Sample records for continuing important role

  1. The strategic skills of business continuity managers: putting business continuity management into corporate long-term planning.

    PubMed

    Wong, Wei Ning Zechariah

    2009-11-01

    Despite its rapid development in the last two decades, business continuity management (BCM) as a discipline and a profession is still regarded by many as an operational entity of management. Two main issues are discussed in this paper: the role of BCM in strategic management and the strategic skills of business continuity managers. These issues are crucial as they represent the role of BCM in high-level corporate management. The paper discusses the importance of BCM in the long-term planning of organisational success and the preservation of future competitiveness. Finally, salient points that underpin the importance of its role in sustaining organisational performance are addressed.

  2. The Role of Collegial Interaction in Continuing Professional Development

    ERIC Educational Resources Information Center

    Gagliardi, Anna R.; Wright, Frances C.; Anderson, Michael A. B.; Davis, Dave

    2007-01-01

    Introduction: Many physicians seek information from colleagues over other sources, highlighting the important role of interaction in continuing professional development (CPD). To guide the development of CPD opportunities, this study explored the nature of cancer-related questions faced by general surgeons, and how interaction with colleagues…

  3. Adolescents' Commitment to Developing Talent: The Role of Peers in Continuing Motivation for Sports and the Arts.

    ERIC Educational Resources Information Center

    Patrick, Helen; Ryan, Allison M.; Alfeld-Liro, Corinne; Fredericks, Jennifer A.; Hruda, Ludmila Z.; Eccles, Jacquelynne S.

    1999-01-01

    Conducted semi-structured in-depth interviews with 41 adolescents talented in sports or the arts to study the importance of peer relationships in their continued involvement in their talent activities, sex differences in attitudes, and possible differences by activity domain. Peers generally played a supportive role, although females were more…

  4. Support for Palestinians among Jewish Americans: The Importance of Education and Contact

    ERIC Educational Resources Information Center

    Dessel, Adrienne B.; Abu Ahmad, Manal Yazbak; Dembo, Robert; Ben Hagai, Ella

    2017-01-01

    The violent and protracted Israeli-Palestinian conflict continues, and Jewish Americans play a significant role in influencing related US foreign policy as well as in promoting positive interactions with Palestinians globally. Diaspora populations have played an important role in international peace processes and American Jews are actively…

  5. An evaluation of the role of the clinical education facilitator.

    PubMed

    McCormack, Brendan; Slater, Paul

    2006-02-01

    The objective of the study was to identify whether clinical education facilitators made a difference to the learning experiences of nurses in a large teaching hospital. Strategies for enabling continuous professional development are well established in health care organizations as key components of approaches to lifelong learning. The benefits of continuous professional development include the maintenance of high standards of care, the improvement and development of services, ensuring the competency of all nursing staff and guaranteeing the accountability of nurses for their actions. The role of clinical education facilitator is relatively new and little evaluation of this role has been undertaken. This study highlights important issues to be considered in developing a 'learning culture' in a hospital organization, through the adoption of such roles as clinical education facilitators. Whilst the roles have had an important function in the active coordination of learning activities in the hospital, there is little evidence of the role directly impacting on the learning culture of clinical settings. Learning mechanisms have been identified. The results of this evaluation can be subjected to further testing through ongoing evaluation of the outcomes arising from the learning mechanisms in place. Given the emphasis on work-based learning and continuing professional development in health care, then this ongoing evaluation can yield important information about future directions for nurse education. The study highlights the importance of supported learning in the workplace. However, more importantly, it identifies the need for a culture of professional practice to be developed in order to sustain learning in practice. Classroom-based learning alone, cannot create a culture of development in nursing and there is thus a need for models of work-based learning to be integrated into practice environments.

  6. Patient perceptions of antibiotic use and resistance at a single university dermatology clinic.

    PubMed

    Goettsche, Lainee S; Weig, Emily A; Chung, Jina; Hoff, Brian M; Ince, Dilek; Wanat, Karolyn A

    2018-05-21

    Antibiotic resistance is an important problem that requires continued patient education and important prescribing stewardship. Dermatologists prescribe the most antibiotics per provider in comparison to other specialties and have an important role to play in the campaign of mindful prescribing. Data on the dermatology patients' knowledge and perception regarding antibiotic resistance is lacking and could play a role in providers' continuation of medications. We conducted a single institution survey of 512 dermatology clinic patients to understand patient's knowledge and potential gaps. Overall, our results demonstrated an overall higher level of knowledge than expected, there were still several knowledge gaps identified. Ninety-one percent of respondents were aware of the term 'antibiotic resistance'. However, 65% of participants believed that a short course of antibiotics could not cause resistance. While our patients have awareness of antibiotic resistance, it is imperative to continue to assess patients' knowledge about antibiotic resistance and provide education whenever possible in order to continue to practice antibiotic stewardship.

  7. Role of sleep continuity and total sleep time in executive function across the adult lifespan.

    PubMed

    Wilckens, Kristine A; Woo, Sarah G; Kirk, Afton R; Erickson, Kirk I; Wheeler, Mark E

    2014-09-01

    The importance of sleep for cognition in young adults is well established, but the role of habitual sleep behavior in cognition across the adult life span remains unknown. We examined the relationship between sleep continuity and total sleep time as assessed with a sleep-detection device, and cognitive performance using a battery of tasks in young (n = 59, mean age = 23.05) and older (n = 53, mean age = 62.68) adults. Across age groups, higher sleep continuity was associated with better cognitive performance. In the younger group, higher sleep continuity was associated with better working memory and inhibitory control. In the older group, higher sleep continuity was associated with better inhibitory control, memory recall, and verbal fluency. Very short and very long total sleep time was associated with poorer working memory and verbal fluency, specifically in the younger group. Total sleep time was not associated with cognitive performance in any domains for the older group. These findings reveal that sleep continuity is important for executive function in both young and older adults, but total sleep time may be more important for cognition in young adults. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  8. Examining a Financial Climate of Support: How Institutional-Level Financial Aid Relates to Teamwork, Leadership, and Critical Thinking

    ERIC Educational Resources Information Center

    Park, Julie J.; Denson, Nida; Johnson, Matthew

    2014-01-01

    Financial aid plays a critical role in college access and student success. It plays an increasingly important role as the college-going population continues to diversify and the cost of college continues to rise at both public and private institutions. In this study, the authors examined whether institutional level financial aid has any direct…

  9. A Virtual Learning Environment for the Continuation of Education and Its Relationship with the Mental Well-Being of Chronically Ill Adolescents

    ERIC Educational Resources Information Center

    Zhu, Chang; Van Winkel, Lies

    2016-01-01

    Research has shown that the continuation of education by chronically ill adolescents is an important way to avoid social isolation, psychosocial problems and the accumulation of learning difficulties. In this light, virtual learning environments (VLEs), which connect sick adolescents to their schools, play an important role in ensuring that the…

  10. Conceptions of Environment in a Continuing Education Course for Science Teachers in Brazil

    ERIC Educational Resources Information Center

    dos Santos Matos, Mauricio; Barbosa, Paulo; Coelho-Matos, Myrna Elisa Chagas

    2012-01-01

    Studies focusing on environmental education and continuing education of science teachers play an important role in the science education area. This research analyzed conceptions of environment in a continuing education course for science teachers developed at the University of Sao Paulo, Brazil. The analysis of the material was made using a…

  11. The Role, Nature and Purpose of Leisure and Its Contribution to Individual Development and Well-Being

    ERIC Educational Resources Information Center

    Trenberth, Linda

    2005-01-01

    This paper serves as an introduction to this issue focused on the importance of work-life balance. Developments at work, in organizations and in society at large are drawing attention to the importance of work-life balance. Work-life balance cannot be understood unless we continue to understand the role that leisure plays in this relationship.…

  12. Continuous flow hydrogenation of nitroarenes, azides and alkenes using maghemite-Pd nanocomposites

    EPA Science Inventory

    Maghemite-supported ultra-fine Pd (1-2 nm) nanoparticles, prepared by a simple co-precipitation method, find application in the catalytic continuous flow hydrogenation of nitroarenes, azides, and alkenes wherein they play an important role in reduction of various functional group...

  13. An Examination of Different Motivational Orientations That Drive Graduate Students to Continue/Complete Their Education in the U.S.

    ERIC Educational Resources Information Center

    Karayigit, Cebrail

    2017-01-01

    Different types and levels of motivation can play an important role for graduate students to continue their studies. The current research study was one of the few studies that examined if domestic and international graduate students differ on their level of different motivational orientations to continue their education. This study employs a…

  14. English Language Proficiency Tests and Academic Achievement: A Study on the Malaysian University English Test as a Predictor of Technical Programme Undergraduates Academic Achievement

    ERIC Educational Resources Information Center

    Rahmat, Nurhazlini; Min, Lau Sing; Sungif, Nur Atiqah Md.; Yusup, Farah Nabillah Mior

    2015-01-01

    In the Malaysian education system, English has always played an important role. In acknowledging its importance, Malaysian University English Test (MUET) has been introduced to enable continued emphasis on this role. MUET has been made compulsory for those who wish to pursue a first degree programme in local universities. This study aims to…

  15. The role of prepartum motivation in the maintenance of postpartum smoking abstinence

    PubMed Central

    Heppner, Whitney L.; Ji, Lingyun; Reitzel, Lorraine R.; Castro, Yessenia; Correa-Fernandez, Virmarie; Vidrine, Jennifer Irvin; Li, Yisheng; Dolan-Mullen, Patricia; Velasquez, Mary M.; Cinciripini, Paul M.; Cofta-Woerpel, Ludmila; Greisinger, Anthony; Wetter, David W.

    2011-01-01

    Objective Motivation plays an important role in a variety of behaviors, including smoking cessation, and is integral to theory and treatment of smoking. For many women, pregnancy offers a motivational shift that helps them stop smoking and maintain abstinence during pregnancy. However, women's motivation to maintain smoking abstinence postpartum is not well-understood and may play a role in high postpartum relapse rates. The current study utilized multiple measures of prepartum motivation to maintain smoking abstinence to predict postpartum smoking abstinence. Design As part of a randomized clinical trial on postpartum smoking relapse prevention, pregnant women who quit smoking during pregnancy reported their motivation to continue smoking abstinence at a prepartum baseline session. Continued smoking abstinence was assessed at 8 and 26 weeks postpartum. Main Outcome Measure Biochemically verified continuous abstinence from smoking. Results Direct relationships among multiple measures of motivation were significant, and ranged in strength from weak to moderate. All motivation measures individually predicted continuous smoking abstinence, after controlling for treatment group, demographics, and pre-quit tobacco use. When tested simultaneously, a global motivation measure and parenthood motives for quitting remained significant predictors of abstinence. Backward selection modeling procedures resulted in a reduced model of prepartum predictors of postpartum abstinence including global motivation, parenthood motives, and stage of change. Conclusion Global motivation for smoking abstinence and parenthood motives for quitting are particularly important motivational constructs for pregnant women's continued smoking abstinence. PMID:21859215

  16. Chinese midwives' experience of providing continuity of care to labouring women.

    PubMed

    Gu, Chunyi; Zhang, Zheng; Ding, Yan

    2011-04-01

    to explore and describe Chinese midwives' experience of providing one-to-one continuity of care to labouring women. a qualitative study using a phenomenological approach. Data were collected using open-ended, tape-recorded interviews. The analysis of the transcribed texts included searching for themes sorted into clusters for a final expression of the essential structure of the phenomenon. Obstetrics and gynaecology hospital of Fudan University, Shanghai, China. 12 midwives, providing one-to-one continuity of care to labouring women. two main categories were identified: (1) midwives' feelings on providing continuity of care, and (2) impact of on-call system on midwives providing continuity of care. Key themes emerged from each main category: (1) 'playing important roles in labour care', 'gaining a sense of self-achievement', 'falling into exhaustion and frustration' and 'coping with caring work'; and (2) 'on-call syndrome', 'affecting personal lives' and 'managing on-call shift'. The midwives experienced mixed feelings of being with women and expressed their adaptation to being on-call, which was the essence of this study. They played important roles in caring for women, gained a sense of self-achievement and developed suitable coping strategies. However, they also indicated the impact of the on-call system upon them in the process of providing continuity of care. midwives have gained both positive and negative experiences when providing continuity of care to labouring women. The positive aspects may facilitate other professional midwives working in a similar role, whereas the negative aspects may inform them of learning to live with this situation, and may also have implications for managers to develop new approaches to the organisation and provision of continuity of care to support midwives' practice, and to fully utilise 'flexibility' under an on-call system. Copyright © 2009 Elsevier Ltd. All rights reserved.

  17. The Moderating Role of Self-Regulated Learning in Job Characteristics and Attitudes towards Web-Based Continuing Learning in the Airlines Workplace

    ERIC Educational Resources Information Center

    Lin, Xiao-fan; Liang, Jyh-Chong; Tsai, Chin-Chung; Hu, Qintai

    2018-01-01

    With the increasing importance of adult and continuing education, the present study aimed to examine the factors that influence continuing web-based learning at work. Three questionnaires were utilised to investigate the association of the job characteristics from Karasek et al.'s (1998) job demand-control-support model and the self-regulated…

  18. Day-to-day care in palliative sedation: survey of nurses' experiences with decision-making and performance.

    PubMed

    Arevalo, Jimmy J; Rietjens, Judith A; Swart, Siebe J; Perez, Roberto S G M; van der Heide, Agnes

    2013-05-01

    Continuous palliative sedation has been the focus of extensive international debates in the field of end-of-life decision making. Although nurses may be important participants in the performance of continuous palliative sedation, research has focused primarily on the role and experience of physicians. Nurses' experiences differ from that of physicians; they more often describe that continuous palliative sedation is used with the intention of hastening death and to have experienced serious emotional burden. Therefore, it is important to understand the experience of nurses in continuous palliative sedation. To describe nurses' experiences with the decision-making and performance of continuous palliative sedation in terminally ill patients. Cross-sectional study. In 2008, a structured questionnaire was sent to 576 nurses in six professional home care organizations, ten units for palliative care in nursing homes and in-patient hospices and seven hospitals in the western region of the Netherlands. Respondents provided information about the last patient receiving continuous palliative sedation whom they had cared for. Two-hundred seventy-seven questionnaires were returned and 199 (71.84%) reported a case of continuous palliative sedation. Nurses felt involved in the decision to use sedation in 84% of cases, albeit to a lesser extent in home care (68.75%, p=0.002). They agreed with the performance of continuous palliative sedation in 95.97% of cases and they proposed the use of continuous palliative sedation in 16.16%. Nurses were present at the start of sedation in 81.40% of cases and reported physicians to be present in 45.22%. In 72.77%, arrangements had been made among caregivers about the coordination of health care regarding the sedation. Nurses seem to play an important role in the use of continuous sedation. This role is mainly supportive toward physicians and patients during the decision-making process, but shifts to an active performance of sedation, particularly in settings where they explicitly participate as members of a team. Nurses could develop the practice of palliative sedation by anticipating procedural obstacles in the performance of continuous palliative sedation. We recommend them to become more active participants in the decision-making to improve the care of patients receiving continuous palliative sedation. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. [Husband's presence at childbirth in light of obstetric psychoprophylaxis].

    PubMed

    Sioma-Markowska, Urszula; Sipiński, Adam; Majerczyk, Iwona; Selwet, Monika; Kuna, Anna; Machura, Mariola

    2004-01-01

    Contemporary obstetric psychoprophylaxis gives prospective parents wide opportunities to prepare to the pregnancy period and delivery. It is educationally-minded and points the importance to modify the life style, introduces exercises accompanied by the relative during the pregnancy and delivery. The survey portrays husband's--child father's role in obstetric psychoprophylaxis. The importance to continue the psychoprophylaxis in the delivery room was spotted in the survey, too. The continuation might be reached by close relative's presence.

  20. Dutch physicians on the role of the family in continuous sedation.

    PubMed

    van Tol, Donald G; Kouwenhoven, Pauline; van der Vegt, Bea; Weyers, Heleen

    2015-03-01

    In order to relieve intractable suffering of a terminal patient, doctors may decide to continuously sedate a patient until the end of life. Little research is done on the role the family plays during the process of continuous sedation. This study aims to get a view of doctors' experiences with continuous sedation, and the role of the family throughout that process. We held in-depth interviews with 48 doctors (19 general practitioners, 16 nursing home doctors and 18 medical specialists). Participants were selected varying in experience and opinions concerning end-of-life decisions. Dutch physicians experience the role of family in continuous sedation as important and potentially difficult. Difficulties may rise especially during the final stages when the patient is no longer conscious and family members are waiting for death to come. Disagreement may arise between physician and family, concerning the dignity of the dying process or the question whether the sedated patient is suffering or not. Some physicians report they hastened the dying process, in order to relieve the families' suffering. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  1. Mathematical Model for Collision-Coalescence Among Inclusions in the Bloom Continuous Caster with M-EMS

    NASA Astrophysics Data System (ADS)

    Lei, Hong; Jiang, Jimin; Yang, Bin; Zhao, Yan; Zhang, Hongwei; Wang, Weixian; Dong, Guiwen

    2018-04-01

    Mathematical simulation is an effective tool to analyze the fluid flow and the inclusion behavior in the bloom continuous caster with mold electromagnetic stirring (M-EMS). The mathematical model is applied to the modeling of magnetic field, flow field, and inclusion field. Due to the introduction of Archimedes force, the collision mechanism and inclusion's slipping velocity should be modified in the inclusion mass and population conservation model. Numerically predicted magnetic field, flow field, and the inclusion spatial distribution conform to the experimental results in the existing literature. Lorentz force plays an important role in the fluid flow, and Archimedes force plays an important role in the inclusion distribution in the continuous caster. Due to Brownian collision, Stokes collision, Archimedes collision, and turbulent collision, the coalescence among inclusions occurs in the bloom continuous caster with M-EMS. Among the four types of collisions, turbulent collision occurs most frequently, followed by Archimedes collision and Stokes collision. The frequency of Brownian collision is several orders of magnitudes smaller and is therefore negligible. The inclusion volume concentration, number density, and characteristic radius exhibit a U-shape in the continuous caster without M-EMS. However, with M-EMS, they exhibit an inverted U-shape.

  2. Can Pesticide Delivery Methods Play a Role in Sustainable Pest Management?

    USDA-ARS?s Scientific Manuscript database

    Conventional insecticides continue to play an important role in greenhouse pest management programs. Penetrating a dense plant canopy can be difficult with a handgun, and there is some evidence that boom sprayers or broadcast applications result in a more uniform deposition than handguns. A large-...

  3. The Persistence of English in Liberia: Sociolinguistic Factors.

    ERIC Educational Resources Information Center

    Breitborde, Lawrence B.

    1988-01-01

    Despite the removal of the native English-speaking elite from their position of power in the Liberian social structure, English continues as the language of prestige and socioeconomic advancement. The continued strong role and use of English in Liberia demonstrates the importance of the spread of Western-based cultural values. (Author/DJD)

  4. The Relationship between Resistance to Change and Romanian Teachers' Attitude towards Continuing Education: The Moderating Role of Conscientiousness

    ERIC Educational Resources Information Center

    Palos, Ramona; Gunaru, Simona Alexandra

    2017-01-01

    Previous research highlights that personal factors are more important than contextual factors in explaining teachers' behaviours in relation to learning participation. The present study explores the relationship between two personal factors (dispositional resistance to change and teachers' attitude towards continuing education) and the moderating…

  5. Redefining Roles and Responsibilities: Implementing a Triage Reference Model at a Single Service Point

    ERIC Educational Resources Information Center

    LaMagna, Michael; Hartman-Caverly, Sarah; Marchetti, Lori

    2016-01-01

    As academic institutions continue to renovate and remodel existing libraries to include colocated services, it is important to understand how this new environment requires the redefining of traditional library roles and responsibilities. This case study examines how Delaware County Community College redefined reference and research service by…

  6. What Is the Headteacher's Role in ICT Progress in Schools?

    ERIC Educational Resources Information Center

    Makkawi, Fawzieh

    2010-01-01

    This article describes the role of the headteacher (or principal) in successful implementation of ICT in schools. It highlights the importance of the headteacher to understand and lead the change process, and having a clear and shared ICT strategic plan. The article also explores the major factor of ICT progress, the continuous professional…

  7. Software measurement guidebook

    NASA Technical Reports Server (NTRS)

    Bassman, Mitchell J.; Mcgarry, Frank; Pajerski, Rose

    1994-01-01

    This software Measurement Guidebook presents information on the purpose and importance of measurement. It discusses the specific procedures and activities of a measurement program and the roles of the people involved. The guidebook also clarifies the roles that measurement can and must play in the goal of continual, sustained improvement for all software production and maintenance efforts.

  8. Labor's Untold Story: A Textbook Case of Neglect and Distortion

    ERIC Educational Resources Information Center

    American Educator, 2012

    2012-01-01

    In the high school history textbooks children read, too often they find that labor's role in American history--and labor's important accomplishments, which changed American life--are misrepresented, downplayed, or ignored. That is a tragedy because labor played (and continues to play) a key role in the development of American democracy and the…

  9. The Continuing Challenge: The Past and Future of Brown v. Board of Education. A Symposium.

    ERIC Educational Resources Information Center

    Notre Dame Univ., IN. Center for Civil Rights.

    These conference proceedings are separated into three areas: (1) presentations by individuals who have played important roles in desegregation; (2) presentations on contemporary issues; and (3) the continuing challenge of providing equal educational opportunity to all. Among the topics included in the first section are the social and legal history…

  10. Survey of Distance Learning Provision in Continuing Health Professional Education in Canada

    ERIC Educational Resources Information Center

    Curran, Vernon; Kirby, Fran; Fleet, Lisa

    2003-01-01

    In Canada, the trend is towards greater use of distance learning technologies in the provision of continuing professional education in the health professions. Lack of access to professional development is a common deterrent to practice in rural and remote areas. Distance learning technologies have an important role to play in addressing the…

  11. Exploring the Trajectory of Latinas into the Role of Community College President: Perspectives from Current Community College Leadership

    ERIC Educational Resources Information Center

    Reinhart, Ruth

    2017-01-01

    Historically, community colleges have been and continue to be a gateway of opportunity for many students. As Hispanic students continue to engage in community college institutions at accelerated rates, it is important that institutions of higher education make strategic adjustments. In response to the impending shortage of community college…

  12. Job Sharing: Is It for You?

    ERIC Educational Resources Information Center

    Schumann, Linda

    1994-01-01

    A teacher of deaf children describes her experience with job sharing at both the intermediate grade and preschool levels. The important role played by the full-time teacher's aide in providing continuity as well as the importance of communication are emphasized. Guidelines and answers to common questions regarding job sharing are offered. (DB)

  13. Stilbenes inhibit androgen receptor expression in 22Rv1 castrate-resistant prostate cancer cells

    USDA-ARS?s Scientific Manuscript database

    Androgen receptor (AR) signaling plays an important role in the development and progression of prostate cancer (PCa). Importantly, AR continues to be expressed in advanced stages of castrate-resistant PCa (CRPC), where it can have ligand- independent activity. Identification of naturally occurring s...

  14. Continual Reintroduction of Human Pandemic H1N1 Influenza A Viruses into Swine in the United States, 2009 to 2014

    PubMed Central

    Stratton, Jered; Killian, Mary Lea; Janas-Martindale, Alicia; Vincent, Amy L.

    2015-01-01

    ABSTRACT The diversity of influenza A viruses in swine (swIAVs) presents an important pandemic threat. Knowledge of the human-swine interface is particularly important for understanding how viruses with pandemic potential evolve in swine hosts. Through phylogenetic analysis of contemporary swIAVs in the United States, we demonstrate that human-to-swine transmission of pandemic H1N1 (pH1N1) viruses has occurred continuously in the years following the 2009 H1N1 pandemic and has been an important contributor to the genetic diversity of U.S. swIAVs. Although pandemic H1 and N1 segments had been largely removed from the U.S. swine population by 2013 via reassortment with other swIAVs, these antigens reemerged following multiple human-to-swine transmission events during the 2013-2014 seasonal epidemic. These findings indicate that the six internal gene segments from pH1N1 viruses are likely to be sustained long term in the U.S. swine population, with periodic reemergence of pandemic hemagglutinin (HA) and neuraminidase (NA) segments in association with seasonal pH1N1 epidemics in humans. Vaccinating U.S. swine workers may reduce infection of both humans and swine and in turn limit the role of humans as sources of influenza virus diversity in pigs. IMPORTANCE Swine are important hosts in the evolution of influenza A viruses with pandemic potential. Here, we analyze influenza virus sequence data generated by the U.S. Department of Agriculture's national surveillance system to identify the central role of humans in the reemergence of pandemic H1N1 (pH1N1) influenza viruses in U.S. swine herds in 2014. These findings emphasize the important role of humans as continuous sources of influenza virus diversity in swine and indicate that influenza viruses with pandemic HA and NA segments are likely to continue to reemerge in U.S. swine in association with seasonal pH1N1 epidemics in humans. PMID:25833052

  15. The role of routine polio immunization in the post-certification era.

    PubMed Central

    Sutter, Roland W.; Cáceres, Victor M.; Mas Lago, Pedro

    2004-01-01

    The role of routine vaccination against poliomyelitis for the post-certification era remains an important area for policy decision-making. Two critical decisions need to be taken: first, to continue or discontinue vaccination with the live attenuated oral poliovirus vaccine (OPV); and second, if OPV is to be discontinued, whether vaccination with inactivated poliovirus vaccine (IPV) is needed. Four potential vaccination scenarios can be constructed: stop all polio vaccination; continue with current vaccination policies (OPV, IPV, or sequential schedule); discontinue OPV, but continue IPV universally; or discontinue OPV, but continue IPV in selected countries. All possible scenarios require continued investments in a surveillance and response strategy, including a stockpile of polio vaccine. Continuing vaccination would limit the savings that could be applied to the control of other health priorities. This report reviews the key issues associated with each scenario, highlights the advantages and disadvantages of each scenario, and outlines the major challenges for policy decision-making. PMID:15106298

  16. Applying the Dualistic Model of Passion to Post-Secondary Online Instruction: A Comparative Study

    ERIC Educational Resources Information Center

    Greenberger, Scott W.

    2013-01-01

    With the growth of online education, online student attrition and failure rates will continue to be a concern for post-secondary institutions. Although many factors may contribute to such phenomena, the role of the online instructor is clearly an important factor. Exploring how online instructors perceive their role as online teachers,…

  17. Competition for Private and State School Teachers. CEE DP 94

    ERIC Educational Resources Information Center

    Green, Francis; Machin, Stephen; Murphy, Richard; Zhu, Yu

    2010-01-01

    Private schools have historically played an important role in the reproduction of the ruling classes in Britain. They continue to do so, but there is surprisingly little modern research as to how these schools impinge on the economy. In this paper we analyse the role of independent schools in the teachers' labour market. Teacher shortages in…

  18. Building Cultural Capital in ­First-Year ­Students at ­Residential Colleges and ­Universities

    ERIC Educational Resources Information Center

    Sinclair, Matthew S.; Erb, Natalee M.; Braxton, John M.

    2016-01-01

    College student persistence continues to be a vexing problem for colleges and universities. In Rethinking College Student Persistence (2014), Braxton, Doyle, Hartley, Hirshy, Jones, and McLendon explored the indirect role between cultural capital and first-year student persistence. The significance of this role becomes more important when one…

  19. Update on the Role of Environmental Toxins in Neurodevelopmental Disabilities

    ERIC Educational Resources Information Center

    Kouris, Steven

    2007-01-01

    Toxic exposures during pregnancy and early childhood continue to play an important role as a preventable cause of neurodevelopmental disabilities in the U.S. and around the world. Identifying and eliminating these toxins should be a priority, but the task is made exceedingly difficult due to the severe limits of scientific knowledge in this area…

  20. The dentist’s role in promoting community water fluoridation

    PubMed Central

    Melbye, Molly L.R.; Armfield, Jason M.

    2013-01-01

    Background and Overview Community water fluoridation is an important public health intervention that reduces oral health disparities and increases the health of the population. Promotion of its safety and effectiveness is critical to maintaining its widespread acceptance and ensuring its continued use. Dentists are a potentially important source of knowledge regarding the oral health benefits and safety of water fluoridation. However, few dentists regularly discuss fluorides, and water fluoridation in particular, with patients. The authors aim to describe and discuss the role and importance of dentists’ promotion of public water fluoridation, barriers to dentists’ involvement and some approaches that might influence dentists to promote water fluoridation more actively. Conclusions and Practice Implications Ongoing promotion of fluoridation by dentists is a key factor in ensuring sustained municipal water fluoridation. However, current undergraduate dental curricula do not adequately prepare dentists for this role, and continuing dental education may be insufficient to change clinical practice. Although smoking-cessation literature can shed some light on how to proceed, changing dentists’ practice behavior remains a largely unstudied topic. Dental associations are a key resource for dentists, providing information that can assist them in becoming advocates for water fluoridation. PMID:23283928

  1. The Role of Free Internet Resources for Library Technical Services and Reference in a Hungarian LIS Continuing Education Course

    ERIC Educational Resources Information Center

    Koltay, Tibor

    2006-01-01

    After providing background to Continuing Professional Education (CPE) of librarians in Hungary, this article outlines the content of a course that seeks to make Hungarian librarians familiar with free Internet resources that are usable for library technical services and reference. One of the most important topics covered in the course is the…

  2. The prehistory of the Arabian peninsula: deserts, dispersals, and demography.

    PubMed

    Groucutt, Huw S; Petraglia, Michael D

    2012-05-01

    As a geographic connection between Africa and the rest of Eurasia, the Arabian Peninsula occupies a central position in elucidating hominin evolution and dispersals. Arabia has been characterized by extreme environmental fluctuation in the Quaternary, with profound evolutionary and demographic consequences. Despite the importance of the region, Arabia remains understudied. Recent years, however, have seen major developments in environmental studies and archeology, revealing that the region contains important records that should play a significant role in future paleoanthropological narratives.(1-3) The emerging picture of Arabia suggests that numerous dispersals of hominin populations into the region occurred. Populations subsequently followed autochthonous trajectories, creating a distinctive regional archeological record. Debates continue on the respective roles of regional hominin extinctions and population continuity, with the latter suggesting adaptation to arid conditions. Copyright © 2012 Wiley Periodicals, Inc.

  3. Possible roles of platelet-derived microparticles in atherosclerosis.

    PubMed

    Wang, Zhi-Ting; Wang, Zi; Hu, Yan-Wei

    2016-05-01

    Platelets and platelet-derived microparticles (PMPs) play important roles in cardiovascular diseases, especially atherosclerosis. Continued research has revealed that PMPs have numerous functions in atherosclerosis, not only in thrombosis formation, but also by induction of inflammation. PMPs also induce formation of foam cells. Recent evidence strongly indicates a significant role of PMPs in atherosclerosis. Here, current research on the function of PMPs in atherosclerosis is reviewed. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  4. The role of the United States Army active component pediatricians in Operations Desert Shield, Desert Storm, and provide comfort.

    PubMed

    Pierce, J R

    1993-02-01

    The professional activities and experiences of Army active component pediatricians deployed to Southwest Asia in support of Operations Desert Shield, Desert Storm, and Provide Comfort are reported. The 37 pediatricians who served in Southwest Asia were surveyed by a voluntary questionnaire. The survey revealed that Army pediatricians played an important role in these operations and in supporting the combat forces in Southwest Asia. They also played a critical role in caring for children displaced by the war and its aftermath in southern and northern Iraq. Pediatricians played an equally important role in continuing to provide care and support for the family members left behind in the United States and Europe.

  5. Nurse managers' experiences in continuous quality improvement in resource-poor healthcare settings.

    PubMed

    Kakyo, Tracy Alexis; Xiao, Lily Dongxia

    2017-06-01

    Ensuring safe and quality care for patients in hospitals is an important part of a nurse manager's role. Continuous quality improvement has been identified as one approach that leads to the delivery of quality care services to patients and is widely used by nurse managers to improve patient care. Nurse managers' experiences in initiating continuous quality improvement activities in resource-poor healthcare settings remain largely unknown. Research evidence is highly demanded in these settings to address disease burden and evidence-based practice. This interpretive qualitative study was conducted to gain an understanding of nurse managers' Continuous Quality Improvement experiences in rural hospitals in Uganda. Nurse managers in rural healthcare settings used their role to prioritize quality improvement activities, monitor the Continuous Quality Improvement process, and utilize in-service education to support continuous quality improvement. The nurse managers in our sample encountered a number of barriers during the implementation of Continuous Quality Improvement, including: limited patient participation, lack of materials, and limited human resources. Efforts to address the challenges faced through good governance and leadership development require more attention. © 2017 John Wiley & Sons Australia, Ltd.

  6. Continual Reintroduction of Human Pandemic H1N1 Influenza A Viruses into Swine in the United States, 2009 to 2014.

    PubMed

    Nelson, Martha I; Stratton, Jered; Killian, Mary Lea; Janas-Martindale, Alicia; Vincent, Amy L

    2015-06-01

    The diversity of influenza A viruses in swine (swIAVs) presents an important pandemic threat. Knowledge of the human-swine interface is particularly important for understanding how viruses with pandemic potential evolve in swine hosts. Through phylogenetic analysis of contemporary swIAVs in the United States, we demonstrate that human-to-swine transmission of pandemic H1N1 (pH1N1) viruses has occurred continuously in the years following the 2009 H1N1 pandemic and has been an important contributor to the genetic diversity of U.S. swIAVs. Although pandemic H1 and N1 segments had been largely removed from the U.S. swine population by 2013 via reassortment with other swIAVs, these antigens reemerged following multiple human-to-swine transmission events during the 2013-2014 seasonal epidemic. These findings indicate that the six internal gene segments from pH1N1 viruses are likely to be sustained long term in the U.S. swine population, with periodic reemergence of pandemic hemagglutinin (HA) and neuraminidase (NA) segments in association with seasonal pH1N1 epidemics in humans. Vaccinating U.S. swine workers may reduce infection of both humans and swine and in turn limit the role of humans as sources of influenza virus diversity in pigs. Swine are important hosts in the evolution of influenza A viruses with pandemic potential. Here, we analyze influenza virus sequence data generated by the U.S. Department of Agriculture's national surveillance system to identify the central role of humans in the reemergence of pandemic H1N1 (pH1N1) influenza viruses in U.S. swine herds in 2014. These findings emphasize the important role of humans as continuous sources of influenza virus diversity in swine and indicate that influenza viruses with pandemic HA and NA segments are likely to continue to reemerge in U.S. swine in association with seasonal pH1N1 epidemics in humans. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

  7. When Are Teachers Motivated to Work beyond Retirement Age? The Importance of Support, Change of Work Role and Money

    ERIC Educational Resources Information Center

    Bal, P. Matthijs; Visser, Michel S.

    2011-01-01

    This article investigates the factors influencing the motivation to continue working after retirement among a sample of Dutch teachers. Based on previous research, it was proposed that teachers will be motivated to work after their legal retirement age when organizational support, possibilities to change work roles and financial needs are high.…

  8. On the Resources of Russian Modernization: The Role of Continuous Education in the Process of Capital Accumulation

    ERIC Educational Resources Information Center

    Didenko, Dmitrii; Kliucharev, Grigorii

    2014-01-01

    Human capital and the ability to innovate and to adapt to the demands of modernization are closely linked with levels of education, and especially of involvement in continuous education. A study of the situation in Russia suggests that for the immediate future it is more important for Russia's modernization development to give priority to catching…

  9. Poland's Education and Training: Boosting and Adapting Human Capital. OECD Economics Department Working Papers, No. 495

    ERIC Educational Resources Information Center

    O'Brien, Paul; Paczynski, Wojciech

    2006-01-01

    An effective system of education and training is important for both social and economic reasons. Its role in the Polish economy is to provide the current and future labour force with skills to facilitate both continuing productivity growth and reallocation of resources as structural adjustment proceeds. Important reforms to decentralise primary…

  10. Proceedings: second Lake States forest tree improvement conference

    Treesearch

    Lake States Forest Experiment Station

    1955-01-01

    I am firmly convinced that the Lake States Forest Tree Improvement Committee, and similar groups in other regions, can play an important role in encouraging and coordinating research and other activities in forest genetics. As this new field of work continues to expand, which it assuredly will, it will become of increasing importance to maintain close liaison among the...

  11. Behavior Characteristics Desired in Faculty, by Deans at California Community Colleges: A Delphi Study

    ERIC Educational Resources Information Center

    Elliott, Alexandria

    2016-01-01

    Purpose: The community-college system in the United States has evolved tremendously since its beginning in 1901. There have been many changes, but one important aspect of the community college's structure that has continued to remain of utmost importance is the roles and responsibilities of faculty. The faculty has been traditionally hired based…

  12. The Importance of High School Physics Teachers for Female Students' Physics Identity and Persistence

    ERIC Educational Resources Information Center

    Hazari, Zahra; Brewe, Eric; Goertzen, Renee Michelle; Hodapp, Theodore

    2017-01-01

    Given the historic and continued underrepresentation of women in physics, it is important to understand the role that high school physics might play in attracting female students to physics careers. Drawing on data from over 900 female undergraduates in physics, we examine when these women became interested in physics careers and different sources…

  13. Comedy Stages, Poets Projects, Sports Columns, and Kinesiology 341: Illuminating the Importance of Basic Writers' Self-Sponsored Literacies

    ERIC Educational Resources Information Center

    Roozen, Kevin

    2012-01-01

    Dominant perspectives of basic writers' self-sponsored literacies tend to overlook the important roles such activities can play in literate development. Drawn from texts, interviews, and participant-observations collected during a five-year study, this article continues the examination of the relationship between one writer's curricular and…

  14. Vietnamese-Australian grandparenthood: the changing roles and psychological well-being.

    PubMed

    Vo-Thanh-Xuan, J; Rice, P L

    2000-01-01

    This study attempts to understand the Vietnamese-Australian grandparenthood and their changing roles and psychological well-being. Using a qualitative approach, thirty-six grandparents participated in four focus group interviews. The findings reveal that Vietnamese grandparents play many important roles such as those of living ancestor, family historian, role model, teacher, mentor, nurturer, crony and mediator although at a reasonably modest level. Through assisting the parents, it creates a vital bridge between grandparents and grandchildren. Grandparents' most important roles are the maintenance of good emotional relationships and support, and the construction of harmony and continuity in their modified extended families. To be able to assume these roles grandparents need to actively explore and accept new values and to adapt values to new cultural context. A successful grandparenthood brings happiness to the family and this in turn positively influences grandparents' life satisfaction and psychological well-being and enhances their quality of life.

  15. Light as an Energy Source in Continuous Cultures of Bacteriorhodopsin-Containing Halobacteria

    PubMed Central

    Rodriguez-Valera, F.; Nieto, J. J.; Ruiz-Berraquero, F.

    1983-01-01

    The role of light as an energy source for slightly aereated cultures of halobacteria was studied, using continuous cultures with low nutrient concentrations and a low oxygen supply. A series of experiments were carried out with non-illuminated and differently illuminated cultures and with different oxygen transfer rates. Under low oxygen availability, light proved to be a decisively important energy source that allowed the populations to reach higher growth rates and much higher population densities. Oxygen influenced the growth over only a minimal level, below which neither the illuminated nor the dark cultures were affected by the oxygen transfer rate. From these results, it appears that the bacteriorhodopsin-mediated energy supply could have a very important role for the ecology of halobacteria in their microaerophilic habitats. In the illuminated cultures, cells that originated purple colonies on plates appeared. These cells, which could be bacteriorhodopsin-constitutive mutants, are now being studied. PMID:16346250

  16. Using the mass media to inform and educate the public about planetary protection and exploration risks

    NASA Astrophysics Data System (ADS)

    Race, M.

    For the foreseeable future, the public will continue to learn piecemeal about the latest advances in Astrobiology through headlines and mass media coverage of missions, discoveries or controversies. Journalists and reporters are themselves unschooled in this emerging interdisciplinary field, yet play a critical role in explaining details to the public. While it is important to develop curricular materials for future use in formal educational settings, it is equally important to find novel ways for educating and updating journalists in this fast paced field. Risk communication plans for Mars exploration and other solar system missions should include special efforts aimed at assisting mass media professionals in both their informational and educational roles. If journalists and reporters have a deeper and more comprehensive understanding of the science and societal issues associated with missions, the result may well be more accurate explanations, improved public understanding, and continued support for exploration.

  17. The roles of constraint-based and dedication-based influences on user's continued online shopping behavior.

    PubMed

    Chang, Su-Chao; Chou, Chi-Min

    2012-11-01

    The objective of this study was to determine empirically the role of constraint-based and dedication-based influences as drivers of the intention to continue using online shopping websites. Constraint-based influences consist of two variables: trust and perceived switching costs. Dedication-based influences consist of three variables: satisfaction, perceived usefulness, and trust. The current results indicate that both constraint-based and dedication-based influences are important drivers of the intention to continue using online shopping websites. The data also shows that trust has the strongest total effect on online shoppers' intention to continue using online shopping websites. In addition, the results indicate that the antecedents of constraint-based influences, technical bonds (e.g., perceived operational competence and perceived website interactivity) and social bonds (e.g., perceived relationship investment, community building, and intimacy) have indirect positive effects on the intention to continue using online shopping websites. Based on these findings, this research suggests that online shopping websites should build constraint-based and dedication-based influences to enhance user's continued online shopping behaviors simultaneously.

  18. Electrostatics in pharmaceutical aerosols for inhalation.

    PubMed

    Wong, Jennifer; Chan, Hak-Kim; Kwok, Philip Chi Lip

    2013-08-01

    Electrostatics continues to play an important role in pharmaceutical aerosols for inhalation. Despite its ubiquitous nature, the charging process is complex and not well understood. Nonetheless, significant advances in the past few years continue to improve understanding and lead to better control of electrostatics. The purpose of this critical review is to present an overview of the literature, with an emphasis on how electrostatic charge can be useful in improving pulmonary drug delivery.

  19. Contribution of microreactor technology and flow chemistry to the development of green and sustainable synthesis.

    PubMed

    Fanelli, Flavio; Parisi, Giovanna; Degennaro, Leonardo; Luisi, Renzo

    2017-01-01

    Microreactor technology and flow chemistry could play an important role in the development of green and sustainable synthetic processes. In this review, some recent relevant examples in the field of flash chemistry, catalysis, hazardous chemistry and continuous flow processing are described. Selected examples highlight the role that flow chemistry could play in the near future for a sustainable development.

  20. Examining the Educative Aims and Practices of Decision-Makers in Sport for Development and Peace Organizations

    ERIC Educational Resources Information Center

    Svensson, Per G.; Hancock, Meg G.; Hums, Mary A.

    2016-01-01

    Sport for Development and Peace (SDP) policy-makers and practitioners continue to offer ambitious claims regarding the potential role of sport-based programs for promoting social change. Yet, it is important to put sport under a critical lens in order to develop a more balanced and realistic understanding of the role of sport in society. Whether…

  1. ETF Yearbook 2012: Evaluation and Monitoring of Vocational Education and Training Systems and the Role of Evidence-Based Policy in Their Reforms

    ERIC Educational Resources Information Center

    European Training Foundation, 2012

    2012-01-01

    The "ETF Yearbook 2012" continues the tradition of highlighting a thematic field of particular importance to the work of the European Training Foundation (ETF). The theme of this yearbook is evaluation and monitoring of vocational education and training (VET) systems and the role of evidence-based policy in VET reforms in ETF partner…

  2. Domestic and International Best Practice Case Studies

    DOT National Transportation Integrated Search

    2001-02-01

    Air transportation plays a vital role in the Texas economy. Air passenger/cargo traffic is projected to continue to increase considerably at many of the state's large airports. Ground access to airports is an important function that must be provided ...

  3. Continuous Glucose Monitoring

    MedlinePlus

    ... costs will be covered. What is an artificial pancreas? A CGM is one part of the “artificial pancreas” systems that are beginning to reach people with ... has played an important role in developing artificial pancreas technology. An artificial pancreas replaces manual blood glucose ...

  4. Maintaining Vitality: Pharmacists’ Continuing Professional Education Decision-Making in the Upper Midwest

    PubMed Central

    Henkel, Paul Jacob

    2018-01-01

    Continuing professional education (CPE) plays an important role in continuing professional development of pharmacists for providing quality pharmaceutical care but also to maintain professional and organizational vitality and meet changing community/population needs. The study objective was to describe and understand factors of importance in selection of CPE credit hours among Upper Midwest pharmacists. A cross-sectional study of licensed pharmacists (n = 1239) in Iowa, Minnesota, Nebraska, North Dakota, and South Dakota included completion of a questionnaire on demographics and CPE decision-making. Factor analysis, t-test, and multivariate analyses were performed using Stata 10.1. Pharmacists placed greatest importance on maintaining licensure (mean = 2.72/3.00), personal interest (mean = 2.57), and self-improvement (mean = 2.42). Community/population need (mean = 1.83) was rated as slightly more important (p < 0.01) by retail/community pharmacists, females, and those with a Doctor of Pharmacy degree or pharmacy residency while business growth/development (mean = 1.33) was rated slightly more important (p < 0.01) by retail/community pharmacists. Despite findings that neither community/population need nor business development were among the most important factors in pharmacists’ CPE selection, there exists significant potential for pharmacists to utilize CPE to maintain professional and organizational vitality in the labor market, but more importantly to ensure continued provision of quality pharmaceutical care and patient education. PMID:29389850

  5. Maintaining Vitality: Pharmacists' Continuing Professional Education Decision-Making in the Upper Midwest.

    PubMed

    Henkel, Paul Jacob; Marvanova, Marketa

    2018-02-01

    Continuing professional education (CPE) plays an important role in continuing professional development of pharmacists for providing quality pharmaceutical care but also to maintain professional and organizational vitality and meet changing community/population needs. The study objective was to describe and understand factors of importance in selection of CPE credit hours among Upper Midwest pharmacists. A cross-sectional study of licensed pharmacists ( n = 1239) in Iowa, Minnesota, Nebraska, North Dakota, and South Dakota included completion of a questionnaire on demographics and CPE decision-making. Factor analysis, t -test, and multivariate analyses were performed using Stata 10.1. Pharmacists placed greatest importance on maintaining licensure (mean = 2.72/3.00), personal interest (mean = 2.57), and self-improvement (mean = 2.42). Community/population need (mean = 1.83) was rated as slightly more important ( p < 0.01) by retail/community pharmacists, females, and those with a Doctor of Pharmacy degree or pharmacy residency while business growth/development (mean = 1.33) was rated slightly more important ( p < 0.01) by retail/community pharmacists. Despite findings that neither community/population need nor business development were among the most important factors in pharmacists' CPE selection, there exists significant potential for pharmacists to utilize CPE to maintain professional and organizational vitality in the labor market, but more importantly to ensure continued provision of quality pharmaceutical care and patient education.

  6. Crossing the Great Divide: Adoption of New Technologies, Therapeutics and Diagnostics at Academic Medical Centers

    ERIC Educational Resources Information Center

    DeMonaco, Harold J.; Koski, Greg

    2007-01-01

    The role of new technology in healthcare continues to expand from both the clinical and financial perspectives. Despite the importance of innovation, most academic medical centers do not have a clearly defined process for technology assessment. Recognizing the importance of new drugs, diagnostics and procedures in the care of patients and in the…

  7. Conclusions: the future of antimicrobial therapy - Augmentin and beyond.

    PubMed

    Ball, Peter

    2007-12-01

    Since most infectious microorganisms inevitably develop resistance to any agents used to combat them, there has been a constant need to produce improved, more potent, antimicrobials. At least in part, the emergence and spread of resistant organisms has been provoked by inappropriate over-use of antibacterials. In the last decade, many fewer new antibacterials have been developed but overall prescribing has continued to increase. Consensus prescribing principles have now been defined with the aim of optimising therapy and preventing further increases in, or even to prompt a reduction in, the prevalence of resistance to antibacterial agents. Whilst it is important to encourage continued development of new classes of antibacterials, it is also vital to make the best use of available agents. The development of new dosages and formulations of amoxicillin/clavulanate allows this agent to continue to fill the important role in therapy which it has occupied, and continues to occupy, 25 years after it was launched.

  8. The role of nursing team continuity in the treatment of very-low-birth-weight infants: findings from a pilot study.

    PubMed

    Miedaner, Felix; Allendorf, Antje; Kuntz, Ludwig; Woopen, Christiane; Roth, Bernhard

    2016-05-01

    To assess the association between nursing team continuity and quality of care. Research on nurse staffing and its effect on quality of care is investigated to different degrees. However, very few studies have observed whether the continuous deployment of nursing staff is associated with quality of care. This study was conducted in two university neonatal intensive care units (NICUs). We matched nurse schedule data for the NICUs with nursing-sensitive patient outcomes and quality of care, as perceived by parents. We used analysis of variance to analyse differences in nursing team continuity between NICUs and regression analyses to identify associations with the outcome measures. There were considerable differences between units in terms of team continuity of nursing staff. Positive associations were found between team continuity and a higher rate of non-invasive respiratory support as well as parents' perceptions of how well they knew their nurse. The findings show remarkable differences in staff assignment in the different NICUs. In addition to appropriate staffing levels, scheduling nursing teams continuously would appear to play a role in influencing treatment quality. This paper emphasises the importance of carefully considered staff scheduling decisions. © 2015 John Wiley & Sons Ltd.

  9. Synthesis of Literature and Application to Texas Airports

    DOT National Transportation Integrated Search

    2000-02-01

    Air transportation plays a vital role in the Texas economy. Air passenger/cargo traffic is projected to continue to increase considerably at many of the state's large airports. Ground access to airports is an important function that must be provided ...

  10. COPPER CORROSION RESEARCH UPDATE

    EPA Science Inventory

    Copper release and corrosion related issues continue to be important to many water systems. The objective of this presentation is to discuss the current state of copper research at the USEPA. Specifically, the role of aging on copper release, use of phosphates for copper corrosio...

  11. The role of mycorrhizal fungi and microsites in primary succession on Mount St. Helens.

    PubMed

    Titus, J; Del Moral, R

    1998-03-01

    This study was designed to examine the role of vesicular-arbuscular mycorrhizae (VAM) and microsites on the growth of pioneer species. Flat, rill, near-rock, and dead lupine microsites were created in plots in barren areas of the Pumice Plain of Mount St. Helens. VAM propagules were added to the soil in half of the plots. Six pioneer species were planted into both VAM and non-VAM inoculated microsites. Plants in dead lupine microsites were greater in biomass than those in flat, rill, and near-rock microsites. Significant effects of VAM on plant biomass did not occur. Microsites continue to be important to plant colonization on the Pumice Plain, but VAM do not yet appear to play an important role. This may be due to limited nutrient availability and the facultatively mycotrophic nature of the colonizing plant species. It is unlikely that VAM play an important role in successional processes in newly emplaced nutrient-poor surfaces.

  12. Contribution of microreactor technology and flow chemistry to the development of green and sustainable synthesis

    PubMed Central

    Fanelli, Flavio; Parisi, Giovanna

    2017-01-01

    Microreactor technology and flow chemistry could play an important role in the development of green and sustainable synthetic processes. In this review, some recent relevant examples in the field of flash chemistry, catalysis, hazardous chemistry and continuous flow processing are described. Selected examples highlight the role that flow chemistry could play in the near future for a sustainable development. PMID:28405232

  13. The Role of Sketch in Architecture Design

    NASA Astrophysics Data System (ADS)

    Li, Yanjin; Ning, Wen

    2017-06-01

    With the continuous development of computer technology, we rely more and more on the computer and pay more and more attention to the final design results, so that we ignore the importance of the sketch. However, the sketch is the most basic and effective way of architecture design. Based on the study of the sketch of Tjibao Cultural Center of sketch, the paper explores the role of sketch in architecture design .

  14. Enabling professional development in mental health nursing: the role of clinical leadership.

    PubMed

    Ennis, G; Happell, B; Reid-Searl, K

    2015-10-01

    Clinical leadership is acknowledged as important to the nursing profession. While studies continue to identify its significance in contributing to positive outcomes for consumers, the role that clinical leadership has in enabling and supporting professional development in mental health nursing is poorly understood. This study utilized a grounded theory methodology to explore the characteristics clinicians consider important for clinical leadership and its significance for mental health nursing in day-to-day clinical practice. Individual face-to-face, semi-structured interviews were conducted with nurses working in mental health settings. Participants described the important role that clinical leaders play in enabling professional development of others through role modelling and clinical teaching. They describe how nurses, whom they perceive as clinical leaders, use role modelling and clinical teaching to influence the professional development of nursing staff and undergraduate nursing students. Attributes such as professionalism and honesty were seen, by participants, as enablers for clinical leaders in effectively and positively supporting the professional development of junior staff and undergraduate nurses in mental health nursing. This paper examines clinical leadership from the perspective of mental health nurses delivering care, and highlights the important role of clinical leaders in supporting professional development in mental health nursing. © 2015 John Wiley & Sons Ltd.

