Sample records for consequential late effects

  1. The Potentials of Student Initiated Netspeak in a Middle Primary Science-Inspired Multiliteracies Project

    ERIC Educational Resources Information Center

    Ridgewell, Jay; Exley, Beryl

    2011-01-01

    There is no denying that the information technology revolution of the late twentieth century has arrived. Whilst not equitably accessible for many, others hold high expectations for the contributions online activity will make to student learning outcomes. Concurrently, and not necessarily consequentially, the number of science and technology…

  2. Predicting Late Effects of Pelvic Radiotherapy: Is There a Better Approach?

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

    Wedlake, Linda J.; Thomas, Karen B.Sc.; Lalji, Amyn

    2010-11-15

    Purpose: Significant chronic symptoms following pelvic radiotherapy occur more frequently than commonly realized. Predictive factors for the development of late symptoms are poorly defined. Moderate sustained acute (cumulative) toxicity might predict severe late effects better than peak reaction. Methods and Materials: To determine prospectively whether peak or cumulative gastrointestinal (GI) acute symptoms better predict late symptoms in patients receiving pelvic radiotherapy. Symptom scores were measured weekly from the start of radiotherapy, and at 1 year using the Modified Inflammatory Bowel Disease Questionnaire-Bowel subset. The possible prognostic impact of patient-related factors was explored. Results: Three hundred and eight patients were recruited.more » 100 were excluded due to lack of follow-up data at one year resulting from death, too ill, stoma, relapsed, non-response or withdrawal. A further 15 were excluded for incomplete data, leaving 193 patients with evaluable data. Of these, 28 had GI, 101 urological, and 64 gynecological cancers. Patients' median age was 65 years (range, 23-82), and they were treated with median 60 Gy dose for a median of 6 weeks. Univariate analysis revealed a significant association between cumulative acute symptom scores and scores at 1 year (p < 0.001), which was dose-independent (p < 0.001). Acute peak and 1-year scores were not associated (p = 0.431). The correlation coefficient between cumulative acute symptoms and symptoms at 1 year was 0.367 and for peak acute symptoms was weaker at 0.057. Patients with an abnormal body mass index and current smokers were more likely to experience worse symptoms at 1 year. Conclusion: Cumulative acute symptoms are more predictive of late symptoms than peak acute changes in score. This association is independent of the radiotherapy dose delivered and is suggestive of a consequential late effect.« less

  3. Negotiating power: agenda ordering and the willingness to negotiate in asymmetric intergroup conflicts.

    PubMed

    Kteily, Nour; Saguy, Tamar; Sidanius, James; Taylor, Donald M

    2013-12-01

    In this research, we investigated how group power influences the way members of groups in asymmetrical conflict approach intergroup negotiations. Drawing on theories of negotiations and of intergroup power, we predicted that group power would interact with features of the proposed negotiating agenda to influence willingness to come to the table. Based on the negotiation literature, we focused on 2 types of sequential negotiation agendas: 1 beginning with the discussion of consequential issues before less consequential issues (consequential first) and 1 leaving the discussion of consequential issues until after less consequential issues are discussed (consequential later). Because they are motivated to advance changes to their disadvantaged status quo, we expected low-power group members to favor consequential first over consequential later invitations to negotiate. High-power group members, motivated to protect their advantage, were expected to show the reverse preference. Converging evidence from 5 experiments involving real-world and experimental groups supported these predictions. Across studies, participants received an invitation to negotiate from the other group involving either a consequential first or consequential later agenda. Low-power group members preferred consequential first invitations because these implied less stalling of change to the status quo, and high-power group members preferred consequential later invitations because these invitations seemed to pose less threat to their position. Theoretical and practical implications for negotiations research and conflict resolution are discussed. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  4. Consequential Validity Impact of Choosing Different Aptitude-Achievement Discrepancy Models in Identifying Students with Learning Disabilities.

    ERIC Educational Resources Information Center

    Glasnapp, Douglas R.; Poggio, John P.

    This study used computer simulation to provide information on the percentage of students with learning disabilities expected to be identified under different aptitude-achievement discrepancy eligibility models and criteria and to demonstrate the consequential effects in terms of the extent to which the different models identify students of…

  5. Radiation Pneumopathy in the Rat After Intravenous Application of {sup 188}Re-Labeled Microspheres

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

    Liepe, Knut; Faulhaber, Diana; Wunderlich, Gerd

    2011-10-01

    Purpose: To determine the dose dependence and kinetics of pneumopathy after systemic administration of rhenium-188 ({sup 188}Re)-labeled microspheres in a rat model. Methods and Materials: {sup 188}Re-microspheres were injected intravenously into adult Wistar rats (n = 54, age, 8 {+-} 2 months). The rats were divided into 6 groups according to the intended absorbed dose in the lung (maximum 60 Gy). Gamma camera scans were used to estimate the individual whole lung doses. One control group (n = 5) received nonlabeled microspheres. The breathing rate was measured before and weekly after the treatment using whole body plethysmography until 24 weeks.more » An increase in the breathing rate by 20% compared with the individual pretreatment control value was defined as the quantal endpoint for dose-effect analyses. Results: A biphasic increase in the breathing rate was observed. The first impairment of lung function occurred in Weeks 3-6. For late changes, the interval to onset was clearly dose dependent and was 17 weeks (10-30 Gy) and 10 weeks (50-60 Gy), respectively. The incidence of the response was highly dependent on the estimated lung dose. The median effective dose for an early and late response was virtually identical (19.9 {+-} 0.6 Gy and 20.4 {+-} 3.1 Gy, respectively). A significant correlation was found between the occurrence of an early and a late effect in the same rat, suggesting a strong consequential component. Conclusions: The effects of radiolabeled microspheres can be studied longitudinally in a rat model, using changes in the breathing rate as the functional, clinically relevant response. The isoeffective doses from the present study using radionuclide administration and those from published investigations of homogeneous external beam radiotherapy are almost similar.« less

  6. 77 FR 26714 - Transmission Planning Reliability Standards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-07

    ... non-consequential load loss that satisfies the relevant Commission's directives in Order No. 693 and... that would allow a transmission planner to plan for non-consequential load loss following a single...), footnote 12 that would allow a transmission planner to plan for ``non-consequential load loss,'' i.e., load...

  7. Addressing trend-related changes within cumulative effects studies in water resources planning

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

    Canter, L.W., E-mail: envimptr@aol.com; Chawla, M.K.; Swor, C.T.

    2014-01-15

    Summarized herein are 28 case studies wherein trend-related causative physical, social, or institutional changes were connected to consequential changes in runoff, water quality, and riparian and aquatic ecological features. The reviewed cases were systematically evaluated relative to their identified environmental effects; usage of analytical frameworks, and appropriate models, methods, and technologies; and the attention given to mitigation and/or management of the resultant causative and consequential changes. These changes also represent important considerations in project design and operation, and in cumulative effects studies associated therewith. The cases were grouped into five categories: institutional changes associated with legislation and policies (seven cases);more » physical changes from land use changes in urbanizing watersheds (eight cases); physical changes from land use changes and development projects in watersheds (four cases); physical, institutional, and social changes from land use and related policy changes in river basins (three cases); and multiple changes within a comprehensive study of land use and policy changes in the Willamette River Basin in Oregon (six cases). A tabulation of 110 models, methods and technologies used in the studies is also presented. General observations from this review were that the features were unique for each case; the consequential changes were logically based on the causative changes; the analytical frameworks provided relevant structures for the studies, and the identified methods and technologies were pertinent for addressing both the causative and consequential changes. One key lesson was that the cases provide useful, “real-world” illustrations of the importance of addressing trend-related changes in cumulative effects studies within water resources planning. Accordingly, they could be used as an “initial tool kit” for addressing trend-related changes.« less

  8. 78 FR 30804 - Transmission Planning Reliability Standards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... ``Non-Consequential Load Loss.'' 6. On the same day that the Commission issued Order No. 762, it issued... Non-Consequential Load Loss meets the conditions shown in Attachment 1. In no case can the planned Non...- consequential load loss following a single contingency provided that the plan is documented and vetted in an...

  9. 20 CFR 30.226 - How does a claimant establish that a covered uranium employee has sustained a consequential...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... uranium employee has sustained a consequential injury, illness, impairment or disease? 30.226 Section 30... uranium employee has sustained a consequential injury, illness, impairment or disease? An injury, illness, impairment or disease sustained as a consequence of a medical condition covered by the provisions of § 30.225...

  10. 20 CFR 30.226 - How does a claimant establish that a covered uranium employee has sustained a consequential...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... uranium employee has sustained a consequential injury, illness, impairment or disease? 30.226 Section 30... uranium employee has sustained a consequential injury, illness, impairment or disease? An injury, illness, impairment or disease sustained as a consequence of a medical condition covered by the provisions of § 30.225...

  11. 20 CFR 30.226 - How does a claimant establish that a covered uranium employee has sustained a consequential...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... uranium employee has sustained a consequential injury, illness, impairment or disease? 30.226 Section 30... uranium employee has sustained a consequential injury, illness, impairment or disease? An injury, illness, impairment or disease sustained as a consequence of a medical condition covered by the provisions of § 30.225...

  12. 20 CFR 30.226 - How does a claimant establish that a covered uranium employee has sustained a consequential...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... uranium employee has sustained a consequential injury, illness, impairment or disease? 30.226 Section 30... uranium employee has sustained a consequential injury, illness, impairment or disease? An injury, illness, impairment or disease sustained as a consequence of a medical condition covered by the provisions of § 30.225...

  13. 20 CFR 30.226 - How does a claimant establish that a covered uranium employee has sustained a consequential...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... uranium employee has sustained a consequential injury, illness, impairment or disease? 30.226 Section 30... uranium employee has sustained a consequential injury, illness, impairment or disease? An injury, illness, impairment or disease sustained as a consequence of a medical condition covered by the provisions of § 30.225...

  14. "But the Science We Do Here Matters": Youth-Authored Cases of Consequential Learning

    ERIC Educational Resources Information Center

    Birmingham, Daniel; Calabrese Barton, Angela; McDaniel, Autumn; Jones, Jalah; Turner, Camryn; Rogers, Angel

    2017-01-01

    In this paper, we use the concept of "consequential learning" to frame our exploration of what makes learning and doing science matter for youth from nondominant communities, as well as the barriers these youth must confront in working toward consequential ends. Data are derived from multimodal cases authored by four females from…

  15. Economic implications of sleep disorders.

    PubMed

    Skaer, Tracy L; Sclar, David A

    2010-01-01

    Sleep disorders such as insomnia, obstructive sleep apnoea (OSA), excessive daytime sleepiness (EDS) and fatigue, sleep deprivation and restless legs syndrome (RLS) are increasingly seen in clinical practice. Sleep is considered vital for preserving daytime cognitive function and physiological well-being. Sleep insufficiency may have deleterious effects on work-life balance, overall health and safety. The consequential economic burden at both the individual and societal levels is significant. Moreover, sleep disorders are commonly associated with other major medical problems such as chronic pain, cardiovascular disease, mental illness, dementias, gastrointestinal disorders and diabetes mellitus. Thus, in order to properly care for patients presenting with sleep-related morbidity, and to reduce the consequential economic burden, accurate screening efforts and efficacious/cost-effective treatments need to be developed and employed.

  16. Contemporary Proton Therapy Systems Adequately Protect Patients from Exposure to Stray Radiation

    NASA Astrophysics Data System (ADS)

    Newhauser, Wayne D.; Fontenot, Jonas D.; Taddei, Phillip J.; Mirkovic, Dragan; Giebeler, Annelise; Zhang, Rui; Mahajan, Anita; Kornguth, David; Stovall, Marilyn; Yepes, Pablo; Woo, Shiao; Mohan, Radhe

    2009-03-01

    Proton beam therapy has provided safe and effective treatments for a variety of adult cancers. In recent years, there has been increasing interest in utilizing proton therapy for pediatric cancers because it allows better sparing of healthy tissues. Minimizing exposures of normal tissues is especially important in children because they are highly susceptible to consequential late effects, including the development of a radiogenic second cancer, which may occur years or even decades after treatment of the first cancer. While the dosimetric advantage of therapeutic proton beams is well understood, relatively little attention has been paid to the whole-body exposure to stray neutron radiation that is inherent in proton therapy. In this report, we review the physical processes that lead to neutron exposures, discuss the potential for mitigating these exposures using advanced proton beam delivery systems, and present a comparative analysis of predicted second cancer incidence following various external beam therapies. In addition, we discuss uncertainties in the relative biological effectiveness of neutrons for carcinogenesis and the impact that these uncertainties have on second-cancer risk predictions for survivors of adult and childhood cancer who receive proton therapy.

  17. Toxicity and outcome of a phase II trial of taxane-based neoadjuvant chemotherapy and 3-dimensional, conformal, accelerated radiotherapy in locally advanced nonsmall cell lung cancer.

    PubMed

    Rojas, Ana M; Lyn, Basil E; Wilson, Elena M; Williams, Frances J; Shah, Nihal; Dickson, Jeanette; Saunders, Michele I

    2006-09-15

    The objective of this study was to evaluate prospectively the acute and late adverse effects of taxane/carboplatin neoadjuvant chemotherapy and 3-dimensional, conformal radiotherapy in patients with locally advanced nonsmall cell lung cancer (NSCLC). Forty-two patients were entered into a nonrandomized Phase II study of continuous, hyperfractionated, accelerated radiotherapy (CHART) week-end less (CHARTWEL) to a dose of 60 grays (Gy). Three cycles of chemotherapy were given over 9 weeks before radiotherapy. Dose escalation with paclitaxel was from 150 mg/m2 to 225 mg/m2. Systemic toxicity to chemotherapy was monitored throughout. Radiation-induced, early, adverse effects were assessed during the first 9 weeks from the start of radiotherapy, and late effects were assessed from 3 months onward. Overall survival, disease-free survival, and locoregional tumor control also were monitored. Twenty percent of patients failed to receive chemotherapy as planned, primarily because of neutropenia. The incidence of Dische Dictionary Grade >or=2 and Grade >or=3 dysphagia was 57.5% and 10%, respectively, with an average duration of 1.2 weeks and 1.5 days, respectively. By 9 weeks, <3% of patients were symptomatic; and, eventually, all acute reactions were healed, and there has been no evidence of consequential damage. At 6 months, the actuarial incidence of moderate-to-severe pneumonitis was 10%. During this time, all patients were free of severe pulmonary complications. Actuarial estimates of Grade >or=2 late lung dysfunction were 3% at 1 year, 10% at 2 years, and remained at this level thereafter. The actuarial 3-year locoregional control and overall survival rates were 54% and 45%, respectively. Neoadjuvant chemotherapy followed by 3-dimensional, conformal CHARTWEL 60-Gy radiotherapy in patients with advanced NSCLC was feasible and was tolerated well. Historic comparisons indicated that locoregional tumor control is not compromised by the use of conformal techniques. (c) 2006 American Cancer Society.

  18. Pettit on consequentialism and universalizability.

    PubMed

    Gleeson, Andrew

    2005-01-01

    Philip Pettit has argued that universalizability entails consequentialism. I criticise the argument for relying on a question-begging reading of the impartiality of universalization. A revised form of the argument can be constructed by relying on preference-satisfaction rationality, rather than on impartiality. But this revised argument succumbs to an ambiguity in the notion of a preference (or desire). I compare the revised argument to an earlier argument of Pettit's for consequentialism that appealed to the theoretical virtue of simplicity, and I raise questions about the force of appeal to notions like simplicity and rationality in moral argument.

  19. Consequentialism and the Synthetic Biology Problem.

    PubMed

    Heavey, Patrick

    2017-04-01

    This article analyzes the ethics of synthetic biology (synbio) from a consequentialist perspective, examining potential effects on food and agriculture, and on medicine, fuel, and the advancement of science. The issues of biosafety and biosecurity are also examined. A consequentialist analysis offers an essential road map to policymakers and regulators as to how to deal with synbio. Additionally, the article discusses the limitations of consequentialism as a tool for analysing synbioethics. Is it possible to predict, with any degree of plausibility, what the consequences of synthetic biology will be in 50 years, or in 100, or in 500? Synbio may take humanity to a place of radical departure from what is known or knowable.

  20. BOOK REVIEW OF "ECOLOGICAL EFFECTS OF ROADS"

    EPA Science Inventory

    Throughout the world, roads have become a permanent part of our environment. The ecological effects of roads and traffic are as consequential as other topical issues such as losses in biological diversity and damage by exotic and invasive species. However, this issue has usuall...

  1. The Consequences of Consequential Validity.

    ERIC Educational Resources Information Center

    Mehrens, William A.

    1997-01-01

    There is no agreement at present about the importance or meaning of the term "consequential validity." It is important that the authors of revisions to the "Standards for Educational and Psychological Testing" recognize the debate and relegate discussion of consequences to a context separate from the discussion of validity.…

  2. Rethinking Transfer: Learning from CALL Teacher Education as Consequential Transition

    ERIC Educational Resources Information Center

    Chao, Chin-chi

    2015-01-01

    Behind CALL teacher education (CTE) there is an unproblematized consensus of transfer, which suggests a positivist and tool-centered view of learning gains that differs from the sociocultural focus of recent teacher education research. Drawing on Beach's (2003) conceptualization of transfer as "consequential transition," this qualitative…

  3. Late Consequential Surgical Bed Soft Tissue Necrosis in Advanced Oropharyngeal Squamous Cell Carcinomas Treated With Transoral Robotic Surgery and Postoperative Radiation Therapy

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

    Lukens, J. Nicholas; Lin, Alexander, E-mail: alexander.lin@uphs.upenn.edu; Gamerman, Victoria

    Purpose: A subset of patients with oropharyngeal squamous cell carcinoma (OP-SCC) managed with transoral robotic surgery (TORS) and postoperative radiation therapy (PORT) developed soft tissue necrosis (STN) in the surgical bed months after completion of PORT. We investigated the frequency and risk factors. Materials and Methods: This retrospective analysis included 170 consecutive OP-SCC patients treated with TORS and PORT between 2006 and 2012, with >6 months' of follow-up. STN was defined as ulceration of the surgical bed >6 weeks after completion of PORT, requiring opioids, biopsy, or hyperbaric oxygen therapy. Results: A total of 47 of 170 patients (28%) hadmore » a diagnosis of STN. Tonsillar patients were more susceptible than base-of-tongue (BOT) patients, 39% (41 of 104) versus 9% (6 of 66), respectively. For patients with STN, median tumor size was 3.0 cm (range 1.0-5.6 cm), and depth of resection was 2.2 cm (range 1.0-5.1 cm). Median radiation dose and dose of fraction to the surgical bed were 6600 cGy and 220 cGy, respectively. Thirty-one patients (66%) received concurrent chemotherapy. Median time to STN was 2.5 months after PORT. All patients had resolution of STN after a median of 3.7 months. Multivariate analysis identified tonsillar primary (odds ratio [OR] 4.73, P=.01), depth of resection (OR 3.12, P=.001), total radiation dose to the resection bed (OR 1.51 per Gy, P<.01), and grade 3 acute mucositis (OR 3.47, P=.02) as risk factors for STN. Beginning May 2011, after implementing aggressive avoidance of delivering >2 Gy/day to the resection bed mucosa, only 8% (2 of 26 patients) experienced STN (all grade 2). Conclusions: A subset of OP-SCC patients treated with TORS and PORT are at risk for developing late consequential surgical bed STN. Risk factors include tonsillar location, depth of resection, radiation dose to the surgical bed, and severe mucositis. STN risk is significantly decreased with carefully avoiding a radiation dosage of >2 Gy/day to the surgical bed.« less

  4. Peer effects in early childhood education: testing the assumptions of special-education inclusion.

    PubMed

    Justice, Laura M; Logan, Jessica A R; Lin, Tzu-Jung; Kaderavek, Joan N

    2014-09-01

    There has been a push in recent years for students with disabilities to be educated alongside their typically developing peers, a practice called inclusion. In this study, we sought to determine whether peer effects operate within early-childhood special-education (ECSE) classrooms in which preschoolers with disabilities are educated alongside typical peers. Peer effects specific to language growth were assessed for 670 preschoolers (mean age = 52 months) in 83 ECSE classrooms; 55% of the children had disabilities. We found that the average language skills of classmates, as assessed in the fall of the year, significantly predicted children's language skills in the spring (after controlling for their relative skill level in the fall); in addition, there was a significant interactive effect of disability status (i.e., the presence or absence of a disability) and peers' language skills. Peer effects were the least consequential for children without disabilities whose classmates had relatively strong language skills, and the most consequential for children with disabilities whose classmates had relatively poor language skills. © The Author(s) 2014.

  5. Exploring a Framework for Consequential Validity for Performance-Based Assessments

    ERIC Educational Resources Information Center

    Kim, Su Jung

    2017-01-01

    This study explores a new comprehensive framework for understanding elements of validity, specifically for performance assessments that are administered within specific and dynamic contexts. The adoption of edTPA is a good empirical case for examining the concept of consequential validity because this assessment has been implemented at the state…

  6. Extending the Consequentiality of "Invisible Work" in the Food Justice Movement

    ERIC Educational Resources Information Center

    Jurow, A. Susan; Teeters, Leah; Shea, Molly; Van Steenis, Erica

    2016-01-01

    Questions regarding what is consequential for communities are critical for the study and design of learning. Answering these questions requires knowledge of how the social world functions to make certain ideas, practices, and identities visible and potentially valuable. In our longitudinal, participatory design research project, we work with a…

  7. The Role of Higher Education Institutions in Rural Development

    ERIC Educational Resources Information Center

    Bryden, John

    2007-01-01

    The topic of this paper has emerged from the work of Shelton (2000, 2003), Bernhardt, Kawagley and Hill (2000), Boylan and McSwan (1998), Bryden and Boylan (2004) and others on "place-based" and "consequential" education in rural areas, prompting the question: if place-based and consequential education is "good" for…

  8. 76 FR 66353 - Tireco, Inc., Grant of Petition for Decision of Inconsequential Noncompliance

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-26

    ... this case is that there is no effect of the noncompliances on the operational safety of vehicles on... information will not have any consequential effect on motor vehicle safety because it is extremely unlikely... tire retread, repair, and recycling industries was also to be considered. As with consumers, it is...

  9. An Examination of Two Procedures for Identifying Consequential Item Parameter Drift

    ERIC Educational Resources Information Center

    Wells, Craig S.; Hambleton, Ronald K.; Kirkpatrick, Robert; Meng, Yu

    2014-01-01

    The purpose of the present study was to develop and evaluate two procedures flagging consequential item parameter drift (IPD) in an operational testing program. The first procedure was based on flagging items that exhibit a meaningful magnitude of IPD using a critical value that was defined to represent barely tolerable IPD. The second procedure…

  10. Consequential Validity and the Transformation of Tests from Measurement Tools to Policy Tools

    ERIC Educational Resources Information Center

    Welner, Kevin G.

    2013-01-01

    Background/Context: Recent U.S. policy has brought a shift in assessment use, from measurement tools to policy levers. In particular, testing has become a core part of teacher evaluation policies in many states, with test results becoming akin to a job evaluation. Purpose: To explore the notion of consequential validity in assessment use and…

  11. Designing a Consequentially Based Study into the Online Support of Pre-Service Teachers in the UK

    ERIC Educational Resources Information Center

    Kontopoulou, Konstantina; Fox, Alison

    2015-01-01

    This paper reports on the design of a pilot doctoral study into the online support of pre-service teachers. It highlights the significance of a consequential, rather than deontological, perspective in guiding the development of a study's design. The study initially aimed to explore pre-service teachers' perceptions and use of social media on their…

  12. 78 FR 39543 - Practices and Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-02

    ... the short time within which amendments to the Act and the WPEA took effect, the Board finds that good..., suffering, inconvenience, mental anguish, and loss of enjoyment of life. * * * * * 0 10. Section 1201.202 is... costs incurred, travel expenses, and any other reasonable and foreseeable consequential damages...

  13. PLENATITUDE Teacher Education for Effectiveness and Well-Being with Neuro-Linguistic Programming

    ERIC Educational Resources Information Center

    Vieira, Cristina Rocha; Gaspar, Maria Filomena

    2013-01-01

    The role and functioning of schools are changing as well as what is expected of teachers (who face growing and diversified challenges); consequentially, well-being at the schools is endangered. As teachers and teachers' educators concern is: How to improve schools' and teachers' effectiveness and promote well-being. Believing that the path to…

  14. Does observability affect prosociality?

    PubMed

    Bradley, Alex; Lawrence, Claire; Ferguson, Eamonn

    2018-03-28

    The observation of behaviour is a key theoretical parameter underlying a number of models of prosociality. However, the empirical findings showing the effect of observability on prosociality are mixed. In this meta-analysis, we explore the boundary conditions that may account for this variability, by exploring key theoretical and methodological moderators of this link. We identified 117 papers yielding 134 study level effects (total n = 788 164) and found a small but statistically significant, positive association between observability and prosociality ( r = 0.141, 95% confidence interval = 0.106, 0.175). Moderator analysis showed that observability produced stronger effects on prosociality: (i) in the presence of passive observers (i.e. people whose role was to only observe participants) versus perceptions of being watched, (ii) when participants' decisions were consequential (versus non-consequential), (iii) when the studies were performed in the laboratory (as opposed to in the field/online), (iv) when the studies used repeated measures (instead of single games), and (v) when the studies involved social dilemmas (instead of bargaining games). These effects show the conditions under which observability effects on prosociality will be maximally observed. We describe the theoretical and practical significance of these results. © 2018 The Authors.

  15. Does observability affect prosociality?

    PubMed Central

    Lawrence, Claire

    2018-01-01

    The observation of behaviour is a key theoretical parameter underlying a number of models of prosociality. However, the empirical findings showing the effect of observability on prosociality are mixed. In this meta-analysis, we explore the boundary conditions that may account for this variability, by exploring key theoretical and methodological moderators of this link. We identified 117 papers yielding 134 study level effects (total n = 788 164) and found a small but statistically significant, positive association between observability and prosociality (r = 0.141, 95% confidence interval = 0.106, 0.175). Moderator analysis showed that observability produced stronger effects on prosociality: (i) in the presence of passive observers (i.e. people whose role was to only observe participants) versus perceptions of being watched, (ii) when participants’ decisions were consequential (versus non-consequential), (iii) when the studies were performed in the laboratory (as opposed to in the field/online), (iv) when the studies used repeated measures (instead of single games), and (v) when the studies involved social dilemmas (instead of bargaining games). These effects show the conditions under which observability effects on prosociality will be maximally observed. We describe the theoretical and practical significance of these results. PMID:29593114

  16. FARC’s Influence in Brazil

    DTIC Science & Technology

    2013-05-23

    to improving the ongoing Brazilian government policy, and consequentially the operational role of the Brazilian Army and its contribution to achieving...threats may be conducive to improving the ongoing Brazilian government policy, and consequentially the operational role of the Brazilian Army and its...approximately 10,000 miles) of the coastline borders its neighbors.1 It shares a border with all South American countries except Chile, Ecuador

  17. Interest in Science: A RIASEC-Based Analysis of Students' Interests

    ERIC Educational Resources Information Center

    Dierks, Pay O.; Höffler, Tim N.; Blankenburg, Janet S.; Peters, Heide; Parchmann, Ilka

    2016-01-01

    Considering the reported lack of interest in the STEM-domain and the consequential difficulties in recruiting talented and interested young academics, the development of effective enrichment measures is indispensable. This requires a precise picture of students' interests. The paper presents an approach to characterize interest profiles in…

  18. Parental Monitoring Predicts Students' Prosocial and Impulsive Tendencies Relevant to Consequence-Based Reasoning in a Blended Learning Environment

    ERIC Educational Resources Information Center

    Hong, Jon-Chao; Hwang, Ming-Yueh; Tai, Kai-Hsin; Kuo, Yen-Chun

    2016-01-01

    Consequential reasoning relevant to moral development has not been effectively practised in elementary schools in Taiwan. The present study designed a "To Do or Not To Do" website for students to explore moral dilemma situations and exercise consequence-based moral reasoning. Effective data from 160 fifth-grade students were collected…

  19. Ethics in the Military: A Review of Junior Officer Education and Training Programs

    DTIC Science & Technology

    2004-12-01

    based ethics are founded upon the principles of consequentialism, utilitarianism, and egoism . Consequentialism is the balancing of good and bad results...and pain. It should also consider the good and bad consequences of the action. Egoism lies between utilitarianism and virtue-based ethics . It is...already possesses a moral pre- disposition , but aims to teach virtues that support navy/officer/academy core values. The genesis for the ethics course

  20. Peer Involvement in Campus-Based Suicide Prevention: Key Considerations

    ERIC Educational Resources Information Center

    Ilakkuvan, Vinu; Snyder, Melanie G.; Wiggins, Jane

    2015-01-01

    Students on a college campus are involved in each other's lives in ways that are pervasive and consequential, including during times of distress. A comprehensive campus based suicide prevention plan includes strategies to promote peer involvement that are both safe and effective. Careful program planning, careful training and careful messaging are…

  1. Predicting wolf (Canis lupus)-cattle (Bos Taurus) encounters and consequential effects on cattle resource selection patterns

    USDA-ARS?s Scientific Manuscript database

    The gray wolf population in Idaho has grown dramatically from the original 35 reintroduced individuals in 1995-1996 to 94 documented packs and a minimum population of 835 individuals in 2009. Wolf depredation on livestock has also increased dramatically with this population growth. Substantial spa...

  2. Supervisory Control Information Management Research (SCIMR)

    DTIC Science & Technology

    2013-06-01

    1 Figure 2: Screen Shot of a Typical VSCS Configuration. .............................................................. 2 Figure 3: Displayed...Station ( VSCS ) serves as a multi-faceted facilitator in areas ranging from research to combat missions. The result, consequentially, is an increase in the...success. Developed with this in mind, VSCS effectively integrates sophisticated advancements for the purpose of strengthening the collaborative

  3. Tracing Lines of Meaning: A Course Redesign for Dance Pedagogy

    ERIC Educational Resources Information Center

    Enghauser, Rebecca Gose

    2012-01-01

    The 21st-century dance milieu demands that a dancer possess a highly diverse skill set, including effective teaching skills and a broader appreciation of a pedagogical orientation. It is vital that in preparing dance educators, we create opportunities for students to reflect on their dance learning histories and consequential beliefs about…

  4. Automated acute kidney injury alerts.

    PubMed

    Kashani, Kianoush B

    2018-05-02

    Acute kidney injury (AKI) is one of the most common and probably one of the more consequential complications of critical illnesses. Recent information indicates that it is at least partially preventable; however, progress in its prevention, management, and treatment has been hindered by the scarcity of knowledge for effective interventions, inconsistencies in clinical practices, late identification of patients at risk for or with AKI, and limitations of access to best practices for prevention and management of AKI. Growing use of electronic health records has provided a platform for computer science to engage in data mining and processing, not only for early detection of AKI but also for the development of risk-stratification strategies and computer clinical decision-support (CDS) systems. Despite promising perspectives, the literature regarding the impact of AKI electronic alerts and CDS systems has been conflicting. Some studies have reported improvement in care processes and patient outcomes, whereas others have shown no effect on clinical outcomes and yet demonstrated an increase in the use of resources. These discrepancies are thought to be due to multiple factors that may be related to technology, human factors, modes of delivery of information to clinical providers, and level of expectations regarding the impact on patient outcomes. This review appraises the current body of knowledge and provides some outlines regarding research into and clinical aspects of CDS systems for AKI. Copyright © 2018 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

  5. Comparative lifecycle assessment of alternatives for waste management in Rio de Janeiro - Investigating the influence of an attributional or consequential approach.

    PubMed

    Bernstad Saraiva, A; Souza, R G; Valle, R A B

    2017-10-01

    The environmental impacts from three management alternatives for organic fraction of municipal solid waste were compared using lifecycle assessment methodology. The alternatives (sanitary landfill, selective collection of organic waste for anaerobic digestion and anaerobic digestion after post-separation of organic waste) were modelled applying an attributional as well as consequential approach, in parallel with the aim of identifying if and how these approaches can affect results and conclusions. The marginal processes identified in the consequential modelling were in general associated with higher environmental impacts than average processes modelled with an attributional approach. As all investigated waste management alternatives result in net-substitution of energy and in some cases also materials, the consequential modelling resulted in lower absolute environmental impacts in five of the seven environmental impact categories assessed in the study. In three of these, the chosen modelling approach can alter the hierarchy between compared waste management alternatives. This indicates a risk of underestimating potential benefits from efficient energy recovery from waste when applying attributional modelling in contexts in which electricity provision historically has been dominated by technologies presenting rather low environmental impacts, but where projections point at increasing impacts from electricity provision in coming years. Thus, in the present case study, the chosen approach affects both absolute and relative results from the comparison. However, results were largely related to the processes identified as affected by investigated changes, and not merely the chosen modelling approach. The processes actually affected by future choices between different waste management alternatives are intrinsically uncertain. The study demonstrates the benefits of applying different assumptions regarding the processes affected by investigated choices - both for provision of energy and materials substituted by waste management processes in consequential LCA modelling, in order to present outcomes that are relevant as decision support within the waste management sector. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Selecting Students for Pre-Algebra: Examination of the Relative Utility of the Anchorage Pre-Algebra Screening Tests and the State of Alaska Standards Based Benchmark 2 Mathematics Study. An Examination of Consequential Validity and Recommendation.

    ERIC Educational Resources Information Center

    Fenton, Ray

    This study examined the relative efficacy of the Anchorage (Alaska) Pre-Algebra Test and the State of Alaska Benchmark in 2 Math examination as tools used in the process of recommending grade 6 students for grade 7 Pre-Algebra placement. The consequential validity of the tests is explored in the context of class placements and grades earned. The…

  7. Examining the Role of Religiosity in Moral Cognition, Specifically in the Formation of Sacred Values, and Researching Computational Models for Analyzing Sacred Rhetoric and its Consequential Emotions

    DTIC Science & Technology

    2015-08-13

    AFRL-AFOSR-VA-TR-2015-0270 Examining the Role of Religiosity in Moral Cognition, Specifically in the Formation of Sacred Values, and Researching...Computational Models for Analyzing Sacred Rhetoric and its Consequential Emotions Morteza Dehghani UNIVERSITY OF SOUTHERN CALIFORNIA LOS ANGELES Final...SUBTITLE (YIP-12) Examining the Role of Religiosity in Moral Cognition, Specifically in the Formation of Sacred Values, and Researching Computational

  8. The Landing Phase of a Jump Strategies to Minimize Injuries

    ERIC Educational Resources Information Center

    Bressel, Eadric; Cronin, John

    2005-01-01

    Most people probably do not remember being coached to jump, or--more important--to land. Research on landing concentrates on the impact forces associated with landing, the consequential effect on the legs, and the subsequent injury potential. There is an abundance of literature on how to create stronger and more powerful muscles, which may be…

  9. Creative Convergence in Practice and Its Effects on Higher Education: A Mixed-Methods, Neopragmatist Study Examining Media Arts

    ERIC Educational Resources Information Center

    Rosner, Terre Layng

    2017-01-01

    This study is a mixed-methods, neopragmatist examination of the systems currently being practiced in creative professional companies and the consequential changes in Higher Education Media Arts curricula, supporting a kind of meta-disciplinary pedagogy emerging from the pressures of content and device convergence in industry. The research…

  10. The Need for a Principled Approach for Examining Indirect Effects of Test Use

    ERIC Educational Resources Information Center

    Lane, Suzanne

    2013-01-01

    In Shepard's (1997) discussion on the importance of test use and consequences in a validity argument for educational assessments, she reflected on Cronbach and Meehl's (1955) perspective on the role of test developers in providing consequential evidence. In the following year, a special issue in "Educational Measurement: Issues and Practice"…

  11. Direct Behavior Rating: An Evaluation of Time-Series Interpretations as Consequential Validity

    ERIC Educational Resources Information Center

    Christ, Theodore J.; Nelson, Peter M.; Van Norman, Ethan R.; Chafouleas, Sandra M.; Riley-Tillman, T. Chris

    2014-01-01

    Direct Behavior Rating (DBR) is a repeatable and efficient method of behavior assessment that is used to document teacher perceptions of student behavior in the classroom. Time-series data can be graphically plotted and visually analyzed to evaluate patterns of behavior or intervention effects. This study evaluated the decision accuracy of novice…

  12. Validity and the Consequences of Test Interpretation and Use

    ERIC Educational Resources Information Center

    Hubley, Anita M.; Zumbo, Bruno D.

    2011-01-01

    The vast majority of measures have, at their core, a purpose of personal and social change. If test developers and users want measures to have personal and social consequences and impact, then it is critical to consider the consequences and side effects of measurement in the validation process itself. The consequential basis of test interpretation…

  13. Open Hearts Build Lives: Positive Emotions, Induced Through Loving-Kindness Meditation, Build Consequential Personal Resources

    PubMed Central

    Fredrickson, Barbara L.; Cohn, Michael A.; Coffey, Kimberly A.; Pek, Jolynn; Finkel, Sandra M.

    2011-01-01

    B. L. Fredrickson’s (1998, 2001) broaden-and-build theory of positive emotions asserts that people’s daily experiences of positive emotions compound over time to build a variety of consequential personal resources. The authors tested this build hypothesis in a field experiment with working adults (n = 139), half of whom were randomly-assigned to begin a practice of loving-kindness meditation. Results showed that this meditation practice produced increases over time in daily experiences of positive emotions, which, in turn, produced increases in a wide range of personal resources (e.g., increased mindfulness, purpose in life, social support, decreased illness symptoms). In turn, these increments in personal resources predicted increased life satisfaction and reduced depressive symptoms. Discussion centers on how positive emotions are the mechanism of change for the type of mind-training practice studied here and how loving-kindness meditation is an intervention strategy that produces positive emotions in a way that outpaces the hedonic treadmill effect. PMID:18954193

  14. Civilian Manning of AE, AFS, and AD Type Support Ships. Volume II. Appendices.

    DTIC Science & Technology

    1983-04-05

    Manpower FYDP Cost Calculations ...... G-1 APPENDIX H - Navy Military Manpower Economic CostLA Calculations ....................................... H...AND AMERICAN MARITIME OFFICERS - Recognizing the serious economic problems confronting the American Merchant Marine with consequential adverse effects...Mindful that certain economic interests both foreign and *" domestic have and are creating substantial damage to an American national resource, our

  15. The Effect of Teachers Trained in a Fundamental Movement Skills Programme on Children's Self-Perceptions and Motor Competence

    ERIC Educational Resources Information Center

    Breslin, Gavin; Murphy, Marie; McKee, David; Delaney, Brian; Dempster, Martin

    2012-01-01

    Perceived and actual motor competence are hypothesized to have potential links to children and young people's physical activity (PA) levels with a potential consequential link to long-term health. In this cross-sectional study, Harter's (1985, "Manual for the Self-perception Profile for Children." Denver, CO: University of Denver)…

  16. Comparison of Perception toward the Adoption and Intention to Use Smart Education between Elementary and Secondary School Teachers

    ERIC Educational Resources Information Center

    Kim, Sang-Yon; Kim, Mi-Ryang

    2013-01-01

    The purposes of this study are to investigate the attitudes and perceptions of teachers toward the adoption of and intention to use Smart Education, to examine empirically the relationship between intention to use Smart Education and the consequential effect factors, and to obtain measures for revitalizing Smart Education. In order to accomplish…

  17. Life stress events and alcohol misuse: distinguishing contributing stress events from consequential stress events.

    PubMed

    Hart, Kenneth E; Fazaa, Norman

    2004-07-01

    This study examined the relationship between life stress events and level of alcohol misuse using two stress indices. The first index consisted of stress events that are not likely to be caused by alcohol misuse (i.e., alcohol uncontaminated stress events). The second stress index consisted of items that were judged as being likely consequences of alcohol misuse (i.e., alcohol contaminated stress events). Results based on a questionnaire study of 378 undergraduates in 2000 showed that level of alcohol misuse was much more strongly related to alcohol contaminated life stress events than alcohol uncontaminated life events. Comparative analysis of the coefficients of determination indicated the effect size of the association to alcohol contaminated life stress events was 240% larger than the corresponding effect size for the association to alcohol uncontaminated life events. Results suggest that studies, which are tests of the tension reduction hypothesis, should employ greater methodological rigor to ensure measures of life stress events are not inadvertently assessing the consequences of alcohol misuse. The results highlight the need to distinguish between stressful life events that contribute to alcohol misuse and stressful life events that are consequential to alcohol misuse.

  18. Stochastic Technology Choice Model for Consequential Life Cycle Assessment.

    PubMed

    Kätelhön, Arne; Bardow, André; Suh, Sangwon

    2016-12-06

    Discussions on Consequential Life Cycle Assessment (CLCA) have relied largely on partial or general equilibrium models. Such models are useful for integrating market effects into CLCA, but also have well-recognized limitations such as the poor granularity of the sectoral definition and the assumption of perfect oversight by all economic agents. Building on the Rectangular-Choice-of-Technology (RCOT) model, this study proposes a new modeling approach for CLCA, the Technology Choice Model (TCM). In this approach, the RCOT model is adapted for its use in CLCA and extended to incorporate parameter uncertainties and suboptimal decisions due to market imperfections and information asymmetry in a stochastic setting. In a case study on rice production, we demonstrate that the proposed approach allows modeling of complex production technology mixes and their expected environmental outcomes under uncertainty, at a high level of detail. Incorporating the effect of production constraints, uncertainty, and suboptimal decisions by economic agents significantly affects technology mixes and associated greenhouse gas (GHG) emissions of the system under study. The case study also shows the model's ability to determine both the average and marginal environmental impacts of a product in response to changes in the quantity of final demand.

  19. Industry-Cost-Curve Approach for Modeling the Environmental Impact of Introducing New Technologies in Life Cycle Assessment.

    PubMed

    Kätelhön, Arne; von der Assen, Niklas; Suh, Sangwon; Jung, Johannes; Bardow, André

    2015-07-07

    The environmental costs and benefits of introducing a new technology depend not only on the technology itself, but also on the responses of the market where substitution or displacement of competing technologies may occur. An internationally accepted method taking both technological and market-mediated effects into account, however, is still lacking in life cycle assessment (LCA). For the introduction of a new technology, we here present a new approach for modeling the environmental impacts within the framework of LCA. Our approach is motivated by consequential life cycle assessment (CLCA) and aims to contribute to the discussion on how to operationalize consequential thinking in LCA practice. In our approach, we focus on new technologies producing homogeneous products such as chemicals or raw materials. We employ the industry cost-curve (ICC) for modeling market-mediated effects. Thereby, we can determine substitution effects at a level of granularity sufficient to distinguish between competing technologies. In our approach, a new technology alters the ICC potentially replacing the highest-cost producer(s). The technologies that remain competitive after the new technology's introduction determine the new environmental impact profile of the product. We apply our approach in a case study on a new technology for chlor-alkali electrolysis to be introduced in Germany.

  20. Effects of Topography-driven Micro-climatology on Evaporation

    NASA Astrophysics Data System (ADS)

    Adams, D. D.; Boll, J.; Wagenbrenner, N. S.

    2017-12-01

    The effects of spatial-temporal variation of climatic conditions on evaporation in micro-climates are not well defined. Current spatially-based remote sensing and modeling for evaporation is limited for high resolutions and complex topographies. We investigated the effect of topography-driven micro-climatology on evaporation supported by field measurements and modeling. Fourteen anemometers and thermometers were installed in intersecting transects over the complex topography of the Cook Agronomy Farm, Pullman, WA. WindNinja was used to create 2-D vector maps based on recorded observations for wind. Spatial analysis of vector maps using ArcGIS was performed for analysis of wind patterns and variation. Based on field measurements, wind speed and direction show consequential variability based on hill-slope location in this complex topography. Wind speed and wind direction varied up to threefold and more than 45 degrees, respectively for a given time interval. The use of existing wind models enables prediction of wind variability over the landscape and subsequently topography-driven evaporation patterns relative to wind. The magnitude of the spatial-temporal variability of wind therefore resulted in variable evaporation rates over the landscape. These variations may contribute to uneven crop development patterns observed during the late growth stages of the agricultural crops at the study location. Use of hill-slope location indexes and appropriate methods for estimating actual evaporation support development of methodologies to better define topography-driven heterogeneity in evaporation. The cumulative effects of spatially-variable climatic factors on evaporation are important to quantify the localized water balance and inform precision farming practices.

  1. The Modes of Evolutionary Emergence of Primal and Late Pandemic Influenza Virus Strains from Viral Reservoir in Animals: An Interdisciplinary Analysis

    PubMed Central

    Shoham, Dany

    2011-01-01

    Based on a wealth of recent findings, in conjunction with earliest chronologies pertaining to evolutionary emergences of ancestral RNA viruses, ducks, Influenzavirus A (assumingly within ducks), and hominids, as well as to the initial domestication of mallard duck (Anas platyrhynchos), jungle fowl (Gallus gallus), wild turkey (Meleagris gallopavo), wild boar (Sus scrofa), and wild horse (Equus ferus), presumed genesis modes of primordial pandemic influenza strains have multidisciplinarily been configured. The virological fundamentality of domestication and farming of those various avian and mammalian species has thereby been demonstrated and broadly elucidated, within distinctive coevolutionary paradigms. The mentioned viral genesis modes were then analyzed, compatibly with common denominators and flexibility that mark the geographic profile of the last 18 pandemic strains, which reputedly emerged since 1510, the antigenic profile of the last 10 pandemic strains since 1847, and the genomic profile of the last 5 pandemic strains since 1918, until present. Related ecophylogenetic and biogeographic aspects have been enlightened, alongside with the crucial role of spatial virus gene dissemination by avian hosts. A fairly coherent picture of primary and late evolutionary and genomic courses of pandemic strains has thus been attained, tentatively. Specific patterns underlying complexes prone to generate past and future pandemic strains from viral reservoir in animals are consequentially derived. PMID:23074663

  2. Deciding to buy expensive technology. The case of biliary lithotripsy.

    PubMed

    Weingart, S N

    1995-01-01

    Acquiring expensive, new medical technology requires an evaluation of the efficacy and effectiveness, safety, profitability, feasibility, and risk of a project in the context of the hospital's social responsibility and institutional strategy. A case study of the decision to bring biliary lithotripsy to Strong Memorial Hospital illustrates how these criteria offer managers a coherent approach to difficult and consequential decisions about acquiring medical technology.

  3. Applying consequential LCA to support energy policy: land use change effects of bioenergy production.

    PubMed

    Vázquez-Rowe, Ian; Marvuglia, Antonino; Rege, Sameer; Benetto, Enrico

    2014-02-15

    Luxembourg aims at complying with the EU objective of attaining a 14% use of bioenergy in the national grid by 2020. The increase of biomethane production from energy crops could be a valuable option in achieving this objective. However, the overall environmental benefit of such option is yet to be proven. Consequential Life Cycle Assessment (CLCA) has shown to be a useful tool to evaluate the environmental suitability of future energy scenarios and policies. The objective of this study was, therefore, to evaluate the environmental consequences of modifying the Luxembourgish agricultural system to increase maize production for biomethane generation. A total of 10 different scenarios were modelled using a partial equilibrium (PE) model to identify changes in land cultivation based on farmers' revenue maximisation, which were then compared to the baseline scenario, i.e. the state of the agricultural sector in 2009. The results were divided into three different consequential decision contexts, presenting differing patterns in terms of land use changes (LUCs) but with minor shifts in environmental impacts. Nevertheless, energy from maize production would imply substantially higher environmental impacts when compared with the current use of natural gas, mainly due to increases in climate change and agricultural land occupation impacts. The results are discussed based on the consequences they may generate on the bioenergy policy, the management of arable land, the changes in import-export flows in Luxembourg and LUCs in the domestic agricultural system. In addition, the specific PE+LCA method presented intends to be of use for other regional studies in which a high level of site-specific data is available. Copyright © 2013 Elsevier B.V. All rights reserved.

  4. Texas Should Require Homeland Security Standards for High-Speed Rail

    DTIC Science & Technology

    2015-12-01

    conditions. Japanese trains, engineered with earthquakes in mind, all came to a safe stop during the 2011 Fukushima disaster without loss of life or...building—that devastated parts of Japan through immediate effect as well as caused the consequential breach of the Fukushima nuclear reactor.119...119 Ichiro Fujisaki, “Japan’s Recovery Six Months after the Earthquake, Tsunami and Nuclear Crisis,” Brookings Institution, last modified September

  5. Assessing Consequential Scenarios in a Complex Operational Environment Using Agent Based Simulation

    DTIC Science & Technology

    2017-03-16

    RWISE) 93 5.1.5 Conflict Modeling, Planning, and Outcomes Experimentation Program (COMPOEX) 94 5.1.6 Joint Non -Kinetic Effects Model (JNEM)/Athena... experimental design and testing. 4.3.8 Types and Attributes of Agent-Based Model Design Patterns Using the aforementioned ABM flowchart design methodology ...speed, or flexibility during tactical US Army wargaming. The report considers methodologies to improve analysis of the human domain, identifies

  6. Remarkable rates of lightning strike mortality in Malawi.

    PubMed

    Mulder, Monique Borgerhoff; Msalu, Lameck; Caro, Tim; Salerno, Jonathan

    2012-01-01

    Livingstone's second mission site on the shore of Lake Malawi suffers very high rates of consequential lightning strikes. Comprehensive interviewing of victims and their relatives in seven Traditional Authorities in Nkhata Bay District, Malawi revealed that the annual rate of consequential strikes was 419/million, more than six times higher than that in other developing countries; the rate of deaths from lightning was 84/million/year, 5.4 times greater than the highest ever recorded. These remarkable figures reveal that lightning constitutes a significant stochastic source of mortality with potential life history consequences, but it should not deflect attention away from the more prominent causes of mortality in this rural area.

  7. Detectors

    DOEpatents

    Orr, Christopher Henry; Luff, Craig Janson; Dockray, Thomas; Macarthur, Duncan Whittemore; Bounds, John Alan; Allander, Krag

    2002-01-01

    The apparatus and method provide techniques through which both alpha and beta emission determinations can be made simultaneously using a simple detector structure. The technique uses a beta detector covered in an electrically conducting material, the electrically conducting material discharging ions generated by alpha emissions, and as a consequence providing a measure of those alpha emissions. The technique also offers improved mountings for alpha detectors and other forms of detectors against vibration and the consequential effects vibration has on measurement accuracy.

  8. Understanding Recession and Self-Rated Health with the Partial Proportional Odds Model: An Analysis of 26 Countries.

    PubMed

    Mayer, Adam; Foster, Michelle

    2015-01-01

    Self-rated health is demonstrated to vary substantially by both personal socio-economic status and national economic conditions. However, studies investigating the combined influence of individual and country level economic indicators across several countries in the context of recent global recession are limited. This paper furthers our knowledge of the effect of recession on health at both the individual and national level. Using the Life in Transition II study, which provides data from 19,759 individuals across 26 European nations, we examine the relationship between self-rated health, personal economic experiences, and macro-economic change. Data analyses include, but are not limited to, the partial proportional odds model which permits the effect of predictors to vary across different levels of our dependent variable. Household experiences with recession, especially a loss of staple good consumption, are associated with lower self-rated health. Most individual-level experiences with recession, such as a job loss, have relatively small negative effects on perceived health; the effect of individual or household economic hardship is strongest in high income nations. Our findings also suggest that macroeconomic growth improves self-rated health in low-income nations but has no effect in high-income nations. Individuals with the greatest probability of "good" self-rated health reside in wealthy countries ($23,910 to $50, 870 GNI per capita). Both individual and national economic variables are predictive of self-rated health. Personal and household experiences are most consequential for self-rated health in high income nations, while macroeconomic growth is most consequential in low-income nations.

  9. Remarkable Rates of Lightning Strike Mortality in Malawi

    PubMed Central

    Borgerhoff Mulder, Monique; Msalu, Lameck; Caro, Tim; Salerno, Jonathan

    2012-01-01

    Livingstone's second mission site on the shore of Lake Malawi suffers very high rates of consequential lightning strikes. Comprehensive interviewing of victims and their relatives in seven Traditional Authorities in Nkhata Bay District, Malawi revealed that the annual rate of consequential strikes was 419/million, more than six times higher than that in other developing countries; the rate of deaths from lightning was 84/million/year, 5.4 times greater than the highest ever recorded. These remarkable figures reveal that lightning constitutes a significant stochastic source of mortality with potential life history consequences, but it should not deflect attention away from the more prominent causes of mortality in this rural area. PMID:22253708

  10. Leader-team congruence in power distance values and team effectiveness: the mediating role of procedural justice climate.

    PubMed

    Cole, Michael S; Carter, Min Z; Zhang, Zhen

    2013-11-01

    We examine the effect of (in)congruence between leaders' and teams' power distance values on team effectiveness. We hypothesize that the (in)congruence between these values would differentially predict team effectiveness, with procedural justice climate serving as a mediator. Using multisource data and polynomial regression, we found that similarities (and differences) between leaders' and their teams' power distance values can have consequential effects on teams' justice climate and, ultimately, their effectiveness (viz., team performance and team organizational citizenship behavior). We conclude that to fully understand the implications of power distance, one should consider the multiple perspectives of both leaders and team members. (c) 2013 APA, all rights reserved.

  11. Impacts of typhoon megi (2010) on the South China Sea

    NASA Astrophysics Data System (ADS)

    Ko, Dong Shan; Chao, Shenn-Yu; Wu, Chun-Chieh; Lin, I.-I.

    2014-07-01

    In October 2010, typhoon Megi induced a profound cold wake of size 800 km by 500 km with sea surface temperature cooling of 8°C in the South China Sea (SCS). More interestingly, the cold wake shifted from the often rightward bias to both sides of the typhoon track and moved to left in a few days. Using satellite data, in situ measurements and numerical modeling based on the East Asian Seas Nowcast/Forecast System (EASNFS), we performed detailed investigations. To obtain realistic typhoon-strength atmospheric forcing, the EASNFS applied typhoon-resolving Weather Research and Forecasting (WRF) model wind field blended with global weather forecast winds from the U.S. Navy Operational Global Atmospheric Prediction System (NOGAPS). In addition to the already known impacts from the slow typhoon translation speed and shallow pre-exiting ocean thermocline, we found the importance of the unique geographical setting of the SCS and the NE monsoon. As the event happened in late October, NE monsoon already started and contributed to the southwestward ambient surface current. Together with the topographicβ effect, the cold wake shifted westward to the left of Megi's track. It was also found that Megi expelled waters away from the SCS and manifested as a gush of internal Kelvin wave exporting waters through the Luzon Strait. The consequential sea level depression lasted and presented a favorable condition for cold dome development. Fission of the north-south elongated cold dome resulted afterward and produced two cold eddies that dissipated slowly thereafter.

  12. Understanding Recession and Self-Rated Health with the Partial Proportional Odds Model: An Analysis of 26 Countries

    PubMed Central

    Mayer, Adam; Foster, Michelle

    2015-01-01

    Introduction Self-rated health is demonstrated to vary substantially by both personal socio-economic status and national economic conditions. However, studies investigating the combined influence of individual and country level economic indicators across several countries in the context of recent global recession are limited. This paper furthers our knowledge of the effect of recession on health at both the individual and national level. Methods Using the Life in Transition II study, which provides data from 19,759 individuals across 26 European nations, we examine the relationship between self-rated health, personal economic experiences, and macro-economic change. Data analyses include, but are not limited to, the partial proportional odds model which permits the effect of predictors to vary across different levels of our dependent variable. Results Household experiences with recession, especially a loss of staple good consumption, are associated with lower self-rated health. Most individual-level experiences with recession, such as a job loss, have relatively small negative effects on perceived health; the effect of individual or household economic hardship is strongest in high income nations. Our findings also suggest that macroeconomic growth improves self-rated health in low-income nations but has no effect in high-income nations. Individuals with the greatest probability of “good” self-rated health reside in wealthy countries ($23,910 to $50, 870 GNI per capita). Conclusion Both individual and national economic variables are predictive of self-rated health. Personal and household experiences are most consequential for self-rated health in high income nations, while macroeconomic growth is most consequential in low-income nations. PMID:26513660

  13. Further Evidence on the Effect of Acquisition Policy and Process on Cost Growth of Major Defense Acquisition Programs

    DTIC Science & Technology

    2016-06-01

    several changes that may prove to be consequential. B. Funding Climates The amount appropriated to DoD each year for procurement over the period FY...important to realize that the turns in the funds appropriated for procurement are a lagging indicator of a change in budget climate . Funding and...each of the events identified to signal major and sustained changes in the defense funding climate , which in fact they did. Analysis of surrounding

  14. Sensitivity of aerosol radiative forcing efficiency to the coarse mode contributions across aerosol regimes

    NASA Astrophysics Data System (ADS)

    McComiskey, A. C.; Telg, H.; Sheridan, P. J.; Kassianov, E.

    2017-12-01

    The coarse mode contribution to the aerosol radiative effect in a range of clean and turbid aerosol regimes has not been well quantified. While the coarse-mode radiative effect in turbid conditions is generally assumed to be consequential, the effect in clean conditions has likely been underestimated. We survey ground-based in situ measurements of the coarse mode fraction of aerosol optical properties measured around the globe over the past 20 years by the DOE Atmospheric Radiation Measurement Facility and the NOAA Global Monitoring Division. The aerosol forcing efficiency is presented, allowing an evaluation of where the aerosol coarse mode might be climatologically significant.

