Allen, Kimberly A; Brody, Gene H

2015-04-01

Racial discrimination is a pervasive stressor that can undermine mental health among African American youth and young adults. Several studies identify links between racial discrimination and depressive symptoms; however, this research base does not focus on male African American youth who experience significant racism-related stress during the transition to young adulthood. Moreover, few prospective studies consider significant confounding variables that affect exposure to and perception of discriminatory treatment. In response to this need, we examined the effect of exposure to racial discrimination from ages 16 to 18 on depressive symptoms among male African Americans at age 20. Racial self-concept, one's sense of positivity about one's race, was examined as a mediator and self-control as a moderator. Hypotheses were tested with 222 participants, age 16 at baseline and age 20 at the endpoint. Participants provided self-report data at five time points. Exposure to racial discrimination from ages 16 to 18 predicted depressive symptoms at age 20, net of confounding influences. Racial self-concept mediated this effect. Self-control moderated the influence of discrimination on racial self-concept. This study underscores the salience of racial discrimination in the development of depressive symptoms among African American male youth and the clinical utility of interventions targeting racial pride and self-control.

Prospective observational studies to assess comparative effectiveness: the ISPOR good research practices task force report.

PubMed

Berger, Marc L; Dreyer, Nancy; Anderson, Fred; Towse, Adrian; Sedrakyan, Art; Normand, Sharon-Lise

2012-01-01

In both the United States and Europe there has been an increased interest in using comparative effectiveness research of interventions to inform health policy decisions. Prospective observational studies will undoubtedly be conducted with increased frequency to assess the comparative effectiveness of different treatments, including as a tool for "coverage with evidence development," "risk-sharing contracting," or key element in a "learning health-care system." The principle alternatives for comparative effectiveness research include retrospective observational studies, prospective observational studies, randomized clinical trials, and naturalistic ("pragmatic") randomized clinical trials. This report details the recommendations of a Good Research Practice Task Force on Prospective Observational Studies for comparative effectiveness research. Key issues discussed include how to decide when to do a prospective observational study in light of its advantages and disadvantages with respect to alternatives, and the report summarizes the challenges and approaches to the appropriate design, analysis, and execution of prospective observational studies to make them most valuable and relevant to health-care decision makers. The task force emphasizes the need for precision and clarity in specifying the key policy questions to be addressed and that studies should be designed with a goal of drawing causal inferences whenever possible. If a study is being performed to support a policy decision, then it should be designed as hypothesis testing-this requires drafting a protocol as if subjects were to be randomized and that investigators clearly state the purpose or main hypotheses, define the treatment groups and outcomes, identify all measured and unmeasured confounders, and specify the primary analyses and required sample size. Separate from analytic and statistical approaches, study design choices may strengthen the ability to address potential biases and confounding in prospective observational studies. The use of inception cohorts, new user designs, multiple comparator groups, matching designs, and assessment of outcomes thought not to be impacted by the therapies being compared are several strategies that should be given strong consideration recognizing that there may be feasibility constraints. The reasoning behind all study design and analytic choices should be transparent and explained in study protocol. Execution of prospective observational studies is as important as their design and analysis in ensuring that results are valuable and relevant, especially capturing the target population of interest, having reasonably complete and nondifferential follow-up. Similar to the concept of the importance of declaring a prespecified hypothesis, we believe that the credibility of many prospective observational studies would be enhanced by their registration on appropriate publicly accessible sites (e.g., clinicaltrials.gov and encepp.eu) in advance of their execution. Copyright © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Ashtanga yoga for children and adolescents for weight management and psychological well being: an uncontrolled open pilot study.

PubMed

Benavides, Sandra; Caballero, Joshua

2009-05-01

The objective of this pilot study was to determine the effect of yoga on weight in youth at risk for developing type 2 diabetes. Secondarily, the impact of participation in yoga on self-concept and psychiatric symptoms was measured. A 12-week prospective pilot Ashtanga yoga program enrolled twenty children and adolescents. Weight was measured before and after the program. All participants completed self-concept, anxiety, and depression inventories at the initiation and completion of the program. Fourteen predominately Hispanic children, ages 8-15, completed the program. The average weight loss was 2kg. Weight decreased from 61.2+/-20.2kg to 59.2+/-19.2kg (p=0.01). Four of five children with low self-esteem improved, although two had decreases in self-esteem. Anxiety symptoms improved in the study. Ashtanga yoga may be beneficial as a weight loss strategy in a predominately Hispanic population.

Airship Industry Study

NASA Technical Reports Server (NTRS)

Hochstetler, Ron; Chachad, Girish; Melton, John

2016-01-01

In April, 2015 NASA Ames Research Center conducted a study of the airship industry. The project called for a report that would describe airship concepts proposed or projects initiated, airship performance or capability targets, and the missions these activities were addressing. It would detail the principal technical features of these airships; the proposed value/advantages of the features, notional concepts of operation, and challenges associated with the vehicles. Also investigated would be the current status and near-term prospects of these airship development activities, whether they are active or, if curtailed the circumstances and possible reasons for that conclusion including technical, business, or other mitigating factors. For the most active programs an assessment would be conducted to identify the resources or activities required for airships to advance to series construction and operational deployment. The study would also identify impediments to these developments and deployments, with recommendations provided to address existing issues in the airship industry today.

Gaining with loss

NASA Astrophysics Data System (ADS)

Pile, Interview by David F. P.

2017-12-01

Nature Photonics spoke to Demetrios Christodoulides, of CREOL, The College of Optics & Photonics, University of Central Florida, about the birth of the parity-time-symmetry concepts in optics and the challenges and prospects on the path ahead.

Colors, humors and evil eye: indigenous classification and treatment of childhood diarrhea in highland Guatemala.

PubMed

Burleigh, E; Dardano, C; Cruz, J R

1990-11-01

Focal group interviews on indigenous perceptions and reported management of childhood diarrhea were conducted in 1987-88 in Guatemala as a part of a prospective epidemiological field study of chronic diarrhea. Six cognitive schemata were identified, each with specific causes, a linked progression of concepts, symptoms, signs, and diagnostic characteristics. Nearly all were related to the humoral theory of disease, including the concept of evil eye. Diarrheal disease was conceptualized in the village as a set of processes which could be either "hot" or "cold" rather than as an unchanging single-symptom entity occupying only one spot on the humoral continuum. Clarification of the temporal relationship between concepts was found to be essential to the understanding of these indigenously-defined schemata. Stool color reflecting humoral theory was the primary concept used in household-level diagnosis. Reported behavior associated with these cognitive schemata (traditional treatments, pharmaceutical and dietary management) showed remarkable constancy, and adhered for the most part to the humoral concept of equilibrium. These included the use of oral rehydration solutions (ORS) and liquids. The applied importance of humoral theory to home-based use of ORS is discussed briefly as is the indigenous definition of dehydration.

Differences conception prospective students teacher about limit of function based gender

NASA Astrophysics Data System (ADS)

Usman, Juniati, Dwi; Siswono, Tatag Yuli Eko

2017-08-01

Gender is one of the interesting topics and has continuity to be explored in mathematics education research. The purpose of this study to explore difference on conceptions of students teaching program by gender. It specialized on conception of understanding, representating, and mental images about limit function. This research conducting qualitative explorative method approach. The subject consisted of one man and one woman from the group of highly skilled student and has gone through semester V. Based on data that had been analyzed proved that male student has an understanding about limit function shared by explaining this material using illustrations, while female student explained it through verbal explanation. Due to representating aspect, it revealed that both of male and female students have similarity such as using verbal explanation, graphs, symbols, and tables to representating about limit function. Analyzing Mental image aspect, researcher got that male student using word "to converge" to explained about limit function, while female student using word "to approach". So, there are differences conceptions about limit function between male and female student.

Alternative divertor target concepts for next step fusion devices

NASA Astrophysics Data System (ADS)

Mazul, I. V.

2016-12-01

The operational conditions of a divertor target in the next steps of fusion devices are more severe in comparison with ITER. The current divertor designs and technologies have a limited application concerning these conditions, and so new design concepts/technologies are required. The main reasons which practically prevent the use of the traditional motionless solid divertor target are analyzed. We describe several alternative divertor target concepts in this paper. The comparative analysis of these concepts (including the advantages and the drawbacks) is made and the prospects for their practical implementation are prioritized. The concept of the swept divertor target with a liquid metal interlayer between the moving armour and motionless heat-sink is presented in more detail. The critical issues of this design are listed and outlined, and the possible experiments are presented.

Concept and Connotation of Water Resources Carrying Capacity in Water Ecological Civilization Construction

NASA Astrophysics Data System (ADS)

Chao, Zhilong; Song, Xiaoyu; Feng, Xianghua

2018-01-01

Water ecological civilization construction is based on the water resources carrying capacity, guided by the sustainable development concept, adhered to the human-water harmony thoughts. This paper has comprehensive analyzed the concept and characteristics of the carrying capacity of water resources in the water ecological civilization construction, and discussed the research methods and evaluation index system of water carrying capacity in the water ecological civilization construction, finally pointed out that the problems and solutions of water carrying capacity in the water ecological civilization construction and put forward the future research prospect.

Policy and Validity Prospects for Performance-Based Assessment.

ERIC Educational Resources Information Center

Baker, Eva L.; And Others

1994-01-01

This article describes performance-based assessment as expounded by its proponents, comments on these conceptions, reviews evidence regarding the technical quality of performance-based assessment, and considers its validity under various policy options. (JDD)

Predicting sugar-sweetened behaviours with theory of planned behaviour constructs: Outcome and process results from the SIPsmartER behavioural intervention

PubMed Central

Zoellner, Jamie M.; Porter, Kathleen J.; Chen, Yvonnes; Hedrick, Valisa E.; You, Wen; Hickman, Maja; Estabrooks, Paul A.

2017-01-01

Objective Guided by the theory of planned behaviour (TPB) and health literacy concepts, SIPsmartER is a six-month multicomponent intervention effective at improving SSB behaviours. Using SIPsmartER data, this study explores prediction of SSB behavioural intention (BI) and behaviour from TPB constructs using: (1) cross-sectional and prospective models and (2) 11 single-item assessments from interactive voice response (IVR) technology. Design Quasi-experimental design, including pre- and post-outcome data and repeated-measures process data of 155 intervention participants. Main Outcome Measures Validated multi-item TPB measures, single-item TPB measures, and self-reported SSB behaviours. Hypothesised relationships were investigated using correlation and multiple regression models. Results TPB constructs explained 32% of the variance cross sectionally and 20% prospectively in BI; and explained 13–20% of variance cross sectionally and 6% prospectively. Single-item scale models were significant, yet explained less variance. All IVR models predicting BI (average 21%, range 6–38%) and behaviour (average 30%, range 6–55%) were significant. Conclusion Findings are interpreted in the context of other cross-sectional, prospective and experimental TPB health and dietary studies. Findings advance experimental application of the TPB, including understanding constructs at outcome and process time points and applying theory in all intervention development, implementation and evaluation phases. PMID:28165771

Highest Resolution In Vivo Human Brain MRI Using Prospective Motion Correction

PubMed Central

Stucht, Daniel; Danishad, K. Appu; Schulze, Peter; Godenschweger, Frank; Zaitsev, Maxim; Speck, Oliver

2015-01-01

High field MRI systems, such as 7 Tesla (T) scanners, can deliver higher signal to noise ratio (SNR) than lower field scanners and thus allow for the acquisition of data with higher spatial resolution, which is often demanded by users in the fields of clinical and neuroscientific imaging. However, high resolution scans may require long acquisition times, which in turn increase the discomfort for the subject and the risk of subject motion. Even with a cooperative and trained subject, involuntary motion due to heartbeat, swallowing, respiration and changes in muscle tone can cause image artifacts that reduce the effective resolution. In addition, scanning with higher resolution leads to increased sensitivity to even very small movements. Prospective motion correction (PMC) at 3T and 7T has proven to increase image quality in case of subject motion. Although the application of prospective motion correction is becoming more popular, previous articles focused on proof of concept studies and technical descriptions, whereas this paper briefly describes the technical aspects of the optical tracking system, marker fixation and cross calibration and focuses on the application of PMC to very high resolution imaging without intentional motion. In this study we acquired in vivo MR images at 7T using prospective motion correction during long acquisitions. As a result, we present images among the highest, if not the highest resolution of in vivo human brain MRI ever acquired. PMID:26226146

[Overall digitalization: leading innovation of endodontics in big data era].

PubMed

Ling, J Q

2016-04-09

In big data era, digital technologies bring great challenges and opportunities to modern stomatology. The applications of digital technologies, such as cone-beam CT(CBCT), computer aided design,(CAD)and computer aided manufacture(CAM), 3D printing and digital approaches for education , provide new concepts and patterns to the treatment and study of endodontic diseases. This review provides an overview of the application and prospect of commonly used digital technologies in the development of endodontics.

Estimation of geotechnical parameters on the basis of geophysical methods and geostatistics

NASA Astrophysics Data System (ADS)

Brom, Aleksander; Natonik, Adrianna

2017-12-01

The paper presents possible implementation of ordinary cokriging and geophysical investigation on humidity data acquired in geotechnical studies. The Author describes concept of geostatistics, terminology of geostatistical modelling, spatial correlation functions, principles of solving cokriging systems, advantages of (co-)kriging in comparison with other interpolation methods, obstacles in this type of attempt. Cross validation and discussion of results was performed with an indication of prospect of applying similar procedures in various researches..

Ontology for heart rate turbulence domain from the conceptual model of SNOMED-CT.

PubMed

Soguero-Ruiz, Cristina; Lechuga-Suárez, Luis; Mora-Jiménez, Inmaculada; Ramos-López, Javier; Barquero-Pérez, Óscar; García-Alberola, Arcadi; Rojo-Álvarez, José L

2013-07-01

Electronic health record (EHR) automates the clinician workflow, allowing evidence-based decision support and quality management. We aimed to start a framework for domain standardization of cardiovascular risk stratification into the EHR, including risk indices whose calculation involves ECG signal processing. We propose the use of biomedical ontologies completely based on the conceptual model of SNOMED-CT, which allows us to implement our domain in the EHR. In this setting, the present study focused on the heart rate turbulence (HRT) domain, according to its concise guidelines and clear procedures for parameter calculations. We used 289 concepts from SNOMED-CT, and generated 19 local extensions (new concepts) for the HRT specific concepts not present in the current version of SNOMED-CT. New concepts included averaged and individual ventricular premature complex tachograms, initial sinus acceleration for turbulence onset, or sinusal oscillation for turbulence slope. Two representative use studies were implemented: first, a prototype was inserted in the hospital information system for supporting HRT recordings and their simple follow up by medical societies; second, an advanced support for a prospective scientific research, involving standard and emergent signal processing algorithms in the HRT indices, was generated and then tested in an example database of 27 Holter patients. Concepts of the proposed HRT ontology are publicly available through a terminology server, hence their use in any information system will be straightforward due to the interoperability provided by SNOMED-CT.

Applications of thermal energy storage to waste heat recovery in the food processing industry

NASA Astrophysics Data System (ADS)

Wojnar, F.; Lunberg, W. L.

1980-03-01

A study to assess the potential for waste heat recovery in the food industry and to evaluate prospective waste heat recovery system concepts employing thermal energy storage was conducted. The study found that the recovery of waste heat in canning facilities can be performed in significant quantities using systems involving thermal energy storage that are both practical and economical. A demonstration project is proposed to determine actual waste heat recovery costs and benefits and to encourage system implementation by the food industry.

Applications of thermal energy storage to waste heat recovery in the food processing industry

NASA Technical Reports Server (NTRS)

Wojnar, F.; Lunberg, W. L.

1980-01-01

A study to assess the potential for waste heat recovery in the food industry and to evaluate prospective waste heat recovery system concepts employing thermal energy storage was conducted. The study found that the recovery of waste heat in canning facilities can be performed in significant quantities using systems involving thermal energy storage that are both practical and economical. A demonstration project is proposed to determine actual waste heat recovery costs and benefits and to encourage system implementation by the food industry.

Symptoms and Needs of Head and Neck Cancer Patients at Diagnosis of Incurability - Prevalences, Clinical Implications, and Feasibility of a Prospective Longitudinal Multicenter Cohort Study.

PubMed

Alt-Epping, Bernd; Seidel, Wiebke; Vogt, Jeannette; Mehnert, Anja; Thomas, Michael; van Oorschot, Birgitt; Wolff, Hendrik; Schliephake, Henning; Canis, Martin; Dröge, Leif H; Nauck, Friedemann; Lordick, Florian

2016-01-01

Little is known about the physical symptoms and psychosocial burden of patients at the time of diagnosis of an incurable situation, although cancer treatment guidelines demand early assessment and integration of palliative care concepts, beginning from the diagnosis of incurability. Therefore, we initiated a prospective longitudinal multicenter cohort study assessing the symptoms and needs of patients suffering from incurable cancer (various entities), from the time of diagnosing incurability (i.e., before palliative anticancer treatment was initiated) and in 3-monthly intervals thereafter, by using validated self-reporting tools. Here, we focus on patients with head and neck cancer and present preliminary results on symptoms and need prevalences, on clinical implications, and on the feasibility of a methodologically complex assessment procedure in a particularly vulnerable study population. 22 patients completed the first visit. The Eastern Cooperative Oncology Group (ECOG) performance scores and most physical symptoms and psychosocial items varied between the extremes, from a virtually uncompromised condition to extremely perceived symptoms and needs. If intense face-to-face study support was provided, the study concept proved to be feasible, despite the complexity of assessment, problems in interdisciplinary and patient communication, comorbidities, and early death from complications. The striking variability in the perceived symptom and need intensities requires a highly individualized approach. For clinical purposes, a less complex screening procedure would be desirable, in order to enable a routine, early and comprehensive support, including palliative care services. © 2016 S. Karger GmbH, Freiburg.

Transcranial electric stimulation (tES) and NeuroImaging: the state-of-the-art, new insights and prospects in basic and clinical neuroscience.

PubMed

Soekadar, Surjo R; Herring, Jim Don; McGonigle, David

2016-10-15

Transcranial electric stimulation (tES) of the brain has attracted an increased interest in recent years. Yet, despite remarkable research efforts to date, the underlying neurobiological mechanisms of tES' effects are still incompletely understood. This Special Issue aims to provide a comprehensive and up-to-date overview of the state-of-the-art in studies combining tES and neuroimaging, while introducing most recent insights and outlining future prospects related to this new and rapidly growing field. The findings reported here combine methodological advancements with insights into the underlying mechanisms of tES itself. At the same time, they also point to the many caveats and specific challenges associated with such studies, which can arise from both technical and biological sources. Besides promising to advance basic neuroscience, combined tES and neuroimaging studies may also substantially change previous conceptions about the methods of action of electric or magnetic stimulation on the brain. Copyright © 2016. Published by Elsevier Inc.

Adverse health effects of high-effort/low-reward conditions.

PubMed

Siegrist, J

1996-01-01

In addition to the person-environment fit model (J. R. French, R. D. Caplan, & R. V. Harrison, 1982) and the demand-control model (R. A. Karasek & T. Theorell, 1990), a third theoretical concept is proposed to assess adverse health effects of stressful experience at work: the effort-reward imbalance model. The focus of this model is on reciprocity of exchange in occupational life where high-cost/low-gain conditions are considered particularly stressful. Variables measuring low reward in terms of low status control (e.g., lack of promotion prospects, job insecurity) in association with high extrinsic (e.g., work pressure) or intrinsic (personal coping pattern, e.g., high need for control) effort independently predict new cardiovascular events in a prospective study on blue-collar men. Furthermore, these variables partly explain prevalence of cardiovascular risk factors (hypertension, atherogenic lipids) in 2 independent studies. Studying adverse health effects of high-effort/low-reward conditions seems well justified, especially in view of recent developments of the labor market.

Prospects for a civil/military transport aircraft

NASA Technical Reports Server (NTRS)

Jobe, C. E.; Noggle, L. W.; Whitehead, A. H., Jr.

1978-01-01

The similarities and disparities between commercial and military payloads, design features, missions, and transport aircraft are enumerated. Two matrices of civil/military transport aircraft designs were evaluated to determine the most cost effective payloads for a projected commercial route structure and air freight market. The probability of this market developing and the prospects for alternate route structures and freight markets are evaluated along with the possible impact on the aircraft designs. Proposals to stimulate the market and increase the viability of the common aircraft concept are reviewed and the possible impact of higher cargo demand on prospects for common civil/military freighters is postulated. The implications of planned advanced technology developments on the aircraft performance and cost are also considered.

Intelligent Transportation Systems and Truck Parking

DOT National Transportation Integrated Search

2005-02-01

The objective of this report is to provide background information and lay out the issues for prospective offerors responding to the solicitation in a Broad Agency Announcement seeking concept papers for a demonstration of a technology that conveys re...

Prospects for laser-driven ion acceleration through controlled displacement of electrons by standing waves

NASA Astrophysics Data System (ADS)

Magnusson, J.; Mackenroth, F.; Marklund, M.; Gonoskov, A.

2018-05-01

During the interaction of intense femtosecond laser pulses with various targets, the natural mechanisms of laser energy transformation inherently lack temporal control and thus commonly do not provide opportunities for a controlled generation of a well-collimated, high-charge beam of ions with a given energy of particular interest. In an effort to alleviate this problem, it was recently proposed that the ions can be dragged by an electron bunch trapped in a controllably moving potential well formed by laser radiation. Such standing-wave acceleration (SWA) can be achieved through reflection of a chirped laser pulse from a mirror, which has been formulated as the concept of chirped-standing-wave acceleration (CSWA). Here, we analyse general feasibility aspects of the SWA approach and demonstrate its reasonable robustness against field structure imperfections, such as those caused by misalignment, ellipticity, and limited contrast. Using this, we also identify prospects and limitations of the CSWA concept.

Exploring with PAM: Prospecting ANTS Missions for Solar System Surveys

NASA Technical Reports Server (NTRS)

Clark, P. E.; Rilee, M. L.; Curtis, S. A.

2003-01-01

ANTS (Autonomous Nano-Technology Swarm), a large (1000 member) swarm of nano to picoclass (10 to 1 kg) totally autonomous spacecraft, are being developed as a NASA advanced mission concept. ANTS, based on a hierarchical insect social order, use an evolvable, self-similar, hierarchical neural system in which individual spacecraft represent the highest level nodes. ANTS uses swarm intelligence attained through collective, cooperative interactions of the nodes at all levels of the system. At the highest levels this can take the form of cooperative, collective behavior among the individual spacecraft in a very large constellation. The ANTS neural architecture is designed for totally autonomous operation of complex systems including spacecraft constellations. The ANTS (Autonomous Nano Technology Swarm) concept has a number of possible applications. A version of ANTS designed for surveying and determining the resource potential of the asteroid belt, called PAM (Prospecting ANTS Mission), is examined here.

A prospective study on blood Aβ levels and the cognitive function of patients with hemodialysis: a potential therapeutic strategy for Alzheimer's disease.

PubMed

Kitaguchi, Nobuya; Hasegawa, Midori; Ito, Shinji; Kawaguchi, Kazunori; Hiki, Yoshiyuki; Nakai, Sigeru; Suzuki, Nobuo; Shimano, Yasunobu; Ishida, Osamu; Kushimoto, Hiroko; Kato, Masao; Koide, Sigehisa; Kanayama, Kyoko; Kato, Takashi; Ito, Kengo; Takahashi, Hiroshi; Mutoh, Tatsuro; Sugiyama, Satoshi; Yuzawa, Yukio

2015-11-01

To obtain the proof of concept of a novel therapy for Alzheimer's disease (AD), we conducted two prospective studies with hemodialysis patients who had amyloid β protein (Aβ) removed from their blood three times a week. One major pathological change in the brain associated with AD is Aβ deposition, mainly 40 amino acids Aβ1-40 and 42 amino acids Aβ1-42. Impaired Aβ clearance is proposed to be one cause of increased Aβ in the AD brain. Thus, we hypothesized that an extracorporeal removal system of Aβ from the blood may remove brain Aβ and be a useful therapeutic strategy for AD. In the first prospective study, plasma Aβ levels and the cognitive function of 30 hemodialysis patients (65-76 years old) were evaluated at baseline as well as 18 or 36 months after. Although plasma Aβ1-40 levels either decreased or remained unchanged, levels of Aβ1-42 either remained unchanged or increased at the second time point. Mini-Mental State Examination scores of most subjects increased or were maintained at the second time point. Aβ1-40 influx into the blood correlated with MMSE at the second time point. In the second prospective study, five patients (51-84 years old) with renal failure were evaluated before and after the initiation of hemodialysis. Plasma Aβ levels decreased, while cognitive function improved after initiating blood Aβ removal. Therefore, long-term hemodialysis, which effectively removes blood Aβ, might alter Aβ influx and help maintain cognitive function.

Compression of Morbidity 1980–2011: A Focused Review of Paradigms and Progress

PubMed Central

Fries, James F.; Bruce, Bonnie; Chakravarty, Eliza

2011-01-01

The Compression of Morbidity hypothesis—positing that the age of onset of chronic illness may be postponed more than the age at death and squeezing most of the morbidity in life into a shorter period with less lifetime disability—was introduced by our group in 1980. This paper is focused upon the evolution of the concept, the controversies and responses, the supportive multidisciplinary science, and the evolving lines of evidence that establish proof of concept. We summarize data from 20-year prospective longitudinal studies of lifestyle progression of disability, national population studies of trends in disability, and randomized controlled trials of risk factor reduction with life-style-based “healthy aging” interventions. From the perspective of this influential and broadly cited paradigm, we review its current history, the development of a theoretical structure for healthy aging, and the challenges to develop coherent health policies directed at reduction in morbidity. PMID:21876805

Compression of morbidity 1980-2011: a focused review of paradigms and progress.

PubMed

Fries, James F; Bruce, Bonnie; Chakravarty, Eliza

2011-01-01

The Compression of Morbidity hypothesis-positing that the age of onset of chronic illness may be postponed more than the age at death and squeezing most of the morbidity in life into a shorter period with less lifetime disability-was introduced by our group in 1980. This paper is focused upon the evolution of the concept, the controversies and responses, the supportive multidisciplinary science, and the evolving lines of evidence that establish proof of concept. We summarize data from 20-year prospective longitudinal studies of lifestyle progression of disability, national population studies of trends in disability, and randomized controlled trials of risk factor reduction with life-style-based "healthy aging" interventions. From the perspective of this influential and broadly cited paradigm, we review its current history, the development of a theoretical structure for healthy aging, and the challenges to develop coherent health policies directed at reduction in morbidity.

A taxonomy of prospection: Introducing an organizational framework for future-oriented cognition

PubMed Central

Szpunar, Karl K.; Spreng, R. Nathan; Schacter, Daniel L.

2014-01-01

Prospection—the ability to represent what might happen in the future—is a broad concept that has been used to characterize a wide variety of future-oriented cognitions, including affective forecasting, prospective memory, temporal discounting, episodic simulation, and autobiographical planning. In this article, we propose a taxonomy of prospection to initiate the important and necessary process of teasing apart the various forms of future thinking that constitute the landscape of prospective cognition. The organizational framework that we propose delineates episodic and semantic forms of four modes of future thinking: simulation, prediction, intention, and planning. We show how this framework can be used to draw attention to the ways in which various modes of future thinking interact with one another, generate new questions about prospective cognition, and illuminate our understanding of disorders of future thinking. We conclude by considering basic cognitive processes that give rise to prospective cognitions, cognitive operations and emotional/motivational states relevant to future-oriented cognition, and the possible role of procedural or motor systems in future-oriented behavior. PMID:25416592

The Marketability of Integrated Energy/Utility Systems: A Guide to the Dollar Savings Potential in Integrated Energy/Utility Systems; for Campuses, Medical Complexes, and Communities; Architect/Engineers, Industrial and Power Plant Owners; Suppliers; and Constructors.

ERIC Educational Resources Information Center

Coxe, Edwin F.; Hill, David E.

This publication acquaints the prospective marketplace with the potential and underlying logic of the Integrated Utility System (IUS) concept. This system holds promise for educational and medical institutions seeking to reduce their energy costs. The generic IUS concept is described and how it can be incorporated into existing heating and…

Diagnostic performance of reproducible chest wall tenderness to rule out acute coronary syndrome in acute chest pain: a prospective diagnostic study

PubMed Central

Gräni, Christoph; Senn, Oliver; Bischof, Manuel; Cippà, Pietro E; Hauffe, Till; Zimmerli, Lukas; Battegay, Edouard; Franzen, Daniel

2015-01-01

Objectives Acute chest pain (ACP) is a leading cause of hospital emergency unit consultation. As there are various underlying conditions, ranging from musculoskeletal disorders to acute coronary syndrome (ACS), thorough clinical diagnostics are warranted. The aim of this prospective study was to assess whether reproducible chest wall tenderness (CWT) on palpation in patients with ACP can help to rule out ACS. Methods In this prospective, double-blinded diagnostic study, all consecutive patients assessed in the emergency unit at the University Hospital Zurich because of ACP between July 2012 and December 2013 were included when a member of the study team was present. Reproducible CWT on palpation was the initial step and was recorded before further examinations were initiated. The final diagnosis was adjudicated by a study-independent physician. Results 121 patients (60.3% male, median age 47 years, IQR 34–66.5 years) were included. The prevalence of ACS was 11.6%. Non-reproducible CWT had a high sensitivity of 92.9% (95% CI 66.1% to 98.8%) for ACS and the presence of reproducible CWT ruled out ACS (p=0.003) with a high negative predictive value (98.1%, 95% CI 89.9% to 99.7%). Conversely non-reproducible CWT ruled in ACS with low specificity (48.6%, 95% CI 38.8% to 58.5%) and low positive predictive value (19.1%, 95% CI 10.6% to 30.5%). Conclusions This prospective diagnostic study supports the concept that reproducible CWT helps to rule out ACS in patients with ACP in an early stage of the evaluation process. However, ACS and other diagnoses should be considered in patients with a negative CWT test. Trial registration number ClinicalTrial.gov: NCT01724996. PMID:25631316

Value of Information and Prospect theory as tools to involve decision-makers in water-related design, operation and planning of water systems

NASA Astrophysics Data System (ADS)

Alfonso, Leonardo

2013-04-01

The role of decision-makers is to take the outputs from hydrological and hydraulic analyses and, in some extent, use them as inputs to make decisions that are related to planning, design and operation of water systems. However, the use of these technical analyses is frequently limited, since there are other non-hydrological issues that must be considered, that may end up in very different solutions than those envisaged by the purely technical ones. A possibility to account for the nature of the human decisions under uncertainty is by exploring the use of concepts from decision theory and behavioural economics, such as Value of Information and Prospect Theory and embed them into the methodologies we use in the hydrology practice. Three examples are presented to illustrate these multidisciplinary interactions. The first one, for monitoring network design, uses Value of Information within a methodology to locate water level stations in a complex canal of networks in the Netherlands. The second example, for operation, shows how the Value of Information concept can be used to formulate alternative methods to evaluate flood risk according to the set of options available for decision-making during a flood event. The third example, for planning, uses Prospect Theory concepts to understand how the "losses hurt more than gains feel good" effect can determine the final decision of urbanise or not a flood-prone area. It is demonstrated that decision theory and behavioural economic principles are promising to evaluate the complex decision-making process in water-related issues.

Quality assurance audit: a prospective non-randomised trial of chemotherapy and radiotherapy for osteolymphoma (TROG 99.04/ALLG LY02).

PubMed

Christie, D; Le, T; Watling, K; Cornes, D; O'Brien, P; Hitchins, R

2009-04-01

A quality assurance (QA) audit of the Trans Tasman Radiation Oncology Group and Australasian Lymphoma and Leukaemia Group trial (TROG 99.04/ALLG LY02) began after accrual of 25 patients. The trial is a prospective non-randomized study of standard treatment for osteolymphoma. Data relating to informed consent, eligibility, chemotherapy and radiotherapy were reviewed. The audit showed a relatively low level of major variations from the protocol, with an overall rate of 3.6%. As this trial has accrued slowly over a long period, the concept of QA has also developed. Amendments were made to the protocol accordingly. In the future, QA procedures should be predetermined, conducted rapidly in real time, and appropriately funded in order to be relevant to the ongoing conduct of the trial.

Promoting physician referral services. Prospective users are not necessarily the best advertising target.

PubMed

Gelb, B D; Jones, M Y

1997-01-01

Providers of physician referral services (PRSs) often focus advertising toward consumers who are least aware that such services exist. However, focusing advertising toward a more aware audience might be more useful. A recent study found that consumers most familiar with health care services are most likely to remember the concept of a PRS. Since these consumers may discuss PRSs with others, there appears to be value in promoting PRSs to more aware consumers as intermediaries to diffuse information to less aware consumers.

48 CFR 15.601 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... this subpart— Advertising material means material designed to acquaint the Government with a prospective contractor's present products, services, or potential capabilities, or designed to stimulate the... submitted as an unsolicited proposal. Contribution means a concept, suggestion, or idea presented to the...

Harnessing Power from Tides: State of the Art.

ERIC Educational Resources Information Center

Ryan, Paul R.

1979-01-01

Discussed is the current, world-wide status of tidal energy as a potential power source. Potential sites and global tidal power prospects are identified. New engineering concepts relevant to the harnessing of tidal power are identified and described. (BT)

Racial Microstressors, Racial Self-Concept, and Depressive Symptoms Among Male African Americans During the Transition to Adulthood

PubMed Central

Kogan, Steven M.; Yu, Tianyi; Allen, Kimberly A.; Brody, Gene H.

2015-01-01

Racial discrimination is a pervasive stressor that can undermine mental health among African American youth and young adults. Several studies identify links between racial discrimination and depressive symptoms; however, this research base does not focus on male African American youth who experience significant racism-related stress during the transition to young adulthood. Moreover, few prospective studies consider significant confounding variables that affect exposure to and perception of discriminatory treatment. In response to this need, we examined the effect of exposure to racial discrimination from ages 16–18 on depressive symptoms among male African Americans at age 20. Racial self-concept, one’s sense of positivity about one’s race, was examined as a mediator and self-control as a moderator. Hypotheses were tested with 222 participants, age 16 at baseline and age 20 at the endpoint. Participants provided self-report data at 5 time points. Exposure to racial discrimination from ages 16–18 predicted depressive symptoms at age 20, net of confounding influences. Racial self-concept mediated this effect. Self-control moderated the influence of discrimination on racial self-concept. This study underscores the salience of racial discrimination in the development of depressive symptoms among African American male youth and the clinical utility of interventions targeting racial pride and self-control. PMID:25344920

Implementing a benchmarking and feedback concept decreases postoperative pain after total knee arthroplasty: A prospective study including 256 patients.

PubMed

Benditz, A; Drescher, J; Greimel, F; Zeman, F; Grifka, J; Meißner, W; Völlner, F

2016-12-05

Perioperative pain reduction, particularly during the first two days, is highly important for patients after total knee arthroplasty (TKA). Problems are not only caused by medical issues but by organization and hospital structure. The present study shows how the quality of pain management can be increased by implementing a standardized pain concept and simple, consistent benchmarking. All patients included into the study had undergone total knee arthroplasty. Outcome parameters were analyzed by means of a questionnaire on the first postoperative day. A multidisciplinary team implemented a regular procedure of data analyzes and external benchmarking by participating in a nationwide quality improvement project. At the beginning of the study, our hospital ranked 16 th in terms of activity-related pain and 9 th in patient satisfaction among 47 anonymized hospitals participating in the benchmarking project. At the end of the study, we had improved to 1 st activity-related pain and to 2 nd in patient satisfaction. Although benchmarking started and finished with the same standardized pain management concept, results were initially pure. Beside pharmacological treatment, interdisciplinary teamwork and benchmarking with direct feedback mechanisms are also very important for decreasing postoperative pain and for increasing patient satisfaction after TKA.

Implementing a benchmarking and feedback concept decreases postoperative pain after total knee arthroplasty: A prospective study including 256 patients

PubMed Central

Benditz, A.; Drescher, J.; Greimel, F.; Zeman, F.; Grifka, J.; Meißner, W.; Völlner, F.

2016-01-01

Perioperative pain reduction, particularly during the first two days, is highly important for patients after total knee arthroplasty (TKA). Problems are not only caused by medical issues but by organization and hospital structure. The present study shows how the quality of pain management can be increased by implementing a standardized pain concept and simple, consistent benchmarking. All patients included into the study had undergone total knee arthroplasty. Outcome parameters were analyzed by means of a questionnaire on the first postoperative day. A multidisciplinary team implemented a regular procedure of data analyzes and external benchmarking by participating in a nationwide quality improvement project. At the beginning of the study, our hospital ranked 16th in terms of activity-related pain and 9th in patient satisfaction among 47 anonymized hospitals participating in the benchmarking project. At the end of the study, we had improved to 1st activity-related pain and to 2nd in patient satisfaction. Although benchmarking started and finished with the same standardized pain management concept, results were initially pure. Beside pharmacological treatment, interdisciplinary teamwork and benchmarking with direct feedback mechanisms are also very important for decreasing postoperative pain and for increasing patient satisfaction after TKA. PMID:27917911

Concept analysis of safety climate in healthcare providers.