  15. The vital role of the American Journal of Psychology in the early and continuing history of mental chronometry.

    PubMed

    O'Shea, Geoffrey; Bashore, Theodore R

    2012-01-01

    The American Journal of Psychology (AJP) was founded in 1887 by G. Stanley Hall during what Edwin G. Boring (1950) called the Period of Mental Chronometry and, consistent with the prevailing interests of the time, featured articles of relevance to scientists in this research domain. Contained in the early volumes of AJP were several articles that examined what have become some of the enduring issues faced by researchers studying the structure and timing of mental processing using reaction time (RT) procedures. Collectively, RT research published in AJP during its early years contributed to establishing mental chronometry as an important subfield of psychology. From 1900 to 1950 interest in mental chronometry waned, during what has been called its Dark Age. Nonetheless, interest in the effects of factors such as age and intelligence on total RT continued unabated. Numerous articles pertinent to these effects appeared in AJP. Finally, with the publication of Neisser's (1963) seminal work on visual search, AJP played an important role in reviving interest in mental chronometry in the latter half of the 20th century and continues in its 125th year of existence to contribute pertinent articles on contemporary research in mental chronometry.

  16. Adoptees' contact with birth parents in emerging adulthood: the role of adoption communication and attachment to adoptive parents.

    PubMed

    Farr, Rachel H; Grant-Marsney, Holly A; Grotevant, Harold D

    2014-12-01

    As adoptees transition to adulthood, their roles in the family may shift, providing them with opportunities to have increasing autonomy in their decisions about contact and initiating conversations about adoption. Research has often focused more on adoptees as children, yet in emerging adulthood, there are important shifts in the life roles and relationships of adoptees during which adoptive parents continue to be meaningful. This study examined associations among attachment and communication within the adoptive family during adulthood with emerging adult adoptees' experience of birth family contact (frequency of and satisfaction with birth family contact), in a sample of 167 emerging adults with varied contact with birth family (from no contact to frequent contact). Results suggest that perceptions of secure parent-child attachment relationships, as well as sensitive and open communication with adoptive parents about adoption, continue to be important for emerging adult adoptees and lead to greater satisfaction for adoptees with birth parent contact-regardless of whether adoptees actually have birth family contact. In particular, positive family communication about adoption during adulthood was predictive of satisfaction with birth parent contact. Limitations and implications are discussed. © 2014 Family Process Institute.

  17. Use of Biopolymers in Antimicrobial Food Packaging

    USDA-ARS?s Scientific Manuscript database

    Recent outbreaks of foodborne illness and food recalls continue to push for innovative ways to inhibit microbial growth in foods. As an additional hurdle to food processes, antimicrobial food packaging can play an important role in reducing the risk of pathogen contamination of processed foods. In...

  18. Epigenetic maturation in colonic mucosa continues beyond infancy in mice.

    USDA-ARS?s Scientific Manuscript database

    Monozygotic twin and other epidemiologic studies indicate that epigenetic processes may play an important role in the pathogenesis of inflammatory bowel diseases that commonly affect the colonic mucosa. The peak onset of these disorders in young adulthood, suggests that epigenetic changes normally o...

  19. Tradeoffs Between Aesthetics and the Attenuation of Reactive Nitrogen in Northeastern Lakes

    EPA Science Inventory

    Historically, lakes have played a major role in the industrial, agricultural, and urban development of the northeastern United States though the provisioning of fresh water and hydropower. Although lakes continue to be important sources of freshwater, technological changes have r...

  20. Makin' a Way Outa No Way: The Proverb Tradition in the Black Experience.

    ERIC Educational Resources Information Center

    Daniel, Jack L.; And Others

    1987-01-01

    Argues that proverbs play an important role in the continuing development and survival of Africans and African descendants throughout the diaspora. Analyzes research of proverb studies conducted in Africa, the Caribbean, Pittsburgh, and Detroit. Provides recommendations for further research. (KH)

  1. RIPARIAN FOREST INDICATORS OF POTENTIAL FUTURE STREAM CONDITION

    EPA Science Inventory

    Large wood in streams can play an extraordinarily important role in influencing the physical structure of streams and in providing habitat for aquatic organisms. Since wood is continually lost from streams, predicting the future input of wood to streams from riparian forests is c...

  2. The biomedical engineer as a driver for Health Technology innovation.

    PubMed

    Colas Fustero, Javier; Guillen Arredondo, Alejandra

    2010-01-01

    Health Technology has played a mayor role on most of the fundamental advances in medicine, in the last 30 years. Right now, beginning the XXI Century, it is well accepted that the most important revolution expected in Health Care is the empowerment of the individuals on their own health management. Innovation in health care technologies will continue being paramount, not only in the advances of medicine and in the self health management of patients but also in allowing the sustainability of the public health care becomes more important, the role of the biomedical engineer will turn to be more crucial for the society. The paper targets the development of new curricula for the Biomedical Engineers, The needs of evolving on his different fields in which the contribution of the Biomedical Engineer is becoming fundamental to drive the innovation that Health Care Technology Industry must provide to continue improving human health through cross-disciplinary activities that integrate the engineering sciences with the biomedical sciences and clinical practice.

  3. Inspiration from role models and advice for moving forward.

    PubMed

    Newman, Michelle G; McGinn, Lata K

    2012-12-01

    This Behavior Therapy series on overcoming the glass ceiling followed from a highly attended panel at ABCT on the same topic. The current paper summarizes the common themes across the various papers in this series with respect to obstacles prominent women have faced, and how we can learn from their stories to help inform the future. These themes include the importance of role models, messages from a supportive environment, difficulties balancing careers with children, coordinating careers with family, importance of taking charge of one's career, moving forward despite negative internal and external messages, and questions about whether things have changed substantially. In addition, this paper contains a summary of the helpful advice from accomplished women in academia for navigating the academic waters. It is our aspiration that going forward this series will stimulate other conversations as well as increase thought, behavior, solidarity, and awareness about this topic so that we can continue to work toward a future when things will continue to improve for women. Copyright © 2012. Published by Elsevier Ltd.

  4. Crosstalk between the nucleolus and the DNA damage response.

    PubMed

    Ogawa, L M; Baserga, S J

    2017-02-28

    Nucleolar function and the cellular response to DNA damage have long been studied as distinct disciplines. New research and a new appreciation for proteins holding multiple functional roles, however, is beginning to change the way we think about the crosstalk among distinct cellular processes. Here, we focus on the crosstalk between the DNA damage response and the nucleolus, including a comprehensive review of the literature that reveals a role for conventional DNA repair proteins in ribosome biogenesis, and conversely, ribosome biogenesis proteins in DNA repair. Furthermore, with recent advances in nucleolar proteomics and a growing list of proteins that localize to the nucleolus, it is likely that we will continue to identify new DNA repair proteins with a nucleolar-specific role. Given the importance of ribosome biogenesis and DNA repair in essential cellular processes and the role that they play in diverse pathologies, continued elucidation of the overlap between these two disciplines will be essential to the advancement of both fields and to the development of novel therapeutics.

  5. Continuing Medical Education and Continuing Professional Development: a credit system for monitoring and promoting excellence.

    PubMed

    Matos-Ferreira, A

    2001-06-01

    Probably the most important demand on the career of a medical specialist is that of having to keep up-to-date both scientifically and professionally. But the onus does not fall only on the practitioner. The institutions involved in medical teaching and professional development also have a crucial role to play by providing opportunities for continuing education and assuring that the specialist carries out enough relevant, experience-enhancing tasks to ensure continuous professional growth. As upgrading medical knowledge and developing professionally is a life-long task, both the need and the obligation to learn and improve apply to doctors of all ages and at all hierarchical levels.

  6. Continuing Medical Education

    PubMed Central

    Cameron, Douglas G.

    1965-01-01

    The proper role of departments of continuing medical education in the medical faculties of universities needs to be more clearly defined. Much of the initiative for the development of extramural postgraduate instruction in this country came from organized medicine. The individual practising doctor has traditionally made his needs known most effectively through his professional organizations and should be encouraged to continue to do so. The individual doctor, professional organizations, hospitals and medical schools are all vital elements in any successful program of continuing medical education. A variety of administrative patterns may well emerge, each adapted specially to the region it serves. With a sense of urgency and the co-operation of all concerned, rapid progress in this important field is clearly possible. PMID:14278032

  7. The Importance of and the Complexities Associated With Measuring Continuity of Care During Resident Training: Possible Solutions Do Exist.

    PubMed

    Carney, Patricia A; Conry, Colleen M; Mitchell, Karen B; Ericson, Annie; Dickinson, W Perry; Martin, James C; Carek, Peter J; Douglass, Alan B; Eiff, M Patrice

    2016-04-01

    Evolutions in care delivery toward the patient-centered medical home have influenced important aspects of care continuity. Primary responsibility for a panel of continuity patients is a foundational requirement in family medicine residencies. In this paper we characterize challenges in measuring continuity of care in residency training in this new era of primary care. We synthesized the literature and analyzed information from key informant interviews and group discussions with residency faculty and staff to identify the challenges and possible solutions for measuring continuity of care during family medicine training. We specifically focused on measuring interpersonal continuity at the patient level, resident level, and health care team level. Challenges identified in accurately measuring interpersonal continuity of care during residency training include: (1) variability in empanelment approaches for all patients, (2) scheduling complexity in different types of visits, (3) variability in ability to attain continuity counts at the level of the resident, and (4) shifting make-up of health care teams, especially in residency training. Possible solutions for each challenge are presented. Philosophical issues related to continuity are discussed, including whether true continuity can be achieved during residency training and whether qualitative rather than quantitative measures of continuity are better suited to residencies. Measuring continuity of care in residency training is challenging but possible, though improvements in precision and assessment of the comprehensive nature of the relationships are needed. Definitions of continuity during training and the role continuity measurement plays in residency need further study.

  8. Summary Statistics, Educational Achievement Gaps and the Ecological Fallacy

    ERIC Educational Resources Information Center

    Connolly, Paul

    2006-01-01

    Summary statistics continue to play an important role in identifying and monitoring patterns and trends in educational inequalities between differing groups of pupils over time. However, this article argues that their uncritical use can also encourage the labelling of whole groups of pupils as "underachievers" or…

  9. Managing School-Based Professional Development Activities

    ERIC Educational Resources Information Center

    Cheng, Eric C. K.

    2017-01-01

    Purpose: The purpose of this paper is to present a model to assist school leaders in managing the professional development activities of teachers. The model illustrates the important role of principals in promoting continuing professional development (CPD), chiefly by cultivating a collaborative learning culture and formulating policy.…

  10. The Role of Physicality in Rich Programming Environments

    ERIC Educational Resources Information Center

    Liu, Allison S.; Schunn, Christian D.; Flot, Jesse; Shoop, Robin

    2013-01-01

    Computer science proficiency continues to grow in importance, while the number of students entering computer science-related fields declines. Many rich programming environments have been created to motivate student interest and expertise in computer science. In the current study, we investigated whether a recently created environment, Robot…

  11. Role of research and regulation in 50 years of pest management in agriculture. Prepared for the 50th anniversary of the Journal of Agricultural and Food Chemistry.

    PubMed

    Wheeler, Willis B

    2002-07-17

    Pest management techniques have evolved over the past 50 years. Inorganic chemical pesticides were replaced by synthetic organic chemicals, and now biopesticides constitute a significant part of pest management technology. Requirements for the regulatory approval of pesticides changed dramatically in 1996 with the passage of the Food Quality Protection Act (FQPA). The FQPA directs the U.S. Environmental Protection Agency (EPA) to make more rigorous and conservative evaluation of risks and hazards and mandates a special emphasis on the safety of infants and children. The EPA provides incentives for the industry to register materials that are designated "reduced risk". The future for the registrant industry will include continued reduction in numbers of registrants through mergers and acquisitions. Conventional chemicals will remain as important pest management components, and the processes of combinatorial chemistry and high-throughput bioassays will allow the rapid synthesis and testing of large numbers of candidate compounds. Biopesticides will become more important tools in pest management, with microbial pesticides and transgenic crops being likely to play important crop protection roles. There will be a continuing need for research-based approaches to pest control.

  12. The association between mental disorder and crime during the Byzantine Empire.

    PubMed

    Tzeferakos, George; Vlahou, Elina; Troianos, Spyros; Douzenis, Athanasios

    2011-12-01

    From a social, administrative and political point of view, the Byzantine Empire was a direct continuation of the Greco-Roman world, with the Greek-Orthodox Church playing an important role in the formation of the Byzantium's unique identity. This continuity is obvious when one studies the legislation of the Empire. This legislation had specific provisions for insane offenders with regard to their legal and social handling. In this article we review these laws and present some interesting legal, psychiatric and social issues.

  13. NASA's Role in Aeronautics: A Workshop. Volume 3: Transport aircraft

    NASA Technical Reports Server (NTRS)

    1981-01-01

    Segments of the spectrum of research and development activities that clearly must be within the purview of NASA in order for U.S. transport aircraft manufacturing and operating industries to succeed and to continue to make important contributions to the nation's wellbeing were examined. National facilities and expertise; basic research, and the evolution of generic and vehicle class technologies were determined to be the areas in which NASA has an essential role in transport aircraft aeronautics.

  14. Sibling bereavement and continuing bonds.

    PubMed

    Packman, Wendy; Horsley, Heidi; Davies, Betty; Kramer, Robin

    2006-11-01

    Historically, from a Freudian and medical model perspective, emotional disengagement from the deceased was seen as essential to the successful adaptation of bereavement. A major shift in the bereavement literature has occurred and it is now generally accepted that despite the permanence of physical separation, the bereaved remains involved and connected to the deceased and can be emotionally sustained through continuing bonds. The majority of literature has focused on adults and on the nature of continuing bonds following the death of a spouse. In this article, the authors demonstrate how the continuing bonds concept applies to the sibling relationship. We describe the unique continued relationship formed by bereaved children and adolescents following a sibling loss, highlight the factors that influence the siblings continuing bonds expressions, and offer clinical interventions. In our view, mental health professionals can play an important role in helping parents encourage activities that may facilitate the creation and maintenance of continuing bonds in their children.

  15. Investigation of comparative effectiveness research in Asia, Europe, and North America.

    PubMed

    Patel, Isha; Rarus, Rachel; Tan, Xi; Lee, E K; Guy, Jason; Ahmad, Akram; Chang, Jongwha

    2015-01-01

    Comparative effectiveness research (CER) is an important branch of pharmacoeconomics that systematically studies and evaluates the cost-effectiveness of medical interventions. CER plays instrumental roles in guiding government public health policy programs and insurance. Countries throughout the world use different methods of CER to help make medical decisions based on providing optimal therapy at a reduced cost. Expenses to the healthcare system continue to rise, and CER is one-way in which expenses could be curbed in the future by applying cost-effectiveness evidence to clinical decisions. China, India, South Korea, and the United Kingdom are of essential focus because these country's economies and health care expenses continue to expand. The structures and use of CER are diverse throughout these countries, and each is of prime importance. By conducting this thorough comparison of CER in different nations, strategies and organizational setups from different countries can be applied to help guide public health and medical decision-making in order to continue to expand the establishment and role of CER programs. The patient-centered medical home has been created to help reduce costs in the primary care sector and to help improve the effectiveness of therapy. Barriers to CER are also important as many stakeholders need to be able to work together to provide the best CER evidence. The advancement of CER in multiple countries throughout the world provides a possible way of reducing costs to the healthcare system in an age of expanding expenses.

  16. Continuation Power Flow with Variable-Step Variable-Order Nonlinear Predictor

    NASA Astrophysics Data System (ADS)

    Kojima, Takayuki; Mori, Hiroyuki

    This paper proposes a new continuation power flow calculation method for drawing a P-V curve in power systems. The continuation power flow calculation successively evaluates power flow solutions through changing a specified value of the power flow calculation. In recent years, power system operators are quite concerned with voltage instability due to the appearance of deregulated and competitive power markets. The continuation power flow calculation plays an important role to understand the load characteristics in a sense of static voltage instability. In this paper, a new continuation power flow with a variable-step variable-order (VSVO) nonlinear predictor is proposed. The proposed method evaluates optimal predicted points confirming with the feature of P-V curves. The proposed method is successfully applied to IEEE 118-bus and IEEE 300-bus systems.

  17. Defense.gov Special Report: Commencement Addresses

    Science.gov Websites

    . Martin E. Dempsey | Speech | Story News Photos Embrace Exceptional Leadership, Winnefeld Said The vice modern-day global leadership challenges with boldness and caring. Story Obama: America Must Continue to Point, New York, emphasizing the importance of American global leadership and the cadets' role in the

  18. Evaluate the Role of Evapotranspiration Remote Sensing Data in Improving Hydrological Modeling Predictability

    USDA-ARS?s Scientific Manuscript database

    As the global demands for the use of freshwater resources continues to rise, it has become increasingly important to insure the sustainability of this resources. This is accomplished through the use of management strategies that often utilize monitoring and the use of hydrological models. However, m...

  19. Evaluation of Yardlong Bean as a Potential New Crop for Southern Growers

    USDA-ARS?s Scientific Manuscript database

    Ethnicity plays a strong role in niche market development, and the Asian market is currently under served. As Asian populations continue to grow in Mississippi, especially along the Gulf Coast, it is important to recognize new market opportunities. The fruits and vegetables desired by the diverse A...

  20. Educational Technology: Does Pedagogy Still Matter?

    ERIC Educational Resources Information Center

    Thorpe, Mary

    2012-01-01

    Failure to transform educational institutions through the use of new technologies has been blamed on the continuation of outmoded pedagogy. However, the new spaces opened up by using technology are leading to new pedagogical approaches and an expansion in its role. Three areas currently important for European educational technologists are explored…

  1. Inclusion and Attitudes of Adolescents in a Camp Setting

    ERIC Educational Resources Information Center

    Musher, Deborah Ann

    2016-01-01

    Despite increased inclusion of individuals with special needs in educational and leisure settings, people with disabilities continue to experience social isolation. Research indicates that negative attitudes play an important role in contributing to this marginalization. This study examined the impact of an inclusion program at a residential…

  2. Robotics: Assessing Its Role in Improving Mathematics Skills for Grades 4 to 5

    ERIC Educational Resources Information Center

    Laughlin, Sara Rose

    2013-01-01

    Inspiring and motivating students to pursue science, technology, engineering, and mathematics education continues to be an important educational focus in the United States. Robotics programs are one strategy developed to accomplish this goal. This causal comparative study focused on investigating whether a causal relationship exists between…

  3. Vaccination of white-tailed deer (Odocoileus virginianus) for protection against bovine tuberculosis

    USDA-ARS?s Scientific Manuscript database

    Bovine tuberculosis (bTB), caused by Mycobacterium bovis and other related species in the M. tuberculosis complex, pose a serious continual threat to the health and economic wellbeing of wildlife, livestock, and humans worldwide. Wildlife reservoirs of bTB play a very important role in the epidemio...

  4. Gentamicin in the Clinical Setting

    ERIC Educational Resources Information Center

    Pillers, De-Ann M.; Schleiss, Mark R.

    2005-01-01

    Gentamicin is an aminoglycoside antibiotic that has been a mainstay in pediatric care for decades. Although new antibiotics are constantly under development, gentamicin continues to play an important role in clinical medicine. Although this may be surprising in the context of evidence of an association with hearing loss, both on a toxicity and a…

  5. A Guide to Education and "No Child Left Behind."

    ERIC Educational Resources Information Center

    US Department of Education, 2004

    2004-01-01

    Recognizing the universal importance of education, the federal government assumed a larger role in financing public schools with the passage of the Elementary and Secondary Education Act (ESEA) in 1965. Through subsequent reauthorizations, ESEA has continued to assist the states. In 2001, the reauthorization included "No Child Left Behind," which…

  6. Collaborative Language Learning for Professional Adults

    ERIC Educational Resources Information Center

    Mesh, Linda Joy

    2010-01-01

    Institutions of higher education realise the importance of the role of learning organisations in terms of providing personnel training and updating. Yet further consideration should be given to flexible and accessible means for meeting the growing request for continuous learning. Jason Hughes describes an organization's capability to "learn how to…

  7. Using Video-Stimulated Recall to Understand the Reflections of History Teachers

    ERIC Educational Resources Information Center

    Martinelle, Robert D.

    2017-01-01

    Calls for history teachers to adopt inquiry methods continue to go unabated in educational research and curricular initiatives. In recent years, there has been increased recognition of the important role teacher reflection plays in managing the uncertainty that accompanies such pedagogy in history classrooms. Accordingly, this dissertation was…

  8. Emerging Trends

    ERIC Educational Resources Information Center

    Black, James R.

    2009-01-01

    The campus security standard of care continues to evolve. Technology plays a more important role than ever before, and manufacturers want their equipment to become the solution of choice at education facilities across the nation. Campus administrators need to know more about these security technologies and how they might fit into a campus security…

  9. Using the Relational Paradigm: Effects on Pupils' Reasoning in Solving Additive Word Problems

    ERIC Educational Resources Information Center

    Polotskaia, Elena; Savard, Annie

    2018-01-01

    Pupils' difficulties in solving word problems continue to attract attention: while researchers highlight the importance of relational reasoning and modelling, school curricula typically use short word problems to develop pupils' knowledge of arithmetic operations and calculation strategies. The Relational Paradigm attributes the leading role in…

  10. Engaging Teammates in the Promotion of Concussion Help Seeking

    ERIC Educational Resources Information Center

    Kroshus, Emily; Garnett, Bernice R.; Baugh, Christine M.; Calzo, Jerel P.

    2016-01-01

    Concussion underreporting contributes to the substantial public health burden of concussions from sport. Teammates may be able to play an important role in encouraging injury identification and help seeking. This study assessed whether there was an association between beliefs about the consequences of continued play with a concussion and…

  11. The Role of Intermediary Organizations in Sustaining Student Voice Initiatives

    ERIC Educational Resources Information Center

    Mitra, Dana

    2009-01-01

    Background/Context: The sustainability of change efforts continues to be an important and challenging question in educational research. Purpose/Objective/Research Question/Focus of Study: By examining 13 programs aimed at increasing student voice in school reform, this article examines conditions that enable and constrain the sustainability of…

  12. QUALITY CONTROL OF SEMI-CONTINUOUS MOBILITY SIZE-FRACTIONATED PARTICLE NUMBER CONCENTRATION DATA. (R827352)

    EPA Science Inventory

    Fine and ultrafine particles have been postulated to play an important role in the association between ambient particulate matters and adverse health effects. As part of the EPA Supersite Program, the Southern California Particle Center & Supersite has conducted a series o...

  13. On the Characteristics of Higher Education for Adults

    ERIC Educational Resources Information Center

    Belonozhko, Marina L'vovna; Khitu, Eseniia F.

    2008-01-01

    The development of the information-based society and globalization processes have led to an unprecedented openness and diversity in education. As a result, the role of continuing education has risen significantly. More people must engage in learning throughout their lives, gaining both new and updated knowledge. The importance of continuing…

  14. The Role of Higher Education in Equitable Human Development

    ERIC Educational Resources Information Center

    Peercy, Chavanne; Svenson, Nanette

    2016-01-01

    As developing countries continue to battle poverty despite strong economic growth, understanding the relationship between equity and human development becomes increasingly important. In this context, equity is not equivalent to equality for any specific outcome such as health status, education or income. It is an objective ideal whereby people's…

  15. The Role of Values in Promoting Physical Activity

    ERIC Educational Resources Information Center

    Kosma, Maria; Buchanan, David R.; Hondzinski, Jan

    2015-01-01

    Despite the proliferation of theory-based behavior-change programs to promote physical activity, obesity and diabetes rates continue to rise. Given the notable ineffective interventions, it is important to examine why these efforts have been largely unsuccessful and to consider potential alternatives. The purpose of this article is to consider the…

  16. Meteor Observation in a Group

    NASA Astrophysics Data System (ADS)

    Zimnikoval, Peter

    2010-08-01

    Observation in former Czechoslovakia has more than 100 years tradition. These activities started in Czech part of the republic, mostly. More serious and systematic observations began in second half of the 20-th century. Important role played the International Geophysical Year 1957/58. Part of this event was International Meteor Year. Czechoslovakian astronomers were accredited as main organisers of the IMY. It was improved observe methods for this reason. High role in meteor observations has establishment of public observatories in Slovakia in 70-ties, too. Beside of popularization of astronomy one of main task was to organise amateur observations. Important role had collaboration of Copernicus Observatory and planetarium Brno (now Czech republic) and observatory Banská Bystrica from 1972. Main purpose of the collaboration was organising of so-called National Meteor Expeditions. These expeditions runs till 1988. Tradition of expeditions continues in Slovakia until today.

  17. The Role of Physicists in Anti-Terrorism: Transportation

    NASA Astrophysics Data System (ADS)

    Fainberg, Anthony

    2002-04-01

    Physicists, along with many other categories of scientists, participate in efforts against terrorism in a multitude of ways, including developing explosive detectors, sensors, security procedures, technical analyses, and decision tools. Transportation, especially civil aviation, is a field of focus within the anti- and counterterrorism arenas. The most spectacular terrorist acts have generally aimed at this sector and this trend is likely to continue. Physicists play their roles in all sectors: government, private industry, and even academia. Defense against terrorism has become a national priority in the United States, and one may expect the roles of scientific experts to become more important. The tactics of terrorists will change and develop, so it will become necessary to develop ever more sophisticated measures to fight them. Technology is part of the answer, but human factors, vulnerability analyses, threat assessment, and security procedures are equally important.

  18. Ideal Positions: 3D Sonography, Medical Visuality, Popular Culture.

    PubMed

    Seiber, Tim

    2016-03-01

    As digital technologies are integrated into medical environments, they continue to transform the experience of contemporary health care. Importantly, medicine is increasingly visual. In the history of sonography, visibility has played an important role in accessing fetal bodies for diagnostic and entertainment purposes. With the advent of three-dimensional (3D) rendering, sonography presents the fetus visually as already a child. The aesthetics of this process and the resulting imagery, made possible in digital networks, discloses important changes in the relationship between technology and biology, reproductive health and political debates, and biotechnology and culture.

  19. Evaluation and management of patients in the acute phase of myocardial infarction - the role of nuclear medicine in the coronary care unit

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

    Palac, R.T.; Gray, L.; Brown, P.H.

    1988-09-01

    This is the third article in a four-part continuing education series relating to patient care and management. After completing the article, the reader should be able to: 1) understand the application, potential, and problems of nuclear cardiology in the coronary care unit; 2) recognize the utilization of nuclear cardiology in acute coronary care management; and 3) appreciate the important role of nuclear cardiology in cardiac patient care.

  20. Continuous Glucose Monitoring (CGM) or Blood Glucose Monitoring (BGM): Interactions and Implications.

    PubMed

    Heinemann, Lutz

    2018-04-01

    At the 2017 10th annual International Conference on Advanced Technologies and Treatments for Diabetes (ATTD) in Paris, France, four speakers presented their perspectives on the roles of continuous glucose monitoring (CGM) and of blood glucose monitoring (BGM) in patient management within one symposium. These presentations included discussions of the differences in the accuracy of CGM and BGM, a clinical perspective on the physiological reasons behind differences in CGM and BGM values, and an overview of the impact of variations in device accuracy on patients with diabetes. Subsequently a short summary of these presentations is given, highlighting the value of good accuracy of BGM or CGM systems and the ongoing need for standardization. The important role of both BGM and CGM in patient management was a theme across all presentations.

  1. Continuing midwifery education beyond graduation: Student midwives' awareness of continuous professional development.

    PubMed

    Embo, M; Valcke, M

    2017-05-01

    Midwifery education plays an important role in educating graduates about engaging in continuous professional development (CPD) but there is a lack of empirical research analysing student midwives' awareness of CPD beyond graduation. We aimed to explore student midwives' awareness of the need to become lifelong learners and to map their knowledge of CPD activities available after graduation. Therefore, forty-seven reflective documents, written in the last week of student midwives' training programme, were analysed in a thematic way. Content analysis confirmed student midwives' awareness of the importance of CPD before graduation. They mentioned different reasons for future involvement in CPD and described both, formal and informal CPD-activities. Respondents were especially aware of the importance of knowledge, to a lesser degree of skills-training and still less of the potential value of the Internet for individual and collective learning. Respondents perceived a need for a mandatory preceptorship. Supporting learning guides were highly valued and the importance of reflection on CPD was well-established. This could have resulted from an integrated reflective learning strategy during education. Undergraduate midwives are aware of the importance of CPD and the interplay of formal and informal learning activities. Virtual learning requires special attention to overcome CPD challenges. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. The Importance of Role Definition in Combining School and Public Libraries.

    ERIC Educational Resources Information Center

    Amey, L. J.

    Public and school libraries having begun as an outgrowth of each other and then separated, have some overlap in philosophy, function, and public served. Although studies have opposed the combined school and public library, communities continue to attempt mergers largely for promise of dollar savings. There is also a philosophical trend in…

  3. Principles and Practices for Teaching English as an International Language. ESL & Applied Linguistics Professional Series

    ERIC Educational Resources Information Center

    Allsagoff, Lubna, Ed.; McKay, Sandra Lee, Ed.; Hu, Guangwei, Ed.; Renandya, Willy A., Ed.

    2012-01-01

    What general principles should inform a socioculturally sensitive pedagogy for teaching English as an International Language and what practices would be consistent with these principles? This text explores the pedagogical implications of the continuing spread of English and its role as an international language, highlighting the importance of…

  4. Insects of the Idaho National Laboratory: A compilation and review

    Treesearch

    Nancy Hampton

    2005-01-01

    Large tracts of important sagebrush (Artemisia L.) habitat in southeastern Idaho, including thousands of acres at the Idaho National Laboratory (INL), continue to be lost and degraded through wildland fire and other disturbances. The roles of most insects in sagebrush ecosystems are not well understood, and the effects of habitat loss and alteration...

  5. University of Massachusetts Boston: Reconstituting a Continuing Education Division to a Degree-Granting Academic Unit

    ERIC Educational Resources Information Center

    DiSalvio, Philip

    2012-01-01

    The ground has shifted in fundamental ways in higher education, and it is becoming increasingly evident that strategic structural reorganization will play an important role in the financial survival of many institutions. Understanding the close links among strategy, structure, and the environment, it makes sense that organizational structure…

  6. Language Issues in Teaching and Learning of Mathematics

    ERIC Educational Resources Information Center

    Nath, Baiju. K.; V., Vineesha

    2009-01-01

    Today as in the past, many students struggle with mathematics and become affected as they continually encounter obstacles to engagement. Mathematics is generally seen as a difficult subject and how this subject is communicated to pupils will influence how pupils learn the subject. Classroom routines play an important role in developing students'…

  7. The Role of Synchronous Virtual Reference in Teaching and Learning: A Grounded Theory Analysis of Instant Messaging Transcripts

    ERIC Educational Resources Information Center

    Passonneau, Sarah; Coffey, Dan

    2011-01-01

    Electronic communication technologies continue to change the landscape of reference services. For many users, virtual communication is the preferred means of conversing. Synchronous virtual reference, similar to other synchronous means of communication, is an important method for reaching students and for providing teaching and learning…

  8. Chapter 9: Curating xylaria

    Treesearch

    Alex Wiedenhoeft

    2014-01-01

    Wood is perhaps the quintessential material used in most human cultures. In prehistoric times, it was employed, either directly or indirectly, to provide most human needs: warmth, shelter, and nearly all manner of tools suitable for procuring food, water and security (Beeckman, 2003). In modern times it continues to play important roles in human cultures (Radkau, 2012...

  9. Speaking up: Teens Voice Their Health Information Needs

    ERIC Educational Resources Information Center

    Smart, Kathryn A.; Parker, Randy Spreen; Lampert, Joan; Sulo, Suela

    2012-01-01

    School nurses provide an important role in the continuity of health care especially for adolescents who are at high risk for significant health concerns. The purpose of this study was to assess adolescents' health information needs and identify their preferences for accessing health information. Using an inductive qualitative research design, 11…

  10. Teaching Information Policy in the Digital Age: Issues, Strategies, and Innovation

    ERIC Educational Resources Information Center

    Jaeger, Paul T.; Gorham, Ursula; Taylor, Natalie Greene; Bertot, John C.

    2015-01-01

    As technology continues to advance at a rapid rate, it is increasingly important to consider how information policies are formulated and the impact that they have on both the public's access to information and the roles of information professionals. As such, current and future information professionals must be adequately prepared through education…

  11. Evaluation of tillage, cover crop, & herbicide effects on weed control, yield and grade in peanut?

    USDA-ARS?s Scientific Manuscript database

    Peanut production continues to play a large role in agriculture in the Southeastern United States and weed challenges persist. Therefore, it is important to reduce weed competition in peanut to protect yield and grade. With traditional use of herbicides for weed control in peanut and rotational crop...

  12. The Transition to High School: What Matters to Parents?

    ERIC Educational Resources Information Center

    Gardner, Lee Nathan

    2014-01-01

    The transition from middle school to high school continues to challenge students, parents, and schools. Parents are recognized as important influences, but the current literature provides limited information about what matters to parents and what role parents may play in determining the success of students making the transition to high school.…

  13. Preparation of School Psychologists in the United States

    ERIC Educational Resources Information Center

    Joyce-Beaulieu, Diana; Rossen, Eric

    2014-01-01

    School psychology in the United States continues to evolve in response to shifts in the country's demographic characteristics, an increasing focus on the importance of child mental health, together with health and education reforms. The landscape of school psychological services in the United States also is shaped through the changing roles and…

  14. Instrumental Instruction in Community Bands from Bahia, Brazil

    ERIC Educational Resources Information Center

    Barbosa, Joel Luis

    2010-01-01

    Community bands play an important role in Brazilian music education. Often the only point of musical access, they provide free instrumental teaching for thousands of people who cannot afford to pay. One challenge that needs to be continually addressed is the issue of attrition, especially during the first stages of instruction. Considering this…

  15. National Trends in Year 12 Course Completions. Policy Note. Number 6

    ERIC Educational Resources Information Center

    Falkiner, Alice

    2012-01-01

    Current Year 12 students form the largest single group of Australian university admissions, comprising approximately half of all admissions at Australian universities. For those Year 12 students who continue to tertiary study at Australian universities, the courses studied in Year 12 play an important role in preparing them for that further…

  16. Iowa Farm Women in the 1930s--A Reassessment.

    ERIC Educational Resources Information Center

    Fink, Deborah; Schwieder, Dorothy

    Both economically and socially, Iowa farm women played important roles in supporting and maintaining the rural population during the 1930s. They continued their patterns of production for consumption and for income, and during the Depression this production constituted a larger and more significant part of the household economy. Women kept large…

  17. Associative Representational Plasticity in the Auditory Cortex: A Synthesis of Two Disciplines

    ERIC Educational Resources Information Center

    Weinberger, Norman M.

    2007-01-01

    Historically, sensory systems have been largely ignored as potential loci of information storage in the neurobiology of learning and memory. They continued to be relegated to the role of "sensory analyzers" despite consistent findings of associatively induced enhancement of responses in primary sensory cortices to behaviorally important signal…

  18. Looking in the Right Places: Minority-Serving Institutions as Sources of Diverse Earth Science Learners

    ERIC Educational Resources Information Center

    McDaris, John R.; Manduca, Cathryn A.; Iverson, Ellen R.; Orr, Cailin Huyck

    2017-01-01

    Despite gains over the last decade, the geoscience student population in the United States today continues to lag other science, technology, engineering, and mathematics disciplines in terms of diversity. Minority-serving institutions (MSIs) can play an important role in efforts to broaden underrepresented student engagement with Earth Science…

  19. Separations: A Short History and a Cloudy Crystal Ball

    ERIC Educational Resources Information Center

    Wankat, Phil

    2009-01-01

    Separations have played a major role in the history of chemical engineering and will continue to be important. Since separations have always been a major cost item in the process industries, they have always been a critical key to successful commercialization. First, while reviewing the history of separation processes we will observe that many…

  20. Virtual and Traditional Feedback-Seeking Behaviors: Underlying Competitive Attitudes and Consequent Grade Performance

    ERIC Educational Resources Information Center

    Hwang, Alvin; Arbaugh, J. B.

    2006-01-01

    The electronic medium continues to play an increasingly important role in the delivery of management education despite a paucity of empirical studies on its impact and efficacy. Results from a study of competitive attitudes and feedback-seeking behaviors across seven "hybrid" electronic cum live classes showed that…

  1. Mobility and Desire: International Students and Asian Regionalism in Aspirational Singapore

    ERIC Educational Resources Information Center

    Collins, Francis L.; Sidhu, Ravinder; Lewis, Nick; Yeoh, Brenda S. A.

    2014-01-01

    Higher education is playing an important role in Singapore's most recent cycle of modernization: to re-make itself into a global city through the continued accumulation of capital, "talent," and knowledge. This paper is a critical analysis of the accounts of a group of international students enrolled at the National University of…

  2. The Black Lives Matter Movement and Historically Black Colleges and Universities

    ERIC Educational Resources Information Center

    Gasman, Marybeth

    2017-01-01

    This article looks at the Black Lives Matter Movement and Historically Black Colleges and Universities. Historically Black Colleges and Universities (HBCUs) continue to play an important role in society. However, what the Black Lives Matter movement shows consistently is that predominantly White institutions need to change, to step up and embrace…

  3. Romanticizing Culture: The Role of Teachers' Cultural Intelligence in Working with Diversity

    ERIC Educational Resources Information Center

    Molina, Sarina Chugani

    2013-01-01

    As the world is becoming increasingly flat (Ang, Van Dyne, Koh, Templer, & Chandrasekar, 2007; Darling-Hammond, 2010; Friedman, 2005), the classroom has become a mirror that often reflects this phenomenon at a microcosmic level. As such, teacher preparation programs are continuing to emphasize the importance of understanding and valuing…

  4. Reading R. S. Peters on Education Today

    ERIC Educational Resources Information Center

    Cuypers, Stefaan E.; Martin, Christopher

    2009-01-01

    This introduction to this special issue offers an overview of R. S. Peters' seminal role in the development of modern philosophy of education, acknowledging the originality and range of his work, and indicating his continuing importance to the field. It explains the structure and organisation of the collection and provides a rationale for this…

  5. The Influence of Family and Teacher Factors on Early Disruptive School Behaviors: A Latent Profile Transition Analysis

    ERIC Educational Resources Information Center

    Racz, Sarah J.; O'Brennan, Lindsey M.; Bradshaw, Catherine P.; Leaf, Philip J.

    2016-01-01

    The kindergarten year plays an important role in establishing children's academic, social, and behavioral adjustment. Early identification of children who experience difficulties with the kindergarten transition is crucial to prevent continued behavioral and emotional problems. Family and school predictors of these early behavioral patterns can…

  6. The Search Is on: Engendering Faculty Diversity through More Effective Search and Recruitment

    ERIC Educational Resources Information Center

    Bilimoria, Diana; Buch, Kimberly K.

    2010-01-01

    The underrepresentation of women and minority faculty in the science, technology, engineering, and mathematics (STEM) disciplines continues to be a major concern to university leaders, policy makers, and scientists. While a number of complex factors across the entire academic pipeline play significant roles in this problem, important contributing…

  7. Cortical signal-in-noise coding varies by noise type, signal-to-noise ratio, age, and hearing status

    PubMed Central

    Maamor, Nashrah; Billings, Curtis J.

    2017-01-01

    The purpose of this study was to determine the effects of noise type, signal-to-noise ratio (SNR), age, and hearing status on cortical auditory evoked potentials (CAEPs) to speech sounds. This helps to explain the hearing-in-noise difficulties often seen in the aging and hearing impaired population. Continuous, modulated, and babble noise types were presented at varying SNRs to 30 individuals divided into three groups according to age and hearing status. Significant main effects of noise type, SNR, and group were found. Interaction effects revealed that the SNR effect varies as a function of noise type and is most systematic for continuous noise. Effects of age and hearing loss were limited to CAEP latency and were differentially modulated by energetic and informational-like masking. It is clear that the spectrotemporal characteristics of signals and noises play an important role in determining the morphology of neural responses. Participant factors such as age and hearing status, also play an important role in determining the brain’s response to complex auditory stimuli and contribute to the ability to listen in noise. PMID:27838448

  8. Quality improvement in the use of medications through a drug use evaluation service.

    PubMed

    Stevenson, J G; Bakst, C M; Zaran, F K; Rybak, M J; Smolarek, R T; Alexander, M R

    1992-10-01

    Continuous quality improvement methods have the potential to improve processes that cross several disciplines. The medication system is one in which coordination of activities between physicians, pharmacists, and nurses is essential for optimal therapy to occur. DUE services can play an important role in helping to ensure that patients receive high-quality pharmaceutical care. It is necessary for pharmacy managers to review the structure, goals, and outcomes of their DUE programs to ensure that they are consistent with a philosophy of continuous improvement in the quality of drug therapy.

  9. The fluid mechanics of continuous flow electrophoresis in perspective

    NASA Technical Reports Server (NTRS)

    Saville, D. A.

    1980-01-01

    Buoyancy alters the flow in continuous flow electrophoresis chambers through the mechanism of hydrodynamic instability and, when the instability is supressed by careful cooling of the chamber boundaries, by restructuring the axial flow. The expanded roles of buoyancy follow upon adapting the size of the chamber and the electric field so as to fractionate certain sorts of cell populations. Scale-up problems, hydrodynamic stability and the altered flow fields are discussed to show how phenomena overlooked in the design and operations of narrow-gap devices take on an overwhelming importance in wide-gap chambers

  10. Developing a neonatal workforce: role evolution and retention of advanced neonatal nurse practitioners

    PubMed Central

    Smith, S; Hall, M

    2003-01-01

    Background: Over the past decade more than 120 advanced neonatal nurse practitioners (ANNPs) have graduated from the Southampton based ANNP programme. Objectives: To determine the scope of practice and evolving role of ANNPs and to identify factors that may affect future recruitment and retention. Method: An open ended structured questionnaire on clinical role, working arrangements, retention and attrition, continuing education, and professional development was sent to 95 ANNPs. Results: A response rate of 83% was achieved. There was an attrition rate of 14%, with most ANNPs remaining in their original seconding unit. Factors considered to be important for role satisfaction included a well defined role, working within a team of ANNPs, appropriate remuneration, and evidence of unit support for both role definition and continuing professional development. Conclusions: Although ANNPs are expensive to both train and employ, this evidence suggests that there is a good return on the investment in terms of retention to the unit and the specialty. Their role incorporates many features of advanced nursing practice as well as providing "value added" neonatal care by merging traditional medical and nursing roles and crossing professional boundaries. In 2004 the manpower challenges for neonatal units will be even more acute; these data confirm that there are effective options available but they require long term strategic planning and investment. PMID:12937050

  11. The Ecological Role of Volatile and Soluble Secondary Metabolites Produced by Soil Bacteria.

    PubMed

    Tyc, Olaf; Song, Chunxu; Dickschat, Jeroen S; Vos, Michiel; Garbeva, Paolina

    2017-04-01

    The rich diversity of secondary metabolites produced by soil bacteria has been appreciated for over a century, and advances in chemical analysis and genome sequencing continue to greatly advance our understanding of this biochemical complexity. However, we are just at the beginning of understanding the physicochemical properties of bacterial metabolites, the factors that govern their production and ecological roles. Interspecific interactions and competitor sensing are among the main biotic factors affecting the production of bacterial secondary metabolites. Many soil bacteria produce both volatile and soluble compounds. In contrast to soluble compounds, volatile organic compounds can diffuse easily through air- and gas-filled pores in the soil and likely play an important role in long-distance microbial interactions. In this review we provide an overview of the most important soluble and volatile classes of secondary metabolites produced by soil bacteria, their ecological roles, and their possible synergistic effects. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Modeling of Causes of Sina Weibo Continuance Intention with Mediation of Gender Effects

    PubMed Central

    Wang, Lingyu; Zhao, Wenguo; Sun, Xianghong; Zheng, Rui; Qu, Weina

    2016-01-01

    Sina Weibo is a Twitter-like social networking site and one of the most popular microblogging services in China. This study aims to examine the factors that influence the intentions of users to continue using this site. This paper synthesizes the expectation confirmation model, constructs of habit and perceived critical mass, and the gender effect to construct a theoretical model to explain and predict these user intentions. The model is then tested via an online survey of 498 Sina Weibo users and partial least squares (PLS) modeling. The results indicate that the continuance intention of users is directly predicted by their perceived usefulness of the service (β = 0.299), their satisfaction (β = 0.208), and their habits (β = 0.389), which jointly explain 65.9% of the variance in intention. In addition to the effects of these predictors on the continuance intentions of Sina Weibo users, an assessment of the moderating effect of gender suggests that habit plays a more important role for females than for males in continuance intention, but perceived usefulness seems to be more important for males than for females. The implications of these findings are then discussed. PMID:27199850

  13. Modeling of Causes of Sina Weibo Continuance Intention with Mediation of Gender Effects.

    PubMed

    Wang, Lingyu; Zhao, Wenguo; Sun, Xianghong; Zheng, Rui; Qu, Weina

    2016-01-01

    Sina Weibo is a Twitter-like social networking site and one of the most popular microblogging services in China. This study aims to examine the factors that influence the intentions of users to continue using this site. This paper synthesizes the expectation confirmation model, constructs of habit and perceived critical mass, and the gender effect to construct a theoretical model to explain and predict these user intentions. The model is then tested via an online survey of 498 Sina Weibo users and partial least squares (PLS) modeling. The results indicate that the continuance intention of users is directly predicted by their perceived usefulness of the service (β = 0.299), their satisfaction (β = 0.208), and their habits (β = 0.389), which jointly explain 65.9% of the variance in intention. In addition to the effects of these predictors on the continuance intentions of Sina Weibo users, an assessment of the moderating effect of gender suggests that habit plays a more important role for females than for males in continuance intention, but perceived usefulness seems to be more important for males than for females. The implications of these findings are then discussed.

  14. RNA-Sequencing Analysis Reveals a Regulatory Role for Transcription Factor Fezf2 in the Mature Motor Cortex

    PubMed Central

    Clare, Alison J.; Wicky, Hollie E.; Empson, Ruth M.; Hughes, Stephanie M.

    2017-01-01

    Forebrain embryonic zinc finger (Fezf2) encodes a transcription factor essential for the specification of layer 5 projection neurons (PNs) in the developing cerebral cortex. As with many developmental transcription factors, Fezf2 continues to be expressed into adulthood, suggesting it remains crucial to the maintenance of neuronal phenotypes. Despite the continued expression, a function has yet to be explored for Fezf2 in the PNs of the developed cortex. Here, we investigated the role of Fezf2 in mature neurons, using lentiviral-mediated delivery of a shRNA to conditionally knockdown the expression of Fezf2 in the mouse primary motor cortex (M1). RNA-sequencing analysis of Fezf2-reduced M1 revealed significant changes to the transcriptome, identifying a regulatory role for Fezf2 in the mature M1. Kyoto Encyclopedia Genes and Genomes (KEGG) pathway analyses of Fezf2-regulated genes indicated a role in neuronal signaling and plasticity, with significant enrichment of neuroactive ligand-receptor interaction, cell adhesion molecules and calcium signaling pathways. Gene Ontology analysis supported a functional role for Fezf2-regulated genes in neuronal transmission and additionally indicated an importance in the regulation of behavior. Using the mammalian phenotype ontology database, we identified a significant overrepresentation of Fezf2-regulated genes associated with specific behavior phenotypes, including associative learning, social interaction, locomotor activation and hyperactivity. These roles were distinct from that of Fezf2-regulated genes identified in development, indicating a dynamic transition in Fezf2 function. Together our findings demonstrate a regulatory role for Fezf2 in the mature brain, with Fezf2-regulated genes having functional roles in sustaining normal neuronal and behavioral phenotypes. These results support the hypothesis that developmental transcription factors are important for maintaining neuron transcriptomes and that disruption of their expression could contribute to the progression of disease phenotypes. PMID:28936162

  15. Elements of the patient-centered medical home associated with health outcomes among veterans: the role of primary care continuity, expanded access, and care coordination.

    PubMed

    Nelson, Karin; Sun, Haili; Dolan, Emily; Maynard, Charles; Beste, Laruen; Bryson, Christopher; Schectman, Gordon; Fihn, Stephan D

    2014-01-01

    Care continuity, access, and coordination are important features of the patient-centered medical home model and have been emphasized in the Veterans Health Administration patient-centered medical home implementation, called the Patient Aligned Care Team. Data from more than 4.3 million Veterans were used to assess the relationship between these attributes of Patient Aligned Care Team and Veterans Health Administration hospitalization and mortality. Controlling for demographics and comorbidity, we found that continuity with a primary care provider was associated with a lower likelihood of hospitalization and mortality among a large population of Veterans receiving VA primary care.

  16. [Sodium at the crossroads of history and culture].

    PubMed

    Ritz, E; Charra, B

    2007-09-01

    Although the efficacy and the health benefits of sodium restriction are clear, such restrictions continue to be met with the greatest reluctance, most particularly--as underscored by the historian Bergier in his hypothesis--because profoundly symbolic values are unfailingly related to salt. This brief report summarizes several historical aspects of salt's role as a substance participating in religious rites and linguistic contexts where its past role can still be seen today. It broaches the important question of "salt hunger" of the vital role of salt in past times, a costly substance because it was indispensable, and the basis of a tax (the salt tax) which underlay the French Revolution.

  17. The role of SLR and LLR in relativity

    NASA Technical Reports Server (NTRS)

    Ries, John C.

    1994-01-01

    While General Relativity has been adopted as the standard theory of relativity, there are alternative theories, with important implications for gravitational physics, which can only be discounted with tests of sufficient accuracy. In addition to its contributions to lunar and solar system dynamics, Lunar Laser Ranging, in combination with other solar system data continues to refine some important limits. Satellite laser ranging tracking of geodetic satellites can provide similar tests, but the accuracy is usually limited by gravitational and nongravitational perturbations.

  18. [Handover between home and respite care facilities : Delphi survey within the context of continuity of care for people with dementia].

    PubMed

    Kuske, S; Roes, M; Bartholomeyczik, S

    2016-07-01

    Criteria for the handover between healthcare settings were identified based on a review and on results of empirical data. This study was carried out to select the most relevant criteria for defining the quality of continuity of care of people with dementia (PwD) in the context of the handover between care at home and respite care facilities. A modified classical two-step Delphi design was used in combination with a group Delphi design. A total of 28 core criteria with a consensus strength of > 60 % are presented. Safety-relevant information, especially the personal habits of PwD and the role of informal caregivers in the handover between care settings are important. Furthermore, the following general principles to ensure the quality of continuity of the care of PwD were deduced: completeness, verification, multipath communication, timeliness and topicality, accessibility and defined responsibilities, roles and standardization. A successful transition of PwD to respite care facilities relies on the provision of relevant information, considering personal habits, before the day of transition. Furthermore, a timely preparation for discharge is important. The individual needs of the informal caregivers with regard to their support should be considered. Professionals who are responsible in handover processes should have solid communication competence in order to collect relevant information from informal caregivers, who have a strong individual care experience with the PwD.

  19. Eyes on the prize: reflections on the impact of the evolving digital ecology on the librarian as expert intermediary and knowledge coach, 1969-2009.

    PubMed

    Homan, J Michael

    2010-01-01

    The 2009 Janet Doe Lecture reflects on the continuing value and increasing return on investment of librarian-mediated services in the constantly evolving digital ecology and complex knowledge environment of the health sciences. The interrelationship of knowledge, decision making based on knowledge, technology used to access and retrieve knowledge, and the important linkage roles of expert librarian intermediaries is examined. Professional experiences from 1969 to 2009, occurring during a time of unprecedented changes in the digital ecology of librarianship, are the base on which the evolving role and value of librarians as knowledge coaches and expert intermediaries are examined. Librarian-mediated services linking knowledge and critical decision making in health care have become more valuable than ever as technology continues to reshape an increasingly complex knowledge environment.

  20. Is there a myofascial, temporomandibular disorder personality?

    PubMed

    Marbach, J J

    1995-01-01

    It is widely accepted that abnormal personality factors play an important role in the etiology and maintenance of myofascial-type temporomandibular disorder, or M/TMD. However, the foundation on which this belief rests is based largely on clinical lore, rather than on any evidence. The continued belief in the stress theory has important implications. Clinicians continue to be trained in unproven but traditionally sanctioned treatments. Such approaches not only may lead to problems of patient care, they may forge an unstable foundation for future research. Two theories are examined in this article: the psychosomatic and psychophysiological models. The findings show that both theories lack evidence, and further research is warranted because definitive studies are unavailable. The data from this study do not support the contention that M/TMD cases are characterized by a specific premorbid personality.

  1. The challenges of educating the public about astrobiology via the mass media

    NASA Astrophysics Data System (ADS)

    Race, Margaret

    Scientific information in astrobiology is being generated at a pace that traditional textbooks cannot easily match. For the most part, students, teachers and the general public will continue to learn piecemeal about the latest advances in the field through headlines and mass media coverage centered around discoveries and new interpretations as they occur. Yet journalists and reporters are themselves unschooled in this emerging interdisciplinary field. While it is important to continue developing astrobiological curricular materials for future use by students in formal settings, it is equally important to find novel ways for educating the mass media in the interim. Current planning in anticipation of a Mars sample return mission has focused on a variety of ways to enlist the mass media in an educational as well as informational role.