  15. The theoretical tenability of the doctrine of double effect.

    PubMed

    Bole, T J

    1991-10-01

    The doctrine of double effect shows that for which the moral agent is responsible, by explicating the relationship between the act directly intended and the consequences of that act. I contend that this doctrine is necessary not only for natural law absolutism, but also for Donagan's Kantianism and for Quinn's revised construal of the doctrine, and even for consequentialism, as bioethical implications of the doctrine make clear. For those who do not accept this necessity, I contend that it is necessary metatheoretically, in order to deal with those moral agents with irreconcilably different notions of the morally good.

  16. 77 FR 76164 - Shipping Coordinating Committee; Notice of Committee Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-26

    ... atmospheric pollution --Development of international measures for minimizing the transfer of invasive aquatic... pollution hazards of chemicals and preparation of consequential amendments --Additional guidelines for...

  17. Caring for parents: a consequentialist approach.

    PubMed

    Sin, William

    2016-03-01

    In this paper, I explain the demands of filial obligations from act and rule consequentialism. More specifically, I defend a rule-consequentialist explanation of filial obligations, and identify a few factors in relation to the determination of filial demands; they include the costs of internalization of filial obligations, and the proportions of the young and the old generations in a population pyramid. I believe that in a society with an aging population, we may accept a strong view of filial obligation. Towards the end of the paper, I explain that rule-consequentialism is compatible with certain special views of filial obligations, such as the gratitude theory and the special goods theory; these theories represent ways in which adult children and their parents may obtain special goods from engaging in the relationship.

  18. Interpersonal mechanisms linking close relationships to health.

    PubMed

    Pietromonaco, Paula R; Collins, Nancy L

    2017-09-01

    Close relationships play a vital role in human health, but much remains to be learned about specific mechanisms of action and potential avenues for intervention. This article provides an evaluation of research on close relationships processes relevant to health, drawing on themes from major relationship science theories to present a broad conceptual framework for understanding the interpersonal processes and intrapersonal pathways linking relationships to health and disease outcomes. The analysis reveals that both social connection and social disconnection broadly shape biological responses and behaviors that are consequential for health. Furthermore, emerging work offers insights into the types of social dynamics that are most consequential for health, and the potential pathways through which they operate. Following from this analysis, the authors suggest several research priorities to facilitate the translation of discoveries from relationship science into relationship-based interventions and public health initiatives. These priorities include developing finer grained theoretical models to guide research, the systematic investigation of potential mediating pathways such as dyadic influences on health behavior and physiological coregulation, and taking into account individual differences and contextual factors such as attachment style, gender, socioeconomic status, and culture. In addition, a pressing need exists for laboratory and field research to determine which types of interventions are both practical and effective. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  19. Phosphorous Nutritional Level, Carbohydrate Reserves and Flower Quality in Olives.

    PubMed

    Erel, Ran; Yermiyahu, Uri; Yasuor, Hagai; Cohen Chamus, Dan; Schwartz, Amnon; Ben-Gal, Alon; Dag, Arnon

    2016-01-01

    The olive tree is generally characterized by relatively low final fruit set consequential to a significant rate of undeveloped pistils, pistil abortion, and flower and fruitlet abscission. These processes are acknowledged to be governed by competition for resources between the developing vegetative and reproductive organs. To study the role of phosphorus (P) nutritional level on reproductive development, trees were grown under four levels of P for three years in large containers. Phosphorus nutritional level was positively related to rate of reproductive bud break, inflorescence weight, rate of hermaphrodite flowers, pistil weight, fruitlet persistence, fruit set and the consequential total number of fruits. The positive impact of P nutrition on the productivity parameters was not related to carbohydrate reserves or to carbohydrate transport to the developing inflorescence. Phosphorous deficient trees showed significant impairment of assimilation rate, and yet, carbohydrates were accumulated in inflorescences at levels comparable to or higher than trees receiving high P. In contrast to female reproductive organs, pollen viability was consistently higher in P deficient trees, possibly due to the enhanced carbohydrate availability. Overall, the positive effect of P on female reproductive development was found to be independent of the total carbohydrate availability. Hence, P is speculated to have a direct influence on reproductive processes.

  20. The sexual cascade and the rise of pre-ejaculatory (Darwinian) sexual selection, sex roles, and sexual conflict.

    PubMed

    Parker, Geoff A

    2014-08-21

    After brief historic overviews of sexual selection and sexual conflict, I argue that pre-ejaculatory sexual selection (the form of sexual selection discussed by Darwin) arose at a late stage in an inevitable succession of transitions flowing from the early evolution of syngamy to the evolution of copulation and sex roles. If certain conditions were met, this "sexual cascade" progressed inevitably, if not, sexual strategy remained fixed at a given stage. Prolonged evolutionary history of intense sperm competition/selection under external fertilization preceded the rise of advanced mobility, which generated pre-ejaculatory sexual selection, followed on land by internal fertilization and reduced sperm competition in the form of postcopulatory sexual selection. I develop a prospective model of the early evolution of mobility, which, as Darwin realized, was the catalyst for pre-ejaculatory sexual selection. Stages in the cascade should be regarded as consequential rather than separate phenomena and, as such, invalidate much current opposition to Darwin-Bateman sex roles. Potential for sexual conflict occurs throughout, greatly increasing later in the cascade, reaching its peak under precopulatory sexual selection when sex roles become highly differentiated. Copyright © 2014 Cold Spring Harbor Laboratory Press; all rights reserved.

  1. The Potentials of Student Initiated Netspeak in a Middle Primary Science-inspired Multiliteracies Project

    NASA Astrophysics Data System (ADS)

    Ridgewell, Jay; Exley, Beryl

    2011-11-01

    There is no denying that the information technology revolution of the late twentieth century has arrived. Whilst not equitably accessible for many, others hold high expectations for the contributions online activity will make to student learning outcomes. Concurrently, and not necessarily consequentially, the number of science and technology secondary school and university graduates throughout the world has declined substantially, as has their motivation and engagement with school science (OECD 2006). The aim of this research paper is to explore one aspect of online activity, that of forum-based netspeak (Crystal 2006), in relation to the possibilities and challenges it provides for forms of scientific learning. This paper reports findings from a study investigating student initiated netspeak in a science inspired multiliteracies (New London Group 2000) project in one middle primary (aged 7-10 years) multi-age Australian classroom. Drawing on the theoretical description of the five phases of enquiry proposed by Bybee (1997), an analytic framework is proffered that allows identification of student engagement, exploration, explanation, elaboration and evaluation of scientific enquiry. The findings provide insight into online forums for advancing learning in, and motivation for, science in the middle primary years.

  2. The Sexual Cascade and the Rise of Pre-Ejaculatory (Darwinian) Sexual Selection, Sex Roles, and Sexual Conflict

    PubMed Central

    Parker, Geoff A.

    2014-01-01

    After brief historic overviews of sexual selection and sexual conflict, I argue that pre-ejaculatory sexual selection (the form of sexual selection discussed by Darwin) arose at a late stage in an inevitable succession of transitions flowing from the early evolution of syngamy to the evolution of copulation and sex roles. If certain conditions were met, this “sexual cascade” progressed inevitably, if not, sexual strategy remained fixed at a given stage. Prolonged evolutionary history of intense sperm competition/selection under external fertilization preceded the rise of advanced mobility, which generated pre-ejaculatory sexual selection, followed on land by internal fertilization and reduced sperm competition in the form of postcopulatory sexual selection. I develop a prospective model of the early evolution of mobility, which, as Darwin realized, was the catalyst for pre-ejaculatory sexual selection. Stages in the cascade should be regarded as consequential rather than separate phenomena and, as such, invalidate much current opposition to Darwin–Bateman sex roles. Potential for sexual conflict occurs throughout, greatly increasing later in the cascade, reaching its peak under precopulatory sexual selection when sex roles become highly differentiated. PMID:25147177

  3. A virtue ethics approach to moral dilemmas in medicine

    PubMed Central

    Gardiner, P

    2003-01-01

    Most moral dilemmas in medicine are analysed using the four principles with some consideration of consequentialism but these frameworks have limitations. It is not always clear how to judge which consequences are best. When principles conflict it is not always easy to decide which should dominate. They also do not take account of the importance of the emotional element of human experience. Virtue ethics is a framework that focuses on the character of the moral agent rather than the rightness of an action. In considering the relationships, emotional sensitivities, and motivations that are unique to human society it provides a fuller ethical analysis and encourages more flexible and creative solutions than principlism or consequentialism alone. Two different moral dilemmas are analysed using virtue ethics in order to illustrate how it can enhance our approach to ethics in medicine. PMID:14519840

  4. A virtue ethics approach to moral dilemmas in medicine.

    PubMed

    Gardiner, P

    2003-10-01

    Most moral dilemmas in medicine are analysed using the four principles with some consideration of consequentialism but these frameworks have limitations. It is not always clear how to judge which consequences are best. When principles conflict it is not always easy to decide which should dominate. They also do not take account of the importance of the emotional element of human experience. Virtue ethics is a framework that focuses on the character of the moral agent rather than the rightness of an action. In considering the relationships, emotional sensitivities, and motivations that are unique to human society it provides a fuller ethical analysis and encourages more flexible and creative solutions than principlism or consequentialism alone. Two different moral dilemmas are analysed using virtue ethics in order to illustrate how it can enhance our approach to ethics in medicine.

  5. Consequentialism, complacency, and slippery slope arguments.

    PubMed

    Oakley, Justin; Cocking, Dean

    2005-01-01

    The standard problem with many slippery slope arguments is that they fail to provide us with the necessary evidence to warrant our believing that the significantly morally worse circumstances they predict will in fact come about. As such these arguments have widely been criticised as 'scare-mongering'. Consequentialists have traditionally been at the forefront of such criticisms, demanding that we get serious about guiding our prescriptions for right action by a comprehensive appreciation of the empirical facts. This is not surprising, since consequentialism has traditionally been committed to the idea that right action be driven by empirical realities, and this hard-headed approach has been an especially notable feature of Australian consequentialism. But this apparent empirical hard-headedness is very selective. While consequentialists have understood their moral outlook and commitments as guided by a partnership with empirical science - most explicitly in their replies to the arguments of their detractors - some consequentialists have been remarkably complacent about providing empirical support for their own prescriptions. Our key example here is the consequentialist claim that our current practises of partiality in fact maximise the good, impartially conceived. This claim has invariably been made without compelling support for the large empirical claims upon which it rests, and so, like the speculative empirical hand-waving of weak slippery slope arguments, it seems similarly to be undermined. While these arguments have presented us with 'wishful thinking' rather than 'scare-mongering', we argue in this paper that their complacency in meeting the relevant empirical justificatory burden remains much the same.

  6. Life of Sugar: Developing Lifecycle Methods to Evaluate the Energy and Environmental Impacts of Sugarcane Biofuels

    NASA Astrophysics Data System (ADS)

    Gopal, Anand Raja

    Lifecycle Assessment (LCA) is undergoing a period of rapid change as it strives to become more policy-relevant. Attributional LCA, the traditional LCA category, is beginning to be seen as particularly ill-equipped to assess the consequences of a policy. This has given birth to a new category of LCA known as Consequential LCA that is designed for use in LCA-based policies but is still largely unknown, even to LCA experts, and suffers from a lack of well developed methods. As a result, many LCA-based policies, like the California Low Carbon Fuel Standard (LCFS), use poor LCA methods that are both scientifically suspect and unable to model many biofuels, especially ones manufactured from byproduct feedstocks. Biofuels made from byproduct feedstocks, primarily molasses ethanol from Asia and the Caribbean, can contribute significantly to LCFS' carbon intensity targets in the near-term at low costs, a desperate need for the policy ever since US corn ethanol was rated as having a worse global warming impact than gasoline. In this dissertation, I develop the first fully consequential lifecycle assessment of a byproduct-based biofuel using a partial equilibrium foundation. I find that the lifecycle carbon content of Indian molasses ethanol is just 5 gCO2/MJ using this method, making it one of the cleanest first generation biofuels in the LCFS. I also show that Indian molasses ethanol remains one of the cleanest first-generation biofuels even when using the flawed methodology ratified for the LCFS, with a lifecycle carbon content of 24 gCO2/MJ. My fully consequential LCA model also shows that India's Ethanol Blending program, which currently subsidizes blending of molasses ethanol and gasoline for domestic consumption, can meet its objective of supporting domestic agriculture more cost-effectively by helping producers export their molasses ethanol to fuel markets that value carbon. However, this objective will be achieved at a significant cost to the poor who will face a 39% increase in the price of sorghum because of the policy.

  7. The greenhouse gas emissions performance of cellulosic ethanol supply chains in Europe

    PubMed Central

    Slade, Raphael; Bauen, Ausilio; Shah, Nilay

    2009-01-01

    Background Calculating the greenhouse gas savings that may be attributed to biofuels is problematic because production systems are inherently complex and methods used to quantify savings are subjective. Differing approaches and interpretations have fuelled a debate about the environmental merit of biofuels, and consequently about the level of policy support that can be justified. This paper estimates and compares emissions from plausible supply chains for lignocellulosic ethanol production, exemplified using data specific to the UK and Sweden. The common elements that give rise to the greatest greenhouse gas emissions are identified and the sensitivity of total emissions to variations in these elements is estimated. The implications of including consequential impacts including indirect land-use change, and the effects of selecting alternative allocation methods on the interpretation of results are discussed. Results We find that the most important factors affecting supply chain emissions are the emissions embodied in biomass production, the use of electricity in the conversion process and potentially consequential impacts: indirect land-use change and fertiliser replacement. The large quantity of electricity consumed during enzyme manufacture suggests that enzymatic conversion processes may give rise to greater greenhouse gas emissions than the dilute acid conversion process, even though the dilute acid process has a somewhat lower ethanol yield. Conclusion The lignocellulosic ethanol supply chains considered here all lead to greenhouse gas savings relative to gasoline An important caveat to this is that if lignocellulosic ethanol production uses feedstocks that lead to indirect land-use change, or other significant consequential impacts, the benefit may be greatly reduced. Co-locating ethanol, electricity generation and enzyme production in a single facility may improve performance, particularly if this allows the number of energy intensive steps in enzyme production to be reduced, or if other process synergies are available. If biofuels policy in the EU remains contingent on favourable environmental performance then the multi-scale nature of bioenergy supply chains presents a genuine challenge. Lignocellulosic ethanol holds promise for emission reductions, but maximising greenhouse gas savings will not only require efficient supply chain design but also a better understanding of the spatial and temporal factors which affect overall performance. PMID:19682352

  8. Life cycle costing of food waste: A review of methodological approaches.

    PubMed

    De Menna, Fabio; Dietershagen, Jana; Loubiere, Marion; Vittuari, Matteo

    2018-03-01

    Food waste (FW) is a global problem that is receiving increasing attention due to its environmental and economic impacts. Appropriate FW prevention, valorization, and management routes could mitigate or avoid these effects. Life cycle thinking and approaches, such as life cycle costing (LCC), may represent suitable tools to assess the sustainability of these routes. This study analyzes different LCC methodological aspects and approaches to evaluate FW management and valorization routes. A systematic literature review was carried out with a focus on different LCC approaches, their application to food, FW, and waste systems, as well as on specific methodological aspects. The review consisted of three phases: a collection phase, an iterative phase with experts' consultation, and a final literature classification. Journal papers and reports were retrieved from selected databases and search engines. The standardization of LCC methodologies is still in its infancy due to a lack of consensus over definitions and approaches. Research on the life cycle cost of FW is limited and generally focused on FW management, rather than prevention or valorization of specific flows. FW prevention, valorization, and management require a consistent integration of LCC and Life Cycle Assessment (LCA) to avoid tradeoffs between environmental and economic impacts. This entails a proper investigation of methodological differences between attributional and consequential modelling in LCC, especially with regard to functional unit, system boundaries, multi-functionality, included cost, and assessed impacts. Further efforts could also aim at finding the most effective and transparent categorization of costs, in particular when dealing with multiple stakeholders sustaining costs of FW. Interpretation of results from LCC of FW should take into account the effect on larger economic systems. Additional key performance indicators and analytical tools could be included in consequential approaches. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

  9. Whole Exome Sequencing Identifies the Genetic Basis of Late-Onset Leigh Syndrome in a Patient with MRI but Little Biochemical Evidence of a Mitochondrial Disorder.

    PubMed

    Nafisinia, Michael; Guo, Yiran; Dang, Xiao; Li, Jiankang; Chen, Yulan; Zhang, Jianguo; Lake, Nicole J; Gold, Wendy A; Riley, Lisa G; Thorburn, David R; Keating, Brendan; Xu, Xun; Hakonarson, Hakon; Christodoulou, John

    2017-01-01

    Leigh syndrome is a subacute necrotising encephalomyopathy proven by post-mortem analysis of brain tissue showing spongiform lesions with vacuolation of the neuropil followed by demyelination, gliosis and capillary proliferation caused by mutations in one of over 75 different genes, including nuclear- and mitochondrial-encoded genes, most of which are associated with mitochondrial respiratory chain function. In this study, we report a patient with suspected Leigh syndrome presenting with seizures, ptosis, scoliosis, dystonia, symmetrical putaminal abnormalities and a lactate peak on brain MRS, but showing normal MRC enzymology in muscle and liver, thereby complicating the diagnosis. Whole exome sequencing uncovered compound heterozygous mutations in NADH dehydrogenase (ubiquinone) flavoprotein 1 gene (NDUFV1), c.1162+4A>C (NM_007103.3), resulting in skipping of exon 8, and c.640G>A, causing the amino acid substitution p.Glu214Lys, both of which have previously been reported in a patient with complex I deficiency. Patient fibroblasts showed a significant reduction in NDUFV1 protein expression, decreased complex CI and complex IV assembly and consequential reductions in the enzymatic activities of both complexes by 38% and 67%, respectively. The pathogenic effect of these variations was further confirmed by immunoblot analysis of subunits for MRC enzyme complexes in patient muscle, liver and fibroblast where we observed 90%, 60% and 95% reduction in complex CI, respectively. Together these studies highlight the importance of a comprehensive, multipronged approach to the laboratory evaluation of patients with suspected Leigh syndrome.

  10. 75 FR 82129 - Shipping Coordinating Committee; Notice of Committee Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ... consequential amendments; -- Application of the requirements for the carriage of bio-fuels and bio-fuel blends... through bio-fouling of ships; -- Revision of the IGC Code; -- Review of relevant non-mandatory instruments...

  11. A Behavior Analytic Interpretation of Alexithymia

    PubMed Central

    Darrow, Sabrina M.; Follette, William C.

    2014-01-01

    Alexithymia is a term used to describe individuals who seem unable to experience or at least describe emotions. This paper offers a theoretical interpretation of alexithymia from a radical behaviorist perspective. While there have been attempts to explain the etiology of alexithymia, the current analysis is unique in that it provides direct treatment implications. The pragmatic analysis described focuses on the verbal behavior of individuals rather than looking “inside” for explanations. This is supported by a review of experimental research that has failed to find consistencies among alexithymic individuals’ physiological responding. Descriptions of the various discriminative and consequential stimulus conditions involved in the complex learning histories of individuals that could result in an alexithymic presentation are provided. This analysis helps situate the alexithymia construct in a broader behavior analytic understanding of emotions. Finally this paper outlines implications for assessment and treatment, which involve influencing discriminative and consequential interpersonal stimulus conditions to shape verbal behavior about emotions. PMID:25473602

  12. Integrated deployment architecture for predictive real-time traffic routing incorporating human factors considerations.

    DOT National Transportation Integrated Search

    2014-05-01

    As Advanced Traveler Information Systems (ATIS) are being more widely accessed by drivers, understanding drivers behavioral responses to real-time travel information through ATIS and its consequential benefits are important to the widespread deplo...

  13. Moisture sensitivity of hot mix asphalt (HMA) mixtures in Nebraska : phase II.

    DOT National Transportation Integrated Search

    2009-12-01

    As a consequential effort to the previous NDOR research project (P564) on moisture damage, this report presents : outcomes from this project incorporated with the previous project. Performance changes and fundamental material : characteristics associ...

  14. Matrimonial Causes Amendment Act, 1987 (No. 11 of 1987).

    PubMed

    1987-01-01

    This Act amends the Matrimonial Causes Act, 1985, a) to extend the grounds for divorce applicable to civil marriages to marriages solemnized in terms of the African Marriages Act; and b) to widen the powers of the court to make a division of assets on divorce by authorizing it to make consequential and supplemental provisions necessary to give full effect to any order it makes and to make an order relating to the property of one or another spouse that is held by another person and thereby order that person to transfer the property as the court directs. full text

  15. Guest-Release Control in Enzyme-Sensitive, Amphiphilic-Dendrimer-Based Nanoparticles through Photochemical Crosslinking

    PubMed Central

    Raghupathi, Krishna R.; Azagarsamy, Malar A.; Thayumanavan, S.

    2012-01-01

    Stimuli sensitive, facially amphiphilic dendrimers have been synthesized and their enzyme-responsive nature has been determined with dual fluorescence responses of both covalently conjugated and non-covalently bound reporter units. These dual responses are correlated to ascertain the effect of enzymatic action on micellar aggregates and the consequential guest release. The release of the guest molecule is conveniently tuned by stabilizing the micellar aggregates through photochemical crosslinking of hydrophobic coumarin units. This photo-crosslinking is also utilized as a tool to investigate the mode of enzyme-substrate interaction in the context of aggregate-monomer equilibrium. PMID:21887830

  16. NBIC: National Ballast Information Clearinghouse

    Science.gov Websites

    , incidental, direct, indirect, special, punitive, or consequential damages, loss of use, loss of data, loss of income or profit, loss of or damage to property, claims of third parties, or other losses of any kind or

  17. LOOP marine and estuarine monitoring program, 1978-95 : volume 2 : water chemistry.

    DOT National Transportation Integrated Search

    1998-01-01

    The proposed construction and use of facilities in an environmentally sensitive area led to questions about various consequential environmental impacts arising from the following activities: 1) oil storage caverns were created by leaching out a salt ...

  18. Rare but evolutionarily consequential outcrossing in a highly inbred zoonotic parasite

    USDA-ARS?s Scientific Manuscript database

    Recurrent self-mating can result in nearly clonal propagation of biological lineages, but even occasional outcrossing can serve to redistribute variation in future generations, providing cohesion among regional populations. The zoonotic parasite Trichinella spiralis has been suspected to undergo fr...

  19. Negotiating Diversity: Fostering Collaborative Interpretations of Case Studies

    ERIC Educational Resources Information Center

    Guo, Shujie; Cockburn-Wootten, Cheryl; Munshi, Debashish

    2014-01-01

    The intercultural divides in values, perceptions, and interpretations of concepts have been studied extensively by international business and intercultural communication scholars. Consequentially, much effort in university classrooms is spent on focusing on the differences between groups and on finding ways to "manage" cultural…

  20. State Variation in Increased ADHD Prevalence: Links to NCLB School Accountability and State Medication Laws.

    PubMed

    Fulton, Brent D; Scheffler, Richard M; Hinshaw, Stephen P

    2015-10-01

    The study's objective was to investigate whether attention-deficit hyperactivity disorder (ADHD) diagnoses from 2003 to 2011 were associated with either public school consequential accountability reforms initiated by the No Child Left Behind (NCLB) Act, particularly for low-income children, or with state psychotropic medication laws that prohibit public schools from recommending or requiring medication use. Logistic regression difference-in-differences models were estimated with repeated U.S. and state-representative cross-sections of responses to the 2003, 2007, and 2011 National Survey of Children's Health. Each wave included approximately 35,000 public school children between ages six and 13. From 2003 to 2007, the change in adjusted diagnostic prevalence was 2.8 percentage points higher for children ages six to 13 in households with incomes ≤185% of the federal poverty level residing in states first exposed to consequential accountability through NCLB (from 8.5% to 13.2%), compared with demographically similar children residing in other states (from 10.2% to 12.1%). From 2003 to 2011, the change in adjusted diagnostic prevalence was 2.2 percentage points lower for children ages six to 13 residing in states with a psychotropic medication law (from 8.1% to 7.8%), compared with children residing in other states (from 8.1% to 10.1%). NCLB-initiated consequential accountability reforms were associated with more ADHD diagnoses among low-income children, consistent with increased academic pressures from NCLB for this subgroup. In contrast, psychotropic medication laws were associated with fewer ADHD diagnoses, because they may indirectly reduce diagnoses via restrictions on recommending or requiring medication use. Future research should investigate whether children most affected by these policies are receiving appropriate diagnoses.

  1. "When the obvious brother is not there": political and cultural contexts of the orphan challenge in northern Uganda.

    PubMed

    Oleke, Christopher; Blystad, Astrid; Rekdal, Ole Bjørn

    2005-12-01

    It is estimated that two million of Uganda's children today are orphaned primarily due to AIDS. While recognising the immense impact of HIV/AIDS on the present orphan problem, this article calls for a broader historic and cultural contextualisation to reach an understanding of the vastness of the orphan challenge. The study on which the article is based was carried out among the Langi in Lira District, northern Uganda, with a prime focus on the situation of orphans within the extended family system. The data were collected through ethnographic fieldwork (8 months); in-depth interviews with community leaders (21), heads of households (45) and orphans (35); through focus group discussions (5) with adult men and women caring for orphans, community leaders and with orphans; and also through documentary review. A survey was conducted in 402 households. The findings reveal a transition over the past 30 years from a situation dominated by 'purposeful' voluntary exchange of non-orphaned children to one dominated by 'crisis fostering' of orphans. Sixty-three percent of the households caring for orphans were found to be no longer headed by resourceful paternal kin in a manner deemed culturally appropriate by the patrilineal Langi society, but rather by marginalised widows, grandmothers or other single women receiving little support from the paternal clan. This transition is partly linked to an abrupt discontinuation of the Langi 'widow inheritance' (laku) practice. It is argued that the consequential transformations in fostering practices in northern Uganda must be historically situated through a focus on the effects of armed conflicts and uprooting of the local pastoral and cotton-based economy, which have occurred since the late 1970s. These processes jointly produced dramatic economic marginalisation with highly disturbing consequences for orphans and their caretakers.

  2. Job Displacement Among Single Mothers:

    PubMed Central

    Brand, Jennie E.; Thomas, Juli Simon

    2015-01-01

    Given the recent era of economic upheaval, studying the effects of job displacement has seldom been so timely and consequential. Despite a large literature associating displacement with worker well-being, relatively few studies focus on the effects of parental displacement on child well-being, and fewer still focus on implications for children of single parent households. Moreover, notwithstanding a large literature on the relationship between single motherhood and children’s outcomes, research on intergenerational effects of involuntary employment separations among single mothers is limited. Using 30 years of nationally representative panel data and propensity score matching methods, we find significant negative effects of job displacement among single mothers on children’s educational attainment and social-psychological well-being in young adulthood. Effects are concentrated among older children and children whose mothers had a low likelihood of displacement, suggesting an important role for social stigma and relative deprivation in the effects of socioeconomic shocks on child well-being. PMID:25032267

  3. INTEGRATION OF HEAT PUMPS IN PERVAPORATION SYSTEMS FOR IMPROVED ENERGY EFFICIENCY

    EPA Science Inventory

    The removal of organic compounds from water by pervaporation is highly energy efficient when the separation factor offered by the pervaporation process is high. In cases where the separation factor is relatively small, consequential amounts of water permeate the membrane per uni...

  4. The Dilemmas of Childhood HIV Infection.

    ERIC Educational Resources Information Center

    Rudigier, Anne F.; And Others

    1990-01-01

    Increase in number of children infected with human immunodeficiency virus (HIV), and consequential developmental disabilities of these children are discussed. Families caring for HIV-infected children express four recurrent themes: psychological stress, grief and mourning, guilt and self-blame, and isolation and fear of discrimination. Flexible…

  5. Justification of Paternalism in Education.

    ERIC Educational Resources Information Center

    Nordenbo, Sven Erik

    1986-01-01

    A systematic presentation is given of the theories of justification normally applied to paternalistic acts: (1) pseudo-paternalism, (2) consequentialism, and (3) consent-based theories. The validity of four common arguments for educational paternalism is discussed: education is necessary, children are ignorant, children are unable to choose, and…

  6. Faculty: Thy Administrator's Keeper? Some Evidence

    ERIC Educational Resources Information Center

    Cunningham, Brendan M.

    2009-01-01

    Colleges and universities face a principal-agent problem. There are information asymmetries over the actions chosen by administrators. Because non-profit constraints limit the financial stake of trustees there may be insufficient monitoring of administrators and, consequentially, shirking. It is conceivable that faculty will serve as "delegated…

  7. Describing Changes in Undergraduate Students' Preconceptions of Research Activities

    ERIC Educational Resources Information Center

    Cartrette, David P.; Melroe-Lehrman, Bethany M.

    2012-01-01

    Research has shown that students bring naive scientific conceptions to learning situations which are often incongruous with accepted scientific explanations. These preconceptions are frequently determined to be misconceptions; consequentially instructors spend time to remedy these beliefs and bring students' understanding of scientific concepts to…

  8. The costs (or benefits) associated with attended objects do little to influence inattentional blindness.

    PubMed

    Stothart, Cary R; Wright, Timothy J; Simons, Daniel J; Boot, Walter R

    2017-02-01

    We sometimes fail to notice unexpected objects or events when our attention is directed elsewhere, a phenomenon called inattentional blindness. We explored whether unexpected objects that shared the color of consequential objects would be noticed more often. In three pre-registered experiments, participants played a custom video game in which they avoided both low- and high-cost missiles (Experiment 1 and 2) or tried to hit rewarding missiles while avoiding costly ones (Experiment 3). After participants had played the game for about 8min, an unexpected object moved across the screen. Although participants selectively avoided more costly missiles when playing, they were no more likely to notice an unexpected object when its color was associated with greater costs. Apparently, people are no more likely to notice unexpected objects that are associated with negative consequences. Future research should examine whether objects that are themselves consequential are noticed more frequently. Copyright © 2016 Elsevier B.V. All rights reserved.

  9. Changing the paradigm for engineering ethics.

    PubMed

    Schmidt, Jon Alan

    2014-12-01

    Modern philosophy recognizes two major ethical theories: deontology, which encourages adherence to rules and fulfillment of duties or obligations; and consequentialism, which evaluates morally significant actions strictly on the basis of their actual or anticipated outcomes. Both involve the systematic application of universal abstract principles, reflecting the culturally dominant paradigm of technical rationality. Professional societies promulgate codes of ethics with which engineers are expected to comply (deontology), while courts and the public generally assign liability to engineers primarily in accordance with the results of their work, whether intended or unintended (consequentialism). A third option, prominent in ancient philosophy, has reemerged recently: virtue ethics, which recognizes that sensitivity to context and practical judgment are indispensable in particular concrete situations, and therefore rightly focuses on the person who acts, rather than the action itself. Beneficial character traits--i.e., virtues--are identified within a specific social practice in light of the internal goods that are unique to it. This paper proposes a comprehensive framework for implementing virtue ethics within engineering.

  10. Market-driven emissions from recovery of carbon dioxide gas.

    PubMed

    Supekar, Sarang D; Skerlos, Steven J

    2014-12-16

    This article uses a market-based allocation method in a consequential life cycle assessment (LCA) framework to estimate the environmental emissions created by recovering carbon dioxide (CO2). We find that 1 ton of CO2 recovered as a coproduct of chemicals manufacturing leads to additional greenhouse gas emissions of 147-210 kg CO2 eq , while consuming 160-248 kWh of electricity, 254-480 MJ of heat, and 1836-4027 kg of water. The ranges depend on the initial and final purity of the CO2, particularly because higher purity grades require additional processing steps such as distillation, as well as higher temperature and flow rate of regeneration as needed for activated carbon treatment and desiccant beds. Higher purity also reduces process efficiency due to increased yield losses from regeneration gas and distillation reflux. Mass- and revenue-based allocation methods used in attributional LCA estimate that recovering CO2 leads to 19 and 11 times the global warming impact estimated from a market-based allocation used in consequential LCA.

  11. Abnormal Visual Motion Processing is not a Cause of Dyslexia

    PubMed Central

    Olulade, Olumide A.; Napoliello, Eileen M.; Eden, Guinevere F.

    2013-01-01

    SUMMARY Developmental dyslexia is a reading disorder, yet deficits also manifest in the magnocellular-dominated dorsal visual system. Uncertainty about whether visual deficits are causal or consequential to reading disability encumbers accurate identification and appropriate treatment of this common learning disability. Using fMRI, we demonstrate in typical readers a relationship between reading ability and activity in area V5/MT during visual motion processing and, as expected, also found lower V5/MT activity for dyslexic children compared to age-matched controls. However, when dyslexics were matched to younger controls on reading ability, no differences emerged, suggesting that weakness in V5/MT may not be causal to dyslexia. To further test for causality, dyslexics underwent a phonological-based reading intervention. Surprisingly, V5/MT activity increased along with intervention-driven reading gains, demonstrating that activity here is mobilized through reading. Our results provide strong evidence that visual magnocellular dysfunction is not causal to dyslexia, but may instead be consequential to impoverished reading. PMID:23746630

  12. The Ideology of Political Science

    ERIC Educational Resources Information Center

    Heiden, Bruce

    2013-01-01

    In a recent article in "Academic Questions" political scientists Robert Maranto and Matthew C. Woessner have suggested a program to reform their discipline and enhance its social utility. They encourage researchers to engage with consequential social issues and educate the public, while admonishing political scientists to resist partisan advocacy…

  13. Challenges in protecting the wilderness of Antarctica

    Treesearch

    Tina Tin; Alan Hemmings

    2011-01-01

    Since 1998, the wilderness values of Antarctica have been among those given legal recognition under the Protocol on Environmental Protection to the Antarctic Treaty. Despite the legal obligation, on-the-ground implementation has attracted little interest. The term "wilderness" and its consequential operational implication, including the designation of...

  14. Collaborating in Life Science Research Groups: The Question of Authorship

    ERIC Educational Resources Information Center

    Muller, Ruth

    2012-01-01

    This qualitative study explores how life science postdocs' perceptions of contemporary academic career rationales influence how they relate to collaboration within research groups. One consequential dimension of these perceptions is the high value assigned to publications. For career progress, postdocs consider producing publications and…

  15. Learning and Teaching through the Naturalist Intelligence.

    ERIC Educational Resources Information Center

    Meyer, Maggie

    1998-01-01

    Howard Gardner defines naturalists as persons who recognize flora and fauna and other consequential distinctions in the natural world and use this ability productively. A sixth-grade teacher discusses Gardner's theory of multiple intelligences, specifically the naturalist intelligence, and suggests ways to teach the naturalist intelligence through…

  16. Learning in Equity-Oriented Scale-Making Projects

    ERIC Educational Resources Information Center

    Jurow, A. Susan; Shea, Molly

    2015-01-01

    This article examines how new forms of learning and expertise are made to become consequential in changing communities of practice. We build on notions of scale making to understand how particular relations between practices, technologies, and people become meaningful across spatial and temporal trajectories of social action. A key assumption of…

  17. Recent Developments in Information about Programme Quality in the UK

    ERIC Educational Resources Information Center

    Brown, Roger; Carpenter, Caroline; Collins, Roz; Winkvist-Noble, Lilian

    2007-01-01

    There is general recognition that increased demand for information about programme quality has accompanied the nearly universal massification of higher education, the consequential pressures on public expenditure, and the associated requirements of greater accountability. The UK government has sought to respond to this demand by establishing an…

  18. High Stakes Testing and Reading Assessment. National Reading Conference Policy Brief

    ERIC Educational Resources Information Center

    Afflerbach, Peter

    2005-01-01

    This National Reading Conference Policy Brief provides information related to high stakes reading tests and reading assessment. High stakes reading tests are those with highly consequential outcomes for students, teachers, and schools. These outcomes may include student promotion or retention, student placement in reading groups, school funding…

  19. Toxicological Responses of Fischer Rats to Naturally Occurring Asbestos Samples from the United States and Canada

    EPA Science Inventory

    To support risk assessment efforts, a comparative study was designed to provide understanding of the toxicity of different types of fibers encountered in EPA clean-up efforts. Physico-chemical properties, and consequentially toxicity, are likely to be different among various fib...

  20. Hypothesis-Driven Story Building: Counteracting Human Cognitive Biases to Improve Medical Diagnosis Support

    ERIC Educational Resources Information Center

    Zhu, Shizhuo

    2010-01-01

    Clinical decision-making is challenging mainly because of two factors: (1) patient conditions are often complicated with partial and changing information; (2) people have cognitive biases in their decision-making and information-seeking. Consequentially, misdiagnoses and ineffective use of resources may happen. To better support clinical…

  1. Assessing Mathematical Problem Solving Using Comparative Judgement

    ERIC Educational Resources Information Center

    Jones, Ian; Swan, Malcolm; Pollitt, Alastair

    2015-01-01

    There is an increasing demand from employers and universities for school leavers to be able to apply their mathematical knowledge to problem solving in varied and unfamiliar contexts. These aspects are however neglected in most examinations of mathematics and, consequentially, in classroom teaching. One barrier to the inclusion of mathematical…

  2. Conceptualizing and Assessing Higher-Order Thinking in Reading

    ERIC Educational Resources Information Center

    Afflerbach, Peter; Cho, Byeong-Young; Kim, Jong-Yun

    2015-01-01

    Students engage in higher-order thinking as they read complex texts and perform complex reading-related tasks. However, the most consequential assessments, high-stakes tests, are currently limited in providing information about students' higher-order thinking. In this article, we describe higher-order thinking in relation to reading. We provide a…

  3. Rap and Orality in a Post-NCLB/ALEC World

    ERIC Educational Resources Information Center

    Paul, Dierdre Glenn

    2013-01-01

    Rigid foci on accountability, accreditation, and customer service pose significant challenges for literacy educators today. The most consequential identified as the snuffing out of scholastic innovation and erosion of academic freedom. This article recounts a recent experience that occurred while the author prepared a lesson for an undergraduate…

  4. Biochar amendment of soil improves resilience to climate change

    USDA-ARS?s Scientific Manuscript database

    Because of climate change, insufficient soil moisture may become an increasing limitation to crop productivity in certain regions of the world. This may be particularly consequential for biofuel crops, many of which will have to be grown in drought-prone soils to avoid competition with food crops. ...

  5. The Form and Flow of Teaching Ethnographic Knowledge: Hands-On Approaches for Learning Epistemology

    ERIC Educational Resources Information Center

    Corte, Ugo; Irwin, Katherine

    2017-01-01

    A glance across ethnographic methods terrain reveals multiple controversies and divisive critiques. When training graduate students, these debates and controversies can be consequential. We offer suggestions for teaching graduate ethnographic methods courses that, first, help students understand some of the common epistemological debates in the…

  6. Consequentialism and harsh interrogations.

    PubMed

    Wynia, Matthew K

    2005-01-01

    With this issue, we begin a regular feature on bioethics and public health. We welcome Matthew K. Wynia, M.D., M.P.H., Director of the Institute for Ethics of the American Medical Association as our new Contributing Editor. If you have comments or suggestions regarding this feature, please email us at manuscript@ bioethics.net.

  7. Peace Education: Exploring Some Philosophical Foundations

    ERIC Educational Resources Information Center

    Page, James S.

    2004-01-01

    Peace education has been recognized as an important aspect of social education for the past three decades. The critical literature as well as official documents, however, have given little attention to its philosophical foundations. This essay explores these foundations in the ethics of (1) virtue, (2) consequentialism, (3) aesthetics, (4)…

  8. Looking at Learning as Preparation for Teaching

    ERIC Educational Resources Information Center

    Hughes-McDonnell, Fiona J.

    2016-01-01

    One of the more heated and consequential debates in teacher education today concerns the instructional methods used in preparation programs and the knowledge and skills that teacher candidates should acquire. In this study, I examine looking at learning as a pedagogical approach to transition teacher candidates from the technical conceptions of…

  9. Consequential Validity of an Assistive Technology Supplement for the School Function Assessment

    ERIC Educational Resources Information Center

    Silverman, Michelle Kaye; Smith, Roger O.

    2006-01-01

    Educators and therapists implement assistive technology to maximize educational outcomes of students with disabilities. However, few measure the outcomes of interventions because of a lack of valid measurement tools. This study investigated whether an assistive technology supplement for the School Function Assessment demonstrates an important…

  10. The Emotional Base of America’s Military-Industrial Complex

    DTIC Science & Technology

    2003-04-24

    profoundly consequential, as a prelude to what Nietzsche calls ‘a great year of becoming’…. – James Der Derian. Virtuous War: Mapping the Military...future form nothing but a pipe dream. Der Derian’s analysis is epistemological. Relying on Nietzsche and the post-modern constructivists rather

  11. 20 CFR 30.506 - To whom and in what manner will OWCP pay compensation?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... LABOR ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000 CLAIMS FOR COMPENSATION UNDER THE ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000, AS AMENDED Survivors... Part B of the Act, compensation for any consequential injury, illness, impairment or disease is limited...

  12. IMPACTS OF CLIMATE-INDUCED CHANGES IN EXTREME EVENTS ON OZONE AND PARTICULATE MATTER AIR QUALITY

    EPA Science Inventory

    Historical data records of air pollution meteorology from multiple datasets will be compiled and analyzed to identify possible trends in extreme events. Changes in climate and air quality between 2010 and 2050 will be simulated with a suite of models. The consequential effe...

  13. Missing: Critical and Skeptical Perspectives on Comprehensive Soldier Fitness

    ERIC Educational Resources Information Center

    Quick, James Campbell

    2011-01-01

    The author read with interest, and concern, the January 2011 issue of the "American Psychologist". The "Special Issue on Comprehensive Soldier Fitness" addressed a hugely consequential national issue and offered a vision for psychological resilience along with an elaborate set of supporting articles, concluding with some comments on "Objections"…

  14. Emotional Fitness and the Movement of Affective Science from Lab to Field

    ERIC Educational Resources Information Center

    Algoe, Sara B.; Fredrickson, Barbara L.

    2011-01-01

    Emotions provide a ubiquitous and consequential backdrop to daily life, influencing everything from physiology to interpersonal relationships in the blink of an eye. Instances of emotional experience accumulate and compound to impact overall mental and physical health. Under optimal conditions, emotions are adaptive for the successful navigation…

  15. Team Leader Structuring for Team Effectiveness and Team Learning in Command-and-Control Teams.

    PubMed

    van der Haar, Selma; Koeslag-Kreunen, Mieke; Euwe, Eline; Segers, Mien

    2017-04-01

    Due to their crucial and highly consequential task, it is of utmost importance to understand the levers leading to effectiveness of multidisciplinary emergency management command-and-control (EMCC) teams. We argue that the formal EMCC team leader needs to initiate structure in the team meetings to support organizing the work as well as facilitate team learning, especially the team learning process of constructive conflict. In a sample of 17 EMCC teams performing a realistic EMCC exercise, including one or two team meetings (28 in sum), we coded the team leader's verbal structuring behaviors (1,704 events), rated constructive conflict by external experts, and rated team effectiveness by field experts. Results show that leaders of effective teams use structuring behaviors more often (except asking procedural questions) but decreasingly over time. They support constructive conflict by clarifying and by making summaries that conclude in a command or decision in a decreasing frequency over time.

  16. The Atmospheric Response to a Future Warming Deficit in North Atlantic SSTs

    NASA Astrophysics Data System (ADS)

    Gervais, M.; Shaman, J. L.; Kushnir, Y.

    2017-12-01

    As SSTs increase globally over the 21st century, global climate models project a significant deficit in warming within the subpolar gyre of the North Atlantic Ocean. This study investigates the impact of this warming deficit on atmosphere circulation. A series of large ensemble experiments are conducted using the Community Atmosphere Model 5 forced with specified sea ice and SSTs for the early (2010-2019), mid (2050-2059), and late (2090-2099) 21stcentury. SST and sea ice fields from the Community Earth System Model Large Ensemble experiment are used as boundary conditions for the control simulations. Experiments with either a filled or deepened warming hole are conducted by adding a SST perturbation field to these time-varying SST boundary conditions. Results from these experiments demonstrate that the warming hole has significant local and remote impacts on the atmosphere. Filling (deepening) the warming hole results in a local increase (decrease) in turbulent heat fluxes relative to the control run and consequentially an increase (decrease) in temperature in the overlying lower troposphere that spreads over Europe. There are significant impacts on the location and strength of both the North Atlantic and North Pacific jets as well as on the North Atlantic Oscillation. These impacts of the warming hole on both the mean state and variability of the atmosphere have important implications for sensible weather in the Northern Hemisphere and in particular over Europe.

  17. Exercise and Genetic Rescue of SCA1 via the Transcriptional Repressor Capicua*

    PubMed Central

    Fryer, John D.; Yu, Peng; Kang, Hyojin; Mandel-Brehm, Caleigh; Carter, Angela N.; Crespo-Barreto, Juan; Gao, Yan; Flora, Adriano; Shaw, Chad; Orr, Harry T.; Zoghbi, Huda Y.

    2011-01-01

    Spinocerebellar ataxia type 1 (SCA1) is a fatal neurodegenerative disease caused by expansion of a translated CAG repeat in Ataxin-1 (ATXN1). To determine the long-term effects of exercise, we implemented a mild exercise regimen in a mouse model of SCA1 and found a considerable improvement in survival accompanied by upregulation of epidermal growth factor and consequential downregulation of Capicua, an ATXN1 interactor. Offspring of Capicua mutant mice bred to SCA1 mice showed significant improvement of all disease phenotypes. Although polyglutamine-expanded Atxn1 caused some loss of Capicua function, further reducing Capicua levels, either genetically or by exercise, mitigated the disease phenotypes. Thus, exercise might have long-term beneficial effects in other ataxias and neurodegenerative diseases. PMID:22053053

  18. Evaluating holistic environmental consequences of brownfield management options using consequential life cycle assessment for different perspectives.

    PubMed

    Lesage, Pascal; Deschênes, Louise; Samson, Réjean

    2007-08-01

    Brownfields are abandoned, idled, or underused sites whose reuse necessitates some sort of intervention. These sites are largely urban and are frequently contaminated. Brownfield management options can be associated with three types of environmental consequences: those resulting from changes in the site's environmental quality (primary impacts); those resulting from the actual intervention stage (secondary impacts); and, if the vocation of the site changes, those resulting from effects on regional land use (tertiary impacts). Different stakeholders and decision-making contexts will place a different importance on each of these types of impacts. This article proposes a framework for comparing brownfield management options in regard to these three types of environmental impacts and for interpreting these results from different perspectives. The assessment framework is based on consequential life cycle assessment (LCA), which is shown to provide environmental information on the three types of impacts. The results for a case study are presented, where a "rehabilitation" option allowing residential redevelopment is compared to an "exposure minimization" option not resulting in the site being reused. Calculated primary and tertiary impacts are favorable to the rehabilitation option, whereas secondary impacts are favorable to the exposure minimization option. A ternary diagram presents the favorable option for different stereotypical perspectives. Tertiary impacts are much greater than secondary impacts, and consequently all perspectives that consider tertiary impacts favor rehabilitation. The perspective that considers primary and secondary impacts receives conflicting information. The ternary diagram, showing results for all perspectives, could possibly be useful for consensus-building among stakeholders.

  19. Evaluating Holistic Environmental Consequences of Brownfield Management Options Using Consequential Life Cycle Assessment for Different Perspectives

    NASA Astrophysics Data System (ADS)

    Lesage, Pascal; Deschênes, Louise; Samson, Réjean

    2007-08-01

    Brownfields are abandoned, idled, or underused sites whose reuse necessitates some sort of intervention. These sites are largely urban and are frequently contaminated. Brownfield management options can be associated with three types of environmental consequences: those resulting from changes in the site’s environmental quality (primary impacts); those resulting from the actual intervention stage (secondary impacts); and, if the vocation of the site changes, those resulting from effects on regional land use (tertiary impacts). Different stakeholders and decision-making contexts will place a different importance on each of these types of impacts. This article proposes a framework for comparing brownfield management options in regard to these three types of environmental impacts and for interpreting these results from different perspectives. The assessment framework is based on consequential life cycle assessment (LCA), which is shown to provide environmental information on the three types of impacts. The results for a case study are presented, where a “rehabilitation” option allowing residential redevelopment is compared to an “exposure minimization” option not resulting in the site being reused. Calculated primary and tertiary impacts are favorable to the rehabilitation option, whereas secondary impacts are favorable to the exposure minimization option. A ternary diagram presents the favorable option for different stereotypical perspectives. Tertiary impacts are much greater than secondary impacts, and consequently all perspectives that consider tertiary impacts favor rehabilitation. The perspective that considers primary and secondary impacts receives conflicting information. The ternary diagram, showing results for all perspectives, could possibly be useful for consensus-building among stakeholders.

  20. Transforming Parent-Child Interaction in Family Routines: Longitudinal Analysis with Families of Children with Developmental Disabilities.

    PubMed

    Lucyshyn, Joseph M; Fossett, Brenda; Bakeman, Roger; Cheremshynski, Christy; Miller, Lynn; Lohrmann, Sharon; Binnendyk, Lauren; Khan, Sophia; Chinn, Stephen; Kwon, Samantha; Irvin, Larry K

    2015-12-01

    The efficacy and consequential validity of an ecological approach to behavioral intervention with families of children with developmental disabilities was examined. The approach aimed to transform coercive into constructive parent-child interaction in family routines. Ten families participated, including 10 mothers and fathers and 10 children 3-8 years old with developmental disabilities. Thirty-six family routines were selected (2 to 4 per family). Dependent measures included child problem behavior, routine steps completed, and coercive and constructive parent-child interaction. For each family, a single case, multiple baseline design was employed with three phases: baseline, intervention, and follow-up. Visual analysis evaluated the functional relation between intervention and improvements in child behavior and routine participation. Nonparametric tests across families evaluated the statistical significance of these improvements. Sequential analyses within families and univariate analyses across families examined changes from baseline to intervention in the percentage and odds ratio of coercive and constructive parent-child interaction. Multiple baseline results documented functional or basic effects for 8 of 10 families. Nonparametric tests showed these changes to be significant. Follow-up showed durability at 11 to 24 months postintervention. Sequential analyses documented the transformation of coercive into constructive processes for 9 of 10 families. Univariate analyses across families showed significant improvements in 2- and 4-step coercive and constructive processes but not in odds ratio. Results offer evidence of the efficacy of the approach and consequential validity of the ecological unit of analysis, parent-child interaction in family routines. Future studies should improve efficiency, and outcomes for families experiencing family systems challenges.

  1. Student Restraints to Reform: Conceptual Change Issues in Enhancing Students' Learning Processes.

    ERIC Educational Resources Information Center

    Thomas, Gregory P.

    1999-01-01

    Describes a teacher-researcher's investigation into barriers to student adoption of an alternative referent for learning and its consequential learning strategies in an 11th-grade chemistry class. Suggests that various contextual factors influenced students' willingness to adopt the alternative referent, and that students' beliefs, trust of the…

  2. Observer Use of Standardized Observation Protocols in Consequential Observation Systems

    ERIC Educational Resources Information Center

    Bell, Courtney A.; Yi, Qi; Jones, Nathan D.; Lewis, Jennifer M.; McLeod, Monica; Liu, Shuangshuang

    2014-01-01

    Evidence from a handful of large-scale studies suggests that although observers can be trained to score reliably using observation protocols, there are concerns related to initial training and calibration activities designed to keep observers scoring accurately over time (e.g., Bell, et al, 2012; BMGF, 2012). Studies offer little insight into how…

  3. A Selected Review of the Underpinnings of Ethics for Human Performance Technology Professionals--Part One: Key Ethical Theories and Research.

    ERIC Educational Resources Information Center

    Dean, Peter J.

    1993-01-01

    Provides a review of the key ethical theories and relevant empirical research relating to the practice of human performance technology. Topics addressed include ethics, morals, business ethics, ethics officers, empiricism versus normative ethical theory, consequentialism, utilitarianism, nonconsequentialism, Kohlberg model of cognitive moral…

  4. Army Sustainment. Volume 43, Issue 2. March-April 2011

    DTIC Science & Technology

    2011-04-01

    the night before. Barker notes, “Like the men, the animals were nearly mad with thirst,” and consequentially “a number of mules made a dash for the...5-month siege. The majority of these cap- tives died of starvation, exhaustion, disease, or cruelty by their Turkish captors. The fall of Kut

  5. Schooling and Sex Roles: The Case of GCE 'O' Level Mathematics.

    ERIC Educational Resources Information Center

    Sharma, Shiam; Meighan, Roland

    1980-01-01

    Questions why girls, who perform at least as well as boys in mathematical reasoning until the age of 11, experience an ever-decreasing set of educational possibilities and consequential achievements during the secondary years of schooling. Relates sex stereotyping to differences in mathematics achievement among male and female students in…

  6. Toward a Sociology of Criminological Theory

    ERIC Educational Resources Information Center

    Hauhart, Robert C.

    2012-01-01

    It is a truism to remind ourselves that scientific theory is a human product subject to many of the same social processes that govern other social acts. Science, however, whether social or natural, pretends to claim a higher mission, a more sophisticated methodology, and more consequential and reliable outcomes than human efforts arising from…

  7. Beyond Research "on" Cultural Minorities: Challenges and Implications of Research as Situated Cultural Practice

    ERIC Educational Resources Information Center

    Arzubiaga, Angela E.; Artiles, Alfredo J.; King, Kathleen A.; Harris-Murri, Nancy

    2008-01-01

    This article examines the cultural nature of research. This is a consequential idea as research knowledge is expected to inform professional practices for our increasingly multicultural society. We highlight theoretical and methodological limits of the traditional practice of research on cultural groups and outline research as situated cultural…

  8. Replacing Representation with Imagination: Finding Ingenuity in Everyday Practices

    ERIC Educational Resources Information Center

    Gutiérrez, Kris D.; Cortes, Krista; Cortez, Arturo; DiGiacomo, Daniela; Higgs, Jennifer; Johnson, Patrick; Ramón Lizárraga, José; Mendoza, Elizabeth; Tien, Joanne; Vakil, Sepehr

    2017-01-01

    This chapter is a call for consequential education research that has transformative potential: intellectually, educationally, and socially. It is about learning to see differently. It is an argument about seeing our work with youth and communities in ways that can help education researchers see ingenuity instead of ineptness and inability, to see…

  9. Implications of the Articles for Interpreting Interest Inventories: Consequential Validity and Meaning Making

    ERIC Educational Resources Information Center

    Healy, Charles C.; Chope, Robert C.

    2006-01-01

    Interpretation of interest inventories deepens self-knowledge, promotes career exploration, and assists counselors in understanding a client. This article highlights findings from the studies that appear in this special issue of the journal of Measurement and Evaluation in Counseling and Development, with implications for encouraging clients'…

  10. Early Parenthood and Coming of Age in the 1990s.

    ERIC Educational Resources Information Center

    Rosenheim, Margaret K., Ed.; Testa, Mark F., Ed.

    This book examines how early parenthood differs historically, cross-nationally (in Korea and Sweden), and by class, race, and age in the United States. Contributors discuss how consequential is early parenthood for the future social and economic well-being of parents and children, whether postponing childbearing beyond the teenage years would…

  11. 77 FR 26686 - Transmission Planning Reliability Standards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-07

    ... Normal (No Contingency) Conditions (Category A), TPL-002-1b--System Performance Following Loss of a... Reliability Standard should not allow an entity to plan for the loss of non-consequential firm load in the... approval of its proposal to revise and clarify footnote `b' ``in regard to load loss following a single...

  12. Which Is More Consequential: Fields of Study or Institutional Selectivity?

    ERIC Educational Resources Information Center

    Ma, Yingyi; Savas, Gokhan

    2014-01-01

    The persisting gender pay gap favoring men among college graduates is a puzzle given women's remarkable success in postsecondary education. This article examines income disparities among recent college graduates by intersecting gender and social class and evaluating the relative importance of fields of study and institutional selectivity.…

  13. Goal Setting and Decision Making by At-Risk Youth

    ERIC Educational Resources Information Center

    Galotti, Kathleen M.; Kozberg, Steven F.; Gustafon, Mary

    2009-01-01

    Typically, adolescence is a time when individuals begin to make consequential, life-framing decisions. However, much of the decision-making literature focuses on high-risk decisions, such as the use of drugs and alcohol, while much less is known about how adolescents make positive decisions, for example, regarding their educational or career…

  14. Problems due to superheating of cryogenic liquids

    NASA Astrophysics Data System (ADS)

    Hands, B. A.

    1988-12-01

    Superheating can cause several problems in the storage of cryogenic liquids: stratification can cause unexpectedly high tank pressures or, in multicomponent liquids, rollover with its consequential high vaporization rate; geysering causes the rapid expulsion of static liquid from a vertical tube; chugging is a similar phenomenon observed when liquid flows through a reasonably well-insulated pipe.

  15. Towards a Stronger Covalent Bond: Pedagogical Change for Inclusivity and Equity

    ERIC Educational Resources Information Center

    Koretsky, Milo; Montfort, Devlin; Nolen, Susan Bobbitt; Bothwell, Michelle; Davis, Susannah; Sweeney, James

    2018-01-01

    We describe progress on a comprehensive, programmatic change initiative whose goal is to create an inclusive culture that fosters diversity and a shift towards more meaningful, consequential work. While this initiative has several elements that target different aspects of unit practices and culture, we focus here on pedagogical change. Our…

  16. Horace's Compromise. The Dilemma of the American High School.

    ERIC Educational Resources Information Center

    Sizer, Theodore R.