PubMed

Lin, Ying-Siou; Lin, Yen-Chun; Lou, Meei-Fang

2017-06-01

To report an analysis of the concept of safety climate in healthcare providers. Compliance with safe work practices is essential to patient safety and care outcomes. Analysing the concept of safety climate from the perspective of healthcare providers could improve understanding of the correlations between safety climate and healthcare provider compliance with safe work practices, thus enhancing quality of patient care. Concept analysis. The electronic databases of CINAHL, MEDLINE, PubMed and Web of Science were searched for literature published between 1995-2015. Searches used the keywords 'safety climate' or 'safety culture' with 'hospital' or 'healthcare'. The concept analysis method of Walker and Avant analysed safety climate from the perspective of healthcare providers. Three attributes defined how healthcare providers define safety climate: (1) creation of safe working environment by senior management in healthcare organisations; (2) shared perception of healthcare providers about safety of their work environment; and (3) the effective dissemination of safety information. Antecedents included the characteristics of healthcare providers and healthcare organisations as a whole, and the types of work in which they are engaged. Consequences consisted of safety performance and safety outcomes. Most studies developed and assessed the survey tools of safety climate or safety culture, with a minority consisting of interventional measures for improving safety climate. More prospective studies are needed to create interventional measures for improving safety climate of healthcare providers. This study is provided as a reference for use in developing multidimensional safety climate assessment tools and interventional measures. The values healthcare teams emphasise with regard to safety can serve to improve safety performance. Having an understanding of the concept of and interventional measures for safety climate allows healthcare providers to ensure the safety of their operations and their patients. © 2016 John Wiley & Sons Ltd.

The Science Semester: Cross-Disciplinary Inquiry for Prospective Elementary Teachers

NASA Astrophysics Data System (ADS)

Ford, Danielle J.; Fifield, Steve; Madsen, John; Qian, Xiaoyu

2013-10-01

We describe the Science Semester, a semester-long course block that integrates three science courses and a science education methods course for elementary teacher education majors, and examine prospective elementary teachers’ developing conceptions about inquiry, science teaching efficacy, and reflections on learning through inquiry. The Science Semester was designed to provide inquiry-oriented and problem-based learning experiences, opportunities to examine socially relevant issues through cross-disciplinary perspectives, and align with content found in elementary curricula and standards. By the end of the semester, prospective elementary teachers moved from naïve to intermediate understandings of inquiry and significantly increased self-efficacy for science teaching as measured on one subscore of the STEBI-B. Reflecting on the semester, prospective teachers understood and appreciated the goals of the course and the PBL format, but struggled with the open-ended and student-directed elements of the course.

Prospective evaluation of basal stromal Doppler studies in women with good ovarian reserve and infertility undergoing in vitro fertilization-embryo transfer treatment: patients with polycystic ovary syndrome versus ovulatory patients.

PubMed

Younis, Johnny S; Jadaon, Jimmy E; Haddad, Sami; Izhaki, Ido; Ben-Ami, Moshe

2011-04-01

To gain insight into the ovarian stromal blood flow in women with polycystic ovary syndrome (PCOS) as compared with women with normal ovulation, good ovarian reserve, and infertility and to evaluate the role of stromal flow in these patients to predict clinical pregnancy in an assisted reproductive technologies setting. A prospective observational cohort study. A university-affiliated reproductive medicine unit. Eighteen consecutive patients with PCOS (study) compared with 101 patients with normal ovulation and infertility (control), undergoing their first IVF-ET treatment at our unit. Women with low ovarian reserve were excluded a priori from evaluation. Basal ovarian reserve parameters and stromal flow studies were conducted as routinely performed in our unit, in a natural cycle before starting treatment. None. Basal ovarian endocrine, sonographic, and stromal flow studies were compared between the groups. After completion of treatment, the stromal flow studies were compared between conception and nonconception cycles. Patients' characteristics and basal ovarian reserve, including endocrine and sonographic parameters, were similar between the PCOS and control groups. Only antral follicle count and LH/FSH ratio were higher in the PCOS as compared with the control group, corresponding to 15.11 ± 6.05 versus 9.05 ± 4.77 and 1.14 ± 0.64 versus 0.79 ± 0.37, respectively. Basal stromal flow indices were similar between the PCOS group and the group with normal ovulation and good ovarian reserve. Clinical pregnancy rate per initiated cycle was 50.0% and 39.6% in the PCOS and control groups, respectively, with no significant difference. Flow indices were similar between conception cycles in the PCOS and control groups. As well, the indices did not differ significantly between conception and nonconception cycles within the PCOS and control groups. Basal ovarian stromal blood flow does not differ between women with PCOS and women with normal ovulation, good ovarian reserve, and infertility. Moreover, stromal flow has no predictive value, in these patients, for clinical pregnancy achievement in an IVF-ET setting. Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

The metastatic infiltration at the metastasis/brain parenchyma-interface is very heterogeneous and has a significant impact on survival in a prospective study

PubMed Central

Siam, Laila; Bleckmann, Annalen; Chaung, Han-Ning; Mohr, Alexander; Klemm, Florian; Barrantes-Freer, Alonso; Blazquez, Raquel; Wolff, Hendrik A.; Lüke, Florian; Rohde, Veit; Stadelmann, Christine; Pukrop, Tobias

2015-01-01

The current approach to brain metastases resection is macroscopic removal of metastasis until reaching the glial pseudo-capsule (gross total resection (GTR)). However, autopsy studies demonstrated infiltrating metastatic cells into the parenchyma at the metastasis/brain parenchyma (M/BP)-interface. Aims/Methods: To analyze the astrocyte reaction and metastatic infiltration pattern at the M/BP-interface with an organotypic brain slice coculture system. Secondly, to evaluate the significance of infiltrating metastatic tumor cells in a prospective biopsy study. Therefore, after GTR, biopsies were obtained from the brain parenchyma beyond the glial pseudo-capsule and analyzed histomorphologically. Results: The coculture revealed three types of cancer cell infiltration. Interestingly, the astrocyte reaction was significantly different in the coculture with a benign, neuroectodermal-derived cell line. In the prospective biopsy study 58/167 (34.7%) samples revealed infiltrating metastatic cells. Altogether, 25/39 patients (64.1%) had proven to exhibit infiltration in at least one biopsy specimen with significant impact on survival (OS) (3.4 HR; p = 0.009; 2-year OS was 6.6% versus 43.5%). Exceptionally, in the non-infiltrating cohort three patients were long-term survivors. Conclusions: Metastatic infiltration has a significant impact on prognosis. Secondly, the astrocyte reaction at the M/BP-interface is heterogeneous and supports our previous concept of the organ-specific defense against metastatic (organ-foreign) cells. PMID:26299612

Nanosystem trends in drug delivery using quality-by-design concept.

PubMed

Li, Jing; Qiao, Yanjiang; Wu, Zhisheng

2017-06-28

Quality by design (QbD) has become an inevitable trend because of its benefits for product quality and process understanding. Trials have been conducted using QbD in nanosystems' optimization. This paper reviews the application of QbD for processing nanosystems and summarizes the application procedure. It provides prospective guidelines for future investigations that apply QbD to nanosystem manufacturing processes. Employing the QbD concept in this way is a novel area in nanosystem quality. Copyright © 2017 Elsevier B.V. All rights reserved.

ANTS: Exploring the Solar System with an Autonomous Nanotechnology Swarm

NASA Technical Reports Server (NTRS)

Clark, P. E.; Curtis, S.; Rilee, M.; Truszkowski, W.; Marr, G.

2002-01-01

ANTS (Autonomous Nano-Technology Swarm), a NASA advanced mission concept, calls for a large (1000 member) swarm of pico-class (1 kg) totally autonomous spacecraft to prospect the asteroid belt. Additional information is contained in the original extended abstract.

Restoring and Managing Gulf of Mexico Fisheries: A Path Toward Creative Decision-Making

EPA Science Inventory

This chapter introduces decision analysis concepts with examples for managing fisheries. Decision analytic methods provide useful tools for structuring environmental management problems and separating technical judgments from preference judgments to better weigh the prospects fro...

The Jackson Heart KIDS Pilot Study: Theory-Informed Recruitment in an African American Population.

PubMed

Beech, Bettina M; Bruce, Marino A; Crump, Mary E; Hamilton, Gina E

2017-04-01

Recruitment for large cohort studies is typically challenging, particularly when the pool of potential participants is limited to the descendants of individuals enrolled in a larger, longitudinal "parent" study. The increasing complexity of family structures and dynamics can present challenges for recruitment in offspring. Few best practices exist to guide effective and efficient empirical approaches to participant recruitment. Social and behavioral theories can provide insight into social and cultural contexts influencing individual decision-making and facilitate the development strategies for effective diffusion and marketing of an offspring cohort study. The purpose of this study was to describe the theory-informed recruitment approaches employed by the Jackson Heart KIDS Pilot Study (JHKS), a prospective offspring feasibility study of 200 African American children and grandchildren of the Jackson Heart Study (JHS)-the largest prospective cohort study examining cardiovascular disease among African American adults. Participant recruitment in the JHKS was founded on concepts from three theoretical perspectives-the Diffusion of Innovation Theory, Strength of Weak Ties, and Marketing Theory. Tailored recruitment strategies grounded in participatory strategies allowed us to exceed enrollment goals for JHKS Pilot Study and develop a framework for a statewide study of African American adolescents.

The Jackson Heart KIDS Pilot Study: Theory-Informed Recruitment in an African American Population

PubMed Central

Beech, Bettina M.; Bruce, Marino A.; Crump, Mary E.; Hamilton, Gina E.

2016-01-01

Recruitment for large cohort studies is typically challenging, particularly when the pool of potential participants is limited to the descendants of individuals enrolled in a larger, longitudinal “parent” study. The increasing complexity of family structures and dynamics can present challenges for recruitment in offspring. Few best practices exist to guide effective and efficient empirical approaches to participant recruitment. Social and behavioral theories can provide insight into social and cultural contexts influencing individual decision-making and facilitate the development strategies for effective diffusion and marketing of an offspring cohort study. The purpose of this study was to describe the theory-informed recruitment approaches employed by the Jackson Heart KIDS Pilot Study (JHKS), a prospective offspring feasibility study of 200 African American children and grandchildren of the Jackson Heart Study (JHS)—the largest prospective cohort study examining cardiovascular disease among African American adults. Participant recruitment in the JHKS was founded on concepts from three theoretical perspectives—the Diffusion of Innovation Theory, Strength of Weak Ties, and Marketing Theory. Tailored recruitment strategies grounded in participatory strategies allowed us to exceed enrollment goals for JHKS Pilot Study and develop a framework for a statewide study of African American adolescents. PMID:27129858

Concept for a 3D-printed soft rotary actuator driven by a shape-memory alloy

NASA Astrophysics Data System (ADS)

Yuan, Han; Chapelle, Frédéric; Fauroux, Jean-Christophe; Balandraud, Xavier

2018-05-01

In line with the recent development of soft actuators involving shape-memory alloys (SMAs) embedded in compliant structures, this paper proposes a concept for a rotary actuator driven by a SMA wire placed inside a 3D-printed helical structure. The concept consists of using the one-way memory effect of the SMA (activated by Joule heating) to create the rotation of a material point of the structure, while the inverse rotation is obtained during the return to ambient temperature thanks to the structure’s elasticity. The study was performed in three steps. First, a prototype was designed from a chain of design rules, and tested to validate the feasibility of the concept. Thermal and geometrical measurements were performed using infrared and visible-range stereo cameras. A clockwise rotation (250°) followed by an anti-clockwise rotation (‑200°) were obtained, enabling us to validate the concept despite the partial reversibility of the movement. Second, finite element simulations were performed to improve rotation reversibility. The high compliance of the mechanical system required a framework of large displacements for the calculations (in the strength of materials sense), due to the high structural flexibility. Finally, a second prototype was constructed and tested. Attention was paid to the rotation (fully reversible rotation of 150° reached) as well as to parasitic movements due to overall structural deformation. This study opens new prospects for the design and analysis of 3D-printed soft actuators activated by smart materials.

Investigation of anti-Müllerian hormone concentrations in relation to natural conception rate and time to pregnancy.

PubMed

Korsholm, Anne-Sofie; Petersen, Kathrine Birch; Bentzen, Janne Gasseholm; Hilsted, Linda Maria; Andersen, Anders Nyboe; Hvidman, Helene Westring

2018-05-01

The objectives of this study were to investigate whether anti-Müllerian hormone (AMH) concentrations can predict pregnancy rates and time to pregnancy (TTP) in women attempting to conceive naturally/having an unplanned conception, and whether there is a lower AMH threshold compatible with natural conception. This prospective cohort study included 260 women aged 25-42 years in two subcohorts: (A) healthcare workers at Rigshospitalet (2008-2010), and (B) women consulting the Fertility Assessment and Counselling Clinic (2011-2014), Rigshospitalet, Denmark. Pregnancy rates and TTP at 2-year follow-up were stratified into AMH groups: low: < 9.5 pmol/l, intermediate: 9.5-33 pmol/l, high: > 33 pmol/l. Pregnancy rates increased with increasing AMH: 60.1% (low) versus 70.0% (intermediate) versus 78.3% (high) (P = 0.03). The highest pregnancy rate (84.1%) was seen in regular cycling women with high AMH. TTP was reduced in women with high AMH compared with intermediate or low AMH (stepwise trend test P = 0.01). Natural conceptions were observed with AMH concentrations down to 1.2 pmol/l. In conclusion, high AMH, especially in ovulatory women, was associated with higher pregnancy rates. Nonetheless, TTP reflected a large variation in fecundity within similar AMH concentrations and natural conceptions occurred with AMH down to 1.2 pmol/l. Copyright © 2018 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

Hydrotubation in the management of female infertility: outcome in low resource settings.

PubMed

Adesiyun, A G; Cole, B; Ogwuche, P

2009-01-01

To determine the outcome of therapeutic hydrotubation (tubal flushing) in patients with tubal infertility and unexplained infertility. Prospective non-randomised observational study. Alba hospital, a five bed multidisciplinary private hospital in Kaduna city, Nigeria. Infertile women with tubal and unexplained infertility. Two hundred and fifty seven patients that had therapeutic hydrotubation over 7.5 years were analysed. The age range was 21 to 44 years with mean of 34.5 years. Secondary infertility was found in 209 (81.3%) patients and primary infertility in 166 (64.6%) patients. Of the 257 patients, 134 (52.1%) had had induced abortion. Indications for hydrotubation were bilateral perifimbrial adhesion (incomplete tubal occlusion) 47.9%, bilateral fimbrial end occlusion 24.9%, bilateral cornual blockage 16% and unexplained infertility in 11.3% of cases. One hundred and nine conceptions were recorded in this study and the overall conception rate was 42.4%. Likewise, percentage ratio of conception in these 154 patients with evidence of post-hydrotubation tubal patency was 70.8%. Pregnancy outcome of the 109 conceptions are term pregnancy 84.4%, preterm pregnancy 9.2%, miscarriage 4.6% and ectopic pregnancy in 1.8% of the conceptions. Recorded complications were pelvic pain in 177 (68.9%) patients and vaginal bleeding in 63 (24.5%) patients. With good case selection, therapeutic hydrotubation may be beneficial in resource poor countries, especially in patients with incomplete tubal occlusion (bilateral perifimbrial adhesions) and as part of treatment for unexplained infertility.

Antenatal mood and fetal attachment after assisted conception.

PubMed

Fisher, Jane R W; Hammarberg, Karin; Baker, Gordon H W

2008-05-01

Australian women conceiving with ART are at fourfold risk of admission to early parenting treatment programs compared with those conceiving spontaneously. This study aimed to identify prevalence and determinants of antenatal mood disturbance and other risks for early parenting difficulties after assisted conception. A prospective longitudinal investigation from conception to 18 months postpartum using telephone interviews and self-report questionnaires. Melbourne IVF and Royal Women's Hospital Reproductive Services, Victoria, Australia. A consecutive cohort of English-speaking women with ultrasound-confirmed ART-conceived pregnancies. Standardized psychometric measures of mood, quality of marital relationship, mother-to-fetus emotional attachment, and personality. None. Of the 288 women with confirmed pregnancies, 239 were contactable, and 183 (77%) were recruited, 95% of whom completed both early and late pregnancy assessments. Participants were socioeconomically advantaged, had very good pregnancy health, exceptional marital relationships, normal personality styles, and intense affectionate attachment to the fetus. Very few (<5%) had clinically significant mood disturbance in late pregnancy. There were low rates of antenatal mood disturbance and other risk factors for postpartum depression. Pregnancy and motherhood might be idealized after ART conception, and preparation for the realities of infant care might then be insufficient.

A mixed state core for melancholia: an exploration in history, art and clinical science.

PubMed

Akiskal, H S; Akiskal, K K

2007-01-01

We argue for a mixed state core for melancholia comparing concepts of melancholia across centuries using examples from art, history and scientific literature. Literature reviews focusing on studies from Kraepelin onward, DSM-IV classification and view-points from clinical experience highlighting phenomenologic and biologic features as predictors of bipolar outcome in prospective studies of depression. Despite the implied chemical pathology in the term endogenous/melancholic depression, frequently reported glucocortical and sleep neurophysiologic abnormalities, there is little evidence that melancholia is inherited independently from more broadly defined depressions. Prospective follow-up of 'neurotic' depressions have shown melancholic outcomes in as many as a third; hypomania has also been observed in such follow-up. These findings and considerations overall do suggest that melancholia as defined today is more closely aligned with the depressive and/or mixed phase of bipolar disorder. Given the high suicidality from many of these patients the practice of treating them with antidepressant monotherapy needs re-evaluation.

Definition of rational antiepileptic polypharmacy.

PubMed

Wilder, B J; Homan, R W

1996-01-01

Rational polypharmacy is in its earliest stages of development and will require substantial additional development to realize its full potential. Indeed, despite the powerful appeal of the concept, clinical proof is not yet available that RP is superior to monotherapy. Important questions need to be addressed: 1. Will RP control seizures more effectively than monotherapy? 2. What data are needed to develop RP for a specific patient? 3. Will RP be cost effective? 4. Can RP be developed which will treat or prevent epilepsy while controlling seizures? Possible approaches to these questions could include: 1. The development of a data base for prospective use to monitor patients being treated at Epilepsy Centers using RP principles. 2. Use the data obtained from the above to construct more specific studies to compare identified combination therapies with monotherapy. 3. Prospectively compare in a placebo controlled, blinded study, the effect of the combination of an anti-ictal medication and a laboratory proven antiepileptic drug for prevention of the development of epilepsy in an at risk population such as head trauma or stroke.

Maternal caffeine intake during pregnancy and risk of fetal growth restriction: a large prospective observational study.

PubMed

2008-11-03

To examine the association of maternal caffeine intake with fetal growth restriction. Prospective longitudinal observational study. Two large UK hospital maternity units. 2635 low risk pregnant women recruited between 8-12 weeks of pregnancy. Investigations Quantification of total caffeine intake from 4 weeks before conception and throughout pregnancy was undertaken with a validated caffeine assessment tool. Caffeine half life (proxy for clearance) was determined by measuring caffeine in saliva after a caffeine challenge. Smoking and alcohol were assessed by self reported status and by measuring salivary cotinine concentrations. Fetal growth restriction, as defined by customised birth weight centile, adjusted for alcohol intake and salivary cotinine concentrations. Caffeine consumption throughout pregnancy was associated with an increased risk of fetal growth restriction (odds ratios 1.2 (95% CI 0.9 to 1.6) for 100-199 mg/day, 1.5 (1.1 to 2.1) for 200-299 mg/day, and 1.4 (1.0 to 2.0) for >300 mg/day compared with <100 mg/day; test for trend P<0.001). Mean caffeine consumption decreased in the first trimester and increased in the third. The association between caffeine and fetal growth restriction was stronger in women with a faster compared to a slower caffeine clearance (test for interaction, P=0.06). Caffeine consumption during pregnancy was associated with an increased risk of fetal growth restriction and this association continued throughout pregnancy. Sensible advice would be to reduce caffeine intake before conception and throughout pregnancy.

The Australian Skills Agenda: Productivity versus Credentialism?

ERIC Educational Resources Information Center

Ashenden, Dean

1992-01-01

Discusses the rise of the concept of improved skills recognition in Australian industry. Highlights include the role of industrial relations; the Australian vocational education and training system; recognition, industrial relations, and workplace change; career and training paths; credentials; and future prospects. (10 references) (LRW)

Use of Putative Adverse Outcome Pathways for Chemical Hazard Identification

EPA Science Inventory

The Adverse Outcome Pathway (AOP) framework provides a knowledge infrastructure for evaluating health effects of environmental chemicals. In this work we are examining proof-of-concept issues in the development and prospective application of AOPs in chemical safety. Key outputs i...

Motivation and Prospects for Spatio-spectral Interferometry in the Far-infrared

NASA Technical Reports Server (NTRS)

Leisawitz, David

2013-01-01

Consensus developed through a series of workshops, starting in 1998. Compelling science case for high angular resolution imaging and spectroscopy, and mission concepts. A robust plan - it has evolved over the years, but has consistently called for high resolution.

The effect of early berthing prospects on the energy efficiency operational index in oil tanker vessels

NASA Astrophysics Data System (ADS)

Acomi, N.; Acomi, O. C.

2016-08-01

Marine pollution is one of the main concerns of our society. In order to reduce air pollution produced by ships, the International Maritime Organization has developed technical, operational and management measures. Part of the operational measures refers to CO2 emissions that contribute to the energy efficiency of the vessel. The difficulty in assessing the energy efficiency of the vessel rests with the diversity of voyage parameters, including quantity of cargo, distance and type of fuel in use. Assessing the energy efficiency of the vessel is thus not a matter of determining the absolute value of the CO2, but of providing a meaningful construct to enable tracking performance trends over time, for the same ship, a fleet of ships or across the industry. This concept is the Energy Efficiency Operational Index, EEOI. The purpose of this study is to analyse the influence of a well predicted voyage on the EEOI value. The method used consists in a comparative analysis of two situations regarding berthing prospects: the real passage plan and an early prediction that supposes the vessel to arrive on time as required. The results of the study represent a monitoring tool for the ship owners to assess the EEOI from the early stage of designing the berthing prospects.

Intelligent postoperative morbidity prediction of heart disease using artificial intelligence techniques.

PubMed

Hsieh, Nan-Chen; Hung, Lun-Ping; Shih, Chun-Che; Keh, Huan-Chao; Chan, Chien-Hui

2012-06-01

Endovascular aneurysm repair (EVAR) is an advanced minimally invasive surgical technology that is helpful for reducing patients' recovery time, postoperative morbidity and mortality. This study proposes an ensemble model to predict postoperative morbidity after EVAR. The ensemble model was developed using a training set of consecutive patients who underwent EVAR between 2000 and 2009. All data required for prediction modeling, including patient demographics, preoperative, co-morbidities, and complication as outcome variables, was collected prospectively and entered into a clinical database. A discretization approach was used to categorize numerical values into informative feature space. Then, the Bayesian network (BN), artificial neural network (ANN), and support vector machine (SVM) were adopted as base models, and stacking combined multiple models. The research outcomes consisted of an ensemble model to predict postoperative morbidity after EVAR, the occurrence of postoperative complications prospectively recorded, and the causal effect knowledge by BNs with Markov blanket concept.

3D and 4D Bioprinting of the Myocardium: Current Approaches, Challenges, and Future Prospects

PubMed Central

Ong, Chin Siang; Nam, Lucy; Ong, Kingsfield; Krishnan, Aravind; Huang, Chen Yu; Fukunishi, Takuma

2018-01-01

3D and 4D bioprinting of the heart are exciting notions in the modern era. However, myocardial bioprinting has proven to be challenging. This review outlines the methods, materials, cell types, issues, challenges, and future prospects in myocardial bioprinting. Advances in 3D bioprinting technology have significantly improved the manufacturing process. While scaffolds have traditionally been utilized, 3D bioprinters, which do not require scaffolds, are increasingly being employed. Improved understanding of the cardiac cellular composition and multiple strategies to tackle the issues of vascularization and viability had led to progress in this field. In vivo studies utilizing small animal models have been promising. 4D bioprinting is a new concept that has potential to advance the field of 3D bioprinting further by incorporating the fourth dimension of time. Clinical translation will require multidisciplinary collaboration to tackle the pertinent issues facing this field. PMID:29850546

Artificial General Intelligence: Concept, State of the Art, and Future Prospects

NASA Astrophysics Data System (ADS)

Goertzel, Ben

2014-12-01

In recent years broad community of researchers has emerged, focusing on the original ambitious goals of the AI field - the creation and study of software or hardware systems with general intelligence comparable to, and ultimately perhaps greater than, that of human beings. This paper surveys this diverse community and its progress. Approaches to defining the concept of Artificial General Intelligence (AGI) are reviewed including mathematical formalisms, engineering, and biology inspired perspectives. The spectrum of designs for AGI systems includes systems with symbolic, emergentist, hybrid and universalist characteristics. Metrics for general intelligence are evaluated, with a conclusion that, although metrics for assessing the achievement of human-level AGI may be relatively straightforward (e.g. the Turing Test, or a robot that can graduate from elementary school or university), metrics for assessing partial progress remain more controversial and problematic.

Deliberative democracy in health care: current challenges and future prospects.

PubMed

Safaei, Jalil

2015-01-01

There is a vast body of literature on deliberative, participative, or engaged democracy. In the area of health care there is a rapidly expanding literature on deliberative democracy as embodied in various notions of public engagement, shared decision-making (SDM), patient-centered care, and patient/care provider autonomy over the past few decades. It is useful to review such literature to get a sense of the challenges and prospects of introducing deliberative democracy in health care. This paper reviews the key literature on deliberative democracy and SDM in health care settings with a focus on identifying the main challenges of promoting this approach in health care, and recognizing its progress so far for mapping out its future prospects in the context of advanced countries. Several databases were searched to identify the literature pertinent to the subject of this study. A total of 56 key studies in English were identified and reviewed carefully for indications and evidence of challenges and/or promising avenues of promoting deliberative democracy in health care. Time pressure, lack of financial motivation, entrenched professional interests, informational imbalance, practical feasibility, cost, diversity of decisions, and contextual factors are noted as the main challenges. As for the prospects, greater clarity on conception of public engagement and policy objectives, real commitment of the authorities to public input, documenting evidence of the effectiveness of public involvement, development of patient decision supports, training of health professionals in SDM, and use of multiple and flexible methods of engagement leadership suited to specific contexts are the main findings in the reviewed literature. Seeking deliberative democracy in health care is both challenging and rewarding. The challenges have been more or less identified. However, its prospects are potentially significant. Such prospects are more likely to materialize if deliberative democracy is pursued more systematically in the broader sociopolitical domains.

Deliberative democracy in health care: current challenges and future prospects

PubMed Central

Safaei, Jalil

2015-01-01

Background There is a vast body of literature on deliberative, participative, or engaged democracy. In the area of health care there is a rapidly expanding literature on deliberative democracy as embodied in various notions of public engagement, shared decision-making (SDM), patient-centered care, and patient/care provider autonomy over the past few decades. It is useful to review such literature to get a sense of the challenges and prospects of introducing deliberative democracy in health care. Objective This paper reviews the key literature on deliberative democracy and SDM in health care settings with a focus on identifying the main challenges of promoting this approach in health care, and recognizing its progress so far for mapping out its future prospects in the context of advanced countries. Method Several databases were searched to identify the literature pertinent to the subject of this study. A total of 56 key studies in English were identified and reviewed carefully for indications and evidence of challenges and/or promising avenues of promoting deliberative democracy in health care. Results Time pressure, lack of financial motivation, entrenched professional interests, informational imbalance, practical feasibility, cost, diversity of decisions, and contextual factors are noted as the main challenges. As for the prospects, greater clarity on conception of public engagement and policy objectives, real commitment of the authorities to public input, documenting evidence of the effectiveness of public involvement, development of patient decision supports, training of health professionals in SDM, and use of multiple and flexible methods of engagement leadership suited to specific contexts are the main findings in the reviewed literature. Conclusion Seeking deliberative democracy in health care is both challenging and rewarding. The challenges have been more or less identified. However, its prospects are potentially significant. Such prospects are more likely to materialize if deliberative democracy is pursued more systematically in the broader sociopolitical domains. PMID:29355181

Impact of positive and negative lesion site remodeling on clinical outcomes: insights from PROSPECT.

PubMed

Inaba, Shinji; Mintz, Gary S; Farhat, Naim Z; Fajadet, Jean; Dudek, Dariusz; Marzocchi, Antonio; Templin, Barry; Weisz, Giora; Xu, Ke; de Bruyne, Bernard; Serruys, Patrick W; Stone, Gregg W; Maehara, Akiko

2014-01-01

This study investigated coronary artery remodeling patterns associated with clinical outcomes. In the prospective, multicenter PROSPECT (Providing Regional Observations to Study Predictors of Events in the Coronary Tree: An Imaging Study in Patients With Unstable Atherosclerotic Lesions) study, reported predictors of nonculprit lesion (NCL) major adverse cardiac events (MACE) were an intravascular ultrasound (IVUS) minimal lumen area (MLA) ≤4 mm(2), a plaque burden ≥70%, and a IVUS-virtual histology (VH) thin-cap fibroatheroma (TCFA), but not lesion site remodeling. Overall, 697 consecutive patients with an acute coronary syndrome were enrolled and underwent 3-vessel gray-scale and IVUS-VH; 3,223 NCLs were identified by IVUS. The remodeling index (RI) was calculated as the external elastic membrane area at the MLA site divided by the average of the proximal and distal reference external elastic membrane areas. First, one third of the patients were randomly selected to determine RI cutoffs related to NCL MACE (development cohort). Receiver-operating characteristic analysis showed that there were 2 separate cut points that predicted NCL MACE: RI = 0.8789 and RI = 1.0046 (area under the curve = 0.663). These cut points were used to define negative remodeling as an RI <0.88, intermediate remodeling as an RI of 0.88 to 1.00, and positive remodeling as an RI >1.00. Second, we used the remaining two-thirds of patients to validate these cut points with respect to lesion morphology and clinical outcomes (validation cohort). Kaplan-Meier curve analysis in the validation cohort showed that NCL MACE occurred more frequent (and equally) in negative and positive remodeling lesions compared with intermediate remodeling lesions. In this cohort, negative remodeling lesions had the smallest MLA, positive remodeling lesions had the largest plaque burden, and VH TCFA, especially VH TCFA with multiple necrotic cores, was most common in negatively remodeling lesions. The present study showed the novel concept that positive and negative lesion site remodeling was associated with unanticipated NCL MACE in the PROSPECT study. ( An Imaging Study in Patients With Unstable Atherosclerotic Lesions [PROSPECT]; NCT00180466). Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Deep-Space Optical Communications: Visions, Trends, and Prospects

NASA Technical Reports Server (NTRS)

Cesarone, R. J.; Abraham, D. S.; Shambayati, S.; Rush, J.

2011-01-01

Current key initiatives in deep-space optical communications are treated in terms of historical context, contemporary trends, and prospects for the future. An architectural perspective focusing on high-level drivers, systems, and related operations concepts is provided. Detailed subsystem and component topics are not addressed. A brief overview of past ideas and architectural concepts sets the stage for current developments. Current requirements that might drive a transition from radio frequencies to optical communications are examined. These drivers include mission demand for data rates and/or data volumes; spectrum to accommodate such data rates; and desired power, mass, and cost benefits. As is typical, benefits come with associated challenges. For optical communications, these include atmospheric effects, link availability, pointing, and background light. The paper describes how NASA's Space Communication and Navigation Office will respond to the drivers, achieve the benefits, and mitigate the challenges, as documented in its Optical Communications Roadmap. Some nontraditional architectures and operations concepts are advanced in an effort to realize benefits and mitigate challenges as quickly as possible. Radio frequency communications is considered as both a competitor to and a partner with optical communications. The paper concludes with some suggestions for two affordable first steps that can yet evolve into capable architectures that will fulfill the vision inherent in optical communications.

Pathogenesis of Crohn's disease

PubMed Central

Boyapati, Ray; Satsangi, Jack

2015-01-01

Significant progress in our understanding of Crohn's disease (CD), an archetypal common, complex disease, has now been achieved. Our ability to interrogate the deep complexities of the biological processes involved in maintaining gut mucosal homeostasis is a major over-riding factor underpinning this rapid progress. Key studies now offer many novel and expansive insights into the interacting roles of genetic susceptibility, immune function, and the gut microbiota in CD. Here, we provide overviews of these recent advances and new mechanistic themes, and address the challenges and prospects for translation from concept to clinic. PMID:26097717

Strategic planning for national security: Lessons from business experience. Interim report

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

Bracken, P.

1990-02-01

United States defense planning is at a crossroads and it is therefore useful to review not only discrete issues, but even basic concepts of strategic planning. This Note reviews concepts used in the business world to build insights about how to view current and prospective problems, opportunities, and choices. The author draws upon the business literature for both ideas and metaphors. He observes that U.S. national security planning could profit greatly from an approach that distinguishes among core, environmental, and hedging strategies, and that considers security analogs to such business concepts as defining the business, dealing with new competitors, controllingmore » the intensity of competition, entry and exit barriers, and the need to redeploy assets and restructure the organization. He then relates these concepts to specific problems of national security interest.« less

Roles of Solar Power from Space for Europe - Space Exploration and Combinations with Terrestrial Solar Plant Concepts

NASA Astrophysics Data System (ADS)

Summerer, L.; Pipoli, T.; Galvez, A.; Ongaro, F.; Vasile, M.

The paper presents the prospective roles of SPS concepts for Europe, shows the outcome of recent studies undertaken by ESA's Advanced Concepts Team (ACT) together with European industry and research centres and gives insight into planned activities. The main focus is on the assessment of the principal validity and economic viability of solar power from space concepts in the light of advances in alternative sustainable, clean and potentially abundant solar-based terrestrial concepts. The paper takes into account expected changes in the European energy system (e.g. gradual introduction of hydrogen as energy vector). Special emphasis is given to the possibilities of integrating space and terrestrial solar plants. The relative geographic proximity of areas in North Africa with high average solar irradiation to the European energy consumer market puts Europe in a special position regarding the integration of space and terrestrial solar power concepts. The paper presents a method to optimise such an integration, taking into account different possible orbital constellations, terrestrial locations, plant number and sizes as well as consumer profiles and extends the scope from the European-only to a multi continental approach including the fast growing Chinese electricity market. The work intends to contribute to the discussion on long-term options for the European commitment to worldwide CO2 emission reduction. Cleaner electricity generation and environmentally neutral transport fuels (e.g. solar generated hydrogen) might be two major tools in reaching this goal.

Definition and Preliminary Design of the Laser Atmospheric Wind Sounder (LAWS) Phase 1. Volume 1: Executive Summary

NASA Technical Reports Server (NTRS)

1990-01-01

The laser atmospheric wind sounder (LAWS) is a facility instrument of the Earth Observing System (EOS) and is the culmination of over 20 years of effort in the field of laser Doppler wind sensing. LAWS will by the first instrument to fly in space with the capability of providing global-scale tropospheric wind profiles at high spatial resolutions. Global-scale wind profiles are necessary for: (1) more accurate diagnostics of large-scale circulation and climate dynamics; (2) improved numerical weather prediction; (3) improved understanding of mesoscale systems; (4) improved understanding of global biogeochemical and hydrologic cycles. The objective of phase 1 of the LAWS study was to evaluate competing concepts and develop a baseline configuration for the LAWS instrument. The first phase of the study consisted of identifying realistic concepts for LAWS and analyzing them in sufficient detail to be able to choose the most promising one for the LAWS application. System configurations were then developed for the chosen concept. The concept and subsequent configuration were to be compatible with two prospective platforms: the Japanese polar orbiting platform (JPOP) and the Space Station Freedom (as an attached payload). After an objective and comprehensive concept selection process, a heterodyne detection Doppler lidar using a CO2 laser transmitter operating at 9.1 microns over a 2.1 micron system with a solid state laser was chosen. The CO2 lidar concept was then analyzed in detail to arrive at a configuration for the instrument and its major subsystems. A configuration for LAWS was arrived at which meets the performance requirements, and this design is presented.

Psychological and psychosocial functioning of children with burn scarring using cosmetic camouflage: a multi-centre prospective randomised controlled trial.

PubMed

Maskell, Jessica; Newcombe, Peter; Martin, Graham; Kimble, Roy

2014-02-01

Burns leave patients with long-term physical scarring. Children with scarring are required to face challenges of reintegration into their community, including acceptance of an altered appearance and acceptance by others. This can be difficult given society's preoccupation with physical appearance. Limited research exists investigating validity of cosmetic camouflage as a psychosocial intervention for children with scarring. This study investigated whether using cosmetic camouflage (Microskin™) had a positive impact on health-related quality of life, self-concept and psychopathology for children and adolescents (8-17 years) with burn scarring. A prospective multi-centre randomised controlled trial was conducted across Australian and New Zealand paediatric hospitals. 63 participants (49 females, mean age 12.7 ± 2.1 years) were enrolled. Data points were baseline (Time 1) and at 8 weeks (Time 2) using reliable and valid psychometric measures. Findings indicate there were significant improvements in socialisation, school and appearance scales on the Paediatric Quality of Life Inventory and psychopathology scores particularly peer problems decreased. However self-concept remained stable from baseline throughout intervention use. Cosmetic camouflage appears to have a positive impact on quality of life particularly socialisation. Cosmetic camouflage is a valid tool to assist children with scarring to actively participate socially within their communities. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

Spin temperature concept verified by optical magnetometry of nuclear spins

NASA Astrophysics Data System (ADS)

Vladimirova, M.; Cronenberger, S.; Scalbert, D.; Ryzhov, I. I.; Zapasskii, V. S.; Kozlov, G. G.; Lemaître, A.; Kavokin, K. V.