  2. General practitioners' continuing education: a review of policies, strategies and effectiveness, and their implications for the future.

    PubMed

    Smith, F; Singleton, A; Hilton, S

    1998-10-01

    The accreditation and provision of continuing education for general practitioners (GPs) is set to change with new proposals from the General Medical Council, the Government, and the Chief Medical Officer. To review the theories, policies, strategies, and effectiveness in GP continuing education in the past 10 years. A systematic review of the literature by computerized and manual searches of relevant journals and books. Educational theory suggests that continuing education (CE) should be work-based and use the learner's experiences. Audit can play an important role in determining performance and needs assessment, but at present is largely a separate activity. Educational and professional support, such as through mentors or co-tutors, has been successfully piloted but awaits larger scale evaluation. Most accredited educational events are still the postgraduate centre lecture, and GP Tutors have a variable role in CE management and provision. Controlled trials of CE strategies suggest effectiveness is enhanced by personal feedback and work prompts. Qualitative studies have demonstrated that education plays only a small part in influencing doctors' behavior. Maintaining good clinical practice is on many stakeholders' agendas. A variety of methods may be effective in CE, and larger scale trials or evaluations are needed.

  3. Willingness to Communicate in English as a Second Language: A Case Study of Pakistani Undergraduates

    ERIC Educational Resources Information Center

    Bukhari, Syeda Farzana; Cheng, Xiaoguang; Khan, Salman Ali

    2015-01-01

    Willingness to communicate (WTC) construct plays an important role in second language (L2) teaching and learning. Almost any second language learner is likely to respond to a direct question, but many will not continue or initiate communication. The present study investigates Pakistani undergraduate students' perception of their willingness to…

  4. Concluding remarks

    NASA Astrophysics Data System (ADS)

    Bohannan, Bruce

    2001-01-01

    This workshop brought proposed directions in instrumentation for the Isaac Newton Group together with scientific and technical needs of the ING astronomical community. A personal summary of the critical issues, questions, and approaches raised at this workshop includes the mission of the ING, the role of <4-m aperture telescopes today, the importance of continuous renewal, the power of AO, and the data glut.

  5. Preparing Students for a Diverse, Deliberative Democracy: College Diversity Experiences and Informed Citizenship after College

    ERIC Educational Resources Information Center

    Denson, Nida; Bowman, Nicholas A.; Park, Julie J.

    2017-01-01

    Background/Context: The role of race in the university continues to be a contentious issue. Proponents of college diversity often cite the importance of fostering a diverse and deliberative democratic society, but the link between student experiences and postcollege citizenship has received limited attention. Purpose/Objective: This study explores…

  6. The Catholic School, Controversial Issues and the Laity: A Canadian Research Study

    ERIC Educational Resources Information Center

    McDonough, Graham

    2015-01-01

    Catholic schools have an important role in helping cultivate the future adult laity, especially given the continuing numerical decline and ageing of clergy and vowed religious persons. As there is demonstrable plurality among the laity on some issues that are controversial within the Church, however, and receiving and responding to controversy is…

  7. Variety and evolution of American endoscopic image management and recording systems.

    PubMed

    Korman, L Y

    1996-03-01

    The rapid evolution of computing technology has and will continue to alter the practice of gastroenterology and gastrointestinal endoscopy. Development of communication standards for text, images, and security systems will be necessary for medicine to take advantage of high-speed computing and communications. Professional societies can have an important role in guiding the development process.

  8. Attribution Bias and Overconfidence in Escalation of Commitment: The Role of Desire to Rectify Past Outcomes

    ERIC Educational Resources Information Center

    Tine, Delilah Castillo

    2013-01-01

    Escalation of commitment is the voluntary continuation of investing resources into what appears to be a failing course of action whose outcome is uncertain. Investigation into the escalation of commitment phenomenon is important to organizations because such behavior could result in grave economic loss. This research investigates two cognitive…

  9. VET Applied Research: Driving VET's Role in the Innovation System

    ERIC Educational Resources Information Center

    Beddie, Francesca M.; Simon, Linda

    2017-01-01

    Innovation has become an increasingly important concept for Australian businesses in enabling them to continue to compete in an international market, but where does vocational education and training (VET) sit in this? To date, VET has been largely overlooked by the National Innovation and Science Agenda as a potential contributor in this field.…

  10. Pre-Service, Professional Development, and Collaborative Practices Regarding Paraprofessionals, Special Education Teachers, and Administrators

    ERIC Educational Resources Information Center

    Beddow-Beste, Jolaine

    2012-01-01

    Administrators, teachers, and paraprofessionals play an important role in successful outcomes for students with special needs. Post-secondary training does not guarantee that emphasis is put on how each professional entity maintains the ability to collaborate with one another, and how to determine what continued training is pertinent for each of…

  11. Introduction of Geographical Information Systems (GIS) in Technical University Education in Ghana: Challenges and the Way Forward

    ERIC Educational Resources Information Center

    Acquah, Prince C.; Asamoah, Jack N.; Konadu, Daniel D.

    2017-01-01

    Geographic Information System (GIS) continue to play very important role in improving spatial thinking skills of graduates from higher educational institutions. However, teaching and learning of GIS at the technical university level in Ghana remains very limited due to some implementation challenges. This paper reviews the implementation of GIS in…

  12. Teachers and Mentors: Profiles of Distinguished Twentieth-Century Professors of Education.

    ERIC Educational Resources Information Center

    Kridel, Craig, Ed.; And Others

    This volume contains 22 original essays describing important professors of education and focusing on how their teaching and mentoring inspired and influenced the essays' authors. Following a foreword by Ernest L. Boyer that reflects on the role of teaching in scholarship and the continuity of knowledge, the essays are grouped in four parts under…

  13. Osage-orange: a pioneering stewardship species

    Treesearch

    James P. Barnett; James D. Burton

    1997-01-01

    Osage-orange, a small tree with a number of unique characteristics, played an important role in the settlement of the prairies. One of the more significant contributions was in the use of the species for hedges. The thorny, low-spreading crowns provided excellent fencing when properly main tamed. This use, plus its later used in skelterbelts, exert a continuing...

  14. Understanding New Media Literacy: An Explorative Theoretical Framework

    ERIC Educational Resources Information Center

    Lin, Tzu-Bin; Li, Jen-Yi; Deng, Feng; Lee, Ling

    2013-01-01

    With the advent of new media technologies, the role of media in a society has been changed that leads researchers to re-construct the meaning of literacy from classic literacy to new media literacy. There have been continuing efforts to understand new media and promote the importance of becoming new media literate among researchers, educators,…

  15. An Intelligent E-Learning System Based on Learner Profiling and Learning Resources Adaptation

    ERIC Educational Resources Information Center

    Tzouveli, Paraskevi; Mylonas, Phivos; Kollias, Stefanos

    2008-01-01

    Taking advantage of the continuously improving, web-based learning systems plays an important role for self-learning, especially in the case of working people. Nevertheless, learning systems do not generally adapt to learners' profiles. Learners have to spend a lot of time before reaching the learning goal that is compatible with their knowledge…

  16. SMAD4 haploinsufficiency associates with augmented colonic inflammation in select humans and mice

    USDA-ARS?s Scientific Manuscript database

    SMAD4 is a common mediator of the TGF-beta signaling pathway. One of the members of this pathway, TGF-beta 1, has an important role in controlling gut inflammation in relation to the continuous stimulation of the intestinal microbiota. SMAD4 haploinsufficiency in humans has been linked to juvenile p...

  17. Knowledge of Food and Drug Interactions among Nurses: Assessment Strategy for Continuing Education

    ERIC Educational Resources Information Center

    Enwerem, Nkechi M.; Okunji, Priscilla O.

    2017-01-01

    The effect of medication errors on patient quality care and safety is a critical ongoing concern requiring solutions. Although medication safety has been a concern of all healthcare professions, registered nurses play an important role in medication safety as patients' advocates. A cross sectional study with structured questionnaire on common FDI…

  18. Assessing Writing: A Review of the Main Trends

    ERIC Educational Resources Information Center

    Salmani Nodoushan, Mohammad Ali

    2014-01-01

    As a language skill, writing has had, still has and will continue to have an important role in shaping the scientific structure of human life in that it is the medium through which scientific content is stored, retained, and transmitted. It has therefore been a major concern for writing teachers and researchers to find a reliable method for…

  19. Knowledge Management in Public Health: Examining the Role of a Web-Based Reporting System for Tobacco Control

    ERIC Educational Resources Information Center

    Gottlieb, Amy Sue

    2009-01-01

    The importance and use of data and information to make sound programmatic decisions are receiving increased attention as state and federal funding for public health programs grows tighter and as demands for accountability continue. This dissertation provides insight into fundamental questions regarding the utilization of a Web-based reporting…

  20. Achieving continuity: a story of stellar magnitude

    NASA Astrophysics Data System (ADS)

    Evans, Michael S.

    2010-03-01

    Scientists tell a story of 2,000 years of stellar magnitude research that traces back to Hipparchus. This story of continuity in practices serves an important role in scientific education and outreach. STS scholars point out many ways that stories of continuity, like many narratives about science, are disconnected from practices. Yet the story of continuity in stellar magnitude is a powerful scientific achievement precisely because of its connection to practice. The historical development of star catalogues shows how specific recording practices connected past and present in a useful way. The narrative of continuity in stellar magnitude, however else it might be subject to STS critique of narrative, maintains its power because of its connection to practice. I suggest that more attention be paid to connections between practice and narrative in STS, and in particular to the ways that historical practices sustain narratives by connecting past and present.

  1. The role of CCN family genes in haematological malignancies.

    PubMed

    Wells, J E; Howlett, M; Cheung, L C; Kees, Ursula R

    2015-09-01

    Haematological malignancies, although a broad range of specific disease types, continue to show considerable overlap in classification, and patients are treated using similar chemotherapy regimes. In this review we look at the role of the CCN family of matricellular proteins and indicate their role in nine haematological malignancies including both myeloid and lymphoid neoplasms. The potential for further haematological neoplasms with CCN family associations is argued by summarising the demonstrated role of CCN family genes in the differentiation of haematopoietic stem cells (HSC) and mesenchymal stem cells. The expanding field of knowledge encompassing CCN family genes and cancers of the HSC-lineage highlights the importance of extracellular matrix-interactions in both normal physiology and tumorigenesis of the blood, bone marrow and lymph nodes.

  2. Review of progress in understanding the fluid geochemistry of the Cerro Prieto Geothermal System

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

    Truesdell, A.H.; Nehring, N.L.; Thompson, J.M.

    1982-08-10

    Fluid geochemistry has played a major role in the authors present understanding of the Cerro Prieto geothermal system. Fluid chemical and isotopic compositions have been used to indicate the origin of water, salts, and gases, original subsurface temperature and fluid flow, fluid-production mechanims, and production-induced aquifer boiling and cold-water entry. The extensive geochemical data and interpretation for Cerro Prieto published from 1964 to 1981 are reviewed and discussed. Fluid geochemistry must continue to play an important role in the further development of the Cerro Prieto field.

  3. The role of clinical nurse educators in organ procurement organizations.

    PubMed

    Swain, Sharon

    2011-12-01

    Clinical nurse educators are advanced practice nurses with preparation at the master's level or higher. Such nurses play an important role in organ procurement organizations. As leaders and members of the team, they provide structure and design to the training process. These educators oversee orientation of new employees, serve as mentors to preceptors, assess the learning needs of the organization, and provide ongoing training to veteran staff. Clinical nurse educators also contribute to continuous quality improvement for the organization and help to comply with regulatory standards.

  4. The role of the medical departmental library.

    PubMed Central

    Moran, B

    1996-01-01

    At most academic medical institutions, the first level of library service is provided by health sciences or medical school libraries. For many medical departments, however, these services are also provided by a second-level library, the departmental library. These libraries are usually supported by a specific department, such as surgery, and provide customized services to this sponsor. Departmental libraries continue to play an important role amid the debate over centralized, versus decentralized, library systems. On the basis of a limited survey, this paper describes a representative medical departmental library. PMID:8938327

  5. Women and AIDS-Related Concerns

    PubMed Central

    Cochran, Susan D.; Mays, Vickie M.

    2014-01-01

    Acquired Immunodeficiency Syndrome (AIDS) has important implications for the practice of psychology. As the epidemic continues, the role of behavior change and psychosocial factors in the spread and transmission of Human Immunodeficiency Virus (HIV) infections assumes increasing significance. Psychologists, as behavior change experts, have a special and challenging role to play in educating the public, particularly women, about AIDS. This article examines AIDS- and HIV-related concerns in women with a focus on the personal dilemmas for the practicing psychologist, problems in health behavior advocacy, and methods and pitfalls in modifying sexual behaviors. PMID:2930055

  6. PACS administrators' and radiologists' perspective on the importance of features for PACS selection.

    PubMed

    Joshi, Vivek; Narra, Vamsi R; Joshi, Kailash; Lee, Kyootai; Melson, David

    2014-08-01

    Picture archiving and communication systems (PACS) play a critical role in radiology. This paper presents the criteria important to PACS administrators for selecting a PACS. A set of criteria are identified and organized into an integrative hierarchical framework. Survey responses from 48 administrators are used to identify the relative weights of these criteria through an analytical hierarchy process. The five main dimensions for PACS selection in order of importance are system continuity and functionality, system performance and architecture, user interface for workflow management, user interface for image manipulation, and display quality. Among the subdimensions, the highest weights were assessed for security, backup, and continuity; tools for continuous performance monitoring; support for multispecialty images; and voice recognition/transcription. PACS administrators' preferences were generally in line with that of previously reported results for radiologists. Both groups assigned the highest priority to ensuring business continuity and preventing loss of data through features such as security, backup, downtime prevention, and tools for continuous PACS performance monitoring. PACS administrators' next high priorities were support for multispecialty images, image retrieval speeds from short-term and long-term storage, real-time monitoring, and architectural issues of compatibility and integration with other products. Thus, next to ensuring business continuity, administrators' focus was on issues that impact their ability to deliver services and support. On the other hand, radiologists gave high priorities to voice recognition, transcription, and reporting; structured reporting; and convenience and responsiveness in manipulation of images. Thus, radiologists' focus appears to be on issues that may impact their productivity, effort, and accuracy.

  7. The role of men in abandonment of female genital mutilation: a systematic review.

    PubMed

    Varol, Nesrin; Turkmani, Sabera; Black, Kirsten; Hall, John; Dawson, Angela

    2015-10-08

    Men in their roles as fathers, husbands, community and religious leaders may play a pivotal part in the continuation of female genital mutilation (FGM). However, the research on their views of FGM and their potential role in its abandonment are not well described. We undertook a systematic review of all publications between 2004 and 2014 that explored men's attitudes, beliefs, and behaviours in regards to FGM, as well as their ideas about FGM prevention and abandonment. We included twenty peer-reviewed articles from 15 countries in the analysis. Analysis revealed ambiguity of men's wishes in regards to the continuation of FGM. Many men wished to abandon this practice because of the physical and psychosexual complications to both women and men. Social obligation and the silent culture between the sexes were posited as major obstacles for change. Support for abandonment was influenced by notions of social obligation, religion, education, ethnicity, urban living, migration, and understanding of the negative sequelae of FGM. The strongest influence was education. The level of education of men was one of the most important indicators for men's support for abandonment of FGM. Social obligation and the lack of dialogue between men and women were two key issues that men acknowledged as barriers to abandonment. Advocacy by men and collaboration between men and women's health and community programs may be important steps forward in the abandonment process.

  8. Patients’ experiences with continuity of cancer care in Canada

    PubMed Central

    Easley, Julie; Miedema, Baukje; Carroll, June C.; O’Brien, Mary Ann; Manca, Donna P.; Grunfeld, Eva

    2016-01-01

    Abstract Objective To explore patient perspectives on and experiences with the coordination and continuity of cancer care. Design Qualitative study using semistructured telephone interviews. Setting Canada. Participants Thirty-eight breast and colorectal cancer survivors 1 to 4 years after diagnosis. Methods Using a constructivist grounded theory approach, semistructured telephone interviews were conducted with the participants. The interviews were digitally recorded, transcribed verbatim, and proofread. Transcripts were reviewed to create a focused coding scheme that was used to develop categories for participants’ experiences. Main findings Although this study focused on the continuity of cancer care, patients described their experiences with cancer care in general, concentrating predominantly on their relationships with individual health care providers (HCPs). Based on patients’ experiences, several themes were identified as the core components of providing good continuity and well coordinated care. The most important overarching theme was communication, which overlapped with 4 other themes: patient-HCP relationships, the role of HCPs, lack of access to care, and timely and tailored information. Conclusion Patients believed that good communication between HCPs and patients was key to improving the overall continuity of cancer care. Continuity of care is an important theoretical concept in cancer care, but it is not easily recognized by patients. They perceive the cancer care continuum and continuity of care as cancer care in general, which is typically framed by the individual relationships with their HCPs. Future research and interventions need to focus on finding and testing ways to improve communication to enhance continuity of cancer care. PMID:27737982

  9. Anxiety of women employees and the process of maternal role.

    PubMed

    Ahmadifaraz, Mansoureh; Foroughipour, Azam; Abedi, Heidarali; Azarbarzin, Mehrdad; Dehghani, Leila; Meamar, Rokhsareh

    2013-05-01

    Regarding the social and economic changes and developments, the increasing presence of working women in the present society and their important role in the family, paying more attentions to the importance of maternal role among working women who face multiple roles seems to be necessary. Hence, the process of maternal role among working women has been investigated in this study. The grounded theory approach is used in this qualitative research. In-depth and unstructured interviews were the main way in collecting the data. Initially, the targeted sampling was started and continued gradually to the data saturation, in the form of theoretical sampling based on the obtained classes. The data was analyzed using Strauss and Corbin analysis. Accuracy and validity by four criteria in this study included: Credibility, dependability, Confirmable potential, Transferability or Fittingness. Data analysis led to the identification of the core variable of role conflict. The main classes of occupied mothers' experiences included: different pregnancy experience, returning concerns, supportive umbrella, role assignation, role overlap, role strain, gradual acceptance, satisfaction and erosion. The acceptance of numerous roles such as maternal and marital roles by working women creates various role expectations of them from their children, spouses, family and the society which in turn forces them to meet both family and job requirements and expectations; This causes role conflict in working mothers and endure a lot of pressure and stress, that can influences of mental and physical health of the mothers.

  10. Anxiety of Women Employees and The Process of Maternal Role

    PubMed Central

    Ahmadifaraz, Mansoureh; Foroughipour, Azam; Abedi, Heidarali; Azarbarzin, Mehrdad; Dehghani, Leila; Meamar, Rokhsareh

    2013-01-01

    Introduction: Regarding the social and economic changes and developments, the increasing presence of working women in the present society and their important role in the family, paying more attentions to the importance of maternal role among working women who face multiple roles seems to be necessary. Hence, the process of maternal role among working women has been investigated in this study. Methods: The grounded theory approach is used in this qualitative research. In-depth and unstructured interviews were the main way in collecting the data. Initially, the targeted sampling was started and continued gradually to the data saturation, in the form of theoretical sampling based on the obtained classes. The data was analyzed using Strauss and Corbin analysis. Accuracy and validity by four criteria in this study included: Credibility, dependability, Confirmable potential, Transferability or Fittingness. Results: Data analysis led to the identification of the core variable of role conflict. The main classes of occupied mothers’ experiences included: different pregnancy experience, returning concerns, supportive umbrella, role assignation, role overlap, role strain, gradual acceptance, satisfaction and erosion. Conclusions: The acceptance of numerous roles such as maternal and marital roles by working women creates various role expectations of them from their children, spouses, family and the society which in turn forces them to meet both family and job requirements and expectations; This causes role conflict in working mothers and endure a lot of pressure and stress, that can influences of mental and physical health of the mothers. PMID:23776735

  11. Gender Differences in the Continuance of Online Social Networks

    NASA Astrophysics Data System (ADS)

    Shi, Na; Cheung, Christy M. K.; Lee, Matthew K. O.; Chen, Huaping

    Social network sites (SNS) have become increasingly popular in the past few years benefiting from the rapid growth of Web 2.0 applications. However, research on the adoption and usage of SNS is limited. In this study, we attempt to understand users' continuance intention to use SNS and investigate the role of gender. A research model was developed and tested with 213 respondents from an online survey. The results confirm that users' continuance intention to use SNS is strongly determined by satisfaction. The effect of disconfirmation of maintaining offline contacts on satisfaction is more important for women, while the effect of disconfirmation of entertainment is more salient for men. Implications of this study for both researchers and practitioners are discussed.

  12. Agroforestry: a refuge for tropical biodiversity?

    PubMed

    Bhagwat, Shonil A; Willis, Katherine J; Birks, H John B; Whittaker, Robert J

    2008-05-01

    As rates of deforestation continue to rise in many parts of the tropics, the international conservation community is faced with the challenge of finding approaches which can reduce deforestation and provide rural livelihoods in addition to conserving biodiversity. Much of modern-day conservation is motivated by a desire to conserve 'pristine nature' in protected areas, while there is growing recognition of the long-term human involvement in forest dynamics and of the importance of conservation outside protected areas. Agroforestry -- intentional management of shade trees with agricultural crops -- has the potential for providing habitats outside formally protected land, connecting nature reserves and alleviating resource-use pressure on conservation areas. Here we examine the role of agroforestry systems in maintaining species diversity and conclude that these systems can play an important role in biodiversity conservation in human-dominated landscapes.

  13. Getting Australia more active: challenges and opportunities for health promotion.

    PubMed

    Hills, A P; Street, S J; Harris, N

    2014-04-01

    A growing body of evidence demonstrates that regular physical activity promotes health and assists in the prevention of non-communicable diseases but this is presently curtailed by low and unhealthy participation rates in Australia and comparable industrialised countries. Compounding the problem is knowledge that physical inactivity is independently associated with poor health outcomes. Despite physical activity being described as public health's 'best bet' or 'best buy', motivating individuals and groups to adopt and maintain physical activity continues to be a major challenge for health professionals. Global advocacy for prevention efforts must be operationalised through national to local strategies to promote and support physical activity in multiple settings including the home, schools and workplace. The Australian health promotion community has and continues to play a leadership role in physical activity promotion. However, there is an urgent need to continue to promote the importance of physical activity, along with its pivotal role in the prevention of non-communicable diseases, alongside related agendas including healthy diets, tobacco control and environmental sustainability. This commentary overviews the contemporary status of physical activity promotion in Australia and identifies key challenges and opportunities moving forward.

  14. The role of lasers and intense pulsed light technology in dermatology

    PubMed Central

    Husain, Zain; Alster, Tina S

    2016-01-01

    The role of light-based technologies in dermatology has expanded dramatically in recent years. Lasers and intense pulsed light have been used to safely and effectively treat a diverse array of cutaneous conditions, including vascular and pigmented lesions, tattoos, scars, and undesired hair, while also providing extensive therapeutic options for cosmetic rejuvenation and other dermatologic conditions. Dermatologic laser procedures are becoming increasingly popular worldwide, and demand for them has fueled new innovations and clinical applications. These systems continue to evolve and provide enhanced therapeutic outcomes with improved safety profiles. This review highlights the important roles and varied clinical applications that lasers and intense pulsed light play in the dermatologic practice. PMID:26893574

  15. Determining the Variables That Affect the Reading Motivation of Educational Faculty Students

    ERIC Educational Resources Information Center

    Savaskan, Vafa; Özdemir, Atilla

    2017-01-01

    Reading motivation has a significant contribution to acquire the necessary reading skills, and it has an indisputable effect on continuing to read. When the importance of the role model effect of school teachers in acquiring reading skills is considered, it is expected that reading motivation of the students will be high whose teachers also have a…

  16. Changing fire regimes and the avifauna of California oak woodlands

    Treesearch

    Kathryn L. Purcell; Scott L. Stephens

    2005-01-01

    Abstract. Natural and anthropogenic fi re once played an important role in oak woodlands of California. Although lightning-ignited fi res were infrequent, the California Indians used fi re to modify oak woodland vegetation for at least 3,000 yr. These high-frequency, low-intensity fi res likely resulted in little mortality of mature oaks, low but continuous tree...

  17. Exterior wood in the South : selection, applications, and finishes

    Treesearch

    Daniel L. Cassens; William C. Feist

    1991-01-01

    Wood continues to play an important role as a structural material in today’s high-tech society. As lumber and in reconstituted products, wood is commonly used for house siding, trim, decks, fences, and countless other exterior and interior applications. When wood is exposed to the elements, particularly sunlight and moisture, special precautions must be taken in...

  18. Job Tasks and the Participation of Low-Skilled Employees in Employer-Provided Continuing Training in Germany

    ERIC Educational Resources Information Center

    Mohr, Sabine; Troltsch, Klaus; Gerhards, Christian

    2016-01-01

    This study analyses the participation of low-skilled employees in employer-provided training and examines the mechanisms that encourage the training participation of low-skilled employees. Building on theoretical considerations of human capital theory and the task-based approach, we seek to show that job tasks play an important role in explaining…

  19. The publication of a physics magazine

    NASA Astrophysics Data System (ADS)

    Zagier, Sergio R.

    1988-10-01

    We describe the characteristics of the regional physics magazine FISICA, published independently in Argentina. Some ideas for promoting the creation and continuous distribution of similar journals in the Americas are presented. The role of journals and scientific newspapers in complementing and in improving the content of textbooks is also considered, This is of crucial importance in the teaching of science at the introductory level.

  20. Mechanisms of Change in Dutch Inspected Schools: Comparing Schools in Different Inspection Treatments

    ERIC Educational Resources Information Center

    Ehren, Melanie C. M.; Shackleton, Nichola

    2016-01-01

    In many countries the need for education systems and schools to improve and innovate has become central to the education policy of governments. School inspections are expected to play an important role in promoting such continuous improvement and to help schools and education systems more generally to consider the need for change and improvement.…

  1. Young People and School General Certificate of Secondary Education Attainment: Looking for the "Missing Middle"

    ERIC Educational Resources Information Center

    Gayle, Vernon; Murray, Susan; Connelly, Roxanne

    2016-01-01

    In Britain, educational qualifications gained at school continue to play an important and central role in young people's educational and employment pathways. Recently there has been growing interest in documenting the lives of "ordinary" young people. In this paper we analyse the Youth Cohort Study of England and Wales in order to better…

  2. A Structural Model for Students' Adoption of Learning Management Systems: An Empirical Investigation in the Higher Education Context

    ERIC Educational Resources Information Center

    Findik-Coskunçay, Duygu; Alkis, Nurcan; Özkan-Yildirim, Sevgi

    2018-01-01

    With the recent advances in information technologies, Learning Management Systems have taken on a significant role in providing educational resources. The successful use of these systems in higher education is important for the implementation, management and continuous improvement of e-learning services to increase the quality of learning. This…

  3. Below- and above-ground effects of deadwood and termites in plantation forests

    Treesearch

    Michael D. Ulyshen; Richard Shefferson; Scott Horn; Melanie K. Taylor; Bryana Bush; Cavell Brownie; Sebastian Seibold; Michael S. Strickland

    2017-01-01

    Deadwood is an important legacy structure in managed forests, providing continuity in shelter and resource availability for many organisms and acting as a vehicle by which nutrients can be passed from one stand to the next following a harvest. Despite existing at the interface between below- and above-ground systems, however, much remains unknown about the role woody...

  4. Taking the Pulse of Campus Climate: Key Findings of the AGB Survey on Diversity and Inclusion

    ERIC Educational Resources Information Center

    Association of Governing Boards of Universities and Colleges, 2017

    2017-01-01

    Campus climate issues continue to pervade many institutions, with related news stories commanding headlines across the country. Through oversight and leadership, college and university governing boards play an important role in helping to create inclusive campuses. AGB conducted a survey of nearly 1,000 board members to take the pulse of campus…

  5. Role of a University of Technology in Human Capital Development in Nigeria

    ERIC Educational Resources Information Center

    Adedeji, A. O.; Adepoju, O. O.

    2011-01-01

    The greatness of nations appears to be based on the level of their human capital development as the world continues its march in the knowledge economy. It has become imperative for Nigeria to remain competitive in the comity of nations in the production, transfer and utilisation of knowledge. The realisation of the importance of human capital…

  6. Landscape and patch-level factors influence bird communities in an urbanized tropical island

    Treesearch

    Marcela Suarez-Rubio; John R. Thomlinson

    2009-01-01

    As human population continues to increase and intensification of human land use escalates, it is important to address the role of urban forest patches in supporting bird communities. We related bird species richness and community assemblage to landscape- and patch- level factors in 40 forest patches in the densely populated metropolitan area of San Juan, Puerto Rico....

  7. Initial and Continuing Vocational Training in Europe. European Report. CEDEFOP Panorama. First Edition.

    ERIC Educational Resources Information Center

    Piehl, Ernst; Sellin, Burkart

    In accordance with the Treaty on European Union, the European Community (EC) has a supportive role to play for the Member States in the areas of education and vocational training. The free movement of persons, the right to establish a business, and the freedom to provide services are among the most important fundamental rights which apply…

  8. An Examination of the Nature of Sand Harvesting Conflicts and Their Influence on Poverty Alleviation Initiatives in Makueni County, Kenya

    ERIC Educational Resources Information Center

    Muthomi, Simon; Okoth, Pontian; Were, Edmond; Vundi, Silvia

    2015-01-01

    Though natural resources play an important role in the economies of many countries, conflicts associated with their access continue to contribute to poverty in many African countries. While studies confirm conflict-poverty nexus for high value natural resources, scanty information is available on the low value resources. This study, therefore,…

  9. The Role of the Company in Generating Skills: The Learning Effects of Work Organisation. Germany. CEDEFOP Document.

    ERIC Educational Resources Information Center

    Grunewald, Uwe; Zimmer, Gerhard; Sauter, Edgar

    This document reports the findings of a 3-year study of company strategies and the training impact of labor organization in Germany. Among the topics discussed in the theoretical overview presented in section 1 are the following: the growing importance of learning in a working environment; Germany's continuing training "system" and…

  10. Cortical signal-in-noise coding varies by noise type, signal-to-noise ratio, age, and hearing status.

    PubMed

    Maamor, Nashrah; Billings, Curtis J

    2017-01-01

    The purpose of this study was to determine the effects of noise type, signal-to-noise ratio (SNR), age, and hearing status on cortical auditory evoked potentials (CAEPs) to speech sounds. This helps to explain the hearing-in-noise difficulties often seen in the aging and hearing impaired population. Continuous, modulated, and babble noise types were presented at varying SNRs to 30 individuals divided into three groups according to age and hearing status. Significant main effects of noise type, SNR, and group were found. Interaction effects revealed that the SNR effect varies as a function of noise type and is most systematic for continuous noise. Effects of age and hearing loss were limited to CAEP latency and were differentially modulated by energetic and informational-like masking. It is clear that the spectrotemporal characteristics of signals and noises play an important role in determining the morphology of neural responses. Participant factors such as age and hearing status, also play an important role in determining the brain's response to complex auditory stimuli and contribute to the ability to listen in noise. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. Deep Brain Stimulation, Continuity over Time, and the True Self.

    PubMed

    Nyholm, Sven; O'Neill, Elizabeth

    2016-10-01

    One of the topics that often comes up in ethical discussions of deep brain stimulation (DBS) is the question of what impact DBS has, or might have, on the patient's self. This is often understood as a question of whether DBS poses a threat to personal identity, which is typically understood as having to do with psychological and/or narrative continuity over time. In this article, we argue that the discussion of whether DBS is a threat to continuity over time is too narrow. There are other questions concerning DBS and the self that are overlooked in discussions exclusively focusing on psychological and/or narrative continuity. For example, it is also important to investigate whether DBS might sometimes have a positive (e.g., a rehabilitating) effect on the patient's self. To widen the discussion of DBS, so as to make it encompass a broader range of considerations that bear on DBS's impact on the self, we identify six features of the commonly used concept of a person's "true self." We apply these six features to the relation between DBS and the self. And we end with a brief discussion of the role DBS might play in treating otherwise treatment-refractory anorexia nervosa. This further highlights the importance of discussing both continuity over time and the notion of the true self.

  12. Core areas of practice and associated competencies for nurses working as professional cancer navigators.

    PubMed

    Cook, Sandra; Fillion, Lise; Fitch, Margaret; Veillette, Anne-Marie; Matheson, Tanya; Aubin, Michèle; de Serres, Marie; Doll, Richard; Rainville, François

    2013-01-01

    Fillion et al. (2012) recently designed a conceptual framework for professional cancer navigators describing key functions of professional cancer navigation. Building on this framework, this study defines the core areas of practice and associated competencies for professional cancer navigators. The methods used in this study included: literature review, mapping of navigation functions against practice standards and competencies, and validation of this mapping process with professional navigators, their managers and nursing experts and comparison of roles in similar navigation programs. Associated competencies were linked to the three identified core areas of practice, which are: 1) providing information and education, 2) providing emotional and supportive care, and 3) facilitating coordination and continuity of care. Cancer navigators are in a key position to improve patient and family empowerment and continuity of care. This is an important step for advancing the role of oncology nurses in navigator positions and identifying areas for further research.

  13. The role of vitamin D in pregnancy and lactation: emerging concepts

    PubMed Central

    Wagner, Carol L; Taylor, Sarah N; Johnson, Donna D; Hollis, Bruce W

    2015-01-01

    Pregnancy is a critical time in the lifecycle of a woman where she is responsible not only for her own well-being, but also that of her developing fetus, a process that continues during lactation. Until recently, the impact of vitamin D status during this period had not been fully appreciated. Data regarding the importance of vitamin D in health have emerged to challenge traditional dogma, and suggest that vitamin D – through its effect on immune function and surveillance – plays a role beyond calcium and bone metabolism on the health status of both the mother and her fetus. Following birth, this process persists; the lactating mother continues to be the main source of vitamin D for her infant. Thus, during both pregnancy and lactation, maternal deficiency predicts fetal and infant deficiency; the significance of this is just beginning to be understood and will be highlighted in this review. PMID:22554179

  14. Occupational physicians and environmental medicine

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

    Ducatman, A.M.

    1993-03-01

    Physicians who practice environmental medicine seek to identify and to prevent patient and population exposures that cause adverse human health outcomes. Epidemiologic, toxicologic, clinical, and public health skills essential to this enterprise are indistinguishable from those of the occupational physician. Several important controversies illustrate the essential role of occupational physicians in environmental health science and policy, including environmental asbestos, dioxin, electromagnetic fields, and carcinogenicity testing. Our continuing involvement in environmental issues is predicted by three conditions, each unlikely to change. The human remains the animal of greatest interest; the natural experiment will have been performed (however unwittingly); and the workmore » site will continue to provide that first and clearest setting for measuring the outcome. Therefore, residency training must be expanded so that future occupational and environmental physicians will recognize their fundamental role in environmental health. The results of our industry cross factory walls with ease. So must our efforts.« less

  15. Eyes on the prize: reflections on the impact of the evolving digital ecology on the librarian as expert intermediary and knowledge coach, 1969–2009*

    PubMed Central

    Homan, J. Michael

    2010-01-01

    Objective: The 2009 Janet Doe Lecture reflects on the continuing value and increasing return on investment of librarian-mediated services in the constantly evolving digital ecology and complex knowledge environment of the health sciences. Setting: The interrelationship of knowledge, decision making based on knowledge, technology used to access and retrieve knowledge, and the important linkage roles of expert librarian intermediaries is examined. Methodology: Professional experiences from 1969 to 2009, occurring during a time of unprecedented changes in the digital ecology of librarianship, are the base on which the evolving role and value of librarians as knowledge coaches and expert intermediaries are examined. Conclusion: Librarian-mediated services linking knowledge and critical decision making in health care have become more valuable than ever as technology continues to reshape an increasingly complex knowledge environment. PMID:20098655

  16. Pesticides: an important but underused model for the environmental health sciences.

    PubMed Central

    Hodgson, E; Levi, P E

    1996-01-01

    Pesticides are high-volume, widely used, environmental chemicals and there is continuous debate concerning their possible role in many chronic human health effects. Because of their known structures, known rates of application, and the presence of a large occupationally exposed population, they are not only important in their own right but are ideal models for the effects of environmental chemicals on the population in general. For reasons that are not always clear, this potential has not been realized. These exposed populations represent an underused asset in the study of the human health effects of environmental contaminants. Chronic effects thought to involve pesticides include carcinogenesis, neurotoxicity, and reproductive and development effects. In this paper we attempt to summarize this concern and, relying to a large extent on studies in our own laboratory, to indicate the importance and present status of studies of the mammalian metabolism of pesticides and indicate the need for further use of this model. Aspects considered include the role of pesticides as substrates for xenobiotic-metabolizing enzymes such as cytochrome P450 and the flavin-containing monooxygenase and their role as inducers or inhibitors of metabolic enzymes. The interaction of pesticides with complex multienzyme pathways, the role of biological characteristics, particularly gender, in pesticide metabolism, and the special role of pesticides at portals of entry and in target tissues are also considered. PMID:8722114

  17. Achieving success: assessing the role of and building a business case for technology in healthcare.

    PubMed

    Neumann, C L; Blouin, A S; Byrne, E M

    1999-01-01

    As the healthcare market continues to evolve, technology will play an increasingly important role in an integrated delivery system's ability to provide high-quality, cost-effective care. Healthcare leaders must be proactive and forward thinking about their technology investments. The financial investment for technology innovation can be significant. Therefore, it is important that healthcare executives deliberately design the role of technology and develop a consistent method for evaluating, identifying, and prioritizing technology investments. The article begins by describing technology's role in a healthcare organization as a window to the organization, a key driver of business strategy, and a high-performance enabler, and it develops a seven-step process for building a business case to ensure that an organization's technology investments are wise, well-reasoned, and will provide value to its customers. In addition, the article discusses the importance of combining people and process reengineering with new technology to exponentially increase the value to an organization. Healthcare leaders must understand the multiple roles of technology and consistently develop a business case when making technology investment decisions. Organizations driven by such an understanding will have a robust infrastructure of enabling technology designed to integrate people and process elements with technology to achieve the goals and initiatives of the organization. These organizations will lead the healthcare industry into the next millennium.

  18. A psychiatrist's role in “coming out” process: Context and controversies post-377

    PubMed Central

    Kalra, Gurvinder

    2012-01-01

    After the Delhi High Court judgment on reading down Section 377 Indian penal code, many individuals of alternate sexuality are wanting to come out to themselves and significant others in their lives. In this process, they often turn to psychiatrists seeking help. However the past of this specialty wherein homosexuality and other sexualities were considered a disease still haunts it with anecdotal reports of reorienting treatments continuing in certain parts of the country. While it is important to not continue with this unethical practice, at the same time, it is also important to be supportive to the issues that this and various other marginalized sexualities in our country face. This viewpoint is an attempt to reiterate certain steps that are to be followed by psychiatrists who find themselves in such clinical consultations. PMID:22556443

  19. The Drell-Yan Process

    DOE PAGES

    Peng, Jen -Chieh; Qiu, Jian -Wei

    2016-09-01

    The Drell-Yan process, proposed over 45 years ago by Sid Drell and Tung-Mow Yan to describe high-mass lepton-pair production in hadron-hadron collision, has played an important role in validating QCD as the correct theory for strong interaction. This process has also become a powerful tool for probing the partonic structures of hadrons. The Drell-Yan mechanism has led to the discovery of new particles, and will continue to be an important tool to search for new physics. In this study, we review some highlights and future prospects of the Drell-Yan process.

  20. Countertransference. Its continued importance in psychiatric education

    PubMed Central

    Rao, Nyapati R.; Meinzer, Arthur E.; Berman, Sheldon S.

    1997-01-01

    Psychotherapy is likely to play a minor or nonexistent role in the future general psychiatrist's training and practice. However, the component skills of recognition and management of the countertransference will remain important. Because psychotherapy training and supervision have been the venues for countertransference learning, the field is in danger of losing its teaching laboratory and hence losing these skills. The authors examine the concept of countertransference and discuss its importance in four increasingly significant areas: managed care, psychopharmacological treatment, emergency intervention, and the management of professional boundaries regarding sexual misconduct. Methods are discussed for enhancing residents' countertransference skills through supervision, training groups, and the resident's personal psychotherapy. PMID:9058556

  1. [Analysis of FABP4 expression pattern in rump fat deposition and metabolism of Altay sheep].

    PubMed

    Ruixia, Xu; Lei, Gao; Weili, Zhao; Wei, Zhang; Guangchao, Song; Shangquan, Gan; Guoqing, Shi

    2015-02-01

    FABP4 (Fatty acid binding protein 4) is a hot candidate gene in fat deposition and lipid metabolism and participates in the transport and metabolism of intracellular free fatty acids. We aim to study the role of FABP4 in fat deposition and metabolism of the rump fat in Altay sheep. In this study, bioinformatics method was used to analyze the protein sequence homology among 10 species, and RT-PCR was employed to detect FABP4 tissue profiling of Altay sheep. An animal model simulating the rump fat deposition and metabolism of Altay sheep was established by continuous starvation, and qPCR and iTRAQ (isobaric tags for relative and absolute quantitation) were used to detecte FABP4 mRNA and protein expression changes in the control and continuous starvation groups, respectively. Sequence analysis showed that FABP4 protein sequence is highly conserved among species, suggesting an important biological function during evolution for FABP4. The RT-PCR result confirmed that FABP4 mRNA was highly expressed in intestinal and rump fat, suggesting that FABP4 plays an important physiological role in fat tissues. We did not find significant differences in FABP4 mRNA and protein between control and continuous starvation groups (P>0.05), which indicates that FABP4 may not be the key gene in fat deposition and metabolism in Altay sheep.The results above lay a foundation for further studies of FABP4 in rump or tail fat.

  2. A qualitative study of mindfulness-based cognitive therapy for depression.

    PubMed

    Mason, O; Hargreaves, I

    2001-06-01

    Psychotherapeutic interventions containing training in mindfulness meditation have been shown to help participants with a variety of somatic and psychological conditions. Mindfulness-based cognitive therapy (MBCT) is a meditation-based psychotherapeutic intervention designed to help reduce the risk of relapse of recurrent depression. There is encouraging early evidence from multi-centre randomized controlled trials. However, little is known of the process by which MBCT may bring therapeutic benefits. This study set out to explore participants' accounts of MBCT in the mental-health context. Seven participants were interviewed in two phases. Interview data from four participants were obtained in the weeks following MBCT. Grounded theory techniques were used to identify several categories that combine to describe the ways in which mental-health difficulties arose as well as their experiences of MBCT. Three further participants who have continued to practise MBCT were interviewed so as to further validate, elucidate and extend these categories. The theory suggested that the preconceptions and expectations of therapy are important influences on later experiences of MBCT. Important areas of therapeutic change ('coming to terms') were identified, including the development of mindfulness skills, an attitude of acceptance and 'living in the moment'. The development of mindfulness skills was seen to hold a key role in the development of change. Generalization of these skills to everyday life was seen as important, and several ways in which this happened, including the use of breathing spaces, were discussed. The study emphasized the role of continued skills practice for participants' therapeutic gains. In addition, several of the concepts and categories offered support to cognitive accounts of mood disorder and the role of MBCT in reducing relapse.

  3. Studies on the role of routes of allergen exposure in high IgE-producing beagle dogs sensitized to house dust mites.

    PubMed

    Marsella, R; Nicklin, C; Lopez, J

    2006-10-01

    The current study aimed to investigate the role played by oral, epicutaneous, and inhalation routes of exposure to house dust mites (HDM). The colony of high IgE-producing beagle dogs has been shown to develop pruritic dermatitis compatible with atopic dermatitis following environmental exposure (EE) to HDM. In crossover experiments, the response to EE was compared to two modified challenges, oral exposure (OE) and snood and muzzle exposure (SME). For OE, HDM were fed daily for 3 days. For SME, ingestion of allergen was prevented but there was inhalation and epicutaneous exposure to all body regions except to one ear. In all experiments, dogs were challenged for three consecutive days, and evaluated before, 6 h after exposure and daily thereafter, for 5 days. After a wash-out period, groups were crossed-over so that each dog was randomly challenged to all three protocols. Clinical scores were analysed using least squares analysis of variance. All dogs developed pruritic dermatitis regardless of the protocol. With OE, lesions developed in the same body regions as with EE although scores were lower. This difference became more evident after the first 3 days when OE scores decreased and EE scores continued to increase. The scores of covered and uncovered ears did not differ with SME. Scores for the remainder of the body were significantly lower than for EE. The development of lesions on covered ears supports the importance of inhalation or a systemic reaction to epicutaneous exposure in other areas. It is concluded that all routes are important and have additive effects, that route of exposure does not determine the distribution of lesions and that continuous epicutaneous exposure probably plays the most important role.

  4. The role of the psychiatrist in improving patient compliance.

    PubMed

    Hotujac, Ljubomir

    2007-02-01

    Compliance, usually referring to how well the patient takes the medication as prescribed, is an important issue in clinical practice. However, many patients, especially those with a psychiatric illness, stop taking their medications despite physician advice to continue. This cessation can lead to a deterioration in the condition, a relapse, or a recurrence of the illness. In the literature, many different factors contributing to poor compliance have been described, but the doctor's role and responsibilities are hardly mentioned. These factors will be discussed here with special emphasis on what a doctor should do and what a doctor should avoid.

  5. The Role of Allergen Exposure and Avoidance in Asthma

    PubMed Central

    Baxi, Sachin N.; Phipatanakul, Wanda

    2010-01-01

    Allergy testing and avoidance of allergens plays an important role in asthma control. Increased allergen exposure, in genetically susceptible individuals, can lead to allergic sensitization. Continued allergen exposure can increase the risk of asthma and other allergic diseases. In a patient with persistent asthma, identification of indoor and outdoor allergens and subsequent avoidance can improve symptoms. Often times, a patient will have multiple allergies and the avoidance plan should target all positive allergens. Several studies have shown that successful allergen remediation includes a comprehensive approach including education, cleaning, physical barriers and maintaining these practices. PMID:20568555

  6. Defining New Roles for Scientific Professional Organizations in Society?

    NASA Astrophysics Data System (ADS)

    Robock, A.; Byrne, J.

    2007-12-01

    The obfuscation of authentic science information in North America has reached epidemic proportions. The global warming debate is a classic example - there are a virtual unanimity and overwhelming evidence from scientific community that the Earth is warming rapidly and humans are an important cause, but there is confusion in the media and the public, partly as a result of disinformation campaigns by greenhouse gas polluters. Should the role of scientists in informing the public change in response to this? What should be the role of scientific societies, such as the American Geophysical Union, the American Meteorological Society, or the American Association for the Advancement of Science? Should we continue doing what we are doing, or be more proactive in using new technology to educate the public on important scientific issues? Should we devote resources to television advertisements? Should we support ads in the print media? This talk will discuss the pros and cons of individual and group actions in making the case in public for science, and suggest some new directions.

  7. General practitioners' continuing education: a review of policies, strategies and effectiveness, and their implications for the future.

    PubMed Central

    Smith, F; Singleton, A; Hilton, S

    1998-01-01

    BACKGROUND: The accreditation and provision of continuing education for general practitioners (GPs) is set to change with new proposals from the General Medical Council, the Government, and the Chief Medical Officer. AIM: To review the theories, policies, strategies, and effectiveness in GP continuing education in the past 10 years. METHOD: A systematic review of the literature by computerized and manual searches of relevant journals and books. RESULTS: Educational theory suggests that continuing education (CE) should be work-based and use the learner's experiences. Audit can play an important role in determining performance and needs assessment, but at present is largely a separate activity. Educational and professional support, such as through mentors or co-tutors, has been successfully piloted but awaits larger scale evaluation. Most accredited educational events are still the postgraduate centre lecture, and GP Tutors have a variable role in CE management and provision. Controlled trials of CE strategies suggest effectiveness is enhanced by personal feedback and work prompts. Qualitative studies have demonstrated that education plays only a small part in influencing doctors' behavior. CONCLUSION: Maintaining good clinical practice is on many stakeholders' agendas. A variety of methods may be effective in CE, and larger scale trials or evaluations are needed. PMID:10071406

  8. Factors associated with resident satisfaction with their continuity experience.

    PubMed

    Serwint, Janet R; Feigelman, Susan; Dumont-Driscoll, Marilyn; Collins, Rebecca; Zhan, Min; Kittredge, Diane

    2004-01-01

    To identify factors associated with resident satisfaction concerning residents' continuity experience. Continuity directors distributed questionnaires to residents at their respective institutions. Resident satisfaction was defined as satisfied or very satisfied on a Likert scale. The independent variables included 60 characteristics of the continuity experience from 7 domains: 1) patient attributes, 2) continuity and longitudinal issues, 3) responsibility as primary care provider, 4) preceptor characteristics, 5) educational opportunities, 6) exposure to practice management, and 7) interaction with other clinic and practice staff. A stepwise logistic regression model and the Generalized Estimating Equations approach were used. Thirty-six programs participated. Of 1155 residents (71%) who provided complete data, 67% (n = 775) stated satisfaction with their continuity experience. The following characteristics (adjusted odds ratio [OR] and 95% confidence interval [CI]) were found to be most significant: preceptor as good role model, OR = 7.28 ( CI = 4.2, 12.5); appropriate amount of teaching, OR = 3.25 (CI = 2.1, 5.1); involvement during hospitalization, OR = 2.61 (CI = 1.3, 5.2); exposure to practice management, OR = 2.39 (CI = 1.5, 3.8); good balance of general pediatric patients, OR = 2.34 (CI = 1.5, 3.6); resident as patient advocate, OR = 1.74 (CI = 1.2, 2.4); and appropriate amount of nursing support, OR = 1.65 (CI = 1.1, 2.6). Future career choice, type of continuity site, and level of training were not found to be statistically significant. Pediatric resident satisfaction was significantly associated with 7 variables, the most important of which were the ability of the preceptor to serve as a role model and teacher. The type of continuity site was not significant. Residency programs may use these data to develop interventions to enhance resident satisfaction, which may lead to enhanced work performance and patient satisfaction.

  9. Democracy, "Sector-Blindness" and the Delegitimation of Dissent in Neoliberal Education Policy: A Response to "Discourse" 34(2), May 2013

    ERIC Educational Resources Information Center

    Morsy, Leila; Gulson, Kalervo; Clarke, Matthew

    2014-01-01

    As a response to the 2013 special issue of "Discourse" on marketisation and equity in education, this paper suggests it is important to understand how school sectors (independent, Catholic and government) continue to play a significant role in how we constitute education, markets and equity in Australia. The first part of this paper…

  10. Dynamic genetic conservation in the presence of invasive insect and pathogen threats to forest tree species of the United States

    Treesearch

    J.L. Koch; R.A. Sniezko

    2017-01-01

    Ex-situ genetic conservation focused on collection and storage of seed can play an important role in conserving the genetic diversity of species under grave threat by biotic organisms or a changing climate. However, ex-situ genetic conservation is primarily a static activity and does not allow for evolution of the species under a continuing,...

  11. The Role of Efficient XML Interchange (EXI) in Navy Wide-Area Network (WAN) Optimization

    DTIC Science & Technology

    2015-03-01

    compress, and re-encrypt data to continue providing optimization through compression; however, that capability requires careful consideration of...optimization 23 of encrypted data requires a careful analysis and comparison of performance improvements and IA vulnerabilities. It is important...Contained EXI capitalizes on multiple techniques to improve compression, and they vary depending on a set of EXI options passed to the codec

  12. A Focus on Polarity: Investigating the Role of Orientation Cues in Mediating Student Performance on mRNA Synthesis Tasks in an Introductory Cell and Molecular Biology Course

    ERIC Educational Resources Information Center

    Olimpo, Jeffrey T.; Quijas, Daniel A.; Quintana, Anita M.

    2017-01-01

    The central dogma has served as a foundational model for information flow, exchange, and storage in the biological sciences for several decades. Despite its continued importance, however, recent research suggests that novices in the domain possess several misconceptions regarding the aforementioned processes, including those pertaining…

  13. Exploring the Sensitivity of Education Costs to Racial Composition of Schools and Race-Neutral Alternative Measures: A Cost Function Application to Missouri

    ERIC Educational Resources Information Center

    Baker, Bruce D.

    2011-01-01

    This article applies the education cost function methodology in order to estimate additional costs associated with black student concentration and with alternative, race-neutral measures of urban poverty. Recent research highlights the continued importance of the role of race in educational outcomes, and how the intersection of peer group effects…

  14. Role of eucalypt and other planted forests in biodiversity conservation and the provision of biodiversity-related services

    Treesearch

    Eckehard G. Brockerhoff; Hervé Jactel; John A. Parrotta; Silvio F.B. Ferraz

    2013-01-01

    Forests provide important habitat for much of the world’s biodiversity, and the continuing global deforestation is one of our greatest environmental concerns. Planted forests represent an increasing proportion of the global forest area and partly compensate for the loss of natural forest in terms of forest area, habitat for biodiversity and ecological function. At...

  15. Current Directions in Mediation Analysis

    PubMed Central

    MacKinnon, David P.; Fairchild, Amanda J.