    This book urges renewed public attention to the importance of teaching in high schools and to the complexity and subtlety of that craft. While our system of schools contains many consequential characteristics--for example, the subjects of the curriculum, the organization of programs for special groups--none is more important than who the teachers…

  17. "Let Your Data Tell a Story:" Climate Change Experts and Students Navigating Disciplinary Argumentation in the Classroom

    ERIC Educational Resources Information Center

    Walsh, Elizabeth Mary; McGowan, Veronica Cassone

    2017-01-01

    Science education trends promote student engagement in authentic knowledge in practice to tackle personally consequential problems. This study explored how partnering scientists and students on a social media platform supported students' development of disciplinary practice knowledge through practice-based learning with experts during two pilot…

  18. Using a Prescreening Rubric for All-State Violin Selection: Influences of Performance and Teaching Experience

    ERIC Educational Resources Information Center

    Geringer, John M.; Allen, Michael L.; MacLeod, Rebecca B.; Scott, Laurie

    2009-01-01

    Performance assessment is an integral part of young musicians' development. Students enrolled in music programs frequently participate in adjudication festivals and many audition for select ensembles. Outcomes of such events are deemed consequential among all concerned: students, parents, teachers, and administrators. Furthermore, the number of…

  19. Learning to Collaborate: General and Special Educators in Teacher Education

    ERIC Educational Resources Information Center

    Pellegrino, Anthony; Weiss, Margaret; Regan, Kelley

    2015-01-01

    One of the foremost challenges for K-12 teachers is to provide relevant learning experiences in an environment of increasing accountability and student diversity. This balance is particularly consequential for students with disabilities who rely on special and general education teachers to ensure access to and success within the general…

  20. Relationships "de Confianza" and the Organisation of Collective Social Action

    ERIC Educational Resources Information Center

    Teeters, Leah A.; Jurow, A. Susan

    2018-01-01

    This article examines the social and cultural organisation of learning and community change in a largely new immigrant and under-resourced neighbourhood in the US. Situating our investigation within a local social movement for food justice, we use an ethnographic lens to study how learning is made to become consequential across relationships…

  1. Relating Narrative, Inquiry, and Inscriptions: Supporting Consequential Play

    ERIC Educational Resources Information Center

    Barab, Sasha A.; Sadler, Troy D.; Heiselt, Conan; Hickey, Daniel; Zuiker, Steven

    2007-01-01

    In this paper we describe our research using a multi-user virtual environment, "Quest Atlantis," to embed fourth grade students in an aquatic habitat simulation. Specifically targeted towards engaging students in a rich inquiry investigation, we layered a socio-scientific narrative and an interactive rule set into a multi-user virtual environment…

  2. Why So Difficult? Exploring Negative Relationships between Educational Leaders: The Role of Trust, Climate, and Efficacy

    ERIC Educational Resources Information Center

    Daly, Alan J.; Moolenaar, Nienke M.; Liou, Yi-Hwa; Tuytens, Melissa; del Fresno, Miguel

    2015-01-01

    Recent work suggests the importance of collaboration among district-office and school leaders. Most studies examine prosocial relationships, but negative social ties, which may be more consequential, are rarely examined. We collected survey data from 78 educational leaders on perceptions of culture and negative relationships and used…

  3. Oral Reading Fluency Assessment: Issues of Construct, Criterion, and Consequential Validity

    ERIC Educational Resources Information Center

    Valencia, Sheila W.; Smith, Antony T.; Reece, Anne M.; Li, Min; Wixson, Karen K.; Newman, Heather

    2010-01-01

    This study investigated multiple models for assessing oral reading fluency, including 1-minute oral reading measures that produce scores reported as words correct per minute (wcpm). We compared a measure of wcpm with measures of the individual and combined indicators of oral reading fluency (rate, accuracy, prosody, and comprehension) to examine…

  4. Resource Management and Risk Mitigation in Online Storage Grids

    ERIC Educational Resources Information Center

    Du, Ye

    2010-01-01

    This dissertation examines the economic value of online storage resources that could be traded and shared as potential commodities and the consequential investments and deployment of such resources. The value proposition of emergent business models such as Akamai and Amazon S3 in online storage grids is capacity provision and content delivery at…

  5. Is There a Downside to Shooting for the Stars? Unrealized Educational Expectations and Symptoms of Depression

    ERIC Educational Resources Information Center

    Reynolds, John R.; Baird, Chardie L.

    2010-01-01

    Despite decades of research on the benefits of educational expectations, researchers have failed to show that unrealized plans are consequential for mental health, as self-discrepancy and other social psychological theories would predict. This article uses two national longitudinal studies of youth to test whether unrealized educational…

  6. Too Little and Too Much Trust: Performance Measurement in Australian Higher Education

    ERIC Educational Resources Information Center

    Woelert, Peter; Yates, Lyn

    2015-01-01

    A striking feature of contemporary Australian higher education governance is the strong emphasis on centralized, template style, metric-based, and consequential forms of performance measurement. Such emphasis is indicative of a low degree of political trust among the central authorities in Australia in the intrinsic capacity of universities and…

  7. Well-Doing: Personal Projects and the Quality of Lives

    ERIC Educational Resources Information Center

    Little, Brian R.

    2014-01-01

    "What are you doing?" and "How is it going?" are foundational questions we can ask of agents. They elicit answers that illuminate aspects of well-doing, or felicitous action, by directing attention to an agent's personal projects. Personal projects are constitutive elements of daily existence and are consequential for a…

  8. Focusing Our Aim: Strengthening Faculty Commitment to Community Engagement

    ERIC Educational Resources Information Center

    Butin, Dan W.

    2007-01-01

    While many speak strongly about community engagement, few are able or willing to develop sustained and consequential programs and practices that further it. Many faculty are, in fact, dubious about an educational reform that appears too a-theoretical, too co-curricular, too much like yet another under-financed fad. In this article, the author…

  9. Comparability of Fidelity Measures for Assessing Tier 1 School-Wide Positive Behavioral Interventions and Supports

    ERIC Educational Resources Information Center

    Mercer, Sterett H.; McIntosh, Kent; Hoselton, Robert

    2017-01-01

    Several reliable and valid fidelity surveys are commonly used to assess Tier 1 implementation in School-Wide Positive Behavioral Interventions and Supports (SWPBIS); however, differences across surveys complicate consequential decisions regarding school implementation status when multiple measures are compared. To address this concern, the current…

  10. Does Occupational Mobility Influence Health among Working Women? Comparing Objective and Subjective Measures of Work Trajectories

    ERIC Educational Resources Information Center

    Wilkinson, Lindsay R.; Shippee, Tetyana P.; Ferraro, Kenneth F.

    2012-01-01

    Occupational mobility is highly valued in American society, but is it consequential to women's health? Previous studies have yielded inconsistent results, but most measured occupational mobility by identifying transitions across occupational categories. Drawing from cumulative inequality theory, this study (1) compares objective and subjective…

  11. American Identity in the USA: Youth Perspectives

    ERIC Educational Resources Information Center

    Jahromi, Parissa

    2011-01-01

    National identity, how one sees oneself as a member of a given nation, is an important form of social identity. Feelings toward one's country are a matter of both individual and collective concern. In an increasingly diverse world, the issue of identifying with a nation is complex and consequential for individual identity formation as well as…

  12. Job displacement among single mothers: effects on children's outcomes in young adulthood.

    PubMed

    Brand, Jennie E; Thomas, Juli Simon

    2014-01-01

    Given the recent era of economic upheaval, studying the effects of job displacement has seldom been so timely and consequential. Despite a large literature associating displacement with worker well-being, relatively few studies focus on the effects of parental displacement on child well-being, and fewer still focus on implications for children of single-parent households. Moreover, notwithstanding a large literature on the relationship between single motherhood and children's outcomes, research on intergenerational effects of involuntary employment separations among single mothers is limited. Using 30 years of nationally representative panel data and propensity score matching methods, the authors find significant negative effects of job displacement among single mothers on children's educational attainment and social-psychological well-being in young adulthood. Effects are concentrated among older children and children whose mothers had a low likelihood of displacement, suggesting an important role for social stigma and relative deprivation in the effects of socioeconomic shocks on child well-being.

  13. Pediatric caries worldwide: implications for oral hygiene products.

    PubMed

    Edelstein, Burton L

    2005-05-01

    International data on pediatric caries epidemiology confirms that tooth decay remains a significant and consequential disease of childhood that is increasingly localized in a subset of at-risk children in both developing and developed countries. A conceptual schema is presented to characterize the occurrence of caries in child populations, and observations are made regarding the countervailing impact of simple sugars and fluoride in these populations. Temporal changes in caries distribution suggest that targeted dental caries management protocols are increasingly indicated to more effectively manage the particular risk and caries activity of individual children. Criteria for successful protocols are discussed in light of both caries pathogenesis and international recommendations to improve children's oral health.

  14. Untangling Consequential Futures: Discovering Self-Consistent Regional and Global Multi-Sector Change Scenarios

    NASA Astrophysics Data System (ADS)

    Lamontagne, J. R.; Reed, P. M.

    2017-12-01

    Impacts and adaptations to global change largely occur at regional scales, yet they are shaped globally through the interdependent evolution of the climate, energy, agriculture, and industrial systems. It is important for regional actors to account for the impacts of global changes on their systems in a globally consistent but regionally relevant way. This can be challenging because emerging global reference scenarios may not reflect regional challenges. Likewise, regionally specific scenarios may miss important global feedbacks. In this work, we contribute a scenario discovery framework to identify regionally-specific decision relevant scenarios from an ensemble of scenarios of global change. To this end, we generated a large ensemble of time evolving regional, multi-sector global change scenarios by a full factorial sampling of the underlying assumptions in the emerging shared socio-economic pathways (SSPs), using the Global Change Assessment Model (GCAM). Statistical and visual analytics were then used to discover which SSP assumptions are particularly consequential for various regions, considering a broad range of time-evolving metrics that encompass multiple spatial scales and sectors. In an illustrative examples, we identify the most important global change narratives to inform water resource scenarios for several geographic regions using the proposed scenario discovery framework. Our results highlight the importance of demographic and agricultural evolution compared to technical improvements in the energy sector. We show that narrowly sampling a few canonical reference scenarios provides a very narrow view of the consequence space, increasing the risk of tacitly ignoring major impacts. Even optimistic scenarios contain unintended, disproportionate regional impacts and intergenerational transfers of consequence. Formulating consequential scenarios of deeply and broadly uncertain futures requires a better exploration of which quantitative measures of consequences are important, for whom are they important, where, and when. To this end, we have contributed a large database of climate change futures that can support `backwards' scenario generation techniques, that capture a broader array of consequences than those that emerge from limited sampling of a few reference scenarios.

  15. The influence of emotion regulation on social interactive decision-making.

    PubMed

    van't Wout, Mascha; Chang, Luke J; Sanfey, Alan G

    2010-12-01

    Although adequate emotion regulation is considered to be essential in every day life, it is especially important in social interactions. However, the question as to what extent two different regulation strategies are effective in changing decision-making in a consequential socially interactive context remains unanswered. We investigated the effect of expressive suppression and emotional reappraisal on strategic decision-making in a social interactive task, that is, the Ultimatum Game. As hypothesized, participants in the emotional reappraisal condition accepted unfair offers more often than participants in the suppression and no-regulation condition. Additionally, the effect of emotional reappraisal influenced the amount of money participants proposed during a second interaction with partners that had treated them unfairly in a previous interaction. These results support and extend previous findings that emotional reappraisal as compared to expressive suppression, is a powerful regulation strategy that influences and changes how we interact with others even in the face of inequity.

  16. The influence of emotion regulation on social interactive decision-making

    PubMed Central

    van ’t Wout, Mascha; Chang, Luke J.; Sanfey, Alan G.

    2010-01-01

    Although adequate emotion regulation is considered to be essential in every day life, it is especially important in social interactions. However, the question as to what extent two different regulation strategies are effective in changing decision-making in a consequential socially interactive context remains unanswered. We investigated the effect of expressive suppression and emotional reappraisal on strategic decision-making in a social interactive task, i.e. the Ultimatum Game. As hypothesized, participants in the emotional reappraisal condition accepted unfair offers more often than participants in the suppression and no-regulation condition. Additionally, the effect of emotional reappraisal influenced the amount of money participants proposed during a second interaction with partners that had treated them unfairly in a previous interaction. These results support and extend previous findings that emotional reappraisal as compared to expressive suppression, is a powerful regulation strategy that influences and changes how we interact with others even in the face of inequity. PMID:21171756

  17. The Role of Epigenomics in Aquatic Toxicology.

    PubMed

    Brander, Susanne M; Biales, Adam D; Connon, Richard E

    2017-10-01

    Over the past decade, the field of molecular biology has rapidly incorporated epigenetic studies to evaluate organism-environment interactions that can result in chronic effects. Such responses arise from early life stage stress, the utilization of genetic information over an individual's life time, and transgenerational inheritance. Knowledge of epigenetic mechanisms provides the potential for a comprehensive evaluation of multigenerational and heritable effects from environmental stressors, such as contaminants. Focused studies have provided a greater understanding of how many responses to environmental stressors are driven by epigenetic modifiers. We discuss the promise of epigenetics and suggest future research directions within the field of aquatic toxicology, with a particular focus on the potential for identifying key heritable marks with consequential impacts at the organism and population levels. Environ Toxicol Chem 2017;36:2565-2573. © 2017 SETAC. © 2017 SETAC.

  18. Assessing the Validity of an Annual Survey for Measuring the Enacted Literacy Curriculum

    ERIC Educational Resources Information Center

    Camburn, Eric M.; Han, Seong Won; Sebastian, James

    2017-01-01

    Surveys are frequently used to inform consequential decisions about teachers, policies, and programs. Consequently, it is important to understand the validity of these instruments. This study assesses the validity of measures of instruction captured by an annual survey by comparing survey data with those of a validated daily log. The two…

  19. 20 CFR 30.222 - How does a claimant establish that the employee has been diagnosed with chronic silicosis or has...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., impairment or disease? 30.222 Section 30.222 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS... has sustained a consequential injury, illness, impairment or disease? (a) A written diagnosis of the... biopsy findings consistent with silicosis. (b) An injury, illness, impairment or disease sustained as a...

  20. 20 CFR 30.222 - How does a claimant establish that the employee has been diagnosed with chronic silicosis or has...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., impairment or disease? 30.222 Section 30.222 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS... has sustained a consequential injury, illness, impairment or disease? (a) A written diagnosis of the... biopsy findings consistent with silicosis. (b) An injury, illness, impairment or disease sustained as a...

  1. Analysis of Leadership Dynamics in Educational Settings during Times of External and Internal Change

    ERIC Educational Resources Information Center

    Jäppinen, Aini-Kristiina

    2017-01-01

    Background: The article concerns the tensions that can arise during demanding external, and consequential internal changes and considers how educational leadership is able to respond to them. Leadership is here understood as a collaborative endeavour, producing shared sense-making in situations of tension. Purpose: The main research question was:…

  2. A Tale of Two Tests (and of Two Examinees)

    ERIC Educational Resources Information Center

    Clauser, Amanda L.; Wainer, Howard

    2016-01-01

    It is widely accepted dogma that consequential decisions are better made with multiple measures, because using but a single one is thought more likely to be laden with biases and errors that can be better controlled with a wider source of evidence for making judgments. Unfortunately, advocates of using multiple measures too rarely provide detailed…

  3. Patterns and Trends in Grade Retention Rates in the United States, 1995-2010

    ERIC Educational Resources Information Center

    Warren, John Robert; Hoffman, Emily; Andrew, Megan

    2014-01-01

    Although grade retention may be consequential for a number of important educational and socioeconomic outcomes, we know surprisingly little about the actual rate at which students are made to repeat grades. We build on Hauser, Frederick, and Andrew's 2007 measure of grade retention using data from the 1995 through 2010 Current Population…

  4. A Little Knowledge is a Dangerous Thing...Emerging Miranda Research and Professional Roles for Psychologists

    ERIC Educational Resources Information Center

    Rogers, Richard

    2008-01-01

    In Miranda v. Arizona (1966), the 20th century's most prominent and consequential legal decision on constitutionally guaranteed rights against compelled self-incrimination, the Supreme Court of the United States mandated the delivery of specific warnings to persons facing custodial interrogation. Owing in large part to popularization of these…

  5. 20 CFR 30.222 - How does a claimant establish that the employee has been diagnosed with chronic silicosis or has...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ..., impairment or disease? 30.222 Section 30.222 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS... has sustained a consequential injury, illness, impairment or disease? (a) A written diagnosis of the... biopsy findings consistent with silicosis. (b) An injury, illness, impairment or disease sustained as a...

  6. 20 CFR 30.222 - How does a claimant establish that the employee has been diagnosed with chronic silicosis or has...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ..., impairment or disease? 30.222 Section 30.222 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS... has sustained a consequential injury, illness, impairment or disease? (a) A written diagnosis of the... biopsy findings consistent with silicosis. (b) An injury, illness, impairment or disease sustained as a...

  7. 20 CFR 30.222 - How does a claimant establish that the employee has been diagnosed with chronic silicosis or has...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., impairment or disease? 30.222 Section 30.222 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS... has sustained a consequential injury, illness, impairment or disease? (a) A written diagnosis of the... biopsy findings consistent with silicosis. (b) An injury, illness, impairment or disease sustained as a...

  8. Consequential Boards: Adding Value Where It Matters Most. Report of the National Commission on College and University Board Governance

    ERIC Educational Resources Information Center

    Association of Governing Boards of Universities and Colleges, 2014

    2014-01-01

    The value of American higher education faces multiple risks, and changes in governance are needed to address them. At risk are accessibility and degree attainment for current and future students, institutional fiscal sustainability, educational quality, economic development and social equity, service to communities, and knowledge creation. Higher…

  9. Changing Workplaces to Reduce Work-Family Conflict: Schedule Control in a White-Collar Organization

    ERIC Educational Resources Information Center

    Kelly, Erin L.; Moen, Phyllis; Tranby, Eric

    2011-01-01

    Work-family conflicts are common and consequential for employees, their families, and work organizations. Can workplaces be changed to reduce work-family conflict? Previous research has not been able to assess whether workplace policies or initiatives succeed in reducing work-family conflict or increasing work-family fit. Using longitudinal data…

  10. Examining Evidence for External and Consequential Validity of the First Term General Chemistry Exam from the ACS Examinations Institute

    ERIC Educational Resources Information Center

    Lewis, Scott E.

    2014-01-01

    Validity of educational research instruments and student assessments has appropriately become a growing interest in the chemistry education research community. Of particular concern is an attention to the consequences to students that result from the interpretation of assessment scores and whether those consequences are swayed by invalidity within…

  11. Are Some Animals More Equal than Others? Animal Rights and Deep Ecology in Environmental Education

    ERIC Educational Resources Information Center

    Kopnina, Helen; Gjerris, Mickey

    2015-01-01

    This article focuses on the role of ethical perspectives such as deep ecology and animal rights in relation to environmental education, arguing that such perspectives are well-placed to reposition students as responsible planetary citizens. We focus on the linkage between non-consequentialism, animal rights, and deep ecology in an educational…

  12. Keeping Students on Track to Graduate: A Synthesis of School Dropout Trends, Prevention, and Intervention Initiatives

    ERIC Educational Resources Information Center

    Ecker-Lyster, Meghan; Niileksela, Christopher

    2016-01-01

    This article reviews the literature on dropout trends, prevention, and intervention initiatives for school-aged children. Theoretical and consequential trends are highlighted to offer educators a perspective in which to view the dropout problem. This article also examines current trends in prevention and intervention initiatives aimed at reducing…

  13. Pulling Back the Curtain: Relearning the History of the Philosophy of Education

    ERIC Educational Resources Information Center

    Titone, Connie

    2007-01-01

    Women have played an undeniable part in shaping the history of philosophy and philosophy of education for at least 1,000 years. Yet, current anthologies, encyclopedias, and textbooks in the field rarely recognize large numbers of women's works as consequential to our understanding of the development of educational topics and debates. This article,…

  14. "Here, without English, You Are Dead": Ideologies of Language and Discourses of Neoliberalism in Adult English Language Learning

    ERIC Educational Resources Information Center

    Warriner, Doris S.

    2016-01-01

    Ideologies of language (and language learning)--in concert with discourses of individualism and meritocracy that characterize neoliberalism--shape pedagogical policies and practices in ways that are consequential for multilingual students all over the developing and developed world. To investigate how such intersections and influences work in…

  15. Two Distinct Exploratory Behaviors in Decisions from Experience: Comment on Gonzalez and Dutt (2011)

    ERIC Educational Resources Information Center

    Hills, Thomas T.; Hertwig, Ralph

    2012-01-01

    Gonzalez and Dutt (2011) recently reported that trends during sampling, prior to a consequential risky decision, reveal a gradual movement from exploration to exploitation. That is, even when search imposes no immediate costs, people adopt the same pattern manifest in costly search: early exploration followed by later exploitation. From this…

  16. How Nurses Decide to Ambulate Hospitalized Older Adults: Development of a Conceptual Model

    ERIC Educational Resources Information Center

    Doherty-King, Barbara; Bowers, Barbara

    2011-01-01

    Adults over the age of 65 years account for 60% of all hospital admissions and experience consequential negative outcomes directly related to hospitalization. Negative outcomes include falls, delirium, loss in ability to perform basic activities of daily living, and new walking dependence. New walking dependence, defined as the loss in ability to…

  17. What Students Think and Do in Classroom Teams When Peer Evaluations Are Highly Consequential: A Two-Stage Study

    ERIC Educational Resources Information Center

    Jassawalla, Avan R.; Sashittal, Hemant C.

    2017-01-01

    The article presents findings from a two-stage study that examined student perceptions of peer evaluations (PEs) conducted in undergraduate business classroom teams. In stage 1, we used qualitative research to identify constructs focal in students' PE-related cognitive schemas and developed grounded measurement scales and hypotheses about their…

  18. Changes in Transitions: The Role of Mobility, Class and Gender

    ERIC Educational Resources Information Center

    Smith, Douglas I.

    2009-01-01

    This paper provides an analysis of changing patterns of transition from before the second world to the end of the twentieth century. It examines the longer term changes in the occupational structure and the consequential transformation of the patterns of labour market entry for young people. It links labour market entry to subsequent early…

  19. Emerging Issues with Consequential Use of the edTPA: Overall and through a Special Education Lens

    ERIC Educational Resources Information Center

    Bergstrand Othman, Lama; Robinson, Rowand; Molfenter, Nancy F.

    2017-01-01

    The purpose of teacher preparation programs is to ensure that teachers are adequately equipped with the necessary knowledge and skills to support the various educational needs of their students. Nevertheless, a call for a uniform process through which teacher candidates can demonstrate their ability to meet their students' educational needs using…

  20. Reactive Sequences in the Evolution of Maryland's Consequential Accountability Regime

    ERIC Educational Resources Information Center

    Mawhinney, Hanne B.

    2013-01-01

    An institutional analysis is presented of the policy, political, and legislative events associated with the failure of an attempt in 2006 by the state of Maryland to take control of 11 schools in Baltimore City and turn them over to independent managers or into charter schools under No Child Left Behind. The place of the failed…

  1. Extending Talk on a Prescribed Discussion Topic in a Learner-Native Speaker eTandem Learning Task

    ERIC Educational Resources Information Center

    Black, Emily

    2017-01-01

    Opportunities for language learners to access authentic input and engage in consequential interactions with native speakers of their target language abound in this era of computer mediated communication. Synchronous audio/video calling software represents one opportunity to access such input and address the challenges of developing pragmatic and…

  2. Managing What We Can Measure: Quantifying the Susceptibility of Automated Scoring Systems to Gaming Behavior

    ERIC Educational Resources Information Center

    Higgins, Derrick; Heilman, Michael

    2014-01-01

    As methods for automated scoring of constructed-response items become more widely adopted in state assessments, and are used in more consequential operational configurations, it is critical that their susceptibility to gaming behavior be investigated and managed. This article provides a review of research relevant to how construct-irrelevant…

  3. Teaching versus Living: Managerial Decision Making in the Gray

    ERIC Educational Resources Information Center

    Soltes, Eugene

    2017-01-01

    Preparing students for the consequential ethical decisions that they will face in their careers is among the most difficult tasks of management education. I describe some of these challenges based on my book "Why They Do It: Inside the Mind of the White-Collar Criminal" and recent work in behavioral ethics. I explore why some decisions…

  4. Art School Consequential: Teaching and Learning in the First Year of Art School

    ERIC Educational Resources Information Center

    McKenna, Stacey Redford

    2011-01-01

    In order to understand better the dimensions of education in the foundation year of contemporary art school, this study explores teaching and learning through the lenses of art school freshmen and foundation studio art professors. Since scholarly study of art school education is limited, the author begins with a survey of related fields of…

  5. Accountability with Voucher Threats, Responses, and the Test-Taking Population: Regression Discontinuity Evidence from Florida

    ERIC Educational Resources Information Center

    Chakrabarti, Rajashri

    2013-01-01

    Florida's 1999 A-plus program was a consequential accountability program that embedded vouchers in an accountability regime. Under Florida rules, scores of students in several special education (ESE) and limited English proficient (LEP) categories were not included in the computation of school grades. One might expect these rules to induce F…

  6. The Role of Goal Structures and Peer Climate in Trajectories of Social Achievement Goals during High School

    ERIC Educational Resources Information Center

    Makara, Kara A.; Madjar, Nir

    2015-01-01

    Students' social goals--reasons for engaging in interpersonal relationships with peers-are consequential for students' interactions with their peers at school and for their well-being. Despite the salience of peer relationships during adolescence, research on social goals is generally lacking compared with academic goals, and it is unknown how…

  7. From Poor Performance to Success under Stress: Working Memory, Strategy Selection, and Mathematical Problem Solving under Pressure

    ERIC Educational Resources Information Center

    Beilock, Sian L.; DeCaro, Marci S.

    2007-01-01

    Two experiments demonstrate how individual differences in working memory (WM) impact the strategies used to solve complex math problems and how consequential testing situations alter strategy use. In Experiment 1, individuals performed multistep math problems under low- or high-pressure conditions and reported their problem-solving strategies.…

  8. Working without Shame in International Educational Development? From Consequentialism to Casuistry

    ERIC Educational Resources Information Center

    Bridges, David

    2015-01-01

    The central question addressed in this paper is about the ethics of engaging with educational development in countries perceived as undemocratic or as failing to respect human rights. More particularly, it examines the nature of the arguments that are brought to bear on this issue. It suggests that these are essentially consequentialist in…

  9. Toward the Development of a Self-Management Intervention to Promote Pro-Social Behaviors for Students with Visual Impairment

    ERIC Educational Resources Information Center

    Ivy, Sarah E.; Lather, Amanda B.; Hatton, Deborah D.; Wehby, Joseph H.

    2016-01-01

    Students with visual impairment (VI) lack access to the same models and reinforcers as students with sight. Consequentially, behaviors that children with sight acquire through observation must be explicitly taught to children with VI. In addition, children with VI have difficulty maintaining such behaviors. Therefore, interventions that promote…

  10. A Comparative Study of Coteaching in Middle School Special and General Education Classrooms and Student Mathematics Achievement

    ERIC Educational Resources Information Center

    Tillman-Walker, LaCricia

    2017-01-01

    There is a consequential amount of research in regards to coteaching and student achievement in students with disabilities. Although there is a substantial body of research, there is still uncertainty whether achievement in mathematics differs between students with and without disabilities in cotaught and non-cotaught classrooms. Therefore, the…

  11. 7 CFR 1726.252 - Prior approved contract modification related to liability for special and consequential damages.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... CONSTRUCTION POLICIES AND PROCEDURES Modifications to RUS Standard Contract Forms § 1726.252 Prior approved... difficulty in obtaining responsive bids on RUS standard contract forms due to a lack of limitation with... modifications in the RUS standard contract form on which the borrower solicits bids: (a) Insert new paragraphs...

  12. Responsibility beyond Rationality: The Case for Rhizomatic Consequentialism

    ERIC Educational Resources Information Center

    Stables, Andrew

    2004-01-01

    A key challenge for education is to encourage children to act responsibly. If "spiritual literacy" does not involve an autonomous, rational soul capable of "reading and writing the world as God intended", it must refer to ethical (and perhaps religious) capacity in relation to contingent actions in a context free of moral absolutes. In relation to…

  13. Consequential Creativity: Student Competency and Lateral Thinking Incorporation in Architectural Education

    ERIC Educational Resources Information Center

    Hamza, Tamer S.; Hassan, Doaa K.

    2016-01-01

    Creativity is an original cognitive ability and problem solving process which enables individuals to use their intelligence in a way that is unique and directed toward coming up with a product. Architectural education is one of the fields in which human creativity has been exhibited; because, it can be defined as a design study that correlates…

  14. Leading the Way: 25 Women Making a Difference

    ERIC Educational Resources Information Center

    Diverse: Issues in Higher Education, 2012

    2012-01-01

    When it comes to leadership, women are now taking on long overdue roles. This article presents 25 dynamic women in the world of higher education and beyond. They lead some of the most demanding and consequential organizations and programs on the planet. No longer sitting on the decision-making sidelines, they have shattered the glass ceiling and,…

  15. Hypometabolism and hypothermia in the rat model of endotoxic shock: independence of circulatory hypoxia

    PubMed Central

    Corrigan, Joshua J; Fonseca, Monique T; Flatow, Elizabeth A; Lewis, Kevin; Steiner, Alexandre A

    2014-01-01

    We tested the hypothesis that development of hypothermia instead of fever in endotoxic shock is consequential to hypoxia. Endotoxic shock was induced by bacterial lipopolysaccharide (LPS, 500 μg kg−1 i.v.) in rats at an ambient temperature of 22°C. A β3-adrenergic agonist known to activate metabolic heat production, CL316,243, was employed to evaluate whether thermogenic capacity could be impaired by the fall in oxygen delivery () during endotoxic shock. This possibility was rejected as CL316,243 (0.15 mg kg−1 i.v.) evoked similar rises in oxygen consumption () in the presence and absence of endotoxic shock. Next, to investigate whether a less severe form of circulatory hypoxia could be triggering hypothermia, the circulating volume of LPS-injected rats was expanded using 6% hetastarch with the intention of improving tissue perfusion and alleviating hypoxia. This intervention attenuated not only the fall in arterial pressure induced by LPS, but also the associated falls in and body temperature. These effects, however, occurred independently of hypoxia, as they were not accompanied by any detectable changes in NAD+/NADH ratios. Further experimentation revealed that even the earliest drops in cardiac output and during endotoxic shock did not precede the reduction in that brings about hypothermia. In fact, and fell in such a synchrony that the / ratio remained unaffected. Only when hypothermia was prevented by exposure to a warm environment (30°C) did an imbalance in the / ratio become evident, and such an imbalance was associated with reductions in the renal and hypothalamic NAD+/NADH ratios. In conclusion, hypometabolism and hypothermia in endotoxic shock are not consequential to hypoxia but serve as a pre-emptive strategy to avoid hypoxia in this model. PMID:24951620

  16. Consequential environmental and economic life cycle assessment of green and gray stormwater infrastructures for combined sewer systems.

    PubMed

    Wang, Ranran; Eckelman, Matthew J; Zimmerman, Julie B

    2013-10-01

    A consequential life cycle assessment (LCA) is conducted to evaluate the trade-offs between water quality improvements and the incremental climate, resource, and economic costs of implementing green (bioretention basin, green roof, and permeable pavement) versus gray (municipal separate stormwater sewer systems, MS4) alternatives of stormwater infrastructure expansions against a baseline combined sewer system with combined sewer overflows in a typical Northeast US watershed for typical, dry, and wet years. Results show that bioretention basins can achieve water quality improvement goals (e.g., mitigating freshwater eutrophication) for the least climate and economic costs of 61 kg CO2 eq. and $98 per kg P eq. reduction, respectively. MS4 demonstrates the minimum life cycle fossil energy use of 42 kg oil eq. per kg P eq. reduction. When integrated with the expansion in stormwater infrastructure, implementation of advanced wastewater treatment processes can further reduce the impact of stormwater runoff on aquatic environment at a minimal environmental cost (77 kg CO2 eq. per kg P eq. reduction), which provides support and valuable insights for the further development of integrated management of stormwater and wastewater. The consideration of critical model parameters (i.e., precipitation intensity, land imperviousness, and infrastructure life expectancy) highlighted the importance and implications of varying local conditions and infrastructure characteristics on the costs and benefits of stormwater management. Of particular note is that the impact of MS4 on the local aquatic environment is highly dependent on local runoff quality indicating that a combined system of green infrastructure prior to MS4 potentially provides a more cost-effective improvement to local water quality.

  17. Group-level issues in the design and training of cockpit crews

    NASA Technical Reports Server (NTRS)

    Hackman, J. Richard

    1987-01-01

    Cockpit crews always operate in an organizational context, and the transactions between the crew and representatives of that context (e.g., organizational managers, air traffic controllers) are consequential for any crew's performance. For a complete understanding of crew performance a look beyond the traditional focus on individual pilots is provided to see how team- and organization-level factors can enhance (or impede) the ability of even well-trained individuals to work together effectively. This way of thinking about cockpit crews (that is, viewing them as teams that operate in organizations) offers some potentially useful avenues for thinking about next steps in the development of CRM training programs. Those possibilities are explored, emphasizing how they can enrich (not replace) individually-focussed CRM training.

  18. Vortex-flow aerodynamics - An emerging design capability

    NASA Technical Reports Server (NTRS)

    Campbell, J. F.

    1981-01-01

    Promising current theoretical and simulational developments in the field of leading edge vortex-generating delta, arrow ogival wings are reported, along with the history of theory and experiment leading to them. The effects of wing slenderness, leading edge nose radius, Mach number and incidence variations, and planform on the onset of vortex generation and redistribution of aerodynamic loads are considered. The range of design possibilities in this field are consequential for the future development of strategic aircraft, supersonic transports and commercial cargo aircraft which will possess low-speed, high-lift capability by virtue of leading edge vortex generation and control without recourse to heavy and expensive leading edge high-lift devices and compound airfoils. Attention is given to interactive graphics simulation devices recently developed.

  19. Parent perspectives on information about late effects of childhood cancer treatment and their role in initial treatment decision making.

    PubMed

    Greenzang, Katie A; Dauti, Angela; Mack, Jennifer W

    2018-06-01

    Though most childhood cancer survivors experience late effects of treatment, we know little about parent preferences for late effects information during therapy, or how parents weigh late effects when making treatment decisions. Our objective was to explore how parents of children with cancer consider late effects in initial treatment decision making and during active cancer treatment. Semistructured interviews were conducted with 12 parents of children with cancer who were actively receiving treatment at Dana-Farber/Boston Children's Cancer and Blood Disorders Center. Interviews were audio-recorded, transcribed verbatim, and qualitatively analyzed using thematic analysis. Ten of 12 parents reported that they had to decide between two or more treatment options for their child's cancer. Of those, 50% (5/10) considered late effects to be an important factor in their decision making. Most parents wanted early and detailed information about their child's risk of late effects to make treatment decisions and to feel prepared for the future. However, a few parents felt too overwhelmed to focus on late effects at diagnosis. While many recalled extensive late effects information in informed consent discussions, some parents felt these issues were minimally addressed. Parents desire detailed information about late effects to make informed treatment decisions and prepare for the future. Despite the role of late effects in treatment decision making, some parents feel that late effects are either inadequately addressed or too overwhelming to process at diagnosis. Parents may benefit from early assessment of their information needs and a return to these issues over time. © 2018 Wiley Periodicals, Inc.

  20. I say a little prayer for you: praying for partner increases commitment in romantic relationships.

    PubMed

    Fincham, Frank D; Beach, Steven R H

    2014-10-01

    Partner-focused petitionary prayer (PFPP) has received little attention in the prayer literature. In two studies, we examine PFPP to see whether it is uniquely important in conveying relationship benefits, whether its benefits are transmitted through an effect on relationship satisfaction, and whether one's own or the partner's PFPP is central to beneficial effects. In Study 1, we examined PFPP in a sample of 316 undergraduate students who were in an "exclusive" romantic relationship, finding that PFPP was related to later level of commitment and that this relationship was partially mediated through enhanced relationship satisfaction. Study 2 examined PFPP in a sample of 205, married African American couples, finding that both partners' PFPP was consequential for commitment, with actor effects partially mediated through relationship quality, and partner effects fully mediated. Together the studies suggest the value of continued investigation of PFPP as a potentially important vehicle for enhancing relationship outcomes. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  1. Team Leader Structuring for Team Effectiveness and Team Learning in Command-and-Control Teams

    PubMed Central

    van der Haar, Selma; Koeslag-Kreunen, Mieke; Euwe, Eline; Segers, Mien

    2017-01-01

    Due to their crucial and highly consequential task, it is of utmost importance to understand the levers leading to effectiveness of multidisciplinary emergency management command-and-control (EMCC) teams. We argue that the formal EMCC team leader needs to initiate structure in the team meetings to support organizing the work as well as facilitate team learning, especially the team learning process of constructive conflict. In a sample of 17 EMCC teams performing a realistic EMCC exercise, including one or two team meetings (28 in sum), we coded the team leader’s verbal structuring behaviors (1,704 events), rated constructive conflict by external experts, and rated team effectiveness by field experts. Results show that leaders of effective teams use structuring behaviors more often (except asking procedural questions) but decreasingly over time. They support constructive conflict by clarifying and by making summaries that conclude in a command or decision in a decreasing frequency over time. PMID:28490856

  2. Parenting Behaviors and Preschool Children's Social and Emotional Skills: A Question of the Consequential Validity of Traditional Parenting Constructs for Low-Income African Americans

    ERIC Educational Resources Information Center

    McWayne, C. M.; Owsianik, M.; Green, L. E.; Fantuzzo, J. W.

    2008-01-01

    Few researchers have questioned the validity of traditional parenting dimensions (based largely on Baumrind's [Baumrind, D. (1967). Child care practices anteceding three patterns of preschool behavior. Genetic Psychology Monographs, 75, 43-88; Baumrind, D. (1971). Current patterns of parental authority. Developmental Psychology, 4, 1-103] work)…

  3. Cognitive Ability and Health-Related Behaviors during Adolescence: A Prospective Study across Five Years

    ERIC Educational Resources Information Center

    Ciarrochi, Joseph; Heaven, Patrick C. L.; Skinner, Timothy

    2012-01-01

    Longitudinal research on the links between intelligence and health behaviors among adolescents is rare. We report longitudinal data in which we assessed the relationships between intelligence as assessed in Grade 7 and consequential health outcomes in Grade 11. The mean age of respondents (N = 420; 188 males, 232 females) was 12.30 years (SD =…

  4. Math-Related Career Aspirations and Choices within Eccles Et Al.'s Expectancy--Value Theory of Achievement-Related Behaviors

    ERIC Educational Resources Information Center

    Lauermann, Fani; Tsai, Yi-Miau; Eccles, Jacquelynne S.

    2017-01-01

    Which occupation to pursue is one of the more consequential decisions people make and represents a key developmental task. Yet the underlying developmental processes associated with either individual or group differences in occupational choices are still not well understood. This study contributes toward filling this gap, focusing in particular on…

  5. Comparison of combinations of sighting devices and target objects for establishing circular plots in the field

    Treesearch

    Sylvio Mannel; Mark A. Rumble; Maribeth Price; Thomas M. Juntti; Dong Hua

    2006-01-01

    Many aspects of ecological research require measurement of characteristics within plots. Often, the time spent establishing plots is small relative to the time spent collecting and recording data. However, some studies require larger numbers of plots, where the time spent establishing the plot is consequential to the field effort. In open habitats, circular plots are...

  6. The Impact of Being Labeled as a Persistently Lowest Achieving School: Regression Discontinuity Evidence on Consequential School Labeling

    ERIC Educational Resources Information Center

    Saw, Guan; Schneider, Barbara; Frank, Kenneth; Chen, I-Chien; Keesler, Venessa; Martineau, Joseph

    2017-01-01

    Since the No Child Left Behind Act was enacted, grading and labeling of schools as low performing have been increasingly used as means to incentivize failing schools to raise student achievement. Using statewide high school data from Michigan, our regression discontinuity analyses show that the bottom 5% of schools identified as persistently…

  7. The Intellectual Foundations of Education: Core Journals and Their Impacts on Scholarship and Practice

    ERIC Educational Resources Information Center

    Goodyear, Rodney K.; Brewer, Dominic J.; Gallagher, Karen Symms; Tracey, Terence J. G.; Claiborn, Charles D.; Lichtenberg, James W.; Wampold, Bruce E.

    2009-01-01

    Academic journals are the primary mode of communication among researchers, and they play a central role in the creation, diffusion, and use of knowledge. This article updates previous attempts to identify a core set of journals that most education scholars would acknowledge as consequential sources. On the basis of nominations from a panel of…

  8. The Cultivation of a Prosocial Value Orientation through Community Service: An Examination of Organizational Context, Social Facilitation, and Duration

    ERIC Educational Resources Information Center

    Horn, Aaron S.

    2012-01-01

    Community service is widely regarded as a fundamental experience in preparation for good citizenship, but it remains unclear whether common variants of service are consequential for civic outcomes. This study examines changes in the relative importance assigned to prosocial and egoistic values associated with service through different types of…

  9. A partition of Toxoplasma gondii genotypes across spatial gradients and among host species, and decreased parasite diversity towards areas of human settlement in North America

    USDA-ARS?s Scientific Manuscript database

    Toxoplasma gondii counts among the most consequential food-borne parasites, and although the parasite occurs in a wide range of wild and domesticated animals, farms may constitute a specific and important locus of transmission. If so, parasites in animals that inhabit agricultural landscapes might b...

  10. Application of a Mixed Consequential Ethical Model to a Problem Regarding Test Standards.

    ERIC Educational Resources Information Center

    Busch, John Christian

    The work of the ethicist Charles Curran and the problem-solving strategy of the mixed consequentialist ethical model are applied to a traditional social science measurement problem--that of how to adjust a recommended standard in order to be fair to the test-taker and society. The focus is on criterion-referenced teacher certification tests.…

  11. Children's Callous-Unemotional Traits Moderate Links between Their Positive Relationships with Parents at Preschool Age and Externalizing Behavior Problems at Early School Age

    ERIC Educational Resources Information Center

    Kochanska, Grazyna; Kim, Sanghag; Boldt, Lea J.; Yoon, Jeung Eun

    2013-01-01

    Background: Growing research on children's traits as moderators of links between parenting and developmental outcomes has shown that variations in positivity, warmth, or responsiveness in parent-child relationships are particularly consequential for temperamentally difficult or biologically vulnerable children. But very few studies have…

  12. Carbon Mitigation Impacts of Increased Softwood Lumber and Structural Panel Use for Nonresidential Construction in the United States

    Treesearch

    Prakash Nepal; Kenneth E. Skog; David B. McKeever; Richard D. Bergman; Karen L. Abt; Robert C. Abt

    2016-01-01

    More wood use in the United States to construct low-rise nonresidential (NR) buildings would increase consumption and production of softwood (SW) lumber, engineered wood products, and structural and nonstructural wood panels. Using a consequential life-cycle analysis, we estimated the change in net CO2 emissions thatwould be caused by increased...

  13. Supporting Parents: Using Research to Inform Policy and Best Practice. Social Policy Report Brief. Volume 30, Issue 5

    ERIC Educational Resources Information Center

    Bridgman, Anne

    2017-01-01

    Parenting is one of the most emotionally powerful, demanding, and consequential tasks of adulthood. Previously, the task of parenting was shared with extended family and community members. Today, with less extensive networks of experience and support, parents are frequently not as well prepared. Research has identified the elements of competent…

  14. In the Face of Anti-LGBQ Behaviour: Saskatchewan High School Students' Perceptions of School Climate and Consequential Impact

    ERIC Educational Resources Information Center

    Morrison, Melanie A.; Jewell, Lisa; McCutcheon, Jessica; Cochrane, Donald B.

    2014-01-01

    In Canada, there is a dearth of research on school climate for lesbian, gay, bisexual, and questioning (LGBQ) students. Using social networking, 60 students from high schools in Saskatchewan participated in a climate survey. Results indicated that anti-LGBQ speech was widespread, as were other forms of harassment. The more victimization that was…

  15. Worlding Genres through Lifeworld Analysis: New Directions for Genre Pedagogy and Uptake Awareness

    ERIC Educational Resources Information Center

    Rounsaville, Angela

    2017-01-01

    Recently, rhetorical genre studies scholars have challenged the field to de-center the study of genre as artifact to focus on the conditions that surround, inform, and constrain how those genres get used by writers: the genre uptakes. While prior research has begun to identify many of these consequential influences, these endeavors would benefit,…

  16. A Generalized Thurstonian Paired Comparison Multicriteria Heuristic Model for Peer Evaluation of Individual Performance on IS Team Projects

    ERIC Educational Resources Information Center

    Scher, Julian M.

    2010-01-01

    Information Systems instructors are generally encouraged to introduce team projects into their pedagogy, with a consequential issue of objectively evaluating the performance of each individual team member. The concept of "freeloading" is well-known for team projects, and for this, and other reasons, a peer review process of team members,…

  17. Physical health and wellbeing of emerging and young adults with mental illness: an integrative review of international literature.

    PubMed

    McCloughen, Andrea; Foster, Kim; Huws-Thomas, Michelle; Delgado, Cynthia

    2012-06-01

    Physical health in people with mental illness is often compromised. Chronic physical conditions and disease risk factors occur at higher rates than in the general population. Although substantial research exists regarding mental-physical comorbidities in middle to older-aged adults and mental illness consequential to childhood physical illness, research addressing physical health in young people/emerging adults of 16-24 years with primary mental illnesses is minimal. Health problems often track from youth to adulthood, indicating a need to better recognize and understand the overall health of young people with mental illness. This paper reports findings from an integrative review of published research investigating physical health of emerging/young adults with mental illness. A total of 18 research papers were systematically analysed. The review found that comorbid mental-physical illness/conditions were evident across a wide age span. Specific physical health problems, including pain, gastrointestinal, and respiratory disorders, were apparent in those 16 years to those in their mid-late 20s, and/or with first episode psychosis. Lifestyle risk factors for cardiometabolic disorders occurred with some frequency and originated prior to adulthood. These findings highlight the need for targeted health screening and illness prevention strategies for emerging/young adults with mental health problems and draws attention to the need for young people to be supported in their health-care behaviours. © 2012 The Authors. International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc.

  18. Ground reaction forces of Olympic and World Championship race walkers.

    PubMed

    Hanley, Brian; Bissas, Athanassios

    2016-01-01

    Race walking is an Olympic event where no visible loss of contact should occur and the knee must be straightened until midstance. The purpose of this study was to analyse ground reaction forces of world-class race walkers and associate them with key spatiotemporal variables. Nineteen athletes race walked along an indoor track and made contact with two force plates (1000 Hz) while being filmed using high-speed videography (100 Hz). Race walking speed was correlated with flight time (r = .46, p = .049) and flight distance (r = .69, p = .001). The knee's movement from hyperextension to flexion during late stance meant the vertical push-off force that followed midstance was smaller than the earlier loading peak (p < .001), resulting in a flattened profile. Athletes with narrower stride widths experienced reduced peak braking forces (r = .49, p = .046), peak propulsive forces (r = .54, p = .027), peak medial forces (r = .63, p = .007) and peak vertical push-off forces (r = .60, p = .011). Lower fluctuations in speed during stance were associated with higher stride frequencies (r = .69, p = .001), and highlighted the importance of avoiding too much braking in early stance. The flattened trajectory and consequential decrease in vertical propulsion might help the race walker avoid visible loss of contact (although non-visible flight times were useful in increasing stride length), while a narrow stride width was important in reducing peak forces in all three directions and could improve movement efficiency.

  19. A dynamic model to predict fat and protein fluxes and dry matter intake associated with body reserve changes in cattle.

    PubMed

    Tedeschi, Luis O; Fox, Danny G; Kononoff, Paul J

    2013-04-01

    The objective of this paper was to develop the structure and concepts of a dynamic model to simulate dry matter intake (DMI) pattern and the fluxes of fat and protein in the body reserves of cattle associated with changes in body condition score (BCS) for application within the structure of applied nutrition models. This model was developed to add the capability of evaluating the effects of factors affecting pre- and postcalving DMI, daily energy and protein balances, and changes in BCS over a reproductive cycle. Input variables are average DMI, diet metabolizable energy, and animal information (body weight, BCS, milk production, and calf birth body weight) from each diet fed over the reproductive cycle. Because the depletion and repletion of body reserves in cattle is a complex system of coordinated metabolic processes that reflect hormonal and physiological changes caused by negative or positive energy balances, the system dynamics modeling methodology was used to develop this model. The model was used to evaluate the effect of the dynamic interactions between dietary supply and animal requirements for energy and protein on the fluxes of body fat and body protein of dairy cows over the reproductive cycle and Monte Carlo simulations were used to assess the sensitivity of the parameters. The main long-term factor affecting DMI pattern was the growth of the gravid uterus causing an increase in the volume of abdominal organs and a compression of the rumen, consequentially reducing feed intake. Changes in body reserves (fat and protein) were computed based on metabolizable energy balance, assuming different efficiency of utilization coefficients for fat and protein during repletion and mobilization. The model was evaluated with data from 37 dairy cows individually fed 3 different diets over the lactation and dry periods. The model was successful in simulating the observed pattern of DMI (mean square error was 3.59, 3.97, and 3.66 for diets A, B, and C, respectively), but it tended to underpredict DMI during late lactation [around 200 to 285 d in milk (DIM)] for all diets, suggesting changes in the model structure might be needed. The predicted BCS pattern had a trend similar to the observed values. Assuming that observed BCS represents actual body fat, the model tended to overpredict observed BCS during early lactation (0.125 BCS for 0 to 120 DIM) and underpredict it during late lactation (0.06 BCS for 180 to 270 DIM). A long-term simulation (5 lactations and 4 dry periods) with diet A indicated that the cows on this diet would have a net loss of body fat if all conditions were constant. Copyright © 2013 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  20. Sleep deprived and sweating it out: the effects of total sleep deprivation on skin conductance reactivity to psychosocial stress.

    PubMed

    Liu, Jean C J; Verhulst, Silvan; Massar, Stijn A A; Chee, Michael W L

    2015-01-01

    We examined how sleep deprivation alters physiological responses to psychosocial stress by evaluating changes in skin conductance. Between-subjects design with one group allocated to 24 h of total sleep deprivation and the other to rested wakefulness. The study took place in a research laboratory. Participants were 40 healthy young adults recruited from a university. Sleep deprivation and feedback. Electrodermal activity was monitored while participants completed a difficult perceptual task with false feedback. All participants showed increased skin conductance levels following stress. However, compared to well-rested participants, sleep deprived participants showed higher skin conductance reactivity with increasing stress levels. Our results suggest that sleep deprivation augments allostatic responses to increasing psychosocial stress. Consequentially, we propose sleep loss as a risk factor that can influence the pathogenic effects of stress. © 2014 Associated Professional Sleep Societies, LLC.

  1. Changing Workplaces to Reduce Work-Family Conflict: Schedule Control in a White-Collar Organization

    PubMed Central

    Kelly, Erin L.; Moen, Phyllis; Tranby, Eric

    2011-01-01

    Work-family conflicts are common and consequential for employees, their families, and work organizations. Can workplaces be changed to reduce work-family conflict? Previous research has not been able to assess whether workplace policies or initiatives succeed in reducing work-family conflict or increasing work-family fit. Using longitudinal data collected from 608 employees of a white-collar organization before and after a workplace initiative was implemented, we investigate whether the initiative affects work-family conflict and fit, whether schedule control mediates these effects, and whether work demands, including long hours, moderate the initiative’s effects on work-family outcomes. Analyses clearly demonstrate that the workplace initiative positively affects the work-family interface, primarily by increasing employees’ schedule control. This study points to the importance of schedule control for our understanding of job quality and for management policies and practices. PMID:21580799

  2. The effect of cognitive testing and feedback on older adults' subjective age.

    PubMed

    Geraci, Lisa; De Forrest, Ross; Hughes, Matthew; Saenz, Gabriel; Tirso, Robert

    2018-05-01

    Subjective age, or how old a person feels, is an important measure of self-perception that is associated with consequential cognitive and health outcomes. Recent research suggests that subjective age is affected by certain situations, including cognitive testing contexts. The current study examined whether cognitive testing and positive performance feedback affect subjective age and subsequent cognitive performance. Older adults took a series of neuropsychological and cognitive tests and subjective age was measured at various time points. Participants also either received positive or no feedback on an initial cognitive task, an analogies task. Results showed that participants felt older over the course of the testing session, particularly after taking a working memory test, relative to baseline. Positive feedback did not significantly mitigate this subjective aging effect. Results suggest that subjective age is malleable and that it can be affected by standard cognitive and neuropsychological test conditions.

  3. Changing Workplaces to Reduce Work-Family Conflict: Schedule Control in a White-Collar Organization.

    PubMed

    Kelly, Erin L; Moen, Phyllis; Tranby, Eric

    2011-04-01

    Work-family conflicts are common and consequential for employees, their families, and work organizations. Can workplaces be changed to reduce work-family conflict? Previous research has not been able to assess whether workplace policies or initiatives succeed in reducing work-family conflict or increasing work-family fit. Using longitudinal data collected from 608 employees of a white-collar organization before and after a workplace initiative was implemented, we investigate whether the initiative affects work-family conflict and fit, whether schedule control mediates these effects, and whether work demands, including long hours, moderate the initiative's effects on work-family outcomes. Analyses clearly demonstrate that the workplace initiative positively affects the work-family interface, primarily by increasing employees' schedule control. This study points to the importance of schedule control for our understanding of job quality and for management policies and practices.

  4. Modelling the Impact of Fractionation on Late Urinary Toxicity After Postprostatectomy Radiation Therapy

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

    Fiorino, Claudio, E-mail: fiorino.claudio@hsr.it; Cozzarini, Cesare; Rancati, Tiziana

    2014-12-01

    Purpose: To fit urinary toxicity data of patients treated with postprostatectomy radiation therapy with the linear quadratic (LQ) model with/without introducing a time factor. Methods and Materials: Between 1993 and 2010, 1176 patients were treated with conventional fractionation (1.8 Gy per fraction, median 70.2 Gy, n=929) or hypofractionation (2.35-2.90 Gy per fraction, n=247). Data referred to 2004-2010 (when all schemes were in use, n=563; conventional fractionation: 316; hypofractionation: 247) were fitted as a logit function of biological equivalent dose (BED), according to the LQ model with/without including a time factor γ (fixing α/β = 5 Gy). The 3-year risks of severe urethral stenosis, incontinence, and hematuriamore » were considered as endpoints. Best-fit parameters were derived, and the resulting BEDs were taken in multivariable backward logistic models, including relevant clinical variables, considering the whole population. Results: The 3-year incidences of severe stenosis, incontinence, and hematuria were, respectively, 6.6%, 4.8%, and 3.3% in the group treated in 2004-2010. The best-fitted α/β values were 0.81 Gy and 0.74 Gy for incontinence and hematuria, respectively, with the classic LQ formula. When fixing α/β = 5 Gy, best-fit values for γ were, respectively, 0.66 Gy/d and 0.85 Gy/d. Sensitivity analyses showed reasonable values for γ (0.6-1.0 Gy/d), with comparable goodness of fit for α/β values between 3.5 and 6.5 Gy. Likelihood ratio tests showed that the fits with/without including γ were equivalent. The resulting multivariable backward logistic models in the whole population included BED, pT4, and use of antihypertensives (area under the curve [AUC] = 0.72) for incontinence and BED, pT4, and year of surgery (AUC = 0.80) for hematuria. Stenosis data could not be fitted: a 4-variable model including only clinical factors (acute urinary toxicity, pT4, year of surgery, and use of antihypertensives) was suggested (AUC = 0.73). Conclusions: The unexpected impact of moderate hypofractionation on severe incontinence and hematuria after postprostatectomy radiation therapy may be explained by a bladder α/β value <1 Gy or, radiobiologically more plausible, by introducing a time factor likely to represent a previously hypothesized consequential component of late effect.« less

  5. Late effects of childhood leukemia therapy.

    PubMed

    Fulbright, Joy M; Raman, Sripriya; McClellan, Wendy S; August, Keith J

    2011-09-01

    As survival rates for children treated for childhood cancers become significantly better, the focus is increasingly on determining the late effects of treatments and the best ways to monitor for them and prevent their occurrence. This review focuses on recent literature discussing the late effects of treatment in patients treated for acute myeloid leukemia and acute lymphoblastic leukemia during childhood. The late effects of therapy for childhood leukemia include secondary malignancy, cardiotoxicity, obesity, endocrine abnormalities, reproductive changes, neurocognitive deficits, and psychosocial effects. As clinicians have become more aware of the late effects of therapy, treatment regimens have been changed to decrease late effects, but patients still require long-term follow-up for their prevention and treatment.

  6. Late injury of cancer therapy on the female reproductive tract

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

    Grigsby, P.W.; Russell, A.; Bruner, D.

    1995-03-30

    The purpose of this article is to review the late effects of cancer therapy on the female reproductive tract. The anatomic sites detailed are the vulva, vagina, cervix, uterus, fallopian tubes, and ovaries. The available pathophysiology is discussed. Clinical syndromes are presented. Tolerance doses of irradiation for late effects are rarely presented in the literature and are reviewed where available. Management strategies for surgical, radiotherapeutic, and chemotherapeutic late effects are discussed. Endpoints for evaluation of therapeutic late effects have been formulated utilizing the symptons, objective, management, and analytic (SOMA) format. Late effects on the female reproductive tract from cancer therapymore » should be recognized and managed appropriately. A grading system for these effects is presented. Endpoints for late effects and tolls for the evaluation need to be further developed. 61 refs., 9 figs., 13 tabs.« less

  7. Measuring Meaningful Outcomes in Consequential Contexts: Searching for a Happy Medium in Educational Technology Research (Phase II)

    ERIC Educational Resources Information Center

    Ross, Steven M.; Morrison, Jennifer R.