2018-01-01

We develop a method of nonperturbative optical control over adiabatic remagnetization of the nuclear spin system and apply it to verify the spin temperature concept in GaAs microcavities. The nuclear spin system is shown to exactly follow the predictions of the spin temperature theory, despite the quadrupole interaction that was earlier reported to disrupt nuclear spin thermalization. These findings open a way for the deep cooling of nuclear spins in semiconductor structures, with the prospect of realizing nuclear spin-ordered states for high-fidelity spin-photon interfaces.

Automated transit networks (ATN) : a review of the state of the industry and prospects for the future.

DOT National Transportation Integrated Search

2014-09-01

The concept of Automated Transit Networks (ATN) - in which fully automated vehicles on exclusive, grade-separated guideways : provide on-demand, primarily non-stop, origin-to-destination service over an area network has been around since the 1950...

Understanding Rigid Geometric Transformations: Jeff's Learning Path for Translation

ERIC Educational Resources Information Center

Yanik, Huseyin Bahadir; Flores, Alfinio

2009-01-01

This article describes the development of knowledge and understanding of translations of Jeff, a prospective elementary teacher, during a teaching experiment that also included other rigid transformations. His initial conceptions of translations and other rigid transformations were characterized as undefined motions of a single object. He…

Nonformal Education: Problems and Prospects.

ERIC Educational Resources Information Center

Ahmed, Manzoor

The confluence of three major forces has given a new significance to nonformal education for the developing countries--denied educational opportunities and resource constraints, questions about the relevance of formal education, and growing awareness of the importance of lifelong education. The absence of inadequacies of concepts and priorities of…

Dynamical Reference Frame - Current Relevance and Future Prospects

DTIC Science & Technology

2000-03-01

mentioned that the concepts of ecliptic , obliquity , and mean equator are now obsolete in the context of modern ephemeris creation. 2. Ephemerides...based upon the ICRF, there is no longer an explicit use of the celestial equator, equinox, or ecliptic in the ephemeris creation process. These elements

Contribution to solving the energy crisis - Simulating the prospects for low cost energy through silicon solar cells

NASA Technical Reports Server (NTRS)

Kran, A.

1978-01-01

PECAN (Photovoltaic Energy Conversion Analysis) is a highly interactive decision analysis and support system. It simulates the prospects for widespread use of solar cells for the generation of electrical power. PECAN consists of a set of integrated APL functions for evaluating the potential of terrestrial photovoltaics. Specifically, the system is a deterministic simulator, which translates present and future manufacturing technology into economic and financial terms, using the production unit concept. It guides solar cell development in three areas: tactical decision making, strategic planning, and the formulation of alternative options.

Pregnancy Outcome in HIV-1-infected Women Receiving Combination Antiretroviral Therapy Prior versus After Conception

PubMed Central

Machado, Elizabeth S.; Hofer, Cristina B.; Costa, Tomaz T.; Nogueira, Susie A.; Oliveira, Ricardo H.; Abreu, Thalita F.; Evangelista, Lucia A.; Farias, Iraína FA; Mercadante, Regina TC; Garcia, Maria de Fátima L; Neves, Renata C; Costa, Veronica M; Lambert, John S.

2010-01-01

Objective Results regarding potential adverse effects of antiretroviral drugs during pregnancy are discrepant and few studies, most from Europe, have provided information about pregnancy outcomes of those already on treatment at conception. The aim of this study was to investigate the impact of antiretrovirals on pregnancy outcome according to the timing of treatment initiation in relation to pregnancy in a cohort of Brazilian HIV infected pregnant women. Methods A prospective cohort of 696 pregnancies followed-up in one single center between 1996 and 2006 was studied. Patients in receipt of antiretrovirals before pregnancy were compared with those treated after the first trimester. The outcomes evaluated were preterm delivery (PTD): < 37 weeks; severe PTD (< 34 weeks); low birth weight (LBW): < 2500 g; very LBW: < 1500 g. Results Patients on pre-conception use of ARV had higher rates of LBW (33.3% vs. 16.5%; p = 0.0002), and a similar trend for PTD (26.3% % vs. 17.7%; p = 0.09). Stratification by type of therapy (dual vs. HAART) according to timing of initiation of ARV showed that patients in use of pre-conception HAART have a higher rate of PTD (20.2% vs. 10.2%, p = 0.03) and LBW (24.2% vs. 10.2%, p = 0.002). After adjusting for several factors, pre-conception HAART was associated with an increased risk for PTD (AOR: 5.0; 95% CI: 1.5 – 17.0, p = 0.009) and LBW (OR: 3.6; 95% CI: 1.7 – 7.7, p = 0.001). Conclusions We identified an increased risk for LBW and PTD in patients in receipt of HAART prior to pregnancy. PMID:18987014

Lunar Prospecting Using Thermal Wadis and Compact Rovers. Part A; Infrastructure for Surviving the Lunar Night

NASA Technical Reports Server (NTRS)

Sacksteder, Kurt R.; Wegeng, Robert S.; Suzuki, Nantel H.

2012-01-01

Recent missions have confirmed the existence of water and other volatiles on the Moon, both in permanently-shadowed craters and elsewhere. Non-volatile lunar resources may represent significant additional value as infrastructure or manufacturing feedstock. Characterization of lunar resources in terms of abundance concentrations, distribution, and recoverability is limited to in-situ Apollo samples and the expanding remote-sensing database. This paper introduces an approach to lunar resource prospecting supported by a simple lunar surface infrastructure based on the Thermal Wadi concept of thermal energy storage and using compact rovers equipped with appropriate prospecting sensors and demonstration resource extraction capabilities. Thermal Wadis are engineered sources of heat and power based on the storage and retrieval of solar-thermal energy in modified lunar regolith. Because Thermal Wadis keep compact prospecting rovers warm during periods of lunar darkness, the rovers are able to survive months to years on the lunar surface rather than just weeks without being required to carry the burdensome capability to do so. The resulting lower-cost, long-lived rovers represent a potential paradigm breakthrough in extra-terrestrial prospecting productivity and will enable the production of detailed resource maps. Integrating resource processing and other technology demonstrations that are based on the content of the resource maps will inform engineering economic studies that can define the true resource potential of the Moon. Once this resource potential is understood quantitatively, humans might return to the Moon with an economically sound objective including where to go, what to do upon arrival, and what to bring along.

Prospects for low wing-loading STOL transports with ride smoothing.

NASA Technical Reports Server (NTRS)

Holloway, R. B.; Thompson, G. O.; Rohling, W. J.

1972-01-01

Airplanes with low wing-loadings provide STOL capability without reliance on auxiliary propulsion or augmented lift, but require a ride smoothing control system to provide acceptable passenger comfort. A parametric study produced a configuration having a .35 thrust-to-weight ratio and a 50 psf wing loading, and which satisfied specified mission requirements and airworthiness standards. A ride-smoothing control system (RCS) synthesis was then performed which consisted of ride quality criteria definition, RCS concept trades, and analysis of RCS performance benefits at significant flight conditions. Within the limitations of the study it is concluded that this is a viable approach to STOL airplane design.

Orbit on demand - Will cost determine best design?

NASA Technical Reports Server (NTRS)

Macconochie, J. O.; Mackley, E. A.; Morris, S. J.; Phillips, W. P.; Breiner, C. A.; Scotti, S. J.

1985-01-01

Eleven design concepts for vertical (V) and horizontal (H) take-off launch-on-demand manned orbital vehicles are discussed. Attention is given to up to three stages, Mach numbers (sub-, 2, or 3), expendable boosters, drop tanks (DT), and storable (S) or cryogenic fuels. All the concepts feature lifting bodies with circular cross-section and most have a 7 ft diam, 15 ft long payload bay as well as a crew compartment. Expendable elements impose higher costs and in some cases reduce all-azimuth launch capabilities. Single-stage vehicles simplify the logistics whether in H or V configuration. A two-stage H vehicle offers launch offset for the desired orbital plane before firing the rocket engines after take-off and subsonic acceleration. A two-stage fully reusable V form has the second lowest weight of the vehicles studied and an all-azimuth launch capability. Better definition of the prospective mission requirements is needed before choosing among the alternatives.

Emotional Intelligence: Theory and Description--A Competency Model for Interpersonal Effectiveness

ERIC Educational Resources Information Center

Kunnanatt, James Thomas

2008-01-01

Purpose: Despite the crucial role that emotional intelligence (EI) could play in improving individuals' performance and career prospects in organizations, employees, executives and career professionals across the world are still in search of practical frameworks for understanding the concept. This is because EI research outputs from academics…

Are Learning Organizations Pragmatic?

ERIC Educational Resources Information Center

Cavaleri, Steven A.

2008-01-01

Purpose: The purpose of this paper is to evaluate the future prospects of the popular concept known as the learning organization; to trace the influence of philosophical pragmatism on the learning organization and to consider its potential impact on the future; and to emphasize how pragmatic theories have shaped the development of Deming's total…

Residential Adult Education: Trends and Prospects. Discussion Paper in Continuing Education, Number 3.

ERIC Educational Resources Information Center

Field, John, Ed.; Normie, Gerald, Ed.

These papers on the role of residential adult education were first presented at a July 1991 conference at Somerville College, Oxford University, England. After an introduction (Field), the first paper, "Residential Adult Education: History, Concept, and Evaluation" (Bron), offers an historical perspective and recommends defining…

Cost Sharing in Zambia's Public Universities: Prospects and Challenges

ERIC Educational Resources Information Center

Masaiti, Gift; Shen, Hong

2013-01-01

This research paper explores the concept of "cost sharing" which became more prominent in Zambia education with the advent of democratic form of governance in 1991. As a way of responding to the ever diminishing tax revenues, government through the education policy of 1996, allowed higher education institutions including public…

Building Families: Diverse Pathways to Parenthood

ERIC Educational Resources Information Center

Rosenblum, Katherine L.; Olshansky, Ellen

2007-01-01

Due to advances in reproductive technology and more progressive adoption laws, prospective parents now have many more choices and opportunities for how they form their families. This article explores the experiences of adoption, gay and lesbian families, and assisted reproductive technology to illustrate the concept that there are many legitimate…

Report of the Action Committee on Agricultural Education.

ERIC Educational Resources Information Center

Taylor, Robert E.

This report is presented in four parts. Part one presents a philosophy of agricultural education. Part two describes the role of the biological sciences in agricultural education, important biological principles and concepts, and suggested programs for prospective students. Part three includes a discussion of the role of mathematics, chemistry and…

Transformative Learning and Online Education: Aesthetics, Dimensions and Concepts

ERIC Educational Resources Information Center

Yuzer, T. Volkan, Ed.; Kurubacak, Gulsun, Ed.

2010-01-01

Understanding how to prepare transformative learning sessions and courses and design an environment for prospective online learners is a critical, as it facilitates the transfer of information, knowledge and learning from theoretical forms to real life experiences. This book provides an understanding and comprehension of aesthetics and its…

Assessing landscape vulnerability to wildfire in the USA

Treesearch

Nicole M. Vaillant; Crystal A. Kolden; Alistair M. S. Smith

2016-01-01

Wildfire is an ever present, natural process shaping landscapes. Having the ability to accurately measure and predict wildfire occurrence and impacts to ecosystem goods and services, both retrospectively and prospectively, is critical for adaptive management of landscapes. Landscape vulnerability is a concept widely utilized in the ecosystem management literature that...

On Anticipatory Development of Dual Education Based on the Systemic Approach

ERIC Educational Resources Information Center

Alshynbayeva, Zhuldyz; Sarbassova, Karlygash; Galiyeva, Temir; Kaltayeva, Gulnara; Bekmagambetov, Aidos

2016-01-01

The article addresses separate theoretical and methodical aspects of the anticipatory development of dual education in the Republic of Kazakhstan based on the systemic approach. It states the need to develop orientating basis of prospective professional activities in students. We define the concepts of anticipatory cognition and anticipatory…

From Policy to Pedagogy: Prudence and Precariousness; Actors and Artefacts

ERIC Educational Resources Information Center

Penney, Dawn

2013-01-01

This paper draws on concepts from contemporary education policy sociology to explore the prospective interpretation, contextualisation and enactment of Health and Physical Education in the Australian Curriculum. Analysis examines the dynamic between characteristics of official texts and the contexts in which responses will be made. The paper…

Future long-range transports - Prospects for improved fuel efficiency

NASA Technical Reports Server (NTRS)

Nagel, A. L.; Alford, W. J., Jr.; Dugan, J. F., Jr.

1975-01-01

A status report is provided on current thinking concerning potential improvements in fuel efficiency and possible alternate fuels. Topics reviewed are: historical trends in airplane efficiency; technological opportunities including supercritical aerodynamics, vortex diffusers, composite materials, propulsion systems, active controls, and terminal-area operations; unconventional design concepts, and hydrogen-fueled airplane.

Combatives for Alienated Youth: Problems and Prospects.

ERIC Educational Resources Information Center

Hellison, Don

Combative activities (boxing, wrestling, kung fu, etc.) are seen as having a positive influence on alienated inner city youth. Potential contributions of such activities in a school curriculum or recreation program include involvement, security, self-concept, and self-realization. Participants may be able to free themselves from such stereotype…

A Surprisingly Radical Problem

ERIC Educational Resources Information Center

Ledford, Sarah D.; Garner, Mary L.; Teachey, Angela L.

2012-01-01

Sometimes, in the teaching and learning of mathematics, open-ended problems posed by teachers or students can lead to a fuller understanding of mathematical concepts--a depth of understanding that no one could have anticipated. Interesting solutions and ideas emerged unexpectedly when the authors asked prospective and in-service teachers an "old"…

Building a Knowledge Base: Understanding Prospective Elementary Teachers' Mathematical Content Knowledge

ERIC Educational Resources Information Center

Thanheiser, Eva; Browning, Christine; Edson, Alden J.; Kastberg, Signe; Lo, Jane-Jane

2013-01-01

This survey of the literature summarizes and reflects on research findings regarding elementary preservice teachers' (PSTs') mathematics conceptions and the development thereof. Despite the current focus on teacher education, peer-reviewed journals offer a surprisingly sparse insight in these areas. The limited research that exists…

Fractional phenomenology of cosmic ray anomalous diffusion

NASA Astrophysics Data System (ADS)

Uchaikin, V. V.

2013-11-01

We review the evolution of the cosmic ray diffusion concept from the ordinary (Einstein) model of Brownian motion to the fractional models that appeared in the last decade. The mathematical and physical foundations of these models are discussed, as are their consequences, related problems, and prospects for further development.

Empowering Prospective Teachers to Become Active Sense-Makers: Multimodal Modeling of the Seasons

ERIC Educational Resources Information Center

Kim, Mi Song

2015-01-01

Situating science concepts in concrete and authentic contexts, using information and communications technologies, including multimodal modeling tools, is important for promoting the development of higher-order thinking skills in learners. However, teachers often struggle to integrate emergent multimodal models into a technology-rich informal…

Prospecting for marine gas hydrate resources

USGS Publications Warehouse

Boswell, Ray; Shipp, Craig; Reichel, Thomas; Shelander, Dianna; Saeki, Tetsuo; Frye, Matthew; Shedd, William; Collett, Timothy S.; McConnell, Daniel R.

2016-01-01

As gas hydrate energy assessment matures worldwide, emphasis has evolved away from confirmation of the mere presence of gas hydrate to the more complex issue of prospecting for those specific accumulations that are viable resource targets. Gas hydrate exploration now integrates the unique pressure and temperature preconditions for gas hydrate occurrence with those concepts and practices that are the basis for conventional oil and gas exploration. We have aimed to assimilate the lessons learned to date in global gas hydrate exploration to outline a generalized prospecting approach as follows: (1) use existing well and geophysical data to delineate the gas hydrate stability zone (GHSZ), (2) identify and evaluate potential direct indications of hydrate occurrence through evaluation of interval of elevated acoustic velocity and/or seismic events of prospective amplitude and polarity, (3) mitigate geologic risk via regional seismic and stratigraphic facies analysis as well as seismic mapping of amplitude distribution along prospective horizons, and (4) mitigate further prospect risk through assessment of the evidence of gas presence and migration into the GHSZ. Although a wide range of occurrence types might ultimately become viable energy supply options, this approach, which has been tested in only a small number of locations worldwide, has directed prospect evaluation toward those sand-hosted, high-saturation occurrences that were presently considered to have the greatest future commercial potential.

Psychological and Social Work Factors as Predictors of Mental Distress: A Prospective Study

PubMed Central

Finne, Live Bakke; Christensen, Jan Olav; Knardahl, Stein

2014-01-01

Studies exploring psychological and social work factors in relation to mental health problems (anxiety and depression) have mainly focused on a limited set of exposures. The current study investigated prospectively a broad set of specific psychological and social work factors as predictors of potentially clinically relevant mental distress (anxiety and depression), i.e. “caseness” level of distress. Employees were recruited from 48 Norwegian organizations, representing a wide variety of job types. A total of 3644 employees responded at both baseline and at follow-up two years later. Respondents were distributed across 832 departments within the 48 organizations. Nineteen work factors were measured. Two prospective designs were tested: (i) with baseline predictors and (ii) with average exposure over time ([T1+T2]/2) as predictors. Random intercept logistic regressions were conducted to account for clustering of the data. Baseline “cases” were excluded (n = 432). Age, sex, skill level, and mental distress as a continuous variable at T1 were adjusted for. Fourteen of 19 factors showed some prospective association with mental distress. The most consistent risk factor was role conflict (highest odds ratio [OR] 2.08, 99% confidence interval [CI]: 1.45–3.00). The most consistent protective factors were support from immediate superior (lowest OR 0.56, 99% CI: 0.43–0.72), fair leadership (lowest OR 0.52, 99% CI: 0.40–0.68), and positive challenge (lowest OR 0.60, 99% CI: 0.41–0.86). The present study demonstrated that a broad set of psychological and social work factors predicted mental distress of potential clinical relevance. Some of the most consistent predictors were different from those traditionally studied. This highlights the importance of expanding the range of factors beyond commonly studied concepts like the demand-control model and the effort-reward imbalance model. PMID:25048033

Diagnostic performance of reproducible chest wall tenderness to rule out acute coronary syndrome in acute chest pain: a prospective diagnostic study.

PubMed

Gräni, Christoph; Senn, Oliver; Bischof, Manuel; Cippà, Pietro E; Hauffe, Till; Zimmerli, Lukas; Battegay, Edouard; Franzen, Daniel

2015-01-28

Acute chest pain (ACP) is a leading cause of hospital emergency unit consultation. As there are various underlying conditions, ranging from musculoskeletal disorders to acute coronary syndrome (ACS), thorough clinical diagnostics are warranted. The aim of this prospective study was to assess whether reproducible chest wall tenderness (CWT) on palpation in patients with ACP can help to rule out ACS. In this prospective, double-blinded diagnostic study, all consecutive patients assessed in the emergency unit at the University Hospital Zurich because of ACP between July 2012 and December 2013 were included when a member of the study team was present. Reproducible CWT on palpation was the initial step and was recorded before further examinations were initiated. The final diagnosis was adjudicated by a study-independent physician. 121 patients (60.3% male, median age 47 years, IQR 34-66.5 years) were included. The prevalence of ACS was 11.6%. Non-reproducible CWT had a high sensitivity of 92.9% (95% CI 66.1% to 98.8%) for ACS and the presence of reproducible CWT ruled out ACS (p=0.003) with a high negative predictive value (98.1%, 95% CI 89.9% to 99.7%). Conversely non-reproducible CWT ruled in ACS with low specificity (48.6%, 95% CI 38.8% to 58.5%) and low positive predictive value (19.1%, 95% CI 10.6% to 30.5%). This prospective diagnostic study supports the concept that reproducible CWT helps to rule out ACS in patients with ACP in an early stage of the evaluation process. However, ACS and other diagnoses should be considered in patients with a negative CWT test. ClinicalTrial.gov: NCT01724996. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

[Non-reciprocal social exchange is a health risk: a medical sociological research model].

PubMed

Siegrist, J

2002-02-01

Contrary to a reductionist disease concept prevailing in molecular medicine, a systemic disease concept is emphasised in this sociopsychosomatic approach towards analysing disease as a result of disturbed social exchange among people. More precisely, violations of the norms of social reciprocity in core social roles in adult life, in particular in the work role, are assumed to trigger stressful experience with adverse long-term consequences for health. The model of effort-reward imbalance at work provides an illustrative case of nonreciprocal social exchange. It defines distinct conditions in which an imbalance between high efforts spent and low rewards received in turn is maintained by the workers. In this model social rewards are analysed in terms of money, esteem and promotion prospect including job security. The contribution summarises results from 6 international prospective and cross-sectional epidemiological investigations testing the model of effort-reward imbalance at work with regard to different health indicators (especially coronary heart disease, hypertension, depression, alcohol dependence). In all instances an elevated risk of illness is observed among those who experience non-reciprocal social exchange in terms of effort-reward imbalance at work, compared to people who are free from this type of stressful experience. Results are derived from logistic regression analysis adjusting for the effects of potential confounders. In view of this evidence the medical sociological approach outlined here may be helpful in contrasting a reductionist concept of disease with a systemic concept centred around the sociopsychosomatic aspects of human health and disease. Copyright 2002 S. Karger GmbH, Freiburg

Using Big Data in oncology to prospectively impact clinical patient care: A proof of concept study.

PubMed

Dougoud-Chauvin, Vérène; Lee, Jae Jin; Santos, Edgardo; Williams, Vonetta L; Battisti, Nicolò M L; Ghia, Kavita; Sehovic, Marina; Croft, Cortlin; Kim, Jongphil; Balducci, Lodovico; Kish, Julie A; Extermann, Martine

2018-04-17

Big Data is widely seen as a major opportunity for progress in the practice of personalized medicine, attracting the attention from medical societies and presidential teams alike as it offers a unique opportunity to enlarge the base of evidence, especially for older patients underrepresented in clinical trials. This study prospectively assessed the real-time availability of clinical cases in the Health & Research Informatics Total Cancer Care™ (TCC) database matching community patients with cancer, and the impact of such a consultation on treatment. Patients aged 70 and older seen at the Lynn Cancer Institute (LCI) with a documented malignancy were eligible. Geriatric screening information and the oncologist's pre-consultation treatment plan were sent to Moffitt. A search for similar patients was done in TCC and additional information retrieved from Electronic Medical Records. A report summarizing the data was sent and the utility of such a consultation was assessed per email after the treatment decision. Thirty one patients were included. The geriatric screening was positive in 87.1% (27) of them. The oncogeriatric consultation took on average 2.2 working days. It influenced treatment in 38.7% (12), and modified it in 19.4% (6). The consultation was perceived as "somewhat" to "very useful" in 83.9% (26). This study establishes a proof of concept of the feasibility of real time use of Big Data for clinical practice. The geriatric screening and the consultation report influenced treatment in 38.7% of cases and modified it in 19.4%, which compares very well with oncogeriatric literature. Additional steps are needed to render it financially and clinically viable. Copyright © 2018 Elsevier Inc. All rights reserved.

Design concepts for low-cost composite turbofan engine frame

NASA Technical Reports Server (NTRS)

Mitchell, S. C.; Stoffer, L. J.

1980-01-01

Design concepts for low cost, lightweight composite engine frames were applied to the design requirements for the frame of a commercial, high bypass engine. Four alternative composite frame design concepts identified which consisted of generic type components and subcomponents that could be adapted to use in different locations in the engine and the different engine sizes. A variety of materials and manufacturing methods were projected with a goal for the lowest number of parts at the lowest possible cost. After a preliminary evaluation of all four frame concepts, two designs were selected for an extended design and evaluation which narrowed the final selection down to one frame that was significantly lower in cost and slighty lighter than the other frame. An implementation plan for this lowest cost frame is projected for future development and includes prospects for reducing its weight with proposed unproven, innovative fabrication techniques.

A prospective study of acceptance of pain and patient functioning with chronic pain.

PubMed

McCracken, Lance M; Eccleston, Christopher

2005-11-01

Acceptance of chronic pain is emerging as an important concept in understanding ways that chronic pain sufferers can remain engaged with valued aspects of life. Recent studies have relied heavily on cross-sectional investigations at a single time point. The present study sought to prospectively investigate relations between acceptance of chronic pain and patient functioning. A sample of adults referred for interdisciplinary treatment of severe and disabling chronic pain was assessed twice, an average of 3.9 months apart. Results showed that pain and acceptance were largely unrelated. Pain at Time 2 was weakly related to measures of functioning at Time 2. On the other hand, acceptance at Time 1 was consistently related to patient functioning at Time 2. Those patients who reported greater acceptance at Time 1 reported better emotional, social, and physical functioning, less medication consumption, and better work status at Time 2. These data suggest that willingness to have pain, and to engage in activity regardless of pain, can lead to healthy functioning for patients with chronic pain. Treatment outcome and process studies may demonstrate the potential for acceptance-based clinical methods for chronic pain management.

The Bobath (NDT) concept in adult neurological rehabilitation: what is the state of the knowledge? A scoping review. Part II: intervention studies perspectives.

PubMed

Vaughan-Graham, Julie; Cott, Cheryl; Wright, F Virginia

2015-01-01

The study's purpose was to describe the range of knowledge pertaining to the Bobath (NDT) concept in adult neurological rehabilitation, synthesizes the findings, identify knowledge gaps and develop empirically based recommendations for future research. A scoping review of research and non-research articles published from 2007 to 2012. Two independent reviewers selected studies based on a systematic procedure. Inclusion criteria for studies were electronically accessible English language literature with Bobath and/or Neurodevelopmental Therapy as the subject heading in the title/keyword/abstract/intervention comparison with respect to adult neurological conditions. Data were abstracted and summarized with respect to study design, theoretical framework, clinical application including population representation, study fidelity, intervention comparison, duration of care, measurement and findings. Of the 33 publications identified 17 were intervention studies (11 RCT's/1 prospective parallel group design/5 N-of-1). One other paper was a systematic review. The intervention studies, primarily RCT designs, have serious methodological concerns particularly related to study/treatment fidelity and measurement resulting in no clear clinical direction. Aspects such as theoretical framework, therapist skill, quality of movement measurement and individualized interventions require careful consideration in the design of Bobath studies. Implications for Rehabilitation Future intervention studies should be based on the current Bobath theoretical framework and key aspects of clinical practice. Study and treatment fidelity issues need to be carefully considered when interpreting the results of existing RCT's evaluating the Bobath concept. N-of-1 randomized, observational, factorial and mixed method study designs should be considered as alternative study options.

Experimental Study of an Advanced Concept of Moderate-resolution Holographic Spectrographs

NASA Astrophysics Data System (ADS)

Muslimov, Eduard; Valyavin, Gennady; Fabrika, Sergei; Musaev, Faig; Galazutdinov, Gazinur; Pavlycheva, Nadezhda; Emelianov, Eduard

2018-07-01

We present the results of an experimental study of an advanced moderate-resolution spectrograph based on a cascade of narrow-band holographic gratings. The main goal of the project is to achieve a moderately high spectral resolution with R up to 5000 simultaneously in the 4300–6800 Å visible spectral range on a single standard CCD, together with an increased throughput. The experimental study consisted of (1) resolution and image quality tests performed using the solar spectrum, and (2) a total throughput test performed for a number of wavelengths using a calibrated lab monochromator. The measured spectral resolving power reaches values over R > 4000 while the experimental throughput is as high as 55%, which agrees well with the modeling results. Comparing the obtained characteristics of the spectrograph under consideration with the best existing spectrographs, we conclude that the used concept can be considered as a very competitive and cheap alternative to the existing spectrographs of the given class. We propose several astrophysical applications for the instrument and discuss the prospect of creating its full-scale version.

Dynamic cervical stabilization: a multicenter study.

PubMed

Matgé, Guy; Buddenberg, Peter; Eif, Marcus; Schenke, Holger; Herdmann, Joerg

2015-12-01

The dynamic cervical implant (DCI) is a novel motion-preserving concept for the treatment of degenerative cervical disorders. The aim of this prospective clinical study was to validate the concept and analyse clinical and radiological performance of the implant. One hundred seventy-five consecutive patients with degenerative cervical disorders, median age, 47 years, were treated with discectomy and DCI, and followed for 2 years. Clinical outcome was evaluated with the Neck Disability Index (NDI), the SF-12, and visual analogue scale (VAS) assessment of arm and neck pain. Range of motion (ROM) and cervical alignment were analysed using radiographic imaging. All clinical outcome measures--VAS neck and arm pain, NDI, and SF-12 mental and physical component summaries--improved significantly after surgery (each p < 0.001) and remained stable over the whole observation period. The ROM (flexion/extension) at the level treated with DCI was slightly reduced, but no significant changes could be verified at the adjacent levels. Six surgery or device-related adverse events were documented during the study. Good clinical and excellent radiological outcomes demonstrate that DCI is a safe and efficient treatment option in patients with degenerative cervical disorders.

Translating Stem Cell Research to Cardiac Disease Therapies: Pitfalls and Prospects for Improvement

PubMed Central

Rosen, Michael R.; Myerburg, Robert J.; Francis, Darrel P.; Cole, Graham D.; Marbán, Eduardo

2014-01-01

Over the past 2 decades, there have been numerous stem cell studies focused on cardiac diseases, ranging from proof-of-concept to phase 2 trials. This series of articles focuses on the legacy of these studies and the outlook for future treatment of cardiac diseases with stem cell therapies. The first section by Rosen and Myerburg is an independent review that analyzes the basic science and translational strategies supporting the rapid advance of stem cell technology to the clinic, the philosophies behind them, trial designs, and means for going forward that may impact favorably on progress. The second and third sections were collected in response to the initial section of this review. The commentary by Francis and Cole discusses the Rosen and Myerburg review and details how trial outcomes can be affected by noise, poor trial design (particularly the absence of blinding), and normal human tendencies toward optimism and denial. The final, independent article by Marbán takes a different perspective concerning the potential for positive impact of stem cell research applied to heart disease and future prospects for its clinical application. PMID:25169179

Gymnema sylvestre for Diabetes: From Traditional Herb to Future's Therapeutic.

PubMed

Tiwari, Pragya; Ahmad, Khurshid; Baig, Mohammad Hassan

2017-01-01

Diabetes has increased at an unprecedented rate and is fast emerging as a global threat worldwide. The focus on pharmacological studies pertaining to diabetes has seen a remarkable shift from conventional medicines to therapeutics employing bioactive phytomolecules from natural sources. The prospective effectiveness of natural products together with their low cost and minimal side effects has revolutionized the entire concept of drug discovery and management programs. One such beneficial herb is Gymnema sylvestre, possessing remarkable hypoglycemic properties and forms the platform of diabetes therapeutics in the traditional system of medication. The present article discusses the significance of G. sylvestre in diabetes management, the herbal-formulations from the herb together with its standardization and clinical trials on animal models, and why Peroxisome Proliferator Activated Receptor gamma (PPARγ) may serve as a prospective molecular target for Gymnemic acid analogs. Such studies would define the molecular basis of bioactive molecules which would aid in the development of natural product based therapeutics in the treatment of diabetes. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

[Evaluation of the "initiative pain-free clinic" for quality improvement in postoperative pain management. A prospective controlled study].

PubMed

Lehmkuhl, D; Meissner, W; Neugebauer, E A M

2011-09-01

Demonstration of improved postoperative pain management by implementation of the S3 guidelines on treatment of acute perioperative and posttraumatic pain, by the integrated quality management concept "quality management acute pain" of the TÜV Rheinland or by participation in the benchmark project "Quality improvement in postoperative pain management" (QUIPS). A prospective controlled study (pre-post design) was carried out in hospitals with various levels of care comparing three hospital groups (n = 17/7/3, respectively). Group 1: participation in the QUIPS project (intraclinic and interclinic comparison of outcome data of postoperative pain treatment), group 2: participation in the quality management acute pain program (certified by TÜV Rheinland), group 3: control group with no involvement in either of the two concepts. In all three groups, an anonymous data collection was performed consisting of patient-reported pain intensity, side effects, pain disability and patient satisfaction. Pain therapy intervention was carried out only in group 2 by an integrated quality management concept (certification project: Quality management acute pain) with a package of measures to improve structure, process and outcome quality. The TÜV Rheinland certified clinics (group 2) showed a significant improvement in the pre-post comparison (before versus after certification) in the areas maximum pain (from visual analogue scale VAS 4.6 to 3.7), stress pain (5.3 to 3.9), pain-related impairment (proportion of patients with pain-linked decreased mobility and movement 26% to 16.1%, coughing and breathing 23.1% to 14.3%) and patient satisfaction (from 13.2 to 13.7; scale 0 completely unsatisfied, 15 very satisfied). The clinics with participation in QUIPS for 2 years also showed a significant improvement in stress pain (numeric rating scale NRS for pain 4.5 to 4.2), pain-linked-limitation of coughing and breathing (28% to 23.6%), and patient satisfaction (from 11.9 to 12.4). There were no differences in postoperative nausea and vomiting between any of the groups. The main objective of the certification concept quality management acute pain as a tool for the successful implementation of the S3 guidelines on treatment of acute perioperative and posttraumatic pain, led to a significant improvement in patient outcome. Participation in QUIPS is an ideal supplement to TÜV Rheinland certification and can be recommended as a benchmarking tool to evaluate outcome.

Subfertility factors rather than assisted conception factors affect cognitive and behavioural development of 4-year-old singletons.

PubMed

Schendelaar, Pamela; La Bastide-Van Gemert, Sacha; Heineman, Maas Jan; Middelburg, Karin J; Seggers, Jorien; Van den Heuvel, Edwin R; Hadders-Algra, Mijna

2016-12-01

Research on cognitive and behavioural development of children born after assisted conception is inconsistent. This prospective study aimed to explore underlying causal relationships between ovarian stimulation, in-vitro procedures, subfertility components and child cognition and behaviour. Participants were singletons born to subfertile couples after ovarian stimulation IVF (n = 63), modified natural cycle IVF (n = 53), natural conception (n = 79) and singletons born to fertile couples (reference group) (n = 98). At 4 years, cognition (Kaufmann-ABC-II; total IQ) and behaviour (Child Behavior Checklist; total problem T-score) were assessed. Causal inference search algorithms and structural equation modelling was applied to unravel causal mechanisms. Most children had typical cognitive and behavioural scores. No underlying causal effect was found between ovarian stimulation and the in-vitro procedure and outcome. Direct negative causal effects were found between severity of subfertility (time to pregnancy) and cognition and presence of subfertility and behaviour. Maternal age and maternal education acted as confounders. The study concludes that no causal effects were found between ovarian stimulation or in-vitro procedures and cognition and behaviour in childrenaged 4 years born to subfertile couples. Subfertility, especially severe subfertility, however, was associated with worse cognition and behaviour. Copyright © 2016 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

[The Bremen periodic health exam - feasibility of a new concept].

PubMed

Schmiemann, Guido; Biesewig-Siebenmorgen, Jürgen; Gebhardt, Klaus; Egidi, Günther

2014-01-01

All members of the Statutory Health Insurance are entitled to receive preventive health examinations. The current concept, however, does not take individual risk factors into account systematically. To improve this, the "Bremen Health Examination" was developed. The central component is a screening questionnaire to be completed by the patient, which is stratified by age, i.e., 35 to 69 years and ≥ 70 years. The feasibility and acceptance of this concept have been assessed. In a prospective observational study, a selected sample of general practitioners (GPs) was asked to implement the questionnaires during all preventive health examinations within a four-week period. The GPs subsequently answered content-related questions as well as Likert-scaled questions on the relevance of the issues addressed, and the feasibility of the new concept. 17 out of 20 GPs approached for the study included a total of 171 patients. On average, the patients in the two groups were 52 and 75 years of age, respectively, and answered 4.4 prompting questions positively. Age and gender had no significant effect on the frequency of "positively" answered questions. Implementing the questionnaire extended the duration of the health examination, however, GPs overall rated the time required for discussing newly assessed problems as adequate (four-level Likert scale, 1=yes; 4=no; Ø 1.59; SD 0.77). The implementation of the Bremen Health Examination appears to be feasible from the GP perspective. Copyright © 2014. Published by Elsevier GmbH.

Sports clubs as settings for health promotion: fundamentals and an overview to research.

PubMed

Kokko, Sami

2014-11-01

This paper explores the efficacy and value of sports clubs as a setting for health promotion. Sports clubs for children and adolescents are the primary focus of the paper, and the aims are two-fold. Firstly, the paper aims to review the basis for and elements of the health promoting sports club (HPSC) concept. Secondly, the aim is to overview the international evolution of the HPSC concept and its usefulness in the research. The settings-based health promotion approach forms the basis for the HPSC concept and it is introduced first. Thereafter, both obligating and prospecting factors, to justify the importance for sports clubs to address health promotion, are expressed. Major prospecting factors relate to the facts that sports club activities reach a lot of children and adolescents, and that its educational nature is informal due to voluntary participation. The paper also presents multilevel structure of sports clubs, as well as the determinants affecting the settings-based work. The research concerning health promotion in sports-related settings is evolving worldwide, and Nordic countries are in the front line of this new-wave of settings-based health promotion. Indeed, it has been claimed that, for the settings approach to assimilate to current societal challenges, there is a need to widen the reach of the approach to non-traditional, non-institutional settings, like sports clubs. © 2014 the Nordic Societies of Public Health.

How students deal with inconsistencies in health knowledge.