    2010-01-01

    Mediating variables continue to play an important role in psychological theory and research. A mediating variable transmits the effect of an antecedent variable on to a dependent variable, thereby providing more detailed understanding of relations among variables. Methods to assess mediation have been an active area of research for the last two decades. This paper describes the current state of methods to investigate mediating variables. PMID:20157637

  16. Games That Art Educators Play: Games in the Historical and Cultural Context of Art Education

    ERIC Educational Resources Information Center

    Patton, Ryan M.

    2014-01-01

    Games have played an important role in modern educational methodologies. Beginning with the work of luminaries like Froebel, Montessori, and Dewey and continuing through the Cold War, the counter-culture movement of the 1960s and '70s, and into the present day, shifts in educational practice can be traced historically using the lens of games,…

  17. Correlational Analysis of Adult Students' Self-Directed Learning Readiness, Affective Learning Outcomes, Prior Electronic Learning Experience, and Age in Hybrid and Online Course-Delivery Formats

    ERIC Educational Resources Information Center

    Nikitenko, Gleb

    2009-01-01

    The self-directed learning (SDL) in all of its characteristics measured in students and in various learning contexts continues to have a very important role in educational research and requires new explorations. Contemporary research indicates that there is a direct positive relationship between the level of student self-directed learning…

  18. A Theory of Motivation and Ontological Enhancement: The Role of Disability Policy in Student Empowerment and Institutional Change

    ERIC Educational Resources Information Center

    Lundie, David

    2009-01-01

    As debate continues around the nature and values of education, it is important to ask the question of what factors motivate a student to engage with the ends of an educational institution. In this paper, a broad, holistic view of learner motivation, derived from Aristotelian ethics, is used to provide a model to drive institutional change.…

  19. From Aspirations to Action: The Role of Middle School Parents in Making the Dream of College a Reality

    ERIC Educational Resources Information Center

    Cunningham, Alisa F.; Erisman, Wendy; Looney, Shannon M.

    2007-01-01

    The importance of going to college has increased in the context of global competition and continuing stratification in society. Many strides have been made in encouraging students and parents to believe in the value of higher education, but the process of preparing for and applying to college is not easy. It requires making a variety of complex…

  20. An Exploratory Case Study Examining Transformational Leadership and Organizational Change within the Presidency of a Small, Four-Year University

    ERIC Educational Resources Information Center

    Filer, Daniel Matthew

    2013-01-01

    As both internal and external threats continue to arise and challenge the traditional mold of higher education, the role of the university president is becoming more and more important. The position is being required to serve in an ever-growing number of capacities in addition to steering the direction of the institution. The purpose of the…

  1. Studies in Continuity and Change: A Comparative Study of the Mother Goddess in Ancient India and Ancient Egypt.

    ERIC Educational Resources Information Center

    Hardiman, W. J.

    Visiting the Temple of Kali in Calcutta, India, one understands the importance of an Afro-centric methodology in describing the complex nature of the Mother Goddess in ancient India. Discoveries of ancient female figurines indicate an early Indian concept of the female role in the creation of civilization and culture and of the notion of the…

  2. Annual update: drugs, diagnostics and devices.

    PubMed

    Berardinelli, Candace; Kupecz, Deborah

    2003-03-01

    As NPs continue to play an important role in health care as administers of prescriptions, the value of reviewing the latest Food and Drug Administration (FDA) approvals for new drugs and devices is immeasurable. In 2002, the FDA approved several new drugs and devices, as well as monitored previously approved drugs for adverse reactions and untoward events. This article provides a brief review of relevant primary care topics.

  3. Animal models for microbicide studies.

    PubMed

    Veazey, Ronald S; Shattock, Robin J; Klasse, Per Johan; Moore, John P

    2012-01-01

    There have been encouraging recent successes in the development of safe and effective topical microbicides to prevent vaginal or rectal HIV-1 transmission, based on the use of anti-retroviral drugs. However, much work remains to be accomplished before a microbicide becomes a standard element of prevention science strategies. Animal models should continue to play an important role in pre-clinical testing, with emphasis on safety, pharmacokinetic and efficacy testing.

  4. The continuing search for antitumor agents from higher plants

    PubMed Central

    Pan, Li; Chai, Heebyung; Kinghorn, A. Douglas

    2009-01-01

    Plant secondary metabolites and their semi-synthetic derivatives continue to play an important role in anticancer drug therapy. In this short review, selected single chemical entity antineoplastic agents from higher plants that are currently in clinical trials as cancer chemotherapy drug candidates are described. These compounds are representative of a wide structural diversity. In addition, the approaches taken toward the discovery of anticancer agents from tropical plants in the laboratory of the authors are summarized. The successful clinical utilization of cancer chemotherapeutic agents from higher plants has been evident for about half a century, and, when considered with the promising pipeline of new plant-derived compounds now in clinical trials, this augurs well for the continuation of drug discovery research efforts to elucidate additional candidate substances of this type. PMID:20228943

  5. The role of 'Big Society' in monitoring the state of the natural environment.

    PubMed

    Mackechnie, Colin; Maskell, Lindsay; Norton, Lisa; Roy, David

    2011-10-01

    Environmental monitoring is essential for assessing the current state of the environment, measuring impacts of environmental pressures and providing evidence to government. Recent UK government announcements have indicated an increased role for 'Big Society' in monitoring. In this paper, we review available literature concerning the use of citizen science for monitoring, present examples of successful volunteer monitoring work and highlight important issues surrounding the use of volunteers. We argue that in order to ensure that environmental monitoring continues to be effective it is important to learn from examples where volunteers are currently used, acknowledging constraints and identifying potential approaches which will help to maximise both their engagement and data quality. Effective partnerships between environmental monitoring organisations and volunteers may thus aid the UK in developing robust coordinated monitoring systems that will be less vulnerable to funding variances.

  6. The potential of model studies for the understanding of catalyst poisoning and temperature effects in polymer electrolyte fuel cell reactions

    NASA Astrophysics Data System (ADS)

    Behm, R. J.; Jusys, Z.

    In this contribution we demonstrate the potential of model studies for the understanding of electrocatalytic reactions in low-temperature polymer electrolyte fuel cells (PEFCs) operated by H 2-rich anode feed gas, in particular of the role of temperature effects and catalyst poisoning. Reviewing previous work from our laboratory and, for better comparison, focussing on carbon-supported Pt catalysts, the important role of using fuel cell relevant reaction and mass transport conditions will be outlined. The latter conditions include continuous reaction, elevated temperatures, realistic supported catalyst materials and controlled mass transport. The data show the importance of combining electrochemical techniques such as rotating disc electrode (RDE), wall-jet and flow cell measurements, and on-line differential electrochemical mass spectrometry (DEMS) under controlled mass transport conditions.

  7. Oxygen and wound care: a review of current therapeutic modalities and future direction.

    PubMed

    Howard, Michael A; Asmis, Reto; Evans, Karen Kim; Mustoe, Thomas A

    2013-01-01

    While the importance of oxygen to the wound healing process is well accepted, research and technological advances continue in this field and efforts are ongoing to further utilize oxygen as a therapeutic modality. In this paper, the authors briefly review the role of oxygen in wound healing and discuss the distinct mechanism of action as well as the advantages and disadvantages of the three major oxygen-based therapies currently in clinical use (Hyperbaric Oxygen and Topical Oxygen and Continuous Diffusion of Oxygen), as well as review the existing literature regarding these distinct therapeutic modalities. © 2013 by the Wound Healing Society.

  8. The harmonization of the regulation of blood products: a European perspective.

    PubMed

    Seitz, R; Heiden, M; Nübling, C M; Unger, G; Löwer, J

    2008-05-01

    The development of blood products as medicines initially took place on the national level in various countries, which resulted in considerable diversity of mechanisms and stringency of regulatory oversight. The scenario changed dramatically with the catastrophic experience that severe virus infections had been transmitted by blood products world-wide. Blood products, which had been regulated differently in the member states, became subject to the European pharmaceutical legislation in 1989. A specialized directive regulating the blood transfusion sector and the collection of plasma for fractionation was enacted in 2002. The European Community, particularly the Commission and the European Medicines Agency, is continuously refining the requirements, providing detailed technical and scientific guidance. In addition, institutions of the Council of Europe play an important role in the transfusion sector, the elaboration of the European Pharmacopoeia prescriptions, and the co-ordination of Official Medicines Control Laboratory or Laboratories batch release. However, further and sustained efforts towards international harmonization are needed. There are already important mechanisms in place, such as the International Conference on Harmonization initiative, which is producing internationally recognized guidelines on central issues. Another important achievement is the common technical document format, which enables the use of uniform applications for marketing authorization. However, there is still room for progress, for example, questions regarding regulatory requirements for licensing of in vitro diagnostic devices, or mutual recognition of inspections. The World Health Organization continues to play an important role in harmonization, both substantially by the production of high-level guidance documents or the establishment of physical international standard preparations, and in a more general sense by providing a platform for international collaboration. A very important aspect is the transparency of the creation and refinement of regulatory requirements. It is currently the rule that draft legal texts, monographs and guidelines are published for a consultation period before adoption. Effort and attention are required to keep track of the developments. However, in the era of modern electronic communication tools, the necessary information can be found on websites and comments can easily be submitted. Networking and exchange of information will continue to be crucial for development and maintenance of sound and balanced regulatory requirements.

  9. The protozooplankton-ichthyoplankton trophic link: an overlooked aspect of aquatic food webs.

    PubMed

    Montagnes, David J S; Dower, John F; Figueiredo, Gisela M

    2010-01-01

    Since the introduction of the microbial loop concept, awareness of the role played by protozooplankton in marine food webs has grown. By consuming bacteria, and then being consumed by metazooplankton, protozoa form a trophic link that channels dissolved organic material into the "classic" marine food chain. Beyond enhancing energy transfer to higher trophic levels, protozoa play a key role in improving the food quality of metazooplankton. Here, we consider a third role played by protozoa, but one that has received comparatively little attention: that as prey items for ichthyoplankton. For >100 years it has been known that fish larvae consume protozoa. Despite this, fisheries scientists and biological oceanographers still largely ignore protozoa when assessing the foodweb dynamics that regulate the growth and survival of larval fish. We review evidence supporting the importance of the protozooplankton-ichthyoplankton link, including examples from the amateur aquarium trade, the commercial aquaculture industry, and contemporary studies of larval fish. We then consider why this potentially important link continues to receive very little attention. We conclude by offering suggestions for quantifying the importance of the protozooplankton-ichthyoplankton trophic link, using both existing methods and new technologies.

  10. Exploring emergency nurse practitioners' perceptions of their role.

    PubMed

    Bagley, Sue

    2018-02-21

    Since the 1980s, the emergency nurse practitioner (ENP) role has evolved as increasing socioeconomic pressures and changing government policy have led to new working practices in emergency departments. Similarly, a lack of consensus regarding educational support for ENPs and the regulation of ENP training, mean that variations remain in the scope of practice, role description and academic requirements for ENPs. To explore ENPs' perceptions of their changing role, including their educational requirements and whether their training needs are being met. This qualitative phenomenological study examined the views of six ENPs using semi-structured interviews. The study identified four themes: inadequate protected time for continuing professional development (CPD); importance of senior medical support in role expansion and CPD; inconsistent educational preparation for expanded roles; and the ENPs' perceived reasons for role expansion. Although all the participants stated that it was challenging to find time for CPD when working in busy clinical environments, this was regarded as less important than the positive effect of senior medical support for advanced roles. Over the past three decades, the ENP role has become well established, which has led to increased confidence, and the development of collaborative ways of working, among ENPs and their colleagues. However, while ENPs have embraced the challenges of their changing role, educational support has not been consistent. There are still disparities in ENPs' scope of practice, expectations of the role between services, and the educational preparation required to undertake the role. ©2018 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

  11. Ethics and community-based participatory research: perspectives from the field.

    PubMed

    Bastida, Elena M; Tseng, Tung-Sung; McKeever, Corliss; Jack, Leonard

    2010-01-01

    Exploring the importance of ethical issues in the conduct of community-based participatory research (CBPR) continues to be an important topic for researchers and practitioners. This article uses the Beyond Sabor Project, a CBPR project implemented in the Lower Rio Grande Valley, as a case example to discuss ethical issues such as the importance of increasing community involvement in research, ensuring that communities benefit from the research, sharing leadership roles, and sensitive issues regarding data collection and sharing. Thereafter, this article concludes with a brief discussion of six principles that can inform the practice of ethical conduct when implementing CBPR studies. This article also lists additional reading resources on the importance of ethics in the conduct of CBPR.

  12. Complex systems dynamics in aging: new evidence, continuing questions.

    PubMed

    Cohen, Alan A

    2016-02-01

    There have long been suggestions that aging is tightly linked to the complex dynamics of the physiological systems that maintain homeostasis, and in particular to dysregulation of regulatory networks of molecules. This review synthesizes recent work that is starting to provide evidence for the importance of such complex systems dynamics in aging. There is now clear evidence that physiological dysregulation--the gradual breakdown in the capacity of complex regulatory networks to maintain homeostasis--is an emergent property of these regulatory networks, and that it plays an important role in aging. It can be measured simply using small numbers of biomarkers. Additionally, there are indications of the importance during aging of emergent physiological processes, functional processes that cannot be easily understood through clear metabolic pathways, but can nonetheless be precisely quantified and studied. The overall role of such complex systems dynamics in aging remains an important open question, and to understand it future studies will need to distinguish and integrate related aspects of aging research, including multi-factorial theories of aging, systems biology, bioinformatics, network approaches, robustness, and loss of complexity.

  13. The role of philosophy in the conceptual development of quantum physics

    NASA Astrophysics Data System (ADS)

    Diamond, Ethel

    Making a distinction between the context of discovery and the context of justification, I examine the relationship between philosophy and the discovery of quantum physics. I do this by focusing on four of the most important contributors to quantum theory: Albert Einstein, Werner Heisenberg, Erwin Schrodinger and Niels Bohr. Looking to the period immediately preceding the era in which quantum physics was developed, I first explore the scientific writings of Hermann von Helmholtz, Ernst Mach, Heinrich Hertz and Ludwig Boltzmann. In doing so, I uncover the integral role classic philosophy played in the scientific investigations of nineteenth-century German and Austrian physicists. After establishing the cultural link between scientific writing and philosophic training at that time and place in history, I investigate the formative philosophic influences on Einstein, Heisenberg, Schrodinger and Bohr. By a close examination of some of their most important scientific papers, this dissertation reveals the way in which these early twentieth-century scientists continued an important nineteenth-century European tradition of integrating philosophic thought in their scientific creative thinking.

  14. Applications of VIC for Climate Land Cover Change Imapacts

    NASA Technical Reports Server (NTRS)

    Markert, Kel

    2017-01-01

    Study focuses on the Lower Mekong Basin (LMB), the LMB is an economically and ecologically important region: (1) One of the largest exporters of rice and fish products, (2) Within top three most biodiverse river basins in the world. Natural climate variability plays an important role in water supply within the region: (1) Short-term climate variability (ENSO, MJO), (2) Long-term climate variability (climate change). Projections of climate change show there will be a decrease in water availability world wide which has implications for food security and ecology. Additional studies show there may be socioeconomic turmoil due to water wars and food security in developing regions such as the Mekong Basin. Southeast Asia has experienced major changes in land use and land cover from 1980 – 2000. Major economic reforms resulting in shift from subsistence farming to market-based agricultural production. Changes in land cover continue to occur which have an important role within the land surface aspect of hydrology.

  15. A novel glucuronosyltransferase has an unprecedented ability to catalyse continuous two-step glucuronosylation of glycyrrhetinic acid to yield glycyrrhizin.

    PubMed

    Xu, Guojie; Cai, Wei; Gao, Wei; Liu, Chunsheng

    2016-10-01

    Glycyrrhizin is an important bioactive compound that is used clinically to treat chronic hepatitis and is also used as a sweetener world-wide. However, the key UDP-dependent glucuronosyltransferases (UGATs) involved in the biosynthesis of glycyrrhizin remain unknown. To discover unknown UGATs, we fully annotated potential UGATs from Glycyrrhiza uralensis using deep transcriptome sequencing. The catalytic functions of candidate UGATs were determined by an in vitro enzyme assay. Systematically screening 434 potential UGATs, we unexpectedly found one unique GuUGAT that was able to catalyse the glucuronosylation of glycyrrhetinic acid to directly yield glycyrrhizin via continuous two-step glucuronosylation. Expression analysis further confirmed the key role of GuUGAT in the biosynthesis of glycyrrhizin. Site-directed mutagenesis revealed that Gln-352 may be important for the initial step of glucuronosylation, and His-22, Trp-370, Glu-375 and Gln-392 may be important residues for the second step of glucuronosylation. Notably, the ability of GuUGAT to catalyse a continuous two-step glucuronosylation reaction was determined to be unprecedented among known glycosyltransferases of bioactive plant natural products. Our findings increase the understanding of traditional glycosyltransferases and pave the way for the complete biosynthesis of glycyrrhizin. © 2016 The Authors. New Phytologist © 2016 New Phytologist Trust.

  16. The role of audience characteristics and external factors in continuing medical education and physician change: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines.

    PubMed

    Lowe, Mary Martin; Bennett, Nancy; Aparicio, Alejandro

    2009-03-01

    The Agency for Healthcare Research and Quality (AHRQ) Evidence Report identified and assessed audience characteristics (internal factors) and external factors that influence the effectiveness of continuing medical education (CME) in changing physician behavior. Thirteen studies examined a series of CME audience characteristics (internal factors), and six studies looked at external factors to reinforce the effects of CME in changing behavior. With regard to CME audience characteristics, the 13 studies examined age, gender, practice setting, years in practice, specialty, foreign vs US medical graduate, country of practice, personal motivation, nonmonetary rewards and motivations, learning satisfaction, and knowledge enhancement. With regard to the external characteristics, the six studies looked at the role of regulation, state licensing boards, professional boards, hospital credentialing, external audits, monetary and financial rewards, academic advancement, provision of tools, public demand and expectations, and CME credit. No consistent findings were identified. The AHRQ Evidence Report provides no conclusions about the ways that internal or external factors influence CME effectiveness in changing physician behavior. However, given what is known about how individuals approach learning, it is likely that internal factors play an important role in the design of effective CME. Regulatory and professional organizations are providing new structures, mandates, and recommendations for CME activities that influence the way CME providers design and present activities, supporting a role that is not yet clear for external factors. More research is needed to understand the impact of these factors in enhancing the effectiveness of CME.

  17. The Importance of High School Physics Teachers for Female Students' Physics Identity and Persistence

    NASA Astrophysics Data System (ADS)

    Hazari, Zahra; Brewe, Eric; Goertzen, Renee Michelle; Hodapp, Theodore

    2017-02-01

    Given the historic and continued underrepresentation of women in physics, it is important to understand the role that high school physics might play in attracting female students to physics careers. Drawing on data from over 900 female undergraduates in physics, we examine when these women became interested in physics careers and different sources of recognition (important for physics identity development) that may have affected their choices at certain time points. The results provide optimism since many of these female students, even those not previously intending science careers, began to intend physics careers in high school and recognition from high school physics teachers had a significant effect on predicting these intentions.

  18. Lifelong Learning for Clinical Practice: How to Leverage Technology for Telebehavioral Health Care and Digital Continuing Medical Education.

    PubMed

    Hilty, Donald M; Turvey, Carolyn; Hwang, Tiffany

    2018-03-12

    Psychiatric practice continues to evolve and play an important role in patients' lives, the field of medicine, and health care delivery. Clinicians must learn a variety of clinical care systems and lifelong learning (LLL) is crucial to apply knowledge, develop skills, and adjust attitudes. Technology is rapidly becoming a key player-in delivery, lifelong learning, and education/training. The evidence base for telepsychiatry/telemental health via videoconferencing has been growing for three decades, but a greater array of technologies have emerged in the last decade (e.g., social media/networking, text, apps). Clinicians are combining telepsychiatry and these technologies frequently and they need to reflect on, learn more about, and develop skills for these technologies. The digital age has solidified the role of technology in continuing medical education and day-to-day practice. Other fields of medicine are also adapting to the digital age, as are graduate and undergraduate medical education and many allied mental health organizations. In the future, there will be more online training, simulation, and/or interactive electronic examinations, perhaps on a monthly cycle rather than a quasi-annual or 10-year cycle of recertification.

  19. Continuous executive function disruption interferes with application of an information integration categorization strategy.

    PubMed

    Miles, Sarah J; Matsuki, Kazunaga; Minda, John Paul

    2014-07-01

    Category learning is often characterized as being supported by two separate learning systems. A verbal system learns rule-defined (RD) categories that can be described using a verbal rule and relies on executive functions (EFs) to learn via hypothesis testing. A nonverbal system learns non-rule-defined (NRD) categories that cannot be described by a verbal rule and uses automatic, procedural learning. The verbal system is dominant in that adults tend to use it during initial learning but may switch to the nonverbal system when the verbal system is unsuccessful. The nonverbal system has traditionally been thought to operate independently of EFs, but recent studies suggest that EFs may play a role in the nonverbal system-specifically, to facilitate the transition away from the verbal system. Accordingly, continuously interfering with EFs during the categorization process, so that EFs are never fully available to facilitate the transition, may be more detrimental to the nonverbal system than is temporary EF interference. Participants learned an NRD or an RD category while EFs were untaxed, taxed temporarily, or taxed continuously. When EFs were continuously taxed during NRD categorization, participants were less likely to use a nonverbal categorization strategy than when EFs were temporarily taxed, suggesting that when EFs were unavailable, the transition to the nonverbal system was hindered. For the verbal system, temporary and continuous interference had similar effects on categorization performance and on strategy use, illustrating that EFs play an important but different role in each of the category-learning systems.

  20. Proceedings of a conference on sustainability of wetlands and water resources: how well can riverine wetlands continue to support society into the 21st century?

    Treesearch

    Marjorie M. Holland; Melvin L. Warren; John A. Stanturf; [Editors

    2002-01-01

    The conference focused on recent work in freshwater wetlands [both natural and constructed] with a view toward understanding wetland processes in a watershed context. Since humans have played important roles in watershed dynamics for years, attention was given to the human dimensions of wetland and watershed uses. Contributed sessions were organized on: biogeochemical...

  1. Balancing Passion and Practicality: The Role of Debt and Major on Students' Financial Outcomes. Research Report

    ERIC Educational Resources Information Center

    TG (Texas Guaranteed Student Loan Corporation), 2012

    2012-01-01

    As the importance of a college degree climbs and federal and state grant funding remains inadequate, millions of students in the U.S. continue to take out student loans each year to help pay for their rising education costs. In October 2011, the total amount of outstanding student loan debt in the U.S. exceeded $1 trillion (Chopra, 2012),…

  2. An Inquiry into the Need for and Feasibility of a National Study of Intercollegiate Athletics. A Report to the American Council on Education.

    ERIC Educational Resources Information Center

    Hanford, George H.

    An inquiry was conducted during the period of October 1973 through March 1974 to assess the need for a more comprehensive study of intercollegiate sports in the United States. A number of observations were made: (1) Although sports as entertainment can be expected to continue to play an increasingly important role in our society, big-time…

  3. Does a Formal Wiki Event Contribute to the Formation of a Network of Practice? A Social Capital Perspective on the Potential for Informal Learning

    ERIC Educational Resources Information Center

    Rehm, Martin; Littlejohn, Allison; Rienties, Bart

    2018-01-01

    Informal learning in blended and online settings plays an increasingly important role in the continuous professional development of individuals. Yet, how do individuals engage into these types of activities? We argue that social capital theory can provide valuable insights into how people behave and decide to take part in (in)formal learning.…

  4. 21st Century Community Learning Centers: Stable Funding for Innovation and Continuous Improvement. Research Update: Highlights from the Out-of-School Time Database. Number 8

    ERIC Educational Resources Information Center

    Wimer, Christopher; Harris, Erin

    2012-01-01

    As the only federal funding stream that provides dedicated funds for afterschool programs across the country, the 21st Century Community Learning Centers (21st CCLC) initiative plays an important role in supporting the innovation that takes place in afterschool programs. Social innovation has been defined as "a novel solution to a social…

  5. Nuestras Escuelas: A Grounded Theory Study of the Barriers to Family Involvement in Special Education Faced by Undocumented Mexican Immigrant Families

    ERIC Educational Resources Information Center

    Morales, Santiago

    2015-01-01

    Immigration has played an important role in the history of the United States of America. As a country founded by immigrants more than two hundred years ago, it continues to attract individuals from across the globe. People journey to the United States in search of political and economic freedom as well as opportunities that may have been…

  6. Animal models for microbicide studies

    PubMed Central

    Veazey, Ronald S.; Shattock, Robin J; Klasse, Per Johan; Moore, John P.

    2013-01-01

    There have been encouraging recent successes in the development of safe and effective topical microbicides to prevent vaginal or rectal HIV-1 transmission, based on the use of anti-retroviral drugs. However, much work remains to be accomplished before a microbicide becomes a standard element of prevention science strategies. Animal models should continue to play an important role in pre-clinical testing, with emphasis on safety, pharmacokinetic and efficacy testing. PMID:22264049

  7. American Internal Medicine in the 21st Century

    PubMed Central

    Huddle, Thomas S; Centor, Robert; Heudebert, Gustavo R

    2003-01-01

    American internal medicine suffers a confusion of identity as we enter the 21st century. The subspecialties prosper, although unevenly, and retain varying degrees of connection to their internal medicine roots. General internal medicine, identified with primary care since the 1970s, retains an affinity for its traditional consultant-generalist ideal even as primary care further displaces that ideal. We discuss the origins and importance of the consultant-generalist ideal of internal medicine as exemplified by Osler, and its continued appeal in spite of the predominant role played by clinical science and accompanying subspecialism in determining the academic leadership of American internal medicine since the 1920s. Organizing departmental clinical work along subspecialty lines diminished the importance of the consultant-generalist ideal in academic departments of medicine after 1950. General internists, when they joined the divisions of general internal medicine that appeared in departments of medicine in the 1970s, could sometimes emulate Osler in practicing a general medicine of complexity, but often found themselves in a more limited role doing primary care. As we enter the 21st century, managed care threatens what remains of the Oslerian ideal, both in departments of medicine and in clinical practice. Twenty-first century American internists will have to adjust their conditions of work should they continue to aspire to practice Oslerian internal medicine. PMID:12950486

  8. Intra-articular pressures and joint mechanics: should we pay attention to effusion in knee osteoarthritis?

    PubMed

    Rutherford, Derek James

    2014-09-01

    What factors play a role to ensure a knee joint does what it should given the demands of moving through the physical environment? This paper aims to probe the hypothesis that intra-articular joint pressures, once a topic of interest, have been left aside in contemporary frameworks in which we now view knee joint function. The focus on ligamentous deficiencies and the chondrocentric view of osteoarthritis, while important, have left little attention to the consideration of other factors that can impair joint function across the lifespan. Dynamic knee stability is required during every step we take. While there is much known about the role that passive structures and muscular activation play in maintaining a healthy knee joint, this framework does not account for the role that intra-articular joint pressures may have in providing joint stability during motion and how these factors interact. Joint injuries invariably result in some form of intra-articular fluid accumulation. Ultimately, it may be how the knee mechanically responds to this fluid, of which pressure plays a significant role that provides the mechanisms for continued function. Do joint pressures provide an important foundation for maintaining knee function? This hypothesis is unique and argues that we are missing an important piece of the puzzle when attempting to understand implications that joint injury and disease have for joint function. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. Vital pathways for hospital librarians: present and future roles

    PubMed Central

    Holst, Ruth; Funk, Carla J.; Adams, Heidi Sue; Bandy, Margaret; Boss, Catherine Mary; Hill, Beth; Joseph, Claire B.; Lett, Rosalind K.

    2009-01-01

    Objectives: The research objectives were to (1) describe the current and future roles of hospital librarians and the challenges they face and (2) find evidence supporting the hypothesis that librarians are essential to hospitals in achieving the organizations' mission-critical goals. Method: The authors used results from a previous research study that identified the five organizational mission-critical goals important to hospital administrators and then searched the literature and solicited examples from hospital librarians to describe the librarian's role in helping hospitals achieve these goals. Results: The literature supports the hypothesis that hospital librarians play important roles in the success of the hospital. Librarians support quality clinical care, efficient and effective hospital operations, continuing education for staff, research and innovation, and patient, family, and community health information needs. Conclusion: Hospital librarians fulfill many mission-critical roles in today's hospital, providing the right information at the right time in a variety of ways to enhance hospital and medical staff effectiveness, optimize patient care, improve patient outcomes, and increase patient and family satisfaction with the hospital and its services. Because hospital librarians and their services provide an excellent return on investment for the hospital and help the hospital keep its competitive edge, hospital staff should have access to the services of a professional librarian. PMID:19851493

  10. Vital pathways for hospital librarians: present and future roles.

    PubMed

    Holst, Ruth; Funk, Carla J; Adams, Heidi Sue; Bandy, Margaret; Boss, Catherine Mary; Hill, Beth; Joseph, Claire B; Lett, Rosalind K

    2009-10-01

    The research objectives were to (1) describe the current and future roles of hospital librarians and the challenges they face and (2) find evidence supporting the hypothesis that librarians are essential to hospitals in achieving the organizations' mission-critical goals. The authors used results from a previous research study that identified the five organizational mission-critical goals important to hospital administrators and then searched the literature and solicited examples from hospital librarians to describe the librarian's role in helping hospitals achieve these goals. The literature supports the hypothesis that hospital librarians play important roles in the success of the hospital. Librarians support quality clinical care, efficient and effective hospital operations, continuing education for staff, research and innovation, and patient, family, and community health information needs. Hospital librarians fulfill many mission-critical roles in today's hospital, providing the right information at the right time in a variety of ways to enhance hospital and medical staff effectiveness, optimize patient care, improve patient outcomes, and increase patient and family satisfaction with the hospital and its services. Because hospital librarians and their services provide an excellent return on investment for the hospital and help the hospital keep its competitive edge, hospital staff should have access to the services of a professional librarian.

  11. The Relationship Between Early Maladaptive Schemas, Depression, and Generalized Anxiety among Adults Seeking Residential Treatment for Substance Use Disorders.

    PubMed

    Shorey, Ryan C; Elmquist, Joanna; Anderson, Scott; Stuart, Gregory L

    2015-01-01

    Previous research has shown that early maladaptive schemas (EMS) play an important role in substance use, depression, and anxiety. However, few studies have examined the role of EMS within the context of all three concurrently. The goal of this study was to determine the role of EMS in predicting symptoms of Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD) among adults in residential treatment for substance dependence. We used pre-existing patient records of adults diagnosed with a substance use disorder from a residential substance use treatment facility (N=122). The EMS domains of disconnection and rejection and impaired limits were associated with symptoms of MDD and the domain of impaired autonomy and performance was associated with symptoms of GAD, even after controlling for age, gender, years of education, alcohol use, drug use, and symptoms of MDD (when predicting GAD) and GAD (when predicting MDD). Findings suggest that EMS may play an important role in comorbid mental health problems among men and women in residential substance use treatment. Continued treatment outcome research is needed to examine whether modification of EMS results in improved mental health and substance use outcomes.

  12. Recent progress in reversible photodegradation of Disperse Orange 11 when doped in PMMA

    NASA Astrophysics Data System (ADS)

    Ramini, Shiva K.; Anderson, Benjamin; Kuzyk, Mark G.

    2011-12-01

    We report observations that dye-doped PMMA polymer with the organic dye Disperse Orange 11 exhibits self healing after photodegradation by continuous optical pumping whereas in liquid solution, degradation is permanent. This observation illustrates the important role of the polymer matrix in facilitating recovery of the dye molecules. In this work, we report on linear optical absorbance studies that confirm the existence of a quasi-stable state that is not formed in liquid solution. Studies as a function of dye concentration and temperature support our hypothesis of the role of molecular interactions in the decay and healing process that is mediated by the polymer host.

  13. Partnering at the National Laboratories: Catalysis as a Case Study

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

    JACKSON,NANCY B.

    1999-09-14

    The role of the national laboratories, particularly the defense program laboratories, since the end of the cold war, has been a topic of continuing debate. The relationship of national laboratories to industry spurred debate which ranged from designating the labs as instrumental to maintaining U.S. economic competitiveness to concern over the perception of corporate welfare to questions regarding the industrial globalization and the possibility of U.S. taxpayer dollars supporting foreign entities. Less debated, but equally important, has been the national laboratories' potential competition with academia for federal research dollars and discussions detailing the role of each in the national researchmore » enterprise.« less

  14. Framing nursing practice within a forensic outpatient service.

    PubMed

    Encinares, M; Lorbergs, K A

    2001-09-01

    The role of the outpatient forensic nurse is evolving as a specialized area of nursing practice in the community. Nurses must have comprehensive knowledge of the patients, keen intuition, and sound judgment in the continuous clinical assessment of the criminogenic factors that help determine the patients' level of risk. In addition, it is crucial to know and understand the court system, the process of the ORB, and the implications of the disposition order. The comprehensive, client-centered care provided by the Forensic Outpatient Service encompasses multifunctional and complex roles and responsibilities and clearly demonstrates the importance of the forensic outpatient nurse in working with this group of patients.

  15. Effect of forced exercise and exercise withdrawal on memory, serum and hippocampal corticosterone levels in rats.

    PubMed

    Radahmadi, Maryam; Alaei, Hojjatallah; Sharifi, Mohammad Reza; Hosseini, Nasrin

    2015-10-01

    Evidence suggests that there are positive effects of exercise on learning and memory. Moreover, some studies have demonstrated that forced exercise plays the role of a stressor. This study was aimed at investigating the effects of different timing of exercise and exercise withdrawal on memory, and serum and hippocampal corticosterone (CORT) levels. Wistar rats were randomly divided into five groups: control, sham, exercise-rest (exercise withdrawal), rest-exercise (exercised group), and exercise-exercise (continuous exercise). Rats were forced to run on a treadmill for 1 h/day at a speed 20-21-m/min. Memory function was evaluated by the passive avoidance test in different intervals (1, 7 and 21 days) after foot shock. Findings showed that after the exercise withdrawal, short-term and mid-term memories, had significant enhancement compared to the control group, while the long-term memory did not present this result. In addition, the serum and hippocampal CORT levels were at the basal levels after the rest period in the exercise-rest group. In the rest-exercise group, exercise improved mid- and long-term memories, whereas continuous exercise improved all types short-, mid- and long-term memories, particularly the mid-term memory. Twenty-one and forty-two days of exercise significantly decreased the serum and hippocampal CORT levels. It seems that exercise for at least 21 days with no rest could affect biochemical factors in the brain. Also, regular continuous exercise plays an important role in memory function. Hence, the duration and withdraw of exercise are important factors for the neurobiological aspects of the memory responses.

  16. Shifting Stakes: Understanding the Dynamic Roles of Individuals and Organizations in Social Media Protests.

    PubMed

    Spiro, Emma S; Monroy-Hernández, Andrés

    2016-01-01

    In this paper we examine two protests characterized by substantial social media presence and distributed participation frameworks via two core questions: what roles did organizations and individuals play, and how did participants' social interactions change over the course of the protests? To answer these questions, we analyzed a large Twitter activity dataset for the #YoSoy132 student uprising in Mexico and Brazil's "bus rebellion." Results indicate that individuals initially took prominence at the protests but faded in importance as the movements dwindled and organizations took over. Regarding the dynamics and structure of the interactions, we found that key time points with unique social structures often map to exogenous events such as coordinated protests in physical locations. Our results have important consequences for the visibility of such social movements and their ability to attract continued participation by individuals and organizations.

  17. Role of the podiatrist in diabetic limb salvage.

    PubMed

    Kim, Paul J; Attinger, Christopher E; Evans, Karen K; Steinberg, John S

    2012-10-01

    Podiatrists play an important role in the multidisciplinary team in diabetic limb salvage. Podiatry is a specialty that is licensed in the diagnoses and treatment of pathologies of the foot and ankle. The treatment includes both conservative and surgical modalities. Understanding the biomechanics of the lower extremity is principally emphasized in the education and training of a podiatrist. This is particularly important in the context of the diabetic foot where biomechanical abnormalities often precede ulcer development. Preventive ulcer development strategies employed by a podiatrist include regular monitoring, routine care of calluses, and insert/shoe recommendations. Further, clinic-based ulcer care as well as surgery that include prophylactic and acute intervention can translate to the preservation of a functional limb. Finally, continuous podiatric management can prevent ulcer recurrence through offloading strategies and diabetic foot education. Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

  18. Shifting Stakes: Understanding the Dynamic Roles of Individuals and Organizations in Social Media Protests

    PubMed Central

    2016-01-01

    In this paper we examine two protests characterized by substantial social media presence and distributed participation frameworks via two core questions: what roles did organizations and individuals play, and how did participants’ social interactions change over the course of the protests? To answer these questions, we analyzed a large Twitter activity dataset for the #YoSoy132 student uprising in Mexico and Brazil’s “bus rebellion.” Results indicate that individuals initially took prominence at the protests but faded in importance as the movements dwindled and organizations took over. Regarding the dynamics and structure of the interactions, we found that key time points with unique social structures often map to exogenous events such as coordinated protests in physical locations. Our results have important consequences for the visibility of such social movements and their ability to attract continued participation by individuals and organizations. PMID:27776191

  19. Perception of Patients With HIV/AIDS From Stigma and Discrimination

    PubMed Central

    Saki, Mandana; Mohammad Khan Kermanshahi, Sima; Mohammadi, Eesa; Mohraz, Minoo

    2015-01-01

    Background: Stigma and discrimination among patients with HIV/AIDS cause various problems for the patients and their health systems. Objectives: The purpose of this study was to explain the perceived experiences of the patients from stigma and discrimination and their roles on health-seeking services among patients. Patients and Methods: This was a qualitative research using content analysis approach and semi-structured interviews, conducted on patients living with HIV/ADS, during 2013 - 2014 in Iran. Sampling started purposefully and continued in a snowball. Results: The experiences of patients with HIV/AIDS from stigma and discrimination led to exploring three main themes and nine subthemes. The main themes were multidimensional stigma, rejection, and insult and discrimination in receiving health services. Conclusions: Stigma and discrimination play an important role in patients' lives and hinder them from accessing the treatment. The patients' responses to this event by secrecy strategy can be an important factor in the disease prevalence. PMID:26290751

  20. Committee Opinion No. 661: Integrating Immunizations Into Practice.

    PubMed

    2016-04-01

    Immunization against vaccine-preventable diseases is an essential component of women's primary and preventive health care. Despite the importance of vaccination and clear guidance from public health agencies, rates of vaccination lag behind national goals. Obstetrician-gynecologists can play a major role in reducing morbidity and mortality from a range of vaccine-preventable diseases, including pertussis, influenza, human papillomavirus, and hepatitis. Given demonstrated vaccine efficacy and safety, and the large potential for prevention of many infectious diseases that affect adults, pregnant women, and newborns, obstetrician-gynecologists should include immunizations as an integral part of their practice. To do so, they must embrace their role as important sources of information and advice on immunization for adults, adolescents, and pregnant women, and advance their patients' well-being with continued efforts to augment immunization services in their offices. Increasing awareness combined with the many suggestions in this document will work to enhance immunization uptake.

  1. Seniors-on-line: introducing older people to technology.

    PubMed

    Irizarry, C; Downing, A; Elford, C

    1997-03-01

    Retired Engineers are playing an important role in ensuring that older people are not excluded from the benefits of technological advances. Technology is playing an increasingly important role in the lives of older people as it is incorporated into assistive devices, home security, access to health care, banking, communication and many other areas. However, if older people are unfamiliar with new technologies and find them daunting, they may not benefit fully from these advances. In order to minimize difficulties arising from unfamiliarity with technology, an introductory computer course was offered to people aged 55 and over. Teaching methods appropriate to the needs of older people were used: small classes, students and instructors from same age cohort, slow pace of presentation and ample opportunity to ask questions. Retired Engineers make up the majority of instructors. Three hundred and sixty nine older people have participated in the course and most plan to continue using a computer.

  2. Microbially assisted recording of the Earth's magnetic field in sediment.

    PubMed

    Zhao, Xiangyu; Egli, Ramon; Gilder, Stuart A; Müller, Sebastian

    2016-02-11

    Sediments continuously record variations of the Earth's magnetic field and thus provide an important archive for studying the geodynamo. The recording process occurs as magnetic grains partially align with the geomagnetic field during and after sediment deposition, generating a depositional remanent magnetization (DRM) or post-DRM (PDRM). (P)DRM acquisition mechanisms have been investigated for over 50 years, yet many aspects remain unclear. A key issue concerns the controversial role of bioturbation, that is, the mechanical disturbance of sediment by benthic organisms, during PDRM acquisition. A recent theory on bioturbation-driven PDRM appears to solve many inconsistencies between laboratory experiments and palaeomagnetic records, yet it lacks experimental proof. Here we fill this gap by documenting the important role of bioturbation-induced rotational diffusion for (P)DRM acquisition, including the control exerted on the recorded inclination and intensity, as determined by the equilibrium between aligning and perturbing torques acting on magnetic particles.

  3. Mobile genetic elements of Staphylococcus aureus.

    PubMed

    Malachowa, Natalia; DeLeo, Frank R

    2010-09-01

    Bacteria such as Staphylococcus aureus are successful as commensal organisms or pathogens in part because they adapt rapidly to selective pressures imparted by the human host. Mobile genetic elements (MGEs) play a central role in this adaptation process and are a means to transfer genetic information (DNA) among and within bacterial species. Importantly, MGEs encode putative virulence factors and molecules that confer resistance to antibiotics, including the gene that confers resistance to beta-lactam antibiotics in methicillin-resistant S. aureus (MRSA). Inasmuch as MRSA infections are a significant problem worldwide and continue to emerge in epidemic waves, there has been significant effort to improve diagnostic assays and to develop new antimicrobial agents for treatment of disease. Our understanding of S. aureus MGEs and the molecules they encode has played an important role toward these ends and has provided detailed insight into the evolution of antimicrobial resistance mechanisms and virulence.

  4. Promoting Science-based Governance through Monitoring Changes to Agencies' Public Presentation

    NASA Astrophysics Data System (ADS)

    Rinberg, A.; Bergman, A.

    2017-12-01

    As the scientific basis for the missions of agencies like the Environmental Protection Agency have come under attack this year, political appointees and career staff alike have made changes to public-facing agency web content and resources. These changes have resulted in scientific information and findings being removed from the government's web presence and have reduced access to resources that inform the public about important topics like climate change and clean water. But these removals also obscure the work that the the federal government has done and the role it is legally required to play, which is often based squarely on key scientific findings. By monitoring changes to federal agency websites and ensuring that the public continues to be informed about the government's role in using science to improve the public's well-being, we can help retain the integrity of these important agencies and bolster their public support.

  5. A new role for primary care teams in the United States after “Obamacare:” Track and improve health insurance coverage rates

    PubMed Central

    DeVoe, Jennifer; Angier, Heather; Hoopes, Megan; Gold, Rachel

    2017-01-01

    Maintaining continuous health insurance coverage is important. With recent expansions in access to coverage in the United States after “Obamacare,” primary care teams have a new role in helping to track and improve coverage rates and to provide outreach to patients. We describe efforts to longitudinally track health insurance rates using data from the electronic health record (EHR) of a primary care network and to use these data to support practice-based insurance outreach and assistance. Although we highlight a few examples from one network, we believe there is great potential for doing this type of work in a broad range of family medicine and community health clinics that provide continuity of care. By partnering with researchers through practice-based research networks and other similar collaboratives, primary care practices can greatly expand the use of EHR data and EHR-based tools targeting improvements in health insurance and quality health care. PMID:28966926

  6. Kinship and the Long-Term Persistence of Inequality in Liaoning, China, 1749–2005

    PubMed Central

    Campbell, Cameron; Lee, James Z.

    2013-01-01

    We demonstrate that in northeast China before the 20th century, kin groups played a important role in structuring patterns of inequality. There were substantial differences in the demographic behavior and social attainment of individuals according to kin group membership even after differences between villages and households were accounted for. There was also considerable continuity in the relative status of kin groups before the 20th century. More tentatively, there was continuity in the relative status of kin groups from the 19th century through the last half of the 20th century. Our results are based on quantitative analysis of demographic behavior and social attainment of families covered by contemporary survey data that we have linked to a database of historical household registers, the CMGPD-LN. The results confirm the need for studies of stratification to move beyond the current focus on parent-child associations in outcomes to examine the role played by larger kin networks in creating and sustaining patterns of inequality. PMID:23596557

  7. From Oedipus to PACE, using the concepts of shame and guilt as golden thread.

    PubMed

    Beckmann, Klaus Martin

    2016-02-01

    To demonstrate that antiquity's concepts of shame and guilt developed in their meaning over the centuries and can still have practical applicability in psychological therapies these days. To review shame and guilt in philosophy, history, ethics and psychiatry contexts. Within limitations, a narrative is presented, starting with Oedipus in antiquity, visiting several important philosophical theories and ending in the present time with, for example, Dan Hughes' PACE model for therapy. The first part expands on selected ideas presented in Melvyn Bragg's 2007 BBC radio programme entitled 'Guilt'; the second part adds selected therapeutic models where concepts of shame and guilt play a role. Shame and guilt are archaic but quintessential concepts that already occupied thinkers in antiquity. Shame and guilt are concepts that preoccupied science and art over the millennia and continue as useful concepts to the present day. Moreover, shame and guilt, as concepts, continue to play a salient role in recent and contemporary psychiatry. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  8. Reassessing Phase II Heart Failure Clinical Trials: Consensus Recommendations

    PubMed Central

    Butler, Javed; Hamo, Carine E.; Udelson, James E.; O’Connor, Christopher; Sabbah, Hani N.; Metra, Marco; Shah, Sanjiv J.; Kitzman, Dalane W.; Teerlink, John; Bernstein, Harold S.; Brooks, Gabriel; Depre, Christophe; DeSouza, Mary M.; Dinh, Wilfried; Donovan, Mark; Frische-Danielson, Regina; Frost, Robert J.; Garza, Dahlia; Gohring, Udo-Michael; Hellawell, Jennifer; Hsia, Judith; Ishihara, Shiro; Kay-Mugford, Patricia; Koglin, Joerg; Kozinn, Marc; Larson, Christopher J.; Mayo, Martha; Gan, Li-Ming; Mugnier, Pierrre; Mushonga, Sekayi; Roessig, Lothar; Russo, Cesare; Salsali, Afshin; Satler, Carol; Shi, Victor; Ticho, Barry; van der Laan, Michael; Yancy, Clyde; Stockbridge, Norman; Gheorghiade, Mihai

    2017-01-01

    The increasing burden and the continued suboptimal outcomes for patients with heart failure underlines the importance of continued research to develop novel therapeutics for this disorder. This can only be accomplished with successful translation of basic science discoveries into direct human application through effective clinical trial design and execution that results in a substantially improved clinical course and outcomes. In this respect, phase II clinical trials play a pivotal role in determining which of the multitude of potential basic science discoveries should move to the large and expansive registration trials in humans. A critical examination of the phase II trials in heart failure reveals multiple shortcomings in their concept, design, execution, and interpretation. To further a dialogue regarding the challenges and potential for improvement and the role of phase II trials in patients with heart failure, the Food and Drug Administration facilitated a meeting on October 17th 2016 represented by clinicians, researchers, industry members, and regulators. This document summarizes the discussion from this meeting and provides key recommendations for future directions. PMID:28356300

  9. The role of pharmacists in developing countries: the current scenario in Pakistan

    PubMed Central

    Azhar, Saira; Hassali, Mohamed Azmi; Ibrahim, Mohamed Izham Mohamed; Ahmad, Maqsood; Masood, Imran; Shafie, Asrul Akmal

    2009-01-01

    During the past few years, the pharmacy profession has expanded significantly in terms of professional services delivery and now has been recognized as an important profession in the multidisciplinary provision of health care. In contrast to the situation in developed countries, pharmacists in developing countries are still underutilized and their role as health care professionals is not deemed important by either the community or other health care providers. The aim of this paper is to highlight the role of pharmacists in developing countries, particularly in Pakistan. The paper draws on the literature related to the socioeconomic and health status of Pakistan's population, along with background on the pharmacy profession in the country in the context of the current directions of health care. The paper highlights the current scenario and portrays the pharmacy profession in Pakistan. It concludes that although the pharmacy profession in Pakistan is continuously evolving, the health care system of Pakistan has yet to recognize the pharmacist's role. This lack of recognition is due to the limited interaction of pharmacists with the public. Pharmacists in Pakistan are concerned about their present professional role in the health care system. The main problem they are facing is the shortage of pharmacists in pharmacies. Moreover, their services are focused towards management more than towards customers. For these reasons, the pharmacist's role as a health care professional is not familiar to the public. PMID:19594916

  10. The ABCs of the FDA: A Primer on the Role of the United States Food and Drug Administration in Medical Device Approvals and IR Research.

    PubMed

    Adamovich, Ashley; Park, Susie; Siskin, Gary P; Englander, Meridith J; Mandato, Kenneth D; Herr, Allen; Keating, Lawrence J

    2015-09-01

    The role of the US Food and Drug Administration (FDA) in medical device regulation is important to device-driven specialties such as interventional radiology. Whether it is through industry-sponsored trials during the approval process for new devices or investigator-initiated research prospectively evaluating the role of existing devices for new or established procedures, interaction with the FDA is an integral part of performing significant research in interventional radiology. This article reviews the potential areas of interface between the FDA and interventional radiology, as understanding these areas is necessary to continue the innovation that is the hallmark of this specialty. Copyright © 2015 SIR. Published by Elsevier Inc. All rights reserved.

  11. Use of moisturizers among Danish atopic dermatitis patients-which perceived product characteristics associate with long-term adherence?

    PubMed

    Joergensen, Kristina Melbardis; Jemec, Gregor B E

    2018-03-01

    To identify factors perceived as most important regarding choice and continued use of moisturizers for adult patients with AD. Online survey among members of the Atopic eczema society Denmark. Among 75 participants, the most commonly tried (89.3%) and preferred (16%) product was Locobase ® (Leo Pharma, Denmark). A-derma ® (Pierre Fabre, France) had most continued use. The main reason for choosing preferred product was 'Best effect, in my experience' (36%). 'High lipid content' and 'GP/dermatologist suggested product' were considered as important main factors. 'Consistency', 'absorbs fast', and 'nice to wear' were secondary reasons for preferred product. A majority, 81.3% of respondents claimed to be very aware of perfumes and additives, 52% were very aware of allergy certification bodies on the product. AD patients state that the most important factor when choosing a product is out of personal experience followed by high lipid content and recommended by GP/dermatologist. As secondary reasons 'consistency', 'absorbs fast', and 'nice to wear' were important. Respondents generally use more than one product and are aware of additives. Evidence-based guidance on the choice of emollients is needed. The role of the professionals supporting the patient in navigating this market of emollients is therefore particularly important.

  12. Active Transposition in Genomes

    PubMed Central

    Huang, Cheng Ran Lisa; Burns, Kathleen H.; Boeke, Jef D.

    2013-01-01

    Transposons are DNA sequences capable of moving in genomes. Early evidence showed their accumulation in many species and suggested their continued activity in at least isolated organisms. In the past decade, with the development of various genomic technologies, it has become abundantly clear that ongoing activity is the rule rather than the exception. Active transposons of various classes are observed throughout plants and animals, including humans. They continue to create new insertions, have an enormous variety of structural and functional impact on genes and genomes, and play important roles in genome evolution. Transposon activities have been identified and measured by employing various strategies. Here, we summarize evidence of current transposon activity in various plant and animal genomes. PMID:23145912

  13. [How to prepare a poster presentation].

    PubMed

    Cerezal Pesquera, L

    2013-06-01

    Scientific and educational poster presentations in national and international meetings are one of the most effective means of scientific communication. Poster presentations are of particular importance in a mainly visual speciality like radiology, and also play a significant role in continuing medical education in our specialty. However, poster should be no more than an intermediate step on the way to publish our work in a scientific journal. The publication rates of posters prented in courses and conferences is very low in our country. Therefore, we must continue to progress in training in scientific publication, with efforts such as this supplement. This article review how to create an effective poster presentation. Copyright © 2013 SERAM. Published by Elsevier Espana. All rights reserved.

  14. [Tomorrow's family doctor].

    PubMed

    Bischoff, T; Herzig, L; Aubert, J; Sommer, J; Haller, D M

    2012-05-16

    The profession of family doctor will undergo profound changes in the coming decade due to external, political, demographic and societal developments. Changes will also occur from within the profession affecting its content and its functioning. Other influences, in addition to generational developments (reduced working hours, feminisation, revaluation of the work-life balance), will come from collaboration with new professions, news structures as well as technical and human progress. In this transitional period it is important to uphold core values of family medicine, in particular coordination, continuity of care and the global approach to patients. In training future family doctors we must both prepare them for new skills and roles, and continue to share the core values with them.

  15. Rationale for continuing R&D in indirect coal liquefaction

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

    Gray, D.; Tomlinson, G.