    2014-01-01

    In a paper published 25 years ago, Ross and Morrison ("Educ Technol Res Dev" 37(1):19-33, 1989) called for a "happy medium" in educational technology research, to be achieved by balancing high rigor of studies (internal validity) with relevance to real-world applications (external validity). In this paper, we argue that,…

  8. The Impact of World Ranking Systems on Graduate Schools of Business: Promoting the Manipulation of Image over the Management of Substance

    ERIC Educational Resources Information Center

    Rondeau, Kent V.

    2017-01-01

    This essay explores and examines how rankings and league tables have played (and continue to play) a major and consequential role in how contemporary business schools manage their affairs. It introduces and advances the proposition that rankings promote the short-term manipulation of public reputation (image) projected by business schools at the…

  9. School Improvement under Test-Driven Accountability: A Comparison of High- and Low-Performing Middle Schools in California. CSE Report 717

    ERIC Educational Resources Information Center

    Mintrop, Heinrich; Trujillo, Tina

    2007-01-01

    Based on in-depth data from nine demographically similar schools, the study asks five questions in regard to key aspects of the improvement process and that speak to the consequential validity of accountability indicators: Do schools that differ widely according to system performance criteria also differ on the quality of the educational…

  10. Academic Delay of Gratification and Children's Study Time Allocation as a Function of Proximity to Consequential Academic Goals

    ERIC Educational Resources Information Center

    Zhang, Lili; Karabenick, Stuart A.; Maruno, Shun'ichi; Lauermann, Fani

    2011-01-01

    Students (N=302) in Chinese elementary schools were assessed regarding their academic delay of gratification (ADOG) and reported the time they devoted to non-school study and playtime during an extended interval prior to taking a high-stakes final exam. Students high compared those low in ADOG were more likely to spend time studying and less time…

  11. The Schultz curve 25 years later: a research perspective.

    PubMed

    Fidell, Sanford

    2003-12-01

    The contemporary technical rationale for assessing effects ("impacts") of transportation noise on communities rests in large part on a purely descriptive dosage-effect relationship of the sort first synthesized by Schultz [J. Acoust. Soc. Am. 64, 377-405 (1978)]. Although U.S. federal adoption of an annoyance-based rationale for regulatory policy has made this approach a familiar one, it is only one of several historical perspectives, and not necessarily the most useful for all purposes. Last reviewed by the U.S. Federal Interagency Committee on Noise (FICON) 10 years ago, the accuracy and precision of estimates of the prevalence of a consequential degree of noise-induced annoyance yielded by functions of noise exposure leave much to be desired. This tutorial article traces the development of the dosage-effect relationship on which FICON currently relies, in a wider historical context of efforts to understand and predict community response to transportation noise. It also identifies areas in which advances in genuine understanding might lead to improved means for predicting community response to transportation noise.

  12. Effects of aircraft overflights on wilderness recreationists.

    PubMed

    Fidell, S; Silvati, L; Howe, R; Pearsons, K S; Tabachnick, B; Knopf, R C; Gramann, J; Buchanan, T

    1996-11-01

    On-site and telephone opinion surveys were conducted to assess outdoor recreationists' annoyance with aircraft overflights of wilderness areas. Although current technology for measuring noise exposure does not yet permit accurate and cost-effective estimates of dosage-response relationships in outdoor recreational settings, it was nonetheless possible to construct a rough relationship between estimated aircraft noise exposure and annoyance from the data of the on-site study. In the second survey, telephone interviews were administered to another sample of outdoor recreationists within 2 weeks of their return from visits to 12 wilderness areas. The prevalence of aircraft noise-induced annoyance (in any degree) among respondents in all wilderness areas ranged from 5% to 32%. The prevalence of a consequential degree of aircraft noise-induced annoyance among respondents was less than 5% in all wilderness areas combined. Noise-induced annoyance proved to be a more direct measure of the effects of aircraft overflights on recreationists than more global measures such as visit satisfaction or intent to revisit.

  13. Differential swimming performance of two natricine snakes exposed to a cholinesterase-inhibiting pesticide.

    PubMed

    Hopkins, W A; Winne, C T; DuRant, S E

    2005-02-01

    Environmental contaminants have direct effects on organisms at the molecular, cellular, and tissue levels, but the net results of these sub-organismal effects are only consequential to exposed populations if they alter organism-level traits that ultimately influence fitness (e.g., growth, locomotor performance, reproduction, and survival). Here, we explore the possibility that the swimming performance of neonate black swamp snakes (Seminatrix pygaea) and diamondback water snakes (Nerodia rhombifer) may be affected by exposure to carbaryl (2.5 and 5.0 mg/L). The highest concentration of carbaryl caused greater reductions in swim velocity in S. pygaea than in N. rhombifer. Most individuals recovered from the effects of carbaryl on swimming performance within 96 h, but recovery was significantly slower in S. pygaea than in N. rhombifer. We hypothesize that the sensitivity of S. pygaea may arise from its highly permeable integument compared to other natricines. Our findings suggest that performance can serve as an ecologically relevant response to contaminant exposure in reptiles and warrants further study.

  14. Knowledge and risk perception of late effects among childhood cancer survivors and parents before and after visiting a childhood cancer survivor clinic.

    PubMed

    Cherven, Brooke; Mertens, Ann; Meacham, Lillian R; Williamson, Rebecca; Boring, Cathy; Wasilewski-Masker, Karen

    2014-01-01

    Survivors of childhood cancer are at risk for a variety of treatment-related late effects and require lifelong individualized surveillance for early detection of late effects. This study assessed knowledge and perceptions of late effects risk before and after a survivor clinic visit. Young adult survivors (≥ 16 years) and parents of child survivors (< 16 years) were recruited prior to initial visit to a cancer survivor program. Sixty-five participants completed a baseline survey and 50 completed both a baseline and follow-up survey. Participants were found to have a low perceived likelihood of developing a late effect of cancer therapy and many incorrect perceptions of risk for individual late effects. Low knowledge before clinic (odds ratio = 9.6; 95% confidence interval, 1.7-92.8; P = .02) and low perceived likelihood of developing a late effect (odds ratio = 18.7; 95% confidence interval, 2.7-242.3; P = .01) were found to predict low knowledge of late effect risk at follow-up. This suggests that perceived likelihood of developing a late effect is an important factor in the individuals' ability to learn about their risk and should be addressed before initiation of education. © 2014 by Association of Pediatric Hematology/Oncology Nurses.

  15. Pharmacovigilance and post-black market surveillance.

    PubMed

    Langlitz, Nicolas

    2009-06-01

    Pharmacovigilance can be defined as a set of practices aiming at the detection, understanding and assessment of risks related to the use of drugs in a population, and the prevention of consequential adverse effects. In a narrower sense, the term refers exclusively to postmarket surveillance. This paper briefly outlines how pharmacovigilance has come to play a central role in the regulation of novel pharmaceuticals. However, the focus of the text is on mechanisms emerging in an experimental drug scene that aim at dealing with the risks posed by 'designer drugs' newly introduced to the black market. This discussion of pharmacovigilance and 'post-black market surveillance' is situated in the broader context of the more recent dissemination of vigilance as a key element of government in a world too complex for legal and disciplinary measures alone.

  16. Quality and consumer decision making in the market for health insurance and health care services.

    PubMed

    Kolstad, Jonathan T; Chernew, Michael E

    2009-02-01

    This article reviews the literature relating quality to consumer choice of health plan or health care provider. Evidence suggests that consumers tend to choose better performing health plans and providers and are responsive to initiatives that provide quality information. The response to quality and quality information differs significantly among consumers and across population subgroups. As such the effect of quality information on choice is apparent in only a relatively small, though perhaps consequential, number of consumers. Despite the wealth of findings on the topic to date, the authors suggest directions for future work, including better assessment of the dynamic issues related to information release, as well as a better understanding of how the response to information varies across different groups of patients.

  17. Duration and Timing of Exposure to Neighborhood Poverty and the Risk of Adolescent Parenthood

    PubMed Central

    Wodtke, Geoffrey T.

    2013-01-01

    Theory suggests that the impact of neighborhood poverty depends on both the duration and timing of exposure. Previous research, however, does not properly analyze the sequence of neighborhoods to which children are exposed throughout the early life course. This study investigates the effects of different longitudinal patterns of exposure to disadvantaged neighborhoods on the risk of adolescent parenthood. It follows a cohort of children in the PSID from age 4 to 19 and uses novel methods for time-varying exposures that overcome critical limitations of conventional regression when selection processes are dynamic. Results indicate that sustained exposure to poor neighborhoods substantially increases the risk of becoming a teen parent and that exposure to neighborhood poverty during adolescence may be more consequential than exposure earlier during childhood. PMID:23720166

  18. Are Parenting Practices Associated with the Development of Narcissism? Findings from a Longitudinal Study of Mexican-origin Youth

    PubMed Central

    Wetzel, Eunike; Robins, Richard W.

    2016-01-01

    Narcissism is an important and consequential aspect of personality, yet we know little about its developmental origins. Using data from a longitudinal study of 674 Mexican-origin families, we examined cross-lagged relations between parenting behaviors (warmth, hostility, monitoring) and narcissism (superiority, exploitativeness). Parental hostility at age 12 was associated with higher levels of exploitativeness at age 14, whereas parental monitoring at age 12 was associated with lower levels of exploitativeness at age 14. These effects replicated across three different parenting measures: child reports, spouse reports, and behavioral coding of parent-child interactions. None of the parenting dimensions was related to superiority, suggesting that parenting practices are more strongly related to the maladaptive than the adaptive component of narcissism. PMID:28042186

  19. Relating Narrative, Inquiry, and Inscriptions: Supporting Consequential Play

    NASA Astrophysics Data System (ADS)

    Barab, Sasha A.; Sadler, Troy D.; Heiselt, Conan; Hickey, Daniel; Zuiker, Steven

    2007-02-01

    In this paper we describe our research using a multi-user virtual environment, Quest Atlantis, to embed fourth grade students in an aquatic habitat simulation. Specifically targeted towards engaging students in a rich inquiry investigation, we layered a socio-scientific narrative and an interactive rule set into a multi-user virtual environment gaming engine to establish a virtual world through which students learned about science inquiry, water quality concepts, and the challenges in balancing scientific and socio-economic factors. Overall, students were clearly engaged, participated in rich scientific discourse, submitted quality work, and learned science content. Further, through participation in this narrative, students developed a rich perceptual, conceptual, and ethical understanding of science. This study suggests that multi-user virtual worlds can be effectively leveraged to support academic content learning.

  20. Erratum to: Relating Narrative, Inquiry, and Inscriptions: Supporting Consequential Play

    NASA Astrophysics Data System (ADS)

    Barab, Sasha A.; Sadler, Troy D.; Heiselt, Conan; Hickey, Daniel; Zuiker, Steven

    2010-08-01

    In this paper we describe our research using a multi-user virtual environment, Quest Atlantis, to embed fourth grade students in an aquatic habitat simulation. Specifically targeted towards engaging students in a rich inquiry investigation, we layered a socio-scientific narrative and an interactive rule set into a multi-user virtual environment gaming engine to establish a virtual world through which students learned about science inquiry, water quality concepts, and the challenges in balancing scientific and socio-economic factors. Overall, students were clearly engaged, participated in rich scientific discourse, submitted quality work, and learned science content. Further, through participation in this narrative, students developed a rich perceptual, conceptual, and ethical understanding of science. This study suggests that multi-user virtual worlds can be effectively leveraged to support academic content learning.

  1. The fluid dynamics of atmospheric clouds

    NASA Astrophysics Data System (ADS)

    Randall, David A.

    2017-11-01

    Clouds of many types are of leading-order importance for Earth's weather and climate. This importance is most often discussed in terms of the effects of clouds on radiative transfer, but the fluid dynamics of clouds are at least equally significant. Some very small-scale cloud fluid-dynamical processes have significant consequences on the global scale. These include viscous dissipation near falling rain drops, and ``buoyancy reversal'' associated with the evaporation of liquid water. Major medium-scale cloud fluid-dynamical processes include cumulus convection and convective aggregation. Planetary-scale processes that depend in an essential way on cloud fluid dynamics include the Madden-Julian Oscillation, which is one of the largest and most consequential weather systems on Earth. I will attempt to give a coherent introductory overview of this broad range of phenomena.

  2. Consequentialism and the slippery slope: a response to Clark.

    PubMed

    Hughes, J

    2000-01-01

    Michael Clark has recently argued that the slippery slope argument against voluntary euthanasia is 'entirely consequentialist' and that its use to justify continued prohibition of voluntary euthanasia involves a failure to treat patients who request assistance in ending their lives as ends in themselves. This article argues that in fact the slippery slope is consistent with most forms of deontology, and that it need not involve any violation of the principle that people should be treated as ends, depending upon how that principle is construed. It is concluded that supporters of voluntary euthanasia cannot dismiss the slippery slope argument on the basis of deontological principles but must take seriously the consequences that it postulates and engage in factual argument about their likely extent and about the likely effectiveness of any proposed safeguards.

  3. Consumer Search, Rationing Rules, and the Consequence for Competition

    NASA Astrophysics Data System (ADS)

    Ruebeck, Christopher S.

    Firms' conjectures about demand are consequential in oligopoly games. Through agent-based modeling of consumers' search for products, we can study the rationing of demand between capacity-constrained firms offering homogeneous products and explore the robustness of analytically solvable models' results. After algorithmically formalizing short-run search behavior rather than assuming a long-run average, this study predicts stronger competition in a two-stage capacity-price game.

  4. Myth, Metaphor, and Imagination: Framing Homeland Security as Art and Archetype

    DTIC Science & Technology

    2013-03-01

    repeatable, patterned, and consequential, science reveals stability and balance. As creative, emergent, mutant, and selfish, art is a self -styled...broader applications. Soft vigilance is open to novelty and takes in more information, while hyper vigilance locks in on an object of attention and...deficiency requirements of physiological needs, safety needs, love and belonging, and esteem, but also the being requirements of self -actualization and

  5. Disability and Deservedness: The Lived Experience of Wounded, Ill, and Injured Members of the U.S. Armed Forces at a Military Treatment Facility

    ERIC Educational Resources Information Center

    Murphy, Deborah

    2013-01-01

    My work engages links between notions of disability and notions of deservedness; the ways in which they are consequential; and how they are constructed and sustained. For my dissertation research I studied a select group of people at two sites of high visibility and focused practice: I used ethnographic methodology to collect qualitative data…

  6. Ethical perspectives of children's assent for research participation: deontology and on utilitarianism.

    PubMed

    Pieper, Pam

    2008-01-01

    Is a child's assent to participate in research that does not have the potential to directly benefit the child ethically mandated? Analysis of this particular dilemma of health care research in children using two competing theories results in different answers. Deontology (principle-based ethics) will be contrasted with utilitarianism (consequentialism). Historical cases of research with children will be used as exemplars of these two theoretical positions.

  7. Factors driving collaboration in natural resource conflict management: Evidence from Romania.

    PubMed

    Hossu, Constantina Alina; Ioja, Ioan Cristian; Susskind, Lawrence E; Badiu, Denisa L; Hersperger, Anna M

    2018-02-03

    A critical challenge in natural resource management is to bring all stakeholders together to negotiate solutions to critical problems. However, various collaborative approaches to heading off conflicts and resolving natural resource management disputes have been used. What drives these efforts, however, still needs further research. Our study provides a systematic look at the drivers likely to initiate collaborative problem-solving efforts in four cases in Romania. We use Emerson's et al. (2012) framework for collaborative governance and multi-value qualitative comparative analysis (mvQCA) to analyze cases involving endangered species, restrictions on forest harvest, conflicts associated with infrastructure development projects, and disputes over the management of environmentally sensitive areas. Our findings contribute to the already existing collaborative governance literature indicating which of the four factors: uncertainty, interdependence, consequential incentives, and leadership, in which combination, are necessary and sufficient to spur collaborative resource management efforts. Our results showed that in Romania the initiation of collaboration is best explained by positive consequential incentives (i.e., financial opportunities) which has determined leaders to take initiative. This study provides additional information for the complicated process of natural resource management which is often overriding collaboration by investigating what enables and constrains collaborative efforts in a country where natural resources were managed and used according to the principles of central planning.

  8. Bioenergy production from perennial energy crops: a consequential LCA of 12 bioenergy scenarios including land use changes.

    PubMed

    Tonini, Davide; Hamelin, Lorie; Wenzel, Henrik; Astrup, Thomas

    2012-12-18

    In the endeavor of optimizing the sustainability of bioenergy production in Denmark, this consequential life cycle assessment (LCA) evaluated the environmental impacts associated with the production of heat and electricity from one hectare of Danish arable land cultivated with three perennial crops: ryegrass (Lolium perenne), willow (Salix viminalis) and Miscanthus giganteus. For each, four conversion pathways were assessed against a fossil fuel reference: (I) anaerobic co-digestion with manure, (II) gasification, (III) combustion in small-to-medium scale biomass combined heat and power (CHP) plants and IV) co-firing in large scale coal-fired CHP plants. Soil carbon changes, direct and indirect land use changes as well as uncertainty analysis (sensitivity, MonteCarlo) were included in the LCA. Results showed that global warming was the bottleneck impact, where only two scenarios, namely willow and Miscanthus co-firing, allowed for an improvement as compared with the reference (-82 and -45 t CO₂-eq. ha⁻¹, respectively). The indirect land use changes impact was quantified as 310 ± 170 t CO₂-eq. ha⁻¹, representing a paramount average of 41% of the induced greenhouse gas emissions. The uncertainty analysis confirmed the results robustness and highlighted the indirect land use changes uncertainty as the only uncertainty that can significantly change the outcome of the LCA results.

  9. Exposure science in an age of rapidly changing climate: challenges and opportunities

    PubMed Central

    LaKind, Judy S; Overpeck, Jonathan; Breysse, Patrick N; Backer, Lorrie; Richardson, Susan D; Sobus, Jon; Sapkota, Amir; Upperman, Crystal R; Jiang, Chengsheng; Beard, C Ben; Brunkard, J M; Bell, Jesse E; Harris, Ryan; Chretien, Jean-Paul; Peltier, Richard E; Chew, Ginger L; Blount, Benjamin C

    2016-01-01

    Climate change is anticipated to alter the production, use, release, and fate of environmental chemicals, likely leading to increased uncertainty in exposure and human health risk predictions. Exposure science provides a key connection between changes in climate and associated health outcomes. The theme of the 2015 Annual Meeting of the International Society of Exposure Science—Exposures in an Evolving Environment—brought this issue to the fore. By directing attention to questions that may affect society in profound ways, exposure scientists have an opportunity to conduct “consequential science”—doing science that matters, using our tools for the greater good and to answer key policy questions, and identifying causes leading to implementation of solutions. Understanding the implications of changing exposures on public health may be one of the most consequential areas of study in which exposure scientists could currently be engaged. In this paper, we use a series of case studies to identify exposure data gaps and research paths that will enable us to capture the information necessary for understanding climate change-related human exposures and consequent health impacts. We hope that paper will focus attention on under-developed areas of exposure science that will likely have broad implications for public health. PMID:27485992

  10. Measure Guideline: Water Management at Tub and Shower Assemblies

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

    Dickson, B.

    2011-12-01

    Due to the high concentrations of water and the consequential risk of water damage to the home's structure a comprehensive water management system is imperative to protect the building assemblies underlying the finish surround of tub and shower areas. This guide shows how to install fundamental waterproofing strategies to prevent water related issues at shower and tub areas. When conducting a total gut rehab of a structure or constructing a new home, best practice installation and detailing for effective waterproofing are critically important at bathtub and shower assemblies. Water management issues in a structure may go unrecognized for long periods,more » so that when they are finally observed, the damage from long-term water exposure is extensive. A gut rehab is often undertaken when a home has experienced a natural disaster or when the homeowners are interested in converting an old, high-energy-use building into a high-quality, efficient structure that meets or exceeds one of the national energy standards, such as ENERGY STAR or LEED for homes. During a gut rehab, bath areas need to be replaced with diligent attention to detail. Employing effective water management practices in the installation and detailing of tub and shower assemblies will minimize or eliminate water issues within the building cavities and on the finished surfaces. A residential tub-and-shower surround or shower-stall assembly is designed to handle a high volume of water - 2.5 gallons per minute, with multiple baths occurring during a typical day. Transitions between dissimilar materials and connections between multiple planes must be installed with care to avoid creating a pathway for water to enter the building assemblies. Due to the high volume of water and the consequential risk of water damage to the home's structure, a comprehensive water management system is imperative to protect the building assemblies underlying the finish surround of tub and shower areas. At each stage of construction, successive trades must take care not to create a defect nor to compound or cover up a previous trade's defect. Covering a defect hides the inevitable point of failure and may even exacerbate the situation.« less

  11. Treatment for childhood cancer -- long-term risks

    MedlinePlus

    ... and detect any problems early. What Causes Late Effects Some cancer treatments damage healthy cells. The damage ... are more sensitive to treatments) Types of Late Effects There are many types of late effects depending ...

  12. Voluntary or Mandatory? The Valence Framing Effect of Attitudes Regarding HPV Vaccination.

    PubMed

    Gesser-Edelsburg, Anat; Walter, Nathan; Shir-Raz, Yaffa; Green, Manfred S

    2015-01-01

    This study addresses the issue of valence framing effect in the context of immunization, a preventive behavior often addressed by the equation of benefit versus risk. The authors examined how framing (support vs. oppose) the issue of HPV vaccination in Israel's immunization routine affects attitudes regarding vaccine regulations. The study also examined issue involvement as a moderator of valence framing effect. The results demonstrate that participants in the positive framing condition tended to express greater support for voluntary immunization than participants in the negative framing condition (77.5% and 48.5%, respectively). Among those who supported the mandatory HPV immunization policy, the negative framing condition was more prominent than the positive condition (51.5% and 22.5%, respectively). The analysis of interaction between valence framing and issue involvement showed that the latter tends to moderate the direct effect of framing on attitudes towards vaccination. Findings indicate that even attitudes towards such consequential preventive behaviors as vaccination could be affected by different framing of the issue, especially for those who are less involved. Implications of predilection for freedom of choice regarding vaccination are also discussed.

  13. Selling off or selling out? Medical schools and ethical leadership in tobacco stock divestment.

    PubMed

    Wander, Nathaniel; Malone, Ruth E

    2004-11-01

    Medical and health science schools occupy a prestigious place in U.S. society. When they express a position on tobacco use--either by action or silence--that expression is consequential. Recognizing this, the tobacco industry has worked to sustain and exploit relationships with academic health sciences institutions. Corporate contributions to medical research are more visible, but institutional investments in tobacco stocks are also crucial to these relationships. The American Medical Association divested (sold) its tobacco holdings in 1986, urging others to do the same. Yet, as late as 2004, at least five of the leading dozen medical schools have not divested, and those that have seem reluctant to publicize their actions. The authors use internal tobacco industry documents and secondary source material to describe and analyze Philip Morris's response to two cases of threatened academic divestment. In each case, the world's largest tobacco company succeeded in minimizing the impact of divestment activities--in the first, by muting the consequences of a divestment, and in the second, by convincing university decisionmakers to recommend against tobacco stock divestment. In addition to arguing that tobacco divestment would lead to other pressures or be ineffective, the company exploited university concerns about losing corporate research funding as a key element of its antidivestment strategy. If academic medical centers regard protection of the public's health as a primary mission, divestment from tobacco holdings is essential; profiting from tobacco either through investments or research funding undermines this mission. Silent divestment squanders opportunities for ethical leadership and public dialogue.

  14. Coping – Late Side Effects

    Cancer.gov

    Cancer treatment can cause late side effects that may not show up for months or years after treatment. These late effects may include heart and lung problems, bone loss, eye and hearing changes, lymphedema, and other problems

  15. The Consequential Challenges of Climate Change

    DTIC Science & Technology

    2011-03-22

    LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON a. REPORT UNCLASSIFED b. ABSTRACT UNCLASSIFED c . THIS PAGE...3 precipitation events. As measured by multiple methods, the global annual average temperature rose 0.13˚ C per decade between 1955 and 2005...The IPCC projects global temperatures will rise by approximately 5 C in the next twenty years and 8 C to 4 C by the end of the century.15 These

  16. Linguistics, cognitive psychology, and the Now-or-Never bottleneck.

    PubMed

    Endress, Ansgar D; Katzir, Roni

    2016-01-01

    Christiansen & Chater (C&C)'s key premise is that "if linguistic information is not processed rapidly, that information is lost for good" (sect. 1, para. 1). From this "Now-or-Never bottleneck" (NNB), C&C derive "wide-reaching and fundamental implications for language processing, acquisition and change as well as for the structure of language itself" (sect. 2, para. 10). We question both the premise and the consequentiality of its purported implications.

  17. Do negative emotions expressed during follow-up consultations with adolescent survivors of childhood cancer reflect late effects?

    PubMed

    Mellblom, Anneli V; Ruud, Ellen; Loge, Jon Håvard; Lie, Hanne C

    2017-11-01

    To explore whether negative emotions expressed by adolescent cancer survivors during follow-up consultations were associated with potential late effects (persisting disease or treatment-related health problems). We video-recorded 66 follow-up consultations between 10 pediatricians and 66 adolescent survivors of leukemia, lymphoma or stem-cell transplantations. In transcripts of the recordings, we identified utterances coded as both 1) expressions of negative emotions (VR-CoDES), and 2) late effect-related discussions. Principles of thematic content analysis were used to investigate associations between the two. Of the 66 video-recorded consultations, 22 consultations contained 56 (49%) utterances coded as both emotional concerns and discussions of potential late effects. Negative emotions were most commonly associated with late effects such as fatigue ("I'm struggling with not having energy"), psychosocial distress ("When I touch this (scar) I become nauseous"), pain ("I'm wondering how long I am going to have this pain?"), and treatment-related effects on physical appearance ("Am I growing?"). Negative emotions expressed by adolescent cancer survivors during follow-up consultations were frequently associated with potential late effects. These late effects were not the medically most serious ones, but reflected issues affecting the adolescents' daily life. Eliciting and exploring patients' emotional concerns serve as means to obtain clinically relevant information regarding potential late effect and to provide emotional support. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. One-step fabrication of BaMoO4 microstructures with controlled morphologies via a simple EDTA-mediated route

    NASA Astrophysics Data System (ADS)

    Yin, Yongkui; Li, Ying; Zhang, Haifeng; Ren, Fengyun; Zhang, Dawei; Feng, Wenxu; Shao, Lili; Li, Kaijun; Liu, Yang; Sun, Zhanpeng; Li, Miaojing; Song, Gaochen; Wang, Guan

    2013-03-01

    A facile strategy has been developed to synthesize BaMoO4 microcrystals with different morphologies, such as octopus-like, flower-like, and Chinese-cabbage-like, by using ethylenediaminetetraacetic acid as chelating and capping reagent at room temperature. X-ray diffraction, field emission scanning electron microscopy, and Fourier transformer infrared spectroscopy were introduced to characterize the composition, morphology, and chemical information of the as-obtained products. The effects of a series of experimental parameters, such as ethylenediaminetetraacetic acid quantity and the reagent concentrations, on the morphology and photoluminescence properties of the consequential BaMoO4 microcrystals were investigated in detail. The photoluminescence spectra of the obtained BaMoO4 microstructures exhibited different emission intensities. This method could be readily extended to synthesize BaWO4 microstructures with various morphologies.

  19. Increasing Transparency Through a Multiverse Analysis.

    PubMed

    Steegen, Sara; Tuerlinckx, Francis; Gelman, Andrew; Vanpaemel, Wolf

    2016-09-01

    Empirical research inevitably includes constructing a data set by processing raw data into a form ready for statistical analysis. Data processing often involves choices among several reasonable options for excluding, transforming, and coding data. We suggest that instead of performing only one analysis, researchers could perform a multiverse analysis, which involves performing all analyses across the whole set of alternatively processed data sets corresponding to a large set of reasonable scenarios. Using an example focusing on the effect of fertility on religiosity and political attitudes, we show that analyzing a single data set can be misleading and propose a multiverse analysis as an alternative practice. A multiverse analysis offers an idea of how much the conclusions change because of arbitrary choices in data construction and gives pointers as to which choices are most consequential in the fragility of the result. © The Author(s) 2016.

  20. Ingenious Snake: An Adaptive Multi-Class Contours Extraction

    NASA Astrophysics Data System (ADS)

    Li, Baolin; Zhou, Shoujun

    2018-04-01

    Active contour model (ACM) plays an important role in computer vision and medical image application. The traditional ACMs were used to extract single-class of object contours. While, simultaneous extraction of multi-class of interesting contours (i.e., various contours with closed- or open-ended) have not been solved so far. Therefore, a novel ACM model named “Ingenious Snake” is proposed to adaptively extract these interesting contours. In the first place, the ridge-points are extracted based on the local phase measurement of gradient vector flow field; the consequential ridgelines initialization are automated with high speed. Secondly, the contours’ deformation and evolvement are implemented with the ingenious snake. In the experiments, the result from initialization, deformation and evolvement are compared with the existing methods. The quantitative evaluation of the structure extraction is satisfying with respect of effectiveness and accuracy.

  1. Antioxidant Potential of White Oyster Culinary-Medicinal Mushroom, Pleurotus florida (Higher Basidiomycetes).

    PubMed

    Ganeshpurkar, Aditya; Pardhi, Priya; Bhadoriya, Santosh Singh; Jain, Nikhil; Rai, Gopal; Jain, Alok Pal

    2015-01-01

    The present work was focused to evaluate in vitro antioxidant of Pleurotus florida. The hydroethanolic extract was prepared by macerating basidiocarp with water:ethanol (1:1). The antioxidant potential was evaluated by 1,1-diphenyl-2-picryl-hydrazyl (DPPH) radical scavenging activity, reducing power, chelating effects on ferrous ions, total antioxidant capacity, and lipid peroxidation inhibitory activity. Further total flavonoid and phenolic content was also estimated. The comparison between different antioxidant assays was done by correlation coefficient. The results from the antioxidant assays showed that hydroethanolic extract (HEE) might act as radical scavenger to a certain extent. The distinct scavenging activities of HEE can be due to the diverse phytochemical constituents. Being a rich source of antioxidants, P. florida can be used as an accessible source of natural antioxidants with consequential health benefits.

  2. Personality Processes: Mechanisms by which Personality Traits “Get Outside the Skin”

    PubMed Central

    Hampson, Sarah E.

    2011-01-01

    It is time to better understand why personality traits predict consequential outcomes, which calls for a closer look at personality processes. Personality processes are mechanisms that unfold over time to produce the effects of personality traits. They include reactive and instrumental processes that moderate or mediate the association between traits and outcomes. These mechanisms are illustrated here by a selection of studies of traits representing the three broad domains of personality and temperament: negative emotionality, positive emotionality, and constraint. Personality processes are studied over the short-term, as in event-sampling studies, and over the long-term, as in lifespan research. Implications of findings from the study of processes are considered for resolving issues in models of personality structure, improving and extending methods of personality assessment, and identifying targets for personality interventions. PMID:21740225

  3. Influence of an Intermediate Option on the Description-Experience Gap and Information Search

    PubMed Central

    Sharma, Neha; Debnath, Shoubhik; Dutt, Varun

    2018-01-01

    Research shows that people tend to overweight small probabilities in description and underweight them in experience, thereby leading to a different pattern of choices between description and experience; a phenomenon known as the Description-Experience (DE) gap. However, little is known on how the addition of an intermediate option and contextual framing influences the DE gap and people’s search strategies. This paper tests the effects of an intermediate option and contextual framing on the DE gap and people’s search strategies, where problems require search for information before a consequential choice. In the first experiment, 120 participants made choice decisions across investment problems that differed in the absence or presence of an intermediate option. Results showed that adding an intermediate option did not reduce the DE gap on the maximizing option across a majority of problems. There were a large majority of choices for the intermediate option. Furthermore, there was an increase in switching between options due to the presence of the intermediate option. In the second experiment, 160 participants made choice decisions in problems like those presented in experiment 1; however, problems lacked the investment framing. Results replicated findings from the first experiment and showed a similar DE gap on the maximizing option in a majority of problems in both the absence and presence of the intermediate option. Again, there were a large majority of choices for the intermediate option. Also, there was an increase in switching between options due to the presence of the intermediate option. Meta-analyses revealed that the absence or presence of the intermediate option created certain differences in the strength of frequency and recency processes. Also, a single natural-mean heuristic model was able to account for the experimental results across both experiments. We discuss implications of our findings to consequential decisions made after information search. PMID:29643821

  4. Economic analysis of HPAI control in the Netherlands II: comparison of control strategies.

    PubMed

    Longworth, N; Mourits, M C M; Saatkamp, H W

    2014-06-01

    A combined epidemiological-economic modelling approach was used to analyse strategies for highly pathogenic avian influenza (HPAI) control for the Netherlands. The modelling framework used was InterSpread Plus (ISP), a spatially based, stochastic and dynamic simulation model. A total of eight control strategies were analysed, including pre-emptive depopulation and vaccination strategies. The analysis was carried out for three different regions in the Netherlands: high-, medium- and low-density areas (HDA, MDA and LDA, respectively). The analysis included the veterinary impact (e.g. number of infected premises and duration), but was particularly focused on the impact on direct costs (DC) and direct consequential costs. The efficient set of control strategies for HDA and MDA included strategies based on either pre-emptive depopulation only or combined vaccination and pre-emptive depopulation: D2 (pre-emptive depopulation within a radius of 2 km), RV3 + D1 (ring vaccination within a radius of 3 km and additional pre-emptive depopulation within a radius of 1 km) and PV + D1 (preventive vaccination in non-affected HDAs and pre-emptive depopulation within a radius of 1 km in the affected HDA). Although control solely based on depopulation in most cases showed to be effective for LDA, pre-emptive depopulation showed to have an additional advantage in these areas, that is, prevention of 'virus jumps' to other areas. The pros and cons of the efficient control strategies were discussed, for example, public perception and risk of export restrictions. It was concluded that for the Netherlands control of HPAI preferably should be carried out using strategies including pre-emptive depopulation with or without vaccination. Particularly, the short- and long-term implications on export, that is, indirect consequential costs (ICC) and aftermath costs of these strategies, should be analysed further. © 2012 Blackwell Verlag GmbH.

  5. Influence of an Intermediate Option on the Description-Experience Gap and Information Search.

    PubMed

    Sharma, Neha; Debnath, Shoubhik; Dutt, Varun

    2018-01-01

    Research shows that people tend to overweight small probabilities in description and underweight them in experience, thereby leading to a different pattern of choices between description and experience; a phenomenon known as the Description-Experience (DE) gap. However, little is known on how the addition of an intermediate option and contextual framing influences the DE gap and people's search strategies. This paper tests the effects of an intermediate option and contextual framing on the DE gap and people's search strategies, where problems require search for information before a consequential choice. In the first experiment, 120 participants made choice decisions across investment problems that differed in the absence or presence of an intermediate option. Results showed that adding an intermediate option did not reduce the DE gap on the maximizing option across a majority of problems. There were a large majority of choices for the intermediate option. Furthermore, there was an increase in switching between options due to the presence of the intermediate option. In the second experiment, 160 participants made choice decisions in problems like those presented in experiment 1; however, problems lacked the investment framing. Results replicated findings from the first experiment and showed a similar DE gap on the maximizing option in a majority of problems in both the absence and presence of the intermediate option. Again, there were a large majority of choices for the intermediate option. Also, there was an increase in switching between options due to the presence of the intermediate option. Meta-analyses revealed that the absence or presence of the intermediate option created certain differences in the strength of frequency and recency processes. Also, a single natural-mean heuristic model was able to account for the experimental results across both experiments. We discuss implications of our findings to consequential decisions made after information search.

  6. Survivors of childhood cancer in South Australia attending a late-effects clinic: a descriptive report of psychological, cognitive, and academic late-effects.

    PubMed

    Roberts, Rachel M; Robins, Tamara; Gannoni, Anne F; Tapp, Heather

    2014-01-01

    This study provides a description of psychological late effects among a heterogeneous cohort of pediatric cancer survivors (N = 70) attending the South Australian Late-effects Clinic. Survivors reported more problems on the Strengths and Difficulties Questionnaire and the Child Behavior Checklist compared to normative data but no differences in Sluggish Cognitive Tempo scores. Forty-six percent of the sample reported school difficulties, and 12% of the sample age older than 15 reported smoking. Late-effects clinics should continue to monitor psychological well-being and health behaviors. Further research is recommended to determine whether sluggish cognitive tempo is a useful concept for the assessment of survivors.

  7. Microgravity and Cellular Consequences in Lymphocyte Function

    NASA Technical Reports Server (NTRS)

    Pellis, Neal R.; Sundaresan, Alamelu

    2004-01-01

    Mammalian cells adapt to the environment of low gravity and express a series of responses, some possibly from direct effects on cells and others based on environmental conditions created by microgravity. Human lymphocytes in microgravity culture are functionally diminished in activation and locomotion. Both processes are integral to optimal immune response to fight pathogens. The NASA Rotating-wall vessel (RWV) is a well-accepted analog for microgravity culture on the ground. Gene array experiments and immunoblotting identified upstream events in human lymphocytes adapting to microgravity analog culture. Microgravity induces selective changes, many of which are cell membrane related. Results showed that upstream of PKC in the T cell activation cascade, PLC-gamma and LAT are significantly diminished. ZAP 70 which controls LAT activation is also down regulated in modeled microgravity. Thus events governing cell shape might warrant attention in microgravity conditions. The goal of this study is to delineate response suites that are consequential, direct or indirect effects of the microgravity environment and which of these are essential to lymphocytes

  8. Effects of low-molecular-weight organic acids on the acute lethality, accumulation, and enzyme activity of cadmium in Eisenia fetida in a simulated soil solution.

    PubMed

    Liu, Hai-Long; Wang, Yu-Jun; Xuan, Liang; Dang, Fei; Zhou, Dong-Mei

    2017-04-01

    In the present study, the effects of low-molecular-weight organic acids (LMWOAs) on the toxicity of cadmium (Cd) to Eisenia fetida were investigated in a simulated soil solution. The LMWOAs protected E. fetida from Cd toxicity, as indicated by the increased median lethal concentration (LC50) values and the increased activity of superoxide dismutase. In addition, Cd concentrations in E. fetida decreased dramatically in the presence of LMWOAs. These results were likely because of the complexation between Cd and LMWOAs, which decreased the bioavailability and consequential toxicity of Cd to E. fetida. Notably, LMWOAs reduced Cd toxicity in decreasing order (ethylenediamine tetraacetic acid [EDTA] > citric acid > oxalic acid > malic acid > acetic acid), which was consistent with the decreasing complexation constants between LMWOAs and Cd. These results advance our understanding of the interactions between Cd and LMWOAs in soil. Environ Toxicol Chem 2017;36:1005-1011. © 2016 SETAC. © 2016 SETAC.

  9. Big two personality and big three mate preferences: similarity attracts, but country-level mate preferences crucially matter.

    PubMed

    Gebauer, Jochen E; Leary, Mark R; Neberich, Wiebke

    2012-12-01

    People differ regarding their "Big Three" mate preferences of attractiveness, status, and interpersonal warmth. We explain these differences by linking them to the "Big Two" personality dimensions of agency/competence and communion/warmth. The similarity-attracts hypothesis predicts that people high in agency prefer attractiveness and status in mates, whereas those high in communion prefer warmth. However, these effects may be moderated by agentics' tendency to contrast from ambient culture, and communals' tendency to assimilate to ambient culture. Attending to such agentic-cultural-contrast and communal-cultural-assimilation crucially qualifies the similarity-attracts hypothesis. Data from 187,957 online-daters across 11 countries supported this model for each of the Big Three. For example, agentics-more so than communals-preferred attractiveness, but this similarity-attracts effect virtually vanished in attractiveness-valuing countries. This research may reconcile inconsistencies in the literature while utilizing nonhypothetical and consequential mate preference reports that, for the first time, were directly linked to mate choice.

  10. Effects of Absorbing Aerosols on Accelerated Melting of Snowpack in the Tibetan-Himalayas Region

    NASA Technical Reports Server (NTRS)

    Lau, William K. M.

    2011-01-01

    The impacts of absorbing aerosol on melting of snowpack in the Hindu-Kush-Tibetan-Himalayas (HKTH) region are studied using NASA satellite and GEOS-5 GCM. Results from GCM experiments shows that a 8-10% in the rate of melting of snowpack over the western Himalayas and Tibetan Plateau can be attributed to the aerosol elevated-heat-pump (EHP) feedback effect (Lau et al. 2008), initiated by the absorption of solar radiation by absorbing aerosols accumulated over the Indo-Gangetic Plain and Himalayas foothills. On the other hand, deposition of black carbon on snow surface was estimated to give rise to a reduction in snow surface albedo of 2 - 5%, and an increased annual runoff of 9-24%. From case studies using satellite observations and re-analysis data, we find consistent signals of possible impacts of dust and black carbon aerosol in blackening snow surface, in accelerating spring melting of snowpack in the HKHT, and consequentially in influencing shifts in long-term Asian summer monsoon rainfall pattern.

  11. Beam-beam interaction study of medium energy eRHIC

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

    Hao,Y.; Litvinenko, V. N.; Ptitsyn, V.

    Medium Energy eRHIC (MeRHIC), the first stage design of eRHIC, includes a multi-pass ERL that provides 4GeV high quality electron beam to collide with the ion beam of RHIC. It delivers a minimum luminosity of 10{sup 32} cm{sup -2}s{sup -1}. Beam-beam effects present one of major factors limiting the luminosity of colliders. In this paper, both beam-beam effects on the electron beam and the proton beam in MeRHIC are investigated. The beam-beam interaction can induce a head-tail type instability of the proton beam referred to as the kink instability. Thus, beam stability conditions should be established to avoid proton beammore » loss. Also, the electron beam transverse disruption by collisions has to be evaluated to ensure that the beam quality is good enough for the energy recovery pass. The relation of proton beam stability, electron disruption and consequential luminosity are carried out after thorough discussion.« less

  12. Positive psychological effects of space missions

    NASA Astrophysics Data System (ADS)

    Ritsher, Jennifer Boyd; Ihle, Eva C.; Kanas, Nick

    2005-07-01

    Being in space is a powerful experience that can have an enduring, positive impact on the psychological well-being of astronauts and cosmonauts. We sought to examine the frequency, intensity and distribution of such salutogenic experiences among persons who have flown in space, using a questionnaire we developed based on the scientific literature and first person accounts. All participants reported positive effects of being in space, but the degree of change varied widely, and some experiences were particularly common. Three of our five predicted attitude behavior relationships were supported by the data. Response patterns did not vary according to demographics or time in space. Cluster analysis yielded two groups of participants. One group was generally more reactive and also placed a higher priority on perceptions of space than did the other group. We conclude that positive experiences are common among space travelers and seem to cluster into meaningful patterns that may be consequential for Mars missions. We consider the possible selection, training, and monitoring issues raised by our findings.

  13. Women with breast cancer report substantially more disease- and treatment-related side or late effects than registered by clinical oncologists: a cross-sectional study of a standard follow-up program in an oncological department.

    PubMed

    Ellegaard, Mai-Britt Bjørklund; Grau, Cai; Zachariae, Robert; Jensen, Anders Bonde

    2017-08-01

    Follow-up after breast cancer treatment is standard due to the risk of development of new primary cancers and recurrent disease. The aim of the present study was to evaluate a standard follow-up program in an oncological department by assessing: (1) Symptoms or signs of new primary cancer or recurrent disease, (2) Disease- and treatment-related physical and psychosocial side or late effects, and (3) relevant actions by oncology staff. In a cross-sectional study, 194 women who came for follow-up visit after treatment for primary surgery were included. The clinical oncologists registered symptoms and signs of recurrent disease or new primary cancer. Side or late effects were both assessed by patient and the clinical oncologists. Loco-regional or distant signs of recurrent disease were suspected in eight (5%) patients. Further examinations revealed no disease recurrence. Most patients (93%) reported some degree of side or late effects. Statistically significant more side or late effects were reported by the women (average: 6.9) than registered by the clinical oncologists (average: 2.4), p < 0.001. The three most often patient-reported side or late effects were hot flushes (35%), fatigue (32%), and sleep disturbance (31%). None of the scheduled or additional visits resulted in detection of recurrent disease. Furthermore, the majority of patients reported side or late effects. Statistically significant more women reported side or late effects than registered by the clinical oncologists. This suggests the need for rethinking of the follow-up programs with more emphasis upon side or late effects of the treatment.

  14. Late effects awareness website for pediatric survivors of acute lymphocytic leukemia

    PubMed Central

    Navarro, Ana; Klonoff, Elizabeth A.

    2018-01-01

    Objectives Every day 43 children are newly diagnosed with cancer. Fortunately, almost 90% of these childhood cancer patients will survive. However, 60–90% of these survivors will experience late effects, health problems that occur months or years after treatment has ended. Late effects could occur as a result of the disease, its treatment, and patient-related factors. The two main objectives of this research are to: 1) Examine the existence of all web-based resources for childhood cancer survivors with acute lymphocytic leukemia which focus on medical and psychological aspects of late effects, and 2) Create an innovative website specifically designed to fill this void. Materials and methods A systematic literature review, followed by input from >20 different organizations, resulted in the creation of LEAP3 AHEAD (Late Effects Awareness for Patients, Physicians and the Public; Advancing Health and Eliminating All Disparities), a multi-dimensional website centering on late effects. Results An extensive review revealed 14 pediatric cancer websites, none of which focused exclusively on late effects. LEAP3 AHEAD is the first interactive website for acute lympocytic leukemia childhood cancer survivors and families, as well as physicians, and the public to: a) increase awareness about risks, detection, diagnosis, treatment, and prevention of medical and psychological late effects, b) provide suggestions to successfully reintegrate into schools, careers, and socially, and c) present opportunities including camps, scholarships, and pet therapy programs. Conclusion LEAP3 AHEAD is the first national website to provide a comprehensive, accessible, affordable, and multi-dimensional resource for pediatricians, internists, nurse practitioners, psychologists, survivors and their families, as well as the public about late effects. PMID:29451924

  15. Late Effects Following Treatment of Hodgkin Lymphoma During Childhood and Adolescence. Results of the Hodgkin Lymphoma Late Effects Research Project.

    PubMed

    Dörffel, W; Riepenhausen, M; Lüders, H; Brämswig, J

    2016-11-01

    Survival rates have been excellent in patients treated for Hodgkin lymphoma (HL) during childhood and adolescence. Unfortunately, severe treatment related late effects have been observed. It was therefore an important aim of the cooperative pediatric HL therapy studies in Germany to reduce the number of late effects without jeopardizing the excellent treatment results. Progress and relapses of HL were analyzed to obtain important information for the future salvage therapy. All late effects were documented and their etiologies analyzed. Information obtained from bacterial infections and late deaths following splenectomy were used to inform patients at risk and their local physicians about necessary preventive measurements. Procarbazine was recognized as major gonadotoxic agent in boys and eliminated successively from the treatment regimens. Parenthood was normal in female patients when compared to the German female population documenting normal ovarian function except in patients with pelvic radiation. Radiation was the most important risk factor for thyroid diseases, cardiac late effects and subsequent malignant neoplasms, especially thyroid and breast cancer. A special screening program was initiated for women with chest radiotherapy, since they had a high risk of breast cancer already at a young age. The results of the HL Late Effects Research Project are important for the aftercare of patients and for the design of future HL treatment regimens. © Georg Thieme Verlag KG Stuttgart · New York.

  16. Models of morality

    PubMed Central

    Crockett, Molly J.

    2013-01-01

    Moral dilemmas engender conflicts between two traditions: consequentialism, which evaluates actions based on their outcomes, and deontology, which evaluates actions themselves. These strikingly resemble two distinct decision-making architectures: a model-based system that selects actions based on inferences about their consequences; and a model-free system that selects actions based on their reinforcement history. Here, I consider how these systems, along with a Pavlovian system that responds reflexively to rewards and punishments, can illuminate puzzles in moral psychology. PMID:23845564

  17. Space Station Program threat and vulnerability analysis

    NASA Technical Reports Server (NTRS)

    Van Meter, Steven D.; Veatch, John D.

    1987-01-01

    An examination has been made of the physical security of the Space Station Program at the Kennedy Space Center in a peacetime environment, in order to furnish facility personnel with threat/vulnerability information. A risk-management approach is used to prioritize threat-target combinations that are characterized in terms of 'insiders' and 'outsiders'. Potential targets were identified and analyzed with a view to their attractiveness to an adversary, as well as to the consequentiality of the resulting damage.

  18. On NEO Threat Mitigation (Preprint)

    DTIC Science & Technology

    2007-10-15

    Yucatan event is at least a major contributor, if not the direct cause of the extinction of the dinosaurs . Moreover, it is clear that NEO impacts can... extinction of the human race. The probability of these events decreases with the severity of the impact, and size (mass) of the NEO. Figure 1 and Table 1...thus, it is more reasonable to infer that all the large NEOs can be catalogued within a reasonable time, while smaller and less consequential

  19. Preparing for the Speaking Tasks of the "TOEFL iBT"® Test: An Investigation of the Journeys of Chinese Test Takers. "TOEFL iBT"® Research Report. TOEFL iBT-28. ETS Research Report. RR-17-19

    ERIC Educational Resources Information Center

    Yu, Guoxing; He, Lianzhen; Rea-Dickins, Pauline; Kiely, Richard; Lu, Yanbin; Zhang, Jing; Zhang, Yan; Xu, Shasha; Fang, Lin

    2017-01-01

    Language test preparation has often been studied within the consequential validity framework in relation to ethics, equity, fairness, and washback of assessment. The use of independent and integrated speaking tasks in the "TOEFL iBT"® test represents a significant development and innovation in assessing speaking ability in academic…

  20. Research and clinical aspects of the late effects of poliomyelitis

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

    Halstead, L.S.; Wiechers, D.O.

    1986-01-01

    This book contains 32 selections. Some of the titles are: Late effects of Polio: Historical Perspectives; Sleep-Disordered Breathing as a Late Effect of Poliomyelitis; Clinical Subtypes, DNA Repair Efficiency, and Therapeutic Trials in the Post-Polio Syndromes; and Post-Polio Muscle Function.

  1. An overture to overeating: The cross-modal effects of acoustic pitch on food preferences and serving behavior.

    PubMed

    Lowe, Michael; Ringler, Christine; Haws, Kelly

    2018-04-01

    Billions of dollars are spent annually with the aim of enticing consumers to purchase food. Yet despite the prevalence of such advertising, little is known about how the actual sensation of this advertising media affects consumer behavior, including consequential choices regarding food. This paper explores the effect of acoustic pitch in food advertising, demonstrating in two studies, including a field study in a live retail environment, how the perception of pitch in advertising can impact food desirability and decisions regarding serving size. In study 1, a field study, pitch affects actual serving sizes and purchase behavior in a live, self-serve retail setting, with low pitch leading to larger serving sizes. Study 2 demonstrates how low pitch increases desire for a food product among hungry consumers, and that this effect is mediated by perceptions of size and how filling consumers believe the product will be. We discuss these results in the context of cross-modal correspondence and mental imagery. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. An avian influenza H5N1 virus vaccine candidate based on the extracellular domain produced in yeast system as subviral particles protects chickens from lethal challenge.

    PubMed

    Pietrzak, Maria; Macioła, Agnieszka; Zdanowski, Konrad; Protas-Klukowska, Anna Maria; Olszewska, Monika; Śmietanka, Krzysztof; Minta, Zenon; Szewczyk, Bogusław; Kopera, Edyta

    2016-09-01

    Highly pathogenic avian influenza is an on-going problem in poultry and a potential human pandemic threat. Pandemics occur suddenly and vaccine production must be fast and effective to be of value in controlling the spread of the virus. In this study we evaluated the potential of a recombinant protein from the extracellular domain of an H5 hemagglutinin protein produced in a yeast expression system to act as an effective vaccine. Protein production was efficient, with up to 200 mg purified from 1 L of culture medium. We showed that the deletion of the multibasic cleavage site from the protein improves oligomerization and, consequentially, its immunogenicity. We also showed that immunization with this deleted protein protected chickens from challenge with a highly pathogenic avian influenza H5N1 virus. Our results suggest that this recombinant protein produced in yeast may be an effective vaccine against H5N1 virus in poultry. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

  3. Effects of early and late harvest on agronomic performance and stability of late blight resistant (R-gene free) potato genotypes

    USDA-ARS?s Scientific Manuscript database

    To assess the effectiveness of genotype resistance to potato late blight, foliar blight development, area under disease progress curves (AUDPC) and tuber blight were quantified. Late blight resistant potato genotypes (R-gene free) were assessed for yield performance and stability at early (90 days) ...

  4. Religiousness, spiritual seeking, and personality: findings from a longitudinal study.

    PubMed

    Wink, Paul; Ciciolla, Lucia; Dillon, Michele; Tracy, Allison

    2007-10-01

    The hypothesis that personality characteristics in adolescence can be used to predict religiousness and spiritual seeking in late adulthood was tested using a structural equation modeling framework to estimate cross-lagged and autoregressive effects in a two-wave panel design. The sample consisted of 209 men and women participants in the Berkeley Guidance and Oakland Growth studies. In late adulthood, religiousness was positively related to Conscientiousness and Agreeableness, and spiritual seeking was related to Openness to Experience. Longitudinal models indicated that Conscientiousness in adolescence significantly predicted religiousness in late adulthood above and beyond adolescent religiousness. Similarly, Openness in adolescence predicted spiritual seeking in late adulthood. The converse effect, adolescent religiousness to personality in late adulthood, was not significant in either model. Among women, adolescent Agreeableness predicted late-life religiousness and adolescent religiousness predicted late-life Agreeableness; both these effects were absent among men. Adolescent personality appears to shape late-life religiousness and spiritual seeking independent of early religious socialization.

  5. Impact of late radiation effects on cancer survivor children: an integrative review

    PubMed Central

    Coura, Cibeli Fernandes; Modesto, Patrícia Cláudia

    2016-01-01

    ABSTRACT We aimed to identify the late effects of radiation exposure in pediatric cancer survivors. An integrated literature review was performed in the databases MEDLINE and LILACS and SciELO. Included were articles in Portuguese and English, published over the past 10 years, using the following keywords: “neoplasias/neoplasms” AND “radioterapia/radiotherapy” AND “radiação/radiation”. After analysis, 14 articles - published in nine well-known journals - met the inclusion criteria. The publications were divided into two categories: “Late endocrine effects” and “Late non-endocrine effects”. Considering the increased survival rates in children who had cancer, the impact of late effects of exposure to radiation during radiological examinations for diagnosis and treatment was analyzed. Childhood cancer survivors were exposed to several late effects and should be early and regularly followed up, even when exposed to low radiation doses. PMID:26313432

  6. Aerospace technology and commercial nuclear power; Proceedings of the Workshop Conference, Williamsburg, VA, November 18-20, 1981

    NASA Technical Reports Server (NTRS)

    Grey, J. (Editor)

    1982-01-01

    An attempt has been made to compare the technologies, institutions and procedures of the aerospace and commercial nuclear power industries, in order to characterize similarities and contrasts as well as to identify the most fruitful means by which to transfer information, technology, and procedures between the two industries. The seven working groups involved in this study took as their topics powerplant design formulation and effectiveness, plant safety and operations, powerplant control technology and integration, economic and financial analyses, public relations, and the management of nuclear waste and spent fuel. Consequential differences are noted between the two industries in matters of certification and licencing procedures, assignment of responsibility for both safety and financial performance, and public viewpoint. Areas for beneficial interaction include systems management and control and safety system technology. No individual items are abstracted in this volume

  7. Preparation and Characterization of Novel Montmorillonite Nanocomposites

    NASA Astrophysics Data System (ADS)

    Mansa, Rola

    Clay minerals have historically played a consequential role in human health. While the beginnings were rooted in geophagy, a primitive act of consuming earth, the health-related uses of clay minerals have evolved and diversified over time.. As excipients in pharmaceutical formulations, clay minerals can attribute novel properties onto intercalated compounds. Intercalating oxybenzone, a UV filter, within the interlamellar space of montmorillonite is desirable in order to minimize direct contact with skin. Intercalating resveratrol, a compound known for attributing beneficial effects onto human health, may be advantageous since this compound is susceptible to cis-trans isomerisation. The strategy of using alkylammonium--modified clay was undertaken and proved successful for the intercalation of oxybenzone. The field of biopolymer/layered silicate nanocomposites is heavily researched for use in a multitude of applications. Novel montmorillonite nanocomposites were prepared with neutral guar gum and cationic guar gum, using an environmentally friendly process and are fully characterized.

  8. The role of OSHA violations in serious workplace accidents.

    PubMed

    Mendeloff, J

    1984-05-01

    California accident investigations for 1976 show that violations of the Occupational Safety and Health Administration's safety standards were a contributing factor in 13% to 19% of the 645 deaths reported to the workers' compensation program during that year. However, a panel of safety engineers judged that only about 50% of these violations could have been detected if an inspector had visited the day before the accident. These findings indicate that the potential gains from stronger enforcement of current standards are limited but not insignificant. The likelihood that a violation contributed to a serious accident varied considerably among accident types, industries, and size classes of plants. These findings can be used to increase the efficiency and effectiveness of the OSHA program by means of better targeting of inspections and accident investigations, more intelligent assessment of which violations should be penalized most heavily, and the provision of information to employers and workers about which violations are most consequential.