PubMed

Bientzle, Martina; Cress, Ulrike; Kimmerle, Joachim

2013-07-01

In their work, health care professionals have to deal daily with inconsistent health information and are confronted with differing therapeutic health concepts. Medical education should prepare students to handle these challenges adequately. The aim of this study was to contribute to a better understanding of how students deal with inconsistencies in health knowledge when they are presented with either a therapeutic concept they accept or one they reject. Seventy-six students of physiotherapy participated in this 2 × 2 experiment with health information (consistent versus inconsistent information) and therapeutic concept (congruent versus contradictory therapeutic concept) as between-group factors. The participants' task was to improve the quality of a text about the effectiveness of stretching; participants were randomly assigned to one of four texts. Knowledge acquisition and text modification were measured as dependent variables. Students acquired more knowledge when they worked with a text containing inconsistent information. Medical information that was presented in agreement with a student's therapeutic concept was also more readily acquired than the same information presented posing a contradictory therapeutic concept. Participants modified the contradictory text in order to adapt it to their own point of view. Disagreement resulted in a disregard or devaluation of the information itself, which in turn was detrimental to learning. It is a problem when prospective health care professionals turn a blind eye to discrepancies that do not fit their view of the world. It may be useful for educational purposes to include a knowledge conflict caused by a combination of conviction and inconsistent information to facilitate learning processes. © 2013 John Wiley & Sons Ltd.

Reusable thermal protection system development: A prospective

NASA Technical Reports Server (NTRS)

Goldstein, Howard

1992-01-01

The state of the art in passive reusable thermal protection system materials is described. Development of the Space Shuttle Orbiter, which was the first reusable vehicle, is discussed. The thermal protection materials and given concepts and some of the shuttle development and manufacturing problems are described. Evolution of a family of grid and flexible ceramic external insulation materials from the initial shuttle concept in the early 1970's to the present time is described. The important properties and their evolution are documented. Application of these materials to vehicles currently being developed and plans for research to meet the space programs future needs are summarized.

Piloted aircraft simulation concepts and overview

NASA Technical Reports Server (NTRS)

Sinacori, J. B.

1978-01-01

An overview of piloted aircraft simulation is presented that reflects the viewpoint of an aeronautical technologist. The intent is to acquaint potential users with some of the basic concepts and issues that characterize piloted simulation. Application to the development of aircraft are highlighted, but some aspects of training simulators are covered. A historical review is given together with a description of some current simulators. Simulator usages, advantages, and limitations are discussed and human perception qualities important to simulation are related. An assessment of current simulation is presented that addresses validity, fidelity, and deficiencies. Future prospects are discussed and technology projections are made.

Analysis of the prospective energy interconnections in Northeast Asia and development of the data portal

NASA Astrophysics Data System (ADS)

Churkin, Andrey; Bialek, Janusz

2018-01-01

Development of power interconnections in Northeast Asia becomes not only engineering but also a political issue. More research institutes are involved in the Asian Super Grid initiative discussion, as well as more politicians mention power interconnection opportunities. UNESCAP started providing a platform for intragovernmental discussion of the issue. However, there are still a lack of comprehensive modern research of the Asian Super Grid. Moreover, there is no unified data base and no unified power routes concept. Therefore, this article discusses a tool for optimal power routes selection and suggest a concept of the unified data portal.

Prospects of third-generation femtosecond laser technology in biological spectromicroscopy

NASA Astrophysics Data System (ADS)

Fattahi, Hanieh; Fattahi, Zohreh; Ghorbani, Asghar

2018-05-01

The next generation of biological imaging modalities will be a movement towards super-resolution, label-free approaches to realize subcellular images in a nonperturbative, non-invasive manner and towards new detection metrologies to reach a higher sensitivity and dynamic range. In this paper, we discuss how the third generation femtosecond laser technology in combination with the already existing concepts in time-resolved spectroscopy could fulfill the requirements of these exciting prospects. The expected enhanced specificity and sensitivity of the envisioned super-resolution microscope could lead us to a better understanding of the inter- and intra-cellular molecular transport and DNA-protein interaction.

Life Sciences Research Facility automation requirements and concepts for the Space Station

NASA Technical Reports Server (NTRS)

Rasmussen, Daryl N.

1986-01-01

An evaluation is made of the methods and preliminary results of a study on prospects for the automation of the NASA Space Station's Life Sciences Research Facility. In order to remain within current Space Station resource allocations, approximately 85 percent of planned life science experiment tasks must be automated; these tasks encompass specimen care and feeding, cage and instrument cleaning, data acquisition and control, sample analysis, waste management, instrument calibration, materials inventory and management, and janitorial work. Task automation will free crews for specimen manipulation, tissue sampling, data interpretation and communication with ground controllers, and experiment management.

Bayesian Finite Mixtures for Nonlinear Modeling of Educational Data.

ERIC Educational Resources Information Center

Tirri, Henry; And Others

A Bayesian approach for finding latent classes in data is discussed. The approach uses finite mixture models to describe the underlying structure in the data and demonstrate that the possibility of using full joint probability models raises interesting new prospects for exploratory data analysis. The concepts and methods discussed are illustrated…

How to Teach Content: Existing Concepts and Prospects for Development

ERIC Educational Resources Information Center

Zascerinska, Jelena

2011-01-01

The paradigm has changed from the static transmitted contents to knowledge that is ever renewable and often construed jointly with other learners (Niemi, 2008, p. 12) in a changing multicultural environment. Aim of the research is to analyze efficiency of the process of teaching and learning content applied to enhance students' knowledge in…

Prospects for Gene Therapy in the Fragile X Syndrome

ERIC Educational Resources Information Center

Rattazzi, Mario C.; LaFauci, Giuseppe; Brown, W. Ted

2004-01-01

Gene therapy is unarguably the definitive way to treat, and possibly cure, genetic diseases. A straightforward concept in theory, in practice it has proven difficult to realize, even when directed to easily accessed somatic cell systems. Gene therapy for diseases in which the central nervous system (CNS) is the target organ presents even greater…

Data-Intensive Evaluation: The Concept, Methods, and Prospects of Higher Education Monitoring Evaluation

ERIC Educational Resources Information Center

Wang, Zhanjun; Qiao, Weifeng; Li, Jiangbo

2016-01-01

Higher education monitoring evaluation is a process that uses modern information technology to continually collect and deeply analyze relevant data, visually present the state of higher education, and provide an objective basis for value judgments and scientific decision making by diverse bodies Higher education monitoring evaluation is…

Improving Competences of Engineering Students in Terms of Development of Research Function

ERIC Educational Resources Information Center

Ivashova, Valentina A.; Pavliuk, Roman V.; Zaharin, Anton V.; Maslova, Lyubov F.; Alivanova, Svetlana S.

2016-01-01

Among the priorities of the vocational education reformation, highlighted in the concepts of development of vocational and technical (professional) education, the need to develop the standards of professional expertise for the professions and types of work is identified with regard to the prospects of development of production and scientific…

Investigating Changes in Preservice Teachers' Conceptions of STEM Education Following Video Analysis and Reflection

ERIC Educational Resources Information Center

Radloff, Jeffrey; Guzey, Selcen

2017-01-01

Nationally, there is a steadily increasing emphasis on the improvement of STEM education. This includes the integration of STEM subjects that have been traditionally taught separately, making it critical that prospective STEM educators are equipped to teach using integrated STEM approaches. Connected, an important challenge is providing preservice…

The Future Prospects of Modern Adolescents in the Life Course Perspective

ERIC Educational Resources Information Center

Bochaver, A. A.; Zhilinskaya, A. V.; Khlomov, K. D.

2017-01-01

The article examines trends in theoretical and applied concepts about the adolescent period and in particular about how adolescents develop life goals. We discuss the blurring of the boundaries of adolescence, the postponement of life decisions, and the difficult process of separating from parents as trends in modern adolescent life. Certain…

Distance Learning and Skill Acquisition in Engineering Sciences: Present State and Prospects

ERIC Educational Resources Information Center

Potkonjak, Veljko; Jovanovic, Kosta; Holland, Owen; Uhomoibhi, James

2013-01-01

Purpose: The purpose of this paper is to present an improved concept of software-based laboratory exercises, namely a Virtual Laboratory for Engineering Sciences (VLES). Design/methodology/approach: The implementation of distance learning and e-learning in engineering sciences (such as Mechanical and Electrical Engineering) is still far behind…

Teaching Density with a Little Drama

ERIC Educational Resources Information Center

Karakas, Mehmet

2012-01-01

This article provides an example of an innovative science activity applied in a science methods course for future elementary teachers at a small university in northeastern Turkey. The aim of the activity is to help prospective elementary teachers understand the density concept in a simple way and see an innovative teaching example. The instructor…

Pursuing a Vendor-Endorsed ERP Award for Better Job Prospect: Students' Perceptions

ERIC Educational Resources Information Center

Kung, LeeAnn; Kung, Hsiang-Jui

2017-01-01

This paper identifies factors that motivate students to pursue a vendor-endorsed ERP award by integrating concepts from motivation theory and constructs from technology acceptance literature. We developed a web-based survey with closed- and open-ended questions to collect both quantitative and qualitative data, respectively. Students in…

CO2-Doped Diamond: A Potential Solid-State CO2 Laser Material?

NASA Technical Reports Server (NTRS)

Tratt, D.

1994-01-01

This paper describes a novel concept for a solid-state CO subscript 2 laser medium which, by eschewing the gas-phase approach, may offer prospects for a compact, robust 9 - 11 (micro)m coherent source, coupled with the potentially superior frequency stability characteristics afforded by monolithic solid-state construction.

Bright Glow or Dark Shadows in Education's Crystal Ball? Prospects for a Humanistic Curriculum.

ERIC Educational Resources Information Center

Barnet, Judith M.

This paper advocates development of humanistic education which will emphasize concern for student self-concept and empathy for others through a multidisciplinary approach. A survey conducted by the Educational Development Center in 1976 showed that only three out of 143 educational materials reviewed dealt with systems behavior, stressed the…

Promoting science communication skills in the form of oral presentation through pictorial analogy

NASA Astrophysics Data System (ADS)

Purnomo, A. R.; Fauziah, A. N. M.

2018-04-01

Prospective biology teachers are demanded to have skills in communicating science in the form of oral presentation when someday they teach. However, over-expectation towards biological concept comprehension has led them to lower their participation in class. In such a case, rote learning is standing still to support biological content knowledge delivery in university level and thus impoverish the potential of them due to its excessive practice. This study then comes to explore the significant improvement over the use of pictorial analogy to promote university students’ skills in science oral communication towards the nervous system topic. Case study has been a design for the study. It involved two group of different students who participate in natural setting of human anatomy and physiology course. The data was gathered by observation and analyzed in descriptive manner. Quantitative and qualitative data are mixed up altogether to describe the reality behind learning process. The result showed that although both high and low achieving students are successful to communicate science concepts through pictorial analogy they are different in the way they accomodate what they want to explain. High achieving students outperform low achieving students in all aspects of oral presentation. They also employ more complex sources to draw the target concepts. To sum up, pictorial analogy can be used as a tool for students to do science communication skill in the form of oral presentation.

Anorexia athletica in pre-professional ballet dancers.

PubMed

Herbrich, Laura; Pfeiffer, Ernst; Lehmkuhl, Ulrike; Schneider, Nora

2011-08-01

Competitive sport has been under increasing discussion as a possible favourable factor in the development of eating disorders among children and adolescents. The aim of this study was to determine the frequency of sport-specific eating disorders, in line with the concept of anorexia athletica. This prospective field study included one experimental group and two control groups (disease and healthy). Fifty-two pre-professional ballet dancers aged 13-20 years were tested for clinical eating disorders, anorexia athletica criteria, eating disorder related psychopathology and self-concept, and were compared with 52 patients with anorexia nervosa and 44 non-athletic controls of the same age. The study was conducted using semi-structured interviews as well as self-report questionnaires. A clinical eating disorder diagnosis was made in 1.9% of the ballet dancers versus 0% of the high school students; anorexia athletica was diagnosed in 5.8% of the dancers versus 2.3% of the students. Ballet dancers scored lower than patients with anorexia nervosa with regard to eating disorder related psychopathology and higher than the patients with regard to self-concept. We conclude that more sensitive tools to differentiate between sport-specific (eating) patterns, anorexia athletica and clinically relevant eating disorders are needed, especially for aesthetic sports such as ballet. It remains an important goal to identify athletes with symptoms of anorexia athletica irrespective of their physique and/or sport.

The Vulnerability of Study Participants in the Context of Transnational Biomedical Research: From Conceptual Considerations to Practical Implications.

PubMed

Orth, Helen Grete; Schicktanz, Silke

2017-08-01

Outsourcing clinical trials sponsored by pharmaceutical companies from industrialized countries to low- (middle)-income countries - summarized as transnational biomedical research (TBR) - has lead to many concerns about ethical standards. Whether study participants are particularly vulnerable is one of those concerns. However, the concept of vulnerability is still vague and varies in its definition. Despite the fact that important international ethical guidelines such as the Declaration of Helsinki by the World Medical Association or the Ethical Guidelines for Biomedical Research Involving Human Subjects by the Council of International Organizations of Medical Sciences refer to vulnerability as ethical principle, each of their approaches are different. To overcome these shortcomings, we analyze and unite different approaches of vulnerability and develop practical criteria in order to operationalize the concept especially for the context of TBR. These criteria refer to the context of a study as well as the characteristics and the current living situation of study participants. Based on a case study of an HIV-vaccine-trial conducted in India we demonstrate how those criteria can be applied in a retrospective way to identify potential ethical conflicts. The criteria can also indicate a prospective function for ethical pre-assessment. For this, we provide an outlook for three major topics: 1. Vulnerability as a normative concept: Different ways of protection; 2. The relevance of transparency and 3. Vulnerability as an instrument to increase decision participation of human subjects. © 2016 John Wiley & Sons Ltd.

Checkpoint inhibitors and radiation treatment in Hodgkin's lymphoma : New study concepts of the German Hodgkin Study Group.

PubMed

Baues, C; Semrau, R; Gaipl, U S; Bröckelmann, P J; Rosenbrock, J; Engert, A; Marnitz, S

2017-02-01

Patients with classical Hodgkin's lymphoma (cHL) have a good prognosis even in advanced stages. However, combined chemo- and radiotherapy, as the standard of care, is also associated with treatment-related toxicities such as organ damage, secondary neoplasias, infertility, or fatigue and long-term fatigue. Many patients suffer from this burden although their cHL was cured. Therefore, the efficacy of immune checkpoint inhibitors like anti-PD1/PD-L1 antibodies in the treatment of solid cancers and also in HL offers new options. A remarkable and durable response rate with a favorable toxicity profile was observed in heavily pretreated cHL patients. Planning to perform prospective randomized clinical trials in the content of radio-immune treatment in patients with Hodgkin's lymphoma (HL), we transferred the results of preliminary clinical studies and basic research in clinical relevant study concepts. Based on these promising early phase trial data, the German Hodgkin Study Group (GHSG) will investigate innovative treatment regimens in upcoming phase II trials. The therapeutic efficacy and potential synergies of anti-PD1 antibodies in combination with chemo- or radiotherapy will be investigated in various settings of HL.

Fog-computing concept usage as means to enhance information and control system reliability

NASA Astrophysics Data System (ADS)

Melnik, E. V.; Klimenko, A. B.; Ivanov, D. Ya

2018-05-01

This paper focuses on the reliability issue of information and control systems (ICS). The authors propose using the elements of the fog-computing concept to enhance the reliability function. The key idea of fog-computing is to shift computations to the fog-layer of the network, and thus to decrease the workload of the communication environment and data processing components. As for ICS, workload also can be distributed among sensors, actuators and network infrastructure facilities near the sources of data. The authors simulated typical workload distribution situations for the “traditional” ICS architecture and for the one with fogcomputing concept elements usage. The paper contains some models, selected simulation results and conclusion about the prospects of the fog-computing as a means to enhance ICS reliability.

Pregnancy outcome after risk assessment of occupational exposure to organic solvents: a prospective cohort study.

PubMed

Testud, François; D'Amico, Andrea; Lambert-Chhum, Rachel; Garayt, Christelle; Descotes, Jacques

2010-11-01

A rational medical, occupational and toxicological approach is instrumental to select objectively among pregnant women exposed to chemicals at the workplace those who should be withdrawn or benefit from improvements of working conditions. Risk assessment is based on a comprehensive review of compounds' hazards and a thorough evaluation of the actual exposure including biomonitoring whenever as possible. Since 1996, the Lyon Poison Center has been conducting a prospective follow-up of pregnant women exposed to chemicals at the workplace. Of these, 206 exposed to organic solvents since conception were selected and matched with 206 exposed to a non-embryotoxic agent. Total withdrawal from the workplace was recommended in 22% of cases, but exposure was not considered to be hazardous to pregnancy in 51%. Overall, no increase in adverse outcomes was found. Maintaining pregnant women at their workplace, particularly most of the laboratory technicians, is reasonably possible after careful toxicological risk assessment. Copyright © 2010 Elsevier Inc. All rights reserved.

A Prospective Cohort Study of the Prevalence of Growth, Facial, and Central Nervous System Abnormalities in Children with Heavy Prenatal Alcohol Exposure

PubMed Central

Kuehn, Devon; Aros, Sofía; Cassorla, Fernando; Avaria, Maria; Unanue, Nancy; Henriquez, Cecilia; Kleinsteuber, Karin; Conca, Barbara; Avila, Alejandra; Carter, Tonia C.; Conley, Mary R.; Troendle, James; Mills, James L.

2014-01-01

Background Most children who are exposed to large quantities of alcohol in utero do not develop fetal alcohol syndrome (FAS). Population-based prospective data on the risk of developing components of fetal alcohol spectrum disorders (FASD), however, are limited. Methods This was a prospective cohort study of 9,628 women screened during their first prenatal appointment in Chile, which identified 101 who consumed at least 4 drinks/d (exposed) matched with 101 women with no reported alcohol consumption during pregnancy (unexposed). Detailed alcohol consumption data were collected during the pregnancy. Children were evaluated up to 8.5 years of age by clinicians masked to exposure status. Results One or more functional central nervous system abnormalities were present in 44.0% (22/50) of the exposed children compared to 13.6% (6/44) of the unexposed (p = 0.002). Growth restriction was present in 27.2% (25/92) of the exposed and 12.5% (12/96) of the unexposed (p = 0.02). Abnormal facial features were present in 17.3% (14/81) of the exposed children compared to 1.1% (1/89) of the unexposed children (p = 0.0002) by direct examination. Of the 59 exposed children with data available to detect at least 1 abnormality, 12 (20.3%) had no abnormalities. Binge drinking from conception to recognition of pregnancy (OR = 1.48 per day, 95% CI: 1.15 to 1.91, p = 0.002) and after recognition of pregnancy (OR= 1.41 per day, 95% CI: 1.01 to 1.95, p = 0.04) and total number of drinks consumed per week from conception to recognition of pregnancy (OR = 1.02 per drink, 95% CI: 1.01 to 1.04, p = 0.0009) were significantly associated with abnormal child outcome. Conclusions After exposure to heavy alcohol consumption during pregnancy, 80% of children had 1 or more abnormalities associated with alcohol exposure. Patterns of alcohol use that posed the greatest risk of adverse outcomes were binge drinking and high total weekly intake. Functional neurologic impairment occurred most frequently and may be the only sign to alert physicians to prenatal alcohol exposure. PMID:22823161

Maximum Peak Systolic Velocity and Management of Highly Vascularized Retained Products of Conception.

PubMed

Van den Bosch, Thierry; Van Schoubroeck, Dominique; Timmerman, Dirk

2015-09-01

The purpose of this study was to evaluate blood loss and procedure-related complications during and after surgical removal of retained products of conception with high-velocity enhanced myometrial vascularity. We conducted a prospective study of 18 consecutive women with a diagnosis of retained products of conception and enhanced myometrial vascularity, with a peak systolic velocity (PSV) higher than 60 cm/s. All underwent ultrasound-guided surgical removal of the retained products under general anesthesia. Blood loss during the procedure was collected and recorded. The removed tissue was sent for histologic examination. An ultrasound examination was repeated within 24 hours. Five patients had retained products of conception after a term delivery, 1 after a second-trimester termination of pregnancy, 7 after a spontaneous first-trimester miscarriage, and 5 after a first-trimester termination elsewhere. The PSV in the area of enhanced myometrial vascularity at diagnosis ranged from 61.0 to 152.6 cm/s (mean, 104.9 cm/s). The estimated blood loss at surgery ranged from 20 to 1000 mL (mean, 200 mL). After surgery, the PSV in the myometrium dropped dramatically (≤30 cm/s in all but 1 case). In all cases, trophoblastic tissue was confirmed at histologic examination. Although surgical removal of retained products of conception was uneventful in most cases, heavy bleeding has to be anticipated in cases of high-velocity flow in the myometrium underlying residual trophoblastic tissue. Accordingly, in cases of high-velocity enhanced myometrial vascularity, we advocate surgical removal of the residual tissue under ultrasound guidance by an experienced surgeon and in the presence of a fully informed anesthetist. © 2015 by the American Institute of Ultrasound in Medicine.

An early oral health care program starting during pregnancy: results of a prospective clinical long-term study.

PubMed

Meyer, Karen; Geurtsen, Werner; Günay, Hüsamettin

2010-06-01

This study covers phase IV of a prospective clinical long-term study. Objective of this clinical investigation was to analyze the effects of a long-term prevention program on dental and oral health of teenagers at the age of 13 to 14 years. The entire study was subdivided into four phases. Phase I comprised an individual preventive care during pregnancy ("primary-primary prevention"); phase II assessed mothers and their young children until the age of 3 years ("primary prevention"); and in phase III, mothers and children at the age of 6 years were investigated. In phase IV of the study, the oral health of 13- to 14-year-old teenagers was examined (13.4 +/- 0.5 years; n = 29). All phases consisted of an examination, education about oral health care, and treatment based on the concept of an early oral health care promotion. The control group consisted of randomly selected adolescents at the same age (n = 30). The following clinical parameters were assessed: decayed/missing/filled teeth (DMF-T)/decayed, missing, and filled surface teeth index, hygiene index, papilla bleeding index, Periodontal Screening Index, and Streptococcus mutans/Lactobacillus concentration in saliva. The teenagers of the "prevention" group of phase IV of our prospective study revealed a share of 89.7% caries-free dentitions (65.5% sound; 24.2% caries-free with fillings). Mean DMF-T was 0.55 +/- 1.0. The control group showed a significantly higher mean DMF-T of 1.5 +/- 1.5 (p < 0.05) and revealed 56.7% of caries-free dentitions (30% sound, 26.7% caries-free with restorations). Our data clearly document that an early oral health care promotion starting during pregnancy may cause a sustained and long-term improvement of the oral health of children.

Rehabilitation of adolescent idiopathic scoliosis: results of exercises and bracing from a series of clinical studies. Europa Medicophysica-SIMFER 2007 Award Winner.

PubMed

Negrini, S; Atanasio, S; Zaina, F; Romano, M

2008-06-01

Rehabilitation of adolescent idiopathic scoliosis (AIS) requires a careful choice from among the possible treatments, such as bracing and exercises, according to the patient's needs. According to the literature, there is little evidence regarding the efficacy of these rehabilitation instruments. During the past few years, a full series of studies has been carried out to investigate their efficacy. The aim of this paper was to summarize all these results. Three systematic reviews (two on exercises and one on manual therapy), and four cohort prospective studies were performed. The prospective studies included two trials with a prospective control group on exercises (one to avoid bracing and one in preparation to bracing) and two trials with retrospective control group on a new brace developed by the Authors (Sforzesco brace and SPoRT concept of correction versus Lyon brace and Risser cast). Results show that in literature there is proof of level 1b on exercises but no studies on manual therapy. High quality exercises like Scientific Exercises Approach to Scoliosis (SEAS) have more efficacy than usual physiotherapy, significantly reducing brace prescription in one year from 25% of cases to 6%. Moreover, such exercises help to obtain the best results in bracing first correction. The Sforzesco brace has proved to have more efficacy than the Lyon brace, whereas it has the same efficacy--but reduced side effects and impact on quality of life--than the Risser brace. With an efficient management of data collection, it is possible to develop a set of studies aimed at verifying the efficacy of clinical daily rehabilitation approaches.

Prospective Validation of Pre-earthquake Atmospheric Signals and Their Potential for Short–term Earthquake Forecasting

NASA Astrophysics Data System (ADS)

Ouzounov, Dimitar; Pulinets, Sergey; Hattori, Katsumi; Lee, Lou; Liu, Tiger; Kafatos, Menas

2015-04-01

We are presenting the latest development in multi-sensors observations of short-term pre-earthquake phenomena preceding major earthquakes. Our challenge question is: "Whether such pre-earthquake atmospheric/ionospheric signals are significant and could be useful for early warning of large earthquakes?" To check the predictive potential of atmospheric pre-earthquake signals we have started to validate anomalous ionospheric / atmospheric signals in retrospective and prospective modes. The integrated satellite and terrestrial framework (ISTF) is our method for validation and is based on a joint analysis of several physical and environmental parameters (Satellite thermal infrared radiation (STIR), electron concentration in the ionosphere (GPS/TEC), radon/ion activities, air temperature and seismicity patterns) that were found to be associated with earthquakes. The science rationale for multidisciplinary analysis is based on concept Lithosphere-Atmosphere-Ionosphere Coupling (LAIC) [Pulinets and Ouzounov, 2011], which explains the synergy of different geospace processes and anomalous variations, usually named short-term pre-earthquake anomalies. Our validation processes consist in two steps: (1) A continuous retrospective analysis preformed over two different regions with high seismicity- Taiwan and Japan for 2003-2009 (2) Prospective testing of STIR anomalies with potential for M5.5+ events. The retrospective tests (100+ major earthquakes, M>5.9, Taiwan and Japan) show STIR anomalous behavior before all of these events with false negatives close to zero. False alarm ratio for false positives is less then 25%. The initial prospective testing for STIR shows systematic appearance of anomalies in advance (1-30 days) to the M5.5+ events for Taiwan, Kamchatka-Sakhalin (Russia) and Japan. Our initial prospective results suggest that our approach show a systematic appearance of atmospheric anomalies, one to several days prior to the largest earthquakes That feature could be further studied and tested for prospective early warnings based on the multi-sensors detection of pre-earthquake atmospheric signals.

A data-driven search for semen-related phenotypes in conception delay

PubMed Central

Patel, C. J.; Sundaram, R.; Buck Louis, G. M.

2016-01-01

SUMMARY Sperm count, morphology, and motility have been reported to be predictive of pregnancy, although with equivocal basis prompting some authors to question the prognostic value of semen analysis. To assess the utility of including semen quality data in predicting conception delay or requiring >6 cycles to become pregnant (referred to as conception delay), we utilized novel data-driven analytic techniques in a pre-conception cohort of couples prospectively followed up for time-to-pregnancy. The study cohort comprised 402 (80%) male partners who provided semen samples and had time-to-pregnancy information. Female partners used home pregnancy tests and recorded results in daily journals. Odds ratios (OR), false discovery rates, and 95% confidence intervals (CIs) for conception delay (time-to-pregnancy > 6 cycles) were estimated for 40 semen quality phenotypes comprising 35 semen quality endpoints and 5 closely related fecundity determinants (body mass index, time of contraception, lipids, cotinine and seminal white blood cells). Both traditional and strict sperm phenotype measures were associated with lower odds of conception delay. Specifically, for an increase in percent morphologically normal spermatozoa using traditional methods, we observed a 40% decrease in conception delay (OR = 0.6, 95% CI = 0.50, 0.81; p = 0.0003). Similarly, for an increase in strict criteria, we observed a 30% decrease in odds for conception delay (OR = 0.7, 95% CI = 0.52, 0.83; p = 0.001). On the other hand, an increase in percent coiled tail spermatozoa was associated with a 40% increase in the odds for conception delay (OR = 1.4, 95% CI = 1.12, 1.75; p = 0.003). However, our findings suggest that semen phenotypes have little predictive value of conception delay (area under the curve of 73%). In a multivariate model containing significant semen factors and traditional risk factors (i.e. age, body mass index, cotinine and ever having fathered a pregnancy), there was a modest improvement in prediction of conception delay (16% increase in area under the curve, p < 0.0002). PMID:27792860

Future Trends in Logistics and Sustainment

NASA Technical Reports Server (NTRS)

Hochstetler, Ron; Chachad, Girish; Melton, John; Blanken, Matthew; Bosma, John

2016-01-01

Airship Industry Study: In 2015, NASA Ames Research Center completed a study of the overall airship industry. The project called for a report that describes airship concepts proposed or projects initiated in recent years, airship performance or capability targets, and the missions these activities were addressing. The resulting report details the principal technical features of these airships, the proposed value/advantages of the features, notional concepts of operation, and challenges associated with such vehicles. The study investigated the current status and near-term prospects of these airship development activities, whether they are active or, if curtailed, the circumstances and possible reasons for that conclusion, including technical, business, or other mitigating factors. This presentation provides highlights of the Airship Industry Study investigations, findings, and recommendations. UAS Carrier Concept: The advantages of utilizing an airship as an airborne carrier for support and deployment of Unmanned Aircraft Systems (UAS) are examined. Whether as a stand-alone platform or in concert with conventional aircraft, the airship UAS carrier provides a number of compelling benefits for both military and civilian missions. As a mobile base it can remain operational despite political fallout that may render ground or ocean based UAS sites unavailable. It offers the psychological impact of a power projection tool that has few geographical limits, and holds promise as a new method for cost-saving intelligence gathering. It is also adaptable for civilian variants for supporting: emergency response, security/surveillance, delivery of medical/food supplies, as well as commercial package delivery to metropolitan and remote communities.

Folic acid supplementation, dietary folate intake during pregnancy and risk for spontaneous preterm delivery: a prospective observational cohort study.

PubMed

Sengpiel, Verena; Bacelis, Jonas; Myhre, Ronny; Myking, Solveig; Devold Pay, Aase Serine; Haugen, Margaretha; Brantsæter, Anne-Lise; Meltzer, Helle Margrete; Nilsen, Roy Miodini; Magnus, Per; Vollset, Stein Emil; Nilsson, Staffan; Jacobsson, Bo

2014-11-02

Health authorities in numerous countries recommend periconceptional folic acid supplementation to prevent neural tube defects. The objective of this study was to examine the association of dietary folate intake and folic acid supplementation during different periods of pregnancy with the risk of spontaneous preterm delivery (PTD). The Norwegian Mother and Child Cohort Study is a population-based prospective cohort study. A total of 66,014 women with singleton pregnancies resulting in live births in 2002-2009 were included. Folic acid supplementation was self-reported from 26 weeks before pregnancy until pregnancy week 24. At gestational week 22, the women completed a food frequency questionnaire, which allowed the calculation of their average total folate intake from foods and supplements for the first 4-5 months of pregnancy. Spontaneous PTD was defined as the spontaneous onset of delivery between weeks 22+0 and 36+6 (n = 1,755). The median total folate intake was 313 μg/d (interquartile range IQR 167-558) in the overall population and 530 μg/d (IQR 355-636) in the supplement users. Eighty-five percent reported any folic acid supplementation from <8 weeks before to 24 weeks after conception while only 44% initiated folic acid supplementation before pregnancy. Cox regression analysis showed that the amount of dietary folate intake (hazard ratio HR 1.00; confidence interval 95% CI 0.61-1.65) and supplemental folate intake (HR 1.00; CI 1.00-1.00) was not significantly associated with the risk of PTD. The initiation of folic acid supplementation more than 8 weeks before conception was associated with an increased risk for spontaneous PTD (HR 1.18; CI 1.05-1.32) compared to no folic acid supplementation preconception. There was no significant association with PTD when supplementation was initiated within 8 weeks preconception (HR 0.99; CI 0.87-1.13). All analyses were adjusted for maternal characteristics and socioeconomic, health and dietary variables. Our findings do not support a protective effect of dietary folate intake or folic acid supplementation on spontaneous PTD. Preconceptional folic acid supplementation starting more than 8 weeks before conception was associated with an increased risk of spontaneous PTD. These results require further investigation before discussing an expansion of folic acid supplementation guidelines.

Expect Surprises with 1-to-1 Laptops

ERIC Educational Resources Information Center

Tusch, Erich G.

2012-01-01

In 2004, prior to the launch of their 1-to-1 laptop program, the superintendent expressed some anxiety about the prospect of radically changing teaching and learning by issuing a laptop computer to every student and teacher. Although the concept was exciting, it carried big risks and would take time and thorough planning to execute well. Even with…

Promise and Progress of Millihertz Gravitational-Wave Astronomy

NASA Technical Reports Server (NTRS)

Baker, John G.

2017-01-01

Extending the new field of gravitational wave (GW) astronomy into the millihertz band with a space-based GW observatory is a high-priority objective of international astronomy community. This paper summarizes the astrophysical promise and the technological groundwork for such an observatory, concretely focusing on the prospects for the proposed Laser Interferometer Space Antenna (LISA) mission concept.

Expanding Concepts in Mental Retardation; Scientific Symposium of the Joseph P. Kennedy, Jr., Foundation (3rd, Boston, Massachusetts, 1966).

ERIC Educational Resources Information Center

Jervis, George A., Ed.

The genetics of mental retardation are discussed in terms of geographical isolates, prospects for prevention of trisomic conditions, population genetics, and cytogenetics of Down's syndrome; problems of neurogenesis described are anabolic pathways of galactose and glucose metabolism, abnormal cell migrations in developing brains, and genetic…

The Middle-Aging 'Eighties in San Diego: Prospects for Lifelong Learning. AIR Forum 1979 Paper.

ERIC Educational Resources Information Center

Mason, Thomas R.

The processes and kinds of sources used in comprehensive educational planning employing institutional research are described to serve as a guide to provide recurrent education for a middle-aged population. The concept of lifelong learning has been addressed by postsecondary institutions because the traditional-aged college population has been…

Deregulation and the Future of Pluralism in the Mass Media: The Prospects for Positive Policy Reform.

ERIC Educational Resources Information Center

Wimmer, Kurt A.

The concept of "deregulation" of the broadcast media has dominated the regulatory landscape for the past decade, inexorably altering the range of possibilities available for racial and ethnic pluralism in the mass media. Deregulation has created a regulatory atmosphere in which the permissibility of regulation is judged by whether the…

Organizational Learning and the Learning Organization: Reviewing Evolution for Prospecting the Future

ERIC Educational Resources Information Center

Rebelo, Teresa Manuela; Gomes, Adelino Duarte

2008-01-01

Purpose: The purpose of this article is to analyse the evolution of the concepts of organizational learning and the learning organization and propose guidelines for the future. Design/methodology/approach: The evolution of organizational learning and the learning organization is analysed in the light of the three-stage model of the evolution of…

The Thrust and Scope of Teacher Centers and the Prospects for Curriculum Improvement.

ERIC Educational Resources Information Center

Romero, J. Christian; Heerman, Charles E.

California State University, Chico (CSU, Chico) has had a teacher center program underway for two years. By coupling the concept of centers with the traditional California requirement of a fifth year of professional training for preservice teachers CSU, Chico has designed, within a 70-mile radius of the campus, 14 teacher training centers, each…

Learning Objects and Learning Content Management Systems in Engineering Education: Implications of New Trends

ERIC Educational Resources Information Center

Sjoer, Ellen; Dopper, Sofia

2006-01-01

Learning objects and learning content management systems are considered to be "the next wave in engineering education". The results of experiments with these new trends in ICT in engineering education are described in this paper. The prospects were examined and the concepts of reusability of content for teachers and for personalized…

Future long-range transports: Prospects for improved fuel efficiency

NASA Technical Reports Server (NTRS)

Nagel, A. L.; Alford, W. J., Jr.; Dugan, J. F., Jr.

1975-01-01

A status report is provided on current thinking concerning potential improvements in fuel efficiency and possible alternate fuels. Topics reviewed are: (1) historical trends in airplane efficiency; (2) technological opportunities including supercritical aerodynamics, (3) vortex diffusers, (4) composite materials, (5) propulsion systems, (6) active controls, and terminal-area operations; (7) unconventional design concepts, and (8) hydrogen-fueled airplane.

On the Implications of Vygotskian Concepts for Second Language Teaching

ERIC Educational Resources Information Center

Azabdaftari, Behrooz

2013-01-01

This paper represents an attempt to search for the implications of Vygotsky's approach to "the genesis of mind" for second language acquisition (SLA). In so doing, the present author has adopted first a retrospective view--what has already gone in the field of foreign language instruction, and a prospective view--what is contingent on…

Investigation of prospective teachers' knowledge and understanding of models and modeling and their attitudes towards the use of models in science education

NASA Astrophysics Data System (ADS)

Aktan, Mustafa B.

The purpose of this study was to investigate prospective science teachers' knowledge and understanding of models and modeling, and their attitudes towards the use of models in science teaching through the following research questions: What knowledge do prospective science teachers have about models and modeling in science? What understandings about the nature of models do these teachers hold as a result of their educational training? What perceptions and attitudes do these teachers hold about the use of models in their teaching? Two main instruments, semi-structured in-depth interviewing and an open-item questionnaire, were used to obtain data from the participants. The data were analyzed from an interpretative phenomenological perspective and grounded theory methods. Earlier studies on in-service science teachers' understanding about the nature of models and modeling revealed that variations exist among teachers' limited yet diverse understanding of scientific models. The results of this study indicated that variations also existed among prospective science teachers' understanding of the concept of model and the nature of models. Apparently the participants' knowledge of models and modeling was limited and they viewed models as materialistic examples and representations. I found that the teachers believed the purpose of a model is to make phenomena more accessible and more understandable. They defined models by referring to an example, a representation, or a simplified version of the real thing. I found no evidence of negative attitudes towards use of models among the participants. Although the teachers valued the idea that scientific models are important aspects of science teaching and learning, and showed positive attitudes towards the use of models in their teaching, certain factors like level of learner, time, lack of modeling experience, and limited knowledge of models appeared to be affecting their perceptions negatively. Implications for the development of science teaching and teacher education programs are discussed. Directions for future research are suggested. Overall, based on the results, I suggest that prospective science teachers should engage in more modeling activities through their preparation programs, gain more modeling experience, and collaborate with their colleagues to better understand and implement scientific models in science teaching.