    1995-12-31

    The objective of this analysis is to use the world energy demand/supply model developed at MITRE to examine future liquid fuels supply scenarios both for the world and for the United States. This analysis has determined the probable extent of future oil resource shortages and the likely time frame in which the shortages will occur. The role that coal liquefaction could play in helping to alleviate this liquid fuels shortfall is also examined. The importance of continuing R&D to improve process performance and reduce the costs of coal-derived transportation fuel is quantified in terms of reducing the time when coalmore » liquids will become competitive with petroleum.« less

  16. The role of working memory in auditory selective attention.

    PubMed

    Dalton, Polly; Santangelo, Valerio; Spence, Charles

    2009-11-01

    A growing body of research now demonstrates that working memory plays an important role in controlling the extent to which irrelevant visual distractors are processed during visual selective attention tasks (e.g., Lavie, Hirst, De Fockert, & Viding, 2004). Recently, it has been shown that the successful selection of tactile information also depends on the availability of working memory (Dalton, Lavie, & Spence, 2009). Here, we investigate whether working memory plays a role in auditory selective attention. Participants focused their attention on short continuous bursts of white noise (targets) while attempting to ignore pulsed bursts of noise (distractors). Distractor interference in this auditory task, as measured in terms of the difference in performance between congruent and incongruent distractor trials, increased significantly under high (vs. low) load in a concurrent working-memory task. These results provide the first evidence demonstrating a causal role for working memory in reducing interference by irrelevant auditory distractors.

  17. Two-Year Institution Part-Time Nurse Faculty Experiences During Role Transition and Identity Development: A Phenomenological Study.

    PubMed

    Owens, Rhoda A

    This study explored two-year institution part-time nurse faculty's perceptions of their experiences during their role transitions from nurses in clinical practice to part-time clinical instructors. Part-time nurse faculty enter academia as expert clinicians, but most have little or no training in the pedagogy of effective student learning. A phenomenological study was used to explore the faculty role transition experiences. Findings support the proposition that six participants transitioned from their expert clinician to instructor identities; however, two continue in the process. Critical to this process are relationships with individuals in their environments, past and present experiences, the incentive to learn to be better instructors, and the importance of support and training. A model emerged, Process of Role Transition and Professional Identity Formation for Part-Time Clinical Instructors at Two-Year Institutions, that is potentially useful for administrators in developing individualized orientation and professional development programs.

  18. Airway epithelial repair in health and disease: Orchestrator or simply a player?

    PubMed

    Iosifidis, Thomas; Garratt, Luke W; Coombe, Deirdre R; Knight, Darryl A; Stick, Stephen M; Kicic, Anthony

    2016-04-01

    Epithelial cells represent the most important surface of contact in the body and form the first line of defence of the body to external environment. Consequently, epithelia have numerous roles in order to maintain a homeostatic defence barrier. Although the epithelium has been extensively studied over several decades, it remains the focus of new research, indicating a lack of understanding that continues to exist around these cells in specific disease settings. Importantly, evidence is emerging that airway epithelial cells in particular have varied complex functions rather than simple passive roles. One area of current interest is its role following injury. In particular, the epithelial-specific cellular mechanisms regulating their migration during wound repair remain poorly understood and remain an area that requires much needed investigation. A better understanding of the physiological, cellular and molecular wound repair mechanisms could assist in elucidating pathological processes that contribute to airway epithelial pathology. This review attempts to highlight migration-specific and cell-extracellular matrix (ECM) aspects of repair used by epithelial cells under normal and disease settings, in the context of human airways. © 2016 Asian Pacific Society of Respirology.

  19. Workplace learning through peer groups in medical school clerkships.

    PubMed

    Chou, Calvin L; Teherani, Arianne; Masters, Dylan E; Vener, Margo; Wamsley, Maria; Poncelet, Ann

    2014-01-01

    Purpose When medical students move from the classroom into clinical practice environments, their roles and learning challenges shift dramatically from a formal curricular approach to a workplace learning model. Continuity among peers during clinical clerkships may play an important role in this different mode of learning. We explored students' perceptions about how they achieved workplace learning in the context of intentionally formed or ad hoc peer groups. Method We invited students in clerkship program models with continuity (CMCs) and in traditional block clerkships (BCs) to complete a survey about peer relationships with open-ended questions based on a workplace learning framework, including themes of workplace-based relationships, the nature of work practices, and selection of tasks and activities. We conducted qualitative content analysis to characterize students' experiences. Results In both BCs and CMCs, peer groups provided rich resources, including anticipatory guidance about clinical expectations of students, best practices in interacting with patients and supervisors, helpful advice in transitioning between rotations, and information about implicit rules of clerkships. Students also used each other as benchmarks for gauging strengths and deficits in their own knowledge and skills. Conclusions Students achieve many aspects of workplace learning in clerkships through formal or informal workplace-based peer groups. In these groups, peers provide accessible, real-time, and relevant resources to help each other navigate transitions, clarify roles and tasks, manage interpersonal challenges, and decrease isolation. Medical schools can support effective workplace learning for medical students by incorporating continuity with peers in the main clinical clerkship year.

  20. Workplace learning through peer groups in medical school clerkships.

    PubMed

    Chou, Calvin L; Teherani, Arianne; Masters, Dylan E; Vener, Margo; Wamsley, Maria; Poncelet, Ann

    2014-01-01

    When medical students move from the classroom into clinical practice environments, their roles and learning challenges shift dramatically from a formal curricular approach to a workplace learning model. Continuity among peers during clinical clerkships may play an important role in this different mode of learning. We explored students' perceptions about how they achieved workplace learning in the context of intentionally formed or ad hoc peer groups. We invited students in clerkship program models with continuity (CMCs) and in traditional block clerkships (BCs) to complete a survey about peer relationships with open-ended questions based on a workplace learning framework, including themes of workplace-based relationships, the nature of work practices, and selection of tasks and activities. We conducted qualitative content analysis to characterize students' experiences. In both BCs and CMCs, peer groups provided rich resources, including anticipatory guidance about clinical expectations of students, best practices in interacting with patients and supervisors, helpful advice in transitioning between rotations, and information about implicit rules of clerkships. Students also used each other as benchmarks for gauging strengths and deficits in their own knowledge and skills. Students achieve many aspects of workplace learning in clerkships through formal or informal workplace-based peer groups. In these groups, peers provide accessible, real-time, and relevant resources to help each other navigate transitions, clarify roles and tasks, manage interpersonal challenges, and decrease isolation. Medical schools can support effective workplace learning for medical students by incorporating continuity with peers in the main clinical clerkship year.

  1. Balancing Passion and Practicality: The Role of Debt and Major on Students' Financial Outcomes. A Report to the 83rd Regular Session of the Texas Legislature

    ERIC Educational Resources Information Center

    Neal, Micki; Fletcher, Carla; Shook, Melissa; Webster, Jeff

    2012-01-01

    As the cost and importance of education continue to rise, more college students across the U.S. begin their postsecondary education by signing a contract to repay an ever-increasing amount of student loan debt. Conventional wisdom maintains that borrowing for college is an investment in the future that should be deemed "good debt". Data…

  2. Low Carbon Propulsion Strategic Thrust Overview

    NASA Technical Reports Server (NTRS)

    Dryer, Jay

    2014-01-01

    NASA is taking a leadership role with regard to developing new options for low-carbon propulsion. Work related to the characterization of alternative fuels is coordinated with our partners in government and industry, and NASA is close to concluding a TC in this area. Research on alternate propulsion concepts continues to grow and is an important aspect of the ARMD portfolio. Strong partnerships have been a key enabling factor for research on this strategic thrust.

  3. Help, Handout, or Hindrance: U.S. Support for the Developing World. Public Policy Debate in the Classroom. Choices for the 21st Century Education Project. [Student Guidebook and] Teacher's Resource Book.

    ERIC Educational Resources Information Center

    Fullerton, Fred, Ed.

    These texts are part of a continuing series on current and historical international issues, placing special emphasis on the importance of educating students in their participatory role as citizens. They evaluate the U.S. relationship with poor countries, particularly the effectiveness of foreign aid, trade benefits, and other economic levers; and…

  4. Shifting Sands: Balancing U.S. Interests in the Middle East. Teacher's Resource Book [and Student Text]. Public Policy Debate in the Classroom. Choices for the 21st Century.

    ERIC Educational Resources Information Center

    Blackadar, Andy

    This teacher's resource book and student text are part of a continuing series on current and historical international issues, placing special emphasis on the importance of educating students in their participatory role as citizens. For the U.S. population, the oil resources of the Persian Gulf, attachment to Israel, and fears about terrorism and…

  5. Soldier Dimension in Battle. Volume I.

    DTIC Science & Technology

    1983-01-01

    actions that could be undertaken to improve soldier performance. r.r TAB j.9 I 1, Lt tAnrC&il O ML ~ -- . J TABLE OF CONTENTS Volume 1 - Final Report 1... Analysis 1-49 Criteria Develomnt for the Soldier Dimension 1-59 Soldier Performance in Continuous Operations 1-60 Leadershin Role 1-60 ART? Data Develonment...have also emphasized the importance of cognitive-behaviorism, situational analysis , and systems theory because of our focus on human performance

  6. The future of learning disabilities nursing in the UK.

    PubMed

    Clapham, Anthony

    2014-07-02

    This article appraises the report Strengthening the Commitment, which is a UK-wide review of learning disabilities nursing by the UK's four chief nursing officers. Strengthening the Commitment has strategic importance in reviewing progress in the care of people with learning disabilities in the UK. It also has a role in helping to guide future strategies and initiatives addressing the continuing health inequalities experienced by people with learning disabilities throughout the UK.

  7. Let’s not forget the critical role of surface tension in xylem water relations

    Treesearch

    Jean-Christophe Domec

    2011-01-01

    The widely supported cohesion–tension theory of water transport explains the importance of a continuous water column and the mechanism of long-distance ascent of sap in plants (Dixon 1914, Tyree 2003, Angeles et al. 2004). The evaporation of water from the surfaces of mesophyll cells causes the air–water interface to retreat into the cellulose matrix of the plant cell...

  8. Air Force Contract Negotiations: Importance, Roles, and Major Problems in the United States and Four NATO Countries

    DTIC Science & Technology

    1982-06-01

    Negotiations in General 72 Negotiations with Europeans 72 APPENDICES A. Information on Survey Populations and Respondents 73 B . Survey Questionnaire...included in the survey. A copy of the questionnaire is continued in Appendix B . Subsequently, the support of the four product divisions was requested...uncertainty concerning the number of personnel who would respond to the request for participation in the survey. APPENDIX B AIR FORCE CONTRACT

  9. An Action Research Study Investigating Children's Use of an iPad during Free Play in a Kindergarten Classroom: An Exploration of Teaching Pedagogy and Children's Learning, Social Interactions, and Digital Literacy

    ERIC Educational Resources Information Center

    Reynolds-Blankenship, Tara

    2013-01-01

    As part of human development, technology plays an important role in many children's lives. As digital technologies continue to permeate aspects of many children's everyday lives, educators are integrating digital technologies into classroom practices and, as such, have created a need to examine the ways in which children use technologies in their…

  10. Deterrence 2035 - The Role of Transparency and Diversity in a World of Nanosats

    DTIC Science & Technology

    2010-02-17

    accused by the UK 18 of jamming a London-based radio station and disrupting CNN and BBC World broadcasts claiming the content was terrorist propaganda...6 Space applications continue to be increasingly important in everyday life to the point that one cannot conceive broadcasting news or disaster...nations that diligently foster such growth will become and remain economic powers . US’ investment in advanced technology has paid handsomely in terms

  11. Conquest, Conflict, and Commerce: The Colonial Experience in the Congo. Teacher's Resource Book [and Student Text]. Public Policy Debate in the Classroom. Choices for the 21st Century Education Project.

    ERIC Educational Resources Information Center

    Cunningham, Paul

    This teacher resource book and student text is part of a continuing series on current and historical international issues, placing special emphasis on the importance of educating students in their participatory role as citizens. The unit draws students into the international debate about how to respond to the imperialism that brutally disfigured…

  12. Continuous powder feeding for pharmaceutical solid dosage form manufacture: a short review.

    PubMed

    Blackshields, Caroline A; Crean, Abina M

    2018-07-01

    There has been a noticeable shift from pharmaceutical batch processing towards a more continuous mode of manufacture for solid oral dosage forms. Continuous solid oral dose processes would not be possible in the absence of a highly accurate feeding system. The performance of feeders defines the content of formulations and is therefore a critical operation in continuous manufacturing of solid dosage forms. It was the purpose of this review to review the role of the initial powder feeding step in a continuous manufacturing process. Different feeding mechanisms are discussed with a particular emphasis on screw controlled loss in weight (LIW) feeding. The importance of understanding the physical properties of the raw materials and its impact on the feeding process is reviewed. Prior knowledge of materials provides an initial indication of how the powders will behave through processing and facilitates in the selection of the most suitable (i) feeder (capacity), (ii) feeding mechanism, and (iii) in the case of screw feeder - screw type. The studies identified in this review focus on the impact of material on powder feeding performance.

  13. Natural Length Scales Shape Liquid Phase Continuity in Unsaturated Flows

    NASA Astrophysics Data System (ADS)

    Assouline, S.; Lehmann, P. G.; Or, D.

    2015-12-01

    Unsaturated flows supporting soil evaporation and internal drainage play an important role in various hydrologic and climatic processes manifested at a wide range of scales. We study inherent natural length scales that govern these flow processes and constrain the spatial range of their representation by continuum models. These inherent length scales reflect interactions between intrinsic porous medium properties that affect liquid phase continuity, and the interplay among forces that drive and resist unsaturated flow. We have defined an intrinsic length scale for hydraulic continuity based on pore size distribution that controls soil evaporation dynamics (i.e., stage 1 to stage 2 transition). This simple metric may be used to delineate upper bounds for regional evaporative losses or the depth of soil-atmosphere interactions (in the absence of plants). A similar length scale governs the dynamics of internal redistribution towards attainment of field capacity, again through its effect on hydraulic continuity in the draining porous medium. The study provides a framework for guiding numerical and mathematical models for capillary flows across different scales considering the necessary conditions for coexistence of stationarity (REV), hydraulic continuity and intrinsic capillary gradients.

  14. Continuous Cavitation Designed for Enhancing Radiofrequency Ablation via a Special Radiofrequency Solidoid Vaporization Process.

    PubMed

    Zhang, Kun; Li, Pei; Chen, Hangrong; Bo, Xiaowan; Li, Xiaolong; Xu, Huixiong

    2016-02-23

    Lowering power output and radiation time during radiofrequency (RF) ablation is still a challenge. Although it is documented that metal-based magnetothermal conversion and microbubbles-based inertial cavitation have been tried to overcome above issues, disputed toxicity and poor magnetothermal conversion efficiency for metal-based nanoparticles and violent but transient cavitation for microbubbles are inappropriate for enhancing RF ablation. In this report, a strategy, i.e., continuous cavitation, has been proposed, and solid menthol-encapsulated poly lactide-glycolide acid (PLGA) nanocapsules have been constructed, as a proof of concept, to validate the role of such a continuous cavitation principle in continuously enhancing RF ablation. The synthesized PLGA-based nanocapsules can respond to RF to generate menthol bubbles via distinctive radiofrequency solidoid vaporization (RSV) process, meanwhile significantly enhance ultrasound imaging for HeLa solid tumor, and further facilitate RF ablation via the continuous cavitation, as systematically demonstrated both in vitro and in vivo. Importantly, this RSV strategy can overcome drawbacks and limitations of acoustic droplet vaporization (ADV) and optical droplet vaporization (ODV), and will probably find broad applications in further cancer theranostics.

  15. Exploring nursing assistants' roles in the process of pain management for cognitively impaired nursing home residents: a qualitative study.

    PubMed

    Liu, Justina Y W

    2014-05-01

    To explore nursing assistants' roles during the actual process of pain management (assessment, reporting, implementation of pain-relieving interventions and re-assessment) for cognitively impaired home residents with pain. Nursing assistants provide most of the direct care to residents and represent the major taskforce in nursing homes. They may develop specialized knowledge of residents' pain experience that enables them to play both a pivotal role in pain assessment and possibly a supporting role in pain treatment. Currently, there is a lack of research into nursing assistants' functions in pain management. This is a descriptive, exploratory qualitative study. Forty-nine nursing assistants were recruited from 12 nursing homes, 12 of them participating in semi-structured individual interviews and 37 in 8 semi-structured focus groups. All interviews were carried out from May to September 2010. Data collected via both data collection methods were transcribed verbatim and analysed by content analysis. Nursing assistants were found to play four roles in the pain management process: (1) pain assessor; (2) reporter; (3) subordinate implementing prescribed medications; and (4) instigator implementing non-pharmacological interventions. This study highlights the importance of nursing assistants in successful pain assessment and identifies their possible supporting roles in other aspects of pain management. However, nursing assistants' scope of practice resulted in their functions in pain management being continually undervalued by other healthcare professionals. Continuous in-service training, the use of a standardized pain management protocol and strategies for building coherent work teams in nursing homes are suggested to improve this situation. © 2013 John Wiley & Sons Ltd.

  16. Relevance of and New Developments in Serology for Toxoplasmosis.

    PubMed

    Dard, Céline; Fricker-Hidalgo, Hélène; Brenier-Pinchart, Marie-Pierre; Pelloux, Hervé

    2016-06-01

    Toxoplasmosis is a widespread parasitic disease caused by the intracellular parasite Toxoplasma gondii with a wide spectrum of clinical outcomes. The biological diagnosis of toxoplasmosis is often difficult and of paramount importance because clinical features are not sufficient to discriminate between toxoplasmosis and other illnesses. Serological tests are the most widely used biological tools for the diagnosis of toxoplasmosis worldwide. This review focuses on the crucial role of serology in providing answers to the most important questions related to the epidemiology and diagnosis of toxoplasmosis in human pathology. Notwithstanding their undeniable importance, serological tools need to be continuously improved and the interpretation of the ensuing results remains complex in many circumstances. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Water-the Nation's Fundamental Climate Issue A White Paper on the U.S. Geological Survey Role and Capabilities

    USGS Publications Warehouse

    Lins, Harry F.; Hirsch, Robert M.; Kiang, Julie

    2010-01-01

    Of all the potential threats posed by climatic variability and change, those associated with water resources are arguably the most consequential for both society and the environment (Waggoner, 1990). Climatic effects on agriculture, aquatic ecosystems, energy, and industry are strongly influenced by climatic effects on water. Thus, understanding changes in the distribution, quantity and quality of, and demand for water in response to climate variability and change is essential to planning for and adapting to future climatic conditions. A central role of the U.S. Geological Survey (USGS) with respect to climate is to document environmental changes currently underway and to develop improved capabilities to predict future changes. Indeed, a centerpiece of the USGS role is a new Climate Effects Network of monitoring sites. Measuring the climatic effects on water is an essential component of such a network (along with corresponding effects on terrestrial ecosystems). The USGS needs to be unambiguous in communicating with its customers and stakeholders, and with officials at the Department of the Interior, that although modeling future impacts of climate change is important, there is no more critical role for the USGS in climate change science than that of measuring and describing the changes that are currently underway. One of the best statements of that mission comes from a short paper by Ralph Keeling (2008) that describes the inspiration and the challenges faced by David Keeling in operating the all-important Mauna Loa Observatory over a period of more than four decades. Ralph Keeling stated: 'The only way to figure out what is happening to our planet is to measure it, and this means tracking changes decade after decade and poring over the records.' There are three key ideas that are important to the USGS in the above-mentioned sentence. First, to understand what is happening requires measurement. While models are a tool for learning and testing our understanding, they are not a substitute for observations. The second key idea is that measurement needs to be done over a period of many decades. When viewing hydrologic records over time scales of a few years to a few decades, trends commonly appear. However, when viewed in the context of many decades to centuries, these short-term trends are recognized as being part of much longer term oscillations. Thus, while we might want to initiate monitoring of important aspects of our natural resources, the data that will prove to be most useful in the next few years are those records that already have long-term continuity. USGS streamflow and groundwater level data are excellent examples of such long-term records. These measured data span many decades, follow standard protocols for collection and quality assurance, and are stored in a database that provides access to the full period of record. The third point from the Keeling quote relates to the notion of ?poring over the records.? Important trends will not generally jump off the computer screen at us. Thoughtful analyses are required to get past a number of important but confounding influences in the record, such as the role of seasonal variation, changes in water management, or influences of quasi-periodic phenomena, such as El Ni?o-Southern Oscillation (ENSO) or the Pacific Decadal Oscillation (PDO). No organization is better situated to pore over the records than the USGS because USGS scientists know the data, quality-assure the data, understand the factors that influence the data, and have the ancillary information on the watersheds within which the data are collected. To fulfill the USGS role in understanding climatic variability and change, we need to continually improve and strengthen two of our key capabilities: (1) preserving continuity of long-term water data collection and (2) analyzing and interpreting water data to determine how the Nation's water resources are changing. Understanding change in water resources

  18. Continuous Enhancement of Science Teachers' Knowledge and Skills through Scientific Lecturing.

    PubMed

    Azevedo, Maria-Manuel; Duarte, Sofia

    2018-01-01

    Due to their importance in transmitting knowledge, teachers can play a crucial role in students' scientific literacy acquisition and motivation to respond to ongoing and future economic and societal challenges. However, to conduct this task effectively, teachers need to continuously improve their knowledge, and for that, a periodic update is mandatory for actualization of scientific knowledge and skills. This work is based on the outcomes of an educational study implemented with science teachers from Portuguese Basic and Secondary schools. We evaluated the effectiveness of a training activity consisting of lectures covering environmental and health sciences conducted by scientists/academic teachers. The outcomes of this educational study were evaluated using a survey with several questions about environmental and health scientific topics. Responses to the survey were analyzed before and after the implementation of the scientific lectures. Our results showed that Basic and Secondary schools teachers' knowledge was greatly improved after the lectures. The teachers under training felt that these scientific lectures have positively impacted their current knowledge and awareness on several up-to-date scientific topics, as well as their teaching methods. This study emphasizes the importance of continuing teacher education concerning knowledge and awareness about health and environmental education.

  19. Exploring current and potential roles of Australian community pharmacists in gout management: a qualitative study.

    PubMed

    Counsell, Allyce B; Nguyen, Amy D; Baysari, Melissa T; Kannangara, Diluk R W; McLachlan, Andrew J; Day, Richard O

    2018-05-09

    Gout is an increasingly prevalent form of inflammatory arthritis. Although effective treatments for gout exist, current management is suboptimal due to low medication adherence rates and treatments that are non-concordant with guidelines. Medications are the mainstay and most effective form of gout management. Thus, there is potential for community pharmacists to play an important primary health care role in gout management, however their current role and their potential to improve management of gout treatment is currently unclear. The purpose of the study is to explore the views of Australian pharmacists on their roles in gout management and to identify factors influencing their involvement in gout management. A convenience sample of community pharmacists were invited to participate using a snowballing recruitment strategy. Semi-structured, face-to-face interviews were conducted with 15 pharmacists of varying age, gender and pharmacy experience. Interviews focused on pharmacists' experiences of managing gout, interactions with people living with gout and their perceived roles and responsibilities in gout management. Interviews were transcribed verbatim and independently analysed by two reviewers to identify themes. The main role of pharmacists reported in gout management was providing patient education. The greatest facilitator to pharmacists involvement in gout management was identified to be pharmacists' good understanding of gout and its management. Barriers to pharmacists involvement were identified to be difficulties in monitoring adherence to gout medications, low priority given to gout in the pharmacy compared to other chronic health conditions, and lack of specific training and/or continuing education in gout prevention and management. Pharmacists can expand their primary health care role in gout management, particularly in the area of ongoing provision of education to people living with gout and in monitoring medication adherence in patients. However, a number of barriers need to be overcome including difficulties in monitoring patient adherence to medications, ensuring a higher priority is given to chronic gout management and providing continuing training to community pharmacists about gout. Implications for pharmacist practice include initiating conversations about medication adherence and education when dispensing medications and undertaking continuing education in gout.

  20. Role of Family and Peers in Initiation and Continuation of Substance Use

    PubMed Central

    Tsering, Dechenla; Pal, Ranabir

    2009-01-01

    Aims: To assess the impact of family and peers on both initiation and continuation of substance use among eighth, ninth and tenth grade adolescent high school students. Design: Population based cross-sectional study. Setting: Two high schools of West Bengal, India. Participants: 416 students in class VIII, IX, and X in two schools. Interventions: None. Measurements: Substance use: initiation, sources, reasons for continuation. Then proportions and chi-square test was used for statistical analysis. Materials and Methods: This was a population based cross sectional study conducted among 416 students from class VII, IX and X in two high schools( urban and rural) of West Bengal, India selected by Multistage random sampling. A self administered anonymous pretested close ended questionnaire was used with the main outcome measures of initiation, sources, reasons for continuation of substance use based on WHO study team questionnaire. Results: Prevalence of substance use was found to be higher among the urban students (15.1%) than their rural counterparts (10.7%). The proportion of users was higher in the higher grades as compared to the lower grades. Among urban as well as rural students, 16 years and above were significantly more likely than their counterparts aged 15 years and below to report lifetime use. The mean age of initiation ranged from 12.6 to 13.9 years. Family members and friends were found to have a considerable influence not only on initiation but also important sources for money as well as the substance. Easy availability in the neighborhood was also an important correlate to continuation of substances. Conclusions: Family environment as well as peer groups has an important bearing on initiation and continuation of substance use. Experimentation of substance use motivated by peer groups is common among adolescents and starts early in life. Hence, it is necessary to provide health promotion programs directed toward students and their families which encourage attitude shaping among school children towards self-confidence and adequacy. PMID:21938088

  1. Androgens and bone health.

    PubMed

    Hansen, K A; Tho, S P

    1998-01-01

    Osteoporosis is one of the most common metabolic bone diseases in the adult population and its prevalence will continue to rise as our population grows older. In both sexes, hypogonadism is associated with accelerated loss of bone and development of osteoporosis. Adrenal and gonadal androgen levels decline with advancing age in both sexes. Androgens act by either directly binding to androgen receptors, or by aromatization of androgens to estrogens and subsequently interacting with estrogen receptors. Both pathways are important for skeletal health. Direct androgen binding to an androgen receptor may play a more important role in early skeletal development and determination of sexual dimorphic traits. While bone remodeling, which is important in maintaining healthy bone through life, is primarily stimulated by estrogen, studies in the rat and human support the complex action of androgens and estrogens in bone modeling and remodeling, and hence the development and maintenance of healthy bone. In postmenopausal females, the addition of androgens to hormone replacement therapy results in significant additional improvement in bone mineral density compared to estrogen replacement alone. Accumulating evidence indicate that androgens play an important role in the health of bone and the potential benefit of adding these agents to hormone replacement regimens.

  2. "I had a good time when I was young": Interpreting descriptions of continuity among older people.

    PubMed

    Breheny, Mary; Griffiths, Zoë

    2017-04-01

    Messages describing how best to age are prominent in gerontological theory, research and the media. These prescriptions for ageing may foster positive experiences in later life; however, they may also obscure the social and situated nature of expectations for ageing well. Continuity Theory proposes ageing well is achieved through continuity of activity and stability of relationships and identity over the life course. Continuity seems adaptive, yet prioritising continuity may not match the expectations, desires and realities of older people. To understand continuity among older people, the present study used interpretative phenomenological analysis (IPA) to analyse transcripts from eleven participants over the age of 79 years. Continuity was important for older people in this study, who described a range of practices that supported internal and external continuity. Participants acknowledged both positive and negative changes in roles and obligations as they aged which impacted on continuity of identity. Continuity of identity was linked both to being 'just like always' and 'just like everyone else'. Examining these accounts shows how they are tied to expectations that older people should both maintain earlier patterns of behaviour while also negotiating changing social expectations for behaviour that are linked to age. These tensions point to the balance between physical, environmental and interpersonal change and the negotiation of social expectations which together structure possibilities for ageing well. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Variability of Young Stars: the Importance of Keeping an Eye on Children

    NASA Astrophysics Data System (ADS)

    Herbst, W.

    2013-06-01

    (Abstract only) I will review the state of our understanding of young stars with an emphasis on how and why they vary in brightness. The main causes of the variations will be reviewed, including the rotation of spotted weak-lined T Tauri stars, accretion onto classical T Tauri stars, the eruptive behavior of FUors, and the enigmatic variations of the UXors. The important role that amateurs have and will continue to play in these studies is highlighted. I will also discuss the latest results on two unusual young binaries, BM Orionis in the Trapezium asterism and KH 15D in NGC 2264.

  4. Online Continuing Education for Expanding Clinicians' Roles in Breastfeeding Support.

    PubMed

    Edwards, Roger A; Colchamiro, Rachel; Tolan, Ellen; Browne, Susan; Foley, Mary; Jenkins, Lucia; Mainello, Kristen; Vallu, Rohith; Hanley, Lauren E; Boisvert, Mary Ellen; Forgit, Julie; Ghiringhelli, Kara; Nordstrom, Christina

    2015-11-01

    Lack of health professional support is an important variable affecting mothers' achievement of breastfeeding goals. Online continuing education is a recognized pathway for disseminating content for improving clinicians' knowledge and supporting efforts to change practices. At the time we developed our project, free, accredited continuing education for physicians related to breastfeeding management that could be easily accessed using portable devices (via tablets/smartphones) was not available. Such resources were in demand, especially for facilities pursuing designation through the Baby-Friendly Hospital Initiative. We assembled a government, academic, health care provider, and professional society partnership to create such a tutorial that would address the diverse content needed for supporting breastfeeding mothers postdischarge in the United States. Our 1.5-hour-long continuing medical and nursing education was completed by 1606 clinicians (1172 nurses [73%] and 434 physicians [27%]) within 1 year. More than 90% of nurses and over 98% of physicians said the tutorial achieved its 7 learning objectives related to breastfeeding physiology, broader factors in infant feeding decisions and practices, the American Academy of Pediatrics' policy statement, and breastfeeding management/troubleshooting. Feedback received from the tutorial led to the creation of a second tutorial consisting of another 1.5 hours of continuing medical and nursing education related to breast examination and assessment prior to delivery, provision of anticipatory guidance to pregnant women interested in breastfeeding, maternity care practices that influence breastfeeding outcomes, breastfeeding preterm infants, breastfeeding's role in helping address disparities, and dispelling common myths. The tutorials contribute to achievement of 8 Healthy People 2020 Maternal, Infant and Child Health objectives. © The Author(s) 2015.

  5. Midwifery practice and the crisis of modernity: implications for the role of the midwife.

    PubMed

    Hyde, Abbey; Roche-Reid, Bernadette

    2004-06-01

    Almost since its inception, the concept of modernity was found to display tensions between its emancipatory potential to liberate the human subject from the manacles of tradition, and the application of reason to co-ordinate and control the natural world through scientific knowledge. This paper presents a qualitative analysis of in-depth interviews with 12 midwives about their role in the Irish maternity services and argues that, in a period of late modernity, these tensions continue to manifest themselves in the context of the midwife's role. Although the contemporary period is marked by a loss of faith in scientific truths, widely contested obstetric knowledge and practices continue to exercise mastery over nature while undermining a central feature of the midwife's role-the liberation of the autonomous subject. Drawing on the theory of communicative action developed by the critical theorist Jürgen Habermas, it is argued that the midwife's role in facilitating the autonomous choices of women through communicative action is impeded by the colonization of the lifeworld of labour and childbirth by the technocratic system of obstetrics. Although participants reported that their role involved empowering women and facilitating choices through dialogue congruent with communicative action, data also suggested that participants used strategic communication with clients aimed at achieving particular ends. The use of strategic communication was linked to the way in which the midwife's role is determined to a large extent by the practices and protocols of obstetrics, and also to the notion of client passivity. The instrumental rationality of obstetrics is linked to an outcome orientation to power and money, and a political economy perspective of medicine. It appears that communicative action between midwives and obstetricians is important in bringing about structural changes to facilitate the conditions for communicative action between midwives and their clients.

  6. Importance of riparian remnants for frog species diversity in a highly fragmented rainforest.

    PubMed

    Rodríguez-Mendoza, Clara; Pineda, Eduardo

    2010-12-23

    Tropical forests undergo continuous transformation to other land uses, resulting in landscapes typified by forest fragments surrounded by anthropogenic habitats. Small forest fragments, specifically strip-shaped remnants flanking streams (referred to as riparian remnants), can be particularly important for the maintenance and conservation of biodiversity within highly fragmented forests. We compared frog species diversity between riparian remnants, other forest fragments and cattle pastures in a tropical landscape in Los Tuxtlas, Mexico. We found similar species richness in the three habitats studied and a similar assemblage structure between riparian remnants and forest fragments, although species composition differed by 50 per cent. Frog abundance was halved in riparian remnants compared with forest fragments, but was twice that found in pastures. Our results suggest that riparian remnants play an important role in maintaining a portion of frog species diversity in a highly fragmented forest, particularly during environmentally stressful (hot and dry) periods. In this regard, however, the role of riparian remnants is complementary, rather than substitutive, with respect to the function of other forest fragments within the fragmented forest.

  7. Creating a winning organizational culture.

    PubMed

    Campbell, Robert James

    2009-01-01

    This article explores the idea of how to create a winning organizational culture. By definition, a winning organizational culture is one that is able to make current innovations stick, while continuously changing based on the demands of the marketplace. More importantly, the article explores the notion that a winning organizational culture can have a profound impact on the conscious of the workforce, helping each individual to become a better, more productive person, who provides important services and products to the community. To form a basis toward defining the structure of what a winning organization culture looks like, 4 experts were asked 12 questions related to the development of an organizational culture. Three of the experts have worked intimately within the health care industry, while a fourth has been charged with turning around an organization that has had a losing culture for 17 years. The article provides insight into the role that values, norms, goals, leadership style, familiarity, and hiring practices play in developing a winning organizational culture. The article also emphasizes the important role that leaders perform in developing an organizational culture.

  8. Resiliency scoring for business continuity plans.

    PubMed

    Olson, Anna; Anderson, Jamie

    Through this paper readers will learn of a scoring methodology, referred to as resiliency scoring, which enables the evaluation of business continuity plans based upon analysis of their alignment with a predefined set of criteria that can be customised and are adaptable to the needs of any organisation. This patent pending tool has been successful in driving engagement and is a powerful resource to improve reporting capabilities, identify risks and gauge organisational resilience. The role of business continuity professionals is to aid their organisations in planning and preparedness activities aimed at mitigating the impacts of potential disruptions and ensuring critical business functions can continue in the event of unforeseen circumstances. This may seem like a daunting task for what can typically be a small team of individuals. For this reason, it is important to be able to leverage industry standards, documented best practices and effective tools to streamline and support your continuity programme. The resiliency scoring methodology developed and implemented at Target has proven to be a valuable tool in taking the organisation's continuity programme to the next level. This paper will detail how the tool was developed and provide guidance on how it can be customised to fit your organisation's unique needs.

  9. Electromagnetic induction and radiation-induced abnormality of wave propagation in excitable media

    NASA Astrophysics Data System (ADS)

    Ma, Jun; Wu, Fuqiang; Hayat, Tasawar; Zhou, Ping; Tang, Jun

    2017-11-01

    Continuous wave emitting from sinus node of the heart plays an important role in wave propagating among cardiac tissue, while the heart beating can be terminated when the target wave is broken into turbulent states by electromagnetic radiation. In this investigation, local periodical forcing is applied on the media to induce continuous target wave in the improved cardiac model, which the effect of electromagnetic induction is considered by using magnetic flux, then external electromagnetic radiation is imposed on the media. It is found that target wave propagation can be blocked to stand in a local area and the excitability of media is suppressed to approach quiescent but homogeneous state when electromagnetic radiation is imposed on the media. The sampled time series for membrane potentials decrease to quiescent state due to the electromagnetic radiation. It could accounts for the mechanism of abnormality in heart failure exposed to continuous electromagnetic field.

  10. Experimental study of Bloch vector analysis in nonlinear, finite, dissipative systems

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

    D'Aguanno, G.; Mattiucci, N.; C. M. Bowden Facility, Building 7804, RDECOM, Redstone Arsenal, Alabama 35898

    2010-01-15

    We have investigated and experimentally demonstrated the applicability of the Bloch vector for one-dimensional, nonlinear, finite, dissipative systems. The case studied is the second harmonic generation from metallodielectric multilayer filters. In particular, we have applied the Bloch vector analysis to Ag/Ta{sub 2}O{sub 5} thin-film multilayer samples and shown the importance of the phase matching calculated through the Bloch vector. The nonlinear coefficients extracted from experimental results are consistent with previous studies. Nowadays, metal-based nanostructures play a fundamental role in nonlinear nanophotonics and nanoplasmonics. Our results clearly suggest that even in these forefront fields the Bloch vector continues to play anmore » essential role.« less

  11. ON THE ROLE OF INVOLUTIONS IN THE DISCONTINUOUS GALERKIN DISCRETIZATION OF MAXWELL AND MAGNETOHYDRODYNAMIC SYSTEMS

    NASA Technical Reports Server (NTRS)

    Barth, Timothy

    2005-01-01

    The role of involutions in energy stability of the discontinuous Galerkin (DG) discretization of Maxwell and magnetohydrodynamic (MHD) systems is examined. Important differences are identified in the symmetrization of the Maxwell and MHD systems that impact the construction of energy stable discretizations using the DG method. Specifically, general sufficient conditions to be imposed on the DG numerical flux and approximation space are given so that energy stability is retained These sufficient conditions reveal the favorable energy consequence of imposing continuity in the normal component of the magnetic induction field at interelement boundaries for MHD discretizations. Counterintuitively, this condition is not required for stability of Maxwell discretizations using the discontinuous Galerkin method.

  12. Proceedings from the 2013 Canadian Nutrition Society Conference on Advances in Dietary Fats and Nutrition.

    PubMed

    Holub, Bruce; Mutch, David M; Pierce, Grant N; Rodriguez-Leyva, Delfin; Aliani, Michel; Innis, Sheila; Yan, William; Lamarche, Benoit; Couture, Patrick; Ma, David W L

    2014-07-01

    The science of lipid research continues to rapidly evolve and change. New knowledge enhances our understanding and perspectives on the role of lipids in health and nutrition. However, new knowledge also challenges currently held opinions. The following are the proceedings of the 2013 Canadian Nutrition Society Conference on the Advances in Dietary Fats and Nutrition. Content experts presented state-of-the-art information regarding our understanding of fish oil and plant-based n-3 polyunsaturated fatty acids, nutrigenomics, pediatrics, regulatory affairs, and trans fats. These important contributions aim to provide clarity on the latest advances and opinions regarding the role of different types of fats in health.

  13. The evolution of financial incentives in the U.S. health care system.

    PubMed

    Darves-Bornoz, Annie L; Resnick, Matthew J

    2017-01-01

    The U.S. health care system continues to evolve toward value-based payment, rewarding providers based upon outcomes per dollar spent. To date, payment innovation has largely targeted primary care, with little consideration for the role of surgical specialists. As such, there remains appropriate uncertainty surrounding the optimal role of the urologic oncologist in alternative payment models. This commentary summarizes the context of U.S. health care reform and offers insights into supply-side innovations including accountable care organizations and bundled payments. Additionally, and importantly, we discuss the implications of rising out-of-pocket health care expenditures giving rise to health care consumerism and the implications therein. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Are healthcare aides underused in long-term care? A cross-sectional study on continuing care facilities in Canada.

    PubMed

    Arain, Mubashir A; Deutschlander, Siegrid; Charland, Paola

    2017-05-17

    Over the last 10 years, appropriate workforce utilisation has been an important discussion among healthcare practitioners and policy-makers. The role of healthcare aides (HCAs) has also expanded to improve their utilisation. This evolving role of HCAs in Canada has prompted calls for standardised training, education and scope of practice for HCAs. The purpose of this research was to examine the differences in HCAs training and utilisation in continuing care facilities. From June 2014 to July 2015, we conducted a mixed-method study on HCA utilisation in continuing care. This paper presents findings gathered solely from the prospective cross-sectional survey of continuing care facilities (long-term care (LTC) and supportive living (SL)) on HCA utilisation. We conducted this study in a Western Canadian province. The managers of the continuing care facilities (SL and LTC) were eligible to participate in the survey. The pattern of HCAs involvement in medication assistance and other care activities in SL and LTC facilities. We received 130 completed surveys (LTC=64 and SL=52). Our findings showed that approximately 81% of HCAs were fully certified. We found variations in how HCAs were used in SL and LTC facilities. Overall, HCAs in SL were more likely to be involved in medication management such as assisting with inhaled medication and oral medication delivery. A significantly larger proportion of survey respondents from SL facilities reported that medication assistance training was mandatory for their HCAs (86%) compared with the LTC facilities (50%) (p value <0.01). The utilisation of HCAs varies widely between SL and LTC facilities. HCAs in SL facilities may be considered better used according to their required educational training and competencies. Expanding the role of HCAs in LTC facilities may lead to a cost-effective and more efficient utilisation of workforce in continuing care facilities. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  15. Modelling job support, job fit, job role and job satisfaction for school of nursing sessional academic staff.

    PubMed

    Cowin, Leanne S; Moroney, Robyn

    2018-01-01

    Sessional academic staff are an important part of nursing education. Increases in casualisation of the academic workforce continue and satisfaction with the job role is an important bench mark for quality curricula delivery and influences recruitment and retention. This study examined relations between four job constructs - organisation fit, organisation support, staff role and job satisfaction for Sessional Academic Staff at a School of Nursing by creating two path analysis models. A cross-sectional correlational survey design was utilised. Participants who were currently working as sessional or casual teaching staff members were invited to complete an online anonymous survey. The data represents a convenience sample of Sessional Academic Staff in 2016 at a large school of Nursing and Midwifery in Australia. After psychometric evaluation of each of the job construct measures in this study we utilised Structural Equation Modelling to better understand the relations of the variables. The measures used in this study were found to be both valid and reliable for this sample. Job support and job fit are positively linked to job satisfaction. Although the hypothesised model did not meet model fit standards, a new 'nested' model made substantive sense. This small study explored a new scale for measuring academic job role, and demonstrated how it promotes the constructs of job fit and job supports. All four job constructs are important in providing job satisfaction - an outcome that in turn supports staffing stability, retention, and motivation.

  16. Use of solar radiation for continuous water disinfection in isolated areas.

    PubMed

    Fabbricino, M; d'Antonio, L

    2012-01-01

    This study involved investigation of solar water disinfection in continuously working treatment plants with the aim of producing safe drinking water in isolated areas. Results were obtained from experimental work carried out on a pilot plant operating in different configurations. The use of a simple device to increase solar radiation intensity (solar concentrator) was tested, with results showing that it facilitated better performance. A comparison between transparent and black-painted glass reactors was also made, showing no difference between the two casings. Further, the effect of an increase in water temperature was analysed in detail. Temperature was found to play an important role in the disinfection process, even in cases of limited solar radiation intensities, although a synergistic effect of water heating and solar radiation for effective microbial inactivation was confirmed. Reactor design is also discussed, highlighting the importance of having a plug flow to avoid zones that do not contribute to the overall effectiveness of the process.

  17. Childhood bereavement: The role of the surviving parent and the continuing bond with the deceased.

    PubMed

    Karydi, Evangelia

    2018-08-01

    This study investigated the relationship between the role of the surviving parent in the child's grieving process, the continuing bond with the deceased parent and biopsychosocial functioning and active grief in adulthood. A survey of 135 adults, parentally bereaved in childhood, indicated that the surviving parent's role in facilitating the grieving process promoted a positive continuing bond with the deceased in childhood as well as general functioning in adulthood. The continuing bond with the deceased had a weak association with both better general functioning and relational active grief.

  18. Shifting Sands: Balancing U.S. Interests in the Middle East. Public Policy Debate in the Classroom: Choices for the 21st Century Education Project. [Student Guidebook and] Teacher's Resource Book.

    ERIC Educational Resources Information Center

    Brown Univ., Providence, RI. Thomas J. Watson, Jr. Inst. for International Studies.

    This student text and teacher resource text are part of a continuing series on current and historical international issues, placing special emphasis on the importance of educating students in their participatory role as citizens. They examine the mix of interests and values that have drawn the United States into the Middle East, focusing on the…

  19. Global Environmental Problems: Implications for U.S. Policy. Teacher's Resource Book [and Student Guidebook]. Public Policy Debate in the Classroom: Choices for the 21st Century Education Project. 9th Edition.

    ERIC Educational Resources Information Center

    Brown Univ., Providence, RI. Thomas J. Watson, Jr. Inst. for International Studies.

    This teacher resource text and student text are part of a continuing series on current and historical international issues, placing special emphasis on the importance of educating students in their participatory role as citizens. It examines the relationship between public policy in the United States and the ecological health of the planet.…

  20. Beliefs of Chilean University English Teachers: Uncovering Their Role in the Teaching and Learning Process (Creencias de profesores universitarios de inglés: descubriendo su papel en el proceso de enseñanza y aprendizaje)

    ERIC Educational Resources Information Center

    Díaz Larenas, Claudio; Alarcón Hernández, Paola; Vásquez Neira, Andrea; Pradel Suárez, Boris; Ortiz Navarrete, Mabel

    2013-01-01

    Beliefs continue to be an important source to get to know teachers' thinking processes and pedagogical decisions. Research in teachers' beliefs has traditionally come from English-speaking contexts; however, a great deal of scientific work has been written lately in Brazil, Mexico, Colombia, and Argentina. This study elicits 30 Chilean university…

  1. The skin: The many functions of fish integument

    USGS Publications Warehouse

    Elliott, Diane G.; Farrell, Anthony P.

    2011-01-01

    The integument or skin is the envelope that not only separates and protects a fish from its environment, but also provides the means through which most contacts with the outer world are made. It is a large organ and is continuous with the linings of all body openings, and also covers the fins. Fish integument is a multifunctional organ, and its components may serve important roles in protection, communication, sensory perception, locomotion, respiration, ion regulation, excretion, and thermal regulation.

  2. Introduction to the special issue on visual working memory.

    PubMed

    Wolfe, Jeremy M

    2014-10-01

    Visual working memory is a volatile, limited-capacity memory that appears to play an important role in our impression of a visual world that is continuous in time. It also mediates between the contents of the mind and the contents of that visual world. Research on visual working memory has become increasingly prominent in recent years. The articles in this special issue of Attention, Perception, & Psychophysics describe new empirical findings and theoretical understandings of the topic.

  3. Environmental Awareness, Course 32461

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

    Hall, Debora Lynn

    Los Alamos National Laboratory (LANL or the Laboratory) is committed to an environmental management strategy aimed at reducing the Laboratory's environmental impacts, while still maintaining or increasing operating efficiencies. This training is designed to help you understand the critical importance of environmental management to the continuing success of the Laboratory and your personal role in this essential endeavor. If you are new to this training, you may wish to explore the various links that will take you to more in-depth information.

  4. University-Based Continuing Education for Pharmacists

    PubMed Central

    Kehrer, James P.; Yuksel, Nesé; Hughes, Christine A.

    2012-01-01

    University-based continuing education (CE) fulfills an important role to support the professional development of pharmacists, advance the practice of pharmacy, and contribute to societal needs for research and healthcare services. Opportunities for pharmacists to engage in new models of patient care are numerous worldwide, particularly as pharmacists’ scope of practice has expanded. Approaches to CE have changed to address the changing needs of pharmacists and now include a variety of approaches to support development of knowledge and skills. There is emphasis on the learning process as well as the knowledge, with the introduction of the concept of continuing professional development (CPD). As institutions of research and education, universities are uniquely positioned to bridge the gap between academic and practice environments, providing opportunities for translation of knowledge to practice. The Faculty of Pharmacy and Pharmaceutical Sciences at the University of Alberta is a provider of CE in Alberta, Canada, where an expanded scope of pharmacy practice includes prescribing, administering injections, accessing electronic patient records, and ordering laboratory tests. In this paper, the Faculty offers views about future directions for CE, including the integration of CE with core faculty activities, expanding the audience for CE, areas of focus for learning, and partnerships. Finally, we hope to ignite dialogue with others in the profession about the role and function of university-based CE. PMID:22438592

  5. Role of dynamic capsomere supply for viral capsid self-assembly

    NASA Astrophysics Data System (ADS)

    Boettcher, Marvin A.; Klein, Heinrich C. R.; Schwarz, Ulrich S.

    2015-02-01

    Many viruses rely on the self-assembly of their capsids to protect and transport their genomic material. For many viral systems, in particular for human viruses like hepatitis B, adeno or human immunodeficiency virus, that lead to persistent infections, capsomeres are continuously produced in the cytoplasm of the host cell while completed capsids exit the cell for a new round of infection. Here we use coarse-grained Brownian dynamics simulations of a generic patchy particle model to elucidate the role of the dynamic supply of capsomeres for the reversible self-assembly of empty T1 icosahedral virus capsids. We find that for high rates of capsomere influx only a narrow range of bond strengths exists for which a steady state of continuous capsid production is possible. For bond strengths smaller and larger than this optimal value, the reaction volume becomes crowded by small and large intermediates, respectively. For lower rates of capsomere influx a broader range of bond strengths exists for which a steady state of continuous capsid production is established, although now the production rate of capsids is smaller. Thus our simulations suggest that the importance of an optimal bond strength for viral capsid assembly typical for in vitro conditions can be reduced by the dynamic influx of capsomeres in a cellular environment.

  6. Continuing medical education.

    PubMed

    Todd, D

    1987-04-01

    With the rapid advances in medical science and increasing complexities of patient care, the need for continuing medical education (CME) is widely accepted by the profession. CME follows general and higher professional training, and should be a life long process. Teaching hospitals and postgraduate professional institutions play vital roles in organising, promoting, and monitoring this activity. CME directorates should be established. University authorities must recognise the important role of medical teachers in postgraduate and continuing medical education, and the staff establishment and terms of service should be held regularly. Medical libraries should have easy borrowing facilities. Self-assessment and audio-visual material are particularly helpful to the busy practitioner and inexpensive local or regional journals of quality can provide pertinent and up-to-date information. All charges for attending scientific meetings and educational material should be tax deductible or subsidized. The effectiveness of CME is difficult to assess and participation is almost impossible to enforce. Much depends on the standard of medical practice wanted by society. Recertification of general practitioners or specialists poses many problems. On the other hand, completion of self-assessment programmes, active participation at medical meetings, contributions to scientific literature, and membership of medical societies with built-in peer review could be monitored and regularly used to evaluate professional status.

  7. Numerical research of dynamic characteristics in tower solar cavity receiver based on step-change radiation flux

    NASA Astrophysics Data System (ADS)

    Chen, Zhengwei; Wang, Yueshe; Hao, Yun; Wang, Qizhi

    2013-07-01

    The solar cavity receiver is an important light-energy to thermal-energy convector in the tower solar thermal power plant system. The heat flux in the inner surface of the cavity will show the characteristics of non-continuous step change especially in non-normal and transient weather conditions, which may result in a continuous dynamic variation of the characteristic parameters. Therefore, the research of dynamic characteristics of the receiver plays a very important role in the operation and the control safely in solar cavity receiver system. In this paper, based on the non-continuous step change of radiation flux, a non-linear dynamic model is put forward to obtain the effects of the non-continuous step change radiation flux and step change feed water flow on the receiver performance by sequential modular approach. The subject investigated in our study is a 1MW solar power station constructed in Yanqing County, Beijing. This study has obtained the dynamic responses of the characteristic parameters in the cavity receiver, such as drum pressure, drum water level, main steam flow and main steam enthalpy under step change radiation flux. And the influence law of step-change feed water flow to the dynamic characteristics in the receiver also has been analyzed. The results have a reference value for the safe operation and the control in solar cavity receiver system.

  8. Molecular imaging of the tumor microenvironment for precision medicine and theranostics.

    PubMed

    Penet, Marie-France; Krishnamachary, Balaji; Chen, Zhihang; Jin, Jiefu; Bhujwalla, Zaver M

    2014-01-01

    Morbidity and mortality from cancer and their associated conditions and treatments continue to extract a heavy social and economic global burden despite the transformative advances in science and technology in the twenty-first century. In fact, cancer incidence and mortality are expected to reach pandemic proportions by 2025, and costs of managing cancer will escalate to trillions of dollars. The inability to establish effective cancer treatments arises from the complexity of conditions that exist within tumors, the plasticity and adaptability of cancer cells coupled with their ability to escape immune surveillance, and the co-opted stromal cells and microenvironment that assist cancer cells in survival. Stromal cells, although destroyed together with cancer cells, have an ever-replenishing source that can assist in resurrecting tumors from any residual cancer cells that may survive treatment. The tumor microenvironment landscape is a continually changing landscape, with spatial and temporal heterogeneities that impact and influence cancer treatment outcome. Importantly, the changing landscape of the tumor microenvironment can be exploited for precision medicine and theranostics. Molecular and functional imaging can play important roles in shaping and selecting treatments to match this landscape. Our purpose in this review is to examine the roles of molecular and functional imaging, within the context of the tumor microenvironment, and the feasibility of their applications for precision medicine and theranostics in humans. © 2014 Elsevier Inc. All rights reserved.