  9. Does Who I Am or How I Regulate Matter? Consequences of Manipulation of Emotion Regulation Strategies.

    PubMed

    Ali, Sideeka; Alea, Nicole

    2017-07-01

    This study experimentally examined the affective and social consequences of emotion regulation in men and women from young adulthood to old age. Participants were instructed to reappraise, suppress, or given no instructions while recalling a negative memory about their romantic relationship. Participants were 191 adults in a Trinidadian lifespan sample. Engaging in suppression resulted in higher relationship satisfaction, particularly for women, whereas engaging in reappraisal reduced negative affect for middle-aged versus younger adults. Reappraisal was, however, particularly consequential for young women who experienced higher levels of negative affect compared with men of the same age and older aged women. Regardless of instructions, older adults experienced higher relationship satisfaction, higher positive and lower negative affect than younger aged adults. Results are discussed considering the positivity effect for older adults, and how the current and historical climate of Trinidad influences the way women regulate their emotions.

  10. Promoting the use of seat belts. Wessex Positive Health Team.

    PubMed

    1980-11-29

    A six-month study into the effect of a substantial programme of integrated health education promoting the use of seat belts showed no major change in the rates for occupants of front seats, which remained around 35%. Though there were increases of up to 5% in the rates for wearing seat belts immediately after the multimedia campaigns which achieved high penetration, only those among women drivers were sustained. Of the methods used to disseminate information, television had the greatest impact on the community, followed by press reports and radio broadcasts. It is concluded that health education alone is insufficient to increase significantly the use of car seat belts. Britain should follow its European partners and pass legislation requiring front seat occupants to wear belts. As the recent experience in Australia shows, the benefits will be considerable in terms of reducing mortality, morbidity, and consequential expenditure.

  11. Influence of novel oral anticoagulants on anticoagulation care management.

    PubMed

    Janzic, Andrej; Kos, Mitja

    2017-09-01

    Anticoagulation treatment was recently improved by the introduction of novel oral anticoagulants (NOACs). Using a combination of qualitative and quantitative methods, this study explores the effects of the introduction of NOACs on anticoagulation care in Slovenia. Face-to-face interviews with key stakeholders revealed evolvement and challenges of anticoagulation care from different perspectives. Obtained information was further explored through the analysis of nationwide data of drug prescriptions and realization of health care services. Simplified management of anticoagulation treatment with NOACs and their high penetration expanded the capacity of anticoagulation clinics, and consequentially the treated population increased by more than 50 % in the last 5 years. The main challenge concerned the expenditures for medicines, which increased approximately 10 times in just a few years. At the same time, the anticoagulation clinics and their core organisation were not affected, which is not expected to change, since they are vital in delivering high-quality care.

  12. The biological function of an insect antifreeze protein simulated by molecular dynamics

    PubMed Central

    Kuiper, Michael J; Morton, Craig J; Abraham, Sneha E; Gray-Weale, Angus

    2015-01-01

    Antifreeze proteins (AFPs) protect certain cold-adapted organisms from freezing to death by selectively adsorbing to internal ice crystals and inhibiting ice propagation. The molecular details of AFP adsorption-inhibition is uncertain but is proposed to involve the Gibbs–Thomson effect. Here we show by using unbiased molecular dynamics simulations a protein structure-function mechanism for the spruce budworm Choristoneura fumiferana AFP, including stereo-specific binding and consequential melting and freezing inhibition. The protein binds indirectly to the prism ice face through a linear array of ordered water molecules that are structurally distinct from the ice. Mutation of the ice binding surface disrupts water-ordering and abolishes activity. The adsorption is virtually irreversible, and we confirm the ice growth inhibition is consistent with the Gibbs–Thomson law. DOI: http://dx.doi.org/10.7554/eLife.05142.001 PMID:25951514

  13. [Sleep disturbances in Parkinson's disease: characteristics, evaluation and therapeutic approaches].

    PubMed

    Faludi, Béla; Janszky, József; Komoly, Sámuel; Kovács, Norbert

    2015-07-05

    Parkinson's disease is a well known representent of the movement disorder group of neurological disorders. The diagnosis of Parkinson's disease is based on specific symptoms and signs of movement abnormalities. In addition to classic motor symptoms, Parkinson's disease has characteristic non-motor features, and some of these emerges the classic signs. The authors discuss characteristics and therapeutic interventions in Parkinson's disease related sleep disturbances. The authors reviewed and summarised literature data on sleep disorders in Parkinson's disease published in the PubMed database up to January 2015. Sleep problems are important non-motor complains (insomnia, hypersomnia, REM behaviour disorder, sleep apnea and restless legs syndrome). The neurodegenerative process of the brain-stem, the effect of symptoms of Parkinson's disease on sleep and concomitant sleep disorders constitute the background of the patient's complains. Appropriate diagnosis and therapy of the consequential or concomitant sleep disorders in Parkinson's disease will help to improve the patient's quality of life.

  14. Unconscious affective reactions to masked happy versus angry faces influence consumption behavior and judgments of value.

    PubMed

    Winkielman, Piotr; Berridge, Kent C; Wilbarger, Julia L

    2005-01-01

    The authors explored three properties of basic, unconsciously triggered affective reactions: They can influence consequential behavior, they work without eliciting conscious feelings, and they interact with motivation. The authors investigated these properties by testing the influence of subliminally presented happy versus angry faces on pouring and consumption of beverage (Study 1), perception of beverage value (Study 2), and reports of conscious feelings (both studies). Consistent with incentive motivation theory, the impact of affective primes on beverage value and consumption was strongest for thirsty participants. Subliminal smiles caused thirsty participants to pour and consume more beverage (Study 1) and increased their willingness to pay and their wanting more beverage (Study 2). Subliminal frowns had the opposite effect. No feeling changes were observed, even in thirsty participants. The results suggest that basic affective reactions can be unconscious and interact with incentive motivation to influence assessment of value and behavior toward valenced objects.

  15. Primary aldosteronism: diagnosis and treatment.

    PubMed

    Pimenta, Eduardo; Calhoun, David A

    2006-12-01

    Recent studies have indicated a higher prevalence of primary aldosteronism (PA) than reported historically. Aldosterone excess induces sodium and fluid retention with consequential increases in blood pressure. Patients with PA are at an increased risk of developing left ventricular hypertrophy, chronic kidney disease, and endothelial dysfunction. Measurement of the plasma aldosterone/plasma renin activity ratio is an effective screening test for PA. The majority of patients with PA do not have a discernable aldosterone-producing adenoma (APA), and the aldosterone excess is considered idiopathic in etiology and/or attributed to adrenal hyperplasia. Treatment of PA includes medical therapy with mineralocorticoid receptor antagonists and adrenalectomy for patients with a unilateral APA. A reasonable treatment strategy is to attempt medical therapy in all patients with a high plasma aldosterone/PRA ratio and reserve the extensive workup needed to identify an APA for those patients whose hypertension or hypokalemia cannot be controlled medically.

  16. Effect of glucocorticosteroid treatment on ovalbumin-induced IgE-mediated immediate and late allergic response in guinea pig.

    PubMed

    Andersson, P; Brange, C; von Kogerer, B; Sonmark, B; Stahre, G

    1988-01-01

    The effect of glucocorticosteroid (GCS) treatment on ovalbumine-induced IgE-mediated immediate and late allergic response was studied in sensitized guinea pigs. The results show that the GCS budesonide (BUD) inhibits the allergen-induced IgE-mediated immediate and late bronchial obstruction. The effect on the early reaction is correlated to the inhibition of leukotrienes and histamine release. The importance of mediator release inhibition for the antianaphylactic effect of GCS is discussed. In examining the effect on the late reaction, it was found that BUD had to be present during the early reaction but did not inhibit the early reaction. Furthermore, the effect on the late reaction was correlated to the inhibition of vascular leakage but not to the infiltration of inflammatory cells as examined in bronchoalveolar lavage. The results indicate that some triggering factors important for the development of the late reaction are released during the early reaction. Inhibition of the release of that factor or the activation of inflammatory cells by that factor might be the mechanism behind the antiinflammatory activities of GCS.

  17. Green space propulsion: Opportunities and prospects

    NASA Astrophysics Data System (ADS)

    Gohardani, Amir S.; Stanojev, Johann; Demairé, Alain; Anflo, Kjell; Persson, Mathias; Wingborg, Niklas; Nilsson, Christer

    2014-11-01

    Currently, toxic and carcinogenic hydrazine propellants are commonly used in spacecraft propulsion. These propellants impose distinctive environmental challenges and consequential hazardous conditions. With an increasing level of future space activities and applications, the significance of greener space propulsion becomes even more pronounced. In this article, a selected number of promising green space propellants are reviewed and investigated for various space missions. In-depth system studies in relation to the aforementioned propulsion architectures further unveil possible approaches for advanced green propulsion systems of the future.

  18. INTRINSIC CURVATURE: A MARKER OF MILLIMETER-SCALE TANGENTIAL CORTICO-CORTICAL CONNECTIVITY?

    PubMed Central

    RONAN, LISA; PIENAAR, RUDOLPH; WILLIAMS, GUY; BULLMORE, ED; CROW, TIM J.; ROBERTS, NEIL; JONES, PETER B.; SUCKLING, JOHN; FLETCHER, PAUL C.

    2012-01-01

    In this paper, we draw a link between cortical intrinsic curvature and the distributions of tangential connection lengths. We suggest that differential rates of surface expansion not only lead to intrinsic curvature of the cortical sheet, but also to differential inter-neuronal spacing. We propose that there follows a consequential change in the profile of neuronal connections: specifically an enhancement of the tendency towards proportionately more short connections. Thus, the degree of cortical intrinsic curvature may have implications for short-range connectivity. PMID:21956929

  19. Virtue ethics – an old answer to a new dilemma? Part 2. The case for inclusive virtue ethics

    PubMed Central

    2015-01-01

    Summary While Principlism is a widely accepted consensus statement for ethics, the moral theory that underpins it faces serious challenges. This two-part paper proposes a version of virtue theory as a more grounded system of moral analysis. Part 2 examines the role of basic moral theory as the foundation to ethics and suggests how virtue theory can be used as a central framework for ethics while being inclusive of insights from deontology and consequentialism. PMID:25792615

  20. Empathy deficit in antisocial personality disorder: a psychodynamic formulation.

    PubMed

    Malancharuvil, Joseph M

    2012-09-01

    Empathic difficulty is a highly consequential characteristic of antisocial personality structure. The origin, maintenance, and possible resolution of this profound deficit are not very clear. While reconstructing empathic ability is of primary importance in the treatment of antisocial personality, not many proven procedures are in evidence. In this article, the author offers a psychodynamic formulation of the origin, character, and maintenance of the empathic deficiency in antisocial personality. The author discusses some of the treatment implications from this dynamic formulation.

  1. Can Universal SEL Programs Benefit Universally? Effects of the Positive Action Program on Multiple Trajectories of Social-Emotional and Misconduct Behaviors.

    PubMed

    Duncan, Robert; Washburn, Isaac J; Lewis, Kendra M; Bavarian, Niloofar; DuBois, David L; Acock, Alan C; Vuchinich, Samuel; Flay, Brian R

    2017-02-01

    Behavioral trajectories during middle childhood are predictive of consequential outcomes later in life (e.g., substance abuse, violence). Social and emotional learning (SEL) programs are designed to promote trajectories that reflect both growth in positive behaviors and inhibited development of negative behaviors. The current study used growth mixture models to examine effects of the Positive Action (PA) program on behavioral trajectories of social-emotional and character development (SECD) and misconduct using data from a cluster-randomized trial that involved 14 schools and a sample of predominately low-income, urban youth followed from 3rd through 8th grade. For SECD, findings indicated that PA was similarly effective at improving trajectories within latent classes characterized as "high/declining" and "low/stable". Favorable program effects were likewise evident to a comparable degree for misconduct across observed latent classes that reflected "low/rising" and "high/rising" trajectories. These findings suggest that PA and perhaps other school-based universal SEL programs have the potential to yield comparable benefits across subgroups of youth with differing trajectories of positive and negative behaviors, making them promising strategies for achieving the intended goal of school-wide improvements in student outcomes.

  2. A new standard of visual data representation for imaging mass spectrometry.

    PubMed

    O'Rourke, Matthew B; Padula, Matthew P

    2017-03-01

    MALDI imaging MS (IMS) is principally used for cancer diagnostics. In our own experience with publishing IMS data, we have been requested to modify our protocols with respect to the areas of the tissue that are imaged in order to comply with the wider literature. In light of this, we have determined that current methodologies lack effective controls and can potentially introduce bias by only imaging specific areas of the targeted tissue EXPERIMENTAL DESIGN: A previously imaged sample was selected and then cropped in different ways to show the potential effect of only imaging targeted areas. By using a model sample, we were able to effectively show how selective imaging of samples can misinterpret tissue features and by changing the areas that are acquired, according to our new standard, an effective internal control can be introduced. Current IMS sampling convention relies on the assumption that sample preparation has been performed correctly. This prevents users from checking whether molecules have moved beyond borders of the tissue due to delocalization and consequentially products of improper sample preparation could be interpreted as biological features that are of critical importance when encountered in a visual diagnostic. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  3. Late Effects of Treatment for Childhood Cancer (PDQ®)—Health Professional Version

    Cancer.gov

    Late effects of cancer treatment can cause serious, disabling, and life-threatening chronic health conditions that adversely affect the health of aging childhood cancer survivors. Learn about subsequent neoplasms and the cardiovascular, cognitive, psychosocial, digestive, endocrine, immune, musculoskeletal, reproductive, and urinary late effects of pediatric cancer treatment in this expert-reviewed summary.

  4. Late-successional forests and northern spotted owls: how effective is the Northwest Forest Plan?

    Treesearch

    Miles Hemstrom; Martin G. Raphael

    2000-01-01

    This paper describes the late-successional and old-growth forest and the northern spotted owl effectiveness monitoring plans for the Northwest Forest Plan. The effectiveness monitoring plan for late-successional and old-growth forests will track changes in forest spatial distribution, and within-stand structure and composition, and it will predict future trends.

  5. Guidelines for screening and management of late and long-term consequences of myeloma and its treatment.

    PubMed

    Snowden, John A; Greenfield, Diana M; Bird, Jennifer M; Boland, Elaine; Bowcock, Stella; Fisher, Abigail; Low, Eric; Morris, Monica; Yong, Kwee; Pratt, Guy

    2017-03-01

    A growing population of long-term survivors of myeloma is now accumulating the 'late effects' not only of myeloma itself, but also of several lines of treatment given throughout the course of the disease. It is thus important to recognise the cumulative burden of the disease and treatment-related toxicity in both the stable and active phases of myeloma, some of which is unlikely to be detected by routine monitoring. We summarise here the evidence for the key late effects in long-term survivors of myeloma, including physical and psychosocial consequences (in Parts 1 and 2 respectively), and recommend the use of late-effects screening protocols in detection and intervention. The early recognition of late effects and effective management strategies should lead to an improvement in the management of myeloma patients, although evidence in this area is currently limited and further research is warranted. © 2017 John Wiley & Sons Ltd.

  6. Late-life depression in the primary care setting: Challenges, collaborative care, and prevention

    PubMed Central

    Hall, Charles A.; Reynolds, Charles F.

    2014-01-01

    Late-life depression is highly prevalent worldwide. In addition to being a debilitating illness, it is a risk factor for excess morbidity and mortality. Older adults with depression are at risk for dementia, coronary heart disease, stroke, cancer and suicide. Individuals with late-life depression often have significant medical comorbidity and, poor treatment adherence. Furthermore, psychosocial considerations such as gender, ethnicity, stigma and bereavement are necessary to understand the full context of late-life depression. The fact that most older adults seek treatment for depression in primary care settings led to the development of collaborative care interventions for depression. These interventions have consistently demonstrated clinically meaningful effectiveness in the treatment of late-life depression. We describe three pivotal studies detailing the management of depression in primary care settings in both high and low-income countries. Beyond effectively treating depression, collaborative care models address additional challenges associated with late-life depression. Although depression treatment interventions are effective compared to usual care, they exhibit relatively low remission rates and small to medium effect sizes. Several studies have demonstrated that depression prevention is possible and most effective in at-risk older adults. Given the relatively modest effects of treatment in averting years lived with disability, preventing late-life depression at the primary care level should be highly prioritized as a matter of health policy. PMID:24996484

  7. New insights into the pathophysiology of achalasia and implications for future treatment.

    PubMed

    Furuzawa-Carballeda, Janette; Torres-Landa, Samuel; Valdovinos, Miguel Ángel; Coss-Adame, Enrique; Martín Del Campo, Luis A; Torres-Villalobos, Gonzalo

    2016-09-21

    Idiopathic achalasia is an archetype esophageal motor disorder, causing significant impairment of eating ability and reducing quality of life. The pathophysiological underpinnings of this condition are loss of esophageal peristalsis and insufficient relaxation of the lower esophageal sphincter (LES). The clinical manifestations include dysphagia for both solids and liquids, regurgitation of esophageal contents, retrosternal chest pain, cough, aspiration, weight loss and heartburn. Even though idiopathic achalasia was first described more than 300 years ago, researchers are only now beginning to unravel its complex etiology and molecular pathology. The most recent findings indicate an autoimmune component, as suggested by the presence of circulating anti-myenteric plexus autoantibodies, and a genetic predisposition, as suggested by observed correlations with other well-defined genetic syndromes such as Allgrove syndrome and multiple endocrine neoplasia type 2 B syndrome. Viral agents (herpes, varicella zoster) have also been proposed as causative and promoting factors. Unfortunately, the therapeutic approaches available today do not resolve the causes of the disease, and only target the consequential changes to the involved tissues, such as destruction of the LES, rather than restoring or modifying the underlying pathology. New therapies should aim to stop the disease at early stages, thereby preventing the consequential changes from developing and inhibiting permanent damage. This review focuses on the known characteristics of idiopathic achalasia that will help promote understanding its pathogenesis and improve therapeutic management to positively impact the patient's quality of life.

  8. New insights into the pathophysiology of achalasia and implications for future treatment

    PubMed Central

    Furuzawa-Carballeda, Janette; Torres-Landa, Samuel; Valdovinos, Miguel Ángel; Coss-Adame, Enrique; Martín del Campo, Luis A; Torres-Villalobos, Gonzalo

    2016-01-01

    Idiopathic achalasia is an archetype esophageal motor disorder, causing significant impairment of eating ability and reducing quality of life. The pathophysiological underpinnings of this condition are loss of esophageal peristalsis and insufficient relaxation of the lower esophageal sphincter (LES). The clinical manifestations include dysphagia for both solids and liquids, regurgitation of esophageal contents, retrosternal chest pain, cough, aspiration, weight loss and heartburn. Even though idiopathic achalasia was first described more than 300 years ago, researchers are only now beginning to unravel its complex etiology and molecular pathology. The most recent findings indicate an autoimmune component, as suggested by the presence of circulating anti-myenteric plexus autoantibodies, and a genetic predisposition, as suggested by observed correlations with other well-defined genetic syndromes such as Allgrove syndrome and multiple endocrine neoplasia type 2 B syndrome. Viral agents (herpes, varicella zoster) have also been proposed as causative and promoting factors. Unfortunately, the therapeutic approaches available today do not resolve the causes of the disease, and only target the consequential changes to the involved tissues, such as destruction of the LES, rather than restoring or modifying the underlying pathology. New therapies should aim to stop the disease at early stages, thereby preventing the consequential changes from developing and inhibiting permanent damage. This review focuses on the known characteristics of idiopathic achalasia that will help promote understanding its pathogenesis and improve therapeutic management to positively impact the patient’s quality of life. PMID:27672286

  9. Mediation misgivings: ambiguous clinical and public health interpretations of natural direct and indirect effects.

    PubMed

    Naimi, Ashley I; Kaufman, Jay S; MacLehose, Richard F

    2014-10-01

    Recent methodological innovation is giving rise to an increasing number of applied papers in medical and epidemiological journals in which natural direct and indirect effects are estimated. However, there is a longstanding debate on whether such effects are relevant targets of inference in population health. In light of the repeated calls for a more pragmatic and consequential epidemiology, we review three issues often raised in this debate: (i) the use of composite cross-world counterfactuals and the need for cross-world independence assumptions; (ii) interventional vs non-interventional identifiability; and (iii) the interpretational ambiguity of natural direct and indirect effect estimates. We use potential outcomes notation and directed acyclic graphs to explain 'cross-world' assumptions, illustrate implications of this assumption via regression models and discuss ensuing issues of interpretation. We argue that the debate on the relevance of natural direct and indirect effects rests on whether one takes as a target of inference the mathematical object per se, or the change in the world that the mathematical object represents. We further note that public health questions may be better served by estimating controlled direct effects. © The Author 2014; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.

  10. Split Nitrogen Application Improves Wheat Baking Quality by Influencing Protein Composition Rather Than Concentration.

    PubMed

    Xue, Cheng; Auf'm Erley, Gunda Schulte; Rossmann, Anne; Schuster, Ramona; Koehler, Peter; Mühling, Karl-Hermann

    2016-01-01

    The use of late nitrogen (N) fertilization (N application at late growth stages of wheat, e.g., booting, heading or anthesis) to improve baking quality of wheat has been questioned. Although it increases protein concentration, the beneficial effect on baking quality (bread loaf volume) needs to be clearly understood. Two pot experiments were conducted aiming to evaluate whether late N is effective under controlled conditions and if these effects result from increased N rate or N splitting. Late N fertilizers were applied either as additional N or split from the basal N at late boot stage or heading in the form of nitrate-N or urea. Results showed that late N fertilization improved loaf volume of wheat flour by increasing grain protein concentration and altering its composition. Increasing N rate mainly enhanced grain protein quantitatively. However, N splitting changed grain protein composition by enhancing the percentages of gliadins and glutenins as well as certain high molecular weight glutenin subunits (HMW-GS), which led to an improved baking quality of wheat flour. The late N effects were greater when applied as nitrate-N than urea. The proportions of glutenin and x-type HMW-GS were more important than the overall protein concentration in determining baking quality. N splitting is more effective in improving wheat quality than the increase in the N rate by late N, which offers the potential to cut down N fertilization rates in wheat production systems.

  11. Split Nitrogen Application Improves Wheat Baking Quality by Influencing Protein Composition Rather Than Concentration

    PubMed Central

    Xue, Cheng; auf’m Erley, Gunda Schulte; Rossmann, Anne; Schuster, Ramona; Koehler, Peter; Mühling, Karl-Hermann

    2016-01-01

    The use of late nitrogen (N) fertilization (N application at late growth stages of wheat, e.g., booting, heading or anthesis) to improve baking quality of wheat has been questioned. Although it increases protein concentration, the beneficial effect on baking quality (bread loaf volume) needs to be clearly understood. Two pot experiments were conducted aiming to evaluate whether late N is effective under controlled conditions and if these effects result from increased N rate or N splitting. Late N fertilizers were applied either as additional N or split from the basal N at late boot stage or heading in the form of nitrate-N or urea. Results showed that late N fertilization improved loaf volume of wheat flour by increasing grain protein concentration and altering its composition. Increasing N rate mainly enhanced grain protein quantitatively. However, N splitting changed grain protein composition by enhancing the percentages of gliadins and glutenins as well as certain high molecular weight glutenin subunits (HMW-GS), which led to an improved baking quality of wheat flour. The late N effects were greater when applied as nitrate-N than urea. The proportions of glutenin and x-type HMW-GS were more important than the overall protein concentration in determining baking quality. N splitting is more effective in improving wheat quality than the increase in the N rate by late N, which offers the potential to cut down N fertilization rates in wheat production systems. PMID:27313585

  12. Alcohol Exposure During Late Adolescence Increases Drinking in Adult Wistar Rats, an Effect that is not Reduced by Finasteride

    PubMed Central

    Milivojevic, Verica; Covault, Jonathan

    2013-01-01

    Aims: We tested whether an exposure to alcohol in late adolescence, an age of rapid increase in neuroactive steroid precursors, would increase voluntary alcohol consumption in adult rats and whether this effect would be modulated by finasteride, an inhibitor of neuroactive steroid synthesis. Methods: In Experiment 1, we exposed male Wistar rats to 8% alcohol during the dark cycle for 1 week during late adolescence [postnatal days (PNDs) 51–58], and then measured voluntary alcohol consumption 1 month later in adulthood (PNDs 91–104). In Experiment 2, finasteride was administered during the forced alcohol exposure in late adolescence and, in Experiment 3, during voluntary alcohol consumption in adulthood. Plasma was collected at the end of each finasteride treatment to confirm the reduction of plasma neuroactive steroid levels. Results: We found that a daily 12-h exposure to alcohol for 7 days in late adolescence significantly increased voluntary alcohol consumption (4-fold) a month later during adulthood. Finasteride administration in late adolescence increased group alcohol intake in late adolescence but did not block the effect of adolescent alcohol exposure on increasing alcohol preference in adulthood. There was no effect of finasteride treatment in adulthood on alcohol preference. Conclusions: A daily 12-h exposure to alcohol for 7 days in late adolescence was sufficient to induce chronically increased alcohol preference in adulthood, indicating that this age may be sensitive to the effects of alcohol. PMID:22997410

  13. Effects of structurally stabilized EGF and bFGF on wound healing in type I and type II diabetic mice.

    PubMed

    Choi, Seong Mi; Lee, Kyoung-Mi; Kim, Hyun Jung; Park, Ik Kyu; Kang, Hwi Ju; Shin, Hang-Cheol; Baek, Dawoon; Choi, Yoorim; Park, Kwang Hwan; Lee, Jin Woo

    2018-01-15

    Diabetes mellitus comprises a multiple metabolic disorder that affects millions of people worldwide and consequentially poses challenges for clinical treatment. Among the various complications, diabetic ulcer constitutes the most prevalent associated disorder and leads to delayed wound healing. To enhance wound healing capacity, we developed structurally stabilized epidermal growth factor (ST-EGF) and basic fibroblast growth factor (ST-bFGF) to overcome limitations of commercially available EGF (CA-EGF) and bFGF (CA-bFGF), such as short half-life and loss of activity after loading onto a matrix. Neither ST-EGF nor ST-bFGF was toxic, and both were more stable at higher temperatures than CA-EGF and CA-bFGF. We loaded ST-EGF and ST-bFGF onto a hyaluronate-collagen dressing (HCD) matrix, a biocompatible carrier, and tested the effectiveness of this system in promoting wound healing in a mouse model of diabetes. Wounds treated with HCD matrix loaded with 0.3 μg/cm 2 ST-EGF or 1 μg/cm 2 ST-bFGF showed a more rapid rate of tissue repair as compared to the control in type I and II diabetes models. Our results indicate that an HDC matrix loaded with 0.3 μg/cm 2 ST-EGF or 1 μg/cm 2 ST-bFGF can promote wound healing in diabetic ulcers and are suitable for use in wound dressings owing to their stability for long periods at room temperature. Various types of dressing materials loaded with growth factors, such as VEGF, EGF, and bFGF, are widely used to effect wound repair. However, such growth factor-loaded materials have several limitations for use as therapeutic agents in healing-impaired diabetic wounds. To overcome these limitations, we have developed new materials containing structurally stabilized EGF (ST-EGF) and bFGF (ST-bFGF). To confirm the wound healing capacity of newly developed materials (ST-EGF and ST-bFGF-loaded hyaluronate-collagen dressing [HCD] matrix), we applied these matrices in type I and type II diabetic wounds. Notably, these matrices were able to accelerate wound healing including re-epithelialization, neovascularization, and collagen deposition. Consequentially, these ST-EGF and ST-bFGF-loaded HCD matrix may be used as future therapeutic agents in patients with diabetic foot ulcers. Copyright © 2017 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

  14. Long-term health effects among testicular cancer survivors.

    PubMed

    Hashibe, Mia; Abdelaziz, Sarah; Al-Temimi, Mohammed; Fraser, Alison; Boucher, Kenneth M; Smith, Ken; Lee, Yuan-Chin Amy; Rowe, Kerry; Rowley, Braden; Daurelle, Micky; Holton, Avery E; VanDerslice, James; Richiardi, Lorenzo; Bishoff, Jay; Lowrance, Will; Stroup, Antoinette

    2016-12-01

    Testicular cancer is diagnosed at a young age and survival rates are high; thus, the long-term effects of cancer treatment need to be assessed. Our objectives are to estimate the incidence rates and determinants of late effects in testicular cancer survivors. We conducted a population-based cohort study of testicular cancer survivors, diagnosed 1991-2007, followed up for a median of 10 years. We identified 785 testicular cancer patients who survived ≥5 years and 3323 men free of cancer for the comparison group. Multivariate Cox regression analysis was used to compare the hazard ratio between the cases and the comparison group and for internal analysis among case patients. Testicular cancer survivors experienced a 24 % increase in risk of long-term health effects >5 years after diagnosis. The overall incidence rate of late effects among testicular cancer survivors was 66.3 per 1000 person years. Higher risks were observed among testicular cancer survivors for hypercholesterolemia, infertility, and orchitis. Chemotherapy and retroperitoneal lymph node dissection appeared to increase the risk of late effects. Being obese prior to cancer diagnosis appeared to be the strongest factor associated with late effects. Testicular cancer survivors were more likely to develop chronic health conditions when compared to cancer-free men. While the late effects risk was increased among testicular cancer survivors, the incidence rates of late effects after cancer diagnosis was fairly low.

  15. Criticality and Induction Time of Hot Spots in Detonating Heterogeneous Explosives

    NASA Astrophysics Data System (ADS)

    Hill, Larry

    2017-06-01

    Detonation reaction in physically heterogeneous explosives is-to an extent that depends on multiple material attributes-likewise heterogeneous. Like all heterogeneous reaction, detonation heterogeneous reaction begins at nucleation sites, which, in this case, comprise localized regions of higher-than-average temperature-so-called hot spots. Burning grows at, and then spreads from these nucleation sites, via reactive-thermal (R-T) waves, to consume the interstitial material. Not all hot spots are consequential, but only those that are 1) supercritical, and 2) sufficiently so as to form R-T waves before being consumed by those already emanating from neighboring sites. I explore aspects of these two effects by deriving simple formulae for hot spot criticality and the induction time of supercritical hot spots. These results serve to illustrate the non-intuitive, yet mathematically simplifying, effects of extreme dependence of reaction rate upon temperature. They can play a role in the development of better reactive burn models, for which we seek to homogenize the essentials of heterogeneous detonation reaction without introducing spurious complexity. Work supported by the US Dept. of Energy.

  16. Inverse kinetic solvent isotope effect in TiO2 photocatalytic dehalogenation of non-adsorbable aromatic halides: a proton-induced pathway.

    PubMed

    Chang, Wei; Sun, Chunyan; Pang, Xibin; Sheng, Hua; Li, Yue; Ji, Hongwei; Song, Wenjing; Chen, Chuncheng; Ma, Wanhong; Zhao, Jincai

    2015-02-09

    An efficient redox reaction between organic substrates in solution and photoinduced h(+) vb /e(-) cb on the surface of photocatalysts requires the substrates or solvent to be adsorbed onto the surface, and is consequentially marked by a normal kinetic solvent isotope effect (KSIE ≥ 1). Reported herein is a universal inverse KSIE (0.6-0.8 at 298 K) for the reductive dehalogenation of aromatic halides which cannot adsorb onto TiO2 in a [D0 ]methanol/[D4 ]methanol solution. Combined with in situ ATR-FTIR spectroscopy investigations, a previously unknown pathway for the transformation of these aromatic halides in TiO2 photocatalysis was identified: a proton adduct intermediate, induced by released H(+) /D(+) from solvent oxidation, accompanies a change in hybridization from sp(2) to sp(3) at a carbon atom of the aromatic halides. The protonation event leads these aromatic halides to adsorb onto the TiO2 surface and an ET reaction to form dehalogenated products follows. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  17. Effects of residual kinetic energy on yield degradation and ion temperature asymmetries in inertial confinement fusion implosions

    NASA Astrophysics Data System (ADS)

    Woo, K. M.; Betti, R.; Shvarts, D.; Bose, A.; Patel, D.; Yan, R.; Chang, P.-Y.; Mannion, O. M.; Epstein, R.; Delettrez, J. A.; Charissis, M.; Anderson, K. S.; Radha, P. B.; Shvydky, A.; Igumenshchev, I. V.; Gopalaswamy, V.; Christopherson, A. R.; Sanz, J.; Aluie, H.

    2018-05-01

    The study of Rayleigh-Taylor instability in the deceleration phase of inertial confinement fusion implosions is carried out using the three-dimensional (3-D) radiation-hydrodynamic Eulerian parallel code DEC3D. We show that the yield-over-clean is a strong function of the residual kinetic energy (RKE) for low modes. Our analytical models indicate that the behavior of larger hot-spot volumes observed in low modes and the consequential pressure degradation can be explained in terms of increasing the RKE. These results are derived using a simple adiabatic implosion model of the deceleration phase as well as through an extensive set of 3-D single-mode simulations using the code DEC3D. The effect of the bulk velocity broadening on ion temperature asymmetries is analyzed for different mode numbers ℓ=1 -12. The jet observed in low mode ℓ=1 is shown to cause the largest ion temperature variation in the mode spectrum. The vortices of high modes within the cold bubbles are shown to cause lower ion temperature variations than low modes.

  18. Childhood Misfortune, Personality, and Heart Attack: Does Personality Mediate Risk of Myocardial Infarction?

    PubMed

    Morton, Patricia M; Turiano, Nicholas A; Mroczek, Daniel K; Ferraro, Kenneth F

    2016-03-12

    Previous research has revealed a link between childhood experiences and adult health, but the mechanisms underlying this relationship are less clear. To elucidate this relationship, we investigated the pathway from childhood misfortune to nonfatal myocardial infarction (MI) via individual differences in personality. Longitudinal data were drawn from the National Survey of Midlife Development in the United States, which sampled 3,032 men and women aged 25-74 years at baseline. Big 5 personality traits and multiple measures of childhood misfortune were used to assess whether personality mediated the effect of childhood misfortune on MI risk. A series of proportional hazards models revealed that neuroticism mediated the effect of additive childhood misfortune on adult MI risk. Childhood misfortune may be formative in the development of personality, which, subsequently, can be consequential to health. These findings highlight the salient roles of early-life experiences and personality to shape health and aging. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  19. The Impact of Dealing with the Late Effects of National Socialist Terror on West German Psychiatric Care.

    PubMed

    Söhner, Felicitas; Baader, Gerhard

    2018-06-01

    Health damages and the late effects of NS trauma were largely ignored in German-speaking countries. This paper describes how dealing with the late effects of Nazi terror influenced post-war psychiatry in West Germany and thus the development of the psychiatric reform. As part of a greater overview study of the impulses and framework conditions of the reform-orientated development of post-war psychiatry in West Germany, this analysis is based on a thorough literary and documentary analysis. The sources show that publications by Helmut Paul and Herberg [81] as well as Baeyer et al. [12] can be considered as remarkable milestones. The awareness of psychological late effects of NS persecution was only reluctantly taken up by the scientific community. Nevertheless, this discussion was an essential component of the reform-orientated psychiatry in West Germany in the late 1960s to 1970s.

  20. Resveratrol fuels HER2 and ERα-positive breast cancer behaving as proteasome inhibitor.

    PubMed

    Andreani, Cristina; Bartolacci, Caterina; Wijnant, Kathleen; Crinelli, Rita; Bianchi, Marzia; Magnani, Mauro; Hysi, Albana; Iezzi, Manuela; Amici, Augusto; Marchini, Cristina

    2017-02-26

    The phytoestrogen resveratrol has been reported to possess cancer chemo-preventive activity on the basis of its effects on tumor cell lines and xenograft or carcinogen-inducible in vivo models. Here we investigated the effects of resveratrol on spontaneous mammary carcinogenesis using Δ16HER2 mice as HER2+/ERα+ breast cancer model. Instead of inhibiting tumor growth, resveratrol treatment (0.0001% in drinking water; daily intake of 4μg/mouse) shortened tumor latency and enhanced tumor multiplicity in Δ16HER2 mice. This in vivo tumor-promoting effect of resveratrol was associated with up-regulation of Δ16HER2 and down-regulation of ERα protein levels and was recapitulated in vitro by murine (CAM6) and human (BT474) tumor cell lines. Our results demonstrate that resveratrol, acting as a proteasome inhibitor, leads to Δ16HER2 accumulation which favors the formation of Δ16HER2/HER3 heterodimers. The consequential activation of downstream mTORC1/p70S6K/4EBP1 pathway triggers cancer growth and proliferation. This study provides evidence that resveratrol mechanism of action (and hence its effects) depends on the intrinsic molecular properties of the cancer model under investigation, exerting a tumor-promoting effect in luminal B breast cancer subtype models.

  1. Transcriptomic Analysis of Ciguatoxin-Induced Changes in Gene Expression in Primary Cultures of Mice Cortical Neurons.

    PubMed

    Rubiolo, Juan Andrés; Vale, Carmen; Boente-Juncal, Andrea; Hirama, Masahiro; Yamashita, Shuji; Camiña, Mercedes; Vieytes, Mercedes R; Botana, Luis M

    2018-05-10

    Ciguatoxins are polyether marine toxins that act as sodium channel activators. These toxins cause ciguatera, one of the most widespread nonbacterial forms of food poisoning, which presents several symptoms in humans including long-term neurological alterations. Earlier work has shown that both acute and chronic exposure of primary cortical neurons to synthetic ciguatoxin CTX3C have profound impacts on neuronal function. Thus, the present work aimed to identify relevant neuronal genes and metabolic pathways that could be altered by ciguatoxin exposure. To study the effect of ciguatoxins in primary neurons in culture, we performed a transcriptomic analysis using whole mouse genome microarrays, for primary cortical neurons exposed during 6, 24, or 72 h in culture to CTX3C. Here, we have shown that the effects of the toxin on gene expression differ with the exposure time. The results presented here have identified several relevant genes and pathways related to the effect of ciguatoxins on neurons and may assist in future research or even treatment of ciguatera. Moreover, we demonstrated that the effects of the toxin on gene expression were exclusively consequential of its action as a voltage-gated sodium channel activator, since all the effects of CTX3C were avoided by preincubation of the neurons with the sodium channel blocker tetrodotoxin.

  2. Resveratrol fuels HER2 and ERα-positive breast cancer behaving as proteasome inhibitor

    PubMed Central

    Wijnant, Kathleen; Crinelli, Rita; Bianchi, Marzia; Magnani, Mauro; Hysi, Albana; Iezzi, Manuela

    2017-01-01

    The phytoestrogen resveratrol has been reported to possess cancer chemo-preventive activity on the basis of its effects on tumor cell lines and xenograft or carcinogen-inducible in vivo models. Here we investigated the effects of resveratrol on spontaneous mammary carcinogenesis using Δ16HER2 mice as HER2+/ERα+ breast cancer model. Instead of inhibiting tumor growth, resveratrol treatment (0.0001% in drinking water; daily intake of 4μg/mouse) shortened tumor latency and enhanced tumor multiplicity in Δ16HER2 mice. This in vivo tumor-promoting effect of resveratrol was associated with up-regulation of Δ16HER2 and down-regulation of ERα protein levels and was recapitulated in vitro by murine (CAM6) and human (BT474) tumor cell lines. Our results demonstrate that resveratrol, acting as a proteasome inhibitor, leads to Δ16HER2 accumulation which favors the formation of Δ16HER2/HER3 heterodimers. The consequential activation of downstream mTORC1/p70S6K/4EBP1 pathway triggers cancer growth and proliferation. This study provides evidence that resveratrol mechanism of action (and hence its effects) depends on the intrinsic molecular properties of the cancer model under investigation, exerting a tumor-promoting effect in luminal B breast cancer subtype models. PMID:28238967

  3. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities.

    PubMed

    Hasan, Syed Shahzad; Thiruchelvam, Kaeshaelya; Kow, Chia Siang; Ghori, Muhammad Usman; Babar, Zaheer-Ud-Din

    2017-10-01

    Medication reviews is a widely accepted approach known to have a substantial impact on patients' pharmacotherapy and safety. Numerous options to optimise pharmacotherapy in older people have been reported in literature and they include medication reviews, computerised decision support systems, management teams, and educational approaches. Pharmacist-led medication reviews are increasingly being conducted, aimed at attaining patient safety and medication optimisation. Cost effectiveness is an essential aspect of a medication review evaluation. Areas covered: A systematic searching of articles that examined the cost-effectiveness of medication reviews conducted in aged care facilities was performed using the relevant databases. Pharmacist-led medication reviews confer many benefits such as attainment of biomarker targets for improved clinical outcomes, and other clinical parameters, as well as depict concrete financial advantages in terms of decrement in total medication costs and associated cost savings. Expert commentary: The cost-effectiveness of medication reviews are more consequential than ever before. A critical evaluation of pharmacist-led medication reviews in residential aged care facilities from an economical aspect is crucial in determining if the time, effort, and direct and indirect costs involved in the review rationalise the significance of conducting medication reviews for older people in aged care facilities.

  4. Underwater sound from vessel traffic reduces the effective communication range in Atlantic cod and haddock.

    PubMed

    Stanley, Jenni A; Van Parijs, Sofie M; Hatch, Leila T

    2017-11-07

    Stellwagen Bank National Marine Sanctuary is located in Massachusetts Bay off the densely populated northeast coast of the United States; subsequently, the marine inhabitants of the area are exposed to elevated levels of anthropogenic underwater sound, particularly due to commercial shipping. The current study investigated the alteration of estimated effective communication spaces at three spawning locations for populations of the commercially and ecologically important fishes, Atlantic cod (Gadus morhua) and haddock (Melanogrammus aeglefinus). Both the ambient sound pressure levels and the estimated effective vocalization radii, estimated through spherical spreading models, fluctuated dramatically during the three-month recording periods. Increases in sound pressure level appeared to be largely driven by large vessel activity, and accordingly exhibited a significant positive correlation with the number of Automatic Identification System tracked vessels at the two of the three sites. The near constant high levels of low frequency sound and consequential reduction in the communication space observed at these recording sites during times of high vocalization activity raises significant concerns that communication between conspecifics may be compromised during critical biological periods. This study takes the first steps in evaluating these animals' communication spaces and alteration of these spaces due to anthropogenic underwater sound.

  5. Resilience of SAR11 bacteria to rapid acidification in the high-latitude open ocean.

    PubMed

    Hartmann, Manuela; Hill, Polly G; Tynan, Eithne; Achterberg, Eric P; Leakey, Raymond J G; Zubkov, Mikhail V

    2016-02-01

    Ubiquitous SAR11 Alphaproteobacteria numerically dominate marine planktonic communities. Because they are excruciatingly difficult to cultivate, there is comparatively little known about their physiology and metabolic responses to long- and short-term environmental changes. As surface oceans take up anthropogenic, atmospheric CO2, the consequential process of ocean acidification could affect the global biogeochemical significance of SAR11. Shipping accidents or inadvertent release of chemicals from industrial plants can have strong short-term local effects on oceanic SAR11. This study investigated the effect of 2.5-fold acidification of seawater on the metabolism of SAR11 and other heterotrophic bacterioplankton along a natural temperature gradient crossing the North Atlantic Ocean, Norwegian and Greenland Seas. Uptake rates of the amino acid leucine by SAR11 cells as well as other bacterioplankton remained similar to controls despite an instant ∼50% increase in leucine bioavailability upon acidification. This high physiological resilience to acidification even without acclimation, suggests that open ocean dominant bacterioplankton are able to cope even with sudden and therefore more likely with long-term acidification effects. © FEMS 2015. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. Amphibian Population Sensitivity to Environmental and ...

    EPA Pesticide Factsheets

    Anticipating chronic effects of contaminant exposure on amphibian species is complicated both by toxicological and ecological uncertainty. Data for both chemical exposures and amphibian vital rates, including altered growth, are sparse. Developmental plasticity in amphibians further complicates evaluation of chemical impacts as metamorphosis is also influenced by other biotic and abiotic stressors, such as temperature, hydroperiod, predation, and conspecific density. Determining the effect of delayed tadpole development on survival through metamorphosis and subsequent recruitment must include possible effects of pond drying accelerating metamorphosis near the end of the larval stage. This model considers the combined influence of delayed onset of metamorphosis in a cohort as well as accelerated metamorphosis toward the end of the hydroperiod and determines the net influence of counteracting forces on tadpole development and survival. Amphibian populations with greater initial density dependence have less capacity for developmental plasticity and are therefore more vulnerable to delayed development and reduced hydroperiod. The consequential reduction in larval survival has a relatively greater impact on species with a shorter lifespan, allowing for fewer breeding seasons during which to successfully produce offspring. In response to risk assessment approaches that consider only survival and reproductive endpoints in population evaluation, we calculate conta

  7. Can farmers mitigate environmental impacts through combined production of food, fuel and feed? A consequential life cycle assessment of integrated mixed crop-livestock system with a green biorefinery.

    PubMed

    Parajuli, Ranjan; Dalgaard, Tommy; Birkved, Morten

    2018-04-01

    This study evaluates environmental impacts of an integrated mixed crop-livestock system with a green biorefinery (GBR). System integration included production of feed crops and green biomasses (Sys-I) to meet the demand of a livestock system (Sys-III) and to process green biomasses in a GBR system (Sys-II). Processing of grass-clover to produce feed protein was considered in Sys-II, particularly to substitute the imported soybean meal. Waste generated from the livestock and GBR systems were considered for the conversion to biomethane (Sys-IV). Digestate produced therefrom was assumed to be recirculated back to the farmers' field (Sys-I). A consequential approach of Life Cycle Assessment (LCA) method was used to evaluate the environmental impacts of a combined production of suckler cow calves (SCC) and Pigs, calculated in terms of their live weight (LW). The functional unit (FU) was a basket of two products "1kg LW -SCC+1kg LW -Pigs", produced at the farm gate. Results obtained per FU were: 19.6kg CO 2 eq for carbon footprint; 0.11kg PO 4 eq for eutrophication potential, -129MJ eq for non-renewable energy use and -3.9 comparative toxicity units (CTU e ) for potential freshwater ecotoxicity. Environmental impact, e.g. greenhouse gas (GHG) emission was primarily due to (i) N 2 O emission and diesel consumption within Sys-I, (ii) energy input to Sys-II, III and IV, and (iii) methane emission from Sys-III and Sys-IV. Specifically, integrating GBR with the mixed crop-livestock system contributed 4% of the GHG emissions, whilst its products credited 7% of the total impact. Synergies among the different sub-systems showed positive environmental gains for the selected main products. The main effects of the system integration were in the reductions of GHG emissions, fossil fuel consumption, eutrophication potential and freshwater ecotoxicity, compared to a conventional mixed crop-livestock system, without the biogas conversion facility and the GBR. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Functional challenges among late effects cancer survivors: a preliminary report on work engagement issues.

    PubMed

    Crist, Patricia

    2013-01-01

    While the cancer survivor rate is nearly 68% now, intervention regimens may leave residual conditions that impact engagement in work and various life tasks. Survivors are underemployed and report stigmatizing attitudes among co-workers. When late effects from cancer arise over 10 years later, the impact on individuals in the prime of their productive employment life is evident. Assisting these individuals begins with awareness of late effects in order to create work-related, adaptive strategies. Sixteen adult cancer survivors experiencing late effects completed the Occupational Self Assessment (Version 2.2) and the Quality of Life-Cancer Survivors (QOL-CS). Knowledge of functional problems secondary to recognized late effects medical conditions reported in the literature was utilized to sort items according to professional definitions of work, performance skills and performance patterns. Late effects survivors reported that cancer illness and treatment has negatively impacted their employment. Individual response to the impact of late effects is highly variant. "Getting things done" and physical energy limitations are most pronounced. Cancer survivors report lower competence in significant work-related skills and patterns. Quality of life associated with the aftereffects of fatigue, aches and pain, and sleep changes are the lowest. Responses range across the 16 survivors to both performance skills and performance patterns. Cancer survivorship has clearly interfered with employment. An interdisciplinary focus on meaningful engagement in life activities, particularly work is crucial to support survivors through advocacy, adaptation and positive change to focus on engaging the work talents and gifts for all cancer survivors.

  9. Controlling diameter distribution of catalyst nanoparticles in arc discharge.

    PubMed

    Li, Jian; Volotskova, Olga; Shashurin, Alexey; Keidar, Michael

    2011-11-01

    It is demonstrated that the diameter distribution of catalyst nanoparticles in arc discharge can be controlled by a magnetic field. The magnetic field affects the arc shape, shortens the diffusing time of the catalyst nanoparticles through the nucleation zone, and consequentially reduces the average diameters of nanoparticles. The average diameter is reduced from about 7.5 nm without magnetic field to about 5 nm is the case of a magnetic field. Decrease of the catalyst nanoparticle diameter with magnetic field correlates well with decrease in the single-wall carbon nanotube and their bundles diameters.

  10. Policies of Inclusion

    PubMed Central

    Fairchild, Amy L.

    2004-01-01

    The racial politics of immigration have punctuated national discussions about immigration at different periods in US history, particularly when concerns about losing an American way of life or American population have coincided with concerns about infectious diseases. Nevertheless, the main theme running through American immigration policy is one of inclusion. The United States has historically been a nation reliant on immigrant labor and, accordingly, the most consequential public policies regarding immigration have responded to disease and its economic burdens by seeking to control the behavior of immigrants within our borders rather than excluding immigrants at our borders. PMID:15053996

  11. Comparison of methods for accurate end-point detection of potentiometric titrations

    NASA Astrophysics Data System (ADS)

    Villela, R. L. A.; Borges, P. P.; Vyskočil, L.

    2015-01-01

    Detection of the end point in potentiometric titrations has wide application on experiments that demand very low measurement uncertainties mainly for certifying reference materials. Simulations of experimental coulometric titration data and consequential error analysis of the end-point values were conducted using a programming code. These simulations revealed that the Levenberg-Marquardt method is in general more accurate than the traditional second derivative technique used currently as end-point detection for potentiometric titrations. Performance of the methods will be compared and presented in this paper.

  12. Family Relationships and Well-Being

    PubMed Central

    Thomas, Patricia A; Liu, Hui; Umberson, Debra

    2017-01-01

    Abstract Family relationships are enduring and consequential for well-being across the life course. We discuss several types of family relationships—marital, intergenerational, and sibling ties—that have an important influence on well-being. We highlight the quality of family relationships as well as diversity of family relationships in explaining their impact on well-being across the adult life course. We discuss directions for future research, such as better understanding the complexities of these relationships with greater attention to diverse family structures, unexpected benefits of relationship strain, and unique intersections of social statuses. PMID:29795792

  13. INVASIVESNET towards an International Association for Open Knowledge on Invasive Alien Species

    USGS Publications Warehouse

    Lucy, Frances; Roy, Helen; Simpson, Annie; Carlton, James T.; Hanson, John Mark; Magellan, Kit; Campbell, Marnie L.; Costello, Mark J.; Pagad, Shyama; Hewitt, Chad L; McDonald, Justin; Cassey, Phillip; Thomaz, Sidinei M; Katsanevakis, Stelios; Zenetos, Argyro; Tricarico, Elena; Boggero, Angela; Groom, Quentin J.; Adriaens, Tim; Vanderhoeven, Sonia; Torchin, Mark E.; Hufbauer, Ruth A.; Fuller, Pam; Carman, Mary R; Conn, David Bruce; Vitule, Jean R. S.; Canning-Clode, João; Galil, Bella S; Ojaveer, Henn; Bailey, Sarah A; Therriault, Thomas W; Claudi, Renata; Gazda, Anna; Dick, Jaimie T A; Caffrey, Joe; Witt, Arne; Kenis, Marc; Lehtiniemi, Maiju; Helmisaari, Harry; Panov, Vadim E

    2016-01-01

    To date, the sustainability of many strategic national and international initiatives on IAS have unfortunately been hampered by time-limited grants or funding cycles. Recognising that IAS initiatives need to be globally coordinated and ongoing, we aim to develop a sustainable knowledge sharing association to connect the outputs of IAS research and to inform the consequential management and societal challenges arising from IAS introductions. INVASIVESNET will provide a dynamic and enduring network of networks to ensure the continuity of connections among the IAS community of practice, science and management.

  14. My contribution to broadening the base of chemical engineering.

    PubMed

    Sargent, Roger W H

    2011-01-01

    This paper is a short account, from a personal viewpoint, of the various contributions I have made to expand the academic basis of chemical engineering from its origin in the unifying concept of unit operations, focussed on process design, to encompassing all the professional activities of industrial chemical engineers. This includes all aspects of planning and scheduling the operations as well as designing and controlling the process plant. The span of my career also happens to include the birth of the age of computing, with all the consequential implications.

  15. Disclosure of Adverse Events in Pediatrics.

    PubMed

    2016-12-01

    Despite increasing attention to issues of patient safety, preventable adverse events (AEs) continue to occur, causing direct and consequential injuries to patients, families, and health care providers. Pediatricians generally agree that there is an ethical obligation to inform patients and families about preventable AEs and medical errors. Nonetheless, barriers, such as fear of liability, interfere with disclosure regarding preventable AEs. Changes to the legal system, improved communications skills, and carefully developed disclosure policies and programs can improve the quality and frequency of appropriate AE disclosure communications. Copyright © 2016 by the American Academy of Pediatrics.

  16. Virtue ethics--an old answer to a new dilemma? Part 2. The case for inclusive virtue ethics.

    PubMed

    Misselbrook, David

    2015-03-01

    While Principlism is a widely accepted consensus statement for ethics, the moral theory that underpins it faces serious challenges. This two-part paper proposes a version of virtue theory as a more grounded system of moral analysis. Part 2 examines the role of basic moral theory as the foundation to ethics and suggests how virtue theory can be used as a central framework for ethics while being inclusive of insights from deontology and consequentialism. © The Royal Society of Medicine.

  17. Modified Beer-Lambert law for blood flow.

    PubMed

    Baker, Wesley B; Parthasarathy, Ashwin B; Busch, David R; Mesquita, Rickson C; Greenberg, Joel H; Yodh, A G

    2014-11-01

    We develop and validate a Modified Beer-Lambert law for blood flow based on diffuse correlation spectroscopy (DCS) measurements. The new formulation enables blood flow monitoring from temporal intensity autocorrelation function data taken at single or multiple delay-times. Consequentially, the speed of the optical blood flow measurement can be substantially increased. The scheme facilitates blood flow monitoring of highly scattering tissues in geometries wherein light propagation is diffusive or non-diffusive, and it is particularly well-suited for utilization with pressure measurement paradigms that employ differential flow signals to reduce contributions of superficial tissues.

  18. Consequences of the Introduction of Insensitive Munitions on Safety, Collateral Damage and Operations (consequenties van de invoering van mkm-munitie op veiligheid, gevolgschade en (internationaal) opereren

    DTIC Science & Technology

    2006-06-01

    van de werkzaamheden In dit rapport worden de gevolgen van initiatie van munitie door een ongewilde externe stimulus beschouwd aan de hand van reele...operationele scenario’s. Dit wordt vergeleken met de gevolgen in dezelfde scenario’s, waarin gebruik is gemaakt van Minder Kwetsbare Munitie (MKM). Naast...de historie van MKM wordt uitgelegd wat Inleiding of terroristische activiteiten, maar ook door MKM is. Vervolgens worden de gevolgen Munitie en de

  19. Length of home hospice care, family-perceived timing of referrals, perceived quality of care, and quality of death and dying in terminally ill cancer patients who died at home.

    PubMed

    Yamagishi, Akemi; Morita, Tatsuya; Kawagoe, Shohei; Shimizu, Megumi; Ozawa, Taketoshi; An, Emi; Kobayakawa, Makoto; Tsuneto, Satoru; Shima, Yasuo; Miyashita, Mitsunori

    2015-02-01

    This study aims to clarify the length of home hospice care, family-perceived timing of referrals, and their effects on the family-perceived quality of care and quality of death and dying of terminally ill cancer patients who died at home and identify the determinants of perceived late referrals. A multicenter questionnaire survey was conducted involving 1,052 family members of cancer patients who died at home supported by 15 home-based hospice services throughout Japan. A total of 693 responses were analyzed (effective response rate, 66 %). Patients received home-based hospice care for a median of 35.0 days, and 8.0 % received home hospice care for less than 1 week. While 1.5 % of the families reported the timing of referrals as early, 42 % reported the timing as late or too late. The families of patients with a length of care of less than 4 weeks were more likely to regard the timing of referrals as late or too late. The patients of family members who regarded the timing of referrals as late or too late had a significantly lower perceived quality of care (effect size, 0.18; P = 0.039) and lower quality of death and dying (effect size, 0.15, P = 0.063). Independent determinants of higher likelihoods of perceived late referrals included: frequent visits to emergency departments, patient being unprepared for worsening condition, and patient having concerns about relationship with new doctor. Discharge nurse availability was independently associated with lower likelihoods of perceived late referrals. A significant number of bereaved families regarded the timing of referrals to home hospices as late, and the perceived timing was associated with the family-perceived quality of care and quality of death and dying. Systematic strategies to overcome the barriers related to perceived late referrals are necessary.

  20. Long-term health effects among testicular cancer survivors

    PubMed Central

    Hashibe, Mia; Abdelaziz, Sarah; Al-Temimi, Mohammed; Fraser, Alison; Boucher, Kenneth M.; Smith, Ken; Lee, Yuan-chin Amy; Rowe, Kerry; Rowley, Braden; Daurelle, Micky; Holton, Avery E.; VanDerslice, James; Richiardi, Lorenzo; Bishoff, Jay; Lowrance, Will; Stroup, Antoinette

    2016-01-01

    Purpose Testicular cancer is diagnosed at a young age and survival rates are high, thus the long term effects of cancer treatment need to be assessed. Our objectives are to estimate the incidence rates and determinants of late effects in testicular cancer survivors. Methods We conducted a population-based cohort study of testicular cancer survivors, diagnosed 1991 – 2007, followed up for a median of 10 years. We identified 785 testicular cancer patients who survived ≥5 years and 3,323 men free of cancer for the comparison group. Multivariate Cox regression analysis was used to compare the hazard ratio between the cases and the comparison group and for internal analysis among case patients. Results Testicular cancer survivors experienced a 24% increase in risk of long-term health effects >5 years after diagnosis. The overall incidence rate of late effects among testicular cancer survivors was 66.3 per 1,000 person years. Higher risks were observed among testicular cancer survivors for hypercholesterolemia, infertility and orchitis. Chemotherapy and retroperitoneal lymph node dissection appeared to increase the risk of late effects. Being obese prior to cancer diagnosis appeared to be the strongest factor associated with late effects. Conclusions Testicular cancer survivors were more likely to develop chronic health conditions when compared to cancer-free men. Implications for Cancer Survivors While the late effects risk was increased among testicular cancer survivors, the incidence rates of late effects after cancer diagnosis was fairly low. PMID:27169992

  1. The Productivity Costs of Inefficient Hiring Practices: Evidence from Late Teacher Hiring

    PubMed Central

    Papay, John P.; Kraft, Matthew A.