Research progress of plant population genomics based on high-throughput sequencing.

PubMed

Wang, Yun-sheng

2016-08-01

Population genomics, a new paradigm for population genetics, combine the concepts and techniques of genomics with the theoretical system of population genetics and improve our understanding of microevolution through identification of site-specific effect and genome-wide effects using genome-wide polymorphic sites genotypeing. With the appearance and improvement of the next generation high-throughput sequencing technology, the numbers of plant species with complete genome sequences increased rapidly and large scale resequencing has also been carried out in recent years. Parallel sequencing has also been done in some plant species without complete genome sequences. These studies have greatly promoted the development of population genomics and deepened our understanding of the genetic diversity, level of linking disequilibium, selection effect, demographical history and molecular mechanism of complex traits of relevant plant population at a genomic level. In this review, I briely introduced the concept and research methods of population genomics and summarized the research progress of plant population genomics based on high-throughput sequencing. I also discussed the prospect as well as existing problems of plant population genomics in order to provide references for related studies.

What is the best term in Spanish to express the concept of cancer-related fatigue?

PubMed

Centeno, Carlos; Portela Tejedor, María Angustias; Carvajal, Ana; San Miguel, Maria Teresa; Urdiroz, Julia; Ramos, Luis; De Santiago, Ana

2009-05-01

Fatigue is one of the most frequent symptoms in patients with cancer. No adequate term in Spanish has been defined to describe the English concept of fatigue. To identify the most suitable Spanish words that define the concept of fatigue and to check psychometric characteristics. Consensus with professional experts on Spanish words that best suit the English concept of fatigue. A prospective study on oncologic patients was also undertaken, which included an evaluation of the intensity of fatigue through visual numeric scales (VNS) where the words had been previously selected. The fatigue subscale of the Functional Assessment of Cancer Therapy-Fatigue (FACT-F) questionnaire was taken as a reference. The experts highlighted the words cansancio, agotamiento, and debilidad (tiredness, exhaustion, and weakness) as the terms that best defined the concept of fatigue. In the psychometric assessment study, 100 patients were included, of which 61 (61%) presented diagnostic values for cancer-related fatigue in the FACT-F fatigue subscale (score 34/52 or lower). The VNS for the chosen terms obtained a high correlation with the FACT-F fatigue subscale results: cansancio (tiredness) r = -0.71, agotamiento (exhaustion) r = -0.74, debilidad (weakness) r = -0.74, with no statistical differences between them. For the detection of fatigue by means of the VNS, tiredness (cutoff point > or =4/10) gave sensitivity (S) 0.90 and specificity (E) 0.72; exhaustion (cutoff point > or =3/10) S 0.95 and E 0.90 and weakness (cutoff point > or =4/10) S 0.92 and E 0.72. The ROC curve was 0.88 for tiredness, 0.94 for exhaustion, and 0.92 for weakness, with no significant difference between the areas mentioned. The terms cansancio, agotamiento, and debilidad (tiredness, exhaustion, and weakness) are suitable for defining the English concept of fatigue in Spanish, and should be the preferred option for inclusion in evaluation tools.

Magnetic resonance neurography and diffusion tensor imaging: origins, history, and clinical impact of the first 50,000 cases with an assessment of efficacy and utility in a prospective 5000-patient study group.

PubMed

Filler, Aaron

2009-10-01

Methods were invented that made it possible to image peripheral nerves in the body and to image neural tracts in the brain. The history, physical basis, and dyadic tensor concept underlying the methods are reviewed. Over a 15-year period, these techniques-magnetic resonance neurography (MRN) and diffusion tensor imaging-were deployed in the clinical and research community in more than 2500 published research reports and applied to approximately 50,000 patients. Within this group, approximately 5000 patients having MRN were carefully tracked on a prospective basis. A uniform Neurography imaging methodology was applied in the study group, and all images were reviewed and registered by referral source, clinical indication, efficacy of imaging, and quality. Various classes of image findings were identified and subjected to a variety of small targeted prospective outcome studies. Those findings demonstrated to be clinically significant were then tracked in the larger clinical volume data set. MRN demonstrates mechanical distortion of nerves, hyperintensity consistent with nerve irritation, nerve swelling, discontinuity, relations of nerves to masses, and image features revealing distortion of nerves at entrapment points. These findings are often clinically relevant and warrant full consideration in the diagnostic process. They result in specific pathological diagnoses that are comparable to electrodiagnostic testing in clinical efficacy. A review of clinical outcome studies with diffusion tensor imaging also shows convincing utility. MRN and diffusion tensor imaging neural tract imaging have been validated as indispensable clinical diagnostic methods that provide reliable anatomic pathological information. There is no alternative diagnostic method in many situations. With the elapsing of 15 years, tens of thousands of imaging studies, and thousands of publications, these methods should no longer be considered experimental.

Association Between Endometriosis and Preterm Birth in Women With Spontaneous Conception or Using Assisted Reproductive Technology: A Systematic Review and Meta-Analysis of Cohort Studies.

PubMed

Pérez-López, Faustino R; Villagrasa-Boli, Pablo; Muñoz-Olarte, María; Morera-Grau, Álex; Cruz-Andrés, Pablo; Hernandez, Adrian V

2018-03-01

To perform a systematic review and meta-analysis to estimate the effect of endometriosis on preterm birth (PB) risk. Searches were conducted in PubMed-MEDLINE, Embase, Scopus, Web of Science, Cochrane Library, Google Scholar, and SciELO for studies published in all languages from inception through April 2017. We included cohort studies evaluating pregnant women with and without endometriosis and conception either by spontaneous conception (SC) or with assisted reproductive technology (ART). Primary outcome was PB (<37 weeks), and secondary outcomes were intrauterine growth restriction (IUGR), low birthweight, small for gestational age (SGA), and birthweight. Pooled odds ratios (ORs) and its 95% confidence interval (CI) were calculated as effects, and random-effects models were used for meta-analyses. Risk of bias was assessed with the Newcastle-Ottawa Scale, and heterogeneity of effects among studies was described with the I 2 statistic. We identified 9 cohort studies including a total of 1 496 715 pregnancies (13 798 with endometriosis diagnosis). In women with endometriosis, the PB risk was significantly increased in both SC (OR: 1.59; 95% CI: 1.32-1.90) and ART (OR: 1.43; 95% CI: 1.14-1.79). The SGA risk was increased in women with endometriosis (OR: 1.16; 95% CI: 1.05-1.28), while the IUGR and low birthweight risks and birthweight were not affected by endometriosis. Endometriosis is associated with increased PB risk in both SC and women who obtained pregnancy using ART. Prospective studies evaluating relevant outcomes are needed to confirm these results.

Quality assurance and stability reference (QUASAR) monitoring concept for calibration/validation

NASA Astrophysics Data System (ADS)

Teillet, Philippe M.; Horler, D. N.; O'Neill, Norman T.

1997-12-01

The paper introduces the concept that calibration/validation (cal/val) can play an essential role in bringing remote sensing to mainstream consumers in an information-based society, provided that cal/val is an integral part of a quality-assurance strategy. A market model for remote sensing is introduced and used to demonstrate that quality assurance is the key to bridging the gap between early adopters of technology and mainstream markets. The paper goes on to propose the semi-continuous monitoring of quality assurance and stability reference (QUASAR) sites as an important first step towards a cal/val infrastructure beneficial to mainstream users. Prospective QUASAR test sites are described.

Chronic debilitating fatigue in Irish general practice: a survey of general practitioners' experience.

PubMed

Fitzgibbon, E J; Murphy, D; O'Shea, K; Kelleher, C

1997-10-01

Doctors are called upon to treat chronic debilitating fatigue without the help of a protocol of care. To estimate the incidence of chronic debilitating fatigue in Irish general practice, to obtain information on management strategy and outcome, to explore the attitudes of practitioners (GPs) towards the concept of a chronic fatigue syndrome (CFS), and to recruit practitioners to a prospective study of chronic fatigue in primary care. A total of 200 names were selected from the database of the Irish College of General Practitioners (ICGP); 164 of these were eligible for the study. Altogether, 118 questionnaires were returned (72%). Ninety-two (78%) responders identified cases of chronic fatigue, giving an estimated 2.1 cases per practice and an incidence of 1 per 1000 population. All social classes were represented, with a male to female ratio of 1:2. Eleven disparate approaches to treatment were advocated. Many (38%) were dissatisfied with the quality of care delivered, and 45% seldom or hardly ever referred cases for specialist opinion. The majority (58%) accepted CFS as a distinct entity, 34% were undecided, and 8% rejected it. Forty-two (35%) GPs volunteered for a prospective study. Chronic fatigue is found in Irish general practice among patients of both sexes and all social classes. Doctors differ considerably in their management of patients and are dissatisfied with the quality of care they deliver. Many cases are not referred for specialist opinion. A prospective database is required to accurately assess the scale of this public health problem and to develop a protocol of care.

Prevalence and risk factors for anaemia in pregnant women: a population-based prospective cohort study in China.

PubMed

Zhang, Qiaoyi; Li, Zhu; Ananth, Cande V

2009-07-01

Maternal anaemia is a common pregnancy complication in developing countries; however, its epidemiology remains largely unexplored in China. This study was designed to explore the epidemiology and risk factors of anaemia during pregnancy. A prospective cohort study was conducted, using data from a population-based pregnancy-monitoring system in 13 counties in East China (1993-96). Women who delivered singleton infants at 20-44 weeks with at least one haemoglobin assessment during pregnancy were included (n = 164 667). The prevalence of anaemia (haemoglobin < 10 g/dL) during pregnancy as well as in each trimester was estimated. Multivariable log-binomial regression models were used to evaluate risk factors. The overall prevalence of anaemia in pregnancy was 32.6%, with substantial variations across trimesters (11.2%, 20.1% and 26.2% in the 1st, 2nd and 3rd trimesters respectively). Risk factors for anaemia included older maternal age, education below junior high school (prevalence rate ratio [RR] 1.10, 95% confidence interval [CI] 1.08, 1.12), farming occupation (1.05, 95% CI 1.03, 1.06), and mild pregnancy-induced hypertension (PIH) (RR 1.09, 95% CI 1.05, 1.13) and severe PIH (RR 1.13, 95% CI 1.06, 1.19). Peri-conception folic acid use was associated with a reduced risk for anaemia in the 1st trimester (RR 0.75, 95% CI 0.72, 0.78). Initiating prenatal care after the 1st trimester was associated with increased risk of anaemia in the 2nd and 3rd trimesters. Our study found anaemia during pregnancy is highly prevalent in this indigenous Chinese population. The risk increases with the severity of hypertensive disorders. Folic acid supplementation during the peri-conception period is associated with reduced risk of 1st trimester anaemia.

Internet of things and bariatric surgery follow-up: Comparative study of standard and IoT follow-up.

PubMed

Vilallonga, Ramon; Lecube, Albert; Fort, José Manuel; Boleko, Maria Angeles; Hidalgo, Marta; Armengol, Manel

2013-09-01

Follow-up of obese patient is difficult. There is no literature related to patient follow-up that incorporates the concept of Internet of Things (IoT), use of WiFi, Internet, or portable devices for this purpose. This prospective observational study commenced in June 2011. Patients were prospectively offered to participate in the IoT study group, in which they received a WiFi scale (Withing®, Paris) that provides instant WiFi data to the patient and surgeon. Other patients were admitted to the standard follow-up group at the outpatient clinic. A total of 33 patients were included in our study (ten in the IoT group). Twelve patients did not have WiFi at home, ten lacked of computer knowledge, and seven preferred standard for follow-up. All patients underwent different surgical procedures. There were no complications. Excess weight loss (EWL) was similar in both groups. More than 90% of patients were satisfied. In the IoT group, patients considered it valuable in saving time, and considered seeing their evolution graphics extremely motivating. IoT technology can monitor medical parameters remotely and collect data. A WiFi scale can facilitate preoperative and follow-up. Standard follow-up in a classical outpatient clinic setting with the surgeon was preferred globally.

Biomolecular characterization of glass surfaces

NASA Astrophysics Data System (ADS)

Clare, Alexis G.; Hall, Matthew M.; Korwin-Edson, Michelle L.; Goldstein, Alan H.

2003-08-01

This paper introduces the concept of biomolecular characterization of inorganic surfaces. The choice of biomolecule is discussed followed by techniques that can be used to analyse the quantity of bound species, strength of binding, the nature of binding sites, conformational changes and the layer morphology. The prospects of modelling this data using a combination of molecular dynamics simulation and protein structural modelling and the correlation to measured data are outlined. The studies described in this paper are directed toward assessing the feasibility of biomolecular characterization, however, the data collected in the process are designed to also help elucidate our understanding of the interaction between biomolecular species and inorganic materials interfaces.

Reparative resynchronization in ischemic heart failure: an emerging strategy.

PubMed

Yamada, Satsuki; Terzic, Andre

2014-08-01

Cardiac dyssynchrony refers to disparity in cardiac wall motion, a serious consequence of myocardial infarction associated with poor outcome. Infarct-induced scar is refractory to device-based cardiac resynchronization therapy, which relies on viable tissue. Leveraging the prospect of structural and functional regeneration, reparative resynchronization has emerged as a potentially achievable strategy. In proof-of-concept studies, stem-cell therapy eliminates contractile deficit originating from infarcted regions and secures long-term synchronization with tissue repair. Limited clinical experience suggests benefit of cell interventions in acute and chronic ischemic heart disease as adjuvant to standard of care. A regenerative resynchronization option for dyssynchronous heart failure thus merits validation.

Martial arts and psychological health.

PubMed

Fuller, J R

1988-12-01

The misleading public image of the martial arts masks a rich though esoteric psychological legacy containing informative parallels for contemporary psychotherapeutic concepts and practices. To date, empirical research on the martial arts has lacked sophistication in the questions it has posed and in the methodology adopted to answer them. Whilst not entirely consistent, findings from studies of martial artists' personalities, outlooks and behaviour have generally indicated positive psychological effects of training. Clinical and psychotherapeutic applications are at an exploratory stage but appear promising. As an exemplar the psychological facets of the art of Aikido are discussed, and prospective uses of martial arts principles as systemic or adjunctive therapies are considered.

Nature of science in instruction materials of science through the model of educational reconstruction

NASA Astrophysics Data System (ADS)

Azizah, Nur; Mudzakir, Ahmad

2016-02-01

The study was carried out to reconstruct the science teaching materials charged view of the nature of science (VNOS). This reconstruction process using the Model of Educational Reconstruction (MER), which is the framework for research and development of science education as well as a guide for planning the teaching of science in the schools is limited in two stages, namely: content structure analysis, and empirical studies of learners. The purpose of this study is to obtain a pre-conception of learners and prospective scientists to the topic of the nature of the material and utilization. The method used to descriptive with the instruments is guidelines for interviews for 15 students of class VIII, text analysis sheet, sheet analysis of the concept, and the validation sheet indicators and learning objectives NOS charged on cognitive and affective aspects. The results obtained in the form of pre-conceptions of learners who demonstrate almost 100% of students know the types of materials and some of its nature, the results of the scientist's perspective on the topic of the nature of the material and its use, as well as the results of the validation indicators and learning objectives charged NOS and competencies PISA 2015 cognitive and affective aspects with CVI value of 0.99 and 1.0 after being validated by five experts. This suggests that the indicators and the resulting learning objectives feasible and can proceed to the reconstruction of teaching materials on the topic of material properties and utilization.

Admissions for early parenting difficulties among women with infants conceived by assisted reproductive technologies: a prospective cohort study.

PubMed

Fisher, Jane R W; Rowe, Heather; Hammarberg, Karin

2012-06-01

To describe rate of and risks for residential early parenting service (REPS) admissions in women with infants conceived with assisted reproductive technology (ART). A prospective study of women who conceived with ART. Self-report telephone interview and questionnaire data were collected in two pregnancy and three postpartum waves. Melbourne IVF and Royal Women's Hospital Reproductive Services, Victoria, Australia. A consecutive cohort of women with ART pregnancies. None. REPS admission up to 18 months postpartum. Of 239 eligible women. 183 (77%) were recruited, six experienced pregnancy loss, and 153/177 (86%) were retained. In total, 17% (26/153) of participants were admitted to a REPS, 3.37 times more than the population admission rate of 5.05%. Admission risk was increased by primiparity, inadequate breastfeeding advice, low caregiving confidence when discharged from maternity hospital, lower early postpartum mood, unsettled infant behavior, and insufficient help from others. Compared with spontaneous conception, women who conceived with ART are at elevated risk of early parenting difficulties. Early interventions to address breastfeeding difficulties, management of unsettled infant behavior, social isolation, and postpartum anxiety are indicated. Copyright © 2012 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Post-traumatic growth in parents after a child's admission to intensive care: maybe Nietzsche was right?

PubMed

Colville, Gillian; Cream, Penelope

2009-05-01

The aim of this prospective study was to establish the degree to which parents report post-traumatic growth after the intensive care treatment of their child. Prospective cross-sectional cohort study. Paediatric Intensive Care Unit (PICU). A total of 50 parents of children, admitted to PICU for >12 h. Parents provided stress ratings as their child was discharged from PICU and, 4 months later, completed postal questionnaires rating their anxiety, depression, post-traumatic stress and post-traumatic growth. As much as 44 parents (88%) indicated on the Posttraumatic Growth Inventory (PTGI) [1] that they had experienced a positive change to a great degree as a result of their experiences in PICU. Parents of children who were ventilated (P = 0.024) reported statistically higher post-traumatic growth as did parents of older children (P = 0.032). PTGI scores were positively correlated with post-traumatic stress scores at 4 months (P = 0.021), but on closer inspection this relationship was found to be curvilinear. Post-traumatic growth emerged as a salient concept for this population. It was more strongly associated with moderate levels of post-traumatic stress, than high or low levels.

Metabolic effects of dietary fiber consumption and prevention of diabetes.

PubMed

Weickert, Martin O; Pfeiffer, Andreas F H

2008-03-01

A high dietary fiber (DF) intake is emphasized in the recommendations of most diabetes and nutritional associations. It is accepted that viscous and gel-forming properties of soluble DF inhibit macronutrient absorption, reduce postprandial glucose response, and beneficially influence certain blood lipids. Colonic fermentation of naturally available high fiber foods can also be mainly attributed to soluble DF, whereas no difference between soluble and insoluble DF consumption on the regulation of body weight has been observed. However, in prospective cohort studies, it is primarily insoluble cereal DF and whole grains, and not soluble DF, that is consistently associated with reduced diabetes risk, suggesting that further, unknown mechanisms are likely to be involved. Recent research indicates that DF consumption contributes to a number of unexpected metabolic effects independent from changes in body weight, which include improvement of insulin sensitivity, modulation of the secretion of certain gut hormones, and effects on various metabolic and inflammatory markers that are associated with the metabolic syndrome. In this review, we briefly summarize novel findings from recent interventions and prospective cohort studies. We discuss concepts and potential mechanisms that might contribute to the further understanding of the involved processes.

Understanding School Leadership and Management Development in England: Retrospect and Prospect

ERIC Educational Resources Information Center

Simkins, Tim

2012-01-01

This article explores the ways in which leadership and management development (LMD) in England has been researched and analysed over the past 40 years. The article is in two parts. The first analyses the ways in which patterns of provision have evolved in response to changing conceptions of how the school system should be organized and how,…

Advances in superresolution optical fluctuation imaging (SOFI)

PubMed Central

Dertinger, Thomas; Pallaoro, Alessia; Braun, Gary; Ly, Sonny; Laurence, Ted A.; Weiss, Shimon

2013-01-01

We review the concept of superresolution optical fluctuation imaging (SOFI), discuss its attributes and trade-offs (in comparison with other superresolution methods), and present superresolved images taken on samples stained with quantum dots, organic dyes, and plasmonic metal nanoparticles. We also discuss the prospects of SOFI for live cell superresolution imaging and for imaging with other (non-fluorescent) contrasts. PMID:23672771

Prospective Teachers' Reactions to "Right-or-Wrong" Tasks: The Case of Derivatives of Absolute Value Functions

ERIC Educational Resources Information Center

Tsamir, Pessia; Rasslan, Shaker; Dreyfus, Tommy

2006-01-01

This paper illustrates the role of a "Thinking-about-Derivatives" task in identifying learners' derivative conceptions and for promoting their critical thinking about derivatives of absolute value functions. The task included three parts: "Define" the derivative of a function f(x) at x = x[subscript 0], "Solve-if-Possible" the derivative of f(x) =…

Similarities and Differences in Risk and Protective Factors in Teacher Induction for Prospective Elementary and Physical and Health Education Teachers

ERIC Educational Resources Information Center

Leroux, Mylène; Beaudoin, Charlotte; Grenier, Johanne; Turcotte, Sylvain; Rivard, Marie-Claude

2016-01-01

The growing body of literature on teacher induction barriers has revealed the need to address issues that may lead to negative consequences. Recent research points to an increased interest in teacher resilience, a concept that promotes positive adaptation to counteract these adverse outcomes. However, teacher induction and resilience may differ…

Satellites in Canadian broadcasting

NASA Astrophysics Data System (ADS)

Siocos, C. A.

The involvement of Canadian broadcasting and related enterprises in satellite telecommunications is surveyed. This includes point-to-point transmissions and direct ones to the general public. The mode of such utilizations is indicated in both these cases. For the forthcoming DBS systems the many types of service offerings and utilization concepts under discussion elasewhere are presented as well as the business prospects and regulatory climate offering them.

Transitions: A Classroom Management Concept Related to Effective Teaching. Student Guide. Utah Protocol Materials Project.

ERIC Educational Resources Information Center

Utah State Univ., Logan. Utah Protocol Materials Project.

This student guide is part of a protocol learning module designed to teach the prospective teacher to make smooth transitions from one activity to another, in order to deter disruptive behavior in the course of the transition. The entire module consists of this guide, a protocol film, and testing materials. The student guide contains: (a)…

REVIEWS OF TOPICAL PROBLEMS: Elementary particles and cosmology (Metagalaxy and Universe)

NASA Astrophysics Data System (ADS)

Rozental', I. L.

1997-08-01

The close relation between cosmology and the theory of elementary particles is analyzed in the light of prospects of a unified field theory. The unity of their respective problems and solution methodologies is indicated. The difference between the concepts of 'Metagalaxy' and 'Universe' is emphasized and some possible schemes for estimating the size of the Universe are pointed out.

The relation between prepregnancy sexuality and sexual function during pregnancy and the postpartum period: a prospective study.

PubMed

Yıldız, Hatice

2015-01-01

This study examined the relation between sexual functions of women in prepregnancy (before conception) and during pregnancy and the postpartum period. This study was conducted on 59 healthy pregnant women. Participants were followed from the eighth week of gestation to 6 months after delivery. Sexual function during pregnancy and the postpartum period was shown to have a significant linear correlation with prepregnancy sexuality. There was no relation between pregnancy and postpartum sexuality. All of the participants who had prepregnancy sexual dysfunction continued to experience it during pregnancy, and the majority of them had a significant level of sexual dysfunction in the postpartum period. Our results showed that prepregnancy sexuality plays an important role in maintaining sexuality during pregnancy and the postpartum period.

Why the Three-Point Rule Failed to Sufficiently Reduce the Number of Draws in Soccer: An Application of Prospect Theory.

PubMed

Riedl, Dennis; Heuer, Andreas; Strauss, Bernd

2015-06-01

Incentives guide human behavior by altering the level of external motivation. We apply the idea of loss aversion from prospect theory (Kahneman & Tversky, 1979) to the point reward systems in soccer and investigate the controversial impact of the three-point rule on reducing the fraction of draws in this sport. Making use of the Poisson nature of goal scoring, we compared empirical results with theoretically deduced draw ratios from 24 countries encompassing 20 seasons each (N = 118.148 matches). The rule change yielded a slight reduction in the ratio of draws, but despite adverse incentives, still 18% more matches ended drawn than expected, t(23) = 11.04, p < .001, d = 2.25, consistent with prospect theory assertions. Alternative point systems that manipulated incentives for losses yielded reductions at or below statistical expectation. This provides support for the deduced concept of how arbitrary aims, such as the reduction of draws in the world's soccer leagues, could be more effectively accomplished than currently attempted.

Nurturing Relationships And Honouring Responsibilities: A Pacific Perspective

NASA Astrophysics Data System (ADS)

Thaman, Konai Helu

2008-07-01

This essay contributes a Pacific Islands perspective to the global discussion of "Living Together: Education and Intercultural Dialogue". Through poetry and prose, this essay traces the impact of the Tongan concept of vaa (values/valued relationships) on learning and language. By invoking UNESCO's mandate to build peace through education, the concept of vaa is shown to be a key to promoting peace. The challenges and prospects of nurturing peace through international cooperation in education are discussed with examples drawn from the Pacific. Specifically, Tonga's social and linguistic histories provide avenues for interpreting Pacific educational ideals in relation to Western concepts of knowing and learning. Reflection on cultural literacy in the Pacific context raises deeper questions about the role of educators when working interculturally. Lessons to be learned include the oft-quoted maxim that educators must first learn about their own culture before learning about others', and before imposing their own pedagogies and curricula on others' education systems.

A discussion supporting presumed consent for posthumous sperm procurement and conception.

PubMed

Tremellen, Kelton; Savulescu, Julian

2015-01-01

Conception of a child using cryopreserved sperm from a deceased man is generally considered ethically sound provided explicit consent for its use has been made, thereby protecting the man's autonomy. When death is sudden (trauma, unexpected illness), explicit consent is not possible, thereby preventing posthumous sperm procurement (PSP) and conception according to current European Society of Human Reproduction and Embryology and the American Society for Reproductive Medicine guidelines. Here, we argue that autonomy of a deceased person should not be considered the paramount ethical concern, but rather consideration of the welfare of the living (widow and prospective child) should be the primary focus. Posthumous conception can bring significant advantages to the widow and her resulting child, with most men supporting such practice. We suggest that a deceased man can benefit from posthumous conception (continuation of his 'bloodline', allowing his widow's wishes for a child to be satisfied), and has a moral duty to allow his widow access to his sperm, if she so wishes, unless he clearly indicated that he did not want children when alive. We outline the arguments favouring presumed consent over implied or proxy consent, plus practical considerations for recording men's wishes to opt-out of posthumous conception. Copyright © 2014 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

Preconception B-vitamin and homocysteine status, conception, and early pregnancy loss.

PubMed

Ronnenberg, Alayne G; Venners, Scott A; Xu, Xiping; Chen, Changzhong; Wang, Lihua; Guang, Wenwei; Huang, Aiqun; Wang, Xiaobin

2007-08-01

Maternal vitamin status contributes to clinical spontaneous abortion, but the role of B-vitamin and homocysteine status in subclinical early pregnancy loss is unknown. Three-hundred sixty-four textile workers from Anqing, China, who conceived at least once during prospective observation (1996-1998), provided daily urine specimens for up to 1 year, and urinary human chorionic gonadotropin was assayed to detect conception and early pregnancy loss. Homocysteine, folate, and vitamins B6 and B12 were measured in preconception plasma. Relative to women in the lowest quartile of vitamin B6, those in the third and fourth quartiles had higher adjusted proportional hazard ratios of conception (hazard ratio (HR)=2.2, 95% confidence interval (CI): 1.3, 3.4; HR=1.6, 95% CI: 1.1, 2.3, respectively), and the adjusted odds ratio for early pregnancy loss in conceptive cycles was lower in the fourth quartile (odds ratio=0.5, 95% CI: 0.3, 1.0). Women with sufficient vitamin B6 had a higher adjusted hazard ratio of conception (HR=1.4, 95% CI: 1.1, 1.9) and a lower adjusted odds ratio of early pregnancy loss in conceptive cycles (odds ratio=0.7, 95% CI: 0.4, 1.1) than did women with vitamin B6 deficiency. Poor vitamin B6 status appears to decrease the probability of conception and to contribute to the risk of early pregnancy loss in this population.

Use of various contraceptive methods and time of conception in a community-based population.

PubMed

Kaplan, Boris; Nahum, Ravit; Yairi, Yael; Hirsch, Michael; Pardo, Josef; Yogev, Yariv; Orvieto, Raoul

2005-11-01

To investigate the association between method of contraception and time to conception in a normal community-based population. Prospective, cross-sectional, survey. Large comprehensive ambulatory women's health center. One thousand pregnant women at their first prenatal obstetrics visit were asked to complete a self-report questionnaire. The return to fertility was analyzed by type of contraceptive method, duration of use, and other sociodemographic variables. Response rate was 80% (n=798). Mean age of the patients was 29.9+/-5 years. Seventy-five percent had used a contraceptive before trying to conceive: 80% oral contraceptives, 8% intrauterine device, and 7% barrier methods. Eighty-six percent conceived spontaneously. Contraceptive users had a significantly higher conception rate than nonusers in the first 3 months from their first attempt at pregnancy. Type of contraception was significantly correlated with time to conception. Pregnancy rates within 6 months of the first attempt was 60% for oral contraceptive users compared to 70 and 81% for the intrauterine device and barrier method groups, respectively. There was no correlation between time to conception and parity or duration of contraceptive use. Other factors found to be significantly related to time to conception were older age of both partners and higher body mass index. Contraception use before a planned pregnancy does not appear to affect ease of conception. Type of method used, although not duration of use, may influence the time required to conceive.

Ultra-bright GeV photon source via controlled electromagnetic cascades in laser-dipole waves

NASA Astrophysics Data System (ADS)

Gonoskov, Arkady; Bashinov, Alexey; Efimenko, Evgeny; Muraviev, Alexander; Kim, Arkady; Ilderton, Anton; Bastrakov, Sergey; Meyerov, Iosif; Marklund, Mattias; Sergeev, Alexander

2017-10-01

The prospect of achieving conditions for triggering strong-field QED phenomena at upcoming large-scale laser facilities raises a number of intriguing questions. What kind of new effects and interaction regimes can be accessed by basic QED phenomena? What are the minimal (optimal) requirements to trigger these effects and enter these regimes? How can we, from this, gain new fundamental knowledge or create important applications? The talk will concern the prospects of producing high fluxes of GeV photons by triggering a special type of self-sustaining cascade in the field of several colliding laser pulses that form a dipole wave. Apart from reaching the highest field strength for a given total power of laser pulses, the dipole wave enables anomalous radiative trapping that favors pair production and high-energy photon generation. An extensive theoretical analysis and 3D QED-PIC simulations indicate that the concept is feasible at upcoming large-scale laser facilities of 10 PW level and can provide an extraordinary intense source of GeV photons for novel experimental studies in nuclear and quark-nuclear physics.

On Some Unwarranted Tacit Assumptions in Cognitive Neuroscience†

PubMed Central

Mausfeld, Rainer

2011-01-01

The cognitive neurosciences are based on the idea that the level of neurons or neural networks constitutes a privileged level of analysis for the explanation of mental phenomena. This paper brings to mind several arguments to the effect that this presumption is ill-conceived and unwarranted in light of what is currently understood about the physical principles underlying mental achievements. It then scrutinizes the question why such conceptions are nevertheless currently prevailing in many areas of psychology. The paper argues that corresponding conceptions are rooted in four different aspects of our common-sense conception of mental phenomena and their explanation, which are illegitimately transferred to scientific enquiry. These four aspects pertain to the notion of explanation, to conceptions about which mental phenomena are singled out for enquiry, to an inductivist epistemology, and, in the wake of behavioristic conceptions, to a bias favoring investigations of input–output relations at the expense of enquiries into internal principles. To the extent that the cognitive neurosciences methodologically adhere to these tacit assumptions, they are prone to turn into a largely a-theoretical and data-driven endeavor while at the same time enhancing the prospects for receiving widespread public appreciation of their empirical findings. PMID:22435062

Evaluating the prospects for sustainable energy development in a sample of Chinese villages.

PubMed

Mortimer, Nigel D; Grant, John F

2008-04-01

This paper describes the methods used to evaluate the potential for achieving sustainable energy development in six Chinese villages included in the Sustainable Users' Concepts for China Engaging Scientific Scenarios (SUCCESS) Project by examining energy efficiency potential and local renewable energy prospects. The approaches needed to obtain and analyse information on possible energy efficiency measures and renewable energy resources are summarised. Results are presented in terms of cumulative net savings in primary energy consumption, as an indicator of energy resource depletion, and associated carbon dioxide emissions, as an indicator of global climate change. Options for sustainable energy development are ranked in order of likely implementation and practical actions which could be considered in each village are identified.

Innovation and design approaches within prospective ergonomics.

PubMed

Liem, André; Brangier, Eric

2012-01-01

In this conceptual article the topic of "Prospective Ergonomics" will be discussed within the context of innovation, design thinking and design processes & methods. Design thinking is essentially a human-centred innovation process that emphasises observation, collaboration, interpretation, visualisation of ideas, rapid concept prototyping and concurrent business analysis, which ultimately influences innovation and business strategy. The objective of this project is to develop a roadmap for innovation, involving consumers, designers and business people in an integrative process, which can be applied to product, service and business design. A theoretical structure comprising of Innovation perspectives (1), Worldviews supported by rationalist-historicist and empirical-idealistic dimensions (2) and Models of "design" reasoning (3) precedes the development and classification of existing methods as well as the introduction of new ones.

Cryogenic hydrogen-induced air-liquefaction technologies for combined-cycle propulsion applications

NASA Technical Reports Server (NTRS)

Escher, William J. D.

1992-01-01

Given here is a technical assessment of the realization of cryogenic hydrogen induced air liquefaction technologies in a prospective onboard aerospace vehicle process setting. The technical findings related to the status of air liquefaction technologies are reviewed. Compact lightweight cryogenic heat exchangers, heat exchanger atmospheric constituent fouling alleviation measures, para/ortho-hydrogen shift-conversion catalysts, cryogenic air compressors and liquid air pumps, hydrogen recycling using slush hydrogen as a heat sink, liquid hydrogen/liquid air rocket-type combustion devices, and technically related engine concepts are discussed. Much of the LACE work is related to aerospaceplane propulsion concepts that were developed in the 1960's. Emphasis is placed on the Liquid Air Cycle Engine (LACE).

The Impact of Prenatal Parental Locus of Control on Children's Psychological Outcomes in Infancy and Early Childhood: A Prospective 5 Year Study

PubMed Central

Nowicki, Stephen; Iles-Caven, Yasmin; Gregory, Steven; Ellis, Genette; Golding, Jean

2017-01-01

Locus of control is one of the most widely studied concepts in the history of personality psychology. In spite of its popularity and its associations with numerous relevant outcomes, the ability of locus of control to predict future behaviors involving parenting effectiveness has been under researched. The few parent locus of control children's outcome studies are characterized by cross-sectional methodologies that focus on mothers. The present study uses a prospective methodology to compare data on mothers' and fathers' locus of control with their child's behavior outcomes from a large scale research project, the Avon Longitudinal Study of Parents and Children (ALSPAC). Based on Rotter's Social Learning Theory published in 1954 and past empirical research, it was predicted and found that parent internality was associated with more positive child outcomes than parent externality. More specifically, when both parents were internal, their children had more positive outcomes in sleeping, eating, and tantrum behavior as compared to any other parent locus of control combination. However external parents had a less restrictive attitude which appeared to have a more beneficial effect on picky eating. Results confirmed how important parent locus of control is in the lives of children. Based on the findings, researchers are urged to develop interventions to change advice to parents and promote more internal locus of control among parents. PMID:28446887

The Feasibility of Using Computer and Internet in Teaching Family Education for the 8th Grade Class

ERIC Educational Resources Information Center

Alluhaydan, Nuwayyir Saleh F.

2016-01-01

This paper is just a sample template for the prospective authors of IISTE. Over the decades, the concepts of holons and holonic systems have been adopted in many research fields, but they are scarcely attempted on labour planning. A literature gap exists, thus motivating the author to come up with a holonic model that uses exponential smoothing to…

NATO-Russian Relations: Status and Prospectives

DTIC Science & Technology

2004-12-01

commission to draft it until July 1994. 91 Anne C. Aldis and Roger N. McDermott, Russian Military Reform 1992... Russian Military Reform 1992-2002, p. 4. 42 Finally, the President signed the first National Security Concept of the Russian Federation on 17 December...INTENTIONALLY LEFT BLANK 73 LIST OF REFERENCES Aldis, Anne C. and McDermott, Roger N., Russian Military Reform 1992-2002, (Portland, OR: Conflict

Horizons in Learning Innovation through Technology: Prospects for Air Force Education Benefits

DTIC Science & Technology

2010-06-10

prototyping, and implementation. Successfully implementing disruptive innovations requires change management to help steward the identification ...systems and environments for Air Force education benefits goes beyond the identification and analysis of emerging horizons. Processes and methods...scene, a patrol area, or a suspect lineup (“Augmented- reality,” 2010). Connection to Innovation Triangle. The concepts of LVC and AR are quickly

Plant cell technologies in space: Background, strategies and prospects

NASA Technical Reports Server (NTRS)

Kirkorian, A. D.; Scheld, H. W.

1987-01-01

An attempt is made to summarize work in plant cell technologies in space. The evolution of concepts and the general principles of plant tissue culture are discussed. The potential for production of high value secondary products by plant cells and differentiated tissue in automated, precisely controlled bioreactors is discussed. The general course of the development of the literature on plant tissue culture is highlighted.

JPRS Report East Asia Southeast Asia.