  9. Determinants of the Rigor of State Protection Policies for Persons With Dementia in Assisted Living.

    PubMed

    Nattinger, Matthew C; Kaskie, Brian

    2017-01-01

    Continued growth in the number of individuals with dementia residing in assisted living (AL) facilities raises concerns about their safety and protection. However, unlike federally regulated nursing facilities, AL facilities are state-regulated and there is a high degree of variation among policies designed to protect persons with dementia. Despite the important role these protection policies have in shaping the quality of life of persons with dementia residing in AL facilities, little is known about their formation. In this research, we examined the adoption of AL protection policies pertaining to staffing, the physical environment, and the use of chemical restraints. For each protection policy type, we modeled policy rigor using an innovative point-in-time approach, incorporating variables associated with state contextual, institutional, political, and external factors. We found that the rate of state AL protection policy adoptions remained steady over the study period, with staffing policies becoming less rigorous over time. Variables reflecting institutional policy making, including legislative professionalism and bureaucratic oversight, were associated with the rigor of state AL dementia protection policies. As we continue to evaluate the mechanisms contributing to the rigor of AL protection policies, it seems that organized advocacy efforts might expand their role in educating state policy makers about the importance of protecting persons with dementia residing in AL facilities and moving to advance appropriate policies.

  10. Neurogenic Effects of Ghrelin on the Hippocampus.

    PubMed

    Kim, Chanyang; Kim, Sehee; Park, Seungjoon

    2017-03-08

    Mammalian neurogenesis continues throughout adulthood in the subventricular zone of the lateral ventricle and in the subgranular zone of the dentate gyrus in the hippocampus. It is well known that hippocampal neurogenesis is essential in mediating hippocampus-dependent learning and memory. Ghrelin, a peptide hormone mainly synthesized in the stomach, has been shown to play a major role in the regulation of energy metabolism. A plethora of evidence indicates that ghrelin can also exert important effects on neurogenesis in the hippocampus of the adult brain. The aim of this review is to discuss the current role of ghrelin on the in vivo and in vitro regulation of neurogenesis in the adult hippocampus. We will also discuss the possible role of ghrelin in dietary restriction-induced hippocampal neurogenesis and the link between ghrelin-induced hippocampal neurogenesis and cognitive functions.

  11. The role of IL-6 in pathogenesis of abdominal aortic aneurysm in mice.

    PubMed

    Nishihara, Michihide; Aoki, Hiroki; Ohno, Satoko; Furusho, Aya; Hirakata, Saki; Nishida, Norifumi; Ito, Sohei; Hayashi, Makiko; Imaizumi, Tsutomu; Fukumoto, Yoshihiro

    2017-01-01

    Although the pathogenesis of abdominal aortic aneurysm (AAA) remains unclear, evidence is accumulating to support a central role for inflammation. Inflammatory responses are coordinated by various soluble cytokines of which IL-6 is one of the major proinflammatory cytokines. In this study we examined the role of IL-6 in the pathogenesis of experimental AAA induced by a periaortic exposure to CaCl2 in mice. We now report that the administration of MR16-1, a neutralizing monoclonal antibody specific for the mouse IL-6 receptor, mildly suppressed the development of AAA. The inhibition of IL-6 signaling provoked by MR16-1 also resulted in a suppression of Stat3 activity. Conversely, no significant changes in either NFκB activity, Jnk activity or the expression of matrix metalloproteinases (Mmp) -2 and -9 were identified. Transcriptome analyses revealed that MR16-1-sensitive genes encode chemokines and their receptors, as well as factors that regulate vascular permeability and cell migration. Imaging cytometric analyses then consistently demonstrated reduced cellular infiltration for MR16-1-treated AAA. These results suggest that IL-6 plays an important but limited role in AAA pathogenesis, and primarily regulates cell migration and infiltration. These data would also suggest that IL-6 activity may play an important role in scenarios of continuous cellular infiltration, possibly including human AAA.

  12. The role of IL-6 in pathogenesis of abdominal aortic aneurysm in mice

    PubMed Central

    Nishihara, Michihide; Ohno, Satoko; Furusho, Aya; Hirakata, Saki; Nishida, Norifumi; Ito, Sohei; Hayashi, Makiko; Imaizumi, Tsutomu; Fukumoto, Yoshihiro

    2017-01-01

    Although the pathogenesis of abdominal aortic aneurysm (AAA) remains unclear, evidence is accumulating to support a central role for inflammation. Inflammatory responses are coordinated by various soluble cytokines of which IL-6 is one of the major proinflammatory cytokines. In this study we examined the role of IL-6 in the pathogenesis of experimental AAA induced by a periaortic exposure to CaCl2 in mice. We now report that the administration of MR16-1, a neutralizing monoclonal antibody specific for the mouse IL-6 receptor, mildly suppressed the development of AAA. The inhibition of IL-6 signaling provoked by MR16-1 also resulted in a suppression of Stat3 activity. Conversely, no significant changes in either NFκB activity, Jnk activity or the expression of matrix metalloproteinases (Mmp) -2 and -9 were identified. Transcriptome analyses revealed that MR16-1-sensitive genes encode chemokines and their receptors, as well as factors that regulate vascular permeability and cell migration. Imaging cytometric analyses then consistently demonstrated reduced cellular infiltration for MR16-1-treated AAA. These results suggest that IL-6 plays an important but limited role in AAA pathogenesis, and primarily regulates cell migration and infiltration. These data would also suggest that IL-6 activity may play an important role in scenarios of continuous cellular infiltration, possibly including human AAA. PMID:28982132

  13. The Role of PKC-θ in CD4+ T Cells and HIV Infection: To the Nucleus and Back Again

    PubMed Central

    Phetsouphanh, Chansavath; Kelleher, Anthony D.

    2015-01-01

    Protein kinase C (PKC)-θ is the only member of the PKC family that has the ability to translocate to the immunological synapse between T cells and antigen-presenting cells upon T cell receptor and MHC-II recognition. PKC-θ interacts functionally and physically with other downstream effector molecules to mediate T cell activation, differentiation, and migration. It plays a critical role in the generation of Th2 and Th17 responses and is less important in Th1 and CTL responses. PKC-θ has been recently shown to play a role in the nucleus, where it mediates inducible gene expression in the development of memory CD4+ T cells. This novel PKC (nPKC) can up-regulate HIV-1 transcription and PKC-θ activators such as Prostratin have been used in early HIV-1 reservoir eradication studies. The exact manner of the activation of virus by these compounds and the role of PKC-θ, particularly its nuclear form and its association with NF-κB in both the cytoplasmic and nuclear compartments, needs further precise elucidation especially given the very important role of NF-κB in regulating transcription from the integrated retrovirus. Continued studies of this nPKC isoform will give further insight into the complexity of T cell signaling kinases. PMID:26284074

  14. The Facilitators and Barriers to Nurses’ Participation in Continuing Education Programs: A Mixed Method Explanatory Sequential Study

    PubMed Central

    Shahhosseini, Zohreh; Hamzehgardeshi, Zeinab

    2015-01-01

    Background: Since several factors affect nurses’ participation in Continuing Education, and that nurses’ Continuing Education affects patients’ and community health status, it is essential to know facilitators and barriers of participation in Continuing Education programs and plan accordingly. This mixed approach study aimed to investigate the facilitators and barriers of nurses’ participation, to explore nurses’ perception of the most common facilitators and barriers. Methods: An explanatory sequential mixed methods design with follow up explanations variant were used, and it involved collecting quantitative data (361 nurses) first and then explaining the quantitative results with in-depth interviews during a qualitative study. Results: The results showed that the mean score of facilitators to nurses’ participation in Continuing Education was significantly higher than the mean score of barriers (61.99±10.85 versus 51.17±12.83; p<0.001, t=12.23). The highest mean score of facilitators of nurses’ participation in Continuing Education was related to “Update my knowledge”. By reviewing the handwritings in qualitative phase, two main levels of updating information and professional skills were extracted as the most common facilitators and lack of support as the most common barrier to nurses’ participation in continuing education program. Conclusion: According to important role Continuing Education on professional skills, nurse managers should facilitate the nurse’ participation in the Continues Education. PMID:25948439

  15. The facilitators and barriers to nurses' participation in continuing education programs: a mixed method explanatory sequential study.

    PubMed

    Shahhosseini, Zohreh; Hamzehgardeshi, Zeinab

    2014-11-30

    Since several factors affect nurses' participation in Continuing Education, and that nurses' Continuing Education affects patients' and community health status, it is essential to know facilitators and barriers of participation in Continuing Education programs and plan accordingly. This mixed approach study aimed to investigate the facilitators and barriers of nurses' participation, to explore nurses' perception of the most common facilitators and barriers. An explanatory sequential mixed methods design with follow up explanations variant were used, and it involved collecting quantitative data (361 nurses) first and then explaining the quantitative results with in-depth interviews during a qualitative study. The results showed that the mean score of facilitators to nurses' participation in Continuing Education was significantly higher than the mean score of barriers (61.99 ± 10.85 versus 51.17 ± 12.83; p<0.001, t=12.23). The highest mean score of facilitators of nurses' participation in Continuing Education was related to "Update my knowledge". By reviewing the handwritings in qualitative phase, two main levels of updating information and professional skills were extracted as the most common facilitators and lack of support as the most common barrier to nurses' participation in continuing education program. According to important role Continuing Education on professional skills, nurse managers should facilitate the nurse' participation in the Continues Education.

  16. Working in a 'third space': a closer look at the hybridity, identity and agency of nurse practitioners.

    PubMed

    Chulach, Teresa; Gagnon, Marilou

    2016-03-01

    Nurse practitioners (NPs), as advanced practice nurses, have evolved over the years to become recognized as an important and growing trend in Canada and worldwide. In spite of sound evidence as to the effectiveness of NPs in primary care and other care settings, role implementation and integration continue to pose significant challenges. This article utilizes postcolonial theory, as articulated by Homi Bhabha, to examine and challenge traditional ideologies and structures that have shaped the development, implementation and integration of the NP role to this day. Specifically, we utilize Bhabha's concepts of third space, hybridity, identity and agency in order to further conceptualize the nurse practitioner role, to examine how the role challenges some of the inherent assumptions within the healthcare system and to explore how development of each to these concepts may prove useful in integration of nurse practitioners within the healthcare system. Our analysis casts light on the importance of a broader, power structure analysis and illustrates how colonial assumptions operating within our current healthcare system entrench, expand and re-invent, as well as mask the structures and practices that serve to impede nurse practitioner full integration and contributions. Suggestions are made for future analysis and research. © 2015 John Wiley & Sons Ltd.

  17. [Medical educational evaluation of the German Pain Congress 2012. In the context of the CanMEDS physician competency framework].

    PubMed

    Dusch, M; Bräscher, A-K; Kopf, A; Treede, R D; Benrath, J

    2014-10-01

    Professionals in the medical field are expected to participate in continuing medical education in the sense of lifelong learning. The authors took this occasion to evaluate the most important national convention in pain medicine concerning its role in medical education. The participants of the 37th German Pain Congress (17-20 October 2012 in Mannheim) were asked to complete a questionnaire concerning content and design of the convention. The aim of this study was to analyze the distribution of different physician competencies in the program. For this purpose the congress program was analyzed with respect to the various medical role models as defined in the Canadian medical education directions for specialists (CanMEDS) framework. The participants considered the quality of the different sessions of the German Pain Congress to be good. The poster sessions were considered to be the second most important educational format in the congress following the live sessions. Concerning the content of the congress the participants wished more emphasis on the role of interprofessional partners, such as nursing and psychotherapy. The CanMEDS physician roles of manager, communicator, health advisor and professional paragon were underrepresented in the congress program in this study. Regarding content and educational value, the congress design could benefit from additional Praktikerseminaren (practical seminars). The role of interprofessional partners should be more emphasized. In addition the program could become more attractive through a more balanced distribution of the CanMEDS roles.

  18. Analytical electron microscopy in the study of biological systems.

    PubMed

    Johnson, D E

    1986-01-01

    The AEM is a powerful tool in biological research, capable of providing information simply not available by other means. The use of a field emission STEM for this application can lead to a significant improvement in spatial resolution in most cases now allowed by the quality of the specimen preparation but perhaps ultimately limited by the effects of radiation damage. Increased elemental sensitivity is at least possible in selected cases with electron energy-loss spectrometry, but fundamental aspects of ELS will probably confine its role to that of a limited complement to EDS. The considerable margin for improvement in sensitivity of the basic analytical technique means that the search for technological improvement will continue. Fortunately, however, current technology can also continue to answer important biological questions.

  19. pyCTQW: A continuous-time quantum walk simulator on distributed memory computers

    NASA Astrophysics Data System (ADS)

    Izaac, Josh A.; Wang, Jingbo B.

    2015-01-01

    In the general field of quantum information and computation, quantum walks are playing an increasingly important role in constructing physical models and quantum algorithms. We have recently developed a distributed memory software package pyCTQW, with an object-oriented Python interface, that allows efficient simulation of large multi-particle CTQW (continuous-time quantum walk)-based systems. In this paper, we present an introduction to the Python and Fortran interfaces of pyCTQW, discuss various numerical methods of calculating the matrix exponential, and demonstrate the performance behavior of pyCTQW on a distributed memory cluster. In particular, the Chebyshev and Krylov-subspace methods for calculating the quantum walk propagation are provided, as well as methods for visualization and data analysis.

  20. Humanitarian and primary healthcare needs of refugee women and children in Afghanistan.

    PubMed

    Higgins-Steele, Ariel; Lai, David; Chikvaidze, Paata; Yousufi, Khaksar; Anwari, Zelaikha; Peeperkorn, Richard; Edmond, Karen

    2017-12-11

    This Commentary describes the situation and healthcare needs of Afghans returning to their country of origin. With more than 600,000 Afghans returned from Pakistan and approximately 450,000 Afghans returned from Iran in 2016, the movement of people, which has been continuing in 2017, presents additional burden on the weak health system and confounds new health vulnerabilities especially for women and children. Stewardship and response is required at all levels: the central Ministry of Public Health, Provincial Health Departments and community leaders all have important roles, while continued support from development partners and technical experts is needed to assist the health sector to address the emergency and primary healthcare needs of returnee and internally displaced women, children and families.

  1. Implantable Systems for Continuous Liquorpheresis and CSF Replacement

    PubMed Central

    2017-01-01

    Liquorpheresis (cerebrospinal fluid filtration) comprises a therapeutical approach that has been proposed to treat several neurological conditions where antibodies, inflammatory mediators, or abnormal peptides are the cause or play an important role in the pathogenesis of the disease. Continuous or intermittent cerebrospinal fluid (CSF) replacement may be an alternative approach not explored thus far. Here, we review previous experiences in the use of liquorpheresis in autoimmune and degenerative neurological diseases. Then we describe previous technical reports  and provide some new innovations in order to design bidirectional CSF shunting systems that can be complemented either with a deposit of artificial CSF or with a filter of CSF, allowing CSF replacement or liquorpheresis respectively. Both options would lead to mechanical dilution of the patient’s CSF. PMID:28413734

  2. Nurses' Internet self-efficacy and attitudes toward web-based continuing learning.

    PubMed

    Liang, Jyh-Chong; Wu, Szu-Hsien; Tsai, Chin-Chung

    2011-11-01

    There are increasing opportunities for nurses to engage in continuing learning via the Internet; hence, it is important to explore nurses' attitudes toward web-based continuing learning. This paper explores 267 Taiwanese clinical nurses' attitudes toward web-based continuing learning. In addition, the role of the nurses' Internet self-efficacy in their attitudes is investigated. This study utilizes two questionnaires to respectively survey the nurses' Internet self-efficacy and their attitudes toward web-based continuing learning. In particular, the Internet Self-efficacy Survey includes two scales: 'Basic self-efficacy' (the perceived confidence of using basic Internet functions, such as the confidence in using a web browser or searching for online information) and 'Advanced self-efficacy' (the perceived confidence of using advanced Internet functions, such as the confidence in online discussion or making online payments). Exploratory factor analyses indicated adequate reliability and validity of the two questionnaires. The regression analyses revealed that both nurses' basic and advanced Internet self-efficacy can positively explain the perceived usefulness, ease of use and friendly feeling when using web-based continuing learning environments, whereas nurses' advanced Internet self-efficacy was the only predictor to explain how they intend to use web-based continuing learning environments more. Copyright © 2010 Elsevier Ltd. All rights reserved.

  3. Healthcare Mistreatment and Continuity of Cancer Screening among Latino and Anglo American Women in Southern California

    PubMed Central

    Betancourt, Hector; Flynn, Patricia M.; Ormseth, Sarah R.

    2011-01-01

    The aim of this research was to examine the relation of perceptions of healthcare mistreatment and related emotions to continuity of cancer screening care among women who reported healthcare mistreatment. The structure of relations among cultural beliefs about healthcare professionals, perceptions of mistreatment, mistreatment-related emotions, and continuity of screening was investigated. Participants included 313 Anglo and Latino American women of varying demographic characteristics from Southern California who were recruited using multistage stratified sampling. Structural equation modeling confirmed the relation of perceptions of mistreatment to continuity of care for both Anglo and Latino American women, with ethnicity moderating this association. For Anglo Americans, greater perceptions of mistreatment were negatively related to continuity of screening. However, for Latinas the relation was indirect, through mistreatment-related anger. While greater perceptions of mistreatment were associated with higher levels of anger for both ethnic groups, anger was negatively related to continuity of care for Latino but not for Anglo women. Furthermore, cultural beliefs about professionals were indirectly related to continuity of screening through perceptions of mistreatment and/or mistreatment-related anger. These findings highlight the importance of the role of cultural and psychological factors in research and interventions aimed at improving patient-professional relations with culturally diverse women. PMID:21391158

  4. The first year experience of occupational therapy students at an Australian regional university: Promoting student retention and developing a regional and remote workforce.

    PubMed

    Boehm, Jackie; Cordier, Reinie; Thomas, Yvonne; Tanner, Bronwyn; Salata, Karen

    2017-02-01

    Student retention at regional universities is important in addressing regional and remote workforce shortages. Students attending regional universities are more likely to work in regional areas. First year experience at university plays a key role in student retention. This study aimed to explore factors influencing the first year experience of occupational therapy students at a regional Australian university. Surveys were administered to 58 second year occupational therapy students in the first week of second year. Data were analysed using descriptive statistics, inferential statistics (Pearson χ 2 ; Spearman rho) and summarising descriptive responses. An Australian regional university. Second year undergraduate occupational therapy students. Factors influencing students' decisions to study and continue studying occupational therapy; factors enhancing first year experience of university. Fifty-four students completed the survey (93.1%). A quarter (25.9%) of students considered leaving the course during the first year. The primary influence for continuing was the teaching and learning experience. Most valued supports were orientation week (36.7%) and the first year coordinator (36.7%). The importance of the first year experience in retaining occupational therapy students is highlighted. Engagement with other students and staff and academic support are important factors in facilitating student retention. It is important to understand the unique factors influencing students' decisions, particularly those from regional and remote areas, to enter and continue in tertiary education to assist in implementing supports and strategies to improve student retention. © 2015 National Rural Health Alliance Inc.

  5. Novel Role for the Streptococcus pneumoniae Toxin Pneumolysin in the Assembly of Biofilms

    PubMed Central

    Shak, Joshua R.; Ludewick, Herbert P.; Howery, Kristen E.; Sakai, Fuminori; Yi, Hong; Harvey, Richard M.; Paton, James C.; Klugman, Keith P.; Vidal, Jorge E.

    2013-01-01

    ABSTRACT Streptococcus pneumoniae is an important commensal and pathogen responsible for almost a million deaths annually in children under five. The formation of biofilms by S. pneumoniae is important in nasopharyngeal colonization, pneumonia, and otitis media. Pneumolysin (Ply) is a toxin that contributes significantly to the virulence of S. pneumoniae and is an important candidate as a serotype-independent vaccine target. Having previously demonstrated that a luxS knockout mutant was unable to form early biofilms and expressed less ply mRNA than the wild type, we conducted a study to investigate the role of Ply in biofilm formation. We found that Ply was expressed in early phases of biofilm development and localized to cellular aggregates as early as 4 h postinoculation. S. pneumoniae ply knockout mutants in D39 and TIGR4 backgrounds produced significantly less biofilm biomass than wild-type strains at early time points, both on polystyrene and on human respiratory epithelial cells, cultured under static or continuous-flow conditions. Ply’s role in biofilm formation appears to be independent of its hemolytic activity, as S. pneumoniae serotype 1 strains, which produce a nonhemolytic variant of Ply, were still able to form biofilms. Transmission electron microscopy of biofilms grown on A549 lung cells using immunogold demonstrated that Ply was located both on the surfaces of pneumococcal cells and in the extracellular biofilm matrix. Altogether, our studies demonstrate a novel role for pneumolysin in the assembly of S. pneumoniae biofilms that is likely important during both carriage and disease and therefore significant for pneumolysin-targeting vaccines under development. PMID:24023386

  6. Religion and HIV/AIDS stigma: Implications for health professionals in Puerto Rico

    PubMed Central

    Varas-Díaz, N.; Neilands, T.B.; Malavé Rivera, S.; Betancourt, E.

    2009-01-01

    HIV/AIDS stigma continues to be a barrier for prevention efforts. Its detrimental effects have been documented among people living with HIV/AIDS and encompass loss of social support and depression. When it is manifested by health professionals, it can lead to suboptimal services. Although strides have been made to document the effects of HIV/AIDS stigma, much needs to be done in order to understand the structural factors that can foster it. Such is the case of religion’s role on HIV/AIDS stigma in Puerto Rico. The Caribbean Island has a Judeo-Christian based culture due to years of Spanish colonisation. This religious influence continued under Protestantism as part of the Island’s integration as a non-incorporated territory of the USA. The main objective of this study was to explore the role of religion in HIV/AIDS stigma manifested by Puerto Rican health professionals in practice and in training. Through a mixed method approach, 501 health professionals completed qualitative interviews (n=80) and self-administered questionnaires (n=421). Results show that religion plays some role in conceptualisations of health and illness among participants in the study. Furthermore, the importance placed on religion and participation in such activities was related to higher levels of HIV/AIDS stigma. PMID:20087809

  7. Responding to the 2015 CMS Proposed Rule Changes for LTC Facilities: A Call to Redouble Efforts to Prepare Students and Practitioners for Nursing Homes.

    PubMed

    Bern-Klug, Mercedes; Connolly, Robert; Downes, Deirdre; Galambos, Colleen; Kusmaul, Nancy; Kane, Rosalie; Hector, Paige; Beaulieu, Elise

    2016-01-01

    In July of 2015, the Federal Register published for public comment proposed rule changes for nursing homes certified to receive Medicare and/or Medicaid. If the final rules are similar to the proposed rules, they will represent the largest change in federal rules governing nursing homes since the Nursing Home Reform Act which was part of OBRA 1987. The proposed changes have the potential to enhance the quality of care and quality of life of nursing home residents. Many of the proposed changes would directly affect the practice of social work and would likely expand the role for nursing home social workers. This article discusses the role that members of the National Nursing Home Social Work Network (NNHSW Network) played in developing and submitting a response to CMS. The article provides the context for the publication of the proposed rules, describes the process used by the NNHSW Network to develop and build support for comments on these rules, and also includes the actual comments submitted to CMS. Social work education programs and continuing education programs throughout the country will continue to have an important role to play in helping to prepare social work students and practitioners for a career in long-term care.

  8. Interventional Radiologists: a Necessary Evaluation of Technical, Protective and Technological Operation.

    PubMed

    Rahimi, Sayed Ali; Pourkaveh, Maryam

    2016-02-01

    To present the results of occupational radiation doses investigated through a Hospitals of Mazandaran Medical Science Universities in north of Iran. Radiology unit has an important role in diagnosis of many disorders with providing suitable and high quality pictures. A good picture was provided using correct technical criteria and suitable circumstance of patient. Finally, operation and knowledge of radiology personnel directly has a primary role in determining quality of radiography. This study was done in order to determine personnel operation in the units of hospitals radiologist related to University of Mazandaran Medical Science. Data collection tools are made of a researcher check list that was used after obtaining suitable letter and validity indexes. All of the 73 personnel of radiology unit related to Mazandaran Medical Science were studied. 35 operations (in technical, protective and technological fields) of any personnel, in three distinct shifts were observed and recorded. All of them were tested regarding these three fields with a total of 40 questions. The total scores received from personnel in technical part in the morning, evening and night shift were 66.4, 53.9 and 60.2 percent respectively. Received scores from personnel in the protective fields were 68.1, 59.5 and 60.2 percent. Moreover, received scores from personnel in the technological operation fields were 47.8, 39.95 and 43.65 percent respectively. Comparison of these three scores in technical, protective and technological operation fields showed a meaningful difference (p<0.05). The overall quality of personnel operations were nearly desirable and in need of continuous education, supervision and evaluation. Emphasizing protection to beams, accessibility of necessary tools, continuous supervision regarding the usage of these equipments and respecting the other security points have an important role in decreasing patients absorbed doses.

  9. Producing Cochrane systematic reviews-a qualitative study of current approaches and opportunities for innovation and improvement.

    PubMed

    Turner, Tari; Green, Sally; Tovey, David; McDonald, Steve; Soares-Weiser, Karla; Pestridge, Charlotte; Elliott, Julian

    2017-08-01

    Producing high-quality, relevant systematic reviews and keeping them up to date is challenging. Cochrane is a leading provider of systematic reviews in health. For Cochrane to continue to contribute to improvements in heath, Cochrane Reviews must be rigorous, reliable and up to date. We aimed to explore existing models of Cochrane Review production and emerging opportunities to improve the efficiency and sustainability of these processes. To inform discussions about how to best achieve this, we conducted 26 interviews and an online survey with 106 respondents. Respondents highlighted the importance and challenge of creating reliable, timely systematic reviews. They described the challenges and opportunities presented by current production models, and they shared what they are doing to improve review production. They particularly highlighted significant challenges with increasing complexity of review methods; difficulty keeping authors on board and on track; and the length of time required to complete the process. Strong themes emerged about the roles of authors and Review Groups, the central actors in the review production process. The results suggest that improvements to Cochrane's systematic review production models could come from improving clarity of roles and expectations, ensuring continuity and consistency of input, enabling active management of the review process, centralising some review production steps; breaking reviews into smaller "chunks", and improving approaches to building capacity of and sharing information between authors and Review Groups. Respondents noted the important role new technologies have to play in enabling these improvements. The findings of this study will inform the development of new Cochrane Review production models and may provide valuable data for other systematic review producers as they consider how best to produce rigorous, reliable, up-to-date reviews.

  10. Towards a Model of Reactive-Cracking: the Role of Reactions, Elasticity and Surface Energy Driven Flow in Poro-elastic Media

    NASA Astrophysics Data System (ADS)

    Evans, O.; Spiegelman, M. W.; Wilson, C. R.; Kelemen, P. B.

    2016-12-01

    Many critical processes can be described by reactive fluid flow in brittle media, including hydration/alteration of oceanic plates near spreading ridges, chemical weathering, and dehydration/decarbonation of subducting plates. Such hydration reactions can produce volume changes that may induce stresses large enough to drive fracture in the rock, in turn exposing new reactive surface and modifying the permeability. A better understanding of this potentially rich feedback could also be critical in the design of engineered systems for geologic carbon sequestration. To aid understanding of these processes we have developed a macroscopic continuum description of reactive fluid flow in an elastically deformable porous media. We explore the behaviour of this model by considering a simplified hydration reaction (e.g. olivine + H20 -> serpentine + brucite). In a closed system, these hydration reactions will continue to consume available fluids until the permeability reaches zero, leaving behind it a highly stressed residuum. Our model demonstrates this limiting behaviour, and that the elastic stresses generated are large enough to cause failure/fracture of the host rock. Whilst it is understood that `reactive fracture' is an important mechanism for the continued evolution of this process, it is also proposed that imbibition/surface energy driven flow may play a role. Through a simplified set of computational experiments, we investigate the relative roles of elasticity and surface energy in both a non-reactive purely poro-elastic framework, and then in the presence of reaction. We demonstrate that surface energy can drive rapid diffusion of porosity, thus allowing the reaction to propagate over larger areas. As we expect both surface energy and fracture/failure to be of importance in these processes, we plan to integrate the current model into one that allows for fracture once critical stresses are exceeded.

  11. Current perspectives on the role of the pharmacist in heart failure management

    PubMed Central

    Cheng, Judy WM

    2017-01-01

    Pharmacists play an important role within a multidisciplinary health care team in the care of patients with heart failure (HF). It has been evaluated and documented that pharmacists providing medication reconciliation especially during transition of care, educating patients on their medications, and providing collaborative medication management lead to positive changes in the patient outcomes, including but not limited to decreasing in hospitalizations and read-missions. It is foreseeable that pharmacist roles will continue to expand as new treatment and innovative care are developed for HF patients. I reviewed published role of pharmacists in the care of HF patients. MEDLINE and Current Content database (both from 1966 – December 31, 2017) were utilized to identify peer-reviewed clinical trials, descriptive studies, and review articles published in English using the following search terms: pharmacists, clinical pharmacy, HF, and cardiomyopathy. Citations from available articles were also reviewed for additional references. Preliminary search revealed 31 studies and 55 reviews. They were further reviewed by title and abstract as well as full text to remove irrelevant articles. At the end, 24 of these clinical trials and systematic reviews are described in the following text and Table 1 summarizes 16 pertinent clinical trials. Some roles that are currently being explored include medication management in patients with mechanical circulatory support for end-stage HF, where pharmacokinetics and pharmacodynamics of medications can change, medication management in ambulatory intravenous diuretic clinics, and comprehensive medication management in patients’ home settings. Pharmacists should continue to explore and prospectively evaluate their role in the care of this patient population, including documenting their interventions, and impact to economic and patient outcomes. PMID:29594034

  12. Exact coherent structures and chaotic dynamics in a model of cardiac tissue

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

    Byrne, Greg; Marcotte, Christopher D.; Grigoriev, Roman O., E-mail: roman.grigoriev@physics.gatech.edu

    Unstable nonchaotic solutions embedded in the chaotic attractor can provide significant new insight into chaotic dynamics of both low- and high-dimensional systems. In particular, in turbulent fluid flows, such unstable solutions are referred to as exact coherent structures (ECS) and play an important role in both initiating and sustaining turbulence. The nature of ECS and their role in organizing spatiotemporally chaotic dynamics, however, is reasonably well understood only for systems on relatively small spatial domains lacking continuous Euclidean symmetries. Construction of ECS on large domains and in the presence of continuous translational and/or rotational symmetries remains a challenge. This ismore » especially true for models of excitable media which display spiral turbulence and for which the standard approach to computing ECS completely breaks down. This paper uses the Karma model of cardiac tissue to illustrate a potential approach that could allow computing a new class of ECS on large domains of arbitrary shape by decomposing them into a patchwork of solutions on smaller domains, or tiles, which retain Euclidean symmetries locally.« less

  13. Contemporary Clinical Management of Endometrial Cancer

    PubMed Central

    Dinkelspiel, Helen E.; Wright, Jason D.; Lewin, Sharyn N.; Herzog, Thomas J.

    2013-01-01

    Although the contemporary management of endometrial cancer is straightforward in many ways, novel data has emerged over the past decade that has altered the clinical standards of care while generating new controversies that will require further investigation. Fortunately most cases are diagnosed at early stages, but high-risk histologies and poorly differentiated tumors have high metastatic potential with a significantly worse prognosis. Initial management typically requires surgery, but the role and extent of lymphadenectomy are debated especially with well-differentiated tumors. With the changes in surgical staging, prognosis correlates more closely with stage, and the importance of cytology has been questioned and is under evaluation. The roles of radiation in intermediate-risk patients and chemotherapy in high-risk patients are emerging. The therapeutic index of brachytherapy needs to be considered, and the best sequencing of combined modalities needs to balance efficacy and toxicities. Additionally novel targeted therapies show promise, and further studies are needed to determine the appropriate use of these new agents. Management of endometrial cancer will continue to evolve as clinical trials continue to answer unsolved clinical questions. PMID:23864861

  14. The role of telemedicine in obstructive sleep apnea management.

    PubMed

    Lugo, Vera; Villanueva, Jair Asir; Garmendia, Onintza; Montserrat, Josep M

    2017-09-01

    Obstructive sleep apnea (OSA) is a common disease that leads in notorious symptoms and comorbidities. Although general measures are important, continuous positive airway pressure (CPAP) is the best treatment option. However, compliance can be suboptimal and telemedicine may play a role to improve it. Areas covered: Review authors searched EMBASE, PubMed and Cochrane data bases using the following keywords: continuous positive airway pressure, Obstructive sleep apnea, telemedicine, respiratory telemedicine, information and communication technology. Papers published between 2000 and 2016 in English language were considered. Expert commentary: To improve OSA management, there is a pressing need to develop new cost-effective strategies, particularly those related to OSA treatment, from measures such as lifestyle changes to CPAP use. Two broad strategies should be implemented: 1) adequate pre-, peri-, and post-titration measures to ensure correct diagnosis, adequate training, and appropriate support during follow up; and 2) the use of technological advances including both the optimization of CPAP devices and the use of telemedicine, specially focused on the first days or weeks of treatment. Telemedicine can help with these processes, especially when it is personalized to the needs of each patient group.

  15. Multi-scale Characterization of Improved Algae Strains

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

    Dale, Taraka T.

    This report relays the important role biofuels such as algae could have in the energy market. The report cites that problem of crude oil becoming less abundant while the demand for energy continues to rise. There are many benefits of producing energy with biofuels such as fewer carbon emissions as well as less land area to produce the same amount of energy compared to other sources of renewable fuels. One challenge that faces biofuels right now is the cost to produce it is high.

  16. A Time to Build: An Expanded Role for United States Reserve Forces in Central America and the Caribbean

    DTIC Science & Technology

    1988-04-01

    individual research project for the Tnte_-American lnse Collee 17. COSATI DES 18. SUBJECT TERMS (Continue on rvrse if necessa y and identify by block...States policy for the are= is founded on four mutually supporting tenets--the "rrh D’s"-- Democracy, Dialogue, Development and De - ense. The I24...region’s natural resources, strategic location astride important transportation and communication routes and a high level o’ U.S. investment (Ratliff in

  17. Batch mode grid generation: An endangered species

    NASA Technical Reports Server (NTRS)

    Schuster, David M.

    1992-01-01

    Non-interactive grid generation schemes should thrive as emphasis shifts from development of numerical analysis and design methods to application of these tools to real engineering problems. A strong case is presented for the continued development and application of non-interactive geometry modeling methods. Guidelines, strategies, and techniques for developing and implementing these tools are presented using current non-interactive grid generation methods as examples. These schemes play an important role in the development of multidisciplinary analysis methods and some of these applications are also discussed.

  18. Building Integrated Design Practice under the Concept of Sustainable Development

    NASA Astrophysics Data System (ADS)

    Liu, Xuexin

    2018-03-01

    With the continuous development of social economy, people are more demanding for architecture. Some advanced design concepts are gradually applied to the design of buildings. Under the concept of sustainable development, building integration design has also been widely used to promote the rapid development of architectural design. Integrated design concepts and sustainable development concepts play an important role to meet people’s requirements. This article will explore the concept of sustainable development under the concept of integrated architectural design and practice analysis, propose appropriate measures.

  19. Prenatal substance abuse: short- and long-term effects on the exposed fetus.

    PubMed

    Behnke, Marylou; Smith, Vincent C

    2013-03-01

    Prenatal substance abuse continues to be a significant problem in this country and poses important health risks for the developing fetus. The primary care pediatrician's role in addressing prenatal substance exposure includes prevention, identification of exposure, recognition of medical issues for the exposed newborn infant, protection of the infant, and follow-up of the exposed infant. This report will provide information for the most common drugs involved in prenatal exposure: nicotine, alcohol, marijuana, opiates, cocaine, and methamphetamine.

  20. Noninvasive diagnostic techniques in cardiology

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

    Verani, M.S.

    1983-10-01

    Noninvasive cardiology has made notable progress in the last several years. A variety of sophisticated tests are now available to the clinician, providing both anatomic and physiologic information. The result has been an improvement of the level of diagnostic accuracy, which in a final analysis translates into better patient care. Newer tests such as cardiac CAT scan and nuclear magnetic resonance, using incredibly advanced technologies, continue to be investigated and almost certainly will play an important role in cardiovascular diagnosis in year to come.

  1. An Unmastered Past: Latvia and Russia After NATO and EU Enlargement: Bilateral Issues of Statecraft 2003-2006

    DTIC Science & Technology

    2006-06-01

    relations, World War II, Waffen SS, NATO, European Union, the Abrene district, occupation, state continuity, international relations, foreign policy. 16...Latvian legion of Waffen SS. The chapter argues that the negative attitude of Russian foreign policy makers derives directly from the perception...the role and importance of two divisions of Waffen SS known as the “Latvian Legion” probably has been the most intense and still is one of the most

  2. Media and technology in adolescent sexual education and safety.

    PubMed

    Harris, Allyssa L

    2011-01-01

    Media play an important role in the lives of adolescents, providing them with opportunities for education and socialization. Media content is increasingly permeated with violence and sexual references that can be highly influential as adolescents continue the developmental process. Providing patient education is one of the cornerstones of nursing practice, and nurses are ideally suited to affect adolescent and parental education about the sexual and violent content of media. © 2011 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  3. On unified modeling, theory, and method for solving multi-scale global optimization problems

    NASA Astrophysics Data System (ADS)

    Gao, David Yang

    2016-10-01

    A unified model is proposed for general optimization problems in multi-scale complex systems. Based on this model and necessary assumptions in physics, the canonical duality theory is presented in a precise way to include traditional duality theories and popular methods as special applications. Two conjectures on NP-hardness are proposed, which should play important roles for correctly understanding and efficiently solving challenging real-world problems. Applications are illustrated for both nonconvex continuous optimization and mixed integer nonlinear programming.

  4. EEG and Coma.

    PubMed

    Ardeshna, Nikesh I

    2016-03-01

    Coma is defined as a state of extreme unresponsiveness, in which a person exhibits no voluntary movement or behavior even to painful stimuli. The utilization of EEG for patients in coma has increased dramatically over the last few years. In fact, many institutions have set protocols for continuous EEG (cEEG) monitoring for patients in coma due to potential causes such as subarachnoid hemorrhage or cardiac arrest. Consequently, EEG plays an important role in diagnosis, managenent, and in some cases even prognosis of coma patients.

  5. Department of Defense Natural Resources Program: Songbird Nest Boxes. Section 5.1.8., US Army Corps of Engineers Wildlife Resources Management Manual

    DTIC Science & Technology

    1988-11-01

    SUBJECT TERMS (Continue on reverse if necessary and idenify by block number) FIELD GROUP SUB-GROUP Artificial nesting structures Songbord management...5.1.8 in Chapter 5 -- MANAGEMENT PRACTICES AND TECHNIQUES , Part 5.1 -- NESTING AND ROOSTING STRUCTURES, of the US ARMY CORPS OF ENGINEERS WILDLIFE...natural cavities has become a widely used management technique . Nest box programs have played an important role in the restoration of species such as

  6. ARTES: the future of satellite telecommunication

    NASA Astrophysics Data System (ADS)

    González-Blázquez, Angel; Detain, Dominique

    2005-08-01

    Throughout its 30-year existence, ESA has played a key role by providing telecommunications infrastructures that have allowed the in-orbit validation, qualification and demonstration of equipment, technology and services. In the past, this has been achieved through the provision of dedicated satellites like OTS, Marecs, Olympus and Artemis, as well as by the implementation of piggy-back payloads on other ESA or commercial satellites. Today, due to the importance of satellite telecommunications, ESA continues to support this sector mainly through its ARTES - Advanced Research in Telecommunications - Programme.

  7. Multidetector CT of musculoskeletal disease in the pediatric patient: principles, techniques, and clinical applications.

    PubMed

    Fayad, Laura M; Johnson, Pamela; Fishman, Elliot K

    2005-01-01

    Computed tomography (CT) plays an important role in the evaluation of musculoskeletal disease in the pediatric patient. With the advent of high-performance 16-section multidetector CT, images can be produced with subsecond gantry rotation times and with submillimeter acquisition, which yields true isotropic high-resolution volume data sets; these features are not attainable with older spiral CT technology. Such capabilities are particularly helpful in the evaluation of pediatric patients by virtually eliminating the need for sedation and minimizing dependence on patient cooperation. The role of three-dimensional (3D) volume imaging in the evaluation of pediatric musculoskeletal disease continues to evolve, with this technique becoming increasingly important in detection and characterization of lesions as well as in decisions about patient care. Specific designs and protocols for multidetector CT studies can be selected to minimize radiation dose to the patient. Principal clinical applications of 3D CT in evaluation of the pediatric musculoskeletal system include developmental abnormalities, trauma, neoplasms, and postoperative imaging.

  8. Experience Shapes the Development of Neural Substrates of Face Processing in Human Ventral Temporal Cortex.

    PubMed

    Golarai, Golijeh; Liberman, Alina; Grill-Spector, Kalanit

    2017-02-01

    In adult humans, the ventral temporal cortex (VTC) represents faces in a reproducible topology. However, it is unknown what role visual experience plays in the development of this topology. Using functional magnetic resonance imaging in children and adults, we found a sequential development, in which the topology of face-selective activations across the VTC was matured by age 7, but the spatial extent and degree of face selectivity continued to develop past age 7 into adulthood. Importantly, own- and other-age faces were differentially represented, both in the distributed multivoxel patterns across the VTC, and also in the magnitude of responses of face-selective regions. These results provide strong evidence that experience shapes cortical representations of faces during development from childhood to adulthood. Our findings have important implications for the role of experience and age in shaping the neural substrates of face processing in the human VTC. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  9. Whole-brain radiotherapy and stereotactic radiosurgery in brain metastases: what is the evidence?

    PubMed

    Mehta, Minesh P; Ahluwalia, Manmeet S

    2015-01-01

    The overall local treatment paradigm of brain metastases, which includes whole-brain radiotherapy (WBRT) and stereotactic radiosurgery (SRS), continues to evolve. Local therapies play an important role in the management of brain metastases. The choice of local therapy depends on factors that involve the patient (performance status, expected survival, and age), the prior treatment history, and the tumor (type and subtype, number, size, location of metastases, and extracranial disease status). Multidisciplinary collaboration is required to facilitate an individualized plan to improve the outcome of disease in patients with this life-limiting complication. There has been concern about the neurocognitive effects of WBRT. A number of approaches that mitigate cognitive dysfunction, such as pharmacologic intervention (memantine) or a hippocampal-sparing strategy, have been studied in a prospective manner with WBRT. Although there has been an increase in the use of SRS in the management of brain metastases in recent years, WBRT retains an important therapeutic role.

  10. Physical Activity and the Prevention of Hypertension

    PubMed Central

    Diaz, Keith M.; Shimbo, Daichi

    2013-01-01

    As the worldwide prevalence of hypertension continues to increase, the primary prevention of hypertension has become an important global public health initiative. Physical activity is commonly recommended as an important lifestyle modification that may aid in the prevention of hypertension. Recent epidemiologic evidence has demonstrated a consistent, temporal, and dose-dependent relationship between physical activity and the development of hypertension. Experimental evidence from interventional studies have further confirmed a relationship between physical activity and hypertension as the favorable effects of exercise on blood pressure reduction have been well characterized in recent years. Despite the available evidence strongly supporting a role for physical activity in the prevention of hypertension, many unanswered questions regarding the protective benefits of physical activity in high-risk individuals, the factors that may moderate the relationship between physical activity and hypertension, and the optimal prescription for hypertension prevention remain. We review the most recent evidence for the role of physical activity in the prevention of hypertension and discuss recent studies that have sought to address these unanswered questions. PMID:24052212

  11. Modelling C₃ photosynthesis from the chloroplast to the ecosystem.

    PubMed

    Bernacchi, Carl J; Bagley, Justin E; Serbin, Shawn P; Ruiz-Vera, Ursula M; Rosenthal, David M; Vanloocke, Andy

    2013-09-01

    Globally, photosynthesis accounts for the largest flux of CO₂ from the atmosphere into ecosystems and is the driving process for terrestrial ecosystem function. The importance of accurate predictions of photosynthesis over a range of plant growth conditions led to the development of a C₃ photosynthesis model by Farquhar, von Caemmerer & Berry that has become increasingly important as society places greater pressures on vegetation. The photosynthesis model has played a major role in defining the path towards scientific understanding of photosynthetic carbon uptake and the role of photosynthesis on regulating the earth's climate and biogeochemical systems. In this review, we summarize the photosynthesis model, including its continued development and applications. We also review the implications these developments have on quantifying photosynthesis at a wide range of spatial and temporal scales, and discuss the model's role in determining photosynthetic responses to changes in environmental conditions. Finally, the review includes a discussion of the larger-scale modelling and remote-sensing applications that rely on the leaf photosynthesis model and are likely to open new scientific avenues to address the increasing challenges to plant productivity over the next century. Published 2013. This article is a U.S. Government work and is in the public domain in the USA.

  12. A Review of Empathy, Its Importance, and Its Teaching in Surgical Training.

    PubMed

    Han, Jing L; Pappas, Theodore N

    There has been much discussion in the medical literature about the importance of empathy and physician communication style in medical practice. Empathy has been shown to have a very real positive effect on patient outcomes. Most of the existing literature speaks to its role in medical education, with relatively little empiric study about empathy in the surgical setting. Review of empathy and its importance as it pertains to the surgeon-patient relationship and improving patient outcomes, and the need for increased education in empathy during surgical training. The published, peer-reviewed literature on patient-physician and patient-surgeon communication, medical student and resident education in empathy, and empathy research was reviewed. PubMed was queried for MESH terms including "empathy," "training," "education," "surgery," "resident," and "communication." There is evidence of a decline in empathy that begins during the clinical years of medical school, which continues throughout residency training. Surgeons are particularly susceptible to this decline as by-product of the nature of their work, and the current lack of formalised training in empathic patient communication poses a unique problem to surgical residents. The literature suggests that empathy training is warranted and should be incorporated into surgical residencies through didactics, role-playing and simulations, and apprenticeship to empathic attending role models. Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  13. Role of inflammation in the development of renal damage and dysfunction in Angiotensin II-induced hypertension

    PubMed Central

    Liao, Tang-Dong; Yang, Xiao-Ping; Liu, Yun-He; Shesely, Edward G.; Cavasin, Maria A.; Kuziel, William A.; Pagano, Patrick J.; Carretero, Oscar A.

    2008-01-01

    Angiotensin II (Ang II)-induced hypertension is associated with an inflammatory response that may contribute to development of target organ damage. We tested the hypothesis that in Angiotensin II-induced hypertension, CC chemokine receptor 2 (CCR2) activation plays an important role in development of renal fibrosis, damage and dysfunction by causing: a) oxidative stress, b) macrophage infiltration, and c) cell proliferation. To test this hypothesis we used CCR2 knockout mice (CCR2−/−). The natural ligand of CCR2 is monocyte chemoattractant protein-1 (MCP-1), a chemokine important for macrophage recruitment and activation. CCR2−/− and age-matched wild-type (CCR2+/+) C57BL/6J mice were infused continuously with either Ang II (5.2 ng/10 g/min) or vehicle via osmotic mini-pumps for 2 or 4 weeks. Ang II infusion caused similar increases in systolic blood pressure and left ventricular hypertrophy in both strains of mice. However, in CCR2−/− mice with Ang II-induced hypertension, oxidative stress, macrophage infiltration, albuminuria and renal damage were significantly decreased and glomerular filtration rate was significantly higher than in CCR2+/+ mice. We concluded that in Ang II-induced hypertension, CCR2 activation plays an important role in development of hypertensive nephropathy via increased oxidative stress and inflammation. PMID:18541733

  14. Who would you like to be like? Family, village, and national role models among Black youth in rural South Africa

    PubMed Central

    Madhavan, Sangeetha; Crowell, Jacqueline

    2015-01-01

    In this paper, we examine how Black youth in rural South Africa construct role models and connect them to their own life aspirations. We pay particular attention to individual and group identity development in shaping these perceptions. Based on analysis of qualitative data from 99 Black male and female youth aged 14–22, we find that 1) the choice of role models reflects a balancing strategy to reconcile individual and group identity development; 2) while the reasons they give for choosing role models are aligned with dominant models of upward mobility in the new South Africa (and globally), our respondents are also attuned to the difficulty of attaining such success and 3) the choices underscore the continued importance of close and extended kin amidst an increasingly ego focused life strategy aimed at individual status attainment. These findings can contribute to strengthening the effectiveness of intervention programs aimed at strengthening positive influences in the lives of Black youth in South Africa. PMID:26005284

  15. Nurses' attitudes towards end-of-life decisions in medical practice: a nationwide study in Flanders, Belgium.

    PubMed

    Inghelbrecht, E; Bilsen, J; Mortier, F; Deliens, L

    2009-10-01

    We investigated on a nationwide level the attitudes of nurses towards end-of-life decisions (ELDs) that may hasten death and towards their role in those decisions. We took a representative random sample of 6000 nurses in Flanders, Belgium. Response rate was 62.5%. Most nurses agreed with the practice of withholding/withdrawing potentially life-prolonging treatments (93%), with decisions to alleviate symptoms with possible life-shortening side effects (96%) and with the practice of euthanasia (92%). Their support for the different decisions existed regardless of whether they had cared for terminally ill patients or not. Most nurses also thought that they have an important role to play especially in the ELD-making process. Nurses' views on their proper role in the administration of drugs in euthanasia and continuous deep sedation showed a large dispersal. Overall, nurses' work setting determines their opinions on nurses' role in ELDs. In conclusion, nurses accept a wide variety of ELDs being practiced with terminally ill patients.

  16. The role of astrocytes in multiple sclerosis pathogenesis.

    PubMed

    Guerrero-García, J J

    2017-09-25

    Multiple sclerosis (MS) is a demyelinating autoimmune disease of the central nervous system (CNS), in which astrocytes play an important role as CNS immune cells. However, the activity of astrocytes as antigen-presenting cells (APC) continues to be subject to debate. This review analyses the existing evidence on the participation of astrocytes in CNS inflammation in MS and on several mechanisms that modify astrocyte activity in the disease. Astrocytes play a crucial role in the pathogenesis of MS because they express toll-like receptors (TLR) and major histocompatibility complex (MHC) classI andII. In addition, astrocytes participate in regulating the blood-brain barrier (BBB) and in modulating T cell activity through the production of cytokines. Future studies should focus on the role of astrocytes in order to find new therapeutic targets for the treatment of MS. Copyright © 2017 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. Advanced physical assessment skills: implementation of a module.

    PubMed

    Aldridge-Bent, Sharon

    2011-02-01

    This article aims to explore and examine advanced physical assessment skills and the role of the district nurse. It will particularly highlight district nurses' perceptions of how they may implement skills learnt on a new module introduced into the Community Health Care Nursing degree at a university in London. Physical assessment skills have traditionally been viewed as part of a doctor's role; however, with the advancement of nursing roles, it is argued that it has become a key nursing skill. As Government policy continues to expect health professionals to keep patients in the community who have complex health and social care needs, the role of the district nurse presents as 'best placed' to take on this challenge (Department of Health (DH), 2005a; 2005b). Evaluation of the district nurses' perceptions of their practice is shared here, highlighting some of the challenges that they face. The article will address the complexity of developing a curriculum in response to the DH initiatives and the importance of listening to students on courses.

  18. The role of models in estimating consequences as part of the risk assessment process.

    PubMed

    Forde-Folle, K; Mitchell, D; Zepeda, C

    2011-08-01

    The degree of disease risk represented by the introduction, spread, or establishment of one or several diseases through the importation of animals and animal products is assessed by importing countries through an analysis of risk. The components of a risk analysis include hazard identification, risk assessment, risk management, and risk communication. A risk assessment starts with identification of the hazard(s) and then continues with four interrelated steps: release assessment, exposure assessment, consequence assessment, and risk estimation. Risk assessments may be either qualitative or quantitative. This paper describes how, through the integration of epidemiological and economic models, the potential adverse biological and economic consequences of exposure can be quantified.

  19. [The value of sports for handicapped patients. Achieving social integration--building bridges by paralympic sports].

    PubMed

    Steadward, R D

    2000-11-01

    It is important to reflect back on the enormous changes that have taken place in society over the past century that have affected the quality of life of disabled persons and societal attitudes towards disability. Although great progress has been made, these people remain marginalized and disadvantaged, and despite all the efforts of volunteers, professionals, and governments, we cannot categorically state that they are fully socially integrated. The term disability continues to carry an enormous stigma, and therefore it is important to examine the concept of social integration and the issues around it as they affect disabled persons and the role of the International Paralympic Committee (IPC) movement in achieving this end.

  20. [An Occupational Therapy Intervention for People With Dementia].