    2017-01-01

    We use matched employee-employer records from the teacher labor market to explore the effects of late teacher hiring on student achievement. Hiring teachers after the school year starts reduces student achievement by 0.042SD in mathematics and 0.026SD in reading. This reflects, in part, a temporary disruption effect in the first year. In mathematics, but not in reading, late-hired teachers remain persistently less effective, evidence of negative selection in the teacher labor market. Late hiring concentrates in schools that disproportionately serve disadvantaged student populations, contributing to challenges in ensuring an equitable distribution of educational resources across students. PMID:28966429

  2. The Productivity Costs of Inefficient Hiring Practices: Evidence from Late Teacher Hiring.

    PubMed

    Papay, John P; Kraft, Matthew A

    2016-01-01

    We use matched employee-employer records from the teacher labor market to explore the effects of late teacher hiring on student achievement. Hiring teachers after the school year starts reduces student achievement by 0.042SD in mathematics and 0.026SD in reading. This reflects, in part, a temporary disruption effect in the first year. In mathematics, but not in reading, late-hired teachers remain persistently less effective, evidence of negative selection in the teacher labor market. Late hiring concentrates in schools that disproportionately serve disadvantaged student populations, contributing to challenges in ensuring an equitable distribution of educational resources across students.

  3. Effects of the adenovirus 2 late promoter on simian virus 40 transcription and replication.

    PubMed Central

    Grass, D S; Manley, J L

    1986-01-01

    A 100-base-pair fragment of adenovirus 2 (Ad2) DNA encompassing the major late transcriptional promoter was inserted into the simian virus 40 (SV40) late promoter region at SV40 nucleotide 294 to study the effects of a strong TATA box-containing promoter on SV40 late transcription. pSVAdE contains the insert in an orientation such that it would promote transcription towards the origin and early region of SV40, while the insert is in the opposite orientation in pSVAdL. Nuclease S1 analysis with 5'-end-labeled probes showed that in cells transfected with pSVAdE, the late mRNA initiation sites are essentially the same as in wild type, demonstrating that an insert of 100 base pairs can have no effect on utilization of the SV40 late start sites. In pSVAdL-transfected cells, however, the major late viral initiation site is now in the insert at +1 with respect to the Ad2 major late cap site. However, all of the SV40 initiation sites are still utilized and with the same efficiency relative to each other as in wild type. Thus, it appears that the Ad2 late promoter and the SV40 late promoter can function independently on the same DNA molecule, even when one promoter is embedded within the other. By using cytosine arabinoside to block DNA replication and thereby inhibit the onset of late expression, it has been shown that both the Ad2 late promoter and the SV40 late promoter have similar requirement for DNA replication in this context. In addition, pSVAdL showed dramatically diminished virus viability and VPI expression compared with both wildtype and pSVAdE. Possible explanations for this unexpected finding are discussed. Images PMID:3001338

  4. Parental and Late Adolescent Psychopathology: Mothers May Provide Support When Needed Most

    ERIC Educational Resources Information Center

    McKinney, Cliff; Milone, Mary Catherine

    2012-01-01

    Research links negative parenting and parental psychopathology to poorer outcomes among youth. Less research examines these effects simultaneously during late adolescence. The current study examines parenting, parental psychopathology, and late adolescent psychopathology as reported by late adolescents (N = 328) with the use of structural equation…

  5. Late effect of multiple daily fraction palliation schedule for advanced pelvic malignancies (RTOG 8502)

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

    Spanos, W.J. Jr.; Clery, M.; Perez, C.A.

    1994-07-30

    The purpose was to determine late complication incidence for pelvic palliation using accelerated multiple daily fraction radiation [Radiation Therapy Oncology Group (RTOG) 8502]. None of the patients with < 30 Gy (less than three courses) developed late toxicity. A total of 11/193 (6%) developed Grade 3+ late toxicity (nine Grade 3, on Grade 4, one Grade 5). Actuarial analysis of complication rate by survival time for Grades 3, 4, and 5 shows a cumulative incidence for complications after 6 months that plateaus at 6.9% by 18 months. The cumulative incidence for Grades 4 and 5 is 2.0% by 12 months.more » The difference in late effect for the 2-week rest vs. 4-week rest was not statistically different (p = .47). Patient factors evaluated for increased risk of late complications included prior surgeries, age, sex, KPS and primary. None were found to have significant statistical correlations with late effects. The crude late complications rate is 6%. Actuarial analysis using cumulative incidence shows 6.9% by 18 months. This represents a significant decrease in late complications from 49% seen with higher dose per fraction (10 Gy {times} 3) piloted by Radiation Therapy Oncology Group (7905) for a similar group of patients. Long-term analysis of late complication indicates this schedule can be used in the pelvis with relatively low incidence of complication. This schedule has significant logistic benefits and has been shown to produce good tumor regression and excellent palliation of symptoms. 14 refs., 4 figs., 4 tabs.« less

  6. The extent of using mobility assistive devices can partly explain fatigue among persons with late effects of polio - a retrospective registry study in Sweden.

    PubMed

    Santos Tavares Silva, I; Sunnerhagen, K S; Willén, C; Ottenvall Hammar, I

    2016-11-18

    Fatigue is reported as one of the most disabling symptoms and is common among persons living with late effects of polio. Although fatigue has been studied in the context of people living with late effects of polio, there is a lack of knowledge concerning the association of fatigue and variables of importance for participation in daily life. Therefore, the aim of this study was to explore possible factors associated with fatigue among persons with late effects of polio in Sweden. This retrospective registry study consisted of 89 persons with late effects of polio living in Sweden. Fatigue was measured with the Multidimensional Fatigue Inventory (MFI-20) scale, Swedish version. Pearson's correlation coefficient was used to analyse the correlation between the factors and fatigue, and a multiple linear regression was carried out to explore factors for fatigue. Fatigue statistically significantly correlated with age (r = 0.234, p < 0.05) and the use of mobility assistive devices (r = 0.255, p < 0.05). The multiple linear regression model showed that the factors age (β = 0.304, p < 0.019) and mobility assistive devices (β = 0.262, p < 0.017) were associated with fatigue among persons living with late effects of polio, and the model partly explained 14% of the variation of fatigue. Fatigue could partly be explained by the extent of using mobility assistive devices and age. Healthcare professionals should provide and demonstrate the importance of assistive devices to ensure management of fatigue in persons living with late effects of polio.

  7. Early and late skin reactions to radiotherapy for breast cancer and their correlation with radiation-induced DNA damage in lymphocytes.

    PubMed

    López, Escarlata; Guerrero, Rosario; Núñez, Maria Isabel; del Moral, Rosario; Villalobos, Mercedes; Martínez-Galán, Joaquina; Valenzuela, Maria Teresa; Muñoz-Gámez, José Antonio; Oliver, Francisco Javier; Martín-Oliva, David; Ruiz de Almodóvar, José Mariano

    2005-01-01

    Radiotherapy outcomes might be further improved by a greater understanding of the individual variations in normal tissue reactions that determine tolerance. Most published studies on radiation toxicity have been performed retrospectively. Our prospective study was launched in 1996 to measure the in vitro radiosensitivity of peripheral blood lymphocytes before treatment with radical radiotherapy in patients with breast cancer, and to assess the early and the late radiation skin side effects in the same group of patients. We prospectively recruited consecutive breast cancer patients receiving radiation therapy after breast surgery. To evaluate whether early and late side effects of radiotherapy can be predicted by the assay, a study was conducted of the association between the results of in vitro radiosensitivity tests and acute and late adverse radiation effects. Intrinsic molecular radiosensitivity was measured by using an initial radiation-induced DNA damage assay on lymphocytes obtained from breast cancer patients before radiotherapy. Acute reactions were assessed in 108 of these patients on the last treatment day. Late morbidity was assessed after 7 years of follow-up in some of these patients. The Radiation Therapy Oncology Group (RTOG) morbidity score system was used for both assessments. Radiosensitivity values obtained using the in vitro test showed no relation with the acute or late adverse skin reactions observed. There was no evidence of a relation between acute and late normal tissue reactions assessed in the same patients. A positive relation was found between the treatment volume and both early and late side effects. After radiation treatment, a number of cells containing major changes can have a long survival and disappear very slowly, becoming a chronic focus of immunological system stimulation. This stimulation can produce, in a stochastic manner, late radiation-related adverse effects of varying severity. Further research is warranted to identify the major determinants of normal tissue radiation response to make it possible to individualize treatments and improve the outcome of radiotherapy in cancer patients.

  8. Talking about depression: an analogue study of physician gender and communication style on patient disclosures.

    PubMed

    Roter, Debra L; Erby, Lori H; Adams, Ann; Buckingham, Christopher D; Vail, Laura; Realpe, Alba; Larson, Susan; Hall, Judith A

    2014-09-01

    To disentangle the effects of physician gender and patient-centered communication style on patients' oral engagement in depression care. Physician gender, physician race and communication style (high patient-centered (HPC) and low patient-centered (LPC)) were manipulated and presented as videotaped actors within a computer simulated medical visit to assess effects on analogue patient (AP) verbal responsiveness and care ratings. 307 APs (56% female; 70% African American) were randomly assigned to conditions and instructed to verbally respond to depression-related questions and indicate willingness to continue care. Disclosures were coded using Roter Interaction Analysis System (RIAS). Both male and female APs talked more overall and conveyed more psychosocial and emotional talk to HPC gender discordant doctors (all p<.05). APs were more willing to continue treatment with gender-discordant HPC physicians (p<.05). No effects were evident in the LPC condition. Findings highlight a role for physician gender when considering active patient engagement in patient-centered depression care. This pattern suggests that there may be largely under-appreciated and consequential effects associated with patient expectations in regard to physician gender that these differ by patient gender. High patient-centeredness increases active patient engagement in depression care especially in gender discordant dyads. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  9. Can Universal SEL Programs Benefit Universally? Effects of the Positive Action Program on Multiple Trajectories of Social-Emotional and Misconduct Behaviors

    PubMed Central

    Duncan, Robert; Washburn, Isaac J.; Lewis, Kendra M.; Bavarian, Niloofar; DuBois, David L.; Acock, Alan C.; Vuchinich, Samuel; Flay, Brian R.

    2016-01-01

    Behavioral trajectories during middle childhood are predictive of consequential outcomes later in life (e.g., substance abuse, violence). Social and emotional learning (SEL) programs are designed to promote trajectories that reflect both growth in positive behaviors and inhibited development of negative behaviors. The current study used growth mixture models to examine effects of the Positive Action program (PA) on behavioral trajectories of social-emotional and character development (SECD) and misconduct using data from a cluster-randomized trial that involved 14 schools and a sample of predominately low-income, urban youth followed from 3rd through 8th grade. For SECD, findings indicated that PA was similarly effective at improving trajectories within latent classes characterized as “High/declining” and “Low/stable”. Favorable program effects were likewise evident to a comparable degree for misconduct across observed latent classes that reflected “Low/rising” and “High/rising” trajectories. These findings suggest that PA and perhaps other school-based universal SEL programs have the potential to yield comparable benefits across subgroups of youth with differing trajectories of positive and negative behaviors, making them promising strategies for achieving the intended goal of school-wide improvements in student outcomes. PMID:28028741

  10. A Systems-Based Risk Assessment Framework for Intentional Electromagnetic Interference (IEMI) on Critical Infrastructures.

    PubMed

    Oakes, Benjamin Donald; Mattsson, Lars-Göran; Näsman, Per; Glazunov, Andrés Alayón

    2018-06-01

    Modern infrastructures are becoming increasingly dependent on electronic systems, leaving them more vulnerable to electrical surges or electromagnetic interference. Electromagnetic disturbances appear in nature, e.g., lightning and solar wind; however, they may also be generated by man-made technology to maliciously damage or disturb electronic equipment. This article presents a systematic risk assessment framework for identifying possible, consequential, and plausible intentional electromagnetic interference (IEMI) attacks on an arbitrary distribution network infrastructure. In the absence of available data on IEMI occurrences, we find that a systems-based risk assessment is more useful than a probabilistic approach. We therefore modify the often applied definition of risk, i.e., a set of triplets containing scenario, probability, and consequence, to a set of quadruplets: scenario, resource requirements, plausibility, and consequence. Probability is "replaced" by resource requirements and plausibility, where the former is the minimum amount and type of equipment necessary to successfully carry out an attack scenario and the latter is a subjective assessment of the extent of the existence of attackers who possess the motivation, knowledge, and resources necessary to carry out the scenario. We apply the concept of intrusion areas and classify electromagnetic source technology according to key attributes. Worst-case scenarios are identified for different quantities of attacker resources. The most plausible and consequential of these are deemed the most important scenarios and should provide useful decision support in a countermeasures effort. Finally, an example of the proposed risk assessment framework, based on notional data, is provided on a hypothetical water distribution network. © 2017 Society for Risk Analysis.

  11. Impacts of enhanced fertilizer applications on tropospheric ozone and crop damage over sub-Saharan Africa

    NASA Astrophysics Data System (ADS)

    Huang, Yaoxian; Hickman, Jonathan E.; Wu, Shiliang

    2018-05-01

    Fertilizer-induced nitrogen oxides (NOx) emissions in sub-Saharan Africa are expected to increase substantially in the coming decades, driven by increasing application of fertilizers to increase crop yields in an effort to attain food security across the continent. In many parts of sub-Saharan Africa, surface ozone (O3) is sensitive to increasing atmospheric concentrations of NOx. In this study, we employ the GEOS-Chem chemical transport model to conduct a preliminary investigation of the impacts on O3 air quality and the consequential crop damage associated with increasing fertilizer-induced NOx emissions in sub-Saharan Africa. Our simulation results, constrained by field NO flux measurements for the years 2011 and 2012 in response to a variety of fertilizer application rates in western Kenya, show that the enhancements in NO flux with fertilizer application rate of 150 kg N ha-1 can increase surface NOx and O3 concentrations by up to 0.36 and 2.8 ppbv respectively during the growing season. At the same time, accumulated O3 exposure during the crop growing season (expressed as AOT40 values) could increase by up to 496 ppb h, leading to crop yield decline of about 0.8% for O3-sensitive crops. Our results suggest that, when accounting for the consequential impacts on surface O3 air quality and crop damage over sub-Saharan Africa, agricultural intensification is possible without substantial impacts on crop productivity because the relatively small decline of crop yield resulting from O3 damage appears unlikely to outweigh the gain in crop yield from fertilization.

  12. Premature ejaculation.

    PubMed

    McMahon, Chris G

    2007-04-01

    Premature ejaculation (PE) is a common male sexual disorder. Recent normative data suggests that men with an intravaginal ejaculatory latency time (IELT) of less than 1 minute have "definite" PE, while men with IELTs between 1 and 1.5 minutes have "probable" PE. Although there is insufficient empirical evidence to identify the etiology of PE, there is limited correlational evidence to suggest that men with PE have high levels of sexual anxiety and inherited altered sensitivity of central 5-HT (5-hydroxytryptamine, serotonin) receptors. Pharmacological modulation of the ejaculatory threshold using off-label daily or on-demand selective serotonin re-uptake inhibitors is well tolerated and offers patients a high likelihood of achieving improved ejaculatory control within a few days of initiating treatment, consequential improvements in sexual desire and other sexual domains. Investigational drugs such as the ejaculo-selective serotonin transport inhibitor, dapoxetine represent a major development in sexual medicine. These drugs offer patients the convenience of on-demand dosing, significant improvements in IELT, ejaculatory control and sexual satisfaction with minimal adverse effects.

  13. Premature ejaculation

    PubMed Central

    McMahon, Chris G.

    2007-01-01

    Premature ejaculation (PE) is a common male sexual disorder. Recent normative data suggests that men with an intravaginal ejaculatory latency time (IELT) of less than 1 minute have “definite” PE, while men with IELTs between 1 and 1.5 minutes have “probable” PE. Although there is insufficient empirical evidence to identify the etiology of PE, there is limited correlational evidence to suggest that men with PE have high levels of sexual anxiety and inherited altered sensitivity of central 5-HT (5-hydroxytryptamine, serotonin) receptors. Pharmacological modulation of the ejaculatory threshold using off-label daily or on-demand selective serotonin re-uptake inhibitors is well tolerated and offers patients a high likelihood of achieving improved ejaculatory control within a few days of initiating treatment, consequential improvements in sexual desire and other sexual domains. Investigational drugs such as the ejaculo-selective serotonin transport inhibitor, dapoxetine represent a major development in sexual medicine. These drugs offer patients the convenience of on-demand dosing, significant improvements in IELT, ejaculatory control and sexual satisfaction with minimal adverse effects. PMID:19675782

  14. 'Fair innings' in the face of ageing and demographic change.

    PubMed

    Hazra, Nisha C; Gulliford, Martin C; Rudisill, Caroline

    2018-04-01

    There are now 125 million people aged 80 years and over worldwide, projected by the United Nations to grow threefold by 2050. While increases in life expectancy and rapid increases in the older-age population are considered positive developments, the consequential future health care burden represents a leading concern for health services. We revisit Williams' 'fair innings' argument from 1997, in light of technological and demographic changes, and challenge the notion that greater longevity may impose an unfair burden on younger generations. We discuss perspectives on the equity-efficiency trade-off in terms of their implications for the growing over-80 population, as well as society in general. This includes questioning the comparison of treatment cost-effectiveness in younger vs. older populations when using quality-adjusted life years and the transience of life expectancies over generations. While recognising that there will never be a clear consensus regarding societal value judgements, we present empirical evidence on the very elderly that lends support to a stronger anti-ageist stance given current increases in longevity.

  15. Renormalization group equations and the Lifshitz point in noncommutative Landau-Ginsburg theory

    NASA Astrophysics Data System (ADS)

    Chen, Guang-Hong; Wu, Yong-Shi

    2002-02-01

    A one-loop renormalization group (RG) analysis is performed for noncommutative Landau-Ginsburg theory in an arbitrary dimension. We adopt a modern version of the Wilsonian RG approach, in which a shell integration in momentum space bypasses the potential IR singularities due to UV-IR mixing. The momentum-dependent trigonometric factors in interaction vertices, characteristic of noncommutative geometry, are marginal under RG transformations, and their marginality is preserved at one loop. A negative Θ-dependent anomalous dimension is discovered as a novel effect of the UV-IR mixing. We also found a noncommutative Wilson-Fisher (NCWF) fixed point in less than four dimensions. At large noncommutativity, a momentum space instability is induced by quantum fluctuations, and a consequential first-order phase transition is identified together with a Lifshitz point in the phase diagram. In the vicinity of the Lifshitz point, we introduce two critical exponents νm and βk, whose values are determined to be 1/4 and 1/2, respectively, at mean-field level.

  16. Therapeutic strategies to address neuronal nitric oxide synthase deficiency and the loss of nitric oxide bioavailability in Duchenne Muscular Dystrophy.

    PubMed

    Timpani, Cara A; Hayes, Alan; Rybalka, Emma

    2017-05-25

    Duchenne Muscular Dystrophy is a rare and fatal neuromuscular disease in which the absence of dystrophin from the muscle membrane induces a secondary loss of neuronal nitric oxide synthase and the muscles capacity for endogenous nitric oxide synthesis. Since nitric oxide is a potent regulator of skeletal muscle metabolism, mass, function and regeneration, the loss of nitric oxide bioavailability is likely a key contributor to the chronic pathological wasting evident in Duchenne Muscular Dystrophy. As such, various therapeutic interventions to re-establish either the neuronal nitric oxide synthase protein deficit or the consequential loss of nitric oxide synthesis and bioavailability have been investigated in both animal models of Duchenne Muscular Dystrophy and in human clinical trials. Notably, the efficacy of these interventions are varied and not always translatable from animal model to human patients, highlighting a complex interplay of factors which determine the downstream modulatory effects of nitric oxide. We review these studies herein.

  17. Learning from failure in health care: frequent opportunities, pervasive barriers.

    PubMed

    Edmondson, A C

    2004-12-01

    The notion that hospitals and medical practices should learn from failures, both their own and others', has obvious appeal. Yet, healthcare organisations that systematically and effectively learn from the failures that occur in the care delivery process, especially from small mistakes and problems rather than from consequential adverse events, are rare. This article explores pervasive barriers embedded in healthcare's organisational systems that make shared or organisational learning from failure difficult and then recommends strategies for overcoming these barriers to learning from failure, emphasising the critical role of leadership. Firstly, leaders must create a compelling vision that motivates and communicates urgency for change; secondly, leaders must work to create an environment of psychological safety that fosters open reporting, active questioning, and frequent sharing of insights and concerns; and thirdly, case study research on one hospital's organisational learning initiative suggests that leaders can empower and support team learning throughout their organisations as a way of identifying, analysing, and removing hazards that threaten patient safety.

  18. Lean oncology: a new model for oncologists.

    PubMed

    Montesarchio, Vincenzo; Grimaldi, Antonio Maria; Fox, Bernard A; Rea, Antonio; Marincola, Francesco M; Ascierto, Paolo A

    2012-04-25

    The history of the term Lean is relatively recent and originates from the Toyota Production System (TPS). The term "Lean" means "thin", which refers to a mental process, operational, productive, no-frills, quick but not hasty, consequential to the previous event. The Lean process flows seamlessly into the result, eliminates unnecessary complications to the effect, prevents unnecessary equipment processes. The idea is to 'do more with less', like using the (few) available resources in the most productive way possible, through the elimination of all types of waste that inevitably accompanies every stage of a production process. Lean management is primarily a management philosophy, a system of values and behaviors that goes beyond the mere application of the instrument and that, once internalized, will form the nucleus of the corporate culture. "Lean Oncology" is a term coined to identify a methodology of care and treatment to cancer patients, consisting on process simplification, streamlining of the organizational and routes of drug treatment, detection and elimination of waste. Its main objective is the centrality of the patient.

  19. Psychosocial Effects of Health Disparities of Lesbian, Gay, Bisexual, and Transgender Older Adults.

    PubMed

    Zelle, Andraya; Arms, Tamatha

    2015-07-01

    The 1.5 million older adults who self-identify as lesbian, gay, bisexual, and transgender (LGBT) are expected to double in number by 2030. Research suggests that health disparities are closely linked with societal stigma, discrimination, and denial of civil and human rights. More LGBT older adults struggle with depression, substance abuse, social isolation, and acceptance compared to their heterosexual counterparts. Despite individual preferences, most health care providers recognize the right of any individual to have access to basic medical services. The U.S. Department of Health and Human Services requires that all hospitals receiving funds from Medicare and Medicaid respect visitation and medical decision-making rights to all individuals identifying as LGBT. The Joint Commission also requires a non-discrimination statement for accreditation. The current literature review examines LGBT health disparities and the consequential psychosocial impact on LGBT older adults as well as brings awareness to the needs of this underserved and underrepresented population. Copyright 2015, SLACK Incorporated.

  20. Oncogenomic disruptions in arsenic-induced carcinogenesis

    PubMed Central

    Ng, Kevin W.; Stewart, Greg L.; Dummer, Trevor J.B.; Lam, Wan L.; Martinez, Victor D

    2017-01-01

    Chronic exposure to arsenic affects more than 200 million people worldwide, and has been associated with many adverse health effects, including cancer in several organs. There is accumulating evidence that arsenic biotransformation, a step in the elimination of arsenic from the human body, can induce changes at a genetic and epigenetic level, leading to carcinogenesis. At the genetic level, arsenic interferes with key cellular processes such as DNA damage-repair and chromosomal structure, leading to genomic instability. At the epigenetic level, arsenic places a high demand on the cellular methyl pool, leading to global hypomethylation and hypermethylation of specific gene promoters. These arsenic-associated DNA alterations result in the deregulation of both oncogenic and tumour-suppressive genes. Furthermore, recent reports have implicated aberrant expression of non-coding RNAs and the consequential disruption of signaling pathways in the context of arsenic-induced carcinogenesis. This article provides an overview of the oncogenomic anomalies associated with arsenic exposure and conveys the importance of non-coding RNAs in the arsenic-induced carcinogenic process. PMID:28179585

  1. The Basel Face Database: A validated set of photographs reflecting systematic differences in Big Two and Big Five personality dimensions

    PubMed Central

    Schönborn, Sandro; Greifeneder, Rainer; Vetter, Thomas

    2018-01-01

    Upon a first encounter, individuals spontaneously associate faces with certain personality dimensions. Such first impressions can strongly impact judgments and decisions and may prove highly consequential. Researchers investigating the impact of facial information often rely on (a) real photographs that have been selected to vary on the dimension of interest, (b) morphed photographs, or (c) computer-generated faces (avatars). All three approaches have distinct advantages. Here we present the Basel Face Database, which combines these advantages. In particular, the Basel Face Database consists of real photographs that are subtly, but systematically manipulated to show variations in the perception of the Big Two and the Big Five personality dimensions. To this end, the information specific to each psychological dimension is isolated and modeled in new photographs. Two studies serve as systematic validation of the Basel Face Database. The Basel Face Database opens a new pathway for researchers across psychological disciplines to investigate effects of perceived personality. PMID:29590124

  2. Quantum uncertainty switches on or off the error-disturbance tradeoff

    NASA Astrophysics Data System (ADS)

    Zhang, Yu-Xiang; Su, Zu-En; Zhu, Xuanmin; Wu, Shengjun; Chen, Zeng-Bing

    2016-06-01

    The indeterminacy of quantum mechanics was originally presented by Heisenberg through the tradeoff between the measuring error of the observable A and the consequential disturbance to the value of another observable B. This tradeoff now has become a popular interpretation of the uncertainty principle. However, the historic idea has never been exactly formulated previously and is recently called into question. A theory built upon operational and state-relevant definitions of error and disturbance is called for to rigorously reexamine the relationship. Here by putting forward such natural definitions, we demonstrate both theoretically and experimentally that there is no tradeoff if the outcome of measuring B is more uncertain than that of A. Otherwise, the tradeoff will be switched on and well characterized by the Jensen-Shannon divergence. Our results reveal the hidden effect of the uncertain nature possessed by the measured state, and conclude that the state-relevant relation between error and disturbance is not almosteverywhere a tradeoff as people usually believe.

  3. Learning from failure in health care: frequent opportunities, pervasive barriers

    PubMed Central

    Edmondson, A

    2004-01-01

    The notion that hospitals and medical practices should learn from failures, both their own and others', has obvious appeal. Yet, healthcare organisations that systematically and effectively learn from the failures that occur in the care delivery process, especially from small mistakes and problems rather than from consequential adverse events, are rare. This article explores pervasive barriers embedded in healthcare's organisational systems that make shared or organisational learning from failure difficult and then recommends strategies for overcoming these barriers to learning from failure, emphasising the critical role of leadership. Firstly, leaders must create a compelling vision that motivates and communicates urgency for change; secondly, leaders must work to create an environment of psychological safety that fosters open reporting, active questioning, and frequent sharing of insights and concerns; and thirdly, case study research on one hospital's organisational learning initiative suggests that leaders can empower and support team learning throughout their organisations as a way of identifying, analysing, and removing hazards that threaten patient safety. PMID:15576689

  4. The Basel Face Database: A validated set of photographs reflecting systematic differences in Big Two and Big Five personality dimensions.

    PubMed

    Walker, Mirella; Schönborn, Sandro; Greifeneder, Rainer; Vetter, Thomas

    2018-01-01

    Upon a first encounter, individuals spontaneously associate faces with certain personality dimensions. Such first impressions can strongly impact judgments and decisions and may prove highly consequential. Researchers investigating the impact of facial information often rely on (a) real photographs that have been selected to vary on the dimension of interest, (b) morphed photographs, or (c) computer-generated faces (avatars). All three approaches have distinct advantages. Here we present the Basel Face Database, which combines these advantages. In particular, the Basel Face Database consists of real photographs that are subtly, but systematically manipulated to show variations in the perception of the Big Two and the Big Five personality dimensions. To this end, the information specific to each psychological dimension is isolated and modeled in new photographs. Two studies serve as systematic validation of the Basel Face Database. The Basel Face Database opens a new pathway for researchers across psychological disciplines to investigate effects of perceived personality.

  5. Growing Fixed With Age: Lay Theories of Malleability Are Target Age-Specific.

    PubMed

    Neel, Rebecca; Lassetter, Bethany

    2015-11-01

    Beliefs about whether people can change ("lay theories" of malleability) are known to have wide-ranging effects on social motivation, cognition, and judgment. Yet rather than holding an overarching belief that people can or cannot change, perceivers may hold independent beliefs about whether different people are malleable-that is, lay theories may be target-specific. Seven studies demonstrate that lay theories are target-specific with respect to age: Perceivers hold distinct, uncorrelated lay theories of people at different ages, and younger targets are considered to be more malleable than older targets. Both forms of target-specificity are consequential, as target age-specific lay theories predict policy support for learning-based senior services and the rehabilitation of old and young drug users. The implications of target age-specific lay theories for a number of psychological processes, the social psychology of aging, and theoretical frameworks of malleability beliefs are discussed. © 2015 by the Society for Personality and Social Psychology, Inc.

  6. Macrophage-Derived Extracellular Succinate Licenses Neural Stem Cells to Suppress Chronic Neuroinflammation.

    PubMed

    Peruzzotti-Jametti, Luca; Bernstock, Joshua D; Vicario, Nunzio; Costa, Ana S H; Kwok, Chee Keong; Leonardi, Tommaso; Booty, Lee M; Bicci, Iacopo; Balzarotti, Beatrice; Volpe, Giulio; Mallucci, Giulia; Manferrari, Giulia; Donegà, Matteo; Iraci, Nunzio; Braga, Alice; Hallenbeck, John M; Murphy, Michael P; Edenhofer, Frank; Frezza, Christian; Pluchino, Stefano

    2018-03-01

    Neural stem cell (NSC) transplantation can influence immune responses and suppress inflammation in the CNS. Metabolites, such as succinate, modulate the phenotype and function of immune cells, but whether and how NSCs are also activated by such immunometabolites to control immunoreactivity and inflammatory responses is unclear. Here, we show that transplanted somatic and directly induced NSCs ameliorate chronic CNS inflammation by reducing succinate levels in the cerebrospinal fluid, thereby decreasing mononuclear phagocyte (MP) infiltration and secondary CNS damage. Inflammatory MPs release succinate, which activates succinate receptor 1 (SUCNR1)/GPR91 on NSCs, leading them to secrete prostaglandin E2 and scavenge extracellular succinate with consequential anti-inflammatory effects. Thus, our work reveals an unexpected role for the succinate-SUCNR1 axis in somatic and directly induced NSCs, which controls the response of stem cells to inflammatory metabolic signals released by type 1 MPs in the chronically inflamed brain. Crown Copyright © 2018. Published by Elsevier Inc. All rights reserved.

  7. Strong Correlation and Topological States in Orbital-Active Dirac Materials

    NASA Astrophysics Data System (ADS)

    Xu, Shenglong; Wu, Congjun

    Two dimensional Dirac materials, starting with graphene, have drawn tremendous research interests in the past decade. Instead of focusing on the pz orbital as in graphene, we go a step further and study its two orbitals counterpart, namely the px and py orbitals on a honeycomb lattice. The model applies to both optical lattices and several solid state systems including organic material, fluoridated tin film, BiX/SBX (X=H.F.CI.Br). In the band structure, besides the well known Dirac points in the graphene band structure, the orbital degrees of freedom give rise to flat bands as well as quadratic band touching points. These new features provide an even wider playground for searching exotic states of matter. With help of mean field theory and functional renormalization group (FRG) method, we explore the effects of interaction on the system and investigate the consequential interesting states such as ferromagnetism, Wigner crystallization, quantum anomalous Hall states and f-wave superconductivity.

  8. Biodiversity conservation and armed conflict: a warfare ecology perspective.

    PubMed

    Hanson, Thor

    2018-04-23

    The activities involved in preparing for, executing, and recovering from armed conflict are globally pervasive and consequential, with significant impacts on natural systems. Effects on biodiversity are predominantly negative, produced by direct and indirect battlefield impacts, as well as the general breakdown of social, economic, and governance systems during wartime. Certain conservation opportunities do occur, however, particularly on lands set aside for training exercises, buffer zones, and peace parks. Here, the relationship between armed conflict and biodiversity is reviewed using the temporal framework of warfare ecology, which defines warfare as an ongoing process of three overlapping stages: preparations, war (armed conflict), and postwar activities. Several themes emerge from recent studies, including a heightened awareness of biodiversity conservation on military lands, the potential for scientific and conservation engagement to mitigate negative biodiversity impacts in war zones, and the importance of the postwar period for incorporating biodiversity priorities into reconstruction and recovery efforts. Research limitations and knowledge gaps are also discussed. © 2018 New York Academy of Sciences.

  9. Neural Precursor-Derived Pleiotrophin Mediates Subventricular Zone Invasion by Glioma.

    PubMed

    Qin, Elizabeth Y; Cooper, Dominique D; Abbott, Keene L; Lennon, James; Nagaraja, Surya; Mackay, Alan; Jones, Chris; Vogel, Hannes; Jackson, Peter K; Monje, Michelle

    2017-08-24

    The lateral ventricle subventricular zone (SVZ) is a frequent and consequential site of pediatric and adult glioma spread, but the cellular and molecular mechanisms mediating this are poorly understood. We demonstrate that neural precursor cell (NPC):glioma cell communication underpins this propensity of glioma to colonize the SVZ through secretion of chemoattractant signals toward which glioma cells home. Biochemical, proteomic, and functional analyses of SVZ NPC-secreted factors revealed the neurite outgrowth-promoting factor pleiotrophin, along with required binding partners SPARC/SPARCL1 and HSP90B, as key mediators of this chemoattractant effect. Pleiotrophin expression is strongly enriched in the SVZ, and pleiotrophin knock down starkly reduced glioma invasion of the SVZ in the murine brain. Pleiotrophin, in complex with the binding partners, activated glioma Rho/ROCK signaling, and ROCK inhibition decreased invasion toward SVZ NPC-secreted factors. These findings demonstrate a pathogenic role for NPC:glioma interactions and potential therapeutic targets to limit glioma invasion. PAPERCLIP. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Cumulative Effects of Growing Up in Separate and Unequal Neighborhoods on Racial Disparities in Self-rated Health in Early Adulthood

    PubMed Central

    Kravitz-Wirtz, Nicole

    2017-01-01

    Evidence suggests that living in a socioeconomically deprived neighborhood is associated with worse health. Yet most research relies on cross-sectional data, which implicitly ignore variation in longer-term exposure that may be more consequential for health. Using data from the 1970 to 2011 waves of the Panel Study of Income Dynamics merged with census data on respondents’ neighborhoods (N = 1,757), this study estimates a marginal structural model with inverse probability of treatment and censoring weights to examine: (1) whether cumulative exposure to neighborhood disadvantage from birth through age 17 affects self-rated health in early adulthood, and (2) the extent to which variation in such exposure helps to explain racial disparities therein. Findings reveal that prolonged exposure to neighborhood disadvantage throughout childhood and adolescence is strikingly more common among nonwhite versus white respondents and is associated with significantly greater odds of experiencing an incidence of fair or poor health in early adulthood. PMID:27799591

  11. Late-successional and old-growth forest effectiveness monitoring plan for the Northwest Forest Plan.

    Treesearch

    Miles Hemstrom; Thomas Spies; Craig Palmer; Ross Kiester; John Teply; Phil McDonald; Ralph. Warbington

    1998-01-01

    This report presents options for long-term effectiveness monitoring of late-successional and old-growth forests under the Northwest Forest Plan. It describes methods to answer questions about how much late-successional forest exists on Federal land, its pattern, how it’s changing, and if the Forest Plan is providing for its conservation and management. It specifies...

  12. 76 FR 72952 - Guidance for Industry on Nonclinical Evaluation of Late Radiation Toxicity of Therapeutic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ... effects of therapeutic radiopharmaceutical agents. This guidance is not intended to address late radiation... and is often self-limiting and reversible. In contrast, late radiation toxicity (e.g., renal failure...

  13. Acupuncture elicits neuroprotective effect by inhibiting NAPDH oxidase-mediated reactive oxygen species production in cerebral ischaemia.

    PubMed

    Shi, Guang-Xia; Wang, Xue-Rui; Yan, Chao-Qun; He, Tian; Yang, Jing-Wen; Zeng, Xiang-Hong; Xu, Qian; Zhu, Wen; Du, Si-Qi; Liu, Cun-Zhi

    2015-12-10

    In the current study, we aimed to investigate whether NADPH oxidase, a major ROS-producing enzyme, was involved in the antioxidant effect of acupuncture on cognitive impairment after cerebral ischaemia. The cognitive function, infract size, neuron cell loss, level of superoxide anion and expression of NADPH oxidase subunit in hippocampus of two-vessel occlusion (2VO) rats were determined after 2-week acupuncture. Furthermore, the cognitive function and production of O2(-) were determined in the presence and absence of NADPH oxidase agonist (TBCA) and antagonist (Apocynin). The effect of acupuncture on cognitive function after cerebral ischaemia in gp91phox-KO mice was evaluated by Morris water maze. Acupuncture reduced infarct size, attenuated overproduction of O2(-), and reversed consequential cognitive impairment and neuron cell loss in 2VO rats. The elevations of gp91phox and p47phox after 2VO were significantly decreased after acupuncture treatment. However, no differences of gp91phox mRNA were found among any experimental groups. Furthermore, these beneficial effects were reversed by TBCA, whereas apocynin mimicked the effect of acupuncture by improving cognitive function and decreasing O2(-) generation. Acupuncture failed to improve the memory impairment in gp91phox KO mice. Full function of the NADPH oxidase enzyme plays an important role in neuroprotective effects against cognitive impairment via inhibition of NAPDH oxidase-mediated oxidative stress.

  14. Energy drink consumption, health complaints and late bedtime among young adolescents.

    PubMed

    Koivusilta, Leena; Kuoppamäki, Heini; Rimpelä, Arja

    2016-04-01

    Energy drinks contain large amounts of caffeine. Their effects on adolescent well-being are poorly known. We examined the relationship of energy drink consumption with health complaints and late bedtime among 13-year-olds. A classroom survey was conducted on all 7th graders in the Helsinki metropolitan region, Finland (73 % responded; n = 9446). Logistic regression analysis and structural equation modeling (SEM) were used. The prevalence of health complaints increased as energy drink consumption increased from non-consumers to several times/day. Late bedtime (≥11 PM) increased correspondingly. Those consuming energy drinks several times/day exhibited increased odds of experiencing daily health complaints compared with non-consumers: headache OR (adjusted) = 4.6 (2.8-7.7), sleeping problems OR = 3.6 (2.2-5.8), irritation OR = 4.1 (2.7-6.1), tiredness/fatigue OR = 3.7 (2.4-5.7), and late bedtime OR = 7.8 (5.7-10.9). In SEM, energy drink consumption had a direct effect on health complaints and late bedtime and an indirect effect on health complaints via late bedtime. Energy drinks, late bedtime, and health complaints form a behavior pattern that is worth considering in schools, home and clinical settings when adolescents complain about headaches, problems with sleeping and corresponding symptoms.

  15. The Second Pediatric Blood and Marrow Transplant Consortium International Consensus Conference on Late Effects after Pediatric Hematopoietic Cell Transplantation (HCT): Defining the Unique Late Effects of Children undergoing HCT for Immune Deficiencies, Inherited Marrow Failure Disorders, and Hemoglobinopathies

    PubMed Central

    Dietz, Andrew C.; Duncan, Christine N.; Alter, Blanche P.; Bresters, Dorine; Cowan, Morton J.; Notarangelo, Luigi; Rosenberg, Philip S.; Shenoy, Shalini; Skinner, Roderick; Walters, Mark C.; Wagner, John; Baker, K. Scott; Pulsipher, Michael A.

    2016-01-01

    An international consensus conference sponsored by the Pediatric Blood and Marrow Transplant consortium entitled, “Late Effects Screening and Recommendations Following Allogeneic Hematopoietic Cell Transplant for Immune Deficiency and Non-malignant Hematologic Disease was held in Minneapolis, Minnesota on May 10–11, 2016. The purpose of the conference was to address the unmet need for a greater understanding of and the screening for long-term complications in the growing population of survivors of transplantation for nonmalignant disorders. The conference focused on transplantation for hemoglobinopathy, immune deficiency, and inherited bone marrow syndromes. A multidisciplinary group of experts in the disease areas and transplant late effects presented the current state of understanding of how the underlying disease, pretransplant therapies, and transplant related factors uniquely interact to influence the development of late toxicities. Recommendations were put forth by the group for the late effects screening of survivors of transplantation for these non-malignant disorders. The findings and recommendations that came from this conference will be presented in a series of six additional manuscripts in the upcoming months. In this manuscript we explore the need for screening practices specific to the survivors of transplantation for non-malignant diseases and the metholodologic challenges associated with the study of these patients. PMID:27737772

  16. For Many Young Cancer Survivors, Late Effects Pose Lasting Problems

    Cancer.gov

    Many survivors of adolescent and young adult cancers are unaware of or underestimate their heightened risk for late health effects. Efforts are underway to raise awareness and increase monitoring and surveillance.

  17. Childhood Cancer Survivor Study: An Overview

    Cancer.gov

    Health problems that develop years later as a result of a cancer treatment are known as late effects. The Childhood Cancer Survivor Study (CCSS) was started in 1994 to better understand these late effects.

  18. Stress within a Restricted Time Window Selectively Affects the Persistence of Long-Term Memory

    PubMed Central

    Fang, Qin; Chai, Ning; Zhao, Li-Yan; Xue, Yan-Xue; Luo, Yi-Xiao; Jian, Min; Han, Ying; Shi, Hai-Shui; Lu, Lin; Wu, Ping; Wang, Ji-Shi

    2013-01-01

    The effects of stress on emotional memory are distinct and depend on the stages of memory. Memory undergoes consolidation and reconsolidation after acquisition and retrieval, respectively. Stress facilitates the consolidation but disrupts the reconsolidation of emotional memory. Previous research on the effects of stress on memory have focused on long-term memory (LTM) formation (tested 24 h later), but the effects of stress on the persistence of LTM (tested at least 1 week later) are unclear. Recent findings indicated that the persistence of LTM requires late-phase protein synthesis in the dorsal hippocampus. The present study investigated the effect of stress (i.e., cold water stress) during the late phase after the acquisition and retrieval of contextual fear memory in rats. We found that stress and corticosterone administration during the late phase (12 h) after acquisition, referred to as late consolidation, selectively enhanced the persistence of LTM, whereas stress during the late phase (12 h) after retrieval, referred to as late reconsolidation, selectively disrupted the restabilized persistence of LTM. Moreover, the effects of stress on the persistence of LTM were blocked by the corticosterone synthesis inhibitor metyrapone, which was administered before stress, suggesting that the glucocorticoid system is involved in the effects of stress on the persistence of LTM. We conclude that stress within a restricted time window after acquisition or retrieval selectively affects the persistence of LTM and depends on the glucocorticoid system. PMID:23544051

  19. Missed Opportunities in the Labor Market or Temporary Disruptions? How Late Teacher Hiring Affects Student Achievement

    ERIC Educational Resources Information Center

    Papay, John P.; Kraft, Matthew A.; Bloom, Julia; Buckley, Kate; Liebowitz, David

    2013-01-01

    While there are many reasons why late hiring may affect student achievement, no empirical studies have documented this effect in practice. This paper presents the first estimates of the direct impact of late hiring on students' academic achievement, sheds light on two competing explanations for the struggles of late-hire teachers advanced in the…

  20. Open EFTs, IR effects & late-time resummations: systematic corrections in stochastic inflation

    DOE PAGES

    Burgess, C. P.; Holman, R.; Tasinato, G.

    2016-01-26

    Though simple inflationary models describe the CMB well, their corrections are often plagued by infrared effects that obstruct a reliable calculation of late-time behaviour. Here we adapt to cosmology tools designed to address similar issues in other physical systems with the goal of making reliable late-time inflationary predictions. The main such tool is Open EFTs which reduce in the inflationary case to Stochastic Inflation plus calculable corrections. We apply this to a simple inflationary model that is complicated enough to have dangerous IR behaviour yet simple enough to allow the inference of late-time behaviour. We find corrections to standard Stochasticmore » Inflationary predictions for the noise and drift, and we find these corrections ensure the IR finiteness of both these quantities. The late-time probability distribution, P(Φ), for super-Hubble field fluctuations are obtained as functions of the noise and drift and so these too are IR finite. We compare our results to other methods (such as large-N models) and find they agree when these models are reliable. In all cases we can explore in detail we find IR secular effects describe the slow accumulation of small perturbations to give a big effect: a significant distortion of the late-time probability distribution for the field. But the energy density associated with this is only of order H 4 at late times and so does not generate a dramatic gravitational back-reaction.« less

  1. Open EFTs, IR effects & late-time resummations: systematic corrections in stochastic inflation

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

    Burgess, C. P.; Holman, R.; Tasinato, G.

    Though simple inflationary models describe the CMB well, their corrections are often plagued by infrared effects that obstruct a reliable calculation of late-time behaviour. Here we adapt to cosmology tools designed to address similar issues in other physical systems with the goal of making reliable late-time inflationary predictions. The main such tool is Open EFTs which reduce in the inflationary case to Stochastic Inflation plus calculable corrections. We apply this to a simple inflationary model that is complicated enough to have dangerous IR behaviour yet simple enough to allow the inference of late-time behaviour. We find corrections to standard Stochasticmore » Inflationary predictions for the noise and drift, and we find these corrections ensure the IR finiteness of both these quantities. The late-time probability distribution, P(Φ), for super-Hubble field fluctuations are obtained as functions of the noise and drift and so these too are IR finite. We compare our results to other methods (such as large-N models) and find they agree when these models are reliable. In all cases we can explore in detail we find IR secular effects describe the slow accumulation of small perturbations to give a big effect: a significant distortion of the late-time probability distribution for the field. But the energy density associated with this is only of order H 4 at late times and so does not generate a dramatic gravitational back-reaction.« less

  2. Decreasing Irradiated Rat Lung Volume Changes Dose-Limiting Toxicity From Early to Late Effects

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

    Veen, Sonja J. van der; Faber, Hette; Ghobadi, Ghazaleh

    2016-01-01

    Purpose: Technological developments in radiation therapy result in smaller irradiated volumes of normal tissue. Because the risk of radiation therapy-induced toxicity generally depends on irradiated volume, changing volume could change the dose-limiting toxicity of a treatment. Recently, in our rat model, we found that early radiation-induced lung dysfunction (RILD) was closely related to irradiated volume dependent vascular remodeling besides inflammation. The exact relationship between early and late RILD is still unknown. Therefore, in this preclinical study we investigated the dose-volume relationship of late RILD, assessed its dependence on early and late pathologies and studied if decreasing irradiated volume changed themore » dose-limiting toxicity. Methods and Materials: A volume of 25%, 32%, 50%, 63%, 88%, or 100% of the rat lung was irradiated using protons. Until 26 weeks after irradiation, respiratory rates were measured. Macrovascular remodeling, pulmonary inflammation, and fibrosis were assessed at 26 weeks after irradiation. For all endpoints dose-volume response curves were made. These results were compared to our previously published early lung effects. Results: Early vascular remodeling and inflammation correlated significantly with early RILD. Late RILD correlated with inflammation and fibrosis, but not with vascular remodeling. In contrast to the early effects, late vascular remodeling, inflammation and fibrosis showed a primarily dose but not volume dependence. Comparison of respiratory rate increases early and late after irradiation for the different dose-distributions indicated that with decreasing irradiated volumes, the dose-limiting toxicity changed from early to late RILD. Conclusions: In our rat model, different pathologies underlie early and late RILD with different dose-volume dependencies. Consequently, the dose-limiting toxicity changed from early to late dysfunction when the irradiated volume was reduced. In patients, early and late RILD are also due to different pathologies. As such, new radiation techniques reducing irradiated volume might change the dose-limiting toxicity of the radiation therapy treatment.« less

  3. Electron anions and the glass transition temperature.

    PubMed

    Johnson, Lewis E; Sushko, Peter V; Tomota, Yudai; Hosono, Hideo

    2016-09-06

    Properties of glasses are typically controlled by judicious selection of the glass-forming and glass-modifying constituents. Through an experimental and computational study of the crystalline, molten, and amorphous [Ca12Al14O32](2+) ⋅ (e(-))2, we demonstrate that electron anions in this system behave as glass modifiers that strongly affect solidification dynamics, the glass transition temperature, and spectroscopic properties of the resultant amorphous material. The concentration of such electron anions is a consequential control parameter: It invokes materials evolution pathways and properties not available in conventional glasses, which opens a unique avenue in rational materials design.

  4. Virtue ethics - an old answer to a new dilemma? Part 1. Problems with contemporary medical ethics.

    PubMed

    Misselbrook, David

    2015-02-01

    The commonest practical model used in contemporary medical ethics is Principlism. Yet, while Principlism is a widely accepted consensus statement for ethics, the moral theory that underpins it faces serious challenges in its attempt to provide a coherent and accepted system of moral analysis. This inevitably challenges the stability of such a consensus statement and makes it vulnerable to attack by competitors such as preference consequentialism. This two-part paper proposes an inclusive version of virtue theory as a more grounded system of moral analysis. © The Royal Society of Medicine.

  5. Close up detail of the underside of the Orbiter Discovery ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Close up detail of the underside of the Orbiter Discovery in the Vehicle Assembly Building at NASA's Kennedy Space Center. This view is from underneath the aft section looking forward. It is a close-up view of the High-temperature Reusable Surface Insulation tiles showing the wear patterns from the heat of reentry, consequential replacement of worn and damaged tiles. The wear and replacement patters are unique to each Orbiter which can serve as their particular "fingerprint". - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  6. Cognitive Impairment and Dementia in Patients with Parkinson Disease

    PubMed Central

    Leverenz, James B.; Quinn, Joseph F.; Zabetian, Cyrus; Zhang, Jing; Montine, Kathleen S.; Montine, Thomas J.

    2009-01-01

    Parkinson disease (PD) is an already prevalent neurodegenerative disease that is poised to at least double over the next 25 years. Although best known for its characteristic movement disorder, PD is now appreciated commonly to cause cognitive impairment, including dementia, and behavioral changes. Dementia in patients with PD is consequential and has been associated with reduced quality of life, shortened survival, and increased caregiver distress. Here we review clinical presentation and progression, pathological bases, identification of genetic risk factors, development of small molecule biomarkers, and emerging treatments for cognitive impairment in patients with PD. PMID:19754405

  7. Virtue ethics – an old answer to a new dilemma? Part 1. Problems with contemporary medical ethics

    PubMed Central

    2015-01-01

    The commonest practical model used in contemporary medical ethics is Principlism. Yet, while Principlism is a widely accepted consensus statement for ethics, the moral theory that underpins it faces serious challenges in its attempt to provide a coherent and accepted system of moral analysis. This inevitably challenges the stability of such a consensus statement and makes it vulnerable to attack by competitors such as preference consequentialism. This two-part paper proposes an inclusive version of virtue theory as a more grounded system of moral analysis. PMID:25721113

  8. Light-weight DC to very high voltage DC converter

    DOEpatents

    Druce, Robert L.; Kirbie, Hugh C.; Newton, Mark A.

    1998-01-01

    A DC-DC converter capable of generating outputs of 100 KV without a transformer comprises a silicon opening switch (SOS) diode connected to allow a charging current from a capacitor to flow into an inductor. When a specified amount of charge has flowed through the SOS diode, it opens up abruptly; and the consequential collapsing field of the inductor causes a voltage and current reversal that is steered into a load capacitor by an output diode. A switch across the series combination of the capacitor, inductor, and SOS diode closes to periodically reset the SOS diode by inducing a forward-biased current.

  9. Modified Beer-Lambert law for blood flow

    PubMed Central

    Baker, Wesley B.; Parthasarathy, Ashwin B.; Busch, David R.; Mesquita, Rickson C.; Greenberg, Joel H.; Yodh, A. G.

    2014-01-01

    We develop and validate a Modified Beer-Lambert law for blood flow based on diffuse correlation spectroscopy (DCS) measurements. The new formulation enables blood flow monitoring from temporal intensity autocorrelation function data taken at single or multiple delay-times. Consequentially, the speed of the optical blood flow measurement can be substantially increased. The scheme facilitates blood flow monitoring of highly scattering tissues in geometries wherein light propagation is diffusive or non-diffusive, and it is particularly well-suited for utilization with pressure measurement paradigms that employ differential flow signals to reduce contributions of superficial tissues. PMID:25426330

  10. Electron anions and the glass transition temperature

    DOE PAGES

    Johnson, Lewis E.; Sushko, Peter V.; Tomota, Yudai; ...

    2016-08-24

    Properties of glasses are typically controlled by judicious selection of the glass-forming and glass-modifying constituents. Through an experimental and computational study of the crystalline, molten, and amorphous [Ca 12Al 14O 32] 2+ ∙ (e –) 2, we demonstrate that electron anions in this system behave as glass-modifiers that strongly affect solidification dynamics, the glass transition temperature, and spectroscopic properties of the resultant amorphous material. Concentration of such electron anions is a consequential control parameter: it invokes materials evolution pathways and properties not available in conventional glasses, which opens a new avenue in rational materials design.

  11. A Cost-effectiveness Analysis of Early vs Late Tracheostomy.

    PubMed

    Liu, C Carrie; Rudmik, Luke

    2016-10-01

    The timing of tracheostomy in critically ill patients requiring mechanical ventilation is controversial. An important consideration that is currently missing in the literature is an evaluation of the economic impact of an early tracheostomy strategy vs a late tracheostomy strategy. To evaluate the cost-effectiveness of the early tracheostomy strategy vs the late tracheostomy strategy. This economic analysis was performed using a decision tree model with a 90-day time horizon. The economic perspective was that of the US health care third-party payer. The primary outcome was the incremental cost per tracheostomy avoided. Probabilities were obtained from meta-analyses of randomized clinical trials. Costs were obtained from the published literature and the Healthcare Cost and Utilization Project database. A multivariate probabilistic sensitivity analysis was performed to account for uncertainty surrounding mean values used in the reference case. The reference case demonstrated that the cost of the late tracheostomy strategy was $45 943.81 for 0.36 of effectiveness. The cost of the early tracheostomy strategy was $31 979.12 for 0.19 of effectiveness. The incremental cost-effectiveness ratio for the late tracheostomy strategy compared with the early tracheostomy strategy was $82 145.24 per tracheostomy avoided. With a willingness-to-pay threshold of $50 000, the early tracheostomy strategy is cost-effective with 56% certainty. The adaptation of an early vs a late tracheostomy strategy depends on the priorities of the decision-maker. Up to a willingness-to-pay threshold of $80 000 per tracheostomy avoided, the early tracheostomy strategy has a higher probability of being the more cost-effective intervention.

  12. Differential modulation of late sodium current by protein kinase A in R1623Q mutant of LQT3

    PubMed Central

    Tsurugi, Takuo; Nagatomo, Toshihisa; Abe, Haruhiko; Oginosawa, Yasushi; Takemasa, Hiroko; Kohno, Ritsuko; Makita, Naomasa; Makielski, Jonathan C.; Otsuji, Yutaka

    2009-01-01

    Aims In the type 3 long QT syndrome (LQT3), shortening of the QT interval by overdrive pacing is used to prevent life-threatening arrhythmias. However, it is unclear whether accelerated heart rate induced by β-adrenergic agents produces similar effects on the late sodium current (INa) to those by overdrive pacing therapy. We analyzed the β-adrenergic-like effects of protein kinase A and fluoride on INa in R1623Q mutant channels. Main methods cDNA encoding either wild-type (WT) or R1623Q mutant of hNav1.5 was stably transfected into HEK293 cells. INa was recorded using a whole-cell patch-clamp technique at 23 °C. Key findings In R1623Q channels, 2 mM pCPT-AMP and 120 mM fluoride significantly delayed macroscopic current decay and increased relative amplitude of the late INa in a time-dependent manner. Modulations of peak INa gating kinetics (activation, inactivation, recovery from inactivation) by fluoride were similar in WT and R1623Q channels. The effects of fluoride were almost completely abolished by concomitant dialysis with a protein kinase inhibitor. We also compared the effect of pacing with that of β-adrenergic stimulation by analyzing the frequency-dependence of the late INa. Fluoride augmented frequency-dependent reduction of the late INa, which was due to preferential delay of recovery of late INa. However, the increase in late INa by fluoride at steady-state was more potent than the frequency-dependent reduction of late INa. Significance Different basic mechanisms participate in the QT interval shortening by pacing and β-adrenergic stimulation in the LQT3. PMID:19167409

  13. Ecological effects of spring and late summer applications of lambda-cyhalothrin on freshwater microcosms.

    PubMed

    Van Wijngaarden, R P A; Brock, T C M; van den Brink, P J; Gylstra, R; Maund, S J

    2006-02-01

    The aim of the study was to compare the effects of the pyrethroid insecticide lambda-cyhalothrin (treated at 10, 25, 50, 100, 250 ng active ingredient a.i./L) on a drainage ditch ecosystem in spring and late summer. Microcosms (water volume approximately 430 L) were established using enclosures in a 50-cm-deep experimental ditch system containing communities typical of macrophyte-dominated freshwater ecosystems. Effects on macroinvertebrates, zooplankton, phytoplankton, macrophytes, and community metabolism were assessed and evaluated using univariate and multivariate statistical techniques. The macroinvertebrate community responded most clearly to treatment and, as anticipated, insects and crustaceans were among the most sensitive organisms. Statistical analysis showed that the underlying community structure was significantly different between the spring and summer experiments. However, the most sensitive species (Chaoborus obscuripes and Gammarus pulex) were abundant in spring as well as in late summer. In spring and late summer, only slight and transient effects were observed at the community level in the 10-ng/L treatment. Overall, the study did not show substantial differences in the responses of sensitive taxa between spring and late summer treatments, and effects thresholds were similar irrespective of season of treatment.