DTIC Science & Technology

1987-07-20

sufficient," Soeleiman commented, trusting that the most effective and inexpensive forum would be found. If they cannot have a face-to-face...government censorships . Public confidence in the prospects for economic recovery have been low, marked by recurring speculation against the Indonesian...year. Under the government’s concept of a "free and responsible" press, newspapers face the daunting task of determining their own censorship

Dove va la linguistica applicata? Sintomi di crisi e prospettive risolutive (Where is Applied Linguistics Headed? Symptoms of Crisis and Prospects for a Solution).

ERIC Educational Resources Information Center

Titone, R.

1980-01-01

Examines the contributions of linguistic research and linguistic theory to the teaching of languages proposinq a reevaluation of pedagogic concepts and models. Argues that so far theorists have ignored some important aspects of language, such as the esthetic and expressive elements of discourse, the situational constraints and the semantic…

Issues in the Development of Long Term Care Gerontology Centers: The Centers Concept. Selected Topics in Long Term Care. Volume 6.

ERIC Educational Resources Information Center

Mortenson, Lee E.; Berdes, Celia M.

This document, one in a series developed to provide technical assistance to 22 Long-Term Care Gerontology Centers, describes the current administrative and structural phenomenon of these centers. Precedents useful in assessing both the current climate and actual prospects for development of long term care centers are cited. The first section…

Brace technology thematic series - The Sforzesco and Sibilla braces, and the SPoRT (Symmetric, Patient oriented, Rigid, Three-dimensional, active) concept

PubMed Central

2011-01-01

Background Bracing is an effective strategy for scoliosis treatment, but there is no consensus on the best type of brace, nor on the way in which it should act on the spine to achieve good correction. The aim of this paper is to present the family of SPoRT (Symmetric, Patient-oriented, Rigid, Three-dimensional, active) braces: Sforzesco (the first introduced), Sibilla and Lapadula. Methods The Sforzesco brace was developed following specific principles of correction. Due to its overall symmetry, the brace provides space over pathological depressions and pushes over elevations. Correction is reached through construction of the envelope, pushes, escapes, stops, and drivers. The real novelty is the drivers, introduced for the first time with the Sforzesco brace; they allow to achieve the main action of the brace: a three-dimensional elongation pushing the spine in a down-up direction. Brace prescription is made plane by plane: frontal (on the "slopes", another novelty of this concept, i.e. the laterally flexed sections of the spine), horizontal, and sagittal. The brace is built modelling the trunk shape obtained either by a plaster cast mould or by CAD-CAM construction. Brace checking is essential, since SPoRT braces are adjustable and customisable according to each individual curve pattern. Treatment time and duration is individually tailored (18-23 hours per day until Risser 3, then gradual reduction). SEAS (Scientific Exercises Approach to Scoliosis) exercises are a key factor to achieve success. Results The Sforzesco brace has shown to be more effective than the Lyon brace (matched case/control), equally effective as the Risser plaster cast (prospective cohort with retrospective controls), more effective than the Risser cast + Lyon brace in treating curves over 45 degrees Cobb (prospective cohort), and is able to improve aesthetic appearance (prospective cohort). Conclusions The SPoRT concept of bracing (three-dimensional elongation pushing in a down-up direction) is different from the other corrective systems: 3-point, traction, postural, and movement-based. The Sforzesco brace, being comparable to casting, may be the best brace for the worst cases. PMID:21554719

Lunar Thermal Wadis and Exploration Rovers: Outpost Productivity and Participatory Exploration

NASA Technical Reports Server (NTRS)

Sacksteder, Kurt; Wegeng, Robert; Suzuki, Nantel

2009-01-01

The presentation introduces the concept of a thermal wadi, an engineered source of thermal energy that can be created using native material on the moon or elsewhere to store solar energy for use by various lunar surface assets to survive the extremely cold environment of the lunar night. A principal benefit of this approach to energy storage is the low mass requirement for transportation from Earth derived from the use of the lunar soil, or regolith, as the energy storage medium. The presentation includes a summary of the results of a feasibility study involving the numerical modeling of the performance of a thermal wadi including a manufactured thermal mass, a solar energy reflector, a nighttime thermal energy reflector and a lunar surface rover. The feasibility study shows that sufficient thermal energy can be stored using unconcentrated solar flux to keep a lunar surface rover sufficiently warm throughout a 354 hour lunar night at the lunar equator, and that similar approaches can be used to sustain surface assets during shorter dark periods that occur at the lunar poles. The presentation includes descriptions of a compact lunar rover concept that could be used to manufacture a thermal wadi and could alternatively be used to conduct a variety of high-value tasks on the lunar surface. Such rovers can be produced more easily because the capability for surviving the lunar night is offloaded to the thermal wadi infrastructure. The presentation also includes several concepts for operational scenarios that could be implemented on the moon using the thermal wadi and compact rover concepts in which multiple affordable rovers, operated by multiple terrestrial organizations, can conduct resource prospecting and human exploration site preparation tasks.

Pregnancy-related anxiety: A concept analysis.

PubMed

Bayrampour, Hamideh; Ali, Elena; McNeil, Deborah A; Benzies, Karen; MacQueen, Glenda; Tough, Suzanne

2016-03-01

Evidence suggests that pregnancy-related anxiety is more strongly associated with maternal and child outcomes than general anxiety and depression are and that pregnancy-related anxiety may constitute a distinct concept. However, because of its poor conceptualization, the measurement and assessment of pregnancy-related anxiety have been limited. Efforts to analyze this concept can significantly contribute to its theoretical development. The first objective of this paper was to clarify the concept of pregnancy-related anxiety and identify its characteristics and dimensions. The second aim was to examine the items of current pregnancy-related anxiety measures to determine the dimensions and attributes that each scale addresses, noting any gaps between the current assessment and the construct of the concept. A concept analysis was conducted to examine the concept of pregnancy-related anxiety. To obtain the relevant evidence, several databases were searched including MEDLINE, PsycINFO, EBSCO's SocINDEX, Psychological and Behavioral Sciences Collection, CINAHL, SCOPUS, and EMBASE. A modified approach based on Walker and Avant (Strategies for theory construction in nursing. 5th ed; 2011) was used. Qualitative or quantitative studies published in English that explored or examined anxiety during pregnancy or its dimensions prospectively or retrospectively were included. Thirty eight studies provided data for the concept analysis. Three critical attributes (i.e., affective responses, cognitions, and somatic symptoms), three antecedents (i.e., a real or anticipated threat to pregnancy or its outcomes, low perceived control, and excessive cognitive activity, and four consequences (i.e., negative attitudes, difficulty concentrating, excessive reassurance-seeking behavior, and avoidance behaviors) were identified. Nine dimensions for pregnancy-related anxiety were determined, and a definition of the concept was proposed. The most frequently reported dimensions included anxiety about fetal health, fetal loss, childbirth, and parenting and newborn care. The content of five scales was analyzed to determine the attributes and dimensions measured by each tool. Our findings suggest that the Pregnancy-Related Anxiety Scale tapping five dimensions of pregnancy-related anxiety and the Pregnancy Outcome Questionnaire with six items pertaining to the consequences of pregnancy-related anxiety can respectively be considered the most useful tools for assessing the existence and severity of the concept. The critical attributes of pregnancy-related anxiety are similar to those defined for anxiety disorders. However, the behavioral consequences of pregnancy-related anxiety appear to apply only some women and may serve as important indicators of the severity of the condition. Current tools are useful instruments to determine whether the concept exists and to capture selected domains of pregnancy-related anxiety. A tool that includes all dimensions of the concept and examines the severity of pregnancy-related anxiety is needed. Copyright © 2015 Elsevier Ltd. All rights reserved.

Lunar Dust on Heat Rejection System Surfaces: Problems and Prospects

NASA Technical Reports Server (NTRS)

Gaier, James R.; Jaworske, Donald A.

2007-01-01

Heat rejection from power systems will be necessary for human and robotic activity on the lunar surface. Functional operation of such heat rejection systems is at risk of degradation as a consequence of dust accumulation. The Apollo astronauts encountered marked degradation of performance in heat rejection systems for the lunar roving vehicle, science packages, and other components. Although ground testing of dust mitigation concepts in support of the Apollo mission identified mitigation tools, the brush concept adopted by the Apollo astronauts proved essentially ineffective. A better understanding of the issues associated with the impact of lunar dust on the functional performance of heat rejection systems and its removal is needed as planning gets underway for human and robotic missions to the Moon. Renewed emphasis must also be placed on ground testing of pristine and dust-covered heat rejection system surfaces to quantify degradation and address mitigation concepts. This paper presents a review of the degradation in performance of heat rejection systems encountered on the lunar surface to-date, and will discuss current activities underway to evaluate the durability of candidate heat rejection system surfaces and current dust mitigation concepts.

Prediction of Mental Health Services Use One Year After Regular Referral to Specialized Care Versus Referral to Stepped Collaborative Care.

PubMed

van Orden, Mirjam; Leone, Stephanie; Haffmans, Judith; Spinhoven, Philip; Hoencamp, Erik

2017-04-01

Referral to collaborative mental health care within the primary care setting is a service concept that has shown to be as effective as direct referral to specialized mental health care for patients with common mental disorders. Additionally it is more efficient in terms of lower mental health services use. This post-hoc analysis examines if treatment intensity during 1-year of follow-up can be predicted prospectively by baseline characteristics. With multilevel multivariate regression analyses baseline characteristics were examined as potential predictors of visit counts. Results showed that only the enabling factors service concept and referral delay for treatment had a significant association with mental health visit counts, when outcome was dichotomized in five or more visits. Inclusion of the outcome variable as a count variable confirmed the predictive value of service concept and referral delay, but added marital status as a significant predictor. Overall, enabling factors (service concept and referral delay) seem to be important and dominant predictors of mental health services use.

From Present Surveying to Future Prospecting of the Asteroid Belt

NASA Technical Reports Server (NTRS)

Clark, P. E.; Curtis, S. A.; Rilee, M.; Cheung, C.

2004-01-01

We have applied a future mission architecture, the Autonomous Nano-Technology Swarm (ANTS), to a proposed mission for in situ survey, or prospecting, of the asteroid belt, the Prospecting Asteroid Mission (PAM) as part of a NASA 2003 Revolutionary Aerospace Concept (RASC) study. ANTS architecture builds on and advances recent trends in robotics, artificial intelligence, and materials processing to minimize costs and maximize effectiveness of space operations. PAM and other applications have been proposed for the survey of inaccessible, high surface area populations of great interest from the standpoint of resources and/or solar system origin. The ANTS architecture is inspired by the success of social insect colonies, a success based on the division of labor within the colonies in two key ways: 1) within their specialties, individual specialists generally outperform generalists, and 2) with sufficiently efficient social interaction and coordination, the group of specialists generally outperforms the group of generalists. Thus systems designed as ANTS are built from potentially very large numbers of highly autonomous, yet socially interactive, elements. The architecture is self-similar in that elements and sub-elements of the system may also be recursively structured as ANTS on scales ranging from microscopic to interplanetary distances. Here, we analyze requirements for the mission application at the low gravity target end of the spectrum, the Prospecting Asteroid Mission (PAM), and for specialized autonomous operations which would support this mission. ANTS as applied to PAM involves the activities of hundreds of individual specialist 'sciencecraft'. Most of them, called Workers, carry and operate eight to nine different scientific instruments, as listed in the table, including spectrometers, ranging and radio science devices, and imagers. The remaining specialists, Messenger/Rulers, provide communication and coordination functions among specialists operating autonomously as individuals, team members, and subswarms.

From integrated observation of pre-earthquake signals towards physical-based forecasting: A prospective test experiment

NASA Astrophysics Data System (ADS)

Ouzounov, D.; Pulinets, S. A.; Tramutoli, V.; Lee, L.; Liu, J. G.; Hattori, K.; Kafatos, M.

2013-12-01

We are conducting an integrated study involving multi-parameter observations over different seismo- tectonics regions in our investigation of phenomena preceding major earthquakes. Our approach is based on a systematic analysis of several selected parameters namely: gas discharge; thermal infrared radiation; ionospheric electron concentration; and atmospheric temperature and humidity, which we suppose are associated with earthquake preparation phase. We intended to test in prospective mode the set of geophysical measurements for different regions of active earthquakes and volcanoes. In 2012-13 we established a collaborative framework with the leading projects PRE-EARTHQUAKE (EU) and iSTEP3 (Taiwan) for coordinate measurements and prospective validation over seven test regions: Southern California (USA), Eastern Honshu (Japan), Italy, Turkey, Greece, Taiwan (ROC), Kamchatka and Sakhalin (Russia). The current experiment provided a 'stress test' opportunity to validate the physical based approach in teal -time over regions of high seismicity. Our initial results are: (1) Prospective tests have shown the presence in real time of anomalies in the atmosphere before most of the significant (M>5.5) earthquakes in all regions; (2) False positive rate alarm is different for each region and varying between 50% (Italy, Kamchatka and California) to 25% (Taiwan and Japan) with a significant reduction of false positives when at least two parameters are contemporary used; (3) One of most complex problem, which is still open, was the systematic collection and real-time integration of pre-earthquake observations. Our findings suggest that the physical based short-term forecast is feasible and more tests are needed. We discus the physical concept we used, the future integration of data observations and related developments.

Epigenetics: origins and implications for cancer epidemiology.

PubMed

Nise, Melissa S; Falaturi, Puran; Erren, Thomas C

2010-02-01

This paper provides information on the evolution of the 'epigenetics' concept since Aristotle and draws attention to the importance of epigenetic implications for cancer epidemiology in the years to come. Clearly, to understand origins of the concept of epigenetics, it is worthwhile to consider historical arguments associated with evolution. Equally clearly, in the last half of the 20th century, great advances in the understanding of epigenetics and, more specifically, great advances in the understanding of epigenetics in cancer have been made. However, reaping the full benefits of epigenetics lies beyond the predominant experimental studies of today. In general, epigenetics opens many doors in the field of cancer, but it also adds another level of complex, inter-related, and multi-dimensional information to research, and to its interpretation. Overall, future cancer studies should consider, or at least be sensitive to, epigenetic effects and mechanisms. Moving the focus beyond 'pristine' inheritance via DNA alone, cancer epidemiology investigating epigenetic exposures such as environmental factors (exposure to heavy metals, air pollution, arsenic and other toxins), dietary patterns (starvation, famine, contamination), and lifestyle habits (smoking, level of physical activity, and BMI) in populations has the prospect to significantly benefit future cancer prevention and treatment schemes.

Opportunity and prospect analysis of RES utilization for sustainable development of Ekaterinburg city in Russia

NASA Astrophysics Data System (ADS)

Volkov, A.; Aristova, A.

2017-06-01

Recently megalopolises have become centres of economy development worldwide. Gradual growth in energy consumption and thereafter - enormous power production and delivery to sustain metropolis’ needs entailed, rapid increase in emissions of hazardous substances in quantities, no longer tolerable for secure residence in majority of these cities. Ekaterinburg, is one of them. In order to abridge harmful pollution in Ekaterinburg and further centralize economic importance of the city, this paper proposes to implement the concept of urban sustainable development/ref. / by introducing alternative energy sources, which would progressively displace traditional fossil fuels. A number of actual cases, where the concept was successfully implemented, were studied and analysed to demonstrate how different shares of renewables can become effective substitutes to conventional energy sources in the cities strongly dependent on them: 1. Energy strategy of Pecs (Hungary); 2. International low carbon city (ILCC) project (Shenzhen, China); 3. Electric power system template of Tangshan city (China). Further, regional environmental and economic specifics of Ekaterinburg were studied to understand power consumption needs and energy generation possibilities, which led authors to conclude on the alternative energy sources feasibility, plot specific flow chart for RES implementation in Ekaterinburg’s power network and outline recommendations for future works.

A prospective, proof-of-concept investigation of KPAX002 in chronic fatigue syndrome

PubMed Central

Kaiser, Jon D

2015-01-01

Stimulant drugs and various micronutrient interventions have previously been studied in chronic fatigue syndrome (CFS) but they have never been studied in combination. This proof of concept investigation seeks to examine the clinical effects and safety profile of KPAX002 (a combination of methylphenidate hydrochloride and mitochondrial support nutrients) in patients with CFS. Fifteen patients diagnosed with CFS by 1994 Fukuda criteria were recruited and treated with KPAX002 to explore a potential synergistic effect of this combination. Fatigue and concentration disturbance symptoms were measured at baseline, 4 weeks, and 12 weeks using two clinically validated tools: Checklist Individual Strength (CIS) and Visual Analog Scale (VAS). The primary outcome objective was a decrease in the total CIS score of ≥25% in at least 50% of the subjects. The mean total CIS score decreased by 36.4 points (34%) at 12 weeks (P<0.0001), corresponding to a ≥25% decrease in 87% of the participants. Treatment with KPAX002 was well tolerated and significantly improved fatigue and concentration disturbance symptoms in greater than 50% of patients with CFS. These results were statistically significant. This combination treatment is worthy of additional investigation. PMID:26379906

Feasibility of Combining Common Data Elements Across Studies to Test a Hypothesis.

PubMed

Corwin, Elizabeth J; Moore, Shirley M; Plotsky, Andrea; Heitkemper, Margaret M; Dorsey, Susan G; Waldrop-Valverde, Drenna; Bailey, Donald E; Docherty, Sharron L; Whitney, Joanne D; Musil, Carol M; Dougherty, Cynthia M; McCloskey, Donna J; Austin, Joan K; Grady, Patricia A

2017-05-01

The purpose of this article is to describe the outcomes of a collaborative initiative to share data across five schools of nursing in order to evaluate the feasibility of collecting common data elements (CDEs) and developing a common data repository to test hypotheses of interest to nursing scientists. This initiative extended work already completed by the National Institute of Nursing Research CDE Working Group that successfully identified CDEs related to symptoms and self-management, with the goal of supporting more complex, reproducible, and patient-focused research. Two exemplars describing the group's efforts are presented. The first highlights a pilot study wherein data sets from various studies by the represented schools were collected retrospectively, and merging of the CDEs was attempted. The second exemplar describes the methods and results of an initiative at one school that utilized a prospective design for the collection and merging of CDEs. Methods for identifying a common symptom to be studied across schools and for collecting the data dictionaries for the related data elements are presented for the first exemplar. The processes for defining and comparing the concepts and acceptable values, and for evaluating the potential to combine and compare the data elements are also described. Presented next are the steps undertaken in the second exemplar to prospectively identify CDEs and establish the data dictionaries. Methods for common measurement and analysis strategies are included. Findings from the first exemplar indicated that without plans in place a priori to ensure the ability to combine and compare data from disparate sources, doing so retrospectively may not be possible, and as a result hypothesis testing across studies may be prohibited. Findings from the second exemplar, however, indicated that a plan developed prospectively to combine and compare data sets is feasible and conducive to merged hypothesis testing. Although challenges exist in combining CDEs across studies into a common data repository, a prospective, well-designed protocol for identifying, coding, and comparing CDEs is feasible and supports the development of a common data repository and the testing of important hypotheses to advance nursing science. Incorporating CDEs across studies will increase sample size and improve data validity, reliability, transparency, and reproducibility, all of which will increase the scientific rigor of the study and the likelihood of impacting clinical practice and patient care. © 2017 Sigma Theta Tau International.

"digital Heritage" Theory and Innovative Practice

NASA Astrophysics Data System (ADS)

He, Y.; Ma, Y. H.; Zhang, X. R.

2017-08-01

"Digital heritage", as defined in this paper, is the integration of cultural heritage with digitization technology ("cultural heritage + digitization"), and of digital knowledge with research. It includes not only the three conventional aspects of cultural heritage digitization—digital collection and documentation, digital research and information management, digital presentation and interpretation—but also the creation and innovative use/application of the digital content (cultural heritage intellectual property/IP, experiential education, cultural tourism, film and media). Through analysis of two case studies, the Palazzo Valentini in Rome, Italy, and the Old Summer Palace (Yuanmingyuan) in Beijing, China, the paper assesses the concept of "digital heritage" and proposes a conceptual framework to capture recent developments and future prospects with regard to the industry.

The Lunar IceCube Mission Challenge: Attaining Science Orbit Parameters from a Constrained Approach Trajectory

NASA Technical Reports Server (NTRS)

Folta, David C.; Bosanac, Natasha; Cox, Andrew; Howell, Kathleen C.

2017-01-01

The challenges of targeting specific lunar science orbit parameters from a concomitant Sun-EarthMoon system trajectory are examined. While the concept of ballistic lunar capture is well-studied, achieving and controlling the time evolution of the orbital elements to satisfy mission constraints is especially problematic when the spacecraft is equipped with a low-thrust propulsion system. Satisfying these requirements on the lunar approach and capture segments is critical to the success of the Lunar IceCube mission, a 6U CubeSat that will prospect for water in solid (ice), liquid, and vapor forms and other lunar volatiles from a low-periapsis, highly inclined elliptical lunar orbit.

The Lunar IceCube Mission Challenge: Attaining Science Orbit Parameters from a Constrained Approach Trajectory

NASA Technical Reports Server (NTRS)

Folta, David C.; Bosanac, Natasha; Cox, Andrew; Howell, Kathleen C.

2017-01-01

The challenges of targeting specific lunar science orbit parameters from a concomitant Sun-Earth/Moon system trajectory are examined. While the concept of ballistic lunar capture is well-studied, achieving and controlling the time evolution of the orbital elements to satisfy mission constraints is especially problematic when the spacecraft is equipped with a low-thrust propulsion system. Satisfying these requirements on the lunar approach and capture segments is critical to the success of the Lunar IceCube mission, a 6U CubeSat that will prospect for water in solid (ice), liquid, and vapor forms and other lunar volatiles from a low-periapsis, highly inclined elliptical lunar orbit.

Elementary student and prospective teachers' agri-food system literacy: Understandings of agricultural and science education's goals for learning

NASA Astrophysics Data System (ADS)

Trexler, Cary Jay

1999-09-01

Although rhetoric abounds in the agricultural education literature regarding the public's dearth of agri-food system literacy, problems arise when establishing educational interventions to help ameliorate illiteracy. Researchers do not fully know what individuals understand about the complex agri-food system. Hence, educational programs and curricula may focus on areas where students already possess well developed and scientifically accurate schemata, while ignoring other areas where incompatible or naive understandings persist. Democratic decisions about complex societal and environmental issues, such as trade-offs of our industrial agri-food system, require individuals to possess understandings of complex interrelationships. This exploratory qualitative study determines what two groups---elementary students and prospective elementary school teachers---understand about selected concepts foundational to agri-food system literacy. To ground the study in current national education curricular standards, a synthesis of both agricultural and science education benchmarks was developed. This helped structure interviews with the study's informants: nine elementary students and nine prospective elementary teachers. Analysis of discourse was based upon a conceptual change methodology. Findings showed that informant background and non-school experiences were linked to agri-food system literacy, while formal, in-school learning was not. For elementary students, high socio-economic status, gardening and not living in urban areas were correlates with literacy; the prospective teacher group exhibited similar trends. Informants understood that food came from farms where plants and animals were raised. For the majority, however, farms were described as large gardens. Additionally, informants lacked a clear understanding of the roles soil and fertilizers play in crop production. Further, few spoke of weeds as competitors with crops for growth requirements. Informants understood that agricultural technologies saved time and reduced labor and were concerned with the immediate impact of agricultural pollution. They, however, did not link their food and fiber consumption with resources use or environmental impact. Additionally, half of the prospective teachers did not understand genetics well enough to discuss how humans engineer life. Notable differences were found between teachers and students in 17% of the elementary benchmarks. Differences between the two groups were found in the elementary students' lack of ability to proffer cause-effect relationships, especially in regard to the use of agricultural technologies.

The Physics of Advanced High-Gain Targets for Inertial Fusion Energy

NASA Astrophysics Data System (ADS)

Perkins, L. John

2010-11-01

In ca. 2011-2012, the National Ignition Facility is poised to demonstrate fusion ignition and gain in the laboratory for the first time. This key milestone in the development of inertial confinement fusion (ICF) can be expected to engender interest in the development of inertial fusion energy (IFE) and expanded efforts on a number of advanced targets that may achieve high fusion energy gain at lower driver energies. In this tutorial talk, we will discuss the physics underlying ICF ignition and thermonuclear burn, examine the requirements for high gain, and outline candidate R&D programs that will be required to assess the performance of these target concepts under various driver systems including lasers, heavy-ions and pulsed power. Such target concepts include those operating by fast ignition, shock ignition, impact ignition, dual-density, magnetically-insulated, one- and two-sided drive, etc., some of which may have potential to burn advanced, non-DT fusion fuels. We will then delineate the role of such targets in their application to the production of high average fusion power. Here, systems studies of IFE economics suggest that we should strive for target fusion gains of around 100 at drive energies of 1MJ, together with corresponding rep-rates of up to 10Hz and driver electrical efficiencies around 15%. In future years, there may be exciting opportunities to study such ``innovative confinement concepts'' with prospects of fielding them on facilities such as NIF to obtain high fusion energy gains on a single shot basis.

How Select Groups of Preservice Science Teachers with Inquiry Orientations View Teaching and Learning Science through Inquiry

NASA Astrophysics Data System (ADS)

Ward, Peggy

Although hailed as a powerful form of instruction, in most teaching and learning contexts, inquiry-based instruction is fraught with ambiguous and conflicting definitions and descriptions. Yet little has been written about the experiences preservice science teacher have regarding their learning to teach science through inquiry. This project sought to understand how select preservice secondary science teachers enrolled in three UTeach programs in Arkansas conceptualize inquiry instruction and how they rationalize its value in a teaching and learning context. The three teacher education programs investigated in this study are adoption sites aligned with the UTeach Program in Austin, TX that distinguishes itself in part by its inquiry emphasis. Using a mixed method investigation design, this study utilized two sources of data to explore the preservice science teachers' thinking. In the first phase, a modified version of the Pedagogy of Science teaching Tests (POSTT) was used to identify select program participants who indicated preferences for inquiry instruction over other instructional strategies. Secondly, the study used an open-ended questionnaire to explore the selected subjects' beliefs and conceptions of teaching and learning science in an inquiry context. The study also focused on identifying particular junctures in the prospective science teachers' education preparation that might impact their understanding about inquiry. Using a constant comparative approach, this study explored 19 preservice science teachers' conceptions about inquiry. The results indicate that across all levels of instruction, the prospective teachers tended to have strong student-centered teaching orientations. Except subjects in for the earliest courses, subjects' definitions and descriptions of inquiry tended toward a few of the science practices. More advanced subjects, however, expressed more in-depth descriptions. Excluding the subjects who have completed the program, multiple subjects tended to associate inquiry learning exclusively in terms of exploring before lecture, getting a single correct answer. Additionally, various subjects at multiple levels, described inquiry in terms of the 5E Model of Instruction, which is emphasized in the Arkansas UTeach lesson design. Implications of these findings and suggestions for program improvement at the course levels are suggested.

[Randomized, controlled clinical trials with observational follow-up investigations for evaluating efficacy of antihyperglycaemic treatment. I. Main results of the studies].

PubMed

Jermendy, György

2018-04-01

The effect of antihyperglycaemic (antidiabetic) treatment on the late diabetic complications is one of the most important research areas in clinical diabetology. The relationship between glycaemic control and late micro- and macrovascular complications was highlighted by the results of the DCCT (Diabetes Control and Complications Trial) with type 1 and by the UKPDS (United Kingdom Prospective Diabetes Study) with type 2 diabetic patients. In these studies, observational follow-up investigations were also performed after the close-out of the randomized phase of the trial. In addition to these landmark studies, other randomized, controlled efficacy trials were also performed with observational follow-up investigations resulting in the development of the concept of metabolic memory or metabolic legacy. In this article, the main results of the studies are summarized. Orv Hetil. 2018; 159(15): 575-582.

Faith and HIV prevention: the conceptual framing of HIV prevention among Pentecostal Batswana teenagers.

PubMed

Mpofu, Elias; Nkomazana, Fidelis; Muchado, Jabulani A; Togarasei, Lovemore; Bingenheimer, Jeffrey Bart

2014-03-05

There is a huge interest by faith-based organizations (FBOs) in sub-Saharan Africa and elsewhere in HIV prevention interventions that build on the religious aspects of being. Successful partnerships between the public health services and FBOs will require a better understanding of the conceptual framing of HIV prevention by FBOS to access for prevention intervention, those concepts the churches of various denominations and their members would support or endorse. This study investigated the conceptual framing of HIV prevention among church youths in Botswana;--a country with one of the highest HIV prevalence in the world. Participants were 213 Pentecostal church members (67% female; age range 12 to 23 years; median age=19 years). We engaged the participants in a mixed-method inductive process to collect data on their implicit framing of HIV prevention concepts, taking into account the centrality of religion concepts to them and the moderating influences of age, gender and sexual experience. After, we analysed the data using multi-dimensional scaling (MDS) and hierarchical cluster analysis (HCA) to map the ways the church youths framed HIV prevention. The findings suggest the church youth to conceptually frame their HIV prevention from both faith-oriented and secular-oriented perspectives, while prioritizing the faith-oriented concepts based on biblical teachings and future focus. In their secular-oriented framing of HIV prevention, the church youths endorsed the importance to learn the facts about HIV and AIDS, understanding of community norms that increased risk for HIV and prevention education. However, components of secular-oriented framing of HIV prevention concepts were comparatively less was well differentiated among the youths than with faith-oriented framing, suggesting latent influences of the church knowledge environment to undervalue secular oriented concepts. Older and sexually experienced church youths in their framing of HIV prevention valued future focus and prevention education less than contrasting peer cohorts, suggesting their greater relative risk for HIV infection. A prospective HIV prevention intervention with the Pentecostal church youths would combine both faith and secular informed concepts. It also would need to take into account the ways in which these youth interpret secular-oriented health concepts in the context of their religious beliefs.

Need for recovery from work related fatigue and its role in the development and prediction of subjective health complaints

PubMed Central

Sluiter, J; de Croon, E M; Meijman, T; Frings-Dresen, M

2003-01-01

Aims: To present the available empirical evidence for the assumed position of the concept of work related fatigue as: (1) short term effect of the working day; and (2) an intermediate variable between work demands and the development of subjective health complaints and sickness absence. Methods: Results from six single occupation studies, conducted between 1996 and 2002, are presented. Work demands (working hours, decision latitude, break control/autonomy, and mental, emotional, and physical demands) were assessed through validated scales. Work related fatigue was represented and assessed by means of the need for recovery after working time scale in all studies. Subjective health complaints and duration of sickness absence were quantified with the same instruments in most studies as well. Both cross sectional studies (four) as well as prospective studies (two; up to two years follow up) were performed. Cross sectional data of 3820 workers, in total, were available. Prospective data were accessible for 1200 workers in industry and health care. Models were tested with stepwise multiple regression analyses. Results: Strong associations between work demands and need for necovery were found in different occupations. The variance explained in need for recovery by work demands, age, and (baseline) need for recovery ranged between 14% and 48% in both types of studies. The amount of explained variance by work demands, age, and (baseline) need for recovery in subjective health complaints ranged between 24% and 58% in the different occupations. The prospective data showed the prognostic value of need for recovery in relation to subjective health complaints (in terms of psychosomatic complaints, emotional exhaustion, or sleep problems) and duration of future sickness absence. Conclusions: The hypothesised role for work related fatigue as a link in the causal string of events, that is assumed to exist between repeated adverse work demands and the development of work related stress reactions, (psychological) overload and, eventually, health problems, was confirmed. PMID:12782749

[Causes of death in amyotrophic lateral sclerosis : Results from the Rhineland-Palatinate ALS registry].

PubMed

Wolf, J; Safer, A; Wöhrle, J C; Palm, F; Nix, W A; Maschke, M; Grau, A J

2017-08-01

Amyotrophic lateral sclerosis (ALS) is associated with an increased mortality. Knowledge of possible causes of death could lead to an individualization of the palliative treatment concept and result in a differentiated palliative treatment pathway. Currently, only few systematic data are available on the heterogeneity of causes of death associated with ALS. Analysis of the various causes of death in a prospective population-based German cohort of ALS patients. Analysis of data of the Rhineland-Palatinate ALS registry in which newly diagnosed patients who had been identified between October 2009 and September 2012 were prospectively enrolled and followed up at regular intervals. From this prospective cohort study the causes of death were elicited based on information provided by the attending physicians, family members and by means of death certificates registered by the regional health authorities in Rhineland-Palatinate. Out of 200 ALS patients registered 148 died between register initiation on 1 October 2009 and the end of follow-up on 30 September 2015 (78 males and 70 females, death rate 74%). The most frequent cause of death was respiratory failure as a consequence of weakness of respiratory muscles (n = 91, 61%). Less frequent causes of death were pneumonia (n = 13, 9%), terminal cachexia (n = 9, 6%) and death from cardiovascular causes including sudden death (n = 9, 6%). Cases of suicide were rare (n = 3, 2%) as were deaths due to concurrent diseases (n = 2). In 21 cases (14%) the exact cause of death could not be clarified. Differences in the causes of death only showed a tendency towards the ALS phenotype. Respiratory failure was the cause of death in all patients with a respiratory phenotype and in 78% of patients with flail arm syndrome. Despite the low number of patients (8%) with additional frontotemporal dementia (FTD) a distinct difference in causes of death between those with and without FTD could be observed. Death due to respiratory failure was less frequent in ALS patients with FTD (33% vs. 65%) while pneumonia was more frequent (27% vs. 7%). Respiratory failure was the most frequent cause of death in our cohort of ALS patients. In contrast, pneumonia and nutritional disorders played a less important role as the cause of death. The phenotypic expression of ALS might in part allow the cause of the prospective death to be predicted. Differentiation of ALS phenotypes is an important foundation for patient counseling on the process of dying to be expected and for the determination of an individual palliative concept.

Current concepts in cleft care: A multicenter analysis.

PubMed

Thiele, Oliver C; Kreppel, Matthias; Dunsche, Anton; Eckardt, Andre M; Ehrenfeld, Michael; Fleiner, Bernd; Gaßling, Volker; Gehrke, Gerd; Gerressen, Marcus; Gosau, Martin; Gröbe, Alexander; Haßfeld, Stefan; Heiland, Max; Hoffmeister, Bodo; Hölzle, Frank; Klein, Cornelius; Krüger, Maximilian; Kübler, Alexander C; Kübler, Norbert R; Kuttenberger, Johannes J; Landes, Constantin; Lauer, Günter; Martini, Markus; Merholz, Erich T; Mischkowski, Robert A; Al-Nawas, Bilal; Nkenke, Emeka; Piesold, Jörn U; Pradel, Winnie; Rasse, Michael; Rachwalski, Martin; Reich, Rudolf H; Rothamel, Daniel; Rustemeyer, Jan; Scheer, Martin; Schliephake, Henning; Schmelzeisen, Rainer; Schramm, Alexander; Schupp, Wiebke; Spitzer, Wolfgang J; Stocker, Erwin; Stoll, Christian; Terheyden, Hendrik; Voigt, Alexander; Wagner, Wilfried; Weingart, Dieter; Werkmeister, Richard; Wiltfang, Jörg; Ziegler, Christoph M; Zöller, Joachim E

2018-04-01

The current surgical techniques used in cleft repair are well established, but different centers use different approaches. To determine the best treatment for patients, a multi-center comparative study is required. In this study, we surveyed all craniofacial departments registered with the German Society of Maxillofacial Surgery to determine which cleft repair techniques are currently in use. Our findings revealed much variation in cleft repair between different centers. Although most centers did use a two-stage approach, the operative techniques and timing of lip and palate closure were different in every center. This shows that a retrospective comparative analysis of patient outcome between the participating centers is not possible and illustrates the need for prospective comparative studies to establish the optimal technique for reconstructive cleft surgery. Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Advantages of a Lunar Cryogenic Astronomical Observatory

NASA Astrophysics Data System (ADS)

Burke, James; Kaltenegger, Lisa

2017-04-01

ESA and collaborating agencies are preparing to establish a Moon Village at a south polar site. Robotic precursor missions will include resource prospecting in permanently shadowed cold traps. The environment there is favorable for infrared and millimeter-wave astronomy. In this paper we examine the evolutionary development of a cryogenic observatory, beginning with small telescopes robotically installed and operated in conjunction with prospecting precursor missions, and continuing into later phases supported from the Moon Village. Relay communications into and out of the cold traps may be shared or else provided by dedicated links. Candidate locations can be selected with the help of data from the Lunar Reconnaissance Orbiter. The first telescope will be primarily a proof-of-concept demonstrator but it can have scientific and applications uses too, supplementing other space-based survey instruments observing astrophysical objects and potentially hazardous asteroids and comets. A south polar site sees only half or the sky but that half includes the galactic center and many other interesting targets. The telescopes can stare at any object for as long as desired, providing monitoring capabilities for transiting or radial velocity planet searches, like NASA's TESS mission. In addition such telescopes are opening the prospect of gathering spectroscopic data on exoplanet atmospheres and cool stars - from UV information to assess the activity of a star to VIS to IR spectral data of the atmosphere and even atmospheric biosignatures. Preliminary design of the first telescope might be funded under a NASA call for lunar science payload concepts. An important additional product can be educational and outreach uses of the observatory, especially for the benefit of people in the developing world who can do southern hemisphere follow-up observations.

The promise of air cargo-system aspects and vehicle design

NASA Technical Reports Server (NTRS)

Whitehead, A. H., Jr.

1977-01-01

A review of the current operation of the air cargo system is presented and the prospects for the future are discussed. Attention is given to air cargo demand forecasts, the economics of air cargo transport, the development of an integrated air cargo system, and the evolution of airfreighter design. Particular emphasis is placed on the span-distributed load concept, examining the Boeing, Douglas, and Lockheed spanloaders.