    PubMed

    Ke, Hung-Hsun

    2018-02-01

    The percentage of individuals with dementia worldwide is increasing with the continued trend toward global trend overall. As options for the medical treatment of dementia remain limited, combined, non-pharmacological interventions are necessary to maintain and slow the degeneration of functional capabilities. Additionally, there is a need to help caregivers develop better patterns of care and methods to reduce the burden of care. Therefore, occupational therapists play an important role in the dementia care team. This article introduces how occupational therapists help dementia patient maintain their functional capabilities and delay degeneration and help caregivers reduce their burden of care. Both activities are based on the concept of occupational therapy, which includes three important components: people, activities, and the environment.

  1. Taking care of your feet.

    PubMed

    Sabine, P M

    1999-10-01

    For anyone who finds walking and standing painful, the working day can seem interminable and miserable. This is compounded for nurses who lead busy, active lives, and foot problems can become a major barrier to an effective working day. Chronic foot problems have led nurses to seek alternative employment, often outside the profession, thus leaving health services even less well staffed with experienced personnel. Foot health, then, plays an important role in maintaining the mobility of nurses and foot care is vital for continued comfort during gait. It is equally important to understand which foot problems may be safely dealth with by the sufferer and to identify those that require specialist help and advice from a State Registered Chiropodist/Podiatrist.

  2. Public Engagement in Planetary Science through Europlanet Social Media

    NASA Astrophysics Data System (ADS)

    Heenatigala, T.

    2017-09-01

    From 'Save the Hubble' campaign to ESA's Rosetta mission, social media has played a major role in public engagement and continues to grow. However, with this growing number of social media platforms and the amount of content that goes public daily, the 'noise' level is high - making it difficult to reach a good, relevant audience. Hence, it's important to use different strategies with the content created, from launching a video to live session to issue a press release. Under the Horizon 2020, the Europlanet Media Centre[1] identifies the importance of using social media for outreach. Europlanet uses primary and secondary social media platforms strategically to engage with the followers and a new audience.

  3. DNA Tumor Viruses and Cell Metabolism

    PubMed Central

    Mushtaq, Muhammad; Darekar, Suhas

    2016-01-01

    Viruses play an important role in cancerogenesis. It is estimated that approximately 20% of all cancers are linked to infectious agents. The viral genes modulate the physiological machinery of infected cells that lead to cell transformation and development of cancer. One of the important adoptive responses by the cancer cells is their metabolic change to cope up with continuous requirement of cell survival and proliferation. In this review we will focus on how DNA viruses alter the glucose metabolism of transformed cells. Tumor DNA viruses enhance “aerobic” glycolysis upon virus-induced cell transformation, supporting rapid cell proliferation and showing the Warburg effect. Moreover, viral proteins enhance glucose uptake and controls tumor microenvironment, promoting metastasizing of the tumor cells. PMID:27034740

  4. Monitoring the startup of a wet detention pond equipped with sand filters and sorption filters.

    PubMed

    Vollertsen, J; Lange, K H; Pedersen, J; Hallager, P; Bruus, A; Laustsen, A; Bundesen, V W; Brix, H; Nielsen, A H; Nielsen, N H; Wium-Andersen, T; Hvitved-Jacobsen, T

    2009-01-01

    The startup of a wet retention pond designed for extended stormwater treatment was monitored by more than one year of continual measurement of hydraulic parameters, nutrients and quality parameters in the pond itself (pH, temperature, dissolved oxygen, turbidity). The data revealed that photosynthesis played an important role for dissolved oxygen and pH for most of the year. Another important observation was that the pond behaved more like a completely mixed reactor than like a plug flow reactor--even though the length to width ratio was as high as 4.5:1. The pond was equipped with sand filters and sorption filters whereby very good nutrient removal efficiencies were achieved.

  5. Mold Flux Crystallization and Mold Thermal Behavior

    NASA Astrophysics Data System (ADS)

    Peterson, Elizabeth Irene

    Mold flux plays a small but critical role in the continuous casting of steel. The carbon-coated powder is added at the top of the water-cooled copper mold, over time it melts and infiltrates the gap between the copper mold and the solidifying steel strand. Mold powders serve five primary functions: (1) chemical insulation, (2) thermal insulation, (3) lubrication between the steel strand and mold, (4) absorption of inclusions, and (5) promotion of even heat flux. All five functions are critical to slab casting, but surface defect prevention is primarily controlled through even heat flux. Glassy fluxes have high heat transfer and result in a thicker steel shell. Steels with large volumetric shrinkage on cooling must have a crystalline flux to reduce the radiative heat transfer and avoid the formation of cracks in the shell. Crystallinity plays a critical role in steel shell formation, therefore it is important to study the thermal conditions that promote each phase and its morphology. Laboratory tests were performed to generate continuous cooling transformation (CCT) and time-temperature-transformation (TTT) diagrams. Continuous cooling transformation tests were performed in an instrumented eight cell step chill mold. Results showed that cuspidine was the only phase formed in conventional fluxes and all observed structures were dendritic. An isothermal tin bath quench method was also developed to isothermally age glassy samples. Isothermal tests yielded different microstructures and different phases than those observed by continuous cooling. Comparison of aged tests with industrial flux films indicates similar faceted structures along the mold wall, suggesting that mold flux first solidifies as a glass along the mold wall, but the elevated temperature devitrifies the glassy structure forming crystals that cannot form by continuous cooling.

  6. The continuation of the Kazerun fault system across the Sanandaj-Sirjan zone (Iran)

    NASA Astrophysics Data System (ADS)

    Safaei, Homayon

    2009-08-01

    The Kazerun (or Kazerun-Qatar) fault system is a north-trending dextral strike-slip fault zone in the Zagros mountain belt of Iran. It probably originated as a structure in the Panafrican basement. This fault system played an important role in the sedimentation and deformation of the Phanerozoic cover sequence and is still seismically active. No previous studies have reported the continuation of this important and ancient fault system northward across the Sanandaj-Sirjan zone. The Isfahan fault system is a north-trending dextral strike-slip fault across the Sanandaj-Sirjan zone that passes west of Isfahan city and is here recognized for the first time. This important fault system is about 220 km long and is seismically active in the basement as well as the sedimentary cover sequence. This fault system terminates to the south near the Main Zagros Thrust and to the north at the southern boundary of the Urumieh-Dokhtar zone. The Isfahan fault system is the boundary between the northern and southern parts of Sanandaj-Sirjan zone, which have fundamentally different stratigraphy, petrology, geomorphology, and geodynamic histories. Similarities in the orientations, kinematics, and geologic histories of the Isfahan and Kazerun faults and the way they affect the magnetic basement suggest that they are related. In fact, the Isfahan fault is a continuation of the Kazerun fault across the Sanandaj-Sirjan zone that has been offset by about 50 km of dextral strike-slip displacement along the Main Zagros Thrust.

  7. Advanced practice nursing role delineation in acute and critical care: application of the strong model of advanced practice.

    PubMed

    Mick, D J; Ackerman, M H

    2000-01-01

    This purpose of this study was to differentiate between the roles of clinical nurse specialists and acute care nurse practitioners. Hypothesized blending of the clinical nurse specialist and acute care nurse practitioner roles is thought to result in an acute care clinician who integrates the clinical skills of the nurse practitioner with the systems knowledge, educational commitment, and leadership ability of the clinical nurse specialist. Ideally, this role blending would facilitate excellence in both direct and indirect patient care. The Strong Model of Advanced Practice, which incorporates practice domains of direct comprehensive care, support of systems, education, research, and publication and professional leadership, was tested to search for practical evidence of role blending. This descriptive, exploratory, pilot study included subjects (N = 18) solicited from an academic medical center and from an Internet advanced practice listserv. Questionnaires included self-ranking of expertise in practice domains, as well as valuing of role-related tasks. Content validity was judged by an expert panel of advanced practice nurses. Analyses of descriptive statistics revealed that clinical nurse specialists, who had more experience both as registered nurses and in the advanced practice nurse role, self-ranked their expertise higher in all practice domains. Acute care nurse practitioners placed higher importance on tasks related to direct comprehensive care, including conducting histories and physicals, diagnosing, and performing diagnostic procedures, whereas clinical nurse specialists assigned greater importance to tasks related to education, research, and leadership. Levels of self-assessed clinical expertise as well as valuing of role-related tasks differed among this sample of clinical nurse specialists and acute care nurse practitioners. Groundwork has been laid for continuing exploration into differentiation in advanced practice nursing roles. As the clinical nurse specialist role changes and the acute care nurse practitioner role emerges, it is imperative that advanced practice nurses describe their contribution to health care. Associating advanced practice nursing activities with outcomes will help further characterize these 2 advanced practice roles.

  8. Hello oil rig: The role of simulacra images in producing future reality

    NASA Astrophysics Data System (ADS)

    Ibrahim, Abdallah

    This project is the first approach to address the problem of the image through a discussion between science, philosophy, art history, art theory, and fine arts based on one body of specific art work designed especially to explain the role of the image in producing future reality models. This study is a continuation of the dialogue between important philosophers and thinkers about the image and its place in the contemporary scene. The technical fossil medium used in painting this project crosses the boundary between scientific research with its data sheets to art theory and fine arts with their aesthetic rhetoric thus bringing many disciplines together. Seven images were created to discuss the problem. The artwork and the academic research are both interacting in this paper in a multidiscipline discussion to uncover the role of the images in creating a new reality and in forging the hyperreal culture.

  9. Policy statement--Role of the pediatrician in youth violence prevention.

    PubMed

    2009-07-01

    Youth violence continues to be a serious threat to the health of children and adolescents in the United States. It is crucial that pediatricians clearly define their role and develop the appropriate skills to address this threat effectively. From a clinical perspective, pediatricians should become familiar with Connected Kids: Safe, Strong, Secure, the American Academy of Pediatrics' primary care violence prevention protocol. Using this material, practices can incorporate preventive education, screening for risk, and linkages to community-based counseling and treatment resources. As advocates, pediatricians may bring newly developed information regarding key risk factors such as exposure to firearms, teen dating violence, and bullying to the attention of local and national policy makers. This policy statement refines the developing role of pediatricians in youth violence prevention and emphasizes the importance of this issue in the strategic agenda of the American Academy of Pediatrics.

  10. Sharing of home responsibilities between professionally employed women and their husbands.

    PubMed

    Biernat, M; Wortman, C B

    1991-06-01

    A sample of 139 married couples with young children and with relatively equal status careers (wives were university professors or businesswomen) were interviewed about work and home life. Considerable, traditional inequity in the distribution of child-care tasks and chore responsibility was noted, but women were generally satisfied with their husbands' home involvement. In the academic sample, the longer hours each spouse worked, the more child care the other performed; in the business sample, child-care involvement was largely determined by the husband's work hours, income, and education. Overall, women were more self-critical than were men about their performance in home roles, and women's role performance was rated more highly by husbands than by themselves. Women professionals' continued use of traditional sex role standards and the importance of attending to both partners' perspectives in studies of married life are discussed.

  11. Current Priorities for Public Health Practice in Addressing the Role of Human Genomics in Improving Population Health

    PubMed Central

    Khoury, Muin J.; Bowen, Michael S.; Burke, Wylie; Coates, Ralph J.; Dowling, Nicole F.; Evans, James P.; Reyes, Michele; St. Pierre, Jeannette

    2017-01-01

    In spite of accelerating human genome discoveries in a wide variety of diseases of public health significance, the promise of personalized health care and disease prevention based on genomics has lagged behind. In a time of limited resources, public health agencies must continue to focus on implementing programs that can improve health and prevent disease now. Nevertheless, public health has an important and assertive leadership role in addressing the promise and pitfalls of human genomics for population health. Such efforts are needed not only to implement what is known in genomics to improve health but also to reduce potential harm and create the infrastructure needed to derive health benefits in the future. PMID:21406285

  12. [Circular RNA in human disease and their potential clinic significance].

    PubMed

    Chen, Yonghua; Li, Cheng; Tan, Chunlu; Mai, Gang; Liu, Xubao

    2017-02-10

    Circular RNAs (circ RNAs) are a novel type of RNA that, unlike linear RNAs, form a covalently closed continuous loop and are highly represented in the eukaryotic transcriptome. They share a stable structure, high expression and often exhibit tissue/developmental-stage-specific expression. Emerging evidence indicates that circRNAs might play important roles in human disease, such as cancer, neurological disorders and atherosclerotic vascular disease risk. The huge potentials of circRNAs are recently being discovered from the laboratory to the clinic. CircRNAs might be developed as a potential novel and stable biomarker and potential drugs used in disease diagnosis and treatment. Here, we review the current understanding of the roles of circRNAs in human disease and their potential clinic significance in disease.

  13. Focus group positioning and analysis: a commentary on adjuncts for enhancing the design of health care research.

    PubMed

    Johnson, B C

    1990-01-01

    As health care competition increases, and as the penalties for making poor decisions become potentially more devastating, market research continues to play an increasingly important role in the decision-making process for hospitals. Concern over the appropriate use of market research and the costs related to it remains high. As such, efficiency in research design and clarity in research outcome are clearly the goals. This paper examines the focus group process and its adjunctive role in enhancing the overall design of health care market research. Specifically, the function and placement of focus groups within the research plan as well as several methods of creative focus group analysis are considered within the context of an effective research design.

  14. The role of health and safety experts in the management of hazardous and toxic wastes in Indonesia

    NASA Astrophysics Data System (ADS)

    Supriyadi; Hadiyanto

    2018-02-01

    Occupational Safety and Health Experts in Indonesia have an important role in integrating environmental health and safety factors, including in this regard as human resources assigned to undertake hazardous waste management. Comprehensive knowledge and competence skills need to be carried out responsibly, as an inherent professional occupational safety and health profession. Management leaders should continue to provide training in external agencies responsible for science in the management of toxic waste to enable occupational safety and health experts to improve their performance in the hierarchy of control over the presence of hazardous materials. This paper provides an overview of what strategies and competencies the Occupational Safety and Health expert needs to have in embracing hazardous waste management practices.

  15. Morphological dynamics of mitochondria--a special emphasis on cardiac muscle cells.

    PubMed

    Hom, Jennifer; Sheu, Shey-Shing

    2009-06-01

    Mitochondria play a critical role in cellular energy metabolism, Ca(2+) homeostasis, reactive oxygen species generation, apoptosis, aging, and development. Many recent publications have shown that a continuous balance of fusion and fission of these organelles is important in maintaining their proper function. Therefore, there is a steep correlation between the form and function of mitochondria. Many major proteins involved in mitochondrial fusion and fission have been identified in different cell types, including heart. However, the functional role of mitochondrial dynamics in the heart remains, for the most part, unexplored. In this review we will cover the recent field of mitochondrial dynamics and its physiological and pathological implications, with a particular emphasis on the experimental and theoretical basis of mitochondrial dynamics in the heart.

  16. Quinine, an old anti-malarial drug in a modern world: role in the treatment of malaria

    PubMed Central

    2011-01-01

    Quinine remains an important anti-malarial drug almost 400 years after its effectiveness was first documented. However, its continued use is challenged by its poor tolerability, poor compliance with complex dosing regimens, and the availability of more efficacious anti-malarial drugs. This article reviews the historical role of quinine, considers its current usage and provides insight into its appropriate future use in the treatment of malaria. In light of recent research findings intravenous artesunate should be the first-line drug for severe malaria, with quinine as an alternative. The role of rectal quinine as pre-referral treatment for severe malaria has not been fully explored, but it remains a promising intervention. In pregnancy, quinine continues to play a critical role in the management of malaria, especially in the first trimester, and it will remain a mainstay of treatment until safer alternatives become available. For uncomplicated malaria, artemisinin-based combination therapy (ACT) offers a better option than quinine though the difficulty of maintaining a steady supply of ACT in resource-limited settings renders the rapid withdrawal of quinine for uncomplicated malaria cases risky. The best approach would be to identify solutions to ACT stock-outs, maintain quinine in case of ACT stock-outs, and evaluate strategies for improving quinine treatment outcomes by combining it with antibiotics. In HIV and TB infected populations, concerns about potential interactions between quinine and antiretroviral and anti-tuberculosis drugs exist, and these will need further research and pharmacovigilance. PMID:21609473

  17. A qualitative study of volunteer doulas working alongside midwives at births in England: Mothers' and doulas' experiences.

    PubMed

    McLeish, Jenny; Redshaw, Maggie

    2018-01-01

    to explore trained volunteer doulas' and mothers' experiences of doula support at birth and their perceptions of how this related to the midwife's role. a qualitative descriptive study, informed by phenomenological social psychology. semi-structured interviews were carried out between June 2015 and March 2016. Interview transcripts were analysed using inductive thematic analysis. three community volunteer doula projects run by third sector organisations in England. 19 volunteer doulas and 16 mothers who had received doula support during labour. three overarching themes emerged: (1) 'the doula as complementary to midwives', containing subthemes 'skilled physical and emotional support', 'continuous presence', 'woman-centred support', 'ensuring mothers understand and are understood' and 'creating a team for the mother'; (2)'the doula as a colleague to midwives', containing subthemes 'welcomed as a partner', 'co-opted to help the midwives', and 'doulas identify with the midwives'; and (3) 'the doula as challenge to midwives', containing subthemes 'confusion about the doula's role', 'defending informed choice', and 'counterbalancing disempowering treatment'. KEY CONCLUSIONS&IMPLICATIONS FOR PRACTICE: volunteer doulas can play an important role in improving women's birth experiences by offering continuous, empowering, woman-focused support that complements the role of midwives, particularly where the mothers are disadvantaged. Greater clarity is needed about the scope of legitimate volunteer doula advocacy on behalf of their clients, to maximise effective working relationships between midwives and doulas. Copyright © 2017. Published by Elsevier Ltd.

  18. Judicious use of simulation technology in continuing medical education.

    PubMed

    Curtis, Michael T; DiazGranados, Deborah; Feldman, Moshe

    2012-01-01

    Use of simulation-based training is fast becoming a vital source of experiential learning in medical education. Although simulation is a common tool for undergraduate and graduate medical education curricula, the utilization of simulation in continuing medical education (CME) is still an area of growth. As more CME programs turn to simulation to address their training needs, it is important to highlight concepts of simulation technology that can help to optimize learning outcomes. This article discusses the role of fidelity in medical simulation. It provides support from a cross section of simulation training domains for determining the appropriate levels of fidelity, and it offers guidelines for creating an optimal balance of skill practice and realism for efficient training outcomes. After defining fidelity, 3 dimensions of fidelity, drawn from the human factors literature, are discussed in terms of their relevance to medical simulation. From this, research-based guidelines are provided to inform CME providers regarding the use of simulation in CME training. Copyright © 2012 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education.

  19. Cortical processes associated with continuous balance control as revealed by EEG spectral power.

    PubMed

    Hülsdünker, T; Mierau, A; Neeb, C; Kleinöder, H; Strüder, H K

    2015-04-10

    Balance is a crucial component in numerous every day activities such as locomotion. Previous research has reported distinct changes in cortical theta activity during transient balance instability. However, there remains little understanding of the neural mechanisms underlying continuous balance control. This study aimed to investigate cortical theta activity during varying difficulties of continuous balance tasks, as well as examining the relationship between theta activity and balance performance. 37 subjects completed nine balance tasks with different levels of surface stability and base of support. Throughout the balancing task, electroencephalogram (EEG) was recorded from 32 scalp locations. ICA-based artifact rejection was applied and spectral power was analyzed in the theta frequency band. Theta power increased in the frontal, central, and parietal regions of the cortex when balance tasks became more challenging. In addition, fronto-central and centro-parietal theta power correlated with balance performance. This study demonstrates the involvement of the cerebral cortex in maintaining upright posture during continuous balance tasks. Specifically, the results emphasize the important role of frontal and parietal theta oscillations in balance control. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  20. Refining Our Mission: Continuing Education's Role in Engagement, Outreach and Public Service. Proceedings of the Annual Meeting of the Association for Continuing Higher Education (69th, Roanoke, VA, October 27-30, 2007)

    ERIC Educational Resources Information Center

    Barrineau, Irene T., Ed.

    2007-01-01

    The 2007 Annual Meeting of the Association for Continuing Higher Education was themed "Refining Our Mission: Continuing Education's Role in Engagement, Outreach and Public Service." Opportunities were available to participate in sessions relating to outreach, partnerships and public service and perspectives on this theme were presented…

  1. Trends in matrix metalloproteinase research from 1986-2007: a bibliometric study.

    PubMed

    Robert, Claude; Wilson, Concepción S; Gaudy, Jean-François; Hornebeck, William; Arreto, Charles-Daniel

    2010-10-01

    Using the SCI-expanded database, this study provides a quantitative description of the development of the research involving matrix metalloproteinase (MMP) over a period of 20 years. From 1986 to 2007 the scientific literature related to MMP increased sevenfold (397 papers in 1986-1987 and 2834 in 2006-2007). The number of countries participating in MMP-related research doubled during this period (33 in 1986-1987 to 67 in 2006-2007), and the USA continually remained the leader. Several industrialized nations (Japan, Germany, UK, Canada, and France) also continuously played important roles, with some emerging Asian countries joining the top 10 most productive countries in 2006-2007: China (ranked 5th), South Korea (6th), and Taiwan (10th). The MMP-related literature was distributed among a continuously growing number of journals (188 in 1986-1987, 527 in 1996-1997, and 913 in 2006-2007) and The Journal of Biological Chemistry remained the most prolific throughout the entire period. The development of the research involving MMPs during the past two decades was also characterized by a progressive transfer of interest from basic research to clinical medicine; cell biology and pharmacology were important routes of investigation generally pursued by researchers. Journals dedicated to oncology have progressively risen to the top 8 most prolific journals during the 20 year period analyzed.

  2. Gene expression of Escherichia coli in continuous culture during adaptation to artificial sunlight.

    PubMed

    Berney, Michael; Weilenmann, Hans-Ulrich; Egli, Thomas

    2006-09-01

    Escherichia coli growing in continuous culture under continuous UVA irradiation exhibits growth inhibition with a subsequent adaptation to the stress. Transcriptome analysis was performed during transient growth inhibition and in the UVA light-adapted growth state. The results indicate that UVA light induces stringent response and an additional response that includes the upregulation of the synthesis of valine, isoleucine, leucine, phenylalanine, histidine and glutamate. The induction of several SOS response-genes strongly points to DNA damage as a result of UVA exposure. The involvement of oxidative stress was observed with the induction of ahpCF. Taken together it supports the hypothesis of the production of reactive oxygen species by UVA light. In the UVA-adapted cell population strong repression of the acid tolerance response was found. We identified the enzyme chorismate mutase as a possible chromophore for UVA light-inactivation and found strong repression of the pyrBI operon and the gene mgtA encoding for an ATP-dependent Mg2+ transporter. Furthermore, our results indicate that the role of RpoS may not be as important in the adaptation of E. coli to UVA light as it was implicated by previous results with starved cells, but that RpoS might be of crucial importance for the resistance under transient light exposure.

  3. Intergenerational Continuity in Depression: The Importance of Time-Varying Effects, Maternal Co-morbid Health Risk Behaviors and Child's Gender.

    PubMed

    Augustyn, Megan Bears; Fulco, Celia J; Henry, Kimberly L

    2018-01-12

    Intergenerational continuity in depressive symptoms is well established between mother and child, but there are still important facets of this relationship that are underexplored. We examine intergenerational continuity in depressive symptoms between mother-child dyads as a flexible function of child age and account for the potential moderating role of maternal co-morbid health risk behaviors. Using prospective, self-report data collected yearly from 413 mother-child dyads (210 mother-son dyads and 203 mother-daughter dyads) between child ages 12-17, the results indicate that the effect of maternal depressive symptoms on daughters' depressive symptoms steadily increases throughout adolescence whereas the effect of maternal depressive symptoms on sons' depressive symptoms is relatively small, stable, and non-significant during mid-adolescence before increasing in effect in later adolescence. A positive interactive effect between maternal depressive symptoms and intimate partner violence is observed for sons and maternal depressive symptoms and substance use for daughters. A negative interactive effect of maternal depressive symptoms and substance use is observed among sons. Overall, this study identifies particular subgroups for whom intervention programming is most beneficial and suggests targeting health risk behaviors of mothers to lessen the impact of maternal depressive symptoms on offspring.

  4. Effect of management and soil moisture regimes on wetland soils total carbon and nitrogen in Tanzania

    NASA Astrophysics Data System (ADS)

    Kamiri, Hellen; Kreye, Christine; Becker, Mathias

    2013-04-01

    Wetland soils play an important role as storage compartments for water, carbon and nutrients. These soils implies various conditions, depending on the water regimes that affect several important microbial and physical-chemical processes which in turn influence the transformation of organic and inorganic components of nitrogen, carbon, soil acidity and other nutrients. Particularly, soil carbon and nitrogen play an important role in determining the productivity of a soil whereas management practices could determine the rate and magnitude of nutrient turnover. A study was carried out in a floodplain wetland planted with rice in North-west Tanzania- East Africa to determine the effects of different management practices and soil water regimes on paddy soil organic carbon and nitrogen. Four management treatments were compared: (i) control (non weeded plots); (ii) weeded plots; (iii) N fertilized plots, and (iv) non-cropped (non weeded plots). Two soil moisture regimes included soil under field capacity (rainfed conditions) and continuous water logging compared side-by-side. Soil were sampled at the start and end of the rice cropping seasons from the two fields differentiated by moisture regimes during the wet season 2012. The soils differed in the total organic carbon and nitrogen between the treatments. Soil management including weeding and fertilization is seen to affect soil carbon and nitrogen regardless of the soil moisture conditions. Particularly, the padddy soils were higher in the total organic carbon under continuous water logged field. These findings are preliminary and a more complete understanding of the relationships between management and soil moisture on the temporal changes of soil properties is required before making informed decisions on future wetland soil carbon and nitrogen dynamics. Keywords: Management, nitrogen, paddy soil, total carbon, Tanzania,

  5. Student nurses' knowledge and attitudes towards domestic violence: results of survey highlight need for continued attention to undergraduate curriculum.

    PubMed

    Doran, Frances; Hutchinson, Marie

    2017-08-01

    To gain a comprehensive understanding of undergraduate nursing student attitudes and views towards domestic violence, and employ the findings to inform undergraduate curriculum development. Nurses have an important role in identifying people who are victims of domestic violence through screening and facilitating their access to assistance and support. Undergraduate nursing education is key to shaping attitudes and facilitating the development of a comprehensive understanding of domestic violence. Little research has been undertaken exploring nursing students' attitudes towards domestic violence. A cross-sectional survey of undergraduate nursing students enrolled in a three-year Bachelor of Nursing programme across three campuses of a regional university in NSW, Australia. Students completed a pen and paper survey during class time and descriptive and comparative analysis was undertaken. The majority of respondents were female, first year students females aged 17-26 years. Many students understood the nature and consequences of domestic violence, yet others across the course of the programme demonstrate attitudes that reflect a lack of understanding and misconceptions of domestic violence. Stereotypical and gendered attitudes that normalise violence within intimate partner relationships and sustain victim-blaming attitudes were evident across the cohort. It is important for nurses to understand the relationship between exposure to violence and women's ill health, and be able to respond appropriately. Undergraduate programmes need to highlight the important role of nurses around domestic violence and address stereotypical conceptions about domestic violence. Continued effort is required to address domestic violence in undergraduate nursing education so that nursing graduates understand the association between violence exposure and poor health and are able to assess exposure and respond appropriately in the clinical environment. © 2016 John Wiley & Sons Ltd.

  6. The Photographic History of Greenland's Glaciers - and how the historical data plays an important role in today's glacier research

    NASA Astrophysics Data System (ADS)

    Bjork, A. A.; Kjeldsen, K. K.; Korsgaard, N. J.; Aagaard, S.; Andresen, C. S.; Bamber, J. L.; van den Broeke, M.; Colgan, W. T.; Funder, S.; Khan, S. A.; Larsen, N. K.; Machguth, H.; Nuth, C.; Schomacker, A.; Kjaer, K. H.

    2015-12-01

    As the Greenland Ice Sheet and Greenland's glaciers are continuing to loss mass at high rates, knowledge of their past response to climatic changes is ever important. By harvesting the archives for images, both terrestrial and airborne, we are able to expand the record of glacier observation by several decades, thus supplying crucial knowledge on glacier behavior to important climatic transitions such as the end of the Little Ice Age and the early 20th Century warming. Here we show how a large collection of historical aerial images portray the glacial response to the Little Ice Age deglaciation in Greenland and document frontal change throughout the 20th Century. A detailed story of the LIA-deglaciation is told by supplementing with terrestrial photos that capture the onset of retreat and high resolution aerial images that portray geomorphological evidence of the Little Ice Age maximum extent. This work is the result of several generations of Greenland researches and their efforts to portray and document the state of the glaciers, and highlights that while interpretations and conclusions may be challenged and changed through time, the raw observations remain extremely valuable. Finally, we also show how archival data besides photos may play an important role in future glacier research in Greenland.

  7. The Role and Impact of Continuing Education on Rural Revitalization: A Case Study

    ERIC Educational Resources Information Center

    Miller, Marilyn

    2008-01-01

    This article presents the findings of a study that explored the role and impact of continuing education on rural revitalization. A community development approach, academic expertise, and a university's resources were used to assist the citizens of Montmartre, Saskatchewan, to establish Centre 48, an arts and continuing education centre. Courses…

  8. The Changing Role of ENGOs in Water Governance: Institutional Entrepreneurs?

    NASA Astrophysics Data System (ADS)

    Davidson, Seanna L.; de Loë, Rob C.

    2016-01-01

    The changing role of the state in the last quarter century has been an important contemporary concern for policy makers, scholars, and the public. Equally, there is increasing recognition among governance scholars that nongovernment actors are exerting new kinds of influence over governance systems and contributing in novel ways to governance processes. The role of environmental nongovernmental organizations (ENGOs) is particularly pertinent given the continued involvement of ENGOs within collaborative, adaptive, and co-management governance, across several contexts and regions. This paper uses an analytical framework derived from recent studies on institutional entrepreneurs, to examine the skills ENGOs are applying in order to orchestrate change. An empirical case of governance for water in Canada's Lake Simcoe region provides the foundation for the research. Drawing on a mixed methods approach, the research finds that ENGOs in Lake Simcoe have taken on a role as an institutional entrepreneur, and thereby have altered the relationship between governance actors in this setting. A key outcome of their actions is a more dominant, engaged, and influential role for ENGOs in a critical, regional governance system.

  9. If you're going to be a leader, at least act like it! Prejudice towards women who are tentative in leader roles.

    PubMed

    Bongiorno, Renata; Bain, Paul G; David, Barbara

    2014-06-01

    Role congruity theory predicts prejudice towards women who meet the agentic requirements of the leader role. In line with recent findings indicating greater acceptance of agentic behaviour from women, we find evidence for a more subtle form of prejudice towards women who fail to display agency in leader roles. Using a classic methodology, the agency of male and female leaders was manipulated using assertive or tentative speech, presented through written (Study 1, N = 167) or verbal (Study 2, N = 66) communications. Consistent with predictions, assertive women were as likeable and influential as assertive men, while being tentative in leadership reduced the likeability and influence of women, but not of men. Although approval of agentic behaviour from women in leadership reflects progress, evidence that women are quickly singled out for disapproval if they fail to show agency is important for understanding how they continue to be at a distinct disadvantage to men in leader roles. © 2013 The British Psychological Society.

  10. Breastfeeding Initiation and Continuation by Employment Status among Korean Women.

    PubMed

    Kang, Nam Mi; Lee, Jung Eun; Bai, Yeon; Van Achterberg, Theo; Hyun, Taisun

    2015-04-01

    The objective of this study was to examine the factors associated with initiation and continuation of breastfeeding among Korean women in relation to their employment status. Data were collected using a web-based self-administered questionnaire from 1,031 Korean mothers living in Seoul with babies younger than 24 months. Demographic characteristics, education on breastfeeding, rooming in, breastfeeding during hospital stay, and breastfeeding knowledge were examined. Multivariate logistic regression analyses were performed to identify factors associated with initiation and continuation at 1, 6 and 12 months according to mothers' employment status. Breastfeeding initiation rates were similar regardless of mothers' employment status. Continuation rates decreased for both groups of mothers, but were significantly lower among employed mothers at all duration points. Unemployed mothers who were able to keep their babies in the same room during the hospital stay were more likely to initiate breastfeeding. The factor that was consistently associated with breastfeeding continuation for all duration points among unemployed mothers was whether the mother breastfed during the hospital stay. Higher knowledge scores and having an infant with atopic dermatitis were also associated with breastfeeding continuation at 6 months and 12 months, respectively for unemployed mothers, and receiving education on breastfeeding was associated with 12-month continuation for employed mothers. These results emphasize the significant roles of hospitals for breastfeeding initiation and continuation, with rooming-in, initial breastfeeding practice and education during hospital stay as important practices. In addition, for working mothers to continue their breastfeeding, significant support from the workplace is crucial.

  11. Organizational impact of nurse supply and workload on nurses continuing professional development opportunities: an integrative review.

    PubMed

    Coventry, Tracey H; Maslin-Prothero, Sian E; Smith, Gilly

    2015-12-01

    To identify the best evidence on the impact of healthcare organizations' supply of nurses and nursing workload on the continuing professional development opportunities of Registered Nurses in the acute care hospital. To maintain registration and professional competence nurses are expected to participate in continuing professional development. One challenge of recruitment and retention is the Registered Nurse's ability to participate in continuing professional development opportunities. The integrative review method was used to present Registered Nurses perspectives on this area of professional concern. The review was conducted for the period of 2001-February 2015. Keywords were: nurs*, continuing professional development, continuing education, professional development, supply, shortage, staffing, workload, nurse: patient ratio, barrier and deterrent. The integrative review used a structured approach for literature search and data evaluation, analysis and presentation. Eleven international studies met the inclusion criteria. Nurses are reluctant or prevented from leaving clinical settings to attend continuing professional development due to lack of relief cover, obtaining paid or unpaid study leave, use of personal time to undertake mandatory training and organizational culture and leadership issues constraining the implementation of learning to benefit patients. Culture, leadership and workload issues impact nurses' ability to attend continuing professional development. The consequences affect competence to practice, the provision of safe, quality patient care, maintenance of professional registration, job satisfaction, recruitment and retention. Organizational leadership plays an important role in supporting attendance at continuing professional development as an investment for the future. © 2015 John Wiley & Sons Ltd.

  12. Sensor for In-Motion Continuous 3D Shape Measurement Based on Dual Line-Scan Cameras

    PubMed Central

    Sun, Bo; Zhu, Jigui; Yang, Linghui; Yang, Shourui; Guo, Yin

    2016-01-01

    The acquisition of three-dimensional surface data plays an increasingly important role in the industrial sector. Numerous 3D shape measurement techniques have been developed. However, there are still limitations and challenges in fast measurement of large-scale objects or high-speed moving objects. The innovative line scan technology opens up new potentialities owing to the ultra-high resolution and line rate. To this end, a sensor for in-motion continuous 3D shape measurement based on dual line-scan cameras is presented. In this paper, the principle and structure of the sensor are investigated. The image matching strategy is addressed and the matching error is analyzed. The sensor has been verified by experiments and high-quality results are obtained. PMID:27869731

  13. Who is entitled to double effect?

    PubMed

    Boyle, J

    1991-10-01

    The doctrine of double effect continues to be an important tool in bioethical casuistry. Its role within the Catholic moral tradition continues, and there is considerable interest in it by contemporary moral philosophers. But problems of justification and correct application remain. I argue that if the traditional Catholic conviction that there are exceptionless norms prohibiting inflicting some kinds of harms on people is correct, then double effect is justified and necessary. The objection that double effect is superfluous is a rejection of that normative conviction, not a refutation of double effect itself. This justification suggests the correct way of applying double effect to controversial cases. But versions of double effect which dispense with the absolutism of the Catholic tradition lack justification and fall to the objection that double effect is an unnecessary complication.

  14. Richness and Abundance of Ichneumonidae in a Fragmented Tropical Rain Forest.

    PubMed

    Ruiz-Guerra, B; Hanson, P; Guevara, R; Dirzo, R

    2013-10-01

    Because of the magnitude of land use currently occurring in tropical regions, the local loss of animal species due to habitat fragmentation has been widely studied, particularly in the case of vertebrates. Many invertebrate groups and the ichneumonid wasps in particular, however, have been poorly studied in this context, despite the fact that they are one of the most species-rich groups and play an important role as regulators of other insect populations. Here, we recorded the taxonomic composition of ichneumonid parasitoids and assessed their species richness, abundance, similarity, and dominance in the Los Tuxtlas tropical rain forest, Mexico. We compared two forest types: a continuous forest (640 ha) and a forest fragment (19 ha). We sampled ichneumonids using four malaise traps in both forest types during the dry (September-October) and rainy (March-April) seasons. A total of 104 individuals of Ichneumonidae belonging to 11 subfamilies, 18 genera, and 42 species were collected in the continuous forest and 11 subfamilies, 15 genera, and 24 species were collected in the forest fragment. Species richness, abundance, and diversity of ichneumonids were greater in the continuous forest than in the forest fragment. We did not detect differences between seasons. Species rank/abundance curves showed that the ichneumonid community between the forest types was different. Species similarity between forest types was low. The most dominant species in continuous forest was Neotheronia sp., whereas in the forest fragment, it was Orthocentrus sp. Changes in the ichneumonid wasp community may compromise important tropical ecosystem processes.

  15. A research experience for American Indian undergraduates: Utilizing an actor–partner interdependence model to examine the student–mentor dyad

    PubMed Central

    Griese, Emily R.; McMahon, Tracey R.; Kenyon, DenYelle Baete

    2016-01-01

    The majority of research examining Undergraduate Research Experiences focuses singularly on student-reported outcomes, often overlooking assessment of the mentor role in student learning and outcomes following these experiences. The goal of the current study was to examine the student-mentor dyad at the beginning and end of a 10-week summer research experience for American Indian undergraduates utilizing a series of actor-partner interdependence models within SEM. Participants included 26 undergraduate interns (50% American Indian; 50% American Indian and White; M age = 24) and 27 mentors (89% White; M age = 47). Findings indicated that in accounting for all potential paths between students and mentors, the partner path between mentor beliefs at the beginning of the program and students’ skills related to autonomy (β =.59, p = .01) and academic resilience (β =.44, p = .03) at the end of the program were significant. These findings suggest the important impact of mentor beliefs on student outcomes, a relationship that should be adequately assessed and continue to be important focus of undergraduate research experiences. Findings further indicate the important role of mentors for American Indian undergraduates. PMID:28289486

  16. In Situ and Ex Situ Estimates of Benthic Silica Fluxes in NGOM Shelf Sediments

    NASA Astrophysics Data System (ADS)

    Ebner, B. C.; Ghaisas, N. A.; Maiti, K.

    2017-12-01

    Biogenic silica (bSi), plays an important role in regulating primary productivity of diatoms in coastal and shelf ecosystems fed by major rivers. In the Northern Gulf of Mexico (NGOM), loading of nitrogen (N) and phosphorous (P) have increased compared to a decline in silicic acid in the Mississippi River (MR). Continued decreasing in silicic acid concentration could lead to limited diatom growth and production, therefore, it is important understand the role of benthic fluxes in providing silica to the overlying water column. The benthic flux of Si from shelf sediments can thus represent an important source of Si to be utilized by diatoms. Sediment core incubations and benthic chamber deployments were conducted at 5 sites in the Mississippi river plume with varying salinities during periods of high river discharge (May 2017), low river discharge (August 2016) and peak in hypoxia (July 2017). Preliminary data indicates large spatial and temporal variability in benthic silica fluxes ranging between 1.1 to 5.9 mmol/m2/d. This large variability in benthic silica flux is probably related to the seasonal changes in river discharge, primary production, community composition and sediment biogeochemistry in the region.

  17. Aura of technology and the cutting edge: a history of lasers in neurosurgery.

    PubMed

    Ryan, Robert W; Spetzler, Robert F; Preul, Mark C

    2009-09-01

    In this historical review the authors examine the important developments that have led to the availability of laser energy to neurosurgeons as a unique and sometimes invaluable tool. They review the physical science behind the function of lasers, as well as how and when various lasers based on different lasing mediums were discovered. They also follow the close association between advances in laser technology and their application in biomedicine, from early laboratory experiments to the first clinical experiences. Because opinions on the appropriate role of lasers in neurosurgery vary widely, the historical basis for some of these views is explored. Initial enthusiasm for a technology that appears to have innate advantages for safe resections has often given way to the strict limitations and demands of the neurosurgical operating theater. However, numerous creative solutions to improve laser delivery, power, safety, and ergonomics demonstrate the important role that technological advances in related scientific fields continue to offer neurosurgery. Benefiting from the most recent developments in materials science, current CO(2) laser delivery systems provide a useful addition to the neurosurgical armamentarium when applied in the correct circumstances and reflect the important historical advances that come about from the interplay between neurosurgery and technology.

  18. Positive emotion in knowledge creation.

    PubMed

    Hodgins, Michael; Dadich, Ann

    2017-04-10

    Purpose Despite the importance of evidence-based practice, the translation of knowledge into quality healthcare continues to be stymied by an array of micro, meso and macro factors. The purpose of this paper is to suggest a need to consider different - if not unconventional approaches - like the role of positive emotion, and how it might be used to promote and sustain knowledge translation (KT). Design/methodology/approach By reviewing and coalescing two distinct theories - the broaden-and-build theory of positive emotions and the organisational knowledge creation theory - this paper presents a case for the role of positive emotion in KT. Findings Theories pertaining to positive emotion and organisational knowledge creation have much to offer KT in healthcare. Three conceptual "entry points" might be particularly helpful to integrate the two domains - namely, understanding the relationship between knowledge and positive emotions; positive emotions related to Nonaka's concept of knowledge creation; and the mutual enrichment contained in the parallel "upward spiralling" of both theories. Research limitations/implications This is a conceptual paper and as such is limited in its applicability and scope. Future work should empirically explore these conceptual findings, delving into positive emotion and KT. Originality/value This is the first paper to bring together two seemingly disparate theories to address an intractable issue - the translation of knowledge into quality healthcare. This represents an important point of departure from current KT discourse, much of which continues to superimpose artefacts like clinical practice guidelines onto complex healthcare context.

  19. Arthroplasty Implant Registries Over the Past Five Decades: Development, Current, and Future Impact.

    PubMed

    Malchau, Henrik; Garellick, Göran; Berry, Daniel; Harris, William H; Robertson, Otto; Kärrlholm, Johan; Lewallen, David; Bragdon, Charles R; Lidgren, Lars; Herberts, Peter

    2018-04-16

    Local, regional and national registries have played an important role the development of hip and knee arthroplasty and the treatment of patients with various maladies of these joints. Four arthroplasty registries stand out as leading forces behind the drive to popularize the use of registries and pursue the concept of evidence based medicine. The Mayo registry, started by Mark Coventry, is recognized as the oldest continuing registry for arthroplasty. The Harris Registry at Massachusetts General Hospital, along with the Mayo Registry, has greatly contributed to the advancement of arthroplasty surgery and have served an important role of identifying poorly performing implants and techniques in the United States. The Swedish Knee Arthroplasty Registry is the oldest national registry dedicated to joint arthroplasty and along with the Swedish Hip Arthroplasty Registry have established the infrastructure, analysis and reporting mechanisms and leadership that has enabled other countries to subsequently develop national registries around the world. As more countries have adopted the concept of national registries, a new area of research is possible by pooling the resources of large registries as is now occurring with the Nordic countries. Several international organizations have been formed to promote future collaboration and develop international standards. The process of globalization of registries is a result of continued efforts over the past 50 years in improving and disseminating the knowledge gained from the early registries. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  20. Users' Continuance Intention of Virtual Learning Community Services: The Moderating Role of Usage Experience

    ERIC Educational Resources Information Center

    Zhang, Min; Liu, Yupei; Yan, Weiwei; Zhang, Yan

    2017-01-01

    Users' continuance intention plays a significant role in the process of information system (IS) service, especially virtual learning community (VLC) services. Following the IS success model and IS post-acceptance model, this study explores the determinants of users' intention to continue using VLCs' service from the perspective of quality,…

  1. First-generation students' underperformance at university: the impact of the function of selection.

    PubMed

    Jury, Mickaël; Smeding, Annique; Darnon, Céline

    2015-01-01

    According to recent research, university not only has the role to educate and train students, it also has the role to select the best students. We argue that this function of selection disadvantages first-generation students, in comparison with continuing-generation students. Thus, the mere activation of the function of selection should be sufficient to produce achievement differences between first-generation and continuing-generation students in a novel academic task. Furthermore, we propose that when the function of selection is salient, first-generation students would be more vigilant to a cue that may confirm their inferiority, which should explain their underperformance. In the present experiment, participants were asked to complete an arithmetic modular task under two conditions, which either made the function of selection salient or reduced its importance. Participants' vigilance to a threatening cue (i.e., their performance relative to others) was measured through an eye-tracking technique. The results confirmed that first-generation students performed more poorly compared to continuing-generation students only when the function of selection was salient while no differences appeared in the no-selection condition. Regarding vigilance, the results did not confirm our hypothesis; thus, mediation path could not be tested. However, results indicated that at a high level of initial performance, first-generation students looked more often at the threatening cue. In others words, these students seemed more concerned about whether they were performing more poorly than others compared to their continuing-generation counterparts. Some methodological issues are discussed, notably regarding the measure of vigilance.

  2. First-generation students’ underperformance at university: the impact of the function of selection

    PubMed Central

    Jury, Mickaël; Smeding, Annique; Darnon, Céline

    2015-01-01

    According to recent research, university not only has the role to educate and train students, it also has the role to select the best students. We argue that this function of selection disadvantages first-generation students, in comparison with continuing-generation students. Thus, the mere activation of the function of selection should be sufficient to produce achievement differences between first-generation and continuing-generation students in a novel academic task. Furthermore, we propose that when the function of selection is salient, first-generation students would be more vigilant to a cue that may confirm their inferiority, which should explain their underperformance. In the present experiment, participants were asked to complete an arithmetic modular task under two conditions, which either made the function of selection salient or reduced its importance. Participants’ vigilance to a threatening cue (i.e., their performance relative to others) was measured through an eye-tracking technique. The results confirmed that first-generation students performed more poorly compared to continuing-generation students only when the function of selection was salient while no differences appeared in the no-selection condition. Regarding vigilance, the results did not confirm our hypothesis; thus, mediation path could not be tested. However, results indicated that at a high level of initial performance, first-generation students looked more often at the threatening cue. In others words, these students seemed more concerned about whether they were performing more poorly than others compared to their continuing-generation counterparts. Some methodological issues are discussed, notably regarding the measure of vigilance. PMID:26074854

  3. Making choices about medical interventions: the experience of disabled young people with degenerative conditions.

    PubMed

    Mitchell, Wendy A

    2014-04-01

    Current western policy, including the UK, advocates choice for service users and their families, taking greater control and being more involved in decision making. However, children's role in health decision making, especially from their own perspective, has received less research attention compared to doctors and parents' perspectives. To explore the perspective and experiences of disabled young people with degenerative conditions as they face significant medical interventions and engage in decision-making processes. Findings from a longitudinal qualitative study of 10 young people (13-22 years) with degenerative conditions are reported. Individual semi-structured interviews were conducted with participants over 3 years (2007-2010); the paper reports data from all three interview rounds. Interviews focused on medical intervention choices the young people identified as significant. Although the young people in this study felt involved in the medical intervention choices discussed, findings demonstrate a complex and diverse picture of decision making. Results highlighted different decisional roles adopted by the young people, the importance of information heuristics and working with other people whilst engaging in complex processes weighing up different decisional factors. Young people's experiences demonstrate the importance of moving beyond viewing health choices as technical or rational decisions. How each young person framed their decision was important. Recognizing this diversity and the importance of emerging themes, such as living a normal life, independence, fear of decisions viewed as 'irreversible' and the role of parents and peers in decision making highlights that, there are clear practice implications including, active practitioner listening, sensitivity and continued holistic family working. © 2012 John Wiley & Sons Ltd.

  4. Taste sensing in the colon.

    PubMed

    Kaji, Izumi; Karaki, Shin-ichiro; Kuwahara, Atsukazu

    2014-01-01

    The colonic lumen is continually exposed to many compounds, including beneficial and harmful compounds that are produced by colonic microflora. The intestinal epithelia form a barrier between the internal and luminal (external) environments. Chemical receptors that sense the luminal environment are thought to play important roles as sensors and as modulators of epithelial cell functions. The recent molecular identification of various membrane receptor proteins has revealed the sensory role of intestinal epithelial cells. Nutrient sensing by these receptors in the small intestine is implicated in nutrient absorption and metabolism. However, little is known about the physiological roles of chemosensors in the large intestine. Since 1980s, researchers have examined the effects of short-chain fatty acids (SCFA), the primary products of commensal bacteria, on gut motility, secretion, and incretin release, for example. In this decade, the SCFA receptor genes and their expression were identified in the mammalian colon. Furthermore, many other chemical receptors, including taste and olfactory receptors have been found in colonic epithelial cells. These findings indicate that the large intestinal epithelia express chemosensors that detect the luminal contents, particularly bacterial metabolites, and induce the host defense systems and the modulation of systemic metabolism via incretin release. In this review, we describe the local effects of chemical stimuli on the lumen associated with the expression pattern of sensory receptors. We propose that sensory receptors expressed in the colonic mucosa play important roles in luminal chemosensing to maintain homeostasis.

  5. Nitric oxide: a physiologic messenger.

    PubMed

    Lowenstein, C J; Dinerman, J L; Snyder, S H

    1994-02-01

    To review the physiologic role of nitric oxide, an unusual messenger molecule that mediates blood vessel relaxation, neurotransmission, and pathogen suppression. A MEDLINE search of articles published from 1987 to 1993 that addressed nitric oxide and the enzyme that synthesizes it, nitric oxide synthase. Animal and human studies were selected from 3044 articles to analyze the clinical importance of nitric oxide. Descriptions of the structure and function of nitric oxide synthase were selected to show how nitric oxide acts as a biological messenger molecule. Biochemical and physiologic studies were analyzed if the same results were found by three or more independent observers. Two major classes of nitric oxide synthase enzymes produce nitric oxide. The constitutive isoforms found in endothelial cells and neurons release small amounts of nitric oxide for brief periods to signal adjacent cells, whereas the inducible isoform found in macrophages releases large amounts of nitric oxide continuously to eliminate bacteria and parasites. By diffusing into adjacent cells and binding to enzymes that contain iron, nitric oxide plays many important physiologic roles. It regulates blood pressure, transmits signals between neurons, and suppresses pathogens. Excess amounts, however, can damage host cells, causing neurotoxicity during strokes and causing the hypotension associated with sepsis. Nitric oxide is a simple molecule with many physiologic roles in the cardiovascular, neurologic, and immune systems. Although the general principles of nitric oxide synthesis are known, further research is necessary to determine what role it plays in causing disease.

  6. Holding on to what you have got: keeping hospice palliative care volunteers volunteering.

    PubMed

    Claxton-Oldfield, Stephen; Jones, Richard

    2013-08-01

    In all, 119 hospice palliative care volunteers from 3 community-based hospice programs completed the Volunteer Retention Questionnaire (VRQ), a 33-item survey designed for this study. The VRQ asks volunteers to rate the importance of each item to their decision to continue volunteering. The items that received the highest mean importance ratings included enjoying the work they do, feeling adequately prepared/trained to perform their role, and learning from their patients' experiences/listening to their patients' life stories. Being recognized (eg, pins for years of service or being profiled in the hospice newsletter), receiving phone calls/cards from their volunteer coordinator on special occasions, and being reimbursed for out-of-pocket expenses were among the items that received the lowest mean importance ratings. Suggestions for improving volunteer retention are provided.

  7. How do different types of community commitment influence brand commitment? The mediation of brand attachment.

    PubMed

    Zhang, Ning; Zhou, Zhi-min; Su, Chen-ting; Zhou, Nan

    2013-11-01

    Although previous research indicates that participation in a brand community may foster consumer loyalty to the brand in question, research has seldom examined the mediating effect of community commitment on brand commitment. Drawing from the typologies of organizational commitment, we divide community commitment into three components: continuance community commitment (continuance CC), affective community commitment (affective CC), and normative community commitment (normative CC). We then assess the mediating role of brand attachment in the relationship between these three components and brand commitment. We test the hypotheses using a sample of online mobile phone brand communities in China. The empirical results reveal that brand attachment exerts an indirect (but not mediated) effect on the relationship between continuance CC and brand commitment and on the relationship between normative CC and brand commitment. We also find that it exerts a partial mediating effect on the relationship between affective CC and brand commitment. The findings contribute to the branding literature and have important implications for brand community management.