  14. Investigating the modulation of genetic effects on late AMD by age and sex: Lessons learned and two additional loci

    PubMed Central

    Grassmann, Felix; Gorski, Mathias; Loss, Julika; Heid, Iris M.

    2018-01-01

    Late-stage age-related macular degeneration (AMD) is the leading cause of visual impairment in the elderly with a complex etiology. The most important non-modifiable risk factors for onset and progression of late AMD are age and genetic risk factors, however, little is known about the interplay between genetics and age or sex. Here, we conducted a large-scale age- and sex-stratified genome-wide association study (GWAS) using 1000 Genomes imputed genome-wide and ExomeChip data (>12 million variants). The data were established by the International Age-related Macular Degeneration Genomics Consortium (IAMDGC) from 16,144 late AMD cases and 17,832 controls. Our systematic search for interaction effects yielded significantly stronger effects among younger individuals at two known AMD loci (near CFH and ARMS2/HTRA1). Accounting for age and gene-age interaction using a joint test identified two additional AMD loci compared to the previous main effect scan. One of these two is a novel AMD GWAS locus, near the retinal clusterin-like protein (CLUL1) gene, and the other, near the retinaldehyde binding protein 1 (RLBP1), was recently identified in a joint analysis of nuclear and mitochondrial variants. Despite considerable power in our data, neither sex-dependent effects nor effects with opposite directions between younger and older individuals were observed. This is the first genome-wide interaction study to incorporate age, sex and their interaction with genetic effects for late AMD. Results diminish the potential for a role of sex in the etiology of late AMD yet highlight the importance and existence of age-dependent genetic effects. PMID:29529059

  15. Field effect transistor with HfO2/Parylene-C bilayer hybrid gate insulator

    NASA Astrophysics Data System (ADS)

    Kumar, Neeraj; Kito, Ai; Inoue, Isao

    2015-03-01

    We have investigated the electric field control of the carrier density and the mobility at the surface of SrTiO3, a well known transition-metal oxide, in a field effect transistor (FET) geometry. We have used a Parylene-C (8 nm)/HfO2 (20 nm) double-layer gate insulator (GI), which can be a potential candidate for a solid state GI for the future Mott FETs. So far, only examples of the Mott FET used liquid electrolyte or ferroelectric oxides for the GI. However, possible electrochemical reaction at the interface causes damage to the surface of the Mott insulator. Thus, an alternative GI has been highly desired. We observed that even an ultra thin Parylene-C layer is effective for keeping the channel surface clean and free from oxygen vacancies. The 8 nm Parylene-C film has a relatively low resistance and consequentially its capacitance does not dominate the total capacitance of the Parylene-C/HfO2 GI. The breakdown gate voltage at 300 K is usually more than 10 V (~ 3.4 MV/cm). At gate voltage of 3 V the carrier density measured by the Hall effect is about 3 ×1013 cm-2, competent to cause the Mott transition. Moreover, the field effect mobility reaches in the range of 10 cm2/Vs indicating the Parylene-C passivated surface is actually very clean.

  16. Transcriptomic Analysis of Ciguatoxin-Induced Changes in Gene Expression in Primary Cultures of Mice Cortical Neurons

    PubMed Central

    Rubiolo, Juan Andrés; Boente-Juncal, Andrea; Hirama, Masahiro; Yamashita, Shuji; Camiña, Mercedes; Vieytes, Mercedes R.

    2018-01-01

    Ciguatoxins are polyether marine toxins that act as sodium channel activators. These toxins cause ciguatera, one of the most widespread nonbacterial forms of food poisoning, which presents several symptoms in humans including long-term neurological alterations. Earlier work has shown that both acute and chronic exposure of primary cortical neurons to synthetic ciguatoxin CTX3C have profound impacts on neuronal function. Thus, the present work aimed to identify relevant neuronal genes and metabolic pathways that could be altered by ciguatoxin exposure. To study the effect of ciguatoxins in primary neurons in culture, we performed a transcriptomic analysis using whole mouse genome microarrays, for primary cortical neurons exposed during 6, 24, or 72 h in culture to CTX3C. Here, we have shown that the effects of the toxin on gene expression differ with the exposure time. The results presented here have identified several relevant genes and pathways related to the effect of ciguatoxins on neurons and may assist in future research or even treatment of ciguatera. Moreover, we demonstrated that the effects of the toxin on gene expression were exclusively consequential of its action as a voltage-gated sodium channel activator, since all the effects of CTX3C were avoided by preincubation of the neurons with the sodium channel blocker tetrodotoxin. PMID:29748486

  17. Early and late skin reactions to radiotherapy for breast cancer and their correlation with radiation-induced DNA damage in lymphocytes

    PubMed Central

    López, Escarlata; Guerrero, Rosario; Núñez, Maria Isabel; del Moral, Rosario; Villalobos, Mercedes; Martínez-Galán, Joaquina; Valenzuela, Maria Teresa; Muñoz-Gámez, José Antonio; Oliver, Francisco Javier; Martín-Oliva, David; de Almodóvar, José Mariano Ruiz

    2005-01-01

    Introduction Radiotherapy outcomes might be further improved by a greater understanding of the individual variations in normal tissue reactions that determine tolerance. Most published studies on radiation toxicity have been performed retrospectively. Our prospective study was launched in 1996 to measure the in vitro radiosensitivity of peripheral blood lymphocytes before treatment with radical radiotherapy in patients with breast cancer, and to assess the early and the late radiation skin side effects in the same group of patients. We prospectively recruited consecutive breast cancer patients receiving radiation therapy after breast surgery. To evaluate whether early and late side effects of radiotherapy can be predicted by the assay, a study was conducted of the association between the results of in vitro radiosensitivity tests and acute and late adverse radiation effects. Methods Intrinsic molecular radiosensitivity was measured by using an initial radiation-induced DNA damage assay on lymphocytes obtained from breast cancer patients before radiotherapy. Acute reactions were assessed in 108 of these patients on the last treatment day. Late morbidity was assessed after 7 years of follow-up in some of these patients. The Radiation Therapy Oncology Group (RTOG) morbidity score system was used for both assessments. Results Radiosensitivity values obtained using the in vitro test showed no relation with the acute or late adverse skin reactions observed. There was no evidence of a relation between acute and late normal tissue reactions assessed in the same patients. A positive relation was found between the treatment volume and both early and late side effects. Conclusion After radiation treatment, a number of cells containing major changes can have a long survival and disappear very slowly, becoming a chronic focus of immunological system stimulation. This stimulation can produce, in a stochastic manner, late radiation-related adverse effects of varying severity. Further research is warranted to identify the major determinants of normal tissue radiation response to make it possible to individualize treatments and improve the outcome of radiotherapy in cancer patients. PMID:16168114

  18. Late Effects of Treatment for Childhood Cancer (PDQ®)—Patient Version

    Cancer.gov

    The treatment of cancer may cause health problems (late effects) for childhood cancer survivors months or years after successful treatment has ended. Get information about the long-term physical, psychological and social effects of treatment for childhood cancer in this expert-reviewed summary.

  19. Late complications of pelvic irradiation in 16 dogs.

    PubMed

    Anderson, Christine R; McNiel, Elizabeth A; Gillette, Edward L; Powers, Barbara E; LaRue, Susan M

    2002-01-01

    When external beam radiation therapy is administered to the pelvis, normal tissues irradiated may include the colon, small intestine, urethra, bladder, bone, and spinal cord. The objectives of this retrospective study were to determine the incidence and severity of late radiation effects following pelvic irradiation in dogs and to identify factors that increase the risk of these effects. Medical records of all dogs treated with curative intent external beam radiation therapy to the pelvic region between 1993 and 1999 were reviewed. Patients with follow-up longer than 9 months or any patient that developed late complications earlier than 9 months were evaluated. Sixteen dogs met criteria for inclusion in this study. All dogs were treated with a 6-MV linear accelerator with bilaterally opposed beams. Diseases treated included transitional cell carcinoma of the bladder, transitional cell carcinoma of the prostate, and anal sac apocrine gland adenocarcinoma. Four dose/fractionation schemes were used: 49.5 Gy in 3.3 Gy fractions, 54 Gy in 3.0 Gy fractions, 54 Gy in 2.7 Gy fractions, and 18 Gy intraoperative radiation therapy followed by 43 Gy external beam radiation therapy in 2.9 Gy fractions. Implantable chemotherapy in the form of an OPLA-Pt sponge was used in six dogs as a radiation potentiator. Colitis was the major late effect following pelvic irradiation, occurring in nine dogs (56%). Colitis was characterized as mild in three dogs, moderate in one dog, and severe in five dogs. Three of the dogs with severe effects suffered gastrointestinal perforation. All dogs with severe late effects received 3 or 3.3 Gy per fraction, and 80% received radiation potentiators. In the seven dogs that received 2.7 Gy or 2.9 Gy per fraction, late effects were classified as none (n = 5), mild colitis (n = 1), and moderate colitis (n = 1). Radiation therapy can be administered to the pelvic region with a minimal risk of late effects to the colon by giving smaller doses per fraction and avoiding systemic radiation potentiators.

  20. Exploring recent and projected climate change in a steep monsoonal catchment in the middle Himalaya through innovative synthesis of local observations, gridded datasets and community engagement

    NASA Astrophysics Data System (ADS)

    Forsythe, Nathan; Pritchard, Davis; Tiwari, Prakash; Fowler, Hayley; Kumaun, Bhagwati

    2016-04-01

    Under the auspices of an "Innovation Partnerships" programme research exchange grant jointly funded by the India Department of Science and Technology and the British Council, Kumaun University and Newcastle University have been collaboratively exploring the recorded historical and projected future climate change implications for a case study catchment, the Ramgad river, in the Kumaon Lesser Himalaya (Uttarakhand state, India). This work weaves together diverse research strands with the aim of producing a coherent thorough characterisation of the impacts of recent/on-going and likely climate evolution on local communities. Participatory research activities in multiple villages in the case study catchment have yielded a consistent narrative of changes posed by the increasingly erratic monsoonal rainfall as well as upward displacement and replacement crops in their historical elevation ranges due to temperature change. Multi-decadal climate records from both local observations and global meteorological records reveal a more complex picture with strong seasonal asymmetry of changes in both temperature and precipitation: a) trend analysis shows mild weakening of the early phase (May, July) but strengthen in the later stages (August, September); b) temperature trends show much stronger warming in late winter and early spring (February to April) than the rest of the year with additional asymmetry in both sign and magnitude of change between individual components (Tmax, Tmin) of the diurnal temperature cycle. On-going research seeks to associate this asymmetry with causal mechanisms (cloud radiative effect, atmospheric circulation). Analysis of historical records will provide the basis for validation and assessment of individual regional climate model projections from the CORDEX South Asia domain ensemble. For the terraced agricultural communities of the Kumaon Himalaya, the most directly consequential effects of climate variability and change are impacts on crop yields which impact both livelihoods (household revenue) and food security. Thus another research strand focuses use of remote sensing vegetation data products (MODIS MOD13Q1 and Landsat NDVI) to derive both locally relevant land cover classes differentiating natural vegetation from cropped areas as well as assessing vegetation response to climate anomalies (precipitation, temperature). These responses, characterised from observations over the past decade, will be considered in terms of both historical climate records and projected climate change. The ultimate aim of this collaborative project is to report all of these findings to the local communities through appropriate media and in comprehensible terms in order to enable participatory exploration of potential adaptation pathways to improve local resilience and sustainability.

  1. Geographic Variations of Colorectal and Breast Cancer Late-Stage Diagnosis and the Effects of Neighborhood-Level Factors.

    PubMed

    Lin, Yan; Wimberly, Michael C

    2017-04-01

    The purpose of this study was to examine the geographic variations of late-stage diagnosis in colorectal cancer (CRC) and breast cancer as well as to investigate the effects of 3 neighborhood-level factors-socioeconomic deprivation, urban/rural residence, and spatial accessibility to health care-on the late-stage risks. This study used population-based South Dakota cancer registry data from 2001 to 2012. A total of 4,878 CRC cases and 6,418 breast cancer cases were included in the analyses. Two-level logistic regression models were used to analyze the risk of late-stage CRC and breast cancer. For CRC, there was a small geographic variation across census tracts in late-stage diagnosis, and residing in isolated small rural areas was significantly associated with late-stage risk. However, this association became nonsignificant after adjusting for census-tract level socioeconomic deprivation. Socioeconomic deprivation was an independent predictor of CRC late-stage risk, and it explained the elevated risk among American Indians. No relationship was found between spatial accessibility and CRC late-stage risk. For breast cancer, no geographic variation in the late-stage diagnosis was observed across census tracts, and none of the 3 neighborhood-level factors was significantly associated with late-stage risk. Results suggested that socioeconomic deprivation, rather than spatial accessibility, contributed to CRC late-stage risks in South Dakota as a rural state. CRC intervention programs could be developed to target isolated small rural areas, socioeconomically disadvantaged areas, as well as American Indians residing in these areas. © 2016 National Rural Health Association.

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

    Goda, Jayant Sastri; Le, Lisa W.; Lapperriere, Normand J.

    Purpose: To evaluate the clinical outcomes and late effects of radiation therapy (RT) in localized primary orbital mucosa-associated lymphoma tissue (MALT) lymphoma (POML). Methods and Materials: From 1989 to 2007, 89 patients with Stage IE POML received RT. The median age was 56 years old. Sites involved conjunctiva (59 patients [66%]), lacrimal gland (20 patients [23%]), and soft tissue (10 patients [11%]). Megavoltage beam(s) was used in 91%, electrons in 7%, and orthovoltage in 2% of cases. The dose given was 25 Gy in 97% and 30 Gy in 3% of patients. Lens shielding was possible in 57% of patients.more » Results: The median follow-up was 5.9 years. Complete response or unconfirmed complete response was seen in 88 patients (99%). Relapse occurred in 22 patients (25%). First relapse sites were local (2 patients [9%]), in the contralateral orbit (5 patients [23%]), and distant (15 patients [68%]). The 7-year overall survival (OS), cause-specific survival (CSS), relapse-free survival (RFS), and local control (LC) rates were 91%, 96%, 64%, and 97%, respectively. Radiation-related late sequelae were documented in 40 patients (45%). Cataracts were observed in 22 patients (Grade 1 in 2 patients; Grade 3 in 20 patients). The incidence of Grade 3 cataract at 7 years was 25%. Other late sequelae (n = 28) were dry eye(s) (22 patients [Grade 1 in 14 patients; Grade 2 in 2 patients; Grade 3 in 2 patients; n/s in 4 patients), keratitis (3 patients), macular degeneration/cystoid edema (2 patients), and vitreous detachment (1 patient). Five patients developed Grade 3 noncataract late effects. Lens shielding reduced the incidence of Grade 3 cataract and all Grade {>=}2 late sequelae. Seventeen patients (16 with cataracts) underwent surgery; 23 patients were treated conservatively. The outcome for managing late effects was generally successful, with 30 patients completely improved, and 9 patients with persisting late sequelae (10%). Conclusions: POML responds favorably to moderate doses of RT but results in significant late morbidity. The majority of late effects were successfully managed. Lens shielding reduced the risk of cataracts and other late sequelae.« less

  3. NCI, NHLBI/PBMTC First International Consensus Conference on Late Effects after Pediatric Hematopoietic Cell Transplantation: The Need for Pediatric Specific Long Term Follow-up Guidelines

    PubMed Central

    Pulsipher, Michael A.; Skinner, Roderick; McDonald, George B.; Hingorani, Sangeeta; Armenian, Saro H.; Cooke, Kenneth R.; Gracia, Clarisa; Petryk, Anna; Bhatia, Smita; Bunin, Nancy; Nieder, Michael L.; Dvorak, Christopher C.; Sung, Lillian; Sanders, Jean E.; Kurtzberg, Joanne; Baker, K. Scott

    2012-01-01

    Existing standards for screening and management of late effects occurring in children who have undergone hematopoietic cell transplantation (HCT) include recommendations from pediatric cancer networks and consensus guidelines from adult-oriented transplantation societies applicable to all recipients of HCT. While these approaches have significant merit, they are not pediatric-HCT focused and they do not address post-HCT challenges faced by children with complex non-malignant disorders. In this article we discuss the strengths and weaknesses of current published recommendations and conclude that pediatric-specific guidelines for post-HCT screening and management would be beneficial to the long-term health of these patients and would promote late-effects research in this field. Our panel of late effects experts also provides recommendations for follow up and therapy of selected post-HCT organ and endocrine complications in pediatric patients. PMID:22248713

  4. Effects of residual kinetic energy on yield degradation and ion temperature asymmetries in inertial confinement fusion implosions

    DOE PAGES

    Woo, K. M.; Betti, R.; Shvarts, D.; ...

    2018-05-09

    Tmore » he study of Rayleigh–aylor instability in the deceleration phase of inertial confinement fusion implosions is carried out using the three-dimensional (3-D) radiation-hydrodynamic Eulerian parallel code DEC3D. In this paper, we show that the yield-over-clean is a strong function of the residual kinetic energy (RKE) for low modes. Our analytical models indicate that the behavior of larger hot-spot volumes observed in low modes and the consequential pressure degradation can be explained in terms of increasing the RKE. hese results are derived using a simple adiabatic implosion model of the deceleration phase as well as through an extensive set of 3-D single-mode simulations using the code DEC3D. he effect of the bulk velocity broadening on ion temperature asymmetries is analyzed for different mode numbers ℓ = 1 -12. he jet observed in low mode ℓ = 1 is shown to cause the largest ion temperature variation in the mode spectrum. Finally, the vortices of high modes within the cold bubbles are shown to cause lower ion temperature variations than low modes.« less

  5. Effects of residual kinetic energy on yield degradation and ion temperature asymmetries in inertial confinement fusion implosions

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

    Woo, K. M.; Betti, R.; Shvarts, D.

    Tmore » he study of Rayleigh–aylor instability in the deceleration phase of inertial confinement fusion implosions is carried out using the three-dimensional (3-D) radiation-hydrodynamic Eulerian parallel code DEC3D. In this paper, we show that the yield-over-clean is a strong function of the residual kinetic energy (RKE) for low modes. Our analytical models indicate that the behavior of larger hot-spot volumes observed in low modes and the consequential pressure degradation can be explained in terms of increasing the RKE. hese results are derived using a simple adiabatic implosion model of the deceleration phase as well as through an extensive set of 3-D single-mode simulations using the code DEC3D. he effect of the bulk velocity broadening on ion temperature asymmetries is analyzed for different mode numbers ℓ = 1 -12. he jet observed in low mode ℓ = 1 is shown to cause the largest ion temperature variation in the mode spectrum. Finally, the vortices of high modes within the cold bubbles are shown to cause lower ion temperature variations than low modes.« less

  6. Ecological determinants of health: food and environment on human health.

    PubMed

    Li, Alice M L

    2017-04-01

    Human health and diseases are determined by many complex factors. Health threats from the human-animal-ecosystems interface (HAEI) and zoonotic diseases (zoonoses) impose an increasing risk continuously to public health, from those emerging pathogens transmitted through contact with animals, food, water and contaminated environments. Immense challenges forced on the ecological perspectives on food and the eco-environments, including aquaculture, agriculture and the entire food systems. Impacts of food and eco-environments on human health will be examined amongst the importance of human interventions for intended purposes in lowering the adverse effects on the biodiversity. The complexity of relevant conditions defined as factors contributing to the ecological determinants of health will be illuminated from different perspectives based on concepts, citations, examples and models, in conjunction with harmful consequential effects of human-induced disturbances to our environments and food systems, together with the burdens from ecosystem disruption, environmental hazards and loss of ecosystem functions. The eco-health literacy should be further promoting under the "One Health" vision, with "One World" concept under Ecological Public Health Model for sustaining our environments and the planet earth for all beings, which is coincidentally echoing Confucian's theory for the environmental ethics of ecological harmony.

  7. How Online Peer-to-Peer Conversation Shapes the Effects of a Message About Healthy Sleep.

    PubMed

    Robbins, Rebecca; Niederdeppe, Jeff

    2017-02-01

    Conversation about health messages and campaigns is common, and message-related conversations are increasingly recognized as a consequential factor in shaping message effects. The evidence base is limited, however, about the conditions under which conversation may help or hinder health communication efforts. In this study, college students (N = 301) first watched a short sleep video and were randomly assigned to either talk with a partner in an online chat conversation or proceed directly to a short survey. Unknown to participants, the chat partner was a confederate coached to say positive things about sleep and the message ('positive' chat condition), negative things ('negative' chat condition), or unrelated things ('natural' chat condition). All respondents completed a short survey on beliefs about sleep, reactions to the message, and intentions to get adequate sleep. Respondents had greater intentions to engage in healthy sleep when they engaged in positive conversation following message exposure than when they engaged in negative conversation after the message (p < 0.001). Positive emotion experienced in response to the message and positive chat perceptions were significant predictors (p < 0.05) of intentions to achieve healthy sleep. Health message designers may benefit from understanding how messages are exchanged in peer-to-peer conversation to better predict and explain their effects.

  8. Phytoagents for Cancer Management: Regulation of Nucleic Acid Oxidation, ROS, and Related Mechanisms

    PubMed Central

    Shyur, Lie-Fen

    2013-01-01

    Accumulation of oxidized nucleic acids causes genomic instability leading to senescence, apoptosis, and tumorigenesis. Phytoagents are known to reduce the risk of cancer development; whether such effects are through regulating the extent of nucleic acid oxidation remains unclear. Here, we outlined the role of reactive oxygen species in nucleic acid oxidation as a driving force in cancer progression. The consequential relationship between genome instability and cancer progression highlights the importance of modulation of cellular redox level in cancer management. Current epidemiological and experimental evidence demonstrate the effects and modes of action of phytoagents in nucleic acid oxidation and provide rationales for the use of phytoagents as chemopreventive or therapeutic agents. Vitamins and various phytoagents antagonize carcinogen-triggered oxidative stress by scavenging free radicals and/or activating endogenous defence systems such as Nrf2-regulated antioxidant genes or pathways. Moreover, metal ion chelation by phytoagents helps to attenuate oxidative DNA damage caused by transition metal ions. Besides, the prooxidant effects of some phytoagents pose selective cytotoxicity on cancer cells and shed light on a new strategy of cancer therapy. The “double-edged sword” role of phytoagents as redox regulators in nucleic acid oxidation and their possible roles in cancer prevention or therapy are discussed in this review. PMID:24454991

  9. How online peer-to-peer conversation shapes the effects of a message about healthy sleep

    PubMed Central

    Robbins, Rebecca; Niederdeppe, Jeff

    2016-01-01

    Conversation about health messages and campaigns is common, and message-related conversations are increasingly recognized as a consequential factor in shaping message effects. The evidence base is limited, however, about the conditions under which conversation may help or hinder health communication efforts. In this study, college students (N = 301) first watched a short sleep video and were randomly assigned to either talk with a partner in an online chat conversation or proceed directly to a short survey. Unknown to participants, the chat partner was a confederate coached to say positive things about sleep and the message (‘positive’ chat condition), negative things (‘negative’ chat condition), or unrelated things (‘natural’ chat condition). All respondents completed a short survey on beliefs about sleep, reactions to the message, and intentions to get adequate sleep. Respondents had greater intentions to engage in healthy sleep when they engaged in positive conversation following message exposure than when they engaged in negative conversation after the message (p < .001). Positive emotion experienced in response to the message and positive chat perceptions were significant predictors (p < .05) of intentions to achieve healthy sleep. Health message designers may benefit from understanding how messages are exchanged in peer-to-peer conversation to better predict and explain their effects. PMID:27492421

  10. Short-term exposure to nonylphenol induces pancreatic oxidative stress and alters liver glucose metabolism in adult female rats.

    PubMed

    Jubendradass, R; D'Cruz, Shereen Cynthia; Mathur, P P

    2011-01-01

    Nonylphenol is known to have estrogenic properties and has been reported to cause health hazards to animals and humans. The effects of nonylphenol on pancreas are not clearly elucidated. In this study, we sought to evaluate the effects of nonylphenol on the oxidative status of pancreas and consequential effects of nonylphenol on some of the end points of carbohydrate metabolism in the female rats. Rats were administered nonylphenol orally at the doses of 1.5, 15, and 150 mg/kg of body weight per day for 7 days. After 24 h of last dosing, the animals were sacrificed by cervical dislocation. The activities of pancreatic superoxide dismutase and catalase were significantly decreased with a concomitant increase in the levels of H2O2 and lipid peroxidation. Nonylphenol increased plasma insulin levels with a concomitant decrease in the levels of plasma glucose as compared to the control groups of rats. A dose-dependent increase in the activities of liver hexokinase and phosphofructokinase was recorded along with decreased activity of glycogen phosphorylase in liver. Western blot analysis revealed a significant decrease in the levels of GLUT-2. These results show that nonylphenol causes oxidative stress in pancreas and impairs liver glucose homeostasis. Copyright © 2010 Wiley Periodicals, Inc.

  11. Inhibitions of late INa and CaMKII act synergistically to prevent ATX-II-induced atrial fibrillation in isolated rat right atria.

    PubMed

    Liang, Faquan; Fan, Peidong; Jia, Jessie; Yang, Suya; Jiang, Zhan; Karpinski, Serge; Kornyeyev, Dmytro; Pagratis, Nikos; Belardinelli, Luiz; Yao, Lina

    2016-05-01

    Increases in late Na(+) current (late INa) and activation of Ca(2+)/calmodulin-dependent protein kinase (CaMKII) are associated with atrial arrhythmias. CaMKII also phosphorylates Nav1.5, further increasing late INa. The combination of a CaMKII inhibitor with a late INa inhibitor may be superior to each compound alone to suppress atrial arrhythmias. Therefore, we investigated the effect of a CaMKII inhibitor in combination with a late INa inhibitor on anemone toxin II (ATX-II, a late INa enhancer)-induced atrial arrhythmias. Rat right atrial tissue was isolated and preincubated with either the CaMKII inhibitor autocamtide-2-related inhibitory peptide (AIP), the late INa inhibitor GS458967, or both, and then exposed to ATX-II. ATX-II increased diastolic tension and caused fibrillation of isolated right atrial tissue. AIP (0.3μmol/L) and 0.1μmol/L GS458967 alone inhibited ATX-II-induced arrhythmias by 20±3% (mean±SEM, n=14) and 34±5% (n=13), respectively, whereas the two compounds in combination inhibited arrhythmias by 81±4% (n=10, p<0.05, vs either AIP or GS458967 alone or the calculated sum of individual effects of both compounds). AIP and GS458967 also attenuated the ATX-induced increase of diastolic tension. Consistent with the mechanical and electrical data, 0.3μmol/L AIP and 0.1μmol/L GS458967 each inhibited ATX-II-induced CaMKII phosphorylation by 23±3% and 32±4%, whereas the combination of both compounds inhibited CaMKII phosphorylation completely. The effects of an enhanced late INa to induce arrhythmic activity and activation of CaMKII in atria are attenuated synergistically by inhibitors of late INa and CaMKII. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.

    PubMed

    Hickey, Edward J; Nosikova, Yaroslavna; Pham-Hung, Eric; Gritti, Michael; Schwartz, Steven; Caldarone, Christopher A; Redington, Andrew; Van Arsdell, Glen S

    2015-02-01

    We hypothesized that the National Aeronautics and Space Administration "threat and error" model (which is derived from analyzing >30,000 commercial flights, and explains >90% of crashes) is directly applicable to pediatric cardiac surgery. We implemented a unit-wide performance initiative, whereby every surgical admission constitutes a "flight" and is tracked in real time, with the aim of identifying errors. The first 500 consecutive patients (524 flights) were analyzed, with an emphasis on the relationship between error cycles and permanent harmful outcomes. Among 524 patient flights (risk adjustment for congenital heart surgery category: 1-6; median: 2) 68 (13%) involved residual hemodynamic lesions, 13 (2.5%) permanent end-organ injuries, and 7 deaths (1.3%). Preoperatively, 763 threats were identified in 379 (72%) flights. Only 51% of patient flights (267) were error free. In the remaining 257 flights, 430 errors occurred, most commonly related to proficiency (280; 65%) or judgment (69, 16%). In most flights with errors (173 of 257; 67%), an unintended clinical state resulted, ie, the error was consequential. In 60% of consequential errors (n = 110; 21% of total), subsequent cycles of additional error/unintended states occurred. Cycles, particularly those containing multiple errors, were very significantly associated with permanent harmful end-states, including residual hemodynamic lesions (P < .0001), end-organ injury (P < .0001), and death (P < .0001). Deaths were almost always preceded by cycles (6 of 7; P < .0001). Human error, if not mitigated, often leads to cycles of error and unintended patient states, which are dangerous and precede the majority of harmful outcomes. Efforts to manage threats and error cycles (through crew resource management techniques) are likely to yield large increases in patient safety. Copyright © 2015. Published by Elsevier Inc.

  13. A tripartite taxonomy of character: Evidence for intrapersonal, interpersonal, and intellectual competencies in children

    PubMed Central

    Park, Daeun; Tsukayama, Eli; Goodwin, Geoffrey P.; Patrick, Sarah; Duckworth, Angela L.

    2017-01-01

    Other than cognitive ability, what competencies should schools promote in children? How are they organized, and to what extent do they predict consequential outcomes? Separate theoretical traditions have suggested interpersonal, intrapersonal, and intellectual dimensions, reflecting how children relate to other people, manage their own goals and impulses, and engage with ideas, respectively. However, very little work has examined character empirically. In the current investigation, we partnered with middle schools that had previously identified character strengths relevant in their communities. Across three longitudinal, prospective studies, we examined the factor structure of character, associations with intelligence and Big Five personality traits, and predictive validity for consequential outcomes like peer relations, class participation, and report card grades. In Study 1, teachers rated their students on behaviors exemplifying character strengths as they played out in students’ daily lives. Exploratory factor analyses yielded a three-factor structure consisting of interpersonal (interpersonal self-control, gratitude, social intelligence), intellectual (zest, curiosity), and intrapersonal (academic self-control, grit) factors of character. In Study 2, children rated their own behavior and completed a test of cognitive ability. Confirmatory factor analyses supported the same three-factor structure, and these factors were only weakly associated with cognitive ability. In Study 3, teachers provided character ratings; in parallel, students completed measures of character as well as Big Five personality factors. As expected, intellectual, interpersonal, and intrapersonal character factors related to Big Five openness to experience, agreeableness, and conscientiousness, respectively. Across studies, positive peer relations were most consistently predicted by interpersonal character, class participation by intellectual character, and report card grades by intrapersonal character. Collectively, our findings support a tripartite taxonomy of character in the school context. PMID:29051684

  14. A tripartite taxonomy of character: Evidence for intrapersonal, interpersonal, and intellectual competencies in children.

    PubMed

    Park, Daeun; Tsukayama, Eli; Goodwin, Geoffrey P; Patrick, Sarah; Duckworth, Angela L

    2017-01-01

    Other than cognitive ability, what competencies should schools promote in children? How are they organized, and to what extent do they predict consequential outcomes? Separate theoretical traditions have suggested interpersonal, intrapersonal, and intellectual dimensions, reflecting how children relate to other people, manage their own goals and impulses, and engage with ideas, respectively. However, very little work has examined character empirically. In the current investigation, we partnered with middle schools that had previously identified character strengths relevant in their communities. Across three longitudinal, prospective studies, we examined the factor structure of character, associations with intelligence and Big Five personality traits, and predictive validity for consequential outcomes like peer relations, class participation, and report card grades. In Study 1, teachers rated their students on behaviors exemplifying character strengths as they played out in students' daily lives. Exploratory factor analyses yielded a three-factor structure consisting of interpersonal (interpersonal self-control, gratitude, social intelligence), intellectual (zest, curiosity), and intrapersonal (academic self-control, grit) factors of character. In Study 2, children rated their own behavior and completed a test of cognitive ability. Confirmatory factor analyses supported the same three-factor structure, and these factors were only weakly associated with cognitive ability. In Study 3, teachers provided character ratings; in parallel, students completed measures of character as well as Big Five personality factors. As expected, intellectual, interpersonal, and intrapersonal character factors related to Big Five openness to experience, agreeableness, and conscientiousness, respectively. Across studies, positive peer relations were most consistently predicted by interpersonal character, class participation by intellectual character, and report card grades by intrapersonal character. Collectively, our findings support a tripartite taxonomy of character in the school context.

  15. NIH Blood and Marrow Transplant Late Effects Consensus Conference

    Cancer.gov

    This day and a half symposium will bring together experts in blood and marrow transplantation, late effects, and health care delivery to discuss current evidence and knowledge gaps, develop consensus guidelines, and inform future research in the BMT survivor population.

  16. Media violence.

    PubMed

    Cantor, J

    2000-08-01

    Research on the effects of media violence is not well understood by the general public. Despite this fact, there is an overwhelming consensus in the scientific literature about the unhealthy effects of media violence. Meta-analyses show that media-violence viewing consistently is associated with higher levels of antisocial behavior, ranging from the trivial (imitative violence directed against toys) to the serious (criminal violence), with many consequential outcomes in between (acceptance of violence as a solution to problems, increased feelings of hostility, and the apparent delivery of painful stimulation to another person). Desensitization is another well-documented effect of viewing violence, which is observable in reduced arousal and emotional disturbance while witnessing violence, the reduced tendency to intervene in a fight, and less sympathy for the victims of violence. Although there is evidence that youth who are already violent are more likely to seek out violent entertainment, there is strong evidence that the relationship between violence viewing and antisocial behavior is bidirectional. There is growing evidence that media violence also engenders intense fear in children which often lasts days, months, and even years. The media's potential role in solutions to these problems is only beginning to be explored, in investigations examining the uses and effects of movie ratings, television ratings, and the V-chip, and the effects of media literacy programs and public education efforts. Future research should explore important individual differences in responses to media violence and effective ways to intervene in the negative effects.

  17. Influence of gonadotropin-releasing hormone and timing of insemination relative to estrus on pregnancy rates of dairy cattle at first service.

    PubMed

    Mee, M O; Stevenson, J S; Scoby, R K; Folman, Y

    1990-06-01

    The objective was to determine the influence of gonadotropin-releasing hormone on pregnancy rates of dairy cattle at first services, when both the timing of hormone injection and insemination were altered relative to the onset of estrus. Cows (n = 325) were assigned randomly to six groups making up a 2 X 2 X 2 incomplete factorial experiment; dose of GnRH (100 micrograms versus saline), timing [1 h (early) or 12 to 16 h (late) after first detected estrus] of AI, and timing of hormone injection (early versus late) were the three main effects. Cows were observed for estrus 4 times daily. Treatments and resulting pregnancy rates were: 1) hormone injection early plus AI early (35%), 2) hormone injection late plus AI early (34%), 3) saline injection early plus AI early (30%), 4) hormone injection late plus AI late (30%), 5) hormone injection early plus AI late (46%), and 6) saline injection late plus AI late (43%). Pregnancy rate in the first four groups (32%) was less than that in the latter two groups (44%). Concentrations of LH in serum were greater for cows given hormone or saline injections in early estrus than for cows injected with either hormone of saline during late estrus. Concentrations of LH in serum 2 h after GnRH were elevated above those of controls, whether GnRH was injected during early or late estrus. Neither concentrations of LH during estrus nor concentrations of progesterone 8 to 14 d after estrus explained the possible antifertility effect of GnRH given during late estrus.(ABSTRACT TRUNCATED AT 250 WORDS)

  18. Late Immersion in Perspective: The Peel Study.

    ERIC Educational Resources Information Center

    Lapkin, Sharon; And Others

    1983-01-01

    Presents the 1979 evaluation of the Peel County (Ontario) late immersion French program, in the context of some current issues in second language education in Canada. These include the comparative effectiveness of early and late immersion, the importance of intense exposure, and total accumulated hours of instruction. (Author/AMH)

  19. Late blight-resistant tuber-bearing Solanum species in field and laboratory trials

    USDA-ARS?s Scientific Manuscript database

    Late blight, caused by Phytophthora infestans, is the most disastrous and widespread disease of potato. One of the most effective means of controlling late blight is through the use of resistant cultivars, but newly developed resistant cultivars often lose their resistance after a few years of comm...

  20. Effects of microclimate, cropping systems, and irrigation management on early and late blight potential on Russet Burbank potato

    USDA-ARS?s Scientific Manuscript database

    Soil and irrigation management have been used to optimize crop production. However,their effects on microclimate, development, and controls of potato diseases have not been adequately quantified. The effects of soil, crop, and water management on development of potato early blight and late blight we...

  1. Intercomparison Project on Parameterizations of Large-Scale Dynamics for Simulations of Tropical Convection

    NASA Astrophysics Data System (ADS)

    Sobel, A. H.; Wang, S.; Bellon, G.; Sessions, S. L.; Woolnough, S.

    2013-12-01

    Parameterizations of large-scale dynamics have been developed in the past decade for studying the interaction between tropical convection and large-scale dynamics, based on our physical understanding of the tropical atmosphere. A principal advantage of these methods is that they offer a pathway to attack the key question of what controls large-scale variations of tropical deep convection. These methods have been used with both single column models (SCMs) and cloud-resolving models (CRMs) to study the interaction of deep convection with several kinds of environmental forcings. While much has been learned from these efforts, different groups' efforts are somewhat hard to compare. Different models, different versions of the large-scale parameterization methods, and experimental designs that differ in other ways are used. It is not obvious which choices are consequential to the scientific conclusions drawn and which are not. The methods have matured to the point that there is value in an intercomparison project. In this context, the Global Atmospheric Systems Study - Weak Temperature Gradient (GASS-WTG) project was proposed at the Pan-GASS meeting in September 2012. The weak temperature gradient approximation is one method to parameterize large-scale dynamics, and is used in the project name for historical reasons and simplicity, but another method, the damped gravity wave (DGW) method, will also be used in the project. The goal of the GASS-WTG project is to develop community understanding of the parameterization methods currently in use. Their strengths, weaknesses, and functionality in models with different physics and numerics will be explored in detail, and their utility to improve our understanding of tropical weather and climate phenomena will be further evaluated. This presentation will introduce the intercomparison project, including background, goals, and overview of the proposed experimental design. Interested groups will be invited to join (it will not be too late), and preliminary results will be presented.

  2. Drought on the Altiplano of Bolivia and Peru: Climate, Paleoclimate, and Society

    NASA Astrophysics Data System (ADS)

    Baker, P. A.; Fritz, S. C.; Rigsby, C. A.; Li, L.; Capriles, J. M.

    2016-12-01

    We examine for the first time the economic, social and political consequences of an extreme drought on the Altiplano that persisted from 1935 to 1945, a period of substantial regional social upheaval. We also examine drought in relation to a pre-historic period of great conflict on the Altiplano during the Late Intermediate Period (ca. AD 1000-1450) (Arkush and Tung, 2013). The level of Lake Titicaca has been measured continuously since 1915. The period from 1935 to 1945 was the longest continuously dry period, with falling lake levels, in this record. Prior to 1960 there were few weather stations in the region. Compositing data from three of these stations from the western margin of Lake Titicaca provides a nearly complete precipitation record with values below the long-term annual average observed every year between 1936 and 1947. Here, 1940 was the driest year, far drier than the consequential 1982/3 El Nino drought, with precipitation only 36% of the mean. Farther north at Cuzco, Peru, every year between 1935 and 1944 was at or below the mean. 1938 was the driest year with 38% of the long-term average value of precipitation. The oxygen isotopic composition of the Quelccaya ice cap (Thompson et al., 1984), situated at the northern limit of the Lake Titicaca watershed, is a reliable indicator of regional precipitation amount. Here, d18O values of ice were continuously at or above the mean value (indicating dry conditions) between 1934 and 1944. Taken together, these four records indicate below-average precipitation at all sites in the region for ten consecutive years, 1935-1944. This extreme drought of the last century was just one manifestation of the highly significant (at the 99.8% confidence level) climate variability that has persisted for at least the past 500 years (Melice and Roucou, 1998). This variability is coherent during the instrumental period with tropical North Atlantic SST.

  3. Resilient emotionality and molecular compensation in mice lacking the oligodendrocyte-specific gene Cnp1

    PubMed Central

    Edgar, N M; Touma, C; Palme, R; Sibille, E

    2011-01-01

    Altered oligodendrocyte structure and function is implicated in major psychiatric illnesses, including low cell number and reduced oligodendrocyte-specific gene expression in major depressive disorder (MDD). These features are also observed in the unpredictable chronic mild stress (UCMS) rodent model of the illness, suggesting that they are consequential to environmental precipitants; however, whether oligodendrocyte changes contribute causally to low emotionality is unknown. Focusing on 2′-3′-cyclic nucleotide 3′-phosphodiesterase (Cnp1), a crucial component of axoglial communication dysregulated in the amygdala of MDD subjects and UCMS-exposed mice, we show that altered oligodendrocyte integrity can have an unexpected functional role in affect regulation. Mice lacking Cnp1 (knockout, KO) displayed decreased anxiety- and depressive-like symptoms (i.e., low emotionality) compared with wild-type animals, a phenotypic difference that increased with age (3–9 months). This phenotype was accompanied by increased motor activity, but was evident before neurodegenerative-associated motor coordination deficits (⩽9–12 months). Notably, Cnp1KO mice were less vulnerable to developing a depressive-like syndrome after either UCMS or chronic corticosterone exposure. Cnp1KO mice also displayed reduced fear expression during extinction, despite normal amygdala c-Fos induction after acute stress, together implicating dysfunction of an amygdala-related neural network, and consistent with proposed mechanisms for stress resiliency. However, the Cnp1KO behavioral phenotype was also accompanied by massive upregulation of oligodendrocyte- and immune-related genes in the basolateral amygdala, suggesting an attempt at functional compensation. Together, we demonstrate that the lack of oligodendrocyte-specific Cnp1 leads to resilient emotionality. However, combined with substantial molecular changes and late-onset neurodegeneration, these results suggest the low Cnp1 seen in MDD may cause unsustainable and maladaptive molecular compensations contributing to the disease pathophysiology. PMID:22832658

  4. Intracochlear electrical stimulation suppresses apoptotic signaling in rat spiral ganglion neurons after deafening in vivo.

    PubMed

    Kopelovich, Jonathan C; Cagaanan, Alain P; Miller, Charles A; Abbas, Paul J; Green, Steven H

    2013-11-01

    To establish the intracellular consequences of electrical stimulation to spiral ganglion neurons after deafferentation. Here we use a rat model to determine the effect of both low and high pulse rate acute electrical stimulation on activation of the proapoptotic transcription factor Jun in deafferented spiral ganglion neurons in vivo. Experimental animal study. Hearing research laboratories of the University of Iowa Departments of Biology and Otolaryngology. A single electrode was implanted through the round window of kanamycin-deafened rats at either postnatal day 32 (P32, n = 24) or P60 (n = 22) for 4 hours of stimulation (monopolar, biphasic pulses, amplitude twice electrically evoked auditory brainstem response [eABR] threshold) at either 100 or 5000 Hz. Jun phosphorylation was assayed by immunofluorescence to quantitatively assess the effect of electrical stimulation on proapoptotic signaling. Jun phosphorylation was reliably suppressed by 100 Hz stimuli in deafened cochleae of P32 but not P60 rats. This effect was not significant in the basal cochlear turns. Stimulation frequency may be consequential: 100 Hz was significantly more effective than was 5 kHz stimulation in suppressing phospho-Jun. Suppression of Jun phosphorylation occurs in deafferented spiral ganglion neurons after only 4 hours of electrical stimulation. This finding is consistent with the hypothesis that electrical stimulation can decrease spiral ganglion neuron death after deafferentation.

  5. The effects of Tulsa's CAP Head Start program on middle-school academic outcomes and progress.

    PubMed

    Phillips, Deborah; Gormley, William; Anderson, Sara

    2016-08-01

    This study presents evidence pertinent to current debates about the lasting impacts of early childhood educational interventions and, specifically, Head Start. A group of students who were first studied to examine the immediate impacts of the Tulsa, Oklahoma, Community Action Project (CAP) Head Start program were followed-up in middle school, primarily as 8th graders. Using ordinary least squares and logistic regressions with a rich set of controls and propensity score weighting models to account for differential selection into Head Start, we compared students who had attended the CAP Head Start program and enrolled in the Tulsa Public Schools (TPS) as kindergarteners with children who also attended TPS kindergarten but had attended neither CAP Head Start nor the TPS pre-K program as 4-year-olds. CAP Head Start produced significant positive effects on achievement test scores in math and on both grade retention and chronic absenteeism for middle-school students as a whole; positive effects for girls on grade retention and chronic absenteeism; for white students on math test scores; for Hispanic students on math test scores and chronic absenteeism, and for students eligible for free lunches on math test scores, grade retention, and chronic absenteeism. We conclude that the Tulsa CAP Head Start program produced significant and consequential effects into the middle school years. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  6. The Effect of Fixed Orthodontic Appliances and Fluoride Mouthwash on the Oral Microbiome of Adolescents – A Randomized Controlled Clinical Trial

    PubMed Central

    Buijs, Mark J.; Elyassi, Yassaman; van der Veen, Monique H.; Crielaard, Wim; ten Cate, Jacob M.; Zaura, Egija

    2015-01-01

    While the aesthetic effect of orthodontic treatment is clear, the knowledge on how it influences the oral microbiota and the consequential effects on oral health are limited. In this randomized controlled clinical trial we investigated the changes introduced in the oral ecosystem, during and after orthodontic treatment with fixed appliances in combination with or without a fluoride mouthwash, of 10–16.8 year old individuals (N = 91). We followed several clinical parameters in time, in combination with microbiome changes using next-generation sequencing of the bacterial 16S rRNA gene. During the course of our study, the oral microbial community displayed remarkable resilience towards the disturbances it was presented with. The effects of the fluoride mouthwash on the microbial composition were trivial. More pronounced microbial changes were related to gingival health status, orthodontic treatment and time. Periodontal pathogens (e.g. Selenomonas and Porphyromonas) were highest in abundance during the orthodontic treatment, while the health associated Streptococcus, Rothia and Haemophilus gained abundance towards the end and after the orthodontic treatment. Only minor compositional changes remained in the oral microbiome after the end of treatment. We conclude that, provided proper oral hygiene is maintained, changes in the oral microbiome composition resulting from orthodontic treatment are minimal and do not negatively affect oral health. PMID:26332408

  7. The Effect of Fixed Orthodontic Appliances and Fluoride Mouthwash on the Oral Microbiome of Adolescents - A Randomized Controlled Clinical Trial.

    PubMed

    Koopman, Jessica E; van der Kaaij, Nicoline C W; Buijs, Mark J; Elyassi, Yassaman; van der Veen, Monique H; Crielaard, Wim; Ten Cate, Jacob M; Zaura, Egija

    2015-01-01

    While the aesthetic effect of orthodontic treatment is clear, the knowledge on how it influences the oral microbiota and the consequential effects on oral health are limited. In this randomized controlled clinical trial we investigated the changes introduced in the oral ecosystem, during and after orthodontic treatment with fixed appliances in combination with or without a fluoride mouthwash, of 10-16.8 year old individuals (N = 91). We followed several clinical parameters in time, in combination with microbiome changes using next-generation sequencing of the bacterial 16S rRNA gene. During the course of our study, the oral microbial community displayed remarkable resilience towards the disturbances it was presented with. The effects of the fluoride mouthwash on the microbial composition were trivial. More pronounced microbial changes were related to gingival health status, orthodontic treatment and time. Periodontal pathogens (e.g. Selenomonas and Porphyromonas) were highest in abundance during the orthodontic treatment, while the health associated Streptococcus, Rothia and Haemophilus gained abundance towards the end and after the orthodontic treatment. Only minor compositional changes remained in the oral microbiome after the end of treatment. We conclude that, provided proper oral hygiene is maintained, changes in the oral microbiome composition resulting from orthodontic treatment are minimal and do not negatively affect oral health.

  8. Simulation of Cross-border Impacts Resulting from Classical Swine Fever Epidemics within the Netherlands and Germany.

    PubMed

    Hop, G E; Mourits, M C M; Oude Lansink, A G J M; Saatkamp, H W

    2016-02-01

    The cross-border region of the Netherlands (NL) and the two German states of North Rhine Westphalia (NRW) and Lower Saxony (LS) is a large and highly integrated livestock production area. This region increasingly develops towards a single epidemiological area in which disease introduction is a shared veterinary and, consequently, economic risk. The objectives of this study were to examine classical swine fever (CSF) control strategies' veterinary and direct economic impacts for NL, NRW and LS given the current production structure and to analyse CSF's cross-border causes and impacts within the NL-NRW-LS region. The course of the epidemic was simulated by the use of InterSpread Plus, whereas economic analysis was restricted to calculating disease control costs and costs directly resulting from the control measures applied. Three veterinary control strategies were considered: a strategy based on the minimum EU requirements, a vaccination and a depopulation strategy based on NL and GER's contingency plans. Regardless of the veterinary control strategy, simulated outbreak sizes and durations for 2010 were much smaller than those simulated previously, using data from over 10 years ago. For example, worst-case outbreaks (50th percentile) in NL resulted in 30-40 infected farms and lasted for two to four and a half months; associated direct costs and direct consequential costs ranged from €24.7 to 28.6 million and €11.7 to 26.7 million, respectively. Both vaccination and depopulation strategies were efficient in controlling outbreaks, especially large outbreaks, whereas the EU minimum strategy was especially deficient in controlling worst-case outbreaks. Both vaccination and depopulation strategies resulted in low direct costs and direct consequential costs. The probability of cross-border disease spread was relatively low, and cross-border spread resulted in small, short outbreaks in neighbouring countries. Few opportunities for further cross-border harmonization and collaboration were identified, including the implementation of cross-border regions (free and diseased regions regardless of the border) in case of outbreaks within close proximity of the border, and more and quicker sharing of information across the border. It was expected, however, that collaboration to mitigate the market effects of an epidemic will create more opportunities to lower the impact of CSF outbreaks in a cross-border context. © 2014 Blackwell Verlag GmbH.

  9. Effect of delignification upon in vitro digestion of forage cellulose.

    PubMed

    Darcy, B K; Belyea, R L

    1980-10-01

    Orchardgrass forages harvested at two maturities (early and late) were ground through two screens (1 and 8 mm) and digested in vitro as intact forage and forage delignified by permanganate oxidation. Initial and residual cell wall, initial and residual cellulose and potentially digestible cellulose were greater in late intact forage than in the early. In the delignified forage, late cut forage had less residual cellulose than did the early, but initial and potentially digestible cellulose were similar. Particle size had less consistent and smaller effects upon cell wall and cellulose than did maturity. Cellulose of intact orchardgrass was 64% digested at 72 h vs 94% for cellulose of delignified orchardgrass. Digestion rate of cellulose was .0197 and .0220 logn units/hr for early and late cut intact forage and .0554 and .0719 logn units/hr for early and late cut delignified forage. Removal of the inhibitory effects of lignin increased the amount of digestible cellulose, increased the rate at which cellulose degraded and decreased the indigestible cellulose residue. Reduction in lignin could greatly improve forage intake and utilization at moderate levels of animal production.

  10. Understanding the Role of P Values and Hypothesis Tests in Clinical Research.

    PubMed

    Mark, Daniel B; Lee, Kerry L; Harrell, Frank E

    2016-12-01

    P values and hypothesis testing methods are frequently misused in clinical research. Much of this misuse appears to be owing to the widespread, mistaken belief that they provide simple, reliable, and objective triage tools for separating the true and important from the untrue or unimportant. The primary focus in interpreting therapeutic clinical research data should be on the treatment ("oomph") effect, a metaphorical force that moves patients given an effective treatment to a different clinical state relative to their control counterparts. This effect is assessed using 2 complementary types of statistical measures calculated from the data, namely, effect magnitude or size and precision of the effect size. In a randomized trial, effect size is often summarized using constructs, such as odds ratios, hazard ratios, relative risks, or adverse event rate differences. How large a treatment effect has to be to be consequential is a matter for clinical judgment. The precision of the effect size (conceptually related to the amount of spread in the data) is usually addressed with confidence intervals. P values (significance tests) were first proposed as an informal heuristic to help assess how "unexpected" the observed effect size was if the true state of nature was no effect or no difference. Hypothesis testing was a modification of the significance test approach that envisioned controlling the false-positive rate of study results over many (hypothetical) repetitions of the experiment of interest. Both can be helpful but, by themselves, provide only a tunnel vision perspective on study results that ignores the clinical effects the study was conducted to measure.

  11. Risks of on-pump coronary artery bypass grafting surgery in patients with chronic obstructive pulmonary disease due to sulfur mustard.

    PubMed

    Firoozabadi, Mehdi Dehghani; Sheikhi, Mohammad Ali; Rahmani, Hossein; Ebadi, Ahmad; Heidari, Amanollah; Gholizadeh, Behnam; Sharifi, Khosrow

    2017-10-01

    Sulfur mustard (SM) is a toxic chemical agent that belongs to a class of vesicant compounds. In the 1980s it was used by the Iraqi army against Iranian forces. Sulfur mustard severely irritates the skin, eyes and lungs. The highest side effects seen in patients affected by this gas are pulmonary complications including different types of lung diseases such as bronchiolitis. It has also led to a certain type of chronic obstructive pulmonary disease called mustard lung. Similar extra-pulmonary, molecular and hormonal effects can be observed in these patients and patients with chronic obstructive pulmonary disease. Here cardiovascular complications may be one of the most dangerous visible effects. And atherosclerosis is probable following the direct effects or consequential long-term effects of SM. The development of atherosclerosis in these patients is associated with an increased risk of cardiovascular and coronary artery disease. Coronary artery bypass grafting surgery is the treatment of coronary artery disease. Doing this surgery by bypass pump has its own morbidity and due to local and systemic inflammation changes in patients with SM pulmonary disorders it may have more side effects. Therefore, detailed knowledge of inflammatory diseases as well as the serum level or even the local lung fluid of the inflammatory factors in these patients before surgery are needed so that it would be possible to reduce the rate of morbidity and mortality by normalizing the inflammatory conditions of the patients before cardiac surgery.

  12. Evolution of Late-type Galaxies in a Cluster Environment: Effects of High-speed Multiple Encounters with Early-type Galaxies

    NASA Astrophysics Data System (ADS)

    Hwang, Jeong-Sun; Park, Changbom; Banerjee, Arunima; Hwang, Ho Seong

    2018-04-01

    Late-type galaxies falling into a cluster would evolve being influenced by the interactions with both the cluster and the nearby cluster member galaxies. Most numerical studies, however, tend to focus on the effects of the former with little work done on those of the latter. We thus perform a numerical study on the evolution of a late-type galaxy interacting with neighboring early-type galaxies at high speed using hydrodynamic simulations. Based on the information obtained from the Coma cluster, we set up the simulations for the case where a Milky Way–like late-type galaxy experiences six consecutive collisions with twice as massive early-type galaxies having hot gas in their halos at the closest approach distances of 15–65 h ‑1 kpc at the relative velocities of 1500–1600 km s‑1. Our simulations show that the evolution of the late-type galaxy can be significantly affected by the accumulated effects of the high-speed multiple collisions with the early-type galaxies, such as on cold gas content and star formation activity of the late-type galaxy, particularly through the hydrodynamic interactions between cold disk and hot gas halos. We find that the late-type galaxy can lose most of its cold gas after the six collisions and have more star formation activity during the collisions. By comparing our simulation results with those of galaxy–cluster interactions, we claim that the role of the galaxy–galaxy interactions on the evolution of late-type galaxies in clusters could be comparable with that of the galaxy–cluster interactions, depending on the dynamical history.

  13. Ethical issues in caring for patients with dementia.

    PubMed

    Hughes, Julian; Common, Jill

    2015-08-05

    This article discusses issues that might count as 'ethical' in the care of people with dementia and some of the dilemmas that occur. Ethical theories, such as virtue ethics, deontology and consequentialism are discussed, and ethical approaches that can be useful are outlined. Thinking about matters case-by-case is another approach, one that forms the first component of the Nuffield Council's ethical framework for dementia care, which is described. Case examples are provided, raising issues of autonomy, diagnosis, restraint and withholding treatment. The notion of personhood and the need to understand the person with dementia as broadly as possible are emphasised. Recommendations for nursing practice are included.

  14. Policies of inclusion: immigrants, disease, dependency, and American immigration policy at the dawn and dusk of the 20th century.

    PubMed

    Fairchild, Amy L

    2004-04-01

    The racial politics of immigration have punctuated national discussions about immigration at different periods in US history, particularly when concerns about losing an American way of life or American population have coincided with concerns about infectious diseases. Nevertheless, the main theme running through American immigration policy is one of inclusion. The United States has historically been a nation reliant on immigrant labor and, accordingly, the most consequential public policies regarding immigration have responded to disease and its economic burdens by seeking to control the behavior of immigrants within our borders rather than excluding immigrants at our borders.