Spaceborne Gravity Gradiometers. Part 3: Instrument status and prospects

NASA Technical Reports Server (NTRS)

1984-01-01

Various technologies incorporated in the development of gravity gradiometers are demonstrated through descriptions of specific instruments. Concepts covered include: rotating, spherical, cryogenic, and superconducting gravity gradiometers with and without accelerometers. The application of superconducting cavity oscillators to mass-spring gradiometers, and cooperation of Italy's Piano Spaziale Nazionale with the Smithsonian Astrophysics Observatory in the design and development of a high sensitivity gradiometer are described. Schematics are provided for each instrument.

Astrobiology, Sustainability and Ethical Perspectives

NASA Astrophysics Data System (ADS)

Arnould, Jacques

2009-12-01

Astrobiology, a new field of research associating the prospects and constraints of prebiotic chemistry, mineralogy, geochemistry, astrophysics, theoretical physics, microbial ecology, etc., is assessed in terms of sustainability through the scientific and social functions it fulfils, and the limits it encounters or strives to overcome. In the same way as sustainable development, astrobiology must also take into account the temporal dimension specific to its field of investigation and examine its underlying conception of Nature.

The national- and international-wide prospects of future improvements of position location and time synchronization systems and aids

NASA Technical Reports Server (NTRS)

Gouzhva, Yuri G.; Balyasnikov, Boris N.; Korniyenko, Vladimir V.; Pushkina, Irina G.; Shebshayevich, Valentin S.; Denisov, Vladimir I.; Reutov, Alexander P.

1990-01-01

The concept being designed by the Leningrad Scientific Research Radio Technical Institute (LSRRI) of united positioning and timing service on the basis of the utilization of long-range and global radionavigation and common time systems and aids for different users is described. The estimate of its utilization on the national as well as on international scale is given.

Coordination and Improvement of National Information Services. Mbabane and Maseru Workshop Papers (Mbabane, Swaziland, February 24-28, 1986 and Maseru, Lesotho, March 3-7, 1986).

ERIC Educational Resources Information Center

Huttemann, Lutz, Ed.

Seven papers from the Mbabane workshop are presented in the first part of this report: (1) "An Overview of the Supply of Information in Swaziland" (E. Wamala); (2) "The Place of a Documentation Centre in the Supply of Information in Swaziland: Problems and Prospects" (M. M. Nhlapo); (3) "The Concept of Cooperation in…

Views of Prospective Science Teachers on Including the Concept of Plasma in Science Curricula

ERIC Educational Resources Information Center

Balbag, Mustafa Zafer

2018-01-01

States of matter are structures that we may easily encounter in the universe as well as our close environment. The plasma state is the fourth state of matter, and it has much different properties in comparison to the solid, liquid and gas states of matter. In order to understand the universe and the environment we live in better, one needs to have…

Monolithic-Structured Single-Layered Textile-Based Dye-Sensitized Solar Cells.

PubMed

Yun, Min Ju; Cha, Seung I; Kim, Han Seong; Seo, Seon Hee; Lee, Dong Y

2016-10-06

Textile-structured solar cells are frequently discussed in the literature due to their prospective applications in wearable devices and in building integrated solar cells that utilize their flexibility, mechanical robustness, and aesthetic appearance, but the current approaches for textile-based solar cells-including the preparation of fibre-type solar cells woven into textiles-face several difficulties from high friction and tension during the weaving process. This study proposes a new structural concept and fabrication process for monolithic-structured textile-based dye-sensitized solar cells that are fabricated by a process similar to the cloth-making process, including the preparation of wires and yarns that are woven for use in textiles, printed, dyed, and packaged. The fabricated single-layered textile-based dye-sensitized solar cells successfully act as solar cells in our study, even under bending conditions. By controlling the inter-weft spacing and the number of Ti wires for the photoelectrode conductor, we have found that the performance of this type of dye-sensitized solar cell was notably affected by the spacing between photoelectrodes and counter-electrodes, the exposed areas of Ti wires to photoelectrodes, and photoelectrodes' surface morphology. We believe that this study provides a process and concept for improved textile-based solar cells that can form the basis for further research.

Advanced Launch Technology Life Cycle Analysis Using the Architectural Comparison Tool (ACT)

NASA Technical Reports Server (NTRS)

McCleskey, Carey M.

2015-01-01

Life cycle technology impact comparisons for nanolauncher technology concepts were performed using an Affordability Comparison Tool (ACT) prototype. Examined are cost drivers and whether technology investments can dramatically affect the life cycle characteristics. Primary among the selected applications was the prospect of improving nanolauncher systems. As a result, findings and conclusions are documented for ways of creating more productive and affordable nanolauncher systems; e.g., an Express Lane-Flex Lane concept is forwarded, and the beneficial effect of incorporating advanced integrated avionics is explored. Also, a Functional Systems Breakdown Structure (F-SBS) was developed to derive consistent definitions of the flight and ground systems for both system performance and life cycle analysis. Further, a comprehensive catalog of ground segment functions was created.

Large-scale, high-definition Ground Penetrating Radar prospection in archaeology

NASA Astrophysics Data System (ADS)

Trinks, I.; Kucera, M.; Hinterleitner, A.; Löcker, K.; Nau, E.; Neubauer, W.; Zitz, T.

2012-04-01

The future demands on professional archaeological prospection will be its ability to cover large areas in a time and cost efficient manner with very high spatial resolution and accuracy. The objective of the 2010 in Vienna established Ludwig Boltzmann Institute for Archaeological Prospection and Virtual Archaeology (LBI ArchPro) in collaboration with its eight European partner organisations is the advancement of state-of-the-art archaeological sciences. The application and specific further development of remote sensing, geophysical prospection and virtual reality applications, as well as of novel integrated interpretation approaches dedicated to non-invasive spatial archaeology combining near-surface prospection methods with advanced computer science is crucial for modern archaeology. Within the institute's research programme different areas for distinct case studies in Austria, Germany, Norway, Sweden and the UK have been selected as basis for the development and testing of new concepts for efficient and universally applicable tools for spatial, non-invasive archaeology. In terms of geophysical prospection the investigation of entire archaeological landscapes for the exploration and protection of Europe's buried cultural heritage requires new measurement devices, which are fast, accurate and precise. Therefore the further development of motorized, multichannel survey systems and advanced navigation solutions is required. The use of motorized measurement devices for archaeological prospection implicates several technological and methodological challenges. Latest multichannel Ground Penetrating Radar (GPR) arrays mounted in front off, or towed behind motorized survey vehicles permit large-scale GPR prospection surveys with unprecedented spatial resolution. In particular the motorized 16 channel 400 MHz MALÅ Imaging Radar Array (MIRA) used by the LBI ArchPro in combination with latest automatic data positioning and navigation solutions permits the reliable high-definition survey of two to three hectares per day with eight centimetres GPR trace spacing, both inline and cross-line. Exact real time positioning of the motorized multichannel arrays with centimetre accuracy is of paramount importance for data quality and subsequent imaging, analysis and interpretation. Whereas traditional surveys are conducted along straight lines fixed on the ground, motorized survey systems require the use of more efficient data positioning and navigation solutions. A promising approach can be realized using real-time kinematic positioning technology based on GPS systems and robotic total-stations with centimetre accuracy. Due to the huge amount and complexity of the data unique software solutions for efficient, appropriate processing and data visualization have been developed permitting the generation of geo-referenced depth-slice images covering up to 70 hectares each. While our focus is on archaeological sites, the presented novel GPR technology and methodology are likewise applicable to Civil Engineering Applications.

[Current treatment strategy in malignant pleural effusion].

PubMed

Türler, A; Walter, M; Schmitz-Rixen, T

1996-01-01

Malignant pleural effusions are a grave consequence of advanced cancer disease. The successful suppression of pleural fluid reaccumulation can make a major contribution to the management and palliative care of patients with disseminated cancer. Many treatment concepts have been reported in the literature. The recommended therapy in malignant pleural effusions consists of intrapleural instillation of a sclerotic agent to produce pleurodesis. Different substances have been used, including tetracyclines, cytostatic agents, fibrin, talc, Corynebacterium parvum, cytokines and others. We reviewed the most frequently used techniques of pleurodesis in order to define the most effective treatment concept. In 15 prospective randomized trials the success rates varied from 13% with bleomycin to 100% with talc or Corynebacterium parvum. Talc was superior to other agents in 6 of 6, Corynebacterium parvum in 3 of 4 and bleomycin or tetracycline only in 3 of 8 studies. Adverse effects were frequently observed with cytostatic agents, but were very rare in the case of talc or fibrin instillation. Comparing the recently published data pleurodesis with talc appears to be the most effective treatment strategy, followed by Corynebacterium parvum, bleomycin and tetracycline.

Theorizing with/out "Mediators".

PubMed

Roth, Wolff-Michael; Jornet, Alfredo

2017-01-05

Mediation is one of the most often cited concepts in current cultural-historical theory literature, in which cultural actions and artifacts are often characterized as mediators standing between situational stimuli and behavioral responses. Most often presented as a means to overcome Cartesian dualism between subject and object, and between individual and society, some scholars have nonetheless raised criticism suggesting that such mediators are problematic for a dialectical psychology that takes a unit analysis (monist) approach. In fact, Spinoza develops a monist theory of mind and body that goes without and even excludes every form of mediation. In this study, we follow up on the latter criticisms and explore what we consider to be problematic uses of the notion of mediation as an analytical construct in the literature. We elaborate an empirically grounded discussion on the ways the concept of mediation may lead to dualistic readings; and we offer an alternative account where the notion of mediator is not needed. We conclude discussing prospects for and implications of a cultural-historical theory where the notion of mediation no longer is invoked to account for human action and development.

Legal & ethical compliance when sharing biospecimen.

PubMed

Klingstrom, Tomas; Bongcam-Rudloff, Erik; Reichel, Jane

2018-01-01

When obtaining samples from biobanks, resolving ethical and legal concerns is a time-consuming task where researchers need to balance the needs of privacy, trust and scientific progress. The Biobanking and Biomolecular Resources Research Infrastructure-Large Prospective Cohorts project has resolved numerous such issues through intense communication between involved researchers and experts in its mission to unite large prospective study sets in Europe. To facilitate efficient communication, it is useful for nonexperts to have an at least basic understanding of the regulatory system for managing biological samples.Laws regulating research oversight are based on national law and normally share core principles founded on international charters. In interview studies among donors, chief concerns are privacy, efficient sample utilization and access to information generated from their samples. Despite a lack of clear evidence regarding which concern takes precedence, scientific as well as public discourse has largely focused on privacy concerns and the right of donors to control the usage of their samples.It is therefore important to proactively deal with ethical and legal issues to avoid complications that delay or prevent samples from being accessed. To help biobank professionals avoid making unnecessary mistakes, we have developed this basic primer covering the relationship between ethics and law, the concept of informed consent and considerations for returning findings to donors. © The Author 2017. Published by Oxford University Press.

Legal & ethical compliance when sharing biospecimen

PubMed Central

Klingstrom, Tomas; Bongcam-Rudloff, Erik; Reichel, Jane

2018-01-01

Abstract When obtaining samples from biobanks, resolving ethical and legal concerns is a time-consuming task where researchers need to balance the needs of privacy, trust and scientific progress. The Biobanking and Biomolecular Resources Research Infrastructure-Large Prospective Cohorts project has resolved numerous such issues through intense communication between involved researchers and experts in its mission to unite large prospective study sets in Europe. To facilitate efficient communication, it is useful for nonexperts to have an at least basic understanding of the regulatory system for managing biological samples. Laws regulating research oversight are based on national law and normally share core principles founded on international charters. In interview studies among donors, chief concerns are privacy, efficient sample utilization and access to information generated from their samples. Despite a lack of clear evidence regarding which concern takes precedence, scientific as well as public discourse has largely focused on privacy concerns and the right of donors to control the usage of their samples. It is therefore important to proactively deal with ethical and legal issues to avoid complications that delay or prevent samples from being accessed. To help biobank professionals avoid making unnecessary mistakes, we have developed this basic primer covering the relationship between ethics and law, the concept of informed consent and considerations for returning findings to donors. PMID:28460118

Application and Prospect of Big Data in Water Resources

NASA Astrophysics Data System (ADS)

Xi, Danchi; Xu, Xinyi

2017-04-01

Because of developed information technology and affordable data storage, we h ave entered the era of data explosion. The term "Big Data" and technology relate s to it has been created and commonly applied in many fields. However, academic studies just got attention on Big Data application in water resources recently. As a result, water resource Big Data technology has not been fully developed. This paper introduces the concept of Big Data and its key technologies, including the Hadoop system and MapReduce. In addition, this paper focuses on the significance of applying the big data in water resources and summarizing prior researches by others. Most studies in this field only set up theoretical frame, but we define the "Water Big Data" and explain its tridimensional properties which are time dimension, spatial dimension and intelligent dimension. Based on HBase, the classification system of Water Big Data is introduced: hydrology data, ecology data and socio-economic data. Then after analyzing the challenges in water resources management, a series of solutions using Big Data technologies such as data mining and web crawler, are proposed. Finally, the prospect of applying big data in water resources is discussed, it can be predicted that as Big Data technology keeps developing, "3D" (Data Driven Decision) will be utilized more in water resources management in the future.

Disease-modifying drugs for multiple sclerosis in pregnancy: a systematic review.

PubMed

Lu, Ellen; Wang, Bing Wei; Guimond, Colleen; Synnes, Anne; Sadovnick, Dessa; Tremlett, Helen

2012-09-11

To systematically review the literature regarding safety of disease-modifying drug (DMD) use during pregnancy on perinatal and developmental outcomes in offspring of patients with multiple sclerosis (MS). A PubMed and EMBASE search up to February 2012 was conducted with a manual search of references from relevant articles. Selected studies were evaluated using internationally accepted criteria. Fifteen studies identified 761 interferon β-, 97 glatiramer acetate-, and 35 natalizumab-exposed pregnancies. Study quality ranged from poor to good; no study was rated excellent. Small sample sizes limited most studies. Compared with data for unexposed pregnancies, fair- to good-quality prospective cohort studies reported that interferon β exposure was associated with lower mean birth weight, shorter mean birth length, and preterm birth (<37 weeks), but not low birth weight (<2,500 g), cesarean delivery, congenital anomaly (including malformation), or spontaneous abortion. Fewer studies of fair quality were available for glatiramer acetate and natalizumab. Glatiramer acetate exposure was not associated with lower mean birth weight, congenital anomaly, preterm birth, or spontaneous abortion. Natalizumab exposure did not appear to be associated with shorter mean birth length, lower mean birth weight, or lower mean gestational age. No studies examined mitoxantrone or fingolimod exposure. One study of paternal DMD use during conception found no effect on gestational age or birth weight. Few studies examined longer-term developmental outcomes. Further studies are needed to determine the potential risks associated with preconceptional and in utero DMD exposure in patients with MS. Discontinuation of DMDs before conception is still recommended.

Tailored instructor feedback leads to more effective virtual-reality laparoscopic training.

PubMed

Paschold, M; Huber, T; Zeißig, S R; Lang, H; Kneist, Werner

2014-03-01

Laparoscopic novices begin at different performance levels, and studies on tailored training concepts are warranted. The effect of verbal instructor feedback has been investigated with varying results, and its effectiveness in virtual-reality laparoscopic (VRL) simulations still is unclear. This study aimed to determine whether laparoscopic novices with lower initial performance statuses may profit from training with intensive instructor feedback. A prospective, single-blinded study was performed within a week-long curricular course. In this study, 20 medical students performed a complex bimanual maneuver on a VRL simulator. There was a division in performance levels, with a high-performer group (HPG) that received a better median score and a low-performer group (LPG). During the training phase, only the initial LPG received standardized instructor feedback in a one-to-one setting. The final assessment of skills for both groups involved performing the task without feedback at the end of the course. The HPG and LPG showed significantly different initial performance levels according global and categorized (time, economics, error) scores (p < 0.005). This difference disappeared quickly throughout the instructor feedback phase. The final assessment demonstrated that both groups were at the same level of performance. This is the first study to use a tailored training concept with instructor feedback limited to the LPG. The tailored training was effective and economic for the laparoscopic novices and their teachers.

Prospective, randomized, controlled, proof-of-concept study of the Ghrelin mimetic ipamorelin for the management of postoperative ileus in bowel resection patients.

PubMed

Beck, David E; Sweeney, W Brian; McCarter, Martin D

2014-12-01

Postoperative ileus is a significant clinical challenge lacking effective management strategies. Ghrelin-receptor stimulation has promotility effects in the upper and lower gastrointestinal tract. This proof-of-concept, phase 2, randomized study evaluated the safety and efficacy of the ghrelin-receptor agonist ipamorelin in the treatment of postoperative ileus following abdominal surgery (ClinicalTrials.gov NCT00672074). The design was a multicenter, double-blind, placebo-controlled, clinical trial. The settings include hospital inpatients. The patients were adults undergoing small and large bowel resection by open or laparoscopic surgery. The intervention was intravenous infusions of 0.03-mg/kg ipamorelin vs placebo twice daily, on postoperative day 1 to 7 or hospital discharge. Safety was assessed by monitoring adverse events and laboratory tests. The key efficacy endpoint was time from first dose of study drug to tolerance of a standardized solid meal. One hundred seventeen patients were enrolled, of whom 114 patients composed the safety and modified intent-to-treat populations. Demographic and disease characteristics were balanced between groups. Overall incidence of any treatment-emergent adverse events was 87.5 % in the ipamorelin group and 94.8 % in placebo group. Median time to first tolerated meal was 25.3 and 32.6 h in the ipamorelin and placebo groups, respectively (p = 0.15). This proof of concept study was small and enrolled patients with a broad range of underlying conditions. Ipamorelin 0.03-mg/kg twice daily for up to 7 days was well tolerated. There were no significant differences between ipamorelin and placebo in the key and secondary efficacy analyses.

Defining Dogma: Quantifying Crystalloid Hemodilution in a Prospective Randomized Control Trial with Blood Donation as a Model for Hemorrhage.

PubMed

Ross, Samuel Wade; Christmas, A Britton; Fischer, Peter E; Holway, Haley; Seymour, Rachel; Huntington, Ciara R; Heniford, B Todd; Sing, Ronald F

2018-06-04

The concept of hemodilution after blood loss and crystalloid infusion is a surgical maxim that remains unproven in humans. We sought to quantify the effect of hemodilution after crystalloid administration in voluntary blood donors as a model for acute hemorrhage. A prospective, randomized control trial was conducted in conjunction with community blood drives. Donors were randomized to receive no IV fluid(noIVF), two liters normal saline(NS), or two liters lactated ringers(LR) after blood donation. Blood samples were taken before donation of 500 mL of blood, immediately after donation, and following IV fluid administration. Hemoglobin(Hgb) was measured at each time point. Hgb between time points were compared between groups using standard statistical tests and the Bonferroni correction for multiple comparisons. Statistical significance was set at p≤0.0167. Of 165 patients consented, 157 patients completed the study. Average pre-donation Hgb was 14.3 g/dL. There was no difference in the mean Hgb levels after blood donation between the three groups(p>0.05). Compared to the control group, there was a significant drop in Hgb in the crystalloid infused groups from the post-donation level to post-resuscitation(13.2 vs 12.1 vs 12.2 g/dL, p<0.0001). A formula was created to predict hemoglobin levels from a given estimated blood loss(EBL) and volume replacement(VR): Hemodilution Hgb=(MeanPre-donation Hgb - hemorrhage Hgb drop - equilibration hemoglobin drop - resuscitation Hgb drop)=MeanPre-donation Hgb - [(EBL/TBV)*l] - [(EBL/TBV)*h] - [(VR/TBV)*r], l = 5.111g/dL = blood loss coefficient, h=6.722 g/dL=equilibration coefficient, r= 2.617g/dL= resuscitation coefficient. This study proves the concept of hemodilution and derived a mathematical relationship between blood loss and resuscitation. This data may help to estimate response of hemoglobin levels to blood loss and fluid resuscitation in clinical practice. Copyright © 2018. Published by Elsevier Inc.

A blessing I can't afford: factors underlying the paradox of happiness about unintended pregnancy.

PubMed

Aiken, Abigail R A; Dillaway, Chloe; Mevs-Korff, Natasha

2015-05-01

An unresolved paradox in the measurement and interpretation of unintended pregnancy is that women frequently report feeling happy about pregnancies they also classify as unintended (i.e. they have incongruent intentions and feelings). This study explores the underlying reasons why women profess such happiness and how these relate to their motivations to avoid pregnancy. Between September 2013 and February 2014, semi-structured in-depth interviews were conducted with 27 women (8 white, 19 Latina) selected from a longitudinal study measuring prospective pregnancy intentions and feelings among 403 women in Austin, Texas. Women were selected for interview on the basis of wanting no more children and consistently professing either happiness (n = 17) or unhappiness (n = 10) at the prospect of pregnancy. Interviews were coded and analyzed following the principles of grounded theory. We found that it is possible for women to express happiness at the idea of pregnancy while simultaneously earnestly trying to prevent conception. Happiness at the idea of an unintended pregnancy was explained as the result of deep and heartfelt feelings about children taking precedence over practical considerations, the perception that the psychosocial stress resulting from another child would be low, and the ability to rationalize an unintended pregnancy as the result of fate or God's plan. The major exception to the sincerity of professed happiness was that conveyed as a result of social pressure despite truly negative feelings, predominantly expressed by foreign-born Latina women. Overall, equating incongruence with ambivalence about avoiding conception may undermine the sincerity of women's intentions and their desires for highly-effective contraception. At the same time, unintended pregnancies that are greeted with happiness may have different implications for maternal and child health outcomes compared to pregnancies that are greeted with unhappiness. Identifying which unintended pregnancies are most likely to result in adverse outcomes is a target for future research. Copyright © 2015 Elsevier Ltd. All rights reserved.

A Blessing I Can’t Afford: Factors Underlying the Paradox of Happiness about Unintended Pregnancy

PubMed Central

Aiken, Abigail R.A.; Dillaway, Chloe; Mevs-Korff, Natasha

2015-01-01

An unresolved paradox in the measurement and interpretation of unintended pregnancy is that women frequently report feeling happy about pregnancies they also classify as unintended (i.e. they have incongruent intentions and feelings). This study explores the underlying reasons why women profess such happiness and how these relate to their motivations to avoid pregnancy. Between September 2013 and February 2014, semi-structured in-depth interviews were conducted with 27 women (8 white, 19 Latina) selected from a longitudinal study measuring prospective pregnancy intentions and feelings among 403 women in Austin, Texas. Women were selected for interview on the basis of wanting no more children and consistently professing either happiness (n=17) or unhappiness (n=10) at the prospect of pregnancy. Interviews were coded and analyzed following the principles of grounded theory. We found that it is possible for women to express happiness at the idea of pregnancy while simultaneously earnestly trying to prevent conception. Happiness at the idea of an unintended pregnancy was explained as the result of deep and heartfelt feelings about children taking precedence over practical considerations, the perception that the psychosocial stress resulting from another child would be low, and the ability to rationalize an unintended pregnancy as the result of fate or God’s plan. The major exception to the sincerity of professed happiness was that conveyed as a result of social pressure despite truly negative feelings, predominantly expressed by foreign-born Latina women. Overall, equating incongruence with ambivalence about avoiding conception may undermine the sincerity of women’s intentions and their desires for highly-effective contraception. At the same time, unintended pregnancies that are greeted with happiness may have different implications for maternal and child health outcomes compared to pregnancies that are greeted with unhappiness. Identifying which unintended pregnancies are most likely to result in adverse outcomes is a target for future research. PMID:25813729

Can consistent benchmarking within a standardized pain management concept decrease postoperative pain after total hip arthroplasty? A prospective cohort study including 367 patients

PubMed Central

Benditz, Achim; Greimel, Felix; Auer, Patrick; Zeman, Florian; Göttermann, Antje; Grifka, Joachim; Meissner, Winfried; von Kunow, Frederik

2016-01-01

Background The number of total hip replacement surgeries has steadily increased over recent years. Reduction in postoperative pain increases patient satisfaction and enables better mobilization. Thus, pain management needs to be continuously improved. Problems are often caused not only by medical issues but also by organization and hospital structure. The present study shows how the quality of pain management can be increased by implementing a standardized pain concept and simple, consistent, benchmarking. Methods All patients included in the study had undergone total hip arthroplasty (THA). Outcome parameters were analyzed 24 hours after surgery by means of the questionnaires from the German-wide project “Quality Improvement in Postoperative Pain Management” (QUIPS). A pain nurse interviewed patients and continuously assessed outcome quality parameters. A multidisciplinary team of anesthetists, orthopedic surgeons, and nurses implemented a regular procedure of data analysis and internal benchmarking. The health care team was informed of any results, and suggested improvements. Every staff member involved in pain management participated in educational lessons, and a special pain nurse was trained in each ward. Results From 2014 to 2015, 367 patients were included. The mean maximal pain score 24 hours after surgery was 4.0 (±3.0) on an 11-point numeric rating scale, and patient satisfaction was 9.0 (±1.2). Over time, the maximum pain score decreased (mean 3.0, ±2.0), whereas patient satisfaction significantly increased (mean 9.8, ±0.4; p<0.05). Among 49 anonymized hospitals, our clinic stayed on first rank in terms of lowest maximum pain and patient satisfaction over the period. Conclusion Results were already acceptable at the beginning of benchmarking a standardized pain management concept. But regular benchmarking, implementation of feedback mechanisms, and staff education made the pain management concept even more successful. Multidisciplinary teamwork and flexibility in adapting processes seem to be highly important for successful pain management. PMID:28031727

Can consistent benchmarking within a standardized pain management concept decrease postoperative pain after total hip arthroplasty? A prospective cohort study including 367 patients.

PubMed

Benditz, Achim; Greimel, Felix; Auer, Patrick; Zeman, Florian; Göttermann, Antje; Grifka, Joachim; Meissner, Winfried; von Kunow, Frederik

2016-01-01

The number of total hip replacement surgeries has steadily increased over recent years. Reduction in postoperative pain increases patient satisfaction and enables better mobilization. Thus, pain management needs to be continuously improved. Problems are often caused not only by medical issues but also by organization and hospital structure. The present study shows how the quality of pain management can be increased by implementing a standardized pain concept and simple, consistent, benchmarking. All patients included in the study had undergone total hip arthroplasty (THA). Outcome parameters were analyzed 24 hours after surgery by means of the questionnaires from the German-wide project "Quality Improvement in Postoperative Pain Management" (QUIPS). A pain nurse interviewed patients and continuously assessed outcome quality parameters. A multidisciplinary team of anesthetists, orthopedic surgeons, and nurses implemented a regular procedure of data analysis and internal benchmarking. The health care team was informed of any results, and suggested improvements. Every staff member involved in pain management participated in educational lessons, and a special pain nurse was trained in each ward. From 2014 to 2015, 367 patients were included. The mean maximal pain score 24 hours after surgery was 4.0 (±3.0) on an 11-point numeric rating scale, and patient satisfaction was 9.0 (±1.2). Over time, the maximum pain score decreased (mean 3.0, ±2.0), whereas patient satisfaction significantly increased (mean 9.8, ±0.4; p <0.05). Among 49 anonymized hospitals, our clinic stayed on first rank in terms of lowest maximum pain and patient satisfaction over the period. Results were already acceptable at the beginning of benchmarking a standardized pain management concept. But regular benchmarking, implementation of feedback mechanisms, and staff education made the pain management concept even more successful. Multidisciplinary teamwork and flexibility in adapting processes seem to be highly important for successful pain management.

Resource Prospector: A Lunar Volatiles Prospecting and ISRU Demonstration Mission

NASA Technical Reports Server (NTRS)

Colaprete, Anthony

2015-01-01

A variety of recent observations have indicated several possible reservoirs of water and other volatiles. These volatiles, and in particular water, have the potential to be a valuable or enabling resource for future exploration. NASA's Human Exploration and Operations Mission Directorate (HEOMD) Advanced Exploration Systems (AES) is supporting the development of Resource Prospector (RP) to explore the distribution and concentration of lunar volatiles prospecting and to demonstrate In-Situ Resource Utilization (ISRU). The mission includes a NASA developed rover and payload, and a lander will most likely be a contributed element by an international partner or the Lunar Cargo Transportation and Landing by Soft Touchdown (CATALYST) initiative. The RP payload is designed to: (1) locate near-subsurface volatiles, (2) excavate and analyze samples of the volatile-bearing regolith, and (3) demonstrate the form. extractability and usefulness of the materials. RP is being designed with thought given to its extensibility to resource prospecting and ISRU on other airless bodies and Mars. This presentation will describe the Resource Prospector mission, the payload and measurements, and concept of operations

Ethics and the law: the law and assisted human conception.

PubMed

Brahams, D

1990-07-01

This article aims to provide no more than a brief summary and overview of some of the principal legal questions which arise in connection with assisted human conception. There is no requirement of legal suitability for natural parenthood, though a child may be removed from parental care at birth if its welfare is considered to be at risk. Where medical or other assistance is required, however, the law and social judgments may impinge on the freedom of individuals to procreate. Commercial surrogacy has recently been criminalized, but private surrogacy arrangements without reward are not illegal--although any contract would probably be unenforceable through the courts. If medical intervention is required to achieve assisted conception, the availability of resources for NHS treatment, the physical and mental health of the prospective mother and father, and the welfare (or lack of it) of any prospective child, may be factors in deciding whether an infertility unit will offer treatment. Such practices must not operate unfairly and must not discriminate on racial grounds. If treatment is provided, and a woman becomes pregnant, the ordinary abortion laws will apply and, it is thought, will extend to the selective reduction of a multiple pregnancy--there is no claim in English law for 'wrongful birth'. AID does not constitute adultery, and the law has recently been reformed to recognize children born following AID as legitimate to their social parents. A child may be regarded as the legitimate child of a surrogate mother's marriage, but where the baby is genetically distinct from the surrogate mother, the law, and is uncertain and as yet could be conflicting claims of parenthood without legislation. The storage and disposal of human gametes and embryos may raise problems of 'ownership'.

Alternative paradigm for the cosmic objects formation: New prospects

NASA Astrophysics Data System (ADS)

Harutyunian, Haik A.

2017-12-01

We consider here briefly the cosmogonic concept suggested by Viktor Ambartsumian in the last century for explaining the formation of cosmic objects. He grounded his concept using the observational facts available in 40s-60s of the last century. The analysis of observational data allowed him to conclude that cosmic objects formation takes place up to nowadays. The second and more "heretical" conclusion he arrived at persuades that the origination and further evolution of cosmic objects goes on in course of gradual decay of proto-stellar matter at all hierarchical levels. We argue that this approach appeared first time in Ambartsumian's papers devoted to the problems of quantum electrodynamics. Later on his concept on objects formation due to decay of protostellar dense matter was rejected because the known laws of physics do not allow existence of huge masses consisted of superdense matter. We bring to the readers' attention, that the discovery of dark energy changes the situation drastically and opens new rooms for the ideas forgotten by the scientific community.

Effect of Hurdle Technology in Food Preservation: A Review.

PubMed

Singh, Shiv; Shalini, Rachana

2016-01-01

Hurdle technology is used in industrialized as well as in developing countries for the gentle but effective preservation of foods. Hurdle technology was developed several years ago as a new concept for the production of safe, stable, nutritious, tasty, and economical foods. Previously hurdle technology, i.e., a combination of preservation methods, was used empirically without much knowledge of the governing principles. The intelligent application of hurdle technology has become more prevalent now, because the principles of major preservative factors for foods (e.g., temperature, pH, aw, Eh, competitive flora), and their interactions, became better known. Recently, the influence of food preservation methods on the physiology and behavior of microorganisms in foods, i.e. their homeostasis, metabolic exhaustion, stress reactions, are taken into account, and the novel concept of multi-target food preservation emerged. The present contribution reviews the concept of the potential hurdles for foods, the hurdle effect, and the hurdle technology for the prospects of the future goal of a multi-target preservation of foods.

Effects of work ability and health promoting interventions for women with musculoskeletal symptoms: A 9-month prospective study

PubMed Central

Larsson, Agneta; Karlqvist, Lena; Gard, Gunvor

2008-01-01

Background Women working in the public human service sector in 'overstrained' situations run the risk of musculoskeletal symptoms and long-term sick leave. In order to maintain the level of health and work ability and strengthen the potential resources for health, it is important that employees gain greater control over decisions and actions affecting their health – a process associated with the concept of self-efficacy. The aim of this study was to describe the effects of a self-efficacy intervention and an ergonomic education intervention for women with musculoskeletal symptoms, employed in the public sector. Methods The design of the study was a 9-month prospective study describing the effects of two interventions, a comprehensive self-efficacy intervention (n = 21) and an ergonomic education intervention (n = 21). Data were obtained by a self-report questionnaire on health- and work ability-related factors at baseline, and at ten weeks and nine months follow-up. Within-group differences over time were analysed. Results Over the time period studied there were small magnitudes of improvements within each group. Within the self-efficacy intervention group positive effects in perceived work ability were shown. The ergonomic education group showed increased positive beliefs about future work ability and a more frequent use of pain coping strategies. Conclusion Both interventions showed positive effects on women with musculoskeletal symptoms, but in different ways. Future research in this area should tailor interventions to participants' motivation and readiness to change. PMID:18644154

Effects of metformin-diet intervention before and throughout pregnancy on obstetric and neonatal outcomes in patients with polycystic ovary syndrome.

PubMed

Glueck, Charles J; Goldenberg, Naila; Pranikoff, Joel; Khan, Zia; Padda, Jagjit; Wang, Ping

2013-01-01

Prospectively assess whether metformin/diet pre-conception and throughout pregnancy would safely reduce first trimester miscarriage and improve pregnancy outcomes in women with polycystic ovary syndrome (PCOS). In 76 PCOS women, first pregnancy miscarriage and live birth were compared before and on metformin/diet, started 6.8 months (median) before conception, continued throughout pregnancy. On metformin 2-2.55 g/day, low glycemic index diet, first pregnancy outcomes in PCOS were compared with 156 community obstetric practice women (controls). Live births, miscarriage, birth <37 weeks gestation, gestational diabetes, pre-eclampsia, fetal macrosomia. In 76 PCOS women before metformin-diet, there were 36 miscarriages (47%) and 40 live births vs. 14 (18%) miscarriages and 62 live births on metformin-diet 6.8 months before conception and throughout pregnancy, p = 0.0004, OR 3.99, 95% CI 1.91-8.31. On metformin-diet, PCOS women did not differ (p > 0.08) from controls for birth <37 weeks gestation, gestational diabetes, pre-eclampsia, or fetal macrosomia. Metformin-diet before and during pregnancy in PCOS reduces miscarriage and adverse pregnancy outcomes. Study limitation: individual benefits of the diet alone and diet plus metformin could not be assessed separately. Randomized, controlled clinical trials now need to be done with a larger number of patients.

Evaluation of intraoperative fluorescence imaging-guided surgery in cancer-bearing dogs: a prospective proof-of-concept phase II study in 9 cases.

PubMed

Cabon, Quentin; Sayag, David; Texier, Isabelle; Navarro, Fabrice; Boisgard, Raphaël; Virieux-Watrelot, Dorothée; Ponce, Frédérique; Carozzo, Claude

2016-04-01

The objective was to prospectively evaluate the application of intraoperative fluorescence imaging (IOFI) in the surgical excision of malignant masses in dogs, using a novel lipid nanoparticle contrast agent. Dogs presenting with spontaneous soft-tissue sarcoma or subcutaneous tumors were prospectively enrolled. Clinical staging and whole-body computed tomography (CT) were performed. All the dogs received an intravenous injection of dye-loaded lipid nanoparticles, LipImage 815. Wide or radical resection was realized after CT examination. Real-time IOFI was performed before skin incision and after tumor excision. In cases of radical resection, the lymph nodes (LNs) were imaged. The margin/healthy tissues fluorescence ratio or LN/healthy tissues fluorescence ratio was measured and compared with the histologic margins or LN status. Nine dogs were included. Limb amputation was performed in 3 dogs, and wide resection in 6. No adverse effect was noted. Fluorescence was observed in all 9 of the tumors. The margins were clean in 5 of 6 dogs after wide surgical resection, and the margin/healthy tissues fluorescence ratio was close to 1.0 in all these dogs. Infiltrated margins were observed in 1 case, with a margin/healthy tissues fluorescence ratio of 3.2. Metastasis was confirmed in 2 of 3 LNs, associated with LN/healthy tissues fluorescence ratios of 2.1 and 4.2, whereas nonmetastatic LN was associated with a ratio of 1.0. LipImage 815 used as a contrast agent during IOFI seemed to allow for good discrimination between tumoral and healthy tissues. Future studies are scheduled to evaluate the sensitivity and specificity of IOFI using LipImage 815 as a tracer. Copyright © 2016 Elsevier Inc. All rights reserved.

The Problem of Whistleblowing in Engineering Ethics

NASA Astrophysics Data System (ADS)

Ohishi, Toshihiro

The purpose of this paper is to clarify the features of whistleblowing by considering the arguments about whistleblowing in engineering ethics. First, I analyze the concept of ‘whistleblowing’ by defining the word as clearly as possible. Second, I examine the standard justification theory of whistleblowing by showing the problems of the theory. Finally, I analyze the dilemma about whistleblowing by revealing a prospective whistleblower‧s struggle to choose moral value or non-moral value.

Fuzzy correlation analysis with realization

NASA Astrophysics Data System (ADS)

Tang, Yue Y.; Fan, Xinrui; Zheng, Ying N.