  8. How Do Different Types of Community Commitment Influence Brand Commitment? The Mediation of Brand Attachment

    PubMed Central

    Zhang, Ning; Su, Chen-ting; Zhou, Nan

    2013-01-01

    Abstract Although previous research indicates that participation in a brand community may foster consumer loyalty to the brand in question, research has seldom examined the mediating effect of community commitment on brand commitment. Drawing from the typologies of organizational commitment, we divide community commitment into three components: continuance community commitment (continuance CC), affective community commitment (affective CC), and normative community commitment (normative CC). We then assess the mediating role of brand attachment in the relationship between these three components and brand commitment. We test the hypotheses using a sample of online mobile phone brand communities in China. The empirical results reveal that brand attachment exerts an indirect (but not mediated) effect on the relationship between continuance CC and brand commitment and on the relationship between normative CC and brand commitment. We also find that it exerts a partial mediating effect on the relationship between affective CC and brand commitment. The findings contribute to the branding literature and have important implications for brand community management. PMID:23768073

  9. Intention to continue using Facebook fan pages from the perspective of social capital theory.

    PubMed

    Lin, Kuan-Yu; Lu, Hsi-Peng

    2011-10-01

    Social network sites enable users to express themselves, establish ties, and develop and maintain social relationships. Recently, many companies have begun using social media identity (e.g., Facebook fan pages) to enhance brand attractiveness, and social network sites have evolved into social utility networks, thereby creating a number of promising business opportunities. To this end, the operators of fan pages need to be aware of the factors motivating users to continue their patronization of such pages. This study set out to identify these motivating factors from the point of view of social capital. This study employed structural equation modeling to investigate a research model based on a survey of 327 fan pages users. This study discovered that ties related to social interaction (structural dimension), shared values (cognitive dimension), and trust (relational dimension) play important roles in users' continued intention to use Facebook fan pages. Finally, this study discusses the implications of these findings and offers directions for future research.

  10. A unified account of tilt illusions, association fields, and contour detection based on elastica.

    PubMed

    Keemink, Sander W; van Rossum, Mark C W

    2016-09-01

    As expressed in the Gestalt law of good continuation, human perception tends to associate stimuli that form smooth continuations. Contextual modulation in primary visual cortex, in the form of association fields, is believed to play an important role in this process. Yet a unified and principled account of the good continuation law on the neural level is lacking. In this study we introduce a population model of primary visual cortex. Its contextual interactions depend on the elastica curvature energy of the smoothest contour connecting oriented bars. As expected, this model leads to association fields consistent with data. However, in addition the model displays tilt-illusions for stimulus configurations with grating and single bars that closely match psychophysics. Furthermore, the model explains not only pop-out of contours amid a variety of backgrounds, but also pop-out of single targets amid a uniform background. We thus propose that elastica is a unifying principle of the visual cortical network. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  11. Another Time, Another Space: The Evolution of the Virtual Journal Club.

    PubMed

    Chetlen, Alison L; Dell, Carol M; Solberg, Agnieszka O; Otero, Hansel J; Burton, Kirsteen R; Heller, Matthew T; Lakomkin, Nikita; Desouches, Stephane L; Smith, Stacy E

    2017-03-01

    Virtual journal clubs (VJCs) provide a standardized, easily accessible forum for evidence-based discussion. The new virtual reality setting in which journal clubs and other online education events now take place offers great advantages and new opportunities for radiologists in academic medicine and private practice. VJCs continue to evolve, largely due to many emerging technologies and platforms. VJCs will continue to play an increasingly important role in medical education, interdisciplinary interaction, and multi-institutional collaboration. In this article, we discuss how to conduct and lead a critical review of medical literature in the setting of a virtual or traditional journal club. We discuss the current applications of VJCs in medical and graduate medical education and continued lifelong learning. We also explain the advantages and disadvantages of VJCs over traditional venues. Finally, the reader will be given the tools to successfully implement and run a VJC. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  12. Role of technology in the cost of health care: is there a conflict between improved health delivery and lowering costs?

    NASA Astrophysics Data System (ADS)

    Young, Donald A.

    1994-12-01

    Technology is a major contributor to both medical price inflation and increased utilization and intensity. While attention is frequently focused on the cost of new technology, the continued diffusion and utilization of existing technologies may be a more important contributor to cost escalation. An annual analysis done by the Prospective Payment Assessment Commission has demonstrated that the added costs of quality of care enhancing new technology and scientific advances adds only about half of one percent each year to the cost furnishing inpatient hospital care to Medicare beneficiaries. In addition, many of the technologies included in this analysis are not entirely new, but have been available for a number of years. The utilization of these technologies, such as MRI, thrombolytic therapy, and implantable defibrillators, continues to increase each year, adding to the growth of spending. Other well established technologies, such as CAT scanning, diagnostic ultrasound, radiation therapy, and cardiac catheterization, also continue to diffuse, with annual increases in utilization.

  13. Expanding Educators' Contributions to Continuous Quality Improvement of American Board of Medical Specialties Maintenance of Certification.

    PubMed

    Nora, Lois Margaret; Pouwels, Mellie Villahermosa; Irons, Mira

    2016-01-01

    The American Board of Medical Specialties board certification has transformed into a career-long process of learning, assessment, and performance improvement through its Program for Maintenance of Certification (MOC). Medical educators across many medical professional organizations, specialty societies, and other institutions have played important roles in shaping MOC and tailoring its overarching framework to the needs of different specialties. This Commentary addresses potential barriers to engagement in work related to MOC for medical school (MS) and academic health center (AHC) educators and identifies reasons for, and ways to accomplish, greater involvement in this work. The authors present ways that medical and other health professions educators in these settings can contribute to the continuous improvement of the MOC program including developing educational and assessment activities, engaging in debate about MOC, linking MOC with institutional quality improvement activities, and pursuing MOC-related scholarship. MS- and AHC-based educators have much to offer this still-young and continually improving program, and their engagement is sought, necessary, and welcomed.

  14. Continuous flow analysis combined with a light-absorption ratio variation approach for determination of copper at ng/ml level in natural water.

    PubMed

    Gao, Hong-Wen; Wang, Chun-Lei; Jia, Jiang-Yan; Zhang, Ya-Lei

    2007-06-01

    The complexation between Cu(II) and naphthochrome green (NG) is very sensitive at pH 4.09 with the formation of complex ion [Cu(NG)2(H2O)2](2-). It can thus used for the determination of Cu(II) by the light-absorption ratio variation approach (LARVA) with a good selectivity. Both the ordinary detection procedure and continuous flow analysis (CFA) were carried out, where the latter is fit for continuous and rapid analysis of samples. The limit of detection (LOD) of Cu(II) is only 1 ng/ml, which is favorable for direct monitoring of natural water. About 30 samples could be analyzed per hour by CFA. Cu(II) contents in Yangtze River, West Lake, Taihu Lake of China and seawater near Shanghai were determined with satisfactory results. The CFA-LARVA spectrophotometry was the first to be coupled and it will play an important role in the in-situ analysis of natural water quality.

  15. Does Academic Blogging Enhance Promotion and Tenure? A Survey of US and Canadian Medicine and Pediatric Department Chairs.

    PubMed

    Cameron, Christian Blake; Nair, Vinay; Varma, Manu; Adams, Martha; Jhaveri, Kenar D; Sparks, Matthew A

    2016-06-23

    Electronic educational (e-learning) technology usage continues to grow. Many medical journals operate companion blogs (an application of e-learning technology) that enable rapid dissemination of scientific knowledge and discourse. Faculty members participating in promotion and tenure academic tracks spend valuable time and effort contributing, editing, and directing these medical journal blogs. We sought to understand whether chairs of medicine and pediatric departments acknowledge blog authorship as academic achievement. The authors surveyed 267 chairs of US and Canadian medicine and pediatric departments regarding their attitudes toward the role of faculty participation in e-learning and blogging in the promotion and tenure process. The survey completion rate was 22.8% (61/267). A majority of respondents (87%, 53/61) viewed educational scholarship as either important or very important for promotion. However, only 23% (14/61) perceived importance to faculty effort in producing content for journal-based blogs. If faculty were to participate in blog authorship, 72% (44/61) of surveyed chairs favored involvement in a journal-based versus a society-based or a personal (nonaffiliated) blog. We identified a "favorable group" of chairs (19/59, 32%), who rated leadership roles in e-learning tools as important or very important, and an "unfavorable group" of chairs (40/59, 68%), who rated leadership roles in e-learning tools as somewhat important or not important. The favorable group were more likely to be aware of faculty bloggers within their departments (58%, 11/19 vs 25%, 10/40), viewed serving on editorial boards of e-learning tools more favorably (79%, 15/19 vs 31%, 12/39), and were more likely to value effort spent contributing to journal-based blogs (53%, 10/19 vs 10%, 4/40). Our findings demonstrate that although the majority of department chairs value educational scholarship, only a minority perceive value in faculty blogging effort.

  16. Genetic analysis of human and swine influenza A viruses isolated in Northern Italy during 2010-2015.

    PubMed

    Chiapponi, C; Ebranati, E; Pariani, E; Faccini, S; Luppi, A; Baioni, L; Manfredi, R; Carta, V; Merenda, M; Affanni, P; Colucci, M E; Veronesi, L; Zehender, G; Foni, E

    2018-02-01

    Influenza A virus (IAV) infection in swine plays an important role in the ecology of influenza viruses. The emergence of new IAVs comes through different mechanisms, with the genetic reassortment of genes between influenza viruses, also originating from different species, being common. We performed a genetic analysis on 179 IAV isolates from humans (n. 75) and pigs (n. 104) collected in Northern Italy between 2010 and 2015, to monitor the genetic exchange between human and swine IAVs. No cases of human infection with swine strains were noticed, but direct infections of swine with H1N1pdm09 strains were detected. Moreover, we pointed out a continuous circulation of H1N1pdm09 strains in swine populations evidenced by the introduction of internal genes of this subtype. These events contribute to generating new viral variants-possibly endowed with pandemic potential-and emphasize the importance of continuous surveillance at both animal and human level. © 2017 The Authors. Zoonoses and Public Health published by Blackwell Verlag GmbH.

  17. One Health Core Competency Domains.

    PubMed

    Frankson, Rebekah; Hueston, William; Christian, Kira; Olson, Debra; Lee, Mary; Valeri, Linda; Hyatt, Raymond; Annelli, Joseph; Rubin, Carol

    2016-01-01

    The emergence of complex global challenges at the convergence of human, animal, and environmental health has catalyzed a movement supporting "One Health" approaches. Despite recognition of the importance of One Health approaches to address these complex challenges, little effort has been directed at identifying the seminal knowledge, skills, and attitudes necessary for individuals to successfully contribute to One Health efforts. Between 2008 and 2011, three groups independently embarked on separate initiatives to identify core competencies for professionals involved with One Health approaches. Core competencies were considered critically important for guiding curriculum development and continuing professional education, as they describe the knowledge, skills, and attitudes required to be effective. A workshop was convened in 2012 to synthesize the various strands of work on One Health competencies. Despite having different mandates, participants, and approaches, all of these initiatives identified similar core competency domains: management; communication and informatics; values and ethics; leadership; teams and collaboration; roles and responsibilities; and systems thinking. These core competency domains have been used to develop new continuing professional education programs for One Health professionals and help university curricula prepare new graduates to be able to contribute more effectively to One Health approaches.

  18. Regrouping: organized activity involvement and social adjustment across the transition to high school.

    PubMed

    Bohnert, Amy M; Aikins, Julie Wargo; Arola, Nicole T

    2013-01-01

    Although organized activities (OAs) have been established as important contexts of development, limited work has examined the role of OAs across the high school transition in buffering adolescents' social adjustment by providing opportunities for visibility and peer affiliation. The transition to high school is characterized by numerous changes and OAs may provide an important setting for establishing and maintaining peer relationships during this tumultuous time. This study included 151 8th grade U.S. students (58% male) who were assessed across the transition to high school (spring of 8th and 9th grade). Continuous involvement in academic activities across the transition and becoming involved (i.e., initiation) in community/service activities following the transition was associated with fewer depressive symptoms in the spring of 9th grade. Continuous involvement in sports and initiation of academic activities was associated with having more friendships. In addition, links between OAs and loneliness were only evident among females. There appear to be significant social benefits for OA involvement. Copyright © 2013 Wiley Periodicals, Inc., A Wiley Company.

  19. Modelling utility-scale wind power plants. Part 1: Economics

    NASA Astrophysics Data System (ADS)

    Milligan, Michael R.

    1999-10-01

    As the worldwide use of wind turbine generators continues to increase in utility-scale applications, it will become increasingly important to assess the economic and reliability impact of these intermittent resources. Although the utility industry in the United States appears to be moving towards a restructured environment, basic economic and reliability issues will continue to be relevant to companies involved with electricity generation. This article is the first of two which address modelling approaches and results obtained in several case studies and research projects at the National Renewable Energy Laboratory (NREL). This first article addresses the basic economic issues associated with electricity production from several generators that include large-scale wind power plants. An important part of this discussion is the role of unit commitment and economic dispatch in production cost models. This paper includes overviews and comparisons of the prevalent production cost modelling methods, including several case studies applied to a variety of electric utilities. The second article discusses various methods of assessing capacity credit and results from several reliability-based studies performed at NREL.

  20. The role of convexity in perceptual completion: beyond good continuation.

    PubMed

    Liu, Z; Jacobs, D W; Basri, R

    1999-01-01

    Since the seminal work of the Gestalt psychologists, there has been great interest in understanding what factors determine the perceptual organization of images. While the Gestaltists demonstrated the significance of grouping cues such as similarity, proximity and good continuation, it has not been well understood whether their catalog of grouping cues is complete--in part due to the paucity of effective methodologies for examining the significance of various grouping cues. We describe a novel, objective method to study perceptual grouping of planar regions separated by an occluder. We demonstrate that the stronger the grouping between two such regions, the harder it will be to resolve their relative stereoscopic depth. We use this new method to call into question many existing theories of perceptual completion (Ullman, S. (1976). Biological Cybernetics, 25, 1-6; Shashua, A., & Ullman, S. (1988). 2nd International Conference on Computer Vision (pp. 321-327); Parent, P., & Zucker, S. (1989). IEEE Transactions on Pattern Analysis and Machine Intelligence, 11, 823-839; Kellman, P. J., & Shipley, T. F. (1991). Cognitive psychology, Liveright, New York; Heitger, R., & von der Heydt, R. (1993). A computational model of neural contour processing, figure-ground segregation and illusory contours. In Internal Conference Computer Vision (pp. 32-40); Mumford, D. (1994). Algebraic geometry and its applications, Springer, New York; Williams, L. R., & Jacobs, D. W. (1997). Neural Computation, 9, 837-858) that are based on Gestalt grouping cues by demonstrating that convexity plays a strong role in perceptual completion. In some cases convexity dominates the effects of the well known Gestalt cue of good continuation. While convexity has been known to play a role in figure/ground segmentation (Rubin, 1927; Kanizsa & Gerbino, 1976), this is the first demonstration of its importance in perceptual completion.

  1. Stand by me: a volunteer's reflection on working on an academic palliative care unit in Germany.

    PubMed

    Böddeker, Andrea; Smeding, Ruthmarijke; Voltz, Raymond

    2010-09-01

    To relate personal experience and reflections on the tasks and role of a volunteer in an academic palliative care unit into the context of the English publications of 2009. We took a snapshot of the most recent publications as a way of placing the rather unique experiences of this German volunteer in an international context. Five recent studies were found discussing the importance of volunteers in an interdisciplinary context, but mainly focusing on the volunteer's role in the community, interacting with terminally ill patients and their caregivers. Furthermore, aspects of ethical issues, reasons for starting and continuing to volunteer for hospice and the role of male volunteers were evaluated in these studies. The studies feature on the one hand the positive recognition of volunteers, for example, two studies revealed a significant interest by the respondents of having volunteers if they were dying. Also, these articles focused on family carers, who voted for the service of hospice/palliative care volunteers; on the other hand, efforts have to be made to improve the recruitment of volunteers especially if it comes to male support. A further study, reporting on ethical issues, indicates that little is known about these issues when it comes to a volunteer's interaction with a patient in difficult situations, how these are to be managed. These studies give us valuable clues on how and where to make continuous improvements.

  2. The role of ethnicity and travel on Hepatitis A vaccination coverage and disease incidence in Arizona at the United States–Mexico Border

    PubMed Central

    Ernst, Kacey C; Erhart, Laura M

    2014-01-01

    Background: Hepatitis A (HAV) incidence has decreased in the United States, yet regional disparities persist. The role of international travel has become increasingly important in HAV transmission. We compared the relative burden of HAV in border and non-border regions in Arizona and examined the role of travel in sustaining HAV transmission. Methods: HAV vaccination coverage was calculated by age and region, using Arizona State Immunization Information System data. Incidence, demographics, and risk factors of cases reported through Arizona’s infectious disease surveillance system between 2006 and 2011 were analyzed. Results: Hepatitis A incidence was higher in the border region of Arizona. Compared with the rest of Arizona, one-dose coverage in children <15 years was lower in the border region until 2008. Second dose coverage was lower in the border region, particularly among Spanish speakers. International travel among cases was generally high; however, in the border region cases were more likely to visit Mexico or South/Central America (94% vs. 80%, P value = 0.01) and be Hispanic (68% vs. 42%, P value = 0.0003). Conclusions: Rates of HAV continue to be higher in the Arizona border region; the risk appears particularly high among Hispanics with recent travel in the Americas. Border surveillance should be emphasized, along with vaccination of all travelers, to continue to decrease and control HAV. PMID:24603091

  3. Clinical ethics and happiness.

    PubMed

    Devettere, R J

    1993-02-01

    Most contemporary accounts of clinical ethics do not explain why clinicians should be ethical. Those few that do attempt an explanation usually claim that clinicians should be ethical because ethical behavior provides an important good for the patient--better care. Both these approaches ignore the customary traditional reason for being ethical, namely, the good of the moral agent. This good was commonly called 'happiness'. The following article shows how the personal happiness of the moral agent provided a major reason for being ethical in the ancient philosophical and biblical traditions and how it continues to play a role in the more modern rights-based, Kantian and utilitarian theories. This history suggests that the personal happiness of the clinician, rightly understood, is a legitimate and important goal of clinical ethics.

  4. Archaeal Enzymes and Applications in Industrial Biocatalysts.

    PubMed

    Littlechild, Jennifer A

    2015-01-01

    Archaeal enzymes are playing an important role in industrial biotechnology. Many representatives of organisms living in "extreme" conditions, the so-called Extremophiles, belong to the archaeal kingdom of life. This paper will review studies carried by the Exeter group and others regarding archaeal enzymes that have important applications in commercial biocatalysis. Some of these biocatalysts are already being used in large scale industrial processes for the production of optically pure drug intermediates and amino acids and their analogues. Other enzymes have been characterised at laboratory scale regarding their substrate specificity and properties for potential industrial application. The increasing availability of DNA sequences from new archaeal species and metagenomes will provide a continuing resource to identify new enzymes of commercial interest using both bioinformatics and screening approaches.

  5. Sex and gender differences in pain and analgesia.

    PubMed

    Mogil, Jeffrey S; Bailey, Andrea L

    2010-01-01

    It is a clinical reality that women make up the large majority of chronic pain patients, and there is now consensus from laboratory experiments that when differences are seen, women are more sensitive to pain than men. Research in this field has now begun to concentrate on finding explanations for this sex difference. Although sex differences in sociocultural, psychological, and experiential factors likely play important roles, evidence largely from animal studies has revealed surprisingly robust and often qualitative sex differences at low levels of the neuraxis. Although not yet able to affect clinical practice, the continued study of sex differences in pain may have important implications for the development of new analgesic strategies. Copyright © 2010 Elsevier B.V. All rights reserved.

  6. Recent progress in chemical and chemoenzymatic synthesis of carbohydrates.

    PubMed

    Muthana, Saddam; Cao, Hongzhi; Chen, Xi

    2009-12-01

    The important roles that carbohydrates play in biological processes and their potential application in diagnosis, therapeutics, and vaccine development have made them attractive synthetic targets. Despite ongoing challenges, tremendous progresses have been made in recent years for the synthesis of carbohydrates. The chemical glycosylation methods have become more sophisticated and the synthesis of oligosaccharides has become more predictable. Simplified one-pot glycosylation strategy and automated synthesis are increasingly used to obtain biologically important glycans. On the other hand, chemoenzymatic synthesis continues to be a powerful alternative for obtaining complex carbohydrates. This review highlights recent progress in chemical and chemoenzymatic synthesis of carbohydrates with a particular focus on the methods developed for the synthesis of oligosaccharides, polysaccharides, glycolipids, and glycosylated natural products.

  7. Recent Progress in Chemical and Chemoenzymatic Synthesis of Carbohydrates

    PubMed Central

    Muthana, Saddam; Cao, Hongzhi; Chen, Xi

    2011-01-01

    Summary The important roles that carbohydrates play in biological processes and their potential application in diagnosis, therapeutics, and vaccine development have made them attractive synthetic targets. Despite ongoing challenges, tremendous progresses have been made in recent years for the synthesis of carbohydrates. The chemical glycosylation methods have become more sophisticated and the synthesis of oligosaccharides has become more predictable. Simplified one-pot glycosylation strategy and automated synthesis are increasingly used to obtain biologically important glycans. On the other hand, chemoenzymatic synthesis continues to be a powerful alternative for obtaining complex carbohydrates. This review highlights recent progress in chemical and chemoenzymatic synthesis of carbohydrates with a particular focus on the methods developed for the synthesis of oligosaccharides, polysaccharides, glycolipids, and glycosylated natural products. PMID:19833544

  8. Patient engagement in clinical trials: The Clinical Trials Transformation Initiative's leadership from theory to practical implementation.

    PubMed

    Patrick-Lake, Bray

    2018-02-01

    Patient engagement is an increasingly important aspect of successful clinical trials. Over the past decade, as patient group involvement in clinical trials has continued to increase and diversify, the Clinical Trials Transformation Initiative has not only recognized the crucial role patients play in improving the clinical trial enterprise but also made a deep commitment to help grow and shape the emerging field of patient engagement. This article describes the evolution of patient engagement including the origins of the patient engagement movement; barriers to successful engagement and remaining challenges to full and valuable collaboration between patient groups and trial sponsors; and Clinical Trials Transformation Initiative's role in influencing the field through organizational practices, formal project work and resulting recommendations, and external advocacy efforts.

  9. The Role of the Food Industry in Obesity Prevention.

    PubMed

    Binks, Martin

    2016-06-01

    Obesity is a complex disease of diverse etiology. Among the potential influences in the development of obesity, the food supply chain remains an important influence. We provide a conceptual overview related to the food industry's role in obesity prevention. We first discuss some limitations of current public health efforts. We then describe how a model that attends to personal autonomy in the context of supportive policy intervention can empower individuals in their efforts to navigate the food supply chain. We then provide an evidence informed overview of key areas where continued efforts to collaboratively engage the food industry, through solution-focused dialogue and action, have the potential to contribute to obesity prevention. While challenging, appropriately transparent, well-governed public-private partnerships have the demonstrated potential to benefit the communities we serve.

  10. Fractionation and reconstitution experiments provide insight into the role of starch gelatinization and pasting properties in pasta quality.

    PubMed

    Delcour, J A; Vansteelandt, J; Hythier, M; Abécassis, J

    2000-09-01

    Commercial durum wheat semolina was fractionated into protein, starch, water-extractable, and sludge fractions. The starch fraction was hydroxypropylated, annealed, or cross-linked to change its gelatinization and pasting properties. Spaghettis were made by reconstitution of the fractions, and their quality was assessed. Hydroxypropylated starches were detrimental for cooked pasta quality. Cross-linked starches made the reconstituted pasta firmer and even brittle when the degree of cross-linking was too high. These results indicate that starch properties play a role in pasta quality, although the gluten remains very important as an ultrastructure agent. It was concluded that, given a certain gluten ultrastructure, starch water uptake and gel properties and/or its interference with or breakdown of the continuous gluten network during cooking determine pasta quality.

  11. Morphological Dynamics of Mitochondria – A Special Emphasis on Cardiac Muscle Cells

    PubMed Central

    Hom, Jennifer; Sheu, Shey-Shing

    2010-01-01

    Mitochondria play a critical role in cellular energy metabolism, Ca2+ homeostasis, reactive oxygen species generation, apoptosis, aging, and development. Many recent publications have shown that a continuous balance of fusion and fission of these organelles is important in maintaining their proper function. Therefore, there is a steep correlation between the form and function of mitochondria. Many major proteins involved in mitochondrial fusion and fission have been identified in different cell types, including heart. However, the functional role of mitochondrial dynamics in the heart remains, for the most part, unexplored. In this review we will cover the recent field of mitochondrial dynamics and its physiological and pathological implications, with a particular emphasis on the experimental and theoretical basis of mitochondrial dynamics in the heart. PMID:19281816

  12. Violence: a priority for public health? (part 2)

    PubMed Central

    Rutherford, Alison; Zwi, Anthony B; Grove, Natalie J; Butchart, Alexander

    2007-01-01

    Violence continues to grow as a priority for public health practitioners, particularly as its causes and consequences become better understood and the potential roles for public health are better articulated. This article provides the context to “Violence: a glossary (part 1)” published in the last issue of this journal, and updates some of the data, concepts and population approaches presented in the 2002 World report on violence and health. The paper addresses the following questions: What is the magnitude and global burden of injury from violence? What causes violence? Is resilience important? What is the role for public health? What are the key challenges and opportunities? We aim to engage the general reader and to increase understanding of violence as a potentially preventable issue. PMID:17699529

  13. Early onset of action and sleep-improving effect are crucial in decreasing suicide risk: the role of quetiapine XR in the treatment of unipolar and bipolar depression.

    PubMed

    Pompili, Maurizio; Rihmer, Zoltan; Gonda, Xenia; Serafini, Gianluca; Sher, Leo; Girardi, Paolo

    2012-01-01

    Although the possibilities of antidepressive pharmacotherapy are continuously improving, the rate of nonresponders or partial responders is still relatively high. Suicidal behavior, the most tragic consequence of untreated or unsuccessfully treated depression, commonly observed in the first few weeks of antidepressive treatment before the onset of therapeutic action, is strongly related to certain symptoms of depression like insomnia. The present paper reviews the newly discovered and well-documented antidepressive effect of quetiapine in bipolar and unipolar depression with special focus on its early onset of action and its sleep-improving effects. Both beneficial effects play an important role in the reduction of suicidal risk frequently observed in depressed patients.

  14. The human sperm epigenome and its potential role in embryonic development.

    PubMed

    Carrell, Douglas T; Hammoud, Saher Sue

    2010-01-01

    Along with many of the genome-wide transitions in chromatin composition throughout spermatogenesis, epigenetic modifications on histone tails and DNA are continuously modified to ensure stage specific gene expression in the maturing spermatid. Recent findings have suggested that the repertoire of epigenetic modifications in the mature sperm may have a potential role in the developing embryo and alterations in the epigenetic profile have been associated with infertility. These changes include DNA demethylation and the retention of modified histones at important developmental, signaling and micro-RNA genes, which resemble the epigenetic state of an embryonic stem cell. This review assesses the significance of epigenetic changes during spermatogenesis, and provides insight on recent associations made between altered epigenetic profiles in the mature sperm and its relationship to infertility.

  15. The big freeze may be over: a contracting universe for cryopreservation?

    PubMed

    Gale, Robert Peter; Ruiz-Argüelles, Guillermo J

    2018-02-23

    According to current cosmological theory, the universe will continue to expand indefinitely. If so, it should cool eventually reaching temperatures too cold to sustain life. This theory is commonly referred to as heat-death or the big freeze. Putting aside this potentially unpleasant scenario, unlikely in the lifetime of current readers (about 10 × E + 2500 years from now), freezing, in contrast, has played an important role in hematopoietic cell autotransplants for disease such as plasma cell myeloma and lymphomas. Let us consider how.

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

    Hall, Debora Lynn

    Los Alamos National Laboratory is committed to an environmental management strategy aimed at reducing the Laboratory's environmental impacts, while still maintaining or increasing operating efficiencies. This training is designed to help you understand the critical importance of environmental management to the continuing success of the Laboratory and your personal role in this essential endeavor. If you are new to this training, you may wish to explore the various links that will take you to more in-depth information. If this is refresher training, you will find new information concerning the Laboratory's current institutional objectives and targets for environmental management.

  17. Wet process shotcrete: An ecological and economical quality product for the future

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

    Bracher, G.

    1995-12-31

    Shotcrete is an essential component of modern tunnelling and its importance is continuously growing. In order to comply with this role, the demands made on quality and economy have increased considerably. The wet process Shotcrete has been established on all the major job sites in Switzerland. Regarding the technical and ecological aspects, the introduction of an alkali free non-toxic accelerator has set up a new standard. Enormous high early strengths in combination with strength gains compared to the reference concrete can be achieved.

  18. Transplant Pulmonary Interventions: Translating Lung Transplant Interventions to Nontransplant Patients.

    PubMed

    Sinha, Neeraj

    2016-01-01

    Roughly 10% of lung transplant recipients experience airway complications. Although the incidence has decreased dramatically since the first lung transplants were performed in the 1960s, airway complications have continued to adversely affect outcomes. Bronchoscopic interventions such as balloon dilation, airway stenting, and endobronchial electrocautery play an important role in ameliorating the morbidity and mortality associated with these complications. This review describes the array of bronchoscopic interventions used to treat airway complications after lung transplant and how these techniques can be used in nontransplant settings as well.

  19. The role of the nurse executive in health care philanthropy.

    PubMed

    Martinez, Donell

    2014-01-01

    As the health care landscape continues to change with reform, obtaining funding for clinical initiatives is becoming increasingly difficult. At Catholic Health Initiatives, a number of nurse executives have recognized the need for creative philanthropy to advance specific projects. They have embraced opportunities for partnerships with their hospital foundation chief development officers to leverage philanthropy toward clinical innovations and to improve quality of care. Following are their discussions which reveal just how important nurse and employee involvement is to attracting and using philanthropy dollars in the next era of health care.

  20. Primary care and cancer: Facing the challenge of early diagnosis and survivorship.

    PubMed

    Round, Thomas

    2017-05-01

    With ageing populations and an increasing lifetime risk of cancer, primary care will continue to play an increasingly important role in early diagnosis and cancer survivorship, especially with the lowering of risk thresholds for referral and diagnostic investigations. However, primary care in many countries is in crisis with increasing workloads for primary care physicians. Potential solutions to these challenges will be outlined including development of multidisciplinary teams, diagnostic decision support, increasing access to diagnostics and cost-effective referral pathways. © 2017 John Wiley & Sons Ltd.

  1. Future directions in technology development - Increased use of space as a facility

    NASA Technical Reports Server (NTRS)

    Ambrus, Judith H.; Harris, Leonard A.; Levine, Jack; Tyson, Richard W.

    1988-01-01

    As human activities in space continue to grow in size and scope, the role of in-space technology experiments, as a necessary tool for essential technological development, will also grow. NASA has recognized the increasing importance of such experiments, and has instituted programs to plan, organize, and coordinate future in-space technology experiment activities within the overall space community. This paper discusses the history of in-space technology experiments, and expected future trends. It also describes NASA activities in this growing area of experimentation, and provides several examples of such experiments.

  2. Self-regulated learning: why is it important compared to traditional learning in medical education?

    PubMed Central

    Siddaiah-Subramanya, Manjunath; Nyandowe, Masimba; Zubair, Omar

    2017-01-01

    Self-regulated learning has played an increasingly significant role in medical education over the last one to two decades. Medical educators have endeavored to ensure that the students are equipped to face the challenges of continued growth of medical knowledge. Here we enquire and reflect on various aspects of self-regulated learning including its strengths and weaknesses. We investigate how it could be incorporated with traditional teaching to bring the best out of the students and what students think about it. PMID:28360542

  3. [The Nutrition Commission of the Austrian Society of Pediatrics and Adolescent Medicine. Prevention of caries].

    PubMed

    Haschke, F

    1992-01-01

    Effective preventive programs must be instituted early in the life of a child. The pediatrician plays an important role in preventive oral health care, because most children do not visit a dentist before 3 years of age. Fluoride therapy decreases the caries vulnerability of the tooth, oral hygiene measures are important to remove bacterial plaque, and dietary modifications reduce the number of carbohydrate exposures per day. Community water fluoridation is proposed in Austrian cities, because it continues to be the most cost-effective caries prevention measure available. As long as the population does not have access to optimally fluoridated water, dietary fluoride supplementation offers an effective alternative. The recommended dosage of fluoride supplements for children depends on the amount of fluoride present in their drinking water and on the child's age. Liquid fluoride supplements and chewable tablets are proposed for children between 0.5 and 3 years and children between 3 and 13 years, respectively. Home use topical fluorides and professionally applied topical fluorides are useful beyond 3 years of age. Teaching of oral hygiene measures should be continued in kindergarten and school. The 3-6 year-old children require parental assistance to achieve effective plaque removal. Semiannual dental visits should begin at the age of three and continue throughout childhood and adolescence. As far as the diet is concerned, the frequency of exposure to sugar appears to be the most important factor in the development of dental caries. It now appears that most sugars are nearly equally cariogenic in a pure form.

  4. The research program coordinator: an example of effective management.

    PubMed

    Merry, Lisa; Gagnon, Anita J; Thomas, Julia

    2010-01-01

    Careers in clinical research management are increasingly common. Despite nurses' important role in clinical research, their status as research professionals is underrecognized. In this article, we describe the role of a "program coordinator" (PC) in the context of a complex research program on migration and reproductive health. The PC role expands beyond the usual role of a research coordinator because he or she is involved in all aspects of the program of research and his or her responsibilities include research, education, clinical, and administration components. He or she ensures optimal organization and continuity across several studies and ensures ethical and scientific standards are applied for each individual study. His or her clinical knowledge assures data are accurate and subjects are safe. In addition, he or she assists with applying for funding, the maintenance of research partnerships, and dissemination of research findings; he or she supports students' learning and completes all regulatory aspects related to the program of research. Key to the PC role is relationship building and the application of Good Clinical Practice principles. The advanced role of a PC also warrants opportunities for professional development and a competitive salary. A PC is an effective approach for research management and a natural role for professional nurse. Copyright 2010 Elsevier Inc. All rights reserved.

  5. Novel role for the Streptococcus pneumoniae toxin pneumolysin in the assembly of biofilms.

    PubMed

    Shak, Joshua R; Ludewick, Herbert P; Howery, Kristen E; Sakai, Fuminori; Yi, Hong; Harvey, Richard M; Paton, James C; Klugman, Keith P; Vidal, Jorge E

    2013-09-10

    Streptococcus pneumoniae is an important commensal and pathogen responsible for almost a million deaths annually in children under five. The formation of biofilms by S. pneumoniae is important in nasopharyngeal colonization, pneumonia, and otitis media. Pneumolysin (Ply) is a toxin that contributes significantly to the virulence of S. pneumoniae and is an important candidate as a serotype-independent vaccine target. Having previously demonstrated that a luxS knockout mutant was unable to form early biofilms and expressed less ply mRNA than the wild type, we conducted a study to investigate the role of Ply in biofilm formation. We found that Ply was expressed in early phases of biofilm development and localized to cellular aggregates as early as 4 h postinoculation. S. pneumoniae ply knockout mutants in D39 and TIGR4 backgrounds produced significantly less biofilm biomass than wild-type strains at early time points, both on polystyrene and on human respiratory epithelial cells, cultured under static or continuous-flow conditions. Ply's role in biofilm formation appears to be independent of its hemolytic activity, as S. pneumoniae serotype 1 strains, which produce a nonhemolytic variant of Ply, were still able to form biofilms. Transmission electron microscopy of biofilms grown on A549 lung cells using immunogold demonstrated that Ply was located both on the surfaces of pneumococcal cells and in the extracellular biofilm matrix. Altogether, our studies demonstrate a novel role for pneumolysin in the assembly of S. pneumoniae biofilms that is likely important during both carriage and disease and therefore significant for pneumolysin-targeting vaccines under development. The bacterium Streptococcus pneumoniae (commonly known as the pneumococcus) is commonly carried in the human nasopharynx and can spread to other body sites to cause disease. In the nasopharynx, middle ear, and lungs, the pneumococcus forms multicellular surface-associated structures called biofilms. Pneumolysin is an important toxin produced by almost all S. pneumoniae strains, extensively studied for its ability to cause damage to human tissue. In this paper, we demonstrate that pneumolysin has a previously unrecognized role in biofilm formation by showing that strains without pneumolysin are unable to form the same amount of biofilm on plastic and human cell substrates. Furthermore, we show that the role of pneumolysin in biofilm formation is separate from the hemolytic activity responsible for tissue damage during pneumococcal diseases. This novel role for pneumolysin suggests that pneumococcal vaccines directed against this protein should be investigated for their potential impact on biofilms formed during carriage and disease.

  6. Role of positive ions in determining the deposition rate and film chemistry of continuous wave hexamethyl disiloxane plasmas.

    PubMed

    Michelmore, Andrew; Bryant, Paul M; Steele, David A; Vasilev, Krasimir; Bradley, James W; Short, Robert D

    2011-10-04

    New data shed light on the mechanisms of film growth from low power, low pressure plasmas of organic compounds. These data rebalance the widely held view that plasma polymer formation is due to radical/neutral reactions only and that ions play no direct role in contributing mass at the surface. Ion reactions are shown to play an important role in both the plasma phase and at the surface. The mass deposition rate and ion flux in continuous wave hexamethyl disiloxane (HMDSO) plasmas have been studied as a function of pressure and applied RF power. Both the deposition rate and ion flux were shown to increase with applied power; however, the deposition rate increased with pressure while the ion flux decreased. Positive ion mass spectrometry of the plasma phase demonstrates that the dominant ionic species is the (HMDSO-CH(3))(+) ion at m/z 147, but significant fragmentation and subsequent oligomerization was also observed. Chemical analysis of the deposits by X-ray photoelectron spectroscopy and secondary ion mass spectrometry show that the deposits were consistent with deposits reported by previous workers grown from plasma and hyperthermal (HMDSO-CH(3))(+) ions. Increasing coordination of silicon with oxygen in the plasma deposits reveals the role of ions in the growth of plasma polymers. Comparing the calculated film thicknesses after a fixed total fluence of 1.5 × 10(19) ions/m(2) to results for hyperthermal ions shows that ions can contribute significantly to the total absorbed mass in the deposits. © 2011 American Chemical Society

  7. Probing the Role of Promoters in Zinc Reduction of Nitrobenzene: Continuous Production of Hydroxylaminobenzene [PREPRINT

    DTIC Science & Technology

    2006-10-30

    synthesis of aminophenols (particularly ortho- and para - aminophenols ) that are used as precursors for synthesis of high- performance polymers...biocatalyst processing train to obtain aminophenols . Experiments were conducted using a Zn packed bed to probe the role of promoters under continuous-flow...methylimidazolium tetrafluoroborate ([bmim][BF4]). Luckarift et al. (2005) demonstrated the continuous synthesis of aminophenols from nitroaromatic

  8. The Mediating Roles of Internal Context Variables in the Relationship between Distributed Leadership Perceptions and Continuous Change Behaviours of Public School Teachers

    ERIC Educational Resources Information Center

    Kondakci, Yasar; Zayim, Merve; Beycioglu, Kadir; Sincar, Mehmet; Ugurlu, Celal T

    2016-01-01

    This study aims at building a theoretical base for continuous change in education and using this base to test the mediating roles of two key contextual variables, knowledge sharing and trust, in the relationship between the distributed leadership perceptions and continuous change behaviours of teachers. Data were collected from 687 public school…

  9. Primates and the evolution of long, slow life histories.

    PubMed

    Jones, James Holland

    2011-09-27

    Primates are characterized by relatively late ages at first reproduction, long lives and low fertility. Together, these traits define a life-history of reduced reproductive effort. Understanding the optimal allocation of reproductive effort, and specifically reduced reproductive effort, has been one of the key problems motivating the development of life-history theory. Because of their unusual constellation of life-history traits, primates play an important role in the continued development of life-history theory. In this review, I present the evidence for the reduced reproductive effort life histories of primates and discuss the ways that such life-history tactics are understood in contemporary theory. Such tactics are particularly consistent with the predictions of stochastic demographic models, suggesting a key role for environmental variability in the evolution of primate life histories. The tendency for primates to specialize in high-quality, high-variability food items may make them particularly susceptible to environmental variability and explains their low reproductive-effort tactics. I discuss recent applications of life-history theory to human evolution and emphasize the continuity between models used to explain peculiarities of human reproduction and senescence with the long, slow life histories of primates more generally. Copyright © 2011 Elsevier Ltd. All rights reserved.

  10. Ineffective Leadership.

    PubMed

    Itri, Jason N; Lawson, Leslie M

    2016-07-01

    Radiology leaders can have a profound impact on the success and working environment of a radiology department, promoting core values and inspiring staff members to achieve the organization's mission. On the other hand, ineffective leaders can have a devastating effect on a radiology department by impairing communication among members, undermining staff commitment to the organization's success, and stifling the development of other staff members and leaders in the organization. One of the most important investments a radiology department can make is in identifying, cultivating, and promoting new leaders. The authors describe 13 habits and characteristics of new leaders that lead these individuals to address situations in both ineffective and counterproductive ways, impeding the performance of a radiology department and its capacity to play a meaningful role in shaping the future of radiology. New leaders must continually learn and improve their leadership skills if they are to avoid the destructive habits of ineffective leaders and successfully overcome the challenges facing radiology today. Senior leaders may also benefit from understanding the pitfalls that make leaders ineffective and should strive to continually improve their leadership skills given the critical role of leadership in the success of radiology departments. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  11. Continuous and large sediment supply in a steep landslide scar, Southern Japanese Alps

    NASA Astrophysics Data System (ADS)

    Nishii, Ryoko; Imaizumi, Fumitoshi; Daimaru, Hiromu; Murakami, Wataru

    2018-07-01

    Continuous sediment supply in the Aka-kuzure landslide scar, in the tectonically active alpine Southern Japanese Alps, was investigated using airborne light detection and ranging data in 2000, 2003, 2007 and 2012. In addition, we focused on the spatial variability of denudation patterns based on topographical analyses using DEMs. Denudation volume for the past 12 years reached about 106 m3 and mean annual denudation rate ranged from 0.25 to 0.31 m/yr. Topographical analyses revealed that sediment supply in the scar consists of a combination of two denudation types, sporadic-deep and wide-thin. These denudation types have different roles in the topographical development of the landslide scar. Sporadic-deep type supplies less volume than wide-thin type but still contributes to channel development, as it mainly occurs on lower-order streams and tends to change the convex slope into a concave slope. In contrast, although denudation depth of the wide-thin type is thin, the area affected by this type extends to the whole landslide scar. Consequently, the wide-thin type accounts for most of the total volume lost, for which detachment by frost shattering is suggested as an important role.

  12. New developments in psychosocial interventions for adults with unipolar depression.

    PubMed

    Lau, Mark A

    2008-01-01

    Depression treatment guidelines typically recommend cognitive behavioral therapy and/or interpersonal therapy for the acute treatment of mild-moderate depression. However, several new developments support an expanded role for psychotherapy in depression treatment. This article summarizes recent psychotherapy efficacy studies across the depression treatment continuum and the effectiveness of psychosocial interventions in community settings. New psychotherapies in the acute treatment of mild-moderate depression include emotion-focused therapy, self-system therapy, cognitive control training and positive psychotherapy. Furthermore, emerging evidence supports the use of psychotherapy for moderate-severe and treatment-resistant depression and for recurrent depression with a seasonal pattern. An important area of growth is the development and evaluation of continuation/maintenance treatments based on cognitive behavioral therapy and interpersonal therapy to reduce depressive relapse risk in recurrent and chronic depression. Finally, there is evidence supporting the effectiveness of stepped care, chronic disease management and collaborative care models in community settings. Emerging evidence supports an expanded role for the use of psychosocial interventions as acute and continuation/maintenance treatments for unipolar depression. Although further research is required to replicate these findings, a remaining challenge is to increase the availability of these treatments to the mental health consumer.

  13. Mechanism of non-appearance of hiatus in Tibetan Plateau.

    PubMed

    Ma, Jieru; Guan, Xiaodan; Guo, Ruixia; Gan, Zewen; Xie, Yongkun

    2017-06-30

    In the recent decade, hiatus is the hottest issue in the community of climate change. As the area of great importance, the Tibetan Plateau (TP), however, did not appear to have any warming stoppage in the hiatus period. In fact, the TP showed a continuous warming in the recent decade. To explore why the TP did not show hiatus, we divide the surface air temperature into dynamically-induced temperature (DIT) and radiatively-forced temperature (RFT) by applying the dynamical adjustment method. Our results show that DIT displayed a relatively uniform warming background in the TP, with no obvious correlations with dynamic factors. Meanwhile, as the major contribution to warming, the RFT effect over the TP played the dominant role. The warming role is illustrated using the temperature change between perturbed and control simulation responses to CO 2 or black carbon (BC) forcing via Community Earth System Model (CESM). It shows that an obvious warming in the TP is induced by the CO 2 warming effect, and BC exhibits an amplifying effect on the warming. Therefore, the continuous warming in the TP was a result of uniform DIT warming over a large scale and enhanced RFT warming at a regional scale.

  14. Understanding the properties of common dietary supplements: clinical implications for healthcare practitioners.

    PubMed

    Zelig, Rena; Rigassio Radler, Diane

    2012-12-01

    Dietary supplement usage in the United States continues to increase. This article explores the background of dietary supplements and their regulations, discusses trends in usage patterns highlighting the properties of 10 popular dietary supplements, addresses safety concerns and drug-nutrient interactions, and discusses the role of the healthcare professional in assessing and recommending usage of dietary supplements. The authors reviewed the literature on dietary supplementation. Government websites were used to obtain background and regulatory information. Evidence-based databases were used to summarize popular dietary supplements in terms of their common uses, mechanisms of action, and clinical implications. The related literature was reviewed to discuss important factors for the healthcare professional to consider as well as the role of the healthcare professional in integrating dietary supplement use within patient care. Healthcare professionals need to be prepared to evaluate dietary supplement usage and make appropriate recommendations for an individualized plan of care. As the popularity of dietary supplements continues to grow, healthcare professionals will need to communicate with patients about their usage; educate themselves on their potential benefits, interactions, and contraindications; evaluate the literature; make recommendations; and document appropriately in a comprehensive and integrated plan of care.

  15. Coverage of genomic medicine: information gap between lay public and scientists.

    PubMed

    Sugawara, Yuya; Narimatsu, Hiroto; Fukao, Akira

    2012-01-01

    The sharing of information between the lay public and medical professionals is crucial to the conduct of personalized medicine using genomic information in the near future. Mass media, such as newspapers, can play an important role in disseminating scientific information. However, studies on the role of newspaper coverage of genome-related articles are highly limited. We investigated the coverage of genomic medicine in five major Japanese newspapers (Asahi, Mainichi, Yomiuri, Sankei, and Nikkei) using Nikkei Telecom and articles in scientific journals in PubMed from 1995 to 2009. The number of genome-related articles in all five newspapers temporarily increased in 2000, and began continuously decreasing thereafter from 2001 to 2009. Conversely, there was a continuous increasing trend in the number of genome-related articles in PubMed during this period. The numbers of genome-related articles among the five major newspapers from 1995 to 2009 were significantly different (P = 0.002). Commentaries, research articles, and articles about companies were the most frequent in 2001 and 2003, when the number of genome-related articles transiently increased in the five newspapers. This study highlights the significant gap between newspaper coverage and scientific articles in scientific journals.

  16. Primates and the Evolution of Long-Slow Life Histories

    PubMed Central

    Jones, James Holland

    2011-01-01

    Summary Primates are characterized by relatively late ages at first reproduction, long lives and low fertility. Together, these traits define a life-history of reduced reproductive effort. Understanding the optimal allocation of reproductive effort, and specifically reduced reproductive effort, has been one of the key problems motivating the development of life history theory. Because of their unusual constellation of life-history traits, primates play an important role in the continued development of life history theory. In this review, I present the evidence for the reduced reproductive effort life histories of primates and discuss the ways that such life-history tactics are understood in contemporary theory. Such tactics are particularly consistent with the predictions of stochastic demographic models, suggesting a key role for environmental variability in the evolution of primate life histories. The tendency for primates to specialize in high-quality, high-variability food items may make them particularly susceptible to environmental variability and explain their low reproductive-effort tactics. I discuss recent applications of life history theory to human evolution and emphasize the continuity between models used to explain peculiarities of human reproduction and senescence with the long, slow life histories of primates more generally. PMID:21959161

  17. Civil Society, Political Mobilization, and the Impact of HIV Scale-up on Health Systems in Brazil

    PubMed Central

    Parker, Richard G.

    2011-01-01

    This article examines the role of civil society in shaping HIV and AIDS policies and programs in Brazil. It focuses on the historical context of the re-democratization of Brazilian society during the 1980s, when the initial response to the epidemic took shape, and emphasizes the role of social movements linked to the progressive Catholic Church, the sanitary reform movement in public health, and the emerging gay rights movement in the early response to the epidemic in Brazil. It highlights the broad-based civil society coalition that took shape over the course of the 1990s, and the political alliances that were built up shortly after the 1996 International AIDS Conference in Vancouver, Canada, in order to pass legislation guaranteeing the right to antiretroviral treatment access. It emphasizes the continued importance of civil society organizations – in particular, AIDS-related NGOS – and leading AIDS activists in exerting continued pressure in order to guarantee the sustainability of treatment access, and the impact that action focused on HIV and AIDS has had on the Brazilian public health system more broadly, particularly through strengthening health infrastructures and providing a model for health-related social mobilization more broadly. PMID:19858939

  18. Molecular and serological studies on the Rift Valley fever outbreak in Mauritania in 2010.

    PubMed

    Jäckel, S; Eiden, M; El Mamy, B O; Isselmou, K; Vina-Rodriguez, A; Doumbia, B; Groschup, M H

    2013-11-01

    Rift Valley fever virus (RVFV) is a vector-borne RNA virus affecting humans, livestock and wildlife. In October/November 2010, after a period of unusually heavy rainfall, a Rift Valley fever outbreak occurred in northern Mauritania causing clinical cases in cattle, sheep, goats and camels, 21 of which were of lethal outcome. The aim of this study was to obtain further information on the continuation of RVF virus activity and spread in animal species in Mauritania after this outbreak. We therefore tested sera from small ruminants, cattle and camels for the presence of viral RNA and antibodies against RVFV. These sera were collected in different parts of the country from December 2010 to February 2011 and tested with three different ELISAs and an indirect immunofluorescence assay. The results show a high seroprevalence of RVFV IgM and IgG antibodies of about 57% in all animals investigated. Moreover, in four camel sera, viral RNA was detected emphasizing the important role camels played during the latest RVF outbreak in Mauritania. The study demonstrates the continuous spread of RVFV in Mauritania after initial emergence and highlights the potential role of small ruminants and camels in virus dissemination. © 2013 Blackwell Verlag GmbH.

  19. Comparative Genomic Analysis of Acanthamoeba Endosymbionts Highlights the Role of Amoebae as a “Melting Pot” Shaping the Rickettsiales Evolution

    PubMed Central

    Wang, Zhang

    2017-01-01

    Abstract Amoebae have been considered as a genetic “melting pot” for its symbionts, facilitating genetic exchanges of the bacteria that co-inhabit the same host. To test the “melting pot” hypothesis, we analyzed six genomes of amoeba endosymbionts within Rickettsiales, four of which belong to Holosporaceae family and two to Candidatus Midichloriaceae. For the first time, we identified plasmids in obligate amoeba endosymbionts, which suggests conjugation as a potential mechanism for lateral gene transfers (LGTs) that underpin the “melting pot” hypothesis. We found strong evidence of recent LGTs between the Rickettsiales amoeba endosymbionts, suggesting that the LGTs are continuous and ongoing. In addition, comparative genomic and phylogenomic analyses revealed pervasive and recurrent LGTs between Rickettsiales and distantly related amoeba-associated bacteria throughout the Rickettsiales evolution. Many of these exchanged genes are important for amoeba–symbiont interactions, including genes in transport system, antibiotic resistance, stress response, and bacterial virulence, suggesting that LGTs have played important roles in the adaptation of endosymbionts to their intracellular habitats. Surprisingly, we found little evidence of LGTs between amoebae and their bacterial endosymbionts. Our study strongly supports the “melting pot” hypothesis and highlights the role of amoebae in shaping the Rickettsiales evolution. PMID:29177480

  20. Modelling of pollen dispersion in the atmosphere: evaluation with a continuous 1β+1δ lidar

    NASA Astrophysics Data System (ADS)

    Sicard, Michaël; Izquierdo, Rebeca; Jorba, Oriol; Alarcón, Marta; Belmonte, Jordina; Comerón, Adolfo; De Linares, Concepción; Baldasano, José Maria

    2018-04-01

    Pollen allergenicity plays an important role on human health and wellness. It is thus of large public interest to increase our knowledge of pollen grain behavior in the atmosphere (source, emission, processes involved during their transport, etc.) at fine temporal and spatial scales. First simulations with the Barcelona Supercomputing Center NMMB/BSC-CTM model of Platanus and Pinus dispersion in the atmosphere were performed during a 5-day pollination event observed in Barcelona, Spain, between 27 - 31 March, 2015. The simulations are compared to vertical profiles measured with the continuous Barcelona Micro Pulse Lidar system. First results show that the vertical distribution is well reproduced by the model in shape, but not in intensity, the model largely underestimating in the afternoon. Guidelines are proposed to improve the dispersion of airborne pollen by numerical prediction models.

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