  15. Peace Education: Exploring Some Philosophical Foundations

    NASA Astrophysics Data System (ADS)

    Page, James S.

    2004-01-01

    Peace education has been recognized as an important aspect of social education for the past three decades. The critical literature as well as official documents, however, have given little attention to its philosophical foundations. This essay explores these foundations in the ethics of (1) virtue, (2) consequentialism, (3) aesthetics, (4) conservative politics and (5) care. Each of these alone composes a significant element of peace education, although ultimately its solid basis can only be established through an integrative approach encouraging a culture of peace. The more complete development and articulation of the philosophical rationale of peace education is yet to be accomplished and remains a task for the future.

  16. A framework for understanding and advancing intertemporal choice research using rodent models

    PubMed Central

    Fobbs, Wambura C.; Mizumori, Sheri J. Y.

    2017-01-01

    Intertemporal choices are common and consequential to private and public life. Thus, there is considerable interest in understanding the neural basis of intertemporal decision making. In this minireview, we briefly describe conceptual and psychological perspectives on intertemporal choice and then provide a comprehensive evaluation of the neural structures and signals that comprise the underlying cortico-limbic-striatal circuit. Even though great advances have been made, our understanding of the neurobiology of intertemporal choice is still in its infancy because of the complex and dynamic nature of this form of decision making. We close by briefly discussing recommendations for the future study of intertemporal choice research. PMID:28065715

  17. Light-weight DC to very high voltage DC converter

    DOEpatents

    Druce, R.L.; Kirbie, H.C.; Newton, M.A.

    1998-06-30

    A DC-DC converter capable of generating outputs of 100 KV without a transformer comprises a silicon opening switch (SOS) diode connected to allow a charging current from a capacitor to flow into an inductor. When a specified amount of charge has flowed through the SOS diode, it opens up abruptly; and the consequential collapsing field of the inductor causes a voltage and current reversal that is steered into a load capacitor by an output diode. A switch across the series combination of the capacitor, inductor, and SOS diode closes to periodically reset the SOS diode by inducing a forward-biased current. 1 fig.

  18. Sleep and meal-time misalignment alters functional connectivity: a pilot resting-state study.

    PubMed

    Yoncheva, Y N; Castellanos, F X; Pizinger, T; Kovtun, K; St-Onge, M-P

    2016-11-01

    Delayed sleep and meal times promote metabolic dysregulation and obesity. Altered coordination of sleeping and eating times may impact food-reward valuation and interoception in the brain, yet the independent and collective contributions of sleep and meal times are unknown. This randomized, in-patient crossover study experimentally manipulates sleep and meal times while preserving sleep duration (7.05±0.44 h for 5 nights). Resting-state functional magnetic resonance imaging scans (2 × 5-minute runs) were obtained for four participants (three males; 25.3±4.6 years), each completing all study phases (normal sleep/normal meal; late sleep/normal meal; normal sleep/late meal; and late sleep/late meal). Normal mealtimes were 1, 5, 11 and 12.5 h after awakening; late mealtimes were 4.5, 8.5, 14.5 and 16 h after awakening. Seed-based resting-state functional connectivity (RSFC) was computed for a priori regions-of-interest (seeds) and contrasted across conditions. Statistically significant (P<0.05, whole-brain corrected) regionally specific effects were found for multiple seeds. The strongest effects were linked to the amygdala: increased RSFC for late versus normal mealtimes (equivalent to skipping breakfast). A main effect of sleep and interaction with meal time were also observed. Preliminary findings support the feasibility of examining the effects of sleep and meal-time misalignment, independent of sleep duration, on RSFC in regions relevant to food reward and interoception.

  19. Fractionation Spares Mice From Radiation-Induced Reductions in Weight Gain But Does Not Prevent Late Oligodendrocyte Lineage Side Effects

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

    Begolly, Sage; Shrager, Peter G.; Department of Pharmacology and Physiology, University of Rochester School of Medicine and Dentistry, Rochester, New York

    Purpose: To determine the late effects of fractionated versus single-dose cranial radiation on murine white matter. Methods and Materials: Mice were exposed to 0 Gy, 6 × 6 Gy, or 1 × 20 Gy cranial irradiation at 10 to 12 weeks of age. Endpoints were assessed through 18 months from exposure using immunohistochemistry, electron microscopy, and electrophysiology. Results: Weight gain was temporarily reduced after irradiation; greater loss was seen after single versus fractionated doses. Oligodendrocyte progenitor cells were reduced early and late after both single and fractionated irradiation. Both protocols also increased myelin g-ratio, reduced the number of nodes of Ranvier, and promoted a shift in the proportion of small, unmyelinatedmore » versus large, myelinated axon fibers. Conclusions: Fractionation does not adequately spare normal white matter from late radiation side effects.« less

  20. A qualitative study: Mothers of late preterm infants relate their experiences of community-based care

    PubMed Central

    Dosani, Aliyah; Oliver, Lynnette May; Lodha, Abhay K; Young, Marilyn

    2017-01-01

    Purpose In Alberta, the high occurrence of late preterm infants and early hospital discharge of mother-infant dyads has implications for postpartum care in the community. Shortened hospital stay and complexities surrounding the care of biologically and developmentally immature late preterm infants heighten anxiety and fears. Our descriptive phenomenological study explores mothers’ experience of caring for their late preterm infants in the community. Methods Eleven mothers were interviewed using a semi-structured interview guide. Interview transcripts were analysed using an interpretive thematic approach. Findings The mothers’ hospital experience informed their perspective that being a late preterm infant was not a “big deal,” and they tended to treat their infant as normal. “Feeding was really problem,” especially the variability in feeding effectiveness, which was not anticipated. Failing to recognize late preterm infants’ feeding distress exemplified lack of knowledge of feeding cues and tendencies to either rationalize or minimize feeding concerns. Public health nurses represent a source of informational support for managing neonatal morbidities associated with being late preterm; however, maternal experiences with public health nurses varied. Some nurses used a directive style that overwhelmed certain mothers. Seeing multiple public health nurses and care providers was not always effective, given inconsistent and contradictory guidance to care. These new and changing situations increased maternal anxiety and stress and influenced maternal confidence in care. Fathers, family, and friends were important sources of emotional support. Conclusion After discharge, mothers report their lack of preparation to meet the special needs of their late preterm infants. Current approaches to community-based care can threaten maternal confidence in care. New models and pathways of care for late preterm infants and their families need to be responsive to the spectrum of feeding issues encountered, limit duplication of services, and ensure consistent and effective care that parents will accept. PMID:28334033

  1. Impact of Urban Neighborhood Disadvantage on Late Stage Breast Cancer Diagnosis in Virginia.

    PubMed

    DeGuzman, Pam Baker; Cohn, Wendy F; Camacho, Fabian; Edwards, Brandy L; Sturz, Vanessa N; Schroen, Anneke T

    2017-04-01

    Research suggests that residents of inner-city urban neighborhoods have higher rates of late stage cancer diagnosis. Identifying urban neighborhoods with high rates of both concentrated disadvantage and late stage cancer diagnosis may assist health care providers to target screening interventions to reduce disparities. The purposes of this study were to (1) create an index to evaluate concentrated disadvantage (CD) using non-racial measures of poverty, (2) determine the impact of neighborhood CD on late stage breast cancer diagnosis in US cities, and (3) to understand the role of obesity on this relationship. We used census block group- (CBG) level poverty indicators from five Virginia cities to develop the index. Breast cancer cases of women aged 18-65 who lived in the five cities were identified from the 2000-2012 Virginia Cancer Registry. A logistic regression model with random intercept was used to evaluate the impact of disadvantage on late stage breast cancer diagnosis. CBG-level maps were developed to geographically identify neighborhoods with both high rates of CD and late breast cancer staging. Over 900 CBGs and 6000 breast cases were included. Global fit of the concentrated disadvantage model was acceptable. The effect of disadvantage on late stage was significant (OR = 1.0083, p = 0.032). Inner-city poverty impacts risk of late stage breast cancer diagnosis. Area-level obesity is highly correlated with neighborhood poverty (ρ = 0.74, p < 0.0001) but the mediating direct and indirect effects are non-significant. Intervening in these high poverty neighborhoods may help combat disparities in late stage diagnosis for urban poor and for minorities living in these underserved neighborhoods, but more study is needed to understanding the complex relationship between concentrated neighborhood poverty, obesity, and late stage diagnosis.

  2. Late Language Emergence in 24-Month-Old Twins: Heritable and Increased Risk for Late Language Emergence in Twins

    ERIC Educational Resources Information Center

    Rice, Mabel L.; Zubrick, Stephen R.; Taylor, Catherine L.; Gayán, Javier; Bontempo, Daniel E.

    2014-01-01

    Purpose: This study investigated the etiology of late language emergence (LLE) in 24-month-old twins, considering possible twinning, zygosity, gender, and heritability effects for vocabulary and grammar phenotypes. Method: A population-based sample of 473 twin pairs participated. Multilevel modeling estimated means and variances of vocabulary and…

  3. The pragmatic roots of American Quaternary geology and geomorphology

    NASA Astrophysics Data System (ADS)

    Baker, Victor R.

    1996-07-01

    H.L. Fairchild's words from the 1904 Geological Society of America Bulletin remain appropriate today: "Geologists have been too generous in allowing other people to make their philosophy for them". Geologists have quietly followed a methodological trinity involving (1) inspiration by analogy, (2) impartial and critical assessment of hypotheses, and (3) skepticism of authority (prevailing theoretical constraints or paradigms). These methods are described in classical papers by Quaternary geologists and geomorphologists, mostly written a century ago. In recent years these papers have all been criticized in modern philosophical terms with little appreciation for the late 19th century American philosophical tradition from which they arose. Recent scholarly research, however, has revealed some important aspects of that tradition, giving it a coherence that has largely been underappreciated as 20th century philosophy of science pursued its successive fads of logical positivism, critical rationalism, relativism, and deconstructivism — for all of which "science" is synonymous with "physics". Nearly all this ideology is geologically irrelevant. As philosophy of science in the late 20th century has come to be identical with philosophy of analytical physics, focused on explanations via ideal truths, much of geology has remained true to its classical doctrines of commonsensism, fallibilism, and realism. In contrast to the conceptualism and the reductionism of the analytical sciences, geology has emphasized synthetic thinking: the continuous activity of comparing, connecting, and putting together thoughts and perceptions. The classical methodological studies of geological reasoning all concern the formulation and testing of hypotheses. Analysis does not serve to provide the ultimate answers for intellectual puzzles predefined by limiting assumptions imposed on the real world. Rather, analysis in geology allows the investigator to consider the consequential effects of hypotheses, the latter having been suggested by experience with nature itself rather than by our theories of nature. These distinctions and methods were described in G.K. Gilbert's papers on "The Inculcation of Scientific Method by Example" (1886) and "the Origin of Hypotheses" (1896). Portions were elaborated in T.C. Chamberlin's "Method of Multiple Working Hypotheses" (1890) and his "method of the Earth Sciences" (1904); in W.M. Davis's "Value of Outrageous Geological Hypotheses" (1926); and in D. Johnson's "Role of Analysis in Scientific Investigation" (1933). American Quaternary geology and geomorphology have their philosophical roots in the pragmatic tradition, enunciated most clearly by C.S. Peirce, now recognized as the greatest American philosopher and considered by Sir Karl Popper to be one of the greatest philosophers of all time. Quaternary geology and geomorphology afford numerous examples of Peirce's "method" of science, which might be termed "the critical philosophy of common sense". The most obvious influence of pragmatism in geology, however, has largely been conveyed by the tradition of its scientific community. The elements of this tradition include a reverence for field work, a humility before the "facts" of nature, a continuing effort "to discriminate the phenomena observed from the observer's inference in regard to them", a propensity to pose hypotheses, and a willingness to abandon them when their consequences are contradicted by reality.

  4. PSA discriminator influence on (222)Rn efficiency detection in waters by liquid scintillation counting.

    PubMed

    Stojković, Ivana; Todorović, Nataša; Nikolov, Jovana; Tenjović, Branislava

    2016-06-01

    A procedure for the (222)Rn determination in aqueous samples using liquid scintillation counting (LSC) was evaluated and optimized. Measurements were performed by ultra-low background spectrometer Quantulus 1220™ equipped with PSA (Pulse Shape Analysis) circuit which discriminates alpha/beta spectra. Since calibration procedure is carried out with (226)Ra standard, which has both alpha and beta progenies, it is clear that PSA discriminator has vital importance in order to provide precise spectra separation. Improvement of calibration procedure was done through investigation of PSA discriminator level and, consequentially, the activity of (226)Ra calibration standard influence on (222)Rn efficiency detection. Quench effects on generated spectra i.e. determination of radon efficiency detection were also investigated with quench calibration curve obtained. Radon determination in waters based on modified procedure according to the activity of (226)Ra standard used, dependent on PSA setup, was evaluated with prepared (226)Ra solution samples and drinking water samples with assessment of measurement uncertainty variation included. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. New agents in the treatment of premature ejaculation.

    PubMed

    McMahon, Chris G; McMahon, Chelsea N; Leow, Liang Joo

    2006-12-01

    Premature ejaculation (PE) is a common male sexual disorder. Recent normative data suggest that men with an intravaginal ejaculatory latency time (IELT) of less than 1 minute have "definite" PE, while men with IELTs between 1 and 1.5 minutes have "probable" PE. Although there is insufficient empirical evidence to identify the etiology of PE, there is limited correlational evidence to suggest that men with PE have high levels of sexual anxiety and inherited altered sensitivity of central 5-HT (serotonin) receptors. Pharmacological modulation of the ejaculatory threshold using off-label daily or on-demand selective serotonin re-uptake inhibitors (SSRIs) offers patients a high likelihood of achieving improved ejaculatory control within a few days of initiating treatment, consequential improvements in sexual desire and other sexual domains and is well tolerated. Investigational drugs such as the ejaculo-selective serotonin transport inhibitors (ESSTIs) such as dapoxetine and UK-390,957 represent a major development in sexual medicine. These drugs offer patients the convenience of on-demand dosing, significant improvements in IELT, ejaculatory control, and sexual satisfaction with minimal adverse effects.

  6. New agents in the treatment of premature ejaculation

    PubMed Central

    McMahon, Chris G; McMahon, Chelsea N; Leow, Liang Joo

    2006-01-01

    Premature ejaculation (PE) is a common male sexual disorder. Recent normative data suggest that men with an intravaginal ejaculatory latency time (IELT) of less than 1 minute have “definite” PE, while men with IELTs between 1 and 1.5 minutes have “probable” PE. Although there is insufficient empirical evidence to identify the etiology of PE, there is limited correlational evidence to suggest that men with PE have high levels of sexual anxiety and inherited altered sensitivity of central 5-HT (serotonin) receptors. Pharmacological modulation of the ejaculatory threshold using off-label daily or on-demand selective serotonin re-uptake inhibitors (SSRIs) offers patients a high likelihood of achieving improved ejaculatory control within a few days of initiating treatment, consequential improvements in sexual desire and other sexual domains and is well tolerated. Investigational drugs such as the ejaculo-selective serotonin transport inhibitors (ESSTIs) such as dapoxetine and UK-390,957 represent a major development in sexual medicine. These drugs offer patients the convenience of on-demand dosing, significant improvements in IELT, ejaculatory control, and sexual satisfaction with minimal adverse effects. PMID:19412497

  7. What about Place? Considering the Role of Physical Environment on Youth Imagining of Future Possible Selves.

    PubMed

    Prince, Dana

    2014-07-01

    Identity research indicates that development of well elaborated cognitions about oneself in the future, or one's possible selves, is consequential for youths' developmental trajectories, influencing a range of social, health, and educational outcomes. Although the theory of possible selves considers the role of social contexts in identity development, the potential influence of the physical environment is understudied. At the same time, a growing body of work spanning multiple disciplines points to the salience of place , or the meaningful physical environments of people's everyday lives, as an active contributor to self-identity. Bridging these two lines of inquiry, I provide evidence to show how place-based experiences, such as belonging, aversion, and entrapment, may be internalized and encoded into possible selves, thus producing emplaced future self-concept. I suggest that for young people, visioning self in the future is inextricably bound with place; place is an active contributor both in the present development of future self-concept and in enabling young people to envision different future possible places. Implications for practice and future research include place-making interventions and conceptualizing place beyond "neighborhood effects."

  8. BCAA Metabolism and Insulin Sensitivity - Dysregulated by Metabolic Status?

    PubMed

    Gannon, Nicholas P; Schnuck, Jamie K; Vaughan, Roger A

    2018-03-01

    Branched-chain amino acids (BCAAs) appear to influence several synthetic and catabolic cellular signaling cascades leading to altered phenotypes in mammals. BCAAs are most notably known to increase protein synthesis through modulating protein translation, explaining their appeal to resistance and endurance athletes for muscle hypertrophy, expedited recovery, and preservation of lean body mass. In addition to anabolic effects, BCAAs may increase mitochondrial content in skeletal muscle and adipocytes, possibly enhancing oxidative capacity. However, elevated circulating BCAA levels have been correlated with severity of insulin resistance. It is hypothesized that elevated circulating BCAAs observed in insulin resistance may result from dysregulated BCAA degradation. This review summarizes original reports that investigated the ability of BCAAs to alter glucose uptake in consequential cell types and experimental models. The review also discusses the interplay of BCAAs with other metabolic factors, and the role of excess lipid (and possibly energy excess) in the dysregulation of BCAA catabolism. Lastly, this article provides a working hypothesis of the mechanism(s) by which lipids may contribute to altered BCAA catabolism, which often accompanies metabolic disease. © 2018 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  9. Natural language processing, pragmatics, and verbal behavior

    PubMed Central

    Cherpas, Chris

    1992-01-01

    Natural Language Processing (NLP) is that part of Artificial Intelligence (AI) concerned with endowing computers with verbal and listener repertoires, so that people can interact with them more easily. Most attention has been given to accurately parsing and generating syntactic structures, although NLP researchers are finding ways of handling the semantic content of language as well. It is increasingly apparent that understanding the pragmatic (contextual and consequential) dimension of natural language is critical for producing effective NLP systems. While there are some techniques for applying pragmatics in computer systems, they are piecemeal, crude, and lack an integrated theoretical foundation. Unfortunately, there is little awareness that Skinner's (1957) Verbal Behavior provides an extensive, principled pragmatic analysis of language. The implications of Skinner's functional analysis for NLP and for verbal aspects of epistemology lead to a proposal for a “user expert”—a computer system whose area of expertise is the long-term computer user. The evolutionary nature of behavior suggests an AI technology known as genetic algorithms/programming for implementing such a system. ImagesFig. 1 PMID:22477052

  10. Seeking instructional specificity: An example from analogical instruction

    NASA Astrophysics Data System (ADS)

    Kuo, Eric; Wieman, Carl E.

    2015-12-01

    Broad instructional methods like "interactive engagement" have been shown to be effective, but such general characterization provides little guidance on the details of how to structure instructional materials. In this study, we seek instructional specificity by comparing two ways of using an analogy to learn a target physical principle: (i) applying the analogy to the target physical domain on a case-by-case basis and (ii) using the analogy to create a general rule in the target physical domain. In the discussion sections of a large, introductory physics course (N =2 3 1 ), students who sought a general rule were better able to discover and apply a correct physics principle than students who analyzed the examples case by case. The difference persisted at a reduced level after subsequent direct instruction. We argue that students who performed case-by-case analyses were more likely to focus on idiosyncratic problem-specific features rather than the deep structural features. This study provides an example of investigations into how the specific structure of instructional materials can be consequential for what is learned.

  11. Aviation's Normal Operations Safety Audit: a safety management and educational tool for health care? Results of a small-scale trial.

    PubMed

    Bennett, Simon A

    2017-01-01

    A National Health Service (NHS) contingent liability for medical error claims of over £26 billion. To evaluate the safety management and educational benefits of adapting aviation's Normal Operations Safety Audit (NOSA) to health care. In vivo research, a NOSA was performed by medical students at an English NHS Trust. After receiving training from the author, the students spent 6 days gathering data under his supervision. The data revealed a threat-rich environment, where errors - some consequential - were made (359 threats and 86 errors were recorded over 2 weeks). The students claimed that the exercise improved their observational, investigative, communication, teamworking and other nontechnical skills. NOSA is potentially an effective safety management and educational tool for health care. It is suggested that 1) the UK General Medical Council mandates that all medical students perform a NOSA in fulfillment of their degree; 2) the participating NHS Trusts be encouraged to act on students' findings; and 3) the UK Department of Health adopts NOSA as a cornerstone risk assessment and management tool.

  12. Harnessing wake vortices for efficient collective swimming via deep reinfrcement learning

    NASA Astrophysics Data System (ADS)

    Verma, Siddartha; Novati, Guido; Koumoutsakos, Petros; ChairComputing Science Team

    2017-11-01

    Collective motion may bestow evolutionary advantages to a number of animal species. Soaring flocks of birds, teeming swarms of insects, and swirling masses of schooling fish, all to some extent enjoy anti-predator benefits, increased foraging success, and enhanced problem-solving abilities. Coordinated activity may also provide energetic benefits, as in the case of large groups of fish where swimmers exploit unsteady flow-patterns generated in the wake. Both experimental and computational investigations of such scenarios are hampered by difficulties associated with studying multiple swimmers. Consequentially, the precise energy-saving mechanisms at play remain largely unknown. We combine high-fidelity numerical simulations of multiple, self propelled swimmers with novel deep reinforcement learning algorithms to discover optimal ways for swimmers to interact with unsteady wakes, in a fully unsupervised manner. We identify optimal flow-interaction strategies devised by the resulting autonomous swimmers, and use it to formulate an effective control-logic. We demonstrate, via 3D simulations of controlled groups that swimmers exploiting the learned strategy exhibit a significant reduction in energy-expenditure. ERC Advanced Investigator Award 341117.

  13. Materials Development for Next Generation Optical Fiber

    PubMed Central

    Ballato, John; Dragic, Peter

    2014-01-01

    Optical fibers, the enablers of the Internet, are being used in an ever more diverse array of applications. Many of the rapidly growing deployments of fibers are in high-power and, particularly, high power-per-unit-bandwidth systems where well-known optical nonlinearities have historically not been especially consequential in limiting overall performance. Today, however, nominally weak effects, most notably stimulated Brillouin scattering (SBS) and stimulated Raman scattering (SRS) are among the principal phenomena restricting continued scaling to higher optical power levels. In order to address these limitations, the optical fiber community has focused dominantly on geometry-related solutions such as large mode area (LMA) designs. Since such scattering, and all other linear and nonlinear optical phenomena including higher order mode instability (HOMI), are fundamentally materials-based in origin, this paper unapologetically advocates material solutions to present and future performance limitations. As such, this paper represents a ‘call to arms’ for material scientists and engineers to engage in this opportunity to drive the future development of optical fibers that address many of the grand engineering challenges of our day. PMID:28788683

  14. Understanding self-monitoring of blood glucose among individuals with type 1 and type 2 diabetes: an information-motivation-behavioral skills analysis.

    PubMed

    Fisher, William A; Kohut, Taylor; Schachner, Holly; Stenger, Patricia

    2011-01-01

    To evaluate self-monitoring of blood glucose (SMBG) information deficits, motivational obstacles, and behavioral skills limitations in individuals with type 1 and type 2 diabetes, and to assess the relationship of these deficits with SMBG frequency. Individuals with type 1 (n = 208; 103 male, 105 female) and type 2 (n = 218; 107 male, 111 female) diabetes participated in an online survey assessing SMBG information, motivation, behavioral skills, and behavior. A substantial proportion of participants scored as SMBG uninformed, unmotivated, and unskilled on specific assessment items. SMBG information, motivation, and behavioral skills deficits were significantly correlated with SMBG frequency, such that individuals with type 1 or type 2 diabetes, who were less informed, less motivated, and less behaviorally skilled, reported lower frequency of SMBG. Common and consequential SMBG information, motivation, and behavioral skills deficits were present, and patients with these gaps were less likely to test frequently. Clinical education focusing on relevant SMBG information, motivation to act, and behavioral skills for acting effectively may be a priority.

  15. Attitude Strength.

    PubMed

    Howe, Lauren C; Krosnick, Jon A

    2017-01-03

    Attitude strength has been the focus of a huge volume of research in psychology and related sciences for decades. The insights offered by this literature have tremendous value for understanding attitude functioning and structure and for the effective application of the attitude concept in applied settings. This is the first Annual Review of Psychology article on the topic, and it offers a review of theory and evidence regarding one of the most researched strength-related attitude features: attitude importance. Personal importance is attached to an attitude when the attitude is perceived to be relevant to self-interest, social identification with reference groups or reference individuals, and values. Attaching personal importance to an attitude causes crystallizing of attitudes (via enhanced resistance to change), effortful gathering and processing of relevant information, accumulation of a large store of well-organized relevant information in long-term memory, enhanced attitude extremity and accessibility, enhanced attitude impact on the regulation of interpersonal attraction, energizing of emotional reactions, and enhanced impact of attitudes on behavioral intentions and action. Thus, important attitudes are real and consequential psychological forces, and their study offers opportunities for addressing behavioral change.

  16. What Does the Implementation of Peer Care Training in a U.K. Prison Reveal About Prisoner Engagement in Peer Caregiving?

    PubMed

    Stewart, Warren

    The number of aging and chronically ill prisoners continues to rise within the United Kingdom prison demography; consequentially, many institutions face health and social care crises of immense proportions. The needs of this group are both complex and costly, and in the United Kingdom, this is set to a backdrop of overcrowding, increasing violence, and public spending cuts in line with government austerity targets. In this context, the development of prisoner peer caregiving is proposed as an approach to mitigating the effects of aging, disability, and illness. A qualitative study was implemented to design, deliver, and evaluate a peer care training intervention within a U.K. prison. The perceptions of six prisoner peer caregivers are represented in this article. Thematic analysis of interview transcripts identified challenges experienced by peer caregivers in practice as well as recommended practical solutions. The social processes underpinning prisoner peer caregiving are discussed, including individual and organizational impediments to the fulfillment of their role. Practice theory, social learning theory, and criminological sensitivities were used as theoretical lenses to analyze the findings.

  17. Preexposure to ozone blocks the antigen-induced late asthmatic response of the canine peripheral airways

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

    Turner, C.R.; Kleeberger, S.R.; Spannhake, E.W.

    1989-01-01

    The influence of exposure of the airways to ozone on acute allergic responsiveness has been investigated in several species. Little is known, however, about the effect of this environmental pollutant on the late asthmatic response (LAR) in animals in which it is exhibited. The purpose of this study was to evaluate this effect in the canine peripheral airways and to assess the potential role of mast cells in modulating the effect. A series of experiments on seven mongrel dogs demonstrated that the numbers of mast cells at the base of the epithelial region of small subsegmental airways exposed to 1more » ppm ozone for 5 min were significantly (p less than .01) increased 3 h following exposure compared to air exposed or nonexposed control airways. In a second series of experiments performed on eight additional mongrel dogs with inherent sensitivity to Ascaris suum antigen, antigen aerosol was administered to the sublobar segment 3 h following ozone preexposure when mast cell numbers were presumed to be increased. These experiments were performed to determine whether ozone preexposure could enhance the late-phase response to antigen by virtue of acutely increasing the number of mast cells available to bind the antigen. Four of the eight dogs tested displayed a late-phase response to antigen following air-sham preexposure. In these four dogs, simultaneous ozone preexposure of a contralateral lobe completely blocked the late-phase response to antigen. These results indicate that the consequences of a single exposure to ozone persist beyond its effects on acute antigen-induced bronchoconstriction and extend to the complex processes involved with the late response. This attenuating effect of ozone is seen under conditions where mast-cell numbers in the airways are increased above baseline levels.« less

  18. Effect of ZCR-2060, an antiallergic agent, on antigen-induced immediate- and late-phase increases in airway resistance in sensitized guinea pigs.

    PubMed

    Abe, T; Yoshida, K; Omata, T; Segawa, Y; Matsuda, K; Nagai, H

    1995-01-01

    The effect of 2-[2-[4-(diphenylmethyl)-1-piperadinyl]ethoxy] benzoic acid maleate (ZCR-2060) on passive systemic anaphylaxis (PSA) and antigen-induced immediate- and late-phase increase in airway resistance (Rrs) in either passively or actively sensitized guinea pigs were investigated. ZCR-2060 inhibited PSA in guinea pigs. ID50 values of ZCR-2060, ketotifen, terfenadine and cetirizine on PSA were 0.03, 0.02, 0.8 and 0.3 mg/kg, respectively, when administered orally 1 h before the antigen challenge. The protective effect of ZCR-2060 was observed until 12 h before the antigen challenge. Aeroantigen-induce immediate increase in Rrs in passively sensitized guinea pigs with and without metyrapone treatment was inhibited by ZCR-2060, ketotifen, terfenadine and cetirizine. In contrast, prednisolone did not affect the aeroantigen-induced immediate increase in Rrs in animals not treated with metyrapone, but significantly inhibited the metyrapone-induced enhanced immediate response. In actively sensitized animals, the immediate- and late-phase increases in Rrs were observed within 30 min and between 3 and 8 h after the aeroantigen challenge. Pretreatment with metyrapone accelerated both antigen-induced responses. ZCR-2060 (1 mg/kg) significantly inhibited both responses. Ketotifen (1 mg/kg), terfenadine (10 mg/kg) and prednisolone (10 mg/kg) significantly the inhibited the late-phase response, but did not affect the immediate-phase response. In contrast, Cetirizine (10 mg/kg) did not affect either response. The effect of ZCR-2060 on late-phase response was stronger than that of ketotifen, terfenadine and cetirizine, and was almost the same as that of prednisolone. These results suggest that ZCR-2060 has a potent protective effect on immediate- and late-phase increases in Rrs.

  19. Climate effects on late-season flight times of Massachusetts butterflies.

    PubMed

    Zipf, L; Williams, E H; Primack, R B; Stichter, S

    2017-09-01

    Although the responses of living organisms to climate change are being widely investigated, little attention has been given to such effects late in the growing season. We studied the late-season flight times of 20 species of butterflies in a geographically limited region, the state of Massachusetts in the USA, by examining change in dates of flight over a 22-year period and in response to average monthly temperature and precipitation. By analyzing the last 10% of each year's observations reported by observers of the Massachusetts Butterfly Club, we found that seven species remain in flight significantly later into the fall than they did two decades earlier, while two species show reduced late-season flight. Life history characteristics of the species, particularly voltinism and average fall flight dates, influenced whether warmer fall months led to increases or decreases in fall flight. Warmer Novembers often led to later fall flight, and wetter Augusts usually extended fall flight. These results document the effects of climate on late-season flight times of butterflies, add to an understanding of how warmer autumn conditions alter the phenology of different butterfly species, and show the usefulness of citizen science data.

  20. The challenge in treating locally recurrent T3-4 nasopharyngeal carcinoma: the survival benefit and severe late toxicities of re-irradiation with intensity-modulated radiotherapy.

    PubMed

    Tian, Yun-Ming; Huang, Wei-Zeng; Yuan, Xia; Bai, Li; Zhao, Chong; Han, Fei

    2017-06-27

    Effective treatments for patients with advanced locally recurrent nasopharyngeal carcinoma (NPC) are limited. This investigation was to determine the potential benefits from re-irradiation by intensity-modulated radiotherapy (IMRT) on survival and the effects of severe late toxicities. A retrospective study was conducted in 245 patients diagnosed with locally recurrent T3-T4 NPC who had undergone re-irradiation with IMRT. Follow-up data was colletedand factors associated with survival and severe late toxicities were analyzed. The 5-year local-regional failure-free survival, distant failure-free survival and overall survival rates were 60.9%, 78.3% and 27.5%, respectively. The presence of severe late complications, recurrent T4 disease and gross tumor volume >30 cm3 were associated with poor survival. The incidences of mucosal necrosis, temporal lobe necrosis, cranial neuropathy and trismus were 22.0%, 14.6%, 27.0% and 14.6% respectively. Re-irradiation with IMRT is an effective choice in patients with locally recurrent T3-T4 NPC. However, the survival benefits can be partly offset by severe late complications and optimum treatments in these patients remain a challenge.

  1. [Effects of different multiple cropping systems on paddy field weed community under long term paddy-upland rotation].

    PubMed

    Yang, Bin-Juan; Huang, Guo-Qin; Xu, Ning; Wang, Shu-Bin

    2013-09-01

    Based on a long term field experiment, this paper studied the effects of different multiple cropping systems on the weed community composition and species diversity under paddy-upland rotation. The multiple cropping rotation systems could significantly decrease weed density and inhibited weed growth. Among the rotation systems, the milk vetch-early rice-late maize --> milk vetchearly maize intercropped with early soybean-late rice (CCSR) had the lowest weed species dominance, which inhibited the dominant weeds and decreased their damage. Under different multiple cropping systems, the main weed community was all composed of Monochoia vaginalis, Echinochloa crusgalli, and Sagittaria pygmae, and the similarity of weed community was higher, with the highest similarity appeared in milk vetch-early rice-late maize intercropped with late soybean --> milk vetch-early maize-late rice (CSCR) and in CCSR. In sum, the multiple cropping rotations in paddy field could inhibit weeds to a certain extent, but attentions should be paid to the damage of some less important weeds.

  2. Proton Radiotherapy for Solid Tumors of Childhood

    PubMed Central

    Cotter, Shane E.; McBride, Sean M.; Yock, Torunn I.

    2012-01-01

    The increasing efficacy of pediatric cancer therapy over the past four decades has produced many long-term survivors that now struggle with serious treatment related morbidities affecting their quality of life. Radiation therapy is responsible for a significant proportion of these late effects, but a relatively new and emerging modality, proton radiotherapy hold great promise to drastically reduce these treatment related late effects in long term survivors by sparing dose to normal tissues. Dosimetric studies of proton radiotherapy compared with best available photon based treatment show significant dose sparing to developing normal tissues. Furthermore, clinical data are now emerging that begin to quantify the benefit in decreased late treatment effects while maintaining excellent cancer control rates. PMID:22417062

  3. Comparison of stem damage and carbohydrate composition in the stem juice between sugarcane and sweet sorghum harvested before and after late fall frost

    USDA-ARS?s Scientific Manuscript database

    A late fall frost may significantly affect sugar crops’ stem sugar composition, yield and juice quality for biofuel and bioproduct manufacture. Research on the effects of late fall frost in sugarcane is well documented, but information is lacking for sweet sorghum. Three and six commercial cultivars...

  4. TARGETED DELETION OF INDUCIBLE HEAT SHOCK PROTEIN 70 ABROGATES THE LATE INFARCT-SPARING EFFECT OF MYOCARDIAL ISCHEMIC PRECONDITIONING

    EPA Science Inventory

    Abstract submitted for 82nd annual meeting of the American Association for Thoracic Surgery, May 4-8, 2002 in Washington D.C.

    Targeted Deletion of Inducible Heat Shock Protein 70 Abrogates the Late Infarct-Sparing Effect of Myocardial Ischemic Preconditioning

    Craig...

  5. Effect of floor cooling on late lactation sows under acute heat stress

    USDA-ARS?s Scientific Manuscript database

    The objective was to evaluate the effects of floor cooling on late lactation sows under severe summer heat stress. Ten multiparous sows were provided with a cooling pad built with an aluminum plate surface, high-density polyethylene base and copper pipes. Treatments were randomly allotted to sows to...

  6. Effects of floor cooling on late lactation sows under severe acute heat stress

    USDA-ARS?s Scientific Manuscript database

    The objective was to evaluate the effects of floor cooling on late lactation sows under severe summer heat stress. Ten multiparous sows were provided with a cooling pad built with an aluminum plate surface, high-density polyethylene base and copper pipes. Treatments were randomly allotted to sows to...

  7. Endocannabinoids and the Cardiovascular System in Health and Disease.

    PubMed

    O'Sullivan, Saoirse Elizabeth

    2015-01-01

    The endocannabinoid system is widely distributed throughout the cardiovascular system. Endocannabinoids play a minimal role in the regulation of cardiovascular function in normal conditions, but are altered in most cardiovascular disorders. In shock, endocannabinoids released within blood mediate the associated hypotension through CB(1) activation. In hypertension, there is evidence for changes in the expression of CB(1), and CB(1) antagonism reduces blood pressure in obese hypertensive and diabetic patients. The endocannabinoid system is also upregulated in cardiac pathologies. This is likely to be cardioprotective, via CB(2) and CB(1) (lesser extent). In the vasculature, endocannabinoids cause vasorelaxation through activation of multiple target sites, inhibition of calcium channels, activation of potassium channels, NO production and the release of vasoactive substances. Changes in the expression or function of any of these pathways alter the vascular effect of endocannabinoids. Endocannabinoids have positive (CB(2)) and negative effects (CB(1)) on the progression of atherosclerosis. However, any negative effects of CB(1) may not be consequential, as chronic CB(1) antagonism in large scale human trials was not associated with significant reductions in atheroma. In neurovascular disorders such as stroke, endocannabinoids are upregulated and protective, involving activation of CB(1), CB(2), TRPV1 and PPARα. Although most of this evidence is from preclinical studies, it seems likely that cannabinoid-based therapies could be beneficial in a range of cardiovascular disorders.

  8. Late administration of high-frequency electrical stimulation increases nerve regeneration without aggravating neuropathic pain in a nerve crush injury.

    PubMed

    Su, Hong-Lin; Chiang, Chien-Yi; Lu, Zong-Han; Cheng, Fu-Chou; Chen, Chun-Jung; Sheu, Meei-Ling; Sheehan, Jason; Pan, Hung-Chuan

    2018-06-25

    High-frequency transcutaneous neuromuscular electrical nerve stimulation (TENS) is currently used for the administration of electrical current in denervated muscle to alleviate muscle atrophy and enhance motor function; however, the time window (i.e. either immediate or delayed) for achieving benefit is still undetermined. In this study, we conducted an intervention of sciatic nerve crush injury using high-frequency TENS at different time points to assess the effect of motor and sensory functional recovery. Animals with left sciatic nerve crush injury received TENS treatment starting immediately after injury or 1 week later at a high frequency(100 Hz) or at a low frequency (2 Hz) as a control. In SFI gait analysis, either immediate or late admission of high-frequency electrical stimulation exerted significant improvement compared to either immediate or late administration of low-frequency electrical stimulation. In an assessment of allodynia, immediate high frequency electrical stimulation caused a significantly decreased pain threshold compared to late high-frequency or low-frequency stimulation at immediate or late time points. Immunohistochemistry staining and western blot analysis of S-100 and NF-200 demonstrated that both immediate and late high frequency electrical stimulation showed a similar effect; however the effect was superior to that achieved with low frequency stimulation. Immediate high frequency electrical stimulation resulted in significant expression of TNF-α and synaptophysin in the dorsal root ganglion, somatosensory cortex, and hippocampus compared to late electrical stimulation, and this trend paralleled the observed effect on somatosensory evoked potential. The CatWalk gait analysis also showed that immediate electrical stimulation led to a significantly high regularity index. In primary dorsal root ganglion cells culture, high-frequency electrical stimulation also exerted a significant increase in expression of TNF-α, synaptophysin, and NGF in accordance with the in vivo results. Immediate or late transcutaneous high-frequency electrical stimulation exhibited the potential to stimulate the motor nerve regeneration. However, immediate electrical stimulation had a predilection to develop neuropathic pain. A delay in TENS initiation appears to be a reasonable approach for nerve repair and provides the appropriate time profile for its clinical application.

  9. Occupations that people with late effects of polio perceive difficult to perform.

    PubMed

    Appelin, Katja; Lexell, Jan; Månsson Lexell, Eva

    2014-09-01

    The aims of this study were to describe which occupations that people with late effects of polio perceive difficult to perform, which occupational area the occupations were related to and their level of complexity. The aims were also to describe their own perception of the importance, performance and satisfaction with these occupations. Sixty-two participants (mean age 61 years) were assessed with the Canadian Occupational Performance Measure. A total of 431 occupations were reported (43% self-care, 32% productivity and 25% leisure). Two subcategories, household management (27 %) and functional mobility (23 %), represented half of all the reported occupations. Ratings for prioritized occupations (N = 300) were high for importance and generally low for performance and satisfaction. A wide variety of occupations were reported, related to both occupational areas and different levels of complexity within an occupational area. The results underscore the importance of using assessment tools that can capture both the variety and complexity of occupations. By obtaining more detailed information about occupations that people with late effects of polio perceive difficult to perform, this will enable occupational therapists to offer targeted interventions that can facilitate engagement in meaningful and purposeful occupations. A larger and more heterogeneous sample may enable the results to be generalized to more people with late effects of polio. Future studies should focus on methods that can facilitate engagement in meaningful and purposeful occupations for people with late effects of polio. Copyright © 2014 John Wiley & Sons, Ltd.

  10. Effect of the dilaton on holographic complexity growth

    NASA Astrophysics Data System (ADS)

    An, Yu-Sen; Peng, Rong-Hui

    2018-03-01

    In this paper, we investigate the action growth in various backgrounds in Einstein-Maxwell-dilaton theory. We calculate the full time evolution of action growth in the anti-de Sitter dilaton black hole and find it approaches the late time bound from above. We investigate the black hole which is asymptotically Lifshitz and obtain its late time and full time behavior. We find the violation of Lloyd bound in the late time limit and show the full time behavior approaching the late time bound from above and exhibiting some new features for z sufficiently large.

  11. Scenario Planning Provides a Framework for Climate Change Adaptation in the National Park Service

    NASA Astrophysics Data System (ADS)

    Welling, L. A.

    2012-12-01

    Resource management decisions must be based on future expectations. Abundant evidence suggests climate change will have highly consequential effects on the Nation's natural and cultural resources, but specific impacts are difficult to accurately predict. This situation of too much information but not enough specificity can often lead to either paralysis or denial for decision makers. Scenario planning is an emerging tool for climate change adaptation that provides a structured framework for identifying and exploring critical drivers of change and their uncertain outcomes. Since 2007, the National Park Service (NPS) has been working with its partners to develop and apply a scenario-based approach for adaptation planning that integrates quantitative, model-driven, climate change projections with qualitative, participatory exercises to explore management and policy options under a range of future conditions. Major outcomes of this work are (1) increased understanding of key scientific results and uncertainties, (2) incorporation of alternative perspectives into park and landscape level planning, (3) identification of "no brainer" and "no gainer" actions, (4) strengthening of regional science-management partnerships, and (5) overall improved capacity for flexible decision making. The basic approach employed by NPS for scenario planning follows a typical adaptive management process: define the focal question, assess the relevant science, explore plausible futures, identify effective strategies, prioritize and implement actions, and monitor results. Many science and management partners contributed to the process, including NOAA Regional Integrated Science and Assessment teams (RISAs) and Regional Climate Centers (RCCs), USGS Research Centers, and other university and government scientists. The Global Business Network, an internationally recognized leader in scenario development, provided expert facilitation and training techniques. Climate science input is provided through global and regional circulation models and downscaling to arrive at climate driver information that is relevant for parks and the landscapes within which they are found. Considerable effort is necessary to synthesize the information and to effectively communicate uncertainties about both values and trend (e.g. scientists have higher confidence in the trend of temperature over a given time period than the value). Drivers that are determined to be highly consequential and uncertain are used to create management-relevant scenarios using various techniques, including a structured 2X2 matrix approach, a succession of rapid combinations using multiple variables, and the development of a base, "least change" scenario from which alternatives are then constructed. Socio-economic factors are also considered as essential factors that define the full decision environment within which management and policy decisions are made. Resulting scenarios incorporate information about impacts to natural and cultural resources as well as facilities and visitor experience. The NPS conducted prototypes for scenario planning in each of seven regions and has begun to incorporate elements of the process into all planning requirements. A significant outcome of this work is managers and scientists alike understand climate and ecosystem models provide tools for exploring the future rather than predicting it.

  12. Adherence to peritoneal dialysis training schedule.

    PubMed

    Chow, Kai Ming; Szeto, Cheuk Chun; Leung, Chi Bon; Law, Man Ching; Kwan, Bonnie Ching-Ha; Li, Philip Kam-Tao

    2007-02-01

    Shortening behaviour during peritoneal dialysis training can be easily measured, and likened to the skipping behaviour in haemodialysis subjects, although its effect on peritoneal dialysis outcomes is now well understood. We studied the clinical impact of failing to adhere to a peritoneal dialysis training programme among incident dialysis patients. This study included 159 consecutive inception peritoneal dialysis patients in a single centre from September 1999 through November 2002. We evaluated the effects of behavioural compliance quantified by the per cent time arriving late for scheduled peritoneal dialysis training. The patients were categorized by whether they arrived late in >20% of their peritoneal dialysis training sessions. Of the 159 incident peritoneal dialysis patients (mean age 57 +/- 13 years) who attended peritoneal dialysis training, 70 subjects (44%) arrived late in >20% of the sessions. They were younger by 5 years than patients who arrived late < or =20%. Mean peritonitis-free time for subjects who arrived late for training in >20% the of sessions was 30.9 months, as compared with 41.8 months in subjects with < or =20% late attendance behaviour (log rank test, P = 0.038). Multivariable Cox proportional hazards analysis showed that late attendance behaviour and baseline serum albumin were the only independent risk factors for the time to a first peritonitis after adjustment for diabetes mellitus and relevant coexisting medical factors. Late arrival in >20% of the peritoneal dialysis training sessions was associated with >50% increased likelihood of subsequent peritonitis, with an adjusted risk ratio of 1.56 (95% confidence interval, 1.02-2.39; P = 0.04). These findings show that the behavioural measure of late attendance for peritoneal dialysis training has a crucial role in predicting peritonitis. It may therefore represent a practical strategy for identifying poor adherence or predicting medical outcomes.

  13. A Sibling Death in the Family: Common and Consequential

    PubMed Central

    Fletcher, Jason; Mailick, Marsha; Song, Jieun

    2015-01-01

    Although a large literature analyzes the determinants of child mortality and suggests policy and medical interventions aimed at its reduction, there is little existing analysis illuminating the consequences of child mortality for other family members. In particular, there is little evidence exploring the consequences of experiencing the death of a sibling on one’s own development and transition to adulthood. This article examines the prevalence and consequences of experiencing a sibling death during one’s childhood using two U.S. data sets. We show that even in a rich developed country, these experiences are quite common, affecting between 5 % and 8 % of the children with one or more siblings in our two data sets. We then show that these experiences are associated with important reductions in years of schooling as well as a broad range of adult socioeconomic outcomes. Our findings also suggest that sisters are far more affected than brothers and that the cause of death is an important factor in sibling effects. Overall, our findings point to important previously unexamined consequences of child mortality, adding to the societal costs associated with childhood mortality as well as suggesting additional benefits from policy and medical innovations aimed at curbing both such deaths and subsequent effects on family members. PMID:23073753

  14. Fires in storages of LFO: Analysis of hazard of structural collapse of steel-aluminium containers.

    PubMed

    Rebec, A; Kolšek, J; Plešec, P

    2016-04-05

    Pool fires of light fuel oil (LFO) in above-ground storages with steel-aluminium containers are discussed. A model is developed for assessments of risks of between-tank fire spread. Radiative effects of the flame body are accounted for by a solid flame radiation model. Thermal profiles evolved due to fire in the adjacent tanks and their consequential structural response is pursued in an exact (materially and geometrically non-linear) manner. The model's derivation is demonstrated on the LFO tank storage located near the Port of Koper (Slovenia). In support of the model, data from literature are adopted where appropriate. Analytical expressions are derived correspondingly for calculations of emissive characteristics of LFO pool fires. Additional data are collected from experiments. Fire experiments conducted on 300cm diameter LFO pans and at different wind speeds and high-temperature uniaxial tension tests of the analysed aluminium alloys types 3xxx and 6xxx are presented. The model is of an immediate fire engineering practical value (risk analyses) or can be used for further research purposes (e.g. sensitivity and parametric studies). The latter use is demonstrated in the final part of the paper discussing possible effects of high-temperature creep of 3xxx aluminium. Copyright © 2015 Elsevier B.V. All rights reserved.

  15. Revisiting Ionosphere-Thermosphere Responses to Solar Wind Driving in Superstorms of November 2003 and 2004

    NASA Astrophysics Data System (ADS)

    Verkhoglyadova, O. P.; Komjathy, A.; Mannucci, A. J.; Mlynczak, M. G.; Hunt, L. A.; Paxton, L. J.

    2017-10-01

    We revisit three complex superstorms of 19-20 November 2003, 7-8 November 2004, and 9-11 November 2004 to analyze ionosphere-thermosphere (IT) effects driven by different solar wind structures associated with complex interplanetary coronal mass ejections (ICMEs) and their upstream sheaths. The efficiency of the solar wind-magnetosphere connection throughout the storms is estimated by coupling functions. The daytime IT responses to the complex driving are characterized by combining and collocating (where possible) measurements of several physical parameters (total electron content or TEC, thermospheric infrared nitric oxide emission, and composition ratio) from multiple satellite platforms and ground-based measurements. A variety of metrics are utilized to examine global IT phenomena at 1 h timescales. The role of direct driving of IT dynamics by solar wind structures and the role of IT preconditioning in these storms, which feature complex unusual TEC responses, are examined and contrasted. Furthermore, IT responses to ICME magnetic clouds and upstream sheaths are separately characterized. We identify IT feedback effects that can be important for long-lasting strong storms. The role of the interplanetary magnetic field By component on ionospheric convection may not be well captured by existing coupling functions. Mechanisms of thermospheric overdamping and consequential ionospheric feedback need to be further studied.

  16. Effective protective surveillance for waterside-located chemical plants

    NASA Astrophysics Data System (ADS)

    Love, John; Van Dover, Doug

    2006-05-01

    Millions of citizens live and work in the dangerous proximity of chemical plants, at ports and along waterways, which are under-protected and whose security is under-regulated, according to findings of the Congressional Research Service (CRS). There is a new and intense focus on the security of the nation's critical infrastructure. Thanks to recent philosophy and policy shifts within our federal government, the alarming situations in which we find ourselves will be mitigated somewhat a) by setting priorities based on proper threat analysis that considers event likelihoods and consequential impacts, and b) by employing effective systems design and engineering that will make it possible to address the highest priority threats with affordable solutions. It is the latter concern that we address, especially as it is relates to design and engineering of solutions for maintaining vigilance night and day. We begin by reviewing the nature of the facilities we wish to protect, our assumptions, and an accepted framework for analysis. Next we outline a hypothetical design case involving a representative facility and a plausible design basis threat. We then derive requirements for surveillance and examine the interrelationships among key design variables. Finally, we describe a solution involving multiple sensor types coupled with intelligent video. The end result is a significant increase in interdiction probability with a minimum of required assets.

  17. Genetic testing for the risk of developing late effects among survivors of childhood cancer: Consumer understanding, acceptance, and willingness to pay.

    PubMed

    Georgiou, Gabrielle; Wakefield, Claire E; McGill, Brittany C; Fardell, Joanna E; Signorelli, Christina; Hanlon, Lucy; Tucker, Kathy; Patenaude, Andrea F; Cohn, Richard J

    2016-09-15

    Genetic testing to determine cancer survivors' risk of developing late effects from their cancer treatment will be increasingly used in survivorship care. This 2-stage study with 64 survivors of childhood cancer and their parents investigated the preferences and acceptability of testing among those who may be at risk of developing late effects. The first stage (Stage 1) identified the most commonly perceived benefits and concerns regarding genetic testing for the risk of late effects among 24 participants. In Stage 2, during interviews, 20 survivors (55% of whom were female; mean age, 26.0 years [range, 18-39 years]; standard deviation [SD], 0.80) and 20 parents (55% of whom were male; mean age of child survivor, 14.2 years [range, 10-19 years]; SD, 0.79) rated the 7 most common benefits and concerns from those identified in Stage 1. Interviews were transcribed verbatim and analyzed. Decisional balance ratios were calculated by dividing the participants' average concerns scores with the average benefits scores. Genetic testing for late effects was highly acceptable: 95% of participants leaned toward testing, and the majority (65.9%) would pay up to Australian $5000. The majority (97.2%) reported it was acceptable to wait for up to 6 months to receive results, and to be offered testing immediately after treatment or when the survivor reached adulthood (62.9%). Survivors and parents had a highly positive decisional balance (Mean (M), 0.5 [SD, 0.38] and M, 0.5 [SD, 0.39], respectively), indicating that perceived benefits outweighed concerns. Although to our knowledge clinical efficacy has yet to be clearly demonstrated, survivors and parents described positive interest in genetic testing for the risk of developing late effects. Perceived benefits outweighed harms, and the majority of participants would be willing to pay, and wait, for testing. Cancer 2016. © 2016 American Cancer Society. Cancer 2016;122:2876-2885. © 2016 American Cancer Society. © 2016 American Cancer Society.

  18. Effects of glucocorticoid treatment given in early or late gestation on growth and development in sheep.

    PubMed

    Li, S; Sloboda, D M; Moss, T J M; Nitsos, I; Polglase, G R; Doherty, D A; Newnham, J P; Challis, J R G; Braun, T

    2013-04-01

    Antenatal corticosteroids are used to augment fetal lung maturity in human pregnancy. Dexamethasone (DEX) is also used to treat congenital adrenal hyperplasia of the fetus in early pregnancy. We previously reported effects of synthetic corticosteroids given to sheep in early or late gestation on pregnancy length and fetal cortisol levels and glucocorticoids alter plasma insulin-like growth factor (IGF) and insulin-like growth factor binding protein (IGFBP) concentrations in late pregnancy and reduce fetal weight. The effects of administering DEX in early pregnancy on fetal organ weights and betamethasone (BET) given in late gestation on weights of fetal brain regions or organ development have not been reported. We hypothesized that BET or DEX administration at either stage of pregnancy would have deleterious effects on fetal development and associated hormones. In early pregnancy, DEX was administered as four injections at 12-hourly intervals over 48 h commencing at 40-42 days of gestation (dG). There was no consistent effect on fetal weight, or individual fetal organ weights, except in females at 7 months postnatal age. When BET was administered at 104, 111 and 118 dG, the previously reported reduction in total fetal weight was associated with significant reductions in weights of fetal brain, cerebellum, heart, kidney and liver. Fetal plasma insulin, leptin and triiodothyronine were also reduced at different times in fetal and postnatal life. We conclude that at the amounts given, the sheep fetus is sensitive to maternal administration of synthetic glucocorticoid in late gestation, with effects on growth and metabolic hormones that may persist into postnatal life.

  19. Invited review: heat stress effects during late gestation on dry cows and their calves.

    PubMed

    Tao, S; Dahl, G E

    2013-07-01

    In dairy cattle, late gestation is a critical period for fetal growth and physiological transition into the next lactation. Environmental factors, such as temperature and light, exert dramatic effects on the production, health, and well-being of animals during this period and after parturition. The aim of this review was to introduce effects of heat stress during late gestation on dairy cattle, and discuss the biological mechanisms that underlie the observed production and health responses in the dam and her fetus. Relative to cooled cows, cows that are heat stressed during late gestation have impaired mammary growth before parturition and decreased milk production in the subsequent lactation. In response to higher milk yield, cows cooled prepartum undergo a series of homeorhetic adaptations in early lactation to meet higher demand for milk synthesis compared with heat-stressed cows, but no direct effect of environmental heat stress on metabolism exists during the dry period. Prepartum cooling improves immune status of transition cows and evidence suggests that altered prolactin signaling in immune cells mediates the effects of heat stress on immune function. Late-gestation heat stress compromises placental development, which results in fetal hypoxia, malnutrition, and eventually fetal growth retardation. Maternal heat stress may also have carryover effects on the postnatal growth of offspring, but direct evidence is still lacking. Emerging evidence suggests that offspring from prepartum heat-stressed cows have compromised passive immunity and impaired cell-mediated immune function compared with those from cooled cows. Copyright © 2013 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

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

    Alam, Asim; Mukhopadhyay, Nitai D.; Ning, Yi

    Purpose: This study tested whether racial differences in genetic polymorphisms of 4 genes involved in wound repair and response to radiation can be used to predict the occurrence of normal tissue late effects of radiation therapy and indicate potential therapeutic targets. Methods and Materials: This prospective study examined genetic polymorphisms that modulate the expression of 4 genes involved in inflammation and fibrosis and response to radiation (HMOX1, NFE2L2, NOS3, and TGFβ1). DNA from blood samples of 179 patients (∼80% breast and head and neck) collected at the time of diagnosis by their radiation oncologist as exhibiting late normal tissue toxicitymore » was used for the analysis. Patient demographics were as follows: 56% white, 43% African American, 1% other. Allelic frequencies of the different polymorphisms of the participants were compared with those of the general American population stratified by race. Twenty-six additional patients treated with radiation, but without toxicity at 3 months or later after therapy, were also analyzed. Results: Increased frequency of a long GT repeat in the HMOX1 promoter was associated with late effects in both African American and white populations. The single nucleotide polymorphisms (SNP) rs1800469 in the TGFβ1 promoter and the rs6721961 SNP in the NFE2L2 promoter were also found to significantly associate with late effects in African Americans but not whites. A combined analysis of these polymorphisms revealed that >90% of African American patients with late effects had at least 1 of these minor alleles, and 58% had 2 or more. No statistical significance was found relating the studied NOS3 polymorphisms and normal tissue toxicity. Conclusions: These results support a strong association between wound repair and late toxicities of radiation. The presence of these genetic risk factors can vary significantly among different ethnic groups, as demonstrated for some of the SNPs. Future studies should account for the possibility of such ethnic heterogeneity in the late toxicities of radiation.« less

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