1998-10-01

The fundamental concept of fuzzy correlation is briefly discussed. Based on the correlation coefficient of classic correlation, polarity correlation and fuzzy correlation, the relationship between the correlations are analyzed. A fuzzy correlation analysis has the merits of both rapidity and accuracy as some amplitude information of random signals has been utilized. It has broad prospects for application. The form of fuzzy correlative analyzer with NLX 112 fuzzy data correlator and single-chip microcomputer is introduced.

The Chinese at the Negotiating Table: Style and Characteristics

DTIC Science & Technology

1994-02-01

political and monetary institutions, the North American Free Trade Area concept offered prospects for new regional coopera- tion and wealth, and the...reduced American pres- ence in the Pacific area have resulted in calls for regional secucity cooperation being advanced by many in the region. At the same...the intense criticism in the United States of China’s human rights practices, there clearly are areas ranging from security to economic where the

[Relationship between health and economy and healthy public policy].

PubMed

Cianciara, Dorota

2008-01-01

The health of the individuals and whole population is determined by many interrelated factors. Primary by socio-economic distal determinants which are essential for health inequalities. In the article health linkages with wealth and economic prosperity in developed countries are presented. The concept of investment for health is described. Principles of healthy public policy and prospects of health in all policies, Impact Assessment methodology and Health Impact Assessment are marked out.

Sharing Power? Prospects for a U.S. Concert-Balance Strategy

DTIC Science & Technology

2013-04-01

Regional strategic appraisals; • The nature of land warfare; • Matters affecting the Army’s future; • The concepts , philosophy, and theory of strategy...and long-term consequences. To strategize is to relativize . Through the lens of grand strategy, what seems like a bad military failure or...allies have long done). It car- 12 ries the “ moral hazard” problem of unintentionally underwriting the risky behavior of others by guaran- teeing their

[The PreFord Study. A prospective cohort study to evaluate the risk of a cardiovascular event (overall-collective) as well as a prospective, randomized, controlled, multicentre clinical intervention study (high-risk-collective) on primary prevention of cardiovascular diseases in the Ford Motor Company employees in Germany].

PubMed

Gysan, D B; Latsch, J; Bjarnason-Wehrens, B; Albus, C; Falkowski, G; Herold, G; Mey, E; Heinzler, R; Montiel, G; Schneider, C A; Stützer, H; Türk, S; Weisbrod, M; Predel, H G

2004-02-01

The PreFord Study is a multicenter prospective cohort study to evaluate guideline based risk management on primary prevention of cardiovascular diseases. Furthermore a randomised controlled trial (RCT) will be designed to analyse the effect of a special intervention program. 40,000 employees of the Ford Motor Company, Visteon Company and Deutz Company in Germany will be included, monitored for ten years and the following primary endpoints will be investigated: 1. evaluation and comparison of established and newly developed risk-scores, 2. the relative impact of single and combined cardiovascular risk factors on cardiovascular diseases, 3. the influence of a novel occupationally integrated ambulant rehabilitation program in combination with a guideline oriented optimal drug therapy within a high risk group on the primary endpoint: risk reduction by, 4. the influence of this intervention on secondary endpoints: death, myocardial infarction and stroke, combined appearance of angina pectoris and hospitalisation, occurrence of cerebral circulatory disorder and hospitalisation, occurrence of peripheral occlusive arterial disease and hospitalisation and single cardiovascular risk factors and cost-benefit-analysis. Beginning with an cross sectional study there will be a systemic screening of cardiovascular risk profiles, of anthropometric data and different lifestyle-factors. Based on these data participants will be differentiated into three risk-groups according to the risk score of the European Society of Cardiology (risk of a lethal primary acute cardiovascular event: I < or = 1%; II > 1-< 5% and III > or = 5%). In the following longitudinal study different strategies will be applied: Group I: low risk (< 0.5% per year): repetition of the investigation after five and ten years. Group II: middle risk, (0.6% to 1.4% per year), repetition of the investigation every two years, instruction of the patients general practitioner (GP) with respect to a risk factor oriented and evidence based treatment. Group III: high risk, (> 1.5% per year or >15% within the next 10 years) will be randomised into two interventional groups. The first one, the intervention-group "PreFord" will perform an occupational integrated rehabilitation program (2,5-3 hours twice a week, for 15 weeks according to the BAR guidelines) with a following engagement in heart-groups and an annual repetition of the check-ups. The second group, the "classic" intervention-group will be treated evidence based in cooperation with their GP. As a result of this long term interventional study efficient, area wide implementable and economically feasible prevention concepts with special regards to operational healthcare will be developed and evaluated. Core elements will be exercise- and lifestyle-oriented concepts as well as guideline-based pharmacotherapy.

For good measure: Origins and prospects of exposure science (2007 Wesolowski Award Lecture).

PubMed

Fenske, Richard A

2010-09-01

Measurement is the foundation of exposure science. Associations between illness and environmental agents have been observed for millennia, but the ability to quantify exposure and dose has been possible only in the last century. Improved means of measurement and refined concepts of who, what, when, where, and why to measure have been the seminal contributions of exposure science to the study of disease causation and prevention. This paper examines critical advancements in exposure assessment associated with workplace health and safety, and the groundbreaking work of the US Public Health Service. Many of the key concepts of modern exposure science have their origin in these early studies. Occupational hygiene scientists have conducted receptor-based exposure analyses for more than 80 years, evaluating indoor air, defining microenvironments, and developing personal sampling techniques. Biological monitoring of community populations including children, dermal exposure monitoring, duplicate diet studies, and multi-pathway, aggregate exposure assessments can be traced to early public health studies. As we look to the future, we see that new technologies and techniques are expanding the scope of exposure science dramatically. We need to ensure that the highest of scientific standards are maintained, make a greater effort to include occupational hygiene scientists, microbiologists, and behavioral scientists in the field, and promote new sources of training and research support. Exposure science has a critical role to play in the prevention strategy that is central to public health.

Pacemaker recycling: A notion whose time has come.

PubMed

Runge, Mason W; Baman, Timir S; Davis, Sheldon; Weatherwax, Kevin; Goldman, Ed; Eagle, Kim A; Crawford, Thomas C

2017-04-26

The purpose of this paper is to summarize the need, feasibility, safety, legality, and ethical perspectives of pacemaker reutilization in low- and middle-income countries (LMICs). It will also describe, in-depth, Project My Heart Your Heart (PMHYH) as a model for pacemaker reuse in LMICs. The primary source of the discussion points in this paper is a collection of 14 publications produced by the research team at the University of Michigan and its collaborative partners. The need for pacemaker reutilization in LMICs is evident. Numerous studies show that the concept of pacemaker reutilization in LMICs is feasible. Infection and device malfunction are the main concerns in regard to pacemaker reutilization, yet many studies have shown that pacemaker reuse is not associated with increased infection risk or higher mortality compared with new device implantation. Under the right circumstances, the ethical and legal bases for pacemaker reutilization are supported. PMHYH is a proof of concept pacemaker donation initiative that has allowed funeral home and crematory directors to send explanted devices to an academic center for evaluation and re-sterilization before donation to underserved patients in LMICs. The time is now to pursue large-scale studies and trials of pacemaker reuse for the betterment of society. PMHYH is leading the way in the effort and is poised to conduct a prospective randomized, non-inferiority, multicenter study to confirm the clinical efficacy and safety of pacemaker reuse, for clinical and legal support.

Practice Guidelines for the Management of Multiligamentous Injuries of the Knee

PubMed Central

Goyal, Ankit; Tanwar, Milind; Joshi, Deepak; Chaudhary, Deepak

2017-01-01

Background: Multiligamentous injuries of knee remain a gray area as far as guidelines for management are concerned due to absence of large-scale, prospective controlled trials. This article reviews the recent evidence-based literature and trends in treatment of multiligamentous injuries and establishes the needful protocol, keeping in view the current concepts. Materials and Methods: Two reviewers individually assessed the available data indexed on PubMed and Medline and compiled data on incidence, surgical versus nonsurgical treatment, timing of surgery, and repair versus reconstruction of multiligamentous injury. Results: Evolving trends do not clearly describe treatment, but most studies have shown increasing inclination toward an early, staged/single surgical procedure for multiligamentous injuries involving cruciate and collateral ligaments. Medial complex injuries have shown better results with conservative treatment with surgical reconstruction of concomitant injuries. Conclusion: Multiligamentous injury still remains a gray area due to unavailability of a formal guideline to treatment in the absence of large-scale, blinded prospective controlled trials. Any in multiligamentous injuries any intervention needs to be individualized by the presence of any life- or limb-threatening complication. The risks and guarded prognosis with both surgical and non-surgical modalities of treatment should be explained to patient and relations. PMID:28966377

Research on the Development Prospect of Assembled Passive Building Based on Green Development Concept

NASA Astrophysics Data System (ADS)

Lixin, Zhang; Ju, Ma; Baohui, He

2018-02-01

In recent years, the vigorous development of the construction industry has brought about serious problems of environmental pollution and resource consumption. In order to reduce the negative impact that the construction industry has on the natural environment,this paper, from the perspective of environmental protection, studies the pollution and high consumption problems existing in the production and use of traditional construction industry, compares and analyzes the green and energy-saving advantages in the construction and using phase of assembled passive building, and at the same time, combined with our country is vigorously promoting the assembled passive building and the green development, concluded that the assembled passive building is the new development direction of China’s construction industry.

Surfing amongst Oil-Tankers: Connecting Emerging Research Fields to the Current International Landscape.

PubMed

Charrier, Bénédicte; Coates, Juliet C; Stavridou, Ioanna

2017-01-01

The COST Action Phycomorph (FA1406) was initiated in 2015 from a handful of academic researchers, and now joins together 19 European countries and nine international partners. Phycomorph's goal is to coordinate and develop research on developmental biology in macroalgae. This is an ambitious project, as the related scientific community is small, the concepts are complex, and there is currently limited knowledge of these organisms and there are few technologies to study them. Here we report the first step in achieving this enterprise, the creation of the Phycomorph network. We share the associated strengths, pitfalls, and prospects for setting up the network in the hope that this might guide similar efforts in other fields. Copyright © 2016 Elsevier Ltd. All rights reserved.

Science with the Advanced Gamma Ray Imaging System (AGIS)

NASA Astrophysics Data System (ADS)

Coppi, Paolo

2009-05-01

We present the scientific drivers for the Advanced Gamma Ray Imaging System (AGIS), a concept for the next-generation ground- based gamma-ray experiment, comprised of an array of ˜100 imaging atmospheric Cherenkov telescopes. Design requirements for AGIS include achieving a sensitivity an order of magnitude better than the current generation of space or ground-based instruments in the energy range of 40 GeV to ˜100 TeV. We present here an overview of the scientific goals of AGIS, including the prospects for understanding VHE phenomena in the vicinity of accreting black holes, particle acceleration in a variety of astrophysical environments, indirect detection of dark matter, study of cosmological background radiation fields, and particle physics beyond the standard model.

Opportunities for development of advanced large cargo aircraft

NASA Technical Reports Server (NTRS)

Whitehead, A. H., Jr.

1976-01-01

A critical review of the history, current state of the art, and future prospects for cargo aircraft systems indicates that three of the major advantages of air cargo are rapid delivery, ability to bridge geographical boundaries, and capability to provide a flexible market response. Foreseeable advances in large aircraft development offer even greater profit potential by increasing the payload ton-miles per pound of fuel. Intermodal containers and handling systems and computerized control and billing may be key ingredients. Details of a NASA program for large aircraft systems technology are outlined, which includes systems studies, research and technology investigations, and determination of the need for critical flight experiments. Innovative advanced technologies and configuration concepts are discussed. Numerous illustrations supplement the text.

Methodology for determining the investment attractiveness of construction of high-rise buildings

NASA Astrophysics Data System (ADS)

Nezhnikova, Ekaterina; Kashirin, Valentin; Davydova, Yana; Kazakova, Svetlana

2018-03-01

The article presents the analysis of the existing methods for assessing the investment attractiveness of high-rise construction. The authors determined and justified the primary choice of objects and territories that are the most attractive for the development of high-rise construction. A system of risk indicators has been developed that allow making a quantitative adjustment for a particular project in the evaluation of the efficiency of investment projects. The study is aimed at developing basic methodological concepts for a comparative evaluation of the prospects of construction of high-rise facilities that allow to take into consideration the features of investment in construction and to enable quantitative evaluation of the investment effectiveness in high-rise construction.

[Prospects of systemic radioecology in solving innovative tasks of nuclear power engineering].

PubMed

Spiridonov, S I

2014-01-01

A need of systemic radioecological studies in the strategy developed by the atomic industry in Russia in the XXI century has been justified. The priorities in the radioecology of nuclear power engineering of natural safety associated with the development of the radiation-migration equivalence concept, comparative evaluation of innovative nuclear technologies and forecasting methods of various emergencies have been identified. Also described is an algorithm for the integrated solution of these tasks that includes elaboration of methodological approaches, methods and software allowing dose burdens to humans and biota to be estimated. The rationale of using radioecological risks for the analysis of uncertainties in the environmental contamination impacts,at different stages of the existing and innovative nuclear fuel cycles is shown.

Robotic instrumentation: Evolution and microsurgical applications

PubMed Central

Parekattil, Sijo J.; Moran, Michael E.

2010-01-01

This article presents a review of the history and evolution of robotic instrumentation and its applications in urology. A timeline for the evolution of robotic instrumentation is presented to better facilitate an understanding of our current-day applications. Some new directions including robotic microsurgical applications (robotic assisted denervation of the spermatic cord for chronic orchialgia and robotic assisted vasectomy reversal) are presented. There is a paucity of prospective comparative effectiveness studies for a number of robotic applications. However, right or wrong, human nature has always led to our infatuation with the concept of using tools to meet our needs. This chapter is a brief tribute to where we have come from and where we may be potentially heading in the field of robotic assisted urologic surgery. PMID:21116362

[Microbial ecology of archaeal ammonia oxidation--a review].

PubMed

Jia, Zhongjun; Weng, Jiahua; Lin, Xiangui; Conrad, Ralf

2010-04-01

Bacteria have long been considered as the key driver of ammonia oxidation on earth. This concept has been challenged recently by the discovery of chemolithoautotrophic isolate of ammonia-oxidizing archaeon in marine. The relative contribution of bacteria and archaea to ammonia oxidation is essential for our understanding of global nitrogen cycle. Recent study suggested a key role of archaeal ammonia oxidation in the marine nitrogen cycle. Our work however revealed the predominace of bacterial ammonia oxidation in agricultural soil. From the biogeochemical perspective, here we summarized the discovery, progress and prospect of archaeal ammonia oxidation. Of great interest in the future would be to elucidate the metabolisms of ammonia-oxidizing archaeon in natural environment and the underlying mechanism that leads to the physiological divergence of ammonia oxidizers.

Volcanic eruption crisis and the challenges of geoscience education in Indonesia

NASA Astrophysics Data System (ADS)

Hariyono, E.; Liliasari, Tjasyono, B.; Madlazim

2016-02-01

The study aims was to describe of the profile of geoscience education conducted at the institution of teacher education for answer challenges of volcanic eruption crisis in Indonesia. The method used is descriptive analysis based on result of test and interview to 31 students of physics pre-service teachers about volcanoes through field study. The results showed that the students have a low understanding of volcanic material and there are several problems associated with the volcanoes concept. Other facts are geoscience learning does not support to the formation of geoscience knowledge and skills, dominated by theoretical studies and less focused on effort to preparing students towards disasters particularly to the volcanic eruption. As a recommendation, this require to restructuring geoscience education so as relevant with the social needs. Through courses accordingly, we can greatly help student's physics prospective teacher to improve their participations to solve problems of volcanic eruption crisis in the society.

Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident.

PubMed

Cavalcante, Tahissa Frota; de Araújo, Thelma Leite; Moreira, Rafaella Pessoa; Guedes, Nirla Gomes; Lopes, Marcos Venicios de Oliveira; da Silva, Viviane Martins

2013-01-01

the study's objective was the clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced cerebrovascular accidents (CVA). a prospective cohort study was conducted with 24 patients hospitalized due to a CVA. The instrument used to collect the data addressed the risk factors for respiratory aspiration, validated by concept analysis and by experts. the most frequent risk factors for respiratory aspiration were: dysphagia (54.2%) and impaired physical mobility (41.7%). The prevalence of the nursing diagnosis Risk for Aspiration was 58.3% and the prevalence of respiratory aspiration over the span of 48 hours (monitoring period) was 37.5%. Risk factors for dysphagia and impaired physical mobility were significantly associated with respiratory aspiration. the risk factors dysphagia and impaired physical mobility are good predictors of the nursing diagnosis Risk for Aspiration. This study contributed to improving the NANDA-I Taxonomy and the systematization of the nursing process.

Treatment of Recurrent Eczematous External Otitis with Honey Eardrops: A Proof-of-Concept Study.

PubMed

Henatsch, Darius; Nabuurs, Cindy H; van de Goor, Rens M; Wolffs, Petra F; Stokroos, Robert J

2017-10-01

Eczematous external otitis is a chronic inflammatory disease and often difficult to treat. Our objective was to investigate the clinical effect and in vitro antibacterial potential of medical honey eardrops as treatment of eczematous external otitis. In a prospective study, 15 patients diagnosed with recurrent eczematous external otitis were treated with medical honey eardrops for 2 weeks. The following clinical outcomes were evaluated: visual analog scale of ear complaints, score of eczema, and eradication of bacterial infection. Furthermore, the antibacterial effect of honey eardrops against different bacterial strains was tested in vitro. Treatment resulted in less discomfort and itching and decreased signs of eczema, with high patient satisfaction and without adverse reactions. Honey eardrops showed a strong in vitro inhibitory activity against all tested strains but did not eradicate Staphylococcus aureus infection in vivo. The results of this preliminary study indicate a possible role of honey eardrops in eczematous ear disease.

Prospects for Breakthrough Propulsion From Physics

NASA Technical Reports Server (NTRS)

Millis, Marc G.

2004-01-01

"Space drives", "Warp drives", and "Wormholes:" these concepts may sound like science fiction, but they are being written about in reputable journals. To assess the implications of these emerging prospects for future spaceflight, NASA supported the Breakthrough Propulsion Physics Project from 1996 through 2002. This Project has three grand challenges: (1) Discover propulsion that eliminates the need for propellant; (2) Discover methods to achieve hyper-fast travel; and (3) Discover breakthrough methods to power spacecraft. Because these challenges are presumably far from fruition, and perhaps even impossible, a special emphasis is placed on selecting incremental and affordable research that addresses the critical issues behind these challenges. Of 16 incremental research tasks completed by the project and from other sponsors, about a third were found not to be viable, a quarter have clear opportunities for sequels, and the rest remain unresolved.

Prospects for neural stem cell-based therapies for neurological diseases.

PubMed

Imitola, Jaime

2007-10-01

Neural stem and progenitor cells have great potential for the treatment of neurological disorders. However, many obstacles remain to translate this field to the patient's bedside, including rationales for using neural stem cells in individual neurological disorders; the challenges of neural stem cell biology; and the caveats of current strategies of isolation and culturing neural precursors. Addressing these challenges is critical for the translation of neural stem cell biology to the clinic. Recent work using neural stem cells has yielded novel biologic concepts such as the importance of the reciprocal interaction between neural stem cells and the neurodegenerative environment. The prospect of using transplants of neural stem cells and progenitors to treat neurological diseases requires a better understanding of the molecular mechanisms of both neural stem cell behavior in experimental models and the intrinsic repair capacity of the injured brain.

Characteristics of future air cargo demand and impact on aircraft development: A report on the Cargo/Logistic Airlift Systems Study (CLASS) project

NASA Technical Reports Server (NTRS)

Whitehead, A. H., Jr.

1978-01-01

Current domestic and international air cargo operations are studied and the characteristics of 1990 air cargo demand are postulated from surveys conducted at airports and with shippers, consignees, and freight forwarders as well as air, land, and ocean carriers. Simulation and route optimization programs are exercised to evaluate advanced aircraft concepts. The results show that proposed changes in the infrastructure and improved cargo loading efficiencies are as important enhancing the prospects of air cargo growth as is the advent of advanced freighter aircraft. Potential reductions in aircraft direct operating costs are estimated and related to future total revenue. Service and cost elasticities are established and utilized to estimate future potential tariff reductions that may be realized through direct and indirect operating cost reductions and economies of scale.

Characterising Super Earths With The EChO Spacemission Concept

NASA Astrophysics Data System (ADS)

Tessenyi, Marcell; Ollivier, M.; Tinetti, G.; Beaulieu, J. P.; Coudé du Foresto, V.; Encrenaz, T.; Micela, G.; Swinyard, B.; Ribas, I.; Aylward, A.; Tennyson, J.; Swain, M. R.; Sozzetti, A.; Vasisht, G.; Deroo, P.

2011-09-01

Transiting Super Earths orbiting M dwarfs are excellent targets for the prospect of studying potentially habitable extrasolar planets. While most of the currently known Exoplanets are of the Hot Jupiter and Neptune type, attention is now turning to these Super Earths. Two recent examples are GJ 1214b, found by Charbonneau et al. in 2009, and Cancri 55 e, found by Winn et al. in 2011. These candidates offer the opportunity of obtaining spectral signatures of their atmospheres in transiting scenarios, via data obtained by ground based and space observatories, compared to simulated climate scenarios. With the recent selection of the Exoplanet Characterisation Observatory (EChO) mission by ESA for further studies, I present observational strategies and time requirements for a range of targets characterisable by EChO, with a view to Super Earths orbiting M dwarfs.

The Use of a Sea Salt-based Spray for Diabetic Foot Ulcers: A Novel Concept.

PubMed

Pougatsch, David A; Rader, Andrew; Rogers, Lee C

2017-02-01

Several patients present to wound healing specialists seeking a natural or alternative medical approach to their wounds. The purpose of this prospective, case-cohort study of 10 patients was to evaluate the use of Oceanzyme Wound Care Spray (Ocean Aid, Inc, Boynton Beach, FL) in improving healing in diabetic foot ulcers during a 12-week period. This product contains water purified by reverse osmosis, coral reef sea salt, lysozyme, and sodium benzoate. The primary endpoint was wound closure, and secondary endpoints were infection rate and wound area reduction. Overall, 2 patients healed, 2 withdrew, and the remaining 6 had an average of 73% reduction in wound area. While more study is needed, the use of this sea salt-based spray may provide a viable alternative for patients seeking a natural therapy for their wound care.

Risk factors for pressure ulcer development in critically Ill patients: a conceptual model to guide research.

PubMed

Benoit, Richard; Mion, Lorraine

2012-08-01

This paper presents a proposed conceptual model to guide research on pressure ulcer risk in critically ill patients, who are at high risk for pressure ulcer development. However, no conceptual model exists that guides risk assessment in this population. Results from a review of prospective studies were evaluated for design quality and level of statistical reporting. Multivariate findings from studies having high or medium design quality by the National Institute of Health and Clinical Excellence standards were conceptually grouped. The conceptual groupings were integrated into Braden and Bergstrom's (Braden and Bergstrom [1987] Rehabilitation Nursing, 12, 8-12, 16) conceptual model, retaining their original constructs and augmenting their concept of intrinsic factors for tissue tolerance. The model could enhance consistency in research on pressure ulcer risk factors. Copyright © 2012 Wiley Periodicals, Inc.

Beyond sperm cells: a qualitative study on constructed meanings of the sperm donor in lesbian families.

PubMed

Wyverkens, E; Provoost, V; Ravelingien, A; De Sutter, P; Pennings, G; Buysse, A

2014-06-01

What meanings do lesbian couples construct regarding their sperm donor? For some parents, the donor was increasingly presented as a person, whereas for other parents, the donor was seen as an instrument from the moment they received the sperm donation. Few studies specifically focus on how lesbian couples deal with the issue of third-party anonymous gamete donation. It is often assumed that they have fewer difficulties than heterosexual couples with the involvement of a male procreator, since their status as a donor conception family is 'socially visible' and there is no social father who fears exclusion. Semi-structured interviews were conducted with 10 lesbian couples (20 participants), recruited via the Ghent University Hospital. All couples had at least one child, conceived through anonymous donor insemination, between 7 and 10 years old. Within the data corpus, a particular data set was analyzed where couples referred to their donor and his position in their family. Step-by-step inductive thematic analysis was performed resulting in themes that are grounded in the data. All phases of the analysis were followed by team discussion. This study reveals different donor constructs, indicating different ways of dealing with the third-party involvement in the family. Some parents diminish the role of the donor throughout family life and continue to present him as an instrument: something they needed in order to become parents. Others show an increasing interest in the donor as the children mature, which results in a more personalized account of the donor. In our qualitative cross-sectional study, we collected retrospectively constructed stories. Longitudinal qualitative and quantitative research is required to allow for an extrapolation of the conclusions made. This study shows how the concept of the donor is constructed within lesbian families and how it is challenged by the child's developing personality and features. When counseling prospective parents, it could therefore be useful to discuss the concept of the anonymous donor beyond the conception phase. The project was funded by the Research Fund of Ghent University, Belgium. There are no competing interests.

In-Situ Resource Utilization Experiment for the Asteroid Redirect Crewed Mission

NASA Astrophysics Data System (ADS)

Elliott, J.; Fries, M.; Love, S.; Sellar, R. G.; Voecks, G.; Wilson, D.

2015-10-01

The Asteroid Redirect Crewed Mission (ARCM) represents a unique opportunity to perform in-situ testing of concepts that could lead to full-scale exploitation of asteroids for their valuable resources [1]. This paper describes a concept for an astronautoperated "suitcase" experiment to would demonstrate asteroid volatile extraction using a solar-heated oven and integral cold trap in a configuration scalable to full-size asteroids. Conversion of liberated water into H2 and O2 products would also be demonstrated through an integral processing and storage unit. The plan also includes development of a local prospecting system consisting of a suit-mounted multi-spectral imager to aid the crew in choosing optimal samples, both for In-Situ Resource Utilization (ISRU) and for potential return to Earth.

Revisiting the concept of malnutrition in older people.

PubMed

Chen, Cheryl Chia-Hui; Bai, Ya-Ying; Huang, Guan-Hua; Tang, Siew Tzuh

2007-11-01

The aim of this study is to revisit the concept of malnutrition in older people, trace the new development and test the use of refined framework with empirical data. Malnutrition in older people is a common and significant problem worldwide. Continuing Chen's earlier work in 2001, a refinement was conducted and a prospective study was designed to test the use of this refined framework. A cohort study of 114 hospitalized older patients in Northern Taiwan. The sample consists of 114 older patients aged 65 years and older, who were admitted for the cardiac and orthopaedic services at a tertiary 2300-bed hospital. From March to August 2004, assessed by one trained nurse, participants completed a structured face-to-face interview evaluating their age, visual/hearing impairments, oral health, cognitive status, comorbidities, medication use, social economic status, functional status, social support, depressive symptoms and nutritional status within 48 hours of admission. Participants who stayed >5 days were reassessed before discharge (n = 70). The data from admission were the main focus of this report. Regression analysis revealed that that more medication taken, female gender, lower functional status (beta = 0.34, P < 0.001) and higher depressive symptoms were independent predictors of poor nutritional status, with the full model accounting for 48.2% of the variance. The result is in-line with the original theoretical underpinnings and it suggests that this refined framework detailing sub-concepts and measurable indices appears to fit the empirical data and suitable for clinical use. The findings lend support to the use of this framework in managing malnutrition in older people. Nurses have an essential role in providing care for older people a framework like this would provide a road map guiding the intervention efforts.

Effect of Deviated Nasal Septum on Mean Platelet Volume: A Prospective Study.

PubMed

Poorey, Vijay Kumar; Thakur, Pooja

2014-12-01

In E.N.T clinical practice, patients with nasal obstruction due to deviated nasal septum is a common presentation. Nasal airway obstruction is a common cause of upper airway obstruction further leading to obstructive and hypoxic manifestations. Mean platelet volume (MPV) levels increase in hypoxic conditions. MPV is one of the platelet activation index which reflects the platelet production rate. Present prospective study conducted in the department of Otorhinolaryngology and Head and Neck surgery, Gandhi Medical College and Hamidia Hospital, Bhopal, on 63 patients with the clinical evidence of DNS and 63 healthy age matched subjects as control group, aimed to evaluate the relationship between MPV levels and nasal obstruction due to deviated nasal septum (DNS). The diagnosis of patients with DNS was based on anterior rhinoscopy and endoscopic nasal examination. Blood samples were collected before surgical correction. In present study, the authors found that there is preponderance of DNS in the age group of 25-45 years being the most active age group, males having the higher incidence. Majority of cases of DNS being left sided and of obstructed type. MPV were significantly higher in patients with DNS than the control group. Among the cases MPV being higher in females and in the impacted type of DNS. Present study reemphasized the concept that MPV is increased in chronic nasal obstruction due to DNS and this increase is in accordance with the severity of DNS.

Simple circumcision device: proof of concept for a single-visit, adjustable device to facilitate safe adult male circumcision.

PubMed

Hotaling, James M; Leddy, Laura S; Haider, Mahum A; Mossanen, Matthew; Bailey, Michael R; MacConaghy, Brian; Olson, Francis; Krieger, John N

2014-05-01

To conduct a proof-of-concept study to determine the potential utility of a novel, adjustable single-visit, disposable device to facilitate rapid adult circumcision. Prospective pilot trial of a novel surgical device. Tertiary care Veterans Administration medical center. Five adult males. Circumcisions performed by junior trainees using an adjustable, single-size surgical-assist device constructed by the University of Washington Applied Physics Laboratory. The attending surgeon and trainees completed standardized forms after each procedure to assess technical problems and ease of use. Follow-up visits were scheduled to evaluate adverse events, postoperative pain, cosmetic outcomes, and participant satisfaction at 3, 8, 30, and 90 days postoperatively. The average operative time was 16.4 minutes. All cases were performed with local anesthesia, and no case required electrocautery or conversion to standard surgery. At the postoperative day 3 visit, all subjects were happy with their results and would recommend the procedure to another patient. One participant had a minor wound separation noted at the 30-day visit that resolved during follow-up. There were no wound infections, hematomas, or other adverse events. This proof-of-study suggests that the Simple Circumcision Device may facilitate delivery of safe adult male circumcision services. Copyright © 2014 American Society for Reproductive Medicine. All rights reserved.

Translational Epidemiology in Psychiatry

PubMed Central

Weissman, Myrna M.; Brown, Alan S.; Talati, Ardesheer

2012-01-01

Translational research generally refers to the application of knowledge generated by advances in basic sciences research translated into new approaches for diagnosis, prevention, and treatment of disease. This direction is called bench-to-bedside. Psychiatry has similarly emphasized the basic sciences as the starting point of translational research. This article introduces the term translational epidemiology for psychiatry research as a bidirectional concept in which the knowledge generated from the bedside or the population can also be translated to the benches of laboratory science. Epidemiologic studies are primarily observational but can generate representative samples, novel designs, and hypotheses that can be translated into more tractable experimental approaches in the clinical and basic sciences. This bedside-to-bench concept has not been explicated in psychiatry, although there are an increasing number of examples in the research literature. This article describes selected epidemiologic designs, providing examples and opportunities for translational research from community surveys and prospective, birth cohort, and family-based designs. Rapid developments in informatics, emphases on large sample collection for genetic and biomarker studies, and interest in personalized medicine—which requires information on relative and absolute risk factors—make this topic timely. The approach described has implications for providing fresh metaphors to communicate complex issues in interdisciplinary collaborations and for training in epidemiology and other sciences in psychiatry. PMID:21646577

A single-arm trial indirect comparison investigation: a proof-of-concept method to predict venous leg ulcer healing time for a new acellular synthetic matrix matched to standard care control.

PubMed

Shannon, Ronald; Nelson, Andrea

2017-08-01

To compare data on time to healing from two separate cohorts: one treated with a new acellular synthetic matrix plus standard care (SC) and one matched from four large UK pragmatic, randomised controlled trials [venous leg ulcer (VLU) evidence network]. We introduce a new proof-of-concept strategy to a VLU clinical evidence network, propensity score matching and sensitivity analysis to predict the feasibility of the new acellular synthetic matrix plus SC for success in future randomised, controlled clinical trials. Prospective data on chronic VLUs from a safety and effectiveness study on an acellular synthetic matrix conducted in one wound centre in the UK (17 patients) and three wound centres in Australia (36 patients) were compared retrospectively to propensity score-matched data from patients with comparable leg ulcer disease aetiology, age, baseline ulcer area, ulcer duration, multi-layer compression bandaging and majority of care completed in specialist wound centres (average of 1 visit per week), with the outcome measures at comparable follow-up periods from patients enrolled in four prospective, multicentre, pragmatic, randomised studies of venous ulcers in the UK (the comparison group; VLU evidence network). Analysis using Kaplan-Meier survival curves showed a mean healing time of 73·1 days for ASM plus SC (ASM) treated ulcers in comparison with 83·5 days for comparison group ulcers treated with SC alone (Log rank test, χ 2 5·779, P = 0·016) within 12 weeks. Sensitivity analysis indicates that an unobserved covariate would have to change the odds of healing for SC by a factor of 1·1 to impact the baseline results. Results from this study predict a significant effect on healing time when using a new ASM as an adjunct to SC in the treatment of non-healing venous ulcers in the UK, but results are sensitive to unobserved covariates that may be important in healing time comparison. © 2016 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Safety and efficacy of at-home robotic locomotion therapy in individuals with chronic incomplete spinal cord injury: a prospective, pre-post intervention, proof-of-concept study.

PubMed

Rupp, Rüdiger; Schließmann, Daniel; Plewa, Harry; Schuld, Christian; Gerner, Hans Jürgen; Weidner, Norbert; Hofer, Eberhard P; Knestel, Markus

2015-01-01

The compact Motorized orthosis for home rehabilitation of Gait (MoreGait) was developed for continuation of locomotion training at home. MoreGait generates afferent stimuli of walking with the user in a semi-supine position and provides feedback about deviations from the reference walking pattern. Prospective, pre-post intervention, proof-of-concept study to test the feasibility of an unsupervised home-based application of five MoreGait prototypes in subjects with incomplete spinal cord injury (iSCI). Twenty-five (5 tetraplegia, 20 paraplegia) participants with chronic (mean time since injury: 5.8 ± 5.4 (standard deviation, SD) years) sensorimotor iSCI (7 ASIA Impairment Scale (AIS) C, 18 AIS D; Walking Index for Spinal Cord Injury (WISCI II): Interquartile range 9 to 16) completed the training (45 minutes / day, at least 4 days / week, 8 weeks). Baseline status was documented 4 and 2 weeks before and at training onset. Training effects were assessed after 4 and 8 weeks of therapy. After therapy, 9 of 25 study participants improved with respect to the dependency on walking aids assessed by the WISCI II. For all individuals, the short-distance walking velocity measured by the 10-Meter Walk Test showed significant improvements compared to baseline (100%) for both self-selected (Mean 139.4% ± 35.5% (SD)) and maximum (Mean 143.1% ± 40.6% (SD)) speed conditions as well as the endurance estimated with the six-minute walk test (Mean 166.6% ± 72.1% (SD)). One device-related adverse event (pressure sore on the big toe) occurred in over 800 training sessions. Home-based robotic locomotion training with MoreGait is feasible and safe. The magnitude of functional improvements achieved by MoreGait in individuals with iSCI is well within the range of complex locomotion robots used in hospitals. Thus, unsupervised MoreGait training potentially represents an option to prolong effective training aiming at recovery of locomotor function beyond in-patient rehabilitation. German Clinical Trials Register (DKRS) DRKS00005587.

Manifestation Pattern of Early-Late Vaginal Morbidity After Definitive Radiation (Chemo)Therapy and Image-Guided Adaptive Brachytherapy for Locally Advanced Cervical Cancer: An Analysis From the EMBRACE Study

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

Kirchheiner, Kathrin, E-mail: kathrin.kirchheiner@meduniwien.ac.at; Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna; Nout, Remi A.

2014-05-01

Background and Purpose: Brachytherapy in the treatment of locally advanced cervical cancer has changed substantially because of the introduction of combined intracavitary/interstitial applicators and an adaptive target concept, which is the focus of the prospective, multi-institutional EMBRACE study ( (www.embracestudy.dk)) on image-guided adaptive brachytherapy (IGABT). So far, little has been reported about the development of early to late vaginal morbidity in the frame of IGABT. Therefore, the aim of the present EMBRACE analysis was to evaluate the manifestation pattern of vaginal morbidity during the first 2 years of follow-up. Methods and Materials: In total, 588 patients with a median follow-up timemore » of 15 months and information on vaginal morbidity were included. Morbidity was prospectively assessed at baseline, every 3 months during the first year, and every 6 months in the second year according to the Common Terminology Criteria for Adverse Events, version 3, regarding vaginal stenosis, dryness, mucositis, bleeding, fistula, and other symptoms. Crude incidence rates, actuarial probabilities, and prevalence rates were analyzed. Results: At 2 years, the actuarial probability of severe vaginal morbidity (grade ≥3) was 3.6%. However, mild and moderate vaginal symptoms were still pronounced (grade ≥1, 89%; grade ≥2, 29%), of which the majority developed within 6 months. Stenosis was most frequently observed, followed by vaginal dryness. Vaginal bleeding and mucositis were mainly mild and infrequently reported. Conclusion: Severe vaginal morbidity within the first 2 years after definitive radiation (chemo)therapy including IGABT with intracavitary/interstitial techniques for locally advanced cervical cancer is limited and is significantly less than has been reported from earlier studies. Thus, the new adaptive target concept seems to be a safe treatment with regard to the vagina being an organ at risk. However, mild to moderate vaginal morbidity is still pronounced with currently applied IGABT, and it needs further attention.